自缢 凡救自缢死者。急须按定其心。勿截绳。抱起。徐徐解之。心下尚温者。令人以口接
气入其腹内。无令气泄。再令两人吹其两耳。半日许。缢者噫。噫即勿吹也。
热 取道上热土壅心中。少冷即易。气通止。切勿与水。得冷即死。余见暑门。
溺水 以灶灰布地。令浓半尺许。以甑或木凳。将溺死人伏卧其上。使头小垂下。炒盐二方寸
匙。纳竹管中。吹下孔中。当吐水。水下。去甑。下溺死者。着暖灰壅身。使出鼻口即活。如灰
湿。暖灰易之。又法。但埋溺死者于暖灰中。头足俱掩。惟开七孔。又法。屈两脚。着生人肩上。
以背向背。负持走行。吐出水便活。又冬月溺水冻死。以暖灰囊薄心上。冷即易之。心暖气通。
目转口开。可与温饮稍稍吞之。若不先温其心。便持火烘。冷气与火争即死。
冻死 令人以热体偎卧。暖被覆之。勿着火。烘即死。卒中寒肢体厥冷。四逆理中救之。
火烧 凡火烧损。慎勿以冷水洗之。得冷火毒更深入骨。初被火伤。急向火更灸。虽大痛忍
之。须臾乃止。火烧闷绝不识人。以尿乘热饮之。和蜜亦佳。口噤挖开与之。后用栀子、白芨、
黄芩各五两。以水五升。油一合。煎去滓。待微温。令渍伤处去火毒。则肌得宽。或急以火酒浸
之。其痛立止。醇酒亦佳。一切火烧汤泼。用鳖甲烧灰。研极细。罗净香油调敷。其痛亦止。或
用水中溺死鼠一枚。以腊月猪膏煎令消尽敷之。干即再敷。与油浸小鼠无异。或柏白皮细切。以
猪膏煎四五沸。色变去滓敷之。若已成烂疮者。末杨梅皮糁之即瘥。汤火所损。昼夜啼呼不止。
用松脂细研。和蜡溶化。再加猪膏、羊脂涂之。
金疮箭头在肉中。用白蔹、生半夏为散。酒下方寸匙。日三服。疮浅十日出。疮深二十日出。
外以蜣螂生捣涂患上。如无蜣螂。以栝蒌捣涂箭簇上即出。不出。捣鼠肝涂之。中射罔箭毒。昏
迷肿疼。取蓝子五合。升麻、王不留行、甘草各三两。为散。水服三方寸匙。日三夜二服。又以
水和涂疮。干即易之。针折肉中。以吸铁石生捣细末。浓着针处即出。或刮象牙屑为细末。水和。
涂折针上亦出。
漆疮。以柳叶捣烂。煮汁。适寒温洗之。
蛇虫毒 乘凉睡熟。蛇入人口。并七孔者。割猪尾血。以器盛血。傍蛇泻入口中出之。卒为
蛇绕不解。以热汤淋之。急迫无汤。令人以尿溺之。蛇蝎螫痛。小蒜捣烂绞汁。服之。以滓薄伤
处。又方。以雄黄为末敷上。日一易之。又方。捣生豆叶绞汁服之。以滓涂之良。入山辟众蛇。
干姜、麝香、雄黄为末。以小绛囊盛带之。蛇螫以蜜和涂伤处。又常烧
羊角使烟出即去。虎野狼皆去。如无 羊角。烧水羊角亦可。蠼 虫尿着人。便起 作聚。四边
中央。有白脓如黍粟。初得之。磨犀角水涂之。或羊须烧灰。腊月猪脂和封之。或酥和胡粉涂之。
犬伤 凡 犬咬人。七日辄应一发。三七日不发。腹中不作小犬吠声。则无害。要过百日。
乃得免。终身禁食犬肉、蚕蛹。食此则发。疮未愈时。禁食生鱼及诸肥腻冷食。又不宜饮酒。禁
一年乃佳。治法。先以热童便洗去恶血牙垢。便解被伤发。看有红者拔去之。即以发灰、 皮灰
水和服之。并以韭捣绞汁饮一升。日三。疮愈止。外以杏仁五合熬令黑。研烂成膏敷之。
自缢 凡是抢救上吊死亡的人,必须立即按住其心脏部位,不要切断绳索,将其抱起,慢慢解开。如果心下还有余温,让人用口对接吸入气体进入其腹部,不要让气体泄漏。再让两个人吹入其双耳,约半天时间,被吊者打嗝(噫),一旦打嗝就停止吹气。
热(中暑) 取道路上的热土堆敷在心窝处,稍凉即更换,直到气息通畅为止。千万不要给水喝,遇到冷水就会死亡。我在“暑门”章节中已有记载。
溺水 用灶底灰铺在地上,厚度约半尺,用蒸笼或木凳,让溺水者俯卧在上面,使头部稍微垂下。取两方寸大小的炒盐,放入竹管中,吹入鼻孔中,应当能吐出积水。水吐完后,移开蒸笼,将溺水者放在暖灰中包裹身体,使鼻口排出寒气即可复活。如果灰湿了,用暖灰替换。另一种方法,直接将溺水者埋在暖灰中,头脚都掩埋,只露出七窍。又一种方法,弯曲其双腿,架在活人肩上,背对背背负着快走,吐出积水就能复活。又是冬天溺水冻死的情况,用暖灰袋薄敷在心口,凉了即更换,心中暖气通畅,眼睛转动、嘴巴张开,可以给予温热饮料让其少量吞咽。如果不先温暖其心脏,就用火烘烤,冷气与热气相争就会死亡。
冻死 让人用温暖的躯体偎依躺着,用暖被子覆盖,不要用火烘烤,用火烤就会死亡。突然遭受寒邪导致肢体厥冷,用四逆汤、理中汤来救治。
火烧 凡是火烧损伤,千万不要用冷水冲洗,遇到冷水火毒会更深地侵入骨骼。刚被火伤时,急忙靠近火源再次灸治,虽然剧烈疼痛也要忍耐,片刻后疼痛就会停止。火烧导致昏迷不省人事,用热尿趁热饮用,加蜂蜜调和也很好。牙关紧闭的撬开嘴喂服。之后用栀子、白芨、黄芩各五两,加水五升、油一合,煎煮去渣,待微温,浸泡患处以去除火毒,肌肉就能舒缓。或者紧急用酒浸渍,疼痛立刻停止,纯酒也很好。一切火烧烫伤,用鳖甲烧成灰,研极细,用香油调匀外敷,疼痛也能停止。或者用水中溺死的鼠一只,用腊月猪脂煎至完全融化后外敷,干了就再敷,与油浸小鼠效果无异。或者柏树皮细切,用猪脂煎四五沸,颜色变化后去渣外敷。如果已经形成烂疮,撒杨梅皮粉末即刻痊愈。汤火损伤,昼夜啼哭不止,用松脂细研,和蜡熔化,再加猪膏、羊脂涂抹。
