篇名:上编 外治法
分类:手法释义
属性:[1]摸者,用手细细摸其所伤之处:
<1>或骨断、骨碎、骨歪、骨整、骨软、骨硬。
<2>筋强、筋柔、筋歪、筋正、筋断、筋走、筋粗、筋翻、筋寒、筋热
。
<3>以及表里虚实,并所患之新旧也。
[2]先摸其或为跌扑,或为错闪,或为打撞,然后根据法治之。
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篇名:上编 外治法
分类:手法释义
属性:[1]端者,两手或一手擒定应端之处,酌其重轻,或从下往上端,或从外
向内托,或直端、斜端也。
[2]盖骨离其位,必以手法端之,则不待旷日迟久,而骨缝即合,仍须不
偏不倚,庶愈后无长短不齐之患。
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篇名:上编 外治法
分类:器具释义
属性:裹廉,以白布为之,因患处不宜他器,只宜布缠,始为得法,故名裹帘。
其长短阔狭,量病势用之。
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篇名:上编 外治法
分类:头面部
属性:[1]鼻孔之界骨,名曰鼻梁骨,下至鼻之尽处,名曰准头。
[2]凡鼻两孔伤凹者可治,血出无妨。
[3]若鼻梁骨凹陷者,用当归膏敷贴。
[4]若两孔跌磕伤开孔窍,或金刃伤开孔窍,用封口药敷伤处,外以
消毒定痛散贴之退肿。
[5]若鼻被伤落者,用缀法。
按、方剂:[1]封口药
治跌打损伤,皮开肉破,及金刃伤割喉断耳,缺唇伤破肚皮,跌破阴
囊皮等证大效。
明净乳香 没药 儿茶 当归 杉皮炭各一钱 麝香五厘 片脑一分
猪□聍叶(如无此叶,用葛叶毛藤子叶亦可)一钱
以上各另碾细末,称合和匀,入麝碾细,次入片脑研匀,磁罐收贮听
用。
[2]消毒定痛散
治跌扑损伤,肿硬疼痛。
无名异(炒) 川大黄各五钱 木耳(炒)
共为末,蜜水调涂。如内有瘀血,砭去敷之。若腐处,更用当归膏敷
之尤妙。
[3]神效当归膏
此膏敛口生肌,拔毒止痛,并诸疮毒气壅盛,腐化成脓。
当归 黄蜡各一两 麻油四两
以上将当归入油,煎令焦黑,去滓,次入黄蜡,急搅化,放冷,以磁
器收贮,用时以旧绢布摊贴。一方用白蜡。
[4]缀法
耳伤落者同此。
用人发,入阳城罐,以盐泥固济,□过为末药。急以所伤耳鼻,蘸药
安缀故处,以软绢缚定效。昔江怀禅师被驴咬落其鼻,一僧用此缀之
如旧。
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上编 外治法 - 手法释义
[1]“摸”法,是指用手细细触摸受伤的部位:
<1>判断是否有骨断、骨碎、骨歪斜、骨复位、骨软或骨硬。
<2>判断筋是强直、柔软、歪斜、端正、断裂、走窜、增粗、翻卷、寒凝还是热盛。
<3>以及辨别病位的表里、虚实,和病程的新旧。
[2]先触摸判断是因跌打坠落、错缝闪扭,还是被打撞伤,然后根据诊断结果进行治疗。
上编 外治法 - 手法释义
[1]“端”法,是用一只手或双手抓住需要整复的部位,斟酌用力轻重,可以从下往上托举,也可以从外向内推托,可以是垂直向上,也可以是倾斜方向。
[2]因为骨头脱位,必须用手法进行整复,这样就不必等待很长时间,骨缝就能愈合。操作时必须不偏不倚,这样痊愈后才不会出现肢体长短不一的隐患。
上编 外治法 - 器具释义
裹廉(布带),是用白布制成的,因为患处不宜使用其他器械,只适合用布缠绕,这才是得法的方法,所以叫作裹廉。其长度、宽窄要根据病情程度来选用。
上编 外治法 - 头面部
[1]鼻孔之间的骨骼,名叫鼻梁骨;向下直到鼻子的尖端,名叫准头。
[2]凡是两个鼻孔受伤凹陷的可以治疗,出血无妨。
[3]如果是鼻梁骨凹陷,用当归膏敷贴。
[4]如果是两个鼻孔因跌打磕碰导致孔窍破裂,或被金属利器割破孔窍,用封口药敷在伤口处,外面再贴上消毒定痛散以消退肿胀。
[5]如果鼻子被震落脱落,用缀法(接合固定法)。
按、方剂:
[1]封口药
治疗跌打损伤,皮开肉破,以及被金刃割断喉咙、耳朵,嘴唇缺损,肚皮破损,阴囊皮肤跌破等症,效果显著。
明净乳香、没药、儿茶、当归、杉皮炭各一钱,麝香五厘,片脑(冰片)一分,猪□聍叶(如果没有这种叶子,也可以用葛叶或毛藤子叶代替)一钱。
以上药材分别碾成细末,称量混合均匀,加入麝香再碾细,接着加入片脑研匀,装入磁罐中收藏备用。
[2]消毒定痛散
治疗跌扑损伤,局部肿胀坚硬疼痛。
无名异(炒制)、川大黄各五钱,木耳(炒制)。
共同研成粉末,用蜂蜜水调匀涂抹。如果内部有瘀血,先用砭石刺破排出瘀血后再敷药。如果患处腐烂,再用当归膏敷贴尤为奇妙。
[3]神效当归膏
此膏能收敛伤口、生肌长肉,拔毒止痛,并适用于各种疮毒气机壅盛、腐烂化脓的情况。
当归、黄蜡各一两,麻油四两。
将当归放入油中,煎至焦黑,滤去渣滓,接着加入黄蜡,快速搅拌使其融化,放冷后,用磁器收贮。使用时用旧绢布摊开贴敷。另一配方使用白蜡。
[4]缀法
耳朵被咬落的情况也同此法。
用人发,放入阳城罐中,用盐泥密封固济,煅烧成末药。迅速将受伤的耳鼻蘸取药物,安放回原处,用软绢绑扎固定即可见效。从前江怀禅师被驴咬掉鼻子,一位僧人用此法将其接回如初。
Upper Volume External Treatment Methods - Explanation of Manipulation Techniques
[1] The "Palpation" (Mo) technique involves using the hand to carefully feel the injured area:
<1> To determine if there is a bone fracture, comminuted fracture, dislocation/subluxation, reduction, softening, or hardening.
