肘后凡金疮去血,其人若渴当忍之,常用干食并肥脂之物以止渴,慎勿咸食,若多饮粥
辈,
羹
眉角
可疗
不可疗
作候
肌肉腐
肘后疗金疮膏散三种,宜预备合,以防急疾之要,续断膏方。
蜀续断 蛇衔 防风(各三两)
上三味切,以猪脂三斤,于东向露灶煎之,三下三上,膏成去滓,若深大疮者,但敷四
边,未可使合,若浅小疮者,但通敷便相连,令止血住痛,亦可以酒服如杏子大。
又冶葛蛇衔膏方。
蛇衔 蔷薇根 续断 冶葛(各二两) 当归 附子(各一两半去皮) 防风 黄芩
泽兰(各一两) 松脂 柏脂(各三两)
上十一味 咀,以猪脂二斤煎之,别以白芷一枚纳中,候色黄即膏成,去滓滤,以密器
收贮之,以涂疮,无问大小皆瘥,不生脓汁也。(出第□卷中)
深师预备金疮散方。
干姜 甘草(炙) 桂心(各一两) 当归(三两) 芎 (四两) 蜀椒(三两汗)
上六味捣散,以酒服方寸匕,日三。(肘后同出第二十九卷中)
肘后疗金疮方。
割毡方一寸烧灰,研以敷之瘥。
又方
杏仁去皮尖,捣如泥,锻石分等,以猪脂和之,淹足合煎,令杏仁黄,绞去滓,以涂疮
上,日五六遍愈。
又方
烧故青布作灰,敷疮上,裹缚之,数日瘥,可解去。
又方
以蛇衔草捣敷之瘥。
又方
野狼牙草茎叶熟捣,敷贴之,兼止血。(一方烬草 敷之)
又方
五月五日掘葛根,曝干捣末,敷疮上,止血止痛。
又方
钓樟根出江南,刮取屑敷疮上,有神验。
又方
紫檀末以敷金疮,止痛止血生肌。
又方
烧牡蛎末敷之佳,凡裹缚疮,用故布帛,不宽不急,如系衣带即好。(并出第七卷中)
近效金疮或压损断裂方。
剥取新桑皮,作线缝之,又以新桑皮裹之,以桑白汁涂之,极验,小疮但以桑皮裹即瘥
又金疮灸疮火烧疮等方
蜡(如胡桃仁) 杏子(一抄烂捣) 槟榔仁(一枚) 薰陆香(半合)
上四味和捣,以猪脂煎,即以此药涂帛上贴疮,此方甚效。
《肘后备急方》中关于金疮(金属利器造成的创伤)出血后,如果患者感到口渴,应当忍耐,常用干粮和肥腻的食物来止渴,千万不要吃咸食。如果喝过多的粥汤之类,眉毛和眼角可能会脱落,这是不可治疗的征兆;如果出现这种情况,就属于无法治愈的情况。
《肘后备急方》记载治疗金疮的膏剂和散剂有三种,应当预先制备好,以防紧急疾病之需。
续断膏方:
蜀续断、蛇衔、防风(各三两)。
以上三味药切碎,用三斤猪脂,在朝东的露天灶上煎制,将药料三次投入三次提出(三下三上),膏成后滤去药渣。如果是深大的伤口,只需涂抹在伤口四周,不要使伤口边缘愈合连接;如果是浅小的伤口,则直接均匀涂抹即可使伤口相连,起到止血止痛的作用。也可以像杏子大小的量,用酒送服。
又一种葛蛇衔膏方:
蛇衔、蔷薇根、续断、冶葛(各二两);当归、附子(各一两半,去皮);防风、黄芩、泽兰(各一两);松脂、柏脂(各三两)。
以上十一味药切碎,用二斤猪脂煎制,另外取一枚白芷放入锅中,等到颜色变黄时膏即制成,滤去药渣,装入密封容器中储存。用来涂抹伤口,无论大小都能痊愈,且不会化脓流汁。(出自第□卷中)
《深师方》预备金疮散方:
干姜、炙甘草、桂心(各一两);当归(三两);川芎(四两);蜀椒(三两,出汗处理)。
以上六味药捣碎成散剂,每次用一方寸匕的量,用酒送服,每日三次。(与《肘后备急方》同出第二十九卷中)
《肘后备急方》治疗金疮的其他方剂:
割毡方:取一寸见方的毡烧成灰,研细后敷在伤口上,可愈。
又一方:
杏仁去皮尖,捣烂如泥,与锻石等分混合,用猪脂调和,充分煎煮,直到杏仁变黄,绞去药渣,涂抹在伤口上,每天五六次即可痊愈。
又一方:
将旧青布烧成灰,敷在伤口上,包扎固定,几天后痊愈,可以解开去除。
又一方:
将蛇衔草捣烂敷在伤口上,可愈。
又一方:
野狼牙草的茎叶煮熟后捣烂,贴敷在伤口上,兼有止血作用。(另一版本是将草烧成灰敷用)
又一方:
五月五日挖掘葛根,晒干后捣成粉末,敷在伤口上,可止血止痛。
又一方:
钓樟根产于江南,刮取树皮屑敷在伤口上,有神奇疗效。
又一方:
烧牡蛎成末敷用效果佳。凡包扎伤口,使用旧布帛,不宽不紧,像系衣带那样合适即可。(均出自第七卷中)
近效金疮或压损断裂方:
剥取新桑皮,做成线缝合伤口,再用新桑皮包裹伤口,涂上桑白汁,效果极佳。小伤口仅用桑皮包裹即可痊愈。
又治金疮、灸疮、火烧疮等方:
蜡(如胡桃仁大小)、杏子(一抄,捣烂)、槟榔仁(一枚)、薰陆香(半合)。
以上四味药混合捣碎,用猪脂煎煮,将此药涂在帛上贴敷伤口,此方非常有效。
In *Zhouhou Beiji Fang* (Emergency Prescriptions Kept Up the Sleeve), regarding bleeding from metal injuries (Jinchuang, traumatic wounds caused by sharp metal objects), if the patient feels thirsty, they should endure it. One should commonly use dry food and fatty substances to quench thirst, and strictly avoid salty foods. If one drinks too much porridge or similar liquids, the eyebrows and corners of the eyes may fall off; this is a sign of untreatability. If such symptoms occur, it indicates that the condition cannot be cured.
