论中邪 尸厥 论见鬼卒倒 中毒 中恶
天师曰∶死治法者，如人死厥不醒人事，中风不语，或感鬼神之祟，或遇山魈之侵，一时卒倒，不醒
人事是也。此等病，是邪气中之，痰迷心窍也。怪病多起于痰，不必惊惶，治其痰而病自愈。然而邪之所
凑，其气必虚。用祛痰之药，加入于补正之中，则病去如扫，死者重生。方用人参三钱，白术五钱，
茯苓三钱，半夏三钱，天南星三钱，白芥子一钱，生附子五分、生姜一大块、捣
汁，水半酒半，共二碗，煎八分服。外用皂角刺为末。人研皂角刺时，（〔批〕刺字疑衍文。李子永识）。先
用纸一张湿透，封住同在之人鼻孔，然后研为细末。取一匙于鹅翎管，吹入病患鼻孔内，必取喷嚏，以前药
灌之，立醒。必吐出痰水半盆，或一盆，如胶如汤之类，或黄黑青红之色。人自然困倦欲睡，不可惊他，任
他自睡。醒来用人参一钱，白薇一钱，茯苓三钱，白术五钱，半夏一钱，白芥子
三钱，陈皮五分，甘草五分，水煎服，一剂全愈。（〔批〕回正散）。此死治之一法也。盖人之中
邪，必由元气之虚，邪遂乘
虚而入。故用人参以助其正气，而以半夏、白芥子以祛邪与痰，天南星尤能入心而祛邪，用附子猛烈之
将，单刀直入，邪自惊退。故一下口，而邪即外越上涌出矣。然邪出之后，当纯补胃气，故又不用祛痰之
剂，而竟用健脾补胃之品也。更有死症治法，如尸厥之症，亦是气虚。当用人参一两，白术五钱，
半夏五钱，茯苓五钱，菖蒲五钱，陈皮五分治之。（〔批〕祛阴至圣丹。雷公曰∶予治
尸厥更易，只消一味苍术，切片三两，水六碗，煎三碗，灌之尽必吐，吐后即愈。盖苍术阳药，善能祛鬼，
故用之者有奇效矣。此方凡见鬼者，治之俱妙。）虽同是中邪，然前症是阳邪，此乃遇阴邪也。阳邪者，
日间遇之；阴邪者，夜间遇之也，后方虽亦用人参以补正，而终不用南星之类直入其心中也。如不能语言
亦用皂角末吹之。倘其前二症，俱遗尿手撒，则多不能救。否则，皆一剂回生也。以上二症，皆死治之法
也。触类旁通。头头是道。大约治邪之法，二方足以包括，再看病之轻重用药之多寡、则得之矣。
张公曰∶死治之妙，尽此二方∶更求其余，尚有一法。是救穷人之法也。如人卒然见鬼卒倒，或在神
庙之内，或在棺椁之旁，偶遇尸气，感中阴邪鬼魅，不省人事者，以瓜蒂散吐之，必然吐痰如涌泉，倾盆
而出，鬼若远走则已。吐后仍见鬼者，痰未净也。又用前瓜蒂吐之，以不见鬼为度。后用白术一两，茯
苓五钱，白薇一钱，陈皮五分，半夏一钱，神曲一钱，炮姜一钱，水煎服。（〔批
〕祛鬼散。）此法可治贫穷之人，以慰远公怜悯之心也。紫金锭亦祛痰圣药也。
华君曰∶天师传予，尚有二方，并传于君。死症有中阴邪、阳邪是矣，另有中恶、中毒之分。中恶者，
如天师所言之类是也；中毒者，尚未及之。如中蛇虫之毒，亦一时猝倒。中蛇毒则身必直撺，舌必外出，
眼必细开一缝是也。急用雄
黄一两，研为细末，入水中飞过，取水用之，而不用雄黄。一碗加食盐少许，入滚水一碗，同调匀
灌之。以鹅翎探吐之，必吐出恶痰如蜗牛涎者，碗许自愈。后用人参五钱，茯苓五钱，生甘
草三钱，白滚水煎服；再加白芷二钱，另煎水，倾入汤中同服，二剂永无后患矣。（〔批〕雷公
曰∶予中毒亦有神方，无论各毒，治之俱神效，方用白芷二钱，生甘草三钱，金银花二两，白
矾五钱，水三碗，煎一碗，服之即解毒。天师方更胜吾方也。）更有中金蚕之毒。如两粤间有金蚕，人
家收留在家，用计遣之不去。其初有嫁金蚕之法，人家感受此蚕、则子子孙孙永不脱离；最可恶之物也。
盖有神人作祟，附在此家不肯去。人家有不愿者，将平生所得财物，并将金蚕包裹其内，故意置在道旁，
倘人不知其故，拾之而归，则金蚕附于身中，而不可脱离矣。再祷而再送之，断断不能也。天师曾传予方
治一人，神效灭踪。方用雷丸三钱，为末，同白矾少许，调匀。倘见金蚕出见之时，辄以末少许，渗在虫身
之上，立时化为红水如血，神道必然震怒作祟。倘空中有声，仰将此药末，听其声音响处，望空洒去，则
神道必大骂，负心而去，永不再至矣。此余在三国入蜀中亲见者，近来此风少息。然南宁蛮洞中，尚有其
毒，今传此方，以备不虞，未为不可。天师想因远公不重至西粤，故尔不传。然终隐天师方法，吾所以罄传
无隐，以表扬天师术之奇也。余曾问之矣，初起得物之时，必然骤富，物从空中来，其人喜极，将金蚕
供之厨柜间，晨夕拜祷，久之人面如金色，与金蚕相同，服药无效，又久之，腹大如臌胀矣。当时蜀中盛
多此风，得金蚕者，大约年岁不能出五年必死，而金蚕不去也。又传于子，子死传孙，往往至灭门之祸。
幸孔明先生入蜀，用符水解之，故蜀中今无此症矣。
