脑骨伤损者，用轻手搏令端正，剪去其发。若皮不破，敷黑龙散或葱熨法。皮破则填乳石散，以绢帛包之。不可见
风着水，更用葱杵烂炒热，频罨患处为佳。
一小儿伤脑出血过多，发热烦躁，肉 筋惕，殊类风症，欲作风治。余曰∶无风可祛，无汗可发，法当峻补其
血。遂用圣愈汤二剂而安，又用养血之剂而愈。
一小儿伤脑肿痛出血。外敷花蕊石散，内服八珍汤而安。后揭疮痂出血碗许，手足发搐，寒热痰盛。此血虚兼
惊，肝火内动而生风也，令服地黄丸及加味逍遥散而愈。
一小儿伤胫骨出血肿痛，恶寒少食，睡中发搐，先用异功散，饮食渐进；又用逍遥散，发搐顿止；再用归脾汤，母
子并服而愈。
一小儿被伤，手足发搐，顿闷切牙，饮食不思，此肝经血虚，火动生风，脾土受侮而然耳，用地黄丸、异功散，诸
症渐退；用八珍汤、托里散疮渐愈。
一小儿被伤，面青懒食，时作腹痛，以手按腹却不痛，余以为脾气内伤而然。不信，妄服攻血之药，果吐泻作呕，
手足并冷。余先用六君加柴胡、升麻、生姜，又用托里散、异功散而愈。
一小儿脑侧近耳被伤，寒热作痛，溃后不敛，恪服止痛清热之剂。余曰∶寒热作痛，因肝经气血虚也，溃而不生肌
肉，脾经气血虚。遂用地黄丸、异功散加归、 ，诸症渐愈，又用托里散而敛。
谦甫花蕊石散 治一切金刃箭镞打扑伤损，或死者急搽
伤处。其血如入脏，二便不通，用童便和水煎，入酒少许，调服立效。若腹破肠出，急宜内入以桑白皮为线缝合，掺围
疮上，如疮干以津润之。
硫磺（明净者四两） 花蕊石（一斤）
上为末拌匀，入瓦罐内，用纸筋和泥固济，候泥干，渐添火 至通红，经宿取出细研，瓷器盛用。
加味逍遥散 治伤损血虚，内热发热或遍身瘙痒寒热；或肢体作痛，头目昏重；或怔忡颊赤，口燥咽干；或发
热盗汗，食少不寐；或口舌生疮，耳内作痛；或胸乳腹胀，小便不利。（方见发热不止）
圣愈汤 治杖疮、金疮、痈疽，脓血出多，热躁不安，或晡热作渴等症。（方见出血不止）
十全大补汤 治杖疮瘀秽已出，气血俱虚，肿痛不消，或腐而不溃，溃而不敛；或恶寒发热，自汗盗汗，饮食
少思，肢体倦怠。若怯弱之人，患处青肿，肌肉不坏者，服之自愈。若有瘀血，砭刺早者，服之自消；或溃而脓水清稀，
肌肉不生；或口干作渴，而欲饮汤；或砭后发热恶寒，头痛目晕，口干作渴，有似中风之症，皆属气血虚也。并宜服
之。（即四君、四物加肉桂、黄 。）
八珍汤（一名八物汤） 治伤损等症，失血过多，或误服克伐之剂，血气耗损，恶寒发热，烦躁作渴；或疮疡
因气虚，肿痛不消，不能溃敛；或溃疡，恶寒发热，脓水清稀，久而不愈。（即四君、四物）
黑龙散 治跌扑伤损，筋骨碎断，先端正其骨，以纸摊贴，若骨折，更以薄木片，疏排夹贴，却将小绳紧缚三
日，再用前法，勿去夹板，恐摇动患处，至骨紧牢，方不用板。若被刀箭虫伤成疮，并用姜汁和水调贴，如口破以玉珍
散填涂。
枇杷叶（去毛入半两，一云山枇杷根） 穿山甲（六两，炒黄或炼存性）
上为末，姜汁水调，或研地黄汁调亦好。
地黄丸（方见作渴不止）
脑骨受伤损伤的，用轻手揉捏使其复位端正，剪去周围的头发。如果皮肤没有破损，外敷黑龙散或采用葱熨法。如果皮肤破损，则填入乳石散，用绢帛包裹固定。不可让患处见风沾水，再用葱捣烂炒热，频繁热敷患处为佳。
有一个小儿头部受伤出血过多，出现发热烦躁、肌肉跳动筋脉抽搐的症状，非常像中风症，想要按照中风治疗。我说：没有风邪可以祛除，没有汗液可以发散，治疗方法应当峻补其血。于是使用圣愈汤两剂后病情安定，又服用养血的药剂而痊愈。
有一个小儿头部受伤肿痛出血。外敷花蕊石散，内服八珍汤后病情安定。后来揭开疮痂时出血约一碗，手足发生抽搐，伴有寒热痰盛的症状。这是血虚兼受惊骇，肝火内动而生风所致，令其服用地黄丸及加味逍遥散而痊愈。
有一个小儿小腿胫骨受伤出血肿痛，恶寒少食，睡眠中发生抽搐，先用异功散，饮食逐渐增进；又用逍遥散，抽搐立刻停止；再用归脾汤，母子一起服药而痊愈。
