打各伤者,不能饮食者,火毒入五内时,想饮冷水,急以清心去毒饮。能饮食者,火毒未入
内;伤破皮肉者,外敷琥珀膏,投去毒散。
剁落耳鼻者,急趁血热蘸发灰末贴于原位,不可歪斜,外加夹缚法。或斩断手臂,或手
腿膀,或足指,急将断下者,趁血未冷,凑接齐集成拢,掺止血丹外,敷金疮药,服托里止
痛散。如血已冷,凑接不得粘合,遂成残缺之体。
桥梁墙垣倒压,折伤骨节,伤头颅骨碎者,箝去碎骨收口,方无后患。防染破伤风,服
托里散,次以接骨散。伤两太阳昏迷不醒,饮食不入,言语不出者,不治。脑浆出者不治。
伤胸前背后,及五脏者,虽不言不食,殆气闷于中,投吉利散。身发寒热,以疏风理气汤。
伤两边软肋者,饮食如故,服吉利散。伤腰子过重者不治。轻者贴损伤膏,服补肾和血汤。
踢伤小腹者,伤处作痛,小便闭塞,不能行步,三日可治。内有瘀血,以行气活血汤。
孕妇小腹受足踢者不治。
受伤紫肿痛难忍者,以活血止痛汤,次服吉利散。肿而青紫或发寒热,或二便闭,气闷
,坐卧不安,不进饮食,卵子不时上下,此瘀血在内。先以疏风理气汤,次投琥珀丸。如红
肿阵阵作痛,气喘发咳,欲笑溺涩,投活血止痛汤。
踢伤海底穴者,肿而红紫,痛不可忍,贴损伤膏,服活血止痛汤,次以吉利散。肿而青
,身发寒热,小便不通,气闷腹痛,阴子或上或下,内有瘀血,贴损伤膏,以行气活血汤,
次进琥珀丸。肛门肿痛二便不通者,发热食少,坐卧不安。服疏风顺气汤,次投琥珀丸。红
肿不消,阵阵作痛,气喘发咳,或笑或哭,小便涩滞。先以活血止痛汤,次进吉利散,后服
药酒而愈。如初受伤昏迷不语者,口出唾涎,喉鼻喘息,面白胸腹气动,脉沉细者可治。先
吹牙皂末鼻中取嚏,次以砂仁泡汤,煎吉利散,再投活血止痛汤,贴损伤膏。
刀斧伤者为金疮,淡黄色者易治,紫黑色者难治,忌咳嗽呕哕,避风为妙。如风入伤口
浮肿多涕泪,痰涌牙关紧闭,角弓反张,成破伤风者不治。急以壁喜窝香灰加麝香敷伤处,
投疏风理气汤。如犯怒气疮迸裂,犯欲疮口腐臭,用乳香、没药、滴乳石、血竭为末敷之。
患者当避风寒,戒色忍气,息怒散心,节饮食,忌食(鸡、鹅、醋、蛋、牛羊肉、笋、
面,煎炒发物)。
许真人曰∶人受刀斧所伤,血出多者必渴,不可与水饮。如饮热汤,则血沸,血沸出必
忌恼怒,二忌喜笑,三忌大言,四忌劳力,五忌妄想,六忌食羹粥,七忌饮酒,八忌酸
咸。前有别症而受伤在后者,两兼而用药。
孕妇当服安胎顺气药。
受杖后者,腿必紫黑,甚者气闷攻心而死,速服酒冲童便,外用热豆腐敷之,其腐即
紫,频换豆腐,至色淡为度。或捣热葱熨之。或用大黄末童便和敷,内服化瘀药。
受夹棍后者,急用热童便一盆浸之。如童便冷,烧热砖淬之则热。浸至童便面起白油者
方止。外捣肥皂和鸡子清敷之,加布扎紧。或捣何首乌敷之,内服逐瘀定痛药。
凡是被各种外力伤害的人,如果无法进食进水,这是火毒侵入五脏六腑的表现,患者想要喝冷水,应立即服用清心去毒饮。如果能正常饮食,说明火毒尚未深入体内;如果是皮肉破损的外伤,外用琥珀膏敷贴,内服去毒散。
对于被砍断耳朵或鼻子的人,要趁伤口血液尚热时,蘸取头发烧成的灰末贴在原位,不可歪斜,外加夹板固定法。如果是手臂、手腿膀(上臂及小腿)、脚趾等部位被斩断,要迅速将断离的部分,趁着血液未冷,对齐接合拢,外掺止血丹,敷金疮药,内服托里止痛散。如果血液已经冷却,断端无法粘合,最终会导致肢体残缺。
因桥梁、墙壁倒塌压伤,导致骨节骨折,头颅骨碎裂者,需钳除碎骨并缝合收口,才能避免后患。为防止感染破伤风,先服用托里散,随后服用接骨散。如果伤及两侧太阳穴,出现昏迷不醒、无法进食、不能言语的症状,属于不治之症。脑浆流出者亦属不治。
伤及胸背部及五脏者,虽然不言语不进食,但这可能是气机郁闷于中焦所致,可服用吉利散。身体出现寒热症状的,服用疏风理气汤。伤及两侧软肋者,饮食如常,服用吉利散。伤及肾脏过重者不治。轻者贴损伤膏,内服补肾和血汤。
踢伤小腹者,伤处疼痛,小便闭塞不通,无法行走,三天内尚可治疗。这是因为内有瘀血,服用行气活血汤。孕妇小腹受脚踢伤者,属不治之症。
受伤后局部紫肿、疼痛难忍者,服用活血止痛汤,随后服用吉利散。肿胀且呈青紫色,或伴有寒热,或大小便闭塞,气闷,坐卧不安,不进饮食,睾丸不时上下移动,这是瘀血在体内的表现。先服用疏风理气汤,随后投服琥珀丸。如果红肿阵发性疼痛,气喘咳嗽,想笑但排尿涩滞,服用活血止痛汤。
