【方歌】诸刺入肉系外伤，蝼蛄捣涂最为良，如刺已出仍作痛，
再涂蝼蛄即无妨。
【注】诸刺入肉，外伤之证也。软浅者以针拨出，硬深者捣蝼
蛄涂之，少时即出，如刺已出而仍作痛者，再以蝼蛄涂
之即愈。
【方歌】皮肉损破外伤风，初觉牙关噤不松，甚则角弓反张状，
吐涎抽搐不时宁。四因动静惊溃审，陷缩神昏不语凶，
在表宜汗里宜下，半表半里以和平。
【注】此证由破伤皮肉，风邪袭入经络，初起先发寒热，牙关
噤急，甚则身如角弓反张之状，口吐涎沫，四肢抽搐，
无有宁时，不省人事，伤口锈涩，然伤风有四，因动受
、静受、惊受、疮溃后受，皆可伤风，动而受者，怒则
气上，其人跳跃，皮肉触破，虽被风伤，风入在表，因
气血鼓旺，不致深入属轻，静受者，起作和平之时，气
不充鼓，偶被破伤，风邪易于入里属重，惊受者，惊则
气陷，偶被伤破，风邪随气直陷入阴，多致不救属逆，
若风邪传入阴经者，则身凉自汗，伤处反觉平塌陷缩，
甚则神昏不语，嘬口舌知，其证贵乎早治，当分风邪在
表在里，或半表半里，以施汗下和三法，如邪在表者，
寒热拘急，口噤咬牙，宜服千里奔散，或雄鼠散汗之，
次以蜈蜙星风散频服，追尽臭汗，如邪在里者，则惊而
抽搐，脏腑秘涩，宜江镖丸下之，如邪在半表半里，无
汗者宜羌麻汤主之，若头汗多出，而身无汗者，不可发
汗，宜榆丁散和之，若自汗不止，二便秘赤者，宜大芎
黄汤主之，又有发表太过，脏腑虽和，自汗不止者，宜
防风当归散服之，发表之后，表热不止者，宜小芎黄汤
服之，攻里之后，里热不止，宜栝石汤服之，若伤时血
出过多，不可再汗，宜当归地黄汤主之。
至于生疮溃后受风者，因生疮溃而未合，失于调护，风
邪乘虚侵入疮口，先从疮围起粟作痒，重则牙紧项软下
视，不宜发汗，误汗令人成痉，当以参归养荣汤，加僵
蚕主之，先固根本，风邪自定，若手足战掉不已者，宜
朱砂指甲散主之，若痰盛抽搐身凉者，宜黑花蛇散主之
，外治之法，遇初破之时，一二日间，当用灸法，命汗
出其风邪方解，若日数已多，即禁用灸法，宜羊尾油煮
微熟，绢包乘热熨破处，数换拔尽风邪，未尽者次日再
熨兼用漱口水洗之，日敷玉真散，至破口不锈生脓时，
换贴生肌玉红膏，缓缓收敛。
按语：刘完素只论三阳汗下和三法，而不论三阴者，盖风邪传
入阴经，其证已危，如腹满自利，口燥咽干，舌卷囊缩
等类，皆无可生之证，故置而不论也。
方剂：千里奔散
组成：用行远路骡蹄心，阴阳瓦〔火段〕存性，研细，每服三
钱，热黄酒冲服。
【方歌】千里奔散破伤风，口噤拘急寒热攻，骡蹄火〔火段〕存
性研，每服三钱黄酒冲。
又方：雄鼠散
组成：活雄鼠一枚，用铁线缚绕，阴阳瓦〔火段〕存性，研为
细末，作一服热黄酒调下。
【方歌】雄鼠破伤风居表，活鼠一枚铁线绕，阴阳瓦〔火段〕存
性研，酒调尽服风邪了。
又方：蜈蚣星风散
组成：蜈蚣（二条） 江鳔（三钱）
南星 防风（各二钱五分）
共研细末，每用二钱，黄酒调服，一日二服。
【方歌】蜈蚣星风邪未散，搜风发汗去风源，南星江白防风末，
酒服经络自通宣。
又方：江鳔丸
组成：天麻 雄黄（各一钱）
蜈蚣（二条） 江鳔
僵蚕（炒） 野鸽粪（炒，各五分）
共研细末，作两分，一分饭丸如梧桐子，朱砂为衣
，一分加巴豆霜二分五厘，饭丸加梧桐子大，每用朱砂
药二十丸，加巴豆药一丸，二服加二丸，白滚水送下，
至便利为度，再服朱砂药，病愈即止。
【方歌】江鳔破伤风入里，惊兼抽搐下之宜，天麻蜈蚣僵鸽粪，
雄黄巴霜丸朱衣。
又方：羌麻汤
组成：羌活 麻黄
川芎 防风
枳壳（麸炒） 白茯苓
石膏（〔火段〕） 黄芩
细辛 甘菊花
蔓荆子 前胡
甘草（生，各七分） 白芷
薄荷（各五分）
生姜三片，水二钟，煎八分服
【方歌】羌麻汤芎风枳壳，苓芷石膏芩薄荷，细辛菊蔓前甘草，
发汗破伤风即瘥。
又方：榆丁散
组成：防风 地榆
紫花地丁 马齿苋（各五钱）
共研细末，每服三钱，温米汤调下。
【方歌】榆丁破伤风为患，头汗身无不宜散，此药米汤服解和，
防榆地丁马齿苋。
又方：大芎黄汤
组成：黄芩 羌活
大黄（各二钱） 川芎（一钱）
水煎服，以微利为度。
【方歌】大芎黄治破伤风，汗多便秘小水红，水煎黄芩与羌活，
大黄切片共川芎。
又方：防风当归散
组成：防风 当归
川芎 生地（各二钱五分）
水煎服。
【方歌】防风当归表太过，脏腑虽调汗出多，只将四味水煎服，
川芎生地共相和。
又方：小芎黄汤
