（急服硫麝散）
硫黄（一钱） 麝香（一分） 二味共研为末，使患人每服一分。服药后卧于被上，用四人牵被
，将患人滚右滚左，不得安歇，定然吐出恶物，然后再服虻虫散，而百伤可解矣。
（治小便不通者）
麝香一钱一分置于内，又将飞盐盖于上，如铜钱样浓，盐上将艾灸三次或三炷香，小便
即通，通去麝香，而人自爽矣。跌打用胎骨不论牛马猪羊在胎未曾出来，可以连皮毛炙灰听用最
妙，红铅原不可得就是童女头第一回来经期之中必有成块或长二三寸之血条，此血即名红铅
，跌打之中有此药用万不失一。此血父母生气亦在其内，故难有之。
凡天柱骨折不治，凡脑骨伤碎，轻轻用手捺平正，皮不破用黑龙散，皮破用桃花散填破
口，包好忌风。伤入发内剪去发，内敷药，自愈，凡顶门碎用止血散搽，服上部末药。凡两目有
损可治。凡耳后伤不治。凡目开、气出不收不治。凡如鱼口缠风不治。凡伤食喉不治。若伤
气喉，急令一人扶住头，托凑喉管，捻紧不令出气，用大银针穿银丝，隔寸许联好，将半夏
末捣罨，日换两次，三日后贴膏，内服上部汤药自愈。凡肩骱骨出，先相如何整治法。用椅
当圈住胁，又用软衣绵被垫好，又使一人捉定，两人拔伸下手腕，又曲着腕，绢缚之。凡肩
间骨若折，必一头高跷不相平，治法先用膏贴，后用油纸数重铺衬，又用粉匣板，以长布什
穿缚在腋下紧紧缚定，方服接骨丹。凡金井骨在胁下有损，不可夹缚，须捺平正，方用黑龙
散敷，两胁骨亦如之。凡夹脊断不可治。凡肩臂脱臼，令脱人低处坐，自用双手叉定抱膝上
，将膝借力着实一衬，其手臂随手直前，轻轻放手入故位。方服接骨丹、贴膏。凡手腕出臼
，医用左手抑掌托捏被伤手臂，用右手捏定下节，手近臼处，一把捏定，不可让其退缩，尽
力一扯即入故位。方服接骨丹，贴膏。凡手骨出者，看如何出，向左则向右边拔入，向右则
向左边拔入。凡指断者凑正，用好，方用生肌散，撒膏药上贴。凡心胸紧疼红色裹心不治。
凡正心口青色不治。凡男人两乳堂伤可治。凡女人两乳堂伤不治。凡腰伤自笑不治。凡腹破
大肠或出被风吹胀干，不能收入，医人先用麻油搽肠，肠润，又用一人托住肠，一人默含冷
水一口喷面，其人必然一惊，乘此将肠一推，肠自收入，入后急捻定退场门，用银丝缝好，不
可露一毫针孔。先敷止血草药二两，后贴膏。然肠上伤否？目力难见，令伤人饮烧酒一小杯
，饮后用一人嗅伤处，无酒气可治，若有酒气不治。凡小肠伤，不分阴阳不治。凡跌打腹痛
可治。凡小肠伤，未伤肚可治。凡孕女小腹伤，犯胎不治。凡小腹伤吐粪不治。凡肾子伤入
小腹不治。凡跨骨从裆内出不可整理。凡脚打折或骨叉出，长短不齐，不能复入，用小铜锯
锯齐，然后镶入贴膏，日进接骨丹，炎天清茶水净，勿令臭气。若足胫骨别出，在内难治，
用手法推入旧户贴膏，服末药。凡人手足伤，骨出皆有两胫，一胫断可治，两胫齐断不治。
凡足膝盖骨乃另生者，或磕破皮脱出，治法用篾做一方号箍，将盖骨长带缚定，外用护膝缚
，内服接骨丹。愈日去箍。凡跌打大小便不通，未可用接骨丹，况接骨药大约燥热，又酒调
敷反助燥热，则不获效，必将先服通利汤药，通后服接骨丹。凡食饱或被人打跌，三日不死
可治。凡跌打不知疼痛，无发战不治。凡高处跌下尽力叫喊，汗出如油不治。凡人骨叉出肉
外折处，两头必用利锋，治法用八厘宝，后锉去两头尖，上下按入，复用贴膏，外用竹箬数
重，如法包好，再服接骨丹。凡跌打臃肿，患者不肯令医者摸看，或肿硬难辨肉内骨碎不碎
