〔表〕
脉浮紧，证发热恶寒体痛，此挟有外邪，宜发散。四季伤损发散，春五积散、香苏散。
夏香薷饮、五苓散。秋正气散。冬和解散加减。（以上诸方，并见伤寒。）寒热加柴胡、前胡、
黄芩。头痛加川芎、白芷。香港脚加白芷、槟榔、木香。痰加南星、半夏、乌梅。气喘加
人参、木香、沉香。寒加苍术、半夏、陈皮。
上等分， 咀。葱白煎，空心服。
疏风败毒散 治打扑诸损，动筋折骨，跌磕堕伤者。
当归 川芎 白芍药 熟地黄 羌活 独活 桔梗 枳壳 柴胡 白茯苓 白芷
甘草 紫苏 陈皮 香附
上生姜、生地黄煎，入酒和服。
加味交加散 治打扑伤损，折骨出臼，发热恶寒。体弱之人，用此服之。若体实之人，
宜疏风败毒散。
当归 川芎 白芍药 生地黄 苍术 浓朴 陈皮 白茯苓 半夏 羌活 独活 桔梗 枳壳 前胡
柴胡 干姜 肉桂 甘草
生姜煎服。有热，除干姜 肉桂。
羌活乳香汤 治跌扑伤损，动筋折骨，发热体痛，挟外邪者。
羌活 独活 川芎 当归 赤芍药 防风 荆芥 丹皮 续断 红花 桃仁 陈皮
上生地黄煎服。有热，加柴胡、黄芩。
〔里〕
肝脉搏坚而长，胁下痛不可忍，宜行瘀血。海藏云∶若登高堕下，重物撞打，箭镞
刃伤，心腹、胸中停积郁血不散，以上中下三焦分之，别其部分。上部易老犀角地黄汤；
中部桃仁承气汤；下部抵当汤之类下之。亦有以小便、酒、同煎治之。更有内加生地黄、
当归煎者，有大黄者。又法，虚人不禁下者，以四物汤加穿山甲煎服妙。亦有花蕊石散，以
童子小便煎，或酒服之者，此药与前寒药正分阴阳，不可不辨也。若瘀血已去，用复元
通气散，加当归煎服，亦可。
仲景治马坠及一切筋骨损伤。
大黄（一两，切、汤浸，或半两） 绯帛 乱发（如鸡子大，烧灰） 败蒲席（三寸） 久用炊
单布（一尺，烧灰） 桃仁（四十九个，去皮尖） 甘草（如中指节，炙、锉）
上七味。以童子小便量多少煎汤，或纳酒一大盏，次下大黄，去渣。分温三服，先
锉败蒲席半领，煎汤浴，以衣被覆，斯须通利数行，通后立瘥。利后浴水赤，勿怪，即
瘀血也。
复元活血汤 治从高堕下，恶血流于胁下，及疼痛不可忍者。《经》云∶有所堕坠，
恶血留内，有所大怒，气上而不行，下损于胁则伤肝。肝胆之经俱行于胁下，经属厥阴、
少阳。宜以柴胡为引用为君；以当归活血脉，又急者痛也，以甘草缓其急，亦能行新血，阳
生阴长故也为臣；穿山甲、栝蒌根、桃仁、红花破血润血，为之佐；大黄酒制，以荡涤败
血，为之使。气味相合，各有所归，痛自去矣。
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）
上件，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。
大温服，食前，以利为度。得利后，痛或不尽，服乳香神应散。（方见后腹痛条。）
巴戟汤（洁古） 治从高坠下，及打扑内损，昏冒嗜卧，不能饮食，此谓血闭。脏腑不通。
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，以利为度。
当归导滞散（东垣） 治打扑损伤，落马坠车瘀血，大便不通，红肿青黯，疼痛昏闷。蓄
血内壅欲死。
大黄（一两） 当归（二钱半） 麝香（少许）
上三味，除麝香别研外，为极细末，入麝香令匀。每服三钱，热酒一盏，调下如前。
内瘀血去，或骨节伤折疼痛不可忍，以定痛接骨紫金丹治之。
又导滞散 治重物压伤，或从高坠下，或吐血不能禁止，或瘀血在内，胸腹胀满，喘
促气短。
当归 大黄（各二两）
上为细末。每服三钱，不拘时，温酒调服。
夺命散（《济生》） 治刀刃所伤，及从高坠
下，木石压损，瘀血凝积心腹疼痛，大小便不通。
水蛭（用锻石拌，慢火炒令干，黄色，半两） 黑牵牛（二两）
上末，每服二钱，热酒调下，约行四五里；再用热酒，调黑牵牛末二钱催之，须下
恶血成块，以尽为度。
鸡鸣散（《三因》） 治从高坠下，及木石所压，凡是伤损血瘀凝积，气绝欲死，烦躁头
痛，叫呼不得，并以此药利去瘀血，治折伤神妙。
大黄（一两，酒蒸） 桃仁（二七粒，去皮尖）
上研细。酒一碗煎至六分，去渣，鸡鸣时服。次日取下瘀血即愈。若便觉气绝不能
言，取药不及，急掰口开，用热小便灌之即愈。
清上瘀血汤 治上膈被伤者。
羌活 独活 连翘 桔梗 枳壳 赤芍药 当归 栀子 黄芩 甘草 川芎 桃仁 红花 苏木 大黄
上生地黄煎，和老酒、童便服。
消下破血汤 治下膈被伤者。
柴胡 川芎 大黄 赤芍药 当归 黄芩 五灵脂 桃仁 枳实 栀子 赤牛膝 木通 泽兰 红花
苏木
上生地黄煎，加老酒、童便和服。
大紫金皮散 治打扑伤折，内损肺肝。
紫金皮 降真香 补骨脂 无名异（烧红酒淬，七次） 川续断 琥珀（另研） 牛膝（酒浸，一
宿） 桃仁（去皮，炒） 当归（洗、焙） 蒲黄（各一两） 大黄（湿纸裹，煨） 朴硝（另研，各
一两半）
