论跌扑断伤
天师曰∶内者，胸腹之中；外者，风邪之犯。今既无胸腹之病，又无风寒之侵，忽然跌仆为灾，断伤
受困，此不内外之因，又一门也。方用当归五钱，大黄二钱，生地三钱，赤芍药三钱，桃仁一钱，红花一
钱，丹皮一钱，败龟板一钱，水一碗，酒一碗，煎服。（〔批〕逐瘀至神丹）。方中最妙当归、芍药和
其血，大黄、桃仁逐其瘀，生地、红花动其滞，一剂即可病去也。倘以大黄为可畏，或不用，改为别味，
则虽有前药，亦用之而不当。盖有病则病受之，用大黄之药，始能消去其瘀血，而终不能大下其脾中之物，
又何必过忌哉。倘跌伤打伤，手足断折，急以杉板夹住手足，不可顾病患之痛，急为之扶正凑合安当，倘
苟不正，此生必为废人。故必细心凑合端正，而后以杉板夹之，再用补骨之药，令其吞服，则完好如初矣。
方用羊踯躅三钱，炒黄大黄三钱，当归三钱，芍药三钱，丹皮二钱，生地五钱，土狗十个捶碎，土虱三
十个捣烂，红花三钱，自然铜末。先将前药酒煎，然后入自然铜末。调服一钱，连汤吞之。一夜生合。神
奇之甚，不同世上折伤方也，不必再服，止服二剂可也。（〔批〕接骨至神丹。）盖羊踯躅最能入心而去
其败血。人受伤至折伤手足，未有不恶血奔心者。
引诸活血之药，同群共入，则恶血必从下行，而新生之血必群入于折伤之处∶况大黄不特去瘀
血，亦能逐而生新，瘀去而各活血之品必能补缺以遮其门路，况土狗。土虱俱是接骨之圣药，即有缺而
不全，又得自然铜竞走空缺而补之，此所以奏功之速耳。骨断之处，自服药后，瑟瑟有声，盖两相连
贯，彼此合缝，若有神输鬼运之巧。恐世人不信耳，吾传至此，不畏上泄天机者，正副远公好善之心，
共为救济之事。庶天眷可邀，愆尤可免耳。
跌损唇皮之类，以桑白皮作线缝之，后以生肌散糁之自合。
张公曰∶方至此神矣、圣矣、化矣、亦何能赞一言哉。惟有前方煎药之内，少为商酌者。第一方
中，再加生地三钱，枳壳五钱。盖生地乃折伤之圣药，多多益善，少则力不全耳。折伤之病，未免瘀血奔
心，有枳壳之利于中，则瘀血不能犯也。
华君曰∶无可言。
论跌扑断伤
天师说：内，是指胸腹内部；外，是指风邪侵袭。现在既然没有胸腹内部的疾病，也没有风寒的侵袭，却忽然因为跌倒或撞击造成灾祸，导致肢体断裂受伤而受困，这是不内外因（既非内伤七情饮食，亦非外感六淫，而是金刃、虫兽、跌打等损伤），又属于一个门类了。方剂用当归五钱，大黄二钱，生地三钱，赤芍药三钱，桃仁一钱，红花一钱，丹皮一钱，败龟板一钱，水一碗，酒一碗，煎煮后服用。（批注：逐瘀至神丹）。这个方子中最妙的是当归、芍药调和血液，大黄、桃仁驱逐瘀血，生地、红花推动停滞的血行，服用一剂即可病愈。如果因为畏惧大黄而不用，或者将其改为其他药物，那么即使有前面的药物，使用也不恰当。因为有病则病邪承受药力，使用大黄的药，才能消除瘀血，而最终不会过度泻下脾脏中的实物，又何必过分忌讳呢？如果是跌伤或打伤，手足骨折，急忙用杉木板夹住手足，不要顾虑病人的疼痛，急忙为之扶正对齐接合妥当，如果不端正，这个人必定成为废人。所以必须细心对齐端正，然后用杉木板夹住，再用补骨的药物，让他吞服，那么就能完好如初了。方剂用羊踯躅三钱，炒黄的大黄三钱，当归三钱，芍药三钱，丹皮二钱，生地五钱，土狗十个捣碎，土虱三十个捣烂，红花三钱，自然铜末。先将前面的药物用酒煎煮，然后加入自然铜末。调服一钱，连同药汤一起吞下。一夜之间骨骼愈合。神奇得很，不同于世上的折伤方剂，不需要再服，只服两剂就可以了。（批注：接骨至神丹。）大概羊踯躅最能入心并去除败血。人受伤到手足折断的程度，没有恶血奔心的情况。引导各种活血的药物，同群共同进入，那么恶血必然从下行排出，而新生的血液必然群聚进入折伤的部位：况且大黄不仅去除瘀血，也能驱逐旧血而生新血，瘀血去除了，各种活血的物品必然能补缺以遮盖其门路，何况土狗、土虱都是接骨的圣药，即使有缺损而不全，又能得到自然铜竞相奔走填补空缺来补充它，这就是奏效迅速的原因。骨头断裂的地方，自从服药后，瑟瑟有声，大概是两端相连贯，彼此合缝，好像有神鬼运输般的巧妙。恐怕世人不相信罢了，我传授到这里，不怕泄露天机的人，正是为了符合远方公好善的心意，共同做救济的事情。这样或许可以邀得天眷顾，免除罪过罢了。
跌损嘴唇皮肤之类的，用桑白皮做成线缝合它，之后用生肌散撒在上面自然会愈合。
张公说：方剂到了这里已经神妙、神圣、变化无穷了，又有什么能称赞一言呢？只有在前方的煎药之内，稍微商量斟酌一下。第一方中，再加生地三钱，枳壳五钱。大概生地是折伤的圣药，越多越好，少了力量就不完全。折伤的疾病，难免有瘀血奔心，有了枳壳利于中焦，那么瘀血就不能侵犯了。
华君说：没有什么可说的。
On Dislocations, Falls, and Fractures
The Heavenly Master said: "Internal" refers to the interior of the chest and abdomen; "External" refers to the invasion of wind pathogens. Now, since there is neither disease in the chest and abdomen nor invasion of wind-cold, but suddenly disaster strikes through falling or striking, resulting in fractures and injuries that cause distress, this constitutes a cause that is neither internal nor external (i.e., injuries from mechanical trauma such as falls, blows, etc., distinct from internal emotional/dietary causes or external climatic invasions), representing another category. The prescription uses Dang Gui (Angelica sinensis) 5 qian, Da Huang (Rhubarb) 2 qian, Sheng Di (Rehmannia root prepared fresh) 3 qian, Chi Shao Yao (Red Peony Root) 3 qian, Tao Ren (Peach Seed) 1 qian, Hong Hua (Safflower) 1 qian, Dan Pi (Moutan Bark) 1 qian, Bai Gui Ban (Turtle Plastron aged/decayed) 1 qian, with one bowl of water and one bowl of wine, decocted and taken orally. (Comment: Zhu Yu Zhi Shen Dan [Miraculous Pill for Expelling Stasis]). The most exquisite aspect of this formula is that Dang Gui and Shao Yao harmonize the blood, Da Huang and Tao Ren expel stasis, while Sheng Di and Hong Hua mobilize stagnation; one dose suffices to eliminate the disease. If one fears Da Huang and omits it, or substitutes it with other herbs, then even with the preceding ingredients, the application would be inappropriate. This is because when there is pathogenic matter, the pathology receives