1.退五脏虚热,四时加减柴胡饮子方。
冬三月加∶柴胡(八分) 白术(八分) 大腹槟榔(四枚,并皮子用) 陈皮(五分) 生姜(五分)
桔梗(七分)
春三月加∶枳实 减∶白术 共六味。
夏三月加∶生姜(三分) 枳实(五分) 甘草(三分)
共八味。
秋三月加∶陈皮(三分) 共六味。
上各 咀,分为三帖,一帖以水三升,煮取二升,分温三服。如人行四五里进一服。如四体壅,添甘草少许,
每帖分作三小帖,每小帖以水一升,煮取七合,温服,再合滓为一服,重煮,都成四服。(疑非仲景方。)
2.长服诃黎勒丸方(疑非仲景方。)
诃黎勒 陈皮 浓朴(各三两)
上三味,末之,炼蜜丸,如梧子大,酒饮服二十
丸,加至三十丸。
3.三物备急丸方 (见《千金》司空裴秀为散用亦可。先和成汁,乃倾口中,令从齿间得入,至良验。)
大黄(一两) 干姜(一两) 巴豆(一两,去皮心,熬,外研如脂。)
上药各须精新,先捣大黄、干姜为末,研巴豆纳中,合治一千杵,用为散,蜜和丸亦佳,密器中贮之,莫令
歇。主心腹诸卒暴百病。若中恶客杵,心腹胀满,卒痛如锥刺,气急口噤,停尸卒死者,以暖水若酒服大豆许三
四丸,或不下,捧头起,灌令下咽,须臾当瘥,如未瘥,更与三丸,当腹中鸣,即吐下便瘥。若口噤,亦须折齿
灌之。
4.治伤寒令愈不复,紫石寒食散方(见《千金翼》。)
紫石英 白石英 赤石脂 钟乳(碓炼) 栝蒌根 防风 桔梗 文蛤 鬼臼(各十分) 太一余粮(十分,
烧) 干姜 附子(炮,去皮) 桂枝(去皮,各四分)
上十三味,杵为散,酒服方寸匕。
5.救卒死方
薤捣汁灌鼻中。
又方∶
雄鸡冠割取血,管吹纳鼻中。
猪脂如鸡子大,苦酒一升,煮沸灌喉中。
鸡肝及血涂面上,以灰围四旁,立起。
大豆二七粒,以鸡子白并酒和,尽以吞之。
6.救卒死而壮热者方
矾石(半升),以水一斗半煮消,以渍脚,令没踝。
7.救卒死而目闭者方
骑牛临面,捣薤汁灌耳中,吹皂荚末鼻中,立效。
8.救卒死而张口反折者方
灸手足两爪后十四壮了,饮以五毒诸膏散。(有巴豆者。)
9.救卒死而四肢不收失便者方
马屎(一升),水三斗,煮取二斗,以洗之;又取牛洞(稀粪也)一升,温酒灌口中;灸心下一寸、脐上三
寸、脐下四寸各一百壮,瘥。
10.救小儿卒死而吐利不知是何病方
狗屎一丸,绞取汁以灌之。无湿者,水煮干者取汁。
11.尸厥,脉动而无气。气闭不通,故静而死也。
治方∶脉证见上卷。
菖蒲屑纳鼻两孔中,吹之,令人以桂屑着舌下。
又方∶
剔取左角发方寸,烧末,酒和,灌令入喉,立起。
12.救卒死客忤死还魂汤主之方。
(《千金方》云∶主卒忤鬼击飞尸,诸奄忽气绝,无复觉,或已无脉,口噤拗不开,去齿下汤。汤下口不下者,
分病患发左右,捉 肩引之。药下复增取一升,须臾立苏。)
麻黄(三两,去节) 杏仁(去皮尖,七十个) 甘草(一两,炙) (《千金》用桂心二两。)
上三味,以水八升,煮取三升,去滓,分令咽之。通治诸感忤。
又方∶
韭根(一把) 乌梅(二七个) 吴茱萸(半升,炒)
上三味,以水一斗煮之,以病患栉内中,三沸,栉浮者生,沉者死。煮取三升,去滓,分饮之。
13.救自缢死,旦至暮虽已冷,必可治;暮至旦,小难也。恐此当言忿气盛故也。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。
方∶
徐徐抱解,不得截绳。上下安被卧之,一人以脚踏其两肩,手少挽其发,常弦弦勿纵之;一人以手按据胸上,
