热粘皮 治金疮出血不止。
龙骨（ ，三钱） 五倍子（二两，半生半炒） 白矾（半生半枯。各一两） 没药 乳香（各二钱）
无名异（一两。）
上共为末，干掺患处。不作脓、不怕风、立时止血、住痛、生肌，如神。
军中一捻金
治金疮伤破出血并狗咬。要端午日制。矿锻石不拘多少炒研、生韭菜连根同捣作饼，阴干为末掺上，
止血生肌。
出箭方 花蕊石，其形似硫黄，出在陕西，有白斑点者，一味火 七次，为细末，撒在伤处周遭，
箭头即出。
止痛生肌散 治刀斧伤、出血不止。
乳香 没药 儿茶 象皮（炒） 龙骨（水飞） 石膏（ ，水飞） 黄丹 三七
上八味各等分，共为细末用之。
金疮出血不止，用楮树叶为末，搽上血即止。
梁阁老侄，金疮肿痛，出血不止，寒热口干，此气虚血无所附而血不归经也。用补中益气汤、五味、
麦门主之，阳气复而愈。（方见痈疽。）
破伤风症，河间云∶风者，善行数变，入脏甚速，死生在反掌之间，宜急分表里虚实而用之。
破伤风，邪在表者，则筋脉拘急、时或寒热、筋惕搐搦、脉浮弦也，宜散之。
羌活防风汤 治破伤风，邪初在表者，急服此药以解之。稍迟，则邪入于里，与药不相合矣。
羌活 防风 甘草 川芎 本 当归 白芍（各一钱） 地榆 细辛（各五分。）
上锉一剂，水煎食服。
破伤风，邪在半表半里者，则头微汗、身无汗也，宜和之。
羌活汤 治破伤风在半表半里，急服此汤。稍缓，邪入于里，不宜用。
羌活 菊花 麻黄 川芎 石膏 防风 前胡 黄芩 细辛 甘草 枳壳 白茯苓 荆芥子
（各五分） 薄荷 白芷（各二分半）
上锉一剂，水煎服。
破伤风，邪传入里者，舌强口噤、项背反张、筋惕搐搦、痰涎壅盛、胸腹满闷、便溺闭赤、时或出血、
脉洪数而弦也，（宜导之）。
大芎黄汤 治破伤风在里，宜疏导，急服此药。
川芎 羌活 黄芩 大黄（各三钱）
上锉一剂，水煎温服，脏腑通和为度。
一人斗殴，眉棱被打破伤风，头面肿大发热。以九味羌活汤热服取汗，外用杏仁捣烂，入白面少许，
新汲水调敷疮上，肿消热退而已。
金刀如圣散 治破伤风。
苍术（八钱） 白芷 川芎 细辛 麻黄（各五钱） 川乌（炮） 草乌（炮各四钱） 薄荷（一钱）
上为末，每服一钱，热黄酒调服，盖覆，遍身汗出有验。如治痛风，加滴乳香一钱。
玉真膏 治破伤风及金刃伤、打扑伤损、并癫狗咬伤，能定痛生肌。
天南星（为防风所制，服之不麻人） 防风（各等分）
上为末，破伤风以药敷疮口，然后以温酒调一钱。如牙关紧急、角弓反张，用药一钱，童便调下。
一、打伤欲死，但心头微温，以童便灌下二钱，并进二服。
一、癫狗咬破，先口噙浆水洗净，用绵拭干贴药，更不再发，无脓大有功。
一方 治破伤风。
槐子一合炒，好黄酒一碗煎八分，热服，汗出为愈。
一方 治破伤风。
用野苏子半生半炒为末，炼蜜丸如指头大。每服一丸，热黄酒下。
破伤风外治之法
治跌打破头面及刀伤破手足大口血流不止∶沥青（即松香）不拘多少，碾为细末，将伤破疮口用手捏凑
一处，以用药末浓敷上，将净布扎住。不怕风、不惧水，旬日即痊。
治破伤风 甘草，甘遂各等分，研成末，将蜂蜜并隔年老葱头共捣一块，将疮甲揭起，微将麝香先
撒于上，然后搭药在上，点香至四寸，浑身汗出即愈。
灸法 治破伤风及癫狗咬伤，此方最易而神效。
用核桃壳半边，内填稠人粪满，仍用槐白皮亲扣伤处，用艾灸桃核上。灸之，若遍身汗出，其人大困
即愈。若远年，只在疮上灸之亦愈。
热粘皮：治疗金疮（金属利器造成的创伤）出血不止。
龙骨（三钱）、五倍子（二两，一半生用一半炒制）、白矾（一半生用一半枯制，各一两）、没药、乳香（各二钱）、无名异（一两）。
以上药物共同研磨成粉末，直接撒在患处。能使伤口不化脓、不怕风邪侵袭，立即止血、止痛、生肌，效果如神。
军中一捻金：治疗金疮破损出血以及狗咬伤。需在端午节当日制作。取矿锻石（煅烧矿石的残渣）不拘多少，炒后研细；生韭菜连根一起捣烂做成饼状，阴干后研成粉末，撒在伤口上，可止血生肌。
