凡打扑损伤。或为他物所击。或乘高坠下。致伤手足腰背等处。轻者气血凝滞。随处疼
痛。重则聚为 肿。痛甚不可忍。当察其内外轻重以治之。折伤者谓其有所伤于身体者也。
或为刀斧所刃。或坠堕地打扑身体。皆能使出血不止。又恐瘀血停积于脏腑。结而不散。去
之不早。恐有入腹攻心之患。治疗之法。须外用敷贴之药。散其血。止其痛。内则用花蕊石
散之类。化其瘀血。然后旋旋调理生肌。或因折伤而停郁其气。又当顺之。
方
紫金皮丸
紫金皮（醋炒） 刘寄奴 川当归（煨盐水炒） 香白芷（醋炒加减） 赤芍药 白芍
药（米
泔炒加减） 黑牵牛 生地黄（盐煨浸炒） 川芎（米水浸） 川牛膝（茶水浸） 乳香（可
加减）
没药（可加减） 破故纸（酒炒） 木通（去节） 木香（茶水炒） 自然铜（骨不碎折不
用临好时
用） 藿香 木贼 官桂（可加减） 羌活 独活 半夏（三钱水炒无痰不用） 骨碎补 草
乌
（醋炒孕妇不用） 川乌（火煨孕妇则不用各一两） 金刃伤锉出臼者。去自然铜。骨碎补。
折
者用之。然须于此方内。且去自然铜。临欲好时却入用之。服成他疾。上先择出自然铜、官
桂、没药、乳香不炒。其余药或炒或火焙。或日晒干。皆可。然后入不炒四味。同研为末。
用蜜糊丸如弹子大。以黄丹为衣。或被 扑损伤。金刃箭镞。不问轻重。每服一丸。如被刃
伤筋断损内重者。以薄荷汤、或木瓜、姜、灯心诸汤吞下。若 碎用自然铜。其他伤不用。
用之恐生他疾。如骨折损。负痛不止。加乳香、没药、白芷、川芎各五钱。生姜酒下。或不
作丸为末亦可。或用土当归、熟地黄盐水炒。杜牛膝茶水炒。川芎米水浸炒。一方若筋断。
加入续断五钱。
凡是遭受击打、扑跌等外力损伤，或是被其他物体击中，或是从高处坠落，导致手足、腰背等部位受伤。伤势较轻的，会出现气血凝滞，在受伤部位产生疼痛；伤势较重的，则会聚集成肿胀，疼痛剧烈难以忍受。治疗时应当检查伤处的内外情况及轻重程度来进行治疗。所谓“折伤”，是指身体受到的伤害。
这些伤害可能是由刀斧切割所致，也可能是从高处坠落或地面扑跌造成，都会导致出血不止。同时又要担心瘀血停滞积聚在脏腑之中，凝结不散。如果不去除瘀血不及时，恐怕会有瘀血入腹攻心的祸患。治疗的方法，外用需要敷贴药物，以消散瘀血、停止疼痛；内服则使用花蕊散之类的方剂，来化解体内的瘀血。之后循序渐进地调理，促进肌肉生长。如果是因折伤而导致气机郁滞，又应当顺其气机进行调理。
【方剂】紫金皮丸
【组成】紫金皮（用醋炒制）、刘寄奴、川当归（用盐水煨炒后切片）、香白芷（用醋炒制，可根据情况加减用量）、赤芍药、白芍药（用米泔水炒制，可根据情况加减用量）、黑牵牛、生地黄（用盐煨浸炒制）、川芎（用米水浸泡）、川牛膝（用茶水浸泡）、乳香（可酌情加减用量）、没药（可酌情加减用量）、破故纸（即补骨脂，用酒炒制）、木通（去除节部）、木香（用茶水炒制）、自然铜（若骨头未碎、骨折处未断裂则不用此药，待伤口快要愈合时使用）、藿香、木贼、官桂（即肉桂，可酌情加减用量）、羌活、独活、半夏（三钱，用水炒制，若无痰症则不用）、骨碎补、草乌（用醋炒制，孕妇禁用）、川乌（用火煨制，孕妇禁用，各一两）。
【用法与禁忌】若是金刃创伤导致骨骼脱臼者，去掉自然铜和骨碎补；若是骨折者使用这两味药。但是必须在此方中先去掉自然铜，等到伤口快要愈合时才加入使用，否则可能会引发其他疾病。以上药物先选出自然铜、官桂、没药、乳香这四味不炒制的药材，其余药物有的炒制，有的火焙，有的日晒干燥，都可以。然后将这四味不炒制的药材一同研成粉末。用蜂蜜调和制成如弹子大小的丸药，外面包裹黄丹作为衣层。无论是被扑跌损伤，还是被金刃箭镞所伤，不论轻重，每次服用一丸。如果被刀刃割伤且筋断损及内部较重者，用薄荷汤，或者木瓜、生姜、灯心草煎煮的汤剂送服。如果是骨折碎裂的情况才使用自然铜，其他损伤不使用，因为使用它恐怕会生出其他疾病。如果是骨折损伤，背负剧痛不止，可加入乳香、没药、白芷、川芎各五钱，用生姜酒送服。也可以不制成丸药，直接研成粉末服用。或者使用土当归、熟地黄（用盐水炒制）、杜牛膝（用茶水炒制）、川芎（用米水浸泡炒制）。另一方的说法是：如果是筋断，加入续断五钱。
Whenever there is injury from beating, striking, or falling, or being hit by other objects, or falling from a height, causing damage to the hands, feet, waist, back, and other areas. For mild injuries, Qi and Blood stagnate locally, causing pain in the affected area; for severe injuries, swelling gathers, and the pain is unbearable. Treatment should be based on an examination of the internal and external conditions and the severity of the injury. "Zhe Shang" (fracture/dislocation injury) refers to bodily harm. Such injuries may result from cuts by knives or axes, or from falling from heights or striking the body against the ground, all of which can cause unceasing bleeding. Furthermore, one must fear that blood stasis will accumulate within the Zang-Fu organs, condensing and not dispersing. If the stasis is not removed promptly, there is a risk of it entering the abdomen and attacking the heart. The treatment method requires the external application of poultices to dissipate blood stasis and stop pain, and internally using formulas such as Huarui San (Cinnabar Stone Powder) to resolve blood stasis. Subsequently, gradual conditioning should be employed to promote tissue regeneration. If Qi stagnation occurs due to fracture/dislocation, the Qi flow should be regulated accordingly.
