【方歌】误吞铁针入咽喉,急饮虾蟆血数头,针不即吐笤箩散,
或食饴糖出不留。
【注】铁针误入咽喉,无药可施,宜用癞虾蟆数个,将头剁去
,倒垂流血,以碗接之,得一杯许,灌入喉中,移时连
针吐出,针自软曲一方用旧笤篱〔火段〕存性,研末,
每服三钱,黄酒调服,亦能化针,或用饴糖一斤,食尽
便出。
【方歌】误吞铜钱虽无疼,久留腹中病必成,荸荠能化坚为软,
多食无伤可化铜。
【注】误吞铜钱,多食荸荠,即能化坚为软,若误吞铁骨等物
,肠中不能转送,觉坠者,多食青菜猪油,自然送入大
肠,与粪同出,甚效。
【方歌】骨骾咽喉最可忧,吐咽刺痛碍咽喉,鱼骨须用鸭涎灌,
兽骨狗涎灌即瘳。
【注】此证由咽物急迫,骨骾于咽喉,妨碍饮食,吐咽刺痛,
宜急治之,然有鱼骨兽骨之分,误吞鱼骨者,用河中养
蓄活鸭,倒挂垂涎,以磁碗接下,令患人仰卧,频灌,
其骨尽化,误吞兽骨者,用狗一只,倒挂接涎如前法,
频灌其骨尽化俱效,若失治,咽喉肿痛溃脓,宜用冰硼
散吹之,不可妄服凉药,若骨势大者,与饮食难下,饿
倒胃气者,俱属难救。
方剂:冰硼散(见口部鹅口疮)
【方歌】杖疮须宜看其形,已破未破要分明,清凉拈痛膏破用,
敷之消肿并止疼。未破瘀血须当砭,汤剂急宜用大成,
玉红膏贴瘀腐痛,搽之新肉自然生。
【注】此疮有已破、未破之分,已破者随杖后用清凉拈痛膏敷
之,疼肿即消,未破瘀血内攻者,急宜砭去瘀血,内服
大成汤,便通自愈,如伤处瘀腐作疼者,生肌玉红膏搽
之,自然腐化,新生,其效甚捷。
方剂:清凉拈痛膏
组成:如意金黄散一两,加樟脑末三钱和匀,又用生白石灰块
三四斤许,以水泡开水高石灰二三指,露一宿,将石灰
面上浮起油水,结如云片者轻轻,带水起入碗内,有水
一钟,对香油一钟,竹筋搅百转血成稠膏,调前药稀稠
得所不用汤洗,遍敷伤处,纸盖布扎夏月一日,冬月二
日,方用葱汤淋洗干净,仍再敷之,以肿消痛止为度。
【方歌】清凉拈痛金黄散,加入樟脑末三钱,杖疮破后多疼痛,
石灰水油调敷痊。
又方:大成汤(见跌仆)
生肌玉红膏(见溃疡门)
如意金黄散(见肿疡门)
【方歌】误吞铁针进入咽喉,急忙饮用几只癞蛤蟆的血液,若针未立即吐出,可使用笤箩散,或者食用饴糖使其顺利排出。
【注】铁针误入咽喉,常规药物难以施治,适宜使用数个癞蛤蟆,去掉头部,倒挂让其流血,用碗接取约一杯量的血,灌入喉中,过一会儿连针一起吐出;另一种方法是用旧扫帚梗(经火煅存性),研成粉末,每次服用三钱,用黄酒调服,也能化解铁针;或者食用一斤饴糖,吃完后铁针自然排出。
【方歌】误吞铜钱虽然不疼痛,但久留腹中必然致病,荸荠能化坚硬为柔软,多食无妨,可化解铜钱。
【注】误吞铜钱,多吃荸荠,就能将坚硬之物化为柔软;如果误吞铁骨等物,肠道无法转动输送,感觉下坠时,多吃青菜和猪油,自然送入大肠,随粪便一同排出,效果很好。
【方歌】鱼刺卡喉最令人担忧,吞咽刺痛阻碍咽喉,鱼骨需用鸭涎灌服,兽骨用狗涎灌服即可痊愈。
【注】此证因咽物急迫,骨头卡在咽喉,妨碍饮食,吞咽时刺痛,应当紧急治疗。然而有鱼骨和兽骨之分,误吞鱼骨者,用河中养殖的活鸭,倒挂收集其唾液,用瓷碗接住,让患者仰卧,频繁灌服,其骨尽化;误吞兽骨者,用一只狗,倒挂收集唾液如前法,频繁灌服,其骨尽化,均有效。若失治,导致咽喉肿痛溃脓,宜用冰硼散吹入患处,不可乱服凉药;若骨势较大,导致饮食难下,饿损胃气者,均属难救。
方剂:冰硼散(见口部鹅口疮章节)
【方歌】杖疮需要观察其形态,已破未破要分辨清楚,清凉拈痛膏用于破损处,敷之可消肿并止痛。未破者瘀血须当砭刺放血,汤剂急宜用大成汤,玉红膏贴敷于瘀腐疼痛处,搽之新肉自然生长。
【注】此疮分为已破和未破两种情况。已破者,受杖责后用清凉拈痛膏敷贴,疼痛肿胀即刻消退;未破且瘀血内攻者,急需砭石去除瘀血,内服大成汤,大便通畅后自愈。如伤处瘀腐作痛者,涂抹生肌玉红膏,自然腐去新生,效果甚快。
方剂:清凉拈痛膏
组成:如意金黄散一两,加入樟脑末三钱混合均匀。另取生白石灰块三四斤左右,以水泡开,石灰高出水面二三指,露天放置一夜,将石灰面上浮起的油水,结成云片状者轻轻带水捞起放入碗内,得一钟量石灰水,兑入一钟量香油,用竹筋搅拌百转,成为稠膏,调和前述药物至稀稠适中。不用汤水清洗,遍敷伤处,用纸覆盖、布扎固定。夏季一日,冬季二日,用葱汤淋洗干净,再行敷贴,以肿消痛止为度。
【方歌】清凉拈痛金黄散,加入樟脑末三钱,杖疮破后多疼痛,石灰水油调敷痊愈。
又方:大成汤(见跌仆损伤章节)
生肌玉红膏(见溃疡门章节)
如意金黄散(见肿疡门章节)
[Prescription Verse] If an iron needle is accidentally swallowed into the throat, urgently drink the blood of several toads. If the needle is not immediately vomited out, use *Tiaoluo San* (Broomstick Powder), or consume malt sugar to facilitate its passage without retention.