出箭方：花蕊石，形状类似硫黄，产于陕西，有白斑点的为佳。将花蕊石一味药火煅七次，研成细末，撒在伤口周围，箭头即可排出。
止痛生肌散：治疗刀斧等锐器造成的伤害，出血不止。
乳香、没药、儿茶、象皮（炒制）、龙骨（水飞法处理）、石膏（水飞法处理）、黄丹、三七。
以上八味药各取等量，共同研磨成细末使用。
金疮出血不止时，可用楮树叶研成粉末，涂抹在伤口上，血即停止。
梁阁老的侄子，因金疮导致肿痛，出血不止，伴有寒热、口干症状，这是气虚导致血液无法依附而离经妄行。使用补中益气汤，加入五味子、麦门冬为主进行治疗，待阳气恢复即可痊愈。（方剂见痈疽篇。）
破伤风症，刘河间认为：风邪善于游走且变化迅速，侵入脏腑极快，生死往往在转念之间，应当紧急辨别表里虚实并据此用药。
若破伤风邪气在表，则表现为筋脉拘急、时而寒热交替、筋肉跳动抽搐、脉象浮弦，宜采用发散法治疗。
羌活防风汤：治疗破伤风，邪气初在体表者，需急服此药以解除表邪。若稍迟，则邪气入里，与药力不相契合。
羌活、防风、甘草、川芎、藁本、当归、白芍（各一钱）、地榆、细辛（各五分）。
以上药物锉碎为一剂，加水煎煮，饭后服用。
若破伤风邪气在半表半里之间，则表现为头部微汗、身体无汗，宜采用和解法治疗。
羌活汤：治疗破伤风邪在半表半里者，需急服此汤。若稍缓，邪气入里，则不宜使用。
羌活、菊花、麻黄、川芎、石膏、防风、前胡、黄芩、细辛、甘草、枳壳、白茯苓、荆芥子（各五分）、薄荷、白芷（各二分半）。
以上药物锉碎为一剂，加水煎煮服用。
若破伤风邪气传入体内，则表现为舌强直、口紧闭、项背反张（角弓反张）、筋肉跳动抽搐、痰涎壅盛、胸腹满闷、大小便闭涩色赤、时而出血、脉象洪数而弦，（宜采用疏导法治疗）。
大芎黄汤：治疗破伤风邪在体内者，宜疏导，需急服此药。
川芎、羌活、黄芩、大黄（各三钱）。
以上药物锉碎为一剂，加水煎煮温服，以脏腑通畅调和为度。
有一人斗殴，眉棱骨被打破感染破伤风，头面部肿大发热。用九味羌活汤热服以发汗，外用杏仁捣烂，加入少许白面，用新汲水调匀敷在疮口上，肿胀消退、热退即愈。
金刀如圣散：治疗破伤风。
苍术（八钱）、白芷、川芎、细辛、麻黄（各五钱）、川乌（炮制）、草乌（炮制，各四钱）、薄荷（一钱）。
以上药物研成粉末，每次服用一钱，用热黄酒调服，覆盖保暖，全身出汗即为有效。若用于治疗痛风，加滴乳香一钱。
玉真膏：治疗破伤风及金刃损伤、跌打损伤，以及疯狗咬伤，能定痛生肌。
天南星（经防风炮制，服用后不致麻木）、防风（各等分）。
以上药物研成粉末，治疗破伤风时将药粉敷于疮口，然后用温酒调服一钱。若出现牙关紧闭、角弓反张，用药一钱，用童子尿调服。
其一：被打至濒死，只要心口尚有余温，灌下童子尿二钱，并再进两服。
其二：疯狗咬破伤口，先用浆水含漱洗净，用棉布拭干后贴药，以后不再发作，对于无脓的伤口大有功效。
一方：治疗破伤风。
槐子一合炒制，用好黄酒一碗煎至八分，热服，出汗即愈。
另一方：治疗破伤风。
用野苏子一半生用一半炒制研成粉末，炼蜜制成如手指大小的丸药。每次服用一丸，用热黄酒送下。
破伤风外治之法：
治疗跌打导致头面破裂及刀伤导致手足大口流血不止：沥青（即松香）不拘多少，碾成细末，用手将破损的疮口捏凑在一起，用药末厚厚敷在上面，用干净布扎紧。不怕风、不惧水，十日即可痊愈。
治疗破伤风：甘草、甘遂各等分，研成末，将蜂蜜和隔年的老葱头一起捣成一块，将疮口的结痂揭起，先撒上少许麝香，然后将药搭在上面，点燃艾条熏灸至四寸长，浑身出汗即愈。
灸法：治疗破伤风及疯狗咬伤，此方最容易操作且神效。
用半个核桃壳，内部填满稠厚的人粪，再用槐树皮紧贴伤口处，用艾绒在桃核上施灸。灸后若全身出汗，病人感到极度困倦，即可痊愈。若是陈年旧伤，仅在疮口上施灸亦可痊愈。
Re Nian Pi (Hot Adhesive Skin): Treats continuous bleeding from metal weapon injuries.