数动之;一人摩捋臂胫屈伸之,若已僵,但渐渐强屈之,并按其腹。如此一炊顷,气从口出,呼吸,眼开,而犹
引按莫置,亦勿若劳之。须臾,可少桂汤及粥清含与之,令濡喉,渐渐能咽,及稍止。若向令两人以两管吹其两
耳, 好。此法最善,无不活也。
14.凡中 死,不可使得冷,得冷便死。疗之方∶屈草带,绕 人脐,使三两人溺其中,令温。亦可用热泥
和屈草,亦可扣瓦碗底,按及车缸,以着 人,取令溺,须得流去。此谓道路穷,卒无汤。当令溺其中,欲使多
人溺,取令温若汤,便可与之,不可泥及车缸,恐此物冷。 既在夏月,得热泥土、暖车缸,亦可用也。
15.救溺死方
取灶中灰二石余,以埋人,从头至足,水出七孔,即活。
上疗自缢溺 之法,并出自张仲景为之,其意殊绝,殆非常情所及,本草所能关,实救人之大术矣。伤寒家
数有 病,非此遇热之 (见《外台》、《肘后》)目。
16.治马坠及一切筋骨损方(见《肘后》方。)
大黄(一两,切浸,汤成下) 绯帛(如手大,烧灰) 乱发(如鸡子大,烧灰用) 久用炊单布(一尺,
烧灰) 败蒲(一握三寸) 桃仁(四十九个,去皮尖,熬) 甘草如(中指节,炙)
上七味,以童子小便,量多少,煎汤成,纳酒一大盏,次下大黄,去滓,分温三服。先 败蒲席半领,煎汤
浴,衣被盖复,斯须通利数行,痛楚立瘥。利及浴水赤,勿怪,即瘀血也。
1.退五脏虚热,四时加减柴胡饮子方。
冬季三个月增加:柴胡(八分) 白术(八分) 大腹槟榔(四枚,连同皮和籽一起使用) 陈皮(五分) 生姜(五分) 桔梗(七分)。
春季三个月增加:枳实;减少:白术。共六味药。
夏季三个月增加:生姜(三分) 枳实(五分) 甘草(三分)。共八味药。
秋季三个月增加:陈皮(三分)。共六味药。
以上各药切碎,分为三帖。一帖用水三升,煮取二升,分三次温服。如人行走四五里的时间服用一次。如果四肢壅滞不适,添加少许甘草,每帖分为三小帖,每小帖用水一升,煮取七合,温服,再将药渣合并为一次服用,重新煎煮,总共成为四次服用。(怀疑不是张仲景的方子。)
2.长服诃黎勒丸方(怀疑不是张仲景的方子。)
诃黎勒 陈皮 浓朴(各三两)
以上三味药,研成粉末,用炼蜜制成丸剂,如梧桐子大小,用酒送服二十丸,逐渐增加到三十丸。
3.三物备急丸方 (见于《千金方》,司空裴秀认为也可做成散剂。先调和成汁液,然后倒入口中,让药液从齿缝间流入,效果极好。)
大黄(一两) 干姜(一两) 巴豆(一两,去皮去心,炒制,外部研磨如脂状。)
以上药物都必须精细新鲜,先将大黄、干姜研成粉末,将巴豆纳入其中,共同捣治一千杵,做成散剂,用蜜和丸也可以,存放在密封容器中,不要让药气散失。主治心腹各种突发暴病。如果是中恶客忤,心腹胀满,突然疼痛如锥刺,气急口噤,尸厥卒死,用温水或酒送服大豆大小的三四丸,如果药下不去,托起头部灌入使其咽下,片刻后应当痊愈,如果未愈,再给三丸,应当听到腹中鸣响,随即吐泻便痊愈。如果口噤,也必须掰开牙齿灌入。
4.治伤寒令愈不复,紫石寒食散方(见于《千金翼方》。)
紫石英 白石英 赤石脂 钟乳(捣碎炼制) 栝蒌根 防风 桔梗 文蛤 鬼臼(各十分) 太一余粮(十分,烧制) 干姜 附子(炮制,去皮) 桂枝(去皮,各四分)
以上十三味药,捣碎成散剂,用酒送服一方寸匕。
5.救卒死方
薤捣汁灌入鼻中。
又一方:
雄鸡冠割取血,用管子吹入鼻中。
猪脂如鸡蛋大小,苦酒一升,煮沸后灌入喉中。
鸡肝及血涂在脸上,周围用灰围住,立即苏醒。
