自然铜乃接骨之要药,惟敷药不用,汤饮必须用之。以续断、五加皮为佐;活血以红花
、当
归为主;理气以青皮、枳壳为先;破血以桃仁、木通为君;补血以芍药、生地为最。若欲疏
风先须理气,活血亦须顺气为要。在足木瓜为引经药,在手桂枝、桑枝亦可。
大凡人左胸为气门,右胸为痰火;左肋为食肚,右肋为血海。前胸为龙潭穴,背心为海
底穴。
左乳伤发嗽,右乳伤发呃。两腰为二珠穴,伤则发笑。男子伤于上部易治,以男子气盛、上
升故也,女子伤于下部者易治,盖女子血盛、下降故也。
盖大凡致命处,则顶心、太阳、耳窍、咽喉、胸膛、两乳、心坎、肚脐、两胁、肾囊、
阴
户、脑后、耳根、脊膂、背心、两后胁腰眼并顶心之偏左偏右、额颅、额角,伤重者皆能致
命。
大凡人受全体者,死速。伤肩背死迟,伤左半身者气促,面黄浮肿,右半身者气呃,面
白血
少,伤背者虽不速死,百日后必死,以五脏皆系于背故也,宜服延生药酒。伤胸者必嗽咳迷
闷,面黑,发主三四日死,以胸乃血气往来之所,服七厘散、行气活血汤。
大凡跌打伤轻不致命,但觉两肋疼痛者,此肝火有余,实是火盛之故也。或有平日登高
跌扑
者,原有瘀血瘀滞,今又因新伤而发痛也。或有痰积、食积而痛者,或有醉饱房劳、脾气虚
耗,肝木乘脾胃亏虚,当心连两肋而痛者。又有伤寒发热而两肋痛者。左肋痛,气与火;右
肋痛,痰与食。瘀血痛者,伤处必有红肿。若肥白色之人身发寒热而兼肋痛者,多因气虚;
黑瘦之人发寒热而痛者,大约阴阳两亏,必日轻夜重,多怒腰痛,此亦瘀血凝滞故也。
Calcitum (Rattans Fructus) is a crucial herb for bone setting; it is not used in external applications but must be included in decoctions or infusions. It is assisted by Dipsaci Radix (Xuduan) and Acanthopanacis Senticosi Cortex (Wujia Pi); for promoting blood circulation, Carthami Flos (Honghua) and Angelicae Sinensis Radix (Danggui) serve as the principal herbs; for regulating Qi, Aurantii Fructus Viridis (Qingpi) and Aurantii Fructus (Zhike) are prioritized; for breaking up blood stasis, Persicae Semen (Taoren) and Akebiae Caulis (Mutong) act as the sovereign herbs; for nourishing blood, Paeoniae Radix (Shaoyao) and Rehmanniae Radix Recens (Shengdi) are most effective. If wind-dispersion is desired, Qi regulation must precede it; similarly, promoting blood circulation requires smoothing Qi as a key principle. For injuries to the lower limbs, Papaveris Fructus (Mugua) serves as a guiding herb; for injuries to the upper limbs, Cinnamomi Ramulus (Guizhi) and Mori Ramulus (Sangzhi) may also be used.
Generally, the left chest of a human body is referred to as the "Qi Gate," and the right chest as the site of "Phlegm-Fire." The left hypochondrium is called the "Food Stomach," and the right hypochondrium is the "Sea of Blood." The anterior chest corresponds to the Tianlong Acupoint, and the back corresponds to the Haidi Acupoint. Injury to the left breast induces coughing, while injury to the right breast induces hiccups. The two loins correspond to the Erzhu Acupoints; injury here causes laughter. Injuries to the upper part of men are easier to treat because men possess vigorous Qi that ascends; injuries to the lower part of women are easier to treat because women possess abundant Blood that descends.
Generally, fatal vital points include: Dingxin (Vertex), Taiyang (Temple), Erqiao (Ear Orifices), Yanhou (Throat), Xiong Tang (Chest), Liang Ru (Both Breasts), Xin Kan (Epigastrium), Duqi (Umbilicus), Liang Xie (Both Hypochondria), Shennang (Scrotum), Yinhu (Vagina), Naohou (Back of Head), Ergen (Root of Ear), Jilu (Spine), Beixin (Back), Liang Houxie Yaoyan (Lateral Waist Eyes), areas slightly left or right of the Vertex, Eluan (Forehead), and Ejiao (Frontal Angle). Severe injuries to these sites can all be fatal.
Generally, whole-body trauma leads to rapid death. Injuries to the shoulders and back result in delayed death. Injuries to the left half of the body cause shortness of breath, yellowish complexion, and edema; injuries to the right half cause hiccups, pale complexion, and blood deficiency. Injuries to the back do not cause immediate death, but death will occur within one hundred days because the five Zang organs are connected to the back; Yansheng Jiujiu (Life-Prolonging Medicinal Wine) should be taken. Injuries to the chest inevitably cause coughing, chest tightness, and coma, with a black complexion, leading to death within three to four days because the chest is the pathway for Qi and Blood circulation; Qili San (Seven-Cent Powder) and Xingqi Huoxue Tang (Regulating Qi and Invigorating Blood Decoction) should be taken.
Generally, mild contusions that are not fatal present only as pain in the two hypochondria, which is due to excess Liver Fire, essentially an overabundance of Fire. Some individuals who previously fell from heights have existing blood stasis; new injuries trigger pain from this latent stasis. Pain may also arise from Phlegm accumulation or Food retention. Alternatively, excessive drinking, overeating, or sexual exhaustion may deplete Spleen Qi, allowing Liver Wood to overact on deficient Spleen-Stomach, causing pain radiating from the epigastrium to both hypochondria. Another cause is hypochondriac pain accompanying fever from Cold Damage. Left hypochondriac pain indicates Qi stagnation and Fire; right hypochondriac pain indicates Phlegm and Food retention. Pain due to blood stasis is characterized by redness and swelling at the injury site. In obese, fair-skinned individuals, chills, fever, and hypochondriac pain are often due to Qi deficiency; in dark, thin individuals, chills, fever, and pain suggest dual deficiency of Yin and Yang, typically worsening at night, accompanied by irritability and lumbar pain, which is also due to blood stasis congealing.