金伤身损眼皮青。定主身亡难救命。若是气喘与咆噎。且在一七内中亡。人中昼满唇又青。三日须知命必倾。神仙
留下真秘诀。不说凡人不知音。
凡矢柱骨折。不治。
凡两目损伤。不治。
凡口开气出不收。不治。
凡口如鱼口。不治。
凡伤食喉。不治。
凡打破头鼻流黄白水。不治。
凡脊骨折断。不治。
凡心胞紧痛。红色高肿。不治。
凡心口青色。不治。
凡小腹阴阳不分。不治。
凡跌打大小腹痛。不治。
凡肾子伤入小腹。不治。
凡孕妇伤犯胎。不治。
凡女人伤乳。不治。
凡男人两乳堂伤。不治。
凡腰伤自笑。不治。
凡两臂堕下。尽力叫嚎。汗出如油者。不治。
凡人手骨出一胫可治。两股齐出。不可治。
凡脑受伤。使人轻轻扶正。皮未破。用二十号黑龙散。已破。用十四号桃花散。填破口避风。禁口自愈。
凡顶门受伤。用二十四号止血散。搽服俱用此药。
凡气喉受伤。令人扶头托凑喉管。不使出气。用银针连好。外用十八号贴膏。内服上部药方。
凡眉甲骨出。用椅圈将软衣垫好。令伤人坐圈中。使一人捉定。以绢缚之。外用十八号贴膏。内服上部药方。
凡肩KT 骨折。必先使骨平正。用十八号贴膏。以油纸扎好。内服六号接骨丹。
凡金井骨在胁下。若损伤。不宜夹缚。扶平。用二十六号黑龙散。
凡两胁骨折。如金井骨治法。
凡肩臂脱出。令人抵住。以抱着手臂。轻轻送入故位。内服六号接骨丹。外贴十八号膏。
凡人膝盖。乃另生者。跌出不治。跌破者。用篾箍以带缚定。外用二十四号止血散。
凡伤破腹。大肠跌出。被风吹其肠干。不能收口。用麻油操上。使肠润泽。用一人托肠。一人默含冷水。喷泼伤人
身上。其人必然一惊。托肠入即随惊送入。再用银针连好。先敷二十四号止血散。后用十八号膏贴。伤破目难看见。用
好
酒一杯。令伤者饮下。即使人嗅伤。如若有酒气。其肠已破。难已救治。
凡人骨跌出内外折肉中。用二十号宝麻药一服。再将肉破开。取膏整换用二十四号止血散。十八号贴膏。外以笋箬
包好。内服六号接骨丹。
凡打伤跌肿。肉中之骨。不知碎而不碎。医人以手轻轻摸肿处。若有声者。其骨已破。先用二十号宝麻药一服。然
后割开。如血来不止。用二十四号止血丹。又用二十号宝麻药一服。再取骨出。若骨碎甚。即以别骨填接。外贴十八号
膏药。内服六号接骨丹。
凡平直处。跌打骨伤。皮不破。先用二十号黑龙散敷好。再用板夹缚平正。如曲折之处。只宜敷药。不宜挟缚。免
愈后不能伸屈。
凡服跌打药。要忌冷水冷物。其药必要热服。
凡跌打伤重。必先用二十七号药水洗过。然后敷药。轻伤不必如此。
凡跌打血来不止。用二十五号桃花散。或二十四号止血丹。再不止。用三七山羊血。外用桃花散圈上。
凡骨未碎有轻者。外用十八号贴膏。内服上中下三部之药。照伤何部。即用何部药方。
凡山谷乡村无药铺之处。若遇跌打。暂用糯米水。酒。姜。葱。同捣包熨。不使血凝。内服老酒。再治可也。
凡跌打药。宜瓷瓶收贮。不使出气。
凡人周身一百零八穴。小穴七十二处。大穴三十六处。打中小穴。重亦无妨。打中大穴。虽轻亦死。今将三十六个
大穴。道明受伤治法。
头顶心名为元宫穴。打中者。二日死。轻者。耳聋头眩。六十四日死。先用加减汤。加羌活(一钱) 苍耳子(一钱五
分)
次用夺命丹二三服。再加药酒常服。
前胸名华盖穴。打中者人事不省。血迷心窍。三日而死。先用加减汤。加枳实(一钱) 良姜(一钱) 次用七厘散二
分。后用夺命丹二三服。
后背心名肺底穴。打中者。两鼻出血。九日而死。先用加减汤。加百部八分。桑皮(一钱) 次用七厘散二分。后用
夺命丹二三服。再用紫金丹。
右乳上一寸三分。名上气穴。打中者。发寒热三十二日而死。先用加减汤。加沉香(五分) 肉桂(一钱五分) 次用
七厘散二分。后用夺命丹二三服。
左乳下一分名中气穴。打中者十二日而死。先用加减汤。加青皮(一钱) 乳香(一钱) 次用七
厘散二分。后用夺命丹二三服。
左乳下一寸四分。名下气穴。打中者七日而死。先用加减汤。加枳实(一钱五分) 石菖蒲(一钱) 次用七厘散二分。
后
用夺命丹二三服。
右乳上一寸三分。名上血海。打中者。口中吐血。十六日死。先用加减汤。加郁金(一钱二分) 沉香(一钱) 次用七厘
散
二分。再用夺命丹二三服。
右乳下一分。名正血穴。打中者口中吐血。十八日死。先用加减汤。加郁金(一钱五分) 寄奴(一钱五分) 次用七厘散
二分。
再用夺命丹一二服。
右乳下一寸四分。名下血海。打中者。三十六日。吐血而死。先用加减汤。加五灵脂(一钱二分) 蒲黄(一钱) 炒黑。
次用七厘散二分。再用夺命丹二三服。
