一人坠马。两胁作痛。以复元活血汤二剂顿止。更以小柴胡加当归、桃仁二剂而安。（
此凭症也。）
一老坠马。腹作痛。以复元通气散。用童便调进二服少愈。更以四物加柴胡、桃仁、红
花四剂而安。（此凭症也。）
一人跌仆。皮肤不破。两胁作疼发热。口干。自汗。须先饮童便一瓯。烦渴顿止。随进复
血汤。倍用柴胡、青皮一剂。胀痛悉愈。又剂而安发明经曰。从高坠下。血流于内。不分十
二经络。圣人俱作风中肝血。留于胁下。以中风疗之。血者皆肝之所主。恶血必归于肝。不
问何经之伤。必留于胁下。盖肝主血故也。痛甚则必自有汗。但人汗出。皆为风症。诸痛皆属
于肝木
一人青肿作痛。以萝卜汁调栀予末敷之。以四物汤加柴胡、黄芩、天花粉、穿山甲。二
剂少愈。更以托里散、健脾药而愈。（此凭症也。）
胸膈胀满宜行血。老弱者宜行气活血。更饮童便酒。肠痛者宜下血。血去多而烦躁者补
血。如不应。独参汤。（四五）瘀肉不溃。或溃而不敛。宜大补气血。
一人杖疮。瘀肉不腐。乃大补之。渐腐。更以托里健脾药而愈。（此凭症也。）
一人风入杖疮。牙关紧急。以玉真散一服少愈。再服而安。
一官谏南巡受杖。瘀血已散。坏肉不溃。用托里药稍溃。脓清。此血气虚也。非大剂参
、不能补彼恐腹满。予强之。饮食稍思。遂加大补。肉溃脓稠而愈。（此凭症也。）
一尝治。被杖数人。皆先散。其瘀血渐用排脓托里之药。俱愈。 夫叫号伤气。忍痛
气血虚明矣。况脾主肌肉。脾气受伤。饮食必减。血一冰则肌肉不生故必理脾脾健肉自生。
非参、术、归、 之类培养脾土。则肌肉何由而生。 又须分人虚实。及有无瘀血。盖打扑
坠堕。皮肉不破。肚腹作疼者。必有瘀血在内。宜复元活血汤（三三）攻之。老弱者。加桃仁
、红花、穿山甲。补而行之。 若血去多而或烦躁。此血虚也。宜独参汤补之。（四五） 有
打扑坠堕稍轻。别无瘀血等症。但只痛不止者。惟和气血。调经脉。其痛自止。更以养气血
健脾胃。无有不效。 亦有痛伤胃气作呕。或不饮食。以四君子加藿香、砂仁、当归治之。
若有瘀血。不先消散。而加补剂。则成实实之祸。设无瘀血。妄行攻利。则致虚虚之祸矣。
一人因杖臀膝俱溃。脓瘀未出。时发昏愦。此脓毒内作也。急开之。昏愦愈盛。此虚也
八珍汤（十四）一服少可。数服死肉自溃。顿取之。用猪蹄汤洗净。以神效当归膏涂贴。再
服十全大补汤。两月而愈。若更投破血之剂。危矣。（此凭症也。）
大抵杖疮。皆瘀血为患。宜速治疗。浅者砭之。深者刺之。更以活血流气药治之。内溃
之。有腐肉取之。以壮胃生血药托之。可保无危。 有伤筋骨而作痛者。以没药降圣丹治之
。若牙关紧急。或腰背反张者。以玉真散治之。并效。
杖疮热血作痛。凉血去瘀血为先。须下鸡鸣散之类。 黄柏 生地黄 紫金皮皆要药
。
膏药 紫金皮 生地黄 黄柏 乳香 没药 大黄之类 又方 大黄 黄柏为末。生地
汁调敷。干则易。
又方 野苎根嫩者。不拘多少。洗净。同盐擂敷。伤重多用盐。效。
尝见覆车压伤者。七人仆地呻吟。一人未苏。俱令以热童便灌之。皆得无事。又曾被重
伤。瞀闷。良久复苏。胸满如筑。气息不通。随饮热童便一碗。胸宽气利。惟小腹作痛。与
复元活血汤（三三）一剂。便血数升许。痛肿悉退。更服养血气药而痊。
大凡损伤。不问壮弱。有无瘀血。俱宜热童便以酒佐之。推陈致新。其功甚大。 若胁
或作痛。或发热烦躁。口干喜冷。饮热童便一瓯。胜服他药。他药虽亦取效。但有无瘀血。
不能尽识。反致误人。惟童便不动脏腑。不伤血气。闻操军或坠马伤者。服之亦佳。又凡肿
痛。或伤损者。以葱捣烂热罨之。尤妙。本草云。葱治伤损。
一人坠马伤头并臂。取葱捣烂。炒热罨患处。以热手熨之。服没药降圣丹（百六）而愈。
一人误伤去小指一节。牙关紧急。腰背反张。人事不知。用玉真散、（百二三）青州白丸
（百八）各一服。未应。此亦药力不能及也。急用蒜捣烂裹患指。以艾灸之。良久觉痛。仍以
白丸子一服。及托里散数服而愈。
夫四肢受患。风邪所袭。遏绝经络者。古人所制淋渍贴 镰刺等法。正为通经络。导引
A person fell from a horse. Pain in both hypochondria (lateral chest areas). After taking two doses of Fuyuan Huoxue Tang (Revitalize the Collaterals to Invigorate Blood Decoction), the pain stopped abruptly. Then, taking two doses of Xiaochaihu Tang (Minor Bupleurum Decoction) added with Danggui (Angelicae Sinensis Radix) and Taoren (Prunus Persica Seed) led to recovery. (This treatment was based on symptoms.)
