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《孫真人備急千金要方》Vol. 76

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Taiping 太平部 Vol. 76 / 93 5,428 characters

About this page. The original text of 《孫真人備急千金要方》 Vol. 76 (Taiping 太平部, 93 volumes) is shown in Classical Chinese as transmitted in the Kanripo (Kyoto University) edition. An English interpretation of the 11 passages on this page accompanies it: select a passage or press “Interpretation” to show it. All texts in English

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Source textInterpretation

孫眞人備急千金要方卷之七十六慈五     (宋朝奉郎守太常少卿充/秘閣校理林億等校正)  備急方    蛇蟲等毒第二(論方/灸法) 治因熱逐凉睡熟有蛇入口中挽不出方   以刀破蛇尾内生椒三兩枚裹著須臾   即出(肘後方云艾灸蛇尾即出若無火/以刀周匝割蛇尾截令皮斷乃捋)   (皮倒脫/即出) 治蛇入人口并七孔中者方   割母猪尾頭滴血著口中即出 又方以患人手中指等截三歲大猪尾以器 盛血傍蛇瀉血口中拔出之 治卒爲蛇繞不解方   以熱湯淋之無湯令人尿之 治蛇蠍螫方   服小蒜汁滓薄上(肘後方云/治蝮蛇螫) 又方熟擣葵取汁服之 治蛇嚙方   人屎厚塗帛裹即消 治蛇毒方   消蠟注瘡上不瘥更消注之 又方以母猪耳中垢傅之(肘後方云牛耳/中垢亦可用) 治蝮蛇毒方   令婦人騎度三過又令坐上 又方以射罔塗腫上血出即愈 又方生麻楮葉合擣以水絞去滓漬之 又方令婦人尿瘡上 又方末薑薄之乾復易 治諸蛇毒方   雄黄 乾薑(各等/分)  右二味爲末和射罔著竹筒中帶行有急  用之 又方雞屎二七枚燒作灰投酒中服之 又方以麵圍上令童男尿著中燒鐵令赤投 中冷復燒著二三度瘥 又方雄黄爲末傅上日一易
Interpretation

On Venomous Creatures Such as Snakes and Insects, Part Two (Discussions, Remedies, and Moxibustion)

A method for treating a snake that crawls into someone’s mouth while they are sleeping soundly after seeking cool air in hot weather, and cannot be pulled out:

Make an incision in the snake’s tail with a knife and put in three raw Sichuan peppercorns. Then wrap the tail back up. After a while, the snake will come out.

The Handy Emergency Formulas (Zhouhou Fang) says: Apply moxibustion to the snake’s tail, and it will come out. If there is no fire, use a knife to cut around the tail, severing the outer skin, then pull the snake’s skin back. The snake will come out.

A method for treating a snake that crawls into someone’s mouth or one of the body’s seven orifices:

Cut the tip of a sow’s tail and drip its blood into the patient’s mouth. The snake will come out.

Another method: Measure the patient’s middle finger and cut a piece of a three-year-old pig’s tail to the same length. Catch the pig’s blood in a vessel. Pour the blood beside the snake, then pull the snake out.

A method for treating a snake that suddenly coils around someone and will not come loose:

Pour hot water on the snake. If there is no hot water, have someone urinate on it.

A method for treating stings or bites from snakes or scorpions:

Drink the juice of wild garlic and apply the crushed pulp to the wound. The Handy Emergency Formulas says this method can treat bites from pit vipers.

Another method: Pound sunflower leaves, squeeze out the juice, and drink it.

A method for treating snakebites:

Spread human feces thickly on a piece of cloth and wrap it around the wound. It is said that this will disperse the venom.

A method for treating snake venom:

Melt wax and drip it onto the wound. If there is no improvement, melt more wax and drip it on again.

Another method: Take the grime from inside a sow’s ear and apply it to the wound. The Handy Emergency Formulas says that grime from inside a cow’s ear can also be used.

A method for treating pit viper venom:

Have a woman step over the patient three times, then sit on the patient.

Another method: Apply shewang, an ancient poison, to the swelling. Once blood flows out, the patient will recover.

Another method: Pound fresh hemp leaves together with paper mulberry leaves, squeeze out the juice with water, strain out the pulp, and soak the wound with the liquid.

Another method: Have a woman urinate on the wound.

Another method: Grind fresh ginger into powder and apply it to the wound. Replace it when it dries.

Methods for treating venom from various snakes:

Take equal amounts of realgar and dried ginger, grind them into powder, and mix the powder with shewang. Store the mixture in a bamboo tube and carry it for emergencies.

Another method: Burn fourteen chicken droppings to ash, put the ash in wine, and drink it.

Another method: Use flour to make a ring around the wound, then have a boy urinate inside the ring. Heat an iron until red-hot and put it into the urine. When it cools, heat it red-hot again and put it back in, repeating this two or three times. It is said that the patient will recover.

Another method: Grind realgar into powder and apply it to the wound, replacing it once a day.

又方鹽四兩水一斗煑十沸沸定以湯浸冷 易之 又方擣紫莧取汁飲一升以滓封瘡上以少 水灌之 又方梳中垢如指大長一寸尿和傅之 又方取合口椒葫荽苗等分搗傅之無不瘥 又方男子陰間毛二七枚含之有汁即咽却 祕方也 又方用銅青傅瘡上 又方擣大蒜和胡粉傅之 又方口嚼大豆葉塗之良 又方猪脂和鹿角灰塗之 又方炙梳汗出熨之 入山草辟衆蛇方   乾薑 麝香 雄黄(各等/分)  右三味擣爲粗散以小絳袋盛帶之男左  女右蛇毒塗瘡(集驗方云如無麝香以射/罔和代之救急方云以蜜)  (和爲膏傅/螫處良) 又方常燒羖羊角使烟出蛇則去矣 治蛇螫人瘡已愈餘毒在肉中淫淫痛癢方   大蒜 小蒜(各一/升)  右二味合擣以熱湯淋以汁灌瘡大良 治蛇骨刺人毒痛方   鐵精如大豆許内管中吹内瘡中良 又方燒死鼠爲末傅之 治衆蛇螫方   灸上三七壯無艾以火頭稱瘡孔大小   𤑔之 治虎咬瘡方   濃煑葛根汁洗十數遍及擣爲散以葛   根汁服方寸匕日五甚者夜二 又方青布急卷爲繩止一物燒一頭燃内竹 筒中注瘡口熏之妙 又方煑鐵令濃洗瘡 又方嚼栗子塗之良 辟虎法   凡入山燒水牛羖羊角虎狼蛇皆走
Interpretation

Another remedy: Take four liang of salt and one dou of water, and bring it to a boil ten times. Once the medicinal decoction has settled, use it to soak and wash the affected area. When it cools, replace it with a fresh batch.

