篇名：上编 外治法
分类：头面部
属性：[1]唇口者，司言食之窍也。
[2]如跌破击打上唇而拔缺者，用绢片一小条，从脑后扎向前来缚合，先
用桑白皮捻线缝定，次以封口药涂敷，次敷截血膏盖住封口药，不令
开落，仍忌言语。
[3]如整下唇伤而拔缺者，以绢片从下颏兜缚，治同前法。
按、方剂：[1]截血膏
治跌打砍磕诸证，能化血破瘀，退肿止痛。
天花粉三两 片子姜黄 赤芍药 白芷各一两
以上共为细末，茶调匀，敷疮口四围。
若头面伤，其血不止者，急用此药调涂颈上周围。
若手伤，则涂臂周围。
若伤足，则涂腿上。
若伤各处，则涂疮口周围，使截住其血不来潮作。
若疮口肉硬不消者，此被风袭也，可加独活，用热酒调敷。
如又不消，则风毒已深，肌肉结实，加紫荆皮末和敷，有必消之理。
[2]封口药：见鼻柱骨伤
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篇名：上编 外治法
分类：器具释义
属性：[1]振梃，即木棒也，长尺半，圆如钱大，或面杖亦可。
[2]盖受伤之处，气血凝结，疼痛肿硬，用此梃微微振击其上下四旁，使
气血流通，得以四散，则疼痛渐减，肿硬渐消也。
[3]用法释义：
<1>凡头被伤，而骨未碎，筋未断，虽瘀聚肿痛者，皆为可治。
<2>先以手法端提颈、项、筋骨，再用布缠头二三层令紧，再以振梃轻
轻拍击足心，令五脏之气上下宣通，瘀血开散，则不奔心，亦不呕
呃，而心神安矣。
<3>若已缠头拍击足心，竟不觉疼，昏不知人，痰响如拽锯，身体僵硬
，口溢涎沫，乃气血垂绝也，不治。
按、方剂：
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【上编 外治法 - 头面部】
[1] 唇和口，是主管言语和饮食的孔窍。
[2] 如果是因跌打损伤导致上唇破裂缺损，取一小条绢布，从脑后绕向前方进行捆绑缝合。先用桑白皮搓成的线将伤口缝定，接着涂抹封口药，再覆盖截血膏以遮盖封口药，防止其脱落，同时仍应避免说话。
[3] 如果是下唇受伤导致缺损，用绢布从下巴下方兜住并捆绑，治疗方法同前法。
按：方剂：
[1] 截血膏
主治跌打、砍伤、磕碰等各种证候，能够化解瘀血、破除淤滞、消退肿胀、缓解疼痛。
天花粉三两，片子姜黄、赤芍药、白芷各一两。
以上药材共研为细末，用茶水调匀，敷于疮口四周。
如果是头面部受伤，血流不止者，紧急时用此药调涂在颈部周围。
如果是手部受伤，则涂在手臂周围。
如果是足部受伤，则涂在小腿上。
如果是身体其他部位受伤，则涂在疮口周围，以截断血液涌出。
如果疮口处肌肉僵硬不消散，这是被风邪侵袭所致，可加入独活，用热酒调匀后敷贴。
如果仍然不消散，说明风毒已深，肌肉结实，加入紫荆皮粉末混合敷贴，必然能消散。
[2] 封口药：参见鼻柱骨伤章节。
【上编 外治法 - 器具释义】
[1] 振梃（zhèn tǐng），即木棒，长度一尺半，粗细如铜钱大，或者使用擀面杖也可以。
[2] 盖因受伤之处，气血凝结，导致疼痛、肿胀、坚硬，使用此梃微微振动击打患处上下及四周，使气血流通，得以向四周散开，则疼痛逐渐减轻，肿胀坚硬逐渐消退。
[3] 用法释义：
<1> 凡是头部受到外伤，但骨头未碎、筋脉未断，虽然出现瘀血聚集、肿痛的情况，都属于可治疗的范畴。
<2> 先用手法治理，端正提拉颈项部的筋骨，再用布带缠绕头部二至三层使其紧固，然后用振梃轻轻拍击足心，使五脏之气上下宣通，瘀血开散，这样瘀血就不会上冲于心，也不会发生呕吐或呃逆，心神便能安宁。
<3> 如果已经缠头并拍击足心，患者竟然感觉不到疼痛，昏迷不省人事，喉间痰鸣声如拉锯，身体僵硬，口吐涎沫，这是气血即将断绝的表现，属于不治之症。
按：方剂：
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[Upper Compilation External Treatment Methods - Head and Face]
[1] The lips and mouth are the orifices responsible for speech and eating.
