用芫花一握，洗净，入木臼捣烂，加少水绞汁，于石器中熳火煎成膏，将丝线于膏
内度过，晾干。以线系痔，当微痛，候痔干落，以纸捻蘸膏纳窍内去根，当永除根也。一方
只捣汁浸线一夜用，不得使水。
枯痔水澄膏（二百三十） 治痔护肉。
郁金 白芨（各一两） 一方加黄连。
上二味为细末。如患内痔，候登厕时翻出在外，用温汤洗净，侧卧于床，其痔即出。
用蜜水调药得中，以篦篾涂谷道四边好肉上，留痔在外，以纸盖药上良久，然后用后枯药搽
痔上，仍用笔醮温水于纸上润之，勿令药干及四散。
好白矾（四两） 生信石（二钱半） 朱砂（一钱，研极细）
上各研为细末；先将砒入紫泥罐底，次将矾末盖之，用火 令烟尽，其砒尽从烟去，
止借砒气于矾内耳；将矾为极细末，看痔头大小，置矾末于掌中，乃入朱砂少许。以唾调稀，
用蓖篾涂痔上周遍，一日三上，看痔头颜色焦黑为效。至夜有黄水出，切勿他疑，水尽为妙。
至中夜，上药一遍，来夜依然上药三次，有小痛
不妨。换药时以碗盛温汤，用笔轻洗去旧药，更上新药，仍用护肉药，间用荆芥汤洗之。三
两日之后，黄水出将尽，可于药中堵朱砂，减白矾，则药力即缓？三两日即可增减，渐渐取之，
庶不惊人。全在看色增减，敷药浓薄，方是合法。此药只是借砒信之气，又有朱砂能以解之。
一方士将此二方在京治人多效，致富。一富商以百金求得之，录于予，予虽未用，传人无不
言效。但枯药则赵宜真炼师已刊于《青囊杂纂》，如神。
《千金方》则未见刊传。大抵今人言能取痔者，皆此方也。其有气血虚或挟内邪者，还当
兼治其内，庶不有失。
如神千金方治痔无有不效。
好信石（黄明者三钱打如豆粒） 明白矾（一两，为末） 好黄丹（飞砂，五钱） 蝎梢（七个，洗净，
瓦上焙干为末） 草乌（光实者，去皮生研，五钱）
上用紫泥罐先将炭火 红放冷拭净，先下明矾烧令沸；次下信入矾内拌匀，文武火 ，
候沸再搅匀，次看罐通红烟起为度，将罐掇下，待冷取研为末，方入黄丹、草乌、蝎梢三味，
再同研极细，以瓷罐收贮。如欲敷药，先煎甘草汤或葱椒汤洗净患处，然后用生麻油调前药，
以鹅毛扫药痔上，每日敷药三次，必去黄水如胶汁，则痔头渐消。其年远者，不出十日可取尽，
日近者俱化为黄水。连根去净，更搽生肌之药。凡五痔皆可去之。此乃临安曹五方，为高宗取
痔得效，后封曹官至察使。
《秘传》正骨丹（二三二） 治跌打损伤，骨折血瘀，而伤之重者，用此可续筋骨。
降真香 乳香 没药 苏木 松节 自然铜（醋 七次） 川乌（炮） 真血竭（各一两）
地龙（去土，酒浸烘干） 生龙骨（各一钱） 土狗（十个，浸油内死，烘干）
上十二味，共重八两八钱，同为末。每服五钱，随病上下酒调服。觉药自顶门而至遍身，
搜至病所，则飒飒有声，而筋骨渐愈，病患自知之。服药后仍服人参、白术、黄 、当归、
川芎、肉桂、甘草、白芷、浓朴以调补元气。
（《本事》）接骨方 治打折损伤。
接骨木（半两） 乳香（半两） 当归 赤芍药 川芎 自然铜（炒，醋粹，各一两）
上为末，用黄蜡四两，溶化入前药搅匀，众手丸，龙眼大。如打伤筋骨及闪痛不堪忍者，
用一丸，热酒浸开，乘热饮之，痛即上。
没药降圣丹（二三四） 治趺打损伤，接续筋骨。
当归（酒炒） 白芍药 川芎 生地黄 苏木 川乌头（炮，去脐） 骨碎补（炙）
乳香（另研） 没药（另研） 自然铜（火 ，醋淬十次，为末，各一两）
上为末，生姜汁共蜜和丸，每一两作四丸。每服一丸，用水酒各半盏，煎至八分，空心
热服。立斋曰∶脾主肉，肝主筋。若肝脾气血亏损，或血虚有热而不愈者，当求其本而治之。
十味没药丸（二三五） 治打扑损伤，筋骨疼痛，或气逆血晕，或瘀血内停，肚腹作
痛，或胸胀闷。
没药 乳香 川芎 川椒 当归 芍药 红花 桃仁 血竭（各一两） 自然铜（四钱，火 七次，
醋淬）
上为末，同黄蜡四两溶化，入前末，速搅匀，众手丸，弹子大。每服一丸，酒化下。立斋曰∶
按接骨散、没药丸，惟元气无亏者宜用，若肾气素怯或高年虚弱者，必用地黄丸，或补中益气
汤以固根本为善。
花蕊石散（二三六） 治打扑损伤，腹中瘀血，胀痛欲死，服之血化为水，其功不能尽述。
硫黄（明者四两） 花蕊石（一两）
上为末，和匀，先用纸筋和盐泥固剂瓦罐一个，候干入药，再用泥封口，安在砖上，虚书
八卦方位，用炭三十斤 之，候罐冷取出。每服一钱，童便调下。立斋曰∶前方若被伤已甚，
元气亏损，内有瘀血，不胜疏导者，用前药一服，其血内化，又不动脏腑，甚妙，甚妙。
黑丸子（二三七） 一名和血定痛散。治跌打损伤，筋骨疼痛，或瘀血壅肿，或外感
