伤损之症，若色赤肿痛而血出不止者，肝心内热也，用柴胡栀子散。色白不痛而血出不止者，脾肺气虚也，用补中
益气汤。漫肿不消者，元气虚弱也，用五味异功散。黯肿不散者，瘀血凝滞也，用加味逍遥散。肌肉作痛出血多而烦热
者，血脱发躁也，用独参汤。因亡血而烦躁不安者，营卫俱伤也，用八珍汤加柴胡、牡丹皮。久痛不止者，欲作脓也，
用托里散。以指按肿而复起者，脓已成也，宜刺泄之。脓出而反痛者，气血内虚也，用十全大补汤。若骨HT 接而复脱
者，肝肾虚弱也，用地黄丸。如兼余症，当参各门治之。
一小儿伤臂出血作痛，面色青赤，此因惊而肝火动也，先用柴胡清肝散，血止痛减，次用托里消毒散，患处渐溃；
又用托里散而愈。后因其母多食膏粱之味，又恶寒发热，肿痛色赤，误服败毒之药，口噤流涎，手足并冷，余谓脾胃复
伤而虚寒也，先用六君子汤加姜、桂数剂，而元气渐复；又用五味异功散，月余而疮口敛愈。
一小儿伤指出血过多，遂至昏愦，口噤手撒时搐，此气虚血脱也，用独参汤数剂而安；又用五味异功散及托里散而
愈。
一小儿伤足溃腐，肉白不敛。此脾胃亏损而血气不能达于患也，先用五味异功散助其胃，次用十全大补汤益其营，
月余而愈。
一小儿伤足，内溃成脓，食少恶心，此脾胃气虚而成痰也。用六君子汤，饮食顿进，脓亦外泄，但体倦晡热，朝用
补中益气汤，夕用五味异功散，及间服八珍汤而垂愈。后因饮食失宜，发热，患处大溃出脓，口噤振颤，或 流涎，
余谓胃气虚肝火内动，外用独参汤四剂，仍如前，朝服补中益气汤，夕服五味异功散加柴胡、升麻，元气渐复，佐以托
里散而疮敛。
一小儿伤指敷凉药肿至手背，脓出清稀，饮食少思，此血气虚弱故也，朝用异功散，夕用托里散，脓水渐稠，患处
红活，又用八珍汤而愈。
一小儿伤 ，青肿不消，面色痿黄，仍欲行气破血，余谓此因脾气复伤，血滞而不行也。不信，乃服破血之剂，饮
食不进，寒热如疟，余朝用补中益气汤，夕用八珍汤及葱熨法而愈。
一小儿臂伤，溃而寒热，用八珍汤渐愈。后因饮食所伤，吐泻不止，摇头切牙，此脾气虚而肝邪内侮也，用六君、
升麻、柴胡而安，又用十全大补汤、六君子汤而愈。
一小儿闪足肿痛而肉色不变，此阳气虚弱，伤在骨也，频用葱熨法，五更用和血定痛丸，日间用八珍汤，数日后佐
以六味地黄丸，三月余而瘥。
一小儿臂骨出HT 接入，肿痛发热，用葱熨法及异功散加柴胡、续断、骨碎补四剂，又用补中益气汤而痊。
一小儿闪足骨痛，肉色如故，频用炒葱熨之，五更用和血定痛丸，日间用四君、芎、归数剂，后用地黄丸，三月余
而瘥。盖肾主骨，故用地黄丸以补肾也。
一小儿折臂出血过多，发躁作渴，面目色赤，脉洪大而
数，按之无力，此血脱发躁也，服当归补血汤而安。遂令正体科续接，服接骨丹，翌日睡而惊动，此血尚虚也，盖血生
于气，乃用五味异功散加柴胡、升麻、当归而安。后手足微搐，眉唇微动，此血虚而肝火内动也，用四君、芎、归、钩
藤钩、柴胡渐愈，却用托里散、八珍汤而痊愈。血脱发躁，若用四物之类，复伤脾气，多致不救，误设白虎汤，其危尤
速。
一小儿跌伤臂骨出HT ，翌日接入，肿痛发热不食，用葱熨法其痛即止；又用六君、黄 、柴胡、桔梗、续断、骨
碎补，而食进肿消；又用补中益气汤加麦门、五味，数剂热退而愈。
一小儿十五岁，伤腿内溃，针出秽脓，虚症悉具，用大补之剂渐愈。后因劳动，手撒眼闭，汗出如雨，急炒热艾频
熨脐腹及气海穴，更用人参四两、炮附子五钱，作一剂水煎，徐徐灌服，良久臂能少动，再剂眼开而能言，惟气不接续，
乃用参、 、归、术四味共八两、附子三钱水煎，连进二服，气少复，乃减附子，又三剂元气渐复，后用独参汤，多服
而痊。
一女子闪右臂，寅卯时发热作痛，余决其胆经血虚而火盛，先以四物合小柴胡汤四剂而热退；更以四物汤加香附、
陈皮、白术、茯苓各一剂；山栀五分，芩、连、甘草各三分，二十余剂，肿消而愈。
一小儿闪臂肿痛，发热恶寒，饮食少思，余谓脾胃气虚而壅肿也，朝用补中益气汤，夕用五味异功散，间服八珍汤，
三月形气渐充而愈。
一小儿因跌伤胫，漫肿作痛，肉色如故，服破血流气之药，反增腹痛，以手按之则痛少止，余谓此因脾胃虚弱，误
服破血流气之剂而然，非瘀血也。未几，患处肿消色黯，饮食不入，腹痛尤甚，手足厥冷，余用人参一两、附子一钱数
