【方歌】夹伤禁用药贴敷,朱砂烧酒可调涂,琼液散服随饮醉,
肿势必消痛自除。复受重刑溃破者,代杖汤药速宜图,
气血弱者当大补,六真膏贴痛即无。
【注】夹伤即挤伤也,禁用敷药高药,及泥涂等法,恐后必作
肿成脓,受刑初宜服代杖丹以护心,随用银珠或朱砂末
,烧酒调敷伤处,再着一人以手十指尖,轻啄患者脚心
,先觉痒,次觉疼为止,次者一二人以笔管于患者脚面
上,轻轻赶之,助通血脉,候伤处凹者突起,四围肿大
为度,即服琼液散,随饮至醉,次日揩去所敷银朱,只
用洗杖伤汤,日烫二三次,次日再服琼液散,其肿自消
痛即止矣,如复受重刑,以致破溃者,外贴琼液膏,内
服代杖汤,继宜大补气血,易于收功,生肌时换贴六真
膏,其效其捷。
方剂:代杖丹
组成:丁香 苏木
蚯蚓(去土) 无名异
丹皮 肉桂
木鳖子 乳香
没药
自然铜(火〔火段〕,醋淬七次,各一两)
上为末,炼蜜和丸,二钱重。用一丸黄酒化下。
【方歌】代杖护心血不攻,丁香苏木蚓无名,丹皮肉桂木鳖子,
乳香没药自然铜。
又方:琼液散
组成:闹羊花为末,每服五分,壮者七分,先饮醇酒至半酣,
次用调药服下,再饮至大醉为度,静卧勿语,语则发麻
,至次日其麻方解,消肿止疼,其功甚捷,连服三五次
,弱者间一日再服。
【方歌】琼液散消瘀血滞,豫酌酒至半酣时,闹羊花末调服下,
琼浆复之醉如痴。
又方:洗杖汤
组成:陈皮 透骨草
南星 天门冬
地骨皮 天灵盖(各五钱)
象皮(切碎,一两)
水煎浸洗,日三二次。
【方歌】洗杖汤陈透骨星,天冬地骨共天灵,象皮水煎日勤洗,
夹伤消肿又除疼。
又方:琼液膏
组成:当归尾 闹羊花
红花 白芷
蒲黄(各二两)
香油一斤,浸药七日,炸枯去渣,入白蜡黄蜡各一
两,溶化尽,绢滤净,稍温再入冰片六分,没药乳香末
各六钱,搅匀摊贴。
【方歌】琼液膏贴夹伤破,归闹红花芷蒲黄,油炸又下白黄蜡,
再加冰片没乳香。
又方:代杖汤
组成:乳香 没药
苏木(各二钱) 蒲黄
木通 枳壳(麸炒)
甘草(生) 当归尾
丹皮 木耳
穿山甲(炙,研,各一钱) 土木鳖(焙,五钱)
酒水煎服。
【方歌】代杖汤医夹伤验,乳没蒲黄通枳甘,归尾丹皮鳖木耳,
酒煎苏木炙穿山。
又方:六真膏
组成:樟脑(三两) 孩儿茶
滴乳香 血竭
没药 三七(各三钱)
共为末,用猪脂油十二两,碗盛水煮化,将药入油
内,和匀摊贴。
【方歌】六真膏贴夹杖伤,樟脑儿茶滴乳香,竭没三七脂油化,
和敷诸疮也相当。
[Prescription Verse] For crush injuries (Jia Shang), medicinal plasters are prohibited. Cinnabar (Zhusha) can be mixed with distilled liquor (Shaojiu) for topical application. Taking Qiongye San (Nerium Decoction) while drinking to intoxication will cause swelling to subside and pain to cease spontaneously. If subjected to heavy punishment again resulting in ulceration, Daizhang Tang (Beating Substitution Decoction) should be administered promptly. For those with weak Qi and Blood (Qi Xue), major tonification is required; applying Liuzhen Gao (Six True Ointment) will immediately relieve pain.
[Annotation] Crush injury refers to squeezing injury. High-potency topical applications and mud-pasting methods are contraindicated, as they may lead to subsequent swelling and suppuration (formation of pus). In the initial stage after injury, Daizhang Dan (Beating Substitution Pill) should be taken to protect the Heart (Xin). Subsequently, Silver Cinnabar (Yinzhu) or Cinnabar powder should be mixed with distilled liquor and applied to the injured area. Another person should use their ten fingertips to gently peck at the patient's soles until the patient first feels itching and then pain. Then, one or two people should gently sweep a pen tube over the dorsum of the patient's foot to assist in promoting blood circulation. Treatment continues until the depressed wound site becomes raised and the surrounding area swells. At this point, take Qiongye San while drinking to the point of drunkenness. The next day, wipe off the applied silver cinnabar and only use Xizhangshang Tang (Crush Injury Washing Decoction) for hot compresses/washing two to three times daily. On the second day, take Qiongye San again; the swelling will naturally subside and pain will stop. If subjected to heavy punishment again causing rupture/ulceration, apply Qiongye Gao externally and take Daizhang Tang internally. Subsequently, major tonification of Qi and Blood is necessary to facilitate recovery. During the tissue regeneration phase, switch to applying Liuzhen Gao for its rapid efficacy.