风寒，肢体作痛，或手足缓弱，
行步不前。若流注膝风初结，服之自消；若溃后气虚发热，与补药兼服自敛。
百草霜 白芍药（各一两） 川乌（炮） 南星（各三钱） 赤小豆（两半） 白蔹（一两六钱）
白芨 骨碎补 当归（各八钱） 牛膝（六钱）
上各另为末，酒糊丸，桐子大。每服三四十丸，盐汤、温酒任下，孕妇忌服。
封口药（二三八）凡损伤皮肉破裂者，以此封之。
牡蛎（ ） 赤石脂（生研） 红丹（上好者。等分）
上为细末，香油调涂疮口。若欲消肿散血合口，加血竭干掺之。
当归导滞散（二三九）治跌扑瘀血在内，胸腹胀满，或大便不通，或喘咳吐血。
大黄 当归（等分）
上为末。每服三钱，温酒下。阳气虚者，须加肉桂。
复元活血汤（二百四十）治跌打损伤，瘀血流于胁下作痛，或小腹作痛，或痞闷，及
便毒初起肿痛。
柴胡（一钱半） 天花粉 穿川甲（炒，各一钱） 当归（酒拌） 大黄（酒炒，各一钱）
红花 甘草（各七分） 桃仁（二十个，去皮尖研）
上水一钟半，加酒半钟，煎八分。食前服之，以利为度。
金疮方（二四一）
凡金疮出血不止，用牛胆、锻石掺之即止。其方以腊月牛胆入风化锻石，悬当风候干用。
一方∶单用三七捣烂敷之，神效。又方∶金疮出血不止，以五倍子生为末，干贴之；如不止而血
热者，宜用犀角地黄汤之类。
大凡金疮出血不止，若素本怯弱者，当补其气；若阴虚或有热者，当补其血；若因怒者，当
平肝；若烦热作渴昏溃者，当补脾气；若筋挛搐搦者，当养肝血，不应，用地黄丸以滋肾水。
金疮降真散（二四二）
降真香（用节佳） 松香 文蛤
三味等分为末。无论诸伤血出断折，掺破处夹缚定，神效。
金疮灰蛋散（二四三） 治金疮出血不止，及久年恶疮。
锻石（细研） 鸡蛋清（以和灰，成饼为度）
上将灰蛋饼子 过，候冷研钿。遇金疮掺之；若多年恶疮，以姜汁调敷。一方单以锻石掺
伤处裹定，亦血止而愈。
龙骨散（二四四）治金疮。
龙骨 赤石脂 五 子 黄丹 海螵蛸（各等分）
上各研，入麝香少许，共研匀掺上，如干，先以盐水洗，挹干掺之。
桃花散（二四五）治金疮，并一切恶疮。
黄丹 软石膏（ 过，等分）
和研匀如桃花色。掺伤处，甚妙。
刀伤跌打经验方（二四六）
凡刀伤磕损跌扑肿痛，或出血，用葱白细切杵烂，炒热敷患处，葱冷再易，神效。一方以三
七捣烂罨之，神效。
立斋曰∶《医学纲目》称前方有神效，余尝以治前证，青肿不散，死肉不溃，佐以健脾胃
之药，其功尤捷，此内外所以合一也。
损伤敷夹法（二四七）
凡损伤骨折者，先须整骨使正，随用川乌、草乌等分为末，以生姜汁调贴之，夹定，然后
服药，无有不效。
罨跌闪肿痛（二四八）
用生姜、葱白同捣烂，和面炒热罨之。如热服而痛者，用栀子加面炒热罨之。
洗损伤方（二四九）凡伤重者，用此淋洗，然后敷药。
荆芥 土当归 生葱（切断，一方用生姜）
上同煎汤，温洗。或止用葱一味煎洗亦可。
箭旋竹木刺方（二百五十）
《百一》方治竹刺在肉，以蛴螬虫研敷立效。
《衍义》方治竹木刺入肉，嚼牛膝根罨之即出。
《肘后》方治箭镞入骨，以巴豆肉微炒，同蜣螂研匀涂伤处，俟痒极，拔出之。
孙真人治箭镞针刺，杵蝼敷涂患处自出。
罨跌打夹棍伤（二五一）
生姜 陈酒糟（各一斤）
同捣烂，炒热。罨伤处。
治拶伤（二五二）
凡拶伤手指者，用皂矾二两，水四五碗，砂锅内熬滚，将手熏洗良久，即血活疼止，不致
溃烂。熬水忌铜铁器。其洗手水过夜即臭恶不可闻。
杖疮四方（二五三）
用川大黄一两，加上好冰片二分，另研，俱为末，和匀，凉水调如糊，摊杖处，实时
止痛，一日后换膏药贴之。
又方∶加甘草一两。
又方∶摊药
大黄 白芷 生半夏（各七钱）
上为末。以鲜姜汁调敷，干即再敷，以黑处血红为度，即换贴膏药，神效。
又方∶
生半夏 松香（各一两）
上研一处，蜜水调成膏贴之。勿令见风。如干再换一个，即愈。
诸骨诸物鲠（二五四）
一、治诸骨鲠，用苎麻根杵烂丸，弹子大，将所鲠物煎汤化下。
一、治鱼骨鲠，用细茶、五倍子等分为末，吹入咽喉立愈。
一、治稻芒、糠谷鲠喉，将鹅吊一足取涎，徐徐咽之即消。
一、治吞钉铁、金银铜钱等物，但多食肥羊脂及诸般肥肉等味，必随大便而下。
一、治吞铁或针，用饧糖半斤，浓煎艾汁调和服之。
一、治吞发绕喉不出者，取自己乱发烧灰，白汤调服一钱。
破伤风敷药（二五五）治打扑损伤伤风肿痛者。
南星 半夏 地龙（等分）
上为末。用生姜、薄荷汁调搽患处。
酒（二五六）治破伤风外邪初入，或风入于脏者，神效。凡头面身体因破损伤风者，
顷刻发胀，迟则不救。速用 草一二两，酒、水各半煎服，被盖暖卧，少顷即可消散。能饮
