陆养愚治沈华南，原有湿热痰积，五旬时因乘马坠地，伤其左胁，痛不可忍，外科以膏散敷治之而愈。然
每疾走，胁间一点微痛，少息半时痛止矣。周甲偶患滞下，小腹痛引左胁，手不可按，里急后重。或与香、连、
槟榔，痢止而痛不止，发热便涩，后重尤剧，饮食全不思。脉之，沉弦有力，左关尤甚，曰∶痛者积瘀也。治
法云，瘀血秽腐下焦，令人不食。则饮食不消者，亦瘀也，当急下之，则痛随利减矣。用润字丸和桃仁泥合丸
之，红花汤送下二钱，出稠痰碗许，而腹胁抽痛更甚，此瘀积动而未出故也。再投二钱，半日许，又出稠痰碗
许，内有黑色如泥者一二块，痛仍不减，脉尚沉而坚。又投三钱，半日许，出泥颜料并稠痰数碗，而痛顿觉减，
腹胁即可按，渐思饮食，其脉亦和。后以达气养荣汤加人参，数剂而安。
陆肖愚治宁见源，年近古稀，偶登舟失足堕水，足大股挫伤作痛，左胁亦引痛，服药已愈三月矣。忽左股
内髀枢作痛，或谓此乃肝经所络之地，高年肝血不足，虚而作痛，或谓湿痰流注，或谓肝经久郁，或谓昆仑气
逆，遍治疼肿日甚，增寒作热。脉之，六部洪数，而左关带弦。因询其曾有所伤否？乃述前堕水之由。曰∶此
必瘀血未尽，留而成毒也。视痛处已有脓在内，令延外科，教以针破之，出脓血数碗，服大料参 托里散，数
十剂而痊。
一人因坠马腰痛不止，日轻夜重，瘀血谛矣，与四物去生地，加肉桂、桃仁泥、红花、苏木，四服，大便
下黑血而痊。
湖广有胡氏子，五六岁时因升高为戏，坠地伤其头骨，稍长竟不能伸。朱守真者，同里也，一日相见，戏
挈其头，有声戛然，置地溘然死矣，朱惧而逸。胡氏子一时复苏，头项复直。归家，家人惊喜，谋寻朱谢之。
（《说颐》。）
张子和治张仲温，因登露台，高四尺许，下台伤肭，一足外踝肿起，热痛如火。一医欲以针刺肿出血，张
急止之曰∶肭已痛矣，更加针，二痛俱作，何以忍也？乃与神佑丸八九十丸，下二十余行，禁食热物，夜半肿
处发痒，痛止行步如常。张曰∶吾之此法，十治十愈，不诳后人。
一小儿七八岁，膝破，行则痛，数月矣。张曰∶小病耳。以舟车丸、通经散，温酒调而下之。夜半涌泄齐
行，上吐一碗，下泄半缶。既上床，其小儿谓母曰∶膝髌痒不可任。来曰，使服乌金丸，壮其筋骨，一月疾愈而走矣。
德宗时有朝士坠马伤足，国医为针腿，针不出，有气如烟出，朝士困惫，将至不起，国医惶惧，有道士诣
门云∶某合治得。视针处责国医曰∶公何容易，生死之穴，乃在分毫。人之血脉相通如江河，针灸在思其要津。
公亦好手，但误中孔穴。乃令舁床就前，于左腿气满处下针曰∶此针下，彼针跳出，当至檐板。言讫，遂针
入寸余，旧穴之针，沸然跃出，果至檐板。气出之处，泯然而合，病者当时平愈。朝士与国医拜谢，以金帛赠
贻，道士不受，啜茶一瓯而去。（《逸史》。雄按∶可为针家龟鉴。）
石城尉戴尧臣，试马损大指，血出淋漓，用葱新折者，糠火煨热剥皮，其间有涕，便将罨损处。仍多煨，
续续易热者。或捣烂敷之，而痛止，翌日洗面不见瘢痕。近宋惟官县尹，皆得此方，每有杀伤，气未绝，亟令
用此，活人甚众。（《本草纲目》。）
龚子才治一男子，坠马，肠有瘀血，服药下之，遂发热盗汗，自汗，脉浮涩。此重剂过伤气血所致也，投
以十全大补汤益甚，时或谵语。此药力未及而然，以前药加炮姜、附子五钱，服之即睡，觉来顿安，再剂而愈。
张三锡云∶曾见人因踢门用力，遂小腹痛不止，汤药乱投，临死小腹肿青，方悟往日受病之因也。
孙文垣治一人，梅疮后，偶遭一跌，环跳脱出，不能复入科臼，疼痛殊甚，两足长短不齐。此盖瘀血流入
科臼，占满故窍，致骨不得复入也。今但消去瘀血，以行气活血之药主之，佐以下行向导之剂，庶可撤消。用
陈年窖中砖瓦洗净 过四两，生地、杜牛膝、骨碎补、丹参、赤芍各一两五钱，自然铜三两，蒲黄、车前子、
苏木各一两，鹿角二两，元明粉五钱，各为末，以茅草根一斤，红花四两，煎膏拌晒前药，炼蜜为丸梧子大，
每空心及食前酒送下八九十丸。初足长出二寸余，服药后只差半寸。设再制久服，必能全愈。惜素畏药，中道而止。
李克斋家一鹤飞来，驯熟不去，以为祥瑞。未几鹤折其胫，私心殊不喜，因问有能接其胫骨者乎？一人对
曰∶家藏接骨秘方，想人禽一理，或可接也。急命其修制之，方用土鳖新瓦焙干，半两钱醋淬七次，自然铜、
乳香、没药、菜瓜子各等分，为细末，每服一分半，酒调灌之，鹤胫如故。但人上体伤，饭后服之；下体伤，空
心服之。李公乃以其方传于人。（《续金陵琐事》。）
张三锡云∶南京下浮桥梁回回丹药，每用二三厘，瓜仁捣泡酒下极验。远近患损伤者，竞觅之。要皆不外
土鳖、自然铜，第制法精耳。
四川提督总兵官吴英说∶昔得秘传治扑打跌损伤极效，虽重伤濒死，但一丝未绝，灌下立苏。往在福建为
副将时，军中有二弁相斗，皆重伤，其一则死矣。吴闻驰往治之，惟心头气尚微暖，亟命以药灌入，觉胸间喀
喀有声，不移时张目索食，翌日遂能行起。自后屡着神效云。其方以十一月采野菊花，连枝叶阴干。用时每野
菊花一两，加童便，无灰酒各一碗，同煎热服。
又一方，未退胞毛小鸡一只，和骨生捣如泥，入五加皮，敷伤处，接骨如神。（《居易录》。）
冯楚瞻于五十岁，由栾城回都，适有乡人伐一大树，时风沙蔽目，骑至树仆，人骑俱为压倒，正在腰脊间，
脊骨脱缝，疼如腰斩，胸骨扇动，腰肤青紫，下体俱冷，头汗如雨。因忆跌扑伤损门中，有一丝血入心即死之
