凡浑身无故作痛,宜服排风汤。凡服伤损药,须忌生冷、牛羊一切发物,服药必乘热服
血行运而骨易接。凡跌打处痛肿,此是血凝住,宜用热药汤洗之,外敷黑龙散。凡皮里有碎
骨,宜用黑龙散,久骨自出。凡伤重宜服顺气散,不可遽服接骨丹药等类。凡伤不拘轻重忌
服草药,犯之即取出不能如旧。凡跌打后大便不通,忌服接骨丹,炒药热爆又兼酒调,则反
助火益势,且服四物汤待其势定。如大便不通宜用承气汤加木通、朴硝以通为度,方服接骨
丹。凡顶骨碎不可用草药,宜以止血散搽之,内服上部末药,又用鲜蟹、虎骨四两、川芎五
钱,用好酒煎服。凡伤处最忌布绢包,恐日后干血胶粘难以换药,用油纸伞纸包好极妥安。
无药处一时折骨,宜权用糯米饭加酒药姜葱同捣,熨斗熨热包夹安好,内服老酒使血不凝,
然后取药医治。凡正骨,骨整用乌龙散敷四围,桃花散敷填瘀口,次用伞纸包好夹缚。
(骨断皮破者,先用此药煎汤洗,后方服麻药) 赤芍药(五钱) 延胡索(五钱) 当归(三钱)
(三钱) 苍术(一两) 荆芥(四两) 外加防风、槐枝、花椒、葱、艾共切片,每服用一两,水五升
,加荷叶二片煎八分,去渣淋洗。内服麻药方,先用此药麻倒,方可以刀割开。若血涌出,
以桃花散止之,用外麻药敷上,使患者不知疼痛,方可割至损处,又用桃花散围敷割处,外
边再用收口膏药贴好,与淡盐汤服之。
For cases of unexplained pain throughout the whole body, it is appropriate to take Paifeng Tang (Wind-Expelling Decoction). When taking medicines for traumatic injuries, one must avoid cold and raw foods, beef, mutton, and all "fa-wu" (stimulating/triggering foods); the medicine must be taken while hot, as free blood circulation facilitates bone healing. For swelling and pain at the site of a fall or blow, this indicates blood stasis; it is appropriate to wash the area with a decoction of hot medicinal herbs and apply Heilong San (Black Dragon Powder) externally. If there are splintered bones under the skin, Heilong San should be used, and the fragments will naturally discharge over time. For severe injuries, Shunqi San (Qi-Soothing Powder) is appropriate; one should not hastily take bone-setting elixirs or similar preparations. Regardless of the severity of an injury, herbal remedies are contraindicated; violating this may prevent proper healing after foreign bodies are removed. In cases of constipation following trauma, Jiegu Dan (Bone-Setting Pill) is contraindicated because fried herbs are hot and pungent, and mixing them with wine further aggravates fire and pathology. Instead, Siwu Tang (Four Substances Decoction) should be taken first until the condition stabilizes. If constipation persists, Chengqi Tang (Descending Qi Decoction) with Mutong (Akebia Caulis) and Puxiao (Natrii Sulfas) should be used until bowel movement is restored, before administering Jiegu Dan. For comminuted fractures of the skull, herbal remedies are forbidden; Zhixue San (Hemostatic Powder) should be applied topically, and upper-body powdered medicine taken internally. Additionally, fresh crab, Hugu (Tiger Bone, *Panthera tigris*), 4 liang, and Chuanxiong (Ligusticum Rhizome), 5 qian, should be decocted in good wine and taken orally. The injured area must strictly avoid being wrapped in cloth or silk, as dried blood may adhere, making dressing changes difficult later; wrapping well with oil-paper from an umbrella is very safe and secure. In situations where no medicine is available for an acute fracture, glutinous rice mixed with yeast, ginger, and scallions can be temporarily pounded into a paste, heated with an ironing tool, and applied as a compress. Internally, aged wine should be consumed to prevent blood coagulation, after which proper medication can be sought. For bone setting, after realignment, Wulong San (Black Apsaras Powder) should be applied around the periphery, Taohua San (Peach Blossom Powder) should fill the hematoma wound, and then the area should be wrapped with umbrella paper and bound securely.
(For cases where bones are broken and skin is lacerated, wash with this decoction first, then administer anesthesia.) Chishao (Red Peony Root, *Paeoniae Radix Rubra*, 5 qian), Yanhusuo (Corydalis Rhizome, *Corydzidis Rhizoma*, 5 qian), Danggui (Angelica Sinensis, *Angelicae Sinensis Radix*, 3 qian), Cangzhu (Atractylodes Rhizome, *Atractylodis Rhizoma*, 1 liang), Jingjie (Schizonepeta Spike, *Schizonepetae Spica*, 4 liang), plus Fangfeng (Saposhnikovia Root, *Saposhnikoviae Radix*), Huaizhi (Locust Twig, *Robiniae Ramulus*), Huajiao (Zanthoxylum Fruit, *Zanthoxyli Pericarpium*), Congbai (Scallion White, *Allii Fistulosi Bulbus*), and Aiye (Mugwort Leaf, *Artemisiae Argyi Folium*) sliced together. Take 1 liang per dose, add 5 sheng of water and 2 lotus leaves, decoct until reduced to 8 fen, strain, and use the liquid for washing. For internal anesthesia, administer this preparation first to induce numbness, allowing for surgical incision. If bleeding occurs, stop it with Taohua San, apply external anesthetic powder to ensure the patient feels no pain, proceed to cut to the damaged area, surround the incision with Taohua San, apply a wound-healing plaster externally, and take with light salt water.