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Upper Compilation: External Treatment Methods - Explanation of Instruments

Pansuo (Climbing Rope): Refers to the action of suspending a rope at a high place and grasping it with both hands for traction.

Upper Compilation: External Treatment Methods - Head and Face Region

[1] "Dian" refers to the vertex of the head. In males, the cranial suture at the vertex forms a "trident" shape, while in females, it forms a "cross" shape.
[2] This area is also known as Tianlinggai (Heavenly Skull Cap). It is located at the highest point, contains the brain marrow internally, and acts like a lid to govern the whole body.
[3] If injury occurs due to collision, resulting in sudden unconsciousness, body stiffness, audible breathing from nose and mouth, closed eyes, earth-colored complexion, warmth and pulsation at the heart region, this condition is treatable.
[4] One must absolutely avoid forcibly twisting the neck or helping the patient sit up in a cross-legged position. Doing so may cause Qi disturbed by shock to rush upward, or leak from the wound or the seven orifices (eyes, ears, nose, mouth), which would inevitably endanger life.
[5] The patient should be placed in a lateral recumbent position with knees flexed.
<1> First, mix Hunyuan Gao (Mixed Primordial Ointment) with aged vinegar and apply it to the vertex to relieve pain, reduce swelling, invigorate blood, and draw out toxins.
<2> Then, light a rolled paper straw and let the smoke fumigate the patient's nose and mouth. Subsequently, quench red-hot coal in vinegar and use the generated heat to fumigate the nose and mouth; if coal is unavailable, quenching red-hot iron works as well. The purpose is to guide the blood vessels of the five Zang organs to achieve patency and harmony.
<3> Once the patient emits groaning sounds from the mouth, immediately administer Bali San (Eight-Centigram Powder) mixed with Tongbian (Child's Urine) for warm ingestion. This can restore Qi circulation and Yang energy.
<4> Apply external manual therapy techniques to push and press the chest, heart region, hypochondrium, axillae, and abdomen.
<5> Gently support and rub the Zanjing tendon at the inner wrist (the prominent bone behind the palm, where the Cun, Guan, and Chi pulse positions are located), rubbing frequently.
[6] For stiffness of tendons and vessels caused by collision injuries:
<1> Frequent rubbing and massaging will restore Heart Blood and facilitate the flow of the Life Gate pulse, potentially restoring life.
<2> Regularly ingest Zhenggu Zijin Dan (Bone-Setting Purple Gold Pill).
<3> Additionally, externally wash with Sanyu He Shang Tang (Blood-Dispelling and Injury-Healing Decoction) to remove the previously applied Hunyuan Gao, then reapply Hunyuan Gao.
<4> After taking the pills, if stool becomes black and dry, it indicates retained blood stasis in the intestines and stomach; if deafness occurs, administer Jiajian Suzi Taoren Tang (Modified Perilla Seed and Peach Kernel Decoction) to expel blood stasis, strengthen the Spleen and Stomach, and nourish the Spirit.
<5> Simultaneously insert Daoqi Tongyu Ding (Qi-Guiding and Stasis-Unblocking Plug) into the ear.
<6> Diet should consist of plain porridge, soups, and drinks. Avoid anger-inducing foods, greasy items, and wheat products. The sleeping environment should be clean and quiet, free from noise and disturbance.
[7] In cases of severe injury where death has already occurred:
<1> Wrap the head with white cloth, gently strike the sole of the foot with a wooden stick, then pull the hair to straighten the body, stabilize the cervical vertebrae, and relax the meridians.
<2> Apply Hunyuan Gao externally and ingest Zijin Dan internally.
[8] For injuries to the vertex sutures caused by carriage or horse collisions, the pathogenic factor sinks downward, predominantly on the left side and less commonly on the right, due to the prevalence of right-handedness. The treatment method is the same as for other collision injuries.
[9] If the vertex bone is depressed, disturbing the brain marrow, with bleeding from the seven orifices, body rigid and stiff with cold厥 (Jue), coma, and complete loss of consciousness, the condition is incurable.

