（又名金丹、寸金、四黄散、一黄散，又名破血丹、黄药。）
天花粉（三两重） 姜黄（一两重） 白芷（一两重） 赤芍药（二两重）
上为末，茶、酒、汤使，随证热涂诸般热证、痈肿之毒，金疮之证。
此一药一凉而已，能化血为水，又能使血瘀积，又能凉肌生肉，去死肌烂肉，及能破血
退肿
，又能滞气为浮，能止痛又能为痛，闭脓又能出脓，一反一复。此方药性无他，遇凉效少，
遇热效多，故非十分阳证不可轻用，恐或凝寒，治疗费力。若夫金疮出血，非此不可，乃第
一药。余外但可为前二药之佐使尔，当审之审之。大抵此三药可合力同功者，可独将专权者
，可分司列职者，可合围交攻者，可借援求救者，可勇力相持者，可正兵先锋、奇兵取胜者
，可奇兵先锋、正兵取胜者。神圣工巧，端与兵法无异。然兵随印转，将遂令行。故立功取
胜，存乎其人。苟非明理通变之士，何足言哉。用法如后∶
一、若病势大热，可用热茶调敷。如证稍温，则用酒调。若用以撮脓，可用三分姜汁、
七分
茶调。何也？此药最凉，能使血退；姜汁性热，能引血潮。故血退则被引，血潮被逐。进退
相持，而后成脓作破，逼脓尽流也。
一、凡疮口破处，肉硬不消者，疮口被风所袭也。此方中加独活以去风，用热酒调。如
又不消，则风毒已深，肌肉结实，又加紫荆皮，有必消之理矣。
一、此方莫善，去金疮及诸热症赤肿，断诸血根，不使掀赤。若痈疽不可轻用，恐贴处
不散
，毒入内，在骨则成骨痈，在喉项则毒瓦斯聚喉，在胸背则阴烂脏腑，在腹肚则为内痈，杀
人不救，可不慎哉。只以冲和、玉龙，根据法详证，用之为妙。
一、年少血壮之人，衰老血败之士，如有溅血，无药可止，血尽人亡。若在手足，可用
茶调
敷手足上下尺余远；若在胸背腰腹，则全体敷之，把住血路，方能止。却用断血药。（五倍
末，方见后。）或神效军中方 口，方得安愈。
一、治金疮重者，筋断脉绝，血尽人亡。如要断血，须用绳及绢袋缚住人手臂，却以此
方从
手臂上，用茶调敷住血路，然后却用断血药 口，却不可使内补及四物等药，却又能令人发
呕吐，甚则口眼 邪。少焉发烦、发热，成破伤风。只可下对金饮加川芎、白芷、姜、枣煎
自安，却徐徐补血。如或有破伤风证，又须用破伤风药，即葛根汤之类。（方见后。）疮口用
军中方加九肋鳖甲酥炙碾。
一、凡金疮在头面上者，血不止。急用此方，茶调团围敷颈上截血，疮口边亦用此敷，
军中方 口。重十日、轻者三日效。
一、凡金疮着水，肉翻花者，可用薤汁调此方敷疮口两旁，以火微灸之。或用早稻秆烟
熏
之，疮口水出即愈。如无水出即是风袭，可用南星茶调敷之即愈。然后以军中方 口妙。
一、治妇人产后，或经绝血行逆上，心不能主，或吐血、鼻衄、舌衄，可以此方用井花
水调
敷颈上，生艾汁调亦妙，其血立止，然后服药以绝原。如舌衄，必有血泡，破之复胀，可用
线于舌根颈缚住勿除，于颈项上截血。内用黄芩、荆芥凉心之药，以收其原。舌上用蜜调结
口之药以治之，泡破除线血不胀矣。服凉心药四物汤加荆芥、薄荷、朱砂。
一、此方用药调涂热毒，恐随干随痛，赤肿不退，当用鸡子清调敷，诸热毒难干妙。汤
火疮同。
一、打破伤损在胸膈上者，药通血不下，可用绿豆水调此药末吞之，即吐出而安。又
有从高
坠下，用通血药不下，数日病患几死。此必天时寒冻，服大黄等药冰之，血凝片不行，可用热
酒调军姜末饮之，片时血通，人得更生。盖借热性以活死血，则前药方能行矣。
（又名金丹、寸金、四黄散、一黄散，又名破血丹、黄药。）
天花粉（重三两） 姜黄（重一两） 白芷（重一两） 赤芍药（重二两）
以上药物研为细末，用茶、酒或汤剂送服或调敷，根据证候情况，以热药外涂治疗各种热证、痈肿之毒以及金疮（金属利器造成的创伤）。
