睛明骨,即目窠四围目眶骨也。其上曰眉棱骨,其下曰 骨, 骨下接上牙床。打仆损伤,血流满面者,敷
刀疮药;掀痛瘀血者,敷混元膏。如骨损者,内服八厘散,忌生冷发物。偶食猪头肉者,必发,至一月后始愈。
凡眼胞伤损而瞳神不碎者,可治。
刀疮药 治一切金刃所伤,敷之止血,收口、定痛、护风。
上白石膏( ,一斤) 净板松香(水提过,一斤) 珍珠(豆腐煮过,五钱)
上三味,共研细末,和为一处,瓷罐收贮备用。
混元膏 八厘散(俱见巅顶伤。)
两颧骨者,面上两旁之高起大骨也。打仆损伤,青肿坚硬疼痛,牙车紧急,嚼物艰难,鼻孔出血,两唇掀翻,
内服正骨紫金丹,外以海桐皮汤熏洗,口漱荜茇散,坐卧避冷处。
海桐皮汤 专洗一切跌打损伤,筋骨骨错,疼痛不止。
海桐皮 铁钱透骨草 明净乳香 没药(各二钱) 当归(酒洗,一钱五分) 川椒(三钱) 川芎(一
钱) 红花(一钱) 威灵仙 白芷 甘草 防风(各八分)
共为粗末,装白布袋内,扎口煎汤,熏洗患处。
荜茇散
荜茇 良姜 细辛(各一钱)
水三盅,煎一盅漱口。
正骨紫金丹(见两山角伤)
鼻孔之界骨,名曰鼻梁骨;下至鼻之尽处,名曰准头。凡鼻两孔伤凹者可治,血出无妨。若鼻梁骨凹陷者,
用当归膏敷贴;若两孔跌磕伤开孔窍,或金刃伤开孔窍,用封口药敷伤处,外以消毒定痛散贴之退肿;若鼻被伤
落者,用缀法。
封口药 治跌打损伤,皮开肉破,及金刃伤割喉断耳,缺唇伤破肚皮,跌破阴囊皮等证,大效。
明净乳香 没药 儿茶 当归 杉皮炭(各一钱) 麝香(五厘) 片脑(一分) 猪 聍叶(如无此叶,
用葛叶毛藤子叶亦可,一钱)
上各另碾细末,称合和匀,入麝碾细,次入片脑研匀,瓷罐收贮听用。
消毒定痛散 治跌仆损伤,肿硬疼痛。
无名异(炒) 木耳(炒) 川大黄(各五钱)
共为末,蜜水调涂。如内有瘀血,砭去敷之;若腐处,更用当归膏敷之尤好。
神效当归膏 此膏敛口生肌,拔毒止痛,并诸疮毒瓦斯壅盛,腐化成脓。
当归 黄蜡(各一两) 麻油(四两)
上将当归入油煎令焦黑,去滓,次入黄蜡,急搅化放冷,以瓷器收贮,用时以旧绢布摊贴。一方用白蜡。
缀法(耳伤落者同此) 用人发入阳城罐,以盐泥固济, 过为末,乘急以所伤耳、鼻蘸药,安缀故处,
以软吸缚定效。昔江怀禅师被驴咬落其鼻,一僧用此缀之如旧。
睛明骨,就是眼眶四周的骨骼。其上方的称为眉棱骨,下方的称为颧骨,颧骨下方连接上牙床。因跌打损伤导致血流满面者,敷用刀疮药;若肿胀疼痛且有瘀血者,敷用混元膏。如果发生骨折,内服八厘散,忌食生冷及发物。偶尔吃了猪头肉,必然会导致病情发作,直到一个月后才能痊愈。凡是眼睑受伤但瞳孔未受损的,可以治疗。
刀疮药:治疗一切金属利器造成的创伤,外敷可止血、收口、止痛并保护伤口免受风邪侵袭。
配方:上等白石膏(一斤)、净板松香(经水提取过,一斤)、珍珠(用豆腐煮过,五钱)。
制法:以上三味药,共同研成细末,混合均匀,装入瓷罐中密封保存备用。
两颧骨,是面部两侧高起的大骨。因跌打损伤后,出现青紫肿胀、坚硬疼痛,牙关紧急,咀嚼困难,鼻孔出血,双唇翻卷等症状。内服正骨紫金丹,外用海桐皮汤熏洗患处,口中含漱荜茇散,坐卧时避开寒冷之处。
海桐皮汤:专门用于清洗各种跌打损伤,以及筋骨错位引起的持续疼痛。
配方:海桐皮、铁钱透骨草、明净乳香、没药(各二钱)、当归(酒洗,一钱五分)、川椒(三钱)、川芎(一钱)、红花(一钱)、威灵仙、白芷、甘草、防风(各八分)。
制法:共捣碎为粗末,装入白布袋内,扎紧袋口煎汤,先熏后洗患处。
荜茇散:
配方:荜茇、良姜、细辛(各一钱)。
用法:用水三盅,煎至一盅,用来漱口。
正骨紫金丹(见“两山角伤”章节)。
鼻孔之间的骨骼,名为鼻梁骨;向下延伸至鼻子的尽头,名为准头。凡是鼻子两个鼻孔处受伤凹陷的,可以治疗,出血无妨。如果鼻梁骨凹陷,用当归膏敷贴;如果两个鼻孔因跌磕或金刃切割导致孔窍破裂,用封口药敷于伤处,外部再贴上消毒定痛散以消退肿胀;如果鼻子被震落,使用缀法。
封口药:治疗跌打损伤导致的皮开肉破,以及金刃切割导致的咽喉断裂、耳朵脱落、嘴唇缺损、肚皮破裂、阴囊皮肤跌破等症,效果显著。
配方:明净乳香、没药、儿茶、当归、杉皮炭(各一钱)、麝香(五厘)、片脑(一分)、猪耳垢叶(如果没有这种叶子,也可以用葛叶毛藤子叶代替,一钱)。
制法:以上各药分别单独碾成细末,称量后混合均匀,加入麝香再次碾细,然后加入片脑研磨均匀,装入瓷罐中密封听候使用。
消毒定痛散:治疗跌仆损伤引起的肿胀、硬结和疼痛。
配方:无名异(炒)、木耳(炒)、川大黄(各五钱)。
制法:共同研成粉末,用蜂蜜水调匀涂抹。如果内部有瘀血,先用砭石刺破排出瘀血后再敷药;如果已经腐烂,再用当归膏敷贴效果更好。
神效当归膏:此膏能收敛伤口、生肌长肉、拔毒止痛,并适用于各种疮毒气火壅盛、腐烂化脓的情况。
配方:当归、黄蜡(各一两)、麻油(四两)。
制法:先将当归放入油中煎至焦黑,滤去药渣,接着加入黄蜡,快速搅拌使其融化,冷却后用瓷器盛装保存。使用时用旧绢布摊开敷贴。另一种方子使用白蜡。