大豆十四粒,用蛋清和酒调和,全部吞下。
6.救卒死而壮热者方
矾石(半升),用水一斗半煮化,用来浸泡双脚,使脚踝没入水中。
7.救卒死而目闭者方
骑在牛背上面对患者面部,捣薤汁灌入耳中,吹皂荚末入鼻中,立即见效。
8.救卒死而张口反折者方
灸手足两爪后各十四壮,饮以五毒诸膏散。(含有巴豆。)
9.救卒死而四肢不收失便者方
马屎(一升),水三斗,煮取二斗,用来清洗身体;又取牛洞(稀粪)一升,用温酒灌入口中;灸心下一寸、脐上三寸、脐下四寸各一百壮,痊愈。
10.救小儿卒死而吐利不知是何病方
狗屎一丸,绞取汁液灌入。没有湿屎的,水煮干屎取汁。
11.尸厥,脉动而无气。气闭不通,故静而死也。
治疗方:脉证见上卷。
菖蒲屑纳入鼻孔两个孔中,吹入,让人将桂屑放在舌下。
又一方:
剪取左角头发方寸大小,烧成粉末,用酒调和,灌入喉中,立即苏醒。
12.救卒死客忤死还魂汤主之方。
(《千金方》说:主治卒忤鬼击飞尸,各种突然气绝,失去知觉,或者已经无脉,口噤拗不开,去掉牙齿灌汤。汤下不去的,分开患者头发左右,抓住肩膀牵引。药下后再增加取一升,片刻立即苏醒。)
麻黄(三两,去节) 杏仁(去皮尖,七十个) 甘草(一两,炙) (《千金方》用桂心二两。)
以上三味药,用水八升,煮取三升,去滓,分次让患者咽下。通治各种感忤。
又一方:
韭根(一把) 乌梅(二十七个) 吴茱萸(半升,炒)
以上三味药,用水一斗煮,将患者的梳子放入其中,煮沸三次,梳子浮起的为生,沉下的为死。煮取三升,去滓,分次饮用。
13.救自缢死,旦至暮虽已冷,必可治;暮至旦,小难也。恐此当言忿气盛故也。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。
方:
慢慢解开捆绑,不得截断绳子。上下安放被褥让其躺卧,一人用脚踏住其双肩,手稍微拉扯其头发,保持紧绷不要放松;一人用手按压胸部上方,多次动作;一人按摩捋顺手臂和小腿并屈伸,如果已经僵硬,只是渐渐强行屈伸,并按压腹部。这样一顿饭的时间,气息从口出,呼吸,眼睛睁开,但仍要引导按压不要放下,也不要过于劳累。片刻后,可以少量含服桂汤及米汤清液,润喉,渐渐能咽下,以及稍止。如果先前让两人用两根管子吹其双耳,更好。此法最好,没有不活的。
14.凡中魇死,不可使得冷,得冷便死。疗之方:屈草带,绕病人脐,使三两人溺其中,令温。亦可用热泥和屈草,亦可扣瓦碗底,按及车缸,以着病人,取令溺,须得流去。此谓道路穷,卒无汤。当令溺其中,欲使多人溺,取令温若汤,便可与之,不可泥及车缸,恐此物冷。 既在夏月,得热泥土、暖车缸,亦可用也。
15.救溺死方
取灶中灰二石多,用来埋人,从头到脚,水从七窍流出,即活。
以上治疗自缢溺死的方法,都出自张仲景所创,其意殊绝,几乎非常情所能理解,本草所能关联,确实是救人的大术啊。伤寒家中数次有魇病,非此遇热之(见于《外台秘要》、《肘后备急方》)类。
16.治马坠及一切筋骨损方(见于《肘后方》。)
大黄(一两,切浸,汤成下) 绯帛(如手掌大,烧灰) 乱发(如鸡蛋大,烧灰用) 久用炊单布(一尺,烧灰) 败蒲(一握三寸) 桃仁(四十九个,去皮尖,炒) 甘草如中指节(炙)
以上七味药,用童子小便,根据多少量,煎汤成,加入一大盏酒,其次下大黄,去滓,分三次温服。先铺败蒲席半领,煎汤洗浴,衣被盖复,片刻通利数次,痛楚立即痊愈。利及浴水变红,不要奇怪,就是瘀血也。