Another remedy: Crush purple amaranth and squeeze out the juice. Drink one sheng, then apply the remaining pulp to the sore and rinse the affected area with a little water.

Another remedy: Take the grime from a comb and roll it into a lump as thick as a finger and about one cun long. Mix it with urine and apply it to the affected area.

Another remedy: Take equal amounts of closed-bud Sichuan pepper and coriander seedlings, crush them together, and apply them. It is said that either will cure the condition.

Another remedy: Take fourteen hairs from a man’s pubic area and hold them in the mouth. Once they become moist, swallow them. This is a secret remedy.

Another remedy: Apply copper verdigris—the green corrosion that forms on copper vessels—to the sore.

Another remedy: Crush garlic, mix it with lead powder, and apply it.

Another remedy: Chew soybean leaves in the mouth and spread them on the affected area. This works very well.

Another remedy: Mix lard with deer-horn ash and apply it.

Another remedy: Heat a comb until it sweats, then use it to warm the affected area.

How to Avoid Snakes When Entering the Mountains

Take equal amounts of dried ginger, musk, and realgar.

Crush these three ingredients into a coarse powder and place it in a small red pouch to wear on your person: men should wear it on the left, women on the right. If bitten by a snake, apply the powder to the wound. The Jiyan Fang says that if musk is unavailable, it can be replaced with shewang, a poisonous plant remedy. The Jiuji Fang says the powder may also be mixed with honey into a paste and applied to the bite.

Another remedy: Burn the horn of a ram regularly, letting the smoke rise; snakes will leave.

How to Treat Lingering Pain and Itching from Venom in the Flesh After a Snakebite Wound Has Healed

Take one sheng each of garlic and wild garlic.

Pound the two ingredients together, pour hot water over them, and strain out the juice. Then pour the juice into the wound. This works very well.

How to Treat Venomous Pain After a Snakebite, as Though a Snake Fang Were Embedded

Take a piece of iron filings the size of a soybean, put it into a tube, and blow it into the wound. It is said to work very well.

Another remedy: Burn a dead rat to ash, grind it into powder, and apply it to the affected area.

How to Treat Bites from Various Snakes

Apply twenty-one moxibustion cones to the wound. If mugwort is unavailable, take a burning ember about the size of the wound and cauterize it.

How to Treat a Tiger Bite

Simmer kudzu root until the liquid is concentrated, then use it to wash the wound more than ten times. Next, pound kudzu root into powder and swallow one square-inch spoonful with kudzu-root juice. Take this five times a day; in severe cases, take it twice more during the night.

Another remedy: Roll blue cloth tightly into a cord, leaving one end loose. Set that end alight, place it in a bamboo tube, and hold the tube over the wound to smoke and warm it. The text says this works very well.

Another remedy: Boil iron to make a concentrated liquid, and use it to wash the wound.

Another remedy: Chew chestnuts and apply them to the affected area. This works very well.

How to Avoid Tigers

Whenever you enter the mountains, burn water-buffalo horn or ram’s horn. Tigers, wolves, and snakes will all flee.

論曰凡見一切毒螫之物必不得起惡心向 之亦不得殺之若輒殺之於後必遭螫毒治 亦難瘥愼之愼之 治蠍毒方   凡蠍有雌雄雄者痛止在一處雌者痛   牽諸處若是雄者用井底泥塗之温則   易雌者用當瓦屋溝下泥傅之若值無   雨可用新汲水從屋上淋下取泥 又方取齒中殘飯傅之又猪脂封之又射罔 封之又碙砂和水塗上立愈 治蠍螫方   若著手足以冷水漬之水微暖則易之   著餘處者冷水浸故布㩉之小煖則易 又方生烏頭爲末唾和傅之 治蜂螫毒方   取瓦子摩其上唾二七遍置瓦子故處 治蜂螫方   猪脂蜜(各五/合)蠟(二/兩)  右三味和煎如膏候冷以塗之 又方燒蜂房爲末膏和塗之(肘後方云先煑/蜂房洗之又燒) (塗/之) 又方酥脂塗之立愈 又方燒牛屎灰苦酒和塗之 又方齒垢塗之 又方淳酢沃地取泥塗之 又方嚼鹽塗之 又方以人尿新者洗之 又方尿泥塗之 又方反手捻地上土傅之 論曰凡蠼螋蟲尿人影著處便令人病瘡其 狀身中忽有處瘮痛如芒刺亦如刺蟲所螫 後起細㾦㿔作聚如茱萸子狀四邊赤中央 有白膿如黍粟亦令人皮肉急舉身惡寒壯 熱劇者連起竟腰脇胷治之法初得之磨犀 角塗上止其毒治如火丹法余以武德中六
Interpretation

The Essential Prescriptions Worth a Thousand Gold says: When you encounter poisonous creatures or animals that sting, do not harbor ill will toward them or kill them casually. If you kill them rashly, they may later sting you in return, and poisoning may then be difficult to cure. You must therefore be cautious.

Treating Scorpion Stings

Scorpions are male or female. A sting from a male scorpion usually causes pain in one spot; a sting from a female may cause pain that spreads to several places. For a male scorpion sting, apply mud from the bottom of a well to the wound, replacing it when it becomes warm. For a female scorpion sting, apply mud from beneath the drainage channel of a tiled roof. If it has not rained, pour freshly drawn water down from the roof and use the mud it washes down.

Other methods include applying food caught between the teeth to the wound; sealing the wound with pig fat; applying shewang, an ancient poison; or mixing naosha, a mineral medicine, with water and spreading it on the wound. These are said to bring quick relief and healing.