Longgu (Fossilized Bone, 3 qian), Wubeizi (Chinese Gallnut, 2 liang, half raw and half stir-fried), Baifan (Alum, half raw and half calcined, 1 liang each), Moyao (Myrrh), Ruxiang (Frankincense, 2 qian each), Wumingyi (Hematite, 1 liang).
Grind all ingredients into a fine powder together and apply directly to the affected area. It prevents suppuration, protects against wind pathogens, stops bleeding and pain immediately, and promotes tissue regeneration with miraculous efficacy.
Junzhong Yi Nian Jin (Army's Instant Gold): Treats open wounds with bleeding and dog bites. Must be prepared on the Dragon Boat Festival (Duanwu Festival). Take Kuangduanshi (Smelting Residue) in any amount, stir-fry and grind; crush fresh Chinese Chive (Jiucai) with roots and make into cakes, dry in shade, then grind into powder and sprinkle on the wound to stop bleeding and promote healing.
Chu Jian Fang (Arrow Extraction Formula): Huarui Shi (Flower Porphyry Stone), resembling sulfur, produced in Shaanxi, preferably those with white spots. Calcinate this single herb seven times, grind into fine powder, and sprinkle around the wound site to facilitate arrow extraction.
Zhi Tong Sheng Ji San (Pain-Relieving and Tissue-Regenerating Powder): Treats cuts from knives or axes with continuous bleeding.
Ruxiang (Frankincense), Moyao (Myrrh), Ercha (Catechu), Xiangpi (Elephant Skin, stir-fried), Longgu (Fossilized Bone, washed by sedimentation), Shigao (Gypsum Fibrosum, washed by sedimentation), Huangdan (Red Lead), Sanqi (Notoginseng Root).
Take equal parts of these eight herbs, grind into fine powder, and use.
For continuous bleeding from metal weapon injuries, use powdered Broussonetia papyrifera leaves applied to the wound to stop bleeding immediately.
The nephew of Grand Secretary Liang suffered from swelling, pain, and continuous bleeding due to a metal weapon injury, accompanied by alternating chills and fever, and dry mouth. This indicates Qi deficiency causing blood to lose its attachment and leave the vessels. Treat with Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction), adding Wuweizi (Schisandra Berry) and Maimendong (Ophiopogon Tuber), to restore Yang Qi and achieve recovery. (Formula see Abscess and Carbuncle section.)
Regarding Tetanus (Poshang Feng), Liu Hejian stated: Wind pathogens are agile and change rapidly; upon entering the zang organs, death or survival can occur in an instant. One must urgently differentiate between exterior/interior and excess/deficiency patterns for treatment.
If the pathogen is at the exterior level in tetanus, symptoms include muscle spasms, intermittent chills and fever, muscle twitching and convulsions, and a floating, wiry pulse. Dispersing methods should be used.
Qianghuo Fangfeng Tang (Notopterygium and Saposhnikovia Decoction): Treats tetanus where the pathogen is initially at the exterior. Administer urgently to resolve the exterior condition. Delay allows the pathogen to enter the interior, rendering the medication ineffective.
Qianghuo (Notopterygium Root), Fangfeng (Saposhnikovia Root), Gancao (Licorice Root), Chuanxiong (Sichuan Lovage Rhizome), Ben Cao (Ligusticum Wallichii Rhizome), Danggui (Angelica Sinensis Root), Baishao (White Peony Root, 1 qian each), Diyu (Sanguisorba Root), Xixin (Asarum Root, 0.5 qian each).
Cut one dose, decoct in water, and take after meals.
If the pathogen is at the semi-exterior/semi-interior level in tetanus, symptoms include slight sweating on the head but no sweating on the body. Harmonizing methods should be used.
Qianghuo Tang (Notopterygium Decoction): Treats tetanus at the semi-exterior/semi-interior level. Administer urgently. If delayed, the pathogen enters the interior, and this formula is contraindicated.
