Library

Various bone obstructions in the throat. Use powdered ivory (Bos taurus horn) blown into the affected area. Or take dog saliva (Canis lupus familiaris saliva), swallow it slowly, and immediate effect will be achieved. Use root of Boehmeria nivea (Ramie Root), mash it thoroughly, and form pills the size of a bullet.
Swallow these pills using the decoction made from the object that caused the obstruction.
Another prescription. Eat olive fruits, grind the pits into powder, and hold them in the mouth; this is also effective.
Rice husks or wheat awns stuck in the throat cannot come out. Take chicken or goose saliva, hold it in the mouth, and they will disappear immediately.
If gold, silver, or other objects are accidentally swallowed, eat plenty of various fatty, greasy, and slippery meats to facilitate their natural passage through the large intestine with feces.
If copper coins are accidentally swallowed, mix charcoal powder with warm water for oral administration. Eat plenty of honey (Apis mellifera product) and maltose syrup to facilitate their natural passage through the large intestine with feces. Alternatively, eat plenty of Eleocharis dulcis (Chinese Water Chestnut) or walnut kernels.
If needles are accidentally swallowed, use magnetite (Magnetitum) the size of a jujube pit, grind it until smooth, drill a hole, thread it with a string, and hold it in the mouth; the needle will naturally exit from the mouth.

(Attached: Tetanus / Wind Stroke after Injury)
The *Neijing* states: If the Liver pulse becomes hard and long, but the complexion is not green, one should suffer from falling or twisting injuries due to blood stasis under the hypochondrium, causing vomiting and reverse qi flow.
The *Jingui Yaolue* states: If the Cun-kou pulse is floating, faint, and choppy, it indicates blood loss. If there is excessive sweating and sores on the body caused by knife or axe wounds, it is due to blood loss.
The *Maijing* states: In traumatic bleeding, if the pulse is deficient and fine, the patient survives; if rapid, excess, and large, the patient dies. In traumatic bleeding, if the pulse is sunken and small, the patient survives; if floating and large, the patient dies.
For cutting or stabbing wounds with continuous bleeding, if the pulse is large, death occurs within seven days; if slippery and fine, the patient survives.
After falling from a height, if there is internal blood stasis, abdominal distension, and a strong, firm pulse, the patient survives; if the pulse is small and weak, the patient dies.
In traumatic injuries with internal blood stasis, if the pulse is strong, firm, and excess, the patient survives; if deficient, small, and weak, the patient dies. This is because the pulse does not correspond to the disease condition.
A woman suffering from a carbuncle on the buttock developed tetanus as the sore was about to heal. She had fever and convulsions, with a floating and rapid pulse. The treatment prescribed was Danggui Dihuang Tang (Angelica Sinensis and Rehmannia Decoction). She did not believe in it and instead took dispersing and detoxifying drugs. Her condition indeed worsened. Only then did she believe and take the prescribed medicine. After several doses, she recovered.
A floating and rapid pulse usually indicates the need to release the exterior. However, using dispersing methods here worsened the illness. This shows that a floating and rapid pulse can also indicate Yin deficiency. One must combine pulse diagnosis with symptoms for a stable judgment. The diagnosis of Yin deficiency was based on the aftermath of the buttock carbuncle.
Generally, tetanus must be differentiated by exterior/interior and deficiency/excess; it cannot be treated uniformly. The *Yuanbing Shi* states: The cause of wind stroke after injury is that intense heat in the sore causes constriction, preventing the circulation of Ying and Wei (Nutritive and Defensive Qi). Depressed heat spreads throughout the body, resulting in white scabs. At this time, the wound closes, making it difficult for Qi to vent. Intense heat generates wind.
If untreated, the pathogen transmits from the exterior to the interior. However, due to variations in the severity of wind-heat and transformation, manifestations differ.
