中恶之证，因冒犯不正之气，忽然手足逆冷，肌肤粟起，头面青黑，精神不守。
或错言妄语，牙紧口噤，或头旋晕倒，昏不知人。即此是卒厥客忤，飞尸鬼击，吊
死问丧，入庙登冢，多有此病。苏合香丸灌之，候稍苏，以调气散和平胃散服，名
调气平胃散。
治五绝。一自缢，二摧压，三溺水，四魇魅，五产乳。用半夏一两末之，为丸
豆大，内鼻中愈。心温者，一日可治。
【自缢死】仲景云∶自旦至暮虽已冷，必可治。暮至旦则难，巩此当言阴气盛故也。然夏时夜
短于昼，又热，犹应可治。又云∶心下若微温者，一日以上，犹可治之。当徐徐
抱解，不得截绳，上下安被卧之；一人以脚踏其两肩，手挽其发常令弦急，勿使纵
缓；一人以手按据胸上，数摩动之；一人摩捋臂胫屈伸之；若已僵直，但渐渐强屈
之，并按其腹，如此一炊顷，虽得气从口出，呼吸眼开，仍引按莫置，亦勿劳之，
须臾可少与桂汤及粥清含与之，令喉润渐渐能咽乃止，更令两人以管吹其两耳，此
法最善，无不活者。自缢者，切不可割断绳子，以膝盖或用手浓裹衣物，紧顶谷道，
抱起解绳放下，揉其项痕，搐鼻及吹其两耳，待其气回，方可放手。若便泄气，则
不可救矣。《肘后方》自缢死，安定心神，徐缓解之，慎勿割绳断，须抱取。心下犹
温者，刺鸡冠血滴口中即活。男雌女雄。又方，鸡屎白如枣大，酒半盏和灌及鼻中
尤妙。《千金方》以蓝汁灌之，余法同上。自缢死，但身温未久者，徐徐放下，将喉
气管捻圆，揪发向上揉擦，用口对口接气，粪门用火筒吹之，以半夏、皂角搐鼻，
以姜汁调苏合香丸灌之，或煎木香细辛汤调灌亦得。得苏可治，绳小痕深过时者不治。
【摧压】卒堕 压倒打死，心头温者皆可救。将本人如僧打坐，令一人将其头发控放低，
用半夏末吹入鼻内。如活，却以生姜汁、香油打匀灌之。余详折伤门。
【溺水死】捞起，以尸横伏牛背上，无牛以凳控去其水，冬月以绵被围之，却用皂角以生姜
自然汁灌之。上下以炒姜擦之，得苏可治。若五孔有血者不治。《金匮》救溺死
方，取灶中灰两石埋之，从头至足，水出七孔即活。溺水者，放大凳上睡着，将脚
后凳脚站起二砖，却蘸盐擦脐中，待其水自流出，切不可倒提出水，此数等，但心
头微热者，皆可救治。又方，溺水死一宿者尚活，捣皂角绵裹纳下部，须臾出水即活。
【魇】神虚气浊，风痰客于心肺，所以得梦不觉，浊气闭塞而死。气动不苏，面青黑
者不治。急以搐鼻散引出膈痰，次以苏合香丸导动清气，身动则苏，若身静色陷者
不治。魇死不得近前唤，但痛咬其脚跟及唾其面。不醒者，移动些少卧处，徐徐唤
之，元有灯则存，无灯切不可点灯。《肘后方》卧忽不寤，勿以火照之杀人，但痛啮
大拇指际，而唾其面则活，取韭捣汁吹鼻孔，冬月用韭根取汁灌口中。皂角为末如
绿豆大许，吹入鼻中，得嚏即气通。雄黄捣末细筛，以管吹入鼻孔中。
中恶这种病证，是因为冒犯了不正之气，突然手足逆冷，皮肤起鸡皮疙瘩，头面青黑，精神不能守舍。
或者胡言乱语，牙关紧闭口噤不开，或者头晕晕倒，昏迷不省人事。这就是卒厥、客忤、飞尸、鬼击等病，吊丧问疾，进入庙宇登上坟墓，多有此病。用苏合香丸灌服，等到稍微苏醒后，服用调气散和平胃散，名为调气平胃散。
治疗五绝症。一是自缢，二是重物压伤，三是溺水，四是魇魅（梦魇致死），五是难产。用半夏一两研成末，做成如豆大的药丸，塞入鼻孔即可痊愈。如果心下尚温，一天之内还可以救治。
【自缢死】张仲景说：从早晨到傍晚虽然身体已冷，但必定可以救治；从傍晚到早晨则难治，这是因为此时阴气盛的缘故。然而夏季夜晚短于白天，又天气炎热，仍然应该可以救治。又说：如果心下还有微温，一天以上，也还可以救治。应当慢慢解开束缚，不要切断绳子，将患者平稳地放在被褥上仰卧；一人用脚踏住患者的两肩，手拉其头发使其保持紧绷状态，不要松弛；一人用手按压胸部，多次揉动；一人按摩捋顺手臂和小腿，屈伸关节；如果已经僵硬挺直，就逐渐强行屈曲肢体，并按摩腹部，这样经过一顿饭的功夫，即使气息从口出，呼吸恢复眼睛睁开，仍要持续按压不要停止，也不要劳累患者，片刻后可少量给予桂汤及米粥清液含在口中，使喉咙湿润能慢慢吞咽才停止，再让两人用管子吹其双耳，这种方法最好，没有救不活的。自缢者，切不可割断绳子，可用膝盖或用手厚裹衣物，紧紧顶住肛门，抱起解绳放下，揉搓颈部痕迹，搐鼻及吹其双耳，待其气息恢复，方可放手。如果立刻泄气，则不可救了。《肘后方》记载自缢死，安定心神，慢慢解除束缚，千万不要割断绳子，必须抱持患者。心下尚温者，刺取鸡冠血滴入口中即活。男取雌鸡，女取雄鸡。另一方法，用鸡屎白如枣大，用半盏酒调和灌服及塞入鼻孔尤其妙。《千金方》用蓝汁灌服，其他方法同上。自缢死，只要身体温暖时间不长，慢慢放下，将喉气管捻圆，揪住头发向上揉擦，用口对口接气，用粪门用火筒吹之，用半夏、皂角搐鼻，用姜汁调苏合香丸灌服，或煎木香细辛汤调服也可以。苏醒的可治，绳子勒痕深且超过时辰的不治。