<2> To assess whether the tendons are rigid, flexible, deviated, aligned, ruptured, wandering, thickened, everted, cold-congested, or heat-excess.
<3> As well as distinguishing between exterior and interior, deficiency and excess, and the newness or chronicity of the condition.
[2] First, palpate to determine if the injury resulted from falling/impact, joint subluxation/sprain, or blunt force trauma, then treat according to the diagnosis.
Upper Volume External Treatment Methods - Explanation of Manipulation Techniques
[1] The "Elevation/Reduction" (Duan) technique involves using one or both hands to grasp the site requiring reduction, adjusting the weight and force appropriately. It can be performed by elevating from bottom to top, pushing from outside to inside, vertically, or obliquely.
[2] Since bones have dislocated, they must be reduced manually; this allows the bone gaps to heal without waiting for a long time. The manipulation must be neither biased nor leaning, so that after recovery, there will be no risk of limb length discrepancy.
Upper Volume External Treatment Methods - Explanation of Instruments
Guolian (Cloth Bandage), made of white cloth, is used because other instruments are unsuitable for the affected area; only wrapping with cloth is appropriate, hence the name Guolian. Its length and width should be selected according to the severity of the condition.
Upper Volume External Treatment Methods - Head and Face
[1] The bone between the nostrils is called the nasal bridge bone (Bilianggu); extending downwards to the tip of the nose is called the Zhuntou (Nasal Tip).
[2] Injuries where both nostrils are sunken are treatable, and bleeding is not a hindrance.
[3] If the nasal bridge bone is depressed, apply Danggui Gao (Angelica Sinensis Ointment).
[4] If both nostrils are torn open due to impact or cut by sharp metal objects, apply Fengkou Yao (Sealing Medicine) to the wound, and externally apply Xiaodu Dingtong San (Detoxifying and Pain-Relieving Powder) to reduce swelling.
[5] If the nose is knocked off, use the Zhui Fa (Suturing/Fixing Method).
Note, Formulas:
[1] Fengkou Yao (Sealing Medicine)
Effective for treating traumatic injuries with broken skin and flesh, as well as throat or ear severance by sharp weapons, lip defects, abdominal wall rupture, and scrotal skin lacerations.
Mingjing Ruxiang (Frankincense), Moyao (Myrrh), Ercha (Catechu), Danggui (Angelicae Sinensis Radix), Shanpitan Tan (Carbonized Torreya Twig) each 1 qian; Shexiang (Moschus) 0.5 li; Pian Nao (Borneolum Syntheticum) 1 fen; Zhu Qiong Ning Ye (Leaf of *Ligustrum lucidum* or substitute with Ge Ye or Maotengzi Ye) 1 qian.
Each of the above ingredients is separately ground into fine powder, weighed and mixed uniformly. Add Shexiang and grind finely, then add Pian Nao and mix evenly. Store in a porcelain jar for future use.
[2] Xiaodu Dingtong San (Detoxifying and Pain-Relieving Powder)
Treats contusions and falls causing local swelling, hardness, and pain.
Wumingyi (Fossil Wood, stir-fried), Chuan Dahuang (Rhei Radix et Rhizoma) each 5 qian; Mu'er (Auricularia Auricula-Judae, stir-fried).
Grind all into powder, mix with honey water, and apply topically. If blood stasis is present, scarify to remove it before applying. If the tissue is necrotic, applying Danggui Gao (Angelica Sinensis Ointment) is particularly effective.
[3] Shenxiao Danggui Gao (Miraculous Angelica Sinensis Ointment)
This ointment promotes wound closure and tissue regeneration, draws out toxins, relieves pain, and treats various sores with excessive qi stagnation and suppuration.
Danggui (Angelicae Sinensis Radix), Huangla (Cera Flava) each 1 liang; Mayou (Sesamum Indicum Oil) 4 liang.
Fry Danggui in the oil until charred black, filter out the dregs, then add Huangla and stir rapidly until melted. Allow to cool and store in a porcelain container. Apply using old silk cloth when needed. An alternative formula uses Baila (White Beeswax).
[4] Zhui Fa (Suturing/Fixing Method)
The same method applies to ears bitten off.
Use human hair, place it in a Yangcheng pot, seal with salt mud, calcine into powder. Quickly dip the injured ear or nose into the medicine and reattach to the original site, securing firmly with soft silk cloth for efficacy. Historically, Chanter Jiang Huai had his nose bitten off by a donkey; a monk used this method to reattach it perfectly.