《巢氏病源》小儿金疮候∶小儿为金刃所伤,谓之金疮。若伤于经脉,则血出不止,乃至闷顿;若伤于诸
脏俞募,亦不可治。自余腹破肠出,头碎脑露,并亦难治。其伤于肌肉,浅则成疮,终不虑死,而金疮得风
则变痉。
《千金翼》疗金疮方。
上以锻石上血大效。若五月五日采蘩蒌、葛叶、鹿活草、槲叶、芍药、地黄叶、苍耳、青蒿叶、令捣锻石
为团如鸡卵,曝干末,以疗疮生肌,大神验。(鹿活草天名精也。)
《千金翼》桃仁汤 主金疮瘀血方。
桃仁(五十枚,去皮尖及双仁) 虻虫(去翅足,熬) 水蛭(熬。各三十枚) 大黄(五两) 桂心(半两)
上五味,切以水酒各五升,煮取二升,服一合,日三服,明日五更一服。
《千金翼》金疮内漏方。
上还自取疮中血,着 中水和,尽服愈。
《千金翼》金疮腹中有瘀血。二物汤方
大麻仁(三升) 葱白(二七茎)
上药使数人各捣令熟,着九升水中,煮取半,顿服之。若血去尽,腹中有脓血,更令服之,当吐脓血耳。
《千金翼》金疮内漏血不出方。
上以牡丹为散,服三指撮,五日尿出血。
《千金翼》金疮方。
上取马鞭草,捣筛薄疮一宿,都瘥。冬用干叶末。
《千金翼》治金疮出血,多虚竭。内补散方
苁蓉 芍药 当归 芎 干姜 人参 黄芩 浓朴(炙) 桑白皮 吴茱萸 黄 桂心 甘草(炙。各一两)
蜀椒(三分,去目及闭口者)
上十四味,捣筛为散,饮服方寸匕,日三。
《千金翼》治金疮烦满方。
上用赤小豆一升,以苦酒浸之,熬燥复渍之,满三度,色黑,治服方寸匕,日三。
《千金翼》治金疮苦不瘥方。
上用白杨木白皮,熬令燥,末服方寸匕,日三服。又以末敷疮中,即愈。
《千金翼》治金疮刺痛不可忍,百方不瘥方。
上以葱一把,水三升,煮数沸,渍疮即止。
《千金翼》治金疮烦痛,大便不利方。
大黄 黄芩(等分)
上二味,捣筛为末,炼蜜和丸。先食饮服,如梧子七丸,日三。
《千金翼》金疮方
上以桑白皮裹,令汁入疮中,或锻石封并妙。
《千金翼》凡金疮出血必渴,当忍啖燥食,不得饮粥及浆,犯即血出杀人。凡白血不止方。
上粉龙骨末于疮上,立止。
《千金翼》又方
上割取人见着鞋上有断乳十枚,布疮上立止。
《千金翼》又方
上末雄黄,敷疮,当沸汁出即瘥。
《千金翼》又方
上刮具子末,服一钱匕。
《千金翼》又方
上煮葛根食之,如食法,勿令多。
《千金翼》凡金疮深,不用早合方。
上若合则以滑石末,粉则不合。
《千金翼》金疮止血散方。
钓樟根(三两) 当归 芎 干地黄 续断(各一两) 鹿茸(半两,炙) 龙骨(二两)
上七味,捣筛为散以敷,血即止。酒服一钱匕,日五夜三。
《千金翼》金疮肠出令入方。
磁石(烧) 滑石(各三两)
上二味,捣细筛为散,白饮服方寸匕,日五夜二,三日当入。
《千金翼》治刀斧所伤,及冷疮、牛领马鞍疮方。
续断 松脂(各一两) 鹿角 牛骨(腐者) 乱发(烧。各二两)
上五味捣,筛细为散,以猪脂半斤,并松脂合煎令和,下铛于地上,搅令冷凝用之,疮有汁,散敷之。
《千金翼》金疮烦闷方。
白芷 芎 甘草(炙。各二两)
上三味,熬令变色,捣筛为散,水服方寸匕,日五夜二。
《千金翼》续断散 主金疮筋骨续绝方。
续断(三两半) 苁蓉(薄切,酒浸一首,令干) 芎 当归(各一两半) 细辛(半两) 附子(炮,去皮) 干
姜蜀椒(汗,去目闭口者) 桂心(各三分) 蛇衔草 干地黄(各二两) 芍药 人参 甘草(炙。各一两)
上十四味,捣筛为散,酒服方寸匕,日三夜一。(《千金》有地榆,《古今录验》又有杜蘅。)
《千金翼》泽兰散 主金疮内塞方。
泽兰 防风 蜀椒(去目闭口者,汗) 石膏 干姜 附子(炮去皮) 细辛 辛夷 芎 当归(各半两) 甘
草(一两,炙)
上十一味捣筛为散,酒服方寸匕,日三夜一。脓多倍甘草;渴加栝蒌半两;烦热加黄芩半两;腹满短气
加浓朴三分;疮中瘀血,更加辛夷半两。
《宝童方》治诸般伤损。
