凡被杖打肿痛而未破者,先用棱针挑出黑血,若已破者不须出血,只用撒地金钱、山薄
荷、地薄荷、生地黄、猪 咛叶、泽兰叶、血见愁,捣烂敷贴。
凡治刀斧金刃打扑,从高跌堕,皮肉破损而伤重者,中间用封口药掸破处,或补肌散亦
其四边用截血膏箍住,使新血不来潮,此秘传之妙诀也。凡用敷贴等草药,皆要临时生采新
鲜者用之有效。如出远路、讨不便者,可为末用,然终不及生采者为胜。如无草药讨处,就
用君臣药接缚之。
愚按∶草药皆本草所载,故并录无遗。倘于穷乡僻壤,亦可选而用之,其效一也。
耀山曰∶凡久视则伤血,久卧则伤气,久坐则伤肉,久立则伤骨,久行则伤筋,喜则伤
怒则伤肝,悲则伤肺,惊则伤胆,醉饱入房则伤精,竭力劳作则伤中,此皆无形之伤。而跌
打损伤,则有形之伤也。然伤虽有形,而亦有隐于无形。即如亡血瘀血之分,内因外因之别
,已难混同;且外遇跌扑诸伤之异,内有七情兼损之殊,更宜体究。若不条分缕晰,稍存疑
之见,措手殊难。如登高堕下,其人必惊,惊则气陷;争斗相打,其人必怒,怒则气逆;戏
耍跌扑,其气必散;极刑鞭扑,其气必结;拳手之伤,肌损血滞而轻;金石之伤,骨折筋断
而重;甚至汤烫皮脱,火烧肉焦,虽伤之小焉者,亦不可不立有专条。余不揣鄙陋,详考群
书,类分诸伤,先叙所受之因,后引已验之方,此集虽医家之末技,亦治伤之首务也。
金刃伤
耀山曰∶凡金刃伤,失血之症也,有轻重浅深之分。如出血太多,脉宜安静,最忌躁促
经云∶金疮出血,沉小者生,浮大者死。伤口平置,不辨可明;若伤深而重者,症必大脉已
伤,血飞筋断也。宜服八珍、十全等汤补之,甚者独参汤。素有热者,兼以凉血;因有怒者
,兼以清肝;烦渴昏愦者,定心补脾;筋骨拘挛者,滋肾补血。其伤处必将自己小便淋洗,
如伤久欲换敷药,亦以小便洗之,功能止痛不溃,即见水亦无碍。如轻浅之伤,血止即痊,
后虽溃烂,亦无大害。所集止血药方,备述以便选用。
《集证》云∶凡杀伤不透膜者,以乳香、没药各一皂子大研烂,以小便半盏,好酒半盏
煎半温服,然后用花蕊石散或乌贼鱼骨为末,敷疮口上即止。昔推官宋 ,定验两处杀伤,
气偶未绝,亟命保甲取葱白,热锅炒热,遍敷伤处,继而呻吟,再易葱白,伤者无痛矣。
《陈氏选粹》云∶凡临阵致伤,轻重不同。诸集载方皆治其外者,已试之法以涂抹固无
;但交锋之人,呼吸生死,兼之被伤,神思不免昏迷。若出血过多因至愦乱者,则大剂参、
、归、术、芎、地之药,必须多服,安得专治其外而忘其内者。若至变症,又当于恶候各
条参酌焉。
《延寿方》∶治金疮出血不止,用冷水浸之即止。或用热汤,以故布蘸汤罨之,亦止。
《梅师方》∶治血出不止,取葱炙热,挪汁涂之即止。如肿痛者,用生牛膝捣敷立止,
又用桑柴灰筛细敷之。若出血甚多而冷者则杀人,宜炒盐三钱,酒调服之。
《异苑方》∶用活鹿草,即土牛膝叶,治金疮折伤敷之效,一名地菘。
《广利方》∶用白芍药一两,熬黄为末,用酒或米饮服二钱,渐加之,仍以末敷疮口即
良验。或用麒麟竭末敷之立止。如刀斧损伤者,用新桑皮烧灰,和马粪涂之疮上,数易,亦
可煮汁服之。
《集简方》∶治刀斧伤,用独壳大栗研敷,或仓卒嚼烂亦可,或荷叶烧研搽之,或用
韭汁和风化锻石,日干为末敷之效,或用香炉灰罨之,止血生肌。
《事林广记》∶治金疮出血,用云母粉敷之,妙绝。
《积德堂方》∶用寒水石、沥青等分为末,干掺之,勿犯水。寄园云∶沥青同半夏末之
,且不痛而无瘢。
《医学集成》∶治金疮,以石炭研末浓敷之。疮深不宜速合者,加滑石掺之。石炭,即
今之煤石也。
《救急方》∶用白矾、黄丹等分为末,敷之最妙。
《永类钤方》∶治血出不止,以嫩紫苏、桑叶同捣贴之。
孟诜《食疗》∶治出血不止,用小蓟苗捣烂涂之。
《袖珍方》∶治金疮痛不可忍者,用篱上婆婆针袋儿,擂水服,仍以渣罨疮口立效。
《笔峰杂兴》∶治金疮,用何首乌末敷之即止,神效。
《儒门事亲》∶治金疮血出,用白薇为末贴之。
蔺氏《经效方》∶治金疮血出不止,用生面干敷之,五、七日即愈。
《百一方》∶治金疮出血,葱白、砂糖等分研封之,痛立可止,更无瘢痕也。
崔元亮方∶用石榴花半斤,锻石一升,捣和阴干,敷之立止。
唐瑶《经验方》∶用沥青少加生铜屑,掺之立愈。
《急救方》∶治刀伤血出不止,用紫藤香,即降香佳者,瓷瓦刮下,石碾碾细,敷之血
,又无瘢痕。若刀刃伤痛不可止,用好鸡骨炭,掷地上铿然有声者,与松香透明者,等分捶
成一块,再多用老韭菜汁拌入阴干,如此拌捶三、四遍后,为细末收贮,上巳、端午、七夕
等日制之,敷患处痛立止,完好如常。若血流不止,用千年锻石掺之,或生半夏末研敷,或
用干面和白糖撒伤处皆效。
《食物本草》∶治刀杖金疮,用天鹅绒毛贴之,立愈。
《扶寿方》∶用生姜嚼敷,次日即生肉,甚妙。
《济急方》∶用白芨、 石膏等分为末掺之,亦可收口。
《胜金方》∶用灯心嚼烂敷之,立止。
坠堕伤
耀山曰∶坠堕伤,从高而下也,或登楼上树,临岩履险,偶一踏空而堕者,或遇马逸车
坠者。若身无大伤,气必惊乱,血必淤滞,一时昏晕者,将患者扶起,或敲其背而振之,或
抱其腰而耸之,使其血和气通,人渐苏醒,然后服药调养则痊。若逢撞碰瘾痞,身有伤痕者
,按其部位穴道而治之。若内伤致命,口眼耳鼻,必然出血,死在须臾者,急灌童便救之。
如骨折筋断者,方集本条,可选择通用也。