心中名黑虎偷心穴。打中者。立刻眼目昏花。人事不省。拳回气绝。速宜治之。先用加减汤。加官桂(一钱) 丁香
六
分。次用七厘散二分。再用夺命丹(二三分) 再用紫金丹三四服。
心下一分。名霍肺穴。又下半分。名肺底穴。打中者。劈面一把。即醒。然后用药。先用加减汤。加桂枝(一钱二分)
贝母(一钱) 次用七厘散二分。再用夺命丹二三服。又服加减汤。后用紫金丹。
心下一寸三分。偏左一分。名翻肚穴。打中者。比日而死。先用加减汤。加红花(一钱五分) 木香(一钱) 次用七
厘散
二分。仍用加减汤。二三服。再用夺命丹二三服。又用紫金丹三四服。或吊药一敷。
脐下一寸(五分) 名气海穴。打中者。二十八日而死。先用加减汤。加杏仁(一钱) 玄胡索(一钱) 次用七厘散二
分。再
用夺命丹二三服。
脐下三寸。名丹田穴。打中者。十九日而死。先用加减汤。加木通(一钱五分) 三棱(一钱五分) 次用七厘散三分。
脐下四寸五分。名分水穴。打中者。二便不通。十三日而死。先用加减汤。加三棱(一钱五分) 莪术(一钱) 生军
三
钱。次用七厘散二分。再用紫金丹二三服。
脐下六寸。名关元穴。打中者。五日而死。先用加减汤。加车前子(一钱) 青皮(一钱) 次用七厘散(二三分) 再
用夺命
丹二三服。
左边胁脐毛中。名气海穴。打中者。六个月而死。先用加减汤。加五加皮(一钱) 羌活(一钱) 次用七厘散二三分。
再
用夺命丹三四服。
右边胁脐毛中。名血海门。打中者。五个月死。先用加减汤。加柴胡(一钱二分) 当归(一钱) 次用七厘散(二分) 再
用
夺命丹二三服。或用药酒常服。左边胁梢软骨。名章门穴。打中者。一百五十四日死。先用加减汤。加归尾(一钱) 苏
木
(一钱) 次用紫金丹三四服。
右边胁梢软骨。名地门穴。打中者。六十日而死。先用加减汤。加丹皮(一钱) 红花(一钱五分) 次用夺命丹二三
服。
仍服加减汤。
下一分。名血囊穴。打中者。四十日而死。先用加减汤。加蒲黄(一钱) 韭菜子(一钱) 次用夺命丹二三服。再服
药酒。
两耳下半分空处。名听耳穴。打中者。二十四日死。先用加减汤。加川芎(一钱) 细辛(五分) 次用夺命丹一二服。
再
服药酒。
背心第七个节两边下一分。名石骨穴。打中者。吐痰吐血。十个月而死。先用加减汤。加杜仲(一钱) 骨碎补(一钱)
次服夺命丹三四服。
下一寸一分。名后气穴。打中者。一季而死。先用加减汤。加补骨脂(一钱) 乌药(一钱) 次用紫金丹三服。再用
药酒。
两腰眼中左边。名肾经穴。打中者。三日大哭而死。先用加减汤。加桃仁(一钱五分) 红花(一钱) 次用夺命丹二
三服。
右边名命门穴。打中者。日事而死。先用加减汤。加桃仁(一钱五分) 前胡(一钱) 次用夺命丹三服。
尾梢尽下一分。名海底穴。打中者。七日而死。先用加减汤。加生军(一钱) 朴硝(一钱) 次用夺命丹二三服。再
用紫
金丹三四服。
两腿中。同名鹤口穴。打中者。一季而死。先用加减汤。加牛膝(一钱) 苡仁(一钱) 次用紫金丹二三服。
左右脚 中。同名涌泉穴。打中者。十四个月死。先用加减汤。加牛膝(一钱) 宣木瓜(一钱) 次用夺命丹二三服。
以上三十六大穴。指明受伤之法。然用药虽无久异。不过加减汤。及七厘散。夺命紫金等药。惟加减方中。所加二
味零药。不可错误。切宜紧记。大凡人于既跌之后。或相打受伤之后。感冒经风。发寒发热。头身皆痛。先用解肌汤。
或小柴胡汤治之。然后再服跌打之药。
Golden weapon injuries causing body damage and bluish-green eyelids indicate certain death, difficult to save. If accompanied by panting and roaring phlegm in the throat, death will occur within seven days. If the Renzhong area is swollen during the day and the lips are blue, life will be lost within three days. This is a true secret left by immortals; those who are not "ordinary people" (initiates) do not know its meaning.
