属性：[1]颠扑损伤入于肺者，纵未即死，二七难过。
[2]左胁下伤透至内者。
[3]肠伤断者。
[4]小腹下伤内者。
[5]证候繁多者。
[6]伤破阴子者。
[7]老人左股压碎者。
[8]血出尽者。
[9]肩内、耳后伤透于内者。
[10]脉不实重者。
以上皆不必用药。
按、方剂：
注：
%
属性：[1]山角骨，即头顶两旁棱骨也。
[2]凡有跌打损伤未破者
<1>不拘左右，宣紫肿硬，瘀血凝聚疼痛，或昏迷目闭，身软而不能起
，声气短少，语言不出，心中忙乱，睡卧喘促，饮食少进者。
<2>宜内服正骨紫金丹，外用灸熨，如囟骨伤法。
[3]如肉破流血不止者
<1>先用马屁勃灰止血，后以榆树皮盖伤处，以艾合定痛散灸之。
<2>如伤重者，先服人参紫金丹，后如前法。
<3>如损伤太重，成破伤风，不治。
按、方剂：[1]正骨紫金丹：见前颠顶伤。
[2]人参紫金丹：见前囟骨伤。
注：
%
属性：[1]中血堂，即鼻内頞下脆骨空虚处也。
[2]若被打扑损伤，血流不止，神气昏迷者，宜塞鼻丹塞于鼻中，外复以
新汲冷水，淋激头顶。
<1>视其人如气虚，内服人参紫金丹。
<2>如血瘀，服苏子桃仁汤。
<3>服后如血仍不止，饮食不进，气虚、目闭、面黄者，八日死。
[3]凡跌打损伤鼻梁骨者，无妨。
按、方剂：[1]塞鼻丹
此丹治跌打损伤，鼻中流血不止，神气昏迷，牙齿损伤，虚浮肿痛者
，及一切衄血之证，皆可用之。
朱砂 麝香 丁香 乌梅肉 川乌 草乌 当归 三奈各一钱
乳香三钱 皂角七分
共为细末，用独头蒜泥为丸，以丝棉包裹，寒于鼻中。
[2]人参紫金丹：见囟骨伤
[3]苏子桃仁汤：见颠顶伤
注：
%
【山角骨】
属性：[1]头部受到撞击跌打，损伤深入肺脏的，即使当时没有立即死亡，也往往难以度过十四天（二七）。
[2]左侧胁肋下方受伤，穿透至体内的。
[3]肠道受伤断裂的。
[4]小腹下部受伤深入体内的。
[5]症状表现繁杂多样的。
[6]阴器（生殖器）破损的。
[7]老年人左侧大腿被压碎的。
[8]血液流尽的。
[9]肩部内部、耳后受伤穿透至体内的。
[10]脉象不实且沉重的。
以上情况都不必用药治疗。
按语：方剂：
注：
【山角骨】
属性：[1]山角骨，即头顶两侧隆起的棱状骨头。
[2]凡是遭受跌打损伤但皮肤未破裂的
<1>无论左右，出现肿胀青紫坚硬、瘀血凝聚疼痛，或者昏迷闭目、身体软弱无法起身
，气息短少、不能言语、心中慌乱、睡卧时气喘急促、饮食减少的情况。
<2>适宜内服正骨紫金丹，外用灸法和熨法，如同治疗囟骨损伤的方法。
[3]如果肌肉破损流血不止的
<1>先用马屁勃灰止血，然后用榆树皮覆盖伤口，用艾草配合定痛散进行艾灸。
<2>如果伤势严重的，先服用人参紫金丹，然后按照上述方法处理。
<3>如果损伤过于严重，导致破伤风，则无法治愈。
按语：方剂：[1]正骨紫金丹：见前文颠顶伤章节。
[2]人参紫金丹：见前文囟骨伤章节。
注：
【中血堂】
属性：[1]中血堂，即鼻腔内鼻根下脆弱骨骼的空虚部位。
[2]如果被击打跌撞损伤，血流不止，神志昏迷的，宜将塞鼻丹塞入鼻孔中，外部再用新汲取的冷水淋激头顶。
<1>观察其人若属气虚，内服人参紫金丹。
<2>若有血瘀，服用苏子桃仁汤。
<3>服药后如果血仍不止，饮食不进，出现气虚、闭目、面色发黄的症状，八日内会死亡。
[3]凡是跌打损伤鼻梁骨的，无大妨碍。
按语：方剂：[1]塞鼻丹
此丹药治疗跌打损伤，鼻中流血不止，神志昏迷，牙齿损伤，虚浮肿痛者
，以及一切鼻出血的证候，均可使用。
朱砂 麝香 丁香 乌梅肉 川乌 草乌 当归 三奈各一钱
乳香三钱 皂角七分
共同研为细末，用独头蒜泥制成丸药，用丝棉包裹，放入鼻中。
[2]人参紫金丹：见囟骨伤章节
[3]苏子桃仁汤：见颠顶伤章节
注：
[Shanjiao Bone]
Attributes: [1] For head injuries caused by falling or striking where the damage penetrates into the Lung, even if death does not occur immediately, it is difficult to survive fourteen days (two sevens).