《顾氏秘书》云∶从高坠下,瘀血攻心,用淡豆豉一合煎汤饮之,或生姜汁同麻油和匀
之,再将净土五升蒸热,以旧布裹熨之,急撬开口以热尿灌之,再用半夏末吹鼻中,以艾灸
脐,将伤人盘足坐定,提起头发,使气上升,则可活矣。
甄权云∶坠伤损瘀在腹刺痛,取久卧蒲席烧灰二钱酒服,或蒲黄、当归、大黄、赤芍
、朴硝煎送,血下愈。
《经验后方》∶治坠马拗损,用桑白皮五斤,为末一升,煎膏敷之便止,后亦无宿血,
《传信方》∶治坠马瘀血,用稻秆灰,以新熟酒连糟入盐和淋,取汁洗痛处立瘥。
《广济方》∶治坠损疼痛,用故乌毡两段,酒五升,盐一抄,煮热裹之,冷即易,三、
唐瑶《经验方》∶治坠下欲死者,取老鸦眼睛草茎叶,即龙葵,捣汁服,以渣敷患处。
杨拱《医方》∶治坠跌积血心胃,呕血不止,用干荷花为末,每酒服方寸匕,其效如神
《古今录验》∶内伤神效方,治坠跌打击,用麝香、水蛭各一两锉碎,烧令烟出,为末
,酒服一钱,当下蓄血,未止再服,其效如神。
钱青 曰∶从高坠下及落马血冲欲死,切忌饮冷水,急用韭菜汁或热小便灌之。
《东阳方》∶治坠打瘀血,用姜叶一升,当归三两为末,温酒下方寸匕,日三服。
《塞上方》∶治坠打瘀血在内烦闷者,用东引杏树皮三两细锉,好酒一升煎服。
《备急方》∶治瘀血,用虻虫二十枚,牡丹皮一两为末,酒服方寸匕,血化为水也。若
久宿血在骨节中,二味等分。
跌磕伤
耀山曰∶跌磕者,骤然跌倒,磕擦而成伤也。按《洗冤录》云∶或失足,或自绊,其力
,则所伤多在腿足及臂膊,然其或左或右,又皆止伤半边。如被人推而跌者,则其力在上,
所伤多在头面及两手腕。盖推之力大,而人之一身其最重莫如首,推而下之,势必自顾,或
两手至地,或出不知,则头面必先倒垂而下,虽亦未必全伤,而所伤与自跌不同。不但此也
,自跌者因惊,被推者兼怒,要在医者善察而施治,则无贻误。
《直指方》∶治跌破出血,用乌贼鱼骨为末敷之。
《简便方》∶治跌磕伤损,用黄牛屎封之,裹定即效。
《胜金方》∶治磕扑青肿,用老黄茄极大者,切片如一指浓,新瓦焙研为末,欲卧时温
酒调服二钱匕,一辰消尽无痕也。
蔺氏方∶治跌扑伤损,用真牛皮胶一两,冬瓜皮一两,同锉炒存性,研末,每服五钱,
热酒一盏调服,仍饮酒二、三钟,暖卧微汗痛止,一宿接元如故。
《青囊方》∶用半两钱五个,火 醋 四十九次,甜瓜子五钱,珍珠二钱制,每服一字
酒调和,仍分食前后服,亦治跌扑伤损。若骨碎及伤烂,用生地黄捣膏,裹以竹简编夹,急
缚勿令转动,一日一夕可十易之则瘥。《类说》云∶许元公过桥堕马,右臂臼脱,左右急挪
入臼中,昏迷不知痛苦,急召田录事视之,曰∶尚可救也。乃以药封肿处,中夜方苏,达旦
痛止,患处已白,日日换贴,其瘀肿移至肩背,乃以药下去黑血三升而愈,即本方也,出《
肘后方》中。其千金方内,亦治腹中瘀血,用生地黄汁三升,酒半升,煮二升,分三服效。
本事方,地黄膏内有木香末。
王仲勉《经验方》∶治跌伤疼痛,用黄麻烧灰、头发灰各一两,乳香五钱,每服三钱,
温酒下,立效。
《济生方》∶治跌伤瘀滞,心腹胀痛,大小便不通,红蛭(用锻石炒黄)半两,大黄、牵
牛头末各二两为末,每服二钱。
妇人因跌仆举重,损胎不安,子死腹中者,芎 为末,酒服方寸匕,须臾一、二服立出
。此《千金方》也。
娠妇偶因所触,或跌坠损伤,致胎不安,痛不可忍者,缩砂熨头内炒熟,用仁捣碎,每
钱,热酒调下,腹中极热,胎即安矣,神效,此孙尚书药方也。愚按∶砂仁快脾气,多用亦
耗正气,况香燥之品,性伤气血,求以安胎,适恐有伤胎元而反堕也。
挫闪伤
耀山曰∶挫闪者,非跌非打之伤,乃举重劳力所致也。或挫腰瘀痛,不能转侧,或手足
拗闪,骨窍扭出,其伤虽属寻常,若不实时医治,失于调理,非成痼疾,即为久患也。
唐瑶《经验方》∶治骨节脱离,生蟹捣烂,以热酒倾入,连饮数碗,其渣涂之,半日内
,骨内谷谷有声即好,干蟹烧灰亦好。
《集成方》∶治闪肭脱臼赤黑肿痛者,用黍米粉、铁浆粉各半斤,葱一斤,同炒存性研
醋调服三次,后仍以水调,少加醋贴之。肭音衄,缩也,月生三日谓之肭,形弯缩而不宽舒
《易简方》∶治闪肭骨节,用接骨草叶捣烂罨之,立效。若闪拗手足者,用生姜、葱白
,和面炒热罨之,或用土当归同荆芥、葱白煎汤洗之。如折伤内肭者,用土牛膝捣罨之。
邵真人方∶治扭闪出骨窍等证,用蚕砂四两炒黄,绿豆粉四两炒黄,枯矾二两四钱,为
末醋调敷之,绢包缚定,三、四次即愈。
胡绣溪方∶治闪跌,用鱼鳔切片,熔化摊新棉花上,乘热贴伤处,拔出青紫伤痕,即愈
《儒门事亲》∶治闪肭腰痛,用 猪肾一枚擗开,盐椒淹过,入甘遂末三钱,荷叶包煨
熟食,酒送下。
《摄生方》∶治挫闪腰痛,用橙子核烧研,酒服三钱,即愈。
《玉机微义》∶治闪损腰痛,用白莴苣子(炒)三两,白粟米(炒)一撮,乳香、没药、乌
梅肉各半两。为末,炼蜜为丸弹子大。每嚼一丸,热酒下。
《众妙方》∶治闪挫腰痛,用西瓜青皮阴干为末,盐酒服三钱。《纲目》主治用 子
擂酒服,亦效。
《生生编》∶治损伤腰痛,用冬瓜皮烧研,酒服一钱。
《永类钤方》∶治挫闪腰痛,用莳萝作末,酒服二钱匕。
《直指方》∶治腰痛瘀血凝滞,用破故纸炒,茴香炒,辣桂,等分为末,每热酒服二钱
。故纸主腰痛,行血也。
压迮伤
耀山曰∶压迮伤,意外所迫致也。或屋倒墙塌,或木断石落,压着手足,骨必折断;压
躯,人必昏迷。但视面色尚有生气,身体尚为软绵,则皆可救。压在要害致命虚怯之处,及
