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。
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,痊愈。若新打破者
,不必用麻药,去皮,根据法敷药即效。
夫刀伤虽易实难,筋断腹破,皮连骨削,刺入骨间箭簇,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,选用油搽伤口四旁,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。箭簇断骨肉间者,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。凡头上伤或筋管穴道之处,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,必用玉真散盖护,
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,缠住新肉故也,必用乌金膏、三品锭插入,溃开好肉,细察取出,方能收疔结痂。
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
以血竭末撒内喉四旁,勿令漏入管喉,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。
玉真散∶南星、白芷、防风、天麻、羌活、白附子各等分,为末,敷用护风,亦可调服
二钱。
风流散∶降香节四两,血竭二两五钱,苏木二两,乳香五钱,没药三钱,龙骨二钱,红
花一钱,桔梗少许,灯芯一把,哺成形鸡蛋十个(连毛醋煮,黄泥封固,文武火煨),各为
细
【补唇方法】取炙乳香、炙没药、白芷、赤石脂、儿茶、龙骨、猫头骨、五倍子各一钱,共同研磨成细末。
另取龙骨、乳香、没药、白芨、白蔹、文蛤、黄连、黄柏各三钱,加入少许麝香,用人乳调和后外敷。先将麻醉药物敷在缺损处一刻钟,再用竹片夹住缺损两侧的唇缘,用快刀削去薄皮,将两枚绣针上下对齐固定,用线紧紧扎住,外部敷上散剂药物,三四天后肌肉生长牢固,取出针,再用药粉掺入针孔处,即可痊愈。如果是新近打破的伤口,不必使用麻醉药,去除表皮,按照此法敷药即见效。
【破伤总论】刀伤虽然看似容易处理,实则难以治愈。若筋脉断裂、腹部破损,仅皮肤相连而骨骼受损,或箭头刺入骨间、断在肉内,或者破伤后感染风邪,这类病症最适合由技艺高超的医生处理。如果皮肤裂口较长,必须用细针将两侧新鲜的创缘慢慢拉合,用针拴好,内外涂抹药物,不可用膏药贴盖,恐怕瘀血化脓,导致肌肉腐烂难以收敛。如果感到干燥疼痛,可用猪油或麻油擦拭。若腹部破损、肠子脱出,令患者平卧于避风处,选用油脂涂抹伤口四周,缓缓将肠子送回腹腔,用药线缝合皮肤,然后敷药,三天内不可翻身转动,须待药气流通,不再感到疼痛才可以活动。如果箭头断在骨肉之间,必须服用麻醉药使患者不知疼痛,才能用钳子取出。如果是小刺拔不出,用黑宝散敷上即可排出。指节或关节受伤发生偏斜,或者连同皮肤屈折变形,必须在受伤时立即矫正,如果等到溃烂就无法整复了。敷贴和包扎都必须仔细,不要让组织粘连,以免日后化脓。对于年老体弱消瘦、不能忍受痛苦的人,必须以救活生命为本,不一定非要施行整形复位。凡是头部受伤或筋脉穴位之处,出血必定汹涌,必须预先准备好止血药物。打开查看时,如果有碎骨、断发等异物,必须全部取出,迅速敷药,必须用玉真散覆盖保护,防止感染风邪。腐烂坏死的部位用收敛药物。如果肉芽长满但不能结痂,肌肉有小孔流脓不愈合的,必定有碎骨、芒刺、断发之类异物缠住新肉,必须用乌金膏、三品锭插入,溃开好的肉,仔细检查取出异物,才能收口结痂。或者生疔疮、或者内有脓腔的,也用此法治疗。被割断喉咙的,伤及内部喉管,饮食无法进入,就难治了。先用血竭末撒在内喉周围,不要让它漏入气管,用桑皮线缝合外皮,再用风流散覆盖一层,贴上补血膏,四周围严密,不可漏气,内服参竹饮以接续元气,并服用调理气血的药物,自然能完全痊愈。
玉真散:天南星、白芷、防风、天麻、羌活、白附子各等分,研为细末,外敷以护风,也可以调服二钱。
风流散:降香节四两,血竭二两五钱,苏木二两,乳香五钱,没药三钱,龙骨二钱,红花一钱,桔梗少许,灯芯一把,孵出小鸡形状的鸡蛋十个(连毛用醋煮,黄泥封固,文武火煨),各自研为细末……
[Method for Reconstructing the Lip] Take one qian of calcined frankincense (Ruxiang), calcined myrrh (Moyao), angelica dahurica (Baizhi), red halloysite (Chishizhi), catechu (Ercha), dragon bone (Longgu), owl bone (Maotougu), and Chinese gall (Wubeizi). Grind them together into a fine powder.
