长安石史居。常至通衢。有从后呼其姓氏者曰。吾无求于人。念汝有难。故来救汝。出
一纸卷授石曰。有难即用之。乃治折伤内外损方书也。明年因趋朝。坐马为他马所 。折足
坠地。又踏一臂折。家人急合此药。且灌且裹。至夜半痛止。后手足皆坚牢如未伤时。方出
良方。
用川当归、铅粉各半两。硼砂三钱。同研令细。浓煎苏木汁。调服一大钱。如损在腰以
上。先吃淡粥半盏。然后服药。在腰以下。即先药后食。仍频频呷苏木汁。别以糯米饮入药
末。拌和摊纸上。或绢上。封裹伤处。如骨碎用竹夹之。乃以纸或衣物包之。纸闭气口。宜
纱绢之类。其妙如此。故表而出之。
治坠马扑损。瘀血在内。烦闷。
上取东引杏枝三两。细锉。微热好酒三升。煎十余沸。去滓。分为二服。空心。如人行
三四里再服。
凡伤折者。有轻重浅深久新之异。治法亦有服食淋熨贴 之殊。当详所损之势。而药之
去毒散滞。生肌长肉。亦各有序。无致差紊。乃明伤折之本末也。
方
神验摩风麝香膏（出圣惠方）治折伤蹉跌筋骨。黯肿疼痛。及伤外风毒风。口
面不正。但是伤风等。宜用此软筋骨。润皮肉。止痛。
麝香（细研） 虎胫骨 细辛 防风（去芦） 独活 桂心 当归 芎 白芷 白僵
蚕
生干地黄 白芨 白术 附子（去皮脐生用） 旋复花 赤芍药 连翘 甘菊花 木鳖子（去
壳） 天南星 牛膝（去苗） 踯躅花 甘松香 石斛（去根各一两） 川椒 栝蒌根 乌
蛇（各
一两半） 野驼脂（十两） 松针（二两） 蜡（五两） 腊月猪脂（二斤） 醋 好酒（各
三升）
上净洗晒细锉。入酒醋中浸三宿。漉出阴干。却入腊月猪脂、驼脂内。以慢火煎候白芷黄焦
药成。以绵滤去滓。入麝香末调匀。以瓷盒盛之。有患者火上 手心。点药摩痛处五七度。
亦用温酒调半匙服之。
芫花粗散熨方 治伤折疼血不散。
芫花 原蚕砂（各三两） 生地黄（二两） 生姜（四两） 蜀椒（去目及闭口者） 当
归（各
一两） 牛膝 桑根白皮 艾叶 白芷（各二两） 上细锉粗捣。以醋拌。炒热。用青布裹
熨
之。立效。
淋渫芎 汤 治伤折疼痛。
芎 甘草（炙） 蜀椒（去目及闭口者） 当归（切焙） 吴茱萸（浸炒各一两） 桑
根白皮（炙锉） 泽兰（各二两） 松脂（二两） 黑豆（一升研碎入松脂内炒） 上粗捣
筛。每用药三
两。水一斗煎沸。淋渫痛处。立效。
淋渫顽荆汤 治从高失坠。及一切外伤骨碎。并瘀血结痛。
顽荆叶（一两半） 蔓荆子 白芷 细辛（去苗） 桂心 防风（去芦） 川芎 丁皮 羌
活（各一两） 上为细末。每用药二两。盐半匙。葱白连根五茎。将水五升。煎五七沸。去
滓。
通手淋渫痛处。冷则再换。淋渫了。宜避风暖盖。量病大小。临时加减用药。
治伤折浮肿疼痛膏
浓朴（去粗皮） 白芨（各二两） 槟榔 芎 （各一两） 桂心（二两半） 没药 麒
麟竭
（各半两） 当归（三两锉微炒） 朱砂（三分细研） 上为散。以酒二升。熬药成膏。于
帛上摊。
贴疼痛处。立效。如食前热酒调下二钱。亦佳。
桂附贴 膏 治接骨因伤损筋脉。时发疼痛。遇寒则甚。（名止痛贴 膏）
桂（去粗皮） 附子（去皮脐生用） 乳香（研） 蜀椒（去目合口炒出汗） 白矾（碎）
吴茱
萸（浸炒各一两） 生姜汁 酒（各五合） 上捣碎六味为散。将姜汁并酒各五合。只煎取
七合。
入药末调令匀。于油单纸上摊贴患处。急裹缚之。其痛立定。一方无白矾。有白芨。
应验涂贴猢狲骨 膏 治一切伤折。并蹉跌骨碎压肿。晓夜疼痛不可忍者。
猢狲骨 穿山甲骨 狗食系骨 虎胫骨 野狸骨 水獭骨 猫儿食系骨（各三两） 腽
肭
脐（三两） 上粗捣。以米醋拌。入瓶子以蜜封头。令干。以大火烧令稍热为度。候冷取出。
捣罗为末。瓷器中蜜盛。每用时先以醋煮黄米粥。看损折痛处大小。入药末半钱。调令匀。
摊于油单纸上裹之。上面以绵裹系缚。重者不过三度验。其伤折处骨。先根据法度排正。后即
封裹。如贴药时疼痛。先用温酒调药末半钱服之。药入口。其痛立定。
涂药方
乳香 绿矾（各二两） 骨碎补 川朴硝 川椒（去目） 桔梗（去芦） 白矾（烧令
汁尽各
一两） 盐梅肉（二两炒令干） 上为末。煎米醋如羔。匀摊于帛上贴之。每日一易。
涂贴方 治伤折。 损折蹉跌。黯肿皮肉疼痛。
绿豆末（五两） 桂心 附子 川椒（去目） 蛇床子 松脂（各二两） 吴茱萸 当
归（锉
微炒各一两） 上为末。用姜汁调如膏。贴于患处。干即再换。如有疮不可用之。
贴 败龟膏 治伤折止痛。消肿毒瓦斯。散瘀血。
败龟（涂酥炙令黄） 没药 川大黄（各三两） 百草霜 木鳖子仁 当归（锉微炒） 桂
心
芎（各二两） 上为散。每用之时。先以好酒一升。煮至半升。下火。停酒稍冷。入药末
一
两。却于火上重煎。以时不住搅。成膏摊于纸上贴。
走马贴 乳香膏 治伤折骨筋。疼痛不止。
乳香（三两） 蛇床子 皂角（炙去皮子） 附子（生用各一两） 桂（一两半） 芥
菜子 赤
小豆（各三两） 上为末。用生姜汁中盏。调如膏。随伤损处大小。摊于油单上封裹。候干
即
易之。
当归汤 治伤折。车碾落马。蹉跌筋脉俱伤。疼痛不可忍。先用此方治之。
当归 顽荆 本 蔓荆子 白芷（各二两） 芎 （一两） 丁香皮（一两） 上为
散。每