遍身血瘀凝滞紫黯之色,或筋骨皮肉破绽断折者,或口耳出血睛突舌出者,俱为不救。又有
扛抬重物以致跌倒,或身前后左右有磕擦而成伤者,若筋伤骨折,宜按接骨续筋条下选治也
《和济方》∶治跌压瘀血在内胀满者,用大黄、当归等分炒研,每服四钱,温酒服,取
下恶物即愈。按此即导滞散也。
《三因方》∶鸡鸣散,治从高坠下,木石压伤,及一切伤损,瘀凝积痛不可忍者,并以
服之,功能推陈致新,用大黄(酒蒸)一两,杏仁(去皮)三七粒细研,酒一碗,煎六分,鸡鸣
时服,至晓取下瘀血即愈。
《救急方》∶治足被石垫伤者,或行路足肿者,以草鞋一只,浸尿缸内半日,用砖一块
烧红,置鞋于上,将足踏之,令热气入皮里,即消。
《选粹》云∶颠扑压坠等伤,专怕恶心,必有恶血在内,先用清心药服之,次以通利大
小肠,打去瘀血,每服加童便服之,方见附方三字药下。
又方∶治扁担压伤,肩头溃烂,剪猫头上毛,用唾粘之即愈。
骨折伤
耀山曰∶骨折,伤之至重也。扁鹊云∶疾在腠理,汤熨之所及也;在血脉,针石之所及
凡是遭受杖打后出现肿痛但皮肤未破损的,先用棱针挑出黑血;如果已经破皮的,则不需要放血,只需将撒地金钱、山薄荷、地薄荷、生地黄、猪咛叶、泽兰叶、血见愁捣烂敷贴。
凡是治疗刀斧金刃砍伤或跌扑损伤,从高处坠落,皮肉破损且伤势严重的,中间用封口药涂抹在破口处,或者使用补肌散,同时在伤口四周用截血膏箍住,使新血不再流出,这是秘传的妙诀。凡是使用敷贴等草药,都必须临时新鲜采摘才有效。如果是出远路或不便获取的,可以制成粉末使用,但终究不如新鲜采摘的效果好。如果没有地方获取草药,就使用君臣药进行接缚固定。
我按语:草药都记载在本草书中,所以一并记录无遗漏。如果在穷乡僻壤,也可以选取使用,疗效是一样的。
耀山说:凡是长时间用眼会耗伤血液,长时间卧床会耗伤气,长时间坐着会伤肌肉,长时间站立会伤骨骼,长时间行走会伤筋脉,喜笑过度会伤心,发怒会伤肝,悲伤会伤肺,惊恐会伤胆,醉酒后行房会伤精,竭力劳作会伤中气,这些都是无形的内伤。而跌打损伤,是有形的体表外伤。然而外伤虽然是有形的,但也隐藏着无形的影响。比如亡血和瘀血的区别,内因和外因的不同,已经难以混淆;况且外遇跌扑各种伤害的差异,内有七情兼杂损伤的不同,更应当仔细体察探究。如果不条理分明、细致清晰,稍存疑惑之见,下手治疗就非常困难。比如登高坠落,人必定受惊,受惊则气机下陷;争斗互殴,人必定愤怒,愤怒则气机上逆;嬉戏玩耍跌倒,人气机必定涣散;严刑鞭打,人气机必定郁结;拳脚殴打造成的伤害,肌肉受损血液停滞,属于轻伤;金石利器造成的伤害,骨折筋断,属于重伤;甚至被开水烫伤表皮脱落,被火烧焦肌肉,即使是较小的伤害,也不可没有专门的条目。我不揣冒昧,详细考证群书,分类各种伤害,先叙述致伤原因,后引用已验证的方剂,这部集子虽然是医家的末技,也是治伤的首要任务。
耀山说:凡是金刃造成的伤害,都是失血的病症,有轻重浅深的区别。如果出血太多,脉象应该安静,最忌讳躁动急促。经书说:金疮出血,脉象沉小者生,浮大者死。伤口平置,不难分辨;如果伤深且重,症状必然是脉象大而乱,说明血飞筋断。适宜服用八珍汤、十全大补汤等来补益,严重的服用独参汤。素来有热症的,兼用凉血药;因为发怒受伤的,兼用清肝药;烦躁口渴神志昏乱的,定心补脾;筋骨拘挛的,滋肾补血。受伤处必须用自己的小便淋洗,如果伤久要换敷药,也用小便清洗,功能止痛且不溃烂,即使见到水也没有妨碍。如果是轻浅的伤害,血止即痊愈,后来虽然溃烂,也没有大害。所收集的止血药方,详细叙述以便选用。
《集证》说:凡是杀伤没有穿透膜层的,用乳香、没药各一皂子大小研烂,用半盏小便、半盏好酒煎至半温服用,然后用花蕊石散或乌贼鱼骨粉敷在疮口上即可止血。过去推官宋某,曾验两处杀伤,气息偶然未绝,急忙命令保甲取葱白,在热锅中炒热,遍敷在伤处,接着伤者呻吟,再更换葱白,伤者就不痛了。
《陈氏选粹》说:凡是临阵致伤,轻重不同。诸集记载的方子都是治外伤的,已经尝试过的方法,涂抹固然没有坏处;但是交战之人,呼吸决定生死,加上受伤,精神思维不免昏迷。如果出血过多导致神志昏乱的,那么大剂量的参、芪、归、术、芎、地等药物,必须多服,怎么能专门治外而忘记内呢?如果发展到变症,又应当在恶候各条中参考斟酌。
《延寿方》:治疗金疮出血不止,用冷水浸泡即可停止。或者用热水,用旧布蘸热水罨敷,也能止血。
《梅师方》:治疗血出不止,取葱烤热,挤出汁液涂抹即可停止。如果有肿痛的,用生牛膝捣烂敷上立即停止,又用桑柴灰筛细敷上。如果出血很多且感觉冷的则会致命,适宜炒盐三钱,用酒调服。
《异苑方》:用活鹿草,即土牛膝叶,治疗金疮折伤敷上有效,又名地菘。
《广利方》:用白芍药一两,熬黄研为末,用酒或米饮服二钱,逐渐增加剂量,仍以药末敷在疮口上,效果很好。或者用麒麟竭粉敷上立即止血。如果是刀斧损伤,用新桑皮烧成灰,和马粪混合涂在疮上,多次更换,也可以煮汁服用。
《集简方》:治疗刀斧伤,用独壳大栗子研碎敷上,或者仓促间嚼烂也可,或者用荷叶烧成灰搽上,或者用韭汁和风化锻石,晒干研末敷上有效,或者用香炉灰罨敷,止血生肌。
《积德堂方》:用寒水石、沥青等分研为末,干掺在伤口上,不要沾水。寄园说:沥青同半夏粉混合,且不痛且不留疤痕。
