论曰凡坠堕打扑,内动心气,荣卫气血不至,为患多矣,若暴损胸胁,气留肓膜,损血
入胃,停积不去,甚则咳唾吐血,治法当调其荣卫缓其中,逐去损血。
治坠扑伤损肺气,咳唾血出。甘草汤方
甘草(一两炙) 白茯苓(去黑皮一两) 杏仁(汤浸去皮尖双仁炒研三分) 人参(一
两)
上四味,除杏仁外,粗捣筛,入杏仁拌匀,每服三钱匕。水一盏,煎至七分,去滓温
服,不拘时。
治一切伤损,吐唾出血,日渐痿瘦。黄 汤方
黄 (锉焙) 芎 甘草(炙) 当归(切焙) 芍药(各一两)
上五味,粗捣筛,每服三钱匕。水一盏,煎至七分,去滓温服,不拘时。
治坠堕内损,吐唾出血。桂心汤方
桂(去粗皮) 当归(切焙) 蒲黄(各一两) 大黄(切炒半两)
上四味,粗捣筛,每服三钱匕。水一盏,煎至七分,去滓温服,不拘时。
治因打扑损伤肺气,或咳嗽有血,或吐出血。地黄汤方
生地黄(洗切二两) 柏叶(半两) 黄芩(去黑心一两) 阿胶(炙燥一分) 甘草
(炙一两)
上五味。锉如麻豆,每服三钱匕。水一盏,煎至七分,去滓温服,不拘时。
治打扑一切损伤血瘀,时吐唾中出血。蒲黄散方
蒲黄(二两) 当归(切焙) 桂(去粗皮) 人参 槟榔(各一两)
上五味,捣为细散,每服二钱匕,水一盏,煎至七分,去滓温服,不拘时。
治因打扑损伤肺气,或咳嗽有血,或吐出血。地黄汤方
生地黄(洗切二两) 柏叶(半两) 黄芩(去黑心一两) 阿胶(炙燥一分) 甘草
(炙一两
上五味,锉如麻豆,每服三钱匕,水一盏,煎至七分,去滓温服,不拘时。
治坠堕颠扑,内伤脏气,吐唾出血。艾叶汤方
艾叶(炒半两) 白芍药(三分) 熟干地黄(焙一两) 干姜(炮半两) 阿胶(炙
令燥一两)
上六味,粗捣筛,每服三钱匕。水一盏,煎至七分,去滓温服,不拘时。
治伤损,血滞在内,吐唾中,血不止。阿胶汤方
阿胶(炙令燥) 熟干地黄(焙) 赤芍药 当归(切焙) 芎 (各一两) 干姜(炮
半两)
上六味,粗捣筛,每服三钱匕。水一盏,煎至七分,去滓温服,不拘时。
治伤损吐唾出血。荆芥汤方
荆芥穗 淡竹茹 当归(切焙各一两)
上三味,粗捣筛,每服三钱匕。水一盏,煎至七分,临熟入生地黄汁少许搅匀,去滓温
服,不拘时。
治从高坠下,内损吐唾出血。消血散方
蒲黄 当归(切焙) 干姜(炮) 桂(去粗皮各一两) 虻虫(去足翅炒一分) 大
黄(蒸锉
上六味,捣罗为散,每服三钱匕,温酒调下,不拘时候。
治从高坠堕,吐唾出血,面青气短。胡粉散方
胡粉(一两)
上一味研细,每服一钱匕,温水或酒调下。
论述说:凡是坠落、跌倒或被打扑,会导致体内心气受到扰动,营卫气血运行不畅,从而引发多种病患。如果突然损伤胸胁部位,气机停滞在肓膜(心与膈之间的薄膜),瘀血进入胃中,停留积聚无法排出,严重时会出现咳嗽吐唾沫带血或吐血的症状。治疗原则应当调和营卫,舒缓中焦气滞,并驱除体内的瘀血。
治疗因坠落跌打损伤肺气,导致咳嗽吐唾沫带血的方剂:甘草汤方
甘草(一两,炙制) 白茯苓(去除黑皮,一两) 杏仁(用热水浸泡后去皮尖及双仁部分,炒熟后捣碎研磨,三分) 人参(一两)
以上四味药,除了杏仁外,粗捣筛碎,加入杏仁搅拌均匀。每次服用三钱匕。用水一盏,煎煮至七分水量,滤去药渣,温服,不限定具体时间。
治疗各种跌打损伤,出现吐唾沫出血,身体日渐消瘦萎弱的方剂:黄芪汤方(注:原文“黄 ”缺字,据方义及常见配伍推测为黄芪,此处依原文保留空缺或补全为黄芪以通顺,鉴于要求忠实原文,此处译为“黄[芪]”或直接称该方,但为了翻译流畅性,结合《圣济总录》原书,此方通常指黄芪汤,故译为黄芪汤,药材名对应黄芪)
黄[芪](锉碎焙干) 川芎 甘草(炙制) 当归(切细焙干) 芍药(各一两)
以上五味药,粗捣筛碎。每次服用三钱匕。用水一盏,煎煮至七分水量,滤去药渣,温服,不限定具体时间。
治疗因坠落跌打造成内脏损伤,吐唾沫带血的方剂:桂心汤方
桂(去除粗皮) 当归(切细焙干) 蒲黄(各一两) 大黄(切细炒制,半两)
以上四味药,粗捣筛碎。每次服用三钱匕。用水一盏,煎煮至七分水量,滤去药渣,温服,不限定具体时间。
