上部(用川芎)、手臂(用桂枝)、背脊(用白芷、 本)、胸腹(用白芍)、左肋(用青皮)、
(用柴胡)、腰臀(用杜仲)、两足 (用木瓜)、下部 (用牛膝)、膝下 (用黄柏)、周 身 (用羌
活)、顺气 (用砂仁、青皮、木香、枳壳)、通窍 (用牙皂)、破血 (用桃仁、苏木、乳香、
木通)、活血 (用红花、茜根、三七、川芎)、补血 (用生地、当归、白芍、丹参)、接骨 (
用川断、五加皮、骨碎补、杜仲)、妇人(用香附)。
大都男子,气从左转,伤上部者易治,伤下部者难治,以其阳气上升也。女人血从右转
,伤下部者易治,伤上部者难治。以其阴血下降也。先以砂仁泡汤,和吉利散服之,再进顺
气活血汤,复以砂糖花酒,下和伤丸五粒。
伤肩者,左边则气促面黄浮肿,右边则气虚面白血少。使患者低坐。一人抱住其身,将
直,用推拿法,令其筋舒,一手捏其肩,抵住骱头,齐力拔出,然后弯曲其肘,骱内有响声
,乃复其旧位,用布条扣臂于项下。服行气活血汤。一月完全。
伤背者,五脏皆系于背,虽凶则死缓。先服吉利散,次以砂糖花酒,送和伤丸五粒。如
脱出,腰硬痛极,用竹六根,扎为两个三脚马,排于两头,上横一竹,系麻绳圈两个,使患
者两手攀圈,每足踏砖三块。医者将后腰拿住,各抽去砖一块,令患者直身,又各去砖一块
,如是者三次,其足着地,则骨陷者能起,曲者能直。先敷定痛散,外贴皮纸,铺以艾绒,
以杉木四根,宽一寸,浓五分,长短照患处为度,俱在侧面钻孔,用绳穿贯,裹于患上,加
布扎紧,两边令端正。只可仰卧,如无气者,使患者盘坐,揪其发,伏我膝上,轻拍其背心
,使气从口出得苏。如胸前不直者,亦用竹架攀圈法。
伤胸者,胸为气血往来之所,伤久必咳嗽,高起满闷,面黑发热,主四日死。先进疏风
汤,次以行气活血汤。从前面碰打跌伤胸膛者重,从后面者轻。用手法按摩之。心坎上横骨
,第一节伤者一年死,第二节伤者二年死,第三节伤者三年死。
伤肝者,面紫眼赤发热,主七日内死。先投疏风理气汤,次以吉利散,后服琥珀丸。
伤心口者,面青气少,呼吸痛甚,吐血身体难动,主七日内死。先进疏风理气汤,次服
和伤丸,时时饮百合汤。
伤食肚者,心下高肿,皮紧阵痛,眼闭,面与口鼻黑色,气喘发热,饮食不进,主七日死。
先进疏风理气汤,次以和伤丸。
伤肾者,两耳立聋,额黑面浮白光,常如哭状,肿如弓形,主半月死。先服疏风理气汤
,次以补肾活血汤,再投吉利散与琥珀丸。
伤大肠者,便后急涩,面赤气阻,便后有红者,伤重,主半月死。先进槐花散,次服吉
利散,后以和伤丸。
伤小肠者,小便闭塞作痛,面肿气喘,发热口干,口有酸水,主三日死。先以水酒各半
,煎服疏风理气汤,次以吉利散,后送琥珀丸。
伤膀胱者,小便肿胀涩痛,不时滴尿,发热,主五日死。先下琥珀丸,次以行气活血汤
伤阴囊或阴户者,血水从小便滴出,肿胀痛极,昏沉不醒,主一日死。先与琥珀丸,后
进行气活血汤。
胸与背皆伤者,发热咳嗽,面白肉瘦,饮食少思,主半月死。先进理气汤,后以和伤丸
伤气眼者,气喘痛极,夜多盗汗,身瘦肿胀,不安食少,主一月死。先泡砂仁汤和吉利
散服,次以酒煎补肾活血汤,后进和伤丸。
伤血海者,口常吐血,胸与背板硬作痛,或血妄行,主一月死。先进行气活血汤,次以
吉利散,后服药酒而安。
伤两肋者,气喘大痛,睡如刀割,面白气虚,主三日死。先以行气活血汤,次进和伤丸
筋骨断者,敷定痛散,贴损伤膏,用布扎数转,服接骨药。两肋非打伤自痛者,乃肝火有余
,当以清肝止痛汤。有清痰或食积流注两肋作痛者,先以清肺止痛汤,次服吉利散。登高跌
仆,血瘀两肋作痛者,急进大黄汤,次投吉利散。醉饱房劳者
使胸脘连两肋作痛,先投归原养血汤,次以十全大补汤。有伤
此肝胆二经受邪,治以小柴胡汤。左肋痛者,血瘀与气滞也,
右肋痛者,痰与食积也,先以化痰消食方,次服活血止痛汤
伤处 红高肿作痛者,乃瘀血为患,寒热交作,日轻夜重,兼之腰痛。肥人多气虚,瘦
人多郁怒。急下琥珀散,次以和伤丸,后进药酒而安。
