凡看此证，不伤气嗓者易治。然气嗓在食嗓之前，或原生左前右前，故有左手剖者，多
伤气
断，危险之症也。治皆同法，先用护管药及扎法，如法治之可愈。但其脉洪大疾而无至数
者，脱症也。若上护管药后，脉见和平而静者又属可生。大凡始终宜脉小而四至者，是有胃
气易愈。其结喉之间，割在中三路，若割在上下，不能用扎法之处必死。然上中下及两旁可
以用扎法者可救，但视其轻重若何。重者全在扎处得力，上护管药一复时，方能接续。此药
只可上一次，接不接，生死判矣。接之后能低声言语，进汤药者生，反此者莫救。或半复时
内汤药漏出一半者，俟次日必不漏而管接矣。倘仍漏，急用手解去，加上护管药，亦必接矣
。总以头一次上药周密无渗漏之虞，次日生死方定。第三日口中不知松香味则管缝矣。虽能
饮食必以大便过通为稳。内以续筋、养血、去痰、消食、散瘀为主，后三方，逐次服之。忌
食花椒、生姜、大蒜、肚、肺。盖气血壅逆于肺，宜泻不宜补。惟白水煮健猪肉、腰子、黑
鱼、炖鲫鱼、甜酱油，其菜蔬总不可煎炒。
扎法
用旧包头一个扎二寸半阔要平正，以浓皮纸搓软，布二层于包头上，再挑护管药布于纸
上，
上，以便联系，如无天鹅绒，则用金毛狗代之。着有胆力三、五人，将患者扶起正坐，头稍
仰，看其喉管端正，上下相对，将包头之药，对正刀口，一合而上，不可走气吹去药末，要
紧，头伏稍低，合定其药，不可摇动。包头连扎二道，打结于项旁。包头要平正，不可陷动
刀口，陷则内管撑开不连。临合口时，以意消息，内管对不对。连不连，方为合法，若偏脱
则内气不通矣。又要先扎紧七、八分，少刻即松，总要松紧得宜。次用浓火纸半斤，衬于脑
后，主扶立端正。以白布绑扎二道，打结项旁，使头不致仰侧。恐其项软，急卧于草地铺上
，宜背后高，枕头中凹，两旁高使项常曲而不直。俟新肉生时，渐仰直可也。头渐有力去白
布一道，火纸软，翻转再扎。过大半日喉管将续，加上止血生肌续筋骨药，再布天鹅绒一层
于药上，如前上药法扎法一样，亦只可上一次，次日口中不知松香味，内管已实矣，则上生
肌药。俟有大半新肉及新肉难生者，上玉红膏可望愈也。然总以先接内管为急，其外止血生
肌皆易耳。
第一日服方
当归 蒲黄 旋复花根 续断 山楂肉 陈皮 牛膝 黄芩 刘寄奴 甘草 郁金（各一钱）
生地黄（三钱） 川芎（五分）
上水煎。
第二日方（防嗽。）
桑白皮 枇杷叶（去毛） 黄芩 川芎 续断 楂肉 寄奴 生蒲黄 陈皮 川贝母
木瓜（各一钱） 薏苡仁 麦冬（各三钱）
上水煎。嗽甚加白前五分、马兜铃一钱。
第三日服方（调理。）
当归 茯苓 远志 丹皮 橘红 条芩 川贝（各一钱） 薏苡仁（二钱） 生地黄 麦冬（各三钱）
上水煎。人虚加玉竹三钱，鲜石斛、北沙参各一钱，五味子三分。
护管药
松香（按法精制为末） 真参三七（切薄片，晒干，为末） 钩藤钩（微焙炒） 茜草末 天
鹅绒 肉老鼠（无毛者三、四个，捣烂为饼，贴板壁阴处风干，为末）
上各制细末听用。每料用制松香一钱，三七二分，肉老鼠二分、钩藤二分、茜草二分，
共为
，瓷瓶贮。凡用时记加天鹅绒不碾碎者一层于药上，使先着喉管联系也。如无天鹅绒则以
金毛狗毛代之。此方药只六味，功效如神，但上一次生死判矣，不及上二次也。
止血生肌续筋骨药
上好明净鸡骨炭（在银灰内拣如中指粗者为极细末） 生嫩松香（轻手研，入金毛狗同研
。多用毛则易联系）
上二末等分和匀。用时亦布天鹅绒一层于药上，如前上药法扎法一样。在大半日后喉管
将续，则加此药。亦只上一次。
生肌药
生嫩松香（不拘多少，量加金毛狗同研细末，一两） 真瓜儿血竭（碾细末，一钱） 乳香
（碾细末，三钱）
上三末共一处细研匀，上法如前。此药可常用，冬天二、三日一换。如新肉难生者，更
上玉红膏无不愈矣。
金疮出血不止
蒲黄五钱，为末热酒服，或以牡蛎粉敷之则止。
又方∶白蜡末敷之血立止，愈。
箭镞伤
海螵蛸末，敷之。
出箭镞
白象牙末，水调敷四围自出。花蕊石末敷四围亦出。
玉红膏
真麻油二两，煎滚去沫，二、三滚后，入老黄蜡一两或八钱，冬季止用搅化匀，再煎五
、六次，取起，盛瓷器内，置冷水中搅三、五遍，出热气，急入后细药∶
轻粉末（八分） 飞丹（三分） 珍珠（生研极细末，三分） 黄柏末（三分，生） 象皮（阴
阳瓦焙微黄，见风稍脆，即研细末，三分。如无即以象牙末代之）
上五味细末，共一处研匀，入前蜡油内，不住手搅匀，俟冷，瓷器收贮。临用以桑皮纸
薄薄摊贴。
凡诊治此类创伤，只要未伤及气管和食管者，容易治愈。然而气管位于食管之前，通常左侧在前、右侧在后（解剖位置），因此若左手持刀切割，多会切断气管，这是危险的病症。治疗方法相同，先用保护气管的药物及包扎固定法，按照此法治疗即可痊愈。但如果患者脉象洪大急促且无规律（至数紊乱），这是元气脱失的危症。如果在服用保护气管药物后，脉象变得平和安静，则又有生机。大凡从头到尾脉象细小且每息四至的，说明胃气尚存，容易痊愈。如果喉结部位，切口位于中间三段，若切口在上方或下方，无法使用包扎固定法的地方，必然死亡。然而上、中、下及两侧可以使用包扎固定法的部位可以救治，但需视伤势轻重而定。重伤者全赖包扎处得力，服用保护气管药物一个时辰后，方能连接成功。这种药只可上一次，接不接得上，生死就在此判定。连接之后若能低声说话，能进食汤药的就有生机，反之则无法救治。或者在一个半个时辰内汤药漏出一半的，等到第二天必然不再漏出且气管已连接。倘若仍然漏出，急忙用手解开去除旧药，加上保护气管的药，也一定能连接上。总之第一次上药必须周密，没有渗漏的担忧，第二天的生死才能确定。第三天口中感觉不到松香味，说明气管接口已经愈合。虽然能饮食，也必须以大便通畅为稳妥。内服药物以续筋、养血、祛痰、消食、散瘀为主，后面三个方剂，依次服用。忌食花椒、生姜、大蒜、动物内脏（肚）、肺脏。因为气血壅滞逆乱于肺，宜泻不宜补。只宜白水煮瘦猪肉、腰子、黑鱼、炖鲫鱼、甜酱油，蔬菜总不可煎炒。
