杨司天,骨已入HT (一作臼),患处仍痛,服药不应,肝脉洪大而急。余曰∶此肝
火盛而作痛也。用小柴胡汤加山栀、黄连,二剂痛止,用四物、山栀、黄柏、知母,调理而
康。
一妇人磕臂出血,骨痛热渴,烦闷头晕,日晡益甚。此阴虚内热之症,用八珍加丹皮、
麦门、五味、骨碎补、肉桂,及地黄丸,治之悉愈,却去桂,加牛膝、续断,二十余剂而疮
愈。
(二条)
一小儿足伤作痛,肉色不变,伤在骨也。频用炒葱熨之,五更用和血定痛丸;日间用健
脾胃、生气血之剂;数日后服地黄丸,三月余而痊。
一小儿臂骨出HT 接入,肿痛发热,服流气等药益甚,饮食少思。余以葱熨之,其痛
即止;以六君、黄 、柴胡、桔梗、续断、骨碎补治之,饮食进而肿痛消。又用补中益气加
麦门、五味治之,气血和而热退,愈矣。
戴给事坠马,腿肿痛而色黯,食少倦怠。此元气虚弱,不能运散瘀血而然耳,遂用补中
益气去升麻、柴胡,加木瓜、茯苓、芍药、白术,治之而痊。
少宗伯刘五清, 伤一块,微痛少食。用六君子汤,倍加当归、黄 ,其痛渐止,
月余瘀血内涸而不溃,公以为痊。余曰∶此阳气虚极,须调补。不从。至来春,头晕,痰涎
壅塞,服清气化痰,病势愈盛,脉洪大而微细。欲以参、 、归、术、附子之类补之。不信
。至秋初,因怒昏愦而厥。
杨司天,髋关节(一作臼)脱位,患处仍然疼痛,服药后没有效果,肝脉洪大且急数。我说:这是肝火旺盛导致的疼痛。使用小柴胡汤加入山栀、黄连,两剂药后疼痛停止,再用四物汤、山栀、黄柏、知母进行调理,最终康复。
一位妇人磕碰手臂导致出血,骨头疼痛、发热口渴、心烦胸闷、头晕,傍晚时分症状加重。这是阴虚内热的病症,使用八珍汤加入丹皮、麦门冬、五味子、骨碎补、肉桂,以及地黄丸治疗,全部痊愈;后来去掉肉桂,加入牛膝、续断,服用二十多剂后疮口愈合。
(两条案例)
一个小男孩脚部受伤疼痛,皮肤颜色没有变化,说明伤在骨骼。频繁用炒热的葱熨烫患处,五更天时服用和血定痛丸;白天服用健脾胃、生气血的药剂;几天后服用地黄丸,三个多月后痊愈。
一个小男孩手臂骨头脱位复位后,出现肿痛发热,服用流气等药物后症状反而加重,饮食减少不想进食。我用葱熨烫患处,疼痛立即停止;用六君子汤、黄芪、柴胡、桔梗、续断、骨碎补进行治疗,饮食增加,肿痛消退。又用补中益气汤加入麦门冬、五味子进行治疗,气血调和后热退,痊愈了。
戴给事从马上摔下,腿部肿痛且颜色发暗,食欲少、疲倦乏力。这是元气虚弱,不能运化消散瘀血所致,于是使用补中益气汤去掉升麻、柴胡,加入木瓜、茯苓、芍药、白术,治疗后痊愈。
少宗伯刘五清,身体有一处损伤,轻微疼痛,食欲少。使用六君子汤,加倍加入当归、黄芪,他的疼痛逐渐停止,一个多月后瘀血在体内干涸但伤口不溃破,他认为已经痊愈。我说:这是阳气极度虚弱,必须调补。他不听从。到了第二年春天,出现头晕,痰涎壅塞,服用清气化痰药后,病情更加严重,脉象洪大却微细。想要用人参、黄芪、当归、白术、附子之类的药物来补益。他不相信。到了初秋,因为发怒而昏厥。
Yang Sitian suffered a dislocation of the hip joint (alternatively described as the acetabulum), with persistent pain at the affected site. Medication had been ineffective. The liver pulse was surging and rapid. I stated: "This is pain caused by excessive Liver Fire." I prescribed Xiao Chai Hu Tang (Minor Bupleurum Decoction) with added Gardenia Fruit (Zhizi, 栀子) and Coptis Rhizome (Huanglian, 黄连). After two doses, the pain ceased. Subsequently, Si Wu Tang (Four Substance Decoction) with Gardenia Fruit, Phellodendron Bark (Huangbai, 黄柏), and Anemarrhena Rhizome (Zhimu, 知母) were used for regulation, leading to recovery.
