凡脑为物所击。伤破而髓骨出者。制药宜速。盖头者诸阳所会。脑者物所受命。若击破
髓出。稽于救治。毙不旋踵。宜速以药封裹。勿为邪所中。调养营卫。宜定精神。庶几可活。
若其证戴眼。直视不能者不可治。
方
豚血灌方（出肘后方）治头为物所击。脑破髓出。闷绝但有气在心者。以豚子
血一合。无豚子猪血亦得。每用少许。灌脑中立醒。
水银方（出肘后方）治脑破髓出欲死。宜服。
以水银二钱。每用一钱许服之即活。须臾。未觉再服。
大豆酒（出圣惠方）治头破脑髓出。中风口噤。
以大豆汁一斗捣碎。安甑上蒸之热。以酒一斗淋下。每服一盏。连三五服。取汗为效。
凡堕坠打扑。内动心气。营卫气血不至。为患多矣。若暴损胸胁。气留肩膜。损血入胃。
停积不去。甚者 唾吐血。治法当调其荣卫。缓其中。逐去损血。
方
阿胶丸（出圣惠方）治从高坠下。伤折 损。内伤五脏。微者唾血。甚者吐血
阿胶（三两捣碎炒令黄） 肉苁蓉（酒浸一宿刮去粗皮炙干） 川椒（去目及闭口者微
炒出
汗） 白芍药 当归（锉微炒） 芎 延胡索 熟地黄 桂心 川大黄（锉碎微炒） 黄
（锉
各一两） 艾叶（一两半微炒） 牡丹 附子（炮治去皮脐各一两） 牛膝（去苗一两） 上
为
末。先用酒一升煎三五沸。将一半药末入酒内。调面糊。以慢火煎令稠。入余药末。和捣三
二百杵。丸如桐子大。每服以豆淋酒下三十丸。日三四服。
鸡苏汤（出圣济总录）治坠马跌损。内伤吐血。暴渴。背上烦热。心中欲吐。
喉内先觉血腥气者。
鸡苏（二两半） 地黄汁（五合） 桑根白皮（锉各一两） 生姜（五合） 葛根（锉）
小蓟根（切） 淡竹茹（各二两） 上除生姜、地黄汁外。粗捣筛。每服五钱。以水一盏半。
煎取一
盏。去滓。入地黄、生姜汁各半合。更煎三五沸。去滓温服。每食后煎服。
消血散（出圣济总录）治从高坠下内损。吐唾出血。兼腹中瘀血。
蒲黄 当归（切焙） 干姜（炮） 桂（去粗皮各一两） 虻虫（去足翅炒一分） 大
黄（蒸锉
一两半） 上为末。每服三钱。温酒下。不拘时候。
阿胶汤（出圣济总录）治伤折血滞在内。吐唾中血出不止。
阿胶（炙令燥） 熟干地黄（焙） 赤芍药 当归（切焙） 芎 （各一两） 干姜（炮
半两）
上粗捣筛。每服三钱。水一盏。煎至七分。去滓温服。不拘时候。
艾叶汤（一名艾叶散出圣济总录）治坠堕颠扑。内伤脏气。吐唾出血。甚者吐
血。及金疮伤流血不止。
艾叶（炒半两） 白芍药（三分） 熟干地黄（焙一两） 干姜（炮半两） 阿胶（炒
令燥一两）
甘草（炙一分） 一方有竹茹（一分） 上粗筛。每服三钱。水一盏。煎至七分。去滓温服。
不
拘时候。
蒲黄汤（出圣济总录）治打扑一切损伤血瘀。时吐唾中出血。
蒲黄（二两） 当归（切焙） 桂（去粗皮） 人参 槟榔（各一两） 上为细末。每
服三钱。
温酒调下。不拘时候。
加味芎 汤（出医方大成）治打扑伤损。败血流入胃脘。呕吐黑血。或如豆汁
。因坠堕闪挫。致伤五脏。损裂出血。停留胃脘。脏热则吐鲜血。脏寒则吐瘀血。此各
内伤。
川芎 当归 白芍药 百合（水浸半日） 荆芥穗（各等分） 上为锉散。每服四钱。
水半
盏。酒半盏。煎七分。去滓。不拘时候。
甘草汤（出圣济总录）治坠扑伤损。肺气咳唾出血。
甘草（一两炙） 白茯苓（去黑皮一两） 人参（一两） 杏仁（汤浸去皮尖双仁炒研
三分）
上除杏仁外。粗捣筛。入杏仁拌匀。每服三钱。水一盏。煎至七分。去滓温服。不拘时候。
桂心汤（出圣济总录）治坠堕内伤。吐唾出血。兼腹中瘀血。
桂（去粗皮） 当归（切焙） 蒲黄（各一两） 大黄（切焙半两） 上粗捣筛。每服
三钱。水
一盏。煎至七分。临熟入地黄汁少许。搅匀去滓温服。不拘时候。一方用淡竹叶切。代竹茹。
黑神散（出朱氏集验方）治伤损大吐血。或因酒饱低头胸损。吐血至多。并血
妄行。鼻口俱出。但声未失者。无不有效。
百草霜 蚌粉（各等分） 上为末。每服一二钱。糯米饮调下。侧柏枝研汁尤效速。鼻
衄
搐一字。皮破灸疮口。舌上出血干掺之。
治坠损伤内。或时吐血。心烦疼痛。（出圣惠方）
蒲黄（一两） 生地黄（四两） 上将生地黄入童子小便三合。烂研绞汁。于银器中入
