属性：伤损作呕：
[1]若因痛甚，或因克伐而伤胃者，宜四君子汤加当归、半夏、生姜。
[2]因忿怒而肝伤者，用小柴胡汤加山栀、茯苓。
[3]因痰火盛者，用二陈汤加姜炒黄连、山栀。
[4]因胃气虚者，用补中益气汤加生姜、半夏。
[5]因出血过多者，用六君子汤加当归。
按、方剂：[1]四君子汤 补中益气汤俱见伤损出血
[2]小柴胡汤方见瘀血泛注
[3]二陈汤 六君子汤俱见胸腹痛闷
注：
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属性：[1]凡跌打损伤、坠堕之证，恶血留内，则不分何经，皆以肝为主。
[2]盖肝主血也，故败血凝滞，从其所属，必归于肝。
[3]其痛多在胁肋、小腹者，皆肝经之道路也。
[4]若壅肿痛甚，或发热自汗，皆宜斟酌虚实，然后用调血行经之药。
[5]王好古云：登高坠下、撞打等伤，心腹胸中，停积瘀血不散者，则以
上、中、下三焦分别部位，以施药饵。
<1>瘀在上部者，宜犀角地黄汤。
<2>瘀在中部者，宜桃仁承气汤。
<3>瘀在下部者，宜抵当汤之类。须于所用汤中加童便好酒，同煎服之
<4>虚人不可下者，宜四物汤加穿山甲。
<3>若瘀血已去，则以复元通气散加当归调之。
[6]内经云：「形伤作痛，气伤作肿」。又云：「先肿而后痛者，形伤气
也；先痛而后肿者，气伤形也。」
[7]凡打扑闪错，或恼怒气滞血凝作痛，及元气素弱，或因叫号血气损伤
，或过服克伐之剂，或外敷寒凉之药，致气血凝结者：
俱宜用活血顺气之剂。后列诸方，以备选用。
按、方剂：[1]犀角地黄汤
犀角 生地黄(酒浸，另捣) 丹皮 白芍各等分 水煎服。
[2]桃仁承气汤
大黄 芒硝 桃仁 桂枝 甘草 水煎服，以利为度。
[3]抵当汤
水蛭 □虫(去翅、足)各三十枚 大黄(酒浸)一两 桃仁(去皮、尖)
三十枚 水煎，去渣，取三升，温服一升，不下再服。
[4]复元活血汤
柴胡五钱 当归 穿山甲(炮) 栝蒌根各三钱 甘草 红花各二钱
桃仁(去皮、尖)五十个 大黄(酒浸)一两
以上将桃仁研烂，余药锉如麻豆大，每服一两。水二钟，酒半盏，煎
至七分，去渣，大温，食前服，以利为度。
[5]巴戟汤
巴戟(去心) 大黄各半两 当归 地黄 芍药 川芎各一两
以上为末，水煎服，以利为度。
[6]破血消痛汤
羌活 防风 官桂各一钱 苏木一钱半 柴胡 连翘 当归梢各二钱
麝香(另研)少许 水蛭(炒去烟尽，另研)二钱
以上为粗末，共一服，酒二大盏，水一盏。水蛭、麝香另研如泥，余
药煎至一大盏，去火，稍热，调二味服之，两服立愈。
[7]清心药
牡丹皮 当归 川芎 赤芍药 生地黄 黄芩 黄连 连翘 栀子
桃仁 甘草各等分
以上引用灯心草、薄荷煎，入童便和服。
[8]止痛药
当归 牛膝 川芎 怀庆生地 赤芍药 白芷 羌活 独活 杜仲
续断各一两 肉桂 八角 茴香 乳香 没药各五钱 南木香 丁皮
沉香 血竭各二钱半
以上为末，老酒调用。
[9]活血顺气何首乌散
何首乌三钱 当归 赤芍药 白芷 乌药 枳壳 防风 甘草 川芎
陈皮 香附 紫苏 羌活 独活 肉桂各一钱
以上薄荷、生地黄煎，入酒和服。疼痛甚者，加乳香、没药。
[10]调经散
川芎 当归 芍药 黄耆各一钱半 青皮 乌药 陈皮 熟地黄
乳香(另研) 茴香各一钱
以上作一服，水二钟，煎至一钟，不拘时服。
[11]牡丹皮散
牡丹皮 当归 骨碎补 红花(酒浸) 续断 乳香 没药 桃仁
川芎 赤芍药 生地黄各等分
以上水酒煎服，却用秫米饭热罨缚，冷又蒸热，换缚。
[12]橘术四物汤
当归 川芎 白芍药 怀庆生地各二钱 陈皮 白术 红花各一钱
桃仁十枚
以上生地黄煎服。骨节疼，加羌活、独活。痛不止，加乳香、没药。
[13]当归补血汤
当归 川芎 白芍药 熟地黄 防风 连翘 羌活 独活 乳香
没药 白芷 续断 杜仲各等分
以上生地黄煎，入童便和服，不可用酒。气虚加人参、白术、黄耆。
[14]复元通气散
木香 茴香(炒) 青皮(去皮) 穿山甲(稣炙) 陈皮 白芷 甘草
漏芦 贝母各等分
以上为末，每服一、二钱，温酒调下。
注：
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Attribute: Vomiting due to Trauma:
[1] If caused by severe pain or by excessive use of purgative/attacking drugs damaging the Stomach Qi, Si Jun Zi Tang (Four Gentlemen Decoction) with added Dang Gui (Angelicae Sinensis Radix), Ban Xia (Pinelliae Rhizoma), and Sheng Jiang (Zingiberis Rhizoma Recens) is appropriate.