上部损伤(使用川芎)、手臂损伤(使用桂枝)、背脊损伤(使用白芷、藁本)、胸腹损伤(使用白芍)、左肋损伤(使用青皮)、右肋损伤(使用柴胡)、腰臀损伤(使用杜仲)、两足损伤(使用木瓜)、下部损伤(使用牛膝)、膝下损伤(使用黄柏)、周身损伤(使用羌活)、顺气治疗(使用砂仁、青皮、木香、枳壳)、通窍治疗(使用牙皂)、破血治疗(使用桃仁、苏木、乳香、木通)、活血治疗(使用红花、茜根、三七、川芎)、补血治疗(使用生地、当归、白芍、丹参)、接骨治疗(使用川断、五加皮、骨碎补、杜仲)、妇人损伤(使用香附)。
大体而言,男子之气从左而转,伤及上部者容易治愈,伤及下部者难以治愈,这是因为阳气上升的缘故。女子之血从右而转,伤及下部者容易治愈,伤及上部者难以治愈,这是因为阴血下降的缘故。先以砂仁泡汤,调和吉利散服用,再进服顺气活血汤,随后用砂糖花酒送服和伤丸五粒。
肩部损伤,左侧则气促面黄浮肿,右侧则气虚面白血少。让患者低坐。一人抱住其身体,将其拉直,运用推拿法,使筋脉舒展,一手捏住其肩膀,抵住关节头,合力拔出,然后弯曲其肘部,关节内有响声,说明恢复了原位,用布条将手臂扣在项下。服用行气活血汤。一个月完全康复。
背部损伤,五脏都系连于背部,虽然病情凶险但死亡较缓。先服用吉利散,再用砂糖花酒,送服和伤丸五粒。如发生脱出,腰部僵硬疼痛剧烈,用六根竹子,扎成两个三脚架,排列在两端,上面横放一根竹子,系上两个麻绳圈,让患者双手攀住绳圈,每只脚下踩三块砖。医者抓住其后腰,各抽去一块砖,令患者挺直身体,又各去掉一块砖,像这样重复三次,当脚着地时,凹陷的骨头能起来,弯曲的身体能变直。先敷定痛散,外贴皮纸,铺上艾绒,用四根杉木条,宽一寸,厚五分,长短根据患处决定,都在侧面钻孔,用绳子穿连,包裹在患处以加布扎紧,两边要端正。只能仰卧,如果气息微弱,让患者盘腿坐,揪住头发,伏在我的膝盖上,轻拍其背心,使气从口出得以苏醒。如果胸前不直,也用竹架攀圈法。
胸部损伤,胸是气血往来的地方,受伤久了必然咳嗽,高起满闷,面色发黑发热,主死期在第四日。先进服疏风汤,次以行气活血汤。从前面碰打跌伤胸膛者重,从后面者轻。用手法治按摩。心口上方的横骨,第一节伤者一年死,第二节伤者二年死,第三节伤者三年死。
肝脏损伤,面色紫暗眼红发热,主死期在七日内。先投疏风理气汤,次以吉利散,后服琥珀丸。
伤心口者,面色青灰气短,呼吸疼痛剧烈,吐血身体难动,主死期在七日内。先进服疏风理气汤,次服和伤丸,时时饮用百合汤。
伤食肚(胃)者,心下高肿,皮肤紧绷阵痛,眼闭,面与口鼻黑色,气喘发热,饮食不进,主死期在七日。先进服疏风理气汤,次以和伤丸。
肾脏损伤,两耳立聋,额头黑面色浮白光,常如哭状,肿如弓形,主死期在半月。先服疏风理气汤,次以补肾活血汤,再投吉利散与琥珀丸。
大肠损伤,便后急涩,面赤气阻,便后有红者,伤重,主死期在半月。先进服槐花散,次服吉利散,后以和伤丸。
小肠损伤,小便闭塞作痛,面肿气喘,发热口干,口有酸水,主死期在三日。先以水酒各半,煎服疏风理气汤,次以吉利散,后送琥珀丸。
膀胱损伤,小便肿胀涩痛,不时滴尿,发热,主死期在五日。先下琥珀丸,次以行气活血汤。
伤阴囊或阴户者,血水从小便滴出,肿胀痛极,昏沉不醒,主死期在一天。先与琥珀丸,后进行气活血汤。
胸与背皆伤者,发热咳嗽,面白肉瘦,饮食少思,主死期在半月。先进服理气汤,后以和伤丸。
伤气眼(目疾因气伤)者,气喘痛极,夜多盗汗,身瘦肿胀,不安食少,主死期在一个月。先泡砂仁汤和吉利散服,次以酒煎补肾活血汤,后进和伤丸。
伤血海者,口常吐血,胸与背板硬作痛,或血妄行,主死期在一个月。先进行气活血汤,次以吉利散,后服药酒而安。
伤两肋者,气喘大痛,睡如刀割,面白气虚,主死期在三日。先以行气活血汤,次进和伤丸。
筋骨断裂者,敷定痛散,贴损伤膏,用布扎数转,服接骨药。两肋非打伤自痛者,乃肝火有余,当以清肝止痛汤。有清痰或食积流注两肋作痛者,先以清肺止痛汤,次服吉利散。登高跌仆,血瘀两肋作痛者,急进大黄汤,次投吉利散。醉饱房劳者使胸脘连两肋作痛,先投归原养血汤,次以十全大补汤。有伤此肝胆二经受邪,治以小柴胡汤。左肋痛者,血瘀与气滞也,右肋痛者,痰与食积也,先以化痰消食方,次服活血止痛汤。
