病源飞尸者。发无由渐。忽然而至。若飞走之急疾。故谓之飞尸。其状心腹刺痛。气息
喘急胀满。上冲心胸。(出第二十三卷中)
集验疗飞尸。瓜蒂散方。
瓜蒂 赤小豆(各一分) 雄黄(二分研)
上三味捣下细筛。一服五分匕。稍增至半钱匕。以酪服药。(广济疗卒中恶心腹绞刺
气急胀奄奄欲绝 广济同出第七卷中)
备急张仲景疗飞尸走马汤方。
巴豆(二枚去心皮) 杏仁(二枚去尖皮)
上二物绵缠。捶令极碎。投热汤二合。指捻取白汁便饮之。食顷当下。老小量服之。通
疗鬼击病。忌野猪肉芦笋。(此已见卒疝中正疗飞尸故不删也 文仲同出第一卷中)
古今录验附着散。疗飞尸在人皮中。又名恶脉。又名贼风。发时急头痛。不在一处。针
灸则移。发时一日半日乃微瘥。须臾复发。皆疗之方。
细辛 天雄(炮) 莽草(各一分) 桂心(三分) 附子(四分炮) 雄黄(二分研)
乌头(
四分炮) 干姜(四分) 真珠(二分研)
上九味捣下筛。服五分匕。不知稍增。当以好酒服之。忌猪肉冷水生葱生菜。(出第六
卷中)
病源遁尸者。言其停遁在人肌肉血脉之间。若卒有犯触则发动。亦令人心腹胀满刺
痛。气息喘急。旁攻两胁。上冲心胸。瘥后复发。停遁不消。故谓之遁尸也。(出第二十三
卷中)
广济疗初得遁尸及五尸。经年不瘥。心腹短气方。
鹳骨(三寸炙) 羚羊鼻(二枚炙令焦) 干姜(一两) 麝香(二分研) 蜥蜴(一
枚炙) 斑
蝥(十四枚去翅足熬) 鸡屎白(三两熬) 巴豆(五枚去心皮熬令黑) 青(二十枚去
翅足熬)
藜芦(一两去芦
上十味捣筛。蜜和丸。空腹以饮服如小豆三丸。日二服。稍加至六七丸。以知为度。至
吐利。忌生冷油腻猪肉蒜粘食陈臭芦笋。(一方无斑蝥鸡屎白巴豆 青藜芦)
又初得遁尸鬼疰。心腹中刺痛不可忍方。
青木香(六分) 丁香(六分) 鬼箭羽 桔梗 紫苏 橘皮 当归(各八分) 生姜
(十二
分) 槟榔(十四分合子碎) 桃枭(十四枚去核)
上十味切。以水九升。煮取三升。绞去滓。分为三服。日晚再。以快利为度。忌如药法
。(一方无橘皮桃枭 并出第四卷中)
集验疗遁尸。心腹刺痛不可忍方。
桂心(一尺准一两) 干姜(三分) 巴豆(二枚去皮心熬)
上三味合捣下筛以好苦酒和之如泥。以涂痛处。燥即易之。忌野猪肉芦笋。(千金同用
干姜一两出第一卷中)
【病源】所谓飞尸,发病没有渐进的过程,而是突然发作。其来势如同飞走般急疾,因此称为“飞尸”。它的症状表现为心腹部刺痛,呼吸喘促急促,胸腹胀满,气逆上冲心胸。(出自第二十三卷中)
《集验方》治疗飞尸的瓜蒂散方:
瓜蒂、赤小豆(各一分),雄黄(二分,研细)。
以上三味药捣碎并过细筛。每次服用五分匕的量,逐渐增加至半钱匕。用酪浆送服药物。(《广济方》治疗卒中恶心、腹部绞刺疼痛、气急胀满、气息奄奄欲绝之症,《广济方》同出第七卷中)
《备急方》张仲景治疗飞尸的走马汤方:
巴豆(二枚,去心及皮),杏仁(二枚,去尖及皮)。
以上两味药用丝绵包裹,捶打至极碎,投入热汤二合中,用手指捻取白色汁液立即饮下。约一顿饭的时间后应当排便。老人和儿童酌情减量服用。此方通用治疗鬼击病。忌食野猪肉、芦笋。(此方已在卒疝篇中治疗飞尸时见过,故不删除;文仲方同出第一卷中)
《古今录验方》附着散。治疗飞尸停留在人皮肤中的病症,又名恶脉,又名贼风。发作时头痛剧烈且部位不固定,针灸治疗时痛处会移动。发作持续一天或半天后才稍微缓解,片刻后又复发。这些都是治疗该病的方剂。
细辛、天雄(炮制)、莽草(各一分),桂心(三分),附子(四分,炮制),雄黄(二分,研细),乌头(四分,炮制),干姜(四分),真珠(二分,研细)。
以上九味药捣碎过筛。服用五分匕的量,若无效则逐渐增加剂量。应当用好酒送服。忌食猪肉、冷水、生葱、生菜。(出自第六卷中)
【病源】所谓遁尸,是指邪气潜伏隐匿在人的肌肉血脉之间。如果突然受到触犯就会发作。同样会导致人心腹胀满、刺痛,呼吸喘促急促,疼痛向两侧胁肋攻窜,气逆上冲心胸。病愈后容易复发,邪气潜伏不消,因此称为“遁尸”。(出自第二十三卷中)
《广济方》治疗初得遁尸及五尸,经过一年不痊愈,出现心腹短气的方剂:
鹳骨(三寸,炙烤),羚羊鼻(二枚,炙烤至焦),干姜(一两),麝香(二分,研细),蜥蜴(一枚,炙烤),斑蝥(十四枚,去翅足,熬制),鸡屎白(三两,熬制),巴豆(五枚,去心皮,熬至黑色),青(二十枚,去翅足,熬制),藜芦(一两,去芦头)。
以上十味药捣碎过筛,用蜂蜜调和制成丸药。空腹时用饮液送服,如小豆大小的三丸,每日两次,逐渐增加至六七丸,以见效为度。直至出现呕吐腹泻为止。忌食生冷、油腻、猪肉、蒜、粘性食物、陈腐气味食物、芦笋。(另一版本无斑蝥、鸡屎白、巴豆、青、藜芦)
又方,治疗初得遁尸、鬼疰,心腹中刺痛不可忍受的方剂:
青木香(六分),丁香(六分),鬼箭羽,桔梗,紫苏,橘皮,当归(各八分),生姜(十二分),槟榔(十四分,连子捣碎),桃枭(十四枚,去核)。
以上十味药切碎,用水九升,煮取三升,过滤去除药渣。分为三次服用,晚上再服一次。以大便通畅顺利为度。禁忌事项同前。(另一版本无橘皮、桃枭;均出自第四卷中)
《集验方》治疗遁尸,心腹中刺痛不可忍受的方剂:
桂心(一尺,折合约一两),干姜(三分),巴豆(二枚,去皮心,熬制)。
以上三味药混合捣碎过筛,用好醋调和成泥状。涂抹于疼痛处,干燥后即更换。忌食野猪肉、芦笋。(《千金方》同样使用,其中干姜为一两;出自第一卷中)