取用药三两。入盐半匙。葱白一握。浆水一斗。煎十余沸渐添。淋渫痛处。日二用之。
桂附散 治伤折。筋骨疼痛。
洗疮汤 治伤损令洗。用之煎汤。
乌鹊饮 老干根 松树儿 樟叶 忍冬藤 鸡脚草 乌 树儿（各二两） 令洗者用之
煎
汤。
虎骨汤（出圣惠方）治伤折后。或人脚膝腰胯。被冷风攻击疼痛。行履不得。
虎胫骨 桑根白皮（锉） 五加皮 白矾（各二两） 松木节 樟木节（各十两） 川
椒（一
两去目） 上为散。每度用药三两。以水一斗。煎十余沸。渐渐渫痛处。
熨药方（出圣惠方）治伤折 损。蹉跌筋伤骨碎。黯肿疼痛。筋脉急肿。展
缩俱
难。行坐不得。
生地黄（二斤切研） 生姜（半斤细切） 川椒（去目捣末） 白矾（捣末各一两） 蚕
砂（五
两） 乳香（捣末） 芫花（各二两）上均和于铛中。醋拌炒令热。以青布裹熨痛上。并四
面筋
急肿痛处。冷即重炒熨。后便用接骨止痛膏封贴。如是伤挫骨碎。即先须根据法度排正碎骨。
及蹉跌归原。后用绵裹柳木篦。系缚夹正。便服补益丸散。神效。
软骨涂药方（出圣惠方）治伤折。
海桐皮 木鳖子（去壳） 陈橘皮（各二两） 五加皮（一两半） 远志（去心） 百
合（各一
两） 上为末。每日以醋调如膏。匀摊于帛上。贴之。
熨药方（出圣惠方）治伤折 损。蹉跌筋骨俱伤。黯肿痛无疮口。
生地黄（一斤细切） 生姜（半斤细研） 艾叶 川椒（去目各三两） 芫花 松脂（各
五两）
上捣筛。入前二味搅和令匀。分为三服。用醋三合。于铛内炒令热。用热布裹熨痛处。冷则
再炒熨之。
又方（出圣惠方）
生姜（一斤） 芫花 盐（各五两） 白芷 桑根白皮（各五钱） 故乌毡（一尺） 上
细
锉。用醋一升。炒令热。以绢裹熨之痛处。冷即再炒熨之。三二十度。
木鳖子贴 膏（出圣惠方）治折伤接骨。
木鳖（去壳二两） 蜀椒（去目及闭口炒出汗） 虎胫骨（酒炙） 龟甲（醋炙各一两）
松节（二两细锉醋一升炒令醋尽） 上为细散。用小黄米半升作稠粥。调药五钱。摊于绢上。
封
裹伤折处效。
又方（出圣惠方）治伤折筋骨。疼痛不止。
松脂（三两） 当归（锉微炒） 细辛 白芷（各一两） 川椒（二两） 上为散。用
生地黄汁
并醋相和。调如膏。临时看患处大小涂贴。每日换之。
又方（出圣惠方）治从高失坠。及一切伤折筋骨碎。瘀血结痛。
黑豆（二升） 乳香 白矾 桑根白皮（锉各三两） 接骨草（五两） 上为末。每用
浆水一
斗。药末三两。煎至七沸。去滓。通手淋渫患处。冷即换之。
法炼黑豆熨药方（出圣惠方）治伤折。
生黑豆（三升） 葱并根（三十根细切） 上用青皮裹之。汤内煮。乘热替换熨痛处。
立效。
淋洗方。（出永类钤方）
上用生葱切。荆芥、杜当归等入煎。汤放温洗。或加连翘、防风、白芷、黄连。
又方（出永类钤方）
用南蓼、杜独活、 本、黄柏、生姜煎洗。如有口。除姜、蓼。损而青肿。用此二味。
若内冷痹痛断而肿。不可洗。伤口有脓水。别用合口药如前风流散。
治凉血消肿。（出永类钤方）
上用千金草、即荆芥、山楂、 本、石南藤、皂角、连根葱煎水洗。
【背景信息】
书名：普济方 作者：朱梓 朝代：明·永乐四年 章节：坠车落马（附论）(2/2) / 治诸伤折淋熨贴（附论） 类别：方剂
【原文翻译】
长安有一位姓石的历史官员。他经常走到四通八达的大路上。有人从后面呼唤他的姓氏说：“我没有什么请求于你，只是念及你有危难，所以来救你。”拿出一卷纸交给石某说：“遇到危难时就使用它。”这原来是治疗骨折损伤内外创伤的药方书。第二年，因为赶着去上朝，坐的马被别的马撞击，导致腿骨折断摔在地上，又被马蹄踩断了一只手臂。家人急忙配制这种药，一边灌服一边包扎。到了半夜疼痛停止。后来手脚都坚固牢固，像没有受伤时一样。这个方子出自《良方》。
用法：用川当归、铅粉各半两，硼砂三钱，一同研磨成细末。浓煎苏木汁，调服一大钱。如果损伤在腰部以上，先喝半盏淡粥，然后服药；如果在腰部以下，就先服药后进食。还要频频饮用苏木汁。另外用糯米饮送下药末，拌和均匀摊在纸上或绢布上，封裹包扎伤处。如果骨头碎裂，要用竹夹固定，然后用纸或衣物包裹，纸要封闭气口，适宜用纱绢之类。其妙处如此，所以把它公布出来。
治疗坠马扑跌损伤，瘀血在内，烦闷不安。
取向东生长的杏枝三两，细细切碎，用好酒三升微热，煎煮十余次沸腾，去掉药渣。分为两次服用，空腹服用，如人行走三四里后再服第二次。
凡是骨折损伤，有轻重、浅深、久新之不同，治疗方法也有内服、淋洗、熨敷、贴膏的不同。应当详细审察受损的情况，而药物去除毒邪、消散滞气、生肌长肉，也各有次序，不要造成差错混乱，这才是明白骨折损伤的根本与末节。
神验摩风麝香膏（出自《圣惠方》），治疗骨折损伤、关节错位导致的筋骨疼痛、青紫肿胀，以及外伤感受风毒之风邪，导致口眼歪斜等症。只要是伤风之类的病症，宜用此药软化筋骨，滋润皮肉，止痛。
药材：麝香（细研）、虎胫骨、细辛、防风（去芦头）、独活、桂心、当归、川芎、白芷、白僵蚕、生干地黄、白芨、白术、附子（去皮脐，生用）、旋复花、赤芍药、连翘、甘菊花、木鳖子（去壳）、天南星、牛膝（去苗）、踯躅花、甘松香、石斛（去根，各一两）、川椒、栝蒌根、乌蛇（各一两半）、野驼脂（十两）、松针（二两）、蜡（五两）、腊月猪脂（二斤）、醋、好酒（各三升）。