Another Method for Treating Scorpion Stings

If the sting is on a hand or foot, immerse the wound in cold water, replacing the water as soon as it becomes slightly warm. If the sting is elsewhere on the body, soak an old cloth in cold water and place it over the wound; replace it when it becomes slightly warm.

Another prescription is to grind raw aconite into powder, mix it with saliva, and apply it to the wound.

Treating Poisoning from Bee Stings

Take a piece of roof tile and rub it over the wound while spitting saliva onto the wound fourteen times. Then put the tile back where it was.

Another Method for Treating Bee Stings

Take five he each of pig fat and honey, and two liang of wax. Mix the three ingredients and simmer them into a salve. Let it cool, then apply it to the wound.

Other methods include burning a beehive into powder, mixing it with an ointment or fat, and applying it; or boiling the beehive, washing the wound with the resulting liquid, then burning the hive and applying it to the wound. One may also apply clarified butter or fatty ointment, or burn cow dung to ash, mix it with bitter wine (vinegar), and apply it. Other remedies include tooth tartar, mud soaked in pure vinegar, chewed salt, fresh human urine, or earth gathered by rubbing it between the backs of the hands.

Sores Caused by Earwigs

Earwigs, small insects commonly called “pincer bugs,” are said to urinate wherever a person’s shadow passes, causing sores. When the condition begins, a sudden sharp pain appears on the body, as if pricked by an awn or stung by an insect. Tiny clusters of spots then emerge, shaped like the fruit of the prickly ash. The area around them turns red, with white pus in the center about the size of millet or foxtail millet. The patient may also feel the flesh tightening and experience chills and fever. In severe cases, the sores spread in connected patches across the waist, flanks, and chest.

The text’s treatment is to grind rhinoceros horn into powder and apply it to the affected area as soon as the condition begins, to counter the poison. Afterward, treat it according to the method for fire erysipelas, a condition involving red, swollen, hot, and painful skin. The text then continues, “In the Wude era, I…” but the provided passage ends here.

月得此疾經五六日覺心悶不佳以他法治 不愈又有人教畫地作蠼螋形以刀子細細 盡取蠼螋腹中土就中以唾和成泥塗之再 塗即愈方知天下萬物相感莫曉其由矣 治蠼螋尿方   羖羊髭燒灰臘月猪脂和封之 又方擣豉封之 又方酢和胡粉塗之 治蠼螋尿瘡方   燒鹿角爲末以苦酒和傅瘡上已有汁   者燒道傍弊蒲席傅之 又方槐白皮半斤切以苦酒二升漬半日刮 去瘡處以洗日五六遍仍以赤小豆爲末以 苦酒和傅之燥復易小兒以水和 又方嚼大麥以傅之三日 又方燕窠中土以猪脂和傅 又方熟嚼梨葉以水和塗燥復易之 又方爛擣馬鞭草以傅上燥則易之 又方取吴茱萸東行根下土酢和塗之 治三種射工蟲毒方 論曰江南有射工毒蟲一名短狐一名蜮其 蟲形如甲蟲(外臺云正黑/狀如大飛生)有一長角在口前 如弩檐臨其角端曲如上弩以氣爲矢因水 勢以射人人或聞其在水中鉍鉍作聲要須 得水没其口便射人此蟲畏鵝鵝能食之其 初始證 先惡寒噤瘮寒熱筋急仍似傷寒 亦如中屍便不能語朝旦小蘇晡夕輙劇寒 熱悶亂是其證始得三四日當即治之治之 稍遲者七日皆死初未有瘡但惡寒噤瘆及 成瘡似蠼螋尿亦似瘭疽瘡射工中瘡有三 種其一種瘡正黑如黛子皮周邊悉赤或衣
Interpretation

Once, I came down with this affliction. After five or six days, I felt agitated and unwell, and other treatments had brought no improvement. Later, someone taught me to draw the shape of a qiusou—a small insect commonly called a jia ban chong—on the ground, then use a small knife to remove, bit by bit, the soil from its abdomen. This was to be mixed with saliva into a paste and applied to the affected area. After two applications, I recovered. Only then did I understand that all things in the world respond to one another, though the reasons behind this are truly difficult to fathom.

Remedy for injuries caused by qiusou insect urine

Burn the beard of a male goat to ash, mix it with pork fat preserved in the twelfth lunar month, apply it to the affected area, and bandage it.

Another remedy: Crush fermented soybeans and apply them to the affected area.

Another remedy: Mix lead powder, an ancient white powder whose main ingredient is lead, with vinegar, and apply it to the affected area.

Remedies for sores and injuries caused by qiusou insect urine

Burn antler to a powder, mix it with bitter wine (vinegar), and apply it to the sore. If it is already oozing, burn a worn-out rush mat from the roadside and apply the ashes.

Another remedy: Take half a jin of the white inner bark of a pagoda tree, chop it, and soak it in two sheng of bitter wine for half a day. Scrape away the flakes of skin around the sore, then wash the affected area with the soaking liquid five or six times a day. Next, grind adzuki beans into powder, mix them with bitter wine, and apply the paste; replace it when it dries. For a child, mix the powder with water.

Another remedy: Chew barley until soft and apply it to the affected area for three consecutive days.

Another remedy: Take the soil from a swallow’s nest, mix it with pork fat, and apply it.

Another remedy: Chew pear leaves, mix them with water, and spread the mixture on the affected area; replace it when it dries.

Another remedy: Pound verbena and apply it; replace it when it dries.

Another remedy: Take soil from beneath a root on the eastern side of a Wu Zhu Yu tree, mix it with vinegar, and apply it as a poultice.

Remedies for the poison of the three kinds of shegong insects

The book says: In the south of the Yangtze River there is a poisonous shegong insect, also called duanhu or yu. It resembles a beetle (the Waizai Mijue says it is entirely black and looks like a large flying insect). At the front of its mouth is a long horn with a bent tip, shaped like the stock of a crossbow. It can turn Qi into arrows and, using the force of the water, shoot and injure people. Sometimes people can hear it making a “bi-bi” sound in the water. It must wait until the water covers its mouth before it can shoot. This insect fears geese, which can eat it.