[2] If caused by anger injuring the Liver, Xiao Chai Hu Tang (Minor Bupleurum Decoction) with added Shan Zhi (Gardeniae Fructus) and Fu Ling (Poria) is used.
[3] If caused by excessive Phlegm-Fire, Er Chen Tang (Two Aged Substances Decoction) with added Huang Lian (Coptidis Rhizoma) stir-fried with ginger and Shan Zhi (Gardeniae Fructus) is used.
[4] If caused by deficiency of Stomach Qi, Bu Zhong Yi Qi Tang (Supplement the Middle and Augment the Qi Decoction) with added Sheng Jiang (Zingiberis Rhizoma Recens) and Ban Xia (Pinelliae Rhizoma) is used.
[5] If caused by excessive blood loss, Liu Jun Zi Tang (Six Gentlemen Decoction) with added Dang Gui (Angelicae Sinensis Radix) is used.
Notes on Formulas:
[1] Si Jun Zi Tang and Bu Zhong Yi Qi Tang are both recorded in the section on "Traumatic Bleeding".
[2] The formula for Xiao Chai Hu Tang is found in the section on "Diffusion of Blood Stasis".
[3] Er Chen Tang and Liu Jun Zi Tang are both recorded in the section on "Chest and Abdominal Pain and Distension".
Attributes:
[1] In cases of falls, blows, or injuries where evil blood (stagnant blood) remains inside, regardless of which meridian is involved, the Liver is primarily addressed.
[2] This is because the Liver governs the storage of blood; therefore, when damaged blood stagnates, it follows its associated nature and inevitably returns to the Liver.
[3] Pain occurring mostly in the hypochondrium and lower abdomen corresponds to the pathways of the Liver Meridian.
[4] If there is severe swelling and pain due to obstruction, or if fever and spontaneous sweating occur, one must assess excess and deficiency before administering herbs that harmonize blood and unblock collaterals.
[5] Wang Haogu stated: For injuries such as falling from heights, collisions, or beatings, where stagnant blood accumulates in the heart, abdomen, and chest without dispersing, treatment should be administered based on the upper, middle, and lower Jiao (San Jiao) locations.
<1> For blood stasis in the upper part, Xi Jiao Di Huang Tang (Rhinoceros Horn and Rehmannia Decoction) is appropriate.
<2> For blood stasis in the middle part, Tao Ren Cheng Qi Tang (Peach Kernel and Magnolia Bark Decoction) is appropriate.
