鸡鸣散（《三因》）。金刃伤、打扑伤、血瘀凝积、烦闷欲死。
大黄（酒蒸，五钱） 当归尾（三钱） 桃仁（十四粒，研）
上作一贴，酒煎，鸡鸣时服，次日下瘀血即愈。治折伤亦妙。
朱丹溪曰∶破伤风证多死，最急证也。始因出血过多，或风从疮口而入，或疮早
闭合，瘀血停滞于内，血受病而属阴，始虽在表，随易传脏，故此风所伤，必多难
治。其证身热自汗，口噤搐搦，势急非常药可治，非全蝎不开，兼以防风风药。
冯鲁瞻曰∶凡破伤风邪，初受在表者，宜用发散，同伤寒表证治法。
又曰∶破伤风四恶证不治∶一面目青黑，二额上汗珠不流，三眼小目瞪，四身汗如油。（《锦囊》）
陈实功曰∶破伤风因皮肉损伤，复被外风袭入经络，渐传入里，其患寒热交作，
口噤切牙，角弓反张，口吐涎沫，入阴则身凉自汗，伤处反为平陷如故，其毒内收
矣。当用万灵丹发汗，令风邪反出，再以玉真散患上贴之，得脓则吉；如汗出前证
不退者死。（《正宗》）
凡小儿或男妇头颅、额鬓生疖，破后因其轻而忽之，不肯贴膏药，每致外风水
露侵入，头面发肿，如破伤风候。当用荆、防、白芷、僵蚕、蝉蜕内服取汗，外用红升丹提之，膏盖自安。
《回春》云∶凡斗殴被打成破伤风，头面肿大发热，以九味羌活汤热服取汗，外
用杏仁捣烂入白面少许，新汲水调敷疮上，肿即消。
陈实功曰∶破伤风证，如汗出后口噤
不开，语声不出，诸证不退，伤处不高，渐醒渐昏，时发时止死。（《正宗》）
鸡鸣散（出自《三因极一病证方论》）。用于治疗金刃所伤、跌打损伤导致的血瘀凝积，以及由此引起的烦闷欲死之症。
大黄（用酒蒸制，五钱） 当归尾（三钱） 桃仁（十四粒，研碎）
以上药材为一贴的用量，用酒煎煮，在鸡鸣时分服用，次日排出瘀血后即可痊愈。治疗骨折外伤也极为有效。
朱丹溪说：破伤风证大多致死，是最危急的病证。起初是因为出血过多，或者风邪从疮口侵入，或者伤口过早闭合，导致瘀血停滞在体内。血液受病属于阴，虽然起初病邪在表，但随后容易传入脏腑，因此被这种风邪所伤，大多难以治疗。其症状表现为身体发热、自汗，牙关紧闭、抽搐痉挛，病情急迫非常，普通药物难以治愈，必须使用全蝎来开窍息风，并配合防风等祛风药。
冯鲁瞻说：凡是破伤风邪气，初起在表证的，适宜使用发散法，按照伤寒表证的治疗方法处理。
又说：破伤风有四种恶证无法治愈：一是面目呈现青黑色，二是额头上的汗珠凝固不流，三是眼睛变小且直视不动，四是全身出汗如油。（出自《锦囊秘录》）
陈实功说：破伤风是因为皮肉受损后，再次被外风侵袭经络，逐渐传入体内。其病症表现为寒热交替发作，牙关紧闭、咬牙，角弓反张，口吐涎沫。如果病邪传入阴分，则身体发凉、自汗，受伤部位反而平坦凹陷如旧，说明毒邪已经内收了。此时应当使用万灵丹发汗，使风邪反向透出体表，再用玉真散敷在患处，如果能出脓则吉利；如果在发汗之后之前的症状仍不消退，则预后不良致死。（出自《外科正宗》）
凡是小儿或男女的头颅、额角鬓边生疖子，破溃后因伤势轻微而忽视，不肯贴膏药，往往导致外风水露侵入，引起头面部肿胀，症状类似破伤风。应当使用荆芥、防风、白芷、僵蚕、蝉蜕内服以取汗，外用红升丹提脓排毒，再覆盖膏药即可安宁。
《回春录》说：凡是斗殴被打成破伤风，头面肿大发热，可用九味羌活汤热服以取汗，外用杏仁捣烂加入少许白面，用新汲水调匀敷在疮上，肿胀即可消除。
陈实功说：破伤风证，如果在汗出之后牙关紧闭仍不能张开，声音发不出，各种症状不消退，受伤部位不高起，患者逐渐清醒又逐渐昏迷，症状时发时止，则预后不良致死。（出自《外科正宗》）
Jiming San (from *San Yin Fang*). Used for injuries caused by metal blades or blows, where blood stasis accumulates, leading to severe restlessness and a sensation of impending death.
