凡跌打损伤、坠堕之证，恶血留内，则不分何经，皆以肝为主。盖肝主血也，故败血凝滞，从其所属必
归于肝，其痛多在胁肋小腹者，皆肝经之道路也。若壅肿痛甚或发热自汗，皆宜斟酌虚实，然后用调血行经之
药。王好古云∶登高坠下撞打等伤，心腹胸中停积瘀血不散者，则以上、中、下三焦分别部位，以施药饵。瘀
在上部者，宜犀角地黄汤；瘀在中部者，宜桃仁承气汤；瘀在下部者，宜抵当汤之类。须于所用汤中加童便
好酒，同煎服之。虚人不可下者，宜四物汤加穿山甲。若瘀血已去，则以复元通气散加当归调之。《内经》云∶形
伤作痛，气伤作肿。又云∶先肿而后痛者，形伤气也；先痛而后肿者，气伤形也。凡打仆闪错，或恼怒气滞
血凝作痛，及元气素弱，或因叫号血气损伤，或过服克伐之剂，或外敷寒凉之药，致气血凝结者，俱宜用活血
顺气之剂。后列诸方，以备选用。
犀角地黄汤
犀角 生地黄（酒浸，另捣） 丹皮 白芍（各等分）
水煎服。
桃仁承气汤
大黄 芒硝 桃仁 桂枝 甘草
水煎服，以利为度。
抵当汤
水蛭 虻虫（去翅、足，各三十枚） 大黄（酒浸，三两） 桃仁（去皮、尖，三十枚）
水煎，去渣，取三升，温服一升，不下再服。
复元活血汤
柴胡（五钱） 当归 穿山甲（炮） 栝蒌根（各三钱） 甘草 红花（各二钱） 桃仁（去皮、尖，五十个）
大黄（酒浸，一两）
上将桃仁研烂，余药锉，如麻豆大，每服一两。水二盅，酒半盏，煎至七分，去渣，大温，食前服，以利为度。
巴戟汤
巴戟（去心） 大黄（各半两） 当归 地黄 芍药 川芎（各一两）
上为末，水煎服，以利为度。
破血消痛汤
羌活 防风 官桂（各一钱） 苏木（一钱半） 柴胡 连翘 当归梢（各二钱） 麝香（另研，少许）
水蛭（炒去烟尽，另研，二钱）
上为粗末，共一服，酒二大盏，水一盏，水蛭、麝香另研如泥，余药煎至一大盏，去火，稍热，调二味服之，
两服立愈。
清心药
牡丹皮 当归 川芎 赤芍药 生地黄 黄芩 黄连 连翘 栀子 桃仁 甘草（各等分）
上引用灯心草、薄荷煎，入童便和服。
止痛药
当归 牛膝 川芎 怀庆生地 赤芍药 白芷 羌活 独活 杜仲 续断（各一两） 肉桂 八角茴香
乳香 没药（各五钱） 南木香 丁皮 沉香 血竭（各二钱半）
上为末，老酒调用。
活血顺气何首乌散
何首乌（三钱） 当归 赤芍药 白芷 乌药 枳壳 防风 甘草 川芎 陈皮 香附 紫苏 羌活 独活
肉桂（各一钱）
上薄荷、生地黄煎，入酒和服。疼痛甚者，加乳香、没药。
调经散
川芎 当归 芍药 黄 （各一钱半） 青皮 乌药 陈皮 熟地黄 乳香（各一钱）
上作一服，水二盅，煎至一盅，不拘时服。
牡丹皮散
牡丹皮 当归 骨碎补 红花（酒浸） 续断 乳香 没药 桃仁 川芎 赤芍药 生地黄（各等分）
上水酒煎服，却用秫米饭热罨缚，冷又蒸热，换缚。
橘术四物汤
当归 川芎 白芍药 怀庆生地（各二钱） 陈皮 白术 红花（各一钱） 桃仁（十枚）
上生地黄煎服。骨节疼，加羌活、独活。痛不止，加乳香、没药。
当归补血汤
当归 川芎 白芍药 熟地黄 防风
连翘 羌活 独活 乳香 没药 白芷 续断 杜仲（各等分）
上生地黄煎，入童便和服，不可用酒。气虚，加人参、白术、黄 。
复元通气散
木香 茴香（炒） 青皮（去皮） 穿山甲（酥炙） 陈皮 白芷 甘草 漏芦 贝母（各等分）
上为末，每服一二钱，温酒调下。
For all cases of falls, blows, and injuries from heights, if evil blood (stasis) remains within the body, regardless of which meridian is involved, the Liver is primarily targeted for treatment. This is because the Liver governs the storage of blood; therefore, when damaged blood stagnates, it inevitably returns to the Liver channel. Pain often occurs in the hypochondriac region and lower abdomen, as these are the pathways of the Liver meridian. If swelling and pain are severe or accompanied by fever and spontaneous sweating, one must carefully assess the deficiency or excess of the patient's constitution before administering herbs that harmonize blood and unblock meridians. Wang Haogu stated: For injuries such as falling from heights, being struck, or beaten, where stasis accumulates in the heart, abdomen, and chest without dissipating, medicines should be administered according to the upper, middle, and lower Jiao (San Jiao). For stasis in the upper part, Xijiao Dihuang Tang (Rhino Horn and Rehmannia Decoction) is suitable; for stasis in the middle part, Tao Ren Chengqi Tang (Peach Kernel and Rheum