踢伤海底穴(会阴部)者,肿胀且红紫,疼痛难忍,贴损伤膏,服用活血止痛汤,随后服用吉利散。肿胀呈青色,身体发寒热,小便不通,气闷腹痛,阴器或上缩或下垂,这是内有瘀血,贴损伤膏,服用行气活血汤,随后进服琥珀丸。肛门肿痛、大小便不通者,发热食少,坐卧不安,服用疏风顺气汤,随后投服琥珀丸。如果红肿不消,阵发性疼痛,气喘咳嗽,或笑或哭,小便涩滞,先服用活血止痛汤,随后进服吉利散,最后服药酒而痊愈。如果初受伤时昏迷不语,口吐唾涎,喉鼻喘息,面色苍白,胸腹部有气动感,脉象沉细的,尚可治疗。先用牙皂末吹入鼻中取嚏,随后用砂仁泡汤,煎服吉利散,再投服活血止痛汤,贴损伤膏。
刀斧造成的伤害称为金疮,创面呈淡黄色的容易治疗,呈紫黑色的难治。忌咳嗽、呕吐呃逆,避风为妙。如果风邪侵入伤口,导致浮肿多涕泪,痰涌,牙关紧闭,角弓反张,形成破伤风的,属不治之症。急用壁喜窝香灰加麝香敷于伤处,服用疏风理气汤。如果因发怒导致疮口迸裂,或因纵欲导致疮口腐臭,用乳香、没药、滴乳石、血竭研成末敷之。
患者应当避开风寒,戒色欲,忍耐怒气,平息怒火以宽心,节制饮食,忌食鸡、鹅、醋、蛋、牛羊肉、笋、面食以及煎炒等发物。
许真人说:人被刀斧所伤,出血多者必然口渴,不可给予饮水。如果饮用热汤,则会导致血液沸腾,血液沸腾而出血必不止。另外有八忌:一忌恼怒,二忌喜笑,三忌大声说话,四忌劳累用力,五忌妄想杂念,六忌食用羹粥,七忌饮酒,八忌酸咸食物。之前有其他病症而后又受伤的,需两兼考虑来用药。
孕妇应当服用安胎顺气药。
遭受杖刑打屁股的人,腿部必然呈现紫黑色,严重者气闷攻心而死,速服酒冲童便(童子尿),外用热豆腐敷贴,豆腐变黑即说明吸出了瘀血,频繁更换豆腐,直到颜色变淡为止。或者捣烂热葱熨烫患处。或者用大黄末与童便调和敷贴,内服化瘀药。
遭受夹棍夹击的人,急用一盆热童便浸泡患处。如果童便冷了,烧热砖块淬入其中使其变热。浸泡到童便表面泛起白油时才停止。外用捣碎的肥皂和鸡蛋清敷贴,加上布扎紧。或者捣碎何首乌敷贴,内服逐瘀定痛药。
For those injured by various external forces, if they are unable to eat or drink, it indicates that fire-toxin has entered the five zang organs (Zang organs: Heart, Liver, Spleen, Lung, Kidney). The patient will desire cold water; immediately administer Qingxin Qudu Yin (Clear Heart and Remove Toxin Decoction). If they can eat normally, the fire-toxin has not penetrated inward. For injuries involving broken skin and flesh, apply Hupo Gao (Amber Plaster) externally and administer Qudu San (Remove Toxin Powder) internally.
For severed ears or noses, quickly dip hair-ash powder into the warm blood at the wound site and apply it to the original position without deviation, followed by external splinting and binding. For severed arms, upper arms and lower legs, or toes, promptly take the severed part while the blood is still warm, align and reattach it, sprinkle Zhixue Dan (Stop Bleeding Pill) externally, apply Jinchuang Yao (Metal Wound Medicine), and administer Tuoli Zhitong San (Support Interior and Stop Pain Powder) internally. If the blood has cooled, the severed parts cannot adhere, resulting in permanent disability.
