（附论）
夫金刃所中。至于筋骨。所伤深矣。然折骨绝筋。亦可接续。要在乘血气未寒。急施治
法。若不乘热。则风冷易入。疮纵暂愈。后必不仁。亦致痛烦而终身不完。至于小碎之骨。
即当出之。不尔、则脓血不绝。肌亦不敛矣。
夫金疮始伤之时。半伤其筋。荣卫不通。其疮难愈。以后令不仁也。若被创截断诸解身
躯肘中。及腕膝髀若踝际。亦可连续。须在急及热疗之。其血气未寒。碎骨不去。令人痛烦。
脓
方
续断散
治金疮伤中筋骨。
续断 生地黄（焙） 地榆 芍药 蛇衔 甘草（炙锉） 当归（切焙） 芎 附子
（炮裂去皮
辛（去苗叶一两）
口者炒出汗半两） 上为散
骨碎补丸
治一切金刃伤。及筋骨风冷。所中疼痛。
骨碎补（炙去毛三两） 败龟（醋炙） 虎骨（酒炙） 泽兰叶 白薇（各一两） 山
芋（一两） 自
（切焙三分） 熟干地黄
裂去皮脐各一两） 肉豆蔻（去壳
温酒下。欲作散每服一钱匕。温酒
杜蘅散
治金疮筋骨断。令续。
杜蘅 生干地黄（各二两半） 蛇衔草 地榆（各二两锉） 干姜（炮裂半两） 川椒
（去目及合口煮令汗出） 桂心（各半两） 当归（锉微炒） 芎 赤芍药（各一两半） 肉
苁蓉（酒浸一宿
皮脐各一两） 上为细
葛叶散
治金疮续筋骨。敛血止痛。
葛叶 地松苗 续断 锻石末 旋复花 地黄（生用） 益母草 麦门冬（去心各五两）
上捣
麒麟竭散
治刀箭伤筋断骨。止痛定血辟风。
麒麟竭 白芨（各半两） 黄柏（锉） 甘草（炙微赤锉） 白芷 白芍 当归（锉微
炒） 密陀僧
败弩箭散（即地黄散）
治金刃弓弩所中。筋急不得屈伸。
败弩箭（烧作灰） 秦艽（去苗洗净土） 熟干地黄（焙各半两） 附子（焙裂去皮脐
一两） 大枣
为散。每服二钱匕。
没药散
治金疮伤筋骨。疼痛。
没药（一两） 当归（锉微炒） 地龙（微炒） 自然铜（细研各三分） 肉桂（去粗
皮） 川乌头（
酒调下一钱。
地松苗散
治金刃伤筋骨。止血生肌。
地松苗 锻石末 旋复苗 葛叶 青蒿苗 麦门冬苗（各五两） 上除锻石外。切碎捣
绞取汁
骨碎补散
治金疮伤筋骨。疼痛不可忍。
骨碎补（去毛麸炒微黄） 自然铜（细研） 虎胫骨（涂酥炙令黄） 败龟（涂酥炙微
黄各半两）
盏下之。日三四
催潮散
治针铁箭头等锋刃气。入皮肉筋骨害人。不能出。
天南星 半夏（生各一两） 上为细末。每服一钱。热酒调下。先嚼生姜少许。后嚼生
姜少许
槟榔散
治金疮 筋破骨。并血不止。
槟榔（锉） 黄连（去须并生用） 上等分。捣罗为散。干敷之疮上。如疮口干。用香
油润疮口
续骨妙方
用马兰草花叶去根。以五月五日采取。阴干为细末。酒调服。立效。
治金疮续筋骨。
又方（出肘后方）
用锻石细筛。以麻油和之。作丸如栝蒌许大。以炭火烧赤。放冷捣筛为末。又以油和烧。
凡如此十遍。为细散敷疮。神效。
又方（出圣济总录）
取葵菜根烂捣。敷之立瘥。
治金疮续筋断骨令还续方（出圣惠方）
多取蟹头黄。及脑并足中肉熬末。纳疮内。
治伤断筋骨续筋方（出圣惠方）
取旋复根捣汁。滴疮中。仍用渣敷疮上封之。十五日即筋骨便续。更不用易。
(Attached Discussion)
Injuries caused by metal blades affecting the sinews and bones are deeply damaging. However, even if bones are fractured and sinews severed, they can be reconnected. The key lies in applying treatment urgently while the vital qi and blood have not yet cooled. If treatment is not applied while warm, wind-cold pathogens may easily invade. Even if the wound temporarily heals, it will inevitably lead to numbness later on, causing pain and irritability, resulting in lifelong disability. As for small fragmented bones, they should be removed; otherwise, pus and blood will flow incessantly, and the flesh will fail to heal.