Qianghuo (Notopterygium Root), Juhua (Chrysanthemum Flower), Mahuang (Ephedra Herb), Chuanxiong (Sichuan Lovage Rhizome), Shigao (Gypsum Fibrosum), Fangfeng (Saposhnikovia Root), Qianhu (Peucedanum Root), Huangqin (Scutellaria Root), Xixin (Asarum Root), Gancao (Licorice Root), Zhike (Bitter Orange Fruit), Bai Fuling (Poria, 0.5 qian each), Jingjie Zi (Schizonepeta Seed), Bohe (Mint Leaf, 0.25 qian each), Baizhi (Angelica Dahurica Root).
Cut one dose, decoct in water, and take.
If the pathogen has entered the interior in tetanus, symptoms include stiff tongue, locked jaw, opisthotonos (arching of the back), muscle twitching and convulsions, profuse phlegm-saliva, chest and abdominal fullness, constipation and dark urine, occasional bleeding, and a surging, rapid, and wiry pulse. Guiding/draining methods should be used.
Daxiong Huang Tang (Major Cyperus and Rhubarb Decoction): Treats tetanus with the pathogen in the interior. Use guiding/draining methods and administer urgently.
Chuanxiong (Sichuan Lovage Rhizome), Qianghuo (Notopterygium Root), Huangqin (Scutellaria Root), Dahuang (Rhubarb Root, 3 qian each).
Cut one dose, decoct in water, take warm, until the internal organs are unobstructed and harmonious.
A person was beaten in a fight, suffering from a broken brow ridge infected with tetanus, resulting in swollen and hot head and face. Administer Jiwei Qianghuo Tang (Nine-Ingredient Notopterygium Decoction) hot to induce sweating. Externally, crush Almond (Xingren), mix with a little wheat flour, apply with fresh cold water to the wound. Swelling subsided and heat resolved.
Jindao Rusheng San (Golden Knife Like Sage Powder): Treats tetanus.
Cangzhu (Atractylodes Rhizome, 8 qian), Baizhi (Angelica Dahurica Root), Chuanxiong (Sichuan Lovage Rhizome), Xixin (Asarum Root), Mahuang (Ephedra Herb, 5 qian each), Chuanwu (Aconitum Carmichaelii Lateral Root, processed), Caowu (Aconitum Kusnezoffii Root, processed, 4 qian each), Bohe (Mint Leaf, 1 qian).
Grind into powder. Take 1 qian per dose, mixed with hot yellow wine, cover to induce sweating throughout the body for efficacy. For treating gout, add 1 qian of Milixiang (Milky Frankincense).
Yuzhen Gao (Jade Truth Ointment): Treats tetanus, sharp instrument injuries, contusions, and mad dog bites. Relieves pain and promotes tissue regeneration.
Tiannanxing (Arisaema Rhizome, processed with Fangfeng so it does not cause numbness), Fangfeng (Saposhnikovia Root, equal parts).
Grind into powder. For tetanus, apply powder to the wound, then take 1 qian mixed with warm wine. For trismus (locked jaw) or opisthotonos, take 1 qian mixed with urine from a young boy.
First: For severe beating near death, if the heart region remains warm, pour down 2 qian of urine from a young boy, followed by two more doses.
Second: For mad dog bites, rinse with Jiangshui (fermented grain water), wipe dry with cotton, apply medicine. It prevents recurrence and is effective for wounds without suppuration.
Another Formula: Treats tetanus.
Stir-fry 1 he of Sophora fruit (Huai Zi), decoct in one bowl of good yellow wine until reduced to 0.8 volume. Take hot; sweating indicates recovery.
Another Formula: Treats tetanus.
Grind half-raw and half-stir-fried Perilla seed (Yezisu) into powder, form pills with refined honey the size of a finger. Take one pill per dose with hot yellow wine.
External Treatment Methods for Tetanus:
For falls causing head/face fractures and knife wounds causing heavy bleeding from hands/feet: Take Qingxi (Bitumen/Pine Rosin) in any amount, grind into fine powder. Pinch the broken wound edges together, apply a thick layer of the powder, and bind tightly with clean cloth. Immune to wind and water; recovers in ten days.
Treat Tetanus: Equal parts Gancao (Licorice Root) and Gansui (Kansui Root), ground into powder. Mix with honey and old scallion bulbs from last year into a paste. Lift the scab slightly, sprinkle a little Shexiang (Musk) first, then apply the medicine. Burn moxa stick up to four cun long; whole-body sweating indicates recovery.
Moxibustion Method: Treats tetanus and mad dog bites; this method is easy and highly effective.
Take half a walnut shell, fill densely with human feces, press Huaimupi (Sophora Bark) against the wound, and perform moxibustion on the walnut shell. If the patient sweats all over and feels exhausted, they will recover. For chronic cases, moxibustion on the wound alone suffices.