脉来乍大乍小。乍长乍短。为邪祟脉。又寸尺有脉。关中无脉。为鬼脉。
鬼脉 得病之初。便谵语。或发狂。六部无脉。切大指之下。寸口之上。有动脉者是。
一治一切惊狂谵妄。逾垣上屋。骂詈不避亲疏等症。以病者两手大拇指。用细麻绳扎缚
定。以大艾炷置于其中。两介甲。及两指角肉四处着火。一处不着即不效。灸七壮神效。
一论妇人瘟疾。此方最妙。
辟邪丹
虎头骨(二两) 朱砂 雄黄 雌黄 鬼臼 皂荚 芜荑仁 鬼箭 藜芦(各一两)
上为末。炼蜜为丸。如弹子大。囊盛一丸。男左女右。系臂上。或当病患房内烧之。
一客忤者。中恶之类也。多于道间门外得之。令人心腹绞痛。胀满气喘。入心胸。如不
急治。能杀人。捣墨水和服一钱。
一飞尸者。游走皮肤。穿脏腑。每发刺痛。变作无常处。
一遁尸者。附骨入肉。攻凿血脉。每发不可得近。见尸丧。闻哀哭便作。
一风尸者。淫濯四肢。不知痛之所作。每发昏沉。得风雪便作。
一沉尸者。缠骨结脏。冲心胁。每发绞切。遇寒冷便作。
一尸疰者。举身沉重。精神错杂。觉昏废。每节气至。则辄至。大恶。
上俱宜服苏合香丸(方见诸气)
一论中恶客忤。心腹胀满痒痛。如锥刀刺痛。气急口噤者。以热汤或酒送下。若不下。
扶起
头灌之。令下喉。须臾瘥。未苏。更与三丸。腹当鸣转。即吐下便愈。若口已噤。亦须折齿
灌之。药入喉即瘥。忌芦笋猪肉冷水肥皂之物。
备急丹
大黄 巴豆(去壳油) 干姜(各等分)
上为细末。炼蜜为丸。如小豆大。量老幼虚实用之。
一论心腹痛如锥刺。下血便死。不知人事。及卧魇啮脚踵不觉者。诸恶毒瓦斯病方。此是
汉文帝时太仓公淳于意方。故名。
仓公散
白矾 皂荚 雄黄 藜芦(各等分)
上四味共为细末。每用如豆大。纳竹管中。吹入病患鼻内。得嚏则气通。便活。若未嚏
更吹之。以得嚏为度。能起死回生。
一方。治急时气。缠喉风。渐入咽塞。水谷不下。牙关紧急。不省人事。名如圣散。加
全蝎七枚。吹鼻吐痰。
一论凡遇尸丧。玩古庙。入无人所居之室。回来暴绝。面赤无语者。名曰尸疰。亦曰鬼
疰。
即中祟之谓也。进药便死。宜移病患。更行火醋熏鼻法。则可复苏。否则七窍迸血而死。
一论凡感臭秽瘴毒暴绝者。名曰中恶。不治即死。宜烧炭火一杓。以醋沃之。令患人鼻
受醋气。则可复苏。既苏以藿香正气散服之。(方见霍乱)
一论初到客舍馆驿。及久无人居之冷房中。为邪厉所袭。但闻其人吃吃作声。便令人叫
唤。
如不醒。可用牛黄、雄黄各一钱。朱砂五分。共为细末。每一钱。床下烧。一钱酒灌之。
一论凡馆舍久无人到。积湿容易侵人。预制此法。即可远此害。极宜暑月烧之。以却瘟
疫。并散邪气。
太仓公辟瘟丹
茅术(一斤) 台乌 黄连 羌活 白术(各半斤) 川芎 草乌 细辛 紫草 独活 防
风
甘草 本 白芷 香附 当归 荆芥 天麻 官桂 甘松 干姜 三柰 麻黄 牙皂 麝香
芍药(各四两)
上为末。红枣肉为丸。如弹子大。每一丸烧之。
一卒中恶。捣韭菜汁灌鼻中。又宜葱心黄刺鼻中。血出良。
脉象忽大忽小,忽长忽短,这是邪祟致病的脉象。另外,寸部和尺部有脉,而关部无脉,称为鬼脉。
鬼脉:在患病之初,便出现胡言乱语,或发狂躁动。六部脉均摸不到,但在切按大拇指下方、寸口上方的位置时,若有动脉搏动,便是鬼脉。
一种治疗方法适用于一切因惊吓导致的狂躁、胡言乱语、翻墙爬屋、骂人不分亲疏等症状。用细麻绳将患者两手的大拇指扎缚固定,在大拇指指甲根部及两指侧面的肌肉处(即两介甲及两指角肉四处)放置大艾炷进行艾灸。如果有一处不着火则无效。每处灸七壮,效果神奇。
另一种论述针对妇女患瘟疫性疾病,此方最为奇妙。
辟邪丹
虎头骨(二两) 朱砂 雄黄 雌黄 鬼臼 皂荚 芜荑仁 鬼箭 藜芦(各一两)
以上药物研为细末,用炼蜜制成丸药,大小如弹子。装入囊中携带一丸,男性系在左臂,女性系在右臂。或者在病患房内焚烧。
