论曰诸脉从肉,诸筋从骨,骨三百六十有五,连续缠固,手所以能摄,足所以能步,凡
厥运动,罔不顺从。若乃仓猝之际,坠堕倒仆,折伤蹉跌,患生不测,讵可殚举。究图疗治
,小则消肿而伸挛,大则接筋而续骨,各有方剂存焉。
论曰凡坠堕伤损肿痛,轻者在外涂敷可已,重者在内当导瘀血养肌肉,宜察浅深以治之
治坠堕损伤筋骨皮肉,发热疼痛。没药散方
没药(研) 泽泻 当归(切焙) 桂(去粗皮) 槟榔(锉) 甘草(炙锉) 白芷 蜀
椒(去
上一十味,捣罗为散,每服三钱匕。温酒调下,不拘时。
治从高坠堕,伤损筋骨,发热肿痛。续断散方
续断(锉) 生干地黄(焙) 当归(切焙) 芎 附子(炮裂去皮脐) 桂(去粗
皮各一两)
上九味,捣罗为散,每服三钱匕。温酒调下,不拘时。
治从高坠堕,伤损肢体,发热疼痛。当归汤方
当归(切焙四两) 大黄(生锉二两) 生干地黄(焙五两)
上三味,粗捣筛,每服五钱匕,水一盏半,煎至七分,去滓温服,不拘时,微利为效。
治坠堕伤损烦闷。荆芥汤方
荆芥穗 淡竹叶(切) 当归(切焙各半两)
上三味,粗捣筛,水一碗,都煎取半碗,去滓入地黄汁一盏,再煎三五沸,分温三服,
连服。
治坠堕伤损,气血瘀滞疼痛。阿胶汤方
阿胶(炙燥) 艾叶(各二两) 干姜(炮半两) 芍药(一两)
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。
治从高坠堕,伤折肢体,瘀血不行,发热肿痛。硝石汤方
硝石(研) 桃仁(去皮尖双仁研) 大黄(生锉) 甘草(炙锉各一两) 蒲黄(一
两半) 大
上六味,粗捣筛,每服三钱匕,水一盏,煎至七分,去滓温服,利瘀血为效。
治从高坠堕,伤折手足疼痛。阿胶汤方
阿胶(炙燥) 芍药(各一两半) 生干地黄(焙) 芎 当归(切焙) 艾叶(各
一两) 干
上八味,粗捣筛,每服三钱匕,水一盏,煎至七分,去滓温服,不拘时。
治一切伤折,及驴马坠堕打扑闪肭,疼痛不可忍者。五伤接骨丸方
没药(研一两) 乳香(研分) 蜀椒(去目闭口炒出汗) 芍药 芎 当归(切焙
各一两)
上七味,捣研为末。用黄蜡三两半,熔为汁,次入药末,不住手搅令匀,丸如弹子大,
每服一丸,用好酒一盏、煎药化温服,就疼处卧少时。
治从高坠下,伤折有瘀血不散,胁肋疼痛。牵子牛散方
牵牛子(生取末) 当归(切焙各一两) 槟榔(锉) 桂(去粗皮) 木香(炮各半
两) 郁李
上七味,捣罗为散和匀,每服一钱匕。温酒调下,空心服,取下瘀血为效,外以败龟膏
贴。
败龟膏方
败龟(醋浸炙二两半) 大黄(生锉一两) 木鳖子(去壳研二两) 当归(切焙一两)
桂(
上五味,捣罗为末。先用好酒一升,煎至半升,住火候酒稍冷,入药末半两,以匙不住
手搅成膏,纸上摊贴损处。
治驴伤马坠,及他物伤折,痛楚不可忍。当归散方
当归(切焙三分) 芎 (一两半) 桂(去粗皮半两) 甘草(炙锉三分) 附子(炮
裂去皮
上七味,捣罗为散,每服二钱匕。温酒调下,不拘时。
治坠堕扑损,筋肉疼痛,瘀血凝滞,肿热不消。地黄糟裹方
生地黄(洗切细杵) 酒糟(各一斤)
上二味拌和令匀,随肿处用药,遂旋以大碗盛,甑上蒸热,用布绢之类裹肿处,日一易
治一切打扑,驴伤马坠,脱臼损折,兼定痛疼。接骨膏方
续断(一两) 桂(去粗皮) 附子(炮裂去皮脐) 白芨 白蔹 当归(切焙) 桑
根白皮(
上一十味,捣罗为末。或打扑闪肭,及骨折碎,用药末三钱匕,酒半盏,白面二钱匕,
生姜自然汁少许,同以慢火熬成膏,摊帛上贴之,三日一换,冬月用沙木篦子绵绳夹缚,夏
月柳枝子五条夹缚,虽紧不妨。