剂，脾胃渐复，饮食渐进，患处肿痛，肉色变赤。盖始因元气不足，不能运及，故肿消而色黯，服药之后，元气渐充，
故胫肿而色赤也。次用大补汤、托里散，三月余而愈。
一小儿闪臂肿痛，面目夭白，恪服流气饮之类，益加肿痛，余曰∶此形病俱虚之症也，前药所当深戒者。彼谓∶肿
痛为气滞血凝，非流气饮不能疏导经络，非破血药不能消散壅逆。余言聱牙而前症益甚，发热烦躁，始请治余。余曰∶
元气虚惫，七恶蜂生，虽卢扁亦不能起矣。遂殁。
一小儿伤臂肿痛，内服外敷，皆寒凉止痛之药，半载后溃而肿痛，余谓此非托里温中不能生也，不悟，确守前药，
以致血气沥尽而亡。
一小儿跌腿青肿，所服皆行气破血之药，后骨HT 内溃，青肿益深，朝寒暮热，余戒之曰∶此气血俱虚甚矣，须调
补脾胃，不可不信。
一小儿闪腰作痛，服流气等药，外肿不赤。余曰∶此儿虽经闪腰，然亦禀赋肾气不足而使之者，延久益虚，恐后不
治。彼以迂缓视之，后果不起。
消肿定痛散 治跌扑肿痛。
无名异（炒） 木耳（炒） 大黄（炒。各五分）
上为末，蜜水调涂肿处。内有瘀血者砭去敷之患处，溃者用当归膏敷之尤效。
经验方 治跌扑瘀血不散，肿痛不止，或筋骨伤损疼痛。
黄柏（一两） 半夏（五钱）
上各另为末，用姜汁调涂患处，以纸贴之，如干再用姜汁润之，日易新药。
神效太乙膏 治一切疮疽溃烂。
玄参 白芷 当归 肉桂 赤芍药 大黄 生地黄（各一两）
上 咀，用麻油四十两，入铜锅内煎至药黑，滤去粗，徐入净黄丹一斤再煎，滴水中捻软得中，即成膏矣。
回阳玉龙膏（又名抑阴散） 治跌扑损伤，因敷凉药；或人元气虚寒，肿坚不散，溃腐不敛，及痈肿肉色不变；
或肿而不溃，溃而不敛，筋挛骨痛，一切冷症。（方见敷寒凉之药）
乳香定痛散 治杖疮、金疮，一切疮疡溃烂疼痛。（方见作痛不止）
猪蹄汤 治一切痈疽杖疮溃烂，消肿毒，去恶肉，润疮口。
白芷 黄芩 当归 羌活 赤芍药 露蜂房（孔多者佳） 生甘草（各五钱）
上用猪蹄一只，水四五碗煮熟，去油粗，取清汤入前药，煎数沸温洗，随用膏药贴之。
跌打损伤的病症，如果患处颜色红赤、肿胀疼痛且出血不止，这是肝心内热所致，使用柴胡栀子散。如果患处颜色苍白、不痛但出血不止，这是脾肺气虚所致，使用补中益气汤。漫肿不消退的，是元气虚弱所致，使用五味异功散。颜色暗黑、肿胀不散的，是瘀血凝滞所致，使用加味逍遥散。肌肉作痛、出血多且伴有烦热的，是血脱发躁（血液耗损导致阳气外越而烦躁）所致，使用独参汤。因失血过多而导致烦躁不安的，是营卫俱伤所致，使用八珍汤加柴胡、牡丹皮。久痛不止的，是欲化脓之兆，使用托里散。用手指按压肿胀处，松手后迅速复起的，说明脓已成熟，应当刺破排脓。脓液流出后反而疼痛加剧的，是气血内虚所致，使用十全大补汤。如果骨骼脱位接上后又再次脱出的，是肝肾虚弱所致，使用地黄丸。如果兼有其他症状，应当参考各章节的方法治疗。
有一个小儿手臂受伤出血作痛，面色青赤，这是因为受惊导致肝火妄动，先用柴胡清肝散，待血止痛减后，再用托里消毒散，患处逐渐溃破；接着用托里散而痊愈。后来因为他的母亲多吃肥甘厚味的食物，又出现恶寒发热、肿痛色赤的症状，误服了败毒的药物，导致牙关紧闭、流口水、手足冰冷，我认为这是脾胃再次受损而呈现虚寒证，先用六君子汤加生姜、肉桂服用数剂，元气逐渐恢复；再用五味异功散，一个月多月后疮口收敛愈合。
有一个小儿手指受伤出血过多，导致昏迷不醒，牙关紧闭、手撒开、时常抽搐，这是气虚血脱所致，用独参汤服用数剂而安定；再用五味异功散及托里散而痊愈。
有一个小儿脚部受伤溃烂腐坏，肌肉苍白不愈合。这是脾胃亏损而气血不能到达患处的缘故，先用五味异功散帮助胃气，再用十全大补汤滋养营血，一个多月后痊愈。
有一个小儿脚部受伤，内部溃烂成脓，食欲少且恶心，这是脾胃气虚而生痰所致。用六君子汤，饮食立刻增加，脓液也向外排泄，但身体疲倦且有午后潮热，早晨服用补中益气汤，晚上服用五味异功散，并间歇服用八珍汤，病情逐渐好转。后来因为饮食不当，出现发热，患处大面积溃烂出脓，牙关紧闭、身体颤抖，有时流口水，我认为这是胃气虚、肝火内动所致，外用独参汤四剂，仍然像之前一样，早晨服用补中益气汤，晚上服用五味异功散加柴胡、升麻，元气逐渐恢复，佐以托里散而疮口收敛。