At first, the injured person feels cold and trembles; then chills and fever alternate, and the sinews and vessels tighten, making the illness resemble both cold damage and corpse poison. The patient may lose the ability to speak. In the morning, the symptoms may ease somewhat, but by evening they often worsen, with chills and fever, agitation, and restlessness. Treatment should begin at once, within three or four days of these symptoms appearing. If treatment is delayed, the patient will die by the seventh day.

At first, there is no sore on the skin, only chills and trembling. Later, a sore develops, resembling an injury caused by qiusou insect urine or a biaozu, a severe suppurating sore. The sores caused by shegong insects are of three kinds. One kind is black in the center, like dark blue pigment, with a red ring around it, or…

犯之如有芒刺痛其一種作瘡久久穿或晡 間寒熱其一種如火灼熛起似此者最急數 日殺人(備急方云有四種/其一種突起如癰) 治射工中人寒熱或發瘡偏在一處有異於 常者方   取鬼臼葉一把清苦酒中熟搗絞取汁   服一升日三 又方取生吴茱萸莖葉一握斷去前後取握 中熟擣以水二升煑取七合頓服 又方取葫切貼瘡灸七壯 又方取蜈蚣大者一枚火炙治爲末苦酒和 以傅瘡上 又方取赤莧菜熟擣絞取汁每服一升日四 五服 又方白雞屎取白頭者三枚湯和塗中毒處 又方   升麻(三/兩)犀角烏扇根(各二/兩)  右三味㕮咀以水四升煑取一升半去滓  分再服相去如一炊頃盡更作 治射工中人已有瘡者方   取芥子爛擣苦酒和厚塗瘡上半日痛   便止 又方取狼牙葉冬取根搗令熟薄所中處又 飲四五合汁 治射工中人三種瘡方   升麻(二/兩) 烏扇根(三/兩)  右二味㕮咀以水三升煑取一升適寒温  盡服滓薄上 五香散治江南毒氣惡核射工中人暴腫生 瘡方   甲香 犀角 鼈甲   升麻 薰陸香 烏翣   丁香 沈香 黄連   青木香 羚羊角 黄芩   甘草 牡蠣(各四/分) 吴茱萸(三/分)   黄蘖(六/分)
Interpretation

A person wounded by a shegong (an imaginary venomous creature that the ancients believed lived in water, shot sand and shadows, and could injure people; also called “shadow shooter” or “water crossbow”) feels a stabbing pain, like being pricked by thorns, when the injured spot is touched. One kind develops into an ulcer; after some time, the ulcer breaks open, or the person suffers chills and fever toward evening. Another kind feels like a burn: the swelling rises suddenly and progresses rapidly. These cases are especially dangerous and may cause death within a few days. (The Beiji Fang says this illness has four forms, one of which swells suddenly and resembles a carbuncle.)

The following prescriptions treat injury from a shegong accompanied by alternating chills and fever, or by an ulcer appearing on some part of the body that differs from ordinary sores:

Take a handful of leaves of ghost-gate plant (a medicinal herb also known as eight-corner lotus), soak them in bitter wine (vinegar), pound them, and squeeze out the juice. Take one sheng each time, three times a day.

Another prescription: Take a handful of fresh stems and leaves of Sichuan pepper, remove both ends, and pound the middle portion. Add two sheng of water and boil until one sheng and seven ge remain. Drink it all at once.

Another prescription: Slice garlic and place it on the ulcer. Apply seven moxa cauterizations (one burning moxa cone counts as one cauterization).

Another prescription: Take one large centipede, roast it over a fire, and grind it into powder. Mix it evenly with vinegar and apply it to the ulcer.

Another prescription: Pound red amaranth and squeeze out the juice. Take one sheng each time, four or five times a day.

Another prescription: Take three white pieces from white chicken droppings, mix them with hot water, and apply the mixture to the poisoned area.

Another prescription: Take three liang of cimicifuga, two liang each of rhinoceros horn and black-fan root (that is, blackberry lily). Cut the three ingredients into pieces, add four sheng of water, and boil until one and a half sheng remain. Strain out the dregs and divide the liquid into two doses, taking them about as far apart as one meal. The herbs may be boiled again after the first batch is finished.

For injury from a shegong that has already developed into an ulcer: Pound mustard seeds, mix them with vinegar, and apply a thick layer to the ulcer. The pain should stop after about half a day.

Another prescription: Take the leaves of wolf-fang plant (use the root in winter), pound them, and apply a thin layer to the injured area. At the same time, drink four or five ge of the medicinal juice.

For the three kinds of ulcers caused by shegong injury: Take two liang of cimicifuga and three liang of black-fan root. Cut the two ingredients into pieces, add three sheng of water, and boil until one sheng remains. Let it cool to a suitable temperature, then drink it all. Apply the dregs to the affected area.

Five-Fragrance Powder treats poisonous vapors and malignant hard nodules (a kind of toxic sore with firm swelling beneath the skin) in the Jiangnan region, as well as sudden swelling and sores caused by shegong injury. The ingredients are four fen each of sea-snail shell, rhinoceros horn, turtle shell, cimicifuga, frankincense, black fan (that is, blackberry lily), clove, agarwood, goldthread, green-costus root, antelope horn, baical skullcap, licorice, and oyster shell; and three fen of Sichuan pepper and six fen of phellodendron bark. Combine these ingredients to make the powder.

