自缢、溺水,压坠、鬼魇、产死,气已绝皆可救苏,及诸暴绝。并以半夏末或皂荚末,捻入
鼻取嚏。或葱韭白心,刺入鼻数寸,掐人中,提顶发;及大指甲下离一韭叶许,各灸数壮,更灸
脐下。
自缢∶急抱起,缓解下,切勿割断绳,用手裹衣抵住粪门,妇人并塞阴户,气泄不
救。放下安卧,一人以脚踏两肩,手紧挽其发勿纵。一人搓正颈喉,摩动胸腹;一人将臂腿徐屈
伸之;四人各执芦管吹耳鼻,更掩其口,待眼开气舒,即以姜汤、粥饮灌之。诸绝,心下温者,
可生。
溺水∶捞救得合复安大凳上,垂其头,腹下仰卧活人。或复牛背上,刀斡开口,横放箸一只
,令水出;脚高起数寸,用皂荚末绵裹塞粪门内,以盐擦脐中;水出尽,取燥壁土杵细铺地上,
溺人仰卧,埋其身,以艾灸脐中。冬月急换暖衣,用灶内无火热灰埋盖其身,四人吹耳鼻,姜汁
灌。
坠压∶砖木石压,从高坠下。气绝者,斡开口,令人撒尿口内,得咽即生。取淡豆豉数两,
水酒煎服。血攻心,干荷叶烧灰,童便调下三钱,日三服。或热好酒灌。将连根韭捣、炒,缚伤
处。熨斗火熨。
魇寐 不宜上前叫唤,但痛咬脚跟、足拇指,多唾其面。有灯则存,无灯勿点。半夏、皂荚
末吹鼻;取向东桃、柳枝煎汤灌;或灶心土(研)二钱,井水下,次用芦管吹耳鼻。
鬼击、客忤等一切卒死,用菖蒲根或韭(冬用根)捣汁灌口、鼻中。或干菖蒲研末吹鼻,水
调下,更取井底泥涂身目,令人垂头井中唤姓名。或腹痛如刀刺,艾煮汁灌。吐虫物,灸足大指
甲后,十四壮。
冻死∶急换活人暖衣,用大米或灶灰炒热囊熨心上,冷再换。热酒、姜汤、粥汤频灌。以毡
单或草荐裹紧,二人轻手滚捍,肢温即活,切勿见火。苏合香丸,姜汤、酒调灌,妙。
中热∶移阴处,热土堆脐。众人尿、热土同大蒜研,水灌(详见暑门)。
胎产、血运救疗,极宜肃静,喧叫则死(详见产后)。
自缢、溺水、被重物压坠、鬼魇(因惊恐或睡眠障碍导致的昏厥)、难产死亡,以及气机突然断绝的各种情况,都可以进行抢救使其苏醒。处理方法是将半夏末或皂荚末捻成细条,插入鼻腔以引发喷嚏。或者用葱白、韭白的中心部分,刺入鼻腔数寸深,掐按人中穴,提拉头顶头发;并在大脚趾甲下距离约一片韭菜叶宽的地方各灸几壮,另外再灸脐下部位。
自缢:迅速抱起患者,将其放下缓解颈部压力,切勿直接割断绳索。应用手裹住衣物抵住肛门,女性还需塞住阴道,以防精气外泄导致无法救治。将患者放下并安置平卧,一人用脚踏住其双肩,双手紧紧拉住其头发不要松手;一人搓揉矫正颈喉部,按摩胸腹部;一人缓慢屈伸其手臂和腿部;四人各执芦管向耳鼻吹气,同时掩住其口,待眼睛睁开、气息顺畅后,立即灌服姜汤、米粥等流质食物。凡是各种气绝的情况,只要心下部位尚温,就有生还希望。
溺水:捞救上来后,让患者俯卧在宽阔的大凳上,头部下垂,腹部下方垫着活人仰卧(注:此处原文“腹下仰卧活人”疑为传抄错误,通常急救法为俯卧位控水,但依原文直译)。或者让患者俯卧在牛背上,用刀撬开嘴巴,横放一根筷子,使水流出来;双脚抬高数寸,用皂荚末包在绵絮中塞入肛门内,用盐擦拭肚脐;待水排尽,取干燥的墙壁泥土捣碎铺在地上,让溺水者仰卧其上,埋住身体,用艾草灸肚脐。冬季要急忙换上暖衣,用灶膛内无火的灰埋盖其身,四人向耳鼻吹气,灌服姜汁。
坠压:被砖、木、石等重物压住,或从高处坠落。气绝者,撬开嘴巴,让人向其口中撒尿,若能咽下即可生还。取淡豆豉数两,用水和酒煎煮后服用。若血瘀攻心,将干荷叶烧成灰,用童子尿调服三钱,每日三次。或者灌服热好的酒。将连根的韭菜捣烂、炒热,敷绑在受伤处。用熨斗加热熨烫。
魇寐(梦魇):不宜上前大声呼唤,只需用力咬脚跟、足大拇指,多向面部吐唾沫。有灯则保留灯光,无灯不要点燃。将半夏、皂荚末吹入鼻腔;取向东生长的桃枝、柳枝煎汤灌服;或者取灶心土(研细)二钱,井水送服,随后再用芦管向耳鼻吹气。
鬼击、客忤等一切猝死,用菖蒲根或韭菜(冬季用根部)捣汁灌入口、鼻中。或者将干菖蒲研成末吹入鼻腔,用水调服,另外取井底泥涂抹全身和眼睛,让人将头垂入井中呼唤姓名。如果腹痛如刀刺,用艾草煮汁灌服。呕吐虫物者,灸足大指甲后方十四壮。
冻死:急忙换上活人的暖衣,用大米或灶灰炒热装入囊袋熨烫心口,冷了再换。频灌热酒、姜汤、米汤。用毡单或草席紧紧包裹,两人轻轻滚动翻动身体,肢体温暖后即可复活,切勿靠近明火。苏合香丸,用姜汤、酒调匀灌服,效果极佳。
Strangulation by hanging, drowning, crushing by heavy objects, nightmare-induced syncope (syncope caused by fright or sleep disorders), death during difficult labor, and various conditions of sudden qi collapse can all be rescued to regain consciousness. The method is to twist Pinelliae Rhizoma (Banxia) powder or Gleditsiae Sinensis (Zaojiao) powder into a thin strip and insert it into the nasal cavity to induce sneezing. Alternatively, use the white center of Allium fistulosum (Congbai) or Allium tuberosum (Jiubai), insert it several inches into the nasal cavity, pinch Renzhong (GV26), and pull the hair at the vertex; moxa-heat each side of the big toenail plate at a distance of approximately one leek leaf width, and additionally moxa-heat below the umbilicus.
