凡受伤不知左右,若有吐血症,见血自明。血黑者左受伤,血鲜者右受伤。若无血吐出
,即看眼珠,亦可知其定所,乌珠包丑者伤在左,白珠包丑又加红大者伤在右。左属肝,右
属肺;乌珠属肝,白珠属肺,瞳人属肾;常见右边受伤,发时左边便痛,不可单治一边,必
左右兼治,其病始愈。
归尾兼生地,槟榔赤芍宜。
四味堪为主,加减任迁移。
乳香并没药,骨碎以补之。
头上加羌活,防风白芷随。
胸中加枳壳,枳实又云皮。
腕下用桔梗,菖蒲浓朴治。
背上用乌药,灵仙妙可施。
两手要续断,五加连桂枝。
两胁柴胡进,胆草紫荆医。
大茴与故脂,杜仲入腰支。
大茴与木香,肚痛不须疑。
大便若阻隔,大黄枳实推。
小便如闭塞,车前木通提。
假使实见肿,泽兰效最奇。
倘然伤一腿,咎膝木瓜知。
全身有丹方,饮酒贵满卮。
苎麻烧存性,桃仁何累累。
红花少不得,血竭也难离。
此方真是好,编成一首诗。
庸流不肯传,毋乃心有私。
乳香、没药二味,方中屡用,务要去油,若不去油,恐其再发。凡皮破伤用象皮,须滑
石炒,以免作脓。凡损伤骨断皮破者,药用水煎;皮不破者,药用酒煎,必加童便,以活瘀
血。
In cases of trauma where the side (left or right) is unknown, if there is hematemesis (vomiting blood) or hemoptysis (coughing up blood), observing the color of the blood clarifies the location. Dark-colored blood indicates left-sided injury, while bright red blood indicates right-sided injury. If no blood is expectorated, examining the eyeballs can also determine the site: ecchymosis around the cornea/pupil indicates left-sided injury, while ecchymosis on the sclera accompanied by redness and swelling indicates right-sided injury. The left side corresponds to the Liver, and the right side corresponds to the Lung; the pupil corresponds to the Liver, the sclera to the Lung, and the pupil itself to the Kidney. It is common that when the right side is injured, pain manifests on the left side during episodes. Treatment must not be limited to one side alone; both sides must be treated simultaneously for recovery.
Dangguiwei (Tail of Angelicae Sinensis Radix) combined with Shengdihuang (Rehmanniae Radix Recens), Binglang (Arecae Semen) and Chishao (Paeoniae Radix Rubra) should be used.
These four herbs serve as the main components, allowing for modifications based on the condition.
Ruxiang (Olibanum) and Moyao (Myrrha), along with Gusuibu (Drynariae Rhizoma) to supplement bone repair.
For head injuries, add Qianghuo (Notopterygii Rhizoma et Radix), followed by Fangfeng (Saposhnikoviae Radix) and Baizhi (Angelicae Dahuricae Radix).
For chest discomfort, add Zhike (Aurantii Fructus Immaturus); Zhishi (Aurantii Fructus) and Chenpi (Citri Reticulatae Pericarpium) are also applicable.
For wrist and lower limb issues, use Jiegeng (Platycodonis Radix), treated with Shichangpu (Acori Tatarinowii Rhizoma) and Houpo (Magnoliae Officinalis Cortex).
For back injuries, use Wuyao (Linderae Radix), where Lingxian (Saussureae Radix) offers miraculous effects.
For bilateral hand injuries, Xuaduan (Dipsaci Radix) is essential, combined with Wujiapi (Acanthopanacis Cortex) and Guizhi (Cinnamomi Ramulus).
For hypochondriac injuries, Chaihu (Bupleuri Radix) is advanced, with Longdancao (Gentianae Radix) and Zijingpi (Bauhiniae Flos) for treatment.
Da Hui Xiang (Foeniculi Fructus) and Guzhi (Psoraleae Fructus), with Duzhong (Eucommiae Cortex) added to strengthen the waist and limbs.
Da Hui Xiang (Foeniculi Fructus) and Muxiang (Aucklandiae Radix); abdominal pain need not be doubted.
If stool is obstructed, Dahuang (Rhei Radix et Rhizoma) and Zhishi (Aurantii Fructus) promote downward movement.
If urination is blocked, Cheqianzi (Plantaginis Semen) and Mutong (Akebiae Caulis) facilitate diuresis.
If significant swelling is present, Zelan (Lycopersici Herba) yields the most remarkable efficacy.
If a leg is injured, Mugua (Chaenomelis Fructus) at the knee demonstrates its effect.
For systemic trauma, there is a specific formula; drinking wine is recommended in full measure.
Zhuma (Boehmeriae Niveae Folium) burnt to retain its nature, and Taoren (Persicae Semen) in abundance.
Honghua (Carthami Flos) is indispensable, and Xuexie (Dracaenae Sanguis) is rarely absent.
This formula is truly excellent, composed into a poem.
Mediocre practitioners refuse to transmit it, perhaps harboring selfish motives.
Ruxiang (Olibanum) and Moyao (Myrrha) are frequently used in formulas; they must be defatted. If not defatted, recurrence of symptoms is feared. For skin-breaking wounds using Xiangpi (Elephantis Corium), it must be stir-fried with Huashi (Talcum) to prevent suppuration. For traumatic fractures with skin breakage, herbs are decocted in water; for injuries without skin breakage, herbs are decocted in wine, and Tongbian (Urine of a healthy young boy) must be added to invigorate blood and resolve stasis.
For all types of falls and blows, dispersing wind and resolving exterior pathogens is the primary approach. Chuanxiong (Ligustici Chuanxiong Rhizoma), Qianghuo (Notopterygii Rhizoma et Radix), Zhike (Aurantii Fructus Immaturus), Zelan (Lycopersici Herba), Jingjie (Schizonepetae Spica), Fangfeng (Saposhnikoviae Radix), Duhuo (Angelicae Pubescentis Radix), Dangguiwei (Tail of Angelicae Sinensis Radix), and Ganjiang (Zingiberis Rhizoma) each in 1 qian, plus three stalks of Congbai (Allii Fistulosi Bulbus), decocted in water and taken orally.