属性:伤损而少腹引阴茎作痛者,乃瘀血不行,兼肝郁火所致:
[1]宜用小柴胡汤加大黄、黄连、山栀服之。
[2]待痛势已定,再用养血之剂,自无不愈矣。
[3]此病若误认为寒证而投以热药,重则必危,轻则损目,治者宜慎之。
按、方剂:[1]小柴胡汤方见瘀血泛注
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属性:伤损之证:
[1]肌肉作痛者,乃荣卫气滞所致,宜用复元通气散。
[2]筋骨间作痛者,肝肾之气伤也,用六味地黄丸。
按、方剂:[1]六味地黄丸
熟地黄八两 山萸肉(去核)四两 怀山药四两 牡丹皮三两 泽泻
三两 茯苓三两
共为末,炼蜜丸桐子大,空心,白汤服三钱。
[2]复元通气散:方见伤损内证
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属性:[1]伤损之证,血虚作痛者,其证则发热作渴,烦闷头晕,日哺益甚,此
阴虚内热之证。
[2]宜八珍汤加丹皮、麦冬、五味子、肉桂、骨碎补治之。
按、方剂:[1]八珍汤:方见瘀血泛注
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属性:伤损作渴:
[1]若因亡血过多者,用四物汤加人参、白术,如不应,用人参、黄耆以
补气,当归、熟地以补血,或用八珍汤。
[2]若因胃热伤津液者,用竹叶黄耆汤。
[3]如胃虚津液不足,用补中益气汤。
[4]如胃火炽盛,用竹叶石膏汤。
[5]若烦热作渴、小便淋涩,乃肾经虚热,非地黄丸不能救。
按、方剂:[1]竹叶黄耆汤
淡竹叶二钱 人参 黄耆 生地黄 当归 川芎 麦冬 芍药 甘草
石膏(□) 黄芩(炒) 半夏各一钱 水煎服。
[2]竹叶石膏汤
竹叶三把 石膏一斤 人参三两 甘草(炙)二两 麦冬一升 半夏
半升 粳米半升 引用生姜,水煎服。
[3]四物汤 补中益气汤俱见伤损出血
[4]八珍汤方见瘀血泛注
[5]六味地黄丸方见肌肉作痛
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【属性】因外伤导致少腹部牵引阴茎疼痛的,是由于瘀血阻滞不通,兼有肝气郁结化火所致:
[1] 适宜服用小柴胡汤(Minor Bupleurum Decoction),并加入大黄、黄连、山栀。
[2] 待疼痛之势稳定后,再使用养血的药物,没有不痊愈的。
[3] 此病如果误认为是寒证而投用热性药物,严重的必然危及生命,轻的也会损伤眼睛,治疗者应当谨慎。
【属性】外伤类病症:
[1] 肌肉疼痛的,是由于营卫之气滞涩所致,适宜使用复元通气散(Fuyuan Tongqi Powder)。
[2] 筋骨之间疼痛的,是肝肾之气受损,使用六味地黄丸(Six-Ingredient Rehmannia Pill)。
按语:方剂说明:[2] 六味地黄丸
熟地黄八两 山萸肉(去核)四两 怀山药四两 牡丹皮三两 泽泻三两 茯苓三两
共研为细末,用炼蜜制成梧桐子大小的药丸,空腹时,用白开水送服三钱。
[1] 复元通气散:方见“伤损内证”条目下。
【属性】[1] 外伤病症中,因血虚引起疼痛的,其症状表现为发热、口渴、心烦胸闷、头晕,在下午申时(日晡)加重,这是阴虚内热的证候。
[2] 适宜使用八珍汤(Eight-Gentlemen Decoction)加入丹皮、麦冬、五味子、肉桂、骨碎补来治疗。
【属性】外伤引起的口渴:
[1] 如果是因失血过多导致的,使用四物汤(Four-Substance Decoction)加入人参、白术;如果无效,用人参、黄耆来补气,当归、熟地来补血,或者使用八珍汤。
[2] 如果是因胃热损伤津液导致的,使用竹叶黄耆汤(Zhu Ye Huang Qi Decoction)。
[3] 如果是胃虚导致津液不足,使用补中益气汤(Bu Zhong Yi Qi Decoction)。
[4] 如果是胃火炽盛,使用竹叶石膏汤(Zhu Ye Shi Gao Decoction)。
[5] 如果是烦热口渴、小便淋漓涩痛,这是肾经虚热,非地黄丸不能救治。
按语:方剂说明:
[1] 竹叶黄耆汤
淡竹叶二钱 人参 黄耆 生地黄 当归 川芎 麦冬 芍药 甘草 石膏(未注明炮制) 黄芩(炒) 半夏 各一钱 水煎服。
[2] 竹叶石膏汤
竹叶三把 石膏一斤 人参三两 甘草(炙)二两 麦冬一升 半夏半升 粳米半升 引用生姜,水煎服。
[3] 四物汤、补中益气汤均见“伤损出血”条目下
[4] 八珍汤方见“瘀血泛注”条目下
[5] 六味地黄丸方见“肌肉作痛”条目下
[Attribute] For pain in the lower abdomen radiating to the penis caused by trauma, this is due to blood stasis obstructing flow, combined with liver qi stagnation transforming into fire:
[1] It is appropriate to administer Xiao Chai Hu Tang (Minor Bupleurum Decoction) with added Da Huang (Rhei Radix et Rhizoma), Huang Lian (Coptidis Rhizoma), and Shan Zhi (Gardeniae Fructus).
