(按症加减)
归尾 川芎 地黄 白芍 益母草 本(各二钱) 乳香(炙) 没药(各二钱五分) 川
续断(三钱) 苏木(一钱五分) 白芷(一钱) 甘草(五分) 生姜(三片) 水煎服。
头顶伤加升麻一钱,肉桂二钱。头骨沉陷加白芷三钱。脑门肿痛加茯苓、白术各二钱。
脑髓出加香附二钱,白附子、苍耳子、牡蛎各一钱。面青懒食腹痛加柴胡、茯苓各一钱五分
,陈皮八分,升麻、半夏、黄 各一钱。破处生蛀,加细辛、青黛、蛇蜕各一钱,蛀即化为
黄水滚出。在脑侧近耳边寒热作痛加丹皮一钱,石枣、泽兰各二钱。目伤出血不止,用人乳
饭内蒸过涂之。如黑睛脱出,用手掌趁热按进,将绢紧紧包住,三日不开。外用生地黄捣烂
,贴退其血,内服主方加木贼草、石决明、菊花各一钱。目眶伤损, 肉脱出,用杏仁去皮
尖嚼细,吐于掌上,趁热以绵裹筋头,按 肉上四、五次,送安目内,再用鲜地肤子汁点之
,自愈。如无鲜者,即浓煎熬膏亦可。(注∶ 肉疑有误)。后以清水调生半夏末,搽六、七
日,眉毛即生。目伤青肿,水调生半夏末涂,立愈。耳伤加磁石一钱。鼻伤加辛夷二钱、
鳖甲三钱。颊伤加独活、细辛各二钱,唇伤加升麻、秦艽各二钱,牛膝三钱。舌伤加石膏二
钱,升麻三钱,用黄芩片贴舌上含之,以断其血。齿伤加独活、细辛、谷精草;血流不止,用灯心紧咬
,立止。左肩伤加青皮二钱。右肩伤加升麻一钱。喉项伤加羌活、独活、谷精草各一钱。手伤
加桂枝、禹余粮各一钱,姜汁五匙。胸伤加川贝三钱,柴胡一钱,枳壳二钱。乳伤加川贝
、百合各二钱,漏芦一钱。胸腹伤,强言乱语加辰砂、茯神各一钱,远志一钱五分,金银箔十
张,复盆子二钱为引。吐黄水加木香、木瓜、扁豆、大茴各一钱,大黄二钱,砂仁十四粒。
左胁伤加白芥子一钱,柴胡一钱五分。右胁伤加白芥子一钱,升麻二钱。腹伤加大腹皮二钱
。如腹破肠出,加黄 、鹿茸各二钱。其肠将手轻轻按入,不可犯指甲。其伤口用柿饼众人
嚼碎填塞,七日全愈。若不便以手按者,用磁石末、滑石粉各二钱,米饮调服,其肠自入。
如不入,将病患卧席上,四角用人拿定举摇,其肠自入。或以小麦煎浓汤,待冷,不令病患
知,含 其背,渐渐自入。不令与人相见,并止旁人说话。腹破脂膜出,用铜刀割去,伤
口用竹刀夹住,十日自愈。肠入后,食羊肾粥十日,不可大饱。若伤口燥裂,以热鸡血涂之。
腹伤倒KT 者,将病患横卧被上,被四角用人拿定扛悬,一头提起,一头放下,彼此下上,
令病患左右旋转数次,其KT 即归原处矣。小腹伤加小茴一钱,槐花二钱。背伤加香附、木香
各一钱,羌活一钱五分。腰伤加木鳖子一个,杜仲、牛蒡子、破故纸、小茴、白芷各一钱,大
茴八分,巴戟二钱。臀伤加白蜡、自然铜各二钱。肾囊破,睾丸跌出,血筋未断者,将手轻
轻托入。用桑白皮取丝成线,以针缝合其皮,外用生肌散涂之。如睾丸坠地,无血筋相连,
取起捣碎,早米饭捣糊为丸,空心黄柏汤送下,伤口仍用上法缝之,三、五日如旧。寒热发
搐,切牙唇口牵动加天麻、升麻各一钱,柴胡八分。囊肿痛不愈,饮食少思加人参、白术、
柴胡各一钱。两足腿伤加牛膝二钱,木瓜、苡仁、五加皮、槟榔、石斛、苏梗各一钱。伤口作
痒加干葛一钱,防风、荆芥、连翘壳各一钱五分,赤芍二钱。血出多瘦弱加人参、麦冬各一
钱。烦躁不止加柴胡五分,丹皮一钱。面黑喘急加人参五分,苏梗一钱。脓出、口噤流涎加
人参三钱,柴胡、升麻各一钱。脓出不干加滑石、苍术各一钱,白术一钱五分。手足微搐,
眉目微动加钩藤、柴胡各一钱。手撒目闭,汗出如雨加人参一两,附子五钱。眼开能言,气不相
接加人参、黄 、白术各一钱。
(Add or subtract ingredients according to symptoms)
Dangguiwei (Radix Angelicae Sinensis Caudex), Chuanxiong (Rhizoma Chuanxiong), Dihuang (Radix Rehmanniae Preparata), Baishao (Radix Paeoniae Alba), Yimucao (Herba Leonuri), Gaoben (Radix Ligustici Wallichii) (each 2 qian), Ruxiang (Frankincense, roasted), Moyao (Myrrh) (each 2.5 qian), Chuanxuduan (Caulis Dipsaci) (3 qian), Sumu (Lignum Sappan) (1.5 qian), Baizhi (Radix Angelicae Dahuricae) (1 qian), Gancao (Radix Glycyrrhizae Uralensis) (0.5 qian), Shengjiang (Rhizoma Zingiberis Recens) (3 slices), decocted in water and taken orally.