花蕊石(一斤) 硫黄(一两)
上件用瓷合盛,白芨粉水调固缝,然后以盐泥固济,火内烧一日一夜取,出火气,研细。用治疮,凡猫犬
所伤及有损,用掺之。
《吉氏家传》金铁伤血不止方。
锻石(一两) 鸡子(一个,打破和黄)
上二味拌和作饼子烧之令烟绝,再研细,每日掺之。
《巢氏病源》小儿金疮候:小儿被金属利器所伤,称为金疮。如果伤及经脉,则血液不止,甚至导致昏厥;如果伤及五脏六腑的俞穴和募穴,也难以治愈。其余如腹部破裂、肠子流出,头部破碎、脑浆外露,也都难以治疗。若仅伤及肌肉,伤口较浅则形成疮疡,通常不会致死,但金疮若受风邪侵袭则会转变为痉病(肌肉强直、抽搐)。
《千金翼方》治疗金疮的方剂。
以上方法使用锻石止血效果显著。如果在五月五日采集蘩蒌、葛叶、鹿活草、槲叶、芍药、地黄叶、苍耳、青蒿叶,将它们与锻石捣碎混合成如鸡蛋大小的团块,晒干后研成粉末,用于促进疮口生肌,非常灵验。(鹿活草即天名精。)
《千金翼方》桃仁汤,主治金疮瘀血。
桃仁(五十枚,去皮尖及双仁) 虻虫(去掉翅膀和足,炒制) 水蛭(炒制。各三十枚) 大黄(五两) 桂心(半两)
以上五味药,切碎,用水和酒各五升,煮取二升药液,每次服用一合,每日三次,第二天五更天再服一次。
《千金翼方》金疮内漏方。
以上方法让患者自行取出疮中的血,放入容器中加水调和,全部服下即可痊愈。
《千金翼方》金疮腹中有瘀血。二物汤方
大麻仁(三升) 葱白(十四茎)
以上药物让几个人分别捣烂,放入九升水中,煮至剩下一半水量,一次性服下。如果瘀血排尽,但腹中有脓血,再次让其服用,应当会吐出脓血。
《千金翼方》金疮内漏血不出方。
以上方法将牡丹制成散剂,服用三指撮的量,五天后尿液中会排出瘀血。
《千金翼方》金疮方。
以上方法取马鞭草,捣碎筛细,薄敷于疮口一夜,即可全愈。冬天使用干叶研成的粉末。
《千金翼方》治疗金疮出血过多导致虚竭的方剂。内补散方
肉苁蓉 芍药 当归 川芎 干姜 人参 黄芩 厚朴(炙) 桑白皮 吴茱萸 黄芪 桂心 甘草(炙。各一两)
蜀椒(三分,去掉椒目及闭口者)
以上十四味药,捣碎筛细成为散剂,用米饮送服一方寸匕,每日三次。
《千金翼方》治疗金疮烦闷胀满的方剂。
以上方法取赤小豆一升,用醋浸泡,炒干后再浸泡,重复三次,直到颜色变黑,研磨后服用一方寸匕,每日三次。
《千金翼方》治疗金疮痛苦难愈的方剂。
以上方法取白杨木的内皮,炒至干燥,研成粉末,服用一方寸匕,每日三次。又将粉末外敷于疮口中,即可痊愈。
《千金翼方》治疗金疮刺痛不可忍受,各种方法均无效的方剂。
以上方法取一把葱,三升水,煮沸数次,将疮口浸泡其中即可止痛。
《千金翼方》治疗金疮烦痛,大便不利的方剂。
大黄 黄芩(等分)
以上两味药,捣碎筛细成为粉末,用炼蜜调和做成丸药。饭前饮水送服,如梧桐子大小七丸,每日三次。
《千金翼方》金疮方
以上方法用桑白皮包裹,使汁液渗入疮口中,或者用锻石封贴都非常好。
《千金翼方》凡是金疮出血必然口渴,应当忍住吃干燥的食物,不得喝粥及甜浆饮料,触犯就会出血致死。凡是白血不止的方剂。
以上方法将龙骨粉撒在疮上,立即止血。
《千金翼方》又方
以上方法割取人常穿鞋上有断奶痕迹的十枚(注:此处原文“断乳”疑为衍文或特定部位指代,按字面翻译),布于疮上立即止血。
《千金翼方》又方
以上方法将雄黄研末,敷于疮上,当有沸出的液体流出时即可痊愈。
《千金翼方》又方
以上方法刮取器具上的粉末,服用一钱匕。
《千金翼方》又方
以上方法煮葛根食用,按照正常饮食方法,不要过量。
《千金翼方》凡是金疮深重,不宜过早闭合的方剂。
以上方法如果要闭合则用滑石末扑洒,如果不闭合则不用。
《千金翼方》金疮止血散方。
钓樟根(三两) 当归 川芎 干地黄 续断(各一两) 鹿茸(半两,炙) 龙骨(二两)