<3> For blood stasis in the lower part, formulas similar to Di Dang Tang (Resolute Attack Decoction) are appropriate. Tong Bian (Child's Urine) and good wine should be added to the decoction for simultaneous boiling and administration.
<4> For deficient individuals who cannot tolerate purgation, Si Wu Tang (Four Substances Decoction) with added Chuan Shan Jia (Manis Squama) is appropriate.
<5> Once the blood stasis has been cleared, Fu Yuan Tong Qi San (Restore Vitality and Unblock Qi Powder) with added Dang Gui (Angelicae Sinensis Radix) is used for regulation.
[6] The *Nei Jing* states: "Injury to the form causes pain; injury to Qi causes swelling." It also states: "Swelling preceding pain indicates form injuring Qi; pain preceding swelling indicates Qi injuring form."
[7] In cases of beating, crushing, or spraining, or pain caused by anger leading to Qi stagnation and blood coagulation, as well as in cases of inherent weak Yuan Qi, injury to Qi and blood from shouting, overuse of attacking medicines, or external application of cold-cooling herbs causing Qi and blood coagulation:
All are suitable for treatment with formulas that invigorate blood and regulate Qi. Various formulas listed below are provided for selection.
Notes on Formulas:
[1] Xi Jiao Di Huang Tang (Rhinoceros Horn and Rehmannia Decoction)
Xi Jiao (Rhinoceros Cornu - note: modern substitutes like Water Buffalo Horn are used), Sheng Di Huang (Rehmanniae Radix) soaked in wine and pounded separately, Mu Dan Pi (Moutan Cortex), Bai Shao (Paeoniae Radix Alba) in equal parts. Decoct in water and take orally.
[2] Tao Ren Cheng Qi Tang (Peach Kernel and Magnolia Bark Decoction)
Da Huang (Rhei Radix et Rhizoma), Mang Xiao (Natrii Sulfas), Tao Ren (Persicae Semen), Gui Zhi (Cinnamomi Ramulus), Gan Cao (Glycyrrhizae Radix et Rhizoma). Decoct in water and take orally; stop when bowel movement is achieved.
[3] Di Dang Tang (Resolute Attack Decoction)
Shui Zhi (Hirudo) and Meng Chong (Blatta Orientalis - removed wings and feet) each 30 pieces, Da Huang (Rhei Radix et Rhizoma) soaked in wine 1 liang, Tao Ren (Persicae Semen) peeled and de-veined 30 pieces. Decoct in water, strain, obtain 3 sheng of liquid. Take 1 sheng warm; if stasis is not expelled, take again.
[4] Fu Yuan Huo Xue Tang (Restore Vitality and Invigorate Blood Decoction)
Chai Hu (Bupleuri Radix) 5 qian, Dang Gui (Angelicae Sinensis Radix), Chuan Shan Jia (Manis Squama) processed, Gua Lou Gen (Trichosanthis Radix) each 3 qian, Gan Cao (Glycyrrhizae Radix et Rhizoma), Hong Hua (Carthami Flos) each 2 qian, Tao Ren (Persicae Semen) peeled and de-veined 50 pieces, Da Huang (Rhei Radix et Rhizoma) soaked in wine 1 liang.
Pound the Tao Ren into a paste. Cut the remaining herbs into sizes resembling hemp seeds. Each dose uses 1 liang. Add 2 zhong of water and half a zhan of wine. Decoct until three-tenths remain. Strain, drink warm before meals. Stop when bowel movement is achieved.
[5] Ba Ji Tang (Morinda Officinalis Decoction)
Ba Ji Tian (Morindae Officinalis Radix) de-heartened, Da Huang (Rhei Radix et Rhizoma) each ban liang, Dang Gui (Angelicae Sinensis Radix), Di Huang (Rehmanniae Radix), Shao Yao (Paeoniae Radix), Chuan Xiong (Ligustici Chuanxiong Rhizoma) each 1 liang.
