夫金疮裹缚不密,为风水气所中,则疼痛不止,而肿痛,内生青黄汁。
金刃中于经络者,下血必多,腑脏空虚,津液竭少,无血气荣养,故须补之。
夫金疮有久不瘥,脓汁不绝,肌肉不生者,其疮内有破骨、断筋、伏血、腐肉、缺刃、
竹刺,久而不出,令疮不愈,喜出青汁。当破出之,疮则愈。
夫被打,陷骨伤头,脑眩不举,戴眼直视,口不能语,咽中沸声如 子喘,口急,
手为妄取,即日不死,三日小愈。
夫有瘀血者,其人喜忘,不欲闻物声。病患胸满,唇萎舌青,口燥,但欲漱水不欲咽,
无热,脉微大来迟,腹不满,其人言我腹满,为有瘀血。汗当出不出,内结亦为瘀。病患胸
满,口干,膊痛,渴,无寒热,为有瘀血。腹满,口燥不渴,唾如浆状,此有留血尔。
从高顿仆,内有血,腹胀满。其脉牢强者生,小弱者死。得笞掠,内有结血。脉实大者
生,虚小者死。其汤熨针石,别有正方。补养宣导,今附于后。
《养生方·导引法》云∶端坐,伸腰,举左手仰掌,以右手承右胁,以鼻纳气,自极七
息。除瘀血、结气。
又云∶鼻纳气,口闭,自极七息。除两胁下积血气。
又云∶端坐,伸腰,举左手,右手承右胁,鼻纳气七息。除瘀血。
又云∶端坐,右手持腰,鼻纳气七息,左右戾头各三十止。除体瘀血,项头痛。
又云∶双手搦腰,手指相对向,尽势,前后振摇二七。又,将手大指向后,极势,振摇
二七。不移手,上下对,与气下尽势,来去三七。去云门、腰掖血气闭塞。
金创(金属利器造成的创伤)包扎不严密,被风邪和水湿之气侵袭,就会导致疼痛不止,出现肿胀,体内生出青黄色的脓汁。
金刃伤及经络的,出血必然很多,导致脏腑空虚,津液枯竭减少,没有气血来濡养身体,所以必须予以补益。
凡是金创长久不愈合,脓汁不断流出,肌肉不生长的,是因为疮口内有断裂的骨头、折断的筋脉、潜伏的瘀血、腐烂的肉、残留的刀刃碎片或竹刺等异物,时间久了排不出来,导致伤口无法痊愈,容易流出青色脓汁。应当将其破开取出,伤口才能愈合。
凡是被人殴打,导致骨骼凹陷、头部受伤,出现头晕目眩不能起身,眼睛上翻直视,口不能说话,咽喉中有像婴儿喘息一样的沸腾声,口唇拘急,手部不由自主地乱抓,如果当天不死,三天后会有轻微好转。
大凡人遭受骨折损伤,如果在当夜出现盗汗的,这是骨髓断绝的征象,七天后会死亡。如果不出汗的,就不会死亡。
凡是体内有瘀血的病人,喜欢健忘,不愿意听到物品的声音。病人感到胸部胀满,嘴唇枯萎,舌色发青,口中干燥,只想含水漱口而不想咽下,身体没有发热,脉搏微大且来势迟缓,腹部并不胀满,但病人自己说腹部胀满,这是有瘀血的表现。汗液应当排出却排不出来,在体内凝结也会形成瘀血。病人胸部胀满,口干,两膊疼痛,口渴,没有恶寒发热的症状,这是有瘀血。腹部胀满,口中干燥但不觉得渴,唾液像浆液一样粘稠,这是有留滞的血。从高处坠落跌仆,体内有积血,导致腹胀满。如果脉搏牢靠有力的会生还,脉搏细小虚弱的会死亡。遭受鞭打拷掠,体内有凝结的血块。如果脉搏实大的会生还,脉搏虚小的会死亡。至于汤药热敷、针刺砭石等治疗,另有专门的方剂。补益调养和导引宣通的方法,现在附在后面。
《养生方·导引法》说:端正坐好,伸直腰背,举起左手掌心向上,用右手托住右胁部,用鼻子吸气,尽力做到极致,共七次呼吸。可以消除瘀血和结聚的气机。
又说:用鼻子吸气,闭住嘴巴,尽力做到极致,共七次呼吸。可以消除两胁下的积血和气滞。
又说:端正坐好,伸直腰背,举起左手,右手托住右胁,用鼻子吸气七次。可以消除瘀血。
又说:端正坐好,右手按住腰部,用鼻子吸气七次,左右扭转头部各三十次为止。可以消除全身的瘀血和颈项头痛。
又说:双手握住腰部,手指相对朝向,尽力伸展,前后振摇十四次。另外,将大拇指向后,尽力伸展,振摇十四次。手不移动,上下对合,配合气息尽力下沉,来回二十一次。可以去除云门穴、腰部腋下的血气闭塞。
Metal wounds (traumas caused by metal sharp instruments) that are not bound tightly will be invaded by wind and water-dampness pathogens, resulting in unceasing pain, swelling, and the internal generation of bluish-yellow pus.
