属性：[1]睛明骨，即目窠四围目眶骨也。
[2]其上曰眉棱骨，其下曰□骨，□骨下接上牙床。
[3]打仆损伤，血流满面者，敷刀疮药。
[4]掀痛瘀血者，敷混元膏。
[5]如骨损者，内服八厘散。
[6]忌生冷发物。偶食猪头肉者，必发，至一月后始愈。
[7]凡眼胞伤损，而瞳神不碎者，可治。
按、方剂：[1]刀疮药
治一切金刃所伤，敷之止血、收口、定痛、护风。
上白石膏(□)一斤 净板松香(水提过)一斤 珍珠(豆腐煮过)五钱
上三味，共研细末，和为一处，磁罐收贮备用。
[2]混元膏、八厘散：俱见颠顶伤
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主题：腰痛
分类：腰痛
属性：伤损腰痛、脊痛之证，或因坠堕，或因打扑，瘀血留于太阳经中所致，宜
地龙散治之。
按、方剂：地龙散
地龙 官桂 苏木各九分 麻黄七分 黄柏 当归尾各二钱五分
桃仁九个 甘草三钱五分
以上水煎，食前服。
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属性：伤损腹痛之证：
[1]如大便不通，按之痛甚者，瘀血在内也，用加味承气汤下之。
[2]既下而痛不止，按之仍痛，瘀血未尽也，用加味四物汤补而行之。
[3]若腹痛，按之反不痛者，血气伤也，用四物汤加参、耆、白术，补而
和之。
[4]若下而胸胁反痛，肝血伤也，用四君子汤加芎、归补之。
[5]既下而发热，阴血伤也，用四物汤加参、术补之。
[6]既下而恶寒，阳气伤也，用十全大补汤补之。
[7]既下而恶寒发热者，气血伤也，用八珍汤补之。
[8]下而欲呕者，胃气伤也，用六君子汤加当归补之。
[9]下而泄泻者，脾肾伤也，用六君子汤加肉果、补骨脂补之。
[10]若下后手足俱冷，昏愦出汗，阳气虚寒也，急用参附汤。
[11]若吐泻而手足俱冷，指甲青者，脾肾虚寒之甚也，急用大剂参附汤。
[12]口噤、手撒、遗尿、痰盛、唇青体冷者，虚极之坏证也，急用大剂
参附汤，多有得生者。
按、方剂：[1]加味承气汤
大黄 朴硝各二钱 枳实 厚朴 当归 红花各一钱 甘草五分
水酒各半，煎服。
[2]参附汤
人参或五钱或一两 制附子或三钱或五钱
引用姜，水煎服。
[3]四君子汤 四物汤俱见伤损出血
[4]六君子汤方见胸腹痛闷
[5]八珍汤、十全大补汤俱见瘀血泛注
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【背景信息】
书名：医宗金鉴 作者：吴谦 朝代：清 章节：头面部 / 腹痛 类别：医论
属性：[1]睛明骨，即目窠四周围的眼眶骨。
[2]其上方称为眉棱骨（Eyebrow Ridge Bone），下方称为□骨，□骨向下连接上牙床。
[3]因跌打仆倒导致损伤，血流满面者，外敷刀疮药（Daochuang Medicine）。
[4]红肿疼痛且有瘀血者，外敷混元膏（Hunyuan Ointment）。
[5]如果骨骼受损，内服八厘散（Bali Powder）。
[6]忌食生冷及发物。如果偶然吃了猪头肉，必定会导致病情发作，直到一个月后才能痊愈。
[7]凡是眼睑受伤，但瞳神（Pupil/Spirit of the Eye）未破碎的，可以治疗。
按语、方剂：[1]刀疮药
治疗一切金属利器造成的创伤，外敷可止血、收敛伤口、止痛、防风邪。
上等白石膏一斤，净板松香（用水提取过）一斤，珍珠（用豆腐煮过）五钱。
以上三味药，共同研成细末，混合一处，用磁罐密封收藏备用。
[2]混元膏、八厘散：均见于“颠顶伤”章节。
属性：伤损引起的腰痛、脊痛证候，可能是因为坠落，可能是因为殴打扑击，导致瘀血留滞于太阳经（Taiyang Meridian）中所致，适宜用地龙散（Dilong Decoction）治疗。
按语、方剂：地龙散
地龙（Earthworm）、官桂（Cinnamon Twig）、苏木（Sappan Wood）各九分，麻黄（Ephedra）七分，黄柏（Phellodendron Bark）、当归尾（Angelica Sinensis Root Tail）各二钱五分，桃仁（Peach Kernel）九个，甘草（Licorice Root）三钱五分。
以上药物用水煎煮，饭前服用。
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属性：伤损引起的腹痛证候：
[1]如果大便不通，按压时疼痛剧烈，是瘀血在体内，用加味承气汤（Modified Chengqi Decoction）攻下。
[2]已经攻下后疼痛仍不止，按压仍然痛，说明瘀血未尽，用加味四物汤（Modified Siwu Decoction）补益并活血行气。
[3]如果腹痛，按压反而不痛，是气血受伤，用四物汤（Siwu Decoction）加入人参（Ginseng）、黄芪（Astragalus）、白术（Atractylodes Macrocephala），进行补益调和。
[4]如果攻下后胸胁反而疼痛，是肝血受伤，用四君子汤（Sijunzi Decoction）加入川芎（Chuanxiong）、当归（Angelica Sinensis）补益。
[5]如果攻下后发热，是阴血受伤，用四物汤（Siwu Decoction）加入人参（Ginseng）、白术（Atractylodes Macrocephala）补益。
[6]如果攻下后恶寒（Aversion to Cold），是阳气受伤，用十全大补汤（Shiquan Dabu Decoction）补益。
[7]如果攻下后既恶寒又发热，是气血受伤，用八珍汤（Bazhen Decoction）补益。
[8]如果攻下后想呕吐，是胃气受伤，用六君子汤（Liujunzi Decoction）加入当归（Angelica Sinensis）补益。