金疮(金属利器创伤)箭头在肉中,用白蔹、生半夏研为散剂,用酒送下方寸匙,每日三次。浅的伤口十天愈合,深的伤口二十天愈合。外用蜣螂生捣涂于患处,如果没有蜣螂,用栝蒌捣碎涂在箭簇上即可拔出。拔不出,捣碎鼠肝涂抹。中了射罔箭毒,昏迷肿胀疼痛,取蓝子五合、升麻、王不留行、甘草各三两,研为散剂,水送服三方寸匙,白天三次夜间两次服用。又用水调和涂在疮口,干了就更换。针折断在肉中,用吸铁石生捣成细末,浓敷在针处即可取出。或者刮象牙屑为细末,用水调和,涂在断针上也能取出。
漆疮 用柳叶捣烂,煮汁,调节到适宜温度清洗。
蛇虫毒 乘凉睡熟时,蛇进入人口及七窍,割猪尾血,用容器盛血,在蛇旁滴入口中使其流出。突然被蛇缠绕无法解开,用热汤淋浇,紧急没有热水,让人用尿液浇淋。蛇蝎螫咬疼痛,用小蒜捣烂绞汁,内服,并将药渣薄敷于受伤处。又一法,用雄黄为末敷上,每天更换一次。又一法,捣生豆叶绞汁内服,药渣外涂效果好。进山避开众多蛇,用干姜、麝香、雄黄研为末,用小红囊装好佩戴。被蛇咬后用蜜调和涂于伤处。经常燃烧羊角使其冒烟即可驱除,虎、野狼都会离开。如果没有羊角,烧水牛角也可以。蠼螋(qú sōu)虫尿到人身上,就会起疙瘩聚集成块,四周中央有白色脓点如黍粟大小。初得此病,磨犀角水涂抹。或者用羊须烧灰,腊月猪脂调和封贴。或者用酥油和胡粉涂抹。
犬伤 凡是狗咬人,七天应该发作一次,三七二十一日内不发作,腹中没有小狗叫声,就没有危害。要过一百天,才能免除。终身禁止吃狗肉、蚕蛹,吃了这些就会发作。疮未痊愈时,禁止吃生鱼及各种肥腻冷食,也不宜饮酒,禁忌一年才好。治疗方法,先用热童便洗去恶血和牙垢,然后解开被咬的发结,看有红色的拔去。即用发灰、皮灰用水调服,并喝韭汁一升,每日三次,疮愈停止。外用杏仁五合炒至黑色,研烂成膏外敷。
Strangulation (Self-hanging) When rescuing a person who has died from hanging, one must immediately press on the heart region. Do not cut the rope; instead, lift the body and slowly untie it. If warmth remains below the heart, have someone blow air into the victim's abdomen through mouth-to-mouth contact, ensuring no air escapes. Then, have two people blow air into both ears for about half a day until the victim belches (Yi). Once belching occurs, stop blowing.
Heatstroke (Zhong Re) Apply hot earth from the roadside to pile over the heart area. Replace with fresh hot earth as soon as it cools down, continuing until respiration is restored. Do not give water under any circumstances; exposure to cold will cause death. This is also discussed in the "Summerheat" chapter.
Drowning Spread kiln ash on the ground to a thickness of approximately half a foot. Place the drowning victim prone on a steamer basket or wooden stool so that the head hangs slightly downward. Take two square-inch spoons of fried salt, place them in a bamboo tube, and blow the salt powder into the nostrils. Water should be vomited out. After the water is expelled, remove the steamer basket and wrap the victim in warm ash to expel cold from the nose and mouth, which can restore life. If the ash becomes damp, replace it with warm ash. Another method: bury the victim directly in warm ash, covering both head and feet, leaving only the seven orifices exposed. Yet another method: flex the victim's legs onto the shoulders of a living person, stand back-to-back, and carry the victim