治男子妇人内外损伤,止诸疼痛,接骨和血,一切伤折,毒虫咬,阴气入腹,消诸水肿
,血脉不通,左右摊缓、热疾等欲死,及腹中有瘀血,刺两胁痛,气筑心闷乱,妇人乳痈,
产后败血,灌注四肢,积年痔 ,但是疼痛,并宜服之,极痛者,只一丸。轻可者,只半丸
。用无灰酒半升,乳香一皂子大,先磨乳香尽,次磨活血丸,同入铫子内,煎五六沸,临卧
时温服,服了就痛处卧,如要出汗,衣被盖之,即汗出。若妇人诸疾服时,更用当归末一钱
匕,根据前法用乳香酒煎之,此药神验不可言,有孕妇人不可服。活血丸方
花桑枝(于五月五日正南采南枝如臂膊粗可十枝以炭烧烟尽旋旋投入酽醋中取出焙干为
末) 雄黑豆(淘浸去皮曝干三升用袋子盛) 乳香(半斤旋研入) 墨(半斤旋研入) 生
栗屑
花桑枝末(一两半) 黑豆末(一两) 栗屑末(一两半) 墨末(半两) 乳香(半
两)
上五味,于五月五日合,忌鸡犬妇人见。先研乳香,以酽醋调,与四味相和,稀稠得所
,拌和成剂,于净臼中,捣三五百杵可丸,即丸如小弹子大焙干,以纱葛袋盛,入瓷合内封
,夜间面北极,烧香祷祝云,若男若女诸疾,服之病除悉愈。本法合成轻干后水上浮为妙凡
伤折已损,犹有败血,宜服之。服毕,次服败血散。
大黄(以生姜自然汁二两涂炙汁尽焙干捣末一两) 杏仁(汤浸去皮尖双仁研如面一两)
上二味和匀,分作八服,每服用童子小便二盏,煎三五沸,临卧时,去滓温服,其败血
一时取下,从大小肠中出。
续骨丸方
腊月猪脂(十两) 蜡炼(过半斤) 铅丹(重罗) 自然铜( 醋淬七遍研) 密陀
僧(研细
上一十味,新鼎中先熔脂冷,下蜡,出鼎于冷处,入密陀僧铅丹自然铜,缓火再煎,滴
入水中不散,更出鼎于冷处,下诸药,用柳篦搅匀,泻入瓷盆内,不住手搅至凝,丸如弹子
大。再用笋皮之类衬之,极冷收贮,凡折伤用一丸,入少油,火上化开,涂伤痛处,以油纸
帛护之,甚者以灯心裹木夹之,更取一丸,分作小丸,热葱酒下,痛即止,如药力尽,再觉
痛,更一服,痛止即已。骨折者,再上便安,牙痛甚者,贴之即止。
治伤折疼痛。黄 散方
黄 (锉) 赤芍药 干姜(炮) 大黄(锉) 附子(炮裂去皮脐) 当归(切焙) 续
断桂
干地黄(焙
上一十二味,捣罗为散,每服二钱匕。温酒调下,不拘时。
治伤折疼痛,筋骨未合,肌肉未生。延胡索饮方
延胡索 鹿药 黄 熟干地黄(各一两半) 桂(去粗皮) 当归(切焙) 白蔹 桑
寄生
上八味,粗捣筛,每服五钱匕,水一盏半,煎至一盏,去滓温服,不拘时。
论曰:所有的脉都依附于肌肉,所有的筋都附着于骨骼。人体共有三百六十五块骨头,它们相互连接、缠绕并牢固结合,因此手能够抓取,脚能够行走,凡是肢体的运动,无不顺从这种结构规律。如果在仓促之间,发生坠落、跌倒、骨折或扭伤等意外事故,产生的祸患难以预测,岂能一一列举详尽?探究其治疗方法,轻则消除肿胀、舒展挛急,重则接续筋骨,各有相应的方剂存在。
论曰:凡是因坠落导致的损伤肿痛,轻症可以通过外涂药物治愈;重症则需要在内调理以引导瘀血排出、滋养肌肉,应当根据病情的深浅来进行治疗。
【治法】治疗因坠落导致的损伤筋骨皮肉,出现发热疼痛症状。使用没药散方。
药材:没药(研磨)、泽泻、当归(切后焙干)、桂枝(去除粗皮)、槟榔(锉碎)、甘草(炙后锉碎)、白芷、蜀椒(去除目和闭口者)。
以上十味药,捣碎过筛制成散剂。每次服用三钱匕,用温酒调服,不限时间。
【治法】治疗从高处置处坠落,导致筋骨损伤,出现发热肿痛。使用续断散方。
药材:续断(锉碎)、生干地黄(焙干)、当归(切后焙干)、川芎、附子(炮裂后去皮脐)、桂枝(去除粗皮,各一两)。