伤处红高肿作痛者,乃瘀血为患,寒热交作,日轻夜重,兼之腰痛。肥人多气虚,瘦人多郁怒。急下琥珀散,次以和伤丸,后进药酒而安。
Upper body injuries (use Chuanxiong Rhizoma, *Chuanxiong*), arm injuries (use Cinnamon Twig, *Guizhi*), spine injuries (use Angelica Dahurica Root, *Baizhi* and Ligusticum Wallichii Rhizome, *Gao Ben*), chest and abdomen injuries (use White Peony Root, *Baishao*), left hypochondriac injuries (use Green Tangerina Peel, *Qingpi*), right hypochondriac injuries (use Bupleurum Root, *Chaihu*), waist and buttock injuries (use Eucommia Bark, *Duzhong*), both feet injuries (use Papaya Fruit, *Mugua*), lower body injuries (use Achyranthes Root, *Niuxi*), below-knee injuries (use Phellodendron Bark, *Huangbai*), whole body injuries (use Notopterygium Root, *Qianghuo*), regulating Qi treatment (use Amomum Fruit, *Sharen*, Green Tangerina Peel, *Qingpi*, Aucklandia Root, *Muxiang*, and Aurantium Fruit, *Zhiqiao*), opening orifices treatment (use Gleditsia Sinensis Fruit, *Yazao*), breaking blood stasis treatment (use Peach Kernel, *Taoren*, Sappan Wood, *Sumu*, Frankincense Resin, *Ruxiang*, and Akebia Caulis, *Mutong*), activating blood circulation treatment (use Safflower, *Honghua*, Rubia Root, *Qian Gen*, Notoginseng Root, *Sanqi*, and Chuanxiong Rhizoma, *Chuanxiong*), tonifying blood treatment (use Rehmannia Root, *Shengdi*, Angelica Sinensis Root, *Danggui*, White Peony Root, *Baishao*, and Salvia Miltiorrhiza Root, *Danshen*), bone knitting treatment (use Dipsacus Root, *Chuanduan*, Acanthopanax Bark, *Wujapi*, Drynaria Rhizome, *Gusuibu*, and Eucommia Bark, *Duzhong*), women's injuries (use Cyperus Rhizome, *Xiangfu*).