，医者将手缓缓捏肿处骨，内有声，用麻药先服，割开血来，用止血草药，又用七号麻药麻
肉，取出碎骨，用别骨接好，贴膏。外用油纸包好，扎住。即与淡盐汤服，待醒服接骨丹。
凡手处骨碎皮不破，用乌龙散敷夹缚。若大概曲处转折处不出夹缚，愈日不能伸曲，止用黑
龙散敷贴包好，使曲伸宛转。凡损骨碎或断，要看本处平正何如？大抵是骨不伤，左右看骨
，寻有损处，先拔捺正，贴膏夹缚。凡损重者大概拔伸正或取开正，先用桃花散填内，黑龙
散圈外，再夹缚。凡拔伸要想左右骨如何出，或正拔伸，或斜拔伸，拔伸要近损处二三分，
不可别去，第二节骨上要看拔伸难易为妙。凡夹缚用杉木皮尿浸，阔如指大，四边排匀，用
麻绳扎缚二三度，如扎指用苎麻。凡夹缚夏天两日、冬天四五日解开。二七水洗去旧药，洗
时不可惊动损处，仍用黑龙散敷之，又夹缚。凡跌或肿，此血凝也。热药汤水洗，外敷黑龙
散。凡不时挫闪，内服中部末药，贴膏。重加接骨散。凡伤重必用药水洗，后涂药。伤轻
不必。凡夹缚，用杉木板一片，将油纸以姜汁调黑龙散摊纸上，后摸损处夹之。凡骨未碎，
止用膏贴之，将上、中、下末药，日服二次。凡出血用桃花散，不止，用三七塞伤处，外围
桃花散。凡损血最忌布包，日后血干，恐布血相胶，难以换药。用油伞纸为妙。凡小谷乡村
处，乏药材膏药，或遇骨折，权用糯米饭加药酒、姜葱同捣，熨斗热布包好，内服老酒，使
血不凝，后取药治。凡服损伤药乘热服。凡服损药要忌冷水冷物。凡损药五六月天，不宜合
，恐药坏。凡损药，宜瓷瓶内收藏为妙。
（紧急服用硫麝散）
硫黄（一钱） 麝香（一分） 将这两味药共同研磨成粉末，让患者每次服用一分。服药后躺在被子上，用四个人拉着被子，将患者左右翻滚，不得让其安歇，必定会吐出恶浊之物，然后再服用虻虫散，各种外伤即可解除。
（治疗小便不通者）
将一钱一分麝香置于患处，再用飞盐覆盖在上面，厚度如同铜钱，在盐上艾灸三次或三炷香的时间，小便即可通畅，通后将麝香取出，人自然就会清爽。跌打损伤使用胎骨，无论是牛、马、猪、羊的未出生胎儿均可，连皮毛一起烧成灰备用最好；红铅原本难以得到，如果是童女第一次月经期间，必然有成块或长二三寸的血条，这种血就称为红铅，跌打损伤中有此药使用万无一失。这血中含有父母生气，所以很难得。
凡是天柱骨骨折无法治愈，凡是脑骨受伤破碎，轻轻用手按平正，皮肤未破的用黑龙散，皮肤破的用桃花散填充破口，包扎好忌风。伤口深入发际内的剪去头发，内敷药物，自愈，凡是头顶门碎裂的用止血散搽抹，服用上部末药。凡是双眼有损伤的可治。凡是耳后受伤无法治愈。凡是眼睛睁开、气出不收无法治愈。凡是像鱼口一样缠风的无法治愈。凡是伤食喉无法治愈。若是伤气喉，急忙令一人扶住头，托凑喉管，捻紧不让出气，用大银针穿银丝，隔一寸许连接好，将半夏末捣碎罨敷，每天换两次，三天后贴膏药，内服上部汤药自愈。凡是肩关节脱臼，先观察如何整治方法。用椅子当圈住胁部，又用软衣绵被垫好，又使一人捉定，两人拔伸下手腕，又弯曲着手腕，用绢布绑缚。凡是肩间骨若折断，必有一头高跷不相平，治疗方法先用膏药贴，后用油纸数层铺衬，又用粉匣板，以长布什穿缚在腋下紧紧缚定，才服用接骨丹。凡是金井骨在胁下有损伤，不可夹缚，须按平正，才用黑龙散敷，两胁骨也是如此。凡是夹脊断裂不可治愈。凡是肩臂脱臼，令脱臼者在低处坐，自己用双手叉定抱住膝盖上，将膝盖借力着实一撑，其手臂随手直前，轻轻放手入原位。才服用接骨丹、贴膏药。