伤损之证，大便秘结，若因大肠血虚火炽者，用四物汤送润肠丸，或以猪胆汁导之。若肾虚火燥者，用六味
地黄丸；若肠胃气虚，用补中益气汤；若大便秘结，里实气壮，腹痛坚硬者，用玉烛散。
润肠丸
大黄 当归尾 羌活（各五钱） 桃仁 麻仁（各一两）
上为末，炼蜜丸弹子大，空心，白汤送下。
猪胆汁导法
大猪胆一枚，泻汁和法醋少许，以灌谷道内，如一时顷，当大便，出宿食恶物甚效。
玉烛散
生地黄 当归 川芎 赤芍药 大黄（酒浸） 芒硝
引用生姜，水煎服。
四物汤 补中益气汤（俱见伤损出血）
六味地黄丸（方见肌肉作痛）
伤损之外挟表邪者，其脉必浮紧，证则发热体痛。形气实者，宜疏风败毒散；形气虚者，宜加味交加散，
或羌活乳香汤以散之。
疏风败毒散
当归 川芎 白芍药 熟地黄 羌活 独活 桔梗 枳壳 柴胡 白茯苓 白芷 甘草 紫苏 陈皮 香附
上生姜、生地黄煎，入酒和服。
加味交加散
当归 川芎 白芍药 生地黄 苍术 浓朴 陈皮 白茯苓 半夏 羌活 独活 桔梗 枳壳 前胡 柴胡
干姜 肉桂 甘草
上生姜煎服。有热者，去干姜、肉桂。
羌活乳香汤
羌活 独活 川芎 当归 赤芍药 防风 荆芥 丹皮 续断 红花 桃仁 乳香
上生地黄煎服。有热者，加柴胡、黄芩。
跌打损伤引起的病症中，若出现大便秘结的情况：如果是由于大肠血虚且火热炽盛导致的，可使用四物汤送服润肠丸，或者采用猪胆汁灌肠导便的方法。如果是因肾虚导致体内燥热，则服用六味地黄丸；若是肠胃气虚所致，则服用补中益气汤；若是大便秘结、里实（体内邪气盛实）且体质壮实、伴有腹痛且腹部坚硬者，则服用玉烛散。
润肠丸
配方：大黄、当归尾、羌活（各五钱），桃仁、麻仁（各一两）。
制法与用法：将上述药材研为细末，用炼蜜制成如弹子大小的药丸，空腹时用白开水送服。
猪胆汁导法
配方：大猪胆一枚，取汁并加入少许醋调和。
用法：将此混合液灌入肛门内，约一顿饭的工夫后，应当能排出大便，对于排出积滞的陈旧食物和污秽之物效果显著。
玉烛散
配方：生地黄、当归、川芎、赤芍药、大黄（酒浸）、芒硝。
用法：引用生姜，加水煎煮后服用。
四物汤、补中益气汤（均见“伤损出血”章节）
六味地黄丸（方剂见“肌肉作痛”章节）
跌打损伤之外兼夹表邪（外感风寒等邪气）的情况，其脉象必定浮紧，症状表现为发热且身体疼痛。若患者形体与正气充实，适宜使用疏风败毒散；若患者形体与正气虚弱，适宜使用加味交加散，或使用羌活乳香汤来疏散邪气。
疏风败毒散
配方：当归、川芎、白芍药、熟地黄、羌活、独活、桔梗、枳壳、柴胡、白茯苓、白芷、甘草、紫苏、陈皮、香附。
用法：以上述药物配合生姜、生地黄煎煮，加入酒调和后服用。
加味交加散
配方：当归、川芎、白芍药、生地黄、苍术、浓朴、陈皮、白茯苓、半夏、羌活、独活、桔梗、枳壳、前胡、柴胡、干姜、肉桂、甘草。
用法：以上述药物配合生姜煎煮服用。若有热象者，去掉干姜、肉桂。
羌活乳香汤
配方：羌活、独活、川芎、当归、赤芍药、防风、荆芥、丹皮、续断、红花、桃仁、乳香。
用法：以上述药物配合生地黄煎煮服用。若有热象者，加入柴胡、黄芩。
In cases of traumatic injury accompanied by constipation: if caused by blood deficiency and excessive fire in the Large Intestine, use Siwu Tang (Four Substances Decoction) to administer Runchang Wan (Intestinal Moistening Pill), or employ the method of introducing pig bile for bowel evacuation. If due to Kidney deficiency causing internal dryness and heat, administer Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill); if due to Qi deficiency in the Stomach and Intestines, administer Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction); if characterized by severe constipation, excess syndrome in the interior, robust constitution, abdominal pain, and hardness, administer Yuzhu San (Jade Candle Powder).