以上七味药,捣碎筛细成为散剂外敷,血即停止。用酒送服一钱匕,每日五次,夜间三次。
《千金翼方》金疮肠出令入方。
磁石(烧制) 滑石(各三两)
以上两味药,捣细筛细成为散剂,用白饮送服一方寸匕,每日五次,夜间二次,三天后肠子应当回纳。
《千金翼方》治疗刀斧所伤,以及冷疮、牛颈马鞍疮的方剂。
续断 松脂(各一两) 鹿角 牛骨(腐烂者) 乱发(烧制。各二两)
以上五味药捣碎,筛细成为散剂,用猪脂半斤,并加入松脂一起煎煮调和,将锅放在地上,搅拌使其冷却凝固后使用。疮口有渗出液时,用散剂敷之。
《千金翼方》金疮烦闷方。
白芷 川芎 甘草(炙。各二两)
以上三味药,炒至变色,捣碎筛细成为散剂,用水送服一方寸匕,每日五次,夜间二次。
《千金翼方》续断散,主治金疮筋骨断裂接续的方剂。
续断(三两半) 肉苁蓉(薄切,酒浸一头时间,令干) 川芎 当归(各一两半) 细辛(半两) 附子(炮制,去皮) 干姜 蜀椒(出汗,去目闭口者) 桂心(各三分) 蛇衔草 干地黄(各二两) 芍药 人参 甘草(炙。各一两)
以上十四味药,捣碎筛细成为散剂,用酒送服一方寸匕,每日三次,夜间一次。(《千金要方》中有地榆,《古今录验》中还有杜蘅。)
《千金翼方》泽兰散,主治金疮内部阻塞的方剂。
泽兰 防风 蜀椒(去目闭口者,出汗) 石膏 干姜 附子(炮制去皮) 细辛 辛夷 川芎 当归(各半两) 甘草(一两,炙)
以上十一味药捣碎筛细成为散剂,用酒送服一方寸匕,每日三次,夜间一次。脓多则加倍使用甘草;口渴加栝蒌半两;烦热加黄芩半两;腹满短气加厚朴三分;疮中瘀血,再加辛夷半两。
《宝童方》治疗各种损伤。
花蕊石(一斤) 硫黄(一两)
以上物品用瓷盒盛装,用白芨粉水调匀固缝,然后用盐泥密封加固,在火中烧一日一夜取出,退去火气,研细。用于治疗疮疡,凡是猫犬咬伤及有损伤处,用此药掺敷。
《吉氏家传》金铁伤血不止方。
锻石(一两) 鸡蛋(一个,打破调和)
以上两味药拌和做成饼状烧制,直到烟尽,再研细,每日掺敷于患处。
Chao Shi Bing Yuan (Source of Diseases by Chao Yuanfang), Pediatric Metal Wounds Section: When a child is injured by metal blades, it is called a "Jin Chuang" (Metal Wound). If the injury affects the meridians and collaterals, blood may flow incessantly, leading to fainting or stupor; if the vital acupoints (Shu points) and front-mu points of the zang-fu organs are damaged, it is also difficult to treat. Other conditions such as abdominal rupture with evisceration, shattered head with exposed brain matter, are also difficult to cure. Injuries limited to the muscles, being superficial, result in sores but are generally not fatal; however, if a Jin Chuang is exposed to wind pathogen, it may transform into Jing disease (spasm/convulsion).