《医学集成》:治疗金疮,用石炭研末浓敷。疮口深不宜快速愈合的,加滑石掺入。石炭,就是现在的煤石。
《袖珍方》:治疗金疮痛不可忍的,用篱笆上的婆婆针袋儿,研磨水服,仍以药渣罨敷疮口,立即见效。
蔺氏《经效方》:治疗金疮血出不止,用生面粉干敷,五、七天即愈。
《百一方》:治疗金疮出血,葱白、砂糖等分研碎封敷,疼痛立即停止,更没有疤痕。
《急救方》:治疗刀伤血出不止,用紫藤香,即降香中的佳品,从瓷瓦上刮下,石碾碾细,敷上血止,又没有疤痕。如果刀刃伤痛不止,用好鸡骨炭,掷在地上铿然有声的,与透明的松香,等分捶打成一块,再多用老韭菜汁拌入阴干,如此拌捶三、四遍后,研为细末收贮,在上巳、端午、七夕等日制备,敷患处疼痛立即停止,完好如常。如果血流不止,用千年锻石掺入,或生半夏粉研敷,或用干面和白糖撒在伤处都有效。
《食物本草》:治疗刀杖金疮,用天鹅绒毛贴敷,立即痊愈。
耀山说:坠堕伤,是从高处落下,或者是登楼爬树,临近悬崖履险,偶尔踏空而坠落,或者是遇到马跑车子坠落。如果身体没有大伤,气必定受惊紊乱,血必定淤滞,一时昏晕的,将患者扶起,或者敲击其背部使其振奋,或者抱住腰部耸动,使气血通畅,人渐渐苏醒,然后服药调养即可痊愈。如果遇到撞碰导致的痞块,身上有伤痕的,按其部位穴道治疗。如果是内伤致命,口眼耳鼻必然出血,死在顷刻间的,急忙灌童便抢救。如果骨折筋断的,在本条集中选择通用方法。
《顾氏秘书》说:从高坠落,瘀血攻心,用淡豆豉一合煎汤饮用,或者生姜汁同麻油调和,再将净土五升蒸热,用旧布包裹熨烫,急忙撬开嘴用热尿灌入,再用半夏粉吹入鼻中,艾灸肚脐,让伤者盘腿坐定,提起头发,使气上升,就可以活了。
甄权说:坠伤损瘀在腹部刺痛,取久卧的蒲席烧成灰二钱,用酒送服,或者蒲黄、当归、大黄、赤芍、朴硝煎汤送服,血下则愈。
《经验后方》:治疗坠马扭伤,用桑白皮五斤,研为一升末,煎膏敷上即止,后来也没有宿血。
《传信方》:治疗坠马瘀血,用稻秆灰,用新熟酒连糟加入盐淋滤,取汁液洗痛处立即痊愈。
《广济方》:治疗坠损疼痛,用旧乌毡两段,酒五升,盐一抄,煮热裹上,冷了就换,三、四次即愈。
唐瑶《经验方》:治疗坠落欲死的,取老鸦眼睛草茎叶,即龙葵,捣汁服用,以药渣敷患处。
杨拱《医方》:治疗坠跌积血在心胃,呕血不止,用干荷花研末,每次用酒服方寸匕,效果如神。
《古今录验》:内伤神效方,治疗坠跌打击,用麝香、水蛭各一两锉碎,烧令烟出,研为末,酒服一钱,当下蓄血,未止再服,效果如神。
钱青说:从高坠落及落马血冲欲死,切忌喝冷水,急忙用韭菜汁或热小便灌入。
《东阳方》:治疗坠打瘀血,用姜叶一升,当归三两研末,温酒下方寸匕,每日三次服用。
《塞上方》:治疗坠打瘀血在内烦闷的,用向东生长的杏树皮三两细锉,好酒一升煎服。
《备急方》:治疗瘀血,用虻虫二十枚,牡丹皮一两研末,酒服方寸匕,血化为水。如果久宿血在骨节中,两味等分。
耀山说:跌磕,是骤然跌倒,磕擦而成的伤。按《洗冤录》说:或者是失足,或者是自己绊倒,力量主要在下面,那么所伤多在腿足及臂膊,然而无论左右,都只伤半边。如果是被人推倒的,那么力量在上面,所伤多在头面及两手腕。因为推的力量大,而人的一身中最重的莫过于头,推之下,势必自我保护,或者两手着地,或者不知不觉,头面必先倒垂而下,虽然未必全伤,但所伤与自跌不同。不仅如此,自跌是因为受惊,被推是兼带愤怒,关键在于医生善于观察并施治,就不会贻误。
《胜金方》:治疗磕扑青肿,用老黄茄子极大的,切片如一指厚,新瓦焙干研为末,想睡觉时温酒调服二钱匕,一个时辰消尽无痕。
蔺氏方:治疗跌扑伤损,用真牛皮胶一两,冬瓜皮一两,一起锉炒存性,研末,每服五钱,热酒一盏调服,仍饮酒二、三钟,暖卧微汗痛止,一宿接元如故。
《青囊方》:用半两钱五个,火醋淬炼四十九次,甜瓜子五钱,珍珠二钱制,每服一字,酒调和,仍分食前后服,也治跌扑伤损。如果骨碎及伤烂,用生地黄捣膏,裹以竹简编夹,急缚勿令转动,一日一夕可十次更换则痊愈。《类说》说:许元公过桥堕马,右臂臼脱,左右急忙挪入臼中,昏迷不知痛苦,急忙召田录事诊治,说:还可以救。于是用药封肿处,半夜才苏醒,天亮痛止,患处已白,日日换贴,其瘀肿移至肩背,乃用药下去黑血三升而愈,就是本方,出自《肘后方》。其千金方内,也治腹中瘀血,用生地黄汁三升,酒半升,煮二升,分三服有效。本事方,地黄膏内有木香末。
王仲勉《经验方》:治疗跌伤疼痛,用黄麻烧灰、头发灰各一两,乳香五钱,每服三钱,温酒下,立效。
《济生方》:治疗跌伤瘀滞,心腹胀痛,大小便不通,红蛭(用锻石炒黄)半两,大黄、牵牛头末各二两为末,每服二钱。
妇人因跌仆举重,损胎不安,子死腹中的,川芎为末,酒服方寸匕,须臾一、二服立出。这是《千金方》。
孕妇偶因所触,或跌坠损伤,致胎不安,痛不可忍的,缩砂仁在头内炒熟,用仁捣碎,每服一钱,热酒调下,腹中极热,胎即安矣,神效,这是孙尚书药方。我按语:砂仁快脾气,多用亦耗正气,何况香燥之品,性伤气血,求以安胎,恐怕有伤胎元而反堕也。
耀山说:挫闪,不是跌也不是打的伤,是举重劳力所致。或者是挫腰瘀痛,不能转侧,或者是手足拗闪,骨窍扭出,其伤虽属寻常,如果不实时医治,失于调理,非成痼疾,即为久患。
唐瑶《经验方》:治疗骨节脱离,生蟹捣烂,以热酒倾入,连饮数碗,其渣涂之,半日内,骨内谷谷有声即好,干蟹烧灰也好。