者，纯用酒煎尤妙。
防风汤（二五七）治破伤风表证未传入里，急服此。
防风 羌活 独活 川芎（等分）
上每服五钱，水煎调蜈蚣散服。方在后二六四。
白术防风汤（二五八）治破伤风服表药过多自汗者。
白术 黄 （各一两） 防风（二两）
上每服五七钱，水煎服。脏腑已和而自汗出者可服此药。若脏腑秘，小便赤而自汗者，
急以后大芎黄汤下之。
羌活汤（二五九） 治破伤风在半里半表间，宜和解之，急服此汤，稍缓则邪入于里，
不可用矣。
羌活 麻黄 菊花 川芎 防风 细辛 前胡 蔓荆子 黄芩 石膏 白茯苓 枳壳
甘草（各一钱） 薄荷 白芷（各五分）
上每服五钱，姜、水煎。日二三服。
羌活防风汤（二百六十） 治破伤风初传在表，脉浮紧。
羌活 防风 本 当归 芍药 甘草（各四钱） 地榆 细辛（各二钱）
上 咀。每服五七钱，水一钟半，煎八分。热服。量紧慢加减用之。热盛，加黄连、黄芩各二钱。
大便秘，加大黄二钱。自汗，加防风、白术各五分。
大芎黄汤（二六一） 治破伤风邪传于里，舌强口噤，项背反张，筋惕搐搦，痰涎壅
盛，宜疏导者，急服之。
川芎 羌活 黄芩 大黄（各一两）
上每服五七钱，水煎服。
（《本事》）玉真散（二六二） 一名定风散。亦名夺命丹。治打扑金刃破伤风重者，
牙关紧急，腰背反张，并蛇犬所伤。
天南星（汤泡七次，如急用，以湿纸裹煨） 防风（等分）
上为末。每服二钱，温酒调服；若牙关紧急，腰背反张者，每服三钱，用童便调服。
虽内有瘀血亦愈，至于昏死心腹尚温者，速进二服，亦可保全。若破伤风疮口及疯犬咬伤，
须用漱口水或热童便洗净，随用生南星为末掺之，或以水调涂之，出水为妙。
养血当归地黄汤（二六三） 治破伤风气血俱虚，发热头痛，服此以养气血，祛风邪，
不拘新旧并可治之。
当归（酒拌） 熟地（各二钱） 芍药 川芎 本 防风 白芷 北细辛（各一钱）
水二钟，煎一钟。食远服，甚者加酒助之。
虾蚣散（二六四）
蜈蚣（一对，炙） 鳔胶（三钱， ）
上为末。用防风、白术煎汤调下。
破伤风灸法（二六五）治跌打损伤，或虫兽伤破皮肤，以致风邪入内，牙关紧急，腰
背反张，或遍体麻木，甚者不知人事。急用蒜捣烂涂伤处，将艾壮于蒜上灸之，多灸为善，仍
用膏药护贴，内服玉真散。如毒蛇疯犬咬伤，先刺患处去毒血，如前法治之。
（海藏）愈风丹（二六六） 治疠病手足麻木，眉毛脱落，遍身生疮，及癞风瘾疹，
皮肤瘙痒，搔破成疮，并皆治之。
皂角（一斤，锉寸许，无灰酒浸一宿，以水一碗挪成汁，去渣，用砂罐文武火熬热） 苦参（一
[Background Information]
Book: Jingyue Quanshu (Complete Works of Zhang Jingyue)
Author: Zhang Jiebin (Zhang Jingyue)
Dynasty: Ming
Chapter: Surgery (Vol. 7/9)
Category: Comprehensive
Take a handful of Daphne Genkwa Flower (Yuanhua), wash it clean, pound it into a paste in a wooden mortar, add a small amount of water, and squeeze out the juice. Slowly boil the juice in a stone vessel until it forms a paste. Soak silk threads in the paste and dry them. Tie the hemorrhoid with the thread; there will be slight pain. Wait for the hemorrhoid to dry and fall off. Then, dip a paper twist in the paste and insert it deep into the anus to remove the root, ensuring permanent cure. Another method involves only soaking the thread in the squeezed juice overnight for use, keeping it free from water contact.
