(附论)
夫金疮中风水者。以封裹不密所致也。中风之候。其疮卒无汁。中水之候。则出青黄汁。
而又疼痛。发作肌肉肿硬。将为痉状。可急治之。凡痉状口急背直。摇头马鸣。腰为反折。
须
夫金疮风痉者。此由血脉虚竭。饮食未复。荣卫伤损。风邪乘虚入于五脏。五脏受寒。
则令
不在
方
续断散(出千金方)
治金疮中风痉。筋骨疼痛。
续断 蛇衔草(各二两) 地榆(锉) 当归(锉微炒) 细辛 干姜(炮裂锉) 桂
心熟干地黄 附子(炮裂去皮脐) 人参(去芦头) 芎 甘草(微炙锉以上各二两) 赤
芍药(一两半)
炒出汗) 上为细末。每服不计时候。以温酒调下二钱。
疗金疮已中水。及恶露风寒肿痛。(出肘后方)
以盐数合。急抑着疮上。以火炙之。令热透疮中毕。以腊月竹管。插热灰中令烊。以滴
入
又方(出圣惠方)
以桑灰汁温之。以渍疮良。大治金疮止痛。以灰敷疮上尤妙。
蒲黄方(出圣惠方)
治金疮中风寒水露。肿痛入腹。
用蒲黄并旧青布。纳在小口瓶中。烧取烟熏疮。汁出愈。
赤箭散(出圣惠方)
治金疮中风痉。口噤不语。
赤箭(一两) 桂心 防风(去芦) 巴豆(去皮心研纸裹压去油各三分) 吴茱萸(半
两汤浸七
过) 干姜(一分
醋三升。熬成膏。可丸
蛇衔草散(出圣惠方)
治金疮中风痉。内伤疼痛。
蛇衔草 甘草(炙微赤锉) 芎 白芷 当归(锉微炒) 川乌头(炮裂去皮脐以上
各三分)
钱。
虎骨散(出圣惠方)
治金疮中风痉。肢节筋脉拘急。
虎胫骨(一两涂酥炙令黄) 黑豆(五合) 松脂(二两) 桂心(三分) 桃仁(一
两汤浸去皮尖
两) 干蝎(一两微炒
时候。以温酒调下二钱
八仙散
治金疮辟风水、续筋骨、止血。敷之。(一名锻石散)
锻石(风化者十两) 地松苗(新者切研半两) 细辛(去苗叶) 旋复根(切研) 新
葛叶(切研
上除锻石、猪
再研之如粉。
以敷疮口上。止血定痛生肌。五月五日合之。一方加莓苗汁。
苦瓠散
治金疮中风水肿。疼痛不止。
苦瓠(一两) 蛇蜕皮(半两微炙) 黑豆(半升炒热去皮) 露蜂房(半两微炙) 梁
上尘(一合)
芎 散
治疮中风。疼痛不可忍。
芎 防风(去叉) 羌活(去芦头各一两) 甘草(炙三分) 当归(焙一两) 上
咀如麻豆大
粗皮三分。去
白石脂散
治金疮中风水。久不成痂者。
白石脂 乌贼鱼骨 槟榔(各一两) 上为细末。时掺疮中。以成痂为度。
治金疮中风水肿毒方。
苇灰(一升) 乌贼鱼骨 白龙骨(各三两烧赤) 上细研。敷于疮上。其水即自然出。
敷之三
豆淋酒
治因金疮中风。反张者。
鸡屎白(一合) 大豆(六合) 上炒令大豆焦黑。次入鸡屎白同炒。乘热泻于三升酒
中。密盖
出为度。
当归散
治金疮辟风止痛。
涂封方
治金疮中风。角弓反张。
生鸡子(一枚) 乌麻油(三两) 上先将鸡子打破。与麻油相和。煎之稍稠。待冷即
涂疮上。
治金疮中风痉欲死者。及诸大脉皆血出多。不可止。血冷则杀人。
用生葛根一斤锉碎。以水五升。煮取三升。去滓。每服热酒一小盏。日三四服。若干者
捣末
瓠瓜方
疗金疮得风。身体 强。口噤不能语。或因打破而得。及斧刀所伤得风。临死服此
取未开瓠瓜一枚长柄者。开其口。随疮大小开之。令疮相当。可绕四边闭塞。勿使通气。
上
止
葱白方
治金疮水入皲肿。(方见本门金疮血不止类)
胡粉膏
治金疮中风寒水肿。