Decoction) is suitable; for stasis in the lower part, Didang Tang (Resolute Attack Decoction) or similar formulas are suitable. Tongbian (Child's Urine) and good wine should be added to the decoction for simultaneous boiling and administration. For patients with a deficient constitution who cannot tolerate purgation, Siwu Tang (Four Substances Decoction) plus Chanshanjia (Pangolin Scales) is suitable. Once the stasis has been eliminated, Fuyuan Tongqi San (Fu Yuan Qi-Regulating Powder) plus Danggui (Angelica Sinensis) should be used for regulation. The *Neijing* states: Injury to the form causes pain; injury to Qi causes swelling. It further states: Swelling preceding pain indicates injury to the form affecting Qi; pain preceding swelling indicates injury to Qi affecting the form. In cases of falls, blows, sprains, or twisting injuries, or pain caused by Qi stagnation and blood coagulation due to anger, as well as in cases of inherent weak Yuan Qi, injury to Qi and blood from shouting, overuse of harsh drugs, or external application of cold-cooling herbs leading to Qi and blood coagulation, formulas that invigorate blood and smooth Qi are appropriate. Various formulas are listed below for selection.
Xijiao Dihuang Tang (Rhino Horn and Rehmannia Decoction)
Xijiao (Rhinoceros Horn), Shengdihuang (Raw Rehmanniae Radix, soaked in wine and pounded separately), Danpi (Moutan Cortex), Baishao (White Peony Root) in equal parts.
Decoct in water and take orally.
Taoren Chengqi Tang (Peach Kernel and Rheum Decoction)
Dahuang (Rhei Radix et Rhizoma), Mangxiao (Natrii Sulfas), Taoren (Persicae Semen), Guizhi (Cinnamomi Ramulus), Gancao (Glycyrrhizae Radix et Rhizoma).
Decoct in water and take orally; stop when bowel movement is achieved.
Didang Tang (Resolute Attack Decoction)
Shuizhi (Hirudo), Mengchong (Bombyx Batryticatus, wings and legs removed, 30 each), Dahuang (Rhei Radix et Rhizoma, soaked in wine, 3 liang), Taoren (Persicae Semen, skin and tip removed, 30).
Decoct in water, remove dregs, obtain 3 sheng of liquid. Take 1 sheng warm; if ineffective, administer again.
Fuyuan Huoxue Tang (Fu Yuan Blood-Invigorating Decoction)
Chaihu (Bupleuri Radix, 5 qian), Danggui (Angelicae Sinensis Radix), Chanshanjia (Pangolini Squama, processed), Gualougen (Trichosanthis Radix, 3 qian each), Gancao (Glycyrrhizae Radix et Rhizoma), Honghua (Carthami Flos, 2 qian each), Taoren (Persicae Semen, skin and tip removed, 50), Dahuang (Rhei Radix et Rhizoma, soaked in wine, 1 liang).