制法：将上述药材洗净晒干，细细切碎，放入酒醋中浸泡三个夜晚，捞出阴干。再放入腊月猪脂、驼脂中，用慢火煎煮，等到白芷呈黄焦色时药成就位。用绵布过滤去掉药渣，加入麝香末调匀。用瓷盒盛装。患者使用时，先在火上暖手心，点药按摩疼痛处五到七次。也可以用温酒调服半匙。
芫花粗散熨方，治疗伤折疼痛，瘀血不散。
药材：芫花、原蚕砂（各三两）、生地黄（二两）、生姜（四两）、蜀椒（去目及闭口者）、当归（各一两）、牛膝、桑根白皮、艾叶、白芷（各二两）。
制法：将药材细细切碎，粗捣碎，用醋拌匀，炒热，用青布包裹熨烫患处，立即见效。
淋渫芎汤，治疗伤折疼痛。
药材：川芎、甘草（炙）、蜀椒（去目及闭口者）、当归（切焙）、吴茱萸（浸炒，各一两）、桑根白皮（炙锉）、泽兰（各二两）、松脂（二两）、黑豆（一升，研碎入松脂内炒）。
制法：粗捣筛过。每次用药三两，水一斗，煎沸，淋洗浇泼疼痛处，立即见效。
淋渫顽荆汤，治疗从高坠落，以及一切外伤导致骨碎，并瘀血结聚疼痛。
药材：顽荆叶（一两半）、蔓荆子、白芷、细辛（去苗）、桂心、防风（去芦）、川芎、丁皮、羌活（各一两）。
制法：制成细末。每次用药二两，盐半匙，葱白连根五茎，用水五升，煎煮五到七次沸腾，去掉药渣。温度适宜时淋洗浇泼疼痛处，冷了再换。淋洗完后，应当避风保暖覆盖。根据病情大小，临时加减用药。
治疗伤折浮肿疼痛的膏药
药材：浓朴（去粗皮）、白芨（各二两）、槟榔、川芎（各一两）、桂心（二两半）、没药、麒麟竭（各半两）、当归（三两，锉碎微炒）、朱砂（三分，细研）。
制法：制成散剂。用酒二升，熬制药成膏状。摊在帛布上，贴于疼痛处，立即见效。如果在饭前用热酒调服二钱，也很好。
桂附贴膏，治疗接骨因伤损筋脉，时常发作疼痛，遇寒则加重。（又名止痛贴膏）
药材：桂（去粗皮）、附子（去皮脐，生用）、乳香（研）、蜀椒（去目合口，炒出汗）、白矾（碎）、吴茱萸（浸炒，各一两）、生姜汁、酒（各五合）。
制法：将六味药捣碎成散剂。将姜汁和酒各五合，只煎取七合。加入药末调匀，摊在油单纸上贴敷患处，紧急包裹缚紧，疼痛立即停止。另一版本无白矾，有白芨。
应验涂贴猢狲骨膏，治疗一切伤折，以及关节错位骨碎压肿，日夜疼痛不可忍受。
药材：猢狲骨、穿山甲骨、狗食系骨、虎胫骨、野狸骨、水獭骨、猫儿食系骨（各三两）、腽肭脐（三两）。
制法：粗捣碎，用米醋拌匀，放入瓶子中以蜜封口，令其干燥，用大火烧至稍微热的程度。冷却后取出，捣罗成末。瓷器中用蜜盛装。每次使用时，先用醋煮黄米粥，看损伤骨折疼痛处的大小，加入药末半钱，调匀，摊在油单纸上包裹。上面再用绵包裹系缚。重伤不超过三次即见效。对于伤折处的骨头，先根据法度排正，然后再封裹。如果贴药时疼痛，先用温酒调药末半钱服下，药入口，疼痛立即停止。
涂药方
药材：乳香、绿矾（各二两）、骨碎补、川朴硝、川椒（去目）、桔梗（去芦）、白矾（烧令汁尽，各一两）、盐梅肉（二两，炒令干）。
制法：制成末。煎米醋如羔胶般稠，均匀摊在帛上贴之。每日一换。
涂贴方，治疗伤折。损伤骨折错位，青紫肿胀，皮肉疼痛。
药材：绿豆末（五两）、桂心、附子、川椒（去目）、蛇床子、松脂（各二两）、吴茱萸、当归（锉碎微炒，各一两）。
制法：制成末，用姜汁调如膏状，贴于患处，干了就再换。如果有疮口不可用此方。
贴败龟膏，治疗伤折止痛，消肿毒瓦斯，散瘀血。
药材：败龟（涂酥炙令黄）、没药、川大黄（各三两）、百草霜、木鳖子仁、当归（锉碎微炒）、桂心、川芎（各二两）。
制法：制成散剂。每次用时，先用好酒一升，煮至半升，离火，停酒稍冷。加入药末一两，再在火上重新煎煮，不时搅拌。成膏后摊在纸上贴敷。
走马贴乳香膏，治疗伤折骨筋，疼痛不止。
药材：乳香（三两）、蛇床子、皂角（炙去皮子）、附子（生用，各一两）、桂（一两半）、芥菜子、赤小豆（各三两）。
制法：制成末。用生姜汁一中盏，调如膏状。随损伤处大小，摊在油单上封裹，干了就更换。
当归汤，治疗伤折，车碾落马，关节错位筋脉俱伤，疼痛不可忍受。先用此方治疗。
药材：当归、顽荆、藁本、蔓荆子、白芷（各二两）、川芎（一两）、丁香皮（一两）。
制法：制成散剂。每次取用药三两，加入盐半匙，葱白一握，浆水一斗，煎煮十余次沸腾，渐渐添加水量，淋洗浇泼疼痛处，每日使用两次。
洗疮汤，治疗伤损令洗。用此方煎汤。
乌鹊饮，老干根、松树儿、樟叶、忍冬藤、鸡脚草、乌桕树儿（各二两）。令洗者用此煎汤。
虎骨汤（出自《圣惠方》），治疗伤折后，或者人脚膝腰胯，被冷风攻击疼痛，行走困难。
药材：虎胫骨、桑根白皮（锉）、五加皮、白矾（各二两）、松木节、樟木节（各十两）、川椒（一两，去目）。
制法：制成散剂。每次用药三两，水一斗，煎煮十余次沸腾，渐渐浇泼疼痛处。
熨药方（出自《圣惠方》），治疗伤折损伤，关节错位筋伤骨碎，青紫肿胀疼痛，筋脉急肿，伸展收缩都困难，行坐不得。
药材：生地黄（二斤，切研）、生姜（半斤，细切）、川椒（去目捣末）、白矾（捣末，各一两）、蚕砂（五两）、乳香（捣末）、芫花（各二两）。
