Library

[Discussion] Traumatic tetanus (Pòshāngfēng) arises from sudden injury, allowing wind pathogen (Fēngxié) to invade. The pathogen transmits through the meridians and collaterals (Jīngluò), causing alternating chills and fever, severe stiffness of the body, and trismus (Kǒujìn). In severe cases, the pathogen enters the zang organs, making it incurable. Furthermore, chronic non-healing sores lead to deficiency of Ying and Wei Qi (Yíngwèi), failure of muscle regeneration, and unclosed wound apertures; wind pathogen can also enter externally, resulting in traumatic tetanus.

For traumatic tetanus presenting with body stiffness like iron or opisthotonos (jiǎogōngfǎnzhāng) and trismus, it is appropriate to pry open the teeth for medication administration. Use Qianghuo Tang:
Qianghuo (Notopterygii Rhizoma et Radix, remove rhizome head), Fangji (Stephaniae Tetrandrae Radix), Lingyangjiao (Saigae Tataricae Cornu, sliced), Shengma (Cimicifugae Rhizoma), Huangqin (Scutellariae Radix, remove black heart), Manjingzi (Viticis Fructus, remove skin), each 1.5 liang; Xijiao (Rhinocerotis Cornu, 3 fen); Mahuang (Ephedrae Herba, remove roots).
The above twelve ingredients are coarsely crushed and sifted. Take 3 qianbi per dose, add 1 sheng of water, 0.5 he of Rehmanniae Juice (Dihuangzhi), and 2 cun of Scallion White (Xiebai). Decoct until 0.8 sheng remains, strain, and take warm on an empty stomach, at noon, and before bed. If the condition is urgent, take at any time. Recovery occurs if mild sweating ensues.

For traumatic tetanus with body stiffness and lip tremors, use Xionghuang Wan:
Xionghuang (Realgar, ground), Qianghuo (remove rhizome head), Duhuo (Angelicae Pubescentis Radix, remove rhizome head), each 1 fen; Nifen (Calomel, ground, 1 qian); Renshen (Ginseng Radix), Lvhui (Aloe), Wushao She (Zaocys, prepared), Tiannanxing (Arisaematis Rhizoma, prepared), Ganjiang (Zingiberis Rhizoma, prepared), each 1 liang; Quanxie (Scorpio, remove earth and stir-fry), Gancao (Licorice Root, honey-fried), Fangfeng (Saposhnikoviae Radix, remove forked tips), Baifuzi (Typhonii Rhizoma, prepared), Chuanxiong (Ligusticum Chuanxiong Rhizoma), Baijiangcan (Bombyx Batryticatus, stir-fried), Huoxiangye (Agastaches Folium), Bohe (Menthae Haplocalycis Herba), Can'erzi (Xanthii Fructus, stir-fried), Xixin (Asari Radix et Rhizoma, remove seedlings and leaves), Danggui (Angelicae Sinensis Radix, cut and dry-roasted), Bencao (Ligustici Wallichii Rhizoma et Radix, remove seedlings and soil), Qinjiao (Gentianae Macrophyllae Radix, remove seedlings and soil), Danshen (Salviae Miltiorrhizae Radix et Rhizoma), Wushao She (Zaocys, wine-soaked, skin and bones removed, roasted), Longnao (Borneolum Syntheticum, ground), Shexiang (Moschus, ground), Shengjin (Gold, filed into powder, 1 qian), Shuiyin (Hydrargyrum, 1 fen, placed in a crucible with gold powder to form cinnabar-like particles).
Of the fifteen ingredients, crush and sieve the first ten into powder. Mix with the remaining five finely ground ingredients. Boil two stalks of scallion with roots in wine until cooked, remove scallions, add 1 liang of Huaijiao (Acacia Gum), and decoct into a thick paste. Mix with the medicine to form pills the size of mung beans. Take 2 pills per dose, warm wine with empty stomach, noon, and before bed. Gradually increase to 4-5 pills.