[Formula] Zijin Pi Wan (Purple Gold Bark Pill)
[Ingredients] Zijin Pi (Bark of *Pterocarpus indicus*, stir-fried with vinegar), Liu Ji Nu (*Artemisia annua* herb), Chuan Dang Gui (*Angelica sinensis* root, stir-baked with salt water), Xiang Bai Zhi (*Angelica dahurica* root, stir-fried with vinegar, dosage adjustable), Chi Shao Yao (*Paeonia lactiflora* root, red variety), Bai Shao Yao (*Paeonia lactiflora* root, white variety, stir-fried with rice wash water, dosage adjustable), Hei Qian Niu (*Ipomoea nil* seed), Sheng Di Huang (*Rehmannia glutinosa* root, fresh, salt-baked and soaked), Chuan Xiong (*Ligusticum chuanxiong* rhizome, soaked in rice water), Chuan Niu Xi (*Cyathula officinalis* root, soaked in tea water), Ru Xiang (Frankincense, dosage adjustable), Mo Yao (Myrrh, dosage adjustable), Po Gu Zhi (*Psoralea corylifolia* fruit, wine-fried), Mu Tong (*Akebia quinata* stem, nodes removed), Mu Xiang (*Aucklandia lappa* root, stir-fried with tea water), Zi Ran Tong (Natural Copper Pyrite, do not use if bone is not fractured/dislocated; use only when nearing healing), Huo Xiang (*Pogostemon cablin* herb), Mu Zei (*Equisetum hiemale* herb), Guan Gui (*Cinnamomum cassia* bark, dosage adjustable), Qiang Huo (*Notopterygium incisum* rhizome), Du Huo (*Angelica pubescens* root), Ban Xia (*Pinellia ternata* tuber, 3 qian, stir-fried with water; omit if no phlegm), Gu Sui Bu (*Drynaria fortunei* rhizome), Cao Wu (*Aconium kusnezoffii* root, vinegar-fried; contraindicated in pregnancy), Chuan Wu (*Aconium carmichaelii* root, fire-roasted; contraindicated in pregnancy, each 1 liang).
[Usage and Contraindications] For wounds caused by metal blades resulting in joint dislocation, remove Zi Ran Tong and Gu Sui Bu; these two are used for fractures. However, Zi Ran Tong must initially be omitted from this formula and added only when the wound is nearly healed to avoid inducing other diseases. Select Zi Ran Tong, Guan Gui, Mo Yao, and Ru Xiang first without frying them. The remaining herbs may be fried, fire-roasted, or sun-dried. Then, grind the four unfried herbs together with the others into powder. Mix with honey to form pills the size of a bullet, coated with Huang Dan (Red Lead Oxide). Whether injured by striking/falling or by metal blades/arrows, regardless of severity, take one pill per dose. For severe blade wounds involving tendon rupture and deep internal damage, swallow with Bo He Tang (Mint Decoction) or decoctions of Mu Gua (Chaenomeles fruit), Sheng Jiang (Fresh Ginger), or Deng Xin Cao (Juncus effusus). Use Zi Ran Tong only for comminuted fractures; do not use it for other injuries as it may cause adverse effects. For fractures with persistent severe pain, add Ru Xiang, Mo Yao, Bai Zhi, and Chuan Xiong, each 5 qian, taken with Sheng Jiang Jiu (Ginger Wine). Alternatively, the herbs may be used as a powder instead of pills. Another variation uses Tu Dang Gui (*Codonopsis* or local equivalent), Shu Di Huang (*Rehmannia glutinosa* root, prepared, stir-fried with salt water), Du Niu Xi (*Cyathula officinalis* root, stir-fried with tea water), and Chuan Xiong (*Ligusticum chuanxiong* rhizome, stir-fried after soaking in rice water). In cases of tendon rupture, add Xu Duan (*Dipsacus asperoides* root), 5 qian.