Formula: Daizhang Dan (Beating Substitution Pill)
Ingredients: Dingxiang (Caryophylli Flos), Sumu (Sappan Lignum), Qiuyin (Hirudo, cleaned of soil), Wumingyi (Haematitum), Danpi (Moutan Cortex), Rougui (Cinnamomi Cortex), Mubiezi (Strychni Semen), Ruxiang (Olibanum), Moyao (Myrrha), Ziran Tong (Ferrosum). (Ziran Tong is calcined in fire and quenched in vinegar seven times; each ingredient weighs 1 liang).
Grind all ingredients into fine powder, mix with refined honey to form pills, each weighing 2 qian. Take one pill dissolved in yellow wine.
[Prescription Verse] Daizhang Dan protects Heart Blood preventing internal attack; Dingxiang, Sumu, Hirudo, Wumingyi; Danpi, Rougui, Mubiezi; Ruxiang, Moyao, Ziran Tong.
Another Formula: Qiongye San (Nerium Powder)
Ingredients: Yaoyanghua (Datura Metel Flos) ground into powder. Dosage: 5 fen per dose, 7 fen for robust individuals. First drink pure wine until half-drunk, then take the medicine mixed with wine, followed by drinking until fully intoxicated. Lie quietly without speaking; speaking induces numbness. Numbness resolves the next day. This rapidly reduces swelling and stops pain. Take continuously for 3-5 doses; for weak patients, administer every other day.
[Prescription Verse] Qiongye San eliminates blood stasis; drink wine until half-intoxicated; take Yaoyanghua powder mixed with wine; like drinking nectar, drunk as if infatuated.
Another Formula: Xizhang Tang (Crush Injury Washing Decoction)
Ingredients: Chenpi (Citri Reticulatae Pericarpium), Tougucao (Euphorbiae Humifusae Herba), Nanxing (Arisaematis Rhizoma), Tiandong (Asparagi Radix), Digupi (Lycii Cortex), Tianlinggai (Human Cranium, 5 qian each); Xiangpi (Tapir Skin, chopped, 1 liang).
Decoct in water for soaking and washing, 2-3 times daily.
[Prescription Verse] Xizhang Tang contains Chenpi, Tougucao, Nanxing; Tiandong, Digupi, Tianlinggai together; decoct Xiangpi in water and wash diligently daily; reduces swelling and relieves pain in crush injuries.
Another Formula: Qiongye Gao (Nerium Ointment)
Ingredients: Dangguiwei (Angelicae Sinensis Radix), Yaoyanghua (Datura Metel Flos), Honghua (Carthami Flos), Baizhi (Angelicae Dahuricae Radix), Puhuang (Typhae Pollen) (each 2 liang).
Soak herbs in 1 jin of sesame oil for seven days. Fry until withered, remove dregs. Add 1 liang each of Bai La (White Beeswax) and Huang La (Yellow Beeswax), melt completely. Filter through silk cloth. When slightly warm, add Bingpian (Borneolum Syntheticum, 6 fen), Moyao (Myrrha, 6 qian), and Ruxiang (Olibanum, 6 qian) powders. Mix evenly and spread on dressing for application.
[Prescription Verse] Qiongye Gao applied for ruptured crush injuries; Dangguiwei, Yaoyanghua, Honghua, Baizhi, Puhuang; fried in oil with white and yellow wax; plus Bingpian, Moyao, and Ruxiang.
Another Formula: Daizhang Tang (Beating Substitution Decoction)
Ingredients: Ruxiang (Olibanum), Moyao (Myrrha), Sumu (Sappan Lignum) (each 2 qian), Puhuang (Typhae Pollen), Mutong (Akebiae Caulis), Zhike (Aurantii Fructus, stir-fried with bran), Gancao (Glycyrrhizae Radix et Rhizoma, raw), Dangguiwei (Angelicae Sinensis Radix), Danpi (Moutan Cortex), Mu'er (Auricularia Auricula-Judae), Shanzhijia (Manis Squama, roasted and powdered, each 1 qian), Tumu Bie (Strychnos Seed, baked, 5 qian).
Decoct in wine and water for oral administration.
[Prescription Verse] Daizhang Tang effectively treats crush injuries; Ruxiang, Moyao, Puhuang, Mutong, Zhike, Gancao; Dangguiwei, Danpi, Tumu Bie, Mu'er; decoct Sumu in wine and roast Shanzhijia.
Another Formula: Liuzhen Gao (Six True Ointment)
Ingredients: Zhangnao (Camphora), Haiercha (Child's Tea/Catechu), Diluxiang (Frankincense), Xuexie (Dracaena Sanguinis), Moyao (Myrrha), Sanqi (Notoginseng Radix) (each 3 qian).
Grind all into fine powder. Use 12 liang of Pig Fat Oil (Zhuzhiyou), melt in a bowl over boiling water. Add the herbal powder to the oil, mix evenly, and spread for application.
[Prescription Verse] Liuzhen Gao applied for crush and beating injuries; Zhangnao, Haiercha, Diluxiang; Xuexie, Moyao, Sanqi melted in fat oil; equally effective for spreading on various sores.