人有跌伤骨折,必须杉木或杉板将已折之骨凑合端正,用绳缚住,不可偏邪歪
曲,紧紧又用布扎,无使动摇,万不可因呼号疼痛,心软而少致变动轻松,反为害
事。收拾停当,然后用内服之药。苟或皮破血出,尤须用外治之药也。但骨内折,
而外边之皮不伤,正不必用外治之药,然内外夹攻,未尝不更佳耳。内治之法,必
须以活血去瘀为先,血不活则瘀不能去,瘀不去则骨不能接也。方用续骨神丹∶
当归(二两) 大黄(五钱) 生地(一两) 败龟板(一两,为末) 丹皮(三钱)
续断(三钱) 牛膝(二钱) 乳
香末 没药末(各二钱) 桃仁(三十个) 羊踯躅(一钱) 红花(二钱) 白芍(一两) 水
煎服。二剂而瘀血散,新血长,骨即长合矣。再服二剂,去大黄,又服四剂则全愈矣。
外治之法,必须用膏药而加之末药,渗于伤处为妙。膏名全体神膏∶
当归(二两) 生地(二两) 续断(一两) 牛膝(一两) 甘草(五钱) 地榆(一两) 茜草(一两)
小蓟(一两) 木瓜(一两) 杏仁(三钱) 人参(一两) 皂角(二钱) 川芎(一两) 刘寄奴(一两)
桑木枝(四两) 红花(二两) 白术(一两) 黄 (一两) 柴胡(三钱) 荆芥(三钱) 用麻油三斤,
熬数沸,用麻布沥去渣,再煎,滴水成珠,加入黄丹末,水漂过一斤四两,收为膏,不可太老。
再用乳香三钱,没药三钱,自然铜醋浸烧七次,三钱,花蕊石三钱,麒麟竭五
钱,白蜡一两,海螵蛸三钱,为细末,乘膏药未冷时投入膏中,用桑木棍搅匀取起,以瓦
器盛之。临时以煨摊膏,大约膏须重一两。既摊膏药,再入细药,名为胜金丹∶
麝香(三钱) 血竭(三两) 古锻石(二两) 海螵蛸(一两) 自然铜末(如前制,一钱) 乳香(一两)
没药(一两) 花蕊石(三钱) 冰片(一钱) 樟脑(一两) 土狗子(十个) 地虱(干者一钱)
土鳖(干者一钱) 人参(一两) 象皮(三钱) 琥珀(一钱) 儿茶(一两) 紫石英(二两) 三七根末(一两)
木耳炭(一两) 生甘草末(五钱)
和匀,以罐盛之。每膏药一个,用胜金丹末三钱,渗在膏药上贴之。大约
接骨不须二个也,重则用膏药二个。此膏此末皆绝奇,绝异之药倘骨未损伤,
只消贴一张即痊,不必加入胜金丹末药也。
三方内外治法皆有不可形容之妙,内外同治,旦夕即能奏功。世传得此三方,
可无忧折伤之不可救也。
人有从高而下堕于平地,昏死不苏,人以为恶血奔心也,孰知是气为血壅乎。
夫跌仆之伤,多是瘀血之攻心,然而跌仆出于不意,未必心动也。惟从高下坠者,
失足之时,心必惊悸,自知坠地必死,是先挟死之心,不比一蹶而伤者。心不及动也。故气血错乱,
每每昏绝而不可救。治之法。驱其瘀血而必佐之苏气之品,而血易散,而气易开。倘徒攻瘀血,
则气闭不宣,究何益乎。方用苏气汤∶
乳香末(一钱) 没药末(一钱) 苏叶(三钱) 荆芥(三钱) 当归(五钱) 丹皮(三钱)
大黄(一钱) 桃仁(十四粒) 羊踯躅(五分) 山羊血末(五分) 白芍(五钱) 水煎。调服一剂
而气苏,再剂而
血活,三剂全愈。
此方苏气活血兼而用之,故奏功神速。方中妙在用羊踯躅与苏叶、荆芥,因其气乱而乱之,
则血易活而气易苏矣。
A person suffering from a fracture due to a fall must have the broken bone aligned and set straight using fir wood or fir boards. It should be bound tightly with rope, ensuring it is not deviated, twisted, or bent, and then firmly wrapped with cloth to prevent any movement. One must never soften their resolve or loosen the fixation due to the patient's cries of pain, as this would cause further harm. Once properly stabilized, internal medication can be administered. If the skin is broken and bleeding occurs, external treatment is especially necessary. However, if only the bone is fractured internally while the external skin remains intact, external treatment is strictly not required; nevertheless, combining internal and external treatments is undoubtedly more effective. The principle of internal treatment must prioritize invigorating blood and removing stasis. If blood does not circulate, stasis cannot be removed; if stasis is not removed, the bone cannot knit together. The prescription used is Xugu Shen Dan (Continuing Bone Divine Elixir): Danggui (Radix Angelicae Sinensis, 2 liang), Dahuang (Rhei Radix et Rhizoma, 5 qian), Shengdi (Radix Rehmanniae Preparata, 1 liang), Baiguiban (Testudinis Carapax et Plastrum, 1 liang, powdered), Danpi (Cortex Moutan, 3 qian), Xuduan (Radix Dipsaci, 3 qian), Niuxi (Radix Achyranthis Bidentatae, 2 qian), Ruxiang (Olibanum, powdered, 2 qian), Moyao (Myrrha, powdered, 2 qian), Taoren (Semen Persicae, 30 pieces), Yangzhizhu (Daphne odora, 1 qian), Honghua (Flos Carthami, 2 qian), Baishao (Radix Paeoniae Alba, 1 liang). Decoct in water and take orally. After two doses, the blood stasis will dissipate, new blood will grow, and the bone will knit. Take another two doses, remove Dahuang, and take four more doses for complete recovery.