包扎固定法
用旧包头布一块，扎成二寸半宽，要求平整端正，用厚皮纸搓软，在包头布上铺两层布，再将保护气管的药涂抹在纸上，以便联系粘合，如果没有天鹅绒，则用金毛狗脊的绒毛代替。由有胆识的三、五人，将患者扶起正坐，头稍仰起，观察其喉管端正，上下相对，将包头上的药对准刀口，一合而上，不可走气吹去药末，这很要紧，头部伏稍低，合定其药，不可摇动。包头连扎两道，打结于颈部旁边。包头要平整端正，不可陷入触动刀口，陷入则内部气管撑开无法连接。临合口时，用心斟酌，内部气管是否对正，是否连接，这才是合法的操作，若偏斜脱落则内部气息不通了。又要先扎紧七、八分，片刻后即松开，总要松紧适宜。其次用浓火纸半斤，垫于脑后，主要扶持站立端正。用白布绑扎两道，打结于颈部旁边，使头不至于仰侧。恐怕其颈部软弱，急忙卧于草地铺上，宜背后高，枕头中间凹，两旁高使颈部常弯曲而不挺直。等到新肉生长时，逐渐仰直即可。头部渐有力去掉白布一道，火纸变软，翻转再扎。过大半天喉管将要接续，加上止血生肌续筋骨药，再铺一层天鹅绒于药上，如前面上药法包扎法一样，也只可上一次，第二天口中感觉不到松香味，内部气管已经结实了，则上生肌药。等到有大半新肉及新肉难生者，上玉红膏可望痊愈。然而总以先接好内部气管为急务，其外部止血生肌都容易处理。
第一日服方
当归、蒲黄、旋复花根、续断、山楂肉、陈皮、牛膝、黄芩、刘寄奴、甘草、郁金（各一钱）
生地黄（三钱） 川芎（五分）
以上用水煎煮。
第二日方（预防咳嗽。）
桑白皮、枇杷叶（去毛）、黄芩、川芎、续断、楂肉、刘寄奴、生蒲黄、陈皮、川贝母、木瓜（各一钱） 薏苡仁、麦冬（各三钱）
以上用水煎煮。咳嗽严重加白前五分、马兜铃一钱。
第三日服方（调理。）
当归、茯苓、远志、丹皮、橘红、条芩、川贝（各一钱） 薏苡仁（二钱） 生地黄、麦冬（各三钱）
以上用水煎煮。人体虚弱加玉竹三钱，鲜石斛、北沙参各一钱，五味子三分。
保护气管药
松香（按方法精制为粉末） 真三七（切薄片，晒干，为粉末） 钩藤钩（微焙炒） 茜草末 天鹅绒 肉老鼠（无毛者三、四个，捣烂为饼，贴板壁阴处风干，为粉末）
以上各制细末备用。每料用制松香一钱，三七二分，肉老鼠二分、钩藤二分、茜草二分，共为细末，瓷瓶贮存。凡用时记得加天鹅绒不碾碎的一层于药上，使先接触喉管进行联系。如果没有天鹅绒则以金毛狗脊的绒毛代替。此方药只有六味，功效如神，但上一次生死就判定矣，不及第二次上药。
止血生肌续筋骨药
上好明净鸡骨炭（在银灰内拣选如中指粗者为极细末） 生嫩松香（轻手研，入金毛狗脊绒毛同研。多用毛则易联系）
以上两末等分和匀。用时亦铺天鹅绒一层于药上，如前上面药法包扎法一样。在大半日后喉管将要接续，则加此药。也只上一次。
生肌药
生嫩松香（不拘多少，量加金毛狗脊绒毛同研细末，一两） 真血竭（碾细末，一钱） 乳香（碾细末，三钱）
以上三末共一处细研匀，上药法如前。此药可常用，冬天二、三日一换。如新肉难生者，更上玉红膏无不愈矣。
金疮出血不止
蒲黄五钱，为末热酒服，或以牡蛎粉敷之则止。
又方：白蜡末敷之血立止，痊愈。
玉红膏
真麻油二两，煎滚去沫，二、三滚后，入老黄蜡一两或八钱，冬季只用搅化匀，再煎五、六次，取起，盛瓷器内，置冷水中搅三、五遍，出热气，急入后细药：
轻粉末（八分） 飞丹（三分） 珍珠（生研极细末，三分） 黄柏末（三分，生） 象皮（阴阳瓦焙微黄，见风稍脆，即研细末，三分。如无即以象牙末代之）
以上五味细末，共一处研匀，入前蜡油内，不住手搅匀，俟冷，瓷器收贮。临用以桑皮纸薄薄摊贴。
In the treatment of such wounds, if the trachea and esophagus are not injured, it is easy to cure. However, the trachea is located in front of the esophagus; anatomically, the left side is often anterior to the right. Therefore, if a cut is made with the left hand, it is likely to sever the trachea, which is a critical condition. The treatment method is the same: first use protective agents for the trachea and bandaging fixation methods. Following this method can lead to recovery. However, if the pulse is surging, rapid, and irregular (lacking proper