组成：川芎（三钱） 黄芩（二钱）
甘草（生，五分）
水煎温服。
【方歌】小芎黄汤发散后，表热犹存用此医，芎芩甘草煎温服，
退热除根神效奇。
又方：栝石汤
组成：栝蒌仁（九钱） 滑石（一钱五分）
苍术（米泔水浸，炒） 南星
赤芍 陈皮（各一钱）
白芷 黄柏
黄芩 黄连（各五分）
甘草（生，二分）
生姜三片，水三钟，煎一钟服之。
【方歌】栝石芍芷柏芩连，苍术南星陈草煎，医治破伤风下后，
热犹不解服之痊。
又方：当归地黄汤
组成：当归 熟地
川芎 〔高〕本
白芍（酒炒） 防风
白芷（各一钱） 细辛（五分）
水煎服。
【方歌】当归地黄芎蒿本，白芍防风芷细辛，破伤之时血出甚，
服此滋荣风不侵。
又方：参归养荣汤
组成：人参 当归
川芎 白芍（酒炒）
熟地 白术（土炒）
白茯苓 陈皮（各一钱）
甘草（炙，五分）
生姜三片，红枣肉二枚，水煎服。
【方歌】参归养荣荣卫虚，溃疮失护风邪居，生姜三片二枚枣，
八珍汤内入陈皮。
又方：朱砂指甲散
组成：人手足指甲（烧存性，用六钱）
朱砂 南星
独活（各二钱）
共研细末，每用四钱，热黄酒调下。
【方歌】朱砂指甲散神效，破伤风侵手足摇，每用四钱热酒服，
南星独活指甲烧。
又方：黑花蛇散
组成：麻黄（炙，一两）
黑花蛇（即乌蛇，酒浸，六钱）
天麻 白附子
干姜 川芎
附子（制）
草乌（泡，去皮，各五钱） 蝎稍（二钱五分）
共研细末，每服一钱，热黄酒调下，日二服。
【方歌】黑花蛇散蝎麻黄，天麻白附子干姜，川芎附子草乌泡，
善却风痰医破伤。
又方：玉真散
组成：白芷 南星
白附子 天麻
羌活 防风（各一两）
共研细末，唾津调浓，敷伤处。如破伤风初起，角
弓反张，牙关紧急，每用三钱，热童便调服亦妙。
【方歌】玉真散芷共南星，白附天麻羌活风，破伤风袭传经络，
热酒调服立奏功。
又方：生肌玉红膏（见溃疡门）
【方歌】各种刺入肉中的情况属于外伤，将蝼蛄捣碎后涂抹患处最为有效。如果刺已经取出但伤口仍然疼痛，再次涂抹蝼蛄即可消除不适。
【注】各种异物刺入肌肉，属于外伤类的病证。对于质地较软且刺入较浅的，可以用针挑拨取出；对于质地坚硬且刺入较深的，可以将蝼蛄捣烂后涂抹在伤口上，片刻之后异物即可排出。如果异物已经取出但伤口仍然感到疼痛，再次涂抹蝼蛄就能痊愈。
【方歌】皮肉破损导致风邪从外部侵入，起初感觉牙关紧闭无法张开，严重时身体呈角弓反张的姿态，口吐涎沫、四肢抽搐，发作没有休止的时候。需要仔细辨别是由动、静、惊、疮溃四种原因引起的破伤风：若出现下陷、收缩、神志昏迷、不能言语的症状则预后凶险。病邪在表应当用发汗法，在里应当用泻下法，在半表半里之间则用调和法。
【注】这种病症是由于皮肉破损，风邪侵袭经络所致。初起时先发冷发热，牙关紧急紧闭，严重时身体像角弓反张一样弯曲，口吐涎沫，四肢抽搐，没有安宁的时候，甚至不省人事，伤口处感觉锈涩僵硬。然而破伤风有四种成因：因动受风、因静受风、因惊受风、疮口溃破后受风，这些情况都可能感染风邪。因动而受风的，是因为愤怒导致气机上逆，人处于跳跃活动状态，皮肉被触碰破裂，虽然受到风邪伤害，但风邪停留在体表，因为气血旺盛鼓动，风邪不会深入体内，属于轻症。因静而受风的，是在起居平和之时，气血没有充盛鼓动，偶然被破伤，风邪容易侵入体内，属于重症。因惊而受风的，是因为惊吓导致气机下陷，偶然受伤破裂，风邪随着气机直接陷入阴分，多导致死亡，属于逆证。如果风邪传入阴经，则身体发凉、自汗，伤口反而感觉平塌陷缩，严重时神志昏迷、不能言语、嘴唇紧缩舌头卷曲，这种证候贵在早期治疗，应当分辨风邪是在表、在里，还是半表半里，从而施以汗、下、和三种治法。如邪气在表的，表现为寒热、拘急、牙关紧闭咬牙，适宜服用千里奔散，或者雄鼠散发汗；随后频繁服用蜈蚣星风散，以追出尽臭汗。如邪气在里的，表现为惊恐兼抽搐、脏腑秘结不通，适宜用江鳔丸泻下。如邪气在半表半里，无汗的适宜用羌麻汤主治；如果只有头部出汗而身体无汗的，不可再发汗，适宜用榆丁散调和。如果自汗不止，大小便不通且颜色红赤的，适宜用大芎黄汤主治。又有因发表（发汗）太过，虽然脏腑调和，但自汗不止的，适宜服用防风当归散。发表之后，表热仍不止的，适宜服用小芎黄汤。攻里（泻下）之后，里热仍不止的，适宜服用栝蒌石汤。如果受伤时出血过多，不可再发汗，适宜用当归地黄汤主治。
