方一十一首
主男子绝伤,或从高堕下,伤损五脏,微者唾血,甚者吐血及金疮,伤经内绝者方∶阿
胶(炙) 艾叶(熬) 芍药 干地黄(各三两) 当归 干姜 芎 甘草(炙,各二两)
上八味, 咀,以八七升,煮取三升,去滓,纳胶令烊,分再服。羸人三服,此汤正主
妇人产后及崩中、伤下血,多虚喘欲死,腹痛下血不止者,服之良。(《千金》一方只四味。)
坠马落车及树间崩血腹满短气方∶
大豆(五升)
上一味,以水一斗,煮取二升半,去豆一服令尽,剧者不过三作之。(《千金》云治人
坠落车马,心腹积血,唾吐血无数。)
落马堕车及诸 折臂脚痛不止方∶
芎 (一两半,熬) 泽兰(一分) 蜀椒(去目及闭口者,汗) 当归 桂心 附子
(炮去
皮,各半两) 甘草(三两,炙)
上七味,微熬令香,捣筛为散,酒服方寸匕,日三。凡是伤至骨皆服之,十日愈。小儿
伤损亦同。
又方∶
黄 芍药(各三两) 蜀椒(一合,去目及闭口者,汗) 乌头(半两,去皮炮) 大
黄(一
两)
上一十二味,捣筛为散,先食讫,温酒服一方寸匕,日三。
生地黄汤主因损小便血出方∶
生地黄(八两) 柏叶(一把) 黄芩 阿胶(炙) 甘草(炙,各一两)
上五味, 咀,以水七升,煮取三升,去滓,纳胶取二升五合,分三服。
治瘀血腹中,奥瘀不出,满痛短气,大小便不通方∶
荆芥(半两) 大黄 芎 (各三两) 虫(三十枚,熬) 桂心 当归 甘草(炙,
各二
两) 蒲黄(五两) 桃仁(四十枚,去皮尖及双仁者)
上九味, 咀,以水一斗,煮取三升,分三服。
治折 瘀血蒲黄散方∶
蒲黄(一升) 当归(二两)
上二味,捣筛为散,酒服方寸匕,日三,先食讫,服之。
又方∶
虻虫(去足翅,熬) 牡丹皮(等分)
上二味,捣筛为散,酒服方寸匕,血化为水。
又方∶
草汁服之,亦可散服之,日三。
又方∶
大麻根若叶
上一味,捣取汁数升,饮之即血下气通,苏息。无青者,干者煮汁亦得。(《千金》云
∶治 伤骨痛不可忍,并主瘀血心腹胀满短气。)
又方∶
茅根切捣绞取汁,温和酒服一升,日三,良。
[Eleven Formulas]
**Formula 1:** Indicated for men suffering from severe trauma, or injuries from falling from heights resulting in damage to the five zang organs. Mild cases present with hemoptysis (coughing up blood), while severe cases involve hematemesis (vomiting blood) and bleeding from metal wounds, or internal rupture of meridians.
Ingredients: Ejiao (Glue Donkey-Hide, prepared by roasting), Aiye (Mugwort Leaf, prepared by frying), Shaoyao (Peony Root), Dihuang (Rehmannia Root, dried), Danggui (Angelica Sinensis), Ganjiang (Dried Ginger), Xiong (Ligusticum Chuanxiong Rhizome), Gancao (Licorice Root, prepared by roasting). Dosages: Dihuang, Danggui, Ganjiang, Xiong, Gancao are each 3 liang; Ejiao, Aiye, Shaoyao are each 3 liang; [Note: Text lists "each 2 liang" for Danggui/Ganjiang/Xiong/Gancao group but earlier said 3 liang for Di Huang etc. Standard interpretation often aligns groups. Based on text: Ejiao, Aiye, Shaoyao, Dihuang are 3 liang each; Danggui, Ganjiang, Xiong, Gancao are 2 liang each].
Preparation: Coarsely crush the eight herbs. Boil in 8 dou 7 sheng of water until reduced to 3 sheng. Strain the dregs. Add Ejiao and stir until melted. Divide into two doses. For emaciated patients, divide into three doses. This decoction primarily treats postpartum bleeding in women, metrorrhagia (heavy uterine bleeding), and lower bleeding due to trauma, accompanied by deficiency wheezing resembling death, abdominal pain, and continuous bleeding. It is highly effective. (A formula in *Qianjin Fang* contains only four ingredients.)
**Formula 2:** Indicated for falling from horses or carts, or from trees, resulting in internal hemorrhage, abdominal distension, and shortness of breath.
Ingredients: Dadou (Soybean). Dosage: 5 sheng.
Preparation: Boil the single herb in 1 dou of water until reduced to 2.5 sheng. Remove the beans and drink the liquid in one dose. For severe cases, repeat no more than three times. (*Qianjin Fang* states this treats people falling from carriages or horses, causing accumulated blood in the heart and abdomen, and massive hemoptysis/hematemesis.)
