《本草》云∶医工针人,而针折在肉中不出,杵牡鼠肝及脑涂之。又象牙主诸针及
杂物入肉,割取屑,细碾入水和,敷上立出。《肘后方》∶针折肉中,象牙屑水和,敷上
立出。
《宝鉴》涌针膏∶取针刺入肉,并箭头不出。用鼠粪头十个,蝼蛄四十九个,土消虫
十个,芫青、马肉中
蛆、酱内蛆,俱焙干,蜣螂、巴豆、信石、 砂、夏枯草、磁石、黄丹、苏木、地骨
皮各一两,石脑油三两,蒿柴灰汁三升。上将灰汁、石脑油以文武火熬成膏,次下诸药,
令匀,瓷器内收贮。临时看疮大小,点药,良久,自然涌出。
神圣膏∶取针入皮肤。以车脂不拘多少,成膏子,好摊纸上,如钱大,贴之二日一
换,三五次,针自出,大有神效。
乌翎散∶取针铁入皮肤,乌翎三五枝,火灸焦为末,好醋调成膏,涂疮上,纸盖一二
次,其针自出。一法以紧磁石引其肉中之针,即出。
帝曰∶夫王公大人,血食之君,身体柔脆,肌肉软弱,血气 悍滑利,其刺之浅
深,疾徐多少,何如?岐伯曰∶膏粱藿菽之味,何可同也。气滑即疾出,气涩则出迟;
气悍则针小而入浅,气涩则针大而入深。深则欲留,浅则欲疾。以此观之,刺布衣
者,深而留之;刺大人者,微以徐之。此皆因其 悍滑利也。
According to the *Bencao* (Materia Medica): If a physician or acupuncturist breaks a needle inside the flesh and it cannot be removed, apply the liver and brain of a male rat (Marmota bobak) to the affected area. Additionally, Ivory (Elephantis Dentis) is indicated for needles or foreign objects embedded in the flesh; scrape off shavings, grind them finely, mix with water to form a paste, and apply to the site, causing the object to emerge immediately. The *Zhouhou Fang* (Emergency Prescriptions Kept Up My Sleeve) states: For a broken needle embedded in the flesh, apply a paste made from Ivory shavings mixed with water; the needle will emerge immediately.
The Yongzhen Ointment (Needle-Emerging Ointment) from *Yixue Baojian*: Used when a needle enters the flesh and the arrowhead remains embedded and unextractable. Ingredients include: ten rat feces heads, forty-nine mole crickets (Gryllidae), ten ground beetles (Coptotermes formosanus or similar earth-boring insects), dried blister beetles (Mylabris), maggots from horse meat, and maggots from soy sauce, all roasted dry; plus one tael each of dung beetles (Scarabaeus sacer), croton seeds (Crotonis Tiglii Fructus), realgar (Arsenici Sulfatum), nansha (Nao Sha), prunella vulgaris (Prunellae Spica), magnetite (Magnetitum), red lead (Lithargyrum), sappan wood (Sappan Lignum), and wolfberry root bark (Lycii Cortex), along with three taels of petroleum ether (Shinao Oil) and three sheng of juice from mugwort ash. First, boil the ash juice and petroleum ether over alternating mild and strong heat until an ointment forms. Then add the other herbs, stir evenly, and store in a porcelain vessel. When needed, apply the ointment according to the size of the wound; after some time, the needle will naturally emerge.
Shensheng Ointment (Divine Holy Ointment): Used when a needle penetrates the skin. Use an unspecified amount of axle grease (Che Zhi), melt into an ointment consistency, spread evenly on paper to the size of a coin, and apply to the affected area. Change every two days. After three to five applications, the needle will self-extract with great efficacy.
Wuling Powder (Crow Feather Powder): Used when an iron needle enters the skin. Take three to five crow feathers (Corvidae Pluma), roast until charred, and grind into powder. Mix with good vinegar to form a paste, apply to the wound, and cover with paper. After one or two treatments, the needle will self-extract. Alternatively, use a strong magnet to attract the needle embedded in the flesh, causing it to emerge.
The Yellow Emperor asked: "For kings and nobles, rulers who consume rich foods, whose bodies are tender and fragile, with weak muscles but vigorous and slippery qi and blood, how should the depth, speed, and quantity of needling be determined?" Qibo replied: "Those who consume rich pastries and meats (Gaoliang) cannot be treated the same as those who consume coarse grains and beans (Huoshu). If the qi is slippery, withdraw the needle quickly; if the qi is stagnant, withdraw slowly. If the qi is vigorous, use a small needle and insert shallowly; if the qi is stagnant, use a large needle and insert deeply. Deep insertion requires retaining the needle; shallow insertion requires rapid withdrawal. From this perspective, needling commoners (Buyi) involves deep insertion and retention; needling nobles involves subtle and slow manipulation. This is all due to their vigorous and slippery qi and blood."