至于生疮溃破后受风的，是因为生疮溃破后伤口未愈合，缺乏调护，风邪乘虚侵入疮口，先从疮口周围起粟粒状皮疹并感到瘙痒，重则牙关紧闭、颈部软弱下垂视物，不宜发汗，误用发汗法会导致人变成痉病。应当用参归养荣汤，加入僵蚕为主药，先固护根本，风邪自然平息。如果手足颤抖不停止的，适宜用朱砂指甲散主治。如果痰多、抽搐且身体发凉的，适宜用黑花蛇散主治。外治的方法，遇到刚破伤的一两天内，应当使用灸法，令其出汗，风邪才能解除。如果天数已久，就禁止使用灸法，适宜用羊尾油煮至微熟，用绢布包裹趁热熨烫破损处，多次更换以拔尽风邪，未尽者第二天再熨烫，同时配合漱口水清洗，每天敷贴玉真散，直到破口不再生锈涩感并开始生脓时，换贴生肌玉红膏，缓缓收敛。
按语：刘完素只论述了三阳经的汗、下、和三种治法，而不论述三阴经的情况，大概是因为风邪传入阴经后，病情已经危重，如腹部胀满、自利、口燥咽干、舌卷囊缩等证候，都是没有生机可救的，所以省略不讨论。
方剂：千里奔散
组成：使用走远路的骡子蹄心，放在阴阳瓦中煅烧存性，研成细末，每次服用三钱，用热黄酒冲服。
【方歌】千里奔散治疗破伤风，牙关紧闭拘急伴有寒热，骡蹄火煅存性研成粉，每次三钱用黄酒冲服。
又方：雄鼠散
组成：活雄鼠一只，用铁线缠绕束缚，放在阴阳瓦中煅烧存性，研为细末，作为一服的量，用热黄酒调服。
【方歌】雄鼠散治疗破伤风居留在表，取活鼠一只用铁线缠绕，阴阳瓦中火煅存性研末，酒调服尽则风邪消散。
又方：蜈蚣星风散
组成：蜈蚣（两条）、江鳔（三钱）、南星、防风（各二钱五分）。
共研成细末，每次用二钱，用黄酒调服，一天服用两次。
【方歌】蜈蚣星风散针对未散的风邪，搜风发汗去除风源，南星、江鳔、白芷、防风研末，酒服使经络通畅宣通。
又方：江鳔丸
组成：天麻、雄黄（各一钱）、蜈蚣（两条）、江鳔、僵蚕（炒制）、野鸽粪（炒制，各五分）。
共研成细末，分成两份，一份做成饭丸如梧桐子大小，用朱砂做衣；另一份加入巴豆霜二分五厘，做成饭丸如梧桐子大小。每次用朱砂药二十丸，加巴豆药一丸，第二次服用加两丸，用白开水送下，直到大便通畅为止，然后再服用朱砂药，病愈即停止。
【方歌】江鳔丸治疗破伤风邪入里，惊恐兼抽搐适合用泻下法，天麻、蜈蚣、僵蚕、鸽粪，雄黄、巴豆霜制成丸药，朱砂为衣。
又方：羌麻汤
组成：羌活、麻黄、川芎、防风、枳壳（麸炒）、白茯苓、石膏（煅）、黄芩、细辛、甘菊花、蔓荆子、前胡、甘草（生用，各七分）、白芷、薄荷（各五分）。
生姜三片，水两钟，煎至八分服。
【方歌】羌麻汤含有川芎、防风、枳壳，茯苓、白芷、石膏、黄芩、薄荷，细辛、甘菊、蔓荆子、前胡、甘草，发汗治疗破伤风即刻痊愈。
又方：榆丁散
组成：防风、地榆、紫花地丁、马齿苋（各五钱）。
共研成细末，每次服用三钱，用温米汤调服。
【方歌】榆丁散治疗破伤风为患，头汗身无汗不宜发散，此药用米汤服用以解表和，药物包括防风、地榆、地丁、马齿苋。
又方：大芎黄汤
组成：黄芩、羌活（各二钱）、大黄（二钱）、川芎（一钱）。
水煎服，以轻微腹泻为度。
【方歌】大芎黄汤治疗破伤风，汗多便秘小便红赤，水煎黄芩与羌活，大黄切片共川芎同煎。
又方：防风当归散
组成：防风、当归、川芎、生地（各二钱五分）。
水煎服。
【方歌】防风当归散针对发表太过，脏腑虽调和但汗出较多，只用这四味药水煎服，川芎、生地共同调和。
又方：小芎黄汤
组成：川芎（三钱）、黄芩（二钱）、甘草（生用，五分）。
水煎温服。
【方歌】小芎黄汤用于发散之后，表热仍然存在时用此医治，川芎、黄芩、甘草煎煮温服，退热除根效果神奇。
又方：栝蒌石汤
组成：栝蒌仁（九钱）、滑石（一钱五分）、苍术（米泔水浸泡，炒制）、南星、赤芍、陈皮（各一钱）、白芷、黄柏、黄芩、黄连（各五分）、甘草（生用，二分）。
生姜三片，水三钟，煎至一钟服之。
【方歌】栝蒌石汤含芍药、白芷、黄柏、黄芩、黄连，苍术、南星、陈皮、甘草煎煮，医治破伤风泻下后，热邪仍未解除时服用可痊愈。
又方：当归地黄汤
组成：当归、熟地、川芎、藁本、白芍（酒炒）、防风、白芷（各一钱）、细辛（五分）。
水煎服。
【方歌】当归地黄汤含川芎、藁本，白芍、防风、白芷、细辛，破伤时出血甚多，服用此药滋养营血使风邪不侵。
又方：参归养荣汤
组成：人参、当归、川芎、白芍（酒炒）、熟地、白术（土炒）、白茯苓、陈皮（各一钱）、甘草（炙用，五分）。
生姜三片，红枣肉二枚，水煎服。