For traumatic stroke, use Fuzi Wan:
Fuzi (Aconiti Lateralis Radix Praeparata, cracked, peel and navel removed), Wutou (Aconiti Radix, cracked, peel and navel removed), Tianma (Gastrodiae Rhizoma), Tiannanxing (Arisaematis Rhizoma, prepared), each 1 liang.
Crush and sift the four ingredients, place in a silk bag, and soak in 3 sheng of good wine. Soak for 7 days in winter or 1 day and night in summer; do not allow air penetration. Squeeze the bag dry, strain, and take the juice. Slowly boil in a porcelain vessel to form a paste. Add the following:
Xionghuang (Realgar, ground), Dansha (Cinnabar, ground), Qianshuang (Plumbum Subcarbonate, ground), Baijiangcan (Bombyx Batryticatus, stir-fried and pounded, 1 fen), Xieshao (Scorpion tail, stir-fried and pounded), Lu Jiaoshuang (Deer Antler Glue Frost, ground), Lu Jiaojiao (Deer Antler Glue, melted), Longnao (Borneolum Syntheticum, ground), Shexiang (Moschus, ground), Shengjin (Gold, filed into powder, 1 qian), Shuiyin (Hydrargyrum, 1 fen, placed in a crucible with gold powder to form cinnabar-like particles).
Of these eight ingredients, pound the first four together and grind the last four separately until extremely fine. Mix all sixteen ingredients evenly. Form pills with refined honey, size of mung beans. Take 1-2 pills per dose, warm wine with empty stomach, noon, and before bed. Gradually increase to 3-5 pills.

For traumatic stroke with trismus, facial deviation, body stiffness or flaccidity, and pediatric convulsions, use Zouma San:
Tianma (Gastrodiae Rhizoma), Tiannanxing (Arisaematis Rhizoma, prepared), Banxia (Pinelliae Rhizoma, washed seven times in hot water, pounded with 0.5 liang of fresh ginger, dried), Baifuzi (Typhonii Rhizoma, prepared), Fuzi (Aconiti Lateralis Radix Praeparata, cracked, peel and navel removed, 0.5 liang each), Dansha (Cinnabar, ground), Xionghuang (Realgar, ground), Niuhuang (Calculus Bovis, ground), Shexiang (Moschus, ground), Xijiao (Rhinocerotis Cornu, sliced, 1 fen each), Nifen (Calomel, ground, 3 fen).
Pound six ingredients into powder, mix with five ground ingredients. Take 0.5 qianbi per dose, mixed with Doulinjiu (bean-leavened wine). Sweating indicates cure. If no sweat, administer another 'yi zi' dose, followed by hot ginger thin rice gruel. For children, take 'yi zi' dose, mixed with Jingjie Tang (Schizonepeta Decoction) or boiled water. To make pills, use fresh rice.

For traumatic stroke, use Niuhuang San:
Niuhuang (Calculus Bovis, ground), Ganxie (Dried Scorpio, wine-stir-fried), Shexiang (Moschus, ground), Xionghuang (Realgar, ground, 3 fen each), Baifuzi (Typhonii Rhizoma, prepared, 3.5 liang), Tiannanxing (Arisaematis Rhizoma, prepared, 1 liang), Baijiangcan (Bombyx Batryticatus, stir-fried), Tianma (Gastrodiae Rhizoma), Banxia (Pinelliae Rhizoma, washed seven times in hot water, pounded with 1 liang of fresh ginger, dried, 1.5 liang each), Dingxiang (Caryophylli Flos), Dansha (Cinnabar, ground), Xijiao (Rhinocerotis Cornu, sliced), Qianghuo (Notopterygii Rhizoma et Radix, remove root nodes, decoct first, skim foam, dry-roast), Fuzi (Aconiti Lateralis Radix Praeparata, cracked, peel and navel removed), Manjingzi (Viticis Fructus, remove skin), Fangfeng (Saposhnikoviae Radix, remove forked tips), Danggui (Angelicae Sinensis Radix, cut and dry-roasted, 1 liang each).
Twenty-one ingredients. Crush seventeen into powder, mix with four ground ingredients. Take 0.5 qianbi per dose, warm wine. For opisthotonos and trismus, use 1 qianbi mixed with hot bean-leavened wine, cover with clothes for a long time; sweating indicates cure.