At the initial stage of a metal injury, if the sinews are partially damaged, causing the obstruction of Ying (Nutritive) and Wei (Defensive) qi circulation, the wound will be difficult to heal, leading to subsequent numbness. If the trunk, elbows, wrists, knees, thighs, or ankles are severed, they can also be reconnected. This must be done urgently while the area is still warm. If the vital qi and blood cool down and fragmented bones are not removed, it causes pain, irritability, and continuous pus discharge.
Formulas:
Xuduan San (Dipsacus Powder)
Treats metal injuries damaging sinews and bones.
Ingredients: Xuduan (Radix Dipsaci), Sheng Dihuang (Fried Radix Rehmanniae), Diyü (Radix Sanguisorbae), Shaoyao (Radix Paeoniae Alba/Rubra), Sheyancao (Herba Siegesbeckiae), Gancao (Fried Radix Glycyrrhizae), Danggui (Sliced and Fried Radix Angelicae Sinensis), Xiong (Rhizoma Chuanxiong), Fuzi (Pao Lie, peeled and umbilicus removed).
Usage: Grind into powder.
Gusuibu Wan (Drynaria Pill)
Treats all kinds of metal blade injuries, as well as pain caused by wind-cold invading sinews and bones.
Ingredients: Gusuibu (Fried, hairs removed, 3 liang), Baigui (Vinegar-fried Tortoise Shell), Hugu (Wine-fried Tiger Bone), Zelan Ye (Folium Lycopi), Baiwei (1 liang each), Shanyu (1 liang), [Missing Character] (Sliced and fried, 3 fen), Shu Gan Dihuang (Pao Lie, peeled and umbilicus removed, 1 liang each), Roudoukou (Shell removed).
Usage: Take with warm wine. If prepared as powder, take one qian bi per dose with warm wine.
Duheng San (Duheng Powder)
Treats metal injuries causing sinew and bone severance, promoting reconnection.
Ingredients: Duheng (2.5 liang each), Sheng Gan Dihuang (2.5 liang each), Sheyan Cao (2 liang cut), Diyü (2 liang cut), Ganjiang (Pao Lie, 0.5 liang), Chuanjiao (Remove eyes and closed-mouth ones, boil until sweat appears), Guixin (0.5 liang each), Danggui (Cut and slightly fried), Xiong (1.5 liang each), Chishao Yao (1.5 liang each), Rongcongrou (Soaked in wine overnight).
Usage: Grind into fine powder.
Ge Ye San (Kudzu Leaf Powder)
Treats metal injuries to reconnect sinews and bones, stop bleeding, and relieve pain.
Ingredients: Ge Ye (5 liang each), Disong Miao (5 liang each), Xuduan (5 liang each), Duanshi Mo (Powdered Iron Ore), Xuanfu Hua (5 liang each), Dihuang (Raw use), Yimucao (5 liang each), Maidong (Heart removed, 5 liang each).
Usage: Pound the ingredients.
Qilinjie San (Dragon's Blood Powder)
Treats knife and arrow wounds causing sinew and bone severance, relieving pain, stabilizing blood, and repelling wind.