 右十六味治下篩中射工毒及諸毒皆水  服方寸七日三并以水和少許洗之仍以  雞子白和塗腫上乾則易 野葛膏治射工惡核卒中惡毒方   野葛(一/升) 巴豆 烏頭   蜀椒(各五/合) 茵芋 躑躅   附子 丹砂(各一/兩)雄黄   大黄(各七/兩)  右十味治下篩以不中水猪膏三斤煎三  上三下去滓内丹砂雄黄末攪至凝以棗  核大摩痛上勿近眼凡合名膏皆無令産  婦女人小兒雞犬六畜見之惟宜清净 治沙虱毒方   斑猫二枚一枚熬爲末服一大枚燒令   煙絶爲末著瘡中 又方大蒜十枚止一物合皮安熱灰中炮令 熱去皮刀斷蒜頭取熱拄所著毒處 又方   麝香 大蒜  右二味合擣以羊脂和著小筒中帶欲用  取傅瘡上 又方   雄黄 朱砂 恒山(各等/分)  右三味取五月五日日中時令童子合之  取傅瘡上 治石蛭方(山水中陰濕草木上石蛭著人則/穿嚙人肌膚行人肉中浸淫墳起) (如蟲行/道之狀)   凡行山路草木中常以臘月猪膏和鹽   塗脚脛及足趾間趺上及著鞋靺蛭不   得著人也已著者灸斷其道即愈 治水毒方 論曰凡山水有毒蟲人涉水中人似射工而 無物其診法初得之惡寒微似頭痛目匡疼 心中煩懊四肢振焮腰背百節皆强兩膝痛
Interpretation

Grind the sixteen ingredients above into a fine powder and sift it. Use it to treat Shegong poison and other poison injuries. Take one square-inch spoonful (about a small teaspoon) three times a day, mixed with water. You may also mix a little with water and wash the affected area. Mix the medicine with egg white and apply it to the swelling; replace it once it dries.

Wild-kudzu ointment treats malignant lumps caused by Shegong poison and sudden poison injuries. The ingredients are: one sheng of wild kudzu; five ge each of croton seed, aconite, and Sichuan pepper; one liang each of skimmia, azalea, aconite root, and cinnabar; and seven liang each of realgar and rhubarb.

Grind the ten ingredients above into a fine powder. Add them to three jin of lard and simmer, bringing the mixture to a boil three times and letting it rest three times. Strain out the dregs, then add the powdered cinnabar and realgar. Stir until the ointment sets. Take an amount the size of a jujube pit and rub it onto the painful area, keeping it away from the eyes. When preparing ointments of this kind, do not let pregnant women, women, children, chickens, dogs, or other domestic animals see the process. Keep the preparation area clean and quiet.

To treat sand flea poison, take two banmao beetles. Roast one and grind it to a powder, then swallow it. Burn the other until the smoke has stopped, grind it to a powder, and apply it inside the sore.

Another method: Take ten cloves of garlic, using no other ingredient. Roast them unpeeled in hot ashes until heated through, then peel them and cut off the tips. Press the hot garlic onto the affected area.

Another method: Pound musk and garlic together, mix them with mutton fat, and put the mixture in a small bamboo tube to carry with you. When needed, take some out and apply it to the sore.

Another method: Take equal parts realgar, cinnabar, and Changshan. Have a young boy prepare the mixture at noon on the fifth day of the fifth month, then apply it to the sore.

To treat stone leeches: Stone leeches live on plants in damp, shaded places near mountain streams. After attaching themselves to a person, they pierce and bite the skin and flesh, then move through the muscles. The affected area gradually swells, leaving a mark like the trail of a crawling insect. When walking through vegetation on mountain paths, regularly mix salt with lard from a pig slaughtered in the twelfth month and apply it to the lower legs, between the toes, the tops of the feet, and shoes and socks. This prevents stone leeches from attaching. If one has already attached itself, use moxibustion to burn through its path, and the condition will heal.

To treat water poison, the text says that poisonous creatures live in mountain streams. People wading through the water may be poisoned. The symptoms resemble Shegong poison, but the creature cannot be seen. At first, the person feels cold, has a mild headache and pain around the eyes, and feels restless and distressed. The limbs tremble and feel hot; the lower back, back, and joints throughout the body become stiff, and both knees hurt.

或翕翕而熱但欲睡旦醒暮劇手足逆冷至 肘膝二三日腹中生蟲食人下部肛中有瘡 不痛不癢令人不覺不急治過六七日下部 出膿潰蟲上食人五臟熱盛毒煩下利不禁 八九日雖良醫不能治矣覺得之急早視其 下部若有瘡正赤如截肉者陽毒最急若瘡 如鯉魚齒者爲陰毒猶小緩要皆殺人不過 二十日也欲知是中水與非者當作五六升 湯以小蒜五升㕮咀投湯中消息勿令大熱 去滓以浴之是水毒身體當發赤斑無異者 非也當以他病治之 治人忽中水毒手足指冷或至肘膝者方   吴茱萸(一/升) 生薑(切一/升半) 犀角   升麻 橘皮(各二/兩) 烏梅(十四/枚)  右六味㕮咀以水七升煑取二升分二服 又方浮萍草曝乾爲末酒服方寸匕 又方取梅若桃葉擣絞取汁三升許或乾以 少水絞取汁飲之小兒不能飲以汁傅乳頭 飲之 又方擣蒼耳汁服一升又以綿裹杖沾汁導 下部日三瘥 又方擣蓼一把以酒和絞取汁一升飲之不 過三服瘥(外臺肘後/作梨葉) 又方擣藍一把水解以塗浴面目身體令遍 又方擣蛇莓根爲末水飲之并導下部生者 用汁凡夏月行常多賫此藥屑入水以方寸 匕投水上流無所畏又辟射工凡洗浴以少 許投水盆中即無毒 治猫鬼野道病歌哭不自由方
Interpretation

Some people may feel a slight warmth in the body and want only to sleep. They feel better on waking in the morning, but worse by evening. Their hands and feet grow cold; in severe cases, the cold reaches the elbows and knees. After two or three days, worms appear in the abdomen and gnaw at the area around the anus, where sores develop. These sores neither hurt nor itch, so the person may not notice them. Without prompt treatment, after six or seven days pus will flow from the lower body and the tissue will decay. The worms will spread upward and gnaw at the five viscera. The toxic heat will intensify, causing distress and unceasing diarrhea. By the eighth or ninth day, even a skilled physician will be unable to treat the illness.

Once the illness is suspected, examine the lower body at once. If there is a sore that is bright red, like flesh cut by a knife, this is the most dangerous form, Yang toxin. If the sore is shaped like a carp’s teeth, it is Yin toxin, and the illness is somewhat less severe. Either form can be fatal, however, and death may occur within twenty days of the onset.

