凡药皆凭汤使，所使方先但用清心药煎，后用童便一盏同服，或止痛，重伤者则用姜汤
灯心汤，调二十五味药服之，薄荷汤亦可。
凡伤或刀伤，及损五内腑，恐作烦闷崩血之患。如折骨者，用姜酒服接骨药，敷之。如
骨碎，被重打重 ，重木及石压者，皆用先服汤使法，并不用酒服。如轻 扑损伤，则用姜
汤调下二十五味药，立效。
治从高坠下，恶血流于胁下，疼痛不可忍。
大黄（酒浸，五钱） 柴胡 当归（各二钱） 桃仁（五十个，研如泥） 红花（半钱）
天花粉 穿山甲（炮） 甘草（各一钱）
上作一服，用水一盅，酒半盅，煎至八分，食前服。
治坠马落车，及打伤折伤。
当归 川芎（各七钱） 附子（炮，去皮脐） 泽兰（炒，各一两） 桂心（四钱） 蜀
椒（三钱） 甘草（炙，五钱）
上为细末，每服二钱，食前用温酒调服，日三服，忌海藻菘菜生葱冷水。
治打扑伤损，痛不可忍者。
没药（别研） 乳香（别研） 肉桂（去皮） 当归（焙） 白芷 甘草（炒，各一两）
白术（炒，五两）
上为细末研匀，每服二钱，不拘时温酒调服。
治 扑损伤，骨碎骨折，筋断刺痛，不问轻重，并皆治之。
香白芷（醋炒） 紫金皮（醋炒） 刘寄奴 川当归（盐炒） 赤芍药（米泔浸） 黑
牵牛 川牛膝（茶水浸） 生地黄（盐水浸，炒） 川芎 乳香 没药 破故纸（醋炒） 木
通自然铜（骨不碎不用，临好时用） 草乌（醋炒，孕妇不用） 木香 川乌（火煨，孕
妇不用） 藿香 骨碎补 木贼 官桂 羌活 独活（以上各一两） 熟地黄（盐水炒） 杜
牛膝（茶水炒，各半两）
金刀伤挫臼者，去自然铜，骨碎骨折者用之。然须于此方内去自然铜，临好时却入用之
，如早服以成他疾。同研为末，用蜜为丸，如弹子大，用黄丹为衣，或被 扑损伤，金刀
箭镞，不问轻重，每服一丸，温酒磨化服，或细嚼酒送下。如被刀伤全断，内损重者，以薄
荷汤或木瓜汤姜汤灯心汤皆可服。病在上食后，病在下食前，在中者不拘时服。
All medicines rely on decoction vehicles (adjuvants that guide medicinal power to the disease site) for their action. The prescribed decoction vehicle should first be prepared by boiling heart-clearing herbs, then taken together with one cup of urine from an uncircumcised boy, or used for pain relief; in cases of severe injury, ginger decoction or Jiaxin Tang (Decoction of Centella Asiatica Herb) should be used to mix and administer the Twenty-Five Ingredient Medicine. Bohe Tang (Peppermint Decoction) is also acceptable.
In cases of external trauma or knife wounds, as well as injuries to the five zang and six fu organs, there is a risk of developing symptoms such as vexation, oppression, and sudden profuse bleeding. If bones are fractured, bone-setting medicine should be taken with ginger-wine and applied externally. If bones are shattered due to heavy blows, crushing by heavy wood, or stones, the aforementioned decoction vehicle method should be used first, and wine should not be used as a vehicle. For mild sprains or contusions, the Twenty-Five Ingredient Medicine should be taken mixed with ginger decoction, yielding immediate effects.
Treatment for falling from a height, where evil blood flows into the hypochondrium causing unbearable pain:
Dahuang (Rhei Radix et Rhizoma, soaked in wine, 5 qian), Chaihu (Bupleuri Radix), Danggui (Angelicae Sinensis Radix, each 2 qian), Taoren (Persicae Semen, 50 seeds, ground into paste), Honghua (Carthami Flos, half qian), Tianhuafen (Trichosanthis Radix), Chuanshanjia (Manis Squama, processed), Gancao (Glycyrrhizae Radix et Rhizoma, each 1 qian).