rhythm), it indicates a syndrome of Qi collapse. If, after administering the tracheal protective agent, the pulse becomes calm and steady, there is still hope for survival. Generally, throughout the course of the illness, a fine pulse with four beats per respiration indicates that Stomach Qi is preserved, making recovery easier. If the incision at the Adam's apple is located in the middle three segments, or if it is above or below where bandaging fixation cannot be applied, death is inevitable. However, areas in the upper, middle, lower, and lateral regions where bandaging fixation can be used may be saved, depending on the severity. For severe cases, success depends entirely on the effectiveness of the bandaging site. After one shi (two hours) of taking the tracheal protective agent, connection can be achieved. This medicine is applied only once; whether connection succeeds or fails determines life or death. If the patient can speak softly and take liquid medicine after connection, they will survive; otherwise, they cannot be saved. If half of the liquid medicine leaks out within half a shi, by the next day it will stop leaking and the trachea will have connected. If leakage persists, urgently remove the old dressing by hand, apply the tracheal protective agent again, and connection will surely occur. In summary, the first application must be meticulous without any risk of leakage; life or death will be determined on the second day. On the third day, if the taste of pine resin is no longer perceived in the mouth, the tracheal suture has healed. Although eating is possible, ensuring smooth bowel movements is essential. Internal medication focuses on repairing tendons, nourishing blood, resolving phlegm, aiding digestion, and dispelling blood stasis. The following three formulas should be taken sequentially. Avoid Sichuan pepper, ginger, garlic, stomach, and lungs. Because Qi and Blood are stagnant and rebellious in the Lungs, purgation is preferred over tonification. Only boiled lean pork, kidneys, black carp, stewed crucian carp, and sweet soy sauce are suitable; vegetables should never be fried.
Bandaging Fixation Method