To find out whether the illness is water poisoning—a kind of harm from water described by the ancients—boil five or six sheng of water, add five sheng of chopped wild garlic, and stir briefly without letting the water become too hot. Strain out the herbs and use the liquid for bathing. If it is water poisoning, red blotches should appear on the body. If no blotches appear, it is not water poisoning, and the illness should be treated as something else.

A formula for sudden water poisoning, with cold fingertips or coldness reaching the elbows and knees:

One sheng of Wu Zhu Yu; one and a half sheng of sliced ginger; two liang each of rhinoceros horn, Sheng Ma, and orange peel; fourteen dark plums.

Chop the six ingredients, simmer them in seven sheng of water, and reduce the liquid to two sheng. Take it in two doses.

Another formula: Dry duckweed in the sun and grind it into powder. Take one square-inch spoonful—about a spoonful of powder—with wine.

Another formula: Take leaves from a plum or peach tree, crush them, and squeeze out the juice. Drink about three sheng. If the leaves are dry, add a little water before squeezing out the juice. For a child who cannot drink it directly, smear the juice on the nipple and let the child suckle.

Another formula: Crush cocklebur to extract its juice and take one sheng. Then wrap a small stick in cotton, dip it in the juice, and insert it into the anus. Do this three times a day, and the illness will be cured.

Another formula: Crush a handful of knotweed, mix it with wine, and squeeze out the juice. Drink one sheng; no more than three doses are needed for a cure. The Waitai Miyao and Zhouhou Fang record “pear leaves” instead.

Another formula: Crush a handful of indigo plant, mix it with water, and apply it, rubbing it over the face, eyes, and whole body so that the juice covers the body.

Another formula: Grind the roots of mock strawberry into powder and take it with water; also insert some of the powder into the anus. If using fresh roots, use their juice instead. When traveling in summer, carry some of this powder. Before entering the water, scatter one square-inch spoonful upstream, and there will be no need to fear water poisoning. This method can also protect against the “shooting worker,” a kind of poisonous water creature described by the ancients. When bathing, put a little of the powder in the basin to avoid poisoning.

A formula for treating demonic illnesses such as cat ghosts and wild-rites afflictions, in which the patient weeps and moves involuntarily:

  五月五日自死赤蛇燒作灰以井花水   服方寸匕日一○針灸方見别卷中 又方臘月死猫兒頭燒灰水服一錢匕日二 治猫鬼眼見猫狸及耳雜有所聞方   相思子 萆麻子 巴豆(各一/枚)   朱砂末 蠟(各四/銖)  右五味合擣爲丸先取麻子許大含之即  以灰圍患人前頭著一斗灰火吐藥火中  沸即畫火上作十字其猫鬼并皆死矣 治蜘蛛咬毒方   人尿傅又油淀傅又炮薑貼之又猢孫   屎傅之 又方烏麻油和胡粉如泥塗上乾則易之 治馬囓人及蹹人作瘡毒腫熱痛方   馬鞭梢(二寸/長)鼠屎(二七/枚)  右二味合燒爲末以猪膏和塗之立愈(外/臺)  (方云治遂成瘡爛經久不愈者肘/後方云用馬鞭皮燒末猪膏和塗) 治馬囓人陰卵脫出方   推内入以桑皮細作綫縫之破烏雞取   肝細剉以封之且忍勿小便即愈 治犬馬囓及馬骨刺傷人及馬血入舊瘡中 方   取灰汁熱漬瘡常令汁器有火數易汁   勿令爛人肉三數日漬之有腫者炙石   熨之日二消止 治馬血入瘡中方   服人糞如雞子大復以糞傅瘡上 又方取婦人月水傅之神良 治剥死馬馬骨傷人毒攻欲死方   便取馬腸中屎以塗之大良(外臺方云/取其屎燒)   (灰服方/寸七) 治馬汗馬毛入人瘡中腫痛欲死方
Interpretation

On the fifth day of the fifth month, take a red snake that has died naturally that day and burn it to ash. Mix the ash with fresh water drawn from a well and take one square-inch spoonful—the amount held by an ancient medicine measure—once a day. The acupuncture treatment is described in another volume.

Another prescription: Take the head of a small owl that died during the twelfth lunar month and burn it to ash. Swallow the ash with water, taking one qian-spoonful, an ancient unit for measuring medicine, twice a day.

Prescription for treating visions of cats and wildcats, and hearing various sounds, caused by cat demons

Take one seed each of jequirity, castor, and croton; four zhu each of cinnabar powder and wax. A zhu is an ancient unit of weight.

Pound the five ingredients together and form them into pills. First hold one pill in the mouth; it should be about the size of a hemp seed. Then, in front of the patient, draw a circle with ash and place a dou of burning ash inside it. Spit the medicine into the fire. When the fire begins to boil, draw a cross over it. The original text says that this will kill the cat demon.

Prescription for treating poisoning from a spider bite

Apply human urine, ointment, roasted fresh ginger, or monkey feces to the wound.

Another prescription: Mix sesame oil with hu-fen, an ancient white powder containing lead, into a paste and apply it to the wound. When it dries, replace it with fresh paste.

Prescription for treating toxic swelling, heat, and pain from a horse bite or kick

Take a two-inch length of a horsewhip tip and fourteen mouse droppings.

Burn the two ingredients to powder, mix with lard, and apply to the wound. The text says this will cure it quickly. According to the Waitai Miyao, this prescription is for wounds that have suppurated and resisted treatment for a long time. The Zhouhou Fang instead says to burn horsewhip hide to powder and mix it with lard for application.

Prescription for treating prolapse of the scrotum caused by a horse bite

Push the prolapsed part back inside, then twist mulberry bark into a fine thread and stitch the wound. Slaughter a black chicken, chop up its liver, and apply it to the wound. Refrain from urinating for a while; the original text says this will bring about a cure.

Prescription for treating bites from dogs or horses, injuries from horse bones, and horse blood entering an old wound

Heat ash-water—water in which plant ash has been steeped—and soak the wound in it. Keep a fire burning nearby to maintain the heat, and replace the ash-water frequently. Do not let the soaking soften or damage the person’s flesh; continue for three to five days. If the wound is swollen, apply a heated stone as a warm compress twice a day until the swelling subsides.

