论曰凡打扑损伤，或为他物所击，或乘高坠下，致伤手足腰背等处。轻者气血凝滞，随
处疼痛，重则聚为 肿，痛甚不可忍，当察其内外轻重以治之。
治伤扑疼痛。蓬莪术汤方
蓬莪术（煨） 白僵蚕（炒各一两） 苏枋木（锉二两） 没药（研半两）
上四味，粗捣筛，每服二钱匕，水一盏，煎至七分，去滓温服，日三，若捣为细末，热
酒调下，亦得。
治打扑伤损筋骨疼痛。地黄散方
熟干地黄（焙） 当归（切焙各三两） 羌活（去芦头） 苦参（各二两） 续断（四
两）
上五味，捣罗为散，每服三钱匕。温酒调下，不拘时服。
治打扑伤损疼痛。乳香丸方
乳香（一两） 桂（去粗皮） 安息香 没药（各半两） 地龙（炒） 补骨脂（炒各
一两） 当
上九味，各捣罗为末。将乳香没药安息香三味，用酒研如糊，和余药丸如龙眼大，每服
一丸，酒磨温服，不拘时。
治打扑伤损疼痛。延胡索散方
延胡索 桂（去粗皮） 没药（别研） 黄 （锉） 当归（切焙） 白蔹 桑寄生 熟
干地黄
上八味，捣罗为散，每服三钱匕。温酒调下，不拘时候服。
治打扑筋骨疼痛。续断丸方
续断（二两） 防风（去叉） 黄 乳香（研） 没药（研各半两） 自然铜（ 醋
淬七遍一
上七味，捣罗为末。酒煮面糊，丸如梧桐子大。每服三十丸，温酒下，不拘时。
治打扑内损，及坠马等伤。白附子散方
白附子（炮） 续断 防风（去叉各一两）
上三味，捣罗为散，每服二钱匕。童子小便和热酒一盏调下，并三服，不拘时。
治打扑内损疼痛。海金沙散方
海金沙（二钱） 大黄（生） 乳香（研） 没药（研各一钱） 骐 竭（一分）
上五味，除研外，捣罗为散、和匀，每服二钱匕。乳香温酒调下，不拘时服。
治打扑损疼痛。麻根汁酒方
大麻根及叶（生者去土三斤）
上一味细锉，捣绞取汁，每服半盏，和温酒半盏服，不拘时，无生麻根，即用干者，酒
煎服。
治打扑损疼痛。木贼散方
木贼（锉炒三两） 麻黄（去根节一两半） 甘草（炙三分）
上三味，捣罗为散，每服五钱匕。热酒调下，随酒量饮至醉，候醒，折处觉不痛是效。
未服药先整骨裹缚，方可服之。
治打扑损伤，手脚筋骨疼痛。甘松丸方
甘松（去土） 黄荆实 芥菜子陈者 赤蓼花 文件子（炒） 白僵蚕（炒） 螟蛉壳（各
半两）
上七味，捣罗为末。炼蜜丸如弹子大。每服一丸，温酒化下，不拘时候。
治打扑伤损疼痛。牡蛎散方
牡蛎（一斤半炭火烧红细研水飞过取一斤） 铅粉（洛阳者炒黑细研半斤） 当归（切
焙取
上五味研匀，先用醋煮小黄米粥，摊纸上，用药末三钱匕，匀掺粥上，裹贴患处，次用
药末二钱匕，浓煎苏枋木汁一盏调下，不拘时候服。
治打扑伤损筋骨疼痛散方
铅粉（炒半两） 硼砂（研二钱） 当归（切焙半两）
上三味，捣研匀，每服二钱匕，浓煎苏枋木汁调下。若伤损在腰以上，先吃淡面少许，
后服药，如损处在腰下，先服药，后吃淡面少许，后只如常调药服，更用糯米或黄米作粥，
拌药二钱，摊在纸上，以故纸竹夹，封裹损处。
治打扑内损疼痛。摩膏方
蓖麻子（去皮研一两半） 草乌头（生为末半两） 乳香（研一钱）
上三味，一处和匀，量多少，入炼成猪脂，研为膏，每取少许，涂伤处，炙手摩令热取
效，如痛甚不可摩，即涂肿痛处。
治打扑损伤，瘀血不散疼痛。木鳖裹方
木鳖子（去壳研半两） 桂（去粗皮三分） 芸薹子（酒浸研二合） 丁香（五十粒）
上四味，将丁香桂为末，与研者二味和匀，次用生姜汁煮米粥，摊纸上，将药末量多少
掺入粥内，看冷热裹之，一日一换。
治打扑伤损。补骨脂裹方
补骨脂（微炒二两）
上一味，捣为末，用醋煮黄米粥，摊在纸上，封裹损处。
治打扑损，瘀热疼痛。天南星贴方
天南星（一两） 黄柏（去粗皮半两）
上二味，捣为末。用生姜汁调贴肿痛处。
治筋骨伤折，接骨。知母裹方
知母焙 贝母（去心） 白芨 白蔹 桂（去粗皮） 乳香（研各半两）
上六味，捣研为细末。用好酒调如糊，摊药在新帛子上，裹所伤处，三五日一换。
治打损成疮不合方
蓖麻子（去壳）
上一味，生研贴所患处，如干以津唾润之。
治破伤血出不止方
上用灯心烂嚼，和津唾贴之，或用帛裹缚之。
治打扑损伤疼痛方
蓬莪术（煨锉） 白僵蚕（炒各一两） 苏枋木（锉二两）
上三味，粗捣筛，每服三钱匕。水一盏，煎至七分，去滓不拘时温服。
治打扑伤损，止痛。乌头丸方
乌头（七枚去皮生为末） 黄狗胆（一枚）
上二味，以胆汁和药末，丸如绿豆大，每以冷酒一盏，下三丸，酒须饮尽。
治伤损血入四肢，疼痛不可忍。乳香散方
乳香（研） 白芷 桂（去粗皮） 没药 安息香（研） 地龙（去土炒） 补骨脂（炒）
当归
上八味，捣研为散，热酒调下二钱匕。
治伤损，止血。白蔹 药方
白蔹 白芨 白芷 碧芦皮（炙黄各一两）
上四味，捣罗为末，鸡子清拌锻石炒干后，入前末研细，伤损处封之。
Discussion: Regarding all types of contusions and traumatic injuries, whether caused by being struck by other objects or falling from heights, resulting in injuries to the limbs, waist, back, and other areas. Mild cases involve stagnation of Qi and Blood, causing pain throughout; severe cases result in localized swelling and unbearable pain. Treatment should be based on an assessment of the severity and location (internal or external) of the injury.
For treating pain from contusions and traumatic injuries. Peng'e Zhu Tang (Curcuma Zedoaria Decoction):