An elderly person fell from a horse. Abdominal pain. Using Fuyuan Tongqi San (Revitalize the Collaterals to Circulate Qi Powder), administered twice with diluted urine (Tongbian) as a vehicle, resulted in slight improvement. Then, taking four doses of Siwu Tang (Four Substances Decoction) added with Chaihu (Bupleuri Radix), Taoren (Prunus Persica Seed), and Honghua (Carthami Flos) led to recovery. (This treatment was based on symptoms.)
A person suffered a fall. The skin remained intact. Pain in both hypochondria accompanied by fever, dry mouth, and spontaneous sweating. One must first drink a bowl of diluted urine (Tongbian); the vexation and thirst would stop immediately. Then administer Fuxue Tang (Restore Blood Decoction), doubling the dosage of Chaihu (Bupleuri Radix) and Qingpi (Citri Reticulatae Pericarpium Viride) for one dose. The distending pain would completely resolve. Another dose ensured stability. The classic states: Falling from a height causes blood to flow internally, regardless of the twelve meridians. The Sages consider this wind-strike causing liver blood to stagnate under the hypochondria. It is treated using methods for wind-strike. Blood is primarily governed by the Liver; evil blood inevitably returns to the Liver. Regardless of which meridian is injured, blood inevitably stagnates under the hypochondria because the Liver governs blood. Severe pain necessarily leads to sweating. However, sweating in humans is generally considered a wind syndrome. All pains belong to Liver Wood.
A person presented with blue-black swelling and pain. Applied mustard radish juice mixed with Zhizi (Gardeniae Fructus) powder externally. Internally, Siwu Tang (Four Substances Decoction) added with Chaihu (Bupleuri Radix), Huangqin (Scutellariae Radix), Tianhuafen (Trichosanthis Radix), and Chuanshanjia (Manis Squama) was taken. After two doses, there was slight improvement. Then, using Tuoli San (Support the Interior Powder) and spleen-strengthening herbs led to recovery. (This treatment was based on symptoms.)
