论曰金疮烦闷者,以血出太甚,经络空虚而发热躁也。经所谓阴虚生内热,阳虚生外寒
者如此,其有发渴者,亦以经络乏竭,津液枯燥,故欲引饮。
治金疮烦闷,疼痛不止。白薇散方
白薇 栝蒌 枳实(去瓤麸炒) 辛夷(去毛) 甘草(炙锉) 石膏(研如粉各一两)
浓朴
上八味,捣罗为散,每服二钱匕,温酒调下空心,日午临卧半夜各一服。
治金疮烦闷欲死。大小便不通。消石散方
硝石(炼) 寒水石(研) 栝蒌根 泽泻 白蔹 芍药(各一两)
上六味,捣罗为散,每服二钱匕,温水调下空心,日午临卧半夜各一服。
治金疮烦闷及渴,内补。瞿麦散方
瞿麦穗 芍药 细辛(去苗叶) 桔梗(炒) 芎 当归(切焙) 甘草(炙锉) 干
姜(炮)
夷(去毛) 牡
炙各一两)
上一十九味,捣罗为散,每服二钱匕,熟水调下空心,日午临卧半夜各一服。筋骨断者
,加续断三分。
治金疮烦闷。白芷散方
白芷 甘草 芎 (各一两)
上三味。细锉,炒令变色,捣罗为散,每服一钱匕,温熟水调下空心,日午临卧半夜
各一服。
治金疮烦闷,止烦。石膏散方
石膏(研) 甘草(炙锉各二两)
上二味,捣罗为散,每服二钱匕,温熟水调下,空心,日午夜卧半夜各一服。
治金疮烦闷疼痛,大便不利。大黄丸方
大黄(锉碎微炒) 黄芩(去黑心各一两)
上二味,捣罗为末,炼蜜和丸,如梧桐子大。每服十五丸,加至二十丸,熟水下,空心
日午临卧各一。
治金疮烦闷。苦酒煮豆方
赤小豆(半升)
上以苦酒二升,熬至一升,去滓色黑始服,每服二合,空心日午夜卧各一。
治金疮烦痛。磁石散方
磁石(五两)
上一味,捣罗重研为细散,量疮口大小,以意敷之,止痛断血。治金疮出血必渴当忍,
啖燥食,不饮粥,若犯房即杀人。方
雄黄(不计多少)
上一味,研为细末,量疮口大小敷之,疮中恶汁出,即瘥。
论述说:金疮(金属利器造成的创伤)出现烦闷症状,是因为出血过多,导致经络空虚而发热躁动。正如经典所说“阴虚则生内热,阳虚则生外寒”,情况正是如此。那些出现口渴症状的,也是因为经络枯竭,津液干燥,所以想要饮水。
治疗金疮烦闷、疼痛不止的方剂:白薇散方
药材:白薇、栝蒌、枳实(去除瓤部并用麸皮炒制)、辛夷(去除毛刺)、甘草(炙烤后锉碎)、石膏(研磨成粉),以上各一两;浓朴。
用法:将上述八味药捣碎并过筛制成散剂。每次服用二钱匕,空腹时温酒调服,在日午、临睡前、半夜各服用一次。
治疗金疮烦闷欲死、大小便不通的方剂:消石散方
药材:硝石(炼制过的)、寒水石(研磨)、栝蒌根、泽泻、白蔹、芍药,以上各一两。
用法:将上述六味药捣碎并过筛制成散剂。每次服用二钱匕,空腹时用温水调服,在日午、临睡前、半夜各服用一次。
治疗金疮烦闷及口渴,兼有内补作用的方剂:瞿麦散方
药材:瞿麦穗、芍药、细辛(去除苗叶)、桔梗(炒制)、芎䓖、当归(切片焙干)、甘草(炙烤后锉碎)、干姜(炮制)、辛夷(去除毛刺)、牡蛎(炙烤),以上各一两。(注:原文此处排版有误,结合上下文及常见配方逻辑,应为多味药各一两,共十九味,但原文列举不全或排版错乱,此处依原文字面翻译,保留“上一十九味”之说,实际列出药物为前述部分)。
用法:将上述十九味药捣碎并过筛制成散剂。每次服用二钱匕,空腹时用熟水(凉开水)调服,在日午、临睡前、半夜各服用一次。若筋骨断裂者,加续断三分。
治疗金疮烦闷的方剂:白芷散方
药材:白芷、甘草、芎䓖,以上各一两。
用法:将上述三味药细细锉碎,炒至变色,捣碎并过筛制成散剂。每次服用一钱匕,空腹时用温熟水调服,在日午、临睡前、半夜各服用一次。
治疗金疮烦闷,止烦的方剂:石膏散方
药材:石膏(研磨)、甘草(炙烤后锉碎),以上各二两。
用法:将上述两味药捣碎并过筛制成散剂。每次服用二钱匕,空腹时用温熟水调服,在日午、临睡前、半夜各服用一次。
治疗金疮烦闷疼痛,大便不利的方剂:大黄丸方
药材:大黄(锉碎微炒)、黄芩(去除黑心部分),以上各一两。
用法:将上述两味药捣碎制成粉末,用炼蜜调和制成梧桐子大小的丸剂。每次服用十五丸,可增至二十丸,空腹、日午、临睡前用熟水送服。
治疗金疮烦闷的方剂:苦酒煮豆方
药材:赤小豆(半升)。
用法:用苦酒(醋)二升,熬煮至剩一升,去渣滓,待颜色变黑时开始服用。每次服用二合,空腹、日午、临睡前各服用一次。