上为细末。每服二钱，食前，浓煎。苏木、当归酒调服。
破血药 治打扑堕马，从高跌下，皮肉不破者，此于血停积内攻，不能言语而成谵
妄，此宜攻利为先。若皮破血流者，宜作金疮亡血过多治之。
柴胡 黄芩 五灵脂 枳实 当归 赤芍药 川芎 生地黄 大黄 朴硝 桃仁 红花 苏木
上水煎，入酒、童便和服。皮破血流者，不用酒。
罗氏花蕊石散 治一切金刃箭镞伤，及打扑伤损，猫狗咬伤，或至死血瘀伤处，以
药掺之，其血化为黄水，再掺药便活，更不疼痛。如内损血入脏腑，煎童子小便入酒少
许，调一大盏服立效。若牛抵肠出不损者，急内肠入，用细丝或桑白皮为线，缝合肚皮，缝
上掺药，血止立活。如无桑白皮，用生麻缕亦得，并不得封裹疮口，恐作脓血。如疮干，
以津液润之，然后掺药。妇人产后败血不尽，血迷血晕，恶血奔心，胎死腹中，胎衣不下
至死者，但心头宽暖，急以童子小便调一盏，取下恶物如肝片，终身不患血风、血气证。若
膈上有血化为黄水，实时吐出，或随大便出。
石硫黄（四两） 花蕊石（二两）
上二味，相拌合匀。先用纸筋和盐泥固济瓦罐子一个，内可容药，候泥干入药在内，
再用泥封口候干，安在四方砖上，上书八卦五行字，用炭一秤，笼叠周匝，自巳午时从
下着火，渐渐上彻，直至经宿，火冷炭尽，又放经宿，罐冷取出细研，以绢罗子罗极细，瓷
盒盛之，根据法使用。
破血消痛汤（东垣） 治乘马损伤，跌破脊骨，恶血流下，胁下甚痛，若楚不能转侧，妨
于饮食。
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（少许，另
研） 水蛭（三钱，炒去烟尽，另研）
上为粗末。只一服，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。
〔经〕 治折伤 用水蛭，新瓦上焙干，为细末。热酒调下一钱。食顷，痛更一服。痛
止，便将接骨药封，以物夹定，直候至好。
〔世〕 治从高至下坠，及打击内伤神效
麝香、水蛭各一两锉碎，炒烟出，二件研为细末。酒调二钱，当下蓄血。未止，再服
其效如神。
〔衍〕 自然铜，有人饲折翅鹰，后遂飞去 今人打扑损伤，研极细末，飞过，用当
归、没药各半钱，以酒调频服，仍以手摩痛处。
〔海〕 治坠落车马，筋骨疼痛不止，用玄胡索一两，捣罗为散，不计时服，以豆淋
酒，调下二钱。
〔本〕 治卒血及心被打，内有瘀血者童便煎服之，一服一升。
〔山〕 扑伤损 松节煎酒吃。 扑重伤 用生姜自然汁四两，香油四两，打匀，无
灰酒热调下。
《塞上方》治坠伤损扑，瘀血在内，烦闷者 用蒲黄末，空心热酒调下三钱瘥。
〔表里〕
二十五味药 治 扑损伤，骨碎骨折，筋断刺痛，不问轻重，并皆治之。
香白芷 紫金皮 破故纸（各醋炒） 刘寄奴 川当归（盐炒） 赤芍药（米泔浸） 黑牵牛
川牛膝（茶水浸） 生地黄（盐水浸、炒） 川芎 乳香 没药 木通 自然铜（骨不碎不用，临好时
用） 草乌（醋炒，孕妇不用） 木香 川乌（火煨，孕妇不用） 藿香 骨碎补 木贼 官桂 羌活
独活（以上各一两） 熟地黄（盐水炒） 杜牛膝（茶水炒，各半两）
金刃伤挫臼者， 去自然铜。骨碎骨折者用之。然须于此方内去自然铜，临好时却入
用之，如早服以成他疾。同研为末，用蜜为丸如弹子大，用黄丹为衣。或被 扑损伤，金
刃箭镞，不问轻重，每服一丸，温酒磨化服，或细嚼酒送下。如被刀伤全断，内损重者，以
薄荷汤或木瓜汤、姜汤、灯心汤皆可服。病在上食后，病在下食前，在中者不拘时服。老
人骨脉冷，宜加当归、川芎、川乌、木香、丁香、人参半两，去白芍药、生地黄。
没药降圣丹 治打扑伤损，筋断骨折，挛急疼痛，不能屈伸，及荣卫虚弱，外受风邪，
内伤经络，筋骨缓纵，皮肉刺痛，肩背拘急，身体倦怠，四肢少力。
没药（另研） 当归（酒洗，焙） 白芍药 骨碎补（HT ，去毛） 川乌头（生，去皮脐） 自然铜（火 醋
淬十二次，研为末，水飞过，焙，各一两） 生地黄 川芎（各一两半）
上为细末，以生姜自然汁与炼蜜和丸，每一两作四丸。每服一丸，捶碎，用水、酒各
半钟，入苏木少许，煎至八分，去苏木空心服。
〔清心〕
清心药 治打扑伤损，折骨出臼，刀斧斫磕等伤，及肚皮伤破肠出者。
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
上灯心草、薄荷煎，入童便和服。
〔本〕水仙散 治打扑坠损，恶血攻心，闷乱疼痛。
未展荷叶阴干，一味为末，食前，以童子热小便一小盏，调下三钱，以利下恶物为
度。
〔圣〕 治扑打坠损，恶血攻心，闷乱疼痛 以大干荷叶五片，烧令烟尽，细研。食
前，以童子热小便一小盏，调三钱匕，日三服。
〔止痛〕
止痛药 治打扑伤损，折骨出臼，金疮破伤。
当归 牛膝 川芎 淮生 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）
上末，老酒调服。