For injuries to the top of the head, add Shengma (Rhizoma Cimicifugae) 1 qian, Rougui (Cortex Cinnamomi) 2 qian. For depressed skull fractures, add Baizhi 3 qian. For swelling and pain on the forehead, add Fuling (Poria) and Baizhu (Rhizoma Atractylodis Macrocephalae) each 2 qian. For extrusion of brain matter, add Xiangfu (Rhizoma Cyperi) 2 qian, Baifuzi (Rhizoma Typhonii Flagelliformis), Can'erzi (Fructus Xanthii), and Muli (Concha Ostreae) each 1 qian. For blue complexion, poor appetite, and abdominal pain, add Chaihu (Radix Bupleuri) and Fuling each 1.5 qian, Chenpi (Pericarpium Citri Reticulatae) 0.8 qian, Shengma, Banxia (Rhizoma Pinelliae Preparata), and Huangqin (Radix Scutellariae) each 1 qian. For maggots growing in wounds, add Xixin (Radix et Rhizoma Asari), Qingdai (Indigo Naturalis), and Shedui (Exuvias Bombycis) each 1 qian; the maggots will turn into yellow fluid and discharge. For cold-heat alternating with pain near the ear on the side of the head, add Danpi (Cortex Moutan) 1 qian, Shizao (unknown, possibly a local name) and Zelan (Herba Lycopi) each 2 qian. For uncontrollable bleeding from eye injury, apply human milk steamed with rice. If the cornea protrudes, press it back gently with the palm while warm, wrap tightly with silk gauze, and do not open for three days. Externally, apply mashed fresh Dihuang to reduce blood stasis; internally, take the main formula with Muzeicao (Herba Equiseti), Shijueming (Concha Haliotidis), and Juhua (Flos Chrysanthemi) each 1 qian. For orbital injury with muscle prolapse, chew peeled almond kernels without tips, spit into the palm, wrap the tendon tip with cotton wool while warm, press onto the prolapsed muscle four or five times, and return it to the eye; then apply juice from fresh Difuzi (Fructus Kochiae) to cure spontaneously. If fresh Difuzi is unavailable, a concentrated paste can be used. (Note: The character "rou" [flesh] here is suspected to be an error). Afterwards, apply raw Banxia powder mixed with water for six or seven days to regrow eyebrows. For bruising and swelling of the eyes, apply raw Banxia powder mixed with water for immediate cure. For ear injury, add Cishi (Magnetitum) 1 qian. For nasal injury, add Xinyi (Flos Magnoliae Biondii) 2 qian, Biejia (Carapax et Plastrum Testudinis) 3 qian. For cheek injury, add Duohuo (Radix Angelicae Pubescentis) and Xixin each 2 qian; for lip injury, add Shengma, Qinjiao (Radix Gentianae Macrophyllae) each 2 qian, and Niuxi (Radix Achyranthis Bidentatae) 3 qian. For tongue injury, add Shigao (Gypsum Fibrosum) 2 qian, Shengma 3 qian, and hold Huangqin slice against the tongue to stop bleeding. For tooth injury, add Duohuo, Xixin, and Gujingcao (Flos Centipeda Minima); for unceasing bleeding, bite firmly on Dengxincao (Medulla Junci) to stop it immediately. For left shoulder injury, add Qingpi (Pericarpium Citri Reticulatae Viride) 2 qian. For right shoulder injury, add Shengma 1 qian. For throat and neck injury, add Qianghuo (Rhizoma Notopterygii), Duohuo, and Gujingcao each 1 qian. For hand injury, add Guizhi (Ramulus Cinnamomi), Yuyuliang (Haematites) each 1 qian, and Jiangzhi (Jucius Zingiberis Recens) 5 spoons. For chest injury, add Chuanbei (Bulbus Fritillariae Cirrhosae) 3 qian, Chaihu 1 qian, Zhike (Fructus Aurantii) 2 qian. For breast injury, add Chuanbei, Baihe (Bulbus Lilii) each 2 qian, Loulu (Radix Euphorbiae Humifusa) 1 qian. For chest and abdominal injury with delirious speech, add Chen sha (Cinnabaris), Fushen (Poria cum Radix Pini) each 1 qian, Yuanzhi (Radix Polygalae) 1.5 qian, Jin yin bo (Gold and Silver Foil) 10 sheets, and Fupenzi (Fructus Rubi) 2 qian as a guide. For vomiting yellow fluid, add Muxiang (Radix Aucklandiae), Mugua (Fructus Chaenomelis), Bidou (Semen Dolichoris), and Da huixiang (Fructus Anisi Stellati) each 1 qian, Dahuang (Radix et Rhizoma Rhei) 2 qian, and Renkou (Fructus Amomi Rotundus) 14 grains. For left hypochondriac injury, add Baijiezi (Semen Sinapis Albae) 1 