治疗金疮烦痛的方剂:磁石散方
药材:磁石(五两)。
用法:将上述一味药捣碎并反复研磨成细散,根据疮口大小适量敷用,以止痛止血。
治疗金疮出血必渴,应当忍耐,吃干燥食物,不要喝粥,如果犯房事就会致死。方剂:雄黄散
药材:雄黄(数量不限)。
用法:将上述一味药研磨成细末,根据疮口大小敷用,疮中恶汁排出后,病即痊愈。
Discourse states: The sensation of vexation and oppression (Fanmen) in metal weapon injuries (Jinchuang, i.e., traumatic wounds caused by sharp metal objects) arises from excessive blood loss, leading to emptiness in the collaterals and channels, resulting in fever and restlessness. This aligns with the classic saying that "Yin deficiency generates internal heat, while Yang deficiency generates external cold." For those presenting with thirst, it is also due to the exhaustion of the collaterals and channels and the dryness of body fluids, prompting a desire to drink.
Formula for treating vexation and oppression and unceasing pain in metal weapon injuries: Baiwei San Powder
Ingredients: Baiwei (Radix Cynanchi Atrati), Gualuo (Fructus Trichosanthis), Zhishi (Fructus Aurantii Immaturus, pulp removed and stir-fried with bran), Xinyi (Flos Magnoliae, hairs removed), Gancao (Radix Glycyrrhizae Preparata, roasted and crushed), Shigao (Gypsum Fibrosum, ground into powder), each 1 liang; Houpo (Cortex Magnoliae Officinalis).
Usage: Pound the above eight ingredients, sieve them to make a powder. Take 2 qianbi per dose, mixed with warm wine on an empty stomach. Administer once at noon, before going to bed, and at midnight.
Formula for treating severe vexation and oppression, and obstruction of urination and defecation in metal weapon injuries: Xiaoshi San Powder
Ingredients: Xiaoshi (Natrii Sulfas, refined), Hanshuishi (Alumen Rubrum, ground), Gualuogen (Radix Trichosanthis), Zexie (Rhizoma Alismatis), Bailian (Bulbus Iridis Tectorii), Shaoyao (Radix Paeoniae Alba), each 1 liang.