Peng'e Zhu (Zedoary Rhizome, prepared by roasting) 1 liang, Bai Jiang Can (Bombyx Batryticatus, stir-fried) 1 liang, Su Fang Mu (Sappan Wood, chopped) 2 liang, Mo Yao (Myrrh, ground) 0.5 liang.
The above four herbs are coarsely crushed and sieved. Take 2 qianbi per dose, add 1 zhan of water, decoct until 0.7 zhan remains, remove dregs, and take warm. Administer three times daily. Alternatively, if ground into fine powder, mix with hot wine for administration.
For treating bone and tendon pain from contusions and traumatic injuries. Dihuang San (Rehmannia Powder):
Shu Gan Dihuang (Prepared Rehmannia Root, baked), Dang Gui (Angelica Sinensis, sliced and baked) each 3 liang, Qiang Huo (Notopterygium Rhizome, de-rhizome head removed), Ku Shen (Sophora Flavescens Root), Xu Duan (Dipsacus Root) each 2 liang.
The above five herbs are crushed and sifted into a powder. Take 3 qianbi per dose, mix with warm wine for administration. Time of administration is not restricted.
For treating pain from contusions and traumatic injuries. Ruxiang Wan (Frankincense Pill):
Ruxiang (Frankincense) 1 liang, Gui (Cinnamon Twig, bark removed), Anxi Xiang (Benzoin Resin), Moyao (Myrrh) each 0.5 liang, Di Long (Pheretima, stir-fried), Buguzhi (Psoralea Fruit, stir-fried) each 1 liang.
The above nine herbs are separately crushed and sifted into powder. The Ruxiang, Moyao, and Anxi Xiang are ground with wine into a paste, then mixed with the remaining herb powders to form pills the size of longan seeds. Take one pill per dose, dissolved in wine and taken warm. Time of administration is not restricted.
For treating pain from contusions and traumatic injuries. Yanhusuo San (Corydalis Powder):
Yanhusuo (Corydalis Rhizome), Gui (Cinnamon Twig, bark removed), Moyao (Myrrh, separately ground), Huang Qin (Scutellaria Root, chopped), Dang Gui (Angelica Sinensis, sliced and baked), Bai Lian (Ampelopsis Radix), Sang Ji Sheng (Taxillus Branches), Shu Gan Dihuang (Prepared Rehmannia Root).
The above eight herbs are crushed and sifted into a powder. Take 3 qianbi per dose, mix with warm wine for administration. Time of administration is not restricted.
For treating bone and tendon pain from contusions and traumatic injuries. Xuduan Wan (Dipsacus Pill):
Xu Duan (Dipsacus Root) 2 liang, Fang Feng (Saposhnikovia Root, de-branched), Huang Qin (Scutellaria Root), Ruxiang (Frankincense, ground), Moyao (Myrrh, ground) each 0.5 liang, Zi Ran Tong (Pyritum, quenched in vinegar seven times).
