夫跌打损伤,气血不流行,或人事昏沉,往来寒热,或日轻夜重,变作多端。昧者不审
妄投猛剂,枉死多人,诚可惜也。治宜及早,半月后才医,瘀血已固,水道不通,难为力矣
。既表不可复表,要仔细看明,随轻重用药。青肿转红色,血活将愈。若牙关紧闭,不能进药
,万无生理。坐卧避风,忌一切生冷,牛肉缩筋,猪肉发病,亦不宜食。遇有重伤,解衣谛
视偏身,血道形色若何,诊脉调和与否。脉绝不至者死,沉细者生。山根好,阴囊有子,可
治。肾子入小腹,无治。顶门一破,骨陷难存。囟门被伤,髓出即死。心胸紧痛,青色胜裹
心,乃偏心受伤,可治。红色胜裹心,乃心口受伤,不治。上心口青肿,一七即死。伤小腹
而不及肚,可治。若阴阳不分,粪下不止,气出不收,则肚伤矣。食管虽断,在饱食之后,延
二日不死者,可治。若鼻孔黑色,舌大神昏,则脏腑绝矣。耳后为制命之处,脊骨无续断之
方。男子乳伤,犹非重症,妇人乳伤,却是危机。正腰受伤,笑者多凶。小腹受伤,孕妇最
忌。以上姑述其大者,并列各方于下。
归尾兼生地,槟榔赤芍宜。四味堪为主,加减任迁移。乳香并没药,骨碎以补之。头上加羌
活,防风白芷随。胸中加枳壳,枳实又云皮。腕下用桔梗,菖蒲浓朴治。背上用乌药,灵仙
妙可施。两手要续断,五加连桂枝。两胁柴胡进,胆草紫荆医。大茴与故纸,杜仲入腰支。
小茴与木香,肚痛不须疑。大便若阻隔,大黄枳实推。小便如闭塞,车前木通提。假使实见
肿,泽兰效最奇。倘然伤一腿,牛膝木瓜知。全身有丹方,饮酒贵满卮。苎麻烧存性,桃仁
何累累。红花少不得,血竭也难离。此方真是好。编成一首诗。庸流不肯传,无乃心有私。
跌打损伤会导致气血运行不畅,患者可能出现人事昏沉、寒热往来(忽冷忽热),或者症状白天轻晚上重,病情变化多端。不明医理的人如果不加审察就妄用猛药,导致许多人枉死,实在令人痛惜。治疗应当及早进行,如果半个月后才就医,瘀血已经凝固,水道不通,就很难施治了。既然不能再用发汗解表的方法,就必须仔细辨明病情,根据轻重程度用药。如果患处由青紫色转为红色,说明血液流通,即将痊愈。如果出现牙关紧闭,无法服药,则万无生还之理。患者坐卧时要避开风邪,忌食一切生冷食物;牛肉会使筋脉收缩,猪肉会诱发疾病,也不宜食用。遇到重伤时,要解开衣物仔细查看全身,观察血脉和伤处的颜色形态,诊察脉搏是否调和。脉搏断绝摸不到的为死证,脉象沉细的有生机。山根(鼻根部)完好、阴囊内有睾丸的可治。如果肾子(睾丸)缩入小腹,则无法医治。头顶门破损、骨骼下陷的难以存活。囟门受伤、脑髓流出的立即死亡。心胸部位紧痛,青色覆盖心脏区域,是偏心受伤,可治。红色覆盖心脏区域,是心口正中受伤,不可治。上心口青肿,七天内即死。伤及小腹但未伤及肚脐的,可治。如果阴阳之气不分,腹泻不止,气出不收,则是肚脐受伤。食管虽然断裂,如果在饱食之后,能拖延两天不死的,可治。如果鼻孔变黑,舌头肿大神志昏迷,则是脏腑功能衰竭。耳后是致命之处,脊骨断裂没有接续断骨的方法。男子乳房受伤,还算不是重症;妇人乳房受伤,却是危急关头。正腰受伤,能笑的多主凶险。小腹受伤,孕妇最忌讳。以上只是粗略陈述重大的情况,并列各方于下。
当归尾配合生地,槟榔与赤芍适宜。这四味药可以作为主药,根据病情加减变化。乳香没药,加上骨碎补来修补。头部受伤加羌活,防风和白芷跟随。胸部受伤加枳壳,枳实又或陈皮。手腕以下用桔梗,石菖蒲和厚朴治疗。背部用乌药,威灵仙妙用可施。两手受伤要用续断,五加皮连桂枝。两胁疼痛柴胡进用,龙胆草和紫荆皮医治。大茴香与破故纸(补骨脂),杜仲加入腰部支撑。小茴香与木香,肚子痛不必怀疑。大便如果阻隔,大黄枳实推荡。小便如闭塞,车前子和木通提升。假使确实出现肿胀,泽兰效果最神奇。倘若伤了一条腿,牛膝木瓜知母可用。全身通用的丹方,饮酒贵在满杯。苎麻烧存性,桃仁累累众多。红花少不了,血竭也难以离开。这个方子真是好。编成一首诗。庸俗之人不肯传授,恐怕是心存私心。
Traumatic injuries cause the stagnation of Qi and Blood. Patients may present with unconsciousness, alternating chills and fever (Huan Lai Han Re), or symptoms that are milder during the day and heavier at night, with various complications. Ignorant practitioners who fail to examine the condition carefully and recklessly administer harsh remedies have caused many unnecessary deaths, which is truly lamentable. Treatment should be initiated promptly; if medical care is delayed until after half a month, the blood stasis will have solidified, and the water passages will be blocked, making treatment difficult. Since diaphoresis (Fa Han) is no longer applicable, one must carefully distinguish the syndrome and prescribe medication according to the severity. If the bruising changes from cyanosis (Qing Zhong) to redness, it indicates that blood circulation is resuming and recovery is imminent. If the jaw is locked (Ya Guan Jin Bi) and oral medication cannot be administered, there is no hope for survival. The patient should avoid wind while sitting or lying down and abstain from all raw and cold foods; beef causes tendon contraction, and pork may trigger disease onset, so both are inadvisable. In cases of severe trauma, undress and carefully inspect the entire body to observe the color and shape of the blood vessels and injury sites, and palpate the pulse to check for harmony. A pulse that is absent (Mai Jue Bu Zhi) indicates death, whereas a deep and fine (Chen Xi) pulse suggests survival. If the Shangen (root of the nose) is intact and the testes are present in the scrotum, the case is treatable. If the testes retract into the lower abdomen, it is untreatable. A