有一个小儿手指受伤敷用凉药，肿胀蔓延至手背，脓液清稀，食欲不振，这是气血虚弱的缘故，早晨服用异功散，晚上服用托里散，脓水逐渐变稠，患处红润鲜活，又用八珍汤而痊愈。
有一个小儿腿部受伤，青肿不消，面色萎黄，家属仍想用行气破血的方法治疗，我认为这是因为脾气再次受损，血行滞涩而不通畅。家属不信，于是服用破血的药剂，导致饮食不进，出现寒热往来如疟疾状，我早晨服用补中益气汤，晚上服用八珍汤及葱熨法而痊愈。
有一个小儿手臂受伤，溃破后出现寒热，用八珍汤逐渐痊愈。后来因为饮食所伤，呕吐腹泻不止，摇头咬紧牙齿，这是脾气虚而肝邪内侵所致，用六君子汤加升麻、柴胡而安定，再用十全大补汤、六君子汤而痊愈。
有一个小儿扭伤脚踝肿痛而肌肉颜色不变，这是阳气虚弱，伤在骨骼，频繁使用葱熨法，五更天服用和血定痛丸，白天服用八珍汤，几天后佐以六味地黄丸，三个多月后病愈。
有一个小儿手臂骨折脱位接入后，肿痛发热，用葱熨法及异功散加柴胡、续断、骨碎补四剂，又用补中益气汤而痊愈。
有一个小儿扭伤脚踝骨痛，肌肉颜色如故，频繁用炒葱熨烫，五更天服用和血定痛丸，白天服用四君子汤、川芎、当归数剂，后来用地黄丸，三个多月后病愈。因为肾主骨，所以用地黄丸来补肾。
有一个小儿手臂折断出血过多，发躁作渴，面目色赤，脉象洪大而数，但重按无力，这是血脱发躁所致，服用当归补血汤而安定。随即令正骨科医生接续骨头，服用接骨丹，第二天睡觉时惊醒躁动，这是因为血液尚虚的缘故，因为血生于气，于是用五味异功散加柴胡、升麻、当归而安定。后来手足轻微抽搐，眉毛嘴唇微动，这是血虚而肝火内动所致，用四君子汤、川芎、当归、钩藤、柴胡逐渐痊愈，却用托里散、八珍汤而痊愈。血脱发躁，如果使用四物汤之类的药物，会再次损伤脾气，大多导致无法救治，误用白虎汤，危险更加迅速。
有一个小儿跌伤手臂骨折脱位，第二天接入后，肿痛发热不进食，用葱熨法疼痛立即停止；又用六君子汤、黄芪、柴胡、桔梗、续断、骨碎补，饮食增加肿胀消退；又用补中益气汤加麦门冬、五味子，数剂后热退而痊愈。
有一个十五岁的小儿，腿部受伤内部溃烂，针刺出污秽脓液，虚症全部具备，用大补的药剂逐渐痊愈。后来因为劳累，手撒眼闭，出汗如雨，急忙炒热艾草频繁熨烫脐腹及气海穴，再用人参四两、炮附子五钱，作为一剂水煎，慢慢灌服，很久之后手臂能稍微活动，再服药后眼睛睁开并能说话，只是气息不接续，于是用人参、黄芪、当归、白术四味共八两、附子三钱水煎，连续进服两剂，气息稍复，于是减少附子用量，又服三剂元气逐渐恢复，后用独参汤，多服而痊愈。
有一个女子扭伤右臂，在寅卯时（凌晨3-7点）发热作痛，我判断为胆经血虚而火盛，先用四物汤合小柴胡汤四剂而热退；再用四物汤加香附、陈皮、白术、茯苓各一剂；山栀五分，黄芩、黄连、甘草各三分，二十余剂后，肿胀消退而痊愈。
有一个小儿扭伤手臂肿痛，发热恶寒，饮食少思，我认为这是脾胃气虚而壅肿所致，早晨服用补中益气汤，晚上服用五味异功散，间歇服用八珍汤，三个月后形体气息逐渐充盈而痊愈。
有一个小儿因跌伤小腿，漫肿作痛，肌肉颜色如故，服用破血流气的药物，反而增加腹痛，用手按压则疼痛稍止，我认为这是因为脾胃虚弱，误服破血流气的药剂所致，并非瘀血。不久，患处肿消色黯，饮食不入，腹痛尤其严重，手足厥冷，我用一两人参、一钱附子数剂，脾胃逐渐恢复，饮食渐进，患处肿痛，肌肉颜色变赤。起初是因为元气不足，不能运化到达，所以肿消而色黯，服药之后，元气逐渐充盛，所以小腿肿而色赤。随后用大补汤、托里散，三个多月后痊愈。
有一个小儿扭伤手臂肿痛，面色惨白，坚持服用流气饮之类的药物，更加肿痛，我说：这是形质与病邪都虚的病症，前面的药物应当深以为戒。他认为：肿痛是气滞血凝，非流气饮不能疏导经络，非破血药不能消散壅逆。我的话他听不进去而前症更加严重，发热烦躁，才请我诊治。我说：元气虚惫，七恶征象蜂拥而至，即使是卢医扁鹊也不能救活了。于是死亡。
有一个小儿手臂受伤肿痛，内服外敷，都是寒凉止痛的药物，半年后溃破而肿痛，我说这不是托里温中不能生肌，他不醒悟，坚持守用前药，以致气血沥尽而亡。