【重物压伤】突然坠落压倒打死，心头尚温者皆可救。将患者摆成僧人打坐的姿势，令一人将其头发控放低，用半夏末吹入鼻内。如果复活，再用生姜汁、香油混合均匀灌服。其余详情见折伤门。
【溺水死】捞起后，让尸体横伏在牛背上，无牛则用凳子控去积水，冬季用绵被围住，然后用皂角以生姜自然汁灌服。上下用炒姜擦拭，苏醒的可治。如果七窍出血者不治。《金匮要略》救溺死方，取灶中灰两石埋之，从头至足，水从七孔流出即活。溺水者，放大凳上睡着，将脚后垫高二砖，蘸盐擦脐中，待其水自流出，切不可倒提出水，这些情况，只要心头微热者，皆可救治。另一方法，溺水死一宿者尚活，捣皂角绵裹纳下部，片刻出水即活。
【魇死】神虚气浊，风痰客于心肺，所以做梦不觉醒，浊气闭塞而死。气动不苏，面青黑者不治。急以搐鼻散引出膈痰，次以苏合香丸导动清气，身动则苏，若身静色陷者不治。魇死不得近前唤，但痛咬其脚跟及唾其面。不醒者，移动些少卧处，徐徐唤之，元有灯则存，无灯切不可点灯。《肘后方》卧忽不寤，勿以火照之杀人，但痛啮大拇指际，而唾其面则活，取韭捣汁吹鼻孔，冬月用韭根取汁灌口中。皂角为末如绿豆大许，吹入鼻中，得嚏即气通。雄黄捣末细筛，以管吹入鼻孔中。
Zhong'e (Sudden Collapse due to Evil Qi) is a syndrome caused by exposure to abnormal qi, characterized suddenly by cold extremities, skin with gooseflesh, cyanosis and blackening of the head and face, and loss of mental possession.
It may present as incoherent speech, locked jaw and clenched teeth, dizziness and fainting, or coma with unconsciousness. This constitutes sudden jue (sudden collapse), ke wu (alien invasion), fei shi (flying corpse), gui ji (ghost strike), etc., often occurring when mourning, visiting funerals, entering temples, or climbing tombs. Administer Suhe Xiang Wan (Styrax Pill). After slight recovery, administer Tiaoqi San (Regulate Qi Powder) and Pingwei San (Calm the Stomach Powder) together, named Tiaoqi Pingwei San.
Treatment for the Five Extinctions (Wu Jue): one is hanging, two is crushing injury, three is drowning, four is nightmare death (yan mei), five is difficult childbirth. Use Banxia (Pinelliae Rhizoma) 1 liang, powdered, formed into pills the size of beans, inserted into the nostrils for cure. If the heart region remains warm, it can be treated within one day.