蒲黄
相和。慢火煎一两沸。分为三服。食前服之。
胡粉散（出肘后方）治从高坠堕。吐唾出血。面青气短。及瘀血抢心。
以胡粉一两研细。每服一钱。温水或酒调下。
治坠落车马间。心腹积血。唾吐无数方。（出圣惠方）
取干藕根为末。以酒服方寸匕。日三。如取新藕汁服之尤佳。
治从高坠下伤折。疼痛烦闷。啼叫不得卧。及腕折四肢骨破。或筋伤蹉跌方。（出
圣惠方）
上取鼠屎烧为灰细研。以猪脂和涂痛上。即以物急裹之。捣地黄一把。须以酒渍之。稍
稍饮之即愈。
黄 汤（出杨氏集验方）治伤损大吐血。或因酒食饱。低胸损。吐血至多。并
血妄行。口鼻俱出。但声未失者。无有不效。
枳实（三十个研为末） 黄 （二两） 甘草（半两） 红枣（三十个枳实末捣烂慢火
焙焦黄）
上为末。用米饮调下二钱。食后服。
治坠损筋骨。蹉骨碎破。（出本草）
生地黄熨热。裹三日夜。数易。若血聚。以针决之。
杏枝酒（出圣惠方）治坠伤及坠马损。损疼。血在内烦闷。
以杏枝一握水一大升。煮半升。酒三合。分再服。大效。其实多食伤神损筋骨。一方取
东引杏枝三两。细锉。微熬好酒二升。煎汁数沸去滓温。分二服。如人行二三里再服。
凡头部被物体击打，导致破损且脑髓与骨骼外露的，用药救治必须迅速。因为头部是诸阳经汇聚之处，脑是人体生命活动的主宰。如果头部被击破、脑髓流出，延误了救治时机，患者会立刻死亡。应当迅速用药封裹伤口，防止邪气侵入，调养营卫之气，安定精神，这样或许可以存活。如果出现眼球上翻、直视不能转动等症状的，则不可治愈。
方剂：
豚血灌方（出自《肘后方》）治疗头部被物体击打，脑破髓出，神志昏迷仅有心跳呼吸者。用小猪血一合，如果没有小猪血，用猪血也可以。每次取少量，灌入脑部，患者立即苏醒。
水银方（出自《肘后方》）治疗脑破髓出、濒临死亡者，适宜服用。用水银二钱，每次服用一钱左右，服后即活。片刻后，若未见效再服一次。
大豆酒（出自《圣惠方》）治疗头破脑髓出，中风牙关紧闭。将大豆汁一斗捣碎，放在蒸笼上蒸热，用酒一斗淋下。每次服用一盏，连续服用三到五次，以出汗为有效。
凡是坠落、打扑造成的损伤，会导致体内心气受损，营卫气血运行不畅，产生的危害很多。如果突然损伤胸胁，气滞留在肩膜，瘀血进入胃中，停滞积聚不去，严重的会出现唾血或吐血。治疗方法应当调和荣卫，舒缓内部急迫，驱除瘀血。
方剂：
阿胶丸（出自《圣惠方》）治疗从高处坠落，造成骨折损伤，内伤五脏。轻微者唾血，严重者吐血。
药材：阿胶（三两，捣碎炒至黄色）、肉苁蓉（酒浸泡一夜，刮去粗皮，炙干）、川椒（去掉目及闭口者，微炒至出汗）、白芍药、当归（切碎微炒）、川芎、延胡索、熟地黄、桂心、川大黄（切碎微炒）、黄芪（切碎）、各一两、艾叶（一两半，微炒）、牡丹皮、附子（炮制去皮脐，各一两）、牛膝（去苗，一两）。以上药物研为细末。先用酒一升煎煮三五沸，将一半药末放入酒中，加入面糊，用慢火煎至稠厚，加入剩余药末，和捣三二百杵，制成梧桐子大小的丸药。每次用豆淋酒送服三十丸，每日三四次。
鸡苏汤（出自《济生方》/《圣济总录》）治疗坠马跌损，内伤吐血，突然口渴，背部烦热，心中想吐，喉内先感觉到血腥味者。
药材：鸡苏（二两半）、地黄汁（五合）、桑根白皮（切碎，各一两）、生姜（五合）、葛根（切碎）、小蓟根（切）、淡竹茹（各二两）。除生姜、地黄汁外，其余药物粗捣筛过。每次服用五钱，用水一盏半，煎取一盏，去渣，加入地黄汁、生姜汁各半合，再煎三五沸，去渣温服。每餐饭后煎服。
消血散（出自《圣济总录》）治疗从高处坠落内伤，唾血吐血，兼有腹中瘀血。
药材：蒲黄、当归（切焙）、干姜（炮制）、桂枝（去粗皮，各一两）、虻虫（去足翅炒一分）、大黄（蒸锉，一两半）。以上研为细末。每次服用三钱，温酒送下，不限时候。
阿胶汤（出自《圣济总录》）治疗骨折血滞在内，唾血不止。
药材：阿胶（炙令干燥）、熟干地黄（焙）、赤芍药、当归（切焙）、川芎（各一两）、干姜（炮制，半两）。以上粗捣筛过。每次服用三钱，用水一盏，煎至七分，去渣温服，不限时候。