以上九味药,捣碎过筛制成散剂。每次服用三钱匕,用温酒调服,不限时间。
【治法】治疗从高处置处坠落,导致肢体损伤,出现发热疼痛。使用当归汤方。
药材:当归(切后焙干四两)、大黄(生锉二两)、生干地黄(焙干五两)。
以上三味药,粗捣筛过。每次服用五钱匕,加水一盏半,煎至七分,去渣温服,不限时间,以轻微腹泻为见效标准。
【治法】治疗因坠落损伤导致的烦闷。使用荆芥汤方。
药材:荆芥穗、淡竹叶(切)、当归(切后焙干,各半两)。
以上三味药,粗捣筛过,加水一碗,共同煎取半碗,去渣后加入地黄汁一盏,再煮沸三五次,分三次温服,连续服用。
【治法】治疗因坠落损伤导致的气血瘀滞疼痛。使用阿胶汤方。
药材:阿胶(炙燥)、艾叶(各二两)、干姜(炮制半两)、芍药(一两)。
以上四味药,粗捣筛过。每次服用三钱匕,加水一盏,煎至七分,去渣温服,不限时间。
【治法】治疗从高处置处坠落,导致肢体骨折,瘀血不行,出现发热肿痛。使用硝石汤方。
药材:硝石(研磨)、桃仁(去皮尖及双仁部分并研磨)、大黄(生锉)、甘草(炙后锉碎,各一两)、蒲黄(一两半)、大……(原文此处可能有缺字,依上下文推测可能为大枣或其他辅料,但按原文仅列上述明确药材及剂量逻辑处理,实际古籍中常配伍大枣,此处依原文“大”字截断,暂不补全,仅提取可见实体)。
以上六味药(注:原文列出五味明确药材加一个“大”字开头未完结项,按常规理解可能为六味),粗捣筛过。每次服用三钱匕,加水一盏,煎至七分,去渣温服,以利下瘀血为见效标准。
【治法】治疗从高处置处坠落,导致手足骨折疼痛。使用阿胶汤方(另一首)。
药材:阿胶(炙燥)、芍药(各一两半)、生干地黄(焙干)、川芎、当归(切后焙干)、艾叶(各一两)、干……(原文此处“干”字后接下一味药名缺失,依常见配伍可能为干姜,但依原文仅列可见部分)。
以上八味药(注:原文列出七味明确药材加一个“干”字开头未完结项),粗捣筛过。每次服用三钱匕,加水一盏,煎至七分,去渣温服,不限时间。
【治法】治疗一切骨折损伤,以及驴马坠落、打扑闪挫引起的剧烈疼痛。使用五伤接骨丸方。
药材:没药(研磨一两)、乳香(研磨)、蜀椒(去除目和闭口者,炒至出汗)、芍药、川芎、当归(切后焙干,各一两)。
以上七味药,捣研成末。用黄蜡三两半,熔化后倒入药末,不停搅拌使其均匀,制成如弹子大小的丸剂。每次服用一丸,用好酒一盏,将药丸煎化后温服,服药后在疼痛部位躺卧片刻。
【治法】治疗从高处置处坠落,导致骨折且有瘀血不散,胁肋疼痛。使用牵牛子散方。
药材:牵牛子(生取末)、当归(切后焙干,各一两)、槟榔(锉碎)、桂枝(去除粗皮)、木香(炮制,各半两)、郁李……(原文此处“郁李”后接下一味药名缺失,通常为郁李仁)。
以上七味药,捣碎过筛混合均匀。每次服用一钱匕。用温酒调服,空腹服用,以利下瘀血为见效标准,外用败龟膏贴敷。
【治法】败龟膏方。
药材:败龟(醋浸后炙烤二两半)、大黄(生锉一两)、木鳖子(去壳研磨二两)、当归(切后焙干一两)、桂枝……(原文此处“桂”字后接下一味药名缺失,通常为桂枝或肉桂)。
以上五味药,捣碎过筛成末。先用好酒一升,煎至半升,离火稍冷,加入药末半两,用勺子不停搅拌成膏状,摊在纸上贴敷于患处。
【治法】治疗驴伤马坠及其他物体造成的骨折损伤,痛苦难忍。使用当归散方。
药材:当归(切后焙干三分)、川芎(一两半)、桂枝(去除粗皮半两)、甘草(炙后锉碎三分)、附子(炮裂去皮……)(原文此处附子描述未完,通常指炮裂去皮脐)。
以上七味药,捣碎过筛制成散剂。每次服用二钱匕。用温酒调服,不限时间。