**Formula 3:** Indicated for falling from horses or carts, and various fractures with unceasing pain in arms and legs.
Ingredients: Xiong (Chuanxiong Rhizome, fried), Zelan (Grassleaf Fastroot Herb), Shujiao (Sichuan Pepper, remove eyes and closed-mouth ones, sweat them), Danggui (Angelica Sinensis), Guixin (Cinnamon Twig), Fuzi (Aconite Lateralis Radix Praeparata, roasted and peeled), Gancao (Licorice Root, roasted). Dosages: Xiong 1.5 liang; Zelan 1 fen; Guixin, Fuzi 0.5 liang each; Gancao 3 liang.
Preparation: Lightly roast the seven herbs until fragrant, crush, and sieve into a powder. Take one fangcun bi (a measure approx. 1 inch square spoonful) with wine, three times daily. Use for all injuries reaching the bone. Recovery in ten days. Pediatric injuries are treated similarly.
**Formula 4 (Another Formula):**
Ingredients: Huangqi (Astragalus Root), Shaoyao (Peony Root) [Note: Text says "Huang [missing character likely Qi]" and later "Shang Yi Shi Er Wei" (Above twelve items) but lists fewer. Translating as written]: Huangqi, Shaoyao (each 3 liang); Shujiao (Sichuan Pepper, 1 he, remove eyes/closed-mouth, sweat); Wutou (Aconitum Carleil Base Root, peeled and roasted); Dahuang (Rhubarb Root). Dosage: Wutou 0.5 liang, Dahuang 1 liang.
Preparation: Crush and sieve into a powder. After meals, take one fangcun bi with warm wine, three times daily.
**Formula 5: Shengdihuang Tang (Fresh Rehmannia Decoction)**
Indicated for hematuria (blood in urine) caused by injury.
Ingredients: Shengdihuang (Fresh Rehmannia Root), Baiye (Biota Tops), Huangqin (Scutellaria Root), Ejiao (Donkey-Hide Glue, roasted), Gancao (Licorice Root, roasted). Dosages: Shengdihuang 8 liang; Baiye, Huangqin, Ejiao, Gancao are each 1 liang.
Preparation: Coarsely crush the five herbs. Boil in 7 sheng of water until reduced to 3 sheng. Strain. Add Ejiao and reduce to 2.5 sheng. Divide into three doses.
**Formula 6:** Indicated for blood stasis in the abdomen that is stagnant and not expelled, causing abdominal fullness and pain, shortness of breath, and obstruction of both urination and defecation.
Ingredients: Jingjie (Schizonepeta Spike), Dahuang (Rhubarb Root), Xiong (Chuanxiong Rhizome), E chong (Ground Beetle, roasted), Guixin (Cinnamon Twig), Danggui (Angelica Sinensis), Gancao (Licorice Root, roasted), Puhuang (Tamarisk Pollen), Taoren (Peach Seed). Dosages: Jingjie 0.5 liang; Dahuang, Xiong 3 liang each; E chong 30 pieces; Guixin, Danggui, Gancao 2 liang each; Puhuang 5 liang; Taoren 40 pieces (remove skin, tips, and double kernels).
Preparation: Coarsely crush the nine herbs. Boil in 1 dou of water until reduced to 3 sheng. Divide into three doses.
**Formula 7: Puhuang San (Tamarisk Pollen Powder)**
Indicated for fractures and blood stasis.
Ingredients: Puhuang (Tamarisk Pollen), Danggui (Angelica Sinensis). Dosages: Puhuang 1 sheng; Danggui 2 liang.
Preparation: Crush and sieve into a powder. Take one fangcun bi with wine, three times daily, after meals.
**Formula 8 (Another Formula):**
Ingredients: Mengchong (Dragonfly Larva/Blowfly Larva, remove feet and wings, roast), Mudanpi (Tree Peony Bark). Dosages: Equal parts.
Preparation: Crush and sieve into a powder. Take one fangcun bi with wine. The blood stasis will transform into fluid and be discharged.
**Formula 9 (Another Formula):**
Ingredients: Yimucao (Motherwort Herb) juice.
Usage: Drink the juice, or take the powdered herb, three times daily.
**Formula 10 (Another Formula):**
Ingredients: Damagen (Hemp Root) or Ye (Leaves).
Preparation: Crush the single herb to extract several sheng of juice. Drink it. Blood will descend, qi will flow freely, and consciousness will return. If fresh material is unavailable, boiling dry material for juice is also acceptable. (*Qianjin Fang* notes this treats unbearable bone pain from traumatic injuries and addresses abdominal distension and shortness of breath due to blood stasis.)
**Formula 11 (Another Formula):**
Ingredients: Maogen (Imperata Rhizome).
Preparation: Cut, crush, and squeeze out the juice. Take 1 sheng mixed with warm wine, three times daily. Highly effective.