论曰人之一身，血荣气卫，循环无穷，或筋肉骨节，误致伤折，则血气瘀滞疼痛。仓猝
之间，失于调理，所伤不得完，所折不得续，轻者肌肤 肿，重者髀臼挫脱。治法宜先整其
骨，裨其所折，后施贴 封裹之剂。
治筋骨损伤疼痛。麒麟竭散方
麒麟竭 没药（研） 自然铜（ 醋淬七遍研） 赤芍药 当归（切焙） 白芷 蒲黄 大
黄
叶（三分）
上一十二味，捣研为散，每服二钱匕。温酒调下、不拘时。
治伤折，定痛。败龟散方
败龟（酥炙去裙 一两） 没药（研） 桂（去粗皮） 自然铜（ 醋淬七遍研） 骨
碎补（去
上八味，捣研为散，每服二钱匕。温酒调下，不拘时，日二。
治伤折肿痛，气血不散。芎 散方
芎 甘草（炙锉） 蜀椒（去目及闭口者炒出汗） 泽兰 附子（炮裂去皮脐） 桂
（去粗
上八味，捣罗为散，每服二钱匕。温酒调下，不拘时。
治闪肭打扑，伤损，疼痛不可忍。附子散方
附子（炮裂去皮脐） 败龟（醋炙去裙 ） 虎脑骨（醋炙） 栗楔 千金藤（锉炒） 补
骨脂
桂（去
上一十七味，捣研为细散，每服二钱匕。苏枋木酒调下，日进三五服。
治伤折筋骨。接骨散方
自然铜（一两火烧三度醋淬研） 木炭（半斤火烧醋蘸二度） 白丝（三两烧灰）
上三味，捣研为细散，每服一钱匕。煎苏木酒调下，病甚损伤折骨者，服讫，绵衣包裹
了，次服没药丸。
没药丸方
没药（研） 丹砂（研） 牛膝（酒浸焙捣罗为末各一两）
上三味研匀，面糊为丸，如梧桐子大。每服二十丸，木瓜汤下，日一服，午间服之，服
五日后，渐减丸数。
治伤折筋骨痛。没药散方
没药（研） 虎骨（酒浸炙） 当归（切炒） 白芷 补骨脂 败龟（酒炙各半两） 自
然铜（
上九味，捣为细散，每服一钱匕。温酒调下，不计时。
治打扑伤折筋骨损痛。牛膝散方
牛膝（去苗酒浸一宿烘四两） 黄 续断 当归（切焙各一两） 滴乳香（别研） 没
药（
上七味，捣研为细末。用黄米粥微热摊纸上，将药末两匙掺在粥上裹之，已减痛，更将
此药。每服温酒调下一钱匕，日三五服。
治伤折筋骨。五仙丸方
自然铜（四两火烧醋淬二七遍） 大栗（一百枚去皮生用） 黑豆（一升汤浸去皮） 白
桑柴
上五味，一处大臼内，捣一千下取细，入炼蜜再捣，丸如弹子大。每服一丸，温酒嚼下
，不拘时。
治伤折疼痛。黑豆散方
雄黑豆（一两） 桑条东枝（锉碎一两） 栗楔（锉碎一两以上三味用醋拌于瓷器内炒
存性）
上六味，捣研为散，每服一钱匕。麝香热酒调下，连进三服，后用八骨散裹之。
治筋骨损折。八骨散方
虎骨（醋炙） 牛骨（醋炙） 龙骨（碎研） 鸡骨（炙） 狗骨（炙） 兔骨（炙） 猪
骨（炙）
上一十味等分，捣研为散，每有伤折处，掺药在疮上，用黄米粥匀摊帛上，裹疮口，用
帛裹软绳缚之。
治坠折伤损，疼痛不可忍者。没药散方
没药（别研） 乳香（别研） 延胡索 当归（切焙） 甜瓜子（各一两） 丹砂（研
半两）
上六味，捣研为细散拌匀，每服一钱匕。热酒调下，又取药散二三钱，以黄米作粥，摊
作饼子，掺药散在上，用贴痛处，以帛包缚定，一二日换，佳。
治伤折，封裹。虎骨膏方
虎头（连项锁骨一穿） 鲮鲤甲（连项锁骨一穿） 败龟背骨 乌贼鱼骨（去甲各二两）
狗
（尖者
上八味，捣罗为细末。每用一大匙，醋煮粟米粥，入药乘热搅匀，摊在帛子上，裹痛处
，如得痛定，一日一度，洗换新药。
治打扑筋骨伤折，疼痛不可忍，接骨。桂芸膏方
桂（去粗皮） 芸薹子（研） 白芥子（研） 木鳖子（去壳研） 大黄（锉） 败龟
甲（酥炙）
上八味，捣研为末。每用小黄米粥，于生布上摊匀，掺药末一匙头在上，于损折处裹之
，以竹片夹定，用绳子缚，一复时解去换药。
治伤折筋骨。穿山甲膏裹方
穿山甲（烧灰） 虎胫骨（烧灰各一两） 鸡舌香（一枚生用） 麝香（研少许）
上四味，研为细末。每用一钱匕，看所患大小，以黄米粥摊在纸上，候温掺药末在粥上
，封裹所伤处，疼痛立止，隔日换贴之。
治伤折、内外损。神授散方
当归（净洗切微火焙干） 铅粉（洛粉佳研各半两） 硼砂（研二钱）
上三味，捣研为散，再同研匀，每服二钱匕。浓煎苏枋木汁调下，若损在腰以上，先吃