散血定痛补损丹 治诸般伤损肿痛。
当归 川芎 赤芍药 生 白芍药 牛膝 续断 白芷 杜仲（制） 骨碎补 五加
皮羌活 独活 南星（制） 防风（各一两半） 官桂 乳香 没药（各一两） 南木香 丁皮
角茴（各五钱）
上末，酒调服。
定痛当归散 治诸损肿痛。
当归 川芎 赤芍药 白芍药 熟 羌活 独活 牛膝 续断 白芷 杜仲（各二
两） 川乌（炮） 乳香 没药 肉桂（各一两） 南木香 角茴 丁皮（各五钱）
上末，酒调服。
四草定疼汤 治打扑、跌堕、压磕等伤肿痛。
山薄荷 宝塔草 矮金屯叶 皱面藤叶
上生采，叶擂酒服；根梗煎酒服。
圣灵丹 治一切打扑损伤，及伤折疼痛不可忍者，并宜服之。
乳香（五钱） 乌梅（去核，五个） 白米（一撮） 蒿苣子（一大盏炒，取二两八钱）
上为细末，炼蜜和丸，如弹子大。每服一丸，细嚼，热酒吞下，食后。一伏时痛不
止，再服。
〔活血顺气〕
何首乌散 治打折筋骨，初然便宜服。此药顺气、疏风、活血、定痛。
何首乌 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
上，薄荷、生地黄煎，入酒和服。疼痛甚者，加乳香、没药。
调经散 治跌扑损伤，疏利后，用此药调理。
川芎 当归 芍药 黄 （各一钱半） 青皮 乌药 陈皮 熟地黄 乳香（另研） 茴香
（各一钱）
上作一服。水二盅，煎至一盅，不拘时服。
〔本〕 宣和中，有一国医忽承快行宣押，就一佛刹医内人，医诊视之已昏死矣。问其
从人，皆不知病之由，惶恐无地。良久，有二三老内人至，下轿环而泣之，方得其实，云∶
因蹴秋千，自空而下坠死。医者云∶打扑伤损，自属外科，欲申明又恐后时；参差不测。
再视之，微觉有气，忽忆药箧中有苏合香丸，急取半两，于火上焙去脑、麝，用酒半升，研、
化灌之，至三更方呻吟，五更下恶血数升，调理数日方瘥。先夫人之丧，一守灵妇，登高
取物坠下，昏冒不省人事。予急令煎苏木汤，调苏合香丸灌之，明日已平复矣。
〔活血〕
[Exterior Syndrome]
Pulse is floating and tight, symptoms manifest as fever, aversion to cold, and body pain. This indicates an invasion of external pathogens, and dispersing methods are appropriate. For injuries requiring dispersal in the four seasons: in Spring, use Wuji San (Five Accumulations Powder) or Xiangsu San (Fragrant Perilla Powder); in Summer, use Xiangru Yin (Elsholtzia Decoction) or Wuling San (Five-Ling Powder); in Autumn, use Zhengqi San (Righteous Qi Powder); in Winter, use Hejie San (Harmonizing Decoction) with modifications. (All the above formulas are also found in Treatise on Cold Pathogenic Diseases.) If accompanied by alternating chills and fever, add Bupleuri Radix (Chaihu), Peucedani Radix (Qianhu), and Scutellariae Radix (Huangqin). For headache, add Ligustici Chuanxiong Rhizoma (Chuanxiong) and Angelicae Dahuricae Radix (Baizhi). For Hongkong foot (swelling and pain in the feet), add Baizhi, Arecae Semen (Binglang), and Aucklandiae Radix (Muxiang). For phlegm, add Arisaematis Rhizoma (Nanxing), Pinelliae Rhizoma (Banxia), and Mume Fructus (Wumei). For asthma/wheezing, add Ginseng Radix et Rhizoma (Renshen), Muxiang, and Aquilariae Lignum Resinatum (Chenxiang). For cold, add Atractylodis Rhizoma (Cangzhu), Banxia, and Citri Reticulatae Pericarpium (Chenpi).