语，以酒冲童便服之，顿觉脐下极冷，气逆上奔。乃思急固阳气为主，以人参一两，炒白术六钱，制附子三钱，
煎服，日二剂。有外科老医劝用破血行瘀之药，冯曰∶伤在上者宜消瘀滞，伤在下者宜补血气，此正法也。遂
早晚用八味丸治之，加牛膝、杜仲、五味各五钱，随进参、术、附子各一剂。缘右肾连脊受伤，肾经祖气无根，
故不能寐，并不能言。一言一寐，即逆气上奔欲绝。冯仗药力之猛，得以接纳，药后必进干饼以压之，肠中如
火，干饼多进，亦易消化，八日始便，并无点瘀。外以猪油熬化头发，入十全大补加减煎膏，以乳、没收之，
遍贴伤处。七日后气逆少缓，半月后渐可寐言，月余始能凭几而坐，两月余始能扶杖，而脊骨突出半寸，终成
痼疾。自是精力大衰，膝踝筋脉之间时疼痛。然幸知破格为治，得以全生。
李南公知长沙县，有斗者，甲强乙弱，各有青赤。南公召使前，自以指捏之，乙真甲伪也。诘之，果服。
盖南方有榉树，以叶涂肤则青赤如殴伤者。剥其皮横置肤上，以火熨之，则加倍，伤者以水洗不落。南公曰∶
殴者血聚而硬，伪者不然，故知之。（司马《涑水纪闻》。）
华南岩刺蒲时，有哄者诉于州，一人流血被面，经重创，脑几裂，绝命悬旦夕。公见之恻然，时家有刀疮
药，公即起入内自捣药，令舁至幕厅，委一谨浓厅子及幕官，曰∶宜善视之，勿令伤风，此人死，汝辈责也。
其家人亦不令前，乃略加审核呈状，收其仇家于狱，余皆释之。友人问其故。曰∶凡人争斗，必无好气。此人
不救而死，则偿命者一人，寡人之妻、孤人之子者几人，干证连系者几人，破家者几人。此人愈，特一斗殴罪
耳。且人情欲狱胜，虽于骨肉，亦甘心无所恤，忿 故也。未几，伤者果平复，而二家之讼遂息。刀疮药方∶
端午取韭菜捣汁，和锻石杵熟为饼，阴干，用以治诸伤，敷创处即止，虽骨破亦合，有奇效。
韩贻丰摄永宁篆，有部民被殴，死已逾夕，即单骑往验，则遍身重伤，僵挺，无生气矣。因念死者父母年
老贫病，惟此子，死则二老必不能生。不得已因取针针其百会，亦冀万一，非谓其必活也。时天气甚寒，令村
人各解衣轮熨尸身，又熬水令极热，探汤揉尸手足，无何得人气，体顿柔。针至十四针，忽喉中作响，口鼻微
有气。诊其脉、脉忽动。乃喜曰∶有救矣。至二十一针，则喉间大出声，手足能屈伸，口称遍体痛不可忍，则
皆被殴处也。乃呼酒来，以药饮之，伤处糁之以药，痛处以针针之。责令凶首保护调养，如限内死，仍抵偿。
后伤者全愈，求和息，乃杖凶者而遣之。
薛立斋治一男子，坠马伤头臂，令以葱捣烂炒热罨患处，以热手熨之，服末药降圣丹而愈。本草云∶葱大
治伤损。
一字散治一切打扑损伤，筋骨断折。宗子赵叔恭，名公寅，以善铁锤著名。其父宰嵊县，日因与族人聚饮
超化寺，醉酒坠悬崖之下。亟视之，昏不醒人，手臂已折，舁归，得此二药，治之遂愈，其后运锤如故。叔恭
尝知大宁监，云韩希道知府传∶五灵脂、没药别研，川乌头、草乌头俱去皮脐，生用，各四两；地龙、乳香各
半两，别研；麝香半钱，别研；白胶香一两。后四味加减些不妨。上为细末，每服一钱，温酒调下。丸如梧桐
子大，加减自少至多，服之亦可。若腰以上损，食后服，腰以下损，食前服，觉麻为验。未麻加药，麻甚即减。
（《百乙方》。）
福州长乐县一盗囚被笞捶，身无全肤，以情告狱吏，求买胡孙姜，烂研取汁，以酒煎或调服，留滓以敷疮。
不数日，平服如故。（同上。）
濠梁灵泉寺僧传治打扑伤损，用半两古文钱，不拘多少，以铁贯之，用铁匣盛，以炭火 通红，碗盛好酒、
米醋各半升，铁钳开匣取钱，于酒醋中淬，再 再淬，候苏落尽。如酒醋少，再添，候钱淬尽，澄去酒醋，以
温水淘洗，如些三次，淘洗数多尤妙。火毒不尽，令人患哑。既净焙干，研极细，入乳香、没药、水蛭等分，
同为细末。每服半字，或一字，生姜自然汁先调药，次用温酒浸。平服若不伤折，实时呕出。若伤折则药径下，
缠缴如金丝，如弓上之筋，神验。初服忌酒三日。刘谅县传王丞相在东府时，施一接骨药云，用半两钱极有效
验，恐即是此方也。（同上。雄按∶寺僧所用即一字散也。）
打扑损肿痛不止，用生姜自然汁、米醋、牛皮胶同熬溶，入马屁勃末，不拘多少，搅匀如膏药，以纸花摊
敷肿处，痛即止。以多敷为妙。绍兴 厅二人用之得效。（同上。）
南台掾梁彦思使闽，而足不能履。医以风论，或以香港脚治，经年不瘳。项彦章诊之，六脉仅微数，而他无
所病。即探患处，乃骨出不入肯綮耳，施以按摩，即愈。（《九灵山房集》。）
南台治书迭里迷失公，足失履，而伤腕骨，掌反于后者，六阅月矣。众医不能治。公知抱一翁精按摩，曰∶
幸予治也。翁令壮士更相摩，从辰至申，而筋肉尽腐，遂引其掌以揉之，觉 然有声，药以两月，其足如常
时。（同上。）
陆养愚治疗沈华南，患者原本患有湿热痰积。五十岁时因骑马坠地，伤及左胁，疼痛难忍，外科医生用膏药和散剂敷治而痊愈。然而每次快跑时，胁间有一点微痛，稍作休息半小时后疼痛便停止。周甲（六十岁）时偶然患痢疾，小腹痛并牵引至左胁，手不可按压，伴有里急后重。有人给予香附、黄连、槟榔，痢疾虽止但疼痛不止，出现发热、小便涩痛，后重症状更加严重，饮食完全不想吃。诊脉，脉象沉弦有力，左关部尤为明显。陆养愚说：“疼痛是因为有瘀血积聚。”治法云：“瘀血秽腐于下焦，使人不能进食。”那么饮食不消化，也是瘀血所致，应当紧急攻下，这样疼痛就会随着大便通畅而减轻。于是用润字丸与桃仁泥混合制丸，用红花汤送服二钱，排出约一碗稠痰，但腹胁抽痛反而更剧烈，这是瘀积被触动但尚未排出的缘故。再投二钱，约半天时间，又排出约一碗稠痰，其中有一两块黑色如泥样的物质，疼痛仍不减轻，脉象依然沉而坚硬。又投三钱，约半天时间，排出泥浆样颜料及稠痰数碗，疼痛顿时减轻，腹部和胁部可以按压，逐渐想吃东西，脉象也变得平和。后来用达气养荣汤加入人参，服用几剂后病情安定。