天师说：所谓“死治法”，是指人突然昏厥不醒人事，中风失语，或是受到鬼神作祟，或遭遇山精野怪的侵扰，一时之间突然跌倒，不省人事的情况。这类疾病，是邪气侵入人体，痰浊迷蔽心窍所致。怪病多由痰引起，不必惊慌，只要治疗痰症，病自然痊愈。然而，邪气之所以能凑集于人体，是因为正气必然虚弱。在使用祛痰药物的同时，加入补益正气的药物，那么病邪去除就像扫除灰尘一样容易，濒死之人也能重生。方药用人参三钱，白术五钱，茯苓三钱，半夏三钱，天南星三钱，白芥子一钱，生附子五分；生姜一大块，捣取汁液；用水半碗、酒半碗，共两碗，煎至八分满时服用。外用皂角刺研成粉末。人在研磨皂角刺时（批注：刺字可能是衍文，李子永识），先用一张纸浸湿，封住同处之人的鼻孔，然后将皂角刺研为细末。取一匙粉末装入鹅毛管中，吹入患者的鼻孔内，必须使其打喷嚏，随后灌服前面的汤药，患者立刻就会苏醒。必定会吐出半盆或一盆痰水，质地如胶如汤，颜色有黄、黑、青、红等色。此时人自然会感到困倦想睡，不要惊吓他，任其自行入睡。醒来后用人参一钱，白薇一钱，茯苓三钱，白术五钱，半夏一钱，白芥子三钱，陈皮五分，甘草五分，水煎服，一剂即可全愈。（批注：回正散）。这是死治法中的一种方法。大概人之中邪，必然是因为元气虚弱，邪气便乘虚而入。所以用人参来扶助正气，用半夏、白芥子来祛除邪气和痰，天南星尤其能入心经而祛除邪气，使用附子这员猛将，单刀直入，邪气自会惊退。所以药一下口，邪气就向外越出并上涌排出。然而邪气排出之后，应当纯补胃气，所以不再使用祛痰的药剂，而是直接使用健脾补胃的药物。
还有另一种死症的治法，如尸厥这种病症，也是由于气虚所致。应当用人参一两，白术五钱，半夏五钱，茯苓五钱，石菖蒲五钱，陈皮五分来治疗。（批注：祛阴至圣丹。雷公说：我治疗尸厥更容易，只需一味苍术，切片三两，用水六碗，煎至三碗，灌服后必定呕吐，吐完即愈。因为苍术是阳药，善于驱除鬼魅，所以使用它有奇效。此方凡见到鬼的人，治疗都很奇妙。）虽然同样是中邪，但前一种症状是阳邪，这一种则是遇到阴邪。阳邪是在白天遇到的；阴邪是在夜间遇到的。后方虽然也用人参来补益正气，但最终不使用天南星之类直接入心的药物。如果也不能说话，也用皂角末吹鼻。倘若前两种症状，都出现遗尿、手撒（手松开）的情况，则大多不能救治。否则，都是一剂药就能回生。以上两种症状，都是死治的方法。触类旁通，条理清晰。大概治疗邪气的法则，这两个方子足以概括，再根据病的轻重决定用药的多寡，就能掌握了。
张公说：死治法的妙处，尽在这两个方子里；如果再求其余，还有一法。这是救助穷人的方法。如果有人突然看见鬼神跌倒，或者在神庙之内，或者在棺材旁边，偶然遇到尸气，感受了阴邪鬼魅，不省人事的，用瓜蒂散催吐，必然会吐出像涌泉一样的痰，倾盆而出，鬼怪如果远走就算了。吐完后仍然见鬼的，说明痰还没有吐干净。再用前面的瓜蒂散催吐，以不见鬼为止。之后用人参一两，茯苓五钱，白薇一钱，陈皮五分，半夏一钱，神曲一钱，炮姜一钱，水煎服。（批注：祛鬼散）。这个方法可以治疗贫穷的人，以慰藉远方公正怜悯之心。紫金锭也是祛痰的圣药。
华君说：天师传授给我，还有两个方子，一并传授给你。死症中有中阴邪、阳邪，这已经说过了，另外还有中恶、中毒的区别。中恶，就像天师所说的那些情况；中毒，前面还没提到。比如被蛇虫咬伤中毒，也是一时突然跌倒。中蛇毒则身体必定僵硬挺直，舌头必定伸出体外，眼睛必定只睁开一条缝。急用雄黄一两，研成细末，在水中飞过（水飞法），取水使用，而不直接用雄黄粉。一碗水中加少许食盐，倒入滚开的一碗水，搅拌均匀后灌服。用鹅毛管探喉催吐，必定会吐出像蜗牛涎一样的恶痰，约一碗量，病就好了。之后用人参五钱，茯苓五钱，生甘草三钱，用白开水煎服；再加白芷二钱，另煎水，倒入药汤中一同服用，两剂后永远没有后患。（批注：雷公说：我治疗中毒也有神方，无论各种毒，治疗都有神效，方用白芷二钱，生甘草三钱，金银花二两，白矾五钱，水三碗，煎至一碗，服用即解毒。天师的方子比我的更好。）更有中金蚕之毒。在两广地区有金蚕，有人家收留在家，用计谋也无法遣送出去。起初有嫁祸金蚕的方法，人家一旦染上此蚕，则子子孙孙永远无法摆脱；这是最可恶的东西。大概是有神人作祟，附着在这家人不肯离去。人家如果不愿意，就把平生所得财物，连同金蚕包裹在内，故意放在路边，倘若别人不知道缘故，捡回去，那么金蚕就附在人身上了，再也无法摆脱。再祈祷再送走，绝对不行。天师曾传给我方子治疗一个人，神效灭踪。方用雷丸三钱，研成粉末，同少许白矾，调匀。倘若看见金蚕出来显现时，就拿少许粉末，撒在虫身上，立刻化为红色的血水，神道必定震怒作祟。倘若空中有声，仰起头对着声音响的地方，向空中洒去，那么神道必定大骂，背信弃义而去，永远不再来了。这是我亲自在三国时期进入蜀地时见到的，近来这种风气少了一些。然而在南宁的蛮族洞寨中，还有这种毒，现在传授这个方子，以备不时之需，也不是不可以。天师可能是因为远方公正不重视前往西粤，所以没有传授。但我终究隐瞒了天师的方法，所以我毫无保留地全部传授，以表彰天师医术的神奇。我曾问过他，刚得到这个东西的时候，必然突然致富，东西从空中来，那人高兴极了，把金蚕供奉在厨房柜子里，早晚拜祷，久了之后人脸变得像金色，与金蚕相同，服药无效，又久了之后，肚子大得像鼓胀病。当时蜀地盛行这种风气，得到金蚕的人，大约不出五年必死，而且金蚕不会离去。又传给儿子，儿子死了传给孙子，往往导致灭门的灾祸。幸好孔明先生进入蜀地，用符水解除了这种诅咒，所以蜀地现在没有这种病症了。