艾叶汤（又名艾叶散，出自《圣济总录》）治疗坠落颠扑，内伤脏气，唾血吐血，严重者吐血，以及金疮出血不止。
药材：艾叶（炒，半两）、白芍药（三分）、熟干地黄（焙，一两）、干姜（炮制，半两）、阿胶（炒令干燥，一两）、甘草（炙，一分）。一方加竹茹（一分）。以上粗筛。每次服用三钱，用水一盏，煎至七分，去渣温服，不限时候。
蒲黄汤（出自《圣济总录》）治疗打扑一切损伤血瘀，时常唾血。
药材：蒲黄（二两）、当归（切焙）、桂枝（去粗皮）、人参、槟榔（各一两）。以上研为细末。每次服用三钱，温酒调下，不限时候。
加味芎劳汤（出自《医方大成》）治疗打扑伤损，败血流入胃脘，呕吐黑血，或如豆汁。因坠落闪挫，致伤五脏，损裂出血，停留胃脘。脏热则吐鲜血，脏寒则吐瘀血，这都属于内伤。
药材：川芎、当归、白芍药、百合（水浸半天）、荆芥穗（各等分）。以上切碎成散剂。每次服用四钱，用水半盏，酒半盏，煎至七分，去渣，不限时候服用。
甘草汤（出自《圣济总录》）治疗坠落伤损，肺气受损咳嗽唾血。
药材：甘草（一两，炙）、白茯苓（去黑皮，一两）、人参（一两）、杏仁（汤浸去皮尖双仁，炒研，三分）。除杏仁外，其余药物粗捣筛，加入杏仁拌匀。每次服用三钱，用水一盏，煎至七分，去渣温服，不限时候。
桂心汤（出自《圣济总录》）治疗坠落内伤，唾血吐血，兼有腹中瘀血。
药材：桂枝（去粗皮）、当归（切焙）、蒲黄（各一两）、大黄（切焙，半两）。以上粗捣筛。每次服用三钱，用水一盏，煎至七分，临熟时加入少许地黄汁，搅匀去渣温服，不限时候。一方用淡竹叶切，代替竹茹。
黑神散（出自《朱氏集验方》）治疗伤损大吐血，或因酒饱低头胸部受损，吐血极多，并血妄行，鼻口俱出。只要声音未失者，无不有效。
药材：百草霜、蚌粉（各等分）。以上研为细末。每次服用一二钱，糯米饮调下。侧柏枝研汁效果尤其迅速。鼻衄搐一字，皮破灸疮口，舌上出血干掺之。
治疗坠落损伤内伤，有时吐血，心烦疼痛。（出自《圣惠方》）
药材：蒲黄（一两）、生地黄（四两）。上将生地黄放入童子小便三合，烂研绞汁，在银器中加入蒲黄混合，慢火煎一两沸，分为三服，饭前服用。
胡粉散（出自《肘后方》）治疗从高处坠落，唾血吐血，面色青暗气短，以及瘀血抢心。
用胡粉一两研细。每次服用一钱，温水或酒调下。
治疗坠落车马之间，心腹积血，唾吐无数方。（出自《圣惠方》）
取干藕根为末，用酒服用方寸匕，每日三次。如果取新藕汁服用更好。
治疗从高处坠落伤折，疼痛烦闷，啼叫不得卧，以及腕折四肢骨破，或筋伤蹉跌方。（出自《圣惠方》）
取鼠屎烧为灰细研，用猪脂调和涂于痛处，即用物品紧紧包裹。捣地黄一把，需用酒浸泡，稍许饮用即愈。
黄芪汤（出自《杨氏集验方》）治疗伤损大吐血，或因酒食饱，低胸受损，吐血极多，并血妄行，口鼻俱出。只要声音未失者，无有不效。
药材：枳实（三十个，研为末）、黄芪（二两）、甘草（半两）、红枣（三十个，与枳实末捣烂，慢火焙焦黄）。以上研为末，用米饮调下二钱，食后服用。
治疗坠损筋骨，蹉骨碎破。（出自《本草》）
生地黄熨热，包裹三日夜，多次更换。如果血聚，用针刺破排出。
杏枝酒（出自《圣惠方》）治疗坠伤及坠马损，损伤疼痛，血在内烦闷。
用杏枝一握，水一大升，煮至半升，加酒三合，分两次服用，效果显著。其实多吃杏果会伤神损筋骨。一方取东引杏枝三两，细锉，微熬好酒二升，煎汁数沸去渣温服，分二服。如人行二三里再服。
Whenever the head is struck by an object, causing rupture with brain marrow and bone protruding, medication should be applied rapidly. The head is the convergence point of all Yang meridians, and the brain is the seat of life commands. If the head is broken and marrow flows out, delaying