[2] Injuries on the left side of the hypochondrium that penetrate deeply into the interior.
[3] Rupture of the intestines.
[4] Deep injuries in the lower abdomen.
[5] Cases with numerous and complex symptoms.
[6] Rupture of the external genitalia.
[7] Crushed left femur in the elderly.
[8] Exhaustion of blood.
[9] Injuries penetrating deeply into the interior at the shoulder joint or behind the ear.
[10] Pulse that is neither solid nor heavy.
For all the above conditions, medication is not necessary.
Note: Formulas:
Annotation:
[Shanjiao Bone]
Attributes: [1] Shanjiao bone refers to the ridge-like bones on both sides of the top of the head.
[2] For any contusion or fall injury where the skin remains intact:
<1> Regardless of whether it is on the left or right, presenting with swelling, bruising, hardness, pain due to blood stasis accumulation, coma with closed eyes, physical weakness unable to rise, shortness of breath, inability to speak, mental agitation, restlessness during sleep with panting, and reduced appetite.
<2> It is appropriate to take Zhenggu Zijin Dan internally, and apply moxibustion and warming therapies externally, similar to the treatment for fontanelle injuries.
[3] For cases where flesh is broken and bleeding does not stop:
<1> First use Pimibo ash to stop bleeding, then cover the wound with elm bark, and apply moxibustion using Ai Ye combined with Dingtong San.
<2> For severe injuries, first administer Ren Shen Zijin Dan, then proceed with the aforementioned methods.
<3> If the injury is too severe, leading to tetanus, it is incurable.
Note: Formulas: [1] Zhenggu Zijin Dan: See previous section on Crown Injury.
[2] Ren Shen Zijin Dan: See previous section on Fontanelle Injury.
Annotation:
[Zhongxue Tang]
Attributes: [1] Zhongxue tang refers to the hollow area beneath the nasal root within the nose, characterized by fragile cartilage/bone.
[2] If injured by beating or falling, resulting in continuous bleeding and loss of consciousness/spirit, insert Saibi Dan into the nostrils, and externally pour newly drawn cold water over the top of the head.
<1> If the patient appears to have Qi deficiency, administer Ren Shen Zijin Dan internally.
<2> If there is blood stasis, administer Su Zi Tao Ren Tang.
<3> If after taking medicine the bleeding continues, food intake is poor, and signs of Qi deficiency, closed eyes, and sallow complexion appear, death will occur within eight days.
[3] Fractures of the nasal bridge caused by falls or blows are generally harmless.
Note: Formulas: [1] Saibi Dan
This pill treats injuries from falls or blows causing continuous nasal bleeding, loss of consciousness, dental injuries, and painful swelling, as well as all types of epistaxis.
Cinnabar (Zhusha), Musk (Shexiang), Clove (Dingxiang), Dried Plum Flesh (Wumei Rou), Rhizoma Aconiti Kusnezoffii (Chuanwu), Rhizoma Aconiti Karakolicum (Caowu), Radix Angelicae Sinensis (Danggui), Rhizoma Kaempferiae (Sannai) each one qian;
Frankincense (Ruxiang) three qian; Gleditsia Sinensis (Zaojiao) seven fen.
Grind all into fine powder, form pills using garlic paste from a single clove, wrap in silk cotton, and place in the nose.
[2] Ren Shen Zijin Dan: See Fontanelle Injury section.
[3] Su Zi Tao Ren Tang: See Crown Injury section.
Annotation: