上三味，除麝香别研外，为极细末，入麝香令匀。每服三钱，热酒一盏调下。如前内瘀血去，
或骨节伤折，疼痛不可忍，以定痛接骨紫金丹治之。
〔严〕夺命散治刀刃所伤，及从高坠下，木石压损，瘀血凝积，心腹疼痛，大小便不通。
水蛭（用锻石拌，慢火炒令干黄色，半两） 黑牵牛（二两）
上为末，每服二钱，用热酒调下。约行四五里，再用热酒调黑牵牛末二钱催之，须下恶血成
块，以尽为度。
〔无〕鸡鸣散治从高坠下，及木石所压，凡是伤损血瘀凝积，气绝欲死，烦躁头痛，叫呼不
得，并以此药利去瘀血，治折伤神妙。
大黄（一两，酒蒸） 桃仁（二七粒，去皮尖）
上研细，酒一碗，煎至六分，去渣，鸡鸣时服。次日，取下瘀血即愈。若便觉气绝不能言，
取药不及，急掰口开，用热小便灌之，即愈。
〔罗〕花蕊石散治一切金刃箭镞伤，及打扑伤损、猫狗咬伤或至死。血瘀伤处，以药掺之，
其血化为黄水。再掺药便活，更不疼痛。如内损血入脏腑，煎童子小便，入酒少许，调一大盏
服之立效。若牛 肠出不损者，急纳肠入，用细系或桑白皮为线，缝合肚皮，缝上掺药，血止
立活。如无桑白皮，用生麻缕亦得。并不得封裹疮口，恐作脓血。如疮干，以津液润之，然后掺
药。妇人产后败血不尽，血迷血晕，恶血奔心，胎死腹中，胎衣不下至死者，但心头觉暖，急
以童子小便调一盏，取下恶物如肝片，终身不患血风血气证。若膈上有血，
化为黄水，实时吐出，或随大便出。
石硫黄（四两） 花蕊石（二两）
上二味，相拌合匀。先用纸筋和盐泥固济瓦罐子一个，内可容药。候泥干入药在内，再
用泥封口候干，安在四方砖上，上书八卦五行字。用炭一秤，笼叠周匝，自巳午时从下着火，
渐渐上彻，直至经宿。火冷炭尽。又放经宿，罐冷取出细研，以绢罗子罗极细，瓷盒盛之，
根据法使用。
〔《本》〕治打扑坠损，恶血攻心，闷乱疼痛，水仙散。
未展荷叶阴干，一味为末，食前以童子热小便一小盏，调下三钱，以利下恶物为度。
〔《圣》〕治扑打坠损，恶血攻心，闷乱疼痛。以大干荷叶五片，烧令烟尽，细研，食前，
以童子热小便一小盏，调三钱匕，日三服。
〔塞上方〕治坠伤损扑，瘀血在内烦闷者。用蒲黄末，空心热酒调下三钱，瘥。
〔《本》〕宣和中，有一国医，忽承快行宣押就一佛刹医内人。医诊视之，已昏死矣。问其
从人，皆不知病之由，惶恐无地。良久有二三老内人至，下轿环而泣之，方得其实云∶因蹴 ，
自空而下坠死。医者云∶打扑伤损，自属外科，欲申明，又恐后时参差不测。再视之，微觉有气，
忽忆药箧中有苏合香丸，急取半两，于火上焙去脑麝，用酒半升研化灌之。至三更方呻吟，五
更下恶血数升，调理数日方瘥。
〔仲〕治马坠及一切筋骨损伤。
大黄（一两，切，汤浸，或半两） 绯帛 乱发（如鸡子大，烧灰） 败蒲席（三寸）
久用炊单布（一尺，烧灰） 桃仁（四十九个，去皮尖） 甘草（如中指节，炙，锉）
上七味，以童子小便量多少煎汤，或纳酒一大盏，次下大黄，去渣，分温三服。先锉败蒲
席半领，煎汤浴，以衣被盖覆。斯须通利数行，通后立瘥。利后浴水赤，勿怪，即瘀血也。
〔《圣》〕治 扑损，肌肤青肿。用茄子种通黄极大者，切作片如一指浓，新瓦上焙干为末。
欲卧，酒调
二钱匕，一夜消尽无痕。
〔《本》〕 疗因伤损血瘀不散者。取牡丹皮八分，合虻虫二十一枚 过，同捣筛。每用温酒
和散方寸匕服，血当化为水下。
〔丹〕治被打，瘀血在骨节下出者。生铁一斤，酒五升，煎取一升，饮之。（《肘后》）
〔《本》〕治从高堕下坠损，恶血在骨节间疼痛，芸苔散。
荆芥 藕节（各二两。阴干） 芸苔子 川芒硝 马齿苋（各一两。阴干）
上为细末，用苏木半两，酒一大盏，煎至七分，调下二钱服之，不拘时服。
〔丹〕盛官人因上山，恶血瘀入内损伤，食少，脉弦，此须用活血和气。
川芎（三钱） 青皮（二钱） 芍药 滑石（各一钱） 牡丹皮（五分） 炙甘草（一钱） 桃仁（七枚，研）