胡粉 炭灰(各半两) 上以猪膏量药调和。涂疮孔上。出水便瘥。
治外风入疮口。肿痛。
全蝎(一个) 白僵蚕(三个去丝) 蝉蜕(三个) 上为末。擂生葱自然汁。调涂自
愈。
治金疮中风水刺痛方。
葱(一握) 盐(一合) 上以水三升。煮数沸渍疮。即止。
浸酒方
治金疮中风痉。
用鸡屎白三升炒黄。以生绢袋盛。入瓷瓶中与酒六升。火煨浸半日。去滓。温服五合。
日三
必效酒
治金疮中风。角弓反张者。
用蒜擘破去心顶一升。以无灰酒四升。煮烂。并渣每五合顿服之。须臾、得汗即瘥。
治金疮浸酒方
或击破等疮中风。口闭牙噤。身强欲死。
用雀屎炒研半合。以酒七合。煮五合。滤去渣。令温顿服。腹中转动当即愈。若不能开
口。
杏仁酒摩方
治金疮中风。角弓反张者。
用杏仁碎研。生用不去皮尖三斤。蒸令一炊久。更研令极细。入酒三升。绞取汁。每服
五合
豆淋酒
治金刃伤破见骨。中风口噤。
用大豆炒去腥半熟。勿使大熟五升。粗捣筛。蒸一 顷。倾出盆中。以酒一斗五升淋之。
绞
难
又方
治金疮因风水肿。
取蜡不计多少溶了。入盐少许。滴在疮中大验。或先以盐罨疮上。从溶蜡令冷热得所。
灌
又方(出圣济总录)
取鹿角不限多少。烧末细研。以腊月猪脂和涂之。久不瘥者。不过五七日瘥。
椒罨方
治金疮中风。
用蜀椒生完者去目三两。量疮口大小。用面作馄饨。 灰中炮令熟。及热开一孔。当疮
上罨
蔓荆子方
治因金疮中风。口噤不能语。
用蔓荆子净洗一升。捣令极烂。捏为炷。灸疮上三两炷。微热即瘥。
莨菪根方
治金疮中风。搐搦。角弓反张。
用莨菪根量疮大小。截令平。如无大者。并缚数根。以称疮为度。别以猪脂一合。盐末
一撮
风。
牛膝膏
治金疮因风水肿。
治暴风口噤金疮。
用垣衣酒渍。服之效。
麻根饮
治金疮中风。骨痛不可忍。
用大麻根叶无问多少。捣研绞取汁。饮三合至四合。无青者以干者。煎取汁服。亦主堕
坠打
黍瓤方(出圣惠方)
治金疮肿痛。因中水及中风。仍冲寒露湿气。其肿入腹则杀人。宜熏之。或中狐尿
刺。
取黍瓤并牛马干粪。及桑条辈。多烟之物。于坑中都烧令烟出。乃以板盖坑上。开板作
小孔。以疮口痛处。安孔上熏之。令疮上出汗。乃瘥。
盐韭敷方(出圣惠方)
治金疮因风水肿。
取韭并盐捣各等分。置疮上。以火灸药上。热彻即愈。
又方
取栎木根皮三斤。细锉。用水二斗煮沸。纳盐一合。时以渍疮肿。脓血当出。便瘥。
又方
取白茅根不限多少。烧为灰。汤和敷疮上。取瘥。一方治金疮止血。煮汁服之。
艾叶方
治金疮中风。掣痛不仁不随。
用艾叶生熟者。令揉团得所。纳瓦甑中。塞诸孔。独留一穴。以通气。熏蒸患处。良久
身体
治八九月刺手足。金疮及诸疮中寒露水。冷毒皆杀人。
用生竹若桑枝两条。惟得一物。郁着火中。为推引之。令极热斫断之。正以头炷疮口中。
热
白
治金疮中风。口噤欲死。(出本草)
用竹沥半大升。微微暖服之。
(Attached Discussion)
When a metallic wound (Jinchuang, trauma caused by metal instruments) is affected by wind-water pathogenic factors, it is due to inadequate sealing and wrapping.