rescue will lead to immediate death. One should quickly seal and wrap the wound with medicine to prevent pathogenic factors from invading, nourish Ying and Wei (nutritive and defensive qi), and stabilize the spirit; only then might survival be possible. If symptoms such as upward deviation of the eyes (Dai Yan) and fixed staring occur, it is incurable.
Formulas:
Pig Blood Irrigation Formula (from *Zhou Hou Fang*) treats head trauma with brain rupture and marrow protrusion, unconsciousness but with heart function remaining. Use one he of piglet blood; if unavailable, ordinary pig blood may be used. Apply a small amount directly into the brain cavity for immediate awakening.
Mercury Formula (from *Zhou Hou Fang*) treats severe brain rupture with marrow protrusion approaching death. Take two qian of mercury, administering approximately one qian per dose to restore vitality. If no effect is felt after a short while, administer again.
Soybean Wine (from *Sheng Hui Fang*) treats head trauma with brain marrow protrusion and wind-stroke with jaw stiffness. Crush one dou of soybeans, steam them hot in a steamer, and pour one dou of wine over them. Drink one zhan per dose, continuing for three to five doses until sweating occurs, which indicates efficacy.
Falls and blows cause internal disturbance of Heart Qi, leading to stagnation of Ying and Wei and blood-qiyuaning numerous disorders. Sudden injury to the chest and hypochondrium causes Qi to lodge in the shoulder membranes; damaged blood enters the stomach and accumulates. Severe cases result in hemoptysis or hematemesis. Treatment should harmonize Ying and Wei, relieve internal tension, and expel damaged blood.
