伤损之证，或患处或诸窍出血者，此肝火炽盛，血热错经而妄行也，用加味逍遥散清热养血。若中气虚弱，
血无所附而妄行，用加味四君子汤、补中益气汤。或元气内脱不能摄血，用独参汤加炮姜以回阳；如不应，急
加附子。如血蕴于内而呕血者，用四物汤加柴胡、黄芩。凡伤损而犯劳碌，或怒气肚腹胀闷，或过服寒毒等药
致伤阳络者，则为吐血、衄血、便血、尿血；伤于阴络者，则为血积、血块、肌肉青黑，此皆脏腑亏损，经
隧失职，急补脾、肺二脏自愈矣。
加味逍遥散
白术 茯苓 当归 白芍（各二钱） 柴胡（一钱） 薄荷（五分） 黑栀 丹皮（各一钱五分）
水煎服。
补中益气汤
人参（二钱） 黄 （炙，二钱） 白术（炒，一钱五分） 当归（一钱五分） 升麻（五分） 柴胡（五分）
陈皮（八分） 甘草（炙，三分）
引用姜、枣，水煎服。
四君子汤
人参 白术 茯苓（各二钱） 甘草（炙，一钱）
引用姜、枣，水煎服。
四物汤
当归（三钱） 川芎 白芍药（二钱） 熟地黄（三钱）
水煎服。
独参汤
人参（一两）
水煎服。
伤损瘀血泛注之证，乃跌仆血滞所致。盖气流而注，血注而凝，或注于四肢关节，或留于胸腹腰臀，或漫肿，
或结块，初起皆属肝、脾郁火。急用葱熨法，内服小柴胡汤以清肝火，次用八珍汤以壮脾胃，或益气养荣汤，久
服自然收功。若日久溃破而气血虚者，宜十全大补汤；若溃而寒邪凝滞不敛者，宜豆豉饼祛散之。此证若不补气
血，不慎起居，不戒七情，或用寒凉克伐，俱属不治。
小柴胡汤
柴胡（二钱） 黄芩（一钱五分） 半夏（制） 人参（各一钱） 甘草（炙，五分）
引用姜二片，水煎服。
八珍汤
即四君子汤四物汤，相和为剂也。
益气养荣汤
人参 黄 （炒） 当归 川芎 熟地黄 白芍（炒） 香附 贝母 茯苓 陈皮（各一钱） 白术（二钱）
柴胡（六分） 甘草 桔梗（各五分）
引用姜，水煎服。口干，加五味子、麦冬。往来寒热，加青皮。
十全大补汤
即八珍汤加黄 、肉桂各一钱。
豆豉饼
江西豆豉
上一味为末，唾津和作饼子，如钱大，浓二分，置患处，以艾壮于饼上灸之，干则再易。
葱熨法（方见囟骨伤）
损伤类的病症，如果患处或各个孔窍出血，这是由于肝火炽盛，血热导致血液不循常道而妄行，使用加味逍遥散来清热养血。如果是中气虚弱，血液失去依附而妄行，使用加味四君子汤、补中益气汤。或者是元气内部脱失不能统摄血液，使用独参汤加入炮姜以回阳救逆；如果无效，紧急加入附子。如果血液郁积在体内而呕血，使用四物汤加入柴胡、黄芩。凡是损伤后从事劳累活动，或者因愤怒导致肚腹胀闷，或者过度服用寒凉有毒的药物导致损伤阳络的，就会出现吐血、鼻衄（鼻出血）、便血、尿血；损伤阴络的，就会出现血积、血块、肌肉青黑，这些都是脏腑亏损，经络功能失职，急需补益脾、肺两脏即可自愈。
加味逍遥散
白术 茯苓 当归 白芍（各二钱） 柴胡（一钱） 薄荷（五分） 黑栀子 丹皮（各一钱五分）
用水煎服。
补中益气汤
人参（二钱） 黄芪（炙，二钱） 白术（炒，一钱五分） 当归（一钱五分） 升麻（五分） 柴胡（五分）
陈皮（八分） 甘草（炙，三分）
引用生姜、大枣，用水煎服。
四君子汤
人参 白术 茯苓（各二钱） 甘草（炙，一钱）
引用生姜、大枣，用水煎服。
四物汤
当归（三钱） 川芎 白芍药（二钱） 熟地黄（三钱）
用水煎服。
损伤后瘀血泛注的病症，是由于跌打扑倒导致血行滞涩所致。因为气是流动灌注的，血灌注则凝滞，或者灌注于四肢关节，或者留存在胸腹腰臀，或者漫肿，或者结成肿块，初起都属于肝、脾郁结之火。紧急使用葱熨法，内服小柴胡汤以清肝火，随后使用八珍汤以壮脾胃，或者使用益气养荣汤，长期服用自然能取得疗效。如果日久溃破且气血虚弱的，适宜用十全大补汤；如果溃破后寒邪凝滞不愈合的，适宜用豆豉饼来祛散寒邪。这种病症如果不补益气血，不注意起居调摄，不戒除七情（喜、怒、忧、思、悲、恐、惊），或者使用寒凉克伐之药，都属于难以治愈的情况。
小柴胡汤
柴胡（二钱） 黄芩（一钱五分） 半夏（制） 人参（各一钱） 甘草（炙，五分）
引用生姜两片，用水煎服。
益气养荣汤
人参 黄芪（炒） 当归 川芎 熟地黄 白芍（炒） 香附 贝母 茯苓 陈皮（各一钱） 白术（二钱）
柴胡（六分） 甘草 桔梗（各五分）
引用生姜，用水煎服。口干，加五味子、麦冬。往来寒热，加青皮。
豆豉饼
江西豆豉
将上述一味药研为粉末，用唾液调和做成饼子，大小如铜钱，厚度二分，放置在患处，在饼上放置艾炷进行灸治，干了就再更换新的。
葱熨法（方剂见囟骨伤章节）
In cases of trauma, if bleeding occurs at the injured site or from various orifices, this is due to blazing Liver Fire causing blood heat and erratic flow. Use Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder) to clear heat and nourish blood. If Spleen Qi is deficient, causing blood to lose its attachment and flow erratically, use