For fractures of the spinal column (Shuzhu bone), it is incurable.
For injuries to both eyes, it is incurable.
For open mouth with uncontrolled exhalation, it is incurable.
For a mouth opening resembling a fish's mouth, it is incurable.
For injury to the esophagus causing perforation, it is incurable.
For head trauma where yellow-white fluid flows from broken skin, it is incurable.
For fractured and severed spinal bones, it is incurable.
For tight pain in the pericardium region with red, high swelling of the skin, it is incurable.
For bluish discoloration at the heart center (Xinkou), it is incurable.
For indistinct yin-yang boundaries in the lower abdomen, it is incurable.
For abdominal pain caused by falls and blows, it is incurable.
For testicles injured and sinking into the lower abdomen, it is incurable.
For pregnant women suffering trauma that harms the fetus, it is incurable.
For women with breast injuries, it is incurable.
For men with nipple injuries, it is incurable.
For waist injuries causing involuntary laughter, it is incurable.
For arms hanging down, with loud wailing and sweat like oil, it is incurable.
For hand bone dislocation: if only one bone is dislocated, it is treatable; if both thighs/arms are dislocated simultaneously, it is untreatable.
For brain injuries, gently support the head. If the skin is intact, apply No. 20 Black Dragon Powder (Heilong San); if broken, apply No. 14 Peach Blossom Powder (Taohua San) to fill the wound to avoid wind exposure; abstinence from speech leads to self-healing.
For injuries to the top of the head (Dingmen), use No. 24 Hemostatic Powder (Zhixue San) for both external application and internal ingestion.
For tracheal injuries, support the head to align the throat, preventing air escape. Suture with silver needles, apply No. 18 Plaster externally, and take upper-body formulas internally.
For protruding brow or orbital bones, pad a chair ring with soft cloth, have the patient sit in it, secure firmly with silk, apply No. 18 Plaster externally, and take upper-body formulas internally.
For shoulder/arm fractures, realign the bone first, apply No. 18 Plaster, wrap with oiled paper, and take No. 6 Bone-Connecting Pill (Jiegu Dan) internally.
For rib injuries below the armpit (Jinjing bone), do not bind tightly; straighten and apply No. 26 Black Dragon Powder.
For bilateral rib fractures, treat as above.
For shoulder/arm dislocations, brace against resistance, hold the arm, and gently reduce it to its original position. Take No. 6 Bone-Connecting Pill internally, apply No. 18 Plaster externally.
For knee injuries: since the patella is an accessory bone, dislocation is incurable. For fracture/crushing, bind with bamboo splints, apply No. 24 Hemostatic Powder externally.
For abdominal rupture with eviscerated intestines dried by wind: lubricate with sesame oil. One person supports the intestine, another spits cold water onto the patient to induce shock, allowing the intestine to be reduced. Suture with silver needles, apply No. 24 Hemostatic Powder, then No. 18 Plaster. If the wound is near the eye, have the patient drink good wine; if the wound smells of alcohol, the intestine is perforated and incurable.
For bones dislocated and embedded in flesh: administer one dose of No. 20 Baoma Medicine, incise the flesh, remove the paste, apply No. 24 Hemostatic Powder and No. 18 Plaster, wrap with bamboo leaves, and take No. 6 Bone-Connecting Pill internally.
For contusions with unknown bone fragmentation: palpate the swelling. If crepitus is felt, the bone is broken. Administer one dose of No. 20 Baoma Medicine, incise, and stop bleeding with No. 24 Hemostatic Powder. Administer another dose of No. 20 Baoma Medicine, remove bone fragments. If severely fragmented, graft with other bones, apply No. 18 Plaster externally, and take No. 6 Bone-Connecting Pill internally.