Dahuang (Rhubarb Radix et Rhizoma, steamed with wine, 5 qian) Dangguiwei (Angelicae Sinensis Radix Caudex, 3 qian) Taoren (Persicae Semen, 14 grains, ground)
Prepare as one dose. Decoct with wine and administer at the time of cockcrow. The patient will recover after passing bloody stool the next day. It is also excellent for treating fractures and traumatic injuries.
Zhu Danxi stated: Traumatic tetanus (Poshang Feng) often results in death and is the most acute condition. Initially, it arises from excessive bleeding, wind pathogen entering through the wound, or premature closure of the wound causing blood stasis to stagnate internally. Blood pathology belongs to Yin; although initially located in the exterior, it easily transmits to the Zang organs. Therefore, injuries caused by this wind pathogen are difficult to treat. Symptoms include fever, spontaneous sweating, trismus (lockjaw), and convulsions. The condition is extremely urgent and cannot be treated with ordinary medicines; it requires Quanxie (Scorpio) to open orifices and extinguish wind, combined with Fangfeng (Saposhnikoviae Radix) and other wind-dispelling herbs.
Feng Luzhan stated: For traumatic tetanus where the pathogenic factor is initially in the exterior, dispersing methods should be used, following the treatment principles for exterior syndromes in Cold Damage (Shanghan).
He further stated: There are four ominous signs in traumatic tetanus that indicate untreatability: first, the face and eyes appear dark blue/black; second, sweat beads on the forehead do not flow; third, the eyes become small and fixed/staring; fourth, the body sweats profusely like oil. (From *Jinang*)
Chen Shigong stated: Traumatic tetanus occurs when skin and flesh are damaged and subsequently invaded by external wind pathogens entering the meridians, gradually transmitting inward. Symptoms include alternating chills and fever, trismus, teeth grinding, opisthotonos (arched back), and foaming at the mouth. If the pathogen enters the Yin level, the body becomes cool with spontaneous sweating, and the injury site becomes flat and sunken as before, indicating that the toxin has retreated inward. One should use Wanling Dan to induce sweating, allowing the wind pathogen to exit outward, and then apply Yuzhen San to the affected area. Pus discharge indicates a favorable prognosis; if symptoms persist despite sweating, the outcome is fatal. (From *Waike Zhengzong*)
In cases where children or adults develop boils on the head, forehead, or temples, and after they rupture, the minor nature of the injury leads to neglect and refusal to apply plasters, external wind and water-dampness may invade. This causes swelling of the head and face, resembling traumatic tetanus. Internal administration of Jingjie, Fangfeng, Baizhi, Jiangcan, and Chantui to induce sweating is indicated. Externally, Hongshengdan should be used to draw out pus, covered with a plaster for recovery.
*Huichun Lu* states: For traumatic tetanus resulting from beatings, characterized by swollen and hot head and face, Jiwei Qianghuo Tang should be taken hot to induce sweating. Externally, grind Xingren (Apricot Seed) into a paste, mix with a little flour, and apply with fresh well-water to the wound; the swelling will subside.
Chen Shigong stated: In traumatic tetanus, if after sweating the trismus does not resolve, speech remains impossible, other symptoms persist, the injury site is not raised, the patient alternates between consciousness and coma, and symptoms come and go, the prognosis is fatal. (From *Waike Zhengzong*)