In cases of collapse from bridges or walls causing fractures of bone joints or shattered skull bones, remove the bone fragments with forceps and suture the wound to prevent future complications. To prevent infection with Tetanus (Po Shāng Fēng), first administer Tuoli San (Support Interior Powder), followed by Jiagu San (Bone Setting Powder). Injuries to both Taiyang acupoints (Ex-HN5, located at the temples) causing coma, inability to eat or speak, are incurable. Extrusion of brain matter is also incurable.
Injuries to the chest, back, and five zang organs, where there is no speech or food intake, may be due to Qi stagnation in the middle jiao; administer Jili San (Auspicious Powder). For body chills and fever, administer Shufeng Liqi Tang (Dispel Wind and Regulate Qi Decoction). Injuries to the soft ribs on both sides, where diet remains normal, administer Jili San. Severe kidney injuries are incurable. Mild cases should have Sunshang Gao (Trauma Plaster) applied and Bushen Hexue Tang (Tonify Kidney and Harmonize Blood Decoction) administered.
Kicks to the lower abdomen causing pain, urinary obstruction, and inability to walk are treatable within three days due to internal blood stasis; administer Xingqi Huoxue Tang (Move Qi and Invigorate Blood Decoction). Pregnant women kicked in the lower abdomen are incurable.
For injuries presenting with purple swelling and unbearable pain, administer Huoxue Zhitong Tang (Invigorate Blood and Stop Pain Decoction), followed by Jili San. If swelling is blue-purple accompanied by chills/fever, constipation/urinary retention, Qi stagnation, restlessness, anorexia, and testicular migration, this indicates internal blood stasis. First administer Shufeng Liqi Tang, then Hupo Wan (Amber Pill). For red swelling with paroxysmal pain, wheezing, coughing, desire to laugh but dysuria, administer Huoxue Zhitong Tang.
