凡人受打,左胸名为气门,右肋名为血海,左肋名为食腑,胸前名为龙潭穴,背脊名为
海底穴。左乳受伤发嗽,右乳受伤发呃。以上身穴皆要紧之所也。凡踢打跌扑损伤,男人伤上部
者易治,伤下部者难医,以其气上升故也。女人伤下部者易治,伤上部者难医,以其血下降
故也。凡伤须验在何部,按其轻重,明其受伤新久。男子气从左转,左则属阳;女子血从右
转,右则属阴;要分气血之使。此症既受脏腑脉络,又验其生气迟速,万投万应,起死回生
,宜珍藏之。伤全体者死速,伤肩背者死缓,伤左边者,气促、面黄浮肿;伤右边者气虚,
面白血少;伤背者,五脏皆系于背,虽凶死缓,百日后见危,服药酒为妙;伤胸者,胸血气
极停来往之所,一伤必咳嗽,高起迷闷,面黑发热,主三四日死。服七厘散,次服行气活血
汤可痊。伤肝者,面生红紫眼赤发热,主七日死。先服流气饮,次服小续命汤,后服和中丸
。伤心口者,面青气少,吐血,呼吸大痛,身体不动,主七日死。先服流气饮,次服大续命
汤,后服和中丸。伤食肚者,心下促阵而痛,发热、高浮如鼓皮,饮食不进,气促发热,眼
闭口臭,面多黑色,主七日死。先服大续命汤,后服和中丸。两耳即龙耳,身角多黑色,面
浮光白,常如哭状,肿如弓形,主半月死。先服通圣饮,次服流气饮,后服和中丸。伤小肠
者,小便闭塞作痛,发热口干,面肿气急,或时作痛,口有酸水,主三日死。先服流气饮,
次服大续命汤,后服和中丸。伤大肠者,粪后出红,急涩面赤,主半月死。先服流气饮,次
服续命汤,后服和中丸。伤膀胱者,小便痛涩,不时有尿滴出,膨胀发热,主五日死。先服
续命汤,次服行气活血汤。伤阴囊、阴户者,血水小便出,肿胀痛极,心迷放浪,主一日死
。先服护心养元汤,后服大续命汤。胸背俱伤者,面白而瘦,食少发热咳嗽,主半月死。先
服流气饮,多服和中丸。伤气眼者,气喘大痛,夜多盗汗,身瘦食少,肿痛不宁,主六日死
。先服流气饮,次服和中丸。伤血海者,血多妄行,口常吐出,胸前板滞作痛,先饮活血汤,
次饮流气饮,再服斟酌末药。如血流不住,主一日内死。伤两肋者,气喘大痛,睡如刀刺,
面白气虚,先饮行气活血汤,次服续命汤,不治,主三日内死。两肋痛者,肝火有余,气实
火盛故也。或有青痰食积流疰而痛者,或有登高跌损瘀血凝滞而痛者,或有醉饱房劳,脾土
虚乏,肝木得乘其土位,而胃脘当心连两肋痛者。又有伤寒发热而两肋痛者,以足少阳胆经
,从足厥阴肝经之病,治以小柴胡汤。左肋痛者,气与火也;右肋痛者,痰与火也。瘀血痛
者,伤处有红肿高起微白,人发寒热而痛多气虚。黑瘦人发寒热而痛,多怒必有瘀血,如无
腰痛日轻夜重,此瘀血滞故也。凡踢打跌扑损伤两肋者,另有领经药医治。夫领经药必宜检
点,若伤上部,次用川芎,在手桂枝,在背白芷,胸腹白芍,脐下黄柏,左肋青皮,右肋柴
胡,腰加杜仲,下部牛膝。伤足木瓜,周身羌活,妇女必加香附。煎剂之法亦宜随症加减,
修合不可不精也。凡人受打或踢,伤重者即明医亦不可就用药,如患者不肯开口,先将牙皂
引吹入鼻,一嚏而开,即用韭菜根打汁炖热和童便灌之。如不纳,此为难治之症,若纳而同
瘀血吐出者,辨其轻重,即服夺命丹,随投疏风理气汤,外敷吊伤丹,至重者用炭火法,次
服接骨紫金丹,如服痛者宜以行之,后当随症加减,用药者自宜斟酌可也。
When a person is beaten, the left chest is called Qi Gate (Qimen), the right hypochondrium is called Blood Sea (Xuehai), the left hypochondrium is called Food Viscera (Shifu), the center of the chest is called Longtan Acupoint (Longtan Xue), and the spinal column on the back is called Haidi Acupoint (Haidi Xue). Injury to the left breast causes coughing, while injury to the right breast causes hiccups. These acupoints in the upper body are all critical vital areas. For injuries caused by kicking, beating, falling, or colliding, injuries to the upper part of men are easier to treat, while injuries to the lower part are difficult to cure, because men's Qi ascends. Injuries to the lower part of women are easier to treat, while injuries to the upper part are difficult to cure, because women's Blood descends. One must examine which part is injured, assess the severity, and determine whether the injury is recent or old. Men's Qi circulates from the left, and the left belongs to Yang; Women's Blood circulates from the right, and the right belongs to Yin; one must distinguish the movement of Qi and Blood. Since this condition involves the Zang-Fu organs and meridians, one must also verify the speed of vitality recovery. If it can be universally effective and revive the dying, it should be treasured. Injury to the whole body leads to rapid death, injury to the shoulders and back leads to slower death. Injury to the left side causes shortness of breath, yellowish complexion, and edema; injury to the right side causes Qi deficiency, pale complexion, and blood deficiency. Injury to the back affects the five Zang organs which are connected to the back; although