[Hanging Death] Zhang Zhongjing stated: Even if cold from morning to evening, it must be treatable; from evening to morning, it is difficult to treat, because yin qi is abundant at that time. However, in summer, nights are shorter than days and it is hot, so it should still be treatable. He also said: If the epigastrium is slightly warm, even after more than a day, it can still be treated. The patient should be slowly untied and released; do not cut the rope. Place the patient flat on bedding; one person stands on both shoulders, pulls the hair to keep it taut and not loose; one person presses on the chest and rubs frequently; one person massages and extends the arms and legs; if stiff, gradually force flexion and press the abdomen. After about the time it takes to cook a meal, although breath returns from the mouth and eyes open, continue pressing without stopping, do not exhaust the patient. After a moment, give small amounts of Guizhi Tang (Cinnamon Twig Decoction) and rice gruel to moisten the throat until swallowing is possible. Have two people blow air into both ears using tubes. This method is best and rarely fails. Do not cut the rope; use knees or cloth-wrapped hands to firmly press the anus, lift and untie, rub neck marks, stimulate nostrils and blow ears. Wait for breath to return before releasing. If gas escapes immediately, it is incurable. *Zhou Hou Fang* states: Calm the mind, slowly release, do not cut rope, hold the body. If heart is warm, prick chicken comb blood into mouth to revive. For males use hen's blood, for females use rooster's blood. Another method: Ji Shi Bai (White Excrement of Gallus gallus domesticus) the size of a date, mixed with half a cup of wine, administered orally or nasally is excellent. *Qian Jin Fang* uses Lan Zhi (Indigo Juice), other methods same as above. For hanging, if body warmth has not lasted long, lower slowly, round the trachea, pull hair up and rub, perform mouth-to-mouth resuscitation, blow into rectum with bellows, stimulate nostrils with Banxia (Pinelliae Rhizoma) and Zaoguo (Gleditsiae Fructus), administer Suhe Xiang Wan (Styrax Pill) mixed with Shengjiang Jiang (Zingiberis Rhizoma Recens Juice), or decoct Muxiang (Aucklandiae Radix) and Xixin (Asari Radix et Rhizoma) mixture. Recovery indicates treatability; deep ligature marks beyond time limit indicate untreatability.
[Crushing Injury] Sudden fall causing death by pressure; if heart region is warm, all can be saved. Position the patient like a monk sitting in meditation, have one person lower the head by holding hair, blow Banxia powder (Pinelliae Rhizoma) into nostrils. If revived, administer a mixture of Shengjiang Jiang (Zingiberis Rhizoma Recens Juice) and Xiangyou (Sesame Oil). See fracture section for details.
[Drowning Death] Retrieve, place corpse prone on a cow's back; if no cow, use a stool to drain water. In winter, wrap with cotton quilt. Administer Zaoguo juice (Gleditsiae Fructus) mixed with fresh Shengjiang juice (Zingiberis Rhizoma Recens Juice). Rub whole body with fried ginger slices. Recovery indicates treatability. Bleeding from seven orifices indicates untreatability. *Jin Gui Yao Lue* rescue formula: bury in two dan of ash from stove, from head to foot, water flows out from seven orifices then alive. Place drowned person supine on large stool, elevate feet on two bricks, rub umbilicus with salt, wait for water to flow out naturally. Do not lift upside down. If heart region is slightly warm, rescue is possible. Another method: Drowned for one night still recoverable; crush Zaoguo (Gleditsiae Fructus), wrap in cotton, insert into lower orifice, water flows out shortly after and patient revives.
[Nightmare Death] Shen deficiency and turbid qi, wind-phlegm lodging in Heart and Lung, leading to dream state without waking, death by turbid qi blockage. If qi moves but does not revive, with cyanotic-black face, it is untreatable. Urgently use Chubi San (Nasal Snuff Powder) to draw out phlegm from diaphragm, then administer Suhe Xiang Wan (Styrax Pill) to guide clear qi. Body movement indicates revival; body stillness with sunken complexion indicates untreatability. Do not call loudly near the patient. Bite heel hard and spit on face. If not waking, move position slightly, call slowly. Keep existing light, do not ignite new lights. *Zhou Hou Fang*: Sudden unresponsiveness, do not shine fire as it kills. Bite thumb joint hard, spit on face to revive. Crush Jiu Cai (Allii Tuberosi Herba) juice into nostrils; in winter use Jiu Gen (Allii Tuberosi Radix) juice orally. Zaoguo powder (Gleditsiae Fructus) the size of mung bean blown into nostrils causes sneezing and qi passage. Xionghuang (Realgar) finely sifted powder blown into nostrils via tube.