(方见卷七上消暑门)加香薷方 人本阴虚,复暑途饥困劳倦,暴仆昏绝者,此方主之
(人本阴虚,则阳独治。复遇暑途,则阳易亢。加之饥困劳倦,则阴益亏。所以暴仆昏绝者
,一则阴虚而孤阳欲脱,一则暑邪乘虚而犯神明之府也。)
用人参益元而固脱,香薷辟邪而却暑。麦冬之清,所以扶其不胜之肺。五味之酸,所以
敛其
即
灌
凡男妇交感而死,在男子名曰脱阳。在女子名曰脱阴,男子虽死,阳事犹然不萎
虽死,阴户犹然不闭,俱不治。(若男女不曾离,能紧紧抱住,以口接气,暖气呼通
得生者。但临时慌忙,焉知料理,所以多死。)亦有梦中脱死者,其阳必举,其阴必
容有喜色,为可辨也,皆在不救。
切不可割断绳索,急用手裹衣物,紧塞谷道,抱起解绳,安放平正。揪发向上,揉其
痕,捻圆喉管。脚 两肩,以两管吹气入耳内,或刺鸡冠热血滴口中。男用雌,女用雄。
即气转,再屈伸其手足,将手摩之。若气不接,将腰打三四拳,或以皂角末搐鼻。虽旦至
身冷犹可活。
急倒提出水。用牛一头,令横卧,以腹合牛背上,牵牛徐行,令吐出腹中之水。以老
擦牙,即活。口噤者搅开,横一箸于牙间,使水得出。如无牛,以锅覆地,将溺人脐对锅
俯卧。以手托其头,水出即活。或俯卧凳上,脚后稍高,盐擦脐中,待其水自流出。或
角末绵裹纳下部,出水即活。切忌火烘,逼寒入内,以致不救。
(该方剂见卷七上“消暑门”)加香薷方:患者原本阴虚,又在暑热途中因饥饿、困倦和劳累而突然仆倒、昏迷不醒者,此方主治。
(患者原本阴虚,则阳气独盛。又遇暑热环境,则阳气更易亢奋。加之饥饿、困倦和劳累,则阴液更加亏损。因此突然仆倒、昏迷不醒,一方面是因为阴虚导致孤阳欲脱,另一方面是暑邪乘虚侵袭心神之府。)
用人参补益元气并固脱救逆,用香薷驱除邪气并祛除暑热。麦冬的清凉之性,用来扶持虚弱不胜任的肺脏。五味子的酸味,用来收敛……
凡男女交合而死,在男子称为“脱阳”。在女子称为“脱阴”。男子即使死亡,生殖器仍勃起不萎;女子即使死亡,阴道口仍不闭合,均属于不治之症。(如果男女身体尚未分离,能紧紧抱住,以口对口吹气,通过暖气的呼通使气息恢复,可能存活。但当时慌乱匆忙,不知如何处理,所以大多死亡。)也有梦中遗精而死者,其阴茎必勃起,其阴道必松弛,面色可能有喜色,可以辨别,这些都属于无法救治的情况。
切不可割断绳索,应急忙用手裹住衣物,紧紧塞住肛门,抱起解开绳索,将人安放平正。揪起头发向上提拉,揉按颈部痕迹,捻转喉管。脚踩两肩,通过两根管子向耳内吹气,或者刺破鸡冠取热血滴入口中。男性施救者用女性,女性施救者用男性。(注:此处原文似有缺漏或排版错误,“即灌”、“容有喜色”等词句位置错乱,依文意理顺翻译)。若气息回转,再屈伸其手足,用手按摩。若气息不通,敲打腰部三四拳,或者用皂角末吹入鼻腔。即使是早晨发现,身体尚冷,仍可救活。
急忙将溺水者倒提提出水面。用一头牛,让其横卧,将溺水者的腹部贴合在牛背上,牵着牛慢慢行走,令其吐出腹中之水。用老姜擦牙,即可复活。牙关紧闭者撬开,横放一根筷子在牙齿之间,使水流出。如果没有牛,用锅扣在地上,将溺水者的肚脐对准锅底俯卧。用手托住其头部,水流出后即复活。或者俯卧在凳子上,脚后跟稍高,用盐擦拭肚脐,等待水自然流出。或者用皂角末包裹棉团纳入下部(肛门),水流出后即复活。切忌用火烘烤,以免寒气逼入体内,导致无法救治。
(See the formula in Volume 7, Upper Section, "Summerheat Relief" category) Formula with Xiangru (Moslae Herba): For patients who originally have Yin deficiency, and then suddenly collapse and fall into unconsciousness due to hunger, fatigue, and exhaustion while traveling in summer heat, this formula is indicated.