【方歌】参归养荣汤治疗营卫虚弱，溃疮失于保护风邪居留，生姜三片、红枣二枚，八珍汤中加入陈皮。
又方：朱砂指甲散
组成：人手足指甲（烧存性，用六钱）、朱砂、南星、独活（各二钱）。
共研成细末，每次用四钱，用热黄酒调服。
【方歌】朱砂指甲散疗效神奇，破伤风侵袭导致手足动摇，每次四钱用热酒服下，南星、独活、指甲烧制。
又方：黑花蛇散
组成：麻黄（炙用，一两）、黑花蛇（即乌蛇，酒浸，六钱）、天麻、白附子、干姜、川芎、附子（制）、草乌（泡，去皮，各五钱）、蝎稍（二钱五分）。
共研成细末，每次服用一钱，用热黄酒调服，一天两次。
【方歌】黑花蛇散含蝎梢、麻黄，天麻、白附子、干姜，川芎、附子、草乌炮制，善于驱除风痰治疗破伤风。
又方：玉真散
组成：白芷、南星、白附子、天麻、羌活、防风（各一两）。
共研成细末，用唾液调成浓糊，敷在伤口处。如果是破伤风初起，出现角弓反张、牙关紧急，每次用三钱，用热童便调服也很好。
【方歌】玉真散含白芷和南星，白附子、天麻、羌活、防风，破伤风侵袭传遍经络，热酒调服立即奏效。
又方：生肌玉红膏（见溃疡门）
[Formula Song] Various cases of foreign bodies penetrating the flesh belong to external injuries. The most effective treatment is to crush and apply mole (Lougu) topically. If pain persists after the foreign body has been removed, applying mole again will alleviate the discomfort.
[Annotation] Foreign bodies penetrating the muscle constitute a category of external injury. For those that are soft and shallow, they can be extracted using a needle. For those that are hard and deep, crushed mole should be applied to the wound; the foreign body will be expelled shortly thereafter. If pain persists after extraction, reapplying mole will lead to recovery.
[Formula Song] Skin and flesh damage allowing wind pathogen to invade externally initially presents with trismus (lockjaw). Severe cases exhibit opisthotonos (arched back), salivation, and frequent convulsions without relief. One must carefully distinguish between four causes: movement, stillness, fright, and post-ulceration. Symptoms such as sinking, contraction, coma, and muteness indicate a poor prognosis. When the pathogen is in the Exterior, sweating method is indicated; when in the Interior, purgative method is indicated; when in the Half-Exterior Half-Interior, harmonizing method is indicated.
