夫折扑坠堕。皮不破而内损者。必有瘀血。若金石伤。皮破血出。或致亡血过多。二者
不可
同法而治。有瘀者。宜攻利之。若亡血者。兼补行之。或察其所伤。有轻重上下浅深之异。
经络气血多少之殊。惟宜先逐瘀血。通经络。和血止痛。后调气养血。补益胃气。无不效也
大凡伤损不问壮弱。及有无瘀血停积。俱宜服热童便。以酒佐之。推陈致新。其功甚大
一论跌伤骨折。用药一厘。黄酒调下。如重车行十里之候。其骨接之有声。初跌之时。
整理如旧对住。绵衣盖之。勿令见风。方服药。休移动。端午日制。
一厘金 大梁孙都督秘传神效。
木鳖（一个新瓦上焙干） 巴豆（一个去壳） 半夏（一个生用） 乳香（五分） 没药（五分）
自然铜（火 七次水淬七次用些须）
上为细末。每服一厘。好酒送下。不可多用。多则行瘀太过。反伤正矣。
一被打伤重。恶血攻心。或木石压死。并跌KT 伤。从高坠下。跌死气绝。不能言语。取
药末便急劈开口。以热童便灌下。
一方。用苎麻烧灰。调酒服。
一凡跌伤打伤。肿痛不可忍者。以生葱捣烂。热罨之。甚妙。
一伤肢折臂者。即将折处凑上 定。用好酒一碗。旋热。将雄鸡一只。刺血在内搅匀。
乘热饮之。仍将连根葱捣烂。炒热敷上。包缚。冷再换。亦治刀刃伤痛。与血不止。
一折伤。先用止痛法。白矾为末。每用一匕。沸汤一碗化之。以帕蘸。热熨伤处。少时
痛止。然后排整筋骨。贴药。
一治伤损 痛。红肿。属热毒者。并接断。
济阴丹
天花粉（三两） 姜黄 白芷 赤芍药（各一两）
上为末。浓茶调搽患处。
一治跌打伤损骨。先用手扯伸。后用小奶鸡一二只。捣烂搽上。外用杉木板夹之。次日
再换。取效如神。
一论打扑伤损至重。大小便不通。瘀血不散。肚胀膨胀。上攻心腹。闷气至死者。此药
逐下瘀血。方可服补损药。
大成汤
大黄（二钱） 芒硝（二钱） 枳壳（二钱） 浓朴（一钱） 当归（一钱） 桃仁（一钱） 苏木
（一钱） 红花（五分） 木通（一钱） 甘草（少许）
上锉。水煎温服。
一论从高坠下。恶血流于胁下。痛不可忍。
复元汤
柴胡（五钱） 当归（六钱） 穿山甲（土炒二钱） 桃仁（去皮五十个） 红花（二钱） 栝蒌
仁（二钱） 大黄（酒浸一两） 甘草（二钱）
上锉一剂。水二盏。酒一盏。煎八分。温服。以利为度。
一论坠堕挫闪。气血凝滞。攻刺腰痛。
羌活桃仁汤
羌活 苍术（米泔浸） 当归尾 玄胡索 桃仁（去皮） 红花 牛膝（去芦） 苏木（酒炒）
破故纸（炒） 小茴香（酒炒） 乳香 官桂
上锉一剂。半水半酒煎服。
一治跌扑伤损。
真牛胶（一两） 干冬瓜皮（一两）
上二味锉碎。入锅内同炒焦枯。存性为末。每服五钱。好酒一杯调。热服。后仍饮热酒
二三盏。浓盖得微汗。痛即止。一宿接完如初。极效。
一论跌扑所伤。为敷凉药。或人元气虚寒。肿不消散。或不溃敛。及痰毒坚硬不痛。肉
色不变。久而不溃。溃而不敛。或筋挛骨节一切冷症并治。
回阳玉龙膏
草乌（一钱炒） 南星（一两炒） 干姜（一两炒） 白芷（一两） 赤芍（一两炒） 肉桂（五
钱）
上为末。葱汤调搽。热酒亦可。
一治跌扑伤损。蟹二只。连壳捣烂。好酒二碗煎。去渣服。渣敷患处。
一治打扑青肿疼痛。用青果核磨水。频扫患处。其青肿立退。
一论打扑跌损伤。牙咬刀伤出血。诸般毒肿。出脓后。肌肉不生。痛不止者。
止血定痛生肌散
乳香（三钱） 没药（三钱） 血竭（二钱） 黄丹（飞过五钱） 白芷（二钱五分） 龙骨（火
三钱） 软石膏（炒去火毒一两） 朝脑（少许）
上为细末。瓷器盛。每以掺患处。血止痛定肌生。
一治伤损等症。失血过多。或因克伐。气血耗损。恶寒发热。烦躁作渴。
八珍汤
人参 白术 白茯苓 当归 川芎 白芍 熟地黄（各一钱） 甘草（炙五分）
上锉。姜、枣水煎服。
