妇人每临经时腰腹胀痛,玉户淫淫虫出如鼠粘子状,绿色者数十枚,后经水随至。盖厥
阴风
而生诸虫是也。用酒制黄连为君,白术、香附为臣,研末粥丸空腹吞之,月余则经至无虫矣
妇人月经流出,皆作禽兽之状,欲来伤人,先以棉塞阴户,用没药一两白汤调服顿愈。
金疮有刀斧箭镞伤,瓷锋伤,须看伤痕深浅,总以止血定痛为主。轻者皮肉破损,出血
不止
则先以花蕊石散掺之,并以热童便调服一钱,其瘀血化为黄水。倘血出过多,其人面黄眼黑
者,则不可专攻瘀血,宜用八珍汤急固根本,加苏木、红花调之可也。更有血亡,身体强痉
,口禁不能言,似中风者,只宜大补气血,按发痉治法救之,若作中风治,万无一生。
凡兵器所伤,出血而渴甚者,不可即与饮食,恐簇毛在创内,须食干物并油腻,切忌食
粥,
酸盐。八者犯之未有不死者。其不治之证有十一∶一曰伤腰户天仓。二曰伤臂中跳脉及髀中
阴股。三曰伤心及乳。四曰伤尻尾。五曰伤小便。六曰伤五脏。七曰脑髓出。八曰脑破、声
哑、直视。九曰痛不在伤处。十曰血出不止,前赤后黑。十一曰肌肉臭腐。有一于此皆不能
治。除此当诊其脉,血未出脉宜洪大,血既出脉宜虚细。沉小者生,数实浮大者死。血出过
多而脉微缓者生,劲急者死。
一、杀伤未透膜者,急用乳香、没药(皆去油)各末二钱和匀,以小便半盏、酒半盏调末
通口服。患处以金疮必效散敷之。
一、所伤疮口出血不止者,用水调千脚泥敷出血处四边。如伤头面,则敷颈周遭;伤手
则敷臂;伤足则敷腿,可以截住其血,令不来潮,其伤口得以用药敷贴。
一、金疮久不合口,用撮合散敷之。
一、箭入肉内,钳不出者,用螳螂一个,巴豆半个共研敷伤处,微痒忍之。候急痒时乃
撼拔之,以黄连贯众汤温洗,海螵蛸末敷之。或以花蕊石散敷患四围亦可。
一、毒箭伤人,最恶有二种。交广蛮夷,用 铜作箭镞,人若中之,才伤皮肉,便闷脓
沸烂
毒也。又一种是草乌膏,喂涂箭镞名射冈,人若中之,见血封喉而死。急用蓝靛汁一碗灌之
,外亦抹沫伤处。如无蓝靛则以青布渍汁饮之。一法用黑大豆,猪、羊血,内服,外敷解毒
亦效。
一、金疮腹破肠出者,看其肠若仅一半可治。先以大麦煮粥取浓汁温洗其肠,用桑白皮
尖茸
。外用生人长发密缝腹伤口之里肉,留外皮,撒撮合散以待生肌敛口。缝后勿惊笑,以米饮
少少饮之,渐增。待二十日再吃浓粥调理而愈。
一、耳鼻被伤落,用人发入阳城罐以盐泥固济, 过为末,乘急以所伤耳鼻蘸药缀故处
,以软绢缚定。
一、筋断,用白胶香一味为细末敷之,或以旋复草根捣烂汁,以筋相对而封之,即相续
如故,百不失一。
一、阴茎割去流血疼痛,即以所割之茎,炙干为末,酒服每一钱。
一、指断,用真苏木末敷之,外取蚕茧包缚完固,数日指接如故。
金疮必效散
龙骨( ) 乳香(制去油) 没药(制去油) 花蕊石(火 红,放地上冷定后再 ,凡七
次
) 麝香(三分)
上共碾细末研匀,瓷瓶密贮听用。
花蕊石散
花蕊石 硫黄
上罐盛,盐泥固济,火 自辰至酉。从下生火,冷一宿次早取出研细收贮。每以末撒患
处(研花蕊石忌铁器。)
胜金散
参三七
上一味磨粉,米醋调敷,溃者干敷立愈。
撒合散
真降香 五倍子 制松香(各等分)
上共研细粉,收贮听用。
头皮内时常有蛆虫爬行,用竹刀割破皮肤,将丝瓜叶挤出的汁液涂抹患处,待蛆虫全部排出后病愈。
妇女每逢月经来潮时,腰部和小腹胀痛,阴户中有淫淫作痒的虫子爬出,形状像鼠粘子(苍耳子),绿色的有几十枚,随后经血才到来。这是因为厥阴经受风邪而生诸虫所致。使用酒制的黄连作为君药,白术、香附作为臣药,研磨成粉末,用米粥制成丸剂,空腹吞服,一个月左右,月经来时便不再有虫了。
妇女月经流出物,都呈现出禽兽的形状,似乎要来伤人,先用棉花堵塞阴道口,用一两没药配合白开水调服,立即痊愈。
金疮(金属利器造成的创伤)包括被刀斧箭镞、瓷片锋利边缘所伤,必须查看伤痕的深浅,总体原则以止血定痛为主。轻者只是皮肉破损,如果出血不止,则先用花蕊石散撒在伤口上,并用热童便(健康儿童的小便)调服一钱,体内的瘀血会化为黄水排出。倘若失血过多,导致患者面色发黄、眼睛发黑,则不可单纯攻逐瘀血,应当急用八珍汤固护根本元气,加入苏木、红花调和即可。更有甚者,因失血过多导致身体强直痉挛,牙关紧闭不能言语,症状类似中风,只宜大补气血,按照治疗发痉的方法急救,如果当作中风治疗,万无一生。凡是兵器所致的伤害,出血且口渴严重的,不可立即给予饮食,恐怕创口内有毛发等异物,必须吃干硬食物并摄入油腻,切忌喝粥以及食用酸咸食物。这八种禁忌若触犯,没有不死亡的。无法治愈的证候有十一项:一是损伤腰部的天仓穴;二是损伤手臂中的跳脉及大腿内侧的阴股部位;三是损伤心脏及乳房;四是损伤尾闾部位;五是损伤尿道;六是损伤五脏;七是脑髓流出;八是脑部破裂、声音嘶哑、两眼直视;九是疼痛不在受伤部位;十是出血不止,先红后黑;十一是肌肉臭烂腐烂。具备其中任何一项都不能治愈。除此以外,应当诊察脉搏,血液未流出时脉象宜洪大,血液流出后脉象宜虚细。脉象沉小者预后良好,脉象数实浮大者预后不良。失血过多而脉象微缓者预后良好,脉象劲急者预后不良。