Generally speaking, in men, Qi moves from the left; injuries to the upper part are easy to treat, while injuries to the lower part are difficult to treat, because Yang Qi ascends. In women, Blood moves from the right; injuries to the lower part are easy to treat, while injuries to the upper part are difficult to treat, because Yin Blood descends. First, decoct Amomum Fruit (*Sharen*) in water, mix with Jili Powder (*Jili San*), and take it orally. Then, administer Shunqi Huoxue Decoction (*Shunqi Huoxue Tang*), followed by taking five pills of He Shang Wan (*He Shang Wan*) with sugar-flower wine.
For shoulder injuries: If on the left, there is shortness of breath, yellow complexion, and edema; if on the right, there is Qi deficiency, pale complexion, and blood deficiency. Have the patient sit low. One person holds the patient's body straight using Tuina massage methods to relax the tendons. One hand grasps the shoulder, pressing against the joint head, and pulls out with coordinated force. Then, bend the elbow. A sound within the joint indicates reduction to its original position. Bind the arm under the neck with a cloth strip. Administer Xingqi Huoxue Tang (*Xingqi Huoxue Tang*). Full recovery takes one month.
For back injuries: The five Zang organs are connected to the back. Although critical, death is delayed. First, take Jili San (*Jili San*), then send down five pills of He Shang Wan (*He Shang Wan*) with sugar-flower wine. If dislocated, with extreme stiffness and pain in the waist, use six bamboo poles tied into two tripod stands placed at both ends. Place a horizontal bamboo pole above, with two hemp rope loops attached. Let the patient hold the loops with both hands, stepping on three bricks per foot. The physician holds the lower back, removing one brick from each side, instructing the patient to straighten up. Remove another brick from each side. Repeat this three times. When the feet touch the ground, depressed bones rise, and curvature straightens. Apply Ding Tong San (*Ding Tong San*) first, paste skin paper externally, cover with mugwort wool, and wrap with four fir wood strips (one inch wide, half an inch thick), drilled on the sides and threaded with rope, tightly bound around the injury. Only supine position is allowed. If Qi is weak, have the patient sit cross-legged, pull their hair, rest them on the physician's knees, and gently pat the back to restore consciousness through exhalation. For non-straight chests, also use the bamboo frame loop-holding method.
For chest injuries: The chest is the pathway for Qi and Blood. Long-term injury causes cough, fullness, dark complexion, and fever, indicating death within four days. First, administer Shufeng Tang (*Shufeng Tang*), then Xingqi Huoxue Tang (*Xingqi Huoxue Tang*). Anterior blunt trauma is severe; posterior is mild. Use manual massage. Injury to the transverse bone above the heart: Section 1 injury leads to death in one year; Section 2 in two years; Section 3 in three years.
For liver injuries: Purple face, red eyes, fever, indicating death within seven days. First, administer Shufeng Liqi Tang (*Shufeng Liqi Tang*), then Jili San (*Jili San*), followed by Hupo Wan (*Hupo Wan*).
For heart area injuries: Cyan face, shortness of breath, severe respiratory pain, hematemesis, immobility, indicating death within seven days. First, administer Shufeng Liqi Tang (*Shufeng Liqi Tang*), then He Shang Wan (*He Shang Wan*), frequently drinking Baihe Tang (*Baihe Tang*).
For stomach (food belly) injuries: Epigastric swelling, tight skin with intermittent pain, closed eyes, black face and nose/mouth, panting, fever, anorexia, indicating death within seven days. First, administer Shufeng Liqi Tang (*Shufeng Liqi Tang*), then He Shang Wan (*He Shang Wan*).
For kidney injuries: Sudden deafness in both ears, black forehead, puffy white face, crying expression, bow-shaped swelling, indicating death within half a month. First, take Shufeng Liqi Tang (*Shufeng Liqi Tang*), then Bushen Huoxue Tang (*Bushen Huoxue Tang*), followed by Jili San (*Jili San*) and Hupo Wan (*Hupo Wan*).