The above herbs are divided equally, cut into pieces. Decoct with scallion white parts, take on an empty stomach.
Shufeng Baidu San (Dispel Wind and Overcome Toxin Powder) treats various injuries from beating and falling, tendon movements, bone fractures, and bruises from falls or collisions.
Angelicae Sinensis Radix (Danggui), Ligustici Chuanxiong Rhizoma (Chuanxiong), Paeoniae Radix Alba (Baishaoyao), Rehmanniae Radix Praeparata (Shudihuang), Notopterygii Rhizoma et Radix (Qianghuo), Angelicae Pubescentis Radix (Duhuo), Platycodonis Radix (Jiegeng), Aurantii Fructus Immaturus (Zhike), Bupleuri Radix (Chaihu), Poria (Baifuling), Baizhi, Glycyrrhizae Radix et Rhizoma (Gancao), Perillae Folium (Zisu), Chenpi, Cyperi Rhizoma (Xiangfu).
Decoct the above with fresh ginger and Rehmanniae Radix Recens (Shengdihuang), mix with wine, and take.
Jiawei Jiajia San (Modified Jiajia Powder) treats injuries from beating and falling, bone fractures and dislocations, fever, and aversion to cold. It is suitable for weak individuals. For robust individuals, Shufeng Baidu San is preferred.
Danggui, Chuanxiong, Baishaoyao, Shengdihuang, Cangzhu, Magnoliae Officinalis Cortex (Nongpo), Chenpi, Baifuling, Banxia, Qianghuo, Duhuo, Jiegeng, Zhike, Qianhu, Chaihu, Zingiberis Rhizoma Recens (Ganjiang), Cinnamomi Cortex (Rougui), Gancao.
Decoct with fresh ginger. If there is heat, remove Ganjiang and Rougui.
Qianghuo Ruxiang Tang (Notopterygium and Frankincense Decoction) treats injuries from falls and blows, tendon movements, bone fractures, fever, body pain, and cases complicated by external pathogens.
Qianghuo, Duhuo, Chuanxiong, Danggui, Paeoniae Radix Rubra (Chishaoyao), Saposhnikoviae Radix (Fangfeng), Schizonepetae Spica (Jingjie), Moutan Cortex (Danpi), Dipsaci Radix (Xuduan), Carthami Flos (Honghua), Persicae Semen (Taoren), Chenpi.
Decoct the above with Shengdihuang. If there is heat, add Chaihu and Huangqin.
