属性:伤损之证:
[1]烦躁而面赤,口干作渴,脉洪大按之如无者,宜用当归补血汤。
[2]如烦躁自汗头晕,宜用独参汤。
[3]如烦躁不寐,宜用加味归脾汤。
[4]如烦躁胁痛,宜用柴胡四物汤。
[5]如亡血过多烦躁者,宜用圣愈汤。
按、方剂:[1]加味归脾汤方见胸腹痛闷
[2]当归补血汤 圣愈汤俱见发热
[3]柴胡四物汤即四物汤加柴胡、黄芩。方见伤损出血
[4]独参汤方见伤损出血
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属性:[1]伤损之证,肿痛者,乃瘀血凝结作痛也。
[2]若胀而重地,色或青黑,甚则发热作渴汗出者,乃经络壅滞,阴血受
伤也。
[3]宜先刺去恶血以通壅塞,后用四物汤以调之。
按、方剂:[1]四物汤:方见伤损出血
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属性:[1]伤损瘀血泛注之证,乃跌仆血滞所致。
[2]盖气流而注,血注而凝,或注于四肢关节,或留于胸腹腰臀,或漫肿
,或结块:
<1>初起皆属肝、脾郁火。急用葱熨法,内服小柴胡汤以清肝火,次用
八珍汤以壮脾胃,或益气养荣汤,久服自然收功。
<2>若日久溃破而气血虚者,宜十全大补汤。
<3>若溃而寒邪凝滞不敛者,宜豆豉饼袪散之。
[3]此证若不补气血,不慎起居,不戒七情,或用寒凉克伐,俱属不治。
按、方剂:[1]小柴胡汤
柴胡二钱 黄芩一钱五分 半夏(制) 人参各一钱 甘草(炙)五分
引用姜二片,水煎服。
[2]八珍汤
即四君子汤、四物汤,相和为剂也。
[3]益气养荣汤
人参 黄耆(炒) 当归 川芎 熟地黄 白芍(炒) 香附 贝母
茯苓 陈皮各一钱 白术二钱 柴胡六分 甘草 桔梗各五分
引用姜,水煎服。口干,加五味子、麦冬。往来寒热,加青皮。
[4]十全大补汤
即八珍汤加黄耆、肉桂各一钱。
[5]豆豉饼
江西豆豉
以上一味为末,唾津和作饼子,如钱大,厚二分,置患处,以艾壮于
饼上灸之,干则再易。
[6]葱熨法:方见囟骨伤
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属性:损伤类病症:
[1]若出现烦躁且面色红赤,口干想喝水,脉象洪大但重按感觉空虚无力的,适宜使用当归补血汤。
[2]如果伴有烦躁、自汗(不因活动而自然出汗)和头晕的,适宜使用独参汤。
[3]如果伴有烦躁且失眠的,适宜使用加味归脾汤。
[4]如果伴有烦躁和胁肋部疼痛的,适宜使用柴胡四物汤。
[5]如果是因失血过多导致烦躁的,适宜使用圣愈汤。
按语及方剂说明:
[1] 加味归脾汤:该方见“胸腹痛闷”章节。
[2] 当归补血汤、圣愈汤:均见“发热”章节。
[3] 柴胡四物汤:即四物汤加入柴胡、黄芩而成。该方见“伤损出血”章节。
[4] 独参汤:见“伤损出血”章节。
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属性:[1] 损伤类病症中,出现肿胀疼痛的,是瘀血凝结导致的疼痛。
[2] 如果感到胀满沉重,肤色发青或黑,甚至出现发热、口渴、出汗的,这是经络壅滞不通,阴血受损的表现。
[3] 应当先用针刺方法放出恶血以疏通壅塞,然后再用四物汤来调理。
按语及方剂说明:
[1] 四物汤:见“伤损出血”章节。
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属性:[1] 损伤后瘀血泛注的病症,是由跌打摔碰导致血液停滞引起的。
[2] 气行则流动,血注则凝滞,瘀血可能流注于四肢关节,或停留于胸腹腰臀部,表现为漫肿(弥漫性肿胀),或结成肿块:
<1> 初起时多属于肝、脾郁结之火。应立即使用葱熨法,内服小柴胡汤以清泻肝火,随后使用八珍汤以补益脾胃,或者使用益气养荣汤,长期服用自然能取得疗效。
<2> 如果病程日久,疮口溃破且气血虚弱的,适宜使用十全大补汤。
<3> 如果溃破后寒邪凝滞导致伤口不愈合的,适宜使用豆豉饼进行祛散治疗。
[3] 此病证如果不补益气血,不注意起居调摄,不节制七情(喜、怒、忧、思、悲、恐、惊),或者使用寒凉药物克伐正气,都属于难以治愈的情况。
按语及方剂说明:
[1] 小柴胡汤
柴胡二钱,黄芩一钱五分,半夏(制),人参各一钱,甘草(炙)五分。
引用生姜二片,水煎服。
[2] 八珍汤
即四君子汤与四物汤合并而成的方剂。
[3] 益气养荣汤
人参,黄芪(炒),当归,川芎,熟地黄,白芍(炒),香附,贝母,茯苓,陈皮各一钱,白术二钱,柴胡六分,甘草,桔梗各五分。
引用生姜,水煎服。若口干,加五味子、麦冬;若往来寒热,加青皮。
[4] 十全大补汤
即八珍汤加入黄芪、肉桂各一钱。
[5] 豆豉饼
江西豆豉。
以上一味药研为末,用唾液调和做成饼状,大小如铜钱,厚度二分,置于患处,在饼上放置艾炷进行灸治,变干后再更换新的。
[6] 葱熨法:见“囟骨伤”章节。