Kuzhi Shuicheng Gao (Prescription No. 230): Treats hemorrhoids while protecting healthy tissue.
Curcuma Aromatica Root (Yujin) and Bletilla Striata Tuber (Baiji) (1 liang each). An alternative formula adds Coptis Chinensis Rhizome (Huanglian).
Grind the above two herbs into fine powder. For internal hemorrhoids, when defecating causes the hemorrhoid to prolapse, wash it clean with warm water. Lie on your side on the bed so the hemorrhoid protrudes. Mix the medicine with honey water to an appropriate consistency. Apply the mixture around the healthy skin of the anal verge using a bamboo splint, leaving the hemorrhoid exposed. Cover with paper and leave for a while. Then apply the following cauterizing medicine to the hemorrhoid. Moisten the paper with a brush dipped in warm water to prevent the medicine from drying or spreading.
High-quality Alum (Baifan) (4 liang), Raw Arsenolite (Xingshi) (2.5 qian), Cinnabar (Zhusha) (1 qian, ground extremely fine).
Grind each ingredient separately into fine powder. First, place arsenic trioxide (Pifu) at the bottom of a purple clay pot. Cover it with the alum powder. Heat with fire until the smoke dissipates completely. This process volatilizes the arsenic, leaving only its "qi" (essence/vapor) to act upon the alum. Grind the treated alum into an extremely fine powder. Based on the size of the hemorrhoid head, place the alum powder in your palm, then add a small amount of Cinnabar. Dilute with saliva. Use a bamboo splint to coat the entire perimeter of the hemorrhoid. Apply three times a day. The treatment is effective when the hemorrhoid turns dark black. Yellow fluid may discharge at night; do not doubt this. It is ideal when the fluid stops discharging. Apply medicine again at midnight. Continue applying three times the next night. Slight pain is acceptable. When changing dressings, hold a bowl of warm water and gently wash off the old medicine with a brush, apply new medicine, and continue using the tissue-protecting agent. Occasionally wash with Schizonepeta Decoction (Jingjie Tang). After two to three days, when yellow discharge nearly ceases, remove Cinnabar and reduce the amount of Alum in the prescription to缓和 (moderate) the medicinal strength. Adjustments can be made gradually over a few days to avoid alarming the patient. Success depends on observing color changes to adjust dosage and the thickness of application. This formula relies on the toxic properties of Arsenic and Arsenolite, mitigated by Cinnabar. A practitioner used these two formulas in the capital, achieving significant results and gaining wealth. A wealthy merchant purchased this formula for one hundred taels of silver and recorded it for me. Although I have not used it myself, all who transmitted it reported efficacy. However, the cauterizing herb was already published by Alchemist Zhao Yizhen in *Qingnang Zazuan*, proving as effective as a deity.
The *Qianjin Fang* version has not been widely circulated. Generally, modern claims of curing hemorrhoids rely on these formulas. For patients with Qi and Blood deficiency or internal pathogens, internal treatment should be combined to ensure no oversight.
Rushen Qianjin Fang: Effective for all types of hemorrhoids.
High-quality Arsenolite (Xingshi) (3 qian, yellow and transparent, crushed to bean size), Clear Alum (Baifan) (1 liang, powdered), High-quality Lead Monoxide (Huandan) (5 qian, refined), Scorpion Tail (Xieshao) (7 tails, washed, dried on tile, powdered), Aconitum Kusnezoffii Root (Caowu) (5 qian, solid texture, peeled, raw, powdered).
Use a purple clay pot heated red by charcoal, cooled, and wiped clean. First, heat the Clear Alum until boiling. Add the Arsenolite into the Alum and mix well. Alternate between mild and strong heat. Stir again when boiling resumes. Stop heating when the pot glows red and smoke rises. Remove the pot and let it cool. Grind into powder. Add Lead Monoxide, Aconitum Kusnezoffii Root, and Scorpion Tail. Grind together extremely finely. Store in a porcelain jar. To apply, first cleanse the area with Licorice Decoction or Scallion and Pepper Decoction. Mix the powder with raw sesame oil. Apply to the hemorrhoid with a goose feather brush three times daily. Thick, glue-like yellow fluid must discharge for the hemorrhoid to shrink. Long-standing cases resolve within ten days; recent cases dissolve into yellow fluid. Once the root is removed, apply tissue-regenerating medicine. This treats all five types of hemorrhoids. This is the formula of Cao Wu from Lin'an, which cured Emperor Gaozong of hemorrhoids, leading to his appointment as an inspector.
*Mishuan* Zhenggu Dan (Prescription No. 232): Treats traumatic injuries, fractures, and blood stasis. Severe cases benefit from this formula to reconnect bones and tendons.
Dalbergia Odorifera Lignum (Xiangluzhijiangxiang), Frankincense Resin (Ruxiang), Myrrh Resin (Moyao), Sappanwood (Sumu), Pine Knot (Songjie), Pyrite (Zirantong, quenched in vinegar seven times), Processed Aconitum Carmichaelii Root (Chuanwu), True Dragon's Blood (Xuejie) (1 liang each).
Earthworm (Dilong, cleaned, soaked in wine, dried), Raw Fossilized Mammal Bones (Sheng Longgu) (1 qian each), Mole Cricket (Tugou, 10, killed in oil, dried).
