凡跌扑损伤， 折挫闪，虽由外触，势
必内伤，气血凝滞，红肿或青，痛不可忍，故始须用甘辛温散行气破瘀，则痛自退肿自
消，如独活、白芷、荆、防、芎、归、没药、古文钱、鹿角灰、苏木、赤芍、红花之
类，以水酒煎药，冲入童便尤妙。及其外伤平复，尤宜以滋补气血筋骨之药调之。肢体
全仗血气，伤损必加补养，然在上先消瘀血，在下先为补养，更审胃气，盖去血过
多，脉微欲死，独参汤加童便，接住元气为急。甚有肢冷脉微者，参术附子大剂挽之，
势与产妇同也。脉来和缓者生，急疾芤者死，宜虚细不宜数实，切宜避风，切不可饮
冷水，血见寒则凝，但一丝血入心即死。世以自然铜为接骨药，惟图速效，但铜非 不
可服。若新出火者，火毒金毒相扇，虽有接伤之功，而燥散之祸甚于刀剑，不可多用。
发明《经》云∶从高坠下，恶血流于内，不问何经之伤，俱作风中肝经治之。盖血者，
肝之主，恶血必归于肝，滞于胁下。凡寒凉破血行经，不可轻用。
治打扑伤折，内损肝肺，呕血不止，或有痰血停积，心腹胀满。
紫金藤皮（二两） 降真香 续断 补骨脂 琥珀（另研） 无名异（ 、酒淬七次）
蒲黄 牛膝（酒浸） 当归（酒炒） 桃仁（不去皮、尖，各一两） 大黄（纸裹，
煨） 朴硝（另研，各一两五钱） 为末，每服二钱，浓煎苏木当归酒调下。并进三
服，利即安。
一方
韭汁和童便饮，散其瘀血，骨折者，蜜和葱白，捣匀浓封，酒调白芨末二钱服。
凡是跌打损伤，骨折挫伤或扭闪，虽然是由外部接触引起，但势必造成内部伤害，导致气血凝滞，出现红肿或青紫，疼痛难以忍受。因此，初期必须使用甘辛温散的药物来行气破瘀，这样疼痛自然会消退，肿胀自然消除。例如独活、白芷、荆芥、防风、川芎、当归、没药、古文钱、鹿角灰、苏木、赤芍、红花之类的药材，用水和酒煎煮药物，冲入童便（儿童尿液）服用尤其妙效。等到外伤平复之后，尤其适宜用滋补气血筋骨的药物进行调理。肢体完全依赖血气，发生损伤后必须加以补养。然而，身体上部受伤应先消除瘀血，下部受伤应先进行补养，更要审视胃气的状况。如果失血过多，脉象微弱几乎要断绝，急需用人参汤加入童便，以接续元气。甚至有四肢冰冷、脉象微弱的情况，需用人参、白术、附子的大剂量方剂来挽回生机，这种情形与产妇生产后的状况相同。脉象来势和缓的预后良好，脉象急疾且中空如葱管（芤脉）的预后不良，脉象宜虚细而不宜数实，务必注意避风，绝对不可饮用冷水，血液遇到寒冷就会凝滞，只要有一丝血液进入心脏就会导致死亡。世人认为自然铜是接骨良药，只图快速见效，但铜并非不可服用。如果是刚从火中取出的自然铜，火毒与金毒相互煽动，虽然有接骨疗伤的功效，但其燥散之祸比刀剑还严重，不可多用。
《内经》阐发说：从高处坠落，恶血积聚在体内，不论哪条经络受伤，都按照风中肝经来治疗。因为血由肝所主，恶血必然归于肝脏，停滞在胁下。凡是寒凉破血通经的药物，不可轻易使用。
治疗跌打损伤骨折，内部损伤肝肺，呕血不止，或者有痰血停积，心腹胀满。
紫金藤皮（二两）、降真香、续断、补骨脂、琥珀（单独研磨）、无名异（煅烧后用酒淬炼七次）、蒲黄、牛膝（酒浸泡）、当归（酒炒）、桃仁（不去皮和尖，各一两）、大黄（用纸包裹，煨制）、朴硝（单独研磨，各一两五钱）。以上药材研为细末，每次服用二钱，用浓煎的苏木当归酒调服。连续服用三服，大便通畅后病情即安。
Whenever there is a fall or blow injury, fracture, contusion, or sprain, although caused by external contact, it inevitably leads to internal injury, causing Qi and Blood stagnation, resulting in redness, swelling, or cyanosis, with unbearable pain. Therefore, initially, one must use sweet, acrid, and warm-dispersing herbs to move Qi and break blood stasis, so that the pain will naturally subside and the swelling will dissipate. Examples include herbs such as Du Huo (Angelicae Pubescentis Radix), Bai Zhi (Angelicae Dahuricae Radix), Jing Jie (Schizonepetae Herba), Fang Feng (Saposhnikoviae Radix), Xiong Qiao (Ligustici Chuanxiong Rhizoma), Dang Gui (Angelicae Sinensis Radix), Mo Yao (Myrrha), Gu Wen Qian (Ancient Coins), Lu Jiao Hui (Deer Horn Ash), Su Mu (Sappan Wood), Chi Shao (Paeoniae Radix Rubra), and Hong Hua (Carthami Flos). These are decocted in water and wine, and adding Tong Bian (Child's Urine) is particularly effective. Once the external trauma has settled, it is especially appropriate to regulate the condition with herbs that tonify Qi, Blood, tendons, and bones. The limbs rely entirely on Qi and Blood; after an injury, nourishment and supplementation are essential. However, for injuries above, removing blood stasis should come first; for injuries below, tonification should come first. One must also assess the Stomach Qi. If excessive blood loss occurs and the pulse is faint and nearly imperceptible, it is urgent to use Ren