For wounds from blows, head washing, tooth picking, moxibustion sores, dog bites, etc., causing stroke symptoms, use Lingyangjiao San:
Lingyangjiao (Saigae Tataricae Cornu, sliced), Shihu (Dendrobii Caulis, remove roots), Chuanxiong (Ligusticum Chuanxiong Rhizoma), Zhimu (Anemarrhenae Rhizoma, dry-roasted), Shanzhuyu (Corni Fructus), Yiyiren (Coicis Semen), Baizhi (Angelicae Dahuricae Radix), Qujizhen (Spina Gleditsiae, raw), Zhike (Aurantii Fructus, remove pith), Shuangren (Pruni Semen, stir-fried), Mahuang (Ephedrae Herba, remove root nodes, decoct first, skim foam, dry-roast), Manjinghua (Viticis Flos, stir-fried), Chi Fuling (Poria with Red Skin, remove black skin), Gegen (Puerariae Lobatae Radix), Qianghuo (Notopterygii Rhizoma et Radix, remove rhizome head), Can'erxin (Xanthii Cor), Cheqianzi (Plantaginis Semen), Sangbaipi (Mori Cortex), Juhua (Chrysanthemi Flos, unopened), Szaoren (Ziziphi Spinosae Semen, stir-fried), Danggui (Angelicae Sinensis Radix, cut and dry-roasted), Bencao (Ligustici Wallichii Rhizoma et Radix, remove seedlings and soil), Qinjiao (Gentianae Macrophyllae Radix, remove seedlings and soil), Xixin (Asari Radix et Rhizoma, remove seedlings and leaves), Danshen (Salviae Miltiorrhizae Radix et Rhizoma), Wushao She (Zaocys, wine-soaked, skin and bones removed, roasted, 1 liang each).
Forty ingredients. Crush into powder. Take 1.5-2 qianbi per dose, warm wine with empty stomach, noon, and before bed. To make pills, use refined honey, size of paulownia seeds. Take 10 pills, bean-leavened wine.

For traumatic stroke, use Mangcao San:
Mangcao (Radix Dichroae, soaked and washed, 2.5 liang), Shihu (Dendrobii Caulis, remove roots, 2 liang), Bibo (Dioscoreae Hypoglaucae Rhizoma), Baiziren (Biota Semen, raw), Shilongru (Ranunculi Ternati Radix), Zexie (Alismatis Rhizoma), Nixi (Achyranthis Bidentatae Radix, wine-soaked), Duzhong (Eucommiae Cortex, remove rough bark, roast), Qianghuo (Notopterygii Rhizoma et Radix, remove rhizome head), Wutou (Aconiti Radix, remove tip), Huangqin (Scutellariae Radix, remove black heart), Bencao (Ligustici Wallichii Rhizoma et Radix, remove seedlings and soil), Fangfeng (Saposhnikoviae Radix, remove forked tips), Danggui (Angelicae Sinensis Radix, cut and dry-roasted, 2 liang each).
Twenty-three ingredients. Crush twenty-one into fine powder, mix with Niuhuang (Calculus Bovis) and Tusizi (Cuscutae Semen) powder. Take 1 qianbi per dose, warm wine, twice daily, once at night. Sweating indicates cure.