缀法(耳朵震落的方法与此相同):用人发放入阳城罐中,用盐泥密封固定,煅烧成灰后研成细末。趁急迫之时,将受伤的耳朵或鼻子蘸取药粉,复位粘贴在原处,用柔软的吸力绑缚固定即可见效。过去江怀禅师被驴咬掉鼻子,一位僧人用这种方法将其接回如初。
Jingming bone refers to the orbital bones surrounding the eye socket. The upper part is called the brow ridge bone (Meileng gu), and the lower part is the zygomatic bone (Quan gu), which connects inferiorly to the upper alveolar process. In cases of contusion injury with blood flowing over the face, apply Daochuang Ointment (Dao Chuang Yao); for swelling, pain, and blood stasis, apply Hunyuan Ointment (Hunyuan Gao). If a fracture occurs, administer Bali Powder (Bali San) internally, and avoid raw, cold foods and "fa" substances (foods that may exacerbate disease). Occasional consumption of pork head meat will inevitably trigger an exacerbation, requiring up to one month for full recovery. Any injury to the eyelids where the pupil remains intact is treatable.
Daochuang Ointment (Dao Chuang Yao): Treats all injuries caused by metal blades; topical application stops bleeding, promotes wound closure, relieves pain, and protects against wind pathogens.
Ingredients: White Gypsum Fibrosum (Shigao, 1 jin / 500g), purified Pinus Massoniana Rosin (Ban Songxiang, water-extracted, 1 jin / 500g), Pearl (Zhenzhu, boiled in tofu, 5 qian / 18.75g).
Preparation: Grind the three ingredients into fine powder, mix thoroughly, and store in a porcelain jar for future use.
Hunyuan Ointment (Hunyuan Gao) and Bali Powder (Bali San) are detailed in the section on "Injury to the Vertex."
The bilateral zygomatic bones are the prominent large bones on either side of the face. Contusion injuries result in cyanosis, swelling, hardness, and pain, along with trismus (lockjaw), difficulty chewing, epistaxis (nosebleed), and eversion of the lips. Administer Zhenggu Zijin Dan (Zhenggu Zijin Pill) internally, fumigate and wash the area externally with Haitongpi Decoction (Haitongpi Tang), rinse the mouth with Biba Powder (Biba San), and sit or lie in a place away from cold.
Haitongpi Decoction (Haitongpi Tang): Specifically used for washing various contusion injuries and persistent pain due to tendon and bone misalignment.