制法：均和在铛中，醋拌炒令热，用青布包裹熨烫痛处，并四面筋急肿痛处，冷了重新炒熨。之后便用接骨止痛膏封贴。如果是伤挫骨碎，就必须先根据法度排正碎骨，及关节错位归原，后用绵裹柳木篦，系缚夹正，便服补益丸散，神效。
软骨涂药方（出自《圣惠方》），治疗伤折。
药材：海桐皮、木鳖子（去壳）、陈橘皮（各二两）、五加皮（一两半）、远志（去心）、百合（各一两）。
制法：制成末。每日以醋调如膏，均匀摊在帛上，贴之。
熨药方（出自《圣惠方》），治疗伤折损伤，关节错位筋骨俱伤，青紫肿痛无疮口。
药材：生地黄（一斤，细切）、生姜（半斤，细研）、艾叶、川椒（去目，各三两）、芫花、松脂（各五两）。
制法：捣筛，加入前两种味道搅和令匀，分为三份。用醋三合，在铛内炒令热，用热布包裹熨烫痛处，冷了再炒熨。
又一方（出自《圣惠方》）
药材：生姜（一斤）、芫花、盐（各五两）、白芷、桑根白皮（各五钱）、故乌毡（一尺）。
制法：细细切碎，用醋一升，炒令热，用绢包裹熨烫痛处，冷了再炒熨。三二十次。
木鳖子贴膏（出自《圣惠方》），治疗折伤接骨。
药材：木鳖（去壳二两）、蜀椒（去目及闭口，炒出汗）、虎胫骨（酒炙）、龟甲（醋炙，各一两）、松节（二两，细锉，醋一升炒令醋尽）。
制法：制成细散。用小黄米半升作稠粥，调药五钱，摊在绢上，封裹伤折处，有效。
又一方（出自《圣惠方》），治疗伤折筋骨，疼痛不止。
药材：松脂（三两）、当归（锉碎微炒）、细辛、白芷（各一两）、川椒（二两）。
制法：制成散。用生地黄汁并醋相和，调如膏，临时看患处大小涂贴，每日换之。
又一方（出自《圣惠方》），治疗从高失坠，以及一切伤折筋骨碎，瘀血结痛。
药材：黑豆（二升）、乳香、白矾、桑根白皮（锉，各三两）、接骨草（五两）。
制法：制成末。每次用浆水一斗，药末三两，煎至七沸，去掉药渣。温度适宜时淋洗浇泼患处，冷了即换。
法炼黑豆熨药方（出自《圣惠方》），治疗伤折。
药材：生黑豆（三升）、葱并根（三十根，细切）。
制法：用青皮包裹之，在汤内煮，乘热替换熨烫痛处，立即见效。
淋洗方。（出自《永类钤方》）
用上药生葱切，荆芥、杜当归等入煎，汤放温洗。或加连翘、防风、白芷、黄连。
又一方（出自《永类钤方》）
用南蓼、杜独活、藁本、黄柏、生姜煎洗。如有口，除姜、蓼。损而青肿，用此二味。若内冷痹痛断而肿，不可洗。伤口有脓水，别用合口药如前风流散。
[Background Information]
Book: Puji Fang (Universal Effective Prescriptions)
Author: Zhu Zi
Dynasty: Ming Dynasty, Yongle 4th Year
Chapter: Falling from Carriages and Horses (With Discussion) (2/2) / Treating Various Fractures with Washing, Hot Compresses, and Patches (With Discussion)
Category: Formulas
[English Translation]
There was a historian named Shi in Chang'an. He often walked on major thoroughfares. Someone called out his surname from behind, saying, "I have no requests of you, but I know you face difficulties, so I have come to save you." He handed Shi a scroll, saying, "Use it when in distress." It turned out to be a book of prescriptions for treating fractures and internal/external injuries. The following year, while rushing to court, his horse was struck by another, causing his leg to fracture and him to fall to the ground; his arm was also crushed and fractured by a hoof. His family hastily prepared this medicine, administering it orally while bandaging the wounds. By midnight, the pain ceased. Later, his hands and feet became firm and strong, as if they had never been injured. This formula is sourced from *Liangfang* (Good Prescriptions).