Ingredients: Qilinjie (0.5 liang each), Baiji (0.5 liang each), Huangbai (Cut), Gancao (Fried slightly red and cut), Baizhi (0.5 liang each), Baishao (0.5 liang each), Danggui (Cut and slightly fried), Mituoseng (0.5 liang each).
Bainujian San (Broken Crossbow Bolt Powder, i.e., Dihuang San)
Treats injuries from metal blades, bows, and crossbows, causing sinew stiffness and inability to flex or extend.
Ingredients: Bainujian (Burned to ash), Qinjiao (Remove sprouts, wash clean of soil), Shu Gan Dihuang (Fried, 0.5 liang each), Fuzi (Fried, cracked, peel and umbilicus removed, 1 liang), Dazao.
Usage: Grind into powder. Take two qian bi per dose.
Moyao San (Myrrh Powder)
Treats metal injuries damaging sinews and bones, causing pain.
Ingredients: Moyao (1 liang), Danggui (Cut and slightly fried), Dilong (Slightly fried), Ziran Tong (Finely ground, 3 fen each), Rougui (Remove coarse bark), Chuan Wutou (...).
Usage: Mix with wine and take one qian.
Disong Miao San (Disong Seedling Powder)
Treats metal blade injuries to sinews and bones, stopping bleeding and generating flesh.
Ingredients: Disong Miao, Duanshi Mo, Xuanfu Miao, Ge Ye, Qinghao Miao, Maidong Miao (5 liang each).
Usage: Except for Duanshi, chop the other ingredients finely, pound, and squeeze out the juice.
Gusuibu San (Drynaria Powder)
Treats metal injuries to sinews and bones, causing unbearable pain.
Ingredients: Gusuibu (Remove hairs, stir-fry with bran until slightly yellow), Ziran Tong (Finely ground), Hu Jinggu (Coated with butter, roasted until yellow), Baigui (Coated with butter, roasted until slightly yellow, 0.5 liang each).
Usage: ... under a cup, three to four times a day.
Chaochao San (Inducing Tide Powder)
Treats the toxic qi of needles, iron arrowheads, and other sharp objects entering the skin, flesh, sinews, and bones, preventing their expulsion.
Ingredients: Tiannanxing, Banxia (Raw, 1 liang each).
Usage: Grind into fine powder. Take one qian per dose with hot wine. Chew a little fresh ginger first, then chew a little more fresh ginger.
Binglang San (Betel Nut Powder)
Treats metal injuries causing torn sinews, exposed bones, and unceasing bleeding.
Ingredients: Binglang (Cut), Huanglian (Remove whiskers, raw use).
Usage: Equal parts, grind and sieve into powder. Apply dry powder to the wound. If the wound is dry, moisten it with sesame oil.
Xugu Miao Fang (Wonderful Formula for Reconnecting Bones)
Use the flowers and leaves of Malan Cao (Kalimeris indica), remove roots, harvest on the fifth day of the fifth lunar month, dry in shade, and grind into fine powder. Take with wine for immediate effect.
Treats metal injuries to reconnect sinews and bones.
Another Prescription (From *Zhouhou Beiji Fang*)
Sift Duanshi finely, mix with hemp seed oil, and form pills the size of Trichosanthes fruit. Roast over charcoal until red, cool, grind and sieve into powder. Repeat mixing with oil and roasting ten times. Apply the fine powder to the wound for miraculous efficacy.
Another Prescription (From *Shengji Zonglu*)
Take the root of Kuaicai (Malva verticillata), pound thoroughly, and apply to the site for immediate recovery.
Formula for Healing Metal Injuries, Reconnecting Severed Sinews and Bones (From *Shenghui Fang*)
Collect large amounts of crab head yellow matter, crab brain, and meat from the legs, roast into powder, and insert into the wound.
Formula for Healing Broken Sinews and Bones to Restore Connection (From *Shenghui Fang*)
Take the root of Xuanfu (Inula japonica), pound to extract juice, drip into the wound, and cover with the residue. Seal it. After fifteen days, the sinews and bones will reconnect, requiring no further changes.