For large intestine injuries: Urgency and difficulty after defecation, red face, obstructed Qi, blood in stool indicates severe injury, leading to death within half a month. First, administer Huaihua San (*Huaihua San*), then Jili San (*Jili San*), followed by He Shang Wan (*He Shang Wan*).
For small intestine injuries: Urinary retention with pain, facial swelling, panting, fever, dry mouth, sour taste, indicating death within three days. First, decoct Shufeng Liqi Tang (*Shufeng Liqi Tang*) in equal parts water and wine, then Jili San (*Jili San*), followed by Hupo Wan (*Hupo Wan*).
For bladder injuries: Swollen, painful, difficult urination, frequent dribbling, fever, indicating death within five days. First, administer Hupo Wan (*Hupo Wan*), then Xingqi Huoxue Tang (*Xingqi Huoxue Tang*).
For scrotum or vulva injuries: Blood and fluid dripping from urine, extreme swelling and pain, coma, indicating death within one day. First, give Hupo Wan (*Hupo Wan*), then proceed with Xingqi Huoxue Tang (*Xingqi Huoxue Tang*).
For simultaneous chest and back injuries: Fever, cough, pale face, emaciation, poor appetite, indicating death within half a month. First, administer Liqi Tang (*Liqi Tang*), then He Shang Wan (*He Shang Wan*).
For eye injuries due to Qi disturbance: Severe panting and pain, night sweats, emaciation with swelling, restlessness, poor appetite, indicating death within one month. First, decoct Amomum Fruit (*Sharen*) in water, mix with Jili San (*Jili San*), then decoct Bushen Huoxue Tang (*Bushen Huoxue Tang*) in wine, followed by He Shang Wan (*He Shang Wan*).
For Blood Sea injuries: Frequent hematemesis, rigid and painful chest and back, or erratic bleeding, indicating death within one month. First, administer Xingqi Huoxue Tang (*Xingqi Huoxue Tang*), then Jili San (*Jili San*), followed by medicinal wine for stabilization.
For bilateral hypochondriac injuries: Severe panting and pain, sleeping feels like knife cutting, pale face, Qi deficiency, indicating death within three days. First, administer Xingqi Huoxue Tang (*Xingqi Huoxue Tang*), then He Shang Wan (*He Shang Wan*).
For tendon and bone fractures: Apply Ding Tong San (*Ding Tong San*), paste Shangsun Gao (*Shangsun Gao*), bind with cloth several turns, and take bone-knitting medicine. For spontaneous pain in the hypochondrium not caused by trauma, it is excess Liver Fire; use Qinggan Zhengtong Tang (*Qinggan Zhengtong Tang*). For phlegm-clearing or food stagnation flowing into the hypochondrium causing pain, first use Qingfei Zhengtong Tang (*Qingfei Zhengtong Tang*), then Jili San (*Jili San*). For blood stasis in the hypochondrium due to falling from heights, urgently administer Dahuang Tang (*Dahuang Tang*), then Jili San (*Jili San*). For pain in the chest, epigastrium, and hypochondrium due to drunkenness, overeating, or sexual exhaustion, first administer Guiyuan Yangxue Tang (*Guiyuan Yangxue Tang*), then Shiquan Dabu Tang (*Shiquan Dabu Tang*). For pathogenic invasion of the Liver and Gallbladder meridians, treat with Xiaochaihu Tang (*Xiaochaihu Tang*). Left hypochondriac pain is due to blood stasis and Qi stagnation; right hypochondriac pain is due to phlegm and food stagnation. First use Huatan Xiaoshi Fang (*Huatan Xiaoshi Fang*), then Huoxue Zhengtong Tang (*Huoxue Zhengtong Tang*).
For injured areas with redness, high swelling, and pain, it is caused by blood stasis, alternating chills and fever, lighter during the day and heavier at night, accompanied by lower back pain. Obese people often have Qi deficiency; thin people often have depression and anger. Urgently administer Hupo San (*Hupo San*), then He Shang Wan (*He Shang Wan*), followed by medicinal wine for stabilization.