(附录)
白蒺藜(酒洗) 沙蒺藜(土炒,各一斤) 川牛膝(酒洗) 淮牛膝(酒洗) 骨碎补
(去皮,各八两) 全当归(酒洗,十两) 虎骨(乳炙,八两) 鱼肚(蛤粉炒,一斤)
共为末,蜜丸。
头顶受伤,口鼻出血,手足不动,急灌童便一碗。若能知痛,手足转动者,可治。若仍
手足难动,言语不明,不治。气喘呃塞者,七日必死。
顶门伤破,骨未陷入者,可治。骨碎陷入者,不治。气出不收者,不治。
囟门出髓者即死。食后受伤,七日不死,可治。眼闭者不治。
太阳受伤,晕倒在地,急灌童便一碗,若能知痛者,可治。不知痛者,七日死。如知痛
,顷刻又晕者,二十一日死。
耳后受伤,血入内者不治。
两目受伤可治。
山根受伤,不断者可治,断者不治。
食管断者不治。气管全断者不治。未断者十可救五。色红者可治。发青黑色不治。
两肩受伤,血入内者不治。
心口受伤,青色者七日死。服药三日后,转红黄色者可治。食饱受伤,三日不死可治。
心窝骨断者不治。
两胁受伤,痛紧急者七日死。伤入肺者十四日死。伤入肝胆,面青发晕,口吐黄水
者,不满五日死。如痰冷者,四十九日死。筋骨麻木,身热如火,饮食不进者不治。破伤
血入内者不治。血流出尽者不治。出黑血黑水者不治。
两乳受伤,男人可救,宜急治。女人难治。
大腹受伤,不发晕,口内吐饭者可治。若不吐饭,腹内作痛不绝,四十日死。发热乱
言,至夜发厥者三日死。
小腹受伤,血入内者,其脉不实不治。孕妇犯胎者,胎必下不治。
大肠受伤,粪从口出,当日死。若便出尿,四十九日死。口不能语,二十日死。眼目眩
晕,手足皆冷,难治。过一时能转热者,可治。
小肠受伤,昏晕发热,口中乱言,七日死。不分阴阳者,不治。
腹破肠出,未断半断者可治。全断者不治。不臭者可治,臭者不治。色不变者可治,
变紫黑色者不治。
腰伤呕血,急饮童便一碗,自知痛者可治。不知痛而发笑者,三日内死。
夹脊骨受伤,断者不治。
肾经受伤,呕吐不出,全身难动,挣坐不起,睡卧不安,七日死。若吐鲜血,十日死。
外肾伤,囊内有子者,可治。子入小腹者不治。子碎囊内者,不治。囊肿不从上痛者,
可治。时日久长,连腹内作痛者,四十九日死。若发热发晕,三日死。人事不知,手足
不动,一时死。囊破子入小腹者不治。子未入腹,虽垂悬于外,可救。
老人左股压碎者,不治。
凡受伤后,鱼际骨有脉者可治。不动脉者死。脉大而缓,不治。汗出不止,形象变者
,防五日死。目晕青色者,不治。鱼口传风,不治。头目青黑,额汗不流,眼小目瞪,身汗
如油,谓之四逆,不治。
(附录)
白蒺藜(用酒清洗)沙蒺藜(用土炒制,各一斤)川牛膝(用酒清洗)淮牛膝(用酒清洗)骨碎补(去除外皮,各八两)全当归(用酒清洗,十两)虎骨(用乳汁炙烤,八两)鱼肚(用蛤粉炒制,一斤)
以上药材共同研磨成粉末,用蜂蜜制成丸剂。
头顶部位受伤,口鼻出血,手脚无法活动,紧急灌服一碗童便(儿童尿液)。如果患者能感知疼痛,手脚能够转动,尚可治疗。如果仍然手脚难以活动,言语不清,则无法治愈。出现气喘、呃逆堵塞症状的,七日内必定死亡。
顶门(头顶正中)受伤破损,骨骼未陷入皮下的,可以治疗。骨骼碎裂并陷入皮下的,无法治愈。气息外泄无法收敛的,无法治愈。
囟门(婴儿头顶骨未合缝处)流出脑髓的立即死亡。进食后受伤,七天未死的,可以治疗。眼睛闭合的无法治愈。
太阳穴部位受伤,晕倒在地,紧急灌服一碗童便,如果能感知疼痛的,可以治疗。不知疼痛的,七日死亡。如果知道疼痛,但片刻后又晕倒的,二十一日死亡。
耳后部位受伤,血液进入体内的无法治愈。
双眼受伤可以治疗。
山根(鼻梁根部)受伤,没有断裂的可以治疗,断裂的无法治愈。
食管断裂的无法治愈。气管完全断裂的无法治愈。未完全断裂的十人可救五人。面色红润的可以治疗。面色发青黑色的无法治愈。
双肩受伤,血液进入体内的无法治愈。
心口部位受伤,呈现青色者七日死亡。服药三日后,颜色转为红黄色的可以治疗。饱食后受伤,三天未死的可以治疗。
心窝骨断裂的无法治愈。
两胁部受伤,疼痛剧烈紧急者七日死亡。伤及肺部者十四日死亡。伤及肝胆,面色青紫头晕,口吐黄水者,不满五日死亡。如果是痰冷症状者,四十九日死亡。筋骨麻木,身体发热如火,饮食不进者无法治愈。破伤后血液进入体内者无法治愈。血液流尽者无法治愈。排出黑血黑水者无法治愈。
两乳部位受伤,男性可以救治,宜紧急治疗。女性难治。
大腹(腹部上部)受伤,不头晕,口中能吐出饭食的可以治疗。如果不能吐出饭食,腹内疼痛不止,四十日死亡。发热胡言乱语,入夜发作厥证的三日死亡。