Combine these as one dose, add one zhong of water and half a zhong of wine, boil until reduced to eight-tenths, and take before meals.
Treatment for falling from horses or carts, and injuries or fractures caused by beating:
Danggui (Angelicae Sinensis Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma, each 7 qian), Fuzi (Aconiti Lateralis Radix Praeparata, processed, skin and umbilicus removed), Zelan (Leonuri Herba, stir-fried, each 1 liang), Guixin (Cinnamomi Ramulus, 4 qian), Shujiao (Zanthoxyli Pericarpium, 3 qian), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, 5 qian).
Grind into fine powder. Take 2 qian per dose, mixed with warm wine before meals, three times daily. Avoid consuming Haizao (Sargassum Herba), Songcai (Brassica pekinensis), raw scallions, and cold water.
Treatment for contusions and injuries with unbearable pain:
Moyao (Myrrha Resina, ground separately), Ruxiang (Olibanum Resina, ground separately), Rougui (Cinnamomi Cortex, bark removed), Danggui (Angelicae Sinensis Radix, baked), Baizhi (Angelicae Dahuricae Radix), Gancao (Glycyrrhizae Radix et Rhizoma, stir-fried, each 1 liang), Baizhu (Atractylodis Macrocephalae Rhizoma, stir-fried, 5 liang).
Grind into a uniform fine powder. Take 2 qian per dose at any time, mixed with warm wine.
Treatment for contusions, bone shattering and fractures, tendon ruptures with stabbing pain, regardless of severity:
Xiang Baizhi (Angelicae Dahuricae Radix, stir-fried with vinegar), Zijinpi (Phellodendri Amurensis Cortex, stir-fried with vinegar), Liuji Nu (Artemisiae annuae Herba), Chuan Danggui (Angelicae Sinensis Radix, salt-stir-fried), Chi Shaoyao (Paeoniae Radix Rubra, soaked in rice wash water), Hei Qianniu (Pharbitidis Semen), Chuan Niuxi (Achyranthis Bidentatae Radix, soaked in tea water), Sheng Dihuang (Rehmanniae Radix, soaked in salt water, stir-fried), Chuanxiong (Ligustici Chuanxiong Rhizoma), Ruxiang (Olibanum Resina), Moyao (Myrrha Resina), Po Gu Zhi (Psoraleae Fructus, stir-fried with vinegar), Mutong (Akebiae Caulis), Ziran Tong (Pyritum, do not use if bones are not shattered; use only when nearing recovery), Caowu (Aconiti Kusnezoffii Radix, stir-fried with vinegar, contraindicated in pregnancy), Muxiang (Aucklandiae Radix), Chuanwu (Aconiti Radix, fire-roasted, contraindicated in pregnancy), Huoxiang (Agastaches Herba), Gusuibu (Drynariae Rhizoma), Muzei (Equiseti Herba), Guanzi Gui (Cinnamomi Ramulus), Qianghuo (Notopterygii Rhizoma et Radix), Duhuo (Angelicae Pubescentis Radix, above ingredients each 1 liang), Shu Dihuang (Rehmanniae Radix Preparata, salt-stir-fried), Du Niuxi (Cyathulae Radix, tea-water-stir-fried, each half liang).
For golden blade injuries and dislocations, remove Ziran Tong (Pyritum); for bone shattering and fractures, include it. However, Ziran Tong must be excluded from this formula initially and added only when nearing recovery; taking it early may cause other ailments. Grind all together into fine powder, form pills with honey the size of a bullet, coat with Huangdan (Lead Monoxide). For contusions, golden blade wounds, or arrowhead injuries, regardless of severity, take one pill per dose, dissolve in warm wine and ingest, or chew thoroughly and swallow with wine. For complete severance by blades or severe internal injuries, Menghe Tang (Peppermint Decothesis), Mugua Tang (Chaenomeles Decoction), Jiang Tang (Ginger Decoction), or Jiaxin Tang (Decoction of Centella Asiatica Herb) can be used as vehicles. If the disease is located in the upper body, take after meals; if in the lower body, take before meals; if in the middle, take at any time.