夫被弓弩所伤。若箭镞有毒药。入人皮脉。令人短气。须臾命绝。口噤唇干。血已断绝
。腹满不言。其人如醉。未死之间。为不可治。若荣卫有瘀血。应时出。疮边温热。口开能
言。
着
便即食粪。或饮粪汁。并涂疮即愈。不尔。须臾不可复救。毒箭着宽处者。虽因渐治必不死
。若近胸腹。便宜速治。少缓毒入内。则不可救矣。
治猝中毒箭立解芦根散方。
芦根（一两锉） 蓝叶（一两） 不灰木〔二两以牛粪烧（火烧赤）〕 紫檀（半两）
上件药。捣细罗为散。不计时候。以蓝汁调下一钱。粥饮调服亦得。
治毒箭所伤。解毒雄黄散方。
雄黄（一分细研） 芦根（半两锉） 白蔹（半两） 大麻仁（一分微炒）
上件药。捣细罗为散。都研令匀。每服。以温酒调下一钱。日四五服。
治毒箭所伤。皮内瘀肿疼痛。不可过时。宜服梨母子煎方。
梨母子〔一升（斤）细研去核〕 盐麸子（五两） 蓝子（五两） 不灰木（三两牛粪
火烧赤
）独颗栗子（三两干者） 甘草（二两锉生用） 黑豆（三两炒熟） 黄连（二两去须） 绿
豆（三
两炒熟） 大
上件药。捣罗为末。用炼了蜜。入诸药。调为膏。每服。以温酒调下一茶匙。日三四服
治毒箭疮。及马汗毒。宜敷不灰木散方。
不灰木（二两以牛粪火烧赤） 密陀僧（一两） 黄柏（半两锉） 腻粉（一分） 麝
香（一分
细研）
上件药。捣细罗为散。每用时。先以盐水洗疮。后用药敷之。日一换之。
治中毒箭。蓝子散方。
蓝子（五两） 川升麻（四两） 王不留行（四两） 甘草（四两炙微赤锉）
上件药。捣细罗为散。每服。以冷水调下二钱。日三服。又以水和涂疮。干则易之。
治中毒箭方。
上服蓝汁一中盏。以滓敷之。无蓝汁。温水渍青布汁。并灌疮中镞不出。捣死鼠肝涂之
。鼠脑亦得用之。即出。
又方。
上以生地黄汁。煎作膏。每服。以热水调下半匙。
又方。
上以芦根煮汁。日饮三两盏效。
又方。
上以葛根煮汁。日饮三两盏效。
In cases of injury caused by bows and crossbows, if the arrowhead is poisoned and enters the skin and vessels, it causes shortness of breath and can lead to death within moments. Symptoms include lockjaw (trismus), dry lips, cessation of blood flow, abdominal distension, inability to speak, and a state resembling drunkenness while on the verge of death; such conditions are considered incurable.
However, if Ying and Wei (nutritive and defensive qi) stagnation with blood stasis occurs and blood is expelled immediately, with the wound edges feeling warm and the patient able to open their mouth and speak, immediate ingestion or drinking of feces, applied topically to the wound, will result in recovery. Otherwise, rescue is impossible after a brief interval.
If an arrow strikes a broad area of the body, gradual treatment ensures survival. If it strikes near the chest or abdomen, urgent treatment is required; any delay allows toxins to penetrate internally, making rescue impossible.
**Lugen San (Reed Rhizome Powder) for Immediate Detoxification from Sudden Poisonous Arrow Injuries:**
* Lugen (Rhizoma Phragmitis Communis, one liang, cut into small pieces)
* Lanye (Folium Isatidis, one liang)
* Buhui Mu [Two liang, calcined red-hot using cow dung]
* Zitan (Santalum Album, half liang)
Crush the above ingredients and sieve them through a fine mesh to make a powder. Administer one qian mixed with juice from Isatis leaves at any time; mixing with rice decoction is also acceptable.
**Xionghuang San (Realgar Powder) for Detoxification from Poisonous Arrow Injuries:**
* Xionghuang (Realgar, one fen, finely ground)
* Lugen (Rhizoma Phragmitis Communis, half liang, cut into small pieces)
* Bailian (Radix Paeoniae Rubrae, half liang)
* Dama Ren (Semen Cannabis, one fen, lightly stir-fried)
Crush the above ingredients and sieve them through a fine mesh to make a powder, grinding thoroughly until uniform. Take one qian mixed with warm wine per dose, four to five times daily.
**Limu Zi Jian (Pear Mother Decoction/Paste) for Subcutaneous Stasis, Swelling, and Pain from Poisonous Arrow Injuries (Do not delay):**
* Limu Zi [One sheng (or jin), finely ground, pips removed]
* Yan Fuzi (Fructus Rhois Semecarpifoliae, five liang)
* Lanzi (Fructus Isatidis, five liang)
* Buhui Mu [Three liang, calcined red-hot using cow dung]
* Du Ke Lizi (Single Kernel Chestnut, three liang, dried)
* Gancao (Radix Glycyrrhizae, two liang, cut into small pieces, used raw)
* Heidou (Semen Sojae Nigrum, three liang, stir-fried until cooked)
* Huanglian (Rhizoma Coptidis, two liang, whiskers removed)
* Ludou (Semen Phaseoli Radiati, three liang, stir-fried until cooked)
Grind the above ingredients into a fine powder. Mix with refined honey to form a paste. Take one tea spoon mixed with warm wine per dose, three to four times daily.
**Buhui Mu San (Buhui Mu Powder) for Topical Application on Poisonous Arrow Wounds and Horse Sweat Toxins:**
* Buhui Mu [Two liang, calcined red-hot using cow dung]
* Mituoseng (Litharge, one liang)
* Huangbai (Cortex Phellodendri, half liang, cut into small pieces)
* Nin Fen (Calomel, one fen)
* Shexiang (Moschus, one fen, finely ground)
Crush the above ingredients and sieve them through a fine mesh to make a powder. Before use, wash the wound with salt water, then apply the powder. Change the dressing once daily.
**Lanzi San (Isatis Fruit Powder) for Poisonous Arrow Injuries:**
* Lanzi (Fructus Isatidis, five liang)
* Chuan Shengma (Rhizoma Cimicifugae Foetidae, four liang)
* Wangbuliuxing (Semen Viscariae, four liang)
* Gancao (Radix Glycyrrhizae, four liang, stir-baked until slightly reddish, cut into small pieces)
Crush the above ingredients and sieve them through a fine mesh to make a powder. Take two qian mixed with cold water per dose, three times daily. Additionally, mix the powder with water and apply to the wound; replace when dry.
**Method for Treating Poisonous Arrow Injuries:**
First, drink one zhan of Isatis leaf juice, then apply the dregs to the wound. If Isatis leaf juice is unavailable, soak green cloth in warm water to extract the juice, and pour this into the wound to help expel the arrowhead. Alternatively, grind dead mouse liver and apply it; mouse brain may also be used. This will cause the arrowhead to emerge.
**Another Prescription:**
Use juice of fresh Radix Rehmanniae (Shengdihuang), boiled down into a paste. Take half a spoonful mixed with hot water per dose.
**Another Prescription:**
Boil Rhizoma Phragmitis Communis (Lugen) to make a decoction. Drink three to five zhan daily; this is effective.
**Another Prescription:**
Boil Radix Puerariae (Gegen) to make a decoction. Drink three to five zhan daily; this is effective.