有一个小儿腿部跌伤青肿，所服的都是行气破血的药物，后来骨折内部溃烂，青肿更深，早晨怕冷晚上发热，我告诫他说：这是气血俱虚很严重的情况，必须调补脾胃，不可不信。
有一个小儿扭伤腰部作痛，服用流气等药，外部肿胀但不红。我说：这个小孩虽然经过扭腰，但是也是禀赋肾气不足而导致的，拖延久了更加虚弱，恐怕以后无法治疗。他把这视为迂缓之见，后果果然无法挽救。
消肿定痛散 治疗跌扑肿痛。
无名异（炒） 木耳（炒） 大黄（炒。各五分）
以上研为末，用蜜水调涂肿胀处。内有瘀血者砭刺去瘀血后敷药，溃破者用当归膏敷用尤其有效。
经验方 治疗跌扑瘀血不散，肿痛不止，或筋骨伤损疼痛。
黄柏（一两） 半夏（五钱）
以上分别另研为末，用姜汁调涂患处，用纸贴之，如果干了再用姜汁润湿，每天更换新药。
神效太乙膏 治疗一切疮疽溃烂。
玄参 白芷 当归 肉桂 赤芍药 大黄 生地黄（各一两）
以上切碎，用麻油四十两，放入铜锅内煎至药色黑，滤去粗渣，慢慢加入净黄丹一斤再煎，滴入水中捻软适中，即成为膏。
回阳玉龙膏（又名抑阴散） 治疗跌扑损伤，因敷凉药；或人元气虚寒，肿坚不散，溃腐不敛，及痈肿肉色不变；或肿而不溃，溃而不敛，筋挛骨痛，一切冷症。（方见敷寒凉之药）
乳香定痛散 治疗杖疮、金疮，一切疮疡溃烂疼痛。（方见作痛不止）
猪蹄汤 治疗一切痈疽杖疮溃烂，消肿毒，去恶肉，润疮口。
白芷 黄芩 当归 羌活 赤芍药 露蜂房（孔多者佳） 生甘草（各五钱）
以上用猪蹄一只，水四五碗煮熟，去掉油脂粗渣，取清汤加入前药，煎煮数沸温洗，随用膏药贴之。
In cases of traumatic injury, if the affected area is red, swollen, painful, and bleeding does not stop, this indicates internal heat in the Liver and Heart; use Chaihu Zhizi San (Bupleurum and Gardenia Powder). If the area is pale, painless, but bleeding persists, this indicates deficiency of Qi in the Spleen and Lung; use Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction). If there is diffuse swelling that does not subside, this indicates weakness of Yuan Qi (Primary Qi); use Wuwei Yigong San (Five-Ingredient Powder for Extraordinary Merit). If the swelling is dark and does not dissipate, this indicates stagnation of blood stasis; use Jia Wei Xiaoyao San (Modified Free and Easy Wanderer Powder). If the muscles are painful with excessive bleeding accompanied by restlessness and fever, this indicates "blood loss leading to floating Yang and restlessness"; use Dushen Tang (Single Ginseng Decoction). If restlessness and anxiety arise due to blood loss, this indicates injury to both Ying (Nutritive) and Wei (Defensive) Qi; use Bazhen Tang (Eight-Treasure