[Interior Syndrome]
If the Liver pulse is firm and long, and pain under the ribs is unbearable, it is appropriate to move blood stasis. Haicang said: If one falls from a height, is struck by heavy objects, or injured by arrowheads or blades, causing stagnant and accumulated blood in the heart, abdomen, or chest that does not dissipate, divide it according to the Upper, Middle, and Lower Jiao, distinguishing the specific locations. For the Upper Jiao, use Yilao Xijiao Dihuang Tang; for the Middle Jiao, use Tao Ren Cheng Qi Tang; for the Lower Jiao, use Didang Tang or similar formulas to purge. Some treat it by decocting with urine and wine. Other methods include decocting with Shengdihuang and Danggui, or including Dahuang. Another method: for deficient patients who cannot tolerate purging, decoct Siwu Tang with Manis Squama (Chuanshanjia) for excellent results. Huarui Shi San (Flower Rhyolite Powder) can also be used, decocted with child's urine or taken with wine. This medicine contrasts with the preceding cold-natured medicines in terms of Yin and Yang, so it must be distinguished carefully. Once the blood stasis is removed, Fuyuan Tongqi San with added Danggui can be decocted and taken.
Zhang Zhongjing treated horse falls and all kinds of bone and tendon injuries.
Dahuang (1 liang, sliced, soaked in hot water, or 0.5 liang), Feibo (red silk fabric), Luankua (tangled hair, size of a chicken egg, burned to ash), Baipuxi (decayed cattail mat, 3 cun), Jiuyong Chuandanbu (cloth used for cooking for a long time, 1 chi, burned to ash), Taoren (49 kernels, skin and tip removed), Gancao (size of middle finger joint, roasted and cut).
These seven ingredients. Decoct with an appropriate amount of child's urine to make a soup, or add one large cup of wine. Add Dahuang next, strain. Divide into three warm doses. First, cut half a Baipuxi into pieces, decoct for bathing, cover with clothes/bedding. After a short while, bowel movement will occur several times. Recovery follows immediately after evacuation. Do not be surprised if the bathwater turns red; this is blood stasis.
Fuyuan Huoxue Tang (Restore Origin and Invigorate Blood Decoction) treats falling from heights, where evil blood flows into the hypochondrium, causing unbearable pain. The Classic states: "Falling causes evil blood to remain inside; great anger causes qi to rise and fail to descend, damaging the liver when it affects the hypochondrium." The Liver and Gallbladder meridians both run through the hypochondrium, belonging to Jueyin and Shaoyang. Therefore, Chaihu should be used as the guiding herb and sovereign drug; Danggui invigorates blood vessels; since urgency causes pain, Gancao relieves urgency and promotes new blood generation (Yang generates Yin), serving as the minister drug; Chuanshanjia, Trichosanthis Radix (Gualuagen), Taoren, and Honghua break and moisten blood stasis, serving as assistant drugs; Dahuang processed with wine sweeps away bad blood, serving as the envoy drug. Their flavors combine, each returning to its meridian, and pain naturally disappears.
Chaihu (5 qian), Danggui, Chuanshanjia (processed), Gualuagen (each 3 qian), Gancao, Honghua (each 2 qian), Taoren (skin and tip removed, 50 kernels), Dahuang (soaked in wine, 1 liang).
Crush the Taoren until paste-like. Cut the remaining herbs like hemp seeds. Take 1 liang per dose with 2 cups of water and half a cup of wine, decoct to 70%, strain. Take warm before meals, stopping when bowel movement occurs. If pain persists after evacuation, take Ruxiang Shenyingsan. (Formula see Abdominal Pain section later.)
Baji Tang (Jiegu) treats falling from heights, internal injuries from blows, dizziness, lethargy, and inability to eat, known as blood closure. Viscera and bowels are blocked.
Bajitian (heart removed), Dahuang (each 0.5 liang), Danggui, Dihuang, Shaoyao, Chuanxiong (each 1 liang).
Grind into powder. Decoct with water, stop when bowel movement occurs.
Danggui Daozhi San (Dongyuan) treats injuries from blows, blood stasis from falling off horses or carts, constipation, redness/swelling/blue-black discoloration, painful dizziness. Internal accumulation of blood stasis leading to near death.
Dahuang (1 liang), Danggui (2.5 qian), Shexiang (a little).
Grind the three ingredients (except Shexiang which is ground separately) into fine powder, mix evenly with Shexiang. Take 3 qian per dose, mixed with one cup of hot wine.
Once internal blood stasis is cleared, or if bone/joint fracture pain is unbearable, treat with Dingtong Jiegu Zijin Dan.
Another Daozhi San treats compression injuries, falling from heights, uncontrollable hematemesis, internal blood stasis causing chest/abdominal fullness, panting, and shortness of breath.
Danggui, Dahuang (each 2 liang).
Grind into fine powder. Take 3 qian per dose at any time, mixed with warm wine.
Duoming San (Jisheng Fang) treats blade wounds, falling from heights, crushing by wood/stone, blood stasis accumulating in the heart/abdomen causing pain, and urinary/fecal retention.
