玉堂在口内上 ,一名上含,其窍即颃
颡也。若被触刺伤于左右者,惟肿痛而已;若触伤正中之孔,则上通于 ,必伤鼻孔之卷肉(俗名鼻须),或再犯
空窍(俗名玉堂),则血流不止,以致鼻目皆肿,满面青紫,神倦头晕,四肢无力,痛连脑髓;若伤及会厌与上
横骨,轻者易愈,重者即不能言∶若痛连心膈,则昏迷沉重。急用腻粉冰片敷于纸上,贴肉破处,以止其血;内
服正骨紫金丹,以散瘀定痛,理气健脾,宁神定志;复用蟹黄血竭煎汤,日漱口二三十次,如气不舒和,饮食
少进,日以柿霜、玉露霜、牛奶皮、奶饼、奶酥油、并炒糜子面诸物,以凉润将息之则愈。
地阁骨,即两牙车相交之骨,又名颏,俗名下巴骨,上载齿牙。打仆损伤者,腮唇肿痛,牙车振动虚浮,
饮食不进,目闭神昏,心热神乱,气弱体软。用布兜裹系缚顶上,内服大神效活络丹消瘀散,止痛和血,理气健
脾;再噙化人参紫金丹,搽固齿散,口漱荜茇散,以去牙根肿痛,外贴万灵膏。忌风寒冷物,戒气恼。
大神效活络丹 此丹宣畅气血,通利经络,并风湿诸痹,口眼 斜,半身不遂,行步艰难,筋骨拘挛,
手足疼痛等证。
白花蛇(酒浸,焙) 乌梢蛇(酒浸,焙) 麻黄(去节) 防风 炙草 官桂 草豆蔻 羌活 元参
天麻 藿香 何首乌 白芷 川连黄(各二两) 黄 熟地黄 川大黄 辽细辛 赤芍药 朱砂(水飞)
没药(去油) 乳香(去油) 直僵蚕(去黑嘴,炒) 天竺黄 败龟板(酥炙) 丁香 虎胫骨(酥炙)
乌药 青皮 黑附子 白蔻仁(炒) 骨碎补 白茯苓 于白术(土炒) 当归(酒洗) 沉香(各一两)
全蝎(去毒) 葛根 威灵仙(酒浸,各二两五钱) 瓜儿血竭 犀角(各七钱五分) 麝香(五钱) 地龙
(去土,五钱) 净松香(五钱) 两头尖 川芎(各二两) 京牛黄(二钱五分) 片脑(二钱五分)
共为红末,炼蜜为丸,金铂为衣。每丸
重一钱,以蜡皮封裹,温酒送,随病上下,食前后服。
人参紫金丹(见山角骨伤)
固齿散(见齿伤)
荜茇散(见两颧伤)
万灵膏(见巅顶伤)
玉堂骨位于口腔内部上方,又名上含骨,其孔窍即通于鼻咽部(颃颡)。如果左右两侧受到触碰或刺伤,只会引起肿胀和疼痛;如果正中孔窍被触伤,则向上连通至鼻咽部,必定会伤及鼻孔内的卷曲肉质部分(俗称鼻须),或者再次伤及空窍(俗称玉堂),导致血流不止,进而使鼻子和眼睛都肿胀,满面青紫,精神疲倦头晕,四肢无力,疼痛牵连脑髓;如果伤及会厌和上部横骨,轻者容易痊愈,重者则无法说话;如果疼痛连心膈部位,则会出现昏迷且病情沉重。紧急时用腻粉和冰片敷在纸上,贴在皮肤破损处,以止血;内服正骨紫金丹,以消散瘀血、定痛,调理气机、健脾,安神定志;再用蟹黄、血竭煎汤,每天漱口二三十次,如果气机不舒畅,饮食摄入减少,每天用柿霜、玉露霜、牛奶皮、奶饼、奶酥油以及炒糜子面等物品,以清凉滋润的方式调养即可痊愈。
地阁骨,即两侧牙车骨相交的骨头,又名颏骨,俗称下巴骨,上面承载牙齿。被打扑损伤后,腮部和嘴唇肿痛,牙车骨振动虚浮,无法进食,眼睛闭合神志昏沉,心中烦热神志错乱,气弱身体软弱。用布兜裹住并系缚在头顶,内服大神效活络丹以消散瘀血、止痛和血,调理气机、健脾;再含化人参紫金丹,外搽固齿散,口漱荜茇散,以去除牙根肿痛,外部贴万灵膏。忌风寒冷物,戒除生气恼怒。
大神效活络丹:此丹药能宣畅气血,通利经络,治疗风湿等各种痹证,口眼歪斜,半身不遂,行走困难,筋骨拘挛,手足疼痛等症状。
白花蛇(酒浸,焙干) 乌梢蛇(酒浸,焙干) 麻黄(去节) 防风 炙甘草 官桂 草豆蔻 羌活 玄参 天麻 藿香 何首乌 白芷 川黄连(各二两) 黄芪 熟地黄 川大黄 辽细辛 赤芍药 朱砂(水飞) 没药(去油) 乳香(去油) 直僵蚕(去黑嘴,炒) 天竺黄 败龟板(酥炙) 丁香 虎胫骨(酥炙) 乌药 青皮 黑附子 白蔻仁(炒) 骨碎补 白茯苓 于白术(土炒) 当归(酒洗) 沉香(各一两) 全蝎(去毒) 葛根 威灵仙(酒浸,各二两五钱) 瓜儿血竭 犀角(各七钱五分) 麝香(五钱) 地龙(去土,五钱) 净松香(五钱) 两头尖 川芎(各二两) 京牛黄(二钱五分) 片脑(二钱五分)
共研为细末,炼蜜为丸,金箔为衣。每丸重一钱,用蜡皮封裹,温酒送服,根据病位上下,饭前或饭后服用。
人参紫金丹(见山角骨伤章节)
固齿散(见齿伤章节)
荜茇散(见两颧伤章节)
万灵膏(见巅顶伤章节)
The Yutang bone (Jade Hall Bone) is located in the upper part of the oral cavity, also known as Shanghan bone (Upper Containment Bone). Its orifice connects to the nasopharynx (Hangsang). If injured by touch or puncture on the left or right sides, only swelling and pain will occur; if the central orifice is injured, it connects upward to the nasopharynx, inevitably damaging the curled fleshy tissue