凡夹缚,夏二日、冬四五日解开,用温水洗去旧药,洗时不可惊动伤处,仍用黑龙散敷
平处骨碎皮不破,可用黑龙散贴敷夹缚,若曲折处其势不可夹缚,恐愈后不能伸曲,可用黑
龙散敷贴以便曲伸。凡跌破以末药敷口,又用伞纸包好,再用杉木皮缚定。凡夹缚,用杉木
皮如指阔,四边排匀,方用绳扎紧三五道,宜粗。如缚指须用苎麻,若杉木皮用尿浸过方用
凡脚膝盖骨乃另生者,如跌碎或跌出者,当用物做成一箍,如盖骨大盖在上面,以长带
缚定,外用护膝,又缚如日去之。
凡重伤必用药水洗过敷药,轻者不洗亦可。凡腹破肠出者,医得其法,一日不死,医者
麻油搽手,然后送肠纳入。倘若肠出外风吹而肠胀干不入,即将麻油搽肠滋润,又用一人托
住其肠,再用一人暗含冷水一口,当面一喷,其人必惊,而托肠之人要乘势将肠一推推入,
自然收好,即捻定伤口,用银丝或丝线缝口。先用止血散,后贴收口膏药,少顷腹内作响乃
肠复位。肠虽归复内中,伤否目力难知,即取火酒一小杯,令患者饮之,使人嗅其伤处,若
闻火酒气味,其伤不可治矣。线缝时不可露一毫针,孔如稍露亦不可治,慎之,凡头颅骨破
碎,虽白浆流出,不在太阳穴边可治,用上部末药倍加黄荆子,或有孔血出不止,先用血见
愁杵烂搽上,日换二次,孔小贴膏药,孔大则搽三日见红色,见红色加收口药,加在膏药上
贴之。
凡出血用桃花散,不止可用三七塞之,另围桃花散。凡骨碎筋断皮破,破处俱用桃花散
涂四边,缝好以黑龙散敷之。
凡打后作痛,宜用大黄五钱,桃仁三钱,杏仁三钱,归尾一钱,甘草梢五钱,酒煎空心
服。凡大小便不通,用通理汤或川芎苏木汤。
For all splinting (splint fixation), remove the splints after two days in summer and four to five days in winter. Wash off the old medicine with warm water. During washing, do not disturb the injured area. Continue to apply Heilong San (Black Dragon Powder) for dressing.
If the bone is fractured on a flat surface but the skin is intact, Heilong San (Black Dragon Powder) can be applied and splinted. If the injury is at a joint or curved area where splinting is impossible due to the position, fearing that flexion and extension will be impaired after healing, apply Heilong San (Black Dragon Powder) for dressing to facilitate movement.
For any wound with broken skin and bleeding, apply the powdered medicine directly into the wound, wrap it well with umbrella paper (a type of protective paper), and then bind it firmly with fir bark.
For all splinting, use fir bark strips as wide as a finger, arrange them evenly around the limb, and then tie them tightly with rope for three to five turns; the rope should be thick. For binding fingers, ramie fiber must be used. If fir bark is used, it must be soaked in urine before application.
The patella (kneecap) is an independent bone. If it is crushed or dislocated by a fall, make a ring-like support from suitable material, sized to cover the patella, secure it with long straps, apply a knee protector externally, and bandage as previously described.
For severe injuries, wash the area with medicinal water before applying medicine; for minor injuries, washing may be omitted.
In cases of abdominal rupture with evisceration (protrusion of intestines), if the physician follows the correct method, death can be avoided within one day. The physician should first rub hands with sesame oil, then gently return the intestines into the abdominal cavity. If the protruded intestines have dried and swollen due to wind exposure and cannot be inserted, apply sesame oil to moisten the intestines. Have one person support the intestines while another person secretly holds a mouthful of cold water and suddenly sprays it onto the patient's face. The patient will startle, and the person supporting the intestines should take advantage of this moment to push the intestines back in, allowing them to settle naturally. Immediately pinch the wound edges together and suture using silver wire or silk thread. First apply Zhixue San (Stop Bleeding Powder), then paste a wound-healing plaster. After a short while, if bowel sounds are heard internally, it indicates the intestines have returned to their proper position. Although the intestines have returned inside, it is difficult to determine internal damage visually. Take a small cup of liquor (huojiu), have the patient drink it, and then smell the injured area. If the smell of liquor is detected coming from the wound, the injury is incurable.
During suturing, ensure no needle holes are exposed; even slightly exposed holes render the injury incurable. Exercise extreme caution.
For skull fractures with leakage of white fluid, treatment is possible provided the injury is not near the temporal region (Taiyang acupoint). Use upper-body powdered medicine with added Huangjingzi (Celtis sinensis seeds). If there is a hole with unceasing bleeding, first pound Xuejianchou (Ageratum conyzoides) into a paste and apply it, changing twice daily. For small holes, apply a plaster; for large holes, apply for three days until redness appears. Once redness appears, add wound-healing medicine to the plaster and apply.
For bleeding, use Taohua San (Peach Blossom Powder). If bleeding does not stop, pack the wound with Sanqi (Notoginseng Radix) and surround it with Taohua San.
For fractures, tendon ruptures, and broken skin, apply Taohua San (Peach Blossom Powder) to the edges of the wound. After suturing, apply Heilong San (Black Dragon Powder).
For pain after trauma, decoct Dahuang (Rhubarb Root and Rhizome) 5 qian, Taoren (Peach Seed) 3 qian, Xingren (Apricot Seed) 3 qian, Guiwei (Angelica Sinensis Tail) 1 qian, and Gancao Shao (Licorice Tip) 5 qian in wine. Take on an empty stomach.
For constipation (obstruction of both urination and defecation), use Tongli Tang (Unblocking Decoction) or Chuanxiong Sumu Tang (Ligusticum and Sappanwood Decoction).