Jiawei Sijunzi Tang (Modified Four Gentlemen Decoction) or Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction). If Yuan Qi (Primal Qi) has collapsed internally and cannot control the blood, use Dushen Tang (Single Ginseng Decoction) with Pao Jiang (Prepared Ginger) to restore Yang; if ineffective, urgently add Fuzi (Aconite Root). If blood accumulates internally leading to hematemesis, use Siwu Tang (Four Substances Decoction) with Chaihu (Bupleurum Root) and Huangqin (Scutellaria Root). Whenever trauma is aggravated by overexertion, anger causing abdominal distension and fullness, or excessive consumption of cold and toxic herbs damaging the Yang Collaterals, symptoms such as hematemesis, epistaxis, hematochezia, and hematuria may occur. If the Yin Collaterals are damaged, blood stasis, blood masses, and blackening of the muscles result. These are all caused by deficiency of the Zang-Fu organs and dysfunction of the meridians; urgently tonifying the Spleen and Lung will lead to self-healing.
Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder):
Baizhu (Atractylodis Macrocephalae Rhizoma), Fuling (Poria), Danggui (Angelicae Sinensis Radix), Baishao (Paeoniae Radix Alba) (each 2 qian); Chaihu (Bupleuri Radix) (1 qian); Bohe (Menthae Haplocalycis Herba) (0.5 qian); Heizhi (Fructus Gardeniae Preparatus), Danpi (Moutan Cortex) (each 1.5 qian).
Decoct in water and take orally.
Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction):
Renshen (Ginseng Radix et Rhizoma) (2 qian); Huangqi (Astragali Membranacei Radix) (roasted, 2 qian); Baizhu (Atractylodis Macrocephalae Rhizoma) (stir-fried, 1.5 qian); Danggui (Angelicae Sinensis Radix) (1.5 qian); Shengma (Cimicifugae Rhizoma) (0.5 qian); Chaihu (Bupleuri Radix) (0.5 qian); Chenpi (Citri Reticulatae Pericarpium) (0.8 qian); Gancao (Glycyrrhizae Radix et Rhizoma) (roasted, 0.3 qian).
Use Shengjiang (Zingiberis Recens Rhizoma) and Dazao (Jujubae Fructus) as guides, decoct in water and take orally.
Sijunzi Tang (Four Gentlemen Decoction):
Renshen (Ginseng Radix et Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), Fuling (Poria) (each 2 qian); Gancao (Glycyrrhizae Radix et Rhizoma) (roasted, 1 qian).