Grind into powder. Decoct in water and take orally; stop when bowel movement is achieved.
[6] Po Xue Xiao Tong Tang (Break Blood and Eliminate Pain Decoction)
Qiang Huo (Notopterygii Rhizoma et Radix), Fang Feng (Saposhnikoviae Radix), Guan Gui (Cinnamomi Cortex) each 1 qian, Su Mu (Sappan Lignum) 1.5 qian, Chai Hu (Bupleuri Radix), Lian Qiao (Forsythiae Fructus), Dang Gui Shao (tip of Angelicae Sinensis Radix) each 2 qian, She Xiang (Moschus) finely powdered separately, a small amount, Shui Zhi (Hirudo) stir-fried until smoke ceases, finely powdered separately 2 qian.
Make into coarse powder. One dose uses two large zhan of wine and one zhan of water. Grind Shui Zhi and She Xiang into a paste separately. Decoct the other herbs until one zhan remains. Remove from heat, let cool slightly, then mix in the two pastes and take. Two doses result in immediate cure.
[7] Qing Xin Yao (Heart-Clearing Medicine)
Mu Dan Pi (Moutan Cortex), Dang Gui (Angelicae Sinensis Radix), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Chi Shao Yao (Paeoniae Radix Rubra), Sheng Di Huang (Rehmanniae Radix), Huang Qin (Scutellariae Radix), Huang Lian (Coptidis Rhizoma), Lian Qiao (Forsythiae Fructus), Zhi Zi (Gardeniae Fructus), Tao Ren (Persicae Semen), Gan Cao (Glycyrrhizae Radix et Rhizoma) in equal parts.
Decoct with Deng Xin Cao (Junci Medullia) and Bo He (Menthae Haplocalycis Herba). Mix with Tong Bian (Child's Urine) and take orally.
[8] Zhi Tong Yao (Pain-Relieving Medicine)
Dang Gui (Angelicae Sinensis Radix), Niu Xi (Achyranthis Bidentatae Radix), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Huai Qing Sheng Di (Rehmanniae Radix prepared in Huaiqing), Chi Shao Yao (Paeoniae Radix Rubra), Bai Zhi (Angelicae Dahuricae Radix), Qiang Huo (Notopterygii Rhizoma et Radix), Du Huo (Angelicae Pubescentis Radix), Du Zhong (Eucommiae Cortex), Xu Duan (Dipsaci Radix) each 1 liang, Rou Gui (Cinnamomi Cortex), Ba Jiao (Illicii Veri Fructus), Hui Xiang (Foeniculi Fructus), Ru Xiang (Olibanum), Mo Yao (Myrrha) each 5 qian, Nan Mu Xiang (Aucklandiae Radix), Ding Pi (Eugeniae Caryophyllati Cortex), Chen Xiang (Aquilariae Lignum Resinatum), Xue Jie (Santalium Album) each 2.5 qian.
Grind into powder. Take with aged wine.
[9] Huo Xue Shun Qi He Shou Wu San (Invigorate Blood, Regulate Qi, and Polygonum Multiflorum Powder)
He Shou Wu (Polygoni Multiflori Radix) 3 qian, Dang Gui (Angelicae Sinensis Radix), Chi Shao Yao (Paeoniae Radix Rubra), Bai Zhi (Angelicae Dahuricae Radix), Wu Yao (Linderae Radix), Zhi Ke (Aurantii Fructus), Fang Feng (Saposhnikoviae Radix), Gan Cao (Glycyrrhizae Radix et Rhizoma), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Chen Pi (Citri Reticulatae Pericarpium), Xiang Fu (Cyperi Rhizoma), Zi Su (Perillae Folium), Qiang Huo (Notopterygii Rhizoma et Radix), Du Huo (Angelicae Pubescentis Radix), Rou Gui (Cinnamomi Cortex) each 1 qian.
Decoct with Bo He (Menthae Haplocalycis Herba) and Sheng Di Huang (Rehmanniae Radix). Mix with wine and take orally. For severe pain, add Ru Xiang (Olibanum) and Mo Yao (Myrrha).