凡是手腕脱臼，医生用左手抑掌托捏被伤手臂，用右手捏定下节，手近臼处，一把捏定，不可让其退缩，尽力一扯即入原位。才服用接骨丹，贴膏药。凡是手部骨头脱出的，看如何脱出，向左则向右边拔入，向右则向左边拔入。凡是手指断者凑正，用好，才用生肌散，撒在膏药上贴。凡是心胸紧疼红色裹心无法治愈。凡是正心口青色无法治愈。凡是男人两乳堂受伤可治。凡是女人两乳堂受伤无法治愈。凡是腰部受伤自笑无法治愈。凡是腹部破裂大肠或出被风吹胀干，不能收入，医生先用麻油搽肠，肠润，又用一人托住肠，一人默含冷水一口喷面，其人必然一惊，乘此将肠一推，肠自收入，入后急忙捻定退场门，用银丝缝好，不可露一毫针孔。先敷止血草药二两，后贴膏药。然而肠上是否受伤？目力难见，令伤者饮烧酒一小杯，饮用后用一人嗅伤处，无酒气可治，若有酒气无法治愈。凡是小肠伤，不分阴阳无法治愈。凡是跌打腹痛可治。凡是小肠伤，未伤肚可治。凡是孕妇小腹伤，犯胎无法治愈。凡是小腹伤吐粪无法治愈。凡是肾子伤入小腹无法治愈。凡是跨骨从裆内出不可整理。凡是脚打折或骨叉出，长短不齐，不能复入，用小铜锯锯齐，然后镶入贴膏药，日进接骨丹，炎天清茶水净，勿令臭气。若足胫骨别出，在内难治，用手法治推入旧户贴膏药，服末药。凡人手足伤，骨出皆有两胫，一胫断可治，两胫齐断无法治愈。凡是足膝盖骨乃另生的，或磕破皮脱出，治疗方法用篾做一方号箍，将盖骨长带缚定，外用护膝缚，内服接骨丹。愈日去箍。凡是跌打大小便不通，未可用接骨丹，况且接骨药大约燥热，又酒调敷反助燥热，则不获效，必将先服通利汤药，通后服接骨丹。凡是食饱或被人打跌，三日不死可治。凡是跌打不知疼痛，无发战无法治愈。凡是高处跌下尽力叫喊，汗出如油无法治愈。凡人骨叉出肉外折处，两头必用利锋，治疗方法用八厘宝，后锉去两头尖，上下按入，复用贴膏药，外用竹箬数层，如法包好，再服接骨丹。凡是跌打臃肿，患者不肯令医者摸看，或肿硬难辨肉内骨碎不碎，医者将手缓缓捏肿处骨，内有声，用麻药先服，割开血来，用止血草药，又用七号麻药麻肉，取出碎骨，用别骨接好，贴膏药。外用油纸包好，扎住。即与淡盐汤服，待醒服接骨丹。凡是手部骨头碎皮肤不破，用乌龙散敷夹缚。若大概曲处转折处不出夹缚，愈日不能伸曲，只用黑龙散敷贴包好，使曲伸宛转。凡是损骨碎或断，要看本处平正何如？大抵是骨不伤，左右看骨，寻有损处，先拔捺正，贴膏药夹缚。凡是损伤重的大概拔伸正或取开正，先用桃花散填内，黑龙散圈外，再夹缚。凡是拔伸要想左右骨如何出，或正拔伸，或斜拔伸，拔伸要近损处二三分，不可别去，第二节骨上要看拔伸难易为妙。凡是夹缚用杉木皮尿浸，阔如指大，四边排匀，用麻绳扎缚二三度，如扎指用苎麻。凡是夹缚夏天两日、冬天四五日解开。二七水洗去旧药，洗时不可惊动损处，仍用黑龙散敷之，又夹缚。凡是跌或肿，此血凝也。热药汤水洗，外敷黑龙散。凡是不时挫闪，内服中部末药，贴膏药。重加接骨散。凡是伤重必用药水洗，后涂药。伤轻不必。凡是夹缚，用杉木板一片，将油纸以姜汁调黑龙散摊纸上，后摸损处夹之。凡是骨未碎，只用膏药贴之，将上、中、下末药，日服二次。凡是出血用桃花散，不止，用三七塞伤处，外围桃花散。凡是损血最忌布包，日后血干，恐布血相胶，难以换药。用油伞纸为妙。凡是小谷乡村处，乏药材膏药，或遇骨折，权用糯米饭加药酒、姜葱同捣，熨斗热布包好，内服老酒，使血不凝，后取药治。凡是服损伤药乘热服。凡是服损药要忌冷水冷物。凡是损药五六月天，不宜合，恐药坏。凡是损药，宜瓷瓶内收藏为妙。
(Emergently administer Liushen San [Sulfur and Musk Powder])
Realgar (Qihuang, Sulfur) (1 qian), Musk (Shexiang) (1 fen). Grind these two ingredients together into a powder. The patient should take 1 fen per dose. After taking the medicine, lie on a quilt. Have four people pull the quilt to roll the patient left and right continuously, without allowing rest. This will surely cause the expulsion of foul matter. Then administer Mengchong San (Manshield Powder), and various injuries can be resolved.
(For treating urinary retention)
Place 1 qian 1 fen of Musk (Shexiang) at the site, then cover it with refined salt (Feiyan) to a thickness resembling a copper coin. Apply moxibustion (Jiufa) three times or for the duration of three incense sticks over the salt. Urination will immediately resume. Remove the Musk once urination is established, and the person will feel refreshed. For traumatic injuries, use fetal bones from cattle, horses, pigs, or sheep that have not yet been born; burning the skin and hair to ash for later use is optimal. "Red Lead" (Hongqian) is originally difficult to obtain; if using the first menstrual blood of an virgin girl, there will inevitably be clots or blood strips two to three cun long. This blood is named Red Lead. Its use in trauma is infallible. This blood contains the vital energy of the parents, hence its scarcity.