[On Being Affected by Evil Qi, Corpse Stupor, Sudden Collapse from Seeing Ghosts, Poisoning, and Zhong-E]
The Heavenly Master said: The so-called "Treatment for Death-like States" refers to conditions where a person suddenly falls into a stupor without regaining consciousness, suffers from stroke with loss of speech, or is afflicted by the influence of ghosts and deities, or invaded by mountain spirits. In such cases, the person collapses suddenly and loses consciousness. These illnesses are caused by evil qi invading the body and phlegm turbidity confusing the orifices of the heart. Strange diseases often arise from phlegm; there is no need for panic. Treating the phlegm will lead to spontaneous recovery. However, where evil qi gathers, the vital qi must be deficient. By incorporating tonifying herbs into phlegm-resolving prescriptions, the pathogenic factors can be eliminated as easily as sweeping dust, allowing the near-dead to regain life. The prescription consists of Ren Shen (Ginseng Radix et Rhizoma) 3 qian, Bai Zhu (Atractylodis Macrocephalae Rhizoma) 5 qian, Fu Ling (Poria), Ban Xia (Pinelliae Rhizoma) 3 qian, Tian Nan Xing (Arisaematis Rhizoma) 3 qian, Bai Jie Zi (Sinapis Semen) 1 qian, Sheng Fu Zi (Aconiti Lateralis Radix Preparata - Raw) 5 fen; one large piece of Sheng Jiang (Zingiberis Rhizoma), crushed to extract juice; half a bowl of water and half a bowl of wine, totaling two bowls, decocted until eight-tenths remain, then taken orally. Externally, use Zao Jiao Ci (Gleditsiae Sinensis Spina) ground into powder. When grinding Zao Jiao Ci, (Note: The character 'Ci' [spine/thorn] may be a superfluous text, noted by Li Ziyong), first