治疗因打扑损伤肺气,或者咳嗽有血,或者吐血的症状的方剂:地黄汤方
生地黄(洗净切块,二两) 柏叶(半两) 黄芩(去除黑心,一两) 阿胶(炙烤至干燥,一分) 甘草(炙制,一两)
以上五味药。锉碎如麻豆大小。每次服用三钱匕。用水一盏,煎煮至七分水量,滤去药渣,温服,不限定具体时间。
治疗因打扑造成各种损伤导致血瘀,时常在唾液中出血的症状的方剂:蒲黄散方
蒲黄(二两) 当归(切细焙干) 桂(去除粗皮) 人参 槟榔(各一两)
以上五味药,捣成细散。每次服用二钱匕,用水一盏,煎煮至七分水量,滤去药渣,温服,不限定具体时间。
治疗因打扑损伤肺气,或者咳嗽有血,或者吐血的症状的方剂:地黄汤方(重复条目)
生地黄(洗净切块,二两) 柏叶(半两) 黄芩(去除黑心,一两) 阿胶(炙烤至干燥,一分) 甘草(炙制,一两)
以上五味药。锉碎如麻豆大小。每次服用三钱匕。用水一盏,煎煮至七分水量,滤去药渣,温服,不限定具体时间。
治疗因坠落颠扑,内伤脏气,吐唾沫带血的方剂:艾叶汤方
艾叶(炒制,半两) 白芍药(三分) 熟干地黄(焙干,一两) 干姜(炮制,半两) 阿胶(炙烤令干燥,一两)
以上六味药,粗捣筛碎。每次服用三钱匕。用水一盏,煎煮至七分水量,滤去药渣,温服,不限定具体时间。
治疗跌打损伤,血液停滞在体内,吐唾沫时出血不止的方剂:阿胶汤方
阿胶(炙烤令干燥) 熟干地黄(焙干) 赤芍药 当归(切细焙干) 川芎(各一两) 干姜(炮制,半两)
以上六味药,粗捣筛碎。每次服用三钱匕。用水一盏,煎煮至七分水量,滤去药渣,温服,不限定具体时间。
治疗跌打损伤吐唾沫带血的方剂:荆芥汤方
荆芥穗 淡竹茹 当归(切细焙干,各一两)
以上三味药,粗捣筛碎。每次服用三钱匕。用水一盏,煎煮至七分水量,临出锅前加入少许生地黄汁搅匀,滤去药渣,温服,不限定具体时间。
治疗从高处坠落,内脏损伤吐唾沫带血的方剂:消血散方
蒲黄 当归(切细焙干) 干姜(炮制) 桂(去除粗皮,各一两) 虻虫(去除足翅,炒制,一分) 大黄(蒸制后锉碎)
以上六味药,捣罗成散剂。每次服用三钱匕,用温酒调服,不限定具体时间。
治疗从高处坠落,吐唾沫带血,面色青暗,气息短促的方剂:胡粉散方
胡粉(一两)
以上一味药,研成细末。每次服用一钱匕,用温水或酒调服。
Commentary states: Whenever one falls, is knocked down, or suffers blunt trauma, the heart qi (Heart Qi) within is disturbed internally. The circulation of Ying and Wei (Defensive) Qi and Blood fails to reach its destination, leading to various ailments. If there is sudden injury to the chest and hypochondrium, Qi stagnates in the Huang membrane (the membrane between the heart and diaphragm), damaged blood enters the Stomach, accumulates, and remains unresolved. In severe cases, this manifests as coughing up saliva with blood or hematemesis. The treatment principle should be to harmonize Ying and Wei Qi, soothe the middle Jiao (Middle Burner) stagnation, and expel the damaged blood.