《集成方》:治疗闪肭脱臼赤黑肿痛的,用黍米粉、铁浆粉各半斤,葱一斤,同炒存性研末,醋调服三次,后仍以水调,少加醋贴之。肭音衄,缩也,月生三日谓之肭,形弯缩而不宽舒。
《易简方》:治疗闪肭骨节,用接骨草叶捣烂罨之,立效。如果闪拗手足的,用生姜、葱白,和面炒热罨之,或者用土当归同荆芥、葱白煎汤洗之。如折伤内肭的,用土牛膝捣罨之。
邵真人方:治疗扭闪出骨窍等证,用蚕砂四两炒黄,绿豆粉四两炒黄,枯矾二两四钱,为末醋调敷之,绢包缚定,三、四次即愈。
胡绣溪方:治疗闪跌,用鱼鳔切片,熔化摊新棉花上,乘热贴伤处,拔出青紫伤痕,即愈。
《儒门事亲》:治疗闪肭腰痛,用猪肾一枚劈开,盐椒淹过,入甘遂末三钱,荷叶包煨熟食,酒送下。
《玉机微义》:治疗闪损腰痛,用白莴苣子(炒)三两,白粟米(炒)一撮,乳香、没药、乌梅肉各半两。为末,炼蜜为丸弹子大。每嚼一丸,热酒下。
《众妙方》:治疗闪挫腰痛,用西瓜青皮阴干为末,盐酒服三钱。《纲目》主治用莴苣子擂酒服,也有效。
《直指方》:治疗腰痛瘀血凝滞,用破故纸炒,茴香炒,辣桂,等分为末,每热酒服二钱。故纸主腰痛,行血也。
耀山说:压迮伤,是意外所迫致。或者是屋倒墙塌,或者是木断石落,压着手足,骨必折断;压在躯干,人必昏迷。只要看面色尚有生气,身体尚为软绵,则皆可救。压在要害致命虚怯之处,以及遍身血瘀凝滞紫黯之色,或者筋骨皮肉破绽断折者,或者口耳出血睛突舌出者,俱为不救。又有扛抬重物以致跌倒,或者身前后左右有磕擦而成伤者,若筋伤骨折,宜按接骨续筋条下选治。
《和济方》:治疗跌压瘀血在内胀满的,用大黄、当归等分炒研,每服四钱,温酒服,取下恶物即愈。按此即导滞散。
《三因方》:鸡鸣散,治疗从高坠落,木石压伤,及一切伤损,瘀凝积痛不可忍的,并以之服之,功能推陈致新,用大黄(酒蒸)一两,杏仁(去皮)三七粒细研,酒一碗,煎六分,鸡鸣时服,至晓取下瘀血即愈。
《救急方》:治疗足被石垫伤者,或者行路足肿的,以草鞋一只,浸尿缸内半日,用砖一块烧红,置鞋于上,将足踏之,令热气入皮里,即消。
《选粹》说:颠扑压坠等伤,专怕恶心,必有恶血在内,先用清心药服之,次以通利大小肠,打去瘀血,每服加童便服之,方见附方三字药下。
骨折伤
Whenever one suffers a beating with a staff resulting in swelling and pain without skin breakage, first use a triangular needle (Lingzhen) to prick out dark blood. If the skin is already broken, bleeding is not required; instead, simply mash and apply Sadi Jinqian (Goldthread), Shan Bohe (Mountain Mint), Di Bohe (Ground Mint), Sheng Dihuang (Fresh Rehmannia Root), Zhu Ning Ye (Pig's Ear Leaf), Zelan Ye (Eupatorium Leaf), and Xue Jian Chou (Blood-seeing Sorrow). Mash these into a paste for application.
For treating injuries from knives, axes, or metal blades, as well as falls from heights where the skin and flesh are broken and the injury is severe, apply a sealing medicine (Fengkou Yao) to the wound, or use Bujisan (Muscle-Nourishing Powder). Simultaneously, bind the periphery of the wound with Jiexue Gao (Blood-Stopping Ointment) to prevent fresh blood from flowing freely. This is a secret and effective technique. When using herbal applications, they must be freshly picked and used immediately for best results. For those traveling far or unable to obtain fresh herbs, they may be dried and powdered, though this is inferior to fresh use. If no herbs are available, use Junchen medicines (Principal and Assistant drugs) for binding and fixation.