[9]如果攻下后泄泻，是脾肾受伤，用六君子汤（Liujunzi Decoction）加入肉果（Areca Seed/Nutmeg variant, likely referring to Rouguo or similar warming astringent herb in this context, often interpreted as Nutmeg or Areca in historical texts, here kept as generic "Rouguo" or specific if known, but text says 肉果. In TCM, 肉果 usually refers to Myristicae Semen (Nutmeg) or sometimes Areca. Given the context of spleen/kidney deficiency cold, Nutmeg is common. I will use the pinyin/English for the term used). *Correction*: Text says 肉果. Standard TCM herb is 肉豆蔻 (Nutmeg). I will translate as Nutmeg (Rouguo). 补骨脂（Psoralea Fruit）补益。
[10]如果攻下后手足俱冷，昏沉烦躁出汗，是阳气虚寒，急用参附汤（Shenfu Decoction）。
[11]如果吐泻且手足俱冷，指甲发青，是脾肾虚寒至极，急用大剂量参附汤（Shenfu Decoction）。
[12]口噤（Lockjaw）、手撒（Flaccid hands）、遗尿（Enuresis）、痰盛（Profuse Phlegm）、唇青体冷者，是极度虚弱的坏证，急用大剂量参附汤（Shenfu Decoction），大多能存活。
按语、方剂：[1]加味承气汤
大黄（Rhubarb Root and Rhizome）、朴硝（Mirabilite）各二钱，枳实（Immature Bitter Orange）、厚朴（Magnolia Bark）、当归（Angelica Sinensis）、红花（Carthamus Flower）各一钱，甘草（Licorice Root）五分。
水和酒各半，煎服。
[2]参附汤
人参（Ginseng Root）或五钱或一两，制附子（Prepared Aconite Root）或三钱或五钱。
引用生姜（Fresh Ginger），水煎服。
[3]四君子汤（Sijunzi Decoction）、四物汤（Siwu Decoction）均见于“伤损出血”章节。
[4]六君子汤（Liujunzi Decoction）方见“胸腹痛闷”章节。
[5]八珍汤（Bazhen Decoction）、十全大补汤（Shiquan Dabu Decoction）均见于“瘀血泛注”章节。
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[Background Information]
Book: Yizong Jinjian (Golden Mirror of the Medical Tradition)
Author: Wu Qian
Dynasty: Qing
Chapter: Head and Face / Abdominal Pain
Category: Medical Treatise
Attributes: [1] Jingming bone refers to the orbital bones surrounding the eye socket.
[2] The upper part is called the Eyebrow Ridge Bone, the lower part is called the □ bone, and the □ bone connects downward to the upper alveolar ridge.
[3] For injuries caused by falling or striking, where blood flows over the face, apply Daochuang Medicine (Daochuang Yao).
[4] For swelling, pain, and blood stasis, apply Hunyuan Ointment (Hunyuan Gao).
[5] If bone damage occurs, administer Bali Powder (Bali San) internally.
[6] Avoid raw, cold foods and "fa wu" (stimulating foods that may trigger disease). If pork head meat is accidentally consumed, the condition will inevitably flare up and only heal after one month.
[7] For any injury to the eyelids, if the Pupil/Spirit of the Eye (Tongshen) is not shattered, it is treatable.
Notes on Formulas: [1] Daochuang Medicine
Treats all wounds caused by metal blades; applied externally to stop bleeding, promote wound closure, relieve pain, and protect against wind pathogens.
White Gypsum (Shigao) 1 jin, purified Pine Rosin (Ban Songxiang) extracted with water 1 jin, Pearl (Zhenzhu) boiled in tofu 5 qian.