一治被人打伤筋骨。跌扑伤。气血虚弱。宜服万病无忧酒。（方见补益）
一治打扑损伤。落马坠车。一切疼痛。
乳香定痛散
乳香 没药 川芎 白芷 赤芍（各一两） 生地黄 牡丹皮（各二两） 甘草（五钱）
上为细末。每服三钱。温酒并童便调下。
一治风损如神膏。谢医风传。
用生姜、葱白二汁。好醋各一碗。下黄丹半斤同熬。又下香油四两。再入桐油四两。熬
至滴水成珠不散。下黄丹一两。再熬成膏。入麝香五分。贴风损如神。
凡是折伤、扑跌、坠落等外伤，皮肤未破但内部受损的，必然会有瘀血。如果是被金刃或石头等硬物所伤，皮肤破裂出血，或者导致失血过多，这两种情况不能用同一种方法治疗。有瘀血的，应当采用攻逐利导的方法；若失血的，则需兼用补益和行气活血的方法。或者根据受伤的部位，辨别其轻重、上下、浅深以及经络气血多少的差异。只应当先驱逐瘀血，疏通经络，调和血液以止痛，然后再调理气机、滋养血液、补益胃气，没有不奏效的。
大凡损伤，不论患者体质强弱，以及是否有瘀血停滞，都适宜服用热童便（健康男童的小便），并用酒送服，以推陈出新，功效很大。
关于跌打骨折的论述：用药一厘，用黄酒调服。就像重车行驶十里那样，骨头接合时会有声响。刚跌倒时，先将骨骼整理复位，对齐固定，盖上棉衣，不要让它受风，然后才服药，不要移动身体。此药在端午节制作。这是一厘金，是大梁孙都督秘传的神效方。
药材：木鳖子（在一个新瓦上焙干）、巴豆（一个，去壳）、半夏（一个，生用）、乳香（五分）、没药（五分）、自然铜（用火煅烧七次，用水淬炼七次，取少许）。
以上研为细末。每次服用一厘，用好酒送下。不可多用，多了则行瘀太过，反而伤害正气。
被打伤严重，恶血攻心，或者被木石压死，以及跌打损伤，从高处坠落，跌死气绝，不能言语的，取药末立即撬开嘴巴，用热童便灌下去。
一方：用苎麻烧成灰，调酒服用。
凡是跌打损伤，肿痛无法忍受的，用生葱捣烂，热敷患处，非常奇妙。
肢体折断手臂的，即将折断处凑合固定好，用好酒一碗，现加热，将一只雄鸡刺血放入酒中搅匀，趁热饮下。仍将连根的葱捣烂，炒热敷在患处，包扎束缚，冷了再换。这也治疗刀刃伤痛，以及血流不止。
折伤，先用止痛法：白矾研为末，每次用一匕，用沸水一碗化开，用帕蘸取，热敷伤处，一会儿痛止。然后排整筋骨，贴敷药物。
济阴丹
药材：天花粉（三两）、姜黄、白芷、赤芍药（各一两）。
以上研为末，用浓茶调匀搽在患处。
治疗跌打损伤骨折，先用手拉扯伸展，然后用小奶鸡一二只，捣烂搽在上面，外用杉木板夹住，第二天再换，取效如神。
关于打扑损伤至重，大小便不通，瘀血不散，肚子胀满膨胀，向上攻冲心腹，闷气快要死亡的，此药可逐下瘀血，之后方可服用补损药。
大成汤
药材：大黄（二钱）、芒硝（二钱）、枳壳（二钱）、浓朴（一钱）、当归（一钱）、桃仁（一钱）、苏木（一钱）、红花（五分）、木通（一钱）、甘草（少许）。
以上切碎，水煎温服。
关于从高处坠落，恶血流于胁下，疼痛无法忍受。
复元汤
药材：柴胡（五钱）、当归（六钱）、穿山甲（土炒二钱）、桃仁（去皮五十个）、红花（二钱）、栝蒌仁（二钱）、大黄（酒浸一两）、甘草（二钱）。
以上切碎一剂，水两盏，酒一盏，煎至八分，温服。以利下为度。
关于坠堕挫闪，气血凝滞，攻刺腰痛。
羌活桃仁汤
药材：羌活、苍术（米泔水浸泡）、当归尾、玄胡索、桃仁（去皮）、红花、牛膝（去芦头）、苏木（酒炒）、破故纸（炒）、小茴香（酒炒）、乳香、官桂。
以上切碎一剂，半水半酒煎服。
治疗跌扑损伤。
药材：真牛胶（一两）、干冬瓜皮（一两）。
以上两味切碎，入锅内同炒焦枯，存性，研为末。每次服用五钱，用好酒一杯调服，热服。之后仍饮热酒二三盏，厚盖被子取得微汗，痛即停止。一晚上接完如初，极有效。
