夹伤即挤伤也,初禁用膏药敷及泥涂等法,恐后必作肿成脓。未受刑之先宜服护心丹,
既受
心,先觉痒,次觉疼为止。再着一、二人以笔管于患者脚面上轻轻赶之,助通血脉,候伤处
凹者突起,四围肿大为度,即服琼液散随饮至醉。次日揩去银朱,敷七真膏,服代杖汤至愈
乃止。如复受重刑破溃者及夹伤多年不愈者,亦敷七真膏,内服代杖散,接用大补气血之剂
,如参、 、术、草、归、地、杜仲之属方可收功。
一、夹死者,急将热尿灌之,再用生附子七钱泡去皮脐为末服二分。每服酒三盏煎一盏
。如无附子,以生姜汁半盏、酒半盏,同煎百沸,并灌二服。
一、夹碎骨者,用土鳖、(生多年酒缸下。)生鳖同捣敷之,内服护心丹。
一、预防夹棍,用独核肥皂二十个,捣烂去皮净,捣极细,加川乌末五钱、黄麻子末八
钱、
用银朱敷之。
人之腿受官刑,皮肉腐烂,死血未散,疼痛呼号,似宜用膏药、末药外治为佳。然而受
刑深
一受官刑,实时煎服,断无性命之虞,服后再用外治,内外调治则疮口易愈。
护心丹
自然铜(醋 七次) 木鳖子(制) 无名异(洗) 制乳香 制没药 苏木 当归 蚯蚓(
去土,各等分)
上为细末,和匀,蜜丸二钱重。每用一丸,黄酒化下。一方内有肉桂、土鳖虫。
琼液散
闹羊花拣去梗蒂蕊叶,洗去灰沙,晒干砂锅微炒。
上为末。每服五分,壮者七分,先饮醇酒至半酣,次用调药服,再饮至大醉为度,静卧
勿语,语则发麻。麻至次日其麻方解。消肿止痛其功甚捷。弱者间一日再服。
代杖汤
当归 生地(各三钱) 制乳香 制没药 苏木(各二钱) 川芎 枳壳(面炒) 穿山甲(
炙研) 甘草(各一钱)
上酒水各半煎服,取微汗。气虚人加人参黄 。
卫心仙丹
大黄(三钱) 当归(一两) 红花(三钱) 桃仁(三十粒) 生地(一两) 丹皮(三钱) 木
耳(三钱) 白芥子(二钱)
上水煎服一剂而恶血散矣。然后以膏药贴之。
护心散
大黄(一两) 没药(三钱) 乳香(三钱) 白蜡(一两) 松香(五钱) 骨碎补(五钱) 当
归(一两) 麝香(五分)
各为细末。猪板油一两,将白蜡、松香同猪油在铜锅内化开后,将各药末拌匀为膏药贴在伤处,
外用油纸包裹,再用线缠住。轻者一膏即愈,重者须贴两膏。夹棍伤重,大约四个月
即可行动无虞矣。此二方至神至奇,内方恶血散尽,外方使死肉回生。
七真膏(见前杖伤。)
夹伤就是挤伤,初期禁止使用膏药外敷及泥涂等方法,担心之后必然会导致肿胀化脓。在尚未受刑之前,应当服用护心丹;既然已经受了刑,以先感觉瘙痒、随后感觉疼痛为停止标准。再让一两个人用笔管在患者的脚面上轻轻赶动,以助通血脉,等到受伤处凹陷的地方突起,四周肿大的程度达到一定限度时,就服用琼液散,并饮酒直至醉倒。第二天擦去银朱,敷上七真膏,服用代杖汤直到痊愈才停止。如果再次受到重刑导致破溃,或者夹伤多年不愈的,也敷七真膏,内服代杖散,接着使用大补气血的药物,如人参、白术、甘草、当归、地黄、杜仲之类的药物才可以收效。
其一,对于夹死者,急忙将热尿灌入体内,再用生附子七钱,泡过后去掉皮和脐,研成粉末,每次服用二分。每服用附子粉时,用三盏酒煎成一盏。如果没有附子,就用半盏生姜汁、半盏酒,一同煎煮至沸腾多次,一并灌服两次。
其二,对于夹碎骨者,使用土鳖(生长在多年的酒缸底下)和生鳖一同捣烂敷在患处,内服护心丹。
其三,预防夹棍伤害,用独核肥皂二十个,捣烂去皮洗净,捣得极细,加入川乌末五钱、黄麻子末八钱……(原文此处似有缺漏,依文意推测为制作某种防护或治疗制剂),用银朱敷之。(注:原文此段逻辑略显跳跃,直译为:用独核肥皂二十个,捣烂去皮净,捣极细,加川乌末五钱、黄麻子末八钱……用银朱敷之。)
人的腿受到官刑后,皮肉腐烂,死血未散,疼痛呼号,似乎适宜用膏药、末药进行外治为佳。然而受刑深重……(原文此处似有缺漏,结合上下文意为:若实时煎服内服药,断无性命之忧,服后再用外治,内外调治则疮口容易愈合。)
护心丹
自然铜(醋淬七次)、木鳖子(制)、无名异(洗)、制乳香、制没药、苏木、当归、蚯蚓(去土,各等分)。
以上药物研成细末,混合均匀,用蜂蜜制成二钱重的丸药。每次用一丸,用黄酒送服。另一配方中有肉桂、土鳖虫。
琼液散
选取闹羊花,去掉梗蒂蕊叶,洗去灰沙,晒干后用砂锅微炒。
以上药物研成粉末。每次服用五分,体质强壮者七分,先饮用纯酒至半醉状态,然后用调好的药粉服用,再饮酒直至大醉为止,安静躺卧不要说话,说话就会引发麻木。麻木持续到第二天其麻感才会解除。消肿止痛功效非常快捷。体弱者隔一天再服用。
代杖汤
当归、生地(各三钱)、制乳香、制没药、苏木(各二钱)、川芎、枳壳(面炒)、穿山甲(炙后研)、甘草(各一钱)。
以上药物用水和酒各一半煎服,取微汗。气虚的人加人参、黄芪。
卫心仙丹
大黄(三钱)、当归(一两)、红花(三钱)、桃仁(三十粒)、生地(一两)、丹皮(三钱)、木耳(三钱)、白芥子(二钱)。
以上药物用水煎服一剂,恶血即可消散。然后贴上膏药。
护心散
大黄(一两)、没药(三钱)、乳香(三钱)、白蜡(一两)、松香(五钱)、骨碎补(五钱)、当归(一两)、麝香(五分)。
以上药物分别研成细末。取猪板油一两,将白蜡、松香同猪油在铜锅内融化开后,将各药末拌匀制成膏药贴在伤处,外用油纸包裹,再用线缠住。轻症贴一膏即愈,重症须贴两膏。夹棍伤重,大约四个月即可行动无虞了。这两个方子极其神奇,内服方使恶血散尽,外用方使死肉回生。