The above seven herbs are crushed and sifted into powder. Use wine-boiled wheat starch paste to form pills the size of sophora seeds. Take 30 pills per dose, with warm wine. Time of administration is not restricted.
For treating internal trauma from contusions, as well as injuries from horse falls. Fuzi San (Aconitum Carmichaelii Root Powder):
Fu Zi (Aconitum Carmichaelii Root, processed), Xu Duan (Dipsacus Root), Fang Feng (Saposhnikovia Root, de-branched) each 1 liang.
The above three herbs are crushed and sifted into a powder. Take 2 qianbi per dose, mix with urine from a young boy and 1 zhan of hot wine for administration. Divide into three doses. Time of administration is not restricted.
For treating pain from internal trauma due to contusions. Haijinsha San (Lygodium Spore Powder):
Hai Jin Sha (Lygodium Spores) 2 qian, Da Huang (Rhubarb Root, raw), Ruxiang (Frankincense, ground), Moyao (Myrrh, ground) each 1 qian, Qi Lin Jie (Dragon's Blood) 1 fen.
The above five herbs, excluding those already ground, are crushed, sifted, and mixed evenly. Take 2 qianbi per dose, mix with Ruxiang and warm wine for administration. Time of administration is not restricted.
For treating pain from contusions and traumatic injuries. Magen Zhi Jiu (Hemp Root Juice Wine):
Da Ma Gen (Hemp Root) and leaves (fresh, cleaned of soil, 3 jin).
The above single herb is finely chopped, crushed, and juiced. Take half zhan of juice, mixed with half zhan of warm wine for administration. Time of administration is not restricted. If fresh hemp root is unavailable, dried root may be used and decocted in wine.
For treating pain from contusions and traumatic injuries. Mu Zei San (Equisetum Powder):
Mu Zei (Equisetum Hiemale, chopped and stir-fried) 3 liang, Ma Huang (Ephedra Herb, roots and nodes removed) 1.5 liang, Gan Cao (Licorice Root, honey-fried) 3 qian.
The above three herbs are crushed and sifted into a powder. Take 5 qianbi per dose, mix with hot wine for administration. Drink according to tolerance until intoxicated. Upon waking, if the fracture site no longer hurts, it indicates efficacy. Bone reduction and bandaging must be performed before taking the medicine.
For treating contusions and traumatic injuries causing pain in the bones and tendons of hands and feet. Gansong Wan (Sweet Flag Pill):
Gansong (Litsea Oil Leaf, cleaned of soil), Huang Jing Shi (Vitex Negundo Fruit), Chen Zhe De Jie Cai Zi (Old Mustard Seed), Chi Liao Hua (Polygonum Bistorta Flower), Wen Wan Zi (Clam Shell, stir-fried), Bai Jiang Can (Bombyx Batryticatus, stir-fried), Ming Ling Ke (Silkworm Cocoon Shell) each 0.5 liang.
The above seven herbs are crushed and sifted into powder. Honey is refined to form pills the size of marbles. Take one pill per dose, dissolved in warm wine. Time of administration is not restricted.
For treating pain from contusions and traumatic injuries. Muli San (Oyster Shell Powder):
Muli (Oyster Shell, 1.5 jin, fired in charcoal until red, finely ground, levigated to obtain 1 jin), Qian Fen (Lead Carbonate, Luoyang origin, stir-fried black, finely ground) 0.5 jin, Dang Gui (Angelica Sinensis, sliced and baked).
The above five herbs (note: text implies five ingredients but lists main components and preparation details) are ground evenly. First, boil millet porridge with vinegar, spread on paper, sprinkle 3 qianbi of herb powder evenly over the porridge, and apply as a plaster to the injured area. Second, take 2 qianbi of herb powder, mix with 1 zhan of concentrated Su Fang Mu (Sappan Wood) decoction, and ingest. Time of administration is not restricted.
For treating bone and tendon pain from contusions and traumatic injuries (Powder Formula):
Qian Fen (Lead Carbonate, stir-fried) 0.5 liang, Peng Sha (Borax, ground) 2 qian, Dang Gui (Angelica Sinensis, sliced and baked) 0.5 liang.
The above three herbs are crushed and ground evenly. Take 2 qianbi per dose, mix with concentrated Su Fang Mu (Sappan Wood) decoction. If the injury is above the waist, consume a small amount of plain noodle soup first, then take the medicine. If the injury is below the waist, take the medicine first, then consume a small amount of plain noodle soup. Subsequently, administer the medicine regularly. Additionally, make porridge with glutinous rice or yellow millet, mix with 2 qian of herb powder, spread on paper, and wrap the injured area using old paper and bamboo clips.