Use an old head wrap, tied to a width of two cun and five fen, ensuring it is flat and upright. Soften thick bark paper, place two layers of cloth on the head wrap, then spread the tracheal protective agent on the paper to facilitate adhesion. If velvet is unavailable, replace it with the golden hair from *Cibotium barometz*. Three or four courageous assistants should help the patient sit upright with the head slightly tilted back, observing that the trachea is aligned vertically. Align the medicated head wrap with the wound and press it together firmly. It is crucial to prevent air from blowing away the powder. Tilt the head slightly forward to secure the dressing without shaking. Tie the head wrap securely in two places at the sides of the neck. The wrap must be flat and upright; if it sinks into the wound, the internal trachea will separate and fail to connect. At the moment of closure, carefully assess whether the internal trachea is aligned and connected. If misaligned or detached, internal airflow will be blocked. Initially tie tightly for seven or eight parts, then loosen slightly; the tightness must be appropriate. Place half a jin of thick fireproof paper behind the head to support an upright posture. Bind with white cloth in two places at the neck to prevent the head from tilting sideways. To prevent neck weakness, lie on a grass mat with the back elevated and a pillow with a concave center and raised sides to keep the neck curved rather than straight. As new flesh grows, gradually straighten the neck. When the head gains strength, remove one layer of white cloth; as the fireproof paper softens, flip and retie. After more than half a day, when the trachea is about to reconnect, apply hemostatic, tissue-regenerating, and tendon-bone-repairing medicine, followed by a layer of velvet on top, similar to the previous application method. This is also applied only once. If the scent of pine resin is absent the next day, the internal trachea has solidified, and then apply tissue-regenerating medicine. For cases with significant new flesh growth or difficulty in regeneration, applying *Yuhong Gao* (Jade Red Ointment) promises recovery. However, prioritizing the connection of the internal trachea is urgent; external hemostasis and tissue regeneration are secondary and easier.