My commentary: Herbal medicines are recorded in Materia Medica texts, so I have included them all without omission. Even in remote areas, suitable herbs can be selected and used, yielding the same efficacy.
Yaoshan states: Prolonged visual strain injures Blood; prolonged lying down injures Qi; prolonged sitting injures flesh; prolonged standing injures bones; prolonged walking injures sinews. Excessive joy injures the Heart; anger injures the Liver; sorrow injures the Lungs; fright injures the Gallbladder; sexual intercourse while drunk and full injures Essence; excessive physical labor injures the Middle Jiao. These are all "invisible" internal injuries. In contrast, traumatic injuries from falls and blows are "visible" external injuries. However, although external injuries are visible, they also have invisible internal effects. For instance, the distinction between hemorrhage and blood stasis, and between internal and external causes, cannot be confused. Furthermore, the differences among various external traumas and the variations in internal emotional damage require careful investigation. Without clear differentiation and thorough understanding, treatment becomes difficult. For example, falling from a height causes fright, leading to sinking of Qi; fighting causes anger, leading to rebellious Qi; playing and stumbling scatters Qi; severe whipping knots Qi; blunt force trauma causes muscle damage and blood stagnation (light injury); sharp weapon trauma causes bone fractures and tendon severing (heavy injury); even minor burns or scalds require specific categories. I have carefully studied various books, categorized injuries, described causes first, then cited proven formulas. Though this collection represents a minor skill of physicians, it is the primary task in treating trauma.
Injury from Metal Blades
Yaoshan states: Injuries from metal blades involve blood loss, varying in severity and depth. If bleeding is excessive, the pulse should be calm; a rapid or surging pulse is most ominous. The Classics state: In knife wounds with bleeding, a deep and small pulse indicates survival, while a floating and large pulse indicates death. A flat wound is easy to assess; however, if the wound is deep and severe, the pulse will likely be chaotic, indicating flying blood and severed tendons. It is appropriate to administer Bazhen Tang (Eight-Treasure Decoction) or Shiquan Dabu Tang (Ten-Absolutely-Nourishing Decoction) to tonify; for severe cases, Dushen Tang (Single-Ginseng Decoction). For those with inherent heat, add blood-cooling herbs; for injuries caused by anger, add liver-clearing herbs; for irritability, thirst, and confusion, calm the Heart and tonify the Spleen; for muscle spasms, nourish the Kidney and tonify Blood. The wound should be washed with the patient's own urine. If dressing changes are needed later, urine washing continues to relieve pain and prevent ulceration; exposure to water is not harmful. For minor wounds, cessation of bleeding leads to recovery; even if ulceration occurs later, it is not serious. The collected hemostatic formulas are detailed for selection.
Jizheng states: For superficial wounds not penetrating the fascia, grind Frankincense (Ruxiang) and Myrrh (Moyao) to the size of a soap bean, mix with half a cup of urine and half a cup of good wine, warm slightly, and drink. Then apply Huarui Shi San (Flower-Marrow Stone Powder) or cuttlefish bone powder to the wound to stop bleeding. Former Official Song verified this on two cases where breath had barely ceased; he ordered fresh green onion whites fried hot in a pan, applied over the wound, causing groaning, then replaced with fresh onions, relieving pain.
Chenshi Xuanhui states: Battlefield injuries vary in severity. Most formulas treat external aspects. While topical application is harmless, combatants face life-and-death stress, and shock may cause confusion. If excessive bleeding leads to delirium, large doses of Ginseng (Renshen), Astragalus (Huangqi), Angelica (Danggui), Atractylodes (Baizhu), Ligusticum (Chuanxiong), and Rehmannia (Shudihuang) must be taken internally; one cannot focus solely on external treatment while neglecting the internal. If complications arise, refer to sections on critical symptoms.
Yanshou Fang: For unceasing bleeding from knife wounds, immersion in cold water stops it. Alternatively, apply hot cloth soaked in hot water.
Meishi Fang: For unceasing bleeding, take hot roasted green onion, squeeze juice, and apply. For swelling and pain, mash fresh Achyranthes root (Sheng Niuxi) and apply; also apply fine mulberry wood ash. If bleeding is profuse and the body feels cold, it is fatal; take three qian of fried salt mixed with wine.
Yiyuan Fang: Use live Lucao (Tu Niuxie/Chinese Achyranthes leaf), also known as Disandisong, for knife and fracture wounds; effective.
Guangli Fang: Take one liang of White Peony Root (Baishaoyao), roast until yellow, powder, and take two qian with wine or rice water, increasing gradually. Apply powder to the wound for good effect. Alternatively, apply Qilinjie (Dragon's Blood) powder to stop bleeding instantly. For axe injuries, burn new mulberry bark to ash, mix with horse manure, apply to the wound, changing frequently; boiling and drinking the decoction is also effective.
Jijian Fang: For knife/axe wounds, mash a single-shell chestnut and apply, or chew and apply in emergencies. Alternatively, apply burned lotus leaf powder. Or mix leek juice with weathered calcined gypsum (Fenghua Duanshi), dry, powder, and apply. Alternatively, apply incense burner ash to stop bleeding and generate flesh.
Shilin Guangji: For knife wound bleeding, apply Cloud Mother Powder (Yunmu Fen); excellent effect.
Jidetang Fang: Mix Cold Water Stone (Hanshui Shi) and Asphalt (Qingli) equally, powder, and apply dryly; keep away from water. Jiyuan notes: Asphalt mixed with Pinellia powder does not hurt and leaves no scar.
Yixue Jicheng: For knife wounds, apply thick layer of Coal Stone (Shitan/Anthracite). For deep wounds not healing quickly, add Talc (Huashi). Shitan is current coal stone.
Jiuji Fang: Mix Alum (BaiFan) and Red Lead (Huandan) equally, powder, and apply; best effect.
Yonglei Qianfang: For unceasing bleeding, mash fresh Perilla (Zisu) and Mulberry leaf, apply.
Meng Shen's Shiliao: For unceasing bleeding, mash Small Thistle seedlings (Xiaoji Miao) and apply.
Xiuzhen Fang: For unbearable pain from knife wounds, grind bag from the plant *Galium aparine* (Popozhen) with water, drink, and apply dregs to the wound; immediate effect.