First, pound Taoren until paste-like. Chop remaining herbs to the size of hemp seeds. Take 1 liang per dose. Add 2 zhong of water and half a zhan of wine. Decoct until 7/10 remains. Remove dregs. Take large warm dose before meals; stop when bowel movement is achieved.
Baji Tang (Morinda Decoction)
Baji (Morindae Officinalis Radix, core removed), Dahuang (Rhei Radix et Rhizoma, 0.5 liang each), Danggui (Angelicae Sinensis Radix), Dihuang (Rehmanniae Radix), Shaoyao (Paeoniae Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma, 1 liang each).
Grind into powder. Decoct in water and take orally; stop when bowel movement is achieved.
Poxue Xiaotong Tang (Blood-Breaking Pain-Eliminating Decoction)
Qianghuo (Notopterygii Rhizoma et Radix), Fangfeng (Saposhnikoviae Radix), Guangui (Cinnamomi Cortex, 1 qian each), Sumu (Sappan Lignum, 1.5 qian), Chaihu (Bupleuri Radix), Lianqiao (Forsythiae Fructus), Dangguishao (Tip of Angelicae Sinensis Radix, 2 qian each), Shexiang (Moschus, ground separately, a small amount), Shuizhi (Hirudo, stir-fried until smoke ceases, ground separately, 2 qian).
Make coarse powder. One dose uses two large zhan of wine and one zhan of water. Grind Shuizhi and Shexiang into mud separately. Decoct other herbs until one zhan remains. Remove from fire. When slightly warm, mix in the two ground powders and take. Two doses lead to immediate cure.
Qingxin Yao (Heart-Clearing Medicine)
Mudanpi (Moutan Cortex), Danggui (Angelicae Sinensis Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Chishaoyao (Red Peony Root), Shengdihuang (Raw Rehmanniae Radix), Huangqin (Scutellariae Radix), Huanglian (Coptidis Rhizoma), Lianqiao (Forsythiae Fructus), Zhizi (Gardeniae Fructus), Taoren (Persicae Semen), Gancao (Glycyrrhizae Radix et Rhizoma) in equal parts.
Decoct using Dengxincao (Junci Medulla) and Bohe (Menthae Haplocalycis Herba). Mix with Tongbian (Child's Urine) and take orally.
Zhitong Yao (Pain-Eliminating Medicine)
Danggui (Angelicae Sinensis Radix), Niuxi (Achyranthis Bidentatae Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Huaqing Shengdi (Huaiqing Raw Rehmanniae Radix), Chishaoyao (Red Peony Root), Baizhi (Angelicae Dahuricae Radix), Qianghuo (Notopterygii Rhizoma et Radix), Duohuo (Saussureae Radix), Duzhong (Eucommiae Cortex), Xuduan (Dipsaci Radix, 1 liang each), Rougui (Cinnamomi Cortex), Bajiao Huixiang (Illicii Fructus), Ruxiang (Olibanum), Moyao (Myrrha, 5 qian each), Nanmuxiang (Agarwood), Dingpi (Syzygdii Caryophylli Cortex), Chenxiang (Aquilariae Lignum Resinatum), Xuexie (Dracaenae Sangues, 2.5 qian each).
Grind into powder. Take with old wine.
Huoxue Shunqi Heshouwu San (Blood-Invigorating and Qi-Smoothing Polygonum Multiflorum Powder)
Heshouwu (Polygoni Multiflori Radix, 3 qian), Danggui (Angelicae Sinensis Radix), Chishaoyao (Red Peony Root), Baizhi (Angelicae Dahuricae Radix), Wuyao (Litseae Fructus), Zhiqiao (Aurantii Fructus), Fangfeng (Saposhnikoviae Radix), Gancao (Glycyrrhizae Radix et Rhizoma), Chuanxiong (Ligustici Chuanxiong Rhizoma), Chenpi (Citri Reticulatae Pericarpium), Xiangfu (Cyperi Rhizoma), Zisu (Perillae Folium), Qianghuo (Notopterygii Rhizoma et Radix), Duohuo (Saussureae Radix), Rougui (Cinnamomi Cortex, 1 qian each).