(If a patient originally has Yin deficiency, Yang will be solitary and dominant. If they encounter summer heat, Yang is prone to hyperactivity. Added to this are hunger, fatigue, and exhaustion, which further deplete Yin. Therefore, sudden collapse and unconsciousness occur for two reasons: first, Yin deficiency leads to the departure of solitary Yang; second, Summerheat pathogen takes advantage of the deficiency to invade the mansion of the Spirit [Shen].)
Use Renshen (Ginseng Radix et Rhizoma) to tonify primal Qi and secure the departure [of Yang]; use Xiangru (Moslae Herba) to repel pathogens and dispel summerheat. The cooling nature of Maimai Dong (Ophiopogonis Radix) supports the Lung, which is too weak to withstand [the heat]. The sour taste of Wuweizi (Schisandrae Fructus) astringes...
[Text corruption/missing content detected here regarding the specific action of Wuweizi or subsequent herbs.]
For both men and women who die during sexual intercourse, it is called "Yang Collapse" in men and "Yin Collapse" in women. Even if a man dies, his penis remains erect and does not flaccid; even if a woman dies, her vagina remains open and does not close. Both conditions are incurable. (If the bodies of the man and woman have not separated, and they can hold each other tightly, exchanging breath mouth-to-mouth, allowing warmth and airflow to restore respiration, survival is possible. However, due to panic and haste at the time, proper handling was unknown, so most died.) There are also cases of death from nocturnal emission in dreams; in these cases, the penis must be erect, and the vagina loose. There may be a look of pleasure on the face, which serves as a distinguishing sign. All such cases are considered untreatable.
Do not cut the rope. Instead, urgently wrap clothes around your hands, tightly plug the anus, lift the body, untie the rope, and place the person flat and upright. Pull the hair upward, rub the marks on the neck, and manipulate the trachea. Step on both shoulders, blow air into the ears through two tubes, or pierce the rooster comb to obtain fresh blood and drip it into the mouth. Use a female rescuer for a male victim, and a male rescuer for a female victim. [Note: Text contains errors/corruptions here, e.g., "Ji guan", "Rong you xi se"]. If breath returns, flex and extend their limbs, and massage them with hands. If breath does not return, strike the waist three or four times, or insufflate powder made from Zaojiao (Gleditsiae Sinensis Fructus) into the nose. Even if discovered in the morning and the body is still cold, revival is still possible.
Urgently invert the drowning person to remove water. Use one cow, let it lie horizontally, place the victim's abdomen against the cow's back, lead the cow to walk slowly, causing the victim to vomit the water in their stomach. Rub the teeth with old ginger (Shengjiang), and the person will revive. For those with clenched jaws, pry them open, place a chopstick horizontally between the teeth to allow water to drain. If no cow is available, place a pot upside down on the ground, position the victim prone with the umbilicus facing the bottom of the pot. Support the head with hands; once water flows out, the person will revive. Alternatively, place the victim prone on a stool with feet slightly elevated, rub salt into the umbilicus, and wait for water to flow out naturally. Or, wrap Zaojiao (Gleditsiae Sinensis Fructus) powder in cotton and insert it into the lower orifice (anus); once water flows out, the person will revive. Strictly avoid using fire to dry/warm, as this forces cold inward, leading to untreatable conditions.