一种是客忤病,属于中恶之类。多在道路间或门外感染。使人心腹绞痛,胀满气喘,病气侵入心胸。如果不紧急治疗,能致人死亡。将墨捣碎用水调和,服用一钱。
一种是飞尸病,游走于皮肤之间,穿透脏腑。每次发作时有刺痛感,疼痛部位变化无常。
一种是遁尸病,附着于骨骼肌肉,攻凿血脉。每次发作时不可靠近病人,见到丧葬之事,听到哀哭之声便会发作。
一种是风尸病,流注四肢,不知疼痛所在。每次发作时昏沉,遇到风雪天气便会发作。
一种是沉尸病,缠绕骨骼结聚于脏腑,冲击心胁。每次发作时绞痛剧烈,遇到寒冷天气便会发作。
一种是尸疰病,全身沉重,精神错乱,感觉昏厥废弛。每逢节气到来时,病情往往加重或复发,非常可怕。
以上诸症都适宜服用苏合香丸(方剂见“诸气”章节)。
另一种论述针对中恶客忤,心腹胀满瘙痒疼痛,如锥刀刺痛,气急口噤者。用热汤或酒送服。如果无法吞咽,扶起患者头部灌入,使其咽下喉中,片刻后症状缓解。若未苏醒,再给三丸,腹部应当鸣转,随即吐泻即可痊愈。如果牙关紧闭,也必须掰开牙齿灌入。药入喉中即刻见效。忌食芦笋、猪肉、冷水、肥皂等物。
备急丹
大黄 巴豆(去壳去油) 干姜(各等分)
以上药物研为细末,用炼蜜制成丸药,大小如小豆。根据患者年龄、体质虚实斟酌使用。
另一种论述针对心腹痛如锥刺,便血致死,人事不知,以及睡眠中梦魇咬脚后跟而不觉醒者。这是各种恶毒瓦斯病的方剂。这是汉文帝时期太仓公淳于意的方子,因此得名。
仓公散
白矾 皂荚 雄黄 藜芦(各等分)
以上四味药共研为细末。每次取如豆大的一量,纳入竹管中,吹入患者鼻内。打出喷嚏则气机通畅,人就能活过来。如果没有打喷嚏,继续吹,以打出喷嚏为度。能起死回生。
一方,治疗急性的时气病、缠喉风,逐渐咽喉堵塞,水谷不能下咽,牙关紧急,不省人事。名为如圣散。加入全蝎七枚,吹鼻催吐痰涎。
另一种论述说,凡是遇到丧葬之事,游玩古庙,进入无人居住的室舍,回来后突然暴毙,面色发红且不能说话者,名为尸疰,也称为鬼疰。这就是中了邪祟的意思。进药就会死亡,适宜移动患者,改用火醋熏鼻的方法,则可以复苏。否则七窍出血而死。
另一种论述说,凡是感受臭秽瘴毒而突然暴毙者,名为中恶。不治疗就会死亡。适宜烧一杓炭火,浇上醋,让患者吸入醋气,则可以复苏。既已苏醒,服用藿香正气散。(方剂见“霍乱”章节)
另一种论述说,初到客舍馆驿,以及久无人居住的冷房中,被邪厉之气侵袭。只听到其人吃吃作声,便让人呼唤。如果不醒,可用牛黄、雄黄各一钱,朱砂五分,共研为细末。每一钱在床下焚烧,另一钱用酒灌服。
另一种论述说,凡是馆舍久无人到,湿气积聚容易侵人身体。预先制备此法,就可以远离这种危害。极宜在暑月焚烧,以驱除瘟疫,并散发邪气。
太仓公辟瘟丹
茅术(一斤) 台乌 黄连 羌活 白术(各半斤) 川芎 草乌 细辛 紫草 独活 防风
甘草 本 白芷 香附 当归 荆芥 天麻 官桂 甘松 干姜 三柰 麻黄 牙皂 麝香
芍药(各四两)
以上药物研为细末,用红枣肉制成丸药,大小如弹子。每一丸焚烧。
The pulse comes suddenly large and suddenly small, suddenly long and suddenly short; this is the pulse of evil influence (Xie Sui). Additionally, if there is a pulse at the Cun (inch) and Chi (cubit) positions but none at the Guan (bar) position, it is called Ghost Pulse (Gui Mai).