Shuizhi (mixed with Duanshi, slow-roasted until dry and yellow, 0.5 liang), Heiqianniu (2 liang).
Grind into powder. Take 2 qian per dose with hot wine, walk about 4-5 li. Then take another 2 qian of Heiqianniu powder with hot wine to induce expulsion. Must pass clots of evil blood until complete.
Jiming San (Sanyin Fang) treats falling from heights, crushing by wood/stone, any injury where blood stasis accumulates, qi failure approaching death, irritability, headache, inability to cry out. This medicine effectively purges blood stasis and miraculously treats fractures.
Dahuang (1 liang, steamed with wine), Taoren (14 kernels, skin and tip removed).
Grind finely. Decoct in one bowl of wine until reduced to 60%, strain. Take at cockcrow. Pass blood stasis the next day and recover. If sudden qi failure and inability to speak occurs, and medication cannot be obtained in time, forcibly open the mouth and灌 (pour) hot urine immediately for recovery.
Qingshang Yuxue Tang (Clear Upper Blood Stasis Decoction) treats injuries to the upper diaphragm/chest.
Qianghuo, Duhuo, Lianqiao, Jiegeng, Zhike, Chishaoyao, Danggui, Zhizi, Huangqin, Gancao, Chuanxiong, Taoren, Honghua, Sumu, Dahuang.
Decoct with Shengdihuang, mix with aged wine and child's urine, and take.
Xiaxia Posui Tang (Eliminate Lower Break Blood Decoction) treats injuries to the lower diaphragm/abdomen.
Chaihu, Chuanxiong, Dahuang, Chishaoyao, Danggui, Huangqin, Wulingzhi, Taoren, Zhishi, Zhizi, Chi Niuxi, Mutong, Zelan, Honghua, Sumu.
Decoct with Shengdihuang, mix with aged wine and child's urine, and take.
Dazijin Pi San (Great Purple Gold Bark Powder) treats beating/falling injuries, fractures, and internal damage to lungs/liver.
Zijinpi, Jiangzhenxiang, Buguzhi, Wumingyi (roasted, quenched in red wine 7 times), Chuanxuduan, Hupo (ground separately), Niuxi (soaked in wine overnight), Taoren (skin removed, roasted), Danggui (washed, dried), Puhuang (each 1 liang), Dahuang (wrapped in wet paper, baked), Pomiao (ground separately, each 1.5 liang).
Grind into fine powder. Take 2 qian per dose before meals, decoct strongly with Sumu and Danggui in wine, and take.
Posui Yao (Blood-Breaking Medicine) treats beating/falling off horses, falling from heights where skin/flesh are intact. This indicates blood stasis accumulating internally attacking inward, causing inability to speak and delirium. Purging is prioritized. If skin is broken and bleeding, treat as metal wound with excessive blood loss.
Chaihu, Huangqin, Wulingzhi, Zhishi, Danggui, Chishaoyao, Chuanxiong, Shengdihuang, Dahuang, Pomiao, Taoren, Honghua, Sumu.
Decoct with water, mix with wine and child's urine, and take. If skin is broken and bleeding, do not use wine.
Luo's Huarui Shi San treats all metal blade/arrowhead wounds, beating/falling injuries, cat/dog bites, or death due to blood stasis at the injury site. Apply powder to the wound; blood turns to yellow fluid. Reapply powder, and the patient revives without pain. For internal damage where blood enters viscera, decoct child's urine with a little wine, mix one large cup, and take for immediate effect. If intestine protrudes from cow butt but is undamaged, quickly push it back in, suture the abdomen using fine thread or mulberry bark, apply powder on the suture, stop bleeding, and revive immediately. If no mulberry bark, raw hemp thread works. Do not seal the wound tightly to avoid pus formation. If wound is dry, moisten with saliva before applying powder. For postpartum women with incomplete lochia, blood confusion/fainting, evil blood rushing to heart, dead fetus in uterus, or retained placenta leading to death, if the heart area feels warm/broad, quickly mix one cup with child's urine, pass evil matter resembling liver slices, and never suffer from blood wind/qi syndromes again. If blood on the diaphragm turns to yellow fluid, vomit it up immediately or pass it with stool.
Shiliuhuang (4 liang), Huarui Shi (2 liang).
Mix evenly. Line a clay pot with paper paste and salt mud, place herbs inside, seal with mud, dry. Place on brick, write Bagua/Five Elements characters, surround with charcoal, ignite from bottom during Si/Wu hours, burn overnight until cool. Remove, grind finely, sieve through silk, store in porcelain box. Use according to method.
Posui Xiaotong Tang (Dongyuan) treats horse riding injuries, spinal fracture, downward flow of evil blood, severe hypochondriac pain, inability to turn, affecting diet.