七真膏(见前杖伤章节)。
Jia shang (crush injury) is synonymous with ji shang (squeeze injury). In the initial stage, the application of plaster and mud coating methods are prohibited, as it is feared that swelling and suppuration will inevitably occur later. Before undergoing punishment, one should take Huxin Dan (Heart-Protecting Pill). After having undergone punishment, the treatment is considered effective when the patient first feels itching, followed by pain. Then, one or two people should gently sweep the patient's instep with a pen tube to assist in promoting blood circulation, waiting until the depressed area at the injury site protrudes and the surrounding swelling reaches a certain degree. At this point, Qiongye San (Nectar Powder) should be administered, accompanied by drinking alcohol until intoxication. The next day, remove the silver cinnabar, apply Qizhen Gao (Seven-True Ointment), and administer Daizhang Tang (Punishment-Substituting Decoction) until recovery is complete. For cases involving repeated severe punishment leading to ulceration, or crush injuries that have not healed for years, apply Qizhen Gao externally and take Daizhang San (Punishment-Substituting Powder) internally, followed by formulas that greatly tonify Qi and Blood, such as Renshen (Ginseng Radix et Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma), Danggui (Angelicae Sinensis Radix), Shudihuang (Rehmanniae Radix Praeparata), and Duzhong (Eucommiae Cortex), to achieve therapeutic success.
First, for those who appear dead from crushing, urgently灌 (irrigate/administer) hot urine into the body, then use raw Fuzi (Aconiti Lateralis Radix) seven qian, soaked and peeled, removing the skin and navel, ground into powder, taken in doses of two fen. Each dose is decocted with three cups of wine down to one cup. If Fuzi is unavailable, use half a cup of fresh ginger juice and half a cup of wine, boil together vigorously multiple times, and administer in two doses.
Second, for those with crushed bones, use Tubiechong (Eupolyphaga Steleophaga, sourced from under old wine vats) and live Bie (Trionycis Carapax et Plastrum) pounded together and applied topically, while administering Huxin Dan internally.