Ghost Pulse: At the beginning of the illness, the patient speaks incoherently or becomes manic. The pulses at all six positions are imperceptible; however, when palpating below the thumb and above the Cun Kou (radial artery), if an arterial pulsation is felt, it is identified as Ghost Pulse.
One treatment applies to all conditions involving fright-induced mania, incoherent speech, climbing over walls or roofs, cursing without distinction between relatives and strangers. Tie the patient's two thumbs firmly with fine hemp rope. Place large moxa cones on four locations: the nail beds of both thumbs and the fleshy areas at the corners of both thumbs. Ignite these four points; if even one point does not burn, the treatment will be ineffective. Moxibustion of seven moxa cones per point yields miraculous effects.
Another discussion concerns women suffering from plague-like diseases; this prescription is most effective.
Bixie Dan (Evil-Expelling Pill)
Cranii Tigridis (Tiger Skull Bone) (2 liang), Cinnabaris (Zhusha), Realgar (Xionghuang), Orpiment (Ci Huang), Podophylli Fructus (Guijiu), Gleditsiae Sinensis Fructus (Zaojiao), Terminalia Chebulae Semen (Wuyiren), Araliae Cordatae Ramulus (Guijian), Veratri Nigrum Rhizoma (Lilu) (each 1 liang).
Grind the above ingredients into fine powder. Form pills using refined honey, size of a bullet. Carry one pill in a pouch; males tie it to the left arm, females to the right arm. Alternatively, burn one pill inside the patient's room.
One type is Ke Wu (Guest Intrusion), belonging to Zhong E (Sudden Evil). It is often contracted on roads or outside doors. It causes severe colic in the heart and abdomen, distension, fullness, and panting, with pathogenic qi invading the heart and chest. If not treated urgently, it can be fatal. Crush ink, mix with water, and administer 1 qian orally.
One type is Fei Shi (Flying Corpse), which wanders through the skin and penetrates the viscera. Each attack presents with stabbing pain that changes location unpredictably.
One type is Dun Shi (Escaping Corpse), which attaches to bones and muscles, attacking blood vessels. Attacks cannot be approached closely; they occur upon witnessing funerals or hearing mourning cries.
One type is Feng Shi (Wind Corpse), which flows into the four limbs, causing numbness where pain originates. Each attack brings drowsiness and occurs upon exposure to wind and snow.
One type is Chen Shi (Sunken Corpse), which entangles bones and knots in the viscera, rushing to the heart and hypochondrium. Each attack involves severe twisting pain and occurs upon exposure to cold.
One type is Zhu Zhi (Transmitting Corpse), characterized by heaviness of the whole body, mental confusion, and a sense of fainting or paralysis. Symptoms worsen or recur at each solar term, which is highly detrimental.
All the above conditions are suitable for treating with Suhe Xiang Wan (Styrax Pill) (see "Qi Disorders" chapter for formula).
Another discussion addresses Zhong E and Ke Wu, presenting with abdominal distension, itching, and pain like needle or knife stabs, rapid breathing, and locked jaw. Administer with hot water or wine. If swallowing is impossible, prop up the head and pour the medicine down the throat; relief follows shortly. If consciousness is not regained, administer three more pills; abdominal borborygmus should follow, leading to vomiting and purging, resulting in recovery. If the jaw is locked, force the teeth open to administer. Once the medicine enters the throat, symptoms resolve immediately. Avoid consuming reed shoots, pork, cold water, and soap-related substances.
Beiji Dan (Emergency Aid Pill)
Rhei Radix et Rhizoma (Dahuang), Crotonis Fructus (Badou) (shelled and oil removed), Zingiberis Rhizoma Recens (Ganjiang) (equal parts).
Grind into fine powder. Form pills using refined honey, size of a small bean. Adjust dosage according to age and constitution (deficiency or excess).