Decoction) added with Chai Hu (Bupleuri Radix) and Mudan Pi (Moutan Cortex). If pain persists for a long time, it suggests impending suppuration; use Tuoli San (Support the Interior Powder). If pressing the swelling with a finger causes it to rebound quickly, pus has formed; it should be lanced and drained. If pain worsens after pus discharge, this indicates internal deficiency of Qi and Blood; use Shiquan Dabu Tang (Perfect Ten Great Tonifying Decoction). If a dislocated bone reconnects but dislocates again, this indicates weakness of the Liver and Kidney; use Dihuang Wan (Rehmannia Pill). If other symptoms coexist, refer to the respective chapters for treatment.
A child suffered an arm injury with bleeding and pain, presenting with a bluish-red complexion. This was caused by Liver Fire stirring due to fright. Initially, Chaihu Qinggan San (Bupleurum Liver-Clearing Powder) was used. After bleeding stopped and pain subsided, Tuoli Xiaodu San (Interior-Supporting Detoxification Powder) was administered, leading to gradual ulceration of the affected area. Finally, Tuoli San was used, resulting in recovery. Later, due to the mother's consumption of rich, greasy foods, the child developed aversion to cold, fever, swelling, pain, and redness. Misadministration of cooling/detoxifying herbs led to trismus (lockjaw), salivation, and cold extremities. I diagnosed this as secondary damage to the Spleen and Stomach manifesting as deficiency-cold. Six Junzi Tang (Six Gentlemen Decoction) added with Sheng Jiang (Zingiberis Rhizoma Recens) and Rou Gui (Cinnamomi Cortex) was given for several doses, gradually restoring Yuan Qi. Subsequently, Wuwei Yigong San was used, and after more than a month, the wound healed.