Bifeng Zaxing: For knife wounds, apply Polygonum multiflorum (Heshouwu) powder to stop bleeding; miraculous.
Rumen Shiqin: For knife wound bleeding, apply Cynanchum atratum (Baiwei) powder topically.
Linshi Jingxiao Fang: For unceasing bleeding from knife wounds, apply raw flour dry; heals in 5-7 days.
Baiyi Fang: For knife wound bleeding, mix equal parts green onion white and sugar, mash, and seal; pain stops immediately, no scar remains.
Cui Yuanliang's Formula: Use half a jin of pomegranate flower and one sheng of calcined gypsum, mash together, dry in shade, and apply to stop bleeding instantly.
Tang Yao's Jingyan Fang: Use asphalt with a little raw copper filings, sprinkle on wound; heals instantly.
Jiuji Fang: For unceasing bleeding from knife cuts, use Zitengxiang (high-quality Desmodium/Styrax), scrape from porcelain tile, grind fine, apply to stop bleeding without scar. For unbearable blade pain, use high-quality chicken bone charcoal (ringing sound when dropped) and transparent pine resin, equal parts, pound into a block. Mix with old leek juice, dry, repeat pounding/mixing 3-4 times, powder, and store. Prepare on festivals like Shangsi, Duanwu, Qixi. Apply to site; pain stops instantly, restoring normalcy. For unceasing flow, use thousand-year calcined gypsum, or raw Pinellia powder, or dry flour and sugar sprinkled on wound; all effective.
Shiwu Bencao: For knife/staff/metal wounds, apply swan down feathers; heals instantly.
Fushou Fang: Chew ginger and apply; new flesh grows next day; very good.
Jiji Fang: Mix Bletilla (Baiji) and Gypsum (Shigao) equally, powder, and apply; promotes closure.
Shengjin Fang: Chew rush stem (Dengxin) and apply; stops bleeding instantly.
Fall Injury
Yaoshan states: Fall injuries result from descending from heights, climbing trees/buildings, near cliffs, slipping, or being thrown from horses/carts. If no major bodily injury but Qi is frightened and chaotic, and Blood is stagnant, causing faintness, lift the patient, tap their back to rouse them, or hold their waist and lift to restore Qi and Blood circulation, leading to gradual awakening, then medicate for recovery. For contusions or masses, treat according to acupoints. If internal injury is fatal, with bleeding from mouth/eyes/nose/ears, death is imminent; urgently灌 (pour) child's urine to save. For fractures and tendon ruptures, select general methods from this section.
Gushi Mishu states: For falls causing blood stasis attacking the Heart, decoct Fermented Soybean (Danshidou) and drink, or mix Ginger Juice with Sesame Oil. Steam five sheng of clean earth, wrap in old cloth, and apply heat compress. Urgently pry open mouth and pour hot urine. Blow Pinellia powder into nose, moxa navel, sit cross-legged, pull hair upward to raise Qi; patient may survive.
Zhen Quan states: For abdominal stasis pain from falls, take two qian of ash from long-used rush mat, take with wine. Or decoct Artemisia capillaris (Puhuang), Angelica (Danggui), Rhubarb (Dahuang), Red Peony (Chishao), and Mirabilite (Puxiao) to expel blood; cure.
Jingyan Houfang: For horse fall sprains, use five jin of Mulberry Bark (Sangbaipi), powder one sheng, decoct into paste, apply; stops pain, prevents residual stasis.
Chuanxin Fang: For horse fall stasis, use rice straw ash, filter through ripe wine with lees and salt, take juice to wash painful area; cures instantly.
Guangji Fang: For fall pain, boil two pieces of old black wool felt in five sheng of wine with a scoop of salt, apply hot; change when cold; 3-4 times cures.
Tang Yao's Jingyan Fang: For near-fatal falls, take stems/leaves of Old Crow Eye Grass (Longkui/Solanum nigrum), juice drink, dregs apply.
Yang Gong's Yifang: For falls causing blood accumulation in Heart/Stomach with unceasing hematemesis, powder dried Lotus Flower, take one fangcun bi with wine; effect like spirit.
Gujin Luyan: Internal injury miracle formula for falls/blows: Grind Musk (Shexiang) and Leech (Shizhi) one liang each, burn until smoke rises, powder, take one qian with wine; expels retained blood; repeat if necessary; effect like spirit.
Qian Qing states: For falls/horse falls causing blood rushing to death, strictly avoid cold water; urgently灌 leek juice or hot urine.
Dongyang Fang: For fall stasis, powder one sheng of Ginger Leaf and three liang of Angelica (Danggui), take one fangcun bi with warm wine, three times daily.
Saishang Fang: For internal stasis causing oppression from falls, finely chop three liang of Apricot Bark growing eastward, decoct in one sheng of good wine, drink.
Beiji Fang: For blood stasis, powder twenty Blisterflies (Mengchong) and one liang of Moutan Cortex (Mudanpi), take one fangcun bi with wine; blood turns to water. For old stasis in joints, equal parts of both.
Impact/Collision Injury
Yaoshan states: Impact injuries result from sudden falls/scrapes. According to Xiyoulu: Accidental slips or self-trips usually injure legs/arms, affecting only one side. Being pushed transfers force upward, injuring head/face/wrists more. Pushing force is greater; since the head is heaviest, the victim protects themselves, often hitting hands or ground first, causing head-first impact. Self-falls cause fright; pushed falls involve anger. Physicians must observe carefully to treat correctly.
Zhizhi Fang: For broken skin bleeding, apply Cuttlefish Bone (Wuzeiyu Gu) powder.
Jianbian Fang: For impact injuries, seal with Yellow Cow Dung; bandage; effective.
Shengjin Fang: For bruising/swelling, slice large old yellow eggplant finger-thick, bake on new tile, powder, take two qian bi with warm wine before sleep; clears in one chen (2 hours) without trace.
Linshi Fang: For falls, mix one liang of Real Beef Glue (Niujiao) and one liang of Winter Melon Peel, stir-fry until charred but preserved nature, powder. Take five qian, mix with one cup hot wine, drink 2-3 cups more, lie warm until slight sweat; pain stops, vitality restored overnight.