[2] Once the intensity of the pain has stabilized, use blood-nourishing formulas; recovery is assured.
[3] If this condition is mistakenly diagnosed as a cold syndrome and treated with hot-natured drugs, severe cases will be critical, while mild cases may result in eye damage. Practitioners should exercise caution.
Note on Formulas: [1] The formula for Xiao Chai Hu Tang (Minor Bupleurum Decoction) can be found under the entry "General Notes on Blood Stasis".
[Attribute] Traumatic injuries:
[1] Pain in the muscles is caused by stagnation of Ying (Nutritive) and Wei (Defensive) qi; it is appropriate to use Fu Yuan Tong Qi San (Fuyuan Tongqi Powder).
[2] Pain between the sinews and bones indicates injury to the qi of the Liver and Kidney; use Liu Wei Di Huang Wan (Six-Ingredient Rehmannia Pill).
Note on Formulas: [2] Liu Wei Di Huang Wan (Six-Ingredient Rehmannia Pill)
Shu Di Huang (Prepared Rehmanniae Radix) 8 liang, Shan Yu Rou (Corni Fructus, pitted) 4 liang, Huai Shan Yao (Dioscoreae Rhizoma) 4 liang, Mu Dan Pi (Moutan Cortex) 3 liang, Ze Xie (Alismatis Rhizoma) 3 liang, Fu Ling (Poria) 3 liang.
Grind all ingredients into fine powder, mix with refined honey to make pills the size of tung tree seeds. Take 3 qian orally with warm water on an empty stomach.
[1] Fu Yuan Tong Qi San (Fuyuan Tongqi Powder): The formula can be found under the entry "Internal Syndromes of Trauma".
[Attribute] [1] In traumatic injuries, pain caused by blood deficiency presents with fever, thirst, mental restlessness, chest oppression, dizziness, and worsening symptoms in the late afternoon (Shen hour). This is a syndrome of yin deficiency with internal heat.
[2] It is appropriate to treat this with Ba Zhen Tang (Eight-Gentlemen Decoction) added with Mu Dan Pi (Moutan Cortex), Mai Dong (Ophiopogonis Radix), Wu Wei Zi (Schisandrae Fructus), Rou Gui (Cinnamomi Cortex), and Gu Sui Bu (Drynariae Rhizoma).
Note on Formulas: [1] The formula for Ba Zhen Tang (Eight-Gentlemen Decoction) can be found under the entry "General Notes on Blood Stasis".
[Attribute] Thirst resulting from trauma:
[1] If caused by excessive blood loss, use Si Wu Tang (Four-Substance Decoction) added with Ren Shen (Ginseng Radix et Rhizoma) and Bai Zhu (Atractylodis Macrocephalae Rhizoma). If ineffective, use Ren Shen (Ginseng Radix et Rhizoma) and Huang Qi (Astragali Radix) to tonify qi, and Dang Gui (Angelicae Sinensis Radix) and Shu Di Huang (Prepared Rehmanniae Radix) to nourish blood, or simply use Ba Zhen Tang (Eight-Gentlemen Decoction).
[2] If caused by stomach heat damaging body fluids, use Zhu Ye Huang Qi Tang (Zhu Ye Huang Qi Decoction).
[3] If caused by stomach deficiency leading to insufficient body fluids, use Bu Zhong Yi Qi Tang (Bu Zhong Yi Qi Decoction).
[4] If caused by blazing stomach fire, use Zhu Ye Shi Gao Tang (Zhu Ye Shi Gao Decoction).
[5] If accompanied by irritability, heat, thirst, and dysuria with dribbling obstruction, this is deficient heat in the Kidney meridian; only Di Huang Wan (Rehmannia Pill) can save the patient.
Note on Formulas:
[1] Zhu Ye Huang Qi Tang (Zhu Ye Huang Qi Decoction)
Dan Zhu Ye (Lophatheri Herba) 2 qian, Ren Shen (Ginseng Radix et Rhizoma), Huang Qi (Astragali Radix), Sheng Di Huang (Rehmanniae Radix), Dang Gui (Angelicae Sinensis Radix), Chuan Xiong (Chuanxiong Rhizoma), Mai Dong (Ophiopogonis Radix), Shao Yao (Paeoniae Radix), Gan Cao (Glycyrrhizae Radix et Rhizoma), Shi Gao (Gypsum Fibrosum, unprocessed), Huang Qin (Scutellariae Radix, stir-fried), Ban Xia (Pinelliae Tuber) each 1 qian. Decoct in water and take orally.
[2] Zhu Ye Shi Gao Tang (Zhu Ye Shi Gao Decoction)
Zhu Ye (Phyllostachydis Folium) 3 bundles, Shi Gao (Gypsum Fibrosum) 1 jin, Ren Shen (Ginseng Radix et Rhizoma) 3 liang, Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried) 2 liang, Mai Dong (Ophiopogonis Radix) 1 sheng, Ban Xia (Pinelliae Tuber) half sheng, Jing Mi (Oryza Sativa Germen) half sheng. Add fresh ginger as a guide, decoct in water and take orally.
[3] Si Wu Tang (Four-Substance Decoction) and Bu Zhong Yi Qi Tang (Bu Zhong Yi Qi Decoction) are both listed under the entry "Traumatic Hemorrhage".
[4] The formula for Ba Zhen Tang (Eight-Gentlemen Decoction) can be found under the entry "General Notes on Blood Stasis".
[5] The formula for Liu Wei Di Huang Wan (Six-Ingredient Rehmannia Pill) can be found under the entry "Muscle Pain".