小腹受伤,血液进入体内,脉象不实者无法治愈。孕妇伤及胎儿者,胎儿必然流产无法治愈。
大肠受伤,粪便从口中排出,当日死亡。如果大便排出尿液,四十九日死亡。口不能说话,二十日死亡。眼睛眩晕,手脚皆冷,难治。过一个时辰能转热的,可以治疗。
小肠受伤,昏晕发热,口中胡言乱语,七日死亡。不分阴阳(神志丧失)者,无法治愈。
腹部破裂肠子外露,未断或半断的可以治疗。完全断裂的无法治愈。气味不臭的可以治疗,有臭味的无法治愈。颜色未变的可以治疗,变为紫黑色的无法治愈。
腰部受伤呕血,紧急饮用一碗童便,自己知道疼痛的可以治疗。不知道疼痛而发笑的,三日内死亡。
夹脊骨(脊柱两侧)受伤,断裂的无法治愈。
肾经受伤,呕吐物出不来,全身难以活动,挣扎坐起困难,睡卧不安,七日死亡。如果吐出鲜血,十日死亡。
外肾(睾丸)受伤,囊内有睾丸的,可以治疗。睾丸进入小腹的无法治愈。睾丸在囊内破碎的,无法治愈。囊肿疼痛不从上方开始蔓延的,可以治疗。时日长久,牵连腹内作痛的,四十九日死亡。如果发热头晕,三日死亡。人事不知,手脚不动,一时即死。囊破睾丸进入小腹的无法治愈。睾丸未进入腹腔,虽然垂悬于体外,可以救治。
老人左侧大腿被压碎的,无法治愈。
凡是受伤后,鱼际骨(手掌大拇指根部隆起处)有脉搏跳动的可以治疗。无脉搏跳动的死亡。脉象大而迟缓的,无法治愈。汗出不止,形体神态改变的,防备五日内死亡。目晕青色者,无法治愈。鱼口传风(阴囊肿胀如鱼口),无法治愈。头目青黑,额头出汗但不流动,眼睛变小且瞪视,身体出汗如油,称为四逆证,无法治愈。
(Appendix)
Bai Jili (Tribuli Fructus, washed with wine), Sha Jili (Tribuli Fructus, stir-fried with soil, each 1 jin), Chuan Niuxi (Achyranthis Bidentatae Radix, washed with wine), Huai Niuxi (Achyranthis Bidentatae Radix, washed with wine), Gusuibu (Drynariae Rhizoma, peeled, each 8 liang), Quan Danggui (Angelicae Sinensis Radix, washed with wine, 10 liang), Hugu (Ossis Tigris, roasted with milk, 8 liang), Yudu (Chloroscombrus Otolithus, stir-fried with蛤粉 [Haimacculus Powder], 1 jin).
Grind all ingredients into powder and form pills with honey.
If the vertex (top of the head) is injured, with bleeding from the mouth and nose, and immobility of the hands and feet, urgently administer one bowl of Tongbian (Child's Urine). If the patient can perceive pain and move their hands and feet, it is treatable. If the hands and feet remain immobile and speech is unclear, it is untreatable. Those presenting with panting and hiccups/blockage will die within seven days.
If the Dingmen (vertex) is injured and broken, but the bone has not sunk in, it is treatable. If the bone is shattered and sunk in, it is untreatable. If Qi escapes and cannot be retained, it is untreatable.
