治直视在里者。
左盘龙(野鸽粪) 白僵蚕 鳔(炒,各五钱) 雄黄(一钱)
上为末,烧饭丸,桐子大。每服十五丸,温酒下。如里症不已,当用前药末一半,加巴
豆霜半钱,烧饭丸,桐子大。每服加入一丸,如此渐加,以利为度。利后服和解药。
治破伤风,传入里症,惊而发搐,脏腑秘涩。
江鳔(锉炒,半两) 野鸽粪(炒,半两) 雄黄(一钱) 白僵蚕(半两) 蜈蚣(一对)
天麻(一两)
上为末,作三分二分,烧饭丸,桐子大,朱砂为衣,一分,入巴豆霜一钱,亦用烧饭丸
。每服朱砂者二十丸,入巴豆者一丸,渐加至利为度,后止服前丸。
当归 地黄 芍药 川芎 本 防风 白芷(各一两) 细辛(五钱)
上根据前煎服。
治破伤风发热。
栝蒌子(九钱) 滑石(三钱半) 南星 苍术 赤芍药 陈皮 炒柏 黄连 黄芩 白芷
甘草(各五分)
用姜水煎服。
上二方,用竹沥、栝蒌实辈。治破伤风热痰脉洪者。前方用南星、半夏、草乌、川乌辈
,则治破伤风寒痰脉无力者。
治一切风痰壅盛,手足顽麻,或牙关紧急,口眼歪斜,半身不遂等症。
半夏(七两,生用) 南星(二两,生用) 川乌(去皮脐生用,五钱)
上为末,用生姜汁调糊丸,桐子大。每服一二十丸,姜汤下。
治疗邪气深入体内导致眼睛直视的病症。
左盘龙(即野鸽粪)五钱,白僵蚕五钱,鱼鳔(炒制)五钱,雄黄一钱。
将上述药物研成细末,用煮饭时的米汤制成丸药,大小如梧桐子。每次服用十五丸,用温酒送服。如果体内的实热证候没有消除,应当取前面药末的一半,加入半钱的巴豆霜,同样用米汤制成梧桐子大小的丸药。每次服用时增加一丸,逐渐加量,以大便通畅为度。通便之后服用调和和解的药物。
治疗破伤风,病邪传入体内形成里证,出现惊恐和抽搐,脏腑功能闭塞不通、大便秘结的症状。
江鳔(锉碎后炒制)半两,野鸽粪(炒制)半两,雄黄一钱,白僵蚕半两,蜈蚣一对,天麻一两。
将上述药物研成细末,分为三份:其中两份药末,用米汤制成梧桐子大小的丸药,用朱砂粉末作为外衣;另一份药末,加入一钱巴豆霜,也用米汤制成丸药。每次服用朱砂衣丸二十丸,或者服用含巴豆霜的丸药一丸,逐渐加量,以大便通畅为度,之后停止服用含巴豆的丸药,改服前面的朱砂衣丸。
另外配合使用当归、地黄、芍药、川芎、藁本、防风、白芷(各一两),细辛(五钱)。
按照前述方法煎煮服用。
治疗破伤风伴有发热的症状。
栝蒌子九钱,滑石三钱半,天南星、苍术、赤芍药、陈皮、炒黄柏、黄连、黄芩、白芷、甘草(各五分)。
用姜水煎煮后服用。
上面这两个方剂,主要使用竹沥、栝蒌实等药物,用于治疗破伤风属于热痰证、脉象洪大的患者。前面的方剂(指上一段提到的含半夏、草乌、川乌等的方剂,虽未在此列出但文中提及)主要使用天南星、半夏、草乌、川乌等药物,用于治疗破伤风属于寒痰证、脉象无力的患者。
治疗各种风痰壅盛导致的病症,表现为手足顽固性麻木,或者牙关紧闭紧急,口眼歪斜,半身不遂等症状。
半夏七两(生用),天南星二两(生用),川乌五钱(去皮脐,生用)。
将上述药物研成细末,用生姜汁调制成糊状,制成梧桐子大小的丸药。每次服用一二十丸,用姜汤送服。
Treatment for internal fixation of the eyes (Zhi Shi Zai Li).