陆肖愚（即陆养愚）治疗宁见源，年近七十，偶然登船失足落水，大腿内侧挫伤疼痛，左胁也牵引疼痛，服药已痊愈三个月。忽然左股内髀枢部位疼痛，有人说这是肝经所络属的地方，老年人肝血不足，虚损而作痛；有人说湿痰流注；有人说肝经久郁；有人说昆仑穴气逆。遍治疼痛肿胀日益加重，出现恶寒发热。诊脉，六部脉洪数，左关带弦。于是询问是否有受伤史？患者叙述了之前落水的情况。陆肖愚说：“这一定是瘀血未尽，留滞而成毒。”查看疼痛处已有脓在内，让他延请外科医生，教以针刺破溃，排出脓血数碗，服用大剂量参芪托里散，几十剂后痊愈。
有一人因坠马腰痛不止，白天轻晚上重，确认为瘀血，给予四物汤去掉生地，加入肉桂、桃仁泥、红花、苏木，服用四剂，大便排出黑血而痊愈。
湖广有一胡姓人家之子，五六岁时因登高玩耍，坠地伤到头骨，长大后竟无法伸直身体。朱守真是同乡，一天相见，开玩笑提起他的头，发出嘎然声响，放下后他立刻死了，朱守真害怕而逃跑。胡氏子一时复苏，头颈重新挺直。回家后，家人惊喜，谋划寻找朱守真致谢。（出自《说颐》。）
张子和治疗张仲温，因登上露台，高约四尺，下台时伤到肭（指会阴或生殖器附近），一只脚的外踝肿起，热痛如火烧。一位医生想用针刺破肿处出血，张子和急忙制止说：“肭部已经疼痛了，再加针刺，两处疼痛一起发作，怎么忍受得了呢？”于是给予神佑丸八九十丸，排便二十多次，禁止食用热物，半夜肿处发痒，疼痛停止，行走如常。张子和说：“我的这种方法，十次治疗十次痊愈，不欺骗后人。”
一个七八岁的小孩，膝盖破皮，行走则痛，几个月了。张子和说：“是小病。”用舟车丸、通经散，温酒调服而下。半夜涌泄同时发生，上吐一碗，下泄半缶。上了床后，小孩对母亲说：“膝盖髌骨处痒得受不了。”第二天，让服用乌金丸，强壮筋骨，一个月后疾病痊愈并能行走。
唐德宗时有位朝士坠马伤足，国医为他针腿部，针拔不出，有气如烟冒出，朝士困倦疲惫，几乎濒死，国医惶恐恐惧。有位道士到门前说：“我应当能治好。”查看针处责备国医说：“你太轻易下手了，生死之穴，就在分毫之间。人的血脉相通如江河，针灸在于思考其要津。你也是好手，只是误中孔穴。”于是让人抬床靠近，在左腿气满处下针说：“此针下去，那根针会跳出，应该会顶到屋檐板。”说完，遂将针入一寸多，旧穴的针，沸腾般跃出，果然顶到檐板。气出的地方，平滑愈合，病人当时平复痊愈。朝士与国医拜谢，赠送金银丝绸，道士不接受，喝了一杯茶离去。（出自《逸史》。熊应雄按：可为针灸家的借鉴。）
石城尉戴尧臣，试马时损伤大拇指，血流淋漓，用新折断的葱，在糠火中煨热剥去外皮，葱中有粘液，立即敷在损伤处。仍然多煨，陆续更换热的葱。或者捣烂敷之，疼痛停止，第二天洗脸不见瘢痕。近代宋惟官任县尹，都得到这个方子，每当有杀伤，气息未绝，急忙令用此法，救活很多人。（出自《本草纲目》。）
龚子才治疗一男子，坠马，肠内有瘀血，服药攻下后，遂发热盗汗、自汗，脉浮涩。这是重剂过伤气血所致，投以十全大补汤反而加重，有时谵语。这是药力未到而出现的反应，以前药加炮姜、附子五钱，服用后即睡，醒来顿觉安适，再服两剂而愈。
张三锡说：曾见人因踢门用力，导致小腹痛不止，汤药乱投，临死时小腹肿青，才醒悟往日受病的根源。
孙文垣治疗一人，患梅毒疮后，偶然跌倒，环跳穴脱出，不能复位，疼痛非常剧烈，两脚长短不齐。这大概是瘀血流入关节间隙，占满故窍，致使骨头不得复位。现在只需消除瘀血，以行气活血的药物为主，佐以下行向导的药剂，或许可以撤销。用陈年窖中的砖瓦洗净焙干四两，生地、杜牛膝、骨碎补、丹参、赤芍各一两五钱，自然铜三两，蒲黄、车前子、苏木各一两，鹿角二两，元明粉五钱，各研为末，用茅草根一斤，红花四两，煎膏拌晒前药，炼蜜为丸如梧桐子大，每空心及食前酒送下八九十丸。起初脚长出二寸余，服药后只差半寸。如果继续制作长期服用，必能全愈。可惜患者素来畏惧吃药，中途停止。
李克斋家有一只鹤飞来，驯熟不去，以为是祥瑞。不久鹤折断了胫骨，私下很不高兴，于是问有没有能接其胫骨的人？一人回答说：“家藏接骨秘方，想人禽一理，或许可以接。”急忙命其修制，方用土鳖虫在新瓦上焙干，半两钱醋淬七次，自然铜、乳香、没药、菜瓜子各等分，研为细末，每服一分半，酒调灌之，鹤胫恢复如初。但人上部受伤，饭后服之；下部受伤，空腹服之。李公于是将此方传给人。（出自《续金陵琐事》。）
张三锡说：南京下浮桥梁的回回丹药，每用二三厘，瓜仁捣泡酒下极有效验。远近患损伤者，竞相寻觅。大概都不外乎土鳖、自然铜，只是制法精细罢了。
四川提督总兵官吴英说：昔日得到秘传治扑打跌损伤极效的方子，虽重伤濒死，只要一丝气息未绝，灌下立苏。以往在福建任副将时，军中有两名军官相斗，皆重伤，其中一个已经死了。吴英听说驰往治疗，只见心头气尚微暖，急忙命以药灌入，感觉胸间喀喀有声，不一会儿睁眼索食，第二天便能行走起来。此后屡着神效。其方以十一月采野菊花，连枝叶阴干。用时每野菊花一两，加童便、无灰酒各一碗，同煎热服。
