气喉管断即死不治(故左手割颈者,不治);食管断者
可治,项门既破骨未入肉可治∶食饱受伤及跌三日不死,可
治,心胸紧痛,青色未裹心,乃偏心受伤,可治;项门既破
骨陷入即死,不治;耳后受伤则医,耳珠下受伤不治;心胸
紧痛,红色既裹心头,乃心口受伤,不治,男子两乳受伤,
可治;妇人两乳受伤不治;正腰受伤自笑者立死,不治;小
肚受伤重者,又吐粪者,不治;气出不收,两眼睁开,不治;
小腹受伤,未伤膜,可治;孕妇小腹受伤犯胎,不治;孕妇
尾结骨受伤,虽粪可治;受伤口出气、眼不闭者,难治;肾
子受伤入小腹者立死,不治∶肾子受伤未入小腹者,可治;
口如鱼口缠风,不治;囟门出髓者即死,不治;心口俱是青
色,七日内死,不治,两乳受伤,宜当急救,可治;两胁受
伤,怕血入五脏,难治;小肠有伤,不分阴阳,难治;顶门
有伤难医,急救可治;两腿受伤虽然无碍,后必有损,宜当
细心调治无损,两手有伤;可治。两脚受伤,用心调治,免
后来成损。以上各条伤之轻重生死,亦在人活变看验。
一、煎药水;二、相度损处,三、拔伸,四、用力取大
骨(即老鼠子);五、察症,六、用神圣散∶七、瞑口白金
散;八、夹缚;九、服乳香寻痛散,十、用水洗辛香散,十
一、再用神圣散,十二、再用白金散;十三、再夹缚。
气喉管断裂就会立即死亡,无法救治(因此从左侧割断颈部的情况,属于不治之症);食管断裂是可以治疗的,如果颈部伤口破裂但骨头没有嵌入肉中,也可以治疗;吃饱饭后受伤,或者跌倒后三天没有死亡,可以治疗;如果心胸部位紧缩疼痛,且青色瘀血尚未包裹心脏,说明是偏心部位受伤,可以治疗;如果颈部伤口破裂,骨头陷入体内,就会立即死亡,无法救治;耳后受伤可以进行医治,耳垂下方受伤则无法救治;如果心胸紧缩疼痛,且红色瘀血已经包裹住心口,说明是心口正中受伤,无法救治;男子双侧乳房受伤,可以治疗;女子双侧乳房受伤,无法救治;腰部正中受伤且患者出现自笑症状的,会立即死亡,无法救治;小腹部受伤严重的,又呕吐粪便的,无法救治;气息外泄无法收敛,双眼睁开不闭合的,无法救治;小腹部受伤,但未伤及腹膜的,可以治疗;孕妇小腹部受伤导致伤及胎儿的,无法救治;孕妇尾椎骨受伤,即使排出粪便也是可以治疗的;受伤后口中出气、眼睛不闭合的,难以救治;睾丸受伤并进入小腹的,会立即死亡,无法救治;睾丸受伤但未进入小腹的,可以治疗;口部裂开像鱼嘴一样伴有风邪侵入的,无法救治;囟门流出脑髓的,立即死亡,无法救治;心口部位全是青色瘀血,七日内必死,无法救治;双侧乳房受伤,应当紧急急救,可以治疗;双侧胁肋受伤,担心血液流入五脏,难以救治;小肠有损伤,无论阴阳属性如何,都难以救治;头顶部位有伤难以医治,若进行急救则可以治疗;双腿受伤虽然当时看似无碍,但日后必定会有损害,应当细心调理治疗以避免留下后遗症;双手有伤,可以治疗。双脚受伤,用心调理治疗,以免日后形成损伤。以上各条关于伤势轻重、生死预后的判断,也在于医生灵活变通地观察验证。
一、煎煮药水;二、诊察评估损伤部位;三、拔伸牵引;四、用力取出大骨(即脱出的股骨头或关节头,俗称“老鼠子”);五、观察症状;六、使用神圣散;七、敷用瞑口白金散;八、夹板固定包扎;九、服用乳香寻痛散;十、用水清洗辛香散;十一、再次使用神圣散;十二、再次使用白金散;十三、再次进行夹板固定包扎。
Rupture of the Qi throat tube leads to immediate death and is incurable (therefore, a left-sided neck cut is considered incurable); rupture of the esophagus is treatable; if the neck wound is broken but the bone has not penetrated into the flesh, it is treatable. Injury after a full meal, or survival for three days after a fall, indicates the condition is treatable. Tight pain in the chest and heart area, where the cyanotic discoloration has not yet enveloped the heart, indicates an eccentric injury and is treatable. If the neck wound is broken and the bone has sunk into the tissue, death is immediate and incurable. Injury behind the ear is treatable; injury below the earlobe is incurable. Tight pain in the chest and heart area, where the red discoloration has already enveloped the heart center, indicates a central heart injury and is incurable. Injury to both breasts in men is treatable; injury to both breasts in women is incurable. Injury to the exact center of the waist accompanied by spontaneous smiling leads to immediate death and is incurable. Severe injury to the lower abdomen accompanied by vomiting feces is incurable. Uncontrolled expulsion of Qi with eyes open and unblinking is incurable. Injury to the lower abdomen without damage to the peritoneum is treatable. Pregnancy injury to the lower abdomen affecting the fetus is incurable. Injury to the coccyx in a pregnant woman is treatable even if feces are expelled. Injury resulting in exhalation from the mouth and unblinking eyes is difficult to treat. Injury to the testicles that causes them to retract into the lower abdomen leads to immediate death and is incurable; injury to the testicles that does not cause retraction into the lower abdomen is treatable. A mouth opening like a fish's mouth accompanied by wind invasion is incurable. Marrow flowing from the fontanelle leads to immediate death and is incurable. Cyanosis covering the entire heart region indicates death within seven days and is incurable. Injury to both breasts requires emergency treatment and is treatable. Injury to both hypochondriac regions is difficult to treat due to the risk of blood entering the five zang organs. Injury to the small intestine is difficult to treat regardless of yin or yang differentiation. Injury to the vertex (top of the head) is difficult to heal, but emergency treatment can make it treatable. Injury to both legs may seem harmless initially but will inevitably cause future damage; careful regulation and treatment are required to prevent sequelae. Injury to both hands is treatable. Injury to both feet requires attentive treatment to prevent later complications. The assessment of severity and prognosis for the above injuries depends on the physician's flexible observation and verification.
1. Decocting medicinal water; 2. Assessing the injured area; 3. Traction (pulling and extending); 4. Manually reducing the large bone (referring to the femoral head or joint head, colloquially "mouse ball"); 5. Observing symptoms; 6. Applying Shensheng San (Divine Holy Powder); 7. Applying Mingkou Baitjin San (Platinum Powder for Closing the Mouth); 8. Splinting and binding; 9. Administering Rushiang Xuntong San (Frankincense Pain-Seeking Powder); 10. Washing with Shuixinxiang San (Water Fragrant Powder); 11. Reapplying Shensheng San; 12. Reapplying Baitjin San; 13. Re-splinting and binding.