Formulas:
Ejiao Pill (from *Sheng Hui Fang*) treats injuries from falling from heights, including fractures and internal damage to the five Zang organs. Mild cases present with hemoptysis; severe cases with hematemesis.
Ingredients: Ejiao (San liang, crushed and fried until yellow), Rousongrong (soaked in wine overnight, scraped clean, dried), Chuanjiao (remove pits and closed ones, lightly fried), Baishaoyao, Danggui (chopped and lightly fried), Xiong, Yanshusu, Shudihuang, Guixin, Chuan Dahuang (chopped and lightly fried), Huangqi (chopped), each 1 liang; Aye (1.5 liang, lightly fried); Mudanpi, Fuzi (processed, skin and navel removed, 1 liang each); Niuxi (removing sprouts, 1 liang). Grind all ingredients into fine powder. Boil one sheng of wine for three to five boils. Add half of the powder to the wine, mix with wheat paste, and simmer slowly until thick. Add the remaining powder, knead 200-300 times, and form pills the size of paulownia seeds. Take 30 pills with Doulin wine, three to four times daily.
Jisu Decoction (from *Shengji Zonglu*) treats injuries from falling off horses, internal trauma with hematemesis, sudden thirst, irritability and heat in the back, nausea, and a metallic taste in the throat.
Ingredients: Jisu (2.5 liang), Dihuangzhi (5 he), Sangbaipipi (chopped, 1 liang), Shengjiang (5 he), Gegen (chopped), Xiaoji Gen (cut), Danzhuru (each 2 liang). Coarsely grind and sieve all ingredients except Shengjiang and Dihuangzhi. Take 5 qian per dose, decoct with 1.5 zhan of water until reduced to 1 zhan. Strain, add 0.5 he of Dihuangzhi and Shengjiangzhi, boil for three to five boils, strain, and take warm after meals.
Xiaoxue Powder (from *Shengji Zonglu*) treats internal injury from falls, hemoptysis, hematemesis, and abdominal blood stasis.
Ingredients: Puhuang, Danggui (cut and roasted), Ganjiang (processed), Guizhi (bark removed, 1 liang each), Mengchong (legs and wings removed, fried, 1 fen), Dahuang (steamed and chopped, 1.5 liang). Grind into powder. Take 3 qian with warm wine at any time.
Ejiao Decoction (from *Shengji Zonglu*) treats blood stasis from fractures and continuous hemoptysis.
Ingredients: Ejiao (fried dry), Shugan Dihuang (roasted), Chishaoyao, Danggui (cut and roasted), Xiong (each 1 liang), Ganjiang (processed, 0.5 liang). Coarsely grind and sieve. Take 3 qian per dose, decoct with 1 zhan of water until reduced to 70%. Strain and take warm at any time.
Aye Decoction (also known as Aye San, from *Shengji Zonglu*) treats injuries from falls and bumps, internal organ damage, hemoptysis, severe hematemesis, and unceasing bleeding from metal wounds.
Ingredients: Aye (fried, 0.5 liang), Baishaoyao (3 fen), Shugan Dihuang (roasted, 1 liang), Ganjiang (processed, 0.5 liang), Ejiao (fried dry, 1 liang), Gancao (honey-fried, 1 fen). An alternative formula includes Zhuru (1 fen). Coarsely sieve. Take 3 qian per dose, decoct with 1 zhan of water until reduced to 70%. Strain and take warm at any time.
Puhuang Decoction (from *Shengji Zonglu*) treats all types of traumatic blood stasis and frequent hemoptysis.
Ingredients: Puhuang (2 liang), Danggui (cut and roasted), Guizhi (bark removed), Renshen, Binglang (each 1 liang). Grind into fine powder. Take 3 qian mixed with warm wine at any time.
Modified Xionglaotang (from *Yifang Dacheng*) treats trauma where败血 (damaged blood) flows into the stomach, causing vomiting of black blood or bean-jelly-like substance. Due to falls or sprains damaging the five Zang organs, bleeding occurs and stagnates in the stomach. Heat in the Zang leads to fresh blood vomiting; cold in the Zang leads to clotted blood vomiting. These are all internal injuries.