有一个小儿被伤后，手足抽搐，突然昏闷咬牙，不想饮食，这是肝经血虚，火动生风，脾土受侮所致，用地黄丸、异功散，各种症状逐渐消退；用八珍汤、托里散，疮口逐渐愈合。
有一个小儿被伤后，面色青暗懒于进食，时常腹痛，用手按压腹部却不痛，我认为这是脾气内伤所致。家属不信，妄自服用攻逐瘀血的药物，果然导致呕吐腹泻作呕，手足冰冷。我先用六君子汤加柴胡、升麻、生姜，又用托里散、异功散而痊愈。
有一个小儿头部侧面靠近耳朵处受伤，寒热疼痛，溃破后不收敛，严格服用止痛清热的药剂。我说：寒热疼痛，是因为肝经气血虚损；溃破后不生肌肉，是脾经气血虚损。于是用地黄丸、异功散加当归、白芍，各种症状逐渐痊愈，又用托里散而收敛愈合。
谦甫的花蕊石散，治疗一切金刃箭镞打扑造成的伤损，或者死者紧急搽在伤处。如果血液进入内脏，二便不通，用童便和水煎煮，加入少许酒，调服立即见效。如果腹部破裂肠子流出，急忙应当纳入并用桑白皮做线缝合，掺在疮口周围，如果疮口干燥用唾液润湿它。
硫磺（明净者四两） 花蕊石（一斤）
以上研为细末拌匀，放入瓦罐内，用纸筋和泥密封固济，等泥干后，渐渐添火加热至通红，经过一夜取出细研，用瓷器盛装备用。
加味逍遥散，治疗伤损血虚，内热发热或遍身瘙痒寒热；或肢体疼痛，头目昏重；或怔忡面颊红赤，口燥咽干；或发热盗汗，食少失眠；或口舌生疮，耳内疼痛；或胸乳腹胀，小便不利。（方剂见发热不止）
圣愈汤，治疗杖疮、金疮、痈疽，脓血流出过多，热躁不安，或傍晚发热口渴等症状。（方剂见出血不止）
十全大补汤，治疗杖疮瘀秽已排出，气血俱虚，肿痛不消，或腐烂而不溃破，溃破而不收敛；或恶寒发热，自汗盗汗，饮食少思，肢体倦怠。如果是怯弱之人，患处青肿，肌肉未坏死的，服用它自己会痊愈。如果有瘀血，砭刺较早的，服用它自然消散；或者溃破后脓水清稀，肌肉不生；或者口干口渴，想喝热汤；或者砭刺后发热恶寒，头痛目晕，口干口渴，有类似中风的症状，都属于气血虚损。都适宜服用。（即四君子汤、四物汤加肉桂、黄芪。）
八珍汤（又名八物汤），治疗伤损等症，失血过多，或误服克伐的药剂，血气耗损，恶寒发热，烦躁口渴；或疮疡因为气虚，肿痛不消，不能溃破收敛；或者溃疡，恶寒发热，脓水清稀，久治不愈。（即四君子汤、四物汤）
黑龙散，治疗跌扑伤损，筋骨碎断，先端正其骨头，用纸张摊贴，如果骨折，再用薄木片，疏排夹贴，然后用小绳紧紧束缚三天，再用前面的方法，不要去掉夹板，恐怕摇动患处，直到骨头紧牢，才不用夹板。如果被刀箭虫伤成疮，都用姜汁和水调匀贴敷，如果口腔破损用玉珍散填涂。
枇杷叶（去毛入半两，一说山枇杷根） 穿山甲（六两，炒黄或炼存性）
以上研为细末，姜汁水调匀，或者研地黄汁调匀也好。
地黄丸（方剂见作渴不止）
Brain bone injury: Use gentle manipulation to realign the bone, and trim the surrounding hair. If the skin is intact, apply Heilong San (Black Dragon Powder) or employ Cong Yi Fa (Scallion Moxibustion Method). If the skin is broken, fill the wound with Rushi San (Milk Stone Powder), and wrap it securely with silk gauze. Avoid exposure to wind and water. It is advisable to frequently apply hot compresses made of crushed scallions stir-fried until hot to the affected area.
