when you sneeze so hard a large mass or ball of electric or flaming energy flies out of your mouth.
if you are a NPC this is usually coupled and two fly out one right after the other
Rick: dude you don't look too good. You ok?
Geoff: watch out imma bout to...
Geoff: ah... AH! AHHH!
Rick: Oh my Go...
Ted: holy shit!!! did you just achouken? rick is dead and his torso is missing
Geoff: yea i that bitch chun li gave me something!
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