For treating pain from internal trauma due to contusions. Mogao Ointment:
Bi Ma Zi (Castor Bean, peeled and ground) 1.5 liang, Cao Wu Tou (Aconitum Kusnezoffii Root, raw, powdered) 0.5 liang, Ruxiang (Frankincense, ground) 1 qian.
The above three herbs are mixed evenly. Add refined lard according to quantity, grind into ointment. Apply a small amount to the injury site, rub with heated hands until warm to achieve effect. If pain is too severe for rubbing, simply apply to the swollen and painful area.
For treating contusions and traumatic injuries where blood stasis does not dissipate, causing pain. Mugbie Guo Plaster:
Mu Bie Zi (Momordica Semen, shelled and ground) 0.5 liang, Gui (Cinnamon Twig, bark removed) 3 qian, Yun Tai Zi (Rapeseed, soaked in wine and ground) 2 he, Ding Xiang (Clove Bud) 50 grains.
The above four herbs: Ding Xiang and Gui are ground into powder and mixed with the other two ground ingredients. Boil rice porridge with ginger juice, spread on paper, mix in the appropriate amount of herb powder, and apply at a suitable temperature to the injury site. Change once daily.
For treating contusions and traumatic injuries. Buguzhi Guo Plaster:
Buguzhi (Psoralea Fruit, lightly stir-fried) 2 liang.
The above single herb is ground into powder. Boil millet porridge with vinegar, spread on paper, and wrap the injured area.
For treating contusions and traumatic injuries with stasis-heat pain. Tiannanxing Tie Paste:
Tian Nan Xing (Arisaema Rhizome) 1 liang, Huang Bo (Phellodendron Bark, bark removed) 0.5 liang.
The above two herbs are ground into powder. Mix with ginger juice and apply to the swollen and painful area.
For treating bone fractures and dislocations, setting bones. Zhimu Guo Plaster:
Zhi Mu (Anemarrhena Rhizome, baked), Bei Mu (Fritillaria Bulb, de-heart removed), Bai Ji (Bletilla Rhizome), Bai Lian (Ampelopsis Radix), Gui (Cinnamon Twig, bark removed), Ruxiang (Frankincense, ground) each 0.5 liang.
The above six herbs are crushed and ground into fine powder. Mix with good wine to form a paste, spread on new silk cloth, and wrap the injured area. Change every three to five days.
For treating contusions that become ulcers and fail to heal:
Bi Ma Zi (Castor Bean, shelled).
The above single herb is freshly ground and applied to the affected area. If it dries, moisten with saliva.
For treating broken skin with unceasing bleeding:
Chew Jie Xin (Juncus Effusus Stem) thoroughly, mix with saliva, and apply. Alternatively, bind with cloth.
For treating pain from contusions and traumatic injuries:
Peng'e Zhu (Zedoary Rhizome, roasted and chopped), Bai Jiang Can (Bombyx Batryticatus, stir-fried) each 1 liang, Su Fang Mu (Sappan Wood, chopped) 2 liang.
The above three herbs are coarsely crushed and sieved. Take 3 qianbi per dose, add 1 zhan of water, decoct until 0.7 zhan remains, remove dregs, and take warm at any time.
For treating contusions and traumatic injuries, relieving pain. Wutou Wan Aconite Pill:
Wu Tou (Aconitum Carmichaelii Root, 7 pieces, peeled, raw, powdered), Huang Gou Dan (Yellow Dog Gallbladder) 1 piece.
Mix the herb powder with gallbladder bile to form pills the size of mung beans. Take 3 pills per dose with 1 zhan of cold wine. The wine must be consumed entirely.
For treating injuries where blood enters the limbs, causing unbearable pain. Ruxiang San (Frankincense Powder):
Ruxiang (Frankincense, ground), Bai Zhi (Angelica Dahurica Root), Gui (Cinnamon Twig, bark removed), Moyao (Myrrh), Anxi Xiang (Benzoin Resin, ground), Di Long (Pheretima, cleaned of soil and stir-fried), Buguzhi (Psoralea Fruit, stir-fried), Dang Gui (Angelica Sinensis).
The above eight herbs are crushed and ground into powder. Take 2 qianbi per dose, mix with hot wine for administration.
For treating injuries, stopping bleeding. Bailian Medicine:
Bai Lian (Ampelopsis Radix), Bai Ji (Bletilla Rhizome), Bai Zhi (Angelica Dahurica Root), Bi Lu Pi (Bark, stir-fried yellow) each 1 liang.
The above four herbs are crushed and sifted into powder. Mix with egg white and calcined lime (Duanshi), stir-fry until dry, then grind with the previous powder into fine powder. Apply as a sealant to the injured area.