Third, for prevention against the crushing stick, use twenty Duhe Xiangfan (Soap Nuts), pound them, remove the skin cleanly, and grind extremely finely. Add five qian of Chuanwu (Aconiti Radix) powder and eight qian of Huangmazi (Cannabis Fructus) powder... [Text implies mixing these ingredients] ...and apply Yinzhu (Silver Cinnabar/Red Mercury Sulfide) topically.
When the legs suffer official punishment, causing rotting of skin and flesh, stagnation of dead blood, and painful crying, it seems appropriate to use plasters and powders for external treatment. However, if the injury is deep... [Context implies urgency]. Administering internal medicine immediately after injury ensures no threat to life; following this with external treatment allows for internal and external regulation, facilitating easier healing of the wound.
Huxin Dan (Heart-Protecting Pill)
Zirantong (Pyritum, quenched in vinegar seven times), Muguaizi (Semen Strychnos, processed), Wumingyi (Haematites), Zhiruxiang (Olibanum, processed), Zhimeiyao (Myrrha, processed), Sumu (Lignum Sappan), Danggui (Angelicae Sinensis Radix), Qiuyin (Hirudo, cleaned of soil), each in equal parts.
Grind all into fine powder, mix evenly, and form pills weighing two qian with honey. Take one pill per dose, dissolved in yellow wine. Another variant includes Rougui (Cinnamomi Cortex) and Tubiechong (Eupolyphaga Steleophaga).
Qiongye San (Nectar Powder)
Select Yangtaohua (Datura Metel Flower), remove stems, calyxes, pistils, and leaves, wash away dust and sand, dry, and lightly stir-fry in a clay pot.
Grind into powder. Take five fen per dose, or seven fen for robust individuals. First, drink pure wine until half-intoxicated, then take the medicated powder, followed by drinking until fully intoxicated. Lie quietly without speaking; speaking may induce numbness. The numbness resolves the next day. This formula is highly effective in reducing swelling and relieving pain. Weak individuals should repeat the dose every other day.
Daizhang Tang (Punishment-Substituting Decoction)
Danggui (Angelicae Sinensis Radix), Shengdi Huang (Rehmanniae Radix, each three qian), Zhiruxiang (Olibanum, processed), Zhimeiyao (Myrrha, processed), Sumu (Lignum Sappan, each two qian), Chuanxiong (Ligustici Chuanxiong Rhizoma), Zhiqiao (Aurantii Fructus, stir-fried with flour), Chuanshanjia (Manis Squama, roasted and ground), Gancao (Glycyrrhizae Radix et Rhizoma, each one qian).
Decoct with half water and half wine, aiming for a slight sweat. For those with Qi deficiency, add Renshen (Ginseng Radix et Rhizoma) and Huangqi (Astragali Radix).
Weixin Xiandan (Guarding-Heart Immortal Pill)
Dahuang (Rhei Radix et Rhizoma, three qian), Danggui (Angelicae Sinensis Radix, one liang), Honghua (Carthami Flos, three qian), Taoren (Persicae Semen, thirty kernels), Shengdi Huang (Rehmanniae Radix, one liang), Danpi (Moutan Cortex, three qian), Mu'er (Auricularia Auricula-Judae, three qian), Baijiezi (Sinapis Albus Semen, two qian).
Decoct in water and take one dose to disperse evil blood. Subsequently, apply a plaster.
Huxin San (Heart-Protecting Powder)
Dahuang (Rhei Radix et Rhizoma, one liang), Meiyao (Myrrha, three qian), Ruxiang (Olibanum, three qian), Bala (Cera Flava, one liang), Songxiang (Pini Resina, five qian), Gusuibu (Drynariae Rhizoma, five qian), Danggui (Angelicae Sinensis Radix, one liang), Shexiang (Moschus, five fen).
Grind each into fine powder. Take one liang of Zhu Ban'you (Porcine Subcutaneous Fat), melt Bala and Songxiang in the pig fat in a copper pot, mix well with the powder to form a plaster. Apply to the injury site, wrap with oil paper, and bind with thread. Mild cases heal with one plaster; severe cases require two. Severe crush injuries typically allow safe ambulation within approximately four months. These two formulas are miraculous: the internal formula disperses evil blood completely, and the external formula revitalizes necrotic tissue.
Qizhen Gao (Seven-True Ointment) (See previous section on Zhang shang/stick injuries).