1. Formula for Reducing Deficient Heat of the Five Zang Organs, Four Seasons Modified Chaihu Yinzi Decoction.
In the three winter months, add: Bupleuri Radix (Chaihu, 8 fen), Atractylodis Macrocephalae Rhizoma (Baizhu, 8 fen), Arecae Pericarpium (Dafubinglang, 4 pieces, used with peel and seed), Citri Reticulatae Pericarpium (Chenpi, 5 fen), Zingiberis Rhizoma Recens (Shengjiang, 5 fen), Platycodonis Radix (Jiegeng, 7 fen).
In the three spring months, add: Aurantii Fructus Immaturus (Zhishi); reduce: Atractylodis Macrocephalae Rhizoma (Baizhu). Total six herbs.
In the three summer months, add: Zingiberis Rhizoma Recens (Shengjiang, 3 fen), Aurantii Fructus Immaturus (Zhishi, 5 fen), Glycyrrhizae Radix et Rhizoma (Gancao, 3 fen). Total eight herbs.
In the three autumn months, add: Citri Reticulatae Pericarpium (Chenpi, 3 fen). Total six herbs.
The above herbs are each coarsely crushed, divided into three doses. One dose is boiled in three sheng of water to obtain two sheng, taken warm in three divided doses. Administer every time a person walks four or five li. If there is stagnation in the four limbs, add a small amount of Glycyrrhizae Radix et Rhizoma (Gancao). Each dose is divided into three small doses. Each small dose is boiled in one sheng of water to obtain seven ge, taken warm. The dregs are combined for one more decoction, totaling four administrations. (Suspected not to be a formula by Zhang Zhongjing.)
2. Long-term Administration of Heleli Pill Formula (Suspected not to be a formula by Zhang Zhongjing.)
Terminaliae Chebulae Fructus (Heleli), Citri Reticulatae Pericarpium (Chenpi), Magnoliae Officinalis Cortex (N Houpo) (each 3 liang).
The above three herbs are powdered, mixed with refined honey to form pills the size of a Chinese quince seed. Take twenty pills with wine, increasing gradually to thirty pills.
3. Sanwu Beiji Pill Formula (See Qianjin Fang; Sikong Pei Xiu suggested it could also be used as a powder. First mix into a liquid, then pour into the mouth, allowing it to enter between the teeth, which is very effective.)
Rhei Radix et Rhizoma (Dahuang, 1 liang), Zingiberis Rhizoma (Ganjiang, 1 liang), Crotonis Fructus (Badou, 1 liang, peeled, heart removed, roasted, and ground externally like fat).
The above drugs must be fine and fresh. First grind Dahuang and Ganjiang into powder, add Badou, and pound together for one thousand strokes to make a powder. Mixing with honey to form pills is also good. Store in a sealed container to prevent loss of potency. It treats various sudden abdominal diseases. If suffering from evil qi invasion or sudden fullness and pain in the heart and abdomen like needle pricks, shortness of breath, locked jaw, or sudden death (Shijue), administer three or four pills the size of a soybean with warm water or wine. If unable to swallow, hold the head up and force it down the throat. Recovery should occur shortly. If not recovered, give three more pills. Abdominal borborygmus will follow, leading to vomiting and purging and recovery. If the jaw is locked, teeth must be pried open to administer.