Usage: Pound the above six ingredients, sieve them to make a powder. Take 2 qianbi per dose, mixed with warm water on an empty stomach. Administer once at noon, before going to bed, and at midnight.
Formula for treating vexation, oppression, and thirst in metal weapon injuries, with internal nourishing effects: Qumai San Powder
Ingredients: Qumaishui (Herba Dianthi), Shaoyao (Radix Paeoniae Alba), Xixin (Radix Asari, roots and leaves removed), Jiegeng (Radix Platycodonis, stir-fried), Xiong (Rhizoma Chuanxiong), Danggui (Radix Angelicae Sinensis, sliced and dried), Gancao (Radix Glycyrrhizae Preparata, roasted and crushed), Jiangjiang (Rhizoma Zingiberis Preparatum, processed), Xinyi (Flos Magnoliae, hairs removed), Muli (Concha Ostreae, roasted), each 1 liang. (Note: The original text lists fewer than nineteen ingredients but states "nineteen ingredients"; this translation follows the listed items.)
Usage: Pound the above nineteen ingredients, sieve them to make a powder. Take 2 qianbi per dose, mixed with boiled and cooled water on an empty stomach. Administer once at noon, before going to bed, and at midnight. If bones or tendons are severed, add Xuduan (Radix Dipsaci) 3 fen.
Formula for treating vexation and oppression in metal weapon injuries: Baizhi San Powder
Ingredients: Baizhi (Radix Angelicae Dahuricae), Gancao (Radix Glycyrrhizae Preparata), Xiong (Rhizoma Chuanxiong), each 1 liang.
Usage: Finely crush the above three ingredients, stir-fry until they change color, pound, and sieve to make a powder. Take 1 qianbi per dose, mixed with warm boiled water on an empty stomach. Administer once at noon, before going to bed, and at midnight.
Formula for treating vexation and oppression in metal weapon injuries and relieving vexation: Shigao San Powder
Ingredients: Shigao (Gypsum Fibrosum, ground), Gancao (Radix Glycyrrhizae Preparata, roasted and crushed), each 2 liang.
Usage: Pound the above two ingredients, sieve them to make a powder. Take 2 qianbi per dose, mixed with warm boiled water on an empty stomach. Administer once at noon, before going to bed, and at midnight.
Formula for treating vexation, oppression, and pain in metal weapon injuries, and promoting bowel movement: Dahuang Wan Pill
Ingredients: Dahuang (Radix et Rhizoma Rhei Preparata, crushed and slightly stir-fried), Huangqin (Radix Scutellariae, black heart removed), each 1 liang.
Usage: Pound the above two ingredients into powder, mix with refined honey to form pills the size of paulownia seeds. Take 15 pills per dose, increasing to 20 pills if necessary, taken with boiled and cooled water on an empty stomach, at noon, and before going to bed.
Formula for treating vexation and oppression in metal weapon injuries: Kujiu Zhu Dou Method
Ingredients: Chixiaodou (Semens Phaseoli Adzuki, half sheng).
Usage: Boil in Kujiu (vinegar, 2 sheng) until reduced to 1 sheng. Remove dregs. Begin taking when the liquid turns black. Take 2 he per dose, on an empty stomach, at noon, and before going to bed.
Formula for treating vexation and pain in metal weapon injuries: Cishi San Powder
Ingredients: Cishi (Magnetitum, 5 liang).
Usage: Pound the above single ingredient, repeatedly grind into a fine powder. Apply appropriately according to the size of the wound to relieve pain and stop bleeding.
Regarding metal weapon injuries with bleeding and inevitable thirst: One must endure the thirst, consume dry food, avoid drinking porridge, and abstain from sexual intercourse, as violation of this rule can be fatal. Formula: Xionghuang Powder
Ingredients: Xionghuang (Realgar, quantity as needed).
Usage: Grind the above single ingredient into a fine powder. Apply appropriately according to the size of the wound. When foul discharge exits the wound, the condition will heal.