[Note] When an iron needle is accidentally lodged in the throat, conventional medicines are ineffective. It is advisable to use several toads (*Bufo bufo gargarizans*), remove their heads, hang them upside down to collect the flowing blood, catch approximately one cupful in a bowl, and pour it into the throat. After a while, the needle will be vomited out along with the blood. Alternatively, use old broomsticks (calcined over fire to retain their nature), grind them into powder, take three qian per dose, mixed with yellow wine; this can also dissolve the needle. Or, consume one jin of malt sugar (*Yitang*), after which the needle will naturally pass out.
[Prescription Verse] Accidentally swallowing a copper coin may cause no pain initially, but if left in the abdomen for long, it will inevitably cause disease. Water chestnut (*Jieqi*) can soften hardness; consuming more poses no harm and can dissolve copper coins.
[Note] For accidentally swallowed copper coins, eating many water chestnuts (*Eleocharis dulcis*) can soften the hard object. If iron bones or similar objects are swallowed and cannot be moved by the intestines, causing a sensation of heaviness/dropping, eating plenty of green vegetables and lard will naturally guide them into the large intestine to be excreted with feces, which is very effective.
[Prescription Verse] Fish bones lodging in the throat are most worrying, causing stabbing pain and obstructing swallowing. Fish bones require duck saliva infusion; animal bones require dog saliva infusion for cure.
[Note] This condition arises from hurried swallowing, where a bone lodges in the throat, hindering diet and causing stabbing pain upon swallowing. Immediate treatment is necessary. There is a distinction between fish bones and animal bones. For fish bones, use live ducks raised in rivers, hang them upside down to collect saliva, catch it in a porcelain bowl, have the patient lie supine, and frequently administer the saliva; the bone will dissolve completely. For animal bones, use a dog, hang it upside down to collect saliva as before, and frequently administer; the bone will dissolve completely. Both methods are effective. If untreated, leading to throat swelling, pain, and suppuration, use *Bingpeng San* (Ice and Borax Powder) insufflated into the lesion; do not recklessly administer cooling medicines. If the bone is large, making food intake difficult and damaging stomach qi due to starvation, these cases are difficult to save.
Formula: *Bingpeng San* (See Mouth Section: Thrush)
[Prescription Verse] For flogging wounds, observe the morphology clearly: whether broken or unbroken. Apply *Qingliang Niantong Gao* (Cooling Pain-Relieving Ointment) to broken wounds to reduce swelling and relieve pain. For unbroken wounds with blood stasis, scarification (bloodletting) is required; urgently administer *Dacheng Tang* (Great Success Decoction). Apply *Yuhong Gao* (Jade Red Ointment) to areas with stasis, putrefaction, and pain to promote natural regeneration of new flesh.
[Note] These wounds are divided into broken and unbroken types. For broken wounds, apply *Qingliang Niantong Gao* after flogging; pain and swelling subside immediately. For unbroken wounds with internal attacking blood stasis, urgently perform scarification to remove stasis, and internally administer *Dacheng Tang*; self-healing occurs once bowel movements are unobstructed. For injured areas with stasis, putrefaction, and pain, apply *Shengji Yuhong Gao* (Flesh-Regenerating Jade Red Ointment); necrotic tissue naturally sloughs off and new tissue regenerates, with rapid effects.
Formula: *Qingliang Niantong Gao*
Composition: Take one liang of *Ruyi Jinhuang San* (Ruyi Golden Yellow Powder), mix evenly with three qian of borneol powder (*Zhangnao*). Separately, take about three to four jin of raw white lime blocks, soak in water until the lime stands two to three fingers above the water surface, leave exposed overnight. Gently scoop up the oily film floating on the lime surface, which has solidified like cloud slices, along with some water, into a bowl. Obtain one zhong of lime water, mix with one zhong of sesame oil, stir vigorously with a bamboo stick for a hundred turns to form a thick paste. Mix with the aforementioned powders to achieve appropriate consistency. Do not wash with decoction; apply evenly to the wound, cover with paper, and bind with cloth. In summer, leave for one day; in winter, for two days. Then wash clean with scallion decoction and reapply, continuing until swelling subsides and pain stops.
[Prescription Verse] *Qingliang Niantong Jinhuang San*, add three qian of borneol powder. For broken flogging wounds with much pain, mix with lime water and oil for application to cure.
Another Formula: *Dacheng Tang* (See Trauma/Falls Section)
*Shengji Yuhong Gao* (See Ulcer Section)
*Ruyi Jinhuang San* (See Swelling/Ulceration Section)