【方歌】跌扑之证属寻常，复元活血汤最良，已破亡血八珍服，
未破血瘀大成汤。
【注】此证有已破、未破之分，亡血、瘀血之别，如寻常跌扑
，微伤皮肉，疼痛未破者，以复元活血汤散瘀活血；若
损伤筋骨，血流过多不止者，即为亡血，急用花蕊石散
干撒止血，内服八珍汤，加酒炙骨碎补、续断、红花；
若从高跌坠，未曾损破皮肉者，必有瘀血流注脏腑，人
必昏沈不醒，二便秘结，当以大成汤通利二便，其人自
醒。若便利不醒者，灌独参汤救之。
方剂：大成汤
组成：大黄（三钱） 朴硝
枳壳（麸炒，各二钱） 厚朴
当归 红花
木通 苏木
陈皮 甘草（生，各一钱）
水二钟，煎八分，不拘时服。服后二时不行，渣再
煎，加蜜三匙冲服。
【方歌】大成活瘀便立通，硝黄枳壳厚归红，木通苏木陈皮草，
煎服不行加蜜冲。
又方：复元活血汤
组成：当归尾（二钱） 柴胡（一钱五分）
穿山甲（炙，研） 红花
栝蒌仁（各七分） 甘草（五分）
桃仁（十七个） 大黄（三钱）
水二钟，酒二钟，煎一钟。食远服，以利为度。
【方歌】复元活血跌扑证，恶血流瘀积滞疼，山甲柴红栝蒌草，
桃仁归尾大黄行。
又方：花蕊石散（见发无定处血痔）
八珍汤、独参汤（俱见溃疡门）
[Formula Song] Injuries from falling and striking are common conditions; Fuyuan Huoxue Tang (Revitalizing Blood Decoction for Recovery) is the best choice. If blood loss has occurred, Bazhen Tang (Eight-Treasure Decoction) should be taken; if there is no skin breakage but blood stasis exists, Dacheng Tang (Great Achievement Decoction) is used.
[Note] This condition is divided into broken and unbroken injuries, and further distinguished by blood loss (significant hemorrhage) and blood stasis (blood stagnation). For ordinary falls or strikes causing only minor soft tissue injury with pain but no skin breakage, Fuyuan Huoxue Tang is used to dissipate stasis and invigorate blood circulation. If tendons and bones are damaged with excessive bleeding that does not stop, this constitutes blood loss; immediately apply Huarui Shi San (Flower Porphyry Stone Powder) topically to stop bleeding, and internally administer Bazhen Tang (Eight-Treasure Decoction) added with Jiuzhi Gusuibu (Alcohol-processed Drynaria Rhizome), Xu Duan (Teasel Root), and Honghua (Safflower). If a fall from height occurs without breaking the skin, blood stasis must have flowed into the zang-fu organs, causing unconsciousness and constipation of both urine and feces; Dacheng Tang (Great Achievement Decoction) should be used to promote bowel and urinary movements, after which the patient will naturally regain consciousness. If the bowels are open but the patient remains unconscious, Guan Du Shen Tang (Single Ginseng Decoction) should be administered for emergency rescue.
Formula: Dacheng Tang (Great Achievement Decoction)
Composition: Dahuang (Rhei Radix et Rhizoma, 3 qian), Poxiao (Natrii Sulfas), Zhike (Aurantii Fructus, bran-fried, each 2 qian), Houpo (Magnoliae Officinalis Cortex), Danggui (Angelicae Sinensis Radix), Honghua (Carthami Flos), Mutong (Akebiae Caulis), Sumu (Daemonorops Spina), Chenpi (Citri Reticulatae Pericarpium), Gancao (Glycyrrhizae Radix et Rhizoma, raw, each 1 qian).
Usage: Two zhong of water, decocted to eight fen. Take at any time. If stool is not passed within two shi (hours) after administration, decoct the dregs again, add three spoons of honey, and take mixed.
[Formula Song] Dacheng Tang activates blood and resolves stasis, promoting immediate bowel movement; it contains Poxiao, Dahuang, Zhike, Houpo, Danggui, and Honghua, along with Mutong, Sumu, Chenpi, and Gancao. If ineffective after decoction and ingestion, add honey to mix.
Another Formula: Fuyuan Huoxue Tang (Revitalizing Blood Decoction for Recovery)
Composition: Dangguiwei (Tail of Angelicae Sinensis Radix, 2 qian), Chaihu (Bupleuri Radix, 1.5 qian), Chuanshanjia (Manis Squama, roasted and powdered), Honghua (Carthami Flos), Gualouren (Trichosanthis Semen, each 0.7 fen), Gancao (Glycyrrhizae Radix et Rhizoma, 0.5 fen), Taoren (Persicae Semen, 17 pieces), Dahuang (Rhei Radix et Rhizoma, 3 qian).
Usage: Two zhong of water and two zhong of wine, decocted to one zhong. Take well after meals; discontinue when bowel movement becomes smooth.
[Formula Song] Fuyuan Huoxue Tang treats injuries from falling and striking, where evil blood accumulates causing stasis and pain; it includes Chuanshanjia, Chaihu, Honghua, Gualou, and Gancao, while Taoren, Dangguiwei, and Dahuang move blood.
Another Formula: Huarui Shi San (Flower Porphyry Stone Powder) (See "Hemorrhoids with Bleeding in Indeterminate Locations" section)
Bazhen Tang (Eight-Treasure Decoction), Du Shen Tang (Single Ginseng Decoction) (Both see "Ulcer Section")