扑损伤,或被伤入于肺者,纵未即死,二七难过。左胁下伤透内者。肠伤断一半可医,
全
出
伤有浅深,随其吉凶用药。如骨折者,则用后二十五味接骨方治之,再加自然铜、白芷、
没
若伤脏腑,用清心药加川芎、当归、赤芍药各三钱。或肚肠伤破,加白芨五钱,同后清
心药
紫金
不止
气触
余只
余根据
肚上被伤,肚皮俱破,肠出在外,只肠全断难医。伤破而不断者,皆可治疗。肠及肚皮
破者
者,
皮,留
凡损,若不折骨,不碎骨,则不可用自然铜,于药内除去。无疾,则不用半夏。老人有
伤者
此亦
清心药加丁皮、川芎、半夏,入二十五味内同服。退肿角血或皮冷,加干姜五钱,入退肿药
内糊肿上,肿及血自然退散。或皮肤热者,加黄柏皮、皂角各五钱。入退肿药内,角肿处自
然退。
扑损伤,骨肉疼痛,整顿不得,先用麻药服,待其不识痛处,方可下手。或服后麻不
倒,
老有
又旋添
疮口血出不止,则用方中止血药敷之。如洗开后,疮孔大甚,且先用降真香、龙骨、没
药
疮孔
待
Falls and injuries, or injuries penetrating into the Lung, even if death does not occur immediately, are difficult to survive beyond fourteen days. Penetrating internal injury under the left hypochondrium. If the intestine is broken in half, it can be treated;
Complete
Injuries vary in depth; medication should be administered according to the prognosis (auspicious or inauspicious). For bone fractures, use the following Twenty-Five-Ingredient Bone-Setting Decoction, adding Pyritum (Ziran Tong), Angelicae Dahuricae Radix (Baizhi),
Moyao (Myrrha, implied by context but text cuts off at 'Mo').
If viscera are injured, use Qingxin Yao (Clear Heart Medicine) added with Chuanxiong Rhizoma (Chuanxiong), Angelicae Sinensis Radix (Danggui), and Paeoniae Rubra Radix (Chishao), each 3 qian. Or if the abdominal intestines are ruptured, add Bletillae Rhizoma (Baiji) 5 qian, together with the subsequent Qingxin Yao (Clear Heart Medicine)...
Zijin...
Stop bleeding...
Qi touching...
Remaining only...
Remaining based on...
If the abdomen is injured and the abdominal wall is completely ruptured, with intestines protruding externally, only complete rupture of the intestines is difficult to treat. Injuries that are ruptured but not completely severed can all be treated. Those with ruptured intestines and abdominal walls...
Those...
Skin, retain...
For any injury, if bones are not fractured or comminuted, then Ziran Tong (Pyritum) should not be used and removed from the prescription. If there is no phlegm disorder, Banxia (Pinelliae Rhizoma) is not needed. For elderly patients with
injuries...
This also...
Qingxin Yao (Clear Heart Medicine) added with Dingpi (Cortex Citri Reticulatae - specific type), Chuanxiong Rhizoma (Chuanxiong), and Pinelliae Rhizoma (Banxia), taken together with the Twenty-Five-Ingredient formula. To reduce swelling, dissipate blood stasis, or if the skin is cold, add Dried Ginger (Ganjiang) 5 qian, apply as a paste to the swollen area using the anti-swelling medicine; the swelling and blood stasis will naturally subside. If the skin is hot, add Phellodendri Cortex (Huangbai Pi) and Gleditsia Sinensis Fruit (Zaojiao), each 5 qian, incorporated into the anti-swelling medicine; the swelling will naturally recede.
For falls and injuries causing pain in bones and flesh that cannot be realigned, first administer a narcotic drug. Wait until the patient loses sensation of pain before proceeding with manipulation. If after administration the anesthesia is insufficient (or ineffective)...
Old people have...
Add again later...
If blood continues to flow from the wound, apply the hemostatic medicine from the formula. After cleaning, if the wound cavity is very large, first use Dalbergiae Odoriferae Lignum (Xiangjiaxi/Jiangzhenxiang), Longgu (Fossil Bones), and Moyao (Myrrha)...
Wound cavity...
Wait...
If the wound is large, with intestines and adipose tissue protruding, insert them back and suture. If the hole is small, with only adipose tissue protruding, first administer Qingxin Yao (Clear Heart Medicine) orally, and manually manipulate...
But place...
Being beaten, pressed by trees, or falling from a high place, such injuries disturb the four limbs and five zang-organs, inevitably causing evil blood (stasis) inside. One must specifically fear nausea/vomiting.
First use...
Intestine wash...
Blood filth...