The method of external treatment must involve applying a plaster and sprinkling powdered medicine onto the injury site to allow penetration. The plaster is named Quantie Sheng Gao (Whole Body Divine Plaster): Danggui (2 liang), Shengdi (2 liang), Xuduan (1 liang), Niuxi (1 liang), Gancao (Radix Glycyrrhizae, 5 qian), Diyu (Radix Sanguisorbae, 1 liang), Qiancao (Radix Rubiae Cordifoliae, 1 liang), Xiaoji (Herba Cirsii Japonici, 1 liang), Mugua (Fructus Chaenomelis, 1 liang), Xingren (Semen Armeniacae Amarum, 3 qian), Renshen (Radix Ginseng, 1 liang), Zaojiao (Fructus Gleditsiae Sinensis, 2 qian), Chuanxiong (Rhizoma Chuanxiong, 1 liang), Liu Jinu (Herba Siegesbeckiae, 1 liang), Sangmuzhi (Ramulus Mori, 4 liang), Honghua (2 liang), Baizhu (Rhizoma Atractylodis Macrocephalae, 1 liang), Huangqi (Radix Astragali, 1 liang), Chaihu (Radix Bupleuri, 3 qian), Jingjie (Herba Schizonepetae, 3 qian). Use three jin of sesame oil, boil several times, filter through hemp cloth to remove dregs, and boil again until a drop forms a bead when tested in water. Add one jin four liang of Huangdan (Lithargyrum, washed with water) powder to form the plaster; do not make it too old/hard. Then use Ruxiang (3 qian), Moyao (3 qian), Ziran Tong (Calamites, soaked in vinegar and fired seven times, 3 qian), Huarui Shi (Floris Pyriti, 3 qian), Qilinjie (Dragon's Blood, 5 qian), Bala (Beeswax, 1 liang), Haipiaoxiao (Endoconcha Sepiae, 3 qian), grind into fine powder. While the plaster is still warm, add these powders, stir evenly with a mulberry stick, and store in a pottery vessel. When applying, spread approximately one liang of plaster. After applying the plaster, sprinkle the fine powder named Shengjin Dan (Victory Gold Elixir) on top: Shexiang (Moschus, 3 qian), Xuexie (Draco, 3 liang), Guduan Shi (Ferrum Praeparatum, 2 liang), Haipiaoxiao (1 liang), Ziran Tong mo (prepared as above, 1 qian), Ruxiang (1 liang), Moyao (1 liang), Huarui Shi (3 qian), Bingpian (Borneolum Syntheticum, 1 qian), Zhangnao (Camphora, 1 liang), Tougouzi (Tachyglossus aculeatus, 10 pieces), Dishī (dry, 1 qian), Tubie (dry, 1 qian), Renshen (1 liang), Xiangpi (Elephant Skin, 3 qian), Hupo (Electrum, 1 qian), Ercha (Catechu, 1 liang), Zi Shiy ing (Hematitum, 2 liang), Sanqi gen mo (Radix Notoginseng, 1 liang), Mu'er tan (Carbonized Auricularia, 1 liang), Sheng Gancao mo (Powdered Licorice Root, 5 qian). Mix evenly and store in a jar. For each plaster, use three qian of Shengjin Dan powder, sprinkle on the plaster, and apply. Generally, two plasters are not needed for setting bones; for severe cases, use two plasters. Both this plaster and powder are extremely miraculous and unique medicines. If the bone is not damaged, applying just one plaster is sufficient for recovery, without needing to add the Shengjin Dan powder.
The internal and external treatments of these three prescriptions possess indescribable wonders. Treating both internally and externally simultaneously yields results within a day or night. Those who possess these three prescriptions in the world need not worry about fractures being incurable.
When a person falls from a height to flat ground and becomes unconscious, people often attribute this to evil blood rushing to the heart. However, it is actually qi being obstructed by blood. Injuries from falling are mostly caused by blood stasis attacking the heart, but sudden falls may not necessarily disturb the heart spirit. Only those falling from heights experience shock and palpitations at the moment of losing footing, knowing they will likely die upon impact; thus, they carry a "death mindset" beforehand, unlike those who simply stumble where the heart spirit has no time to react. Consequently, qi and blood become disordered, often leading to coma that is incurable. The treatment method must dispel blood stasis while assisting with herbs that restore qi (revive consciousness/vitality), so that blood disperses easily and qi opens up. If one merely attacks the blood stasis, qi closure will not be relieved, yielding no benefit. The prescription used is Suqi Tang (Reviving Qi Decoction): Ruxiang mo (Olibanum, powdered, 1 qian), Moyao mo (Myrrha, powdered, 1 qian), Suzye (Perilla Leaf, 3 qian), Jingjie (Schizonepeta, 3 qian), Danggui (2 qian), Danpi (3 qian), Dahuang (1 qian), Taoren (14 grains), Yangzhizhu (0.5 qian), Shanyangxue mo (Goat Blood, powdered, 0.5 qian), Baishao (5 qian). Decoct in water. Take one dose mixed with appropriate medium to revive qi, a second dose to activate blood, and three doses for complete recovery.
This formula combines reviving qi and activating blood, hence its rapid efficacy. The brilliance of the formula lies in using Yangzhizhu combined with Suzye and Jingjie; since the qi is chaotic, using these herbs to guide the chaos allows blood to activate and qi to revive easily.