Usage: Use Chuan Dang Gui (Radix Angelicae Sinensis), Qian Fen (Lead Carbonate), each half liang, and Peng Sha (Borax), three qian. Grind them together into a fine powder. Decoct Su Mu (Sappan Wood) juice thickly, mix one da qian of the powder with it, and take orally. If the injury is above the waist, drink half a zhan of light congee first, then take the medicine; if below the waist, take the medicine first, then eat. Also, frequently sip Su Mu juice. Additionally, mix the medicine powder with rice water, spread evenly on paper or silk, and apply as a patch to the injured area. If bones are shattered, fix them with bamboo splints, then wrap with paper or clothing, ensuring the paper seals air tight; gauze or silk is suitable. Its efficacy is thus described, hence it is published here.
For treating injuries from falling off horses, where blood stasis remains internally causing restlessness and oppression:
Take three liang of apricot branches growing towards the east, finely chopped. Add three sheng of good wine, heat slightly, and boil until it boils more than ten times. Strain the dregs. Divide into two doses. Take on an empty stomach; take the second dose after walking for about three to four li.
Generally, fractures and injuries vary in severity, depth, duration, and recency. Treatment methods differ between oral administration, washing, hot compresses, and patches. One must carefully assess the nature of the injury, as medicines that remove toxicity, dissipate stagnation, generate flesh, and promote healing follow specific sequences. Avoid errors and confusion to understand the root and branch of fractures.
Shenyan Mofeng Shexiang Gao (Divine Efficacy Musk Anti-Wind Ointment) [Source: *Shenghui Fang*]: Treats fractures, dislocations, tendon and bone injuries, dark swelling, and pain, as well as external wind-toxin attacks causing facial paralysis (deviation of mouth and eyes). For any wind-injury conditions, use this to soften tendons and bones, moisten skin and flesh, and relieve pain.
Ingredients: She Xiang (Musk, finely ground), Hu Jing Gu (Tiger Tibia Bone), Xi Xin (Asarum), Fang Feng (Saposhnikovia Root, removed rhizome), Du Huo (Angelica Pubescens), Gui Xin (Cinnamon Twig Heart), Dang Gui (Angelica Sinensis), Xiong Diao (Ligusticum Chuanxiong), Bai Zhi (Angelica Dahurica), Bai Jiang Can (Bombyx Batryticatus), Sheng Gan Di Huang (Rehmannia Glutinosa, dried), Bai Ji (Bletilla Striata), Bai Zhu (Atractylodes Macrocephala), Fu Zi (Aconitum Lateralis Radix Praeparatum, skin and navel removed, used raw), Xuan Fu Hua (Inula Flower), Chi Shao Yao (Red Peony Root), Lian Qiao (Forsythia Fruit), Gan Ju Hua (Chrysanthemum Indicum), Mu Bie Zi (Strychnos Seminal, shell removed), Tian Nan Xing (Arisaema Cum Bile), Niu Xi (Achyranthes Bidentata, seedlings removed), Zhi Zhu Hua (Daphne Genkwa Flower), Gan Song Xiang (Nardostachys Rhizome), Shi Hu (Dendrobium Stem, roots removed, each 1 liang), Chuan Jiao (Sichuan Pepper), Gua Lou Gen (Trichosanthes Root), Wu She (Chinese Cobra, each 1.5 liang), Ye Tuo Zhi (Wild Camel Fat, 10 liang), Song Zhen (Pine Needles, 2 liang), La (Beeswax, 5 liang), La Yue Zhu Zhi (December Pig Fat, 2 jin), Cu (Vinegar), Hao Jiu (Good Wine, each 3 sheng).
Preparation: Clean and dry the herbs, chop finely. Soak in wine and vinegar for three nights. Remove and shade-dry. Place in December pig fat and camel fat. Simmer over low heat until Bai Zhi turns yellow-brown. Filter through cotton to remove dregs. Mix in She Xiang powder. Store in porcelain jars. To use, warm the palms over fire, apply ointment, and massage the painful area 5-7 times. Alternatively, take half a spoon mixed with warm wine.
Yuan Hua Coarse Powder Hot Compress Formula: Treats fracture pain with unresolved blood stasis.