When metal blades injure the meridians, bleeding must be profuse, leading to emptiness of the fu-zang organs, exhaustion of body fluids, and a lack of blood and qi nourishment; therefore, tonification is required.
In cases where metal wounds fail to heal for a long time, with continuous suppuration and failure of muscle regeneration, it is because there are broken bones, severed tendons, latent blood stasis, necrotic flesh, residual blade fragments, or bamboo splinters within the wound that have remained inside for a long time without being expelled, preventing healing and predisposing to the discharge of bluish pus. These foreign bodies must be surgically opened and removed for the wound to heal.
In cases of beating injuries causing bone depression and head trauma, symptoms include dizziness and vertigo preventing the patient from rising, eyes fixed upward and staring straight ahead, inability to speak, gurgling sounds in the throat resembling infantile asthma, oral tension, and involuntary grasping movements with the hands. If the patient does not die on the day of injury, slight improvement may occur after three days.
For any person suffering fractures, if night sweats occur on the night of the injury, this indicates severance of the marrow and death will follow in seven days. If no sweating occurs, the patient will survive.
Patients with blood stasis often suffer from forgetfulness and dislike hearing sounds of objects. The patient experiences chest fullness, withered lips, cyanotic tongue, dry mouth, a desire only to rinse the mouth with water without swallowing, absence of fever, and a pulse that is slightly large but slow in arrival. Although the abdomen is not distended, the patient claims abdominal fullness; this indicates blood stasis. When sweat should be excreted but fails to do so, internal condensation also forms blood stasis. Patients with chest fullness, dry mouth, shoulder pain, thirst, and absence of aversion to cold or fever have blood stasis. Abdominal fullness with dry mouth but no thirst, and saliva thick like paste, indicates retained blood. Falling from a height results in internal blood accumulation causing abdominal distension. A firm and strong pulse indicates survival, while a small and weak pulse indicates death. After receiving blows or scourging, internal clotted blood forms. A solid and large pulse indicates survival, while a deficient and small pulse indicates death. Treatments involving decoctions, hot compresses, acupuncture, and stone therapy have separate specific formulas. Methods for tonification, nourishment, and guided exercises are attached below.
The *Yangsheng Fang* (Prescriptions for Nourishing Life) · *Daoyin Fa* (Guiding and Pulling Methods) states: Sit upright, straighten the waist, raise the left hand with the palm facing up, support the right hypochondrium with the right hand, inhale through the nose, and hold the breath to its limit for seven cycles of respiration. This eliminates blood stasis and stagnant qi.
It further states: Inhale through the nose, close the mouth, and hold the breath to its limit for seven cycles of respiration. This eliminates accumulated blood and qi under both hypochondria.
It again states: Sit upright, straighten the waist, raise the left hand, support the right hypochondrium with the right hand, and inhale through the nose for seven cycles of respiration. This eliminates blood stasis.
It again states: Sit upright, place the right hand on the waist, inhale through the nose for seven cycles of respiration, and twist the head left and right thirty times each. This eliminates systemic blood stasis and neck/headache.
It again states: Grasp the waist with both hands, fingers facing each other, extend to the limit, and shake forward and backward fourteen times. Additionally, extend the thumbs backward to the limit and shake fourteen times. Without moving the hands, align them up and down, coordinate with the qi sinking to the limit, and repeat twenty-one times. This removes blockage of blood and qi at Yunmen (LU 1) and the waist/flank area.