These twelve ingredients weigh a total of 8 liang 8 qian. Grind into powder. Take 5 qian per dose, mixed with wine according to the location of the injury. Patients will feel the medicinal qi moving from the top of the head to the whole body, reaching the lesion, accompanied by a rustling sound, indicating gradual healing of bones and tendons. After taking this, take Ginseng Radix (Renshen), Atractylodis Macrocephalae Rhizoma (Baizhu), Astragali Membranacei Radix (Huangqi), Angelica Sinensis Radix (Danggui), Chuanxiong Rhizoma (Chuanxiong), Cinnamon Twig (Rougui), Licorice Root (Gancao), Angelica Dahurica Radix (Baizhi), and Magnolia Bark (Houpo) to tonify Yuan Qi.
*(from Benshi Fang)* Jiagu Fang: Treats fractures and trauma.
Sambucus Willkommii Caulis (Jiegu Mu) (0.5 liang), Frankincense Resin (Ruxiang) (0.5 liang), Angelica Sinensis Radix (Danggui), Red Peony Root (Chishaoyao), Chuanxiong Rhizoma (Chuanxiong), Pyrite (Zirantong, fried, quenched in vinegar, 1 liang each).
Grind into powder. Melt 4 liang of Beeswax (Huangla) and mix with the powder. Roll into pills the size of longan seeds. For severe bone/tendon injuries or unbearable sprain pain, take one pill, dissolve in hot wine, and drink while warm. Pain stops immediately.
Moyao Jiangsheng Dan (Prescription No. 234): Treats trauma and reconnects bones/tendons.
Angelica Sinensis Radix (Danggui, wine-fried), White Peony Root (Baishaoyao), Chuanxiong Rhizoma (Chuanxiong), Rehmanniae Radix (Shengdihuang), Sappanwood (Sumu), Processed Aconitum Carmichaelii Root (Chuanwutou, navel removed), Drynariae Rhizoma (Gusuibu, roasted).
Frankincense Resin (Ruxiang, ground separately), Myrrh Resin (Moyao, ground separately), Pyrite (Zirantong, calcined, quenched in vinegar ten times, powdered, 1 liang each).
Grind into powder. Mix with ginger juice and honey to form pills. Each 1 liang makes four pills. Take one pill per dose, decocted in half water and half wine to 80% volume. Take warm on an empty stomach. Lizhai stated: The Spleen governs flesh, and the Liver governs sinews. If Liver and Spleen Qi/Blood are deficient, or if Blood deficiency with heat prevents healing, treat the root cause.
Shiwei Moyao Wan (Prescription No. 235): Treats trauma, bone/tendon pain, Qi rebellion with dizziness, internal blood stasis causing abdominal pain, or chest distension/stuffiness.
Myrrh Resin (Moyao), Frankincense Resin (Ruxiang), Chuanxiong Rhizoma (Chuanxiong), Sichuan Pepper (Chuanjiao), Angelica Sinensis Radix (Danggui), Peony Root (Shaoyao), Carthamus Tinctorius Flower (Honghua), Peach Seed (Taoren), Dragon's Blood (Xuejie) (1 liang each), Pyrite (Zirantong, 4 qian, calcined seven times, quenched in vinegar).
Grind into powder. Melt 4 liang of Beeswax (Huangla) and mix with the powder. Roll into pills the size of marbles. Take one pill per dose, dissolved in wine. Lizhai stated: Jiagu San and Moyao Wan are suitable only for those with intact Yuan Qi. For those with inherent Kidney Qi weakness or elderly frailty, Rehmannia Pill (Dihuang Wan) or Tonify the Middle and Augment Qi Decoction (Buzhong Yiqi Tang) should be used to secure the root.
Huarui Shi San (Prescription No. 236): Treats trauma with internal abdominal blood stasis causing severe bloating and pain. The medicine transforms blood into water. Effects are beyond description.
Sulfur (Liu Huang, transparent, 4 liang), Flower Ochre Stone (Huarui Shi) (1 liang).
Grind and mix evenly. Prepare a clay pot sealed with paper fiber and salt mud. Let dry, add medicine, seal with mud, place on bricks, and arrange according to the Eight Trigrams. Calcine with 30 jin of charcoal. Cool and retrieve. Take 1 qian per dose, mixed with boy's urine (Tongbian). Lizhai stated: If trauma is severe, causing Qi deficiency and internal blood stasis that cannot tolerate purging, this single dose internally resolves blood without disturbing the Zang-Fu organs. Excellent, excellent.
Hei Wanzi (Prescription No. 237): Also known as He Xue Ding Tong San. Treats trauma, bone/tendon pain, blood stasis swelling, external Wind-Cold causing limb pain, limb weakness, or difficulty walking. If wind-dampness initially accumulates in the knee, it dissipates upon ingestion. If fever occurs due to Qi deficiency after ulceration, combine with tonics to heal.
Soot from Kitchen Chimney (Baicaoshuang), White Peony Root (Baishaoyao) (1 liang each), Processed Aconitum Carmichaelii Root (Chuanwu), Processed Arisaema (Nanxing) (3 qian each), Adzuki Bean (Chixiaodou) (1.5 liang), Ampelopsis Japonica Radix (Bailian) (1 liang 6 qian).
Bletilla Striata Tuber (Baiji), Drynariae Rhizoma (Gusuibu), Angelica Sinensis Radix (Danggui) (8 qian each), Achyranthis Bidentatae Radix (Niuxi) (6 qian).