The above three ingredients are ground into fine powder, mixed together, and stored in a porcelain jar for future use.
[2] Hunyuan Ointment and Bali Powder: Both are described in the section on Scalp Injuries.
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Topic: Lower Back Pain
Classification: Lower Back Pain
Attributes: Syndromes of lower back pain and spinal pain due to trauma, whether from falling or being struck/beaten, are caused by blood stasis remaining in the Taiyang Meridian. They should be treated with Dilong Decoction (Dilong San).
Notes on Formulas: Dilong Decoction
Lumbricus (Dilong), Cinnamon Twig (Guangui), Sappanwood (Sumu) each 9 fen, Ephedra (Mahuang) 7 fen, Phellodendron Bark (Huangbai), Angelica Sinensis Root Tail (Danggui Wei) each 2.5 qian, Peach Kernel (Taoren) 9 pieces, Licorice Root (Gancao) 3.5 qian.
Decoct the above ingredients in water and take before meals.
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Attributes: Syndromes of abdominal pain due to trauma:
[1] If there is constipation and severe pain upon palpation, it indicates intra-abdominal blood stasis; use Modified Chengqi Decoction (Jiawei Chengqi Tang) to purge.
[2] If pain persists after purging and remains tender to touch, it indicates incomplete resolution of blood stasis; use Modified Siwu Decoction (Jiawei Siwu Tang) to tonify and invigorate blood circulation.
[3] If there is abdominal pain but no tenderness upon palpation, it indicates injury to Qi and Blood; use Siwu Decoction (Siwu Tang) added with Ginseng (Renshen), Astragalus (Huangqi), and Atractylodes Macrocephala (Baizhu) to tonify and harmonize.
[4] If chest and hypochondriac pain appear after purging, it indicates injury to Liver Blood; use Sijunzi Decoction (Sijunzi Tang) added with Chuanxiong (Chuanxiong) and Angelica Sinensis (Danggui) to tonify.
[5] If fever appears after purging, it indicates injury to Yin Blood; use Siwu Decoction (Siwu Tang) added with Ginseng (Renshen) and Atractylodes Macrocephala (Baizhu) to tonify.
[6] If aversion to cold appears after purging, it indicates injury to Yang Qi; use Shiquan Dabu Decoction (Shiquan Dabu Tang) to tonify.
[7] If both aversion to cold and fever appear after purging, it indicates injury to Qi and Blood; use Bazhen Decoction (Bazhen Tang) to tonify.
[8] If nausea/vomiting urge appears after purging, it indicates injury to Stomach Qi; use Liujunzi Decoction (Liujunzi Tang) added with Angelica Sinensis (Danggui) to tonify.
[9] If diarrhea appears after purging, it indicates injury to Spleen and Kidney; use Liujunzi Decoction (Liujunzi Tang) added with Nutmeg (Rouguo) and Psoralea Fruit (Buguzhi) to tonify.
[10] If coldness of hands and feet, lethargy, restlessness, and sweating appear after purging, it indicates deficient-cold of Yang Qi; urgently use Shenfu Decoction (Shenfu Tang).
[11] If vomiting, diarrhea, coldness of hands and feet, and cyanosis of fingernails occur, it indicates extreme deficiency-cold of Spleen and Kidney; urgently use a large dose of Shenfu Decoction (Shenfu Tang).
[12] If lockjaw (koujin), flaccid hands (shousa), enuresis (yi niao), profuse phlegm (tan sheng), cyanotic lips, and cold body occur, it represents a critical syndrome of extreme deficiency; urgently use a large dose of Shenfu Decoction (Shenfu Tang), with many patients surviving.
Notes on Formulas: [1] Modified Chengqi Decoction
Rhubarb Root and Rhizome (Dahuang), Mirabilite (Puxiao) each 2 qian, Immature Bitter Orange (Zhishi), Magnolia Bark (Houpo), Angelica Sinensis (Danggui), Carthamus Flower (Honghua) each 1 qian, Licorice Root (Gancao) 0.5 qian.
Decoct in half water and half wine, and take orally.
[2] Shenfu Decoction
Ginseng Root (Renshen) 5 qian or 1 liang, Prepared Aconite Root (Zhi Fuzi) 3 qian or 5 qian.
Add Fresh Ginger (Shengjiang) as an adjuvant, decoct in water, and take orally.
[3] Sijunzi Decoction (Sijunzi Tang) and Siwu Decoction (Siwu Tang): See section on Traumatic Bleeding.
[4] Liujunzi Decoction (Liujunzi Tang): See section on Chest and Abdominal Pain/Distension.
[5] Bazhen Decoction (Bazhen Tang) and Shiquan Dabu Decoction (Shiquan Dabu Tang): See section on Diffuse Blood Stasis.
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