这一种药性偏凉而已，能使血液化为水液，又能使瘀血消散积聚，又能清凉肌肤促进肌肉生长，去除坏死肌肉和腐烂肉块，并且能破除瘀血消退肿胀，又能使气机停滞转为浮散，既能止痛又能缓解疼痛，既能封闭脓液又能排出脓液，作用相反相成。此方药性没有别的奥秘，遇到凉性情况疗效较少，遇到热性情况疗效较多，所以如果不是十分明显的阳证（表现为热、红、肿、痛的病证），不可轻易使用，恐怕会导致寒凝，增加治疗难度。如果是金疮出血，非此药不可，这是第一要药。其余情况只能作为前两种主要药物的辅助引导。应当仔细审察。大致来说，这三种药物可以合力同功的，可以单独掌握专权的，可以分司列职的，可以合围交攻的，可以借援求救的，可以勇力相持的，可以作为正兵先锋、奇兵取胜的，可以作为奇兵先锋、正兵取胜的。神圣工巧（指医术高明），确实与兵法无异。然而军队跟随印信转动，将领遵循命令行动。所以立功取胜，关键在于用人。如果不是明理通变的士人，哪里值得谈论呢。用法如下：
一、如果病势大热，可用热茶调敷。如果证候稍温，则用酒调。如果用于撮脓（促使脓液排出），可用三分姜汁、七分茶调。为什么呢？此药最凉，能使血退；姜汁性热，能引血潮涌。所以血退则被姜汁牵引，血潮被姜汁驱逐。进退相互对峙，而后形成脓液并破裂，逼迫脓液流尽。
一、凡是疮口破损处，肉质坚硬不消退的，是疮口被风邪侵袭所致。此方中加入独活以祛风，用热酒调敷。如果仍然不消退，说明风毒已深，肌肉结实，再加紫荆皮，就有必然消退的道理了。
一、此方非常善于治疗金疮以及各种热症引起的红肿，切断各种出血根源，不让患处掀红发热。如果是痈疽，不可轻率使用，恐怕贴敷后毒气不散，内陷入里，在骨骼则成为骨痈，在咽喉颈部则毒瓦斯聚积于喉，在胸背则导致内脏阴烂，在腹部则为内痈，杀人无法挽救，能不谨慎吗？只宜用冲和膏、玉龙膏，根据法则详细辨证，使用它们才为妙法。
一、年少气血壮盛之人，衰老气血衰败之士，如果有溅射状出血，无药可止，血尽人亡。如果在手足，可用茶调敷于手足上下尺余远处；如果在胸背腰腹，则全身敷之，把住血路，才能止血。随后使用断血药。（五倍子末，见后方。）或者神效军中方，方能安愈。
一、治疗严重的金疮，筋断脉绝，血尽人亡。如果要止血，须用绳子和绢袋缚住人的手臂，然后用此方从手臂上，用茶调敷住血路，然后才使用断血药封口，却不可使用内补及四物汤等药，否则又令人发生呕吐，甚至口眼歪斜。不久出现烦躁、发热，成为破伤风（一种由伤口感染破伤风梭菌引起的急性特异性感染）。只可服用对金饮加川芎、白芷、生姜、大枣煎服自安，然后徐徐补血。如果已有破伤风证，又须用破伤风药，即葛根汤之类。（方见后方。）疮口用军中方加九肋鳖甲酥炙碾碎。
一、凡是金疮在头面部的，血不止。急用此方，茶调团围敷在颈上截断血路，疮口边也用此方敷，军中方封口。重的十日，轻者三日见效。
一、凡是金疮沾水，肌肉翻花（指伤口边缘组织增生外翻）的，可用薤汁调此方敷在疮口两旁，用火微灸之。或用早稻秆烟熏之，疮口水出即愈。如果没有水出就是风邪侵袭，可用南星茶调敷之即愈。然后以军中方封口妙。
一、治疗妇人产后，或经绝血行逆上，心不能主，或者吐血、鼻衄（鼻出血）、舌衄（舌出血），可以用此方用井花水（清晨采集的井水）调敷在颈上，生艾汁调敷也妙，其血立即停止，然后服药以绝源头。如舌衄，必有血泡，破之复胀，可用线在舌根颈部缚住勿除，在颈项上截断血路。内服黄芩、荆芥凉心之药，以收敛其原。舌上用蜜调结口之药以治之，泡破除线血不胀矣。服用凉心药四物汤加荆芥、薄荷、朱砂。
一、此方用药调涂热毒，恐怕随干随痛，赤肿不退，当用鸡子清（鸡蛋清）调敷，诸热毒难干妙。汤火疮同。
一、打破伤损在胸膈上的，药通血不下，可用绿豆水调此药末吞服，即吐出而安。又有从高坠下，用通血药不下，数日病患几死。这必定是天时寒冻，服大黄等药冰之，血凝片不行，可用热酒调军姜末饮之，片时血通，人得更生。大概借助热性以活化死血，则前药方能行了。
(Also known as Jin Dan, Cun Jin, Si Huang San, Yi Huang San, also known as Po Xue Dan, Huang Yao.)