Ingredients: Yuan Hua (Daphne Genkwa), Yuan Can Sha (Silkworm Frass, each 3 liang), Sheng Di Huang (Rehmannia Glutinosa, 2 liang), Sheng Jiang (Fresh Ginger, 4 liang), Shu Jiao (Sichuan Pepper, remove eyes and closed ones), Dang Gui (Angelica Sinensis, each 1 liang), Niu Xi (Achyranthes Bidentata), Sang Gen Bai Pi (Mulberry Root Bark), Ai Ye (Mugwort Leaf), Bai Zhi (Angelica Dahurica, each 2 liang).
Preparation: Chop finely, coarsely crush. Mix with vinegar, stir-fry until hot. Wrap in blue cloth and apply hot compress to the injured area. Immediate effect.
Linxie Xiong Tang (Washing and Pouring Ligusticum Decoction): Treats fracture pain.
Ingredients: Xiong Diao (Ligusticum Chuanxiong), Gan Cao (Licorice Root, honey-fried), Shu Jiao (Sichuan Pepper, remove eyes and closed ones), Dang Gui (Angelica Sinensis, sliced and roasted), Wu Zhu Yu (Evodia Fruit, soaked and fried, each 1 liang), Sang Gen Bai Pi (Mulberry Root Bark, fried and chopped), Ze Lan (Lycopus Lucidus), Song Zhi (Pine Resin, each 2 liang), Hei Dou (Black Soybean, 1 sheng, crushed and stir-fried with pine resin).
Preparation: Coarsely crush and sieve. Use 3 liang of herb per dose. Add 1 dou of water, bring to boil. Wash and pour over the painful area. Immediate effect.
Linxie Wan Jing Tang (Washing and Pouring Perilla Leaf Decoction): Treats falls from height and all external injuries causing bone fragmentation and pain from blood stasis accumulation.
Ingredients: Wan Jing Ye (Perilla Leaf, 1.5 liang), Man Jing Zi (Vernonia Seed), Bai Zhi (Angelica Dahurica), Xi Xin (Asarum, removed seedlings), Gui Xin (Cinnamon Twig Heart), Fang Feng (Saposhnikovia Root, removed rhizome), Chuan Xiong (Ligusticum Chuanxiong), Ding Pi (Clove Skin), Qiang Huo (Notopterygium Rhizome, each 1 liang).
Preparation: Make into fine powder. Use 2 liang of powder per dose. Add half a spoon of salt and five stalks of scallion whites with roots. Add 5 sheng of water, boil 5-7 times. Strain. Wash and pour over the painful area at a comfortable temperature. Replace when cool. After washing, avoid wind and keep warm. Adjust dosage according to condition severity.
Ointment for Treating Fracture Swelling and Pain
Ingredients: Hou Po (Magnolia Bark, removed rough skin), Bai Ji (Bletilla Striata, each 2 liang), Bing Lang (Areca Seed), Xiong Diao (Ligusticum Chuanxiong, each 1 liang), Gui Xin (Cinnamon Twig Heart, 2.5 liang), Mo Yao (Myrrh), Qi Lin Jie (Dragon's Blood, each 0.5 liang), Dang Gui (Angelica Sinensis, 3 liang, chopped and lightly fried), Zhu Sha (Cinnabar, 3 fen, finely ground).
Preparation: Make into powder. Decoct in 2 sheng of wine until it forms an ointment. Spread on cloth and apply to the painful area. Immediate effect. Taking 2 qian mixed with hot wine before meals is also effective.
Gui Fu Tie Gao (Cinnamon and Aconite Patch Ointment): Treats bone setting due to tendon/muscle injury, recurrent pain, worsening with cold. (Also known as Zhitong Tie Gao).
Ingredients: Gui (Cinnamon Twig, removed rough skin), Fu Zi (Aconitum Lateralis Radix Praeparatum, skin and navel removed, used raw), Ru Xiang (Frankincense, ground), Shu Jiao (Sichuan Pepper, remove eyes and closed ones, stir-fried to release moisture), Bai Fan (Alum, crushed), Wu Zhu Yu (Evodia Fruit, soaked and fried, each 1 liang), Sheng Jiang Zhi (Fresh Ginger Juice), Jiu (Wine, each 5 he).
Preparation: Crush the six ingredients into powder. Decoct ginger juice and wine (each 5 he) down to 7 he. Mix in the powder evenly. Spread on oil-coated paper and apply to the affected area. Bind tightly. Pain stops immediately. Another version excludes Bai Fan and includes Bai Ji.
Yingyan Tu Tie Hun Sun Gu Gao (Proven Monkey Bone Paste Ointment): Treats all fractures, dislocations, bone fragmentation, compression swelling, and unbearable day-and-night pain.
Ingredients: Hun Sun Gu (Monkey Bone), Chuan Shan Jia (Pangolin Scale), Gou Shi Xi Gu (Dog Ligament Bone), Hu Jing Gu (Tiger Tibia Bone), Ye Li Gu (Wild Cat Bone), Shui Ta Gu (Otter Bone), Mao Er Shi Xi Gu (Cat Ligament Bone, each 3 liang), Na Na Qi (Sea Otter Genital Organ, 3 liang).
Preparation: Coarsely crush. Mix with rice vinegar, place in a bottle, seal with honey, and let dry. Roast over high fire until slightly warm. Cool, remove, and grind into powder. Store in porcelain jar with honey. To use, first cook millet porridge with vinegar. Based on the size of the injury, mix half a qian of powder, spread on oil-coated paper, and wrap. Cover with cotton and bind. Severe cases resolve within three applications. First, realign the fractured bones according to proper techniques before applying. If pain occurs during application, take half a qian of powder mixed with warm wine orally; pain ceases immediately upon ingestion.