Fractures of the Tianzhu bone (Axis vertebra/C2) are incurable. If the cranial bone is shattered, gently press it flat. If the skin is intact, apply Heilong San (Black Dragon Powder); if the skin is broken, fill the wound with Taohua San (Peach Blossom Powder), bandage well, and avoid wind. If the wound extends into the hairline, cut the hair, apply internal medication, and it will heal spontaneously. For shattered fontanelles, apply Zhixue San (Hemostatic Powder) externally and administer upper-body powdered medicines internally. Injuries to both eyes are treatable. Injuries behind the ears are incurable. Eyes open with unrestrained exhalation are incurable. Conditions resembling "fish mouth" with wind entrapment are incurable. Injuries to the throat from food stagnation are incurable. If the Qi pathway of the throat is injured, urgently have one person support the head and compress the trachea, tightening it to prevent air escape. Use a large silver needle threaded with silver wire, connecting segments about one cun apart. Apply pounded Banxia (Pinellia Rhizome) powder as a poultice, changing twice daily. After three days, apply a plaster, and administer upper-body decoctions internally for spontaneous recovery.
For shoulder joint dislocation, first assess the method of reduction. Use a chair to encircle the costal region, pad well with soft clothes and cotton quilts. Have one person hold steady while two persons perform traction on the wrist. Flex the wrist and bind it with silk cloth. If the clavicle is fractured, one end will likely be elevated and uneven. Treatment: first apply a plaster, then layer several sheets of oiled paper as padding, followed by a splint board. Bind tightly under the axilla with long straps before administering Jiegu Dan (Bone-Setting Pill).
Injuries to the Jingjing bone (likely referring to ribs or specific thoracic structures) under the costal margin cannot be bound with splints; they must be pressed flat first, then treated with Heilong San. The same applies to bilateral rib fractures. Fractures of the spinal column (Jiaji area) are incurable.
For shoulder-arm dislocation, have the patient sit low. Cross arms to embrace knees. Use the knee leverage to firmly push, causing the arm to extend forward; gently release to reduce it back to position. Then administer Jiegu Dan and apply plasters.
For wrist dislocation, the physician uses the left hand to suppress and support the palm of the injured arm, while the right hand grasps the distal segment near the joint. Hold firmly, preventing retraction, and pull forcefully to reduce it. Then administer Jiegu Dan and apply plasters.
For other hand bone dislocations, observe the direction of displacement: if displaced left, pull to the right to reduce; if displaced right, pull to the left.
For severed fingers, align them properly, then apply Shengji San (Flesh-Regenerating Powder) onto a plaster for application.
Tight pain in the chest/heart region with redness wrapping the heart is incurable. Cyanosis at the center of the chest is incurable. Breast injuries in men are treatable; breast injuries in women are incurable. Lower back injuries accompanied by involuntary laughter are incurable.
If the abdomen is ruptured with intestines eviscerated and dried/swollen by wind, unable to be reduced: the physician first applies sesame oil to lubricate the intestines. One person supports the intestine while another secretly holds cold water in their mouth and sprays it on the patient's face. The shock causes the patient to contract, allowing the physician to push the intestine back in. Immediately after reduction, pinch the anal sphincter shut and suture with silver wire, ensuring no needle holes remain. First apply two liang of hemostatic herbal medicine, then a plaster.
To determine if the intestine is perforated: vision is insufficient. Have the patient drink a small cup of distilled spirits. After drinking, a physician sniffs the wound. No alcohol scent indicates treatability; presence of alcohol scent indicates incurability.
Small intestine injuries, regardless of Yin/Yang classification, are incurable. Abdominal pain from trauma is treatable. Small intestine injury without stomach involvement is treatable. Pregnancy with lower abdominal injury involving the fetus is incurable. Lower abdominal injury with fecal vomiting is incurable. Testicular injury extending into the lower abdomen is incurable. Hip bone protruding from the groin is irreducible.
For leg fractures or dislocated joints with unequal length preventing reduction: use a small copper saw to trim evenly, then insert and apply a plaster. Administer Jiegu Dan daily. In summer, use clear tea water to keep clean and prevent odor. If the tibia/fibula is displaced inward, it is difficult to treat; use manual manipulation to reduce it to the original position, apply a plaster, and administer powdered medicines.
For hand/foot injuries where bones are dislocated: if only one of the two parallel bones (e.g., radius/ulna or tibia/fibula) is fractured, it is treatable; if both are fractured simultaneously, it is incurable.
