炙乳香、炙没药、白芷、赤石脂、儿茶、龙骨、猫头骨、五倍子(各一钱) 共研细
末。
龙骨 乳香 没药 白芨 白蔹 文蛤 黄连 黄柏(各三钱) 麝香(少许) 人乳调
敷。先将麻药敷缺处一刻,再用竹片夹住两边缺弦。用快刀削去薄皮。将绣针二枚,上下合
正拴定,用线紧紧扎住。外敷药散。三、四日后,其肉生牢。去针,又用药掺针孔处,全愈
。若新打破者,不必用麻去皮,根据法敷药,即效。
夫刀伤虽易实难。筋断腹破,皮连骨削,刺入骨间,箭镞断在肉内。或破后伤风,如此
等症,最宜良手。皮开而长者,必用细针将两边新破皮慢慢扯合,以针拴好,内外搽药。不
可用膏药贴盖,恐败血成脓,肉烂难敛。如燥痛时,以猪油或麻油拭之。腹破肠出者,令平
卧避风处,先用油搽伤口四旁,缓缓将肠送入腹内,用药线将皮缝好,然后敷药。三日内不
可转侧,须待药气流通,不见疼痛方可。箭镞断骨肉间者,须用麻药服之,使不知痛,庶可
钳出。若小刺不出,以黑宝散敷之,即出。指节或骱骨被伤而偏者,或连皮屈折者,必要伤
时理正。若至溃,则不可整矣。敷贴扎缚,均须仔细,勿令粘连,至后成脓。老年虚弱羸瘦
,不忍痛苦者,须以救生为本,不必定施整理也。凡头上伤,或筋管穴通之处,血来必涌,
须预调备止血之药。打开看时,内有碎骨断发等类,必要尽行取出,速以药敷好。必用玉贞
散盖护,防其伤风。烂坏者,用收敛药,至肉满不得结痂。肌有小孔,流脓不合者,必有碎
骨,或芒刺断发之类,潜住新肉故也。必用乌金膏、三品锭插入,溃开好肉,细察取出,方
能收敛结痂。或生疔或内有脓窠者,亦用此法治之。刎断喉者,伤及内喉。饮食不可进,则难
治矣。先以血竭末散内喉四旁,勿令漏入喉管,以桑线缝合外皮,再用风流散,盖一层补血
膏贴之。四围周密,不可泄气。内服参竹饮,以接元气。并清气血之药,自然全愈。
炙乳香、炙没药、白芷、赤石脂、儿茶、龙骨、猫头骨、五倍子(各一钱) 共研细末。
将龙骨、乳香、没药、白芨、白蔹、文蛤、黄连、黄柏(各三钱),麝香(少许),用人乳调和后外敷。先将麻药敷在缺损处一刻钟,再用竹片夹住两边缺损的边缘。用快刀削去薄皮。将两枚绣针上下对齐固定拴好,用线紧紧扎住。外敷生肌散。三、四日后,肌肉生长牢固。去掉针,再将药物掺入针孔处,即可痊愈。如果是新近打破的伤口,不必使用麻药去皮,按照此法敷药,立即见效。
刀伤虽然看似容易处理,实则难以治愈。筋脉断裂腹部破损,皮肤相连但骨骼削裂,异物刺入骨间,箭头断在肉内。或者破伤后感染风邪,像这样的病症,最需要技艺高超的医生。皮肤裂开较长的,必须用细针将两边新裂开的皮肤慢慢拉扯合拢,用针拴好,内外涂抹药物。不可用膏药贴盖,恐怕败血化脓,肌肉腐烂难以收敛。如果感到干燥疼痛时,用猪油或麻油擦拭。腹部破损肠子流出的,让患者平卧在避风处,先用油涂抹伤口四周,缓缓将肠子送入腹内,用药线将皮肤缝合好,然后敷药。三天内不可翻身转动,须待药气流通,不见疼痛才可以。箭头断在骨肉间的,必须服用麻药,使患者不知疼痛,才能用钳子取出。如果是小刺取不出,用黑宝散外敷,刺即会出来。指节或关节受伤而偏斜的,或者连着皮肤屈折的,必须在受伤时理顺复位。如果等到溃烂,就无法整复了。敷贴包扎,都必须仔细,不要让它粘连,导致后来化脓。老年人身体虚弱消瘦,不忍受痛苦的,必须以救活生命为本,不一定非要施行整复手术。凡是头部的损伤,或者是筋管穴位相通的地方,出血必定汹涌,必须预先调配准备止血的药物。打开查看时,里面有碎骨断发等杂物,必须全部取出,迅速用药敷好。必须用玉贞散覆盖保护,防止感染风邪。腐烂坏死的,用收敛药物,直到肌肉长满不得结痂。肌肉有小孔,流脓不愈合的,必有碎骨,或者芒刺断发之类,潜伏在新肉中。必须用乌金膏、三品锭插入,溃开后露出好肉,仔细检查取出异物,方能收敛结痂。或者生疔疮或者内有脓窠的,也用此法治之。割断喉管的,伤及内喉。饮食无法进咽,就难治了。先用血竭粉末撒在内喉四周,不要让漏入喉管,用桑线缝合外皮,再用风流散,盖一层补血膏贴之。四周围严密,不可泄气。内服参竹饮,以接续元气。并服用清气血的药物,自然痊愈。
Roasted Frankincense (Zhi Ruxiang), Roasted Myrrh (Zhi Moyao), Angelica Dahurica (Baizhi), Red Halloysite (Chishizhi), Catechu (Ercha), Dragon Bone (Longgu), Cat Skull (Maotougu), and Chinese Gallnut (Wubeizi) (each one qian). Grind all into a fine powder together.