Prescription for treating horse blood entering a wound

Take human feces about the size of an egg, and also apply feces to the wound.

Another prescription: Apply menstrual blood to the wound. The original text says this is very effective.

Prescription for treating a life-threatening attack of poison after being pierced by a horse bone while skinning a dead horse

Immediately apply feces from the horse’s intestines to the wound. The text says this is very effective. The Waitai Miyao records that horse feces may be burned to ash and taken in doses of one square-inch spoonful.

Prescription for treating swelling and pain, potentially fatal, after horse sweat or hair enters a wound

  以水漬瘡數易水便愈又以石灰傅之 又方飲醇酒取醉即愈 又方燒雞毛作末以酒服方寸七 又方以沸湯令得所浸洗之取瘥 論曰凡春末夏初犬多發狂必誡小弱持杖 以預防之防而不免者莫出於灸百日之中 一日不闕者方得免難若初見瘡瘥痛定即 言平復者此最可畏大禍即至死在旦夕凡 狂犬咬人著訖即令人狂精神已别何以得 知但看灸時一度火下即覺心中醒然惺惺 了了方知咬已即狂是以深須知此此病至 重世皆輕之不以爲意坐是死者常年有之 吾初學醫未以爲業有人遭此將以見問吾 了不知報答是以經吾手而死者不一自此 銳意學之一解已來治者皆愈方知世無良 醫枉死者半此言非虚故將來學者非止此 法餘一方皆須沉思留心作意殷勤學之乃 得通曉莫以初解一兩種法即謂知訖極自 誤也聊因方末申此一二言不盡意耳 又曰凡猘犬咬人七日輙應一發三七日不 發則脫也要過百日乃得免耳每到七日輙 當擣韭汁飲一二升又當終身禁食犬肉蠶 蛹食此則發死不可救矣瘡未愈之間禁食 生魚及諸肥膩冷食但於飯下蒸魚及於肥 器中食便發不宜飲酒能過一年乃佳(集驗/方云) (若重發者生食蟾蜍膾絶良亦可燒炙食之/必令其人知初得囓毒便爲之則於後不發) (也)
Interpretation

Wash the wound by soaking it in water, changing the water repeatedly, and the condition will improve. You can also apply lime to the wound.

Another method: drink strong wine until you pass out; it is said that this will bring a cure.

Another method: burn chicken feathers to ash, then swallow a small measure of the powder—about the amount held on the tip of an ancient medicine spoon—with wine.

Another method: wash the wound in hot water at a suitable temperature until it heals.

The treatise says: In late spring and early summer, dogs often go mad, so children and frail people must be warned to carry sticks as a precaution. If someone is nevertheless bitten, the most important treatment at the time is moxibustion (a therapy that stimulates acupuncture points with the heat of burning mugwort), continued for one hundred days without missing a day, in the hope of avoiding disaster. It is most dangerous to assume someone is cured as soon as the wound scabs over and the pain stops: calamity may strike at any moment, and death may come soon after.

Anyone bitten by a rabid dog may become rabid as well, and their mental state may change. How can this be known? During moxibustion, if the person feels clear-headed and lucid as soon as the first moxa cone is applied, that is how one knows the illness has developed after the bite. This must be understood thoroughly. The disease is extremely serious, yet people often dismiss it and pay it no heed. As a result, people die from it every year.

When I first began studying medicine, before I practiced it as a profession, someone came to ask me about such a case, and I could not answer at all. Later, more than one person I treated died. From then on, I resolved to study medicine diligently. After mastering this method, everyone I treated recovered. Only then did I understand that many people in the world die needlessly because there are no good doctors—indeed, perhaps half of them. This is no exaggeration. Those who study medicine after me should not learn only this one method; they must also reflect carefully on and study other prescriptions and techniques if they are to gain true understanding. To grasp one or two methods and then suppose you understand everything is a grave mistake. I take this opportunity to add a brief reminder at the end of the prescription, though these words still do not fully express what I mean.

It is also said that anyone bitten by a rabid dog may have an attack every seven days. If no attack occurs for twenty-one days (three times seven), the person is temporarily out of danger, but must still wait until one hundred days have passed before being considered safe. On each seventh day, press out the juice of Chinese chives and drink one to two liters. In addition, abstain for life from dog meat and silkworm pupae; eating them is said to bring on the illness, which then cannot be treated. While the wound remains unhealed, also avoid raw fish, all greasy foods, and cold or raw foods. Even steaming fish on top of rice, or eating from a dish that has held fatty meat, may trigger the illness. Alcohol should also be avoided; if possible, abstain for a year. The Jiyan Fang says: If the illness flares up again, eating raw slices of toad meat is said to be very effective; the meat may also be roasted before eating. But this must be done as soon as the toxic wound is first noticed after the bite, to prevent later attacks.

The above presents ancient medical prescriptions and claims recorded in the original text, and is offered only as an interpretation of its meaning. The treatments and prohibitions described here are not modern medical advice; dog bites should be washed immediately and treated by a medical professional as soon as possible.

治猘犬毒方   頭髮 猬皮(各等/分)  右二味燒灰水和飲一杯口噤者折齒内  藥 又方擣地榆絞取汁塗瘡無生者可取乾者 以水煑汁飲之亦可爲末服方寸七日三兼 傅上過百日止 又方擣韭絞取汁飲一升日三瘡愈止亦治 愈後復發者 又方刮虎牙若骨服方寸七(小品方云刮狼/牙或虎骨末服) (已發狂如猘/犬者服即愈) 又方燒虎骨傅瘡及熨又微熬杏仁擣研取 汁服之良又取燈盞殘油灌瘡口此皆禁酒 猪肉魚生菜 又方用韭根故梳二枚以水二升煑取一升 頓服 又方桃東南枝白皮一握水二升煑取一升 分二服(吐出/犬子) 又方取猘犬腦傅上後不復發 又方蝦蟆灰粥飲服之 又方服莨菪子七枚日一 又方梅子末酒服之 又方以豆醬清塗之日三四 治狂犬囓人方   蛇脯一枚炙去頭擣末服五分七日三 又方擣莨菪根和鹽傅日三 又方青布浸汁服三升 又方飲驢尿一二升 治凡犬囓人方   熬杏仁五合令黑碎研成膏傅之 又方取竈中熱灰以粉瘡中帛裹繫之 又方燒自死蛇一枚令焦爲末内瘡孔中 又方鼠屎爲末以臘月猪膏和傅之(外臺方/云用鼠) (一枚猪膏/煎傅之) 又方飲生薑汁一升(小品方云/治狂犬咬)韭汁亦佳(外/臺)
Interpretation

Treatment for Bites from a Rabid Dog

Use equal parts hair and hedgehog skin. Burn them to ash, mix the ash with water, and drink one cup. If the patient’s jaws are clenched shut, pry the teeth apart and place the medicine inside.