The manifestation of wind invasion is: the wound suddenly has no exudate;
The manifestation of water invasion is: then yellowish-green fluid oozes out,
accompanied by pain. During attacks, the muscles swell and stiffen, presenting a spastic state. Urgent treatment is required.
Whenever spasm occurs, manifesting as oral tension, back straightening, head shaking with horse-like crying sounds, and lumbar hyperextension resembling a bow,
Regarding wind-spasm induced by metallic wounds, this arises from the depletion of blood vessels, incomplete recovery of dietary intake, damage to Ying and Wei (nutritive and defensive) Qi, allowing wind pathogens to enter the Five Viscera vacuously.
When the Five Viscera are invaded by cold pathogens,
then...
(The original text has gaps here)
Formula:
Xuduan San (Decoction of Dipsaci Radix, from *Qianjin Fang*)
Treats wind-spasm in metallic wounds, causing pain in tendons and bones.
Dipsaci Radix (Xu Duan), Ophiopogonis Herba (She Xian Cao) (2 liang each), Sanguisorbae Radix (Di Yu) (cut), Angelicae Sinensis Radix (Dang Gui) (cut and slightly stir-fried), Asari Radix et Rhizoma (Xi Xin), Zingiberis Rhizoma Recensum (Gan Jiang) (processed and cut), Cinnamomi Ramulus (Gui Xin), Prepared Rehmanniae Radix (Shu Shu Di Huang), Aconiti Lateralis Radix Praeparata (Fu Zi) (processed, peel and navel removed), Ginseng Radix (Ren Shen) (rhizome removed), Ligustici Chuanxiong Rhizoma (Chuan Xiong), Glycyrrhizae Radix et Rhizoma (Gan Cao) (slightly roasted and cut, above ingredients 2 liang each), Paeoniae Radix Rubra (Chi Shao Yao) (1.5 liang).
(Gap in original text, possibly describing processing "stir-fried until sweat appears")
Grind the above ingredients into fine powder. Take 2 qian each time, regardless of meal timing, mixed with warm wine.
Treats metallic wounds already affected by water pathogens, as well as swelling and pain caused by wind-cold in lochia. (From *Zhou Hou Fang*)
Take several he of salt, press it firmly onto the wound immediately, and apply heat with fire until the heat penetrates the wound thoroughly. Then use a bamboo tube from the twelfth lunar month, insert it into hot ashes to melt, and drip the liquid into...
(Gap in original text)
Another prescription (From *Sheng Hui Fang*)
Use sap ash juice warmed, to soak the wound for good effect. Primarily treats metallic wounds to stop pain; applying ash to the wound is especially effective.
Puhuang Fang (From *Sheng Hui Fang*)
Treats metallic wounds affected by wind-cold and dew, where swelling and pain penetrate into the abdomen.
Take Puhuang (Lygodii Spora) and old blue cloth, place them in a small-mouthed bottle, burn to collect smoke, and fumigate the wound. Healing occurs when exudate flows out.
Chijian San (From *Sheng Hui Fang*)
Treats wind-spasm in metallic wounds, trismus (lockjaw) and inability to speak.
Rhizoma Polygoni Multiflori (Chijian/Heshouwu) (1 liang), Cinnamomi Ramulus (Gui Xin), Saposhnikoviae Radix (Fang Feng) (rhizome removed), Crotonis Fructus (Ba Dou) (peel and heart removed, ground and pressed between paper to remove oil, 3 fen each), Evodiae Fructus (Wu Zhu Yu) (0.5 liang, soaked in soup seven times... passed through), Zingiberis Rhizoma Recensum (Gan Jiang) (1 fen... with three sheng of vinegar, boiled into paste, can be made into pills...)