A child suffered a head injury with excessive bleeding, presenting with fever, irritability, muscle twitching, and tendon tremors, resembling Wind Syndrome (Zheng Feng, 中风). Treatment was initially considered for Wind Syndrome. I stated: "There is no external Wind pathogen to dispel, and there is no sweat to induce; the method should be to vigorously tonify the Blood." Two doses of Shengyu Tang (Holy Recovery Decoction) stabilized the condition, followed by blood-nourishing formulas for full recovery.
A child suffered head injury with swelling, pain, and bleeding. External application of Huarui Shi San (Flower Porphyry Stone Powder) and internal administration of Bazhen Tang (Eight Treasures Decoction) stabilized the condition. Later, when the scab was removed, approximately one bowl of blood was lost, accompanied by convulsions of the hands and feet, alternating chills and fever, and abundant phlegm. This indicated Blood deficiency combined with fright, with Liver Fire stirring internally generating Wind. Administration of Dihuang Wan (Rehmannia Pill) and Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder) led to recovery.
A child suffered an injury to the tibia with bleeding, swelling, and pain, chills, poor appetite, and nocturnal convulsions. First, Yigong San (Yi Gong Powder) was used, leading to gradual improvement in diet. Then, Xiaoyao San (Free and Easy Wanderer Powder) stopped the convulsions immediately. Finally, Guipi Tang (Restore the Spleen Decoction) was administered to both mother and child, resulting in recovery.
A child suffered an injury, presenting with convulsions of the hands and feet, sudden dizziness, teeth grinding, and loss of appetite. This was attributed to Liver Blood deficiency, with Fire stirring and generating Wind, insulting the Spleen Earth. Dihuang Wan (Rehmannia Pill) and Yigong San (Yi Gong Powder) gradually reduced the symptoms. Subsequently, Bazhen Tang (Eight Treasures Decoction) and Tuoli San (Support the Interior Powder) promoted healing of the wound.
A child suffered an injury, presenting with a cyan complexion, reluctance to eat, and intermittent abdominal pain that did not worsen upon palpation. I diagnosed this as internal damage to Spleen Qi. The family disagreed and mistakenly administered blood-invigorating drugs, resulting in vomiting, diarrhea, cold limbs. I first treated with Liujun Zi Tang (Six Gentlemen Decoction) added with Chai Hu (Bupleurum Root), Sheng Ma (Cimicifuga Rhizome), and Sheng Jiang (Fresh Ginger), followed by Tuoli San (Support the Interior Powder) and Yigong San (Yi Gong Powder) for recovery.
A child suffered an injury near the ear on the side of the head, with alternating chills and fever and pain. After ulceration, the wound failed to heal despite strict use of pain-relieving and heat-clearing agents. I stated: "Alternating chills and fever and pain are due to deficiency of Qi and Blood in the Liver Meridian; failure to regenerate flesh after ulceration is due to deficiency of Qi and Blood in the Spleen Meridian." Dihuang Wan (Rehmannia Pill) and Yigong San (Yi Gong Powder) added with Dang Gui (Angelica Sinensis) and Bai Shao (White Peony Root) gradually improved the symptoms, and Tuoli San (Support the Interior Powder) promoted closure.