General principle: For tetanus where wind-heat is dry and severe, depressed at the exterior while interior Qi is peaceful, presenting with frequent stretching and yawning, tendon and vessel stiffness, occasional aversion to cold, relaxed tendons with tremors, and a floating, rapid, and wiry pulse, one should use acrid-hot herbs to treat wind, opening and flushing out stagnation. This is similar to treating exterior heat depression in Cold Damage using Mahuang Tang (Ephedra Decoction) for acrid-hot dispersion. Whenever using acrid-hot herbs to open wind-heat stagnation, it is advisable to assist with cold herbs to prevent the wind-heat from intensifying despite the medication hitting the target. For example, treating fever in Cold Damage, using Ephedrae Herba (Mahuang), Cinnamomi Ramulus (Guizhi), plus Scutellariae Radix (Huangqin), Anemarrhenae Rhizoma (Zhimu), and Gypsum Fibrosum (Shigao) is sufficient. Some physicians consider dispersing with cold herbs like Glycyrrhizae Radix (Gancao), Talcum (Huashi), Allii Fistulosi Bulbus (Congbai), and Sojae Semen Praeparatum (Douchi) to be excellent. If the exterior syndrome persists and gradually invades the interior, but the interior is not yet severely affected, and the pulse is felt at the muscle layer, one should regulate with cold herbs that reduce wind-heat and open stagnation. A slight addition of acrid-hot wind-treating herbs is also acceptable. This resembles the harmonizing method of Xiaochaihu Tang (Minor Bupleurum Decoction) for Cold Damage at the half-exterior/half-interior level. If interior heat is already severe, presenting with stiff tongue, locked jaw, opisthotonos,惊搐 (startle convulsions), dry saliva, chest and abdominal fullness, constipation of urine and feces, or intermittent sweating, with a surging, rapid, and wiry pulse: The sweating occurs because wind-heat is severely depressed in the interior, while exterior heat has slightly subsided, causing pores to open and Heart fire to become intense. The method should involve purging with cold herbs that dispel wind and resolve stagnation. Afterwards, regulate with cold herbs that reduce wind-heat and open depression. Once heat recedes and stagnation dissipates, the wind will heal itself. In treating this, massage and guidance exercises are also appropriate, and using chopsticks to pry open the jaw is necessary to prevent lockjaw, allowing porridge and medicine to enter.
The *Bingji* states: Tetanus arises from sudden severe trauma where wind pathogens invade and spread through meridians, causing alternating chills and fever, opisthotonos, and inability to bend. Severe cases involve pathogens entering the Zang organs. It can also arise from non-healing sores where both Ying and Wei are deficient, muscles do not regenerate, and wound edges do not close, allowing external pathogens to enter the sore, causing tetanus. When sores do not heal, everyone advocates moxibustion as the best method, creating "cooked sores." However, they fail to realize that fire-heat and toxic pathogens transmit through meridians in countless ways. Mildly, it causes fever; severely, it generates wind and convulsions, opisthotonos, lockjaw, and deviated eyes. There are also cases of tetanus without moxibustion, where white scabs form, closing the wound, blocking Qi venting, causing Yang heat to easily stagnate, and intense heat generating wind. Xu Yongcheng stated that this discussion identifies four causes: 1. Wind entering through the wound, resembling an external cause. 2. Heat driven by moxibustion, resembling a neither-internal-nor-external cause. 3. Internal heat generating wind due to wound closure, resembling an internal cause. He further stated that ancient formulas rarely discuss tetanus, likely because it is discussed alongside wind stroke, hence no separate category. Only Liu Wansu (Hejian) discussed it similarly to the three methods of exterior/interior in Cold Damage, with detailed prescriptions. His etiology includes external wind invasion and internal heat from moxibustion. It resembles wind stroke. However, wind stroke patients may survive for years, whereas tetanus patients often die upon contraction. Wind stroke differs by location in meridians, Zang, or Fu organs, with Zang involvement being hardest to treat. Tetanus, whether due to initial excessive bleeding or early wound closure with blood stasis, involves blood pathology governed by the Yin Zang organs. Thus, although the wind initially affects the exterior, it quickly transmits to the interior Zang organs, leading to high mortality. This disease occurs either when wounds are exposed to wind-cold or when closed wounds are invaded by wind pathogens. Even if the patient seems safe, this can suddenly occur. Generally, it results from internal Qi deficiency combined with depressed heat. If internal Qi is not deficient and there is no depressed heat, injury causes no harm.