Qingnang Fang: Five half-coin cash coins, quenched in vinegar 49 times, five qian sweet melon seeds, two qian prepared Pearl (Zhenzhu). Take one zi, mix with wine, divide pre/post-meal. Also for fractures/ulcers: Mash Fresh Rehmannia (Sheng Dihuang), wrap in bamboo splints, bind tightly, do not move; change 10 times in 24 hours; cures. Lianshuo records: Xu Yuangong fell from horse, dislocated right shoulder; assistants reduced joint; patient unconscious. Tian Lusishi treated: Applied medicine to swelling; woke at midnight; pain stopped by dawn; swelling moved to shoulder/back; expelled three sheng of black blood with medicine; cured. Source: Zhouhou Fang. Qianjin Fang also treats abdominal stasis: Three sheng Fresh Rehmannia juice, half sheng wine, boil to two sheng, divide three doses; effective. Benshi Fang's Dihuang Gao contains Agarwood powder.
Wang Zhongmian's Jingyan Fang: For fall pain, powder one liang each of Hemp Ash (Huangma Hui) and Hair Ash (Toutou Hui), five qian Frankincense (Ruxiang). Take three qian with warm wine; immediate effect.
Jisheng Fang: For fall stasis causing abdominal distension/pain and constipation: Half liang Red Leech (Hongzhi, fried with calcined gypsum), two liang each Rhubarb (Dahuang) and Morning Glory Seed (Qianniu Toumo). Powder, take two qian.
For women injured by falls/lifting weights causing threatened miscarriage/dead fetus: Powder Ligusticum (Xiong), take one fangcun bi with wine; fetus expelled quickly. From Qianjin Fang.
For pregnant women touched/fallen causing fetal unrest/unbearable pain: Roast Amomum fruit (Suosha/Renshen) inside head, crush kernel, take one qian with hot wine; intense warmth in abdomen calms fetus; miraculous. Sun Shangshu's formula. My commentary: Renshen moves Spleen Qi; excessive use depletes Zheng Qi. Fragrant/dry herbs damage Qi/Blood; seeking to calm fetus may actually harm it and cause abortion.
Sprain Injury
Yaoshan states: Sprains are not falls or blows, but result from heavy lifting/strain. Lower back sprains cause stasis pain and immobility; limb sprains cause joint displacement. Though common, lack of timely treatment/regulation leads to chronic disease.
Tang Yao's Jingyan Fang: For joint dislocation, mash raw crab, mix with hot wine, drink several bowls, apply dregs; within half day, audible clicking in bones indicates healing. Burned dry crab powder also works.
Jicheng Fang: For sprained/dislocated joints with red/black swelling: Half jin each Millet Flour (Shumi Fen) and Iron Slag Powder (Tiejiang Fen), one jin Green Onion, stir-fry until charred, powder, mix with vinegar, take three doses. Later, mix with water, add vinegar, apply. 'Na' means shrinking; moon on 3rd day is 'na', shape curved/shrunk.
Yijian Fang: For sprained joints, mash Jiegu Cao (Bone-Knitting Herb) leaves, apply; immediate effect. For limb sprains, mash Ginger and Green Onion white with flour, heat, apply. Or decoct Tu Danggui, Schizonepeta (Jingjie), Green Onion white, wash. For internal fracture/sprain, mash Tu Niuxi, apply.
Shao Zhenren Fang: For twisted/dislocated joints: Four liang Silkworm Sand (Can Sha, fried yellow), four liang Mung Bean Flour (Lvdou Fen, fried yellow), two liang four qian Calcined Alum (Kufan). Powder, mix vinegar, apply, bind with silk; 3-4 times cures.
Hu Xiuxi Fang: For sprains, slice Fish Bladder (Yubiao), melt, spread on new cotton, apply hot; draws out purple stasis; cures.
Rumen Shiqin: For sprained lower back: Split one Pig Kidney, marinate in Salt/Pepper, insert three qian Kansui (Gansui) powder, wrap in Lotus Leaf, bake/cook, take with wine.
Shesheng Fang: For sprained lower back: Burn Celery Seed (Chengzi He), powder, take three qian with wine; cures.
Yuji Wei Yi: For sprained lower back: Three liang White Lettuce Seed (Baoliju Zi, fried), one handful White Millet (Baicusmi, fried), half liang each Frankincense (Ruxiang), Myrrh (Moyao), Dark Plum Meat (Wumei Rou). Powder, honey pills. Chew one pill, take with hot wine.
Zhongmiao Fang: For sprained lower back: Dry Watermelon Green Rind, powder, take three qian with salt/wine. Gangmu notes: Celery seed pounded with wine also effective.
Shengsheng Bian: For traumatic lower back pain: Burn Winter Melon Peel, powder, take one qian with wine.
Yonglei Qianfang: For sprained lower back: Powder Dill (Shiluo), take two qian bi with wine.
Zhizhi Fang: For lower back stasis: Fry Psoralea (Po Gu Zhi), fry Fennel (Huixiang), use Spicy Cinnamon (Laguai), equal parts powder, take two qian with hot wine. Po Gu Zhi treats back pain, moves blood.
Crush Injury
Yaoshan states: Crush injuries are accidental compressions. Collapsing walls/beams crushing limbs cause fractures; crushing torso causes coma. If complexion shows vitality and body is soft, rescue is possible. Compression of vital weak points, widespread purple-black stasis, broken skin/tendons/bones, or bleeding from orifices/protruding eyes/tongue indicate untreatable cases. Carrying heavy loads causing falls or scraping injuries: if tendons/bones injured, refer to bone-setting/tendon-repairing sections.
Heji Fang: For crush-induced internal stasis/distension: Equal parts Rhubarb (Dahuang) and Angelica (Danggui), stir-fry, powder. Take four qian with warm wine; expel foul matter; cures. This is Daoshi San.
Sanyin Fang: Jiming San: For falls, crush injuries, all traumas with unbearable stasis pain: Take Rhubarb (wine-steamed) one liang, Almond (peeled) 37 grains, fine powder, one bowl wine, decoct to 60%, take at dawn (Jiming time); expels stasis by morning; cures.
Jiuji Fang: For foot crushed by stone or swollen walking: Soak one straw shoe in urine vat for half day. Heat brick, place shoe on it, step foot on shoe; heat penetrates skin; swelling subsides.
Xuanhui states: Crush/fall injuries fear nausea, indicating internal bad blood. First take Heart-clearing medicine, then promote bowel/bladder to expel stasis, adding Child's Urine (Tongbian) per dose. See Appendix "Three Character Medicine".
Another Formula: For shoulder ulceration from pole carry: Shear cat head hair, stick with saliva; cures.
Fracture Injury
Yaoshan states: Fractures are the heaviest injuries. Bian Que said: Disease in skin/subcutaneous tissue responds to decoctions/compresses; in blood vessels, to acupuncture/stone therapy...