(Gap in original text)
Shexiancao San (From *Sheng Hui Fang*)
Treats wind-spasm in metallic wounds, internal injury pain.
Ophiopogonis Herba (She Xian Cao), Glycyrrhizae Radix et Rhizoma (Gan Cao) (roasted until slightly red and cut), Ligustici Chuanxiong Rhizoma (Chuan Xiong), Angelicae Dahuricae Radix (Bai Zhi), Angelicae Sinensis Radix (Dang Gui) (cut and slightly stir-fried), Aconiti Kusnezoffii Radix (Chuan Wu Tou) (processed, peel and navel removed, above ingredients 3 fen each).
(Gap in original text, possibly dosage "qian")
Hugu San (From *Sheng Hui Fang*)
Treats wind-spasm in metallic wounds, stiffness and contraction of joints and sinews.
Tigridis Tibia (Hu Jing Gu) (1 liang, coated with butter and roasted until yellow), Sojae Semen Nigrum (Hei Dou) (5 he), Pini Resina (Song Zhi) (2 liang), Cinnamomi Ramulus (Gui Xin) (3 fen), Persicae Semen (Tao Ren) (1 liang, soaked in soup, peel and tip removed... liang), Scorpio (Gan Xie) (1 liang, slightly stir-fried...)
(Gap in original text, possibly administration "regardless of time, take 2 qian mixed with warm wine")
Baxian San
Treats metallic wounds by repelling wind-water pathogens, reconnecting tendons and bones, stopping bleeding. Apply externally. (Also known as Duanshi San)
Duanshi (Weathered, 10 liang), Descurainiae Herba (Di Song Miao) (fresh, cut and ground, 0.5 liang), Asari Radix et Rhizoma (Xi Xin) (remove rhizome and leaves), Inulae Radix (Xuan Fu Gen) (cut and ground), New Puerariae Radix (Xin Ge Ye) (cut and ground...)
(Gap in original text, possibly preparation "Remove Duanshi, pig... grind again into powder")
Apply to the wound opening to stop bleeding, relieve pain, and generate flesh. Prepare on the fifth day of the fifth lunar month. Another formula adds Mei Miao juice.
Kuhu San
Treats edema in metallic wounds affected by wind-water, with unceasing pain.
Cucumis Trichosanthis Fructus (Ku Hu) (1 liang), Serpentis Skin (She Tui Pi) (0.5 liang, slightly roasted), Sojae Semen Nigrum (Hei Dou) (0.5 sheng, stir-fried hot and peeled), Vespa Nidus (Lu Feng Fang) (0.5 liang, slightly roasted), Dust from Ridge Beams (Liang Shang Chen) (1 he), Ligustici Chuanxiong Rhizoma (Chuan Xiong)... San.
(Gap in original text)
Treats wind entering wounds, unbearable pain.
Ligustici Chuanxiong Rhizoma (Chuan Xiong), Saposhnikoviae Radix (Fang Feng) (remove forked root), Notopterygii Rhizoma et Radix (Qiang Huo) (rhizome removed, 1 liang each), Glycyrrhizae Radix et Rhizoma (Gan Cao) (roasted, 3 fen), Angelicae Sinensis Radix (Dang Gui) (baked, 1 liang).
(Gap in original text, possibly processing "chop like hemp seeds")
Baishizhi San
Treats metallic wounds affected by wind-water that fail to form scabs for a long time.
Kaolinite (Baishi Zhi), Sepiae Endoconcha (Wuzeiyu Gu), Arecae Semen (Bing Lang) (1 liang each).
Grind into fine powder, sprinkle into the wound occasionally, until a scab forms.
Formula for treating edema and toxicity in metallic wounds affected by wind-water.
Reed Ash (Weihui) (1 sheng), Sepiae Endoconcha (Wuzeiyu Gu), Os Draconis (Bailonggu) (3 liang each, calcined until red).
Grind finely, apply to the wound, and the water will naturally drain out.
Apply three times...