soak a sheet of paper thoroughly and seal it over the nostrils of those present, then grind the Zao Jiao Ci into a fine powder. Take one spoonful of the powder, place it in a goose feather tube, and blow it into the patient's nostrils to induce sneezing. Then administer the aforementioned decoction, and the patient will awaken immediately. The patient will inevitably vomit half a basin or a full basin of phlegm-water, with a consistency like glue or soup, in colors such as yellow, black, green, or red. The person will naturally feel drowsy and wish to sleep; do not startle them, let them sleep on their own. Upon waking, take Ren Shen (Ginseng Radix et Rhizoma) 1 qian, Bai Wei (Cynanchi Stauntonii Radix) 1 qian, Fu Ling (Poria) 3 qian, Bai Zhu (Atractylodis Macrocephalae Rhizoma) 5 qian, Ban Xia (Pinelliae Rhizoma) 1 qian, Bai Jie Zi (Sinapis Semen) 3 qian, Chen Pi (Citri Reticulatae Pericarpium) 5 fen, Gan Cao (Glycyrrhizae Radix et Rhizoma) 5 fen, decocted in water and taken orally. One dose ensures complete recovery. (Note: Hui Zheng San [Revive the Righteous Powder]). This is one method of treating death-like states. Generally, when a person is affected by evil qi, it is due to a deficiency of Yuan Qi (Original Qi), allowing the evil to enter through the deficiency. Therefore, Ren Shen (Ginseng Radix et Rhizoma) is used to assist the righteous qi, while Ban Xia (Pinelliae Rhizoma) and Bai Jie Zi (Sinapis Semen) are used to expel evil and phlegm. Tian Nan Xing (Arisaematis Rhizoma) is particularly effective in entering the Heart to dispel evil. Using Fu Zi (Aconiti Lateralis Radix Preparata) as a fierce general, striking directly, causes the evil to retreat in fear. Thus, upon ingestion, the evil rises and exits outward. After the evil has exited, pure tonification of Stomach Qi is required; therefore, phlegm-resolving agents are abandoned in favor of herbs that strengthen the Spleen and tonify the Stomach.
