唇口者,司言食之窍也。或伤破唇缺,先用油线缝合,敷止血生肌散,盖玉红膏,内服
健脾
舌上,频频添换。使患人仰卧,薄粥灌喉,不动其舌,则易愈。又有玉堂,在口内上 ,一
名上含,其窍即颃颡也。若触刺伤其左右者,惟肿而已。若伤正中之孔,上通于 ,必伤鼻
孔之卷肉,或犯空窍,则血流不止,以致鼻目皆肿,满面青紫,神倦头晕,痛连脑髓。若伤
及会厌与上横骨,重则不能言,痛连心膈,昏迷沉重者,险。急用腻粉、冰片细研,吹于患
处,以止其血。服接骨紫金丹,再用蟹黄、血竭煎汤,日漱口二、三十次。如饮食难进,以柿
霜、玉露霜,牛奶或奶油,或粉粥面粥等物,以凉润将息得法,可愈。
耳者,司听之窍也。耳门名曰蔽,耳叶名曰郭。或被砍跌打落,或上脱下粘,或下脱上
连,
缚
灵明。若伤者肿痛流血,服接骨紫金丹,外用八仙逍遥汤熏洗,贴混元膏。若伤重,内动脑
髓,及伤灵明,昏沉不省,若平素气血皆虚者,不治。地阁骨,即两车相交之骨,又名颏,
俗名下巴骨也,上载牙齿。伤之饮食不进,目闭神昏,心热神乱,服大神效活络丹,再噙化
人参紫金丹,搽固齿散,外贴万灵膏,忌风寒冷物。或牙齿伤动者,用蒺藜根烧存性为末揩
之,或以固齿散揩之亦佳。
The lips and mouth are the orifices governing speech and eating. If the lip is injured, broken, or missing, it should first be sutured with oiled thread, then covered with Zhixue Shengji San (Hemostatic and Flesh-Regenerating Powder), followed by applying Yuhong Gao (Jade Red Ointment). Internally, Jianpi (Strengthening the Spleen) herbs should be taken, and medications applied to the tongue frequently changed. The patient should lie supine, with thin gruel poured into the throat, ensuring the tongue remains immobile, which facilitates healing. There is also a point called Yutang, located in the upper part of the oral cavity, also known as Shanghan; its orifice corresponds to the Hangsang (nasopharynx). If the left or right sides are pierced and injured, only swelling occurs. If the central orifice is injured, connecting upwards to the brain, it inevitably damages the curled fleshy structures within the nasal cavity (turbinates), or invades the hollow cavities, leading to unceasing bleeding, causing both nose and eyes to swell, the face to turn dark purple, accompanied by mental fatigue, dizziness, and pain radiating to the brain marrow. If the epiglottis and the upper transverse bone are injured, severe cases may result in inability to speak, pain extending to the chest diaphragm, coma, and heaviness, indicating a critical condition. Immediately, Nifen (Calomel) and Bingpian (Borneol) should be finely ground and insufflated onto the affected area to stop bleeding. Jiegu Zijin Dan (Bone-Knitting Purple Gold Pill) should be administered. Additionally, decoctions made from Xiehuang (Crab Yellow) and Xuexie (Dragon's Blood) should be used for gargling two or thirty times daily. If swallowing food and drink is difficult, items such as Shishuang (Persimmon Frost), Yulu Shuang (Jade Dew Frost), milk, cream, or flour-based gruels can be used. With proper cooling and moistening care, recovery is possible.
The ear is the orifice governing hearing. The opening of the ear is called Bi, and the earlobe is called Guo. It may be severed or knocked off by cuts or falls, or it may detach downwards while adhering upwards, or detach upwards while adhering downwards; these require binding and fixing Lingming (a term referring to the ear structure or related acupoint in this context). If the injury involves swelling, pain, and bleeding, Jiegu Zijin Dan (Bone-Knitting Purple Gold Pill) should be taken. Externally, Baxian Xiaoyao Tang (Eight Immortals Free-and-Easy Decoction) should be used for fumigation and washing, and Hunyuan Gao (Primordial Unity Ointment) should be applied. If the injury is severe, affecting the brain marrow internally, and damaging Lingming, resulting in lethargy and unconsciousness, especially if the patient has always suffered from Qi and Blood deficiency, it is untreatable. The Dige bone, also known as the Ké (chin), commonly called the lower jaw bone, is where the two Che bones (mandibular angles) intersect, and it supports the teeth above. Injury here leads to inability to eat, closed eyes, confusion, heart heat, and mental disorder. Dashen Xiao Huo Luo Dan (Great Efficacy Meridian-Activating Pill) should be taken, followed by dissolving Renshen Zijin Dan (Ginseng Purple Gold Pill) in the mouth, applying Guchi San (Tooth-Firming Powder), and externally sticking Wanling Gao (Myriad Spirits Ointment). Wind and cold foods should be avoided. If the teeth are loosened, roots of Tribulus terrestris (Jili) should be burnt until carbonized, ground into powder, and rubbed on them; alternatively, applying Guchi San (Tooth-Firming Powder) is also effective.