[Annotation] This condition arises from skin or flesh trauma where wind pathogen invades the meridians. Initially, there is chills and fever, followed by trismus. In severe cases, the body assumes an opisthotonos posture, with salivation, limb convulsions, loss of consciousness, and a rusty/stiff sensation at the wound site. There are four etiologies for traumatic tetanus: due to movement, stillness, fright, or ulceration.
1. Due to movement: Anger causes Qi to rise; jumping/activity leads to skin/flesh rupture. Wind remains in the Exterior because vigorous Qi prevents deep invasion; this is mild.
2. Due to stillness: Peaceful state with non-vigorous Qi allows wind to easily enter the Interior upon minor trauma; this is severe.
3. Due to fright: Fright causes Qi to sink; wind follows Qi directly into the Yin levels, often fatal; this is adverse.
4. If wind enters the Yin meridians: Body becomes cold with spontaneous sweating, wound appears flat/sunken, coma, muteness, lip curling, and tongue retraction. Early treatment is crucial. Differentiate whether wind is in the Exterior, Interior, or Half-Exterior/Half-Interior to apply sweating, purgative, or harmonizing methods respectively.
- Pathogen in Exterior: Chills, fever, stiffness, trismus. Use Qianli Bensan (Thousand-Mile Running Powder) or Xiongshu San (Male Rat Powder) to induce sweating. Follow with Wugong Xingfeng San (Centipede, Aconite, and Wind Powder) frequently to expel foul sweat.
- Pathogen in Interior: Fright with convulsions, constipation. Use Jiangbiao Wan (Fish Swim Bladder Pill) to purge.
- Pathogen in Half-Exterior/Half-Interior: No sweat, use Qiangma Tang (Notopterygium and Ephedra Decoction). Head sweat only, no body sweat: do not sweat; use Yuding San (Sanguisorba and Violet Powder) to harmonize. Spontaneous sweating with dry/red urine/stool: use Da Xionghuang Tang (Large Ligusticum and Rhubarb Decoction).