Another method: Crush garden burnet, an herb, and squeeze out its juice to apply to the wound. If fresh herb is unavailable, boil dried garden burnet in water and drink the liquid, or grind it into powder and take one square-inch spoonful, an ancient measure of about a teaspoon, three times a day. Apply the powder to the wound as well, and continue treatment for one hundred days before stopping.

Another method: Crush Chinese chives, squeeze out the juice, and drink one sheng, an ancient measure, three times a day. Stop once the wound has healed. This method is also used if symptoms recur after the wound heals.

Another method: Scrape a tiger’s tooth or bone, grind it into powder, and take one square-inch spoonful each time. The Xiaopin Fang says that wolf’s teeth or tiger bone may also be scraped and ground into powder for consumption. If the patient has already become as frenzied as a rabid dog, taking this medicine is said to cure them.

Another method: Burn tiger bone and apply it to the wound; it may also be used to warm the injured area. Separately, lightly fry apricot kernels, crush and grind them finely, and take the juice; this is considered effective. Oil remaining in a lamp may also be poured into the wound. With all these methods, avoid alcohol, pork, fish, and raw vegetables.

Another method: Take two Chinese chive roots and two old combs. Boil them in two sheng of water until the liquid is reduced to one sheng, then drink it all at once.

Another method: Take a handful of white bark from a peach tree branch on its southeast side. Boil it in two sheng of water until the liquid is reduced to one sheng, then drink it in two portions. The text says that after drinking it, the patient will vomit something called a “dog offspring.”

Another method: Apply the brain of a rabid dog to the wound. It is said to prevent the illness from developing again.

Another method: Take toad ash with gruel.

Another method: Take seven henbane seeds, a day. Henbane is a poisonous medicinal plant.

Another method: Grind plums into powder and take it with wine.

Another method: Apply the clear liquid from fermented soybean paste to the wound three or four times a day.

Treatment for Bites from a Rabid Dog

Take one strip of dried snake meat, roast it, remove the head, and grind it into powder. Take five fen, an ancient measure, three times a day for seven days.

Another method: Crush henbane root, mix it with salt, and apply it to the wound three times a day.

Another method: Drink three sheng of liquid extracted by soaking blue cloth in water.

Another method: Drink one or two sheng of donkey urine.

Treatment for Ordinary Dog Bites

Fry five he of apricot kernels until black, then crush and grind them into a paste and apply it to the wound.

Another method: Sprinkle hot ash from a stove onto the wound, then wrap it with cloth.

Another method: Burn a snake that died naturally until charred, grind it into powder, and pack it into the wound.

Another method: Grind mouse droppings into powder, mix them with pig fat preserved in the twelfth lunar month, and apply the mixture to the wound. The Waitai Miyao says that a mouse may also be fried together with pig fat and the mixture applied.

Another method: Drink one sheng of raw ginger juice. The Xiaopin Fang says this can be used for bites from rabid dogs; the Waitai Miyao says Chinese chive juice is also effective.

(方云亦治已/瘥後復發者) 又方水洗瘡任血出勿止之水洗不住取血 自止以綿裹之瘥 又方以沸湯和灰壅瘡上 又方燒犬尾爲末傅瘡日三 又方以頭垢少少内瘡中 又方火炙蠟以灌瘡中 又方以熱牛屎塗之佳 又方以苦酒和灰塗瘡中 治小兒狗囓方   月一日以水一升灌之勿令狗主打狗   若月盡日三升水灌之 灸法 几猘犬所囓未盡其惡血毒者灸上一百壯 已後當日灸一壯若不血出刺出其血百日 灸乃止禁飲酒及猪犬肉 治猪囓方   松脂鍊作餅上貼之 又方屋霤中泥塗 孫眞人備急千
Interpretation

(Another version says this can also be used when a wound has healed and then reopened.)

Another remedy: Wash the wound with water and let it bleed; do not stop the bleeding. Once it has been washed until the blood no longer flows, let the bleeding stop on its own, then wrap the wound in cotton cloth. It will heal.

Another remedy: Mix ash with boiling water and apply it to the wound.

Another remedy: Burn a dog’s tail to ash, apply the ash to the wound three times a day.

Another remedy: Take a small amount of scalp grime and put it into the wound.

Another remedy: Heat a candle and pour the melted wax into the wound.

Another remedy: Apply hot cow dung to the wound; it works well.

Another remedy: Mix vinegar with ash and apply the mixture inside the wound.

Remedies for a Child Bitten by a Dog

On the first day of the month, give the dog one sheng of water to drink. Do not let its owner beat it. On the last day of the month, give the dog three sheng of water.

Moxibustion

For any bite from a rabid dog, if the poisoned blood has not yet been fully drained, apply one hundred moxa cones to the wound. (“Cone” is a unit for counting moxibustion, usually referring to one burning of a moxa cone.)

After that, apply one cone each day. If the wound does not bleed, pierce it to release blood. Continue moxibustion for one hundred days before stopping. During this period, avoid alcohol, pork, and dog meat.

Remedies for a Pig Bite

Process pine resin into a cake and place it over the wound.

Another remedy: Apply mud that has accumulated beneath the eaves to the wound.

金要方卷之七十六

Source text: Kanripo 漢籍リポジトリ(KR5e0065); Licence: CC BY-SA 4.0 · Report an error / feedback

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