Shen Tang (Ginseng Decoction) added with Tong Bian (Child's Urine) to restore Yuan Qi (Primal Qi). In severe cases where the limbs are cold and the pulse is faint, large doses of Ren Shen (Ginseng), Bai Zhu (Atractylodis Macrocephalae Rhizoma), and Fu Zi (Aconiti Lateralis Radix Praeparata) are needed to salvage life, a situation similar to that of postpartum women. A harmonious and moderate pulse indicates survival, while a rapid and hollow (Kou Mai, 芤脉) pulse indicates death; the pulse should be deficient and fine rather than rapid and full. It is crucial to avoid wind and absolutely refrain from drinking cold water, as blood coagulates when exposed to cold; if even a trace of blood enters the Heart, death ensues. The world regards Zi Ran Tong (Natural Copper Pyrite) as a bone-setting medicine, seeking only rapid results, but copper is not unadministerable. However, if freshly taken from fire, the fire toxin and metal toxin fan each other; although it has the merit of healing fractures, its drying and dispersing harm is worse than swords and knives, so it should not be used frequently.
The *Jing* (Classic) elucidates: When falling from a height, evil blood accumulates internally. Regardless of which meridian is injured, it should all be treated as Wind invading the Liver Meridian. This is because Blood is governed by the Liver, and evil blood necessarily returns to the Liver, stagnating under the hypochondrium. Cold-cooling and blood-breaking meridians-regulating drugs should not be used lightly.
To treat blows and falls causing fractures and internal damage to the Liver and Lung, with incessant hematemesis, or accumulation of phlegm-blood causing abdominal distension and fullness:
Zi Jin Teng Pi (Bark of Broussonetia papyrifera stem, 2 liang), Jiang Zhen Xiang (Dipterocarpus Resin), Xu Duan (Dipsaci Radix), Bu Gu Zhi (Psoraleae Fructus), Hu Po (Amber, ground separately), Wu Ming Yi (Hematite, calcined and quenched in wine seven times), Pu Huang (Typhae Pollen), Niu Xi (Achyranthis Bidentatae Radix, soaked in wine), Dang Gui (Angelicae Sinensis Radix, stir-fried with wine), Tao Ren (Persicae Semen, skin and tip not removed, 1 liang each), Da Huang (Rhei Radix et Rhizoma, wrapped in paper and baked), Po Xiao (Natrii Sulfas, ground separately, 1.5 liang each). Grind into powder. Take 2 qian per dose, mixed with strong decoction of Su Mu (Sappan Wood) and Dang Gui (Angelicae Sinensis Radix) in wine. After taking three doses, if bowel movement occurs, the patient will be at ease.
Another prescription:
Drink Jiuzhi (Leek Juice) mixed with Tong Bian (Child's Urine) to dissipate blood stasis. For fractures, mix Mi (Honey) with Cong Bai (Scallion White), pound into a uniform paste, apply thickly to the site, and take Bai Ji (Bletillae Rhizoma) powder mixed with wine, 2 qian per dose.