Distension and fullness in the chest and diaphragm should be treated by promoting blood circulation. For the elderly and weak, promote qi circulation and invigorate blood. Additionally, drink diluted urine (Tongbian) with wine. For intestinal abscesses, purge blood stasis. For those who have lost much blood and present with irritability, tonify blood. If ineffective, use Dushen Tang (Single Ginseng Decoction). (45) For necrotic flesh that does not ulcerate, or ulcerates but fails to heal, strongly tonify qi and blood.
A person with a cane wound (wound from beating) had necrotic flesh that did not rot. Therefore, strong tonification was applied. Gradually, it rotted. Then, using Tuoli Jianpi medicine (Support the Interior and Strengthen Spleen herbs) led to recovery. (This treatment was based on symptoms.)
A person contracted wind pathogen into a cane wound, resulting in trismus (lockjaw). Taking Yuzhen San (Jade True Powder) once brought slight improvement. A second dose ensured stability.
An official received beating for remonstrating against the Emperor's southern tour. The blood stasis had dispersed, but necrotic flesh did not ulcerate. Using interior-supporting herbs caused slight ulceration. The pus was clear. This indicated deficiency of qi and blood. Without large doses of Renshen (Ginseng Radix et Rhizoma), his condition could not be supplemented due to fear of abdominal fullness. I insisted he take it. His appetite slightly returned. Then, strong tonification was increased. The flesh ulcerated, pus became thick, and he recovered. (This treatment was based on symptoms.)
I once treated several people beaten with canes. They all first had their blood stasis dispersed. Subsequently, pus-draining and interior-supporting medicines were gradually used. All recovered. Shouting injures qi; enduring pain indicates qi and blood deficiency, which is clear. Moreover, the Spleen governs muscles. If Spleen qi is injured, dietary intake must decrease. Once blood coagulates/stagnates, muscles do not grow. Therefore, regulating the Spleen is essential. When the Spleen functions well, muscles naturally regenerate. Without cultivating Spleen earth using herbs like Renshen (Ginseng Radix et Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), and Danggui (Angelicae Sinensis Radix), how would muscles arise? One must also differentiate between excess and deficiency patterns, and the presence or absence of blood stasis. Generally, after falls or drops, if the skin and flesh are intact but abdominal pain occurs, there must be internal blood stasis. Fuyuan Huoxue Tang (Revitalize the Collaterals to Invigorate Blood Decoction) (33) should be used to attack it. For the elderly and weak, add Taoren (Prunus Persica Seed), Honghua (Carthami Flos), and Chuanshanjia (Manis Squama). Tonify while moving blood. If blood loss is excessive and irritability occurs, this is blood deficiency. Dushen Tang (Single Ginseng Decoction) (45) should be used to tonify. In cases of mild falls or drops without other blood stasis symptoms, but only persistent pain, harmonizing qi and blood and regulating meridians will naturally stop the pain. Follow up with nourishing qi and blood and strengthening the spleen and stomach; there will be no failure. There are also cases where pain injures Stomach qi causing vomiting or anorexia; these are treated with Sijunzi Tang (Four Gentlemen Decoction) added with Huoxiang (Agastaches Herba), Sharen (Amomi Fructus), and Danggui (Angelicae Sinensis Radix). If blood stasis exists and tonics are added without first dispersing the stasis, it results in the disaster of "excess reinforcing excess." Conversely, if there is no blood stasis but purgatives are recklessly used, it results in the disaster of "deficiency attacking deficiency."
A person had buttock and knee wounds from beating that ulcerated. Pus and stasis had not been discharged, and they frequently experienced fainting/delirium. This was internal action of pus toxin. Urgent opening (drainage) was performed, but the fainting worsened. This indicated deficiency. One dose of Bazhen Tang (Eight Treasures Decoction) (14) brought slight relief. After several doses, dead flesh naturally ulcerated and was removed. Washed with pig trotter soup. Applied Shenxiao Danggui Gao (Miraculous Angelica Ointment). Took Shiquan Dabu Tang (Ten Complete Great Tonifying Decoction). Recovered in two months. If blood-breaking agents were further administered, it would be critical. (This treatment was based on symptoms.)
