《本草》云∶医工针人,而针折在肉中不出,杵牡鼠肝及脑涂之。又象牙主诸针及
杂物入肉,割取屑,细碾入水和,敷上立出。《肘后方》∶针折肉中,象牙屑水和,敷上
立出。
《宝鉴》涌针膏∶取针刺入肉,并箭头不出。用鼠粪头十个,蝼蛄四十九个,土消虫
十个,芫青、马肉中
蛆、酱内蛆,俱焙干,蜣螂、巴豆、信石、 砂、夏枯草、磁石、黄丹、苏木、地骨
皮各一两,石脑油三两,蒿柴灰汁三升。上将灰汁、石脑油以文武火熬成膏,次下诸药,
令匀,瓷器内收贮。临时看疮大小,点药,良久,自然涌出。
神圣膏∶取针入皮肤。以车脂不拘多少,成膏子,好摊纸上,如钱大,贴之二日一
换,三五次,针自出,大有神效。
乌翎散∶取针铁入皮肤,乌翎三五枝,火灸焦为末,好醋调成膏,涂疮上,纸盖一二
次,其针自出。一法以紧磁石引其肉中之针,即出。
帝曰∶夫王公大人,血食之君,身体柔脆,肌肉软弱,血气 悍滑利,其刺之浅
深,疾徐多少,何如?岐伯曰∶膏粱藿菽之味,何可同也。气滑即疾出,气涩则出迟;
气悍则针小而入浅,气涩则针大而入深。深则欲留,浅则欲疾。以此观之,刺布衣
者,深而留之;刺大人者,微以徐之。此皆因其 悍滑利也。
《本草》记载:医生或针灸师在施针时,如果针折断在肌肉中无法取出,可以用牡鼠的肝脏和脑髓涂抹患处。另外,象牙主治各种针及杂物刺入肉中的情况,将其刮取碎屑,细细研磨后用水调和,敷在患处,针便会立即排出。《肘后备急方》记载:针折断在肉中,用象牙屑加水调和,敷在患处,针会立刻出来。
《医学宝鉴》中的涌针膏:用于治疗针刺入肉并连同箭头一起断在里面取不出来的情况。配方为:老鼠粪头十个,蝼蛄四十九个,土消虫(地鳖虫)十个,芫青、马身上的蛆、酱里的蛆,全部焙干;蜣螂、巴豆、信石(砒霜)、硇砂、夏枯草、磁石、黄丹、苏木、地骨皮各一两,石脑油(石油馏分)三两,蒿柴灰汁三升。先将灰汁和石脑油用文火和武火交替熬制成膏状,然后加入上述药物,搅拌均匀,存放在瓷器中密封保存。使用时根据疮口大小点涂药膏,过一段时间后,针自然会涌出。
神圣膏:用于治疗针进入皮肤的情况。用车脂(车轴润滑脂),用量不限,制成膏状,均匀摊在纸上,大小如铜钱,贴敷患处,每两天更换一次,经过三到五次更换,针就会自行排出,效果显著。
乌翎散:用于治疗铁针进入皮肤的情况。取乌鸦羽毛三五根,用火灸焦后研成粉末,用好醋调成膏状,涂抹在疮口上,用纸覆盖,经过一两次处理,针就会自行排出。另一种方法是用强磁石吸引肌肉中的针,针即可取出。
黄帝问:王公贵族这些享有肉食供养的君主,身体柔嫩脆弱,肌肉软弱,但他们的血气剽悍滑利,针刺的深浅、快慢、多少应该如何把握?岐伯回答:吃精细粮肉(膏粱)与吃粗劣菜豆(藿菽)的人,体质怎能相同呢?血气滑利的人,出针要快;血气涩滞的人,出针要慢;血气剽悍的人,要用小针浅刺;血气涩滞的人,要用大针深刺。深刺则应留针,浅刺则应快速出针。由此看来,针刺普通百姓(布衣),应当深刺并留针;针刺王公大人,应当轻微且缓慢地操作。这都是因为他们的血气剽悍滑利的缘故。
According to the *Bencao* (Materia Medica): If a physician or acupuncturist breaks a needle inside the flesh and it cannot be removed, apply the liver and brain of a male rat (Marmota bobak) to the affected area. Additionally, Ivory (Elephantis Dentis) is indicated for needles or foreign objects embedded in the flesh; scrape off shavings, grind them finely, mix with water to form a paste, and apply to the site, causing the object to emerge immediately. The *Zhouhou Fang* (Emergency Prescriptions Kept Up My Sleeve) states: For a broken needle embedded in the flesh, apply a paste made from Ivory shavings mixed with water; the needle will emerge immediately.
The Yongzhen Ointment (Needle-Emerging Ointment) from *Yixue Baojian*: Used when a needle enters the flesh and the arrowhead remains embedded and unextractable. Ingredients include: ten rat feces heads, forty-nine mole crickets (Gryllidae), ten ground beetles (Coptotermes formosanus or similar earth-boring insects), dried blister beetles (Mylabris), maggots from horse meat, and maggots from soy sauce, all roasted dry; plus one tael each of dung beetles (Scarabaeus sacer), croton seeds (Crotonis Tiglii Fructus), realgar (Arsenici Sulfatum), nansha (Nao Sha), prunella vulgaris (Prunellae Spica), magnetite (Magnetitum), red lead (Lithargyrum), sappan wood (Sappan Lignum), and wolfberry root bark (Lycii Cortex), along with three taels of petroleum ether (Shinao Oil) and three sheng of juice from mugwort ash. First, boil the ash juice and petroleum ether over alternating mild and strong heat until an ointment forms. Then add the other herbs, stir evenly, and store in a porcelain vessel. When needed, apply the ointment according to the size of the wound; after some time, the needle will naturally emerge.
Shensheng Ointment (Divine Holy Ointment): Used when a needle penetrates the skin. Use an unspecified amount of axle grease (Che Zhi), melt into an ointment consistency, spread evenly on paper to the size of a coin, and apply to the affected area. Change every two days. After three to five applications, the needle will self-extract with great efficacy.
Wuling Powder (Crow Feather Powder): Used when an iron needle enters the skin. Take three to five crow feathers (Corvidae Pluma), roast until charred, and grind into powder. Mix with good vinegar to form a paste, apply to the wound, and cover with paper. After one or two treatments, the needle will self-extract. Alternatively, use a strong magnet to attract the needle embedded in the flesh, causing it to emerge.
The Yellow Emperor asked: "For kings and nobles, rulers who consume rich foods, whose bodies are tender and fragile, with weak muscles but vigorous and slippery qi and blood, how should the depth, speed, and quantity of needling be determined?" Qibo replied: "Those who consume rich pastries and meats (Gaoliang) cannot be treated the same as those who consume coarse grains and beans (Huoshu). If the qi is slippery, withdraw the needle quickly; if the qi is stagnant, withdraw slowly. If the qi is vigorous, use a small needle and insert shallowly; if the qi is stagnant, use a large needle and insert deeply. Deep insertion requires retaining the needle; shallow insertion requires rapid withdrawal. From this perspective, needling commoners (Buyi) involves deep insertion and retention; needling nobles involves subtle and slow manipulation. This is all due to their vigorous and slippery qi and blood."