上作一帖服之。
凡伤切不可饮冷水，血见寒则凝，但一系血入心，即死。
〔《素》〕人有所坠堕，恶血留内，腹中满胀，不得前后，先饮利药。此上伤厥阴之脉，下伤
少阴之络，刺足内踝之下、然骨之前血脉出血，刺足跗上脉动。不已，刺三毛上各一 ，见
血立已。左刺右，右刺左。善悲惊不乐，刺如右方。（缪刺论）
〔《灵》〕 身有所伤，血出多及中风寒，若有所坠堕，四肢懈惰不收，名曰体惰，取小腹
脐下三结交。三结交者，阳明太阴也，脐下三寸关元也。（寒热病篇 三结交者，即关元穴是也。）
〔《脉》〕从高扑损，内有血，腹胀满。其脉坚强者生；小弱者死。
以上三味药，将麝香单独研磨成粉后，与其他药物混合均匀，制成极细的粉末。每次服用三钱，用一盏热酒调服。如果体内瘀血已排出，或者骨节受伤骨折，疼痛难以忍受，可用定痛接骨紫金丹治疗。
〔严氏〕夺命散治疗被刀刃所伤，以及从高处坠落、被木石压砸造成的损伤，导致瘀血凝积，心腹疼痛，大小便不通。
水蛭（用煅石拌炒至干黄色，半两） 黑牵牛（二两）
以上药物研为粉末，每次服用二钱，用热酒调服。服药后行走约四五里路，再用热酒调服黑牵牛末二钱以催下，必须排出成块的恶血，直到排尽为止。
〔无氏〕鸡鸣散治疗从高处坠落或被木石压砸，凡是跌打损伤导致血瘀凝积，气绝欲死，烦躁头痛，呼叫不得，都用此药通利排出瘀血，治疗折伤非常神效。
大黄（一两，酒蒸） 桃仁（十四粒，去皮尖）
以上药物研细，用一碗酒煎至六分，去渣，在鸡鸣时服用。第二天，排出瘀血即痊愈。如果立刻感觉气绝不能说话，取药来不及，急忙掰开嘴，用热的小便灌入，即可痊愈。
〔罗氏〕花蕊石散治疗一切金刃箭镞伤害，以及打扑跌打损伤、猫狗咬伤甚至致死的情况。对于血瘀在伤处，将药粉撒在伤口上，瘀血会化为黄水。再次撒药就能复活，且不再疼痛。如果是内伤，血液进入脏腑，煎煮童子小便，加入少许酒，调一大盏服用，立即见效。如果牛肠脱出但未损坏，急忙将肠子纳回，用细丝或桑白皮做线，缝合肚皮，缝好后撒上药粉，血止立活。如果没有桑白皮，用生麻缕也可以。并且不能封闭包裹疮口，恐怕化脓流血。如果疮口干燥，用唾液润湿，然后撒药。妇人产后败血不尽，血迷血晕，恶血攻心，胎死腹中，胎盘不下致死的，只要心头觉得温暖，急忙用童子小便调服一盏，排出如肝片状的恶物，终身不再患血风血气证。如果膈上有瘀血，化为黄水，实时吐出，或随大便排出。
石硫黄（四两） 花蕊石（二两）
以上两味药，混合均匀。先用纸筋和盐泥加固一个瓦罐，使其能容纳药物。待泥干后放入药物，再用泥封口待干，放在四方砖上，上面书写八卦五行字样。用一秤炭，层层覆盖周围，从巳午时开始从下面点火，渐渐烧透，直到过夜。火冷炭尽。再放置过夜，待罐冷却取出，研磨成极细粉末，用绢筛过，盛在瓷盒中，根据方法使用。
〔《本草》〕治疗打扑坠损，恶血攻心，闷乱疼痛，用水仙散。
未开放的荷叶阴干，单味药研为粉末，饭前用一小盏童子热小便调服三钱，以利下恶物为度。
〔《圣济总录》〕治疗扑打坠损，恶血攻心，闷乱疼痛。用五片大干荷叶，烧至烟尽，研细，饭前，用一小盏童子热小便调服三钱匕，每日三次服用。
〔塞上方〕治疗坠伤跌打，瘀血在内烦闷者。用蒲黄末，空腹用热酒调服三钱，病愈。
〔《本草》〕宣和年间，有一位国医，忽然接到快马传令，被召到一座佛寺医治宫内女子。医生诊视后，发现她已经昏死。询问随从，都不知道病因，惶恐无地。过了很久，有几位老宫女到来，下轿围着她哭泣，才得知实情：因为蹴鞠，从空中坠落而死。医生说：打扑伤损属于外科范畴，想要申述，又恐延误时机出现意外。再次诊视，微微感觉到还有气息，忽然想起药箱中有苏合香丸，急忙取半两，在火上焙去脑麝，用半升酒研磨化开灌服。到了三更天开始呻吟，五更天下恶血数升，调理数日后才痊愈。
〔仲景〕治疗马匹坠落及一切筋骨损伤。