For traumatic stroke, use Da Wuxi San:
Xijiao (Rhinocerotis Cornu, sliced), Lingyangjiao (Saigae Tataricae Cornu, sliced), Longnao (Borneolum Syntheticum, ground), Shexiang (Moschus, ground), Xionghuang (Realgar, ground), Xiongdan (Ursi Fellis Bile, ground), Niuhuang (Calculus Bovis, ground), Ruxiang (Olibanum, ground), Quanxie (Scorpio, wine-stir-fried), Zhuyazaojia (Gleditsiae Sinensis Fructus, fried in lard), Tianxianzi (Daturae Semen, prepared), Ganjiang (Zingiberis Rhizoma, prepared, 1 fen each), Tianma (Gastrodiae Rhizoma), Shengma (Cimicifugae Rhizoma), Duhuo (Angelicae Pubescentis Radix, remove rhizome head), Gouji (Cibotii Rhizoma), Xixin (Asari Radix et Rhizoma, remove seedlings and leaves), Qinjiao (Gentianae Macrophyllae Radix, remove seedlings and soil), Chuanxiong (Ligusticum Chuanxiong Rhizoma), Duzhong (Eucommiae Cortex, remove rough bark, cut, roast), Huangqi (Astragali Membranacei Radix, cut, roast), Bencao (Ligustici Wallichii Rhizoma et Radix, remove soil), Langdangzi (Daturae Semen, wash away floating ones, stir-fry), Shujiao (Zanthoxyli Pericarpium, remove eyes and closed mouths, stir-fry until sweat appears), Baixianpi (Dictamni Cortex, cut), Fangfeng (Saposhnikoviae Radix, remove forked tips), Tiannanxing (Arisaematis Rhizoma, prepared).
Thirty-five ingredients. Crush twenty-six into powder, mix with nine ground ingredients, sieve again. Take 1.5-2 qianbi per dose, bean-leavened wine, ginger wine. Severe cases: decoct with rice vinegar and water.

For traumatic stroke with trismus, limb stiffness, and inability to eat, use Jinwu San:
Wuya (Corvus Corvax, one, remove beak, feet, feathers, wings), Hulu (Vulpis Hepatic, one, place with crow in jar, seal with earth mud, burn until smoke ceases, use 3 liang, pound into powder, add the following): Tianma (Gastrodiae Rhizoma), Baifuzi (Typhonii Rhizoma, prepared), Tiannanxing (Arisaematis Rhizoma, prepared), Baijiangcan (Bombyx Batryticatus, stir-fried), Wushao She (Zaocys, wine-soaked, skin and bones removed, roasted), Huoxiangye (Agastaches Folium), Sangbaipi (Mori Cortex).
Nine ingredients. Crush into powder. Take 1 qianbi per dose, warm wine, five times day and night.

For traumatic stroke, use Ruxiang San:
Ruxiang (Olibanum, stir-fried soft, cool, ground), Wushao She (Zaocys, wine-soaked, skin and bones removed, roasted), Ganxie (Dried Scorpio, wine-stir-fried), Tianma (Gastrodiae Rhizoma), Chi Fuling (Poria with Red Skin, remove black skin), Shehuang (Reptilis Gall Bladder), Ginger (0.5 liang, pounded and dry-roasted).
Twelve ingredients. Crush into powder. Take 1 qianbi per dose, ginger warm wine, twice daily, once at night. Children: 'yi zi' dose, mint tea.

For traumatic stroke, use Xiongdan Wan:
Xiongdan (Ursi Fellis Bile, ground), Tianma (Gastrodiae Rhizoma), Ziwan (Asternis Radix, remove soil), Fangfeng (Saposhnikoviae Radix, remove forked tips), Dansha (Cinnabar, ground), Niuhuang (Calculus Bovis, ground), Shexiang (Moschus, ground), Longgu (Fossilia Ossis Mastodi, ground).
Eight ingredients. Pound four into powder, mix with four ground ingredients. Form pills with refined honey, size of paulownia seeds. Take 20 pills, mulberry and willow root decoction, anytime.