关于跌扑所伤，因为敷用了凉药，或者人元气虚寒，肿不消散，或者不溃敛，以及痰毒坚硬不痛，肉色不变，久而不溃，溃而不敛，或者筋挛骨节一切冷症一并治疗。
回阳玉龙膏
药材：草乌（一钱炒）、南星（一两炒）、干姜（一两炒）、白芷（一两）、赤芍（一两炒）、肉桂（五钱）。
以上研为末，用葱汤调匀搽敷，热酒也可以。
治疗跌扑损伤，螃蟹两只，连壳捣烂，用好酒二碗煎煮，去渣服用，药渣敷在患处。
治疗打扑青肿疼痛，用青果核磨水，频繁扫擦患处，其青肿立刻消退。
关于打扑跌打损伤，牙咬刀伤出血，各种毒肿，出脓后，肌肉不生，痛不止者。
止血定痛生肌散
药材：乳香（三钱）、没药（三钱）、血竭（二钱）、黄丹（飞过五钱）、白芷（二钱五分）、龙骨（火煅三钱）、软石膏（炒去火毒一两）、朝脑（少许）。
以上研为细末，瓷器盛装。每次掺在患处，血止痛定肌生。
治疗损伤等症，失血过多，或者因过度攻伐，气血耗损，恶寒发热，烦躁作渴。
八珍汤
药材：人参、白术、白茯苓、当归、川芎、白芍、熟地黄（各一钱）、甘草（炙五分）。
以上切碎，姜、枣水煎服。
治疗被人打伤筋骨，跌扑损伤，气血虚弱，宜服用万病无忧酒。（方见补益篇）
治疗打扑损伤，落马坠车，一切疼痛。
乳香定痛散
药材：乳香、没药、川芎、白芷、赤芍（各一两）、生地黄、牡丹皮（各二两）、甘草（五钱）。
以上研为细末。每次服用三钱，温酒并童便调服。
治疗风损如神膏，谢医风传。
用生姜、葱白二汁，好醋各一碗，下黄丹半斤同熬。又下香油四两，再入桐油四两，熬至滴水成珠不散，下黄丹一两，再熬成膏，入麝香五分，贴风损如神。
In cases of fractures, falls, or drops where the skin remains intact but internal injury occurs, blood stasis (Blood Stasis) is inevitable. If injured by metal or stone with broken skin and bleeding, or if excessive blood loss occurs, these two conditions must not be treated with the same method. For those with blood stasis, purgative and resolving methods should be employed; for those with blood loss, tonification combined with promoting blood circulation should be used. One must also observe the severity, location (upper or lower), depth, and differences in the quantity of Qi and Blood within the meridians. The treatment should first focus on expelling blood stasis, unblocking the meridians, harmonizing the Blood to relieve pain, and subsequently regulating Qi, nourishing Blood, and tonifying Stomach Qi. This approach is invariably effective.