For flat-surface fractures with intact skin: apply No. 20 Black Dragon Powder, splint with boards. For curved areas, only apply medicine; do not splint to preserve mobility.
When taking trauma medicines, avoid cold water and food; medicines must be taken hot.
For severe trauma, wash with No. 27 Medicinal Water before applying medicine; minor injuries need not.
For uncontrollable bleeding: use No. 25 Peach Blossom Powder or No. 24 Hemostatic Pill. If still bleeding, use Panax notoginseng with goat blood, and circle the wound with Peach Blossom Powder.
For non-comminuted fractures: apply No. 18 Plaster externally, and take formulas corresponding to the affected region (upper, middle, or lower).
In remote areas without pharmacies: temporarily mash glutinous rice water, wine, ginger, and scallions, apply as a compress to prevent blood coagulation, drink aged wine internally, then proceed with treatment.
Store trauma medicines in porcelain bottles to prevent gas leakage.
The human body has 108 acupoints: 72 small and 36 large. Injury to small points is manageable even if severe; injury to large points can be fatal even if mild. The following details treatments for the 36 large points:
Crown point (Yuangong): Injury causes death in 2 days; mild cases cause deafness/dizziness, death in 64 days. Use Modified Decoction (Jiajian Tang) with Notopterygium root (Qianghuo, 1 qian) and Cocklebur fruit (Cangerzi, 1.5 qian), followed by Life-Seizing Pill (Duoming Dan) 2-3 doses, and medicinal wine.
Anterior chest (Huagai): Injury causes unconsciousness and blood confusing the heart orifices, death in 3 days. Use Modified Decoction with Immature bitter orange (Zhishi, 1 qian) and Galangal (Liangjiang, 1 qian), followed by Seven-Cent Powder (Qili San, 2 fen), then Duoming Dan.
Posterior back (Feidi): Injury causes nasal bleeding, death in 9 days. Use Modified Decoction with Stemona root (Bubai, 8 fen) and Mulberry bark (Sangpi, 1 qian), followed by Qili San, Duoming Dan, and Purple Gold Pill (Zijin Dan).
Right breast, 1.3 cun above: Shangqi point. Injury causes chills/fever, death in 32 days. Use Modified Decoction with Agarwood (Chenxiang, 5 fen) and Cinnamon twig (Rougui, 1.5 qian), followed by Qili San, Duoming Dan.
Left breast, 1 fen below: Zhongqi point. Injury causes death in 12 days. Use Modified Decoction with Green tangerine peel (Qingpi, 1 qian) and Frankincense (Ruxiang, 1 qian), followed by Qili San, Duoming Dan.
Left breast, 1.4 cun below: Xiaqi point. Injury causes death in 7 days. Use Modified Decoction with Zhishi (1.5 qian) and Acorus (Shichangpu, 1 qian), followed by Qili San, Duoming Dan.
Right breast, 1.3 cun above: Shangxuehai point. Injury causes hematemesis, death in 16 days. Use Modified Decoction with Curcuma aromatica (Yujin, 1.2 qian) and Chenxiang (1 qian), followed by Qili San, Duoming Dan.
Right breast, 1 fen below: Zhengxue point. Injury causes hematemesis, death in 18 days. Use Modified Decoction with Yujin (1.5 qian) and Achyranthes bidentata (Nixi/Jinu, 1.5 qian), followed by Qili San, Duoming Dan.
Right breast, 1.4 cun below: Xiexuehai point. Injury causes hematemesis, death in 36 days. Use Modified Decoction with Trogopterus dung (Wulingzhi, 1.2 qian) and Polygonum multiflorum pollen (Puhuang, 1 qian, charred), followed by Qili San, Duoming Dan.
Heart center (Heihu Touxin): Injury causes immediate dizziness, unconsciousness, clenched fists, and cessation of breath. Treat urgently. Use Modified Decoction with Cassia twig (Guangui, 1 qian) and Clove (Dingxiang, 6 fen), followed by Qili San, Duoming Dan, Zijin Dan.
Below heart, 1 fen: Huofei point. Below that, Feidi point. Injury causes facial slap sensation, then recovery. Use Modified Decoction with Cinnamon twig (Guizhi, 1.2 qian) and Fritillaria (Beimu, 1 qian), followed by Qili San, Duoming Dan, Modified Decoction, Zijin Dan.