Qianfu's Huarui Shi San (Flower Porphyry Stone Powder) treats all injuries caused by metal blades, arrowheads, blows, or falls, even applying it urgently to the wounds of the deceased. If blood enters the Zang organs causing obstruction of urination and defecation, decoct with Child's Urine (Tong Bian, 童便) and water, add a little wine, mix, and take orally for immediate effect. If the abdomen is ruptured and intestines protrude, they should be promptly returned and sutured using Mulberry White Bark (Sang Bai Pi, 桑白皮) as thread, and applied around the wound. If the wound dries, moisten it with saliva.
Sulfur (4 liang, pure and clear) Huarui Shi (1 jin)
Grind into fine powder, mix well, place in a clay pot, seal tightly with mud mixed with paper fibers. Once dry, gradually increase heat until red-hot. Leave overnight, then remove and grind finely. Store in a porcelain vessel.
Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder) treats Blood deficiency from injuries, internal heat and fever, generalized itching with chills and fever; limb pain, heavy head and eyes; palpitations, flushed cheeks, dry mouth and throat; fever with night sweats, poor appetite and insomnia; sores in mouth and tongue, ear pain; chest and breast distension, difficult urination. (Formula see Fever Unceasing)
Shengyu Tang (Holy Recovery Decoction) treats contusion wounds, metallic wounds, carbuncles and sores with excessive discharge of pus and blood, restlessness due to heat, or evening fever with thirst. (Formula see Bleeding Unceasing)
Shiquan Dabu Tang (Perfect Ten Great Tonifying Decoction) treats contusion wounds where stasis and filth have been expelled, with dual deficiency of Qi and Blood, unresolved swelling and pain, or rotting without ulceration, or ulceration without healing; chills and fever, spontaneous and night sweats, poor appetite, limb fatigue. For frail individuals with cyan swelling at the injury site but intact muscles, self-healing occurs upon ingestion. If stasis exists and pricking was done early, it dissipates naturally. If ulcerated with thin pus and no flesh regeneration, or dry mouth with desire for warm drinks, or post-pricking fever, chills, headache, dizziness, dry mouth and thirst resembling Stroke syndrome—all belong to Qi and Blood deficiency. All are suitable for this formula. (Composed of Sijunzi Tang [Four Gentlemen Decoction], Siwu Tang [Four Substance Decoction] plus Rougui [Cinnamon Bark] and Huangqi [Astragalus Root].)
Bazhen Tang (Eight Treasures Decoction, also known as Bawu Tang) treats injuries and similar conditions with excessive blood loss, or damage to Qi and Blood from mistaken use of purgative herbs, presenting with chills and fever, irritability and thirst; or sores due to Qi deficiency with unresolved swelling and pain, inability to ulcerate or heal; or ulcers with chills and fever, thin pus, and chronic non-healing. (Composed of Sijunzi Tang [Four Gentlemen Decoction] and Siwu Tang [Four Substance Decoction].)
Heilong San (Black Dragon Powder) treats falls and blows causing bone fractures. First, realign the bone, apply paper splints. If fractured, use thin wooden strips for clamping. Bind tightly with small rope for three days. Continue previous methods, do not remove splints to avoid disturbing the injury site, until the bone is firmly set, then discontinue splints. For wounds caused by knives, arrows, or insects, apply paste mixed with Ginger Juice (Sheng Jiang Zhi, 姜汁) and water. If oral mucosa is damaged, apply Yuzhen San (Precious Treasure Powder).
Pipaye (Loquat Leaf, half liang, de-haired; alternatively Shan Pipa Gen [Mountain Loquat Root]) Chuanshanjia (Pangolin Scale, 6 liang, stir-fried yellow or calcined)
Grind into fine powder. Mix with Ginger Juice and water, or Rehmannia Juice (Dihuang Zhi, 地黄汁) is also good.
Dihuang Wan (Rehmannia Pill) (Formula see Thirst Unceasing)