Trichosanthis Radix (San liang in weight) [Trichosanthis Radix]
Curcumae Longae Rhizoma (Yi liang in weight) [Curcuma Longa Rhizome]
Angelicae Dahuricae Radix (Yi liang in weight) [Dahurian Angelica Root]
Paeoniae Rubra Radix (Er liang in weight) [Red Peony Root]
The above are ground into fine powder. Use tea, wine, or decoction for administration or external application. Based on the syndrome, apply the hot medicine externally to treat various heat syndromes, toxicity of carbuncles and swellings, and injuries caused by metal weapons (Jin Chuang).
This single medicine is merely cool in nature. It can transform blood into fluid, dissipate blood stasis and accumulation, cool the skin and promote flesh regeneration, remove necrotic muscle and rotting flesh, break blood stasis and reduce swelling, stagnate qi to make it float, relieve pain and alleviate pain, close pus and expel pus, with opposing yet complementary effects. The medicinal property of this formula has no other mystery: when encountering cool conditions, the efficacy is less; when encountering heat conditions, the efficacy is greater. Therefore, unless it is a very obvious Yang syndrome (syndromes characterized by heat, redness, swelling, and pain), it should not be used lightly, lest it cause cold coagulation and make treatment laborious. If it is bleeding from injury by metal weapons, this medicine is indispensable; it is the primary medicine. In other cases, it can only serve as an assistant and guide to the previous two medicines. One must examine carefully. Generally speaking, these three medicines can cooperate with joint efforts, hold exclusive authority alone, divide responsibilities, surround and attack together, seek reinforcements, support each other bravely, act as the vanguard of orthodox troops to win through unconventional tactics, or act as the vanguard of unconventional troops to win through orthodox tactics. Divine, sacred, skillful, and clever medical arts are indeed no different from military strategy. However, troops move according to the seal, and generals follow orders. Thus, establishing merit and winning victory depend on the person. If one is not a scholar who understands principles and adapts to changes, what is there to talk about? The methods of use are as follows:
1. If the disease condition is severely hot, mix with hot tea for external application. If the condition is slightly warm, mix with wine. If used to express pus, use three parts ginger juice and seven parts tea for mixing. Why? This medicine is the coolest and can make blood recede; ginger juice is hot in nature and can attract blood flow. Thus, receding blood is attracted, and surging blood is driven away. Through the standoff of advancing and retreating, pus forms and ruptures, forcing the pus to drain completely.
2. For any broken sore where the flesh remains hard and does not resolve, it is because the sore has been attacked by wind pathogen. Add Angelica Pubescens Root (Du Huo) to this formula to dispel wind, and mix with hot wine for application. If it still does not resolve, the wind-toxin has penetrated deeply and the muscles are firm; add Bark of Cudrania Tricuspidata (Zi Jing Pi), which will surely lead to resolution.
3. This formula is excellent for treating injuries by metal weapons and various heat syndromes causing redness and swelling, cutting off the root of all bleeding, preventing the area from becoming inflamed and red. However, for carbuncles and sores (Yong Ju), do not use it lightly. Fear that after application, the toxin will not disperse but enter inward. If in the bone, it becomes bone abscess; if in the throat and neck, toxic gas gathers in the throat; if in the chest and back, it causes internal organs to rot yinward; if in the abdomen, it becomes internal abscess. It kills without cure. Can one not be cautious? It is best to use Chong He Gao (Harmonizing Paste) and Yu Long Gao (Jade Dragon Paste), applying them according to rules and detailed syndrome differentiation.