【治法】治疗坠落跌打损伤,筋肉疼痛,瘀血凝滞,肿热不消。使用地黄糟裹方。
药材:生地黄(洗净切细捣烂)、酒糟(各一斤)。
以上两味药拌和均匀,根据肿胀部位用药,随即用大碗盛装,在甑上蒸热,用布绢之类包裹肿胀部位,每日更换一次。
【治法】治疗一切打扑损伤,驴伤马坠,脱臼骨折,兼能定痛。使用接骨膏方。
药材:续断(一两)、桂枝(去除粗皮)、附子(炮裂去皮脐)、白芨、白蔹、当归(切后焙干)、桑根白皮……(原文此处桑根白皮后接下一味药名缺失,通常为其他活血药)。
以上十味药,捣碎过筛成末。如果是打扑闪挫及骨折碎裂,取药末三钱匕,加酒半盏、白面二钱匕、生姜自然汁少许,同用慢火熬成膏状,摊在帛上贴敷,三日更换一次。冬季用沙木篦子和绵绳夹缚固定,夏季用五条柳枝子夹缚固定,虽然紧一些也无妨。
【治法】治疗男子妇人内外损伤,止诸疼痛,接骨和血,治疗一切骨折损伤,毒虫咬伤,阴气入腹,消除各种水肿,血脉不通,左右摊缓(偏瘫)、热疾等濒死状态,以及腹中有瘀血,刺两胁痛,气冲心胸闷乱,妇人乳痈,产后败血灌注四肢,积年痔疮,凡是疼痛的,都适宜服用。极痛者,只服一丸。轻者可服半丸。用无灰酒半升,乳香一块皂子大小,先磨尽乳香,再磨活血丸,一同放入铫子内,煎煮五六沸,临睡前温服。服后就着疼痛部位躺卧,如果要出汗,用衣被盖住,就会出汗。如果妇人患有各种疾病服用时,再加当归末一钱匕,根据前述方法用乳香酒煎服。此药神效不可言说,孕妇不可服用。活血丸方。
药材:花桑枝(于五月五日正南方向采摘如臂膊粗细的南枝约十枝,用炭烧至烟尽,随即投入浓醋中取出,焙干成末)、雄黑豆(淘洗浸泡去皮晒干三升,用袋子盛装)、乳香(半斤,现研入)、墨(半斤,现研入)、生栗屑……(原文此处生栗屑后接下一味药名缺失,通常为其他辅料)。
花桑枝末(一两半)、黑豆末(一两)、栗屑末(一两半)、墨末(半两)、乳香(半两)。
以上五味药,于五月五日配制,忌讳鸡、犬、妇人看见。先研磨乳香,用浓醋调和,与其余四味混合,稀稠适度,拌和成剂,在干净的臼中捣三五百杵即可制成丸剂,制成如小弹子大小,焙干后用纱葛袋盛装,放入瓷盒内密封。夜间面向北极星,烧香祷告说:“无论男女何种疾病,服用后病除痊愈。”本法合成后,干燥后浮于水面者为妙。凡是骨折损伤已有瘀血残留的,适宜服用。服完此药后,接着服用败血散。
【治法】败血散方。
药材:大黄(用生姜自然汁二两涂炙,汁尽后焙干捣末一两)、杏仁(汤浸去皮尖及双仁部分,研磨如面粉状一两)。
以上两味药混合均匀,分为八份服用。每次服用时,用童子小便二盏,煎煮三五沸,临睡前,去渣温服,体内的败血会一时取下,从大小肠中排出。
【治法】续骨丸方。
药材:腊月猪脂(十两)、炼蜡(过半斤)、铅丹(重罗)、自然铜(醋淬七遍后研磨)、密陀僧(研细……)(原文此处密陀僧后接下一味药名缺失,通常为其他矿物药或树脂类)。
以上十味药,在新鼎中先熔化猪脂冷却,加入蜡,将鼎移出至冷处,加入密陀僧、铅丹、自然铜,用慢火再煎,滴入水中不散,再次将鼎移出至冷处,加入其他药物,用柳篦搅拌均匀,倒入瓷盆内,不停搅拌至凝固,制成如弹子大小的丸剂。再用笋皮之类衬垫,极冷处收贮。凡骨折损伤用一丸,加入少量油,火上化开,涂抹于伤痛处,用油纸帛保护。严重者用灯心草裹木夹固定。再取一丸,分成小丸,用热葱酒送服,疼痛即止。如果药效尽了又觉得痛,再服一次,痛止即可。骨折者,再上药便安。牙痛甚者,贴之即止。
【治法】治疗骨折损伤疼痛。使用黄芪散方。
药材:黄芪(锉碎)、赤芍药、干姜(炮制)、大黄(锉碎)、附子(炮裂去皮脐)、当归(切后焙干)、续断、桂枝、干地黄(焙干……)(原文此处干地黄后接下一味药名缺失)。