(Gap in original text)
Doulin Jiu (Soybean Dripping Wine)
Treats body opisthotonos caused by wind after metallic wounds.
Gallus Gallus Domesticus Excrement Album (Ji Shi Bai) (1 he), Sojae Semen (Da Dou) (6 he).
Stir-fry soybeans until charred black, then add chicken droppings and stir-fry together. Pour into three sheng of wine while hot, cover tightly...
(Gap in original text, possibly administration "until done")
Danggui San
Treats metallic wounds by repelling wind and stopping pain.
Tufeng Fang (Coating and Sealing Formula)
Treats wind in metallic wounds, opisthotonos.
Fresh Chicken Egg (1 piece), Sesame Oil (Wuma You) (3 liang).
Break the egg first, mix with sesame oil, simmer until slightly thick, cool down, and apply to the wound.
Treats metallic wounds with wind-spasm near death, and excessive bleeding from major pulses that cannot be stopped. Cold blood leads to death.
Use fresh Kudzu Root (Sheng Gegen) one jin, chopped, boil in five sheng of water to obtain three sheng, remove dregs. Take one small cup of hot wine per dose, three to four times daily. If using dried Kudzu Root, grind into powder...
(Gap in original text)
Hugua Fang
Treats wind entering metallic wounds, causing body stiffness, trismus, and inability to speak. Caused by breaks or axe/knife injuries exposed to wind. Administer before death.
Take an unopened Gourd (Hugua) with a long stem, open its mouth, cut according to the size of the wound so they match, seal around the edges to prevent air entry.
(Gap in original text, possibly operation "Place... Stop")
Congbai Fang
Treats metallic wounds with water ingress causing fissures and swelling. (See section on Metallic Wounds with Unstoppable Bleeding)
Hufen Gao (Lead White Ointment)
Treats metallic wounds affected by wind-cold and edema.
Lead White (Hufen), Charcoal Ash (Tan Hui) (0.5 liang each).
Mix with lard (Zhugao) appropriately, apply to the wound hole. Healing occurs when fluid drains out.
Treats external wind entering the wound, causing swelling and pain.
Scorpio (Quan Xie) (one), Bombyx Batryticatus (Bai Jiangcan) (three, remove silk), Cicada Slough (Chantui) (three).
Grind into powder, mash fresh green onion to extract natural juice, mix and apply. Self-heals.
Formula for treating stabbing pain in metallic wounds affected by wind-water.
Green Onion (Cong) (one handful), Salt (Yan) (1 he).
Boil in three sheng of water, soak the wound. Pain stops immediately.
Jinjiu Fang (Soaking Wine)
Treats wind-spasm in metallic wounds.
Take three sheng of chicken droppings, stir-fry until yellow, place in a raw silk bag, put in a porcelain bottle with six sheng of wine, simmer over fire for half a day, remove dregs. Warm drink 5 he, three times daily.
(Gap in original text "Daily three")
Bixiao Jiu (Highly Effective Wine)
Treats wind in metallic wounds, opisthotonos.
Take garlic, broken and heart removed, one sheng. Boil in four sheng of non-fermented wine until soft. Drink the residue and liquid together, 5 he at a time. Sweating shortly after indicates cure.
Formula for soaking metallic wounds
Or wounds broken by blows affected by wind, with closed mouth, trismus, body stiffness, near death.
Take sparrow droppings, stir-fry and grind, 0.5 he. Boil in seven he of wine to obtain five he, filter dregs, drink warm in one dose. Movement in the abdomen indicates immediate cure. If unable to open mouth...
(Gap in original text)
Xingren Jiu Mo Fang (Almond Wine Massage Formula)
Treats wind in metallic wounds, opisthotonos.
Crush almonds, use raw without removing peel and tip, three jin. Steam for the duration of one meal, grind extremely fine, add three sheng of wine, squeeze to extract juice. Take 5 he per dose...
(Gap in original text)
Doulin Jiu (Soybean Dripping Wine)
Treats bone exposure from blade injuries, wind-induced trismus.