Qianghuo, Fangfeng, Guanzi (each 1 qian), Sumu (1.5 qian), Chaihu, Lianqiao, Danggui Shao (each 2 qian), Shexiang (little, ground separately), Shuizhi (3 qian, stir-fried until smoke stops, ground separately).
Grind into coarse powder. One dose: 2 large cups of wine, 1 cup of water. Grind Shuizhi and Shexiang into paste separately. Decoct other herbs to 1 large cup, remove from fire, let cool slightly, mix with the two pastes and take. Two doses lead to immediate recovery.
[Meridians] Treating fractures: Use Shuizhi, roast on new tile until dry, grind to fine powder. Mix with hot wine, take 1 qian. After eating, if pain persists, take another dose. Once pain stops, apply bone-setting medicine, fix with splints, wait for healing.
[Worldly Transmission] Miraculous effect for falling from heights and internal trauma from blows.
Shexiang, Shuizhi (each 1 liang), cut and stir-fried until smoke appears, grind together to fine powder. Mix with wine, take 2 qian to expel stored blood. If not stopped, take again; effect is miraculous.
[Yanyi] Ziran Tong: Someone raised an eagle with broken wings, which later flew away. Now, for beating/falling injuries, grind Ziran Tong to fine powder, refine it, mix with Danggui and Moyao (0.5 qian each), take frequently with wine, and massage the painful area.
[Haicang] Treating pain from falling off vehicles/horses: Use Yanhusuo (1 liang), grind to powder, take at any time with Doulin Jiu (bean-dripping wine), mix 2 qian and take.
[Bencao] Treating sudden blood stasis and heart contusion with internal blood stasis: Decoct with child's urine, take one sheng per dose.
[Shanju] For minor injuries: Drink Songjie (pine joint) decocted in wine. For severe injuries: Mix 4 liang fresh ginger juice with 4 liang sesame oil, beat well, take with hot non-grain wine.
"Sai Shang Fang" treats falling/crushing injuries with internal blood stasis and oppression: Take 3 qian of Puhuang powder with hot wine on an empty stomach for recovery.
[Exterior-Interior Combined]
Ershiwu Wei Yao (Twenty-Five Ingredient Medicine) treats beating injuries, bone fractures, tendon ruptures with stabbing pain, regardless of severity.
Baizhi, Zijinpi, Poguzhi (vinegar-fried each), Liu Jinu, Chuan Danggui (salt-fried), Chishaoyao (rice water-soaked), Heiqianniu, Chuan Niuxi (tea-water soaked), Shengdihuang (salt-water soaked, fried), Chuanxiong, Ruxiang, Moyao, Mutong, Ziran Tong (not needed if bone not fractured, add near healing), Caowu (vinegar-fried, contraindicated in pregnancy), Muxiang, Chuanwu (fire-roasted, contraindicated in pregnancy), Huoxiang, Gusuibu, Muzei, Guanzi, Qianghuo, Duhuo (each 1 liang above), Shudihuang (salt-water fried), Du Niuxi (tea-water fried, each 0.5 liang).
For metal blade wounds/dislocations, remove Ziran Tong. For bone fractures, use it. However, remove Ziran Tong initially and add only near healing to avoid other diseases. Grind together, form pills like bullet sizes with honey, coat with Huangdan. For beating/metal/arrow injuries, take one pill per dose, dissolve in warm wine or chew with wine. For deep cuts/internal injuries, take with Bohe Tang, Mugua Tang, Ginger Tang, or Dengxin Tang. Take after meals for upper body diseases, before meals for lower body, anytime for middle. For elderly with cold bones/pulses, add Danggui, Chuanxiong, Chuanwu, Muxiang, Dingxiang, Renshen (0.5 liang each), remove Baishaoyao and Shengdihuang.
Moyao Jiangsheng Dan treats beating injuries, tendon/bone fractures, spasms/pain, inability to flex/extend, deficiency of Ying/Wei, external wind invasion, internal meridian damage, flaccid tendons/bones, stabbing skin/muscle pain, shoulder/back stiffness, fatigue, weak limbs.
Moyao (ground separately), Danggui (wine-washed, dried), Baishaoyao, Gusuibu (HT, hair removed), Chuan Wutou (raw, skin/navel removed), Ziran Tong (fire/vinegar quenched 12 times, ground, water-classified, dried, each 1 liang), Shengdihuang, Chuanxiong (each 1.5 liang).
Grind to fine powder, mix with fresh ginger juice and refined honey to form pills. Each 1 liang makes 4 pills. Take one pill, crush, decoct with half cup water and half cup wine, add little Sumu, decoct to 80%, remove Sumu, take on empty stomach.