又一方，取未退绒毛的小鸡一只，和骨生捣如泥，加入五加皮，敷伤处，接骨如神。（出自《居易录》。）
冯楚瞻五十岁时，从栾城回京，恰逢乡人伐一大树，当时风沙蔽目，骑至树倒，人骑俱被压倒，正在腰脊间，脊骨脱缝，疼如腰斩，胸骨扇动，腰肤青紫，下体俱冷，头汗如雨。因忆起跌扑伤损门中，“有一丝血入心即死”的说法，用酒冲童便服之，顿觉脐下极冷，气逆上奔。于是思虑急固阳气为主，用人参一两，炒白术六钱，制附子三钱，煎服，每日两剂。有外科老医劝用破血行瘀之药，冯楚瞻说：“伤在上者宜消瘀滞，伤在下者宜补血气，这是正法。”于是早晚用八味丸治疗，加牛膝、杜仲、五味子各五钱，随进参、术、附子各一剂。因为右肾连脊受伤，肾经祖气无根，所以不能寐，也不能言。一言一寐，即逆气上奔欲绝。冯楚瞻仗药力之猛，得以接纳，药后必进干饼以压之，肠中如火，干饼多吃，也容易消化，八日始大便，并无点瘀。外用猪油熬化头发，入十全大补加减煎膏，以乳香、没药收之，遍贴伤处。七日后气逆少缓，半月后渐可寐言，月余始能凭几而坐，两月余始能扶杖，而脊骨突出半寸，终成痼疾。从此精力大衰，膝踝筋脉之间时常疼痛。然而幸亏知道破格为治，得以保全生命。
李南公知长沙县，有斗殴者，甲强乙弱，各有青赤色伤痕。南公召使上前，自己用手指捏之，发现乙是真伤，甲是伪伤。审问后，果服罪。原来南方有榉树，以叶涂肤则青赤如殴伤者。剥其皮横置肤上，以火熨之，则加倍，伤者以水洗不落。南公说：“殴者血聚而硬，伪者不然，故知之。”（司马光《涑水纪闻》。）
华南岩刺蒲时，有哄闹者诉于州府，一人流血满面，经重创，脑几裂，性命悬于旦夕。华公见之恻然，当时家有刀疮药，公即起身入内自捣药，令人抬至幕厅，委托一谨慎浓厅子及幕官，说：“宜善视之，勿令伤风，此人死，你们有责。”其家人也不令上前，乃略加审核呈状，收其仇家于狱，其余皆释放。友人问其故。华公说：“凡人争斗，必无好气。此人若不救而死，则偿命者一人，寡人之妻、孤人之子者几人，干证连系者几人，破家者几人。此人若愈，特一斗殴罪耳。且人情欲狱胜，虽于骨肉，亦甘心无所恤，忿恨故也。”不久，伤者果平复，而二家之讼遂息。刀疮药方：端午取韭菜捣汁，和锻石杵熟为饼，阴干，用以治诸伤，敷创处即止，虽骨破亦合，有奇效。
韩贻丰摄永宁篆，有部民被殴，死已逾夕，即单骑往验，则遍身重伤，僵挺，无生气矣。因念死者父母年老贫病，惟此子，死则二老必不能生。不得已因取针针其百会穴，亦冀万一，非谓其必活也。当时天气甚寒，令村人各解衣轮熨尸身，又熬水令极热，探汤揉尸手足，无何得人气，体顿柔。针至十四针，忽喉中作响，口鼻微有气。诊其脉，脉忽动。乃喜曰：“有救矣。”至二十一针，则喉间大出声，手足能屈伸，口称遍体痛不可忍，则皆被殴处也。乃呼酒来，以药饮之，伤处糁之以药，痛处以针针之。责令凶首保护调养，如限内死，仍抵偿。后伤者全愈，求和息，乃杖凶者而遣之。
薛立斋治疗一男子，坠马伤头臂，令以葱捣烂炒热罨患处，以热手熨之，服末药降圣丹而愈。本草云：葱大治伤损。
一字散治一切打扑损伤，筋骨断折。宗子赵叔恭，名公寅，以善铁锤著名。其父宰嵊县，日因与族人聚饮超化寺，醉酒坠悬崖之下。亟视之，昏不醒人，手臂已折，舁归，得此二药，治之遂愈，其后运锤如故。叔恭尝知大宁监，云韩希道知府传：五灵脂、没药别研，川乌头、草乌头俱去皮脐，生用，各四两；地龙、乳香各半两，别研；麝香半钱，别研；白胶香一两。后四味加减些不妨。上为细末，每服一钱，温酒调下。丸如梧桐子大，加减自少至多，服之亦可。若腰以上损，食后服，腰以下损，食前服，觉麻为验。未麻加药，麻甚即减。（《百乙方》。）
福州长乐县一盗囚被笞捶，身无全肤，以情告狱吏，求买胡孙姜，烂研取汁，以酒煎或调服，留滓以敷疮。不数日，平服如故。（同上。）
濠梁灵泉寺僧传治打扑伤损，用半两古文钱，不拘多少，以铁贯之，用铁匣盛，以炭火通红，碗盛好酒、米醋各半升，铁钳开匣取钱，于酒醋中淬，再淬，候苏落尽。如酒醋少，再添，候钱淬尽，澄去酒醋，以温水淘洗，如些三次，淘洗数多尤妙。火毒不尽，令人患哑。既净焙干，研极细，入乳香、没药、水蛭等分，同为细末。每服半字，或一字，生姜自然汁先调药，次用温酒浸。平服若不伤折，实时呕出。若伤折则药径下，缠缴如金丝，如弓上之筋，神验。初服忌酒三日。刘谅县传王丞相在东府时，施一接骨药云，用半两钱极有效验，恐即是此方也。（同上。熊应雄按：寺僧所用即一字散也。）
打扑损肿痛不止，用生姜自然汁、米醋、牛皮胶同熬溶，入马屁勃末，不拘多少，搅匀如膏药，以纸花摊敷肿处，痛即止。以多敷为妙。绍兴某厅二人用之得效。（同上。）
南台掾梁彦思使闽，而足不能履。医以风论，或以香港脚治，经年不瘳。项彦章诊之，六脉仅微数，而他无所病。即探患处，乃骨出不入肯綮耳，施以按摩，即愈。（《九灵山房集》。）
南台治书迭里迷失公，足失履，而伤腕骨，掌反于后者，六阅月矣。众医不能治。公知抱一翁精按摩，曰：“幸予治也。”翁令壮士更相摩，从辰至申，而筋肉尽腐，遂引其掌以揉之，觉 然有声，药以两月，其足如常时。（同上。）