淡面半碗，然后服药。在腰以下，即先服药，后方吃面。仍不住呷苏枋汁，更以糯米为粥，
入药末三钱，拌和摊在纸上或绢上，封裹损处。如骨碎，则更须用竹木夹定，外以纸或衣物
包之。
治落马堕车， 折骨碎筋伤，压损疼痛不止。五骨散方
鲮鲤项骨（一两） 猕猴项骨（一两） 虎项骨（一两） 黄犬项骨（一两） 野猫项
骨（一两）
上五味骨细锉，用酒醋各半升，浸一宿漉出，炙令黄色，候冷入二味药，同捣罗为细
散，每服二钱，以温酒调下。不计时候。又将黄米半升作糊，入散药一分，调令匀，涂贴骨
折筋伤处，疼痛立止。
论述说：人的身体，血行于内以滋养（荣），气行于外以护卫（卫），循环往复无穷无尽。如果筋肉骨节不慎受伤折断，就会导致气血瘀滞而产生疼痛。在仓促之间，如果失于调理，受伤的筋骨不能复原，折断的骨头不能接续，轻则导致肌肤肿胀，重则造成髋臼挫伤脱位。治疗法则应当先整复骨骼，补益所折之处，然后再施用贴敷、封闭、包裹的药物。
治疗筋骨损伤疼痛。麒麟竭散方
麒麟竭 没药（研碎） 自然铜（用醋淬炼七遍后研碎） 赤芍药 当归（切细焙干） 白芷 蒲黄 大黄叶（三分）
以上十二味药，捣碎研成散剂，每次服用二钱匕。用温酒调服，不限时间。
治疗伤折，定痛。败龟散方
败龟（用酥油炙烤，去除裙边，一两） 没药（研碎） 桂（去除粗皮） 自然铜（用醋淬炼七遍后研碎） 骨碎补（去毛）
以上八味药，捣碎研成散剂，每次服用二钱匕。用温酒调服，不限时间，每日两次。
治疗伤折肿痛，气血不散。芎䓖散方
芎䓖 甘草（炙后锉碎） 蜀椒（去除目及闭口者，炒至出汗） 泽兰 附子（炮裂，去皮脐） 桂（去除粗皮）
以上八味药，捣筛成散剂，每次服用二钱匕。用温酒调服，不限时间。
治疗闪肭打扑，伤损，疼痛不可忍受。附子散方
附子（炮裂，去皮脐） 败龟（醋炙，去除裙边） 虎脑骨（醋炙） 栗楔 千金藤（锉碎炒制） 补骨脂 桂（去除粗皮）
以上十七味药，捣碎研成细散，每次服用二钱匕。用苏枋木酒调服，每日进服三到五次。
治疗伤折筋骨。接骨散方
自然铜（一两，火烧三次后用醋淬炼研碎） 木炭（半斤，火烧后用醋蘸两次） 白丝（三两，烧成灰）
以上三味药，捣碎研成细散，每次服用一钱匕。煎苏木酒调服，病情严重损伤骨折者，服完后，用棉衣包裹患处，接着服用没药丸。
没药丸方
没药（研碎） 丹砂（研碎） 牛膝（酒浸焙干后捣筛为末，各一两）
以上三味药研匀，用面糊做成丸剂，如梧桐子大小。每次服用二十丸，用木瓜汤送服，每日一服，午间服用，服药五日后，逐渐减少丸数。
治疗伤折筋骨痛。没药散方
没药（研碎） 虎骨（酒浸炙烤） 当归（切细炒制） 白芷 补骨脂 败龟（酒炙，各半两） 自然铜
以上九味药，捣成细散，每次服用一钱匕。用温酒调服，不限时间。
治疗打扑伤折筋骨损痛。牛膝散方
牛膝（去苗，酒浸一夜，烘干，四两） 黄芪 续断 当归（切细焙干，各一两） 滴乳香（另研） 没药
以上七味药，捣研成细末。用黄米粥微热摊在纸上，将药末两匙撒在粥上裹之，若疼痛减轻，继续将此药使用。每次服用时，用温酒调下一钱匕，每日三到五次。
治疗伤折筋骨。五仙丸方
自然铜（四两，火烧后用醋淬炼十四遍） 大栗（一百枚，去皮生用） 黑豆（一升，汤浸去皮） 白桑柴
以上五味药，放在一个大臼内，捣一千下取细粉，加入炼蜜再捣，做成如弹子大小的丸剂。每次服用一丸，用温酒嚼服，不限时间。
治疗伤折疼痛。黑豆散方
雄黑豆（一两） 桑条东枝（锉碎，一两） 栗楔（锉碎，一两）以上三味用醋拌和在瓷器内炒至存性
以上六味药，捣碎研成散剂，每次服用一钱匕。用麝香热酒调服，连续进服三服，之后用八骨散包裹患处。
治疗筋骨损折。八骨散方
虎骨（醋炙） 牛骨（醋炙） 龙骨（碎研） 鸡骨（炙烤） 狗骨（炙烤） 兔骨（炙烤） 猪骨（炙烤）
以上十味药等分，捣碎研成散剂，每当有伤折处，将药撒在疮口上，用黄米粥均匀摊在帛布上，包裹疮口，再用帛布裹上软绳缚紧。
治疗坠折伤损，疼痛不可忍受。没药散方
没药（另研） 乳香（另研） 延胡索 当归（切细焙干） 甜瓜子（各一两） 丹砂（研碎，半两）