fracture of the Dingmen (vertex) with sunken bone is difficult to survive. Injury to the Ximen (fontanelle) with extrusion of brain marrow results in immediate death. Tight pain in the chest and heart region where cyanosis covers the heart area indicates an eccentric heart injury, which is treatable. Redness covering the heart area indicates a central heart injury, which is untreatable. Cyanosis at the upper heart region leads to death within seven days. Injury to the lower abdomen sparing the umbilicus is treatable. If Yin and Yang Qi are disordered, with continuous diarrhea and inability to retain breath, the umbilicus is injured. Even if the esophagus is severed, if the patient survives two days after a full meal, it is treatable. Black nostrils, a swollen tongue, and coma indicate the exhaustion of Zang-Fu organs. The area behind the ears is a vital point; there is no remedy for spinal fractures. Breast injury in men is not severe, but in women, it is critical. Injury to the lower back where the patient can laugh indicates a poor prognosis. Lower abdominal injury is most contraindicated for pregnant women. The above outlines only the major points; the following formulas are listed.
Dang Gui Wei (Tail of Angelica Sinensis Root) combined with Sheng Di (Rehmannia Glutinosa Root), Bing Lang (Areca Seed), and Chi Shao (Red Peony Root) are suitable. These four ingredients serve as the main components, with modifications allowed as needed. Ru Xiang (Frankincense) and Mo Yao (Myrrh), along with Gu Sui Bu (Drynaria Fortunei Rhizome), are used for repair. For head injuries, add Qiang Huo (Notopterygium Root), Fang Feng (Saposhnikovia Root), and Bai Zhi (Angelica Dahurica Root). For chest injuries, add Zhi Ke (Aurantii Fructus), Zhi Shi (Immature Bitter Orange), or Chen Pi (Tangerine Peel). For wrist and hand injuries, use Jie Geng (Platycodon Root), Chang Pu (Acorus Tatarinowii Rhizome), and Hou Po (Magnolia Bark). For back injuries, use Wu Yao (Lindera Root), and Ling Xian (Symphytotrichum Root) is effective. For arm injuries, Xu Duan (Dipsacus Root) and Wu Jia Pi (Acanthopanax Bark) with Gui Zhi (Cinnamon Twig) are used. For hypochondriac pain, Chai Hu (Bupleurum Root) is advanced, and Dan Cao (Gentiana Root) and Zi Jing Pi (Bauhinia Purpurea Bark) are employed. Da Hui Xiang (Fennel Fruit) and Gu Zhi (Psoralea Fruit) with Du Zhong (Eucommia Bark) support the waist. Xiao Hui Xiang (Foeniculum Fruit) and Mu Xiang (Vladimiria Root) alleviate abdominal pain without doubt. For constipation, Da Huang (Rhubarb Root) and Zhi Shi push out the blockage. For urinary obstruction, Che Qian Zi (Plantago Seed) and Mu Tong (Akebia Stem) promote urination. If significant swelling is present, Ze Lan (Lygodium Spore) yields miraculous effects. For leg injuries, Niu Xi (Achyranthes Root), Mu Gua (Chaenomeles Fruit), and Zhi Mu (Anemarrhena Rhizome) are used. For general body trauma, a specific formula involves drinking wine to capacity. Zhu Ma (Ramie Stem) calcined to preserve its nature, and Tao Ren (Peach Kernel) in abundance. Hong Hua (Carthamus Flower) is indispensable, and Xue Jie (Dragon's Blood) is also essential. This formula is truly excellent. It has been compiled into a poem. Mediocre practitioners refuse to pass it on, perhaps due to selfishness.