Lu Yangyu treated Shen Huanan, who originally suffered from damp-heat and phlegm accumulation. At age fifty, he fell from a horse, injuring his left hypochondrium with unbearable pain. A surgeon healed him with plaster and powder applications. However, whenever he ran fast, a slight pain occurred in the hypochondrium, ceasing after half an hour of rest. Around age sixty (Zhoujia), he accidentally developed dysentery. Lower abdominal pain radiated to the left hypochondrium, was intolerable to touch, and accompanied by tenesmus. Given Xiangfu (Cyperi Rhizoma), Huanglian (Coptidis Rhizoma), and Binglang (Arecae Semen), the dysentery stopped but pain persisted, with fever, dysuria, and worsened tenesmus; appetite was completely lost. Pulse diagnosis revealed deep, wiry, and forceful pulses, especially at the left Guan position. Lu said, "Pain is due to blood stasis." The treatment principle states: "Stagnant blood and foul matter in the lower jiao cause loss of appetite." Thus, indigestion is also due to stasis; urgent purgation is needed so that pain decreases with bowel movement. He used Runzi Wan combined with Tao Ren paste, administered with Honghua Tang (Safflower Decoction). Two qian were given, expelling about one bowl of thick phlegm, but abdominal and hypochondriac cramping worsened, indicating the stasis was stirred but not yet expelled. Another two qian were given; after half a day, another bowl of thick phlegm was expelled, containing one or two pieces of black mud-like material. Pain remained unchanged, pulse still deep and firm. Another three qian were given; after half a day, several bowls of mud-like pigment and thick phlegm were expelled. Pain suddenly decreased, abdomen and hypochondrium became palpable, appetite returned, and pulse became harmonious. Later, Daqi Yangrong Tang with added Renshen (Ginseng Radix et Rhizoma) was taken for several doses, stabilizing the condition.
