论曰金疮烦闷者,以血出太甚,经络空虚而发热躁也。经所谓阴虚生内热,阳虚生外寒
者如此,其有发渴者,亦以经络乏竭,津液枯燥,故欲引饮。
治金疮烦闷,疼痛不止。白薇散方
白薇 栝蒌 枳实(去瓤麸炒) 辛夷(去毛) 甘草(炙锉) 石膏(研如粉各一两)
浓朴
上八味,捣罗为散,每服二钱匕,温酒调下空心,日午临卧半夜各一服。
治金疮烦闷欲死。大小便不通。消石散方
硝石(炼) 寒水石(研) 栝蒌根 泽泻 白蔹 芍药(各一两)
上六味,捣罗为散,每服二钱匕,温水调下空心,日午临卧半夜各一服。
治金疮烦闷及渴,内补。瞿麦散方
瞿麦穗 芍药 细辛(去苗叶) 桔梗(炒) 芎 当归(切焙) 甘草(炙锉) 干
姜(炮)
夷(去毛) 牡
炙各一两)
上一十九味,捣罗为散,每服二钱匕,熟水调下空心,日午临卧半夜各一服。筋骨断者
,加续断三分。
治金疮烦闷。白芷散方
白芷 甘草 芎 (各一两)
上三味。细锉,炒令变色,捣罗为散,每服一钱匕,温熟水调下空心,日午临卧半夜
各一服。
治金疮烦闷,止烦。石膏散方
石膏(研) 甘草(炙锉各二两)
上二味,捣罗为散,每服二钱匕,温熟水调下,空心,日午夜卧半夜各一服。
治金疮烦闷疼痛,大便不利。大黄丸方
大黄(锉碎微炒) 黄芩(去黑心各一两)
上二味,捣罗为末,炼蜜和丸,如梧桐子大。每服十五丸,加至二十丸,熟水下,空心
日午临卧各一。
治金疮烦闷。苦酒煮豆方
赤小豆(半升)
上以苦酒二升,熬至一升,去滓色黑始服,每服二合,空心日午夜卧各一。
治金疮烦痛。磁石散方
磁石(五两)
上一味,捣罗重研为细散,量疮口大小,以意敷之,止痛断血。治金疮出血必渴当忍,
啖燥食,不饮粥,若犯房即杀人。方
雄黄(不计多少)
上一味,研为细末,量疮口大小敷之,疮中恶汁出,即瘥。
Discourse states: The sensation of vexation and oppression (Fanmen) in metal weapon injuries (Jinchuang, i.e., traumatic wounds caused by sharp metal objects) arises from excessive blood loss, leading to emptiness in the collaterals and channels, resulting in fever and restlessness. This aligns with the classic saying that "Yin deficiency generates internal heat, while Yang deficiency generates external cold." For those presenting with thirst, it is also due to the exhaustion of the collaterals and channels and the dryness of body fluids, prompting a desire to drink.
Formula for treating vexation and oppression and unceasing pain in metal weapon injuries: Baiwei San Powder
Ingredients: Baiwei (Radix Cynanchi Atrati), Gualuo (Fructus Trichosanthis), Zhishi (Fructus Aurantii Immaturus, pulp removed and stir-fried with bran), Xinyi (Flos Magnoliae, hairs removed), Gancao (Radix Glycyrrhizae Preparata, roasted and crushed), Shigao (Gypsum Fibrosum, ground into powder), each 1 liang; Houpo (Cortex Magnoliae Officinalis).
Usage: Pound the above eight ingredients, sieve them to make a powder. Take 2 qianbi per dose, mixed with warm wine on an empty stomach. Administer once at noon, before going to bed, and at midnight.
Formula for treating severe vexation and oppression, and obstruction of urination and defecation in metal weapon injuries: Xiaoshi San Powder
Ingredients: Xiaoshi (Natrii Sulfas, refined), Hanshuishi (Alumen Rubrum, ground), Gualuogen (Radix Trichosanthis), Zexie (Rhizoma Alismatis), Bailian (Bulbus Iridis Tectorii), Shaoyao (Radix Paeoniae Alba), each 1 liang.