以上六味药，捣碎研成细散拌匀，每次服用一钱匕。用热酒调服，另外取药散二三钱，用黄米做粥，摊成饼状，将药散撒在上面，贴在疼痛处，用帛布包扎固定，一二日更换一次，效果佳。
治疗伤折，封裹。虎骨膏方
虎头（连同项锁骨，穿成一串） 鲮鲤甲（连同项锁骨，穿成一串） 败龟背骨 乌贼鱼骨（去甲，各二两） 狗（尖者）
以上八味药，捣筛成细末。每次用一大匙，醋煮粟米粥，放入药粉趁热搅匀，摊在帛布上，包裹疼痛处，如果疼痛停止，一天一次，洗净后换上新药。
治疗打扑筋骨伤折，疼痛不可忍受，接骨。桂芸膏方
桂（去除粗皮） 芸薹子（研碎） 白芥子（研碎） 木鳖子（去壳研碎） 大黄（锉碎） 败龟甲（酥炙）
以上八味药，捣碎研成粉末。每次用小黄米粥，涂在生布上均匀摊开，撒上药末一匙头，包裹在损伤折断处，用竹片夹定，用绳子缚紧，一个时辰后解开换药。
治疗伤折筋骨。穿山甲膏裹方
穿山甲（烧成灰） 虎胫骨（烧成灰，各一两） 鸡舌香（一枚，生用） 麝香（研碎少许）
以上四味药，研成细末。每次用一钱匕，根据患病部位大小，用黄米粥摊在纸上，待温热时将药末撒在粥上，封裹受伤处，疼痛立即停止，隔日更换贴敷。
治疗伤折、内外损。神授散方
当归（净洗切细，微火焙干） 铅粉（洛粉佳，研碎，各半两） 硼砂（研碎，二钱）
以上三味药，捣碎研成散剂，再共同研匀，每次服用二钱匕。浓煎苏枋木汁调服，如果损伤在腰部以上，先吃半碗淡面条，然后服药；如果在腰部以下，即先服药，后方吃面。仍不断饮用苏枋木汁，另外用糯米做粥，加入药末三钱，拌和摊在纸上或绢上，封裹损伤处。如果骨头碎裂，则更需用竹木夹定，外面用纸或衣物包裹。
治疗落马堕车，骨折筋碎伤，压损疼痛不止。五骨散方
鲮鲤项骨（一两） 猕猴项骨（一两） 虎项骨（一两） 黄犬项骨（一两） 野猫项骨（一两）
以上五味骨细锉，用酒醋各半升，浸泡一夜后滤出，炙烤至黄色，待冷却后加入两种药，共同捣筛成细散，每次服用二钱，用温酒调服。不限时候。又将黄米半升做糊，加入散药一分，调匀，涂贴在骨折筋伤处，疼痛立即停止。
Commentary states: In the human body, blood (Xue) nourishes internally while Qi circulates externally to protect, looping endlessly. If muscles, tendons, bones, or joints are accidentally injured or fractured, Qi and Blood become stagnant, causing pain. In a sudden emergency, if proper care is neglected, the injuries will not heal completely, and fractures will not unite. Mild cases result in swelling of the skin and flesh; severe cases lead to dislocation of the acetabulum. The treatment principle should first involve reducing the bone and supporting the fracture, followed by the application of pastes, plasters, and bandages.
Treats pain from injury to muscles, tendons, and bones. Qilinjie San Formula
Qilinjie (Dragon's Blood) Myrrh (ground) Ziran Tong (Natural Copper, calcined seven times in vinegar and ground) Chishao Yao (Red Peony Root) Danggui (Cut and dried) Baizhi (Angelica Dahurica) Puhuang (Pollen Typhae) Daye (Rhubarb Leaf) (3 fen)