There is another treatment for death-like symptoms, such as Shi Jue (Corpse Stupor), which is also caused by Qi deficiency. One should use Ren Shen (Ginseng Radix et Rhizoma) 1 liang, Bai Zhu (Atractylodis Macrocephalae Rhizoma) 5 qian, Ban Xia (Pinelliae Rhizoma) 5 qian, Fu Ling (Poria) 5 qian, Shi Chang Pu (Acori Tatarinowii Rhizoma) 5 qian, and Chen Pi (Citri Reticulatae Pericarpium) 5 fen to treat it. (Note: Qu Yin Zhi Sheng Dan [Supreme Holy Pill to Expel Yin]. Lei Gong said: I find Shi Jue easier to treat; simply use Cang Zhu (Atractylodis Rhizoma) sliced at 3 liang, decocted in six bowls of water down to three bowls. Administering this will induce vomiting, after which the patient recovers. Cang Zhu is a Yang herb, excellent at expelling ghosts, thus yielding miraculous effects. This prescription is also wonderful for those who see ghosts.) Although both involve being affected by evil qi, the former condition involves Yang evil, whereas this one involves encountering Yin evil. Yang evil is encountered during the day; Yin evil is encountered at night. Although the latter prescription also uses Ren Shen (Ginseng Radix et Rhizoma) to tonify righteousness, it ultimately does not use Tian Nan Xing (Arisaematis Rhizoma) or similar herbs to directly enter the Heart. If the patient cannot speak, Zao Jiao Ci (Gleditsiae Sinensis Spina) powder is also blown into the nose. If either of the previous two conditions presents with urinary incontinence and open hands (hand relaxation), rescue is unlikely. Otherwise, one dose brings back life. The above two conditions are methods for treating death-like states. Applying these principles broadly, the logic is sound. Generally, the two formulas mentioned suffice to encompass the methods for treating evil qi; adjusting the dosage based on the severity of the illness yields the correct approach.
Master Zhang said: The subtlety of treating death-like states lies entirely in these two formulas. If seeking further methods, there is one more: a method for saving the poor. If a person suddenly collapses upon seeing ghosts, whether in a temple or beside a coffin, having accidentally encountered corpse qi and been affected by Yin evil or ghosts, causing unconsciousness, use Gua Di San (Melon Seed Powder) to induce vomiting. There will inevitably be profuse vomiting of phlegm like a gushing spring, pouring out like a basin. If the ghosts depart, so be it. If ghosts are still seen after vomiting, it indicates the phlegm is not yet cleared. Use the aforementioned Gua Di San (Melon Seed Powder) again until the ghosts disappear. Afterwards, take Ren Shen (Ginseng Radix et Rhizoma) 1 liang, Fu Ling (Poria) 5 qian, Bai Wei (Cynanchi Stauntonii Radix) 1 qian, Chen Pi (Citri Reticulatae Pericarpium) 5 fen, Ban Xia (Pinelliae Rhizoma) 1 qian, Shen Qu (Massae Medicatae Fermentatae) 1 qian, Pao Jiang (Zingiberis Rhizoma Preparata) 1 qian, decocted in water and taken orally. (Note: Qu Gui San [Expel Ghosts Powder]). This method can treat impoverished people, comforting the compassionate heart of distant officials. Zi Jin Ding (Purple Gold Pellet) is also a sacred medicine for resolving phlegm.