while walking briskly; life is restored once water is vomited. In winter cases of drowning due to freezing, place a bag of warm ash thinly over the heart area, replacing it when it cools. When warmth returns to the heart, eyes move, and mouth opens, administer warm drinks for small swallows. If the heart is not warmed first and fire is applied directly, the conflict between cold and heat will cause death.
Freezing Death Have someone lie close to the victim using their own warm body, cover with warm blankets, and do not use open fire, as direct heating can cause death. For sudden cold invasion causing limb coldness and reversal (Si Ni), treat with Sini Decoction (Four Reversal Decoction) or Lizhong Decoction (Regulate the Middle Decoction).
Burns For burn injuries, strictly avoid washing with cold water, as cold causes fire-toxin to penetrate deeper into the bones. Immediately after injury, apply moxibustion near the fire source. Endure the severe pain; it will subside shortly. For burns causing unconsciousness, drink hot urine while still warm; mixing with honey is also beneficial. If the jaw is clenched, pry it open to administer. Subsequently, decoct Zhi Zi (Gardenia Fruit), Bai Ji (Bletilla Rhizome), and Huang Qin (Scutellaria Root), each 5 liang, in 5 sheng of water and 1 he of oil. Strain and apply lukewarm liquid to soak the wound to dispel fire-toxin and relax the tissue. Alternatively, soak the wound in wine immediately to stop pain instantly; pure wine is also effective. For all burns and scalds, burn Bi Jia (Tartar Testudinis, Turtle Shell) to ash, grind finely, sieve, and mix with sesame oil for topical application to relieve pain. Alternatively, take one mouse drowned in water, fry it in pig fat rendered in the twelfth lunar month until fully dissolved, and apply topically. Reapply if dry; this is equivalent to oil-soaked mice. Or, finely chop Bai Pi (Phellodendron Bark), fry in pig fat for four or five boils until color changes, strain, and apply. For established ulcers, sprinkle Yang Mei Pi (Myrobalan Peel) powder to heal. For continuous crying day and night due to scalds, grind Song Zhi (Pine Resin) finely, melt with beeswax, add pig fat and sheep fat, and apply.