The above twelve ingredients are pounded and ground into a powder. Take 2 qianbi per dose. Mix with warm wine and take at any time.
Treats fractures and injuries, alleviates pain. Baigui San Formula
Baigui (Old Turtle Shell, roasted in lard, skirt removed, 1 liang) Myrrh (ground) Gui (Cinnamon Twig, bark removed) Ziran Tong (Natural Copper, calcined seven times in vinegar and ground) Gusuibu (Drynaria Rhizome, hairs removed)
The above eight ingredients are pounded and ground into a powder. Take 2 qianbi per dose. Mix with warm wine and take at any time, twice daily.
Treats swelling and pain from fractures, stagnation of Qi and Blood. Xiong San Formula
Xiongyao (Ligusticum Wallichii) Gancao (Licorice Root, roasted and cut) Shujiao (Sichuan Pepper, remove eyes and closed ones, stir-fry until sweat appears) Zelan (Eupatorium Fortunei) Fuzi (Prepared Aconite Lateralis Radix, cracked, peel and navel removed) Gui (Cinnamon Twig, bark removed)
The above eight ingredients are pounded and sifted into a powder. Take 2 qianbi per dose. Mix with warm wine and take at any time.
Treats sprains, blows, injuries, and unbearable pain. Fuzi San Formula
Fuzi (Prepared Aconite Lateralis Radix, cracked, peel and navel removed) Baigui (Old Turtle Shell, vinegar-roasted, skirt removed) Hubaogu (Tiger Brain Bone, vinegar-roasted) Li Xi (Chestnut Wedge) Qianjinteng (Stephania Longituba) Buguzhi (Psoralea Fructus) Gui (Cinnamon Twig, bark removed)
The above seventeen ingredients are pounded and ground into a fine powder. Take 2 qianbi per dose. Mix with Sufangmu (Sappan Wood) wine and take three to five times daily.