4. Zishi Hanshi San (Cold Food Powder) for Treating Shanghan to Prevent Recurrence (See Qianjin Yifang.)
Fluorite (Zishiyingshi), Quartz (Bai Shiyingshi), Halloysitum Rubrum (Chishizhi), Stalactitum (Zhongru, pounded and refined), Tetrastigma Caulis (Gualougen), Saposhnikoviae Radix (Fangfeng), Platycodonis Radix (Jiegeng), Veneris Testis (Wenge), Podophylli Fructus (Guijiu) (each 10 parts), Kaolinite (Taiyiyuliang, 10 parts, burned), Zingiberis Rhizoma (Ganjiang), Aconiti Lateralis Radix Praeparata (Fuzi, processed, peeled), Cinnamomi Ramulus (Guizhi, peeled, each 4 parts).
The above thirteen herbs are pounded into a powder. Take one fangcun bi with wine.
5. Emergency Rescue for Sudden Death
Crush Allii Macrostemonis Bulbus (Xie) to extract juice and instill into the nose.
Another formula:
Cut blood from the comb of a rooster, blow into the nose using a tube.
Boil Porcini Adipis (Zhuzhi, size of an egg) with Acetum (Ku Jiu, 1 sheng) until boiling, then instill into the throat.
Apply Chicken Liver and Blood (Jigan ji xue) to the face, surround with ash, and revival occurs immediately.
Swallow fourteen Soybean seeds (Dadou) mixed with Albumen Ovi (Jizi bai) and wine.
6. Emergency Rescue for Sudden Death with High Fever
Alumen (Fanshi, half sheng), boil in fifteen sheng of water until dissolved, soak feet in it until the ankles are submerged.
7. Emergency Rescue for Sudden Death with Closed Eyes
Straddle a horse facing the patient's face, crush Allii Macrostemonis Bulbus (Xie) to extract juice and instill into the ears, blow Terminaliae Chebulae Fructus (Saojia) powder into the nose. Immediate effect.
8. Emergency Rescue for Sudden Death with Open Mouth and Opisthotonos
Moxibustion on the four nails of hands and feet, fourteen moxa cones each. Drink Wudu Zhugao San (Five-Toxin Various Ointment Powders) (contains Crotonis Fructus/Badou).
9. Emergency Rescue for Sudden Death with Flaccid Limbs and Incontinence
Boil Horse Dung (Mashi, 1 sheng) in thirty dou of water to obtain twenty dou, use to wash the body. Also take Cow Dung (Niudong, 1 sheng), mix with warm wine, and instill into the mouth. Moxibustion on points below the heart (one cun), above the umbilicus (three cun), and below the umbilicus (four cun), one hundred cones each. Recovery ensues.
10. Emergency Rescue for Pediatric Sudden Death with Vomiting and Diarrhea of Unknown Cause
One pill of Dog Feces (Goushi), squeeze out juice and instill. If dry feces are used, boil in water to extract juice.
11. Corpse-like Coma (Shijue): Pulse moves but no breath. Qi blockage prevents flow, hence stillness and apparent death.
Treatment: Pulse and signs see previous volume.
Insert Rhizoma Acori Tatarinowii (Changpu) powder into both nostrils and blow. Place Cinnamomi Ramulus (Guizhi) powder under the tongue.
Another formula:
Take one square cun of hair from the left temple, burn to ash, mix with wine, and instill into the throat. Immediate revival.
12. Huanhun Tang (Return Soul Decoction) for Sudden Death due to Evil Invasion.
(Qianjin Fang states: Treats sudden evil invasion, ghost strike, flying corpse, sudden cessation of breath, loss of consciousness, absence of pulse, locked jaw. Remove teeth before administering decoction. If decoction cannot go down, part hair left and right, grasp shoulders and pull. Add one sheng more if needed. Revival occurs shortly.)