Master Hua said: The Heavenly Master transmitted to me two additional formulas, which I pass on to you. Regarding death-like states, we have discussed Yin and Yang evil afflictions. There are also distinctions between Zhong E (Sudden Attack by Evil) and Zhong Du (Poisoning). Zhong E refers to situations like those described by the Heavenly Master; Zhong Du was not previously mentioned. For instance, poisoning from snake or insect bites also causes sudden collapse. Snake venom poisoning results in the body becoming rigid and straight, the tongue protruding outside, and the eyes opening only in a narrow slit. Urgently use Xiong Huang (Realgar) 1 liang, ground into a fine powder, washed with water (water-flotation method), and use the water supernatant, not the raw powder. Add a small amount of edible salt to one bowl of water, pour in one bowl of boiling water, mix well, and administer. Use a goose feather to probe the throat and induce vomiting. The patient will inevitably vomit about one bowl of foul phlegm resembling snail slime, after which they will recover. Afterwards, take Ren Shen (Ginseng Radix et Rhizoma) 5 qian, Fu Ling (Poria) 5 qian, Sheng Gan Cao (Raw Glycyrrhizae Radix et Rhizoma) 3 qian, decocted in plain boiled water. Additionally, take Bai Zhi (Angelicae Dahuricae Radix) 2 qian, decocted separately in water, and mix it into the main decoction before taking. Two doses ensure no future complications. (Note: Lei Gong said: I also have a divine formula for poisoning, effective against all toxins. It uses Bai Zhi (Angelicae Dahuricae Radix) 2 qian, Sheng Gan Cao (Raw Glycyrrhizae Radix et Rhizoma) 3 qian, Jin Yin Hua (Lonicerae Japonicae Flos) 2 liang, Bai Fan (Alumen) 5 qian, decocted in three bowls of water down to one bowl. Taking it detoxifies immediately. The Heavenly Master's formula is superior to mine.) There is also poisoning from Jin Can (Golden Silkworm). In the regions of Guangdong and Guangxi, there exists the "Golden Silkworm." Some families keep it at home and cannot get rid of it despite various schemes. Initially, there was a method to transfer the Golden Silkworm to others. Once a family acquires this silkworm, their descendants can never escape it; it is the most detestable entity. It is believed that a deity haunts the family and refuses to leave. If the family wishes to discard it, they wrap their accumulated wealth along with the Golden Silkworm and deliberately place it by the roadside. If someone ignorant picks it up and takes it home, the Golden Silkworm attaches to that person and cannot be removed. Prayers and attempts to send it away are futile. The Heavenly Master once transmitted a formula to cure a person, achieving miraculous eradication. The formula uses Lei Wan (Omphalia Lapponica) 3 qian, ground into powder, mixed with a small amount of Bai Fan (Alumen). When the Golden Silkworm appears, sprinkle a little powder onto the insect, which instantly turns into red blood-like fluid. The deity will surely become enraged and haunt. If there is a voice in the air, look up towards the source of the sound and sprinkle the powder into the air. The deity will curse loudly, betray its oath, and never return. I witnessed this personally when entering Shu during the Three Kingdoms period. This trend has subsided recently, but in the Miao caves of Nanning, this poison still exists. Transmitting this formula now serves as a precaution, which is acceptable. Perhaps the Heavenly Master did not transmit it because Far Gong did not value traveling to Western Yue. However, I have concealed the Heavenly Master's methods no longer; I transmit everything without reservation to praise the miraculous nature of his art. I asked him about the origin: when one first obtains this object, they become suddenly wealthy. The object comes from the sky. Overjoyed, the person worships the Golden Silkworm in the kitchen cabinet, praying morning and evening. Over time, the person's face turns golden, resembling the silkworm. Medication becomes ineffective. Later, the abdomen swells like drum distension. At that time, this phenomenon was prevalent in Shu. Those who acquired the Golden Silkworm would typically die within five years, and the silkworm would not leave. It was passed to sons, then grandsons, often leading to the destruction of the entire clan. Fortunately, Mr. Kong Ming entered Shu and resolved this curse using talismans and water, so this disease no longer exists in Shu today.