A child suffered an excessive finger injury with bleeding, leading to coma, trismus, flaccid hands, and occasional convulsions. This indicated Qi deficiency and Blood collapse. Dushen Tang was administered for several doses, stabilizing the condition. Recovery followed with Wuwei Yigong San and Tuoli San.
A child had a foot injury resulting in ulceration and necrosis with pale flesh that failed to heal. This was due to Spleen and Stomach deficiency, preventing Qi and Blood from reaching the affected area. Wuwei Yigong San was first used to support Stomach Qi, followed by Shiquan Dabu Tang to nourish Ying Blood. The child recovered after over a month.
A child suffered a foot injury with internal suppuration, poor appetite, and nausea, indicating Spleen-Stomach Qi deficiency generating Phlegm. Liujunzi Tang (Six Gentlemen Decoction) was used, immediately improving appetite and promoting pus drainage. However, fatigue and afternoon tidal fever persisted. Bu Zhong Yi Qi Tang was taken in the morning, Wuwei Yigong San in the evening, with intermittent Bazhen Tang. The condition improved. Later, improper diet caused fever, extensive ulceration with pus, trismus, tremors, and salivation. I diagnosed Stomach Qi deficiency with internal Liver Fire. Dushen Tang was applied externally for four doses. Bu Zhong Yi Qi Tang was taken in the morning, and Wuwei Yigong San added with Chai Hu and Sheng Ma in the evening. As Yuan Qi recovered, Tuoli San was added to promote healing.
A child’s finger injury was treated with cooling herbs, causing swelling to spread to the dorsum of the hand with thin pus and poor appetite. This indicated Qi and Blood deficiency. Yigong San was taken in the morning, Tuoli San in the evening. The pus thickened, and the area became ruddy. Recovery occurred with Bazhen Tang.
A child suffered a leg injury with persistent cyanotic swelling and sallow complexion. The family insisted on Qi-moving and Blood-breaking treatments. I diagnosed this as secondary Spleen Qi injury causing Blood stasis. Ignoring my advice, they used Blood-breaking formulas, leading to anorexia and alternating chills and fever resembling malaria. I prescribed Bu Zhong Yi Qi Tang in the morning, Bazhen Tang in the evening, along with Cong Yun (Scallion Moxibustion/Fomentation). The child recovered.
A child with an arm injury presented with ulceration and alternating chills and fever. Bazhen Tang gradually resolved the symptoms. Later, dietary injury caused persistent vomiting and diarrhea, head shaking, and teeth grinding, indicating Spleen Qi deficiency with Liver Pathogen invasion. Liujunzi Tang added with Sheng Ma and Chai Hu stabilized the condition. Recovery followed with Shiquan Dabu Tang and Liujunzi Tang.
A child twisted their ankle, presenting with swelling and pain but normal skin color. This indicated Yang Qi deficiency with bone injury. Frequent Cong Yun was used. He Xue Ding Tong Wan (Blood-Nourishing Pain-Relieving Pill) was taken at dawn, and Bazhen Tang during the day. After several days, Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill) was added. Recovery took over three months.
A child with a fractured and dislocated arm, once reduced, presented with swelling, pain, and fever. Cong Yun and Yigong San added with Chai Hu, Xu Duan (Dipsaci Radix), and Gu Sui Bu (Drynariae Rhizoma) were used for four doses. Bu Zhong Yi Qi Tang completed the cure.
A child with an ankle sprain and bone pain, with normal skin color, received frequent scallion fomentation. He Xue Ding Tong Wan was taken at dawn, and Sizijunzi Tang (Four Gentlemen Decoction) with Chuan Xiong (Ligustici Chuanxiong Rhizoma) and Dang Gui (Angelicae Sinensis Radix) during the day. Dihuang Wan was later used. Recovery took over three months. Since the Kidney governs bones, Dihuang Wan was used to tonify the Kidney.