Formula for the First Day
*Dang Gui* (Angelicae Sinensis Radix), *Pu Huang* (Pollen Typhae), *Xuan Fu Hua Gen* (Radix Inulae), *Xu Duan* (Dipsaci Radix), *Shan Zha Rou* (Crataegi Fructus), *Chen Pi* (Citri Reticulatae Pericarpium), *Niu Xi* (Achyranthis Bidentatae Radix), *Huang Qin* (Scutellariae Radix), *Liu Ji Nu* (Herba Siegesbeckiae), *Gan Cao* (Glycyrrhizae Radix et Rhizoma), *Yu Jin* (Curcumae Radix) (each 1 qian).
*Sheng Di Huang* (Rehmanniae Radix) (3 qian). *Chuan Xiong* (Ligustici Chuanxiong Rhizoma) (5 fen).
Decoct in water.
Formula for the Second Day (To Prevent Cough)
*Sang Bai Pi* (Mori Cortex), *Pi Pa Ye* (Loquat Folium) (remove hairs), *Huang Qin* (Scutellariae Radix), *Chuan Xiong* (Ligustici Chuanxiong Rhizoma), *Xu Duan* (Dipsaci Radix), *Zha Rou* (Crataegi Fructus), *Ji Nu* (Herba Siegesbeckiae), *Sheng Pu Huang* (Pollen Typhae), *Chen Pi* (Citri Reticulatae Pericarpium), *Chuan Bei Mu* (Fritillariae Thunbergii Bulbus), *Mu Gua* (Chaenomelis Fructus) (each 1 qian). *Yi Yi Ren* (Coicis Semen), *Mai Dong* (Ophiopogonis Radix) (each 3 qian).
Decoct in water. For severe cough, add *Bai Qian* (Cynanchi Stellati Radix) 5 fen and *Ma Dou Ling* (Aristolochiae Radix) 1 qian.
Formula for the Third Day (For Regulation)
*Dang Gui* (Angelicae Sinensis Radix), *Fu Ling* (Poria), *Yuan Zhi* (Polygalae Radix), *Dan Pi* (Moutan Cortex), *Ju Hong* (Citri Reticulatae Pericarpium Rubrum), *Tiao Qin* (Scutellariae Radix), *Chuan Bei* (Fritillariae Thunbergii Bulbus) (each 1 qian). *Yi Yi Ren* (Coicis Semen) (2 qian). *Sheng Di Huang* (Rehmanniae Radix), *Mai Dong* (Ophiopogonis Radix) (each 3 qian).
Decoct in water. For deficiency, add *Yu Zhu* (Polygonati Odorati Rhizoma) 3 qian, *Xian Shi Hu* (Dendrobii Nobile Caulis) 1 qian, *Bei Sha Shen* (Glehniae Radix) 1 qian, and *Wu Wei Zi* (Schisandrae Chinensis Fructus) 3 fen.