其一,杀伤未穿透体膜者,紧急使用乳香、没药(均去除油分)各二钱研成粉末混合均匀,用半盏小便、半盏酒调匀送服。患处敷上金疮必效散。
其二,所伤疮口出血不止者,用水调匀千脚泥敷在出血处的四周。如果伤在头面部,则敷在颈部周围;伤在手部,则敷在手臂;伤在足部,则敷在小腿,这样可以截断血流,使其不再涌出,以便伤口得以用药敷贴。
其四,箭头嵌入肉内,用钳子夹不出者,用一个螳螂、半个巴豆共同研磨后敷在伤处,感到轻微瘙痒要忍耐住。等到剧烈瘙痒时,再将其拔出,用黄连贯众汤温洗,撒上海螵蛸粉末敷之。或者用花蕊石散敷在患处以围亦可。
其五,毒箭伤人,最恶劣的有两种。交广地区的蛮夷,用铜制作箭镞,人若被射中,刚伤及皮肉,就会感到闷胀、脓液沸腾溃烂,这是中毒所致。另一种是用草乌膏涂抹箭镞,名为“射冈”,人若被射中,见血封喉而死。紧急时用一碗蓝靛汁灌服,外部也涂抹在伤处。如果没有蓝靛,就用青布浸泡取汁饮用。还有一种方法是用黑大豆、猪血、羊血,内服外敷解毒也有效。
其六,金疮腹部破裂肠子流出者,观察肠子如果仅有一半露出尚可治疗。先用大麦煮粥,取浓汁温洗流出的肠子,用桑白皮尖端的茸毛覆盖保护。外用生人的长发严密缝合腹部伤口内部的肌肉,保留外皮,撒上撮合散以等待肌肉生长、伤口收敛。缝合后不要惊吓大笑,用米汤少量多次饮用,逐渐增加量。等到二十日后再吃浓粥调理即可痊愈。
其七,耳鼻被伤脱落者,用人发放入阳城罐中,用盐泥密封固定,煅烧后研成粉末,趁紧急之时将受伤的耳鼻蘸药接回原处,用软绢包扎固定。
其八,筋断裂者,用白胶香一味研成细末敷之,或者用旋覆草根捣烂取汁,将断筋相对贴合封存,即可重新接续如故,百不失一。
其九,阴茎被割去,流血疼痛,即用割下的阴茎部分,炙干研成粉末,用酒送服每一钱。
其十,手指断裂者,用真苏木粉末敷之,外部取蚕茧包裹缚紧固定,数日后手指接合如故。
金疮必效散
龙骨(需注明炮制方法,原文缺失或模糊,通常煅用) 乳香(制去油) 没药(制去油) 花蕊石(火煅至红,放在地上冷却定后再煅,共七次) 麝香(三分)
以上共同碾碎成细末研匀,装入瓷瓶密封保存备用。
花蕊石散
花蕊石 硫黄
以上放入罐中,用盐泥密封固定,用火煅烧从辰时至酉时。从下生火,冷却一夜,次日早晨取出研细收贮。每次将粉末撒在患处(研磨花蕊石忌用铁器)。
撒合散(注:前文为“撮合散”,此处可能为异名或笔误,依原文提取)
真降香 五倍子 制松香(各等分)
以上共同研成细粉,收贮备用。
Occasionally, maggots crawl inside the scalp. Use a bamboo knife to incise the skin, squeeze juice from luffa leaves (Luffae Fructus), and apply it to the affected area. The disease is cured once all maggots are expelled.
Women often experience lower back and abdominal distension and pain when menstruation approaches. Insects resembling cocklebur fruits (Xanthii Fructus) emerge from the vagina with a creeping sensation; there may be dozens of green ones, followed by the arrival of menstrual blood. This is caused by wind pathogen in the Jueyin channel generating various insects. Use alcohol-processed Coptidis Rhizoma (Huanglian, 黄连) as the sovereign drug, Atractylodis Macrocephalae Rhizoma (Baizhu, 白术) and Cyperi Rhizoma (Xiangfu, 香附) as minister drugs. Grind into powder, make pills with rice congee, and swallow on an empty stomach. After about one month, menstruation will occur without insects.
Menstrual discharge takes the shape of birds and beasts, appearing to attack people. First, plug the vagina with cotton, then take one qian of Myrrha (Moyao, 没药) mixed with hot water for immediate cure.