[Pathogenesis] The so-called "Flying Corpse" (Fei Shi) disease arises without gradual onset, appearing suddenly. Its arrival is as swift as flying or running, hence the name "Flying Corpse." Its manifestations include stabbing pain in the heart and abdomen, panting and rapid breathing, chest and abdominal distension, and rebellious Qi rushing upward to the chest and heart region. (From Volume 23)
*Ji Yan Fang* (Collected Proven Prescriptions) prescribes the Geng Ti San (Melon Pedicle Powder) for treating Flying Corpse:
Geng Ti (Cucumeris Fructus), Chi Xiao Dou (Adzuki Bean) (each 1 fen), Xiong Huang (Realgar) (2 fen, finely ground).
The above three ingredients are pounded into a fine powder and sifted. Each dose is 5 fen bi (a small measuring spoon), gradually increased to half a qian bi. Administer with fermented milk curd. (*Guang Ji Fang* treats sudden onset of nausea, strangling abdominal pain, rapid breathing, distension, and impending death; *Guang Ji Fang* also from Volume 7)
*Bei Ji Fang* (Emergency Essentials) by Zhang Zhongjing prescribes the Zou Ma Tang (Running Horse Decoction) for treating Flying Corpse:
Ba Dou (Crotonis Fructus) (2 seeds, remove heart and skin), Xing Ren (Pruni Armeniaci Semen Amarum) (2 seeds, remove tips and skins).
The above two ingredients are wrapped in silk, pounded until extremely fine, and poured into 2 he of hot water. Squeeze out the white juice with fingers and drink immediately. Bowel movement should occur after about one meal's time. Adjust dosage for elderly and children according to condition. This formula is also generally used to treat Gui Ji disease (Ghost Strike). Avoid wild boar meat and Asparagus fern shoots. (This has already been seen in the treatment of Flying Corpse in the section on acute hernia, so it is not deleted; Wen Zhong's version also from Volume 1)
*Gu Jin Lu Yan Fang* (Ancient and Modern Verified Records) prescribes Fu Zhuo San (Attaching Powder) for treating Flying Corpse residing in the skin, also known as E Mai (Evil Pulse) or Zei Feng (Thief Wind). Upon onset, there is severe headache at non-fixed locations; acupuncture points shift during treatment. Attacks last one to half a day before slightly alleviating, only to recur shortly thereafter. These are all formulas for treating this condition.