Decoct using Bohe (Menthae Haplocalycis Herba) and Shengdihuang (Raw Rehmanniae Radix). Mix with wine and take orally. For severe pain, add Ruxiang (Olibanum) and Moyao (Myrrha).
Tiaojing San (Menstruation-Regulating Powder)
Chuanxiong (Ligustici Chuanxiong Rhizoma), Danggui (Angelicae Sinensis Radix), Shaoyao (Paeoniae Radix), Huangqi (Astragali Radix, 1.5 qian each), Qingpi (Aurantii Fructus Immaturus), Wuyao (Litseae Fructus), Chenpi (Citri Reticulatae Pericarpium), Shudihuang (Prepared Rehmanniae Radix), Ruxiang (Olibanum, 1 qian each).
One dose. Decoct in 2 zhong of water until 1 zhong remains. Take at any time.
Mudanpi San (Moutan Powder)
Mudanpi (Moutan Cortex), Danggui (Angelicae Sinensis Radix), Gusuibu (Drynariae Rhizoma), Honghua (Carthami Flos, soaked in wine), Xuduan (Dipsaci Radix), Ruxiang (Olibanum), Moyao (Myrrha), Taoren (Persicae Semen), Chuanxiong (Ligustici Chuanxiong Rhizoma), Chishaoyao (Red Peony Root), Shengdihuang (Raw Rehmanniae Radix) in equal parts.
Decoct in water and wine. Apply hot Shumi rice compress to the area. When cool, reheat and replace compress.
Juzhu Siwu Tang (Orange and Atractylodes Four Substances Decoction)
Danggui (Angelicae Sinensis Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Baishaoyao (White Peony Root), Huaqing Shengdi (Huaiqing Raw Rehmanniae Radix, 2 qian each), Chenpi (Citri Reticulatae Pericarpium), Baizhu (Atractylodis Macrocephalae Rhizoma), Honghua (Carthami Flos, 1 qian each), Taoren (Persicae Semen, 10).
Decoct using Shengdihuang (Raw Rehmanniae Radix) and take orally. For joint pain, add Qianghuo (Notopterygii Rhizoma et Radix) and Duohuo (Saussureae Radix). For persistent pain, add Ruxiang (Olibanum) and Moyao (Myrrha).
Danggui Buxue Tang (Angelica Tonifying Qi Decoction)
Danggui (Angelicae Sinensis Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Baishaoyao (White Peony Root), Shudihuang (Prepared Rehmanniae Radix), Fangfeng (Saposhnikoviae Radix).
Lianqiao (Forsythiae Fructus), Qianghuo (Notopterygii Rhizoma et Radix), Duohuo (Saussureae Radix), Ruxiang (Olibanum), Moyao (Myrrha), Baizhi (Angelicae Dahuricae Radix), Xuduan (Dipsaci Radix), Duzhong (Eucommiae Cortex) in equal parts.
Decoct using Shengdihuang (Raw Rehmanniae Radix). Mix with Tongbian (Child's Urine) and take orally. Do not use wine. For Qi deficiency, add Renshen (Ginseng Radix et Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), and Huangqi (Astragali Radix).
Fuyuan Tongqi San (Fu Yuan Qi-Unblocking Powder)
Muxiang (Aucklandiae Radix), Huixiang (Foeniculi Fructus, stir-fried), Qingpi (Aurantii Fructus Immaturus, peel removed), Chanshanjia (Pangolini Squama, fried with butter), Chenpi (Citri Reticulatae Pericarpium), Baizhi (Angelicae Dahuricae Radix), Gancao (Glycyrrhizae Radix et Rhizoma), Loulu (Euphorbiae Humifusae Radix), Beimu (Fritillariae Thunbergii Bulbus) in equal parts.
Grind into powder. Take 1-2 qian per dose, mixed with warm wine.