Metal weapon injuries (Jinchuang, 金疮), including cuts from knives, axes, arrowheads, or sharp porcelain edges, require assessment of wound depth. The general principle is to stop bleeding and relieve pain. For mild cases involving only skin and flesh damage, if bleeding does not stop, first sprinkle Huarui Shi San (Flower Porphyry Powder) on the wound and take one qian mixed with hot child's urine (Tongbian, 童便). The stasis will transform into yellow fluid. If excessive blood loss causes sallow complexion and dark eyes, do not solely focus on removing stasis; urgently use Bazhen Tang (Eight-Treasure Decoction) to secure the root, adding Pterocarpus Santalinus Wood (Sumu, 苏木) and Carthamus Tinctorius Flower (Honghua, 红花) to harmonize. In severe cases of blood loss leading to body rigidity, spasms, locked jaw, and inability to speak, resembling stroke (Zhongfeng, 中风), only vigorous supplementation of Qi and Blood is suitable, treating according to methods for inducing spasms. Treating it as stroke guarantees death. For injuries from weapons with heavy bleeding and severe thirst, do not give food or drink immediately, fearing foreign bodies like hair in the wound. One must eat dry foods and oily substances, strictly avoiding porridge and sour/salty foods. Violating these eight taboos leads to death. There are eleven untreatable conditions: 1. Injury to Tiancang at the waist. 2. Injury to the jumping pulse in the arm or Yin Gu in the thigh. 3. Injury to the Heart or breasts. 4. Injury to the coccyx. 5. Injury to the urethra. 6. Injury to the Zang-Fu organs. 7. Extrusion of brain marrow. 8. Brain rupture, hoarseness, fixed gaze. 9. Pain not at the injury site. 10. Unstoppable bleeding, initially red then black. 11. Foul-smelling rotting muscle. Any one of these is untreatable. Otherwise, diagnose the pulse: before bleeding, the pulse should be surging and large; after bleeding, it should be deficient and fine. Deep and small pulses indicate survival; rapid, solid, floating, and large pulses indicate death. Excessive bleeding with a faint and slow pulse indicates survival; a tense and rapid pulse indicates death.