Zuo Pan Long (Wild Pigeon Droppings) 5 qian, Bai Jiang Can (White Silkworm) 5 qian, Biao (Fish Maw, fried) 5 qian, Xiong Huang (Realgar) 1 qian.
Grind the above ingredients into powder, make pills with rice water, size of *Cocculus trilobus* seeds. Take 15 pills each time, swallow with warm wine. If the interior syndrome persists, take half of the aforementioned powder, add Ban Dou Shuang (Croton Seed Frost) 0.5 qian, make pills with rice water, size of *Cocculus trilobus* seeds. Increase the dosage by one pill each time gradually, until bowel movement is achieved. After purgation, administer harmonizing medicines.
Treatment for Tetanus (Po Shang Feng) where pathogenic factors have entered the interior, presenting with fright and convulsions, and constipation due to organ dysfunction.
Jiang Biao (River Fish Maw, cut and fried) 0.5 liang, Ye Ge Fen (Wild Pigeon Droppings, fried) 0.5 liang, Xiong Huang (Realgar) 1 qian, Bai Jiang Can (White Silkworm) 0.5 liang, Wu Gong (Centipede) 1 pair, Tian Ma (Gastrodia Rhizome) 1 liang.
Grind the above ingredients into powder. Divide into three parts: two parts are made into pills with rice water, size of *Cocculus trilobus* seeds, coated with Zhu Sha (Cinnabar); one part is mixed with 1 qian of Ban Dou Shuang (Croton Seed Frost), also made into pills with rice water. Take 20 pills of the Cinnabar-coated variety, or 1 pill of the Croton-containing variety, gradually increasing until bowel movement is achieved. Thereafter, stop taking the Croton-containing pills and resume the Cinnabar-coated pills.
Concurrently use Dang Gui (Angelica Sinensis), Di Huang (Rehmannia Root), Shao Yao (Peony Root), Chuan Xiong (Sichuan Lovage Rhizome), Ben Cao (Ligusticum Wallichii), Fang Feng (Saposhnikovia Root), Bai Zhi (Angelica Dahurica) (each 1 liang), Xi Xin (Asarum) 5 qian.
Decoct and take according to previous instructions.
Treatment for Tetanus accompanied by fever.
Gua Lou Zi (Trichosanthes Seed) 9 qian, Hua Shi (Talcum) 3.5 qian, Nan Xing (Arisaema Rhizome), Cang Zhu (Atractylodes Rhizome), Chi Shao Yao (Red Peony Root), Chen Pi (Citrus Peel), Chao Bai (Fried Phellodendron Bark), Huang Lian (Coptis Rhizome), Huang Qin (Scutellaria Root), Bai Zhi (Angelica Dahurica), Gan Cao (Licorice Root) (each 5 fen).
Decoct with ginger water and take.
The aforementioned two formulas utilize Zhu Li (Bamboo Sap) and Gua Lou Shi (Trichosanthes Fruit) to treat Tetanus with hot-phlegm and a surging pulse. The former formula (referencing ingredients like Nan Xing, Ban Xia, Cao Wu, Chuan Wu mentioned in context) utilizes Nan Xing (Arisaema Rhizome), Ban Xia (Pinellia Tuber), Cao Wu (Aconitum Carleilii Root), and Chuan Wu (Aconitum Carmichaelii Root) to treat Tetanus with cold-phlegm and a weak pulse.
Treatment for all conditions characterized by excessive wind-phlegm obstruction, presenting with numbness in hands and feet, lockjaw, facial paralysis (mouth and eye deviation), hemiplegia, etc.
Ban Xia (Pinellia Tuber) 7 liang (raw), Nan Xing (Arisaema Rhizome) 2 liang (raw), Chuan Wu (Aconitum Carmichaelii Root) 5 qian (peeled, navel removed, raw).
Grind the above ingredients into powder, mix with fresh ginger juice to form a paste, make pills size of *Cocculus trilobus* seeds. Take 10-20 pills each time, swallow with ginger soup.