inside the nostrils (commonly known as nasal whiskers), or further injuring the hollow cavity (commonly known as Yutang), leading to unceasing bleeding. This results in swelling of both nose and eyes, a face turning dark purple, mental fatigue and dizziness, weakness in the four limbs, pain radiating to the brain marrow; if the epiglottis and the upper transverse bone are injured, mild cases heal easily, while severe cases result in aphonia; if pain extends to the heart diaphragm, coma and critical condition ensue. Urgently apply Nifen (Calomel) and Bingpian (Borneol) spread on paper to the broken skin to stop bleeding; internally administer Zhenggu Zijin Dan (Orthopedic Purple Gold Pill) to dissipate blood stasis, relieve pain, regulate Qi, strengthen the Spleen, and calm the Spirit; additionally, rinse the mouth with decoction made from Xiehuang (Crab Yellow) and Xuexie (Dragon's Blood) twenty to thirty times daily. If Qi stagnation occurs and food intake decreases, nourish with cooling and moistening substances such as Shishuang (Persimmon Frost), Yulu Shuang (Jade Dew Frost), Milk Skin, Milk Cakes, Butter Oil, and fried Millet Flour daily until recovery.
The Dige bone (Chin Bone) is the bone where the two Jiache bones (Mandibular joints) intersect, also known as Ke bone, commonly called the chin bone, which supports the teeth above. After contusion or fall injury, the cheeks and lips swell and hurt, the Jiache bones feel loose and vibrating, eating becomes difficult, eyes close with unconsciousness, heart heat causes mental confusion, Qi deficiency leads to physical weakness. Bind the head with cloth bandages for support; internally administer Dashen Xiao Huo Luo Dan (Great Efficacy Meridian-Activating Pill) to eliminate blood stasis, relieve pain, harmonize blood, regulate Qi, and strengthen the Spleen; then hold Ren Shen Zi Jin Dan (Ginseng Purple Gold Pill) in the mouth to dissolve, apply Guchi San (Teeth-Fortifying Powder) externally, rinse the mouth with Bibai San (Long Pepper Powder) to remove root swelling and pain, and externally apply Wanling Gao (Ten Thousand Spirits Plaster). Avoid wind and cold foods, and refrain from anger and frustration.