First, for injuries not penetrating the membrane, urgently mix two qian each of Frankincense (Ruxiang, 乳香) and Myrrh (Moyao, 没药) (both de-oiled) into powder. Mix with half a cup of urine and half a cup of wine, and administer orally. Apply Jin Chuang Bi Xiao San (Golden Wound Must-Efficacy Powder) to the wound.
Second, for wounds with unstoppable bleeding, apply mud mixed with water to the four sides of the bleeding area. If injured on the head/face, apply around the neck; if on the hand, apply to the arm; if on the foot, apply to the leg. This can block the blood flow, allowing time for medication application.
Third, for golden wounds that fail to heal for a long time, apply Cuohe San (Gathering Powder).
Fourth, for arrows embedded in flesh that cannot be extracted with forceps, grind one mantis and half a croton seed (Badou, 巴豆) together and apply to the wound. Endure slight itching. When intense itching occurs, extract the arrow. Wash with Huang Lian Guan Zhong Tang (Coptis Decoction for General Poison) and apply Sepiae Endoconcha Powder (Haipiaoxiao, 海螵蛸). Alternatively, apply Huarui Shi San around the wound.
Fifth, poison arrows are most dangerous in two types. In the Jiaoguang region, barbarians use copper arrowheads. Upon skin penetration,闷 (stifling sensation) and boiling pus appear due to toxicity. Another type uses Aconitum Kusnezoffii Root (Caowu, 草乌) paste on arrowheads, named "She Gang". Contact with blood causes fatal throat sealing. Urgently drink one bowl of Indigofera Tinctoria Leaf (Lan Dian, 蓝靛) juice and apply externally. If unavailable, drink juice soaked from blue cloth. Another method uses Black Soybean (Heidoudou, 黑大豆), pig blood, and sheep blood, taken internally and applied externally for detoxification.
Sixth, for abdominal ruptures with evisceration, if only half the intestine is exposed, it is treatable. First, wash the intestine with thick decoction from cooked barley using warm water. Cover with mulberry root bark tips. Suture the internal muscle of the abdominal wound tightly using human hair, leaving the external skin intact. Sprinkle Cuohe San to promote tissue regeneration. Avoid shock or laughter post-suturing. Drink rice water sparingly, gradually increasing. After twenty days, resume thick congee for recovery.
Seventh, for severed ears or nose, place human hair in a Yangcheng jar, seal with salt mud, calcine, and grind to powder. While urgent, dip the severed part in the medicine and reattach to the original site, binding firmly with soft silk.
Eighth, for severed tendons, apply finely ground White Resin (Baijiaoxiang, 白胶香) or crush Inula Root (Xuanfu, 旋覆) roots, extract juice, align the tendon ends, and seal them. They will reconnect successfully.
Ninth, for severed penis with bleeding and pain, dry the severed part, grind to powder, and take one qian with wine.
Tenth, for severed fingers, apply true Santalum Album Powder (Suzmu, 苏木 - Note: Text says Suzmu which is usually Pterocarpus, but literal translation keeps name) to the wound, wrap with silkworm cocoons. The finger will reconnect in a few days.
Jin Chuang Bi Xiao San (Golden Wound Must-Efficacy Powder)
Dragon Bone (Longgu, 龙骨) [Preparation unspecified] Incense (Ruxiang, 乳香) [De-oiled] Myrrh (Moyao, 没药) [De-oiled] Flower Porphyry (Huarui Shi, 花蕊石) [Calcined red seven times, cooled on ground between calcinations] Moschus (Shexiang, 麝香) [3 fen]
Grind all into fine powder, store in a sealed porcelain bottle.
Huarui Shi San (Flower Porphyry Powder)
Flower Porphyry (Huarui Shi, 花蕊石) Sulfur (Liuhuang, 硫黄)
Place in a jar, seal with salt mud, calcine from Chen hour to You hour. Fire from below, cool overnight, remove next morning, grind fine, and store. Sprinkle powder on wounds (avoid iron tools when grinding Huarui Shi).
Shengjin San (Victory Gold Powder)
Notoginseng Root (Sanqi, 三七)
Grind into powder, mix with rice vinegar for application. Dry application for ulcers cures immediately.
Chehe San (Gathering Powder)
Aquilaria Lignum Resinatum (Xiangchen/Jiangxiang, 降香) Chinese Gall (Wubeizi, 五倍子) Processed Pine Resin (Songxiang, 松香) [Equal parts]
Grind into fine powder, store for use.