大黄（一两，切片，汤浸，或半两） 绯帛 乱发（如鸡蛋大小，烧灰） 败蒲席（三寸）
久用的炊单布（一尺，烧灰） 桃仁（四十九个，去皮尖） 甘草（如中指节大小，炙，锉碎）
以上七味药，根据情况用童子小便煎汤，或加入一大盏酒，先下大黄，去渣，分三次温服。先锉碎败蒲席半领，煎汤洗浴，用衣被覆盖身体。不久通利数次，通利后立即痊愈。通利后的洗澡水变红，不要奇怪，那就是瘀血。
〔《圣济总录》〕治疗扑打损伤，肌肤青肿。选用通体黄色极大的茄子种子，切成一指厚的片，在新瓦上焙干研为粉末。睡觉前，用酒调服二钱匕，一夜之间消肿无痕。
〔《本草》〕治疗因伤损导致血瘀不散者。取牡丹皮八分，配合虻虫二十一枚（炒过），共同捣碎筛选。每次用温酒调和方寸匕的药粉服用，瘀血应当化为水液下行。
〔丹溪〕治疗被打，瘀血在骨节下溢出者。生铁一斤，酒五升，煎取一升，饮服。（出自《肘后备急方》）
〔《本草》〕治疗从高坠落跌打损伤，恶血在骨节间疼痛，用芸苔散。
荆芥 藕节（各二两，阴干） 芸苔子 川芒硝 马齿苋（各一两，阴干）
以上药物研为细末，用苏木半两，一大盏酒，煎至七分，调服二钱，不拘时间服用。
〔丹溪〕盛官人因上山，恶血瘀入体内造成损伤，食少，脉弦，这需要用活血和气的药物。
川芎（三钱） 青皮（二钱） 芍药 滑石（各一钱） 牡丹皮（五分） 炙甘草（一钱） 桃仁（七枚，研碎）
以上为一帖药，一次服用。
凡是受伤切不可喝冷水，血遇寒则凝结，一旦有一系血液进入心脏，就会死亡。
〔《素问》〕人有从高处坠落，恶血留在体内，腹部胀满，大小便不通，先服用通利药物。这是上伤厥阴之脉，下伤少阴之络，针刺足内踝之下、然骨之前的血脉出血，针刺足背上的动脉脉搏。如果不愈，刺足趾丛毛处各一针，见血立即痊愈。左病刺右，右病刺左。悲伤惊恐不乐，针刺方法同上。（缪刺论）
〔《灵枢》〕身体有所损伤，出血多及中风寒，或者有坠落伤，四肢懈怠不收，名叫体惰，取小腹脐下的三结交穴。三结交穴，是阳明太阴交会之处，即脐下三寸的关元穴。（《寒热病篇》注：三结交，即关元穴。）
The above three ingredients, except for the musk which is separately ground into powder, are mixed together to form an extremely fine powder. Mix in the musk evenly. Take three qian each time, mixed with one cup of hot wine and swallowed. If the internal blood stasis has been expelled, or if there is injury/fracture of the joints with unbearable pain, treat it with Ding Tong Jie Gu Zi Jin Dan (Pain-Relieving and Bone-Knitting Purple Gold Pill).
[Yan's Formula] Duo Ming San (Life-Restoring Powder) treats injuries caused by knife blades, as well as falls from heights or crushing by wood and stone, leading to coagulation of blood stasis, pain in the heart and abdomen, and obstruction of urination and defecation.