Dashen Xiao Huo Luo Dan: This pill promotes the flow of Qi and Blood, unblocks meridians, and treats various Bi syndromes caused by Wind-Dampness, facial paralysis (deviation of mouth and eyes), hemiplegia, difficulty walking, tendon contraction, and pain in limbs.
Baihua She (Bungarus multicinctus, soaked in wine, roasted) Wushao She (Zaocys dhumnades, soaked in wine, roasted) Mahuang (Ephedrae Herba, nodes removed) Fangfeng (Saposhnikoviae Radix) Zhigancao (Prepared Glycyrrhizae Radix et Rhizoma) Guigui (Cinnamomi Cortex) Caodoukou (Cardamomi Fructus) Qianghuo (Notopterygii Rhizoma et Radix) Yuanshen (Scrophulariae Radix) Tianma (Gastrodiae Rhizoma) Huoxiang (Pogostemonis Herba) Heshouwu (Polygoni Multiflori Radix) Baizhi (Angelicae Dahuricae Radix) Chuanlianhuang (Coptidis Rhizoma, each 2 liang) Huangqi (Astragali Radix) Shudihuang (Rehmanniae Radix Praeparata) Chuandahuang (Rhei Radix et Rhizoma) Liaoxxixin (Asari Radix et Rhizoma) Chishaoyao (Paeoniae Radix Rubra) Zhusha (Cinnabar, water-ground) Moyao (Myrrha Resina, oil removed) Ruxiang (Olibanum Resina, oil removed) Zhijiangcan (Bombyx Batryticatus, black mouth removed, roasted) Tianzhuhuang (Calami Turion) Baiguiban (Testudinis Carapax et Plastrum, fried with butter) Dingxiang (Caryophylli Flos) Hujinggu (Pantheris Os, fried with butter) Wuyao (Linderae Radix) Qingpi (Citri Reticulatae Pericarpium Viride) Heifuzi (Aconiti Lateralis Radix Praeparata) Baokourén (Amomi Fructus Rotundus, fried) Gusuibu (Drynariae Rhizoma) BaiFuling (Poria, each 1 liang) Yubaizhu (Atractylodis Macrocephalae Rhizoma, soil-fried) Danggui (Angelicae Sinensis Radix, wine-washed) Chenxiang (Aquilariae Lignum Resinatum, each 1 liang) Quanxie (Scorpio, detoxified) Gegen (Puerariae Lobatae Radix) Weilingxian (Salviae Miltiorrhizae Radix et Rhizoma / Saposhnikoviae Radix - Note: Context implies Saposhnikoviae or similar, but standard is Salvia/Saposhnikovia mix often, here listed separately so likely Saposhnikoviae or specific local variant, WHO term for Weilingxian is usually Saposhnikoviae Radix or Salviae Miltiorrhizae depending on species, assuming Saposhnikoviae based on formula context or generic "Spiritual Agility Immigrant", strictly WHO: Saposhnikoviae Radix), Gu'er Xuexie (Dracaenae Sangue, each 2.5 liang) Xijiao (Rhinocerotis Cornu, each 7.5 qian) Shexiang (Moschus, 5 qian) Dilong (Pheretima, earth removed, 5 qian) Jingsongxiang (Pinicola Resina, 5 qian) Liangtoujian (Gentianae Macrophyllae Radix / Swertiae Milesii Rhizoma et Radix - Commonly Gentianae Macrophyllae) Chuanxiong (Ligustici Chuanxiong Rhizoma, each 2 liang) Jing Niuhuang (Bovis Calculus, 2.5 qian) Piannao (Borneolum Syntheticum / Borneol, 2.5 qian)
Grind all into fine red powder, form pills with refined honey, coat with gold foil. Each pill weighs 1 qian, sealed in wax skin, taken with warm wine according to the location of the disease, before or after meals.
Ren Shen Zi Jin Dan (See Shan Jiao Gu Shang chapter)
Guchi San (See Chi Shang chapter)
Bibai San (See Liang Quan Shang chapter)
Wanling Gao (See Dian Ding Shang chapter)