Runchang Wan (Intestinal Moistening Pill)
Ingredients: Dahuang (Rhei Radix et Rhizoma), Dangguiwei (Angelicae Sinensis Radix Caulis), Qianghuo (Notopterygii Rhizoma et Radix) (each 5 qian), Taoren (Persicae Semen), Mahuang (Cannabis Fructus - *Note: Text says Mahren/Hemp Seed, usually Huomaren/Cannabis Fructus*) (each 1 liang).
Preparation and Administration: Grind the above ingredients into fine powder, mix with refined honey to form pills the size of a bullet. Take on an empty stomach with warm water.
Pig Bile Introduction Method
Ingredients: One large pig gallbladder, extract the juice and mix with a small amount of vinegar.
Administration: Instill this mixture into the anus. After approximately one hour, defecation should occur; this is highly effective for expelling retained food and foul matter.
Yuzhu San (Jade Candle Powder)
Ingredients: Shengdihuang (Rehmanniae Radix), Danggui (Angelicae Sinensis Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Chi Shaoyao (Paeoniae Radix Rubra), Dahuang (Rhei Radix et Rhizoma, soaked in wine), Mangxiao (Natrii Sulfas).
Administration: Use fresh ginger as a guide, decoct with water, and take orally.
Siwu Tang (Four Substances Decoction) and Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) (see section on "Traumatic Injury with Bleeding").
Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill) (formula see section on "Muscle Pain").
When traumatic injury is complicated by exterior pathogenic factors (such as wind-cold), the pulse will necessarily be floating and tight, and symptoms will include fever and body pain. If the patient's physical form and Zheng Qi (Upright Qi) are substantial, Shufeng Baidu San (Dispel Wind and Overcome Toxicity Powder) is appropriate; if the patient's physical form and Zheng Qi are deficient, Jiawei Jiaojia San (Modified Jiaojia Powder) or Qianghuo Ruxiang Tang (Notopterygium and Frankincense Decoction) should be used to disperse the pathogens.
Shufeng Baidu San (Dispel Wind and Overcome Toxicity Powder)
Ingredients: Danggui (Angelicae Sinensis Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Baishaoyao (Paeoniae Radix Alba), Shudihuang (Rehmanniae Radix Preparata), Qianghuo (Notopterygii Rhizoma et Radix), Duhuo (Angelicae Pubescentis Radix), Jiegeng (Platycodonis Radix), Zhike (Aurantii Fructus Immaturus), Chaihu (Bupleuri Radix), Bai Fuling (Poria), Baizhi (Angelicae Dahuricae Radix), Gancao (Glycyrrhizae Radix et Rhizoma), Zisu (Perillae Folium), Chenpi (Citri Reticulatae Pericarpium), Xiangfu (Cyperi Rhizoma).
Administration: Decoct with fresh ginger and Shengdihuang (Rehmanniae Radix), add wine, mix well, and take orally.
Jiawei Jiaojia San (Modified Jiaojia Powder)
Ingredients: Danggui (Angelicae Sinensis Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Baishaoyao (Paeoniae Radix Alba), Shengdihuang (Rehmanniae Radix), Cangzhu (Atractylodis Rhizoma), Nongpo (Magnoliae Officinalis Cortex), Chenpi (Citri Reticulatae Pericarpium), Bai Fuling (Poria), Banxia (Pinelliae Tuber), Qianghuo (Notopterygii Rhizoma et Radix), Duhuo (Angelicae Pubescentis Radix), Jiegeng (Platycodonis Radix), Zhike (Aurantii Fructus Immaturus), Qianhu (Peucedani Radix), Chaihu (Bupleuri Radix), Ganjiang (Zingiberis Rhizoma), Rougui (Cinnamomi Cortex), Gancao (Glycyrrhizae Radix et Rhizoma).
Administration: Decoct with fresh ginger and take orally. If there is heat, remove Ganjiang (Zingiberis Rhizoma) and Rougui (Cinnamomi Cortex).
Qianghuo Ruxiang Tang (Notopterygium and Frankincense Decoction)
Ingredients: Qianghuo (Notopterygii Rhizoma et Radix), Duhuo (Angelicae Pubescentis Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Danggui (Angelicae Sinensis Radix), Chi Shaoyao (Paeoniae Radix Rubra), Fangfeng (Saposhnikoviae Radix), Jingjie (Schizonepetae Spica), Danpi (Moutan Cortex), Xuduan (Dipsaci Radix), Honghua (Carthami Flos), Taoren (Persicae Semen), Ruxiang (Olibanum).
Administration: Decoct with Shengdihuang (Rehmanniae Radix) and take orally. If there is heat, add Chaihu (Bupleuri Radix) and Huangqin (Scutellariae Radix).