Hirudo (half liang, mixed with calcined earth and slow-fired until dry and yellowish)
Peltophorum Fructus (Heiqianniu, two liang)
Grind the above into powder. Take two qian each time, mixed with hot wine and swallowed. Walk about four or five li after taking the medicine, then take another two qian of Heiqianniu powder mixed with hot wine to promote evacuation. The foul blood must be discharged in clots, continuing until completely expelled.
[Wu's Formula] Ji Ming San (Crowing Rooster Powder) treats falls from heights or crushing by wood and stone, where any traumatic injury results in blood stasis coagulation, near-death state due to qi obstruction, irritability, headache, inability to cry out. This medicine promotes the discharge of blood stasis and is miraculous for treating fractures.
Rhubarb Root (Dahuang, one liang, steamed with wine)
Peach Kernel (Taoren, fourteen kernels, skin and tip removed)
Grind the above finely. Decoct in one bowl of wine until reduced to six-tenths. Strain and administer at the time of the crowing rooster (early morning). On the next day, discharge of blood stasis indicates recovery. If the patient immediately feels qi exhaustion and cannot speak, and there is no time to prepare medicine, forcibly open the mouth and灌 (pour) hot urine into it, which will lead to recovery.
[Luo's Formula] Hua Rui Shi San (Flower Porphyry Stone Powder) treats all injuries from metal blades or arrowheads, as well as blunt trauma, cat or dog bites, even up to death. For blood stasis at the injury site, sprinkle the powder on it; the blood will transform into yellow fluid. Sprinkling the medicine again restores life without further pain. If internal injury occurs with blood entering the zang-fu organs, decoct infant urine, add a little wine, mix one large cup, and take it for immediate effect. If the intestine prolapses but is not damaged, urgently replace it, suture the abdominal wall using fine thread or mulberry root bark as thread, apply powder on the sutured area; bleeding stops and life is restored immediately. If mulberry root bark is unavailable, raw hemp fiber can be used. Do not seal the wound, lest pus and blood form. If the wound is dry, moisten with saliva before applying powder. For postpartum women with retained lochia, blood confusion/fainting, evil blood rushing to the heart, fetal death in utero, or retained placenta leading to death, as long as the heart region feels warm, urgently mix one cup with infant urine to expel foul matter resembling liver slices; they will never suffer from blood wind or blood qi syndromes thereafter. If there is blood above the diaphragm, it transforms into yellow fluid and is vomited out immediately or discharged with stool.
Sulfur (Shiliuhuang, four liang)
Flower Porphyry Stone (Huarui Shi, two liang)
Mix the above two ingredients evenly. First, reinforce a clay jar with paper pulp and salt mud so it can hold the medicine. After the mud dries, put the medicine inside, seal the mouth with mud, and let it dry. Place it on a square brick, inscribing Bagua and Five Elements characters on top. Use one picul of charcoal, layered around, ignite from below starting at Si-Wu hours (9 am - 1 pm), heating gradually until overnight. Let the fire cool and charcoal burn out. Leave for another night, remove the cold jar, grind finely, sieve through silk cloth, and store in a porcelain box. Use according to method.
[Ben Cao] Treats blunt trauma and falls, evil blood attacking the heart, restlessness and pain. Use Shui Xian San (Narcissus Powder).
Dry unopened lotus leaves (Yin-dried), ground alone into powder. Before meals, mix three qian with one small cup of hot infant urine and swallow, until foul matter is discharged.
[Sheng Ji Zong Lu] Treats blunt trauma and falls, evil blood attacking the heart, restlessness and pain. Use five large dried lotus leaves, burn until smoke is gone, grind finely. Before meals, mix three qian with one small cup of hot infant urine and swallow, three times daily.
[Sai Shang Fang] Treats fall injuries and blunt trauma with internal blood stasis causing oppression. Take Puhuang powder, mix with hot wine and take three qian on an empty stomach; the disease heals.
[Ben Cao] During the Xuanhe era, a national physician was suddenly summoned via fast courier to a Buddhist temple to treat an inner palace lady. Upon examination, she was already comatose. Asking her attendants, none knew the cause of illness, leaving him terrified. After a while, several old palace ladies arrived, alighted from their sedan chairs, and wept around her, revealing the truth: she died from falling during cuju (ancient football). The doctor said: Blunt trauma belongs to surgery. Wanting to report this, he feared delay might cause unforeseen issues. Re-examining her, he felt faint breath. Suddenly remembering Su He Xiang Wan (Styrax Pill) in his medicine chest, he hastily took half a liang, baked it on fire to remove camphor and musk, dissolved it in half a sheng of wine, and forced it down her throat. By the third watch (11 pm - 1 am), she began groaning; by the fifth watch (3 am - 5 am), she discharged several sheng of foul blood. After days of conditioning, she recovered.