Generally, regardless of the patient's constitution or the presence of blood stasis, it is advisable to consume hot child urine (Hot Child Urine) accompanied by wine to eliminate stale matter and generate new vitality, which yields great efficacy.
Regarding fractures from falls: Administer one li of the medicine mixed with yellow wine. After traveling the distance equivalent to a heavy cart moving ten li, the bones will reconnect with an audible sound. Immediately after the fall, realign the bones to their original position, cover them with cotton clothing to prevent exposure to wind, then administer the medicine without moving the body. This medicine is prepared on the Dragon Boat Festival. It is known as "One Li Gold," a secret efficacious prescription passed down from Governor Sun of Daliang.
Herbs: Momordicae Semen (Mugua, 木鳖) (roasted dry on a new tile), Crotonis Fructus (Badou, 巴豆) (one, shelled), Pinelliae Rhizoma (Banxia, 半夏) (one, raw), Frankincense (Ruxiang, 乳香) (5 fen), Myrrh (Moyao, 没药) (5 fen), Pyritum (Ziran Tong, 自然铜) (calcined seven times and quenched in water seven times, use a small amount).
Grind the above into a fine powder. Take one li each time, delivered with good wine. Do not take too much, as excessive promotion of blood circulation may damage healthy Qi.
For severe beating injuries where evil blood attacks the heart, or death caused by being crushed by wood or stone, or fatal falls from heights resulting in unconsciousness and inability to speak: Immediately pry open the mouth and administer the powder using hot child urine.
Another prescription: Burn Ramie Root Fiber (Zhuma, 苎麻) to ash, mix with wine, and ingest.
For unbearable swelling and pain from falls or beatings: Mash fresh green onion (Cong Bai, 葱白) and apply hot compresses to the affected area; this is highly effective.
For limb or arm fractures: Align and fix the fracture site. Heat one bowl of good wine, prick a rooster to let its blood mix into the wine, and drink while hot. Then, mash green onions with roots, stir-fry, apply hot to the injury, bind firmly, and replace when cool. This also treats knife wounds and uncontrollable bleeding.
For fractures: First use a pain-relieving method. Grind Alum (Baifan, 白矾) into powder, take one spoonful, dissolve in one bowl of boiling water, soak a cloth, and apply hot compresses to the injury until pain subsides. Then, realign the bones and apply medicinal plasters.
To treat injury pain, redness, and swelling due to heat-toxin, and for bone setting:
Jiyin Dan (Jiyin Pill)
Herbs: Trichosanthis Radix (Tianhuafen, 天花粉) (3 liang), Curcumae Longae Rhizoma (Jianghuang, 姜黄), Angelicae Dahuricae Radix (Baizhi, 白芷), Paeoniae Radix Rubra (Chishao Yao, 赤芍药) (1 liang each).
Grind into powder, mix with strong tea, and apply to the affected area.
To treat bone fractures from falls and beatings: First manually stretch and pull, then mash one or two young chickens and apply the paste externally. Clamp with fir wood boards externally, change the next day. The effect is miraculous.