Ephedrae Herba (Mahuang, 3 liang, remove joints), Armeniacae Semen Amarum (Xingren, 70 seeds, remove skin and tips), Glycyrrhizae Radix et Rhizoma (Gancao, 1 liang, honey-fried) (Qianjin uses Cinnamomi Cortex Guizhi/Guixin, 2 liang).
The above three herbs are boiled in eight sheng of water to obtain three sheng. Strain. Have patient swallow in divided doses. Treats all cases of evil invasion.
Another formula:
Radix Allii Tuberosi (Jiu Gen, one bunch), Fructus Mume (Wumei, 27 seeds), Evodiae Fructus (Wuzhuyu, half sheng, stir-fried).
Boil the above three herbs in ten dou of water. Place the patient's comb in the liquid. Boil three times. If the comb floats, the patient lives; if it sinks, the patient dies. Obtain three sheng, strain, and drink in divided doses.
13. Rescue from Hanging. Even if cold from morning to evening, it can be treated; from evening to morning, it is slightly difficult. This likely refers to excessive anger qi. However, in summer nights are short and hot, so it should still be treatable. Also stated: If the epigastrium is slightly warm, it can be treated even after a day.
Formula:
Slowly untie, do not cut the rope. Lay the patient on bedding. One person steps on both shoulders, gently pulls the hair, keeping tension without releasing. One person presses on the chest, moving repeatedly. One person massages and extends/flexes arms and legs. If stiff, gradually force flexion and press the abdomen. After the time it takes to cook a meal, breath exits the mouth, respiration resumes, eyes open. Continue pressing and guiding, do not rest, avoid overexertion. Shortly after, offer small amounts of Guizhi Tang (Cinnamon Twig Decoction) and thin gruel to moisten the throat, allowing gradual swallowing. If two people blow air into both ears using tubes, it is better. This method is best and ensures survival.
14. For Sudden Death due to Nightmare/Sleep Paralysis (An Si), do not allow cooling; cooling causes death. Treatment: Bend a grass belt, wrap around the patient's navel, have two or three persons urinate into it to warm it. Alternatively, use hot mud mixed with bent grass, or press against the bottom of a clay bowl or chariot wheel hub placed on the patient to collect urine, ensuring it flows away. This is for when resources are scarce and no hot water is available. Urine should be warm like soup. Do not use mud or chariot hubs if they are cold. In summer, hot mud and warm chariot hubs can be used.
15. Rescue from Drowning
Bury the patient in more than two dan of ashes from the stove, from head to toe. Water will flow out from the seven orifices, and life returns.
The above methods for hanging and drowning rescue were created by Zhang Zhongjing. Their ingenuity is extraordinary, beyond common understanding and materia medica descriptions. They are truly great arts for saving lives. In Shanghan treatments, there are several cases of An disease, which are not this type of heat-induced condition (see Waitai Miyao and Zhouhou Beiji Fang).
16. Formula for Falls from Horses and All Bone/Tendon Injuries (See Zhouhou Fang.)
Rhei Radix et Rhizoma (Dahuang, 1 liang, sliced and soaked, added when decoction is ready), Crimson Silk (Feibo, palm-sized, burned to ash), Tangled Hair (Luafa, egg-sized, burned to ash), Old Cooking Cloth (Ji Yong Chuandanbu, one chi, burned to ash), Decayed Cattail Roots (Baipu, one handful, three cun long), Persicae Semen (Taoren, 49 seeds, remove skin and tips, roasted), Glycyrrhizae Radix et Rhizoma (Gancao, size of middle finger joint, honey-fried).
The above seven herbs are decocted in urine of a young boy (Tongzi Xiaonian) according to quantity. When ready, add one large cup of wine, then add Dahuang. Strain. Take warm in three divided doses. First, bathe in decoction made from half a decaying cattail mat. Cover with clothing and blankets. Shortly, bowel movements will occur several times, and pain will cease immediately. If discharge and bath water turn red, do not be surprised; this is stasis blood.