Grind each separately into powder. Form pills with wine paste, size of wutong seeds. Take 30-40 pills per dose, with salt water or warm wine. Contraindicated in pregnancy.
Fengkou Yao (Prescription No. 238): For ruptured skin and flesh wounds.
Oyster Shell (Muli), Halloysitum Rubrum (Chishizhi, raw ground), Lead Monoxide (Hongdan, high quality). Equal parts.
Grind into fine powder. Apply with sesame oil to the wound. To reduce swelling, dissipate blood, and close the wound, add Dragon's Blood (Xuejie) as a dry powder.
Danggui Daozhi San (Prescription No. 239): Treats internal blood stasis from trauma causing chest/abdominal fullness, constipation, wheezing/cough, or hematemesis.
Rhei Radix et Rhizoma (Dahuang), Angelica Sinensis Radix (Danggui). Equal parts.
Grind into powder. Take 3 qian per dose with warm wine. Add Cinnamon Twig (Rougui) for Yang Qi deficiency.
Fuyuan Huoxue Tang (Prescription No. 240): Treats trauma with blood stasis flowing to the hypochondrium causing pain, lower abdominal pain, stuffiness, or early-stage bubonic abscess swelling/pain.
Bupleuri Radix (Chaihu) (1.5 qian), Trichosanthis Radix (Tianguafen), Pangolin Scale (Chuanchuanjia, fried, 1 qian each), Angelica Sinensis Radix (Danggui, wine-mixed), Rhei Radix et Rhizoma (Dahuang, wine-fried, 1 qian each).
Carthamus Tinctorius Flower (Honghua), Licorice Root (Gancao) (0.7 qian each), Peach Seed (Taoren, 20 kernels, peeled, pounded).
Decoct 1.5 zhong of water with 0.5 zhong of wine to 0.8 zhong. Take before meals. Stop when bowels move.
Jinchuang Fang (Prescription No. 241):
For unceasing bleeding from metal wounds, apply Ox Gallbladder (Niudan) and Ferrum Oxidatum (Duanshi) to stop bleeding. Prepare by mixing December Ox Gallbladder with weathered Duanshi, hanging in the wind to dry.
Alternative: Pound Notoginseng Radix et Rhizoma (Sanqi) and apply. Highly effective.
Another: For unceasing bleeding, apply raw Galla Chinensis (Wubeizi) powder directly. If bleeding persists with heat signs, use Rhino-Cornu and Rehmannia Decoction (Xijiao Dihuang Tang).
Generally, for unceasing bleeding: Tonify Qi if constitutionally weak; Tonify Blood if Yin deficient or hot; Calm the Liver if caused by anger; Tonify Spleen Qi if restless, thirsty, and confused; Nourish Liver Blood if muscle spasms occur. If ineffective, use Rehmannia Pill (Dihuang Wan) to nourish Kidney Water.
Jinchuang Jiangzhen San (Prescription No. 242):
Dalbergia Odorifera Lignum (Jiangzhixiang, nodes preferred), Pine Resin (Songxiang), Clam Shell (Wenge).
Equal parts, ground to powder. Apply to any wound with bleeding, fracture, or severance, bind tightly. Highly effective.
Jinchuang Huidan San (Prescription No. 243): Treats unceasing bleeding from metal wounds and chronic malignant ulcers.
Ferrum Oxidatum (Duanshi, finely ground), Egg White (Jidanqing). Mix ash with egg white to form a cake.
Calcine the ash-egg cake, grind when cool. Apply to metal wounds. For chronic malignant ulcers, mix with ginger juice. Alternative: Apply Duanshi powder directly and bind. Stops bleeding and heals.
Longgu San (Prescription No. 244): Treats metal wounds.
Fossilized Mammal Bones (Longgu), Halloysitum Rubrum (Chishizhi), Galla Chinensis (Wubeizi), Lead Monoxide (Huandan), Cuttlefish Bone (Haipiaoxiao). Equal parts.
Grind each, add a little Musk (Shexiang), mix evenly, and apply. If dry, wash with salt water, dry, then apply.
Taohua San (Prescription No. 245): Treats metal wounds and all malignant ulcers.
Lead Monoxide (Huandan), Gypsum Fibrosum (Ruanshigao, calcined). Equal parts.
Grind until pink like peach blossoms. Apply to wounds. Very effective.
Daoshang Dieda Jingyan Fang (Prescription No. 246):
For knife cuts, bruises, swelling, pain, or bleeding: Finely chop Scallion White (Congbai), pound into paste, stir-fry until hot, and apply to the affected area. Replace when cool. Highly effective. Alternative: Pound Notoginseng Radix et Rhizoma (Sanqi) and apply. Highly effective.
Lizhai stated: *Yixue Gangmu* claims this formula is highly effective. I used it for these symptoms where bruising did not dissipate and dead flesh did not slough. By adding Spleen/Stomach strengthening herbs, the effect was even faster. This demonstrates the unity of internal and external treatments.
Sunshang Fu Jia Fa (Prescription No. 247):
For fractures, first realign the bone. Then, equal parts of Aconitum Carmichaelii Root (Chuanwu) and Aconitum Kusnezoffii Root (Caowu) ground to powder, mixed with ginger juice, applied and bound. Then take oral medicine. Always effective.
Ya Diedan Zhongtong (Prescription No. 248):
Pound Fresh Ginger (Shengjiang) and Scallion White (Congbai) together, mix with flour, stir-fry until hot, and apply. If heat causes pain, use Gardenia Fruit (Zhizi) mixed with flour, stir-fried hot, and apply.