A child with a broken arm and excessive bleeding presented with restlessness, thirst, red face, and a surging, rapid pulse that was empty upon pressure. This indicated "blood loss leading to floating Yang and restlessness." Danggui Buxue Tang (Angelica Tonifying Blood Decoction) stabilized the condition. Orthopedic reduction was performed, and Jiegu Dan (Bone-Connecting Pill) was taken. The next day, the child woke startled, indicating residual Blood deficiency. Since Blood is generated by Qi, Wuwei Yigong San added with Chai Hu, Sheng Ma, and Dang Gui was used. Later, mild convulsions of limbs and twitching of eyebrows/lips indicated Blood deficiency with internal Liver Fire. Sizijunzi Tang, Chuan Xiong, Dang Gui, Gou Teng Uncinariae Ramulus cum Hooka, and Chai Hu gradually improved the condition. Tuoli San and Bazhen Tang completed the cure. Using Siwu Tang (Four-Substance Decoction) in such cases would further injure Spleen Qi, often leading to death. Misuse of Baihu Tang (White Tiger Decoction) accelerates danger.
A child with a fractured and dislocated arm, once reduced, presented with swelling, pain, fever, and anorexia. Cong Yun stopped the pain. Liujunzi Tang, Huang Qi (Astragali Radix), Chai Hu, Jie Geng (Platycodonis Radix), Xu Duan, and Gu Sui Bu improved appetite and reduced swelling. Bu Zhong Yi Qi Tang added with Maidong (Ophiopogonis Radix) and Wuweizi (Schisandrae Fructus) cleared the fever. Recovery followed.
A fifteen-year-old child suffered a leg injury with internal suppuration of foul pus and full manifestation of deficiency signs. Large tonics gradually improved the condition. Labor induced flaccid limbs, closed eyes, and profuse sweating. Hot mugwort fomentation was applied frequently to the umbilicus and Qihai (CV6). A decoction of Ren Shen (Ginseng Radix et Rhizoma) 4 liang and Pao Fuzi (Prepared Aconiti Lateralis Radix) 5 qian was slowly administered. After some time, arm movement returned. A second dose opened the eyes and restored speech, though Qi remained unconnected. A formula of Ren Shen, Huang Qi, Dang Gui, and Bai Zhu (8 liang total) plus Fuzi (3 qian) was taken twice, slightly restoring Qi. Fuzi was then reduced, and three more doses gradually restored Yuan Qi. Dushen Tang was subsequently taken in large amounts for full recovery.
A woman twisted her right arm, experiencing fever and pain during Yin-Mao hours (3-7 AM). I diagnosed Gallbladder Channel Blood deficiency with excess Fire. Siwu Tang combined with Xiao Chaihu Tang (Minor Bupleurum Decoction) for four doses cleared the fever. Siwu Tang added with Xiang Fu (Cyperi Rhizoma), Chen Pi (Citri Reticulatae Pericarpium), Bai Zhu (Atractylodis Macrocephalae Rhizoma), and Fu Ling (Poria) was used. Zhi Zi (Gardeniae Fructus) 5 fen, Huang Qin (Scutellariae Radix), Lian Zi (Coptidis Rhizoma), and Gan Cao (Glycyrrhizae Radix et Rhizoma) 3 fen each were taken for over twenty doses, resolving swelling and curing the condition.
A child with a twisted arm presented with swelling, pain, fever, aversion to cold, and poor appetite. I diagnosed Spleen-Stomach Qi deficiency with congestion/swelling. Bu Zhong Yi Qi Tang was taken in the morning, Wuwei Yigong San in the evening, with intermittent Bazhen Tang. Recovery occurred after three months as form and Qi filled out.
A child fell and injured the shin, presenting with diffuse swelling and pain but normal skin color. Administration of Qi-moving and Blood-breaking herbs increased abdominal pain, which relieved slightly upon pressure. I diagnosed this as Spleen-Stomach weakness exacerbated by inappropriate Blood-breaking herbs, not blood stasis. Soon, the swelling subsided, color turned dark, anorexia set in, abdominal pain worsened, and extremities became cold. Ren Shen (1 liang) and Fuzi (1 qian) for several doses restored the Spleen and Stomach. Appetite improved, and the shin swelling returned with redness. Initially, insufficient Yuan Qi failed to circulate, causing subsidence and darkness. Post-medication, Yuan Qi replenished, causing swelling and redness. Da Bu Tang (Great Tonifying Decoction) and Tuoli San were used for over three months for recovery.