critical, death is delayed, with danger appearing after 100 days; taking medicinal wine is advisable. Injury to the chest, where Qi and Blood stagnate heavily, inevitably causes coughing, chest distension and confusion, blackened complexion, and fever, leading to death within three to four days. Take Qili San (Seven-Centigram Powder), followed by Xingqi Huoxue Tang (Qi-Regulating and Blood-Invigorating Decoction) for recovery. Liver injury manifests as reddish-purple complexion, red eyes, and fever, leading to death within seven days. First take Liqi Yin (Qi-Regulating Drink), then Xiao Xuming Tang (Minor Xuming Decoction), and finally Hezhong Wan (Middle-Harmonizing Pill). Heart area injury presents with bluish complexion, shortness of breath, hemoptysis, severe pain upon breathing, and immobility, leading to death within seven days. First take Liqi Yin, then Da Xuming Tang (Major Xuming Decoction), and finally Hezhong Wan. Stomach (Food Belly) injury causes paroxysmal epigastric pain, fever, abdominal distension like a drum skin, anorexia, shortness of breath, fever, closed eyes, bad breath, and dark complexion, leading to death within seven days. First take Da Xuming Tang, then Hezhong Wan. Ear injury (Dragon Ear) shows blackening at body angles, puffy white face, expression resembling crying, and bow-shaped swelling, leading to death within half a month. First take Tongsheng Yin (Universal-Salvation Drink), then Liqi Yin, and finally Hezhong Wan. Small intestine injury causes urinary retention and pain, fever, dry mouth, facial edema, shortness of breath, intermittent pain, and sour water in the mouth, leading to death within three days. First take Liqi Yin, then Da Xuming Tang, and finally Hezhong Wan. Large intestine injury presents with bright red blood after defecation, urgency, astringency, and flushed face, leading to death within half a month. First take Liqi Yin, then Xuming Tang, and finally Hezhong Wan. Bladder injury causes painful and difficult urination, frequent dribbling, abdominal distension, and fever, leading to death within five days. First take Xuming Tang, then Xingqi Huoxue Tang. Scrotum or vulva injury results in discharge of bloody urine, extreme swelling and pain, mental confusion and restlessness, leading to death within one day. First take Huxin Yangyuan Tang (Heart-Protecting and Origin-Nourishing Decoction), then Da Xuming Tang. Simultaneous chest and back injury presents with pale, emaciated appearance, anorexia, fever, and cough, leading to death within half a month. First take Liqi Yin, and take more Hezhong Wan. Qi Eye injury causes severe asthma and pain, night sweats, emaciation, anorexia, and restless swelling and pain, leading to death within six days. First take Liqi Yin, then Hezhong Wan. Blood Sea injury involves excessive bleeding, vomiting blood, chest stiffness and pain. First drink Huoxue Tang (Blood-Invigorating Decoction), then Liqi Yin, and finally take customized powdered medicine. If bleeding does not stop, death occurs within one