Dragon Bone, Frankincense, Myrrh, Bletilla Striata (Baiji), Ampelopsis Japonica (Bailian), Clam Shell (Wenhe), Coptis Chinensis (Huanglian), Phellodendron Amurense (Huangbai) (each three qian), and Musk (Shexiang) (a small amount). Mix with human milk for external application. First, apply an analgesic to the defect area for one quarter-hour. Then, use bamboo splints to clamp both sides of the defect edge. Use a sharp knife to shave off the thin skin. Fix two embroidery needles vertically aligned and tied securely, then bind tightly with thread. Apply Shengji San externally. After three or four days, the flesh will grow firmly. Remove the needles, sprinkle medicine into the needle holes, and it will heal completely. For fresh wounds, there is no need to use analgesics to remove skin; applying medicine according to this method will yield immediate results.
Knife wounds may appear easy but are actually difficult to treat. Tendon rupture with abdominal laceration, where skin remains connected but bone is fractured, foreign bodies penetrating the bone, or arrowheads broken within the flesh. Or wind-pathogen invasion after trauma. Such conditions require skilled practitioners. For long skin lacerations, use fine needles to slowly approximate the new edges of the torn skin, secure them with needles, and apply medicine internally and externally. Do not cover with plaster, lest stagnant blood turn to pus and rotting flesh fail to granulate. If dryness and pain occur, wipe with pig fat or sesame oil. For abdominal rupture with evisceration, have the patient lie flat in a draft-free place. First, apply oil around the wound margins, then gently push the intestines back into the abdomen. Suture the skin using medicinal thread, then apply dressing. For three days, do not turn or move; wait until the medicinal qi circulates and pain subsides. For arrowheads lodged in bone or flesh, administer analgesics to render the patient insensible to pain, so they can be extracted with forceps. If small splinters cannot be removed, apply Heibao San externally, and they will emerge. For injured finger joints or articular bones that are dislocated, or accompanied by skin flexion, realignment must be performed at the time of injury. If left until ulceration occurs, reduction is impossible. Dressings and bandaging must be meticulous to avoid adhesion and subsequent suppuration. For elderly patients who are weak and emaciated and cannot endure pain, saving life is paramount; reduction surgery is not mandatory. For head injuries, or injuries at points where tendons and vessels connect, bleeding will be profuse; prepare hemostatic medicines in advance. Upon inspection, if fragments of bone or hair are found inside, they must be completely removed, and the wound quickly dressed. Cover with Yuzhen San to protect against wind-pathogen. For necrotic tissue, use astringent medicines until the muscle fills the defect without forming a scab. If there are small pores in the muscle with persistent purulent discharge, it indicates retained foreign bodies such as bone fragments, thorns, or hair hidden in the new granulation tissue. Insert Wujin Gao or Sanpin Ding; upon ulceration exposing healthy tissue, carefully inspect and remove the foreign body to allow healing and scabbing. This method is also used for carbuncles or internal abscesses. For severed throat injuries involving the inner pharynx, where food and drink cannot be swallowed, treatment is difficult. First, sprinkle Xuejie powder around the inner pharynx, ensuring it does not enter the trachea. Suture the outer skin with mulberry thread, apply Fengliu San, and cover with a layer of Buxue Gao. Seal the surroundings tightly to prevent air leakage. Administer Shenzhu Yin internally to restore Yuan Qi. Also administer medicines to clear heat and regulate blood and qi; recovery will naturally follow.