For traumatic stroke, use Baijiangcan Wan:
Baijiangcan (Bombyx Batryticatus, stir-fried), Shexiang (Moschus, ground), Wushao She (Zaocys, wine-soaked, skin and bones removed, roasted), Niuhuang (Calculus Bovis, ground), Ganxie (Dried Scorpio, wine-stir-fried), Muxiang (Aucklandiae Radix), Longgu (Fossilia Ossis Mastodi, ground, 0.5 liang each).
Twelve ingredients. Pound eight into powder, mix with four ground ingredients. Form pills with refined honey, size of mung beans. Take 2 pills per dose, warm wine. Severe cases: add to expel phlegm.

For traumatic tetanus, use Bai Wanzi:
Anshixiang (Styrax), Hutao Ren (Juglandis Semen, pounded with Anshixiang, 1 liang each), Baijiaoxiang (Dammar Resin, ground), Niuhuang (Calculus Bovis, ground), Shexiang (Moschus), Dansha (Cinnabar, ground), Chuanxiong (Ligusticum Chuanxiong Rhizoma, 1 fen each), Danggui (Angelicae Sinensis Radix, cut and stir-fried, 0.5 liang), Ganxie (Dried Scorpio, seven whole, wine-stir-fried), Badou (Crotonis Fructus, three kernels, peel and membrane removed, pounded into paste, oil pressed out).
Ten ingredients. Pound three into fine powder, mix with seven ground ingredients. Form pills with refined honey, size of paulownia seeds. Take 1-2 pills per dose, warm wine. Drink moderately to achieve slight intoxication, not drunkenness. Also treats stroke with limb contracture and hemiplegia. Twice daily, once at night. Do not overdose.

For traumatic tetanus, use Shexiang Wan:
Shexiang (Moschus, ground), Niuhuang (Calculus Bovis, ground, 1 fen each), Fangfeng (Saposhnikoviae Radix, remove forked tips), Wushao She (Zaocys, wine-soaked, skin and bones removed, roasted), Ganjiang (Zingiberis Rhizoma, prepared and cut), Guizhi (Cinnamomi Ramulus, remove rough bark), Quanxie (Scorpio, remove earth and stir-fry), Baifuzi (Typhonii Rhizoma, prepared), Tiannanxing (Arisaematis Rhizoma, prepared), Baijiangcan (Bombyx Batryticatus, stir-fried).
Ten ingredients. Pound seven into powder, mix with three ground ingredients. Form pills with refined honey, size of paulownia seeds. Take 7 pills per dose, warm wine, twice daily, once at night. Severe cases: bean-leavened wine, double dose. Follow with hot ginger thin rice gruel. Avoid wind after sweating.

For all traumatic tetanus, use Wushao Wan:
Wushao She (Zaocys, wine-soaked, skin and bones removed, roasted), Shanzhizi (Gardeniae Fructus, remove skin, 0.5 liang each), Fangfeng (Saposhnikoviae Radix, remove forked tips), Duhuo (Angelicae Pubescentis Radix, remove rhizome head), Zhike (Aurantii Fructus, remove pith), Chuanxiong (Ligusticum Chuanxiong Rhizoma), Baifuzi (Typhonii Rhizoma, prepared), Tiannanxing (Arisaematis Rhizoma, prepared), Baijiangcan (Bombyx Batryticatus, stir-fried), Quanxie (Scorpio, remove earth and stir-fry), Ganjiang (Zingiberis Rhizoma, prepared), Gancao (Licorice Root, honey-fried).
Twelve ingredients. Crush into powder. Form pills with refined honey, size of paulownia seeds. Take 7 pills per dose, warm wine, gradually increase to 20 pills.