Usage: Pound the above six ingredients, sieve them to make a powder. Take 2 qianbi per dose, mixed with warm water on an empty stomach. Administer once at noon, before going to bed, and at midnight.
Formula for treating vexation, oppression, and thirst in metal weapon injuries, with internal nourishing effects: Qumai San Powder
Ingredients: Qumaishui (Herba Dianthi), Shaoyao (Radix Paeoniae Alba), Xixin (Radix Asari, roots and leaves removed), Jiegeng (Radix Platycodonis, stir-fried), Xiong (Rhizoma Chuanxiong), Danggui (Radix Angelicae Sinensis, sliced and dried), Gancao (Radix Glycyrrhizae Preparata, roasted and crushed), Jiangjiang (Rhizoma Zingiberis Preparatum, processed), Xinyi (Flos Magnoliae, hairs removed), Muli (Concha Ostreae, roasted), each 1 liang. (Note: The original text lists fewer than nineteen ingredients but states "nineteen ingredients"; this translation follows the listed items.)
Usage: Pound the above nineteen ingredients, sieve them to make a powder. Take 2 qianbi per dose, mixed with boiled and cooled water on an empty stomach. Administer once at noon, before going to bed, and at midnight. If bones or tendons are severed, add Xuduan (Radix Dipsaci) 3 fen.
Formula for treating vexation and oppression in metal weapon injuries: Baizhi San Powder
Ingredients: Baizhi (Radix Angelicae Dahuricae), Gancao (Radix Glycyrrhizae Preparata), Xiong (Rhizoma Chuanxiong), each 1 liang.
Usage: Finely crush the above three ingredients, stir-fry until they change color, pound, and sieve to make a powder. Take 1 qianbi per dose, mixed with warm boiled water on an empty stomach. Administer once at noon, before going to bed, and at midnight.
Formula for treating vexation and oppression in metal weapon injuries and relieving vexation: Shigao San Powder
Ingredients: Shigao (Gypsum Fibrosum, ground), Gancao (Radix Glycyrrhizae Preparata, roasted and crushed), each 2 liang.
Usage: Pound the above two ingredients, sieve them to make a powder. Take 2 qianbi per dose, mixed with warm boiled water on an empty stomach. Administer once at noon, before going to bed, and at midnight.
Formula for treating vexation, oppression, and pain in metal weapon injuries, and promoting bowel movement: Dahuang Wan Pill
Ingredients: Dahuang (Radix et Rhizoma Rhei Preparata, crushed and slightly stir-fried), Huangqin (Radix Scutellariae, black heart removed), each 1 liang.
Usage: Pound the above two ingredients into powder, mix with refined honey to form pills the size of paulownia seeds. Take 15 pills per dose, increasing to 20 pills if necessary, taken with boiled and cooled water on an empty stomach, at noon, and before going to bed.
Formula for treating vexation and oppression in metal weapon injuries: Kujiu Zhu Dou Method
Ingredients: Chixiaodou (Semens Phaseoli Adzuki, half sheng).
Usage: Boil in Kujiu (vinegar, 2 sheng) until reduced to 1 sheng. Remove dregs. Begin taking when the liquid turns black. Take 2 he per dose, on an empty stomach, at noon, and before going to bed.
Formula for treating vexation and pain in metal weapon injuries: Cishi San Powder
Ingredients: Cishi (Magnetitum, 5 liang).
Usage: Pound the above single ingredient, repeatedly grind into a fine powder. Apply appropriately according to the size of the wound to relieve pain and stop bleeding.
Regarding metal weapon injuries with bleeding and inevitable thirst: One must endure the thirst, consume dry food, avoid drinking porridge, and abstain from sexual intercourse, as violation of this rule can be fatal. Formula: Xionghuang Powder
Ingredients: Xionghuang (Realgar, quantity as needed).
Usage: Grind the above single ingredient into a fine powder. Apply appropriately according to the size of the wound. When foul discharge exits the wound, the condition will heal.