Regarding severe beating injuries causing constipation and urinary retention, unresolved blood stasis, abdominal distension, upward attack on the heart and abdomen leading to suffocation and near-death: This medicine expels blood stasis downward. Only after this can tonic medicines for injuries be taken.
Dacheng Tang (Great Success Decoction)
Herbs: Rhei Radix et Rhizoma (Dahuang, 大黄), Mirabilitum (Mangxiao, 芒硝), Aurantii Fructus (Zhiqiao, 枳壳), Magnoliae Officinalis Cortex (Houpo, 浓朴), Angelicae Sinensis Radix (Danggui, 当归), Persicae Semen (Taoren, 桃仁), Calami Radix (Sumu, 苏木 - *Note: Sumu usually refers to Sappan Wood Caesalpinia Sappan*, here likely Caesalpinia Sappan), Carthami Flos (Honghua, 红花), Akebiae Caulis (Mutong, 木通), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) (a little).
Cut into pieces, decoct in water, and take warm.
Regarding falls from heights where evil blood flows to the hypochondrium causing unbearable pain:
Fuyuan Tang (Restoring Origin Decoction)
Herbs: Bupleuri Radix (Chaihu, 柴胡), Angelicae Sinensis Radix (Danggui, 当归), Manis Squama (Chuanshan Jia, 穿山甲) (soil-fried 2 qian), Persicae Semen (Taoren, 桃仁) (50 kernels, peeled), Carthami Flos (Honghua, 红花) (2 qian), Benincasae Semen (Gualou Ren, 栝蒌仁) (2 qian), Rhei Radix et Rhizoma (Dahuang, 大黄) (soaked in wine 1 liang), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) (2 qian).
Cut one dose, decoct with two cups of water and one cup of wine until reduced to eight-tenths, take warm. Stop when bowel movement occurs.
Regarding sprains and twists from falls causing Qi and Blood stagnation and stabbing lower back pain:
Qianghuo Taoren Tang (Notopterygium and Peach Kernel Decoction)
Herbs: Notopterygii Rhizoma et Radix (Qianghuo, 羌活), Atractylodis Rhizoma (Cangzhu, 苍术) (soaked in rice wash water), Angelicae Sinensis Radix (Dangguiwei, 当归尾), Corydalis Rhizoma (Yanhusuo, 玄胡索), Persicae Semen (Taoren, 桃仁) (peeled), Carthami Flos (Honghua, 红花), Achyranthis Bidentatae Radix (Niuxi, 牛膝) (deprived of radicle), Calamus/Sappan Wood (Sumu, 苏木) (wine-fried), Cistanches Herba/Papaveris Semen (Pogu Zhi, 破故纸 - *Note: Usually Papaveris Semen Hong Hua Kai or Cistanche, context suggests Papaveris/Cistanche for kidney/back*), Foetida Cuminum Fructus (Xiaohuixiang, 小茴香) (wine-fried), Frankincense (Ruxiang, 乳香), Cinnamomi Cortex (Guigui, 官桂).
Cut one dose, decoct with half water and half wine.
To treat falls and beatings:
Herbs: Bovis Colla (Ziniu Jiao, 真牛胶) (1 liang), Dried Winter Melon Peel (Gandonggua Pi, 干冬瓜皮) (1 liang).
Cut both ingredients, stir-fry in a pot until scorched but retaining nature, grind into powder. Take 5 qian each time, mixed with one cup of good wine, taken hot. Follow with 2-3 cups of hot wine, cover thickly to induce slight sweating. Pain stops immediately. Bones heal overnight as before; extremely effective.
Regarding injuries treated with cooling herbs, or patients with deficient-cold Qi and Blood, where swelling does not dissipate, ulcers do not suppurate or heal, phlegm-toxins are hard and painless, flesh color unchanged, long-term non-suppuration, or post-ulcer non-healing, as well as tendon spasms, joint issues, and all cold syndromes:
Huiyang Yulong Gao (Return Yang Jade Dragon Ointment)
Herbs: Aconiti Lateralis Radix Praeparata (Caowu, 草乌) (1 qian, fried), Arisaematis Rhizoma (Nanxing, 南星) (1 liang, fried), Zingiberis Rhizoma Recens (Ganjiang, 干姜) (1 liang, fried), Angelicae Dahuricae Radix (Baizhi, 白芷) (1 liang), Paeoniae Radix Rubra (Chishao, 赤芍) (1 liang, fried), Cinnamomi Cortex (Rougui, 肉桂) (5 qian).