[Zhong Jing] Treats horse falls and all tendon/bone injuries.
Rhubarb Root (Dahuang, one liang, sliced, soaked in boiling water, or half liang)
Red Silk Cloth (Feibo)
Tangled Hair (Luafa, size of a chicken egg, burnt to ash)
Old Matting made of Cattail Catkins (Baipuxi, three cun)
Old Cooking Cloth (Jiuyong Chuidanbu, one chi, burnt to ash)
Peach Kernel (Taoren, forty-nine kernels, skin and tip removed)
Licorice Root (Gancao, size of middle finger joint, roasted, chopped)
Decoct the above seven ingredients in infant urine (quantity adjusted) or add one large cup of wine. Add Rhubarb last. Strain. Divide into three warm doses. First, chop half an old cattail mat, decoct in water for bathing, cover with blankets. Soon, bowel movements will occur several times; recovery follows immediately. If the bathwater turns red, do not be surprised; it is blood stasis.
[Sheng Ji Zong Lu] Treats blunt trauma with cyanosis and swelling of skin and muscle. Select very large, entirely yellow eggplant seeds. Slice to the thickness of a finger, bake on new tiles until dry, and grind into powder. Before sleep, mix two qian with wine and swallow; swelling disappears overnight without trace.
[Ben Cao] Treats blood stasis not dispersing due to injury. Take eight fen of Moutan Cortex (Mudanpi) combined with twenty-one Leeches (Mengchong, stir-fried). Pound and sift together. Each time, take one fangcun bi (square-inch measure) of powder mixed with warm wine; the blood should transform and flow down as water.
[Danxi] Treats blunt trauma where blood stasis exudes from under the joints. One jin of Pig Iron (Shengtie) and five sheng of wine are decocted to obtain one sheng. Drink it. (From Zhou Hou Bei Ji Fang)
[Ben Cao] Treats falls from height causing blunt trauma, with pain from evil blood between joints. Use Yun Tai San (Brassica Napus Powder).
Schizonepeta Spike (Jingjie)
Lotus Node (Oujie, two liang each, Yin-dried)
Brassica Napus Seed (Yuntaizi)
Mirabilite (Chuan Mangxiao)
Purslane (Maxian, one liang each, Yin-dried)
Grind the above into fine powder. Decoct half a liang of Sappan Wood (Sumu) in one large cup of wine until reduced to seven-tenths. Mix with two qian of powder and take at any time.
[Danxi] Official Sheng suffered internal damage from blood stasis after climbing a mountain, with poor appetite and wiry pulse. This requires activating blood and harmonizing qi.
Ligusticum Rhizome (Chuanxiong, three qian)
Green Tangerine Peel (Qingpi, two qian)
Peony Root (Shaoyao)
Talcum (Huashi, one qian each)
Moutan Cortex (Mudanpi, five fen)
Roasted Licorice Root (Zhi Gancao, one qian)
Peach Kernel (Taoren, seven kernels, crushed)
Take as one dose.
In cases of injury, absolutely do not drink cold water. Blood congeals when exposed to cold. If even a small amount enters the heart, death ensues.
[Su Wen] When a person falls from height, evil blood remains inside, causing abdominal fullness and obstruction of urination/defecation. First administer purgatives. This injures the Jueyin meridian above and Shaoyin collaterals below. Prick the blood vessels below the medial malleolus and anterior to Ran Gu acupoint to bleed. Prick the pulsating vessel on the dorsum of the foot. If ineffective, prick each of the five toes' hair tufts once until bleeding appears; recovery is immediate. Left-sided lesions treated on the right, right-sided on the left. For sadness, fear, and unhappiness, use the same needling method. (Miao Ci Lun)
[Ling Shu] Body injuries with excessive bleeding, contraction of wind-cold, or falls causing flaccidity and incoordination of limbs are named Ti Duo (Body Lethargy). Treat the San Jie Jiao acupoint located below the umbilicus. San Jie Jiao refers to the intersection of Yangming and Taiyin meridians, specifically Guan Yuan acupoint, three cun below the umbilicus. (Han Re Bing Pian Note: San Jie Jiao is Guan Yuan.)
[Mai Jing] High falls with internal blood stasis and abdominal distension. A firm and strong pulse indicates survival; a weak pulse indicates death.