Lu Xiaoyu (Lu Yangyu) treated Ning Jianyuan, nearly seventy years old, who fell into water while boarding a boat, injuring his thigh and causing pain radiating to the left hypochondrium. He had recovered for three months with medication. Suddenly, pain appeared in the left thigh near the Bitshu point. Some attributed it to Liver channel deficiency in the elderly; others to damp-phlegm migration, Liver stagnation, or Qi rebellion at Kunlun. Treatments for pain and swelling failed, worsening with chills and fever. Pulse was flooding and rapid in all positions, wiry at the left Guan. Asking about trauma, he recounted the fall. Lu said, "This must be residual blood stasis turning into toxin." Inspecting the painful area showed pus formation. He referred him to surgery, instructing needle lancing, which drained several bowls of pus and blood. Large doses of Shenqi Tuoli San (Ginseng and Astragalus Toxin-Expelling Powder) were taken for dozens of doses until recovery.
A man suffered persistent lower back pain after falling from a horse, worse at night than day, clearly due to blood stasis. Siwu Tang (Four Substances Decoction) without Shengdi Huang (Rehmanniae Radix) was modified with Rougui (Cinnamomi Cortex), Tao Ren (Persicae Semen), Honghua (Carthami Flos), and Sumu (Pterocarpus Indicus Lignum). After four doses, black blood was passed in stool, and he recovered.
In Huguang, a Hu family son injured his skull falling from height at age five or six, resulting in inability to straighten his body as he grew older. Zhu Shouzhen, a fellow townsman, jokingly lifted his head one day, producing a cracking sound, after which the boy died instantly. Zhu fled in fear. The boy revived shortly after, his neck straightening again. Upon returning home, his family was overjoyed and planned to thank Zhu. (From *Shuo Yi*.)
Zhang Zihe treated Zhang Zhongwen, who fell from a terrace about four chi high, injuring the Nao (perineal/genital area). His right lateral malleolus swelled with burning heat and pain. A physician wanted to lance the swelling to bleed it. Zhang stopped him, saying, "The Nao is already painful; adding needle puncture would cause double pain, which is unbearable." Instead, he prescribed Shenyou Wan (Divine Protection Pills), eighty to ninety pills, causing over twenty bowel movements. Hot foods were forbidden. By midnight, the swelling itched, pain ceased, and walking returned to normal. Zhang said, "My method cures ten out of ten; I do not deceive future generations."