[2] If the upper lip is broken and missing due to falls or blows, take a small strip of silk cloth, wrap it from the back of the head forward to bind and suture the wound. First, use mulberry root bark (Sangbaipi) twisted into thread to stitch the wound firmly. Next, apply sealing paste (Fengkou Yao). Then, cover the sealing paste with hemostatic ointment (Jiexue Gao) to prevent it from falling off. Speech should still be avoided.
[3] If the lower lip is injured and missing, use a silk cloth to support and bind from under the chin. The treatment is the same as the previous method.
Note: Formulas:
[1] Hemostatic Ointment (Jiexue Gao)
Indications: Various conditions caused by falls, cuts, and bumps; capable of resolving blood stasis, breaking up accumulations, reducing swelling, and relieving pain.
Ingredients: Trichosanthis Radix (Tianhuafen) 3 liang, Curcumae Longae Rhizoma cum Folio (Pianzi Jianghuang), Paeoniae Rubra Radix (Chishaoyao), Angelicae Dahuricae Radix (Baizhi), each 1 liang.
Preparation: Grind all ingredients into fine powder. Mix evenly with tea water and apply around the perimeter of the wound.
Usage:
- For head or facial injuries with unceasing bleeding, urgently mix this medicine and apply around the neck.
- For hand injuries, apply around the arm.
- For foot injuries, apply around the leg.
- For injuries elsewhere, apply around the wound perimeter to intercept the flow of blood.
- If the flesh at the wound remains hard and does not subside, it indicates invasion by Wind pathogen. Add Angelicae Pubescentis Radix (Duhuo) and apply mixed with hot wine.
- If it still does not subside, the Wind-toxin has penetrated deeply and muscles are firm. Add Powder of Cinnamomi Cassiae Ramulus (Zijingpi) and apply mixed. It will inevitably resolve.
[2] Sealing Paste (Fengkou Yao): See section on Nasal Bridge Bone Injury.
[Upper Compilation External Treatment Methods - Instrument Explanation]
[1] Zhen Ting (Vibration Stick), also known as a wooden stick, is one chi five cun long and round like a coin in diameter; a rolling pin may also be used.
[2] Since injury causes Qi and Blood to coagulate, resulting in pain, swelling, and hardness, using this stick to gently vibrate and strike the area above, below, and around the injury promotes the circulation of Qi and Blood, allowing them to disperse. Consequently, pain gradually decreases, and swelling and hardness gradually subside.
[3) Usage Explanation:
<1> In cases where the head suffers trauma but the bone is not fractured and tendons are not severed, even if there is blood stasis accumulation causing swelling and pain, the condition is treatable.
<2> First, use manual therapy to align and lift the bones and tendons of the neck and nape. Then, wrap the head tightly with two or three layers of cloth. Subsequently, gently tap the sole of the foot with the vibration stick. This promotes the free flow of Qi among the Five Zang Organs up and down, disperses blood stasis, prevents it from rushing to the Heart, avoids vomiting or hiccups, and calms the Spirit (Shen).
<3> If, after wrapping the head and tapping the soles of the feet, the patient feels no pain, is unconscious, has rattling phlegm sounds resembling sawing, exhibits body stiffness, and drools saliva, this indicates that Qi and Blood are on the verge of exhaustion. Such cases are untreatable.
Note: Formulas:
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