Topical Medicine Formula
Ingredients: Ru Xiang (Frankincense), Lv Fan (Green Vitriol, each 2 liang), Gu Sui Bu (Drynaria Rhizome), Chuan Po Xiao (Mirabilite), Chuan Jiao (Sichuan Pepper, remove eyes), Jie Geng (Platycodon Root, remove rhizome), Bai Fan (Alum, calcined until liquid evaporates, each 1 liang), Yan Mei Rou (Salted Plum Flesh, 2 liang, stir-fried dry).
Preparation: Make into powder. Decoct rice vinegar to a paste-like consistency. Spread evenly on cloth and apply. Change once daily.
Topical Patch Formula: Treats fractures. Dislocations, dark swelling, and skin/flesh pain.
Ingredients: Lu Dou Mo (Mung Bean Powder, 5 liang), Gui Xin (Cinnamon Twig Heart), Fu Zi (Aconitum Lateralis Radix Praeparatum), Chuan Jiao (Sichuan Pepper, remove eyes), She Chuang Zi (Cnidium Fruit), Song Zhi (Pine Resin, each 2 liang), Wu Zhu Yu (Evodia Fruit), Dang Gui (Angelica Sinensis, chopped and lightly fried, each 1 liang).
Preparation: Make into powder. Mix with fresh ginger juice to form a paste. Apply to the affected area. Replace when dry. Do not use if there is an open wound.
Paste of Spoiled Turtle: Treats fracture pain, reduces swelling and toxic qi, disperses blood stasis.
Ingredients: Bai Gui (Spoiled Turtle, coated with butter and fried until yellow), Mo Yao (Myrrh), Chuan Da Huang (Rhubarb Root, each 3 liang), Bai Cao Shuang (Soot from Chimney), Mu Bie Zi Ren (Strychnos Seminal Kernel), Dang Gui (Angelica Sinensis, chopped and lightly fried), Gui Xin (Cinnamon Twig Heart), Xiong Diao (Ligusticum Chuanxiong, each 2 liang).
Preparation: Make into powder. To use, boil 1 sheng of good wine down to 0.5 sheng. Remove from heat, let cool slightly. Add 1 liang of powder. Reheat on fire, stirring constantly. When it becomes an ointment, spread on paper and apply.
Zou Ma Tie Ru Xiang Gao (Running Horse Frankincense Patch Ointment): Treats fracture bone/tendon injuries with unceasing pain.
Ingredients: Ru Xiang (Frankincense, 3 liang), She Chuang Zi (Cnidium Fruit), Zao Jiao (Gleditsia Sinensis, fried, skin and seeds removed), Fu Zi (Aconitum Lateralis Radix Praeparatum, used raw, each 1 liang), Gui (Cinnamon Twig, 1.5 liang), Jie Cai Zi (Mustard Seed), Chi Xiao Dou (Adzuki Bean, each 3 liang).
Preparation: Make into powder. Mix with one zhong cup of fresh ginger juice to form a paste. Spread on oil-coated paper according to the size of the injury. Seal and replace when dry.
Dang Gui Tang (Angelica Decoction): Treats fractures from carriage accidents or falls from horses, dislocations with tendon/muscle injury, unbearable pain. Use this formula first.
Ingredients: Dang Gui (Angelica Sinensis), Wan Jing (Perilla), Ben Cao (Ligusticum Wallichii), Man Jing Zi (Vernonia Seed), Bai Zhi (Angelica Dahurica, each 2 liang), Xiong Diao (Ligusticum Chuanxiong, 1 liang), Ding Pi (Clove Skin, 1 liang).
Preparation: Make into powder. Use 3 liang of powder per dose. Add half a spoon of salt, a handful of scallion whites, and 1 dou of sour water. Boil more than ten times, adding water gradually. Wash and pour over the painful area. Use twice daily.
Gui Fu San (Cinnamon and Aconite Powder): Treats fractures, tendon and bone pain.
Xi Chuang Tang (Wound Washing Decoction): For washing injuries. Decoct for washing.
Wu Que Yin (Magpie Drink): Lao Gan Gen (Old Dry Root), Song Shu Er (Young Pine Tree), Zhang Ye (Camphor Leaf), Ren Dong Teng (Honeysuckle Stem), Ji Jiao Cao (Chicken Foot Grass), Wu Shu Er (Chinese Tallow Tree, each 2 liang). Decoct for washing.
Hu Gu Tang (Tiger Bone Decoction) [Source: *Shenghui Fang*]: Treats post-fracture pain in legs, knees, waist, and hips caused by cold wind attack, making walking difficult.
Ingredients: Hu Jing Gu (Tiger Tibia Bone), Sang Gen Bai Pi (Mulberry Root Bark, chopped), Wu Jia Pi (Acanthopanax Bark), Bai Fan (Alum, each 2 liang), Song Mu Jie (Pine Node), Zhang Mu Jie (Camphor Wood Node, each 10 liang), Chuan Jiao (Sichuan Pepper, 1 liang, remove eyes).
Preparation: Make into powder. Use 3 liang per dose. Add 1 dou of water, boil ten times. Gradually wash/pour over the painful area.
Hot Compress Formula [Source: *Shenghui Fang*]: Treats fractures, dislocations, tendon/bone injuries, dark swelling, pain, tendon stiffness, difficulty moving, inability to walk or sit.
Ingredients: Sheng Di Huang (Rehmannia Glutinosa, 2 jin, cut and pounded), Sheng Jiang (Fresh Ginger, 0.5 jin, finely cut), Chuan Jiao (Sichuan Pepper, remove eyes and pound to powder), Bai Fan (Alum, pound to powder, each 1 liang), Can Sha (Silkworm Frass, 5 liang), Ru Xiang (Frankincense, pound to powder), Yuan Hua (Daphne Genkwa, each 2 liang).