Grind into powder, mix with green onion soup for application; hot wine is also acceptable.
To treat falls and beatings: Two crabs, mashed with shells, decocted in two bowls of good wine. Strain and drink; apply dregs to the affected area.
To treat bruising and pain from beatings: Grind Chinese Olive pits (Qingguo He, 青果核) in water, frequently sweep/apply to the affected area. Bruising recedes immediately.
Regarding cuts, bites, knife wounds with bleeding, various toxic swellings, post-purulent non-healing muscles, and persistent pain:
Zhixue Dingtong Shengji San (Stop Bleeding, Relieve Pain, Generate Flesh Powder)
Herbs: Frankincense (Ruxiang, 乳香) (3 qian), Myrrh (Moyao, 没药) (3 qian), Draco Sanguis (Xuexie, 血竭) (2 qian), Minium (Huandan, 黄丹) (washed 5 qian), Angelicae Dahuricae Radix (Baizhi, 白芷) (2.5 qian), Os Draconis (Longgu, 龙骨) (calcined 3 qian), Gypsum Fibrosum (Ruanshigao, 软石膏) (fried to remove fire toxicity 1 liang), Borneolum Syntheticum/Zhengzhang (Chaonao, 朝脑) (a little).
Grind into fine powder, store in porcelain. Sprinkle on the affected area. Stops bleeding, relieves pain, and generates flesh.
To treat injuries with excessive blood loss, or Qi and Blood depletion due to over-purgation, presenting with aversion to cold, fever, restlessness, and thirst:
Bazhen Tang (Eight Treasures Decoction)
Herbs: Ginseng Radix (Renshen, 人参), Atractylodis Macrocephalae Rhizoma (Baizhu, 白术), Poria (Baifuling, 白茯苓), Angelicae Sinensis Radix (Danggui, 当归), Chuanxiong Rhizoma (Chuanxiong, 川芎), Paeoniae Radix Alba (Baishao, 白芍), Rehmanniae Radix Praeparata (Shudihuang, 熟地黄) (1 qian each), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) (roasted 5 fen).
Cut into pieces, decoct with ginger and jujube water.
To treat bone and tendon injuries from beatings or falls with deficient Qi and Blood: It is suitable to take Wanbing Wuyou Jiu (Ten Thousand Diseases Worries-Free Wine). (See Tonification section for formula).
To treat falls, horse-riding accidents, carriage crashes, and all pains:
Ruxiang Dingtong San (Frankincense Pain-Relieving Powder)
Herbs: Frankincense (Ruxiang, 乳香), Myrrh (Moyao, 没药), Chuanxiong Rhizoma (Chuanxiong, 川芎), Angelicae Dahuricae Radix (Baizhi, 白芷), Paeoniae Radix Rubra (Chishao, 赤芍) (1 liang each), Rehmanniae Radix (Shengdihuang, 生地黄), Moutan Cortex (Mudanpi, 牡丹皮) (2 liang each), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) (5 qian).
Grind into powder. Take 3 qian each time, mixed with warm wine and child urine.
Wind Injury Divine Ointment (Fengsun Rushen Gao), transmitted by Physician Xie.
Use juices of fresh ginger and green onion white, one bowl of good vinegar each. Add 8 liang of Minium (Huandan, 黄丹) and boil together. Add 4 liang of sesame oil, then 4 liang of tung oil. Boil until drops form beads that do not scatter. Add 1 liang of Minium, boil into ointment. Add 5 fen of Camphor (Shexiang, 麝香). Apply for wind injuries with divine effect.