囟骨者,即婴儿顶骨未合时,软而跳动之处,名囟门。或跌打损伤,骨缝虽绽,尚未震
动脑
正坐,以葱汁调定痛散敷于伤处,用粗纸蘸醋,贴于药上,烧铁熨斗烙纸上,以伤处觉热疼
,口中有声为度。去药,贴万灵膏,二、三日一换,用和伤汤洗之,自然肿消痛止。或皮破
血出不止,用止血絮封固,内服和营养卫汤。若溃烂流脓,用甘葱煎洗去前药,掺生肌散,
贴玉红膏。宜避风寒,忌食发物火酒。若皮破血流不止,骨陷筋翻,必损脑髓,气息无声,
则危笃难医。若破伤风者,照前伤风法治之。山角骨,即头顶两旁棱骨也。凌云骨,在前发
际下,即正中额骨,即额颅也。左右天贤骨者,即两额角也。睛明骨,即目窠四围目眶骨也
。眉棱骨其下曰 骨,下接上牙床也。若伤之,均照前囟骨伤法治之可也。然临症之权衡,
用药之巧妙,神而明之,存乎其人。
(附目伤)
鼻梁骨,下至准头,伤而出血,可治。外将止血定痛散敷之,内服接骨紫金丹。或伤开
孔窍,或鼻破歪落,用整端法,用药敷贴可也。若骨破碎,内膜穿破,口鼻流血者,不治。中血
堂,即鼻内 下脆骨空处也。若伤之,血流不止。神气昏迷者,宜塞鼻丹塞于鼻中,用冷水
淋
进,气虚目闭面黄者,八日而死。或睛明骨伤,眼珠挂落者,先将收珠散,用银针蘸井花水
,将药点眼珠上,及点血筋上,用旧绢温汤挪上,服还睛汤二、三剂;又服明目地黄汤,调
理可愈。
囟骨,就是婴儿头顶骨骼尚未闭合时,柔软且会跳动的部位,称为囟门。如果因跌打导致损伤,虽然骨缝裂开,但并未震伤脑髓。正坐(保持端正坐姿),用葱汁调和定痛散敷在受伤处,用粗纸蘸醋贴在药上,再用烧热的铁熨斗在纸上熨烫,直到患处感觉热疼、口中发出声音为止。去掉药物后,贴上万灵膏,每两三天更换一次,同时用和伤汤清洗患处,肿胀自然消退,疼痛停止。如果皮肤破损出血不止,用止血絮封固伤口,内服和营养卫汤。如果溃烂流脓,用甘葱煎水清洗以去除之前的药物,撒上生肌散,贴上玉红膏。应当避免风寒,忌食发物及烈性酒。如果皮肤破损血流不止,骨头凹陷筋脉翻出,必然损伤脑髓,气息微弱无声,则病情危重难以医治。如果患上破伤风,按照前面治疗伤风的方法处理。山角骨,即头顶两侧的棱形骨头。凌云骨,在前发际线下方,即正中额的骨头,也就是额颅。左右天贤骨,即两个额角。睛明骨,即眼眶四周的眶骨。眉棱骨下方称为某骨(原文此处可能有缺字或异体字,指颧骨或相关结构),向下连接上牙床。如果这些部位受伤,都参照前面囟骨伤的治疗方法即可。然而临症时的权衡判断,用药的巧妙运用,神妙而通达,关键在于医生本人。
(附目伤)
鼻梁骨,从下至准头(鼻尖),受伤出血,可以治疗。外用止血定痛散敷贴,内服接骨紫金丹。或者伤处裂开孔窍,或者鼻子破裂歪斜脱落,使用整端法复位,用药敷贴即可。如果骨头破碎,内膜穿破,口鼻流血者,无法医治。中血堂,即鼻腔内下方的软骨空处。如果此处受伤,血流不止。神志昏迷者,宜用塞鼻丹塞入鼻中,并用冷水淋浇头部;气虚、眼睛闭合、面色发黄者,八天后死亡。如果睛明骨受伤,眼球脱垂者,先将收珠散用银针蘸取井花水,将药点涂在眼球上及出血的血筋上,用旧绢布浸温汤热敷固定,服用还睛汤二到三剂;再服用明目地黄汤调理,可以痊愈。
The fontanel bone refers to the soft, pulsating area on the vertex of an infant's head where the cranial bones have not yet fused, known as the fontanel. If injured by falls or blows, although the suture may separate, if the brain marrow is not shaken or damaged, the patient should sit upright. Apply Ding Tong San (Pain-Relieving Powder) mixed with scallion juice to the injury site. Cover the medicine with coarse paper soaked in vinegar, then apply a heated iron ironing tool onto the paper until the injury site feels hot and painful, and sounds are heard from the mouth. Remove the medicine and apply Wan Ling Gao (Ten Thousand Spirits Ointment), changing it every two to three days. Wash the area with He Shang Tang (Harmonizing Injury Decoction); the swelling will naturally subside and pain cease. If the skin is broken and bleeding persists, seal the wound with hemostatic cotton and administer He Ying Yang Wei Tang (Nourishing Ying and Wei Decoction). If ulceration occurs with pus discharge, wash away previous medicines with Gan Cong Jian (Sweet Scallion Decoction), sprinkle Sheng Ji San (Flesh-Generating Powder), and apply Yu Hong Gao (Jade Red Ointment). Avoid wind and cold, and