A child with a twisted arm presented with swelling, pain, and a pale/ashen face. Insisting on Liuyin Yin (Flowing Qi Drink) worsened the condition. I stated this was a case of both Form and Disease being deficient, warning against previous medications. The family argued that swelling/pain resulted from Qi stagnation and Blood congealing, requiring Liuyin Yin to dredge collaterals and Blood-breaking herbs to dissipate obstruction. Ignoring my warnings, the condition worsened with fever and restlessness. Upon seeking treatment, I diagnosed exhausted Yuan Qi with the emergence of the "Seven Evils" (ominous signs). Even Lu Bian (Lu Yu and Bian Que) could not save him. The child died.
A child with arm injury/swelling used internal and external cooling analgesics. Half a year later, ulceration and swelling/pain appeared. I stated that only Interior-Supporting and Middle-Warming methods could generate tissue. Unheeding, the family persisted with cooling herbs, leading to exhaustion of Qi and Blood and death.
A child with a leg fall injury presented with cyanotic swelling. All administered herbs moved Qi and broke Blood. Later, bone fracture with internal suppuration deepened the cyanosis, with morning chills and evening fever. I warned that this was severe Qi and Blood deficiency requiring Spleen-Stomach tonification.
A child with a waist sprain and pain used Liuyin Yin, presenting with external swelling but no redness. I stated that although the waist was sprained, congenital Kidney Qi insufficiency was the root cause. Prolonged delay would increase deficiency, likely leading to untreatability. Disregarded as slow-acting, the child did not survive.
Xiaozhong Dingtong San (Reduce Swelling and Stop Pain Powder) treats trauma-induced swelling and pain.
Wumingyi (Stibnite, fried), Mu'er (Wood Ear Mushroom, fried), Dahuang (Rhei Radix et Rhizoma, fried). Each 5 fen.
Grind into powder, mix with honey water, and apply to the swollen area. For internal blood stasis, scarify to remove stasis before application. For ulcers, applying Danggui Gao (Angelica Ointment) is especially effective.
Jingyan Fang (Experienced Formula) treats unresolved trauma blood stasis, persistent swelling/pain, or tendon/bone injury pain.
Huangbai (Phellodendri Cortex) 1 liang, Banxia (Pinelliae Rhizoma) 5 qian.
Grind separately into powder, mix with Ginger Juice, apply to the affected area, cover with paper. Moisten with Ginger Juice if dry. Change to fresh medicine daily.
Shenxiao Taiyi Gao (Divine Efficacy Taiyi Plaster) treats all sores and carbuncles with ulceration.
Xuanshen (Scrophulariae Radix), Baizhi (Angelicae Dahuricae Radix), Dang Gui, Rou Gui, Chi Shaoyao (Paeoniae Radix Rubra), Dahuang, Sheng Dihuang (Rehmanniae Radix). Each 1 liang.
Chop ingredients, fry in 40 liang Sesame Oil in a copper pot until black. Filter coarse residue. Slowly add 1 jin refined Minium (Huangdan). Fry until soft when dropped in water. Forms the plaster.
Huiyang Yulong Gao (Return Yang Jade Dragon Ointment, also known as Yiyin San) treats trauma injuries caused by cooling herbs; or Yuan Qi deficiency-cold with hard swelling that does not dissipate, non-healing ulceration/necrosis, abscesses with unchanged skin color; or swelling without ulceration, ulceration without healing, tendon spasms, bone pain, and all cold syndromes. (Formula see: Application of Cooling Herbs)
Ruxiang Dingtong San (Frankincense Pain-Relieving Powder) treats beating wounds, metal wounds, and all ulcerating sores with pain. (Formula see: Persistent Pain)
Zhuti Tang (Pig Trotter Decoction) treats all carbuncles, sores, beating wounds with ulceration, reduces swelling/toxicity, removes foul flesh, and moistens wound edges.
Baizhi, Huang Qin, Dang Gui, Qianghuo (Notopterygii Rhizoma et Radix), Chi Shaoyao, Lubifengfang (Vespa Nidus, those with many holes are best), Sheng Gancao (Raw Licorice Root). Each 5 qian.
Boil one pig trotter in 4-5 bowls of water until cooked. Remove oil and coarse residue. Take clear broth, add herbs, boil briefly. Wash warm, then apply plaster.