败蒲席(一握)三寸 久用炊单布一尺(烧灰) 绯帛如手大(烧灰) 乱发如鸡子大
(烧灰)
大
上七味,以童子小便,量多少煎,汤成纳酒一大盏,次下大黄,去滓,分温三服。先锉
败蒲
《金匮》败蒲煎,治马坠伤者。驰骋之时,阳鼓于上,卒然而坠,伤在于首,病头胀颈
粗,
败
瘀
伤
逐
王不留行十分(八月八日采) 蒴 细叶十分(七月七日采) 桑东南根白皮十分(三
月三
日采)
草十八
上九味,桑根皮以上三味,烧灰存性,勿令灰过,各别杵筛,合治之为散,服方寸匕。
小疮
金刃伤处,封固不密,中于风则仓卒无汁,中于水则出青黄汁,风则发痉,水则湿烂成疮。
王不留行疾行脉络之血,灌溉周身,不使其湍激于伤处,桑根皮泄肌肉之风水,蒴 叶
释名
燥刀
生肌
地榆八两(洗净,捣为细末) 绢一疋(小薄者)
上用清水洗净绢,糊以炭灰,淋清汁二斗,煮绢,候灰汁尽为度,绢已烂熟,擘得成片
段,
入
心
饭
而
绢能接肠补囊及一切脏腑伤残者,得乎桑之力也。以桑受日出之生气,又为箕星之精,
故称
金八
以桑线缝之,桑膏涂之,是亦取生气也。
败蒲席(一把,切成三寸长)、久用的炊单布一尺(烧成灰)、绯色丝绸如手掌大小(烧成灰)、乱发如鸡蛋大小(烧成灰)。
以上七味药,用童子尿(男孩的小便),根据病情轻重决定用量进行煎煮。汤剂煎成后,加入一大盏酒,接着放入大黄,滤去药渣,分三次温服。先切碎败蒲席。
《金匮要略》中的败蒲煎,用于治疗从马上摔落造成的损伤。在骑马驰骋时,阳气鼓动于上部,突然坠落,受伤部位多在头部,病症表现为头胀、颈部粗肿,此方旨在祛除瘀血。
王不留行十分(八月八日采集)、蒴藋细叶十分(七月七日采集)、桑树东南方向的根白皮十分(三月三日采集)、草十八(此处原文可能有缺漏或异文,依原文记录)。
以上九味药,将桑根皮等前三味药烧成灰但保留药性(存性),不要让灰烬过量,分别捣碎筛细,混合制成散剂,每次服用一方寸匕。
对于小伤口和金刃(金属利器)造成的创伤,如果包扎不严密,受到风邪侵袭就会突然无汁液渗出(指伤口干枯或痉挛),受到水湿侵袭就会流出青黄色的汁液;受风邪会导致痉挛,受水湿则导致溃烂成疮。
王不留行能加速脉络中血液的运行,灌溉全身,防止血液在伤处湍急淤积;桑根皮能排泄肌肉间的风湿邪气;蒴藋叶具有生肌功效。
用清水洗净绢,用炭灰浆糊处理,淋取二斗澄清的灰汁,煮绢,直到灰汁被完全吸收为止。此时绢已煮得烂熟,可以撕成片状段落,纳入心腹(意指内服或用于内脏修复,此处语境偏向外用缝合或内服补益,结合下文“接肠”多为外科用法,但古文常混用,此处直译:纳入/用于心脏腹部相关伤残)。
绢能够接续断裂的肠道、修补囊袋及一切脏腑的伤残,这是得益于桑树的效力。因为桑树承受日出时的生气,又是箕星(二十八宿之一)的精气所化,所以被称为……(原文此处似有残缺,意为取其生气)。
Bai Pu Xi (Decayed Cattail Mat, one handful, cut into three-cun pieces), Jiu Yong Chui Dan Bu (Old Cooking Cloth, one chi, burned to ash), Fei Bo (Crimson Silk, palm-sized, burned to ash), Luan Fa (Tangled Hair, egg-sized, burned to ash).
The above seven ingredients are decocted with Tong Zi Xiao Bian (Child's Urine), the quantity of which is adjusted according to the severity of the condition. Once the decoction is ready, add one large cup of wine, then add Da Huang (Rhubarb Rhizome and Stem). Strain out the dregs, and divide into three warm doses. First, chop the Bai Pu Xi finely.
Bai Pu Jian (Decayed Cattail Mat Decoction) from *Jin Gui Yao Lue* treats injuries caused by falling from a horse. During galloping, Yang Qi surges upward; a sudden fall causes injury primarily to the head, presenting with symptoms such as head distension and neck swelling. This formula aims to expel blood stasis.
Wang Bu Liu Xing (Vaccariae Semen, ten parts, collected on the 8th day of the 8th lunar month), Shuo Di Xi Ye (Dioscoreae Hypoglaucae Folium, ten parts, collected on the 7th day of the 7th lunar month), Sang Gen Pi (Mori Cortex, specifically the white bark from the southeast root, ten parts, collected on the 3rd day of the 3rd lunar month), Cao (Grass, eighteen parts - *note: original text likely incomplete or variant*).
For the above nine ingredients, burn the first three (including Sang Gen Pi) to ash while preserving their medicinal properties (Cun Xing), ensuring they do not become excessive ash. Pound and sieve each separately, then mix to form a powder. Take one Fang Cun Bi (a traditional measuring spoon for powder) per dose.
For minor wounds or injuries caused by metal blades, if bandaging is not tight, exposure to Wind pathogen may cause sudden lack of exudate or spasms; exposure to Water/Dampness may result in the discharge of greenish-yellow fluid. Wind invasion leads to spasms (Jing Zheng), while Water/Dampness invasion leads to ulceration.
Wang Bu Liu Xing promotes the rapid flow of blood in the meridians, irrigating the whole body and preventing turbulent stagnation at the injury site. Sang Gen Pi (Mori Cortex) drains wind-dampness from the muscles. Shuo Di leaves promote tissue regeneration (Sheng Ji).
Di Yu (Sanguisorbae Radix, eight liang, washed and pounded into fine powder), Juan (Silk Fabric, one pi, thin quality).
Wash the silk fabric thoroughly with clean water, treat with charcoal ash paste, and leach two dou of clear ash juice. Boil the silk until the ash juice is fully absorbed. The silk should be boiled until soft and rotten, allowing it to be torn into sheet-like segments. [Used for] repairing intestines, bladders, and all visceral injuries.
The silk's ability to reconnect intestines and repair viscera derives its efficacy from the Mulberry tree. Because the mulberry absorbs the vital energy (Sheng Qi) of the rising sun and is considered the essence of the Ji Star (one of the Twenty-Eight Mansions), it is thus termed... [text fragment].
Suture the wound with threads made from mulberry branches and apply mulberry paste. This also utilizes the principle of absorbing vital energy.