Xi Sunshang Fang (Prescription No. 249): For severe injuries, wash with this decoction before applying medicine.
Schizonepeta Spike (Jingjie), Ligusticum Chuanxiong Hort. var. molle (Tu Danggui), Raw Scallion (Shengcong, cut). Alternative uses Fresh Ginger.
Decoct together, wash with warm liquid. Using only Scallion is also acceptable.
Jianxuan Zhu Mu Ci Fang (Prescription No. 250):
*Baiyi Xuannfang*: For bamboo splinters, crush Crane Fly Larva (Qicao) and apply. Immediate effect.
*Yanyi*: For wood/bamboo splinters, chew Achyranthis Bidentatae Radix (Niuxigen) and apply. Splinter exits immediately.
*Zhouhou Fang*: For arrowheads embedded in bone, lightly fry Croton Seed Flesh (Badourou), mix with Dung Beetle (Qianglang), apply to wound. When itching is extreme, pull out the arrowhead.
Sun Simiao: For arrowheads/needles, pound Mole Cricket (Loufu) and apply. Exits naturally.
Ya Dieda Jiagun Shang (Prescription No. 251):
Fresh Ginger (Shengjiang), Old Wine Lees (Chenjiuzao) (1 jin each).
Pound together, stir-fry hot, and apply to injury.
Zhi Za Shang (Prescription No. 252):
For finger crushing injuries: Boil 2 liang of Green Vitriol (Zaofan) in 4-5 bowls of water in a clay pot. Steam and wash hands for a long time. Circulation restores, pain stops, preventing ulceration. Avoid copper/iron vessels during boiling. Wash water becomes foul-smelling overnight.
Zhangchuang Sifang (Prescription No. 253):
1 Liang Rhei Radix et Rhizoma (Dahuang), 2 fen high-quality Borneolum Syntheticum (Bingpian), ground separately, mixed. Make a paste with cold water, spread on the beaten area. Stops pain immediately. Change to plaster after one day.
Alternative: Add 1 liang Licorice Root (Gancao).
Alternative: Spread medicine
Rhei Radix et Rhizoma (Dahuang), Angelica Dahurica Radix (Baizhi), Raw Pinelliae Tuber (Shengbanxia) (7 qian each).
Grind to powder. Mix with fresh ginger juice. Reapply when dry. Stop when black area turns red/bloody. Change to plaster. Highly effective.
Alternative:
Raw Pinelliae Tuber (Shengbanxia), Pine Resin (Songxiang) (1 liang each).
Grind together, mix with honey water to form paste. Apply. Keep away from wind. Replace when dry. Heals quickly.
Zhu Gu Zhuwu Geng (Prescription No. 254):
1. For bone splinters: Pound Ramie Root (Zhumaogen) into pills the size of marbles. Dissolve in decoction of the obstructing object and swallow.
2. For fish bones: Fine Tea (Xicha) and Galla Chinensis (Wubeizi) equal parts, ground to powder. Blown into throat. Cures immediately.
3. For rice awns/chaff in throat: Hang a goose upside down to collect saliva/phlegm. Swallow slowly. Dissolves obstruction.
4. For swallowing nails/coins: Eat plenty of fatty mutton fat or other fatty meats. Expelled via stool.
5. For swallowing iron/needles: Mix 0.5 jin Malt Sugar (Yitang) with concentrated Mugwort juice. Swallow.
6. For swallowed hair wrapped around throat: Burn own loose hair to ash. Mix with plain water, take 1 qian.
Poshangfeng Fuyao (Prescription No. 255): Treats trauma-induced Wind swelling/pain.
Processed Arisaema (Nanxing), Pinelliae Tuber (Banxia), Earthworm (Dilong). Equal parts.
Grind to powder. Mix with Fresh Ginger (Shengjiang) and Mint Juice (Boheju) to apply.
Jiu (Prescription No. 256): Treats early-stage external Wind entering broken skin or internal Wind affecting Zang organs. Highly effective. For head/body swelling due to trauma-Wind, act quickly or it is fatal. Use 1-2 liang of Saposhnikovia Root (Fangfengcao - *Note: likely refers to Fangfeng*), decoct with half wine/half water. Cover warmly and rest. Swelling dissipates quickly. Pure wine decoction is better for drinkers.
Fangfeng Tang (Prescription No. 257): Treats Poshangfeng with exterior syndrome not yet penetrating interior. Take urgently.
Saposhnikovia Root (Fangfeng), Notopterygii Rhizoma et Radix (Qianghuo), Angelica Pubescens Radix (Duhuo), Chuanxiong Rhizoma (Chuanxiong). Equal parts.
Take 5 qian per dose, decoct in water, mix with Centipede Powder (Wugong San). Formula follows at No. 264.
Baizhu Fangfeng Tang (Prescription No. 258): Treats Poshangfeng with spontaneous sweating due to excessive exterior-releasing medicines.
Atractylodis Macrocephalae Rhizoma (Baizhu), Astragali Membranacei Radix (Huangqi) (1 liang each), Saposhnikovia Root (Fangfeng) (2 liang).
Take 5-7 qian per dose, decoct in water. Suitable when Zang-Fu are harmonious but sweating persists. If Zang-Fu are blocked, urine is red, and sweating occurs, urgently purge with Major Cyperus and Rhubarb Decoction (Da Xionghuang Tang).