For traumatic tetanus with trismus, mouth closure, facial deviation, and limb flaccidity, use Tiannanxing Wan:
Tiannanxing (Arisaematis Rhizoma, prepared, 1 piece and 3 fen), Dilong (Pheretima, vinegar-roasted, 5 pieces), Tuchuishe (Viper, 1 piece, remove head, tail, intestines, skin, bones, vinegar-roasted).
Three ingredients. Crush into powder. Make pills with vinegar-cooked flour paste, size of mung beans. Take 3-5 pills per dose, ginger wine, thin scallion gruel. Sweating indicates cure.

For traumatic tetanus, use Ganxie Wan:
Ganxie (Dried Scorpio, wine-stir-fried), Tianma (Gastrodiae Rhizoma, 0.5 liang each), Chansu (Toad Venom, 2 qian, dissolved in water like thin paste).
Three ingredients. Pound two into powder, use Chansu paste to form pills, size of mung beans. Take 1-2 pills per dose, bean-leavened wine. Severe cases: increase to 3-5 pills.

For traumatic tetanus, use Shexiang San:
Shexiang (Moschus, ground), Ganxie (Dried Scorpio, 1 fen each).
Two ingredients. Crush into powder. Apply to sores to accelerate wind expulsion and healing.

For traumatic tetanus, use Duoming San:
Tiannanxing (Arisaematis Rhizoma), Fangfeng (Saposhnikoviae Radix, 1 liang each).
Two ingredients. Crush into powder. Wash sore with urine of young boy, then apply powder mixed with wine to the sore.

For traumatic tetanus with neck stiffness and body rigidity, use Dingming San:
Wugong (Centipeda, one whole), Wushao She (Zaocys, taken from behind neck), Baihuashe (Bungarus multicinctus, taken from behind neck, 2 cun each, wine-soaked, bones removed, wine-roasted).
Three ingredients. Make fine powder. Take 2-3 qianbi per dose, decoct wine until boiling, mix and take.

For traumatic tetanus, use Dusheng San:
Sufangmu (Sappan Wood, any amount).
One ingredient. Crush into fine powder. Take 3 qianbi per dose, wine. Immediate effect.

For traumatic tetanus with body/neck stiffness and unconsciousness, use Bixiao San:
Biao Jiao (Fish Maw, white, any amount, roasted until yellow).
One ingredient. Crush into fine powder. Take 3 qianbi per dose, hot wine. If unconscious, force-feed.

For traumatic tetanus with back arching, neck stiffness, trismus, and acute wind, use Jifeng San:
Caowutou (Aconitum Kusnezoffii Radix, any amount, boil in strong vinegar ten times, drain, dry, repeat ten times).
One ingredient. Crush into fine powder. Take 'yi zi' dose, warm wine.

For traumatic tetanus with body stiffness, trismus, and fixed gaze, use Chijian San:
Chijian (Arisaematis Rhizoma? Note: Chijian usually refers to Gastrodiae Rhizoma/Tianma in ancient texts, but distinct here), Tiannanxing (Arisaematis Rhizoma, prepared), Danggui (Angelicae Sinensis Radix, cut and dry-roasted), Baijiangcan (Bombyx Batryticatus, stir-fried), Chuanxiong (Ligusticum Chuanxiong Rhizoma), Baifuzi (Typhonii Rhizoma, prepared), Mahuang (Ephedrae Herba, remove root nodes), Wushao She (Zaocys, wine-soaked, skin and bones removed, roasted), Quanxie (Scorpio, remove earth and stir-fry, 0.5 liang each).
Sixteen ingredients. Crush thirteen into powder, mix with three ground ingredients. Take 1 qianbi per dose, warm wine, anytime.