An eight-year-old child had a broken knee causing pain when walking for months. Zhang said, "It is a minor illness." He used Zhouche Wan (Boat Cart Pills) and Tongjing San (Meridian-Unblocking Powder), mixed with warm wine. By midnight, vomiting and purging occurred simultaneously: one bowl vomited, half a jar purged. In bed, the child told his mother, "My kneecap itches unbearably." The next day, Wu Jin Wan (Black Gold Pills) was given to strengthen bones and tendons. After one month, the disease cured, and he could walk.
During Emperor Dezong's reign, a court official fell from a horse, injuring his foot. The Imperial Physician needled his leg, but the needle could not be withdrawn. Smoke-like Qi escaped, leaving the official exhausted and near death. The physician panicked. A Daoist arrived, saying, "I can treat this." Examining the needle site, he reprimanded the physician: "You acted too hastily. Life and death points differ by mere millimeters. Human vessels are like rivers; acupuncture requires understanding key junctions. You are skilled but missed the correct point." He ordered the bed moved forward and needled the Qi-full area on the left leg, predicting, "This needle will push the other out to the eaves board." Inserting the needle more than one cun, the stuck needle jumped out violently, reaching the eaves board. The wound closed smoothly, and the patient recovered instantly. The official and physician offered gold and silk, which the Daoist refused, drinking only a cup of tea before leaving. (From *Yi Shi*. Note: This serves as a lesson for acupuncturists.)
Dai Yaochen, Vice Magistrate of Shicheng, damaged his big toe testing a horse, bleeding profusely. He used a freshly broken scallion, heated in bran fire, peeled, and applied the sticky interior to the wound, replacing it frequently with hot ones. Alternatively, mashed scallion was applied. Pain stopped, and no scar remained the next day. Official Song Wei later used this formula successfully for many traumatic injuries where life was barely hanging on. (From *Bencao Gangmu*.)
Gong Zicai treated a man who fell from a horse, having intestinal blood stasis. After purgative treatment, he developed fever, night sweats, and spontaneous sweating with floating, choppy pulse. This resulted from heavy purgatives damaging Qi and Blood. Shiquan Dabu Tang (Comprehensive Great Tonifying Decoction) worsened the condition, causing delirium. This was due to insufficient medicinal power. Paojiang (Prepared Ginger Rhizome) and Fuzi (Aconiti Lateralis Radix Praeparata), five qian, were added to the previous prescription. Sleep followed, and upon waking, he felt relieved. Two more doses cured him.
Zhang Sanxi recalled seeing someone with persistent lower abdominal pain after kicking a door hard. Mismedication led to swollen, blue lower abdomen before death, revealing the true cause.
Sun Wen Yuan treated a man post-syphilitic sore who fell, dislocating the Huantiao point, unable to reduce, with severe pain and unequal leg length. Stasis filled the joint cavity, preventing bone reduction. Treatment focused on resolving stasis with Qi-moving and Blood-invigorating herbs, aided by descending guides. Ingredients included aged kiln bricks (four liang), Shengdi Huang (one tael five qian), Duniu Xi (one tael five qian), Gusuibu (one tael five qian), Danshen (one tael five qian), Chishao (one tael five qian), Ziran Tong (three liang), Puhuang (one tael), Cheqianzi (one tael), Sumu (one tael), Deer Antler (two liang), and Mingfan (five qian), all powdered. Mixed with a paste made from Mugonggen (Mugwort Root) and Honghua (Safflower), honey-pilled. Taken with wine on an empty stomach. Initially, the leg lengthened by two cun, leaving a half-cun difference. Continued use would have fully cured him, but the patient feared medicine and stopped midway.
Li Kezhai's family had a tame crane. When its tibia broke, Li asked for a bone-setting secret recipe. A man offered his family's formula using Tubiechong (Eupolyphaga), Cu Zhi (Copper Sulfate processed with vinegar), Ziran Tong, Ruxiang (Olibanum), Moyao (Myrrha), and Caiguazi (Vegetable Melon Seeds), powdered. One-and-a-half fen was given with wine. The crane's leg healed. For humans, take after meals for upper body injuries, fasting for lower body. Li shared this formula. (From *Xu Jinling Suoshi*.)
Zhang Sanxi noted that the Huihui Dan Yao for fractures in Nanjing, taken with melon seeds and wine, was highly effective. It primarily contained Tubiechong and Ziran Tong, differing only in refinement.
Wu Ying, Military Governor of Sichuan, shared a secret formula for severe trauma. Even if near death, if breath remains, immediate administration restores consciousness. In Fujian, he treated a soldier killed in a fight; only heart warmth remained. Medication was forced down. Crackling sounds were heard in the chest; soon, eyes opened, asking for food. He walked the next day. The formula uses wild chrysanthemum leaves and stems dried in shade, decocted with fresh urine and unfiltered wine. Another recipe uses a downy chick ground with bone and Wujia Pi (Acanthopanacis Cortex) applied to wounds for miraculous bone setting. (From *Juyi Lu*.)