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Attributes: Injuries and Trauma Syndromes:
[1] If restlessness (Fan Zao) is accompanied by a red face, dry mouth with thirst, and a surging pulse (Hong Mai) that feels empty upon deep pressure, Danggui Buxue Tang (Dang Gui Bu Xue Decoction) is indicated.
[2] If restlessness is accompanied by spontaneous sweating (Zi Han) and dizziness, Dushen Tang (Ginseng Monotherapy Decoction) is indicated.
[3] If restlessness is accompanied by insomnia, Jiawei Guipi Tang (Modified Guipi Decoction) is indicated.
[4] If restlessness is accompanied by hypochondriac pain, Chaihu Siwu Tang (Bupleurum Four Substances Decoction) is indicated.
[5] If restlessness results from excessive blood loss, Shengyu Tang (Sheng Yu Decoction) is indicated.
Notes on Formulas:
[1] Jiawei Guipi Tang: See the section on "Chest and Abdominal Pain and Distension."
[2] Danggui Buxue Tang and Shengyu Tang: Both see the section on "Fever."
[3] Chaihu Siwu Tang: This is Siwu Tang (Four Substances Decoction) added with Chai Hu (Bupleuri Radix) and Huang Qin (Scutellariae Radix). See the section on "Traumatic Bleeding."
[4] Dushen Tang: See the section on "Traumatic Bleeding."
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Attributes: [1] In injury syndromes, swelling and pain indicate pain caused by the coagulation of Blood Stasis (Yu Xue).
[2] If there is distension and heaviness, with skin color turning blue or black, and even fever, thirst, and sweating, this indicates obstruction in the meridians and channels due to damage to Yin Blood.
[3] One should first use acupuncture to release bad blood (Ev Xue) to unblock the obstruction, and then use Siwu Tang (Four Substances Decoction) to regulate the condition.
Notes on Formulas:
[1] Siwu Tang (Four Substances Decoction): See the section on "Traumatic Bleeding."
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Attributes: [1] The syndrome of generalized Blood Stasis (Yu Xue) flooding following trauma is caused by blood stagnation resulting from falls or blows.