Qianghuo Tang (Prescription No. 259): Treats Poshangfeng in the Shaoyang stage (half-exterior/half-interior). Harmonize urgently. Delay allows pathogen to enter interior, making this ineffective.
Notopterygii Rhizoma et Radix (Qianghuo), Ephedrae Herba (Mahuang), Chrysanthemi Flos (Juhua), Chuanxiong Rhizoma (Chuanxiong), Saposhnikovia Root (Fangfeng), Asari Radix et Rhizoma (Xixin), Peucedani Radix (Qianhu), Viticis Semen (Manjingzi), Scutellariae Radix (Huangqin), Gypsum Fibrosum (Shigao), Poria (Baifuling), Aurantii Fructus (Zhiqiao), Licorice Root (Gancao) (1 qian each), Mentha Haplocalycis Herba (Bohe), Angelica Dahurica Radix (Baizhi) (0.5 qian each).
Take 5 qian per dose, decoct with ginger and water. 2-3 times daily.
Qianghuo Fangfeng Tang (Prescription No. 260): Treats early Poshangfeng in exterior, pulse floating and tight.
Notopterygii Rhizoma et Radix (Qianghuo), Saposhnikovia Root (Fangfeng), Ligustici Rhizoma (Ben), Angelica Sinensis Radix (Danggui), Peony Root (Shaoyao), Licorice Root (Gancao) (4 qian each), Sanguisorbae Radix (Diyu), Asari Radix et Rhizoma (Xixin) (2 qian each).
Coarsely crush. Take 5-7 qian per dose, decoct 1.5 zhong water to 0.8 zhong. Take hot. Adjust dosage based on severity. If heat is intense, add Coptidis Rhizoma (Huanglian) and Scutellariae Radix (Huangqin) 2 qian each. If constipated, add Rhei Radix et Rhizoma (Dahuang) 2 qian. If sweating, add Saposhnikovia Root (Fangfeng) and Atractylodis Macrocephalae Rhizoma (Baizhu) 0.5 qian each.
Da Xionghuang Tang (Prescription No. 261): Treats Poshangfeng penetrating interior, causing tongue stiffness, jaw lock, opisthotonos, muscle twitching, profuse phlegm. Purge urgently.
Chuanxiong Rhizoma (Chuanxiong), Notopterygii Rhizoma et Radix (Qianghuo), Scutellariae Radix (Huangqin), Rhei Radix et Rhizoma (Dahuang) (1 liang each).
Take 5-7 qian per dose, decoct in water.
*(from Benshi Fang)* Yuzhen San (Prescription No. 262): Also called Dingfeng San or Duoming Dan. Treats severe Poshangfeng from trauma/cuts, jaw lock, opisthotonos, and snake/dog bites.
Processed Arisaema (Nanxing, soaked in water seven times; or wrapped in wet paper and baked if urgent), Saposhnikovia Root (Fangfeng). Equal parts.
Grind to powder. Take 2 qian per dose with warm wine. For jaw lock/opisthotonos, take 3 qian with boy's urine (Tongbian).
Effective even with internal blood stasis. For coma with warm abdomen, take two doses quickly to save life. For Poshangfeng wounds or mad dog bites, clean with mouthwash or hot boy's urine. Apply raw Arisaema powder or water paste. Discharge of fluid is ideal.
Yangxue Danggui Dihuang Tang (Prescription No. 263): Treats Poshangfeng with Qi/Blood deficiency, fever, headache. Nourishes Qi/Blood, expels Wind. Effective for both new and old cases.
Angelica Sinensis Radix (Danggui, wine-mixed), Prepared Rehmannia Root (Shudi) (2 qian each), Peony Root (Shaoyao), Chuanxiong Rhizoma (Chuanxiong), Ligustici Rhizoma (Ben), Saposhnikovia Root (Fangfeng), Angelica Dahurica Radix (Baizhi), Northern Asari Radix et Rhizoma (Beixixin) (1 qian each).
Decoct 2 zhong water to 1 zhong. Take far from meals. Add wine for severe cases.
Wugong San (Prescription No. 264):
Centipede (Wugong, 1 pair, roasted), Fish Maw Glue (Biaojiao, 3 qian, melted).
Grind to powder. Take with decoction of Saposhnikovia Root (Fangfeng) and Atractylodis Macrocephalae Rhizoma (Baizhu).
Poshangfeng Jiufa (Prescription No. 265): Treats trauma/insect bites breaking skin, allowing Wind pathogen entry, causing jaw lock, opisthotonos, numbness, or unconsciousness. Immediately pound Garlic (Suan) and apply to wound. Place Moxa Cone (Aizhuang) on garlic and moxa. More moxa is better. Apply plaster externally. Internally take Yuzhen San (Yuzhen Powder). For venomous snake/mad dog bites, prick wound to drain toxic blood first, then treat as above.
*(from Haizang)* Yufeng Dan (Prescription No. 266): Treats leprosy symptoms (numbness, eyebrow loss, body sores), leech-wind hives, skin itching, scratching into sores.
Gleditsia Sinensis Fruit (Zaojiao, 1 jin, chopped, soaked overnight in non-ash wine, mashed with 1 bowl water to extract juice, strained, boiled in clay pot with mild/strong heat), Sophorae Flavescentis Radix (Kushen) (1...