Alternatively, take three qian each of dragon bone (Longgu), frankincense (Ruxiang), myrrh (Moyao), bletilla striata (Baiji), white clematis root (Bailian), clam shell (Wenge), coptis chinensis (Huanglian), and phellodendron bark (Huangbo), add a small amount of musk (Shexiang), and mix with human milk for external application. First, apply an analgesic to the defect for one quarter-hour (ke). Then, use bamboo splints to clamp both sides of the lip margin. Use a sharp knife to shave off the thin skin. Align two embroidery needles vertically and fix them in place. Tie tightly with thread. Apply the powder externally. After three to four days, the flesh will grow firmly. Remove the needles, sprinkle medicine into the needle holes, and the wound will heal. For fresh wounds, no analgesic is needed; remove the epidermis and apply medicine according to this method for immediate effect.
[General Discussion on Traumatic Tetanus] Knife wounds may seem easy but are actually difficult to treat. If tendons are severed and the abdomen is ruptured, with only skin connecting the bones, or if arrowheads penetrate into the bone or break within the flesh, or if wind pathogen invades after injury, such conditions are best treated by skilled physicians. If the skin laceration is long, use a fine needle to slowly approximate the fresh edges of the wound, secure with the needle, and apply medicine internally and externally. Do not cover with plaster, as it may cause blood stasis to turn into pus and lead to tissue rot and difficulty in healing. If dryness and pain occur, wipe with pig oil or sesame oil. If the abdomen is ruptured and intestines eviscerate, have the patient lie flat in a wind-sheltered place. Apply oil around the wound margins and gently push the intestines back into the abdominal cavity. Suture the skin with medicinal thread, then apply dressing. The patient must not turn over for three days until the medicinal qi circulates and pain subsides. If arrowheads are broken between bone and flesh, administer an analgesic to eliminate pain so that forceps can be used for extraction. If small splinters cannot be removed, apply Heibao San to facilitate expulsion. If finger joints or articular bones are injured and deviated, or if they are bent along with the skin, realignment must be performed immediately at the time of injury; once ulceration occurs, correction is impossible. Dressings and bandages must be applied carefully to prevent adhesion and subsequent suppuration. For elderly, weak, emaciated patients who cannot endure pain, saving life is paramount, and cosmetic reconstruction is not mandatory. For injuries on the head or at acupoints where bleeding is profuse, hemostatic medicines must be prepared in advance. Upon inspection, any foreign bodies such as bone fragments or hair must be completely removed. Apply medicine promptly and cover with Yuzhen San to prevent wind invasion. For necrotic tissue, use astringent medicines. If granulation tissue fills the wound but fails to scab, or if small pores leak pus without healing, there are likely foreign bodies like bone fragments, thorns, or hair entangling the new tissue. Insert Wujin Gao or Sanpin Ding to open healthy tissue, carefully inspect and remove the foreign bodies, and then the wound can close and scab. This method is also used for carbuncles or internal abscesses. In cases of severed throat involving the internal larynx where food and drink cannot pass, treatment is difficult. First, sprinkle Xuejie powder around the inner throat, ensuring it does not enter the trachea. Suture the outer skin with mulberry fiber thread. Cover with Fengliu San, apply Buxue Gao, ensure the area is sealed tightly to prevent air leakage. Internally administer Shenzhu Yin to restore Yuan Qi, along with herbs to regulate Qi and Blood, leading to natural recovery.
Yuzhen San: Equal parts of Arisaema cum Bile (Nanxing), Angelica Dahurica (Baizhi), Saposhnikovia Root (Fangfeng), Gastrodia Rhizome (Tianma), Notopterygium Rhizome (Qianghuo), and Aconitum Bulb (Baifuzi). Grind into powder. Apply externally to protect against wind, or mix with water and take 2 qian orally.
Fengliu San: Four liang of Dalbergia Odorifera Lignum (Xiangjiejie), two tael five qian of Dragon's Blood (Xuejie), two liang of Sappan Wood (Sumu), five qian of Frankincense (Ruxiang), three qian of Myrrh (Moyao), two qian of Dragon Bone (Longgu), one qian of Safflower (Honghua), a little Platycodon Root (Jiegeng), one bundle of Centipeda Herb (Dengxin), and ten eggs from which chicks have hatched (boiled with feathers in vinegar, sealed with yellow mud, and roasted over mild fire). Grind each into fine powder...