- Over-sweating leading to persistent sweating despite harmonized Zang-Fu: Use Fangfeng Danggui San (Saposhnikovia and Angelica Powder).
- Persistent exterior heat after sweating: Use Xiao Xionghuang Tang (Small Ligusticum and Scutellaria Decoction).
- Persistent interior heat after purging: Use Guashi Tang (Trichosanthes and Talcum Decoction).
- Excessive blood loss at injury: Do not sweat; use Danggui Dihuang Tang (Angelica and Rehmannia Decoction).
For wind invasion after ulceration: Unhealed ulcers allow wind to enter via deficiency. Initial symptoms include millet-like rash and itching around the wound. Severe cases show trismus, neck weakness, and downward gaze. Sweating is contraindicated as it may cause spasms. Use Shengui Yangrong Tang (Ginseng and Angelica Nourishing Nutrient Decoction) with Tan-She (Bombyx Batryticatus) to secure the root and settle wind. For persistent tremors: Zhusha Zhijia San (Cinnabar and Nail Powder). For phlegm, convulsions, and cold body: Hei Huashe San (Black Flower Snake Powder).
External treatment: Within 1-2 days of injury, moxibustion is used to induce sweating and resolve wind. After several days, moxibustion is forbidden. Boil sheep tail fat until slightly cooked, wrap in silk, and apply hot compress to the wound repeatedly to extract wind. Rinse with mouthwash. Apply Yuzhen San (Jade True Powder) daily until the wound stops feeling rusty and pus forms, then switch to Shengji Yuhong Gao (Flesh-Generating Jade Red Ointment) for gradual healing.
Commentary: Liu Wansu discussed sweating, purging, and harmonizing for the Three Yang meridians but omitted the Three Yin meridians. This is because wind entering Yin meridians indicates critical illness (e.g., abdominal fullness, diarrhea, dry mouth/throat, curled tongue, contracted scrotum), which is incurable; thus, it was excluded.
Formula: Qianli Bensan (Thousand-Mile Running Powder)
Composition: Sole of mules used for long-distance travel, calcined in a yin-yang kiln until preserved nature, ground fine. Dosage: 3 qian, taken with hot yellow wine.
[Formula Song] Qianli Bensan treats traumatic tetanus, trismus, stiffness, chills, and fever. Calcined mule sole powder, three qian taken with yellow wine.
Another Formula: Xiongshu San (Male Rat Powder)
Composition: One live male rat, bound with iron wire, calcined in a yin-yang kiln until preserved nature, ground to fine powder. Dosage: One dose, mixed with hot yellow wine.
[Formula Song] Xiongshu San treats wind remaining in the Exterior. One live rat bound with wire, calcined and powdered, taken with wine to eliminate wind pathogen.
Another Formula: Wugong Xingfeng San (Centipede, Star Aconite, and Wind Powder)
Composition: Wugong (Centipede, 2 units), Jiangbiao (Fish Swim Bladder, 3 qian), Nanxing (Arisaema, 2.5 qian), Fangfeng (Saposhnikovia, 2.5 qian).
Grind to fine powder. Dosage: 2 qian, mixed with yellow wine, twice daily.
[Formula Song] Wugong Xingfeng San searches for wind and induces sweating to remove the source. Arisaema, Fish Swim Bladder, Saposhnikovia powder taken with wine unblocks meridians.
Another Formula: Jiangbiao Wan (Fish Swim Bladder Pill)
Composition: Tianma (Gastrodia, 1 qian), Xionghuang (Realgar, 1 qian), Wugong (Centipede, 2 units), Jiangbiao (Fish Swim Bladder), Jiangcan (Silkworm, fried, 0.5 qian), Yegefen (Wild Pigeon Droppings, fried, 0.5 qian).
Grind to fine powder. Divide into two parts. Part 1: Rice pills sized like paulownia seeds, coated with Zhusha (Cinnabar). Part 2: Add Badoushuang (Rhubarb Frost, 0.25 li), rice pills sized like paulownia seeds. Dosage: 20 pills of Part 1 plus 1 pill of Part 2, increasing by 2 pills per subsequent dose, taken with plain boiled water. Stop when bowels move freely, then resume Part 1 only. Discontinue when cured.
[Formula Song] Jiangbiao Wan treats wind entering the Interior with fright and convulsions, suitable for purging. Gastrodia, Centipede, Silkworm, Pigeon Droppings, Realgar, and Rhubarb Frost made into Cinnabar-coated pills.