If the Ximen (fontanelle area) exudes marrow, death is immediate. If injured after eating and surviving seven days, it is treatable. If the eyes are closed, it is untreatable.
If the Taiyang (temple region) is injured, causing fainting and falling to the ground, urgently administer one bowl of Tongbian. If the patient perceives pain, it is treatable. If they do not perceive pain, they will die in seven days. If they perceive pain but faint again shortly after, they will die in twenty-one days.
If the area behind the ears is injured and blood enters internally, it is untreatable.
Injury to both eyes is treatable.
If the Shangen (root of the nose) is injured, if not severed, it is treatable; if severed, it is untreatable.
Severance of the esophagus is untreatable. Complete severance of the trachea is untreatable. If not completely severed, five out of ten cases can be saved. A reddish complexion indicates treatability; a bluish-black complexion indicates untreatability.
Injury to both shoulders with internal bleeding is untreatable.
Injury to the Xin Kou (heart region): a bluish color indicates death in seven days. If, after three days of medication, the color turns red-yellow, it is treatable. Injury after a full meal, surviving three days, is treatable.
Fracture of the Xinwo Bone (xiphoid process) is untreatable.
Injury to both hypochondria: severe and urgent pain indicates death in seven days. Injury penetrating the lungs indicates death in fourteen days. Injury penetrating the Liver and Gallbladder, presenting with a blue-green face, dizziness, and vomiting yellow fluid, indicates death in less than five days. If phlegm-cold is present, death occurs in forty-nine days. Numbness of tendons and bones, body heat like fire, and inability to eat indicate untreatability. Internal bleeding from broken skin injuries is untreatable. Exhaustion of blood flow is untreatable. Discharge of black blood or black fluid is untreatable.
Injury to both breasts: males can be saved and should be treated urgently; females are difficult to treat.
Injury to the Da Fu (upper abdomen): if there is no dizziness and the patient can vomit food from the mouth, it is treatable. If food is not vomited and abdominal pain persists incessantly, death occurs in forty days. Fever, delirium, and Jue syndrome (cold extremities with loss of consciousness) at night indicate death in three days.
Injury to the Xiao Fu (lower abdomen) with internal bleeding and a deficient pulse is untreatable. In pregnant women, injury affecting the fetus results in miscarriage and is untreatable.
Injury to the Large Intestine: feces exiting through the mouth indicates death on the same day. If urine exits via stool, death occurs in forty-nine days. Inability to speak indicates death in twenty days. Dizziness of eyes and extremities, with cold hands and feet, is difficult to treat. If warmth returns after one shichen (two hours), it is treatable.
Injury to the Small Intestine: coma, dizziness, fever, and delirium indicate death in seven days. Loss of Yin-Yang distinction (consciousness) is untreatable.
Abdominal rupture with evisceration: if the intestine is unsevered or partially severed, it is treatable; if completely severed, it is untreatable. Lack of odor indicates treatability; foul odor indicates untreatability. Unchanged color indicates treatability; purple-black discoloration indicates untreatability.
Waist injury with hematemesis: urgently drink one bowl of Tongbian. Self-awareness of pain indicates treatability. Laughing without pain perception indicates death within three days.
Injury to the Jiaji Bones (paraspinal vertebrae): fracture is untreatable.
Injury to the Kidney Meridian: inability to vomit, global immobility, difficulty sitting up despite struggling, and restlessness in sleep indicate death in seven days. Vomiting fresh blood indicates death in ten days.
Injury to the External Kidneys (testicles): presence of testicles within the scrotum is treatable. Testicles entering the lower abdomen is untreatable. Shattered testicles within the scrotum is untreatable. Scrotal swelling/pain not originating from above is treatable. Prolonged duration with pain extending into the abdomen indicates death in forty-nine days. Fever and dizziness indicate death in three days. Unconsciousness with immobility of hands and feet indicates immediate death. Ruptured scrotum with testicles entering the lower abdomen is untreatable. If testicles have not entered the abdomen, even if hanging externally, they can be saved.
Crushed left thigh in the elderly is untreatable.
After any injury, if a pulse is palpable at the Yuji Bone (thenar eminence), it is treatable. Absence of pulse indicates death. A large and slow pulse is untreatable. Profuse sweating, altered appearance, and warning signs suggest death within five days. Bluish-black discoloration around the eyes is untreatable. "Fish Mouth Wind" (scrotal swelling resembling a fish mouth) is untreatable. Blue-black head and eyes, non-flowing sweat on the forehead, small and staring eyes, and oily sweat on the body constitute the Si Ni (Four Reversals) pattern, which is untreatable.