Use Shengjiang (Zingiberis Recens Rhizoma) and Dazao (Jujubae Fructus) as guides, decoct in water and take orally.
Siwu Tang (Four Substances Decoction):
Danggui (Angelicae Sinensis Radix) (3 qian); Chuanxiong (Ligustici Chuanxiong Rhizoma), Baishaoyao (Paeoniae Radix Alba) (2 qian); Shudihuang (Rehmanniae Radix Preparata) (3 qian).
Decoct in water and take orally.
Dushen Tang (Single Ginseng Decoction):
Renshen (Ginseng Radix et Rhizoma) (1 liang).
Decoct in water and take orally.
The condition of generalized flooding injection of traumatic blood stasis is caused by blood stagnation resulting from falls and blows. Since Qi flows and injects, when Blood injects it coagulates. It may inject into the limbs and joints, remain in the chest, abdomen, waist, or buttocks, present as diffuse swelling, or form masses. Initially, these belong to stagnant Fire of the Liver and Spleen. Urgently apply Congyi Fa (Green Onion Moxibustion Method), internally administer Xiao Chaihu Tang (Minor Bupleurum Decoction) to clear Liver Fire, then use Bazhen Tang (Eight Treasures Decoction) to strengthen the Spleen and Stomach, or use Yiqi Yangrong Tang (Tonify Qi and Nourish Blood Decoction). Long-term administration will naturally achieve success. If ulcerated after a long duration with Qi and Blood deficiency, Shiquan Dabu Tang (Perfect Ten Great Tonification Decoction) is suitable. If ulcerated but cold pathogen stagnation prevents healing, Douchi Bing (Fermented Soybean Cake) should be used to disperse the cold. This condition, if not treated by tonifying Qi and Blood, without careful daily living regulation, without restraining the Seven Emotions, or using cold and cooling purgatives, is considered incurable.
Xiao Chaihu Tang (Minor Bupleurum Decoction):
Chaihu (Bupleuri Radix) (2 qian); Huangqin (Scutellariae Radix) (1.5 qian); Banxia (Pinelliae Rhizoma Preparatum), Renshen (Ginseng Radix et Rhizoma) (each 1 qian); Gancao (Glycyrrhizae Radix et Rhizoma) (roasted, 0.5 qian).
Use two slices of Shengjiang (Zingiberis Recens Rhizoma) as a guide, decoct in water and take orally.
Bazhen Tang (Eight Treasures Decoction):
This is the combination of Sijunzi Tang (Four Gentlemen Decoction) and Siwu Tang (Four Substances Decoction).
Yiqi Yangrong Tang (Tonify Qi and Nourish Blood Decoction):
Renshen (Ginseng Radix et Rhizoma), Huangqi (Astragali Membranacei Radix) (stir-fried), Danggui (Angelicae Sinensis Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Shudihuang (Rehmanniae Radix Preparata), Baishaoyao (Paeoniae Radix Alba) (stir-fried), Xiangfu (Cyperi Rhizoma), Beimu (Fritillariae Thunbergii Bulbus), Fuling (Poria), Chenpi (Citri Reticulatae Pericarpium) (each 1 qian); Baizhu (Atractylodis Macrocephalae Rhizoma) (2 qian); Chaihu (Bupleuri Radix) (0.6 qian); Gancao (Glycyrrhizae Radix et Rhizoma), Jiegeng (Platycodonis Radix) (each 0.5 qian).
Use Shengjiang (Zingiberis Recens Rhizoma) as a guide, decoct in water and take orally. For dry mouth, add Wuweizi (Schisandrae Chinensis Fructus) and Maidong (Ophiopogonis Radix). For alternating chills and fever, add Qingpi (Citri Reticulatae Pericarpium Viride).
Shiquan Dabu Tang (Perfect Ten Great Tonification Decoction):
This is Bazhen Tang (Eight Treasures Decoction) plus Huangqi (Astragali Membranacei Radix) and Rougui (Cinnamomi Cortex) each 1 qian.
Douchi Bing (Fermented Soybean Cake):
Jiangxi Douchi (Fermented Soybeans of Jiangxi).
Grind the above single ingredient into powder, mix with saliva to form cakes the size of a coin, thickness 2 fen. Place on the affected area, perform moxibustion with Ai Zhuang (Moxa Cones) on top of the cake. Replace when dry.
Congyi Fa (Green Onion Moxibustion Method) (Formula see Chapter on Fontanelle Injury).