Formula for treating Lung Qi injury due to falls and blows, resulting in coughing up bloody saliva: Gancao Tang (Licorice Decoction)
Gancao (Radix Glycyrrhizae, 1 liang, processed with honey/heat) Baifuling (Poria, 1 liang, black skin removed) Xingren (Semen Armeniacae Amarum, 3 fen, soaked in hot water, skin and tips removed, double kernels discarded, stir-fried and ground) Renshen (Radix Ginseng, 1 liang)
Crush and sieve the first four ingredients coarsely, excluding Xingren. Mix evenly with Xingren. Take 3 qianbi per dose. Add 1 zhan of water, decoct until reduced to 70%, strain, and take warm. Administer at any time.
Formula for treating all types of traumatic injuries, manifesting as bloody saliva and progressive emaciation: Huangqi Tang (Astragalus Decoction) [Note: Original text has a missing character after 'Huang', inferred as Huangqi based on context and standard formulas in Shengji Zonglu]
Huangqi (Radix Astragali, chopped and roasted) Xiong (Radix Chuanxiong) Gancao (Radix Glycyrrhizae, processed with heat) Danggui (Radix Angelicae Sinensis, sliced and roasted) Shaoyao (Radix Paeoniae Alba/Rubra, each 1 liang)
Coarsely crush and sieve the five ingredients. Take 3 qianbi per dose. Add 1 zhan of water, decoct until reduced to 70%, strain, and take warm. Administer at any time.
Formula for treating internal injury from falls and blows, manifesting as bloody saliva: Guixin Tang (Cinnamon Heart Decoction)
Guixin (Cortex Cinnamomi, bark removed) Danggui (Radix Angelicae Sinensis, sliced and roasted) Puhuang (Pollinis Typhae, each 1 liang) Dahuang (Radix et Rhizoma Rhei, sliced and stir-fried, 0.5 liang)
Coarsely crush and sieve the four ingredients. Take 3 qianbi per dose. Add 1 zhan of water, decoct until reduced to 70%, strain, and take warm. Administer at any time.
Formula for treating Lung Qi injury from blows, or coughing with blood, or hematemesis: Dihuang Tang (Rehmannia Decoction)
Shengdihuang (Radix Rehmanniae Recens, washed and sliced, 2 liang) Baiye (Folium Platycladi, 0.5 liang) Huangqin (Radix Scutellariae, black core removed, 1 liang) Ejiao (Colla Corii Asini, dried by roasting, 1 fen) Gancao (Radix Glycyrrhizae, processed with heat, 1 liang)
Chop the five ingredients into pieces the size of hemp seeds. Take 3 qianbi per dose. Add 1 zhan of water, decoct until reduced to 70%, strain, and take warm. Administer at any time.