Generally, cane wounds are caused by blood stasis. Prompt treatment is suitable. Superficial ones should be pricked with bi-shi (stone needles). Deep ones should be pierced with needles. Treat with blood-invigorating and qi-circulating herbs. For internal ulceration, remove necrotic flesh and support with stomach-strengthening and blood-generating herbs to expel toxins. Safety can be ensured. For injuries to sinews and bones causing pain, Moyao Jiangsheng Dan (Myrrh Supreme Sage Pill) is used. For trismus or opisthotonos (backward arching of back), Yuzhen San (Jade True Powder) is used. Both are effective.
For cane wounds with hot blood causing pain, cooling blood and removing stasis is the priority. Medicines like Jiming San (Crowing Rooster Powder) should be taken. Huangbai (Phellodendri Cortex), Shengdihuang (Rehmanniae Radix Recens), and Zijinpi (Broussonetiae Cortex) are essential herbs.
Ointment formula: Zijinpi (Broussonetiae Cortex), Shengdihuang (Rehmanniae Radix Recens), Huangbai (Phellodendri Cortex), Rushxiang (Boswelliae Resina), Moyao (Myrrha Resina), Dahuang (Rhei Radix et Rhizoma), etc. Another prescription: Dahuang (Rhei Radix et Rhizoma) and Huangbai (Phellodendri Cortex) powdered, mixed with Shengdi juice for external application. Change when dry.
Another method: Young wild ramie roots (Yezhu Gen), any amount, washed clean. Pounded together with salt for external application. Use more salt for severe injuries. Effective.
I once saw seven people crushed by a overturned cart lying on the ground groaning. One was unconscious. All were given hot diluted urine (Tongbian) to drink. All were fine. I also encountered someone severely injured, confused and drowsy, reviving after a long time. Chest fullness felt like pounding, breath obstructed. Immediately drinking a bowl of hot diluted urine (Tongbian) relieved chest fullness and unblocked qi. Only lower abdominal pain remained. Given one dose of Fuyuan Huoxue Tang (Revitalize the Collaterals to Invigorate Blood Decoction) (33). Passed several sheng of bloody stool. Swelling and pain completely receded. Took blood-nourishing and qi-regulating herbs and recovered.
Generally, for trauma, regardless of strength or weakness, and regardless of blood stasis, hot diluted urine (Tongbian) assisted with wine is suitable to push out the old and generate the new. Its efficacy is great. If hypochondria hurt, or fever and irritability occur, dry mouth preferring cold drinks, drinking a bowl of hot diluted urine (Tongbian) surpasses other medicines. Although other medicines may also be effective, identifying the presence or absence of blood stasis is not always accurate, potentially leading to misdiagnosis. Diluted urine (Tongbian) does not disturb zang-fu organs nor injure qi and blood. It is said that soldiers exercising or falling from horses benefit greatly from taking it. Also, for any swelling, pain, or trauma, applying pounded scallion (Cong Bai) heated externally is excellent. Materia Medica states: Scallion treats trauma.
A person fell from a horse, injuring head and arm. Scallion was pounded, fried hot, and applied to the affected area, massaged with hot hands. Took Moyao Jiangsheng Dan (Myrrh Supreme Sage Pill) (106) and recovered.
A person accidentally severed a section of the little finger. Trismus, opisthotonos, and unconsciousness occurred. Yuzhen San (Jade True Powder) (123) and Qingzhou Baiwan (Qingzhou White Pills) (108), one dose each, were ineffective. This was also due to medicinal power failing to reach the site. Urgently, garlic was pounded, wrapped around the injured finger, and moxa was applied. After a long time, pain was felt. Still, one dose of Baiwan (White Pills) and several doses of Tuoli San (Support the Interior Powder) led to recovery.
For limb ailments attacked by wind pathogen, obstructing meridians, ancient methods such as washing, soaking, patching, and needle-pricking were created precisely to unblock meridians and guide...