Qianjin Yi Fang (Supplement to Essential Prescriptions Worth a Thousand Gold), Formulas for Treating Metal Wounds.
Using Duan Shi (Smelted Iron Ore Powder) to stop bleeding is highly effective. If collected on the fifth day of the fifth lunar month, Fructus Trichosanthis (Fanlou), Foliium Puerariae (Ge Ye), Herba Nikotianae (Luhuo Cao), Folium Quercus variabilis (Hu Ye), Radix Paeoniae Rubra (Shaoyao), Folium Rehmanniae (Dihuang Ye), Fructus Xanthii (Canger), and Herba Artemisiae Annuae (Qinghao) are pounded together with Duan Shi into balls the size of chicken eggs, dried in the sun, and powdered. Applied to promote tissue regeneration in sores, it is extremely efficacious. (Luhuo Cao refers to Herba Nikotianae.)
Qianjin Yi Fang, Tao Ren Tang (Peach Kernel Decoction), mainly for stasis blood due to metal wounds.
Tao Ren (Peach Kernel, 50 seeds, skin and tips removed, double kernels discarded) - Meng Chong (Blind Worm, wings and feet removed, stir-fried); Shui Zhi (Leech, stir-fried, 30 each); Da Huang (Rhubarb Root, 5 liang); Gui Xin (Cinnamon Twig Heart, 0.5 liang).
The above five ingredients are chopped, boiled in 5 sheng of water and 5 sheng of wine, reduced to 2 sheng. Take 1 ge per dose, three times daily. On the next day, take one dose at wugeng (3-5 AM).
Qianjin Yi Fang, Formula for Internal Leakage from Metal Wounds.
Have the patient collect their own blood from the wound, place it in a container, mix with water, and drink the entire mixture to achieve cure.
Qianjin Yi Fang, Er Wu Tang (Two-Ingredient Decoction) for Stasis Blood in the Abdomen from Metal Wounds.
Da Ma Ren (Hemp Seed, 3 sheng); Cong Bai (White Part of Scallion, 14 stalks).
The above herbs should be pounded thoroughly by several people, placed in 9 sheng of water, and boiled until half remains. Drink all at once. If the stasis blood is expelled but pus and blood remain in the abdomen, administer again; pus and blood should then be vomited out.
Qianjin Yi Fang, Formula for Metal Wounds with Internal Bleeding Not Exiting.
Prepare Mu Dan Pi (Moutan Cortex) as a powder. Take an amount held between three fingers. After five days, blood will appear in the urine.
Qianyin Yi Fang, Formula for Metal Wounds.
Take Ma Bian Cao (Calystegia hederacea or Verbena officinalis depending on interpretation, here likely Verbena/Ma Bian Cao), pound and sieve finely, apply thinly to the wound overnight for complete healing. In winter, use the powder of dried leaves.
Qianjin Yi Fang, Neibu San (Internal Tonifying Powder) for Metal Wounds Causing Hemorrhage and Exhaustion.