Tracheal Protective Agent
*Song Xiang* (Pini Resina) (refined finely according to method), *Zhen San Qi* (Notoginseng Radix et Rhizoma) (sliced thin, dried, powdered), *Gou Teng Gou* (Uncariae Ramulus cum Uncis) (lightly roasted), *Qian Cao Mo* (Rubiae Radix et Rhizoma Powder), *Tian E Rong* (Velvet), *Rou Lao Shu* (Meat Mouse) (three or four hairless specimens, pounded into cakes, dried in shade against a wall, powdered).
Process each into fine powder for use. Each dose uses refined *Song Xiang* 1 qian, *San Qi* 2 fen, *Rou Lao Shu* 2 fen, *Gou Teng* 2 fen, *Qian Cao* 2 fen. Grind together into powder and store in a porcelain bottle. When using, remember to add a layer of uncrushed *Tian E Rong* on top of the medicine so it contacts the trachea first for adhesion. If *Tian E Rong* is unavailable, use *Cibotium barometz* hair. This formula contains only six ingredients but is miraculous; however, its single application determines life or death, as a second application is not feasible.
Hemostatic, Tissue-Regenerating, and Tendon-Bone-Repairing Agent
High-quality clean *Ji Gu Tan* (Chicken Bone Charcoal) (select finest powder resembling the thickness of a middle finger from silver ash), *Sheng Nen Song Xiang* (Fresh Tender Pini Resina) (lightly ground, mixed with *Cibotium barometz* hair. More hair facilitates adhesion).
Mix the two powders equally. When applying, place a layer of *Tian E Rong* on the medicine, similar to the previous bandaging method. Apply this after more than half a day when the trachea is nearing reconnection. Apply only once.
Tissue-Regenerating Agent
*Sheng Nen Song Xiang* (Fresh Tender Pini Resina) (amount unspecified, mix with appropriate *Cibotium barometz* hair to grind finely, 1 liang), *Zhen Gua Er Xue Jie* (Dragon's Blood) (finely ground, 1 qian), *Ru Xiang* (Olibanum) (finely ground, 3 qian).
Grind the three powders together uniformly. Apply as before. This medicine can be used regularly; change every two to three days in winter. For difficult regeneration, apply *Yuhong Gao* (Jade Red Ointment) for certain cure.
Unstoppable Bleeding from Metal Wounds
*Pu Huang* (Pollen Typhae) 5 qian, powdered and taken with hot wine, or applied as *Mu Li Fen* (Ostreae Concha Powder) to stop bleeding.
Another prescription: Apply *Bai La Mo* (Cera Alba Powder); bleeding stops immediately, and healing occurs.
Arrowhead Injury
Apply *Hai Piao Xiao Mo* (Sepiae Endoconcha Powder).
Removing Arrowheads
Apply *Bai Xiang Ya Mo* (White Ivory Powder) mixed with water around the wound; the arrowhead will emerge spontaneously. Alternatively, apply *Hua Rui Shi Mo* (Corallinites Powder) around the wound.
Yuhong Gao (Jade Red Ointment)
Take 2 liang of pure sesame oil (*Ma You*), boil until rolling, skim off foam. After two or three boils, add 1 liang or 8 qian of old yellow beeswax (*Lao Huang La*). In winter, stir until melted. Boil five or six times, remove, and place in a porcelain container. Stir in cold water three to five times to release heat. Quickly add the following fine powders:
*Qing Fen Mo* (Calamina Powder) (8 fen), *Fei Dan* (Red Lead Oxide) (3 fen), *Zhen Zhu* (Margarita) (freshly ground extremely fine, 3 fen), *Huang Bai Mo* (Phellodendri Cortex Powder) (3 fen, raw), *Xiang Pi* (Elephant Skin) (roasted lightly on Yin-Yang tiles until slightly brittle and fragrant, then ground fine, 3 fen. Substitute with ivory powder if unavailable).
Grind these five fine powders together uniformly and incorporate into the wax oil while stirring continuously. Cool and store in a porcelain container. Before use, spread thinly on mulberry bark paper and apply.