Kicks to the Haidi acupoint (Huiyin, CV1, perineum) causing red-purple swelling and unbearable pain require Sunshang Gao applied and Huoxue Zhitong Tang administered, followed by Jili San. If swelling is blue, accompanied by chills/fever, urinary retention, Qi stagnation, abdominal pain, and penile retraction/prolapse, indicating internal blood stasis, apply Sunshang Gao and administer Xingqi Huoxue Tang, followed by Hupo Wan. For anal swelling/pain with bowel/bladder obstruction, fever, poor appetite, and restlessness, administer Shufeng Shunqi Tang, followed by Hupo Wan. If red swelling persists with paroxysmal pain, wheezing, coughing, laughing/crying, and dysuria, first administer Huoxue Zhitong Tang, then Jili San, and finally medicinal wine for recovery. For initial injury with coma, muteness, salivation, throat/nasal wheezing, pale complexion, abdominal Qi movement, and deep/thin pulse, which are treatable: blow Ya Sao Mo (Gleditsia Sinensis Powder) into the nose to induce sneezing, then administer Sha Ren Tang (Amomum Decoction) decocted with Jili San, followed by Huoxue Zhitong Tang and Sunshang Gao.
Knife or axe wounds are classified as Jin Chuang (Metal Wounds). Pale yellow wounds are easy to treat; purple-black wounds are difficult. Coughing, vomiting, and hiccups must be avoided; keeping away from wind is advisable. If wind enters the wound causing edema, excessive tears/runny nose, phlegm surging, trismus, opisthotonos, and Tetanus, it is incurable. Quickly apply Bixiwo Xiang Hui (Ash from Wall Niche Incense) mixed with Moshe (Musk) to the wound and administer Shufeng Liqi Tang. If anger causes wound rupture or lust causes foul-smelling ulceration, use Rushen (Boswellia), Moyao (Myrrh), Dilushi (Frankincense Stone), and Xuexie (Dragon's Blood) powdered for application.
Patients should avoid wind and cold, abstain from sexual activity, endure anger, calm the mind, regulate diet, and avoid chicken, goose, vinegar, eggs, beef, mutton, bamboo shoots, wheat flour, and fried/spicy foods (stimulating foods).
Xu Zhenren stated: When injured by knives or axes with heavy bleeding, thirst occurs, but water should not be given. Drinking hot soup causes blood boiling and hemorrhage. There are eight prohibitions: 1. Avoid anger; 2. Avoid laughter; 3. Avoid loud talking; 4. Avoid physical labor; 5. Avoid wandering thoughts; 6. Avoid eating gruel/soup; 7. Avoid alcohol; 8. Avoid sour and salty foods. If pre-existing conditions coexist with new injuries, medications should address both simultaneously.
Pregnant women should administer Antai Shunqi medicines (Fetus-Anchoring and Qi-Regulating Medicines).
Those beaten with a staff will have purple-black legs; severe cases suffer Qi stagnation attacking the heart leading to death. Immediately administer Tongbian (Child Urine) flushed with wine. Externally apply hot tofu; when the tofu turns black, it indicates drawn-out blood stasis. Change tofu frequently until the color fades. Alternatively, apply hot crushed scallions via moxibustion-like warming. Or apply Dahuang (Rhubarb) powder mixed with child urine, and internally administer Huayu medicines (Blood-Stasis Resolving Medicines).
Those tortured with leg clamps should immediately soak the injured area in a basin of hot child urine. If the urine cools, heat bricks and quench them in the urine to reheat it. Soak until white oil appears on the surface of the urine. Externally apply crushed soap mixed with egg white, bandaging tightly. Alternatively, apply He Shou Wu (Polygonum multiflorum) paste, and internally administer Zhuyu Dingtong medicines (Stasis-Expelling and Pain-Relieving Medicines).