Treats fractures of muscles, tendons, and bones. Jiegu San Formula
Ziran Tong (Natural Copper, 1 liang, fired three times, quenched in vinegar, and ground) Mutan (Charcoal, 0.5 jin, fired and dipped in vinegar twice) Baisi (White Silk, 3 liang, burned to ash)
The above three ingredients are pounded and ground into a fine powder. Take 1 qianbi per dose. Mix with decoction of Suxingmu (Sandalwood/Sappan Wood) wine. For severe injuries and bone fractures, after taking the medicine, wrap the area with cotton clothing, then administer Moyao Wan.
Moyao Wan Formula
Myrrh (ground) Dansha (Cinnabar, ground) Niuxi (Achyranthes Bidentata Root, soaked in wine, dried, pounded and sifted, each 1 liang)
The above three ingredients are mixed evenly, bound with wheat paste, and formed into pills the size of paulownia seeds. Take 20 pills per dose, taken down with Mugua (Chaenomeles) soup, once daily at noon. After five days of administration, gradually reduce the number of pills.
Treats pain from fractures of muscles, tendons, and bones. Moyao San Formula
Myrrh (ground) Hugutou (Tiger Bone, soaked in wine and roasted) Danggui (Cut and fried) Baizhi (Angelica Dahurica) Buguzhi (Psoralea Fructus) Baigui (Old Turtle Shell, wine-roasted, each half liang) Ziran Tong (Natural Copper)
The above nine ingredients are pounded into a fine powder. Take 1 qianbi per dose. Mix with warm wine and take at any time.
Treats pain from blows, fractures, and injuries to muscles, tendons, and bones. Niuxi San Formula
Niuxi (Achyranthes Bidentata Root, tips removed, soaked in wine overnight, dried, 4 liang) Huangqi (Astragalus Membranaceus) Xuduan (Dipsacus Asper) Danggui (Cut and dried, each 1 liang) Diluxiang (Frankincense, separately ground) Myrrh
The above seven ingredients are pounded and ground into a fine powder. Spread warm millet porridge thinly on paper, sprinkle two spoonfuls of the powder onto the porridge, and apply as a plaster. If pain subsides, continue using this medicine. For oral administration, mix 1 qianbi with warm wine and take three to five times daily.
Treats fractures of muscles, tendons, and bones. Wuxian Wan Formula
Ziran Tong (Natural Copper, 4 liang, fired and quenched in vinegar fourteen times) Da Li (Large Chestnuts, 100 pieces, peeled and used raw) Heidou (Black Soybeans, 1 sheng, soaked in water and peeled) Bai Sangchai (White Mulberry Branch)
The above five ingredients are placed in a large mortar, pounded one thousand times until fine. Add refined honey and pound again into pills the size of marbles. Take one pill per dose, chewed down with warm wine at any time.
Treats pain from fractures. Heidou San Formula
Xiong Heidou (Male Black Soybean, 1 liang) Sangtiao Dongzhi (Mulberry Branch from the East, cut into pieces, 1 liang) Li Xi (Chestnut Wedge, cut into pieces, 1 liang) [Note: Text implies six items total based on "Shang Liu Wei", likely including previous ingredients or missing text, but translating strictly what is listed under "Shang Liu Wei" contextually usually refers to the list above plus implied carriers or previous steps, here strictly listing visible herbs]
The above six ingredients are pounded and ground into a powder. Take 1 qianbi per dose. Mix with hot wine containing Shexiang (Musk) and take continuously for three doses. Afterwards, bind with Bagu San.
Treats injuries and fractures of muscles, tendons, and bones. Bagu San Formula
Hugutou (Tiger Bone, vinegar-roasted) Niugu (Ox Bone, vinegar-roasted) Longgu (Fossilized Mammal Bones, crushed and ground) Jigu (Chicken Bone, roasted) Gougou (Dog Bone, roasted) Tubo (Rabbit Bone, roasted) Zhugu (Pig Bone, roasted)
The above ten ingredients are equal parts, pounded and ground into a powder. Whenever there is an injury or fracture, sprinkle the powder on the wound. Spread millet porridge evenly on cloth, wrap the wound, and secure with soft rope wrapped in cloth.