A woman fell and injured her arm, resulting in bleeding, bone pain, fever, thirst, restlessness, chest oppression, and dizziness. These symptoms worsened in the late afternoon. This presented as a syndrome of Yin deficiency with internal heat. I treated her with Ba Zhen Tang (Eight Treasure Decoction) supplemented with Moutan Cortex (Danpi, 牡丹皮), Ophiopogon Tuber (Maidong, 麦冬), Schisandra Fruit (Wuweizi, 五味子), Drynaria Rhizome (Gusuibu, 骨碎补), and Cinnamon Twig (Rougui, 肉桂), along with Di Huang Wan (Rehmannia Pill). All symptoms resolved. Later, Cinnamon Twig was removed, and Achyranthes Root (Niuxi, 牛膝) and Teasel Root (Xuduan, 续断) were added. After more than twenty doses, the wound healed.
(Two cases)
A young boy injured his foot, causing pain without any change in skin color, indicating bone injury. I frequently applied hot compresses of stir-fried scallions to the area. At dawn (5-7 AM), he took He Xue Ding Tong Wan (Blood-Nourishing and Pain-Relieving Pill). During the day, he received formulas to strengthen the Spleen and Stomach and generate Qi and Blood. After several days, he took Di Huang Wan (Rehmannia Pill). He recovered after more than three months.
Another young boy suffered a dislocated arm bone which was reduced, but swelling, pain, and fever ensued. His condition worsened after taking Qi-moving medicines, and he lost his appetite. I applied hot scallion compresses, which immediately stopped the pain. I then treated him with Liu Jun Zi Tang (Six Gentlemen Decoction), Astragalus Root (Huangqi, 黄芪), Bupleurum Root (Chaihu, 柴胡), Platycodon Root (Jiegeng, 桔梗), Teasel Root (Xuduan, 续断), and Drynaria Rhizome (Gusuibu, 骨碎补). His appetite improved, and swelling and pain subsided. Subsequently, Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) with Ophiopogon Tuber (Maidong, 麦冬) and Schisandra Fruit (Wuweizi, 五味子) was administered. As Qi and Blood harmonized, the fever receded, and he recovered.
Dai Jishi fell from a horse, resulting in leg swelling, pain, and dark discoloration, accompanied by poor appetite and fatigue. This was due to deficient Yuan Qi (Original Qi), which failed to transform and disperse blood stasis. I prescribed Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction), removing Sheng Ma (Cimicifugae Rhizoma, 升麻) and Chai Hu (Bupleuri Radix, 柴胡), and adding Akebia Caulis (Mu Gua, 木瓜 - *Note: Mu Gua usually refers to Chaenomeles fruit, here likely referring to the herb commonly known as Papaya/Chaenomeles*), Poria (Fuling, 茯苓), White Peony Root (Shaoyao, 芍药), and Atractylodes Macrocephala Rhizome (Baizhu, 白术). He recovered after treatment.
Liu Wuqing, Shaozongbo, sustained an injury with mild pain and poor appetite. I prescribed Liu Jun Zi Tang (Six Gentlemen Decoction) with doubled doses of Angelica Sinensis Root (Danggui, 当归) and Astragalus Root (Huangqi, 黄芪). His pain gradually ceased. Over a month later, the blood stasis dried up internally, but the wound did not ulcerate/heal. He believed he was cured. I stated: "This is extreme Yang Qi deficiency; it requires tonification and regulation." He did not comply. In the following spring, he experienced dizziness and phlegm-fluid retention obstructing the orifices. After taking Qing Qi Hua Tan Wan (Clear Qi and Transform Phlegm Pill), his condition worsened. His pulse was surging yet faint and thin. I intended to treat him with tonics such as Ginseng Root (Renshen, 人参), Astragalus Root (Huangqi, 黄芪), Angelica Sinensis Root (Danggui, 当归), Atractylodes Macrocephala Rhizome (Baizhu, 白术), and Aconite Lateral Root (Fuzi, 附子). He did not believe in this approach. In early autumn, he fainted and collapsed due to anger.