Formula for treating blood stasis from all types of traumatic injuries, manifesting as intermittent bleeding in saliva: Puhuang San (Typha Pollen Powder)
Puhuang (Pollinis Typhae, 2 liang) Danggui (Radix Angelicae Sinensis, sliced and roasted) Gui (Cortex Cinnamomi, bark removed) Renshen (Radix Ginseng) Binglang (Semen Arecae, each 1 liang)
Grind the five ingredients into a fine powder. Take 2 qianbi per dose. Add 1 zhan of water, decoct until reduced to 70%, strain, and take warm. Administer at any time.
Formula for treating Lung Qi injury from blows, or coughing with blood, or hematemesis: Dihuang Tang (Rehmannia Decoction) [Duplicate entry]
Shengdihuang (Radix Rehmanniae Recens, washed and sliced, 2 liang) Baiye (Folium Platycladi, 0.5 liang) Huangqin (Radix Scutellariae, black core removed, 1 liang) Ejiao (Colla Corii Asini, dried by roasting, 1 fen) Gancao (Radix Glycyrrhizae, processed with heat, 1 liang)
Chop the five ingredients into pieces the size of hemp seeds. Take 3 qianbi per dose. Add 1 zhan of water, decoct until reduced to 70%, strain, and take warm. Administer at any time.
Formula for treating internal organ injury from falls and tumbles, manifesting as bloody saliva: Aiye Tang (Mugwort Leaf Decoction)
Aiye (Folium Artemisiae Argyi, stir-fried, 0.5 liang) Baishaoyao (Radix Paeoniae Alba, 3 fen) Shudihuang (Radix Rehmanniae Praeparata, roasted, 1 liang) Ganjiang (Rhizoma Zingiberis Secatum, processed, 0.5 liang) Ejiao (Colla Corii Asini, dried by roasting, 1 liang)
Coarsely crush and sieve the six ingredients. Take 3 qianbi per dose. Add 1 zhan of water, decoct until reduced to 70%, strain, and take warm. Administer at any time.
Formula for treating traumatic injuries where blood stagnates internally, manifesting as continuous bleeding in saliva: Ejiao Tang (Donkey-Hide Gelatin Decoction)
Ejiao (Colla Corii Asini, dried by roasting) Shudihuang (Radix Rehmanniae Praeparata, roasted) Chishaoyao (Radix Paeoniae Rubra) Danggui (Radix Angelicae Sinensis, sliced and roasted) Xiong (Radix Chuanxiong, each 1 liang) Ganjiang (Rhizoma Zingiberis Secatum, processed, 0.5 liang)
Coarsely crush and sieve the six ingredients. Take 3 qianbi per dose. Add 1 zhan of water, decoct until reduced to 70%, strain, and take warm. Administer at any time.
Formula for treating traumatic injuries manifesting as bloody saliva: Jingjie Tang (Schizonepeta Decoction)
Jingjisui (Capitium Schizonepetae) Danzhuru (Spiritus Bambusae in Taeniam) Danggui (Radix Angelicae Sinensis, sliced and roasted, each 1 liang)
Coarsely crush and sieve the three ingredients. Take 3 qianbi per dose. Add 1 zhan of water, decoct until reduced to 70%. Just before completion, add a small amount of fresh Shengdihuang juice, mix well, strain, and take warm. Administer at any time.
Formula for treating internal injury and bloody saliva from falling from heights: Xiaoxue San (Blood-Dispersing Powder)
Puhuang (Pollinis Typhae) Danggui (Radix Angelicae Sinensis, sliced and roasted) Ganjiang (Rhizoma Zingiberis Secatum, processed) Gui (Cortex Cinnamomi, bark removed, each 1 liang) Mengchong (Musca Blephararis, feet and wings removed, stir-fried, 1 fen) Dahuang (Radix et Rhizoma Rhei, steamed and chopped)
Grind and sieve the six ingredients into a powder. Take 3 qianbi per dose, mixed with warm wine. Administer at any time.
Formula for treating falling from heights, manifesting as bloody saliva, cyanotic face, and shortness of breath: Hufen San (Lead Carbonate Powder)
Hufen (Plumbum Carbonicum, 1 liang)
Grind the single ingredient into a fine powder. Take 1 qianbi per dose, mixed with warm water or wine.