咽喉者,乃气息之路也。或被伤,或自刎,其症迅速,急则可救,迟则血脱额冷,气绝
不治
,膏长四、五寸,阔二、三寸,横贴连及好肉处,不使封药脱落;外用布条缠颈,高枕仰卧
,使项屈不伸,刀口易合。宜处密室避风,使呼吸舒徐,用人参、川米、生姜煎汤,时时饮
之,补接元气。若二、三日后,有脓水流出,解去前药,用甘葱汤洗净,掺生肌散,搽玉红
膏,又外贴长肉膏防护风邪。冬天三日,夏天一、二日,照法洗换,自然痛止,其肌渐长,服
八珍汤调治月余可愈。如大便闭结,不可妄攻,服麻仁丸。至急者,用胆导法,无损其元。
按《内景图》云∶喉在前主出,咽在后主纳,喉系坚空,连接肺本,为气息之路,呼吸出入,
下通诸脏,乃气化之要道也。咽系柔空,下接胃本,为饮食之路,水谷归胃,下通诸腑,乃
转运之关津也。若伤之,岂不至险乎?治者,须心手相应,不差毫发,乃无误也。而先看其
刀弯者,其痕深。其刀直者,其痕浅。若左手持刀而刎者深,右手持刀而刎者浅。一刀勒者
深,两刀勒者浅。如喉脘破而有出入之气,封药吸进必呛咳,先用鸡子内软衣盖于破脘之上
,再将药封之,则不呛矣。如单脘破者,月余而痊;双脘破者,两月而愈。照法治之可也。
The throat (Houyan) is the pathway for breath. If injured externally or by self-inflicted cutting, the condition progresses rapidly; timely treatment can save life, but delay leads to blood depletion, cold forehead, and death due to qi exhaustion. The plaster should be four to five cun long and two to three cun wide, applied horizontally extending to healthy skin to prevent the medicament from falling off; the neck should be wrapped with cloth strips, and the patient should lie supine with a high pillow to keep the neck flexed and immobile, facilitating wound closure. Treatment should take place in a wind-proof room to ensure slow and comfortable breathing. Decoct Ren Shen (Ginseng Radix), Jing Mi (Oryzae Semen Glutinosum, rice), and Sheng Jiang (Zingiberis Rhizoma Recens, fresh ginger) to make a soup, which should be drunk frequently to replenish and connect the primordial qi. If pus flows out after two or three days, remove the previous dressing, clean with Gan Cong Tang (Sweet Onion Decoction), sprinkle Sheng Ji San (Flesh-Generating Powder), apply Yu Hong Gao (Jade Red Ointment), and cover with Chang Rou Gao (Flesh-Growing Plaster) to protect against wind pathogens. In winter, change the dressing every three days; in summer, every one to two days. Following this method, pain will naturally cease, muscles will gradually regenerate, and recovery can be achieved after about a month of regulation with Ba Zhen Tang (Eight Treasure Decoction). If constipation occurs, do not blindly use purgatives; instead, administer Ma Ren Wan (Hemp Seed Pill). In urgent cases, use Dan Dao Fa (Bile Suppository Method) without damaging the primordial qi.
According to *Nei Jing Tu* (Illustrations of Internal Organs): The larynx (Hou) is located anteriorly and governs exhalation; the pharynx (Yan) is located posteriorly and governs ingestion. The larynx is firm and hollow, connected to the root of the Lung, serving as the pathway for breath, allowing respiration to enter and exit, connecting downward to all zang organs, and acting as the crucial pathway for qi transformation. The pharynx is soft and hollow, connected to the root of the Stomach, serving as the pathway for food and drink, where water and grain enter the Stomach and connect downward to all fu organs, acting as the transit hub for transportation. If this area is injured, how dangerous it is! The practitioner must have heart and hand in harmony, making no slightest error, to avoid mistakes. First, observe that wounds from curved blades are deep, while those from straight blades are shallow. Self-inflicted cuts with the left hand are deeper than those with the right hand. A single ligature cut is deeper than double ligature cuts. If the trachea is ruptured with air leaking in and out, applying the dressing directly will cause choking; first, cover the rupture with the inner membrane of an egg, then apply the dressing, which will prevent choking. If only one side of the trachea is ruptured, recovery takes over a month; if both sides are ruptured, recovery takes two months. Treatment according to this method is appropriate.