For traumatic tetanus with trismus, aphonia, salivation, and throat sounds, use Liuwei Zhuifeng San:
Fuzi (Aconiti Lateralis Radix, raw), Baifuzi (Typhonii Rhizoma, remove tip), Wutou (Aconiti Radix, remove tip), Tiannanxing (Arisaematis Rhizoma), Banxia (Pinelliae Rhizoma, washed seven times, ginger-processed, 0.5 liang each), Ganxie (Dried Scorpio, whole, stir-fried, 1 fen).
Six ingredients. Crush into powder, mix with 1 fen Nifen (Calomel). Take 'yi zi' to 0.5 qianbi per dose, bean-leavened wine, anytime. Apply dry powder to sores.

For traumatic tetanus with opisthotonos, use Shougong Wan:
Shougong (Gecko, roasted dry, remove feet, 7 pieces), Tiannanxing (Arisaematis Rhizoma, 1 liang, wine-soaked 3 days, dry-dried, pound these two into powder), Nifen (Calomel, 0.5 fen).
Three ingredients. Grind together finely. Make pills with thin flour paste, size of mung beans. Pry mouth open, give 7 pills with wine. After a while, sweating occurs. Give another dose; second sweating indicates cure.

For traumatic tetanus with swelling and trismus, use Baijiangcan San:
Baijiangcan (Bombyx Batryticatus, straight ones, any amount).
One ingredient. Raw grind into powder. Mix with fresh ginger juice, sweep onto sore with chicken feather, keep moist. Swelling reduction and wrinkling indicate effect. Also take 0.5 qianbi mixed with ginger juice internally.

For traumatic tetanus with fever, headache, nausea, and restlessness, use Wutou San:
Caowutou (Aconitum Kusnezoffii Radix, remove rhizome head, raw), Baifan (Alumen, raw), Shujiao (Zanthoxyli Pericarpium, remove eyes and closed mouths, raw, 1 fen each).
Three ingredients. Grind into fine powder. Apply with saliva to unclosed sores. Clear fluid discharge indicates effect. Also take the following three Zhuifeng San:
Wutou (Aconiti Radix, raw, remove peel and navel, 1 piece), Xionghuang (Realgar, ground, 1 fen), Shexiang (Moschus, ground, 'yi zi').
Three ingredients. Grind into fine powder. Take 1 qianbi per dose, warm wine.

For traumatic tetanus with body stiffness and trismus, use Heishen Wan:
Liuhuang (Sulfur, ground), Dansha (Cinnabar, ground), Xionghuang (Realgar, ground, 1 liang each), Shuiyin (Hydrargyrum, 2 liang, combine with previous four to form cinnabar-like particles), Qiandan (Plumbi Subcarbonate, ground), Xiaoshi (Nitrums, Mahuang (Ephedrae Herba, remove root nodes), Shexiang (Moschus, ground, 1 liang each).
Eighteen ingredients. First combine four to form particles, grind. Add Qiandan, Xiaoshi, Dingfen, stir-fry until black, stop fire. Then mix with remaining ten ingredients... (Text incomplete). Take... (Text incomplete).

For traumatic tetanus with chills, fever, restlessness resembling cold syndrome, use Zhuifeng Bai Wanzi:
Wugong (Centipeda, red legs, soak in ginger juice overnight), Baihuashe Neck Meat (wine-soaked overnight, roast), Ruxiang (Olibanum, ground), Shexiang (Moschus, ground), Fuzi Jian (Aconiti Lateralis Radix Praeparata tip)...
Five ingredients. Grind into powder. Form pills with refined honey, size of radish seeds. Based on patient size, dissolve 1-5 or 10 pills in mint boiled water. Induce sweating, bathe in peach/willow soup, follow with hot rice drink. Sweating indicates cure.

For traumatic tetanus with blunt trauma internal injury, use Yinhua San:
Tiannanxing (Arisaematis Rhizoma, large, half raw half prepared), Baifuzi (Typhonii Rhizoma, half raw half prepared), Fangfeng (Saposhnikoviae Radix, remove forked tips, equal parts).
Three ingredients. Fine powder. Take 2 qianbi per dose. Severe: young boy's urine. Mild: hot wine. For external wounds, apply powder to sore.