Stir-fry soybeans to remove raw smell until half-cooked, do not fully cook, five sheng. Coarsely crush and sieve, steam for the duration of a meal, pour into a basin, drip with fifteen sheng of wine, squeeze...
(Gap in original text, possibly "Difficult")
Another Formula
Treats edema in metallic wounds due to wind-water.
Melt wax as needed, add a little salt, drip onto the wound. Very effective. Or first apply salt to the wound, then pour melted wax to achieve appropriate temperature, pour...
(Gap in original text)
Another Formula (From *Shengji Zonglu*)
Take deer horn in any amount, calcine into powder, grind fine, mix with lard from the twelfth lunar month and apply. For chronic cases, cures within five to seven days.
Jiao Yan Fang (Pepper Poultice)
Treats wind in metallic wounds.
Take intact Sichuan Pepper (Shu Jiao) with eyes removed, three liang. According to wound size, make dough wontons, roast in ashes until cooked. While hot, open a hole, apply directly to the wound...
(Gap in original text)
Manjingzi Fang
Treats wind in metallic wounds, trismus and inability to speak.
Wash Clean Vitex Fruit (Manjingzi), one sheng. Grind until very pasty, shape into moxa cones. Moxibustion on the wound with two or three cones. Mild heat indicates cure.
Langdagan Fang
Treats wind in metallic wounds, convulsions, opisthotonos.
Cut Langdagan (Datura Root) to fit wound size flatly. If none large enough, bind several together to match wound size. Take one he of lard, a pinch of salt powder...
(Gap in original text, possibly "Wind")
Niuxi Gao
Treats edema in metallic wounds due to wind-water.
Treats sudden onset trismus and metallic wounds.
Soak Wall Moss (Yuanyi) in wine, drink for efficacy.
Mag Yin (Hemp Root Drink)
Treats wind in metallic wounds, unbearable bone pain.
Use Hemp Root Leaves (Dama Gen Ye) in any amount, grind and squeeze to extract juice. Drink 3-4 he. If fresh is unavailable, use dried, decoct juice and drink. Also treats falls and blows...
(Gap in original text)
Shurang Fang (From *Sheng Hui Fang*)
Treats swelling and pain in metallic wounds caused by water and wind exposure, combined with cold dew and dampness. Swelling penetrating the abdomen is fatal. Fumigation is suitable. Or if injured by fox urine...
(Gap in original text)
Take millet husk (Shurang), dry manure of cattle/horses, and mulberry branches (materials producing much smoke). Burn all in a pit until smoke rises. Cover pit with board, make a small hole. Place the painful part of the wound over the hole to fumigate until sweat appears on the wound, then cured.
Yanjiao Fujiao Fang (Salt and Leek Poultice, From *Sheng Hui Fang*)
Treats edema in metallic wounds due to wind-water.
Take leeks and salt, pound equally. Place on wound, apply moxibustion to the medicine. Heat penetration indicates cure.
Another Formula
Take Oak Root Bark (Limugenpi), three jin, finely chopped. Boil in twenty dou of water, add one he of salt. Soak the swollen wound frequently. Pus and blood will discharge, indicating cure.
Another Formula
Take White Imperata Rhizome (Baimaogen) in any amount, calcine to ash. Mix with water and apply to wound. Cure achieved. Another formula treats metallic wounds by stopping bleeding, decoct juice and drink.
Aiye Fang
Treats wind in metallic wounds, pulling pain, numbness, and paralysis.
Use raw and cooked Mugwort Leaves (Ai Ye), knead properly, place in a clay steamer, block all holes leaving only one for ventilation. Fumigate the affected area. After a long time, the body...
(Gap in original text)
Treats puncturing hands/feet in Aug/Sep, metallic wounds and other wounds affected by cold water/dew. Cold toxins are fatal.
Use two pieces of fresh bamboo or mulberry branches, either one works. Push into fire to heat intensely, chop off while hot. Insert the hot end directly into the wound hole, heat...
(Gap in original text, possibly "White")
Treats wind in metallic wounds, trismus near death. (From *Bencao*)
Take Bamboo Juice (Zhuli), half a large sheng, warm slightly and drink.