Another Formula: Qiangma Tang (Notopterygium and Ephedra Decoction)
Composition: Qianghuo (Notopterygium, 0.7 qian), Mahuang (Ephedra, 0.7 qian), Chuanxiong (Ligusticum, 0.7 qian), Fangfeng (Saposhnikovia, 0.7 qian), Zhike (Bitter Orange, bran-fried, 0.7 qian), Baifuling (Poria, 0.7 qian), Shigao (Gypsum, calcined, 0.7 qian), Huangqin (Scutellaria, 0.7 qian), Xixin (Asarum, 0.7 qian), Ganjuhua (Chrysanthemum, 0.7 qian), Manjingzi (Vernonia, 0.7 qian), Qianhu (Peucedanum, 0.7 qian), Gancao (Licorice, raw, 0.7 qian), Baizhi (Angelica Dahurica, 0.5 qian), Bohe (Mint, 0.5 qian).
Add 3 slices of Shengjiang (Fresh Ginger). Water: 2 zhong. Decoct to 0.8 zhong.
[Formula Song] Qiangma Tang contains Ligusticum, Saposhnikovia, Bitter Orange, Poria, Angelica Dahurica, Gypsum, Scutellaria, Mint, Asarum, Chrysanthemum, Vernonia, Peucedanum, Licorice. Induces sweating to cure traumatic tetanus.
Another Formula: Yuding San (Sanguisorba and Violet Powder)
Composition: Fangfeng (Saposhnikovia, 5 qian), Diyu (Sanguisorba, 5 qian), Zihuadiding (Viola, 5 qian), Machixian (Purslane, 5 qian).
Grind to fine powder. Dosage: 3 qian, mixed with warm rice soup.
[Formula Song] Yuding San treats traumatic tetanus with head sweat but no body sweat. Harmonizes when taken with rice soup. Ingredients: Saposhnikovia, Sanguisorba, Viola, Purslane.
Another Formula: Da Xionghuang Tang (Large Ligusticum and Rhubarb Decoction)
Composition: Huangqin (Scutellaria, 2 qian), Qianghuo (Notopterygium, 2 qian), Dahuang (Rhubarb, 2 qian), Chuanxiong (Ligusticum, 1 qian).
Decoct in water. Take until slight loose stool occurs.
[Formula Song] Da Xionghuang Tang treats traumatic tetanus with excessive sweating, constipation, and red urine. Decoct Scutellaria, Notopterygium, sliced Rhubarb, and Ligusticum together.
Another Formula: Fangfeng Danggui San (Saposhnikovia and Angelica Powder)
Composition: Fangfeng (Saposhnikovia, 2.5 qian), Danggui (Angelica Sinensis, 2.5 qian), Chuanxiong (Ligusticum, 2.5 qian), Shengdi (Rehmannia, 2.5 qian).
Decoct in water.
[Formula Song] Fangfeng Danggui San addresses excessive exterior release with harmonized Zang-Fu but persistent sweating. Decoct these four ingredients; Ligusticum and Rehmannia harmonize.
Another Formula: Xiao Xionghuang Tang (Small Ligusticum and Scutellaria Decoction)
Composition: Chuanxiong (Ligusticum, 3 qian), Huangqin (Scutellaria, 2 qian), Gancao (Licorice, raw, 0.5 qian).
Decoct in water, take warm.
[Formula Song] Xiao Xionghuang Tang is used after exterior release if exterior heat persists. Decoct Ligusticum, Scutellaria, and Licorice warm to clear heat and eradicate the root.
Another Formula: Guashi Tang (Trichosanthes and Talcum Decoction)
Composition: Gualouren (Trichosanthes Seed, 9 qian), Huashi (Talcum, 1.5 qian), Cangzhu (Atractylodes, soaked in rice water, fried, 1 qian), Nanxing (Arisaema, 1 qian), Chishao (Red Peony Root, 1 qian), Chenpi (Tangerine Peel, 1 qian), Baizhi (Angelica Dahurica, 0.5 qian), Huangbai (Phellodendron, 0.5 qian), Huangqin (Scutellaria, 0.5 qian), Huanglian (Coptis, 0.5 qian), Gancao (Licorice, raw, 0.2 fen).
Add 3 slices of Shengjiang (Fresh Ginger). Water: 3 zhong. Decoct to 1 zhong.