Metal Weapon Wounds (Jin Chuang) For arrowheads embedded in flesh, prepare a powder from Bai Lian (Ampelopsis Radix) and Sheng Ban Xia (Raw Pinellia Tuber). Administer one square-inch spoonful with wine, three times daily. Superficial wounds heal in ten days; deep wounds in twenty days. Topically, apply freshly crushed Qiang Lang (Dung Beetle) to the affected area. If unavailable, crush Gua Lou (Trichosanthes Fruit) and apply to the arrowhead to extract it. If extraction fails, apply crushed rat liver. For poisoning by She Wang arrows causing coma, swelling, and pain, take Lan Zi (Isatis Leaf/Powder) 5 he, Sheng Ma (Cimicifuga Rhizome), Wang Bu Liu Xing (Vaccaria Seed), and Gan Cao (Licorice Root), each 3 liang, grind into powder. Take three square-inch spoonfuls with water, three times during the day and twice at night. Also, mix powder with water and apply to the wound, changing when dry. For needles broken off in flesh, crush Xi Tie Shi (Magnetite) into fine powder and apply thickly to the site to extract the needle. Alternatively, scrape Ya Xu (Ivory Dust) into fine powder, mix with water, and apply to the broken needle to extract it.
Lacquer Dermatitis (Qi Chuang) Crush Liu Ye (Willow Leaves), boil to make a decoction, adjust to a suitable temperature, and wash the affected area.
Snake and Insect Bites If a snake enters the mouth and seven orifices while sleeping in cool air, cut pig tail blood, collect it in a vessel, and drip it near the snake's mouth to induce expulsion. If suddenly wrapped by a snake and unable to loosen, pour hot water over it. If hot water is unavailable in an emergency, pour human urine over it. For snake or scorpion stings causing pain, crush Xiao Suan (Small Allium/Garlic Chive) to extract juice, ingest it, and apply the dregs thinly to the wound. Another method: apply Xiong Huang (Realgar) powder topically, changing once daily. Another method: crush fresh Dou Ye (Bean Leaves), extract juice for ingestion, and apply dregs topically for good effect. To repel snakes in mountains, mix Gan Jiang (Dried Ginger), She Xiang (Musk), and Xiong Huang (Realgar) into powder, store in a small red sachet, and wear it. For snake bites, mix with honey and apply to the wound. Burning sheep horns to produce smoke repels tigers, wild wolves, etc. If sheep horns are unavailable, water buffalo horns can be burned. For urine from Qu Sou (Earwig) causing skin eruptions with white pus like millet grains, rub Xi Jiao (Rhinoceros Horn) with water and apply. Alternatively, burn Yang Xu (Sheep Whiskers) to ash, mix with pig fat from the twelfth lunar month, and seal the wound. Or, mix Su (Butter) and Hu Fen (Lead White) for application.
Dog Bites If bitten by a dog, symptoms may manifest every seven days. If no symptoms appear within twenty-one days (three sevens) and there is no barking sound in the abdomen, there is no danger. One must wait one hundred days to be safe. Lifelong abstinence from dog meat and silkworm pupae is required, as consumption triggers recurrence. During healing, avoid raw fish, fatty/cold foods, and alcohol. Strict adherence for one year is ideal. Treatment: First, wash away evil blood and debris with hot child's urine. Untangle any hair caught in the wound; pluck out any red fibers. Ingest Fa Hui (Hair Ash) and Pi Hui (Skin Ash) mixed with water. Drink 1 sheng of Jiu Zhi (Chinese Chive Juice), three times daily, until healed. Topically, roast Xing Ren (Apricot Kernel) until black, grind into paste, and apply.