Appendix: Formulas

[1] Hunyuan Gao (Mixed Primordial Ointment)
Indications: Traumatic injuries, fractures, tendon ruptures, blood stasis accumulation, resolving cyanosis, purple discoloration, swelling, and pain.
Ingredients: Antelope Horn Blood (Lingyang Xue) 5 qian, Myrrh (Moyao) 5 qian, Rhizoma Leuzeae (Loulu) 3 qian, Flos Carthami (Honghua) 3 qian, Radix Rhe Palmate (Dahuang) 2 qian, Moschus (Shexiang) 3 qian, Radix Cimicifugae (Shengma) 3 qian, Bulb Coeliae (Baiji) 5 qian, Fructus Gardeniae (Sheng Zhizi) 2 qian, Radix Glycyrrhizae (Gancao) 2 qian, Realgar (Xionghuang) 5 qian, Rhizoma Belamcandae (Bailian) 3 qian.
Preparation: Grind all ingredients into fine powder, boil with aged vinegar to form an ointment, and apply to the vertex.

[2] Bali San (Eight-Centigram Powder)
Indications: Falls and blows, setting bones, dispelling blood stasis.
Ingredients: Powdered Caulis Spatholobi (Sumu Mian) 1 qian, Semina Crotali Tigrini (Banliangqian) 1 qian, Pyritum (Ziran Tong, quenched in vinegar seven times) 3 qian, Olibanum (Ruxiang) 3 qian, Myrrh (Moyao) 3 qian, Draco Sanguis (Xuexie) 3 qian, Moschus (Shexiang) 1 fen, Flos Carthami (Honghua) 1 qian, Flos Caryophylli (Dingxiang) 5 fen, Semen Crotali Tigrini (Fanmubie, fried and de-haired) 1 qian.
Usage: Grind into fine powder, take warm with yellow wine, or mix with child's urine.

[3] Zhenggu Zijin Dan (Bone-Setting Purple Gold Pill)
Indications: Traumatic falls, sprains, dislocations, all types of pain, and blood stasis accumulation.
Ingredients: Flos Caryophylli (Dingxiang), Radix Aucklandiae (Muxiang), Draco Sanguis (Gu'er Xuexie), Cortex Camelliae (Ercha), Radix Rhe Palmate (Shu Dahuang), Flos Carthami (Honghua) each 1 liang; Radix Angelicae Sinensis (Danggui Tou), Semen Nelumbinis (Lianrou), Poria (Baifuling), Radix Paeoniae Alba (Baishao) each 2 liang; Cortex Moutan (Danpi) 5 qian; Radix Glycyrrhizae (Gancao) 3 qian.
Preparation: Grind into fine powder, mix with refined honey to make pills. Take 3 qian per dose, washed down with child's urine or yellow wine.

[4] Sanyu He Shang Tang (Blood-Dispelling and Injury-Healing Decoction)
Indications: All collision injuries, blood stasis accumulation.
Ingredients: Semen Crotali Tigrini (Fanmubie, fried and de-haired), Flos Carthami (Honghua), Rhizoma Pinelliae (Sheng Banxia) each 5 qian; Rhizoma Drynariae (Gusuibu), Radix Glycyrrhizae (Gancao) each 3 qian; Radix et Rhizoma Rhei (Congxu) 1 liang.
Usage: Decoct in 5 bowls of water until boiling, add 2 liang of vinegar, boil ten more times. Use the decoction to fumigate and wash the affected area, 10+ times daily.

[5] Jiajian Suzi Taoren Tang (Modified Perilla Seed and Peach Kernel Decoction)
Indications: Internal blood stasis accumulation, Heart Meridian blood-heat, non-dry Large Intestine.
Ingredients: Fructus Perillae (Suzi) 3 qian, Powdered Caulis Spatholobi (Sumu) 1 qian, Flos Carthami (Honghua) 1 qian, Semen Persicae (Taoren, stir-fried), Radix Ophiopogonis (Maidong), Exocarpium Citri Reticulatae (Juhong) each 3 qian; Radix Paeoniae Rubra (Chishao), Caulis Bambusae in Taenia (Zhuru), Radix Angelicae Sinensis (Danggui, wine-washed) each 2 qian.
Usage: Decoct in 3 zhong of water to obtain 1 zhong. Decoct the dregs again with 2 zhong of water to obtain 8 fen. Take warm.

[6] Daoqi Tongyu Ding (Qi-Guiding and Stasis-Unblocking Plug)
Indications: A miraculous formula specifically for deafness.
Ingredients: Semen Crotonis (Badou, unrefined/oil-containing) 1 seed, Mylabris (Banmao) 3 insects, Moschus (Shexiang) a small amount.
Preparation: Mix with juice of Allium fistulosum (Congxian) and honey, roll into the shape of a sesame seed, wrap in silk cotton, and insert into the ear.
Effect: Loud noise like thunder will occur; do not be frightened. Wait twenty-one days until pus flows from the ear, then remove the plug. The effect is extraordinary.