*Zhouhou Beiji Fang* records three types of ointments and powders for treating metal injuries, which should be prepared in advance to prevent emergencies.
Xuduan Ointment Formula:
Shuxuduan (Dipsaci Radix), Sheyan (Patriniae Herba), Fangfeng (Saposhnikoviae Radix) (each 3 liang).
Chop the above three herbs, and decoct them in 3 jin of lard on an open stove facing east. Perform the process of dipping and lifting three times (three down, three up). Once the ointment is formed, strain out the dregs. For deep and large wounds, apply only to the surrounding area without allowing the wound edges to approximate; for shallow and small wounds, apply evenly to allow the wound to heal together, stopping bleeding and relieving pain. It can also be taken orally like a pill the size of an apricot kernel, with wine as the vehicle.
Another Gesheyan Ointment Formula:
Sheyan (Patriniae Herba), Qiangweigen (Rosae Rugosae Radix), Xuduan (Dipsaci Radix), Yege (Polygoni Cuspidati Rhizoma et Radix) (each 2 liang); Danggui (Angelicae Sinensis Radix), Fuzi (Aconiti Lateralis Radix Praeparata) (each 1.5 liang, peeled); Fangfeng (Saposhnikoviae Radix), Huangqin (Scutellariae Radix), Zelan (Lycopersici Herba) (each 1 liang); Songzhi (Pini Resina), Baizhi (Platycladi Resina) (each 3 liang).
Chop the above eleven herbs, and decoct them in 2 jin of lard. Separately, add one piece of Baizhi (Angelicae Dahuricae Radix) into the mixture. When the color turns yellow, the ointment is ready. Strain and filter, then store in a sealed container. Apply to the wound; regardless of size, it will heal without suppuration. (From Volume □)
Shenshi Fang Prepared Powder for Metal Injuries:
Ganjiang (Zingiberis Rhizoma), Zhigancao (Glycyrrhizae Radix et Rhizoma Praeparata), Guixin (Cinnamomi Ramulus) (each 1 liang); Danggui (Angelicae Sinensis Radix) (3 liang); Xiong (Chuanxiong Rhizoma) (4 liang); Shujiao (Zanthoxyli Pericarpium) (3 liang, processed to release moisture).
Pound the above six herbs into a powder. Take one fangcun bi (a square-inch measure) with wine, three times daily. (Also found in Volume 29 of *Zhouhou Beiji Fang*)
Other formulas from *Zhouhou Beiji Fang* for treating metal injuries:
Ge Zhan Formula: Burn a one-cun square piece of felt to ash, grind it finely, and apply to the wound for cure.
Another Formula:
Remove the skin and tips of Xingren (Pruni Armeniaci Semen), pound into a paste. Mix equally with Duanshi (Ferrum Oxidatum Rubrum). Combine with lard, simmer thoroughly until the almonds turn yellow, strain out the dregs, and apply to the wound five or six times daily until healed.
Another Formula:
Burn old blue cloth to ash, apply to the wound, bind securely, and leave for several days until healed, then remove.
Another Formula:
Pound fresh Sheyan (Patriniae Herba) and apply to the wound for cure.
Another Formula:
Cook and pound the stems and leaves of Yelangya Cao (likely referring to a local herb, possibly *Euphorbia* species or similar) and apply as a poultice; it also stops bleeding. (Another version suggests burning the grass to ash for application.)
Another Formula:
On the fifth day of the fifth lunar month, dig up Gegen (Puerariae Lobatae Radix), dry it in the sun, pound into powder, and apply to the wound to stop bleeding and relieve pain.
Another Formula:
Diaozhang Gen (Root of *Cinnamomum* species native to Jiangnan) grows in Jiangnan. Scrape the bark shavings and apply to the wound; it has miraculous effects.
Another Formula:
Apply Zitanmo (Santalum Album Powder) to metal injuries to stop pain, stop bleeding, and promote tissue regeneration.
Another Formula:
Burn Ostrea (Ostreae Concha) to powder and apply; this is excellent. When binding wounds, use old cloth, neither too tight nor too loose, akin to tying a belt. (All from Volume 7)
Recent Effective Formula for Metal Injuries or Crush/Fracture Wounds:
Peel new Sangpi (Mori Cortex), make threads to suture the wound, wrap with new Mori Cortex, and smear with Sangbai Zhi (juice from Mori Cortex); this is highly effective. Small wounds heal merely by wrapping with Mori Cortex.
Another Formula for Metal Injuries, Moxibustion Sores, and Burns:
La (Beeswax) (size of a walnut kernel), Xingzi (Pruni Armeniaci Semen) (one scoop, pounded), Binglangren (Arecae Semen) (one piece), Xunluxiang (Boswelliae Resina) (half he).
Mix and pound the above four ingredients, decoct in lard. Apply this medicine onto cloth strips and patch onto the wound; this formula is very effective.