Cong Rong (Cistanche Stem), Shaoyao (Peony Root), Dang Gui (Angelica Sinensis Root), Xiong (Ligusticum Chuanxiong Rhizome), Gan Jiang (Dried Ginger), Ren Shen (Ginseng Root), Huang Qin (Scutellaria Root), Hou Po (Magnolia Bark, processed with bran), Sang Bai Pi (Mulberry Root Bark), Wu Zhu Yu (Evodia Fruit), Huang Qi (Astragalus Root), Gui Xin (Cinnamon Twig Heart), Gan Cao (Licorice Root, processed with honey, 1 liang each); Shu Jiao (Sichuan Pepper, 3 fen, remove seeds and closed-mouth peppers).
The above fourteen ingredients are pounded and sieved into a powder. Take one cun bi (square-inch measure) with rice water, three times daily.
Qianjin Yi Fang, Formula for Irritability and Fullness from Metal Wounds.
Take 1 sheng of Chi Xiao Dou (Adzuki Bean), soak in Ku Jiu (Vinegar), dry by roasting, then soak again. Repeat this process three times until the beans turn black. Grind and take one cun bi, three times daily.
Qianjin Yi Fang, Formula for Painful Non-healing Metal Wounds.
Take Bai Yang Mu Bai Pi (Inner Bark of White Poplar), roast until dry, powder, and take one cun bi, three times daily. Also, apply the powder topically to the wound for immediate healing.
Qianjin Yi Fang, Formula for Unbearable Stinging Pain in Metal Wounds Unresponsive to Various Treatments.
Take one bunch of scallions, boil in 3 sheng of water for several boils. Soak the wound in the liquid to stop pain.
Qianjin Yi Fang, Formula for Irritating Pain and Constipation from Metal Wounds.
Da Huang (Rhubarb Root), Huang Qin (Scutellaria Root) in equal parts.
Pound and sieve these two ingredients into powder. Mix with refined honey to make pills the size of wutong seeds. Take seven pills before meals with water, three times daily.
Qianjin Yi Fang, Formula for Metal Wounds.
Wrap the wound with Sang Bai Pi (Mulberry Root Bark) to allow its juice to enter the wound, or seal with Duan Shi (Smelted Iron Ore Powder); both methods are excellent.
Qianjin Yi Fang: Whenever there is hemorrhage from a metal wound, thirst inevitably occurs. One must endure eating dry food and avoid drinking porridge or sweet beverages; violating this rule causes fatal hemorrhage. For unstoppable white blood (clear fluid/blood):
Apply Long Gu (Fossilized Bone) powder to the wound to stop bleeding immediately.
Qianjin Yi Fang, Another Formula.
Cut ten pieces of leather from the sole of shoes worn by humans (specifically referring to areas affected by friction/calluses, interpreted literally as "broken milk" contextually ambiguous, kept literal), place on the wound to stop bleeding immediately.
Qianjin Yi Fang, Another Formula.
Powder Xiong Huang (Realgar) and apply to the wound. Healing occurs when boiling fluid exudes.
Qianjin Yi Fang, Another Formula.
Scrape powder from utensils/tools and take one qian bi (small coin measure).
Qianjin Yi Fang, Another Formula.
Boil Ge Gen (Kudzu Root) and eat it according to normal dietary methods, do not consume too much.
Qianjin Yi Fang: For deep metal wounds, early closure is contraindicated.
If closure is desired, sprinkle Hua Shi (Talcum Powder); if not closing, do not use.
Qianjin Yi Fang, Zhixue San (Hemostatic Powder) for Metal Wounds.
Diao Zhang Gen (Root of Toona sinensis or similar, 3 liang), Dang Gui (Angelica Sinensis Root), Xiong (Ligusticum Chuanxiong Rhizome), Gan Di Huang (Rehmannia Root, prepared), Xu Duan (Dipsacus Root), Lu Rong (Deer Antler, processed, 0.5 liang), Long Gu (Fossilized Bone, 2 liang).
The above seven ingredients are pounded and sieved into a powder for topical application to stop bleeding. Take one qian bi with wine, five times daily and three times at night.
Qianjin Yi Fang, Formula for Reducing Eviscerated Intestines from Metal Wounds.
Ci Shi (Magnetite, calcined), Hua Shi (Talcum Powder, 3 liang each).
Pound these two ingredients finely and sieve into powder. Take one cun bi with plain water, five times daily and twice at night. The intestines should return within three days.