refrain from consuming stimulating foods and strong alcohol. If the skin is broken with unceasing blood flow, bones are depressed, and tendons are everted, the brain marrow must be damaged; if breath is faint and silent, the condition is critical and difficult to treat. If tetanus (Po Shang Feng / Broken Wind) develops, treat according to the methods for wind-injury described earlier. Shan Jiao Gu (Mountain Corner Bone) refers to the ridged bones on both sides of the top of the head. Ling Yun Gu (Reaching Clouds Bone) is located below the anterior hairline, referring to the central frontal bone, i.e., the forehead. Zuo You Tian Xian Gu (Left and Right Heavenly Sage Bones) refer to the two frontal angles. Jing Ming Gu (Bright Eye Bone) refers to the orbital bones surrounding the eye socket. Below Mei Leng Gu (Eyebrow Ridge Bone) lies another bone structure connecting downward to the upper alveolar ridge. Injuries to these areas should be treated using the same methods as for fontanel injuries. However, clinical judgment and the subtle application of medicines depend entirely on the practitioner's skill and insight.
(Attached: Eye Injuries)
Injuries to the nasal bridge bone, extending down to Zhun Tou (the nose tip), resulting in bleeding, are treatable. Externally apply Zhi Xue Ding Tong San (Hemostatic Pain-Relieving Powder) and internally administer Jie Gu Zi Jin Dan (Bone-Connecting Purple Gold Pill). If the injury causes open wounds or the nose is fractured and displaced, use reduction techniques and apply medicinal plasters. If the bone is shattered, the inner membrane is perforated, and blood flows from the mouth and nose, the condition is untreatable. Zhong Xue Tang (Middle Blood Hall) refers to the hollow cartilaginous area inside the lower nose. Injury here causes unceasing bleeding. If consciousness is lost, insert Sai Bi Dan (Nose-Stopping Pill) into the nostrils and pour cold water over the head. For patients with Qi deficiency, closed eyes, and sallow complexion, death will occur within eight days. If Jing Ming Gu is injured and the eyeball prolapses, first apply Shou Zhu San (Pearl-Receiving Powder) using a silver needle dipped in well water to dab the medicine onto the eyeball and affected blood vessels. Secure with old silk cloth moistened with warm water, administer Huan Jing Tang (Restoring Vision Decoction) for two to three doses, followed by Ming Mu Di Huang Tang (Brighten Eyes Rehmannia Decoction) for conditioning, which will lead to recovery.