qian, Chaihu 1.5 qian. For right hypochondriac injury, add Baijiezi 1 qian, Shengma 2 qian. For abdominal injury, add Dafupi (Pericarpium Arecae) 2 qian. If the abdomen is ruptured with intestines protruding, add Huangqi (Radix Astragali) and Lurong (Cornu Cervi Pantotrichum) each 2 qian. Gently press the intestines back with hands, avoiding fingernails. Fill the wound with chewed persimmon cake by multiple people; heal completely in seven days. If manual reduction is不便 (inconvenient), administer Cishi powder and Huashi (Talcum) each 2 qian mixed in rice gruel; the intestines will return naturally. If they do not return, lay the patient on a mat, lift and shake the four corners held by four people until the intestines return. Alternatively, boil wheat into a thick decoction, let it cool, and secretly have the patient swallow it from behind; the intestines will gradually return. Do not allow visitors and silence bystanders. If abdominal fat membrane protrudes, cut it off with a copper knife, clamp the wound with a bamboo knife, and heal spontaneously in ten days. After intestinal reduction, eat lamb kidney porridge for ten days, avoid overeating. If the wound is dry and cracked, apply hot chicken blood. For abdominal organ displacement/torsion, lay the patient horizontally on a quilt, suspend the four corners held by four people, lift one end and lower the other, alternating up and down, rotating the patient left and right several times until the organs return to their original position. For lower abdominal injury, add Xiao huixiang (Fructus Foeniculi) 1 qian, Huaihua (Flos Sophorae Immaturus) 2 qian. For back injury, add Xiangfu, Muxiang each 1 qian, Qianghuo 1.5 qian. For waist injury, add Mubiezi (Semen Momordicae) 1 piece, Duzhong (Cortex Eucommiae), Niubangzi (Fructus Arctii), Poguzhi (Fructus Psoraleae), Xiao huixiang, Baizhi each 1 qian, Da huixiang 0.8 qian, Bajitian (Radix Morindae Officinalis) 2 qian. For buttock injury, add Bairla (Cera Flava), Ziran tong (Calamina) each 2 qian. For ruptured scrotum with testicular prolapse where blood vessels are intact, gently support them back with hands. Use silk threads from Sangbaipi (Cortex Mori) to suture the skin with a needle, and externally apply Shengji San (Regenerate Flesh Powder). If the testicle falls to the ground with no blood vessel connection, pick it up, mash it, form pills with early rice paste, and take with Huangbai (Cortex Phellodendri) decoction on an empty stomach; suture the wound as above, recovering in three to five days. For cold-heat with convulsions, teeth grinding, and lip twitching, add Tianma (Rhizoma Gastrodiae), Shengma each 1 qian, Chaihu 0.8 qian. For persistent cyst pain and loss of appetite, add Renshen (Radix Ginseng), Baizhu, Chaihu each 1 qian. For leg and foot injuries, add Niuxi 2 qian, Mugua, Yiren (Semen Coicis), Wujia pi (Cortex Acanthopanacis), Binglang (Semen Arecae), Shihu (Caulis Dendrobii), Sugeng (Caulis Perillae) each 1 qian. For itchy wounds, add Gange (Radix Puerariae Lobatae) 1 qian, Fangfeng (Radix Saposhnikoviae), Jingjie (Herba Schizonepetae), Lianqiao qiao (Fructus Forsythiae) each 1.5 qian, Chishao (Radix Paeoniae Rubra) 2 qian. For emaciation due to excessive bleeding, add Renshen, Maidong (Radix Ophiopogonis) each 1 qian. For incessant irritability, add Chaihu 0.5 qian, Danpi 1 qian. For dark complexion and rapid breathing, add Renshen 0.5 qian, Sugeng 1 qian. For pus discharge, trismus, and salivation, add Renshen 3 qian, Chaihu, Shengma each 1 qian. For non-drying pus, add Huashi, Cangzhu (Rhizoma Atractylodis Chinensis) each 1 qian, Baizhu 1.5 qian. For slight convulsions of hands and feet, slight movement of eyebrows and eyes, add Gouteng (Uncariae Ramulus cum Uncis), Chaihu each 1 qian. For flaccid hands, closed eyes, and profuse sweating, add Renshen 1 liang, Fuzi (Radix Aconiti Lateralis Preparata) 5 qian. For open eyes, ability to speak, but disconnected qi pulse, add Renshen, Huangqi, Baizhu each 1 qian.