Another discussion addresses heart and abdominal pain like needle stabs, bloody stools leading to death, loss of consciousness, and sleepwalking with biting of the heels unawarely. This is a formula for various toxic gas diseases. It is named after Chunyu Yi, the Grand Granary Official during Emperor Wen of Han, hence the name.
Canggong San (Grand Granary Official Powder)
Alumen (Baifan), Gleditsiae Sinensis Fructus (Zaojiao), Realgar (Xionghuang), Veratri Nigrum Rhizoma (Lilu) (equal parts).
Grind the four ingredients into fine powder. For each use, take an amount the size of a bean, place it in a bamboo tube, and insufflate into the patient's nostrils. A sneeze indicates free flow of Qi and revival. If no sneeze occurs, continue insufflation until a sneeze is produced. It can revive the dead.
One formula treats acute seasonal pathogens and Chan Hou Feng (Throat-Strangling Wind), where swelling gradually obstructs the throat, preventing intake of food and water, accompanied by locked jaw and unconsciousness. Named Rusheng San (Like-Sage Powder). Add Scorpio (Quanxie) 7 pieces. Insufflate into the nose to induce expectoration of phlegm.
Another discussion states that upon encountering funerals, visiting ancient temples, or entering uninhabited rooms, if one returns and suddenly collapses with a red face and inability to speak, it is named Zhu Zhi (Transmitting Corpse), also called Gui Zhu (Ghost Transmitting). This refers to being afflicted by evil influences. Administering medicine may cause death; instead, move the patient and apply the method of burning fire and vinegar to fumigate the nose, which can restore consciousness. Otherwise, bleeding from the seven orifices leads to death.
Another discussion states that sudden collapse due to foul miasma and toxic vapors is named Zhong E (Sudden Evil). Without treatment, it is fatal. Burn a scoop of charcoal, sprinkle vinegar on it, and let the patient inhale the vinegar vapor to restore consciousness. After recovery, administer Huoxiang Zhengqi San (Pogostemon Patchouli Decoction) (see "Huo Luan" chapter for formula).
Another discussion states that upon arriving at inns or staying in cold, uninhabited rooms, if attacked by malignant pathogens, and only heard making chirping sounds, call out to them. If unresponsive, use Niuhuang (Calculus Bovis) and Xionghuang (Realgar) each 1 qian, and Zhusha (Cinnabar) 0.5 fen. Grind into fine powder. Burn 1 qian under the bed, and administer the other 1 qian mixed with wine.
Another discussion states that in inns long uninhabited, accumulated dampness easily invades the body. Preparing this method prevents such harm. It is especially suitable to burn during summer months to dispel epidemics and scatter evil qi.
Taigong Biewen Dan (Grand Granary Official Plague-Expelling Pill)
Atractylodis Rhizoma (Maozhu) (1 jin), Pinelliae Rhizoma Preparatum (Taiwu), Coptidis Rhizoma (Huanglian), Notopterygii Rhizoma et Radix (Qianghuo), Atractylodis Macrocephalae Rhizoma (Baizhu) (each 0.5 jin), Chuanxiong Rhizoma (Chuanxiong), Aconiti Lateralis Radix Preparata (Caowu), Asari Radix et Rhizoma (Xixin), Lithospermi Radix (Zicao), Angelicae Pubescentis Radix (Duhuo), Saposhnikoviae Radix (Fangfeng), Glycyrrhizae Radix et Rhizoma (Gancao), Ligustici Rhizoma (Ben), Angelicae Dahuricae Radix (Baizhi), Cyperi Rhizoma (Xiangfu), Angelicae Sinensis Radix (Danggui), Schizonepetae Spica (Jingjie), Gastrodiae Rhizoma (Tianma), Cinnamomi Cortex (Guangui), Nardostachyos Radix et Rhizoma (Gansong), Zingiberis Rhizoma (Ganjiang), Kaempferiae Rhizoma (Sanlai), Ephedrae Herba (Mahuang), Gleditsiae Sinensis Fructus (Yazao), Moschus (Shexiang), Paeoniae Radix Alba (Shaoyao) (each 4 liang).
Grind into powder. Form pills using flesh of red dates, size of a bullet. Burn one pill at a time.
One type of sudden Zhong E (Sudden Evil): Crush fresh Chinese chive juice and insufflate into the nose. Alternatively, prick the nose with the yellow center of green onion stalks until bleeding occurs, which is beneficial.