[Formula Song] Guashi Tang contains Peony, Angelica Dahurica, Phellodendron, Scutellaria, Coptis, Atractylodes, Arisaema, Tangerine Peel, Licorice. Taken after purging for traumatic tetanus if heat persists.
Another Formula: Danggui Dihuang Tang (Angelica and Rehmannia Decoction)
Composition: Danggui (Angelica Sinensis, 1 qian), Shudi (Prepared Rehmannia, 1 qian), Chuanxiong (Ligusticum, 1 qian), Gaoben (Ligusticum Wallichii, 1 qian), Baishao (White Peony Root, wine-fried, 1 qian), Fangfeng (Saposhnikovia, 1 qian), Baizhi (Angelica Dahurica, 1 qian), Xixin (Asarum, 0.5 qian).
Decoct in water.
[Formula Song] Danggui Dihuang Tang contains Ligusticum, Ligusticum Wallichii, White Peony, Saposhnikovia, Angelica Dahurica, Asarum. Used when significant blood loss occurred at injury to nourish nutrients and prevent wind invasion.
Another Formula: Shengui Yangrong Tang (Ginseng and Angelica Nourishing Nutrient Decoction)
Composition: Renshen (Ginseng, 1 qian), Danggui (Angelica Sinensis, 1 qian), Chuanxiong (Ligusticum, 1 qian), Baishao (White Peony Root, wine-fried, 1 qian), Shudi (Prepared Rehmannia, 1 qian), Baizhu (Atractylodes Macrocephala, earth-fried, 1 qian), Baifuling (Poria, 1 qian), Chenpi (Tangerine Peel, 1 qian), Gancao (Licorice, honey-fried, 0.5 qian).
Add 3 slices of Shengjiang (Fresh Ginger) and 2 pieces of Hongzao (Jujube flesh). Decoct in water.
[Formula Song] Shengui Yangrong Tang treats deficient Ying and Wei, wind residing due to unprotected ulcers. Fresh Ginger and Jujube added to Bazhen Tang with Tangerine Peel.
Another Formula: Zhusha Zhijia San (Cinnabar and Nail Powder)
Composition: Human hand/foot nails (calcined until preserved nature, 6 qian), Zhusha (Cinnabar, 2 qian), Nanxing (Arisaema, 2 qian), Duhuo (Angelica Pubescens, 2 qian).
Grind to fine powder. Dosage: 4 qian, mixed with hot yellow wine.
[Formula Song] Zhusha Zhijia San is highly effective for traumatic tetanus causing limb tremors. Take 4 qian with hot wine. Arisaema, Angelica Pubescens, and calcined nails.
Another Formula: Hei Huashe San (Black Flower Snake Powder)
Composition: Mahuang (Ephedra, roasted, 1 liang), Hei Huashe (Black Flower Snake/Wagler's Pit Viper, wine-soaked, 6 qian), Tianma (Gastrodia, 5 qian), Baifuzi (Typhonium, 5 qian), Ganjiang (Dried Ginger, 5 qian), Chuanxiong (Ligusticum, 5 qian), Fuzi (Aconite, processed, 5 qian), Caowu (Aconitum Kusnezoffii, soaked, peeled, 5 qian), Xieshao (Scorpion tip, 2.5 qian).
Grind to fine powder. Dosage: 1 qian, mixed with hot yellow wine, twice daily.
[Formula Song] Hei Huashe Scab contains Scorpion tip, Ephedra, Gastrodia, Typhonium, Dried Ginger, Ligusticum, Processed Aconite, Soaked Aconitum Kusnezoffii. Excellent for dispelling wind-phlegm and treating traumatic tetanus.
Another Formula: Yuzhen San (Jade True Powder)
Composition: Baizhi (Angelica Dahurica, 1 liang), Nanxing (Arisaema, 1 liang), Baifuzi (Typhonium, 1 liang), Tianma (Gastrodia, 1 liang), Qianghuo (Notopterygium, 1 liang), Fangfeng (Saposhnikovia, 1 liang).
Grind to fine powder. Mix with saliva to form a thick paste and apply to the wound. For early-stage traumatic tetanus with opisthotonos and severe trismus, take 3 qian mixed with hot child's urine.
[Formula Song] Yuzhen Powder contains Angelica Dahurica and Arisaema, Typhonium, Gastrodia, Notopterygium, Saposhnikovia. Wind pathogen invading meridians is instantly resolved when taken with hot wine.
Another Formula: Shengji Yuhong Gao (Flesh-Generating Jade Red Ointment) (See Ulcer Section)