Below heart, 1.3 cun, slightly left: Fandu point. Injury causes death on the same day. Use Modified Decoction with Safflower (Honghua, 1.5 qian) and Aucklandia (Muxiang, 1 qian), followed by Qili San, Modified Decoction, Duoming Dan, Zijin Dan, or topical medicine.
Below navel, 1 cun (5 fen): Qihai point. Injury causes death in 28 days. Use Modified Decoction with Apricot seed (Xingren, 1 qian) and Corydalis (Yanhusuo, 1 qian), followed by Qili San, Duoming Dan.
Below navel, 3 cun: Dantian point. Injury causes death in 19 days. Use Modified Decoction with Akebia stem (Mutong, 1.5 qian) and Burreed rhizome (Sanleng, 1.5 qian), followed by Qili San.
Below navel, 4.5 cun: Fenshui point. Injury causes urinary/fecal retention, death in 13 days. Use Modified Decoction with Sanleng (1.5 qian), Curcuma zedoaria (Ezhu, 1 qian), and Rhubarb (Shengjun, 3 qian), followed by Qili San, Zijin Dan.
Below navel, 6 cun: Guanyuan point. Injury causes death in 5 days. Use Modified Decoction with Plantago seed (Cheqianzi, 1 qian) and Qingpi (1 qian), followed by Qili San, Duoming Dan.
Left flank/hair line: Qihai point. Injury causes death in 6 months. Use Modified Decoction with Acanthopanax (Wujapi, 1 qian) and Qianghuo (1 qian), followed by Qili San, Duoming Dan.
Right flank/hair line: Xuehaimen point. Injury causes death in 5 months. Use Modified Decoction with Bupleurum (Chaihu, 1.2 qian) and Angelica sinensis (Danggui, 1 qian), followed by Qili San, Duoming Dan, or medicinal wine.
Left flank cartilage: Zhangmen point. Injury causes death in 154 days. Use Modified Decoction with Angelica sinensis tail (Guiwei, 1 qian) and Sappan wood (Sumu, 1 qian), followed by Zijin Dan.
Right flank cartilage: Dimen point. Injury causes death in 60 days. Use Modified Decoction with Moutan bark (Danpi, 1 qian) and Honghua (1.5 qian), followed by Duoming Dan, Modified Decoction.
One fen below: Xuenang point. Injury causes death in 40 days. Use Modified Decoction with Puhuang (1 qian) and Allium tuberosum seed (Jiucaizi, 1 qian), followed by Duoming Dan, medicinal wine.
Below ears: Ting'er point. Injury causes death in 24 days. Use Modified Decoction with Ligusticum (Chuanxiong, 1 qian) and Asarum (Xixin, 5 fen), followed by Duoming Dan, medicinal wine.
Back, 7th vertebra, 1 fen below sides: Shigu point. Injury causes expectoration/hematemesis, death in 10 months. Use Modified Decoction with Eucommia (Duzhong, 1 qian) and Drynaria (Gusuibu, 1 qian), followed by Duoming Dan.
One inch one fen below: Houqi point. Injury causes death in one season. Use Modified Decoction with Psoralea (Buguzhi, 1 qian) and Lindera (Wuyao, 1 qian), followed by Zijin Dan, medicinal wine.
Left lumbar region: Shenjing point. Injury causes crying death in 3 days. Use Modified Decoction with Peach kernel (Taoren, 1.5 qian) and Honghua (1 qian), followed by Duoming Dan.
Right lumbar region: Mingmen point. Injury causes death daily (textual anomaly). Use Modified Decoction with Taoren (1.5 qian) and Peucedanum (Qianhu, 1 qian), followed by Duoming Dan.
Tail tip, 1 fen below: Haidi point. Injury causes death in 7 days. Use Modified Decoction with Shengjun (1 qian) and Mirabilite (Piaoxiao, 1 qian), followed by Duoming Dan, Zijin Dan.
Mid-thighs: He Kou point. Injury causes death in one season. Use Modified Decoction with Achyranthes bidentata root (Niuxi, 1 qian) and Coix seed (Yiren, 1 qian), followed by Zijin Dan.
Soles of feet: Yongquan point. Injury causes death in 14 months. Use Modified Decoction with Niuxi (1 qian) and Chaenomelis fructus (Xuamugua, 1 qian), followed by Duoming Dan.
These 36 large points detail injury methods. Medications generally involve Modified Decoction, Qili San, Duoming Dan, and Zijin Dan. The two additional herbs in the Modified Decoction must not be mistaken. Remember: after falls or fights, if wind-cold causes chills, fever, and body pain, first treat with Muscle-Releasing Decoction (Jieji Tang) or Minor Bupleurum Decoction (Xiao Chaihu Tang), then take trauma medicines.