Qianjin Yi Fang, Formula for Cuts/Axe Wounds, Cold Sores, and Saddle Sores on Cattle Necks.
Xu Duan (Dipsacus Root), Song Zhi (Pine Resin, 1 liang each), Lu Jiao (Deer Horn), Niu Gu (Cow Bone, rotted), Luan Fa (Tangled Hair, burned, 2 liang each).
Pound the five ingredients, sieve finely. Melt 0.5 jin of Zhu Zhi (Pork Fat) with Song Zhi (Pine Resin). Place the pot on the ground, stir until cool and solidified. Apply the powder to the wound if there is exudate.
Qianjin Yi Fang, Formula for Irritability and Distress from Metal Wounds.
Bai Zhi (Angelica Dahurica Root), Xiong (Ligusticum Chuanxiong Rhizome), Gan Cao (Licorice Root, processed, 2 liang each).
Roast until color changes, pound and sieve into powder. Take one cun bi with water, five times daily and twice at night.
Qianjin Yi Fang, Xuduan San (Teasel Powder), mainly for reconnecting severed bones and tendons from metal wounds.
Xu Duan (Dipsacus Root, 3.5 liang), Cong Rong (Cistanche Stem, sliced thin, soaked in wine until dry), Xiong (Ligusticum Chuanxiong Rhizome), Dang Gui (Angelica Sinensis Root, 1.5 liang each), Xi Xin (Asarum Root, 0.5 liang), Fu Zi (Aconite Root, processed, peeled), Gan Jiang (Dried Ginger), Shu Jiao (Sichuan Pepper, sweated, seeds and closed-mouth removed), Gui Xin (Cinnamon Twig Heart, 3 fen each), She Xian Cao (Ajuga Reptans Herb), Gan Di Huang (Rehmannia Root, prepared, 2 liang each), Shaoyao (Peony Root), Ren Shen (Ginseng Root), Gan Cao (Licorice Root, processed, 1 liang each).
The above fourteen ingredients are pounded and sieved into a powder. Take one cun bi with wine, three times daily and once at night. (Qianjin Yao Fang contains Di Yu; Gu Jin Lu Yan contains Du Heng.)
Qianjin Yi Fang, Zelan San (Lycopus Powder), mainly for internal obstruction from metal wounds.
Ze Lan (Lycopus Herb), Fang Feng (Saposhnikovia Root), Shu Jiao (Sichuan Pepper, sweated, seeds and closed-mouth removed), Shi Gao (Gypsum Fibrosum), Gan Jiang (Dried Ginger), Fu Zi (Aconite Root, processed, peeled), Xi Xin (Asarum Root), Xin Yi (Magnolia Flower), Xiong (Ligusticum Chuanxiong Rhizome), Dang Gui (Angelica Sinensis Root, 0.5 liang each), Gan Cao (Licorice Root, processed, 1 liang).
The above eleven ingredients are pounded and sieved into a powder. Take one cun bi with wine, three times daily and once at night. Double Gan Cao for excessive pus; add Gua Lou (Trichosanthes Fruit) 0.5 liang for thirst; add Huang Qin (Scutellaria Root) 0.5 liang for irritability and heat; add Hou Po (Magnolia Bark) 3 fen for abdominal fullness and shortness of breath; add Xin Yi (Magnolia Flower) 0.5 liang for stasis blood in the wound.
Bao Tong Fang, Formula for Various Injuries.
Hua Rui Shi (Flower Core Stone), Liu Huang (Sulfur, 1 liang).
Place the above items in a porcelain jar. Seal the seams with Bai Ji (Bletilla Striata) powder mixed with water, then reinforce with salt mud. Fire-bake for one day and one night. Remove, eliminate fire qi, and grind finely. Use for treating wounds, including cat/dog bites and other injuries, by sprinkling the powder.
Ji Shi Jia Chuan, Formula for Unstoppable Bleeding from Metal/Iron Injuries.
Duan Shi (Smelted Iron Ore Powder, 1 liang), Ji Zi (Chicken Egg, 1, broken and mixed).
Mix the two ingredients, form into cakes, burn until smoke ceases, grind finely again. Sprinkle on the wound daily.