Feng Chuzhan, at fifty, was crushed by a falling tree between the waist and spine. Spine dislocated, pain like being cut in half, chest bone moving, waist purple, lower body cold, head sweating profusely. Remembering the rule "a thread of blood entering the heart causes death," he drank scallion juice mixed with wine and fresh urine. This caused extreme cold below the navel and rebellious Qi. Realizing the need to secure Yang Qi urgently, he took Renshen (one liang), Chao Baizhu (six qian), and Zhi Fuzi (three qian), twice daily. A surgeon suggested blood-breaking herbs, but Feng insisted on tonifying Qi and Blood for lower injuries. He used Bawei Wan (Eight-Ingredient Pill) with Niuxi (Achyranthis Bidentatae Radix), Duzhong (Eucommiae Cortex), and Wuweizi (Schisandrae Fructus). Due to right kidney and spine injury, ancestral Qi lacked root, causing insomnia and muteness. Any speech or sleep triggered rebellious Qi. Strong medicine helped stabilize him. Dry cakes were eaten to suppress Qi, digesting easily. Bowel movement occurred on the eighth day without stasis. Externally, pig fat with human hair was melted, mixed with Shiquan Dabu Tang modification, Ruxiang, and Moyao, applied to wounds. After seven days, Qi rebellion eased; after half a month, sleep and speech returned; after one month, sitting up; after two months, walking with a cane. The spine protruded half an inch, becoming chronic. Energy declined, knees and ankles ached. Fortunately, bold treatment saved his life.
Li Nangong, magistrate of Changsha, judged a fight where A claimed injury by B. Pinching revealed B's bruises were real, A's fake. A southern tree leaf painted skin to mimic bruises; peeling bark and ironing doubled the effect, resistant to washing. Li knew real bruises are hard from blood aggregation, fakes are not. (From Sima Guang's *Susui Jiwen*.)
Hua Nanyan, during a thorn bush incident, saw a man with facial lacerations and near-skull fracture, dying. Feeling pity, Hua prepared his own wound medicine, instructed staff to keep the patient warm and wind-free, and arrested the attacker while releasing others. Explaining to friends, he reasoned that saving one life prevents multiple families from being destroyed by legal entanglements and vengeance. The patient recovered, ending the lawsuit. The wound medicine formula: Scallion juice mixed with calcined stone, formed into cakes, dried, and applied to stop bleeding and heal even broken bones. (From *Bencao Gangmu* context implied).
Han Yifeng, acting magistrate of Yongning, found a beaten man dead overnight. Noting the deceased's poor elderly parents, he needled Baihui (GV20) as a last hope. In cold weather, villagers warmed the corpse with clothes and hot water rubbing. After fourteen needles, throat sounds and faint breath appeared. Pulse moved. At twenty-one needles, loud sounds emerged, limbs moved, and the man complained of pain. Wine and medicine were given, wounds dressed, painful spots needled. The attacker was ordered to care for him under penalty. The man recovered, leading to reconciliation.
Xue Lizhai treated a man with head and arm injuries from a fall. Scallions were mashed, heated, applied, and massaged with hot hands. Jiangsheng Dan (Holy Descending Pills) powder was taken. *Bencao* states scallions greatly treat trauma.
Yizi San (One Character Powder) treats all blunt trauma and fractures. Zhao Shugong's father fell from a cliff while drunk. Arm broken, unconscious. Treated with this powder, he recovered and resumed hammering. Formula: Wulingzhi (Trogopteri Dung), Moyao, Chuan Wutou, Cao Wutou (peeled, raw), Dilong (Earthworm), Ruxiang, Shexiang (Musk), Bai Jiaoxiang. Powdered, taken with warm wine. Take after meals for upper body, before meals for lower. Numbness indicates efficacy. (From *Baibai Fang*.)
A prisoner in Changle County, severely beaten, requested Hu Sun Jiang (likely a local herb), juiced, decocted with wine, and residue applied to wounds. Recovered in days. (Same source).
Monk Chuan from Lingquan Temple treated trauma using ancient half-liang coins. Quenched repeatedly in wine and vinegar until rust dissolved. Washed, dried, powdered. Mixed with Ruxiang, Moyao, and Shuizhi (Leech). Taken with ginger juice and warm wine. If no fracture, it causes vomiting; if fractured, it passes through, forming golden-wire-like structures in stool, proving efficacy. Avoid alcohol for three days. Liu Liangxian noted Wang Xiang's bone-setting powder using half-liang coins, likely the same formula. (Same source).
For persistent swelling and pain from trauma: Fresh ginger juice, rice vinegar, and ox hide glue are boiled together, mixed with Mapibo (likely a plant powder). Applied as a plaster. Effective in Shaoxing. (Same source).
Liang Yansi, envoy to Fujian, could not walk. Doctors treated for wind or gout without success. Xiang Yanzhang diagnosed a subluxation ("bone not in place") and cured it with massage. (From *Jiulingshanfang Ji*.)
Dili Mixi, Secretary of Nantai, had a wrist injury with palm reversal for six months. Doctors failed. Knowing Baoyi Weng mastered massage, he sought help. Strong men rubbed him from morning to afternoon until muscles softened. The palm was kneaded with a cracking sound. Within two months, function returned. (Same source).