皮肉损破，复被外风袭入经络，渐传入里，其患寒热交作、口噤切牙、角弓反张、口吐
涎沫。入阴则身凉自汗，伤处反平陷如故者，其毒即内收。当用万灵丹发汗，令风邪外出，
次以玉真散患上贴之，得脓为效。如汗后前症不退、伤处不高、渐醒渐昏、时发时止、口噤
不开、语多不出者终为死候。
万灵丹
茅术八两 全蝎 石斛 明天麻 当归 甘草（炙） 川芎 荆芥 北细辛 防风 麻
黄川乌（汤泡去皮） 草乌（同上） 何首乌各一两 雄黄六钱
为末，蜜丸。或一两作四丸，或一两作六丸，或一两作九丸，三等做下以备老壮缓急取
用。外以朱砂为衣，罐器收贮。每用葱白九枚煎汤化一丸，通口服，盖被出汗愈。如服后汗
迟，再用葱汤催之，汗必如淋。少顷渐去盖被，其汗自敛。一切肿毒风气宜发散者，皆可服。
如
（见医书）
玉真散
南星 防风 白芷 天麻 羌活 白附子
等分研末，敷患处。如打伤欲死、心头微温者，热酒、童便灌下二钱，连进二服，立可
回生。破伤风牙关紧闭、腰背反张，甚则切牙缩舌，以童便调服三钱，立愈。（《秘方集验》）
一用蛴螬（即地蚕虫也） 将驼脊皆握住，待口吐水就取抹疮上，觉身麻汗出，无不活者。 昔
一儿额上跌破成风，根据此治之，实时愈。（《婴童百问》）
When skin and flesh are damaged and subsequently invaded by external wind pathogens entering the meridians, gradually transmitting inward, the manifestations include alternating chills and fever (Hanre Jiaozuo), trismus (Koujin) with teeth grinding, opisthotonos (Jiaogong Fanzhang), and salivation (Koutu Xianmo). If the pathogen enters the Yin level, the body becomes cool with spontaneous sweating (Shihan), and the wound flattens and sinks back to its original state, indicating that the toxin is retracting inward. At this stage, Wanling Dan should be administered to induce sweating (Fahan), allowing the wind pathogen to exit from the exterior. Subsequently, Yuzhen San should be applied topically to the affected area; the production of pus indicates efficacy. If, after sweating, the aforementioned symptoms persist, the wound remains flat, consciousness fluctuates between clarity and coma, symptoms come and go intermittently, trismus prevents opening the mouth, and speech is difficult or absent, these are ultimately signs of a fatal prognosis.
Wanling Dan
Cangzhu (Atractylodis Rhizoma) 8 liang, Quanxie (Scorpio), Shihu (Dendrobii Caulis), Tianmaju (Gastrodiae Rhizoma), Danggui (Angelicae Sinensis Radix), Zhigancao (Prepared Glycyrrhizae Radix et Rhizoma), Chuanxiong (Ligustici Chuanxiong Rhizoma), Jingjie (Schizonepetae Herba), Beixixin (Asari Radix et Rhizoma), Fangfeng (Saposhnikoviae Radix), Mahuang (Ephedrae Herba), Chuanwu (Aconiti Radix Preparata, soaked in water and peeled), Caowu (Aconiti Kusnezoffii Radix Preparata, same processing), Heshouwu (Polygoni Multiflori Radix) each 1 liang, Xionghuang (Realgar) 6 qian.
Grind into fine powder and form pills with honey. One liang of powder can be made into four, six, or nine pills, divided into three grades for use according to constitution and urgency. Coat externally with Zhusha (Cinnabar) and store in sealed jars. For administration, decoct nine stalks of Congbai (Allii Fistulosi Bulbus) in water, dissolve one pill, and take orally. Cover with blankets to induce sweating for cure. If sweating is delayed after ingestion, administer Congtang (scallion soup) again to promote it; profuse sweating resembling a shower will occur. After a short while, gradually remove the blankets, and the sweat will naturally cease. This formula is suitable for all cases of swelling, toxicity, and wind-pathogens where dispersing and diffusing are indicated.
Yuzhen San
Nanting (Arisaematis Rhizoma), Fangfeng (Saposhnikoviae Radix), Baizhi (Angelicae Dahuricae Radix), Tianma (Gastrodiae Rhizoma), Qianghuo (Notopterygii Rhizoma et Radix), Baifuzi (Typhonii Rhizoma).
Grind equal parts into powder and apply topically to the affected area. In cases of severe trauma approaching death where slight warmth remains at the heart, administer 2 qian mixed with hot wine and Tongbian (child's urine); after two consecutive doses, life can be restored immediately. For tetanus presenting with trismus, opisthotonos, and even teeth grinding with tongue retraction, mix 3 qian with Tongbian and administer orally for immediate recovery. (From *Mifang Jiyuan*)
Another method: Use Qilao (larva of *Oryctes rhinoceros*, also known as Digechong). Grasp the larva firmly until it exudes fluid from its mouth, then apply this fluid directly to the wound. The patient will feel numbness and sweating, and survival is assured. Previously, a child suffered from tetanus due to a scalp laceration; treated according to this method, they recovered instantly. (From *Yingtong Baiwen*)