Ingredients: Chuanxiong, Danggui, Baishaoyao, Baihe (soaked in water for half a day), Jingjiesui (equal parts). Chop into coarse powder. Take 4 qian per dose, decoct with 0.5 zhan of water and 0.5 zhan of wine until reduced to 70%. Strain and take at any time.
Gancao Decoction (from *Shengji Zonglu*) treats lung Qi deficiency coughing up blood due to falls.
Ingredients: Gancao (honey-fried, 1 liang), Baifuling (black skin removed, 1 liang), Renshen (1 liang), Xingren (soaked in water, peeled, twin kernels, fried and ground, 3 fen). Coarsely grind and sieve all except Xingren, mix well. Take 3 qian per dose, decoct with 1 zhan of water until reduced to 70%. Strain and take warm at any time.
Guixin Decoction (from *Shengji Zonglu*) treats internal injury from falls, hemoptysis, and abdominal blood stasis.
Ingredients: Guizhi (bark removed), Danggui (cut and roasted), Puhuang (each 1 liang), Dahuang (cut and roasted, 0.5 liang). Coarsely grind and sieve. Take 3 qian per dose, decoct with 1 zhan of water until reduced to 70%. Just before finishing, add a little Dihuangzhi, mix well, strain, and take warm at any time. An alternative uses cut Danshuye instead of Zhuru.
Heishen San (from *Zhushi Jiyan Fang*) treats severe hematemesis from trauma, or excessive vomiting of blood due to bending forward after heavy drinking/wine-induced chest injury, with blood flowing from nose and mouth. Effective as long as voice remains intact.
Ingredients: Baicaoshuang, Bangfen (equal parts). Grind into powder. Take 1-2 qian mixed with rice gruel. Juice from Cebai branches is even more effective. For epistaxis, insufflate one zi; for open sores, apply dry powder.
Treatment for internal injury from falls, occasional hemoptysis, irritability, and pain (from *Sheng Hui Fang*).
Ingredients: Puhuang (1 liang), Shengdihuang (4 liang). Mash Shengdihuang in 3 he of urine from an uncircumcised boy, squeeze out juice. Mix with Puhuang in a silver vessel, simmer slowly for one boil. Divide into three doses, taken before meals.
Hufen San (from *Zhou Hou Fang*) treats falling from heights, hemoptysis, cyanotic face, shortness of breath, and blood stasis rushing to the heart.
Grind 1 liang of Hufen finely. Take 1 qian mixed with warm water or wine.
Treatment for blood accumulation in heart and abdomen after falling from vehicles/horses, with endless spitting of blood (from *Sheng Hui Fang*).
Take powder of dried lotus root, ingest with wine using a fangcun bi measure, three times daily. Fresh lotus root juice is superior.
Treatment for fractures, pain, restlessness, inability to lie down, wrist fractures, broken limb bones, or tendon injuries from falls (from *Sheng Hui Fang*).
Burn rat feces to ash, grind finely, mix with lard, and apply to painful areas. Wrap tightly. Mash one handful of Dihuang, soak in wine, and drink slightly for recovery.
Huangqi Tang (from *Yangshi Jiyan Fang*) treats severe hematemesis from trauma or bending forward after heavy eating/drinking, with blood flowing from mouth and nose. Effective as long as voice remains intact.
Ingredients: Zhishi (30 fruits, ground to powder), Huangqi (2 liang), Gancao (0.5 liang), Hongzao (30 fruits, mashed with Zhishi powder, baked until dark yellow). Grind into powder. Take 2 qian mixed with rice drink after meals.
Treatment for bone and tendon injuries, dislocated or shattered bones (from *Bencao*).
Apply hot Shengdihuang compress, wrapping for three days and nights, changing frequently. If blood pools, puncture with a needle to drain.
Xingzhi Jiu (from *Sheng Hui Fang*) treats fall injuries and horse falls, pain, and internal blood stasis causing irritability.
Boil one handful of Xingzhi in one da sheng of water until reduced to half sheng. Add 3 he of wine. Divide into two doses. Highly effective. Note: Eating too many apricots damages spirit and tendons/bones. Alternative: Take 3 liang of east-facing apricot branches, chop finely, simmer in 2 sheng of good wine until boiling. Strain, take warm, divided into two doses. Repeat after walking 2-3 li.