Ingredients: Cortex Phellodendri Amurensis (Haitongpi), Herba Centellae Asiaticae (Tieqian Tougucao), Resina Burserae Mimosae (Ruxiang), Resina Commiphorae Myrrhae (Moyao) (each 2 qian / 7.5g), Radix Angelicae Sinensis (Danggui, wine-washed, 1.5 qian / 5.6g), Fructus Zanthoxyli (Chuanjiao, 3 qian / 11.25g), Rhizoma Chuanxiong (Chuanxiong, 1 qian / 3.75g), Flos Carthami Tinctorii (Honghua, 1 qian / 3.75g), Radix Saposhnikoviae (Weilingxian), Radix Angelicae Dahuricae (Baizhi), Radix Glycyrrhizae Uralensis (Gancao), Radix Saposhnikoviae (Fangfeng) (each 8 fen / 3g).
Preparation: Coarsely crush the ingredients, place in a white cloth bag, tie securely, and decoct in water. Use the steam for fumigation and the liquid for washing the affected area.
Biba Powder (Biba San):
Ingredients: Fructus Piperis Longi (Biba), Rhizoma Alpiniae Officinarum (Liangjiang), Radix Asari (Xixin) (each 1 qian / 3.75g).
Usage: Decoct 3 sheng (approx. 600ml) of water to 1 sheng (approx. 200ml), and use for mouth rinsing.
Zhenggu Zijin Dan (Zhenggu Zijin Pill) is detailed in the section on "Injury to the Temporal Regions."
The bony structure between the nostrils is named the nasal bridge bone (Biliang gu); extending downward to the tip of the nose is the juncture point known as Zhuntou. Injuries causing depression of the two nostrils are treatable, and epistaxis is not a contraindication. If the nasal bridge bone is depressed, apply Danggui Ointment (Danggui Gao). If the nostrils are ruptured due to contusion or laceration by sharp instruments, apply Fengkou Medicine (Fengkou Yao) to the wound, and externally apply Xiaodu Tingtong San (Xiaodu Tingtong Powder) to reduce swelling. If the nose is avulsed, use the Suture Method (Zhui Fa).
Fengkou Medicine (Fengkou Yao): Highly effective for treating contusion injuries with torn skin and flesh, as well as lacerations causing severed throat, detached ears, missing lips, ruptured bellies, or broken scrotal skin.
Ingredients: Resina Burserae Mimosae (Ruxiang), Resina Commiphorae Myrrhae (Moyao), Camellia Leaf (Ercha), Radix Angelicae Sinensis (Danggui), Carbonized Pini Massoniani Lignum (Shanpitan) (each 1 qian / 3.75g), Moschus (Shexiang, 5 li / 1.875g), Borneolum Syntheticum (Pian Nao, 1 fen / 0.375g), Cerumen Suillae (Zhu Lingye) (if unavailable, use leaves of Ipomoea batatas or Solanum lyratum, 1 qian / 3.75g).
Preparation: Grind each ingredient separately into fine powder, weigh and mix uniformly. Add Moschus and grind finely, then add Borneolum Syntheticum and grind evenly. Store in a porcelain jar for use.
Xiaodu Tingtong San (Xiaodu Tingtong Powder): Treats swelling, induration, and pain resulting from falls and contusions.
Ingredients: Hematitum (Wumingyi, stir-fried), Auricularia Judae (Mu'er, stir-fried), Radix et Rhizoma Rhei (Chuan Dahuang) (each 5 qian / 18.75g).
Preparation: Grind into powder, mix with honey water, and apply topically. If blood stasis is present, use Bian stone therapy to drain the stasis before applying; if tissue is necrotic, applying Danggui Ointment (Danggui Gao) is particularly beneficial.
Shenxiao Danggui Gao (Miraculous Angelica Ointment): This ointment promotes wound closure and tissue regeneration, draws out toxins, relieves pain, and treats conditions where toxin-heat is congested and pus forms due to necrosis.
Ingredients: Radix Angelicae Sinensis (Danggui), Cera Flava (Huangla) (each 1 liang / 37.5g), Sesame Oil (Mayou, 4 liang / 150g).
Preparation: Fry the Radix Angelicae Sinensis in the oil until charred black, filter out the dregs, then add the Cera Flava, stirring rapidly until melted. Cool and store in porcelain containers. Apply using old silk cloth. An alternative formula uses Cera Alba (White Beeswax).
Suture Method (Zhui Fa) (Same method applies to detached ears): Place human hair in a Yangcheng crucible, seal with salt mud, calcine into ash, and grind into powder. Immediately dip the injured ear or nose into the powder, reposition it to its original location, and secure firmly with soft bandages for effective results. Historically, Chan Master Jiang Huai had his nose bitten off by a donkey; a monk successfully reattached it using this method.