[Clear Heart]
Qingxin Yao treats beating injuries, fractures/dislocations, axe/chop wounds, and abdominal wall rupture with evisceration.
Mudanpi, Danggui, Chuanxiong, Chishaoyao, Shengdihuang, Huangqin, Huanglian, Lianqiao, Zhizi, Taoren, Gancao.
Decoct with Dengxincao and Bohe, mix with child's urine, and take.
[Bencao] Shuixian San treats falling injuries, evil blood attacking heart, oppression/pain.
Dry unopened lotus leaves, shade-dry, grind to powder. Before meals, mix 3 qian with one small cup of hot child's urine, take until evil matter is passed.
[Shengji] Treating beating/falling injuries, evil blood attacking heart, oppression/pain: Burn 5 large dry lotus leaves until smoke ceases, grind finely. Before meals, mix 3 qian with one small cup of hot child's urine, take three times daily.
[Pain Relief]
Zhitong Yao treats beating injuries, fractures/dislocations, metal wound lacerations.
Danggui, Niuxi, Chuanxiong, Huaisheng, Chishaoyao, Baizhi, Qianghuo, Duhuo, Duzhong, Xuduan (each 1 liang), Rougui, Bajiao Huixiang, Ruxiang, Moyao (each 5 qian), Nanmuxiang, Dingpi, Chenxiang, Xuexue (each 2.5 qian).
Grind to powder, mix with aged wine, and take.
Sanxue Dingtong Bushun Dan treats various injury swellings/pains.
Danggui, Chuanxiong, Chishaoyao, Sheng, Baishaoyao, Niuxi, Xuduan, Baizhi, Duzhong (processed), Gusuibu, Wujiaopi, Qianghuo, Duhuo, Nanxing (processed), Fangfeng (each 1.5 liang), Guanzi, Ruxiang, Moyao (each 1 liang), Nanmuxiang, Dingpi, Jiaohui (each 5 qian).
Grind to powder, mix with wine, and take.
Dingtong Danggui San treats various injury swellings/pains.
Danggui, Chuanxiong, Chishaoyao, Baishaoyao, Shu, Qianghuo, Duhuo, Niuxi, Xuduan, Baizhi, Duzhong (each 2 liang), Chuanwu (processed), Ruxiang, Moyao, Rougui (each 1 liang), Nanmuxiang, Jiaohui, Dingpi (each 5 qian).
Grind to powder, mix with wine, and take.
Sicao Dingting Tang treats swelling/pain from beating, falling, crushing.
Shan Bohe, Baota Cao, Aijintun Ye, Zhoumian Teng Ye.
Freshly pick, pound leaves in wine to drink; decoct roots/stems in wine to drink.
Shengling Dan treats all beating injuries and unbearable fracture pain.
Ruxiang (5 qian), Wumei (pitted, 5), Baimi (a pinch), Haoju Zi (stir-fried in large cup, take 2.8 liang).
Grind to fine powder, mix with refined honey to form bullet-sized pills. Take one pill, chew finely, swallow with hot wine after meals. If pain persists after one watch (2 hours), take again.
[Invigorate Blood & Smooth Qi]
Heshouwu San treats broken bones/tendons, best taken early. This medicine smooths qi, dispels wind, invigorates blood, and relieves pain.
Heshouwu, Danggui, Chishaoyao, Baizhi, Wuyao, Zhike, Fangfeng, Gancao, Chuanxiong, Chenpi, Xiangfu, Zisu, Qianghuo, Duhuo, Rougui.
Decoct with Bohe and Shengdihuang, mix with wine, and take. For severe pain, add Ruxiang and Moyao.
Tiaojing San treats post-injury regulation after initial clearing.
Chuanxiong, Danggui, Shaoyao, Huangqi (each 1.5 qian), Qingpi, Wuyao, Chenpi, Shudihuang, Ruxiang (ground separately), Huixiang (each 1 qian).
One dose. Decoct 2 cups water to 1 cup, take anytime.
[Bencao] In Xuanhe era, a national physician was summoned to treat a palace lady who had died from falling off a swing. Attendants didn't know the cause. Later, old ladies revealed she fell while swinging. Physician thought it was surgical, feared delay. Checking again, faint breath remained. Remembered Suhexiang Wan in medicine box, took 0.5 liang, roasted to remove Nao/Moshe, dissolved in half sheng wine, poured into mouth. Groaned at midnight, passed several sheng of evil blood at dawn, recovered after days of care. During mourning for my late wife, a spirit-keeping woman fell from height while retrieving items, unconscious. I ordered Sumu Tang mixed with Suhexiang Wan, poured in. Recovered next day.
[Invigorate Blood]