伤损而少腹引阴茎作痛者，乃瘀血不行，兼肝经郁火所致。宜用小柴胡汤加大黄、黄连、山栀服之。待痛势
已定，再用养血之剂，自无不愈矣。此病若误认为寒证而投以热药，重则必危，轻则损目，治者宜慎之。
小柴胡汤（方见瘀血泛注）
伤损腰痛、脊痛之证，或因坠堕，或因打仆，瘀血留于太阳经中所致，宜地龙散治之。
地龙散
地龙 官桂 苏木（各九分） 麻黄（七分） 黄柏 当归尾（各二钱五分） 桃仁（九个） 甘草（三钱五分）
上水煎，食前服。
伤损之证，头目眩晕，有因服克伐之剂太过，中气受伤，以致眩晕者；有因亡血过多，以致眩晕者。如兼腹
胀呕吐，宜用六君子汤，兼发热作渴不思饮食者，宜十全大补汤。
六君子汤（方见胸腹痛闷）
十全大补汤（方见瘀血泛注）
伤损之证，烦躁而面赤口干作渴，脉洪大按之如无者，宜用当归补血汤；如烦躁自汗头晕，宜用独参汤；如
烦躁不寐，宜用加味归脾汤；如烦躁胁痛，宜用柴胡四物汤；如
亡血过多烦躁者，宜用圣愈汤。
加味归脾汤（方见胸腹痛闷）
当归补血汤 圣愈汤（俱见发热）
柴胡四物汤 （即四物汤加柴胡、黄芩。方见伤损出血。）
独参汤（方见伤损出血）
伤损之证而喘咳者，若因出血过多，面黑胸胀，胸膈痛而发喘者，乃气虚血乘于肺也，急用二味参苏饮，
缓则难救。若咳血衄血而喘者，乃气逆血蕴于肺也，只宜活血行气，不可用下法，宜十味参苏饮治之。
二味参苏饮
人参（一两） 苏木（二两）
水煎服。
十味参苏饮
人参 紫苏 半夏 茯苓 陈皮 桔梗 前胡 葛根 枳壳（各一钱） 甘草（五分）
引用姜二片，水煎服。
For injuries resulting in pain in the lower abdomen radiating to the penis, this is caused by stagnant blood failing to circulate, combined with constrained fire in the Liver channel. It is appropriate to administer Xiao Chai Hu Tang (Minor Bupleurum Decoction) with added Da Huang (Rhubarb Rhizome), Huang Lian (Coptis Rhizome), and Shan Zhi (Gardenia Fruit). Once the intensity of the pain has subsided, subsequently use blood-nourishing preparations, and recovery will be assured. If this condition is mistakenly diagnosed as a cold syndrome and treated with hot-natured medicines, severe cases will become critical, while mild cases may suffer eye damage; practitioners should exercise caution.
Xiao Chai Hu Tang (Formula see General Notes on Stagnant Blood)
Injuries causing lumbar pain and spinal pain may result from falls or blows, leading to stagnant blood remaining in the Taiyang channel. It is appropriate to treat with Di Long San (Earthworm Powder).
Di Long San
Di Long (Pheretima Aspergillum) Guan Gui (Cinnamon Twig) Su Mu (Sappan Wood) [each 9 fen] Ma Huang (Ephedrae Herba) [7 fen] Huang Bo (Phellodendri Cortex) Dang Gui Wei (Angelica Sinensis Root Tail) [each 2 qian 5 fen] Tao Ren (Persicae Semen) [9 seeds] Gan Cao (Glycyrrhizae Radix et Rhizoma) [3 qian 5 fen]
Decoct these ingredients in water and take before meals.
Injuries causing dizziness and vertigo may arise from excessive use of harsh purgative or attacking medications, injuring the Middle Qi, thereby causing dizziness; or they may result from excessive blood loss, leading to dizziness. If accompanied by abdominal distension and vomiting, Liu Jun Zi Tang (Six Gentlemen Decoction) is appropriate. If accompanied by fever, thirst, and anorexia, Shi Quan Da Bu Tang (Comprehensive Great Tonifying Decoction) is appropriate.
Liu Jun Zi Tang (Formula see Chest and Abdominal Pain and Distension)
Shi Quan Da Bu Tang (Formula see General Notes on Stagnant Blood)
Injuries presenting with irritability, flushed face, dry mouth, and thirst, with a洪大 (surging/large) pulse that feels empty upon deep pressure, are suitable for Dang Gui Bu Xue Tang (Dangui Tonifying Blood Decoction). If accompanied by irritability, spontaneous sweating, and dizziness, Du Shen Tang (Single Ginseng Decoction) is appropriate. If accompanied by irritability and insomnia, Jia Wei Gui Pi Tang (Modified Spleen-Restoring Decoction) is appropriate. If accompanied by irritability and hypochondriac pain, Chai Hu Si Wu Tang (Bupleurum Four Substances Decoction) is appropriate. If irritability results from excessive blood loss, Sheng Yu Tang (Life-Sustaining Decoction) is appropriate.
Jia Wei Gui Pi Tang (Formula see Chest and Abdominal Pain and Distension)
Dang Gui Bu Xue Tang and Sheng Yu Tang (Both see Fever chapter)
Chai Hu Si Wu Tang (i.e., Si Wu Tang with added Chai Hu and Huang Qin. Formula see Injury Bleeding chapter)
Du Shen Tang (Formula see Injury Bleeding chapter)
Injuries manifesting as wheezing and coughing: if due to excessive blood loss, presenting with black complexion, chest fullness, and chest/diaphragm pain triggering wheezing, this indicates Qi deficiency allowing blood to ascend and assault the Lung. Urgently administer Er Wei Shen Su Yin (Two-Ingredient Ginseng and Sappan Drink); delay makes rescue difficult. If hemoptysis or epistaxis occurs with wheezing, this indicates Qi rebellion causing blood to stagnate in the Lung. Only blood-invigorating and Qi-moving methods are suitable; purgative methods must not be used. Shi Wei Shen Su Yin (Ten-Ingredient Ginseng and Sappan Drink) is appropriate.
Er Wei Shen Su Yin
Ren Shen (Panax Ginseng Radix et Rhizoma) [1 liang] Su Mu (Sappan Wood) [2 liang]
Decoct in water and take.
Shi Wei Shen Su Yin
Ren Shen (Panax Ginseng Radix et Rhizoma) Zi Su (Perillae Folium) Ban Xia (Pinelliae Rhizoma Preparatum) Fu Ling (Poria) Chen Pi (Citri Reticulatae Pericarpium) Jie Geng (Platycodonis Radix) Qian Hu (Peucedani Radix) Ge Gen (Puerariae Lobatae Radix) Zhi Ke (Aurantii Fructus Immaturus) [each 1 qian] Gan Cao (Glycyrrhizae Radix et Rhizoma) [5 fen]
Add two slices of fresh ginger, decoct in water, and take.