Xi Xin (Asari Radix et Rhizoma), Tian Xiong (Aconiti Kusnezoffii Radix Praeparata), Mang Cao (Dichroae Radix) (each 1 fen), Gui Xin (Cinnamomi Cortex), Fu Zi (Aconiti Lateralis Radix Praeparata) (4 fen, processed), Xiong Huang (Realgar) (2 fen, finely ground), Wu Tou (Aconiti Radix) (4 fen, processed), Gan Jiang (Zingiberis Rhizoma), Zhen Zhu (Margarita) (2 fen, finely ground).
The above nine ingredients are pounded and sifted. Take 5 fen bi per dose; if ineffective, gradually increase. Administer with good wine. Avoid pork, cold water, raw scallions, and raw vegetables. (From Volume 6)
[Pathogenesis] The so-called "Lurking Corpse" (Dun Shi) refers to pathogenic factors lingering and hiding between the muscles and blood vessels. If suddenly provoked, they will flare up, causing heart and abdominal distension, stabbing pain, panting and rapid breathing, pain attacking both flanks, and rebellious Qi rushing upward to the chest and heart. After recovery, relapses often occur, with pathogens remaining latent and unresolved, hence the name "Lurking Corpse." (From Volume 23)
*Guang Ji Fang* prescribes a formula for initial Dun Shi and Wu Shi (Five Corpses) that have persisted for a year without cure, presenting with shortness of breath in the heart and abdomen:
Guan Gu (Egrettae Os), Ling Yang Bi (Saiga Tatarica Nasi Cornu), Gan Jiang (Zingiberis Rhizoma) (1 liang), She Xiang (Moschus) (2 fen, finely ground), Xi Yi (Tegentae Lacerta), Ban Mao (Mylabris), Ji Shi Bai (Galli Stercus Album) (3 liang, processed), Ba Dou (Crotonis Fructus) (5 seeds, remove heart and skin, process until black), Qing (Pulverized Mylabris? Note: Text says 'Qing', likely referring to a specific preparation or typo for another insect drug like Qing Hong, but strictly translating as 'Qing'), Li Lu (Veratri Nigrum Rhizoma) (1 liang, remove rhizome head).
The above ten ingredients are pounded and sifted, mixed with honey to form pills. Take three pills the size of adzuki beans on an empty stomach with liquid, twice daily. Gradually increase to six or seven pills, stopping when effective. Continue until vomiting and diarrhea occur. Avoid raw/cold, greasy foods, pork, garlic, sticky foods, stale/smelly foods, and Asparagus fern shoots. (Another version lacks Ban Mao, Ji Shi Bai, Ba Dou, Qing, Li Lu)
Another formula for initial Dun Shi and Gui Zhu (Ghost Transmission), presenting with unbearable stabbing pain in the heart and abdomen:
Qing Mu Xiang (Aucklandiae Radix), Ding Xiang (Caryophylli Flos), Gui Jian Yu (Sambuci Ramulus), Jie Geng (Platycodonis Radix), Zi Su (Perillae Folium), Ju Pi (Citri Reticulatae Pericarpium), Dang Gui (Angelicae Sinensis Radix) (each 8 fen), Sheng Jiang (Zingiberis Rhizoma Recens) (12 fen), Bing Lang (Arecae Semen), Tao Xiao (Persicae Fructus Immaturus dried?) (14 seeds, remove pits).
The above ten ingredients are chopped, boiled in 9 sheng of water until reduced to 3 sheng, strained to remove dregs. Divide into three doses, taking another dose in the evening. Stop when bowel movements become smooth. Dietary restrictions apply as per medicinal rules. (Another version lacks Ju Pi, Tao Xiao; all from Volume 4)
*Ji Yan Fang* prescribes a formula for Dun Shi presenting with unbearable stabbing pain in the heart and abdomen:
Gui Xin (Cinnamomi Cortex) (1 chi, approx. 1 liang), Gan Jiang (Zingiberis Rhizoma) (3 fen), Ba Dou (Crotonis Fructus) (2 seeds, remove skin and heart, process).
The above three ingredients are combined, pounded, and sifted. Mix with good vinegar to form a paste. Apply to the painful area; replace when dry. Avoid wild boar meat and Asparagus fern shoots. (*Qian Jin Fang* uses the same, with Gan Jiang being 1 liang; from Volume 1)