Preparation: Mix in a pan. Stir-fry with vinegar until hot. Wrap in blue cloth and apply hot compress to painful areas and surrounding stiff/swollen regions. Reheat when cool. Afterwards, apply bone-setting and pain-relieving ointment. For shattered bones, realign first, then bind with willow splints wrapped in cotton. Administer tonifying pills/powders. Divine efficacy.
Cartilage Topical Formula [Source: *Shenghui Fang*]: Treats fractures.
Ingredients: Hai Tong Pi (Peltophorum Bark), Mu Bie Zi (Strychnos Seminal, shell removed), Chen Ju Pi (Aged Tangerine Peel, each 2 liang), Wu Jia Pi (Acanthopanax Bark, 1.5 liang), Yuan Zhi (Polygala Root, removed heart), Bai He (Lily Bulb, each 1 liang).
Preparation: Make into powder. Mix with vinegar to form a paste daily. Spread on cloth and apply.
Hot Compress Formula [Source: *Shenghui Fang*]: Treats fractures, dislocations affecting tendons/bones, dark swelling/pain without open wounds.
Ingredients: Sheng Di Huang (Rehmannia Glutinosa, 1 jin, finely cut), Sheng Jiang (Fresh Ginger, 0.5 jin, finely pounded), Ai Ye (Mugwort Leaf), Chuan Jiao (Sichuan Pepper, remove eyes, each 3 liang), Yuan Hua (Daphne Genkwa), Song Zhi (Pine Resin, each 5 liang).
Preparation: Pound and sieve. Mix with the previous two ingredients evenly. Divide into three doses. Stir-fry in a pan with 3 he of vinegar until hot. Wrap in hot cloth and apply to painful areas. Reheat when cool.
Another Formula [Source: *Shenghui Fang*]
Ingredients: Sheng Jiang (Fresh Ginger, 1 jin), Yuan Hua (Daphne Genkwa), Yan (Salt, each 5 liang), Bai Zhi (Angelica Dahurica), Sang Gen Bai Pi (Mulberry Root Bark, each 5 qian), Gu Wu Zhan (Old Black Woolen Cloth, 1 chi).
Preparation: Chop finely. Stir-fry in 1 sheng of vinegar until hot. Wrap in silk and apply hot compress to painful areas. Reheat when cool. Repeat 30-20 times.
Mu Bie Zi Tie Gao (Strychnos Patch Ointment) [Source: *Shenghui Fang*]: Treats fractures for bone setting.
Ingredients: Mu Bie Zi (Strychnos Seminal, shell removed, 2 liang), Shu Jiao (Sichuan Pepper, remove eyes and closed ones, stir-fried to release moisture), Hu Jing Gu (Tiger Tibia Bone, wine-fried), Gui Jia (Turtle Shell, vinegar-fried, each 1 liang), Song Jie (Pine Node, 2 liang, finely chopped, stir-fried in 1 sheng vinegar until absorbed).
Preparation: Make into fine powder. Cook half a sheng of small yellow millet into thick porridge. Mix with 5 qian of powder. Spread on silk and apply to fracture site. Effective.
Another Formula [Source: *Shenghui Fang*]: Treats fracture tendon/bone injuries with unceasing pain.
Ingredients: Song Zhi (Pine Resin, 3 liang), Dang Gui (Angelica Sinensis, chopped and lightly fried), Xi Xin (Asarum), Bai Zhi (Angelica Dahurica, each 1 liang), Chuan Jiao (Sichuan Pepper, 2 liang).
Preparation: Make into powder. Mix with fresh Rehmannia juice and vinegar to form a paste. Apply to affected area based on size. Change daily.
Another Formula [Source: *Shenghui Fang*]: Treats falls from height and all fractures with bone fragmentation and pain from blood stasis.
Ingredients: Hei Dou (Black Soybean, 2 sheng), Ru Xiang (Frankincense), Bai Fan (Alum), Sang Gen Bai Pi (Mulberry Root Bark, chopped, each 3 liang), Jie Gu Cao (Bone-Setting Herb, 5 liang).
Preparation: Make into powder. Use 1 dou of sour water and 3 liang of powder per dose. Boil seven times. Strain. Wash/pour over affected area at comfortable temperature. Replace when cool.
Method for Refining Black Soybean Hot Compress [Source: *Shenghui Fang*]: Treats fractures.
Ingredients: Sheng Hei Dou (Raw Black Soybean, 3 sheng), Cong Bing Gen (Scallion with roots, 30 stalks, finely cut).
Preparation: Wrap in green peel/skin. Boil in water. Replace while hot to compress painful areas. Immediate effect.
Washing Formula [Source: *Yonglei Qianfang*]
Use fresh chopped scallion, Jing Jie (Schizonepeta), Du Dang Gui (Du Dang Gui), etc., decocted. Wash with warm soup. Can add Lian Qiao (Forsythia), Fang Feng (Saposhnikovia), Bai Zhi (Angelica Dahurica), Huang Lian (Coptis Rhizome).
Another Formula [Source: *Yonglei Qianfang*]
Decoct Nan Liao (Polygonum Aviculare), Du Du Huo (Du Du Huo), Ben Cao (Ligusticum Wallichii), Huang Bo (Phellodendron Bark), Sheng Jiang (Fresh Ginger) for washing. If there is an open wound, exclude ginger and liao. For bruising and swelling, use these two. If internal cold bi-pain with broken swelling, do not wash. If wound has pus, use other closing formulas like Liu Feng San mentioned previously.
Treating Cooling Blood and Reducing Swelling [Source: *Yonglei Qianfang*]
Decoct Qian Jin Cao (Thousand Gold Herb, i.e., Jing Jie/Schizonepeta), Shan Zha (Hawthorn Fruit), Ben Cao (Ligusticum Wallichii), Shi Nan Teng (Eccremocarpus Scaber Vine), Zao Jiao (Gleditsia Sinensis), Lian Gen Cong (Scallion with roots) for washing.