4. For young people with robust blood and qi, or elderly people with depleted blood and qi, if there is spurting bleeding with no medicine to stop it, leading to death when blood is exhausted. If on the limbs, mix with tea and apply far above and below the injury (more than chi); if on the chest, back, waist, and abdomen, apply over the whole body to block the blood pathway, then stop the bleeding. Subsequently use hemostatic medicines. (Powder of Chinese Gall [Wu Bei Zi], see later formula.) Or Shen Xiao Jun Zhong Fang (Divine Effect Military Formula), then peace and recovery can be achieved.
5. For severe injuries by metal weapons, with severed tendons and cut vessels, leading to blood exhaustion and death. To stop bleeding, bind the arm with rope and silk bag, then apply this formula mixed with tea over the blood pathway on the arm, then use hemostatic medicine to seal the wound. Do not use internal tonics or Si Wu Tang (Four Substance Decoction), otherwise it may cause vomiting, and even deviation of mouth and eyes. Soon irritability and fever will occur, developing into tetanus (Po Shang Feng, an acute specific infection caused by Clostridium tetani infection of the wound). Only take Dui Jin Yin (Metal-Resolving Drink) added with Ligusticum Chuanxiong Rhizome (Chuan Xiong), Angelicae Dahuricae Radix (Bai Zhi), ginger, and jujube, decocted and taken orally for self-stabilization, then slowly tonify blood. If tetanus symptoms already exist, use tetanus medicine, such as Puerariae Lobatae Radix Decoction (Ge Gen Tang). (Formula see later.) For the wound, use Jun Zhong Fang (Military Seal Formula) added with nine-rib softshell turtle shell (Jiu Lei Bie Jia) roasted in butter and crushed.
6. For injuries by metal weapons on the head and face, where bleeding does not stop. Urgently use this formula, mix with tea, and apply around the neck to intercept the blood flow. Apply around the wound edge as well, and seal with Jun Zhong Fang. Severe cases show effect in ten days, mild cases in three days.
7. For injuries by metal weapons exposed to water, with everted flesh (flesh turning outward like flowers), use juice of Allium Macrostemon (Xie) to mix this formula and apply to both sides of the wound, then moxa mildly with fire. Or smoke with early rice straw ash. If water exudes from the wound, it heals. If no water exudes, it is wind invasion; apply Arisaema Cum Bile (Nan Xing) mixed with tea, and it will heal. Then seal with Jun Zhong Fang for best results.
8. For postpartum women in women, or those whose menstruation has ceased with blood flowing upward inversely, heart unable to govern, or hematemesis (vomiting blood), epistaxis (nosebleed), or lingual hemorrhage (tongue bleeding), use this formula mixed with well water (Jing Hua Shui) applied to the neck. Mixing with fresh mugwort juice is also excellent; the bleeding stops immediately. Then take medicine to eliminate the source. If lingual hemorrhage, there must be blood blisters; if broken, they swell again. Tie a thread around the base of the tongue and neck, do not remove it, to intercept blood at the neck. Internally take Scutellariae Radix (Huang Qin) and Schizonepetae Spica (Jing Jie) to cool the heart and gather the original state. On the tongue, use honey-mixed astringent medicine to treat it; after breaking the blister and removing the thread, the blood will not swell. Take Si Wu Tang (Four Substance Decoction) with cooling heart properties added with Schizonepetae Spica (Jing Jie), Menthae Haplocalycis Herba (Bo He), and Cinnabar (Zhu Sha).
9. When using this formula to mix and apply for heat-toxin, fear that it dries quickly causing pain, and redness/swelling does not recede. When using egg white (Ji Zi Qing) to mix and apply, it is excellent for difficult-to-dry heat-toxins. Same for scalds and burns.
10. For blunt trauma injuries on the chest and diaphragm, where medicine cannot pass down through the blood, mix Trichosanthis Kirilowii Seed powder with mung bean water and swallow. Vomiting occurs and relief follows. Also, for falls from height, if blood-invigorating medicines fail to work, and the patient nearly dies after several days. This is likely due to cold weather, taking Rhubarb (Da Huang) and other medicines that freeze the blood, causing blood clots to stagnate. Mix with hot wine and drink Jiang Jiang Mo (Ginger Powder), and blood circulation resumes in a moment, saving life. Essentially, borrowing heat nature to activate dead blood allows the previous medicines to work.