[2] Qi flows while Blood floods and coagulates; it may flood into the joints of the limbs, or remain in the chest, abdomen, waist, and buttocks, presenting as diffuse swelling (Man Zhong) or forming nodules:
<1> In the initial stage, it generally belongs to Liver Fire and Spleen Fire arising from constraint. Immediately apply the Scallion Moxibustion Method (Cong Yi Fa), internally administer Xiaochaihu Tang (Minor Bupleurum Decoction) to clear Liver Fire, followed by Bazhen Tang (Eight Treasures Decoction) to strengthen the Spleen and Stomach, or Yiqi Yangrong Tang (Tonify Qi and Nourish Ying Decoction); long-term administration will naturally yield results.
<2> If the condition persists for a long time and ulcerates with deficiency of Qi and Blood, Shiquan Dabu Tang (Ten Complete Tonifying Decoction) is indicated.
<3> If after ulceration, Cold Pathogens cause stagnation preventing healing, Dou Chi Bing (Fermented Soybean Cake) should be used to dispel the pathogen.
[3] For this syndrome, if one does not tonify Qi and Blood, does not take care in daily life, fails to restrain the Seven Emotions (Qi Qing), or uses cold and cooling herbs to attack the body's righteousness, all such cases are considered untreatable.
Notes on Formulas:
[1] Xiaochaihu Tang (Minor Bupleurum Decoction)
Chai Hu (Bupleuri Radix) 2 qian, Huang Qin (Scutellariae Radix) 1.5 qian, Ban Xia (Pinelliae Rhizoma, processed), Ren Shen (Ginseng Radix et Rhizoma) each 1 qian, Gan Cao (Licorice Radix et Rhizoma, honey-fried) 0.5 qian.
Add two slices of Sheng Jiang (Zingiberis Rhizoma Recens) as guide, decoct in water and take orally.
[2] Bazhen Tang (Eight Treasures Decoction)
This is the combination of Sijunzi Tang (Four Gentlemen Decoction) and Siwu Tang (Four Substances Decoction).
[3] Yiqi Yangrong Tang (Tonify Qi and Nourish Ying Decoction)
Ren Shen (Ginseng Radix et Rhizoma), Huang Qi (Astragali Radix, stir-fried), Dang Gui (Angelicae Sinensis Radix), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Shu Di Huang (Rehmanniae Radix Praeparata), Bai Shao (Paeoniae Radix Alba, stir-fried), Xiang Fu (Cyperi Rhizoma), Bei Mu (Fritillariae Thunbergii Bulbus), Fu Ling (Poria), Chen Pi (Citri Reticulatae Pericarpium) each 1 qian, Bai Zhu (Atractylodis Macrocephalae Rhizoma) 2 qian, Chai Hu (Bupleuri Radix) 0.6 fen, Gan Cao (Licorice Radix et Rhizoma), Jie Geng (Platycodonis Radix) each 0.5 qian.
Add Sheng Jiang (Zingiberis Rhizoma Recens) as guide, decoct in water and take orally. If dry mouth occurs, add Wu Wei Zi (Schisandrae Chinensis Fructus) and Mai Dong (Ophiopogonis Radix). If alternating chills and fever occur, add Qing Pi (Citri Reticulatae Pericarpium Viride).
[4] Shiquan Dabu Tang (Ten Complete Tonifying Decoction)
This is Bazhen Tang (Eight Treasures Decoction) added with Huang Qi (Astragali Radix) and Rou Gui (Cinnamomi Cortex), each 1 qian.
[5] Dou Chi Bing (Fermented Soybean Cake)
Jiangxi Dou Chi (Sojae Semen Preparatum).
Grind the above single herb into powder, mix with saliva to form cakes the size of a coin and 2 fen thick. Place on the affected area, apply moxa cones on top of the cake for moxibustion. Replace when dry.
[6] Cong Yi Fa (Scallion Moxibustion Method): See the section on "Fontanelle Injury."
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