Hanging: Quickly lift the patient, lower them to relieve neck tension, and do not cut the rope directly. Use a hand wrapped in clothing to block the anus, and for women, also plug the vagina, to prevent leakage of vital essence which would make rescue impossible. Lay the patient down flat. One person stands on both shoulders with their feet, while another tightly holds the hair without letting go. A third person rubs and corrects the neck and throat, and massages the chest and abdomen. A fourth person slowly flexes and extends the arms and legs. Four people each hold a reed tube to blow air into the ears and nose, while simultaneously covering the mouth. Once the eyes open and breathing becomes smooth, immediately administer ginger soup or rice gruel. For any condition of sudden collapse, if the area below the heart remains warm, survival is possible.
Drowning: After retrieval, place the patient prone on a wide bench with the head hanging down, supporting the abdomen with a living person lying supine underneath (Note: This description follows the original text literally). Alternatively, place the patient prone on a cow's back, pry the mouth open with a knife, place a chopstick horizontally to allow water to drain; elevate the feet several inches, wrap Gleditsiae Sinensis (Zaojiao) powder in cotton and insert it into the anus, and rub salt onto the umbilicus. Once all water is expelled, take dry soil from a wall, crush it finely, spread it on the ground, have the drowned person lie supine on it, bury their body, and moxa-heat the umbilicus. In winter, urgently change into warm clothes, cover the body with ash from the stove that has no fire, have four people blow air into the ears and nose, and administer ginger juice.
Crushing/Compression: Caused by being pressed by bricks, wood, stones, or falling from a height. If qi is severed, pry the mouth open and have someone urinate into the mouth; if they can swallow, they will survive. Take several liang of Fermented Soybean (Danshichu), decoct with water and wine, and administer. If blood attacks the heart, burn dried Lotus Leaf (Heye) to ash, mix with child's urine, and administer 3 qian, three times daily. Alternatively, administer hot wine. Crush and stir-fry garlic chives (Jiu) with roots, bind to the injured area. Heat an iron and apply as a hot compress.
Nightmare/Sleep Paralysis: Do not shout loudly approaching the patient. Instead, bite firmly on the heel and big toe, and spit frequently on the face. Keep the lamp lit if available; do not light one if absent. Blow Pinelliae Rhizoma (Banxia) and Gleditsiae Sinensis (Zaojiao) powder into the nose; decoct peach branches and willow branches growing towards the east and administer the soup; or take 2 qian of Hearth Earth (Zaoxintu), grind it, and swallow with well water, followed by blowing air into the ears and nose with a reed tube.
Ghost Strike (Guoji), Guest Chou (Keyu), and all other sudden deaths: Crush Acorus Tatarinowii (Changpu) root or garlic chive (Jiu) root (use root in winter) to extract juice and administer into the mouth and nose. Alternatively, crush dried Acorus Tatarinowii (Changpu) into powder, blow into the nose, and swallow with water. Additionally, apply mud from the bottom of a well to the whole body and eyes, have someone lower their head into the well and call out the name. If abdominal pain feels like knife stabbing, decoct mugwort (Aiye) and administer. For vomiting of parasites, moxa-heat behind the big toenail plate for fourteen moxa cones.
Freezing to Death: Urgently change into warm clothes worn by a living person. Heat rice or stove ash, place in a bag, and apply as a hot compress to the heart region; replace when cold. Frequently administer hot wine, ginger soup, and rice gruel. Wrap tightly in felt or straw mats. Two people should gently roll the body until limbs become warm and life returns. Do not expose to open fire. Suhe Xiang Wan (Styrax Pill), mixed with ginger soup and wine, is excellent.
Heat Stroke (Zhongre): Move to a shady place. Pile hot earth around the umbilicus. Grind human urine, hot earth, and garlic together, and administer with water (see Summer Heat chapter).
Obstetric Emergencies/Blood Syncope: Rescue and treatment require extreme quietness. Shouting and noise will cause death (see Postpartum chapter).