Treats falls and injuries with unbearable pain. Moyao San Formula
Myrrh (separately ground) Ruxiang (Frankincense, separately ground) Yanhusuo (Corydalis Rhizome) Danggui (Cut and dried) Tianguazi (Bitter Melon Seed, each 1 liang) Dansha (Cinnabar, ground, half liang)
The above six ingredients are pounded and ground into a fine powder and mixed well. Take 1 qianbi per dose, mixed with hot wine. Additionally, take 2-3 qianbi of the powder, make a cake from millet porridge, sprinkle the powder on top, and apply to the painful area. Bind with cloth and change every one to two days for best results.
Treats fractures, for sealing and wrapping. Hugutou Gao Formula
Hutou (Tiger Head, including neck and collarbone, threaded) Linglijia (Pangolin Scale, including neck and collarbone, threaded) Baigui Bei Gu (Old Turtle Carapace) Ouyu Gu (Cuttlefish Bone, shell removed, each 2 liang) Gou (Dog [part unspecified, likely bone/tissue])
The above eight ingredients are pounded and sifted into a fine powder. Use one large spoonful per application. Boil millet porridge in vinegar, add the medicine, stir well while hot, spread on cloth, and wrap the painful area. If pain ceases, change once daily after washing.
Treats blows, fractures of muscles, tendons, and bones, unbearable pain, and bone setting. Guiyun Gao Formula
Gui (Cinnamon Twig, bark removed) Yuntaizi (Rapeseed, ground) Baijiezi (White Mustard Seed, ground) Mubiezi (Momordica Cochinchinensis Seed, shell removed and ground) Daye (Rhubarb, cut) Baigui Jia (Old Turtle Plastron/Carapace, roasted in lard)
The above eight ingredients are pounded and ground into powder. Use small yellow millet porridge, spread evenly on raw cloth, sprinkle one spoonful of powder on top, and wrap the injured/fractured area. Secure with bamboo splints and rope. Remove and change the medicine after one shichen (two hours).
Treats fractures of muscles, tendons, and bones. Chuanshanjia Gao Guo Formula
Chuanshanjia (Pangolin Scale, burned to ash) Hu Jinggu (Tiger Tibia, burned to ash, each 1 liang) Jishe Xiang (Galangal/Clove-like aromatic, one piece, used raw) She Xiang (Musk, ground slightly)
The above four ingredients are ground into a fine powder. Use 1 qianbi per application. Depending on the size of the lesion, spread millet porridge on paper, wait until warm, sprinkle the powder on the porridge, and seal/wrap the injured area. Pain stops immediately. Change the dressing every other day.
Treats fractures and internal/external injuries. Shenshou San Formula
Danggui (Cleanly washed, cut, dried over mild fire) Qianfen (Lead Carbonate, Lu Fen is best, ground, each half liang) Pengsha (Borax, ground, 2 qian)
The above three ingredients are pounded into a powder, then thoroughly mixed. Take 2 qianbi per dose. Mix with concentrated decoction of Sufangmu (Sappan Wood) juice. If the injury is above the waist, eat half a bowl of plain noodle soup first, then take the medicine. If below the waist, take the medicine first, then eat noodles. Continue sipping Sufangmu juice. Additionally, make rice porridge, add 3 qian of the powder, mix well, spread on paper or silk, and wrap the injury. If bones are shattered, secure with bamboo or wood splints and wrap externally with paper or clothing.
Treats falls from horses or carriages, bone fractures, tendon ruptures, compression injuries, and unceasing pain. Wugu San Formula
Lingli Xianggu (Pangolin Neck Bone, 1 liang) Mihou Xianggu (Macaque Neck Bone, 1 liang) Hu Xianggu (Tiger Neck Bone, 1 liang) Huangquan Xianggu (Yellow Dog Neck Bone, 1 liang) Yemao Xianggu (Wild Cat Neck Bone, 1 liang)
The above five bones are finely cut. Soak in half a sheng of wine and half a sheng of vinegar overnight, drain, roast until yellow, cool, and add two other medicines. Pound and sift into a fine powder. Take 2 qian per dose, mixed with warm wine at any time. Make a paste from half a sheng of millet, add one part of the powder, mix evenly, and apply to the fracture or tendon injury site. Pain stops immediately.