day. Bilateral hypochondrium injury causes severe asthma and pain, stabbing pain during sleep, pale complexion, and Qi deficiency. First drink Xingqi Huoxue Tang, then take Xuming Tang. If untreatable, death occurs within three days. Hypochondriac pain is due to excess Liver Fire and vigorous Qi and Fire. It may also be caused by phlegm-heat, food stagnation, or flowing pathogenic factors. It may result from falls causing blood stasis. It may arise from overindulgence in alcohol, food, or sexual activity leading to Spleen Earth deficiency, allowing Liver Wood to invade the Spleen position, causing epigastric pain radiating to both hypochondria. Fever with hypochondriac pain due to Cold Damage involves the Foot-Shaoyang Gallbladder Meridian and Foot-Jueyin Liver Meridian, treated with Xiaochaihu Tang (Minor Bupleurum Decoction). Left hypochondriac pain relates to Qi and Fire; right hypochondriac pain relates to Phlegm and Fire. Blood stasis pain presents with redness, swelling, elevation, and slight whiteness at the injury site, accompanied by chills, fever, and pain often due to Qi deficiency. Dark, thin individuals with chills, fever, pain, and irritability likely have blood stasis. If there is no lower back pain but pain is lighter during the day and heavier at night, it is due to stagnant blood stasis. For bilateral hypochondrium injuries from kicks or falls, specific meridian-guiding medicines are used. These guiding medicines must be selected carefully: for upper body injuries, use Chuanxiong Rhizome (Chuanxiong); for hand injuries, Cinnamon Twig (Guizhi); for back injuries, Angelica Dahurica Root (Baizhi); for chest/abdomen injuries, White Peony Root (Baishao); for below navel injuries, Phellodendron Bark (Huangbai); for left hypochondrium, Green Tangerine Peel (Qingpi); for right hypochondrium, Bupleurum Root (Chaihu); add Eucommia Bark (Duzhong) for waist; for lower body, Achyranthes Root (Niuxi). For foot injuries, Papaya Fruit (Mugua); for whole body, Notopterygium Rhizome (Qianghuo); add Cyperus Rhizome (Xiangfu) for women. Decoction methods should also be adjusted according to symptoms, and preparation must be precise. For severe injuries from beating or kicking, even expert physicians should not administer medicine immediately. If the patient refuses to open their mouth, blow powder of Black Soybean Seed Coat (Yazao) into the nose to induce sneezing and wakefulness, then administer hot decocted juice of Chinese Chive Root (Jiucai Gen) mixed with children's urine (Tongbian). If unable to swallow, it is a difficult case. If swallowing occurs and blood clots are vomited, assess severity, immediately take Duoming Dan (Life-Restoring Pill), follow with Shufeng Liqi Tang (Wind-Dispersing and Qi-Regulating Decoction), apply external Diaoshang Dan (Hanging-Injury Powder), and for severe cases, use charcoal fire therapy, followed by Jiegu Zijin Dan (Bone-Setting Purple-Gold Pill). If pain is manageable, continue treatment, adjusting formulas based on symptoms as appropriate.