[10] Tiao Jing San (Regulate Menses Powder)
Chuan Xiong (Ligustici Chuanxiong Rhizoma), Dang Gui (Angelicae Sinensis Radix), Shao Yao (Paeoniae Radix), Huang Qi (Astragali Radix) each 1.5 qian, Qing Pi (Citri Reticulatae Pericarpium Viride), Wu Yao (Linderae Radix), Chen Pi (Citri Reticulatae Pericarpium), Shu Di Huang (Rehmanniae Radix Preparata), Ru Xiang (Olibanum) finely powdered separately, Hui Xiang (Foeniculi Fructus) each 1 qian.
One dose. Decoct 2 zhong of water until 1 zhong remains. Take at any time.
[11] Mu Dan Pi San (Moutan Cortex Powder)
Mu Dan Pi (Moutan Cortex), Dang Gui (Angelicae Sinensis Radix), Gu Sui Bu (Drynariae Rhizoma), Hong Hua (Carthami Flos) soaked in wine, Xu Duan (Dipsaci Radix), Ru Xiang (Olibanum), Mo Yao (Myrrha), Tao Ren (Persicae Semen), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Chi Shao Yao (Paeoniae Radix Rubra), Sheng Di Huang (Rehmanniae Radix) in equal parts.
Decoct with water and wine. Apply hot Shu Mi Fan (Millet Rice) compress externally. When cool, reheat and replace.
[12] Ju Zhu Si Wu Tang (Tangerine Peel and Atractylodes Four Substances Decoction)
Dang Gui (Angelicae Sinensis Radix), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Bai Shao Yao (Paeoniae Radix Alba), Huai Qing Sheng Di (Rehmanniae Radix prepared in Huaiqing) each 2 qian, Chen Pi (Citri Reticulatae Pericarpium), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Hong Hua (Carthami Flos) each 1 qian, Tao Ren (Persicae Semen) 10 pieces.
Decoct with Sheng Di Huang (Rehmanniae Radix). For joint pain, add Qiang Huo (Notopterygii Rhizoma et Radix) and Du Huo (Angelicae Pubescentis Radix). If pain persists, add Ru Xiang (Olibanum) and Mo Yao (Myrrha).
[13] Dang Gui Bu Xue Tang (Angelica Tonify Qi Decoction)
Dang Gui (Angelicae Sinensis Radix), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Bai Shao Yao (Paeoniae Radix Alba), Shu Di Huang (Rehmanniae Radix Preparata), Fang Feng (Saposhnikoviae Radix), Lian Qiao (Forsythiae Fructus), Qiang Huo (Notopterygii Rhizoma et Radix), Du Huo (Angelicae Pubescentis Radix), Ru Xiang (Olibanum), Mo Yao (Myrrha), Bai Zhi (Angelicae Dahuricae Radix), Xu Duan (Dipsaci Radix), Du Zhong (Eucommiae Cortex) in equal parts.
Decoct with Sheng Di Huang (Rehmanniae Radix). Mix with Tong Bian (Child's Urine) and take orally. Do not use wine. For Qi deficiency, add Ren Shen (Ginseng Radix et Rhizoma), Bai Zhu (Atractylodis Macrocephalae Rhizoma), and Huang Qi (Astragali Radix).
[14] Fu Yuan Tong Qi San (Restore Vitality and Unblock Qi Powder)
Mu Xiang (Aucklandiae Radix), Hui Xiang (Foeniculi Fructus) stir-fried, Qing Pi (Citri Reticulatae Pericarpium Viride) peeled, Chuan Shan Jia (Manis Squama) roasted in butter, Chen Pi (Citri Reticulatae Pericarpium), Bai Zhi (Angelicae Dahuricae Radix), Gan Cao (Glycyrrhizae Radix et Rhizoma), Lou Lu (Euphorbiae Humifusae Radix), Bei Mu (Fritillariae Thunbergii Bulbus) in equal parts.
Grind into powder. Take 1-2 qian per dose with warm wine.