the medicinal action; using Da Huang allows for the elimination of blood stasis without causing excessive purgation of healthy spleen contents, so why maintain excessive caution? In cases of fall or blow injuries where limbs are fractured, immediately immobilize the limbs with fir wood splints. Do not hesitate due to the patient's pain; urgently realign and set the bones properly. If not aligned correctly, the patient will inevitably become disabled. Therefore, one must carefully align the fragments correctly before applying the splints, followed by administering bone-nourishing medicine orally, after which the limb will recover completely. The prescription uses Yang Zhi Chu (Daphne odora) 3 qian, stir-fried Da Huang 3 qian, Dang Gui 3 qian, Shao Yao 3 qian, Dan Pi 2 qian, Sheng Di 5 qian, Tu Gou (Ground Beetle) 10 crushed, Tu Shi (Water Centipede) 30 mashed, Hong Hua 3 qian, and Zi Ran Tong (Native Copper) powder. First, decoct the aforementioned herbs in wine, then add the Zi Ran Tong powder. Take 1 qian mixed with the liquid, swallowing the residue along with the decoction. Healing occurs within one night. It is remarkably miraculous, differing from common fracture formulas on earth; no further doses are needed, only two doses suffice. (Comment: Jie Gu Zhi Shen Dan [Miraculous Pill for Bone Setting]). Generally, Yang Zhi Chu is particularly effective at entering the Heart organ to remove necrotic blood. When a person suffers severe limb fractures, it is invariably accompanied by chaotic blood rushing toward the Heart. Guiding various blood-activating herbs to act collectively ensures that chaotic blood descends and exits downward, while newly generated blood gathers at the site of injury. Moreover, Da Huang not only removes stasis but also promotes regeneration; once stasis is cleared, the various blood-activating agents can fill the voids and seal the pathways. Furthermore, Tu Gou and Tu Shi are holy medicines for bone setting. Even if there are gaps or incompleteness, Zi Ran Tong rushes to fill these vacancies, which explains the rapid efficacy. At the site of the broken bone, after taking the medicine, a rustling sound may be heard, indicating that the two ends are connected and the seams are closing, as if assisted by divine or ghostly craftsmanship. I fear people may not believe this, but I transmit this knowledge here, unafraid of revealing heavenly secrets, precisely to align with the benevolent intentions of distant virtuous individuals, jointly engaging in relief efforts. Thus, one may hopefully invite heavenly favor and avoid blame.
For injuries involving lacerations of the lips or skin, suture them using threads made from Sang Bai Pi (Mulberry Root Bark), then apply Sheng Ji San (Flesh-Generating Powder) to promote natural healing.
Master Zhang said: "The prescriptions have reached a state of divinity, holiness, and transformation; what words could possibly add praise? However, regarding the decoction of the previous formulas, I offer slight deliberations. For the first formula, add an additional 3 qian of Sheng Di and 5 qian of Zhi Ke (Aurantium Fruit). Sheng Di is a holy medicine for fractures; more is better, as insufficient amounts lack full potency. Fracture injuries inevitably involve blood stasis rushing to the Heart; the presence of Zhi Ke facilitates movement in the middle jiao, preventing stasis from invading."
Master Hua said: "There is nothing more to say."