The patella (kneecap) is an independent bone. If skin is broken and it dislocates: fashion a square hoop from bamboo strips, secure the patella with long bands, apply external knee guards, and administer Jiegu Dan internally. Remove the hoop upon healing.
For trauma causing urinary/fecal retention: do not use Jiegu Dan initially. Bone-setting medicines are generally drying and hot; mixing with wine exacerbates this heat, rendering them ineffective. First administer TONGLI Tang (Promoting Unobstructed Decoction) to resolve retention, then administer Jiegu Dan.
Trauma occurring after a full meal, or being beaten, if the patient survives three days, is treatable. Trauma with loss of pain sensation and absence of tremors/shivering is incurable. Falling from a height with loud screaming and sweat like oil is incurable.
For bone fragments protruding through flesh: use sharp instruments to trim both ends. Apply Bali Bao (Eight-Coin Treasure), file off sharp edges, press inwards, apply plaster, and wrap with multiple layers of bamboo leaves according to protocol. Then administer Jiegu Dan.
For traumatic swelling where the patient refuses examination or hardness obscures bone fragmentation: the physician gently palpates the swollen area. If crepitus (bone sound) is heard, administer anesthesia first. Incise to drain blood, apply hemostatic herbs, use "No. 7 Anesthetic" to numb the flesh, extract bone fragments, set remaining bones, and apply plaster. Wrap with oiled paper and tie securely. Serve light saline soup; upon waking, administer Jiegu Dan.
For hand bone comminution with intact skin: apply Wulong San (Black Unicorn Powder) and splint. Generally, at flexion points, if splinting prevents future movement, simply apply Heilong San, wrap well, and allow natural flexion/extension.
For severe bone comminution or fracture: assess local alignment. Generally, if the main bone shaft is intact, examine laterally for damage sites. First reduce and press straight, apply plaster, and splint. For severe injuries, manually reduce or distract to correct alignment. First fill the interior with Taohua San, surround with Heilong San, then splint.
During traction, observe how the surrounding bones displace. Traction can be direct or oblique, performed close to the injury site (2-3 fen away), avoiding displacement of other parts. On the second segment bone, judge the ease of traction.
For splinting: soak fir bark in urine, cut to finger-width, arrange evenly on four sides, and bind with hemp rope 2-3 times (use ramie for fingers). In summer, remove splints after two days; in winter, after 4-5 days. After 14 days (two sevens), wash with water to remove old medicine. Do not disturb the injury site during washing. Reapply Heilong San and resplint.
For falls or swelling due to blood stasis: wash with hot medicinal decoction, apply Heilong San externally.
For occasional sprains/strains: administer middle-body powdered medicines internally and apply plasters. For severe cases, add Jiegu San.
For severe injuries: wash with medicinal decoction, then apply topical medicine. Mild injuries need not be washed.
For splinting: use a piece of fir wood board. Spread Heilong San mixed with ginger juice on oiled paper, place over the injury site, and splint.
If bones are not comminuted: apply plaster only. Administer upper, middle, and lower body powdered medicines twice daily.
For bleeding: apply Taohua San. If bleeding persists, pack the wound with Sanqi (Notoginseng Radix), surrounded by Taohua San.
Blood stasis injuries strictly forbid cloth bandaging. As blood dries, it may adhere to the cloth, making dressing changes difficult. Oiled umbrella paper is preferable.
In rural areas lacking herbs/plasters, for fractures: temporarily mash glutinous rice with medicinal wine, ginger, and scallions. Wrap in hot cloth heated by an ironing board. Internally consume aged wine to prevent blood coagulation, then seek proper treatment.
Take trauma medicines while warm. Avoid cold water and cold foods when taking trauma medicines.
Trauma medicine preparations are unsuitable for mixing in May-June (lunar calendar) due to risk of spoilage. Store trauma medicines in porcelain bottles for best preservation.