人之肢体肌肉,及手足指,设被刀斧伤落,不在毙命之处,尚有皮连或皮已断,先宜
止其血,速趁血未冷,气未散,安整原位,不可稍有歪斜,即在伤口掺生肌药,外贴膏药,加
以布条扎紧,不使移动,隔三四日一换,月余可痊。尚伤落之肢肉一过迟,而血枯气散,虽
如法安放上药,必难接续归原。因生气已去,岂有复长之理?至接断骨,妙在手法,当考伤
科书自知。
吐血虽多,由肺胃肝来者,十中可治七八。惟咯血乃痰带血丝,盖由咳久肺伤,或脾
虚无以生肺,或风遏化火刑金。初时易治,延绵多费手。最危者,痰见圆红珠,形神饮食尚
未大败,实肾水将枯,龙火震动,营分溢于上窍。以圆为天,天一生水,肾者水脏,水中火
烁,越位侵肺,故咯圆点血星,十症十死。
人有头面肢体,每因抓碰,伤破肌肉。或被刀斧伤斫,初无关碍,乃不戒荤腥发物,致
患处 赤肿痛,转成疔疮恶毒。病者与医家。昧于不知其由。宜速忌口味。根据外症施治。延
迟难救。
每有病后,体亏气虚,不能上升,使头巅之气机不运,凝肿如瘤,按之绵软,或大如杯,
或小如桃,不可动刀针,只宜峻补正气,月余自消。又有初生小儿,先天不足,亦有此瘤,不
必施治,两月后自愈。
人当病来,一触忿怒,劳动并嗜欲忧思,能使轻症转重,而重症入危,至病将愈,尤宜
屏去外缘,方易强健。若不禁戒,变象蜂起,谁之咎欤?
人的肢体肌肉,以及手足手指,如果遭到刀斧砍伤导致组织脱落,只要不是致命部位,即使还有皮肉相连或皮肤已经完全断裂,首先应当止血。要趁血液尚未凝固、元气尚未耗散之时,将受伤部位复位固定,不能有任何歪斜。随后在伤口处撒上生肌药物,外部贴上膏药,并用布条扎紧固定,防止移动。每隔三四天更换一次敷料,大约一个月即可痊愈。如果肢体肌肉损伤后处理过迟,导致血液枯竭、元气耗散,即使按照正确方法放置药物并复位,也很难重新接续恢复原状。因为生机已经丧失,哪里还有重新生长的道理呢?至于接骨断肢,关键在于手法技巧,应当参考伤科书籍自然知晓。
吐血虽然量大,但如果是从肺、胃、肝而来,十个人中可以有七八个治愈。唯独咯血(痰中带血丝),是因为久咳损伤肺部,或者脾虚无法滋生肺气,或者风邪遏制化为火邪灼伤肺金。初期容易治疗,拖延久了则难以处理。最危险的情况是,痰中出现圆形的红色血珠,此时患者的形体、精神和饮食状况还没有严重败坏,这实际上是肾水即将枯竭,龙雷之火震动,营分血液溢出于上部孔窍。以圆形象征天,天一生水,肾属水脏,水中火炎,越位侵犯肺脏,所以咯出圆点状的血星,这种情况十例必死十例。
人有时头面肢体,常常因为抓挠碰撞,导致肌肉破损。或者被刀斧砍伤,起初并无大碍,但如果不注意忌口荤腥及发物,导致患处红肿热痛,最终转变成疔疮恶毒之症。患者和医生往往不明白其中的原因。应当迅速忌口辛辣口味,根据外在症状进行治疗。如果拖延延误,就难以救治了。
每当疾病之后,身体亏损、气虚,导致清气不能上升,使得头部巅顶的气机运行不畅,凝结肿胀如同肿瘤,按压时感觉绵软,有的大如杯子,有的小如桃子。这种情况下不可动刀针刺破,只宜用峻猛的药物补益正气,大约一个月后自然会消退。又有刚出生的婴儿,因先天不足,也会出现这种瘤,不必进行治疗,两个月后会自愈。
人在生病期间,一旦触动愤怒,加上劳累、纵欲、忧愁思虑,能使轻症转为重症,使重症陷入危境。直到病快要痊愈时,尤其应该屏蔽外界干扰,这样才容易恢复健康。如果不加禁忌戒除,各种病变现象蜂拥而起,这是谁的过错呢?
The limbs, muscles, and fingers of the hands and feet, if severed by knives or axes, provided the injury is not in a vital area, may still have skin connecting them or the skin may be completely severed. Initially, it is advisable to stop the bleeding. Acting quickly while the blood has not yet cooled and the Qi (vital energy) has not yet scattered, restore the limb to its original position without any deviation. Apply muscle-regenerating herbs directly to the wound, cover with an external plaster, and bind tightly with cloth strips to prevent movement. Change the dressing every three or four days; recovery can be expected in about a month. If the treatment for severed limb tissue is delayed, leading to dried blood and scattered Qi, even if treated correctly with proper placement and medication, reattachment and restoration will be difficult. Since the vital Qi has departed, regeneration is impossible. Regarding the setting of broken bones, the skill lies in manual manipulation, which one can learn by consulting orthopedic trauma texts.
Although hematemesis (vomiting blood) involves large volumes, if the source is the Lung, Stomach, or Liver, seven or eight out of ten cases are treatable. However, hemoptysis (coughing up blood-streaked sputum), characterized by phlegm mixed with blood threads, is caused by prolonged coughing damaging the Lungs, Spleen deficiency failing to generate Lung Qi, or Wind transforming into Fire that scorches Metal (Lung). It is easy to treat initially but becomes difficult if prolonged. The most critical condition is when round red pearls of blood appear in the phlegm. At this stage, the patient's physical form, spirit, and appetite have not yet severely deteriorated, indicating that Kidney Water (Yin fluids) is nearly exhausted, causing Dragon Fire (Ministerial Fire) to stir. Ying (Nutritive) blood overflows into the upper orifices. Symbolically, the circle represents Heaven, and "Heaven generates One," corresponding to Water. The Kidneys are the Water organ; when Fire blazes within the Water, it transgresses its position and invades the Lungs. Thus, coughing up round specks of blood indicates that all ten cases are fatal.
People often suffer minor injuries to the head, face, and limbs due to scratching or bumping, breaking the skin and muscle. Or they may be cut by knives or axes. Initially, these may seem harmless, but if one does not avoid pork, strong flavors, and "fa-wu" (stimulating foods that trigger disease), the affected area may become red, swollen, hot, and painful, transforming into a Ding sore (a severe, toxic carbuncle). Both patients and physicians often fail to understand the cause. It is essential to strictly avoid spicy and rich foods and to treat based on the external symptoms. Delay leads to untreatable conditions.
After illness, the body is deficient and Qi is weak, unable to ascend. This causes the Qi mechanism at the vertex of the head to stagnate, forming a swelling resembling a tumor. It feels soft upon pressure, varying in size from a cup to a peach. Surgical incision or acupuncture should not be used; instead, vigorous tonification of Righteous Qi (Zheng Qi) is indicated, and the swelling will naturally subside in about a month. Additionally, newborn infants with congenital insufficiency may also present with such tumors. No treatment is necessary, as they will heal spontaneously after two months.
When a person is ill, anger, physical exertion, sexual indulgence, worry, and overthinking can transform mild conditions into severe ones, and severe conditions into critical ones. Even as the illness approaches resolution, it is crucial to eliminate external distractions to facilitate recovery. If these prohibitions are not observed, various pathological changes will arise. Whose fault would that be?