以上十二味药,捣碎过筛制成散剂。每次服用二钱匕。用温酒调服,不限时间。
【治法】治疗骨折损伤疼痛,筋骨未愈合,肌肉未生长。使用延胡索饮方。
药材:延胡索、鹿药、黄芪、熟干地黄(各一两半)、桂枝(去除粗皮)、当归(切后焙干)、白蔹、桑寄生。
以上八味药,粗捣筛过。每次服用五钱匕,加水一盏半,煎至一盏,去渣温服,不限时间。
Commentary states: All meridians adhere to the muscles, and all sinews attach to the bones. The human body has three hundred and sixty-five bones, which are connected, intertwined, and firmly secured; thus, the hands can grasp, and the feet can walk. All limb movements follow this structural law without exception. If in a sudden moment, one falls, trips, suffers fractures, or sprains, the resulting injuries are unpredictable and cannot be exhaustively listed. Investigating their treatments, mild cases require reducing swelling and relieving spasms, while severe cases require reconnecting sinews and knitting bones, each having its specific formulas.
Commentary states: For injuries caused by falls resulting in swelling, pain, and trauma, mild cases can be treated with external applications, while severe cases require internal regulation to guide out blood stasis and nourish muscles. Treatment should be based on the depth of the injury.
[Indication] Treats injuries to bones, sinews, skin, and flesh from falls, presenting with fever and pain. Use Moyao San (Myrrh Powder).
Ingredients: Myrrha (ground), Alisma Rhizoma (Zexie), Angelicae Sinensis Radix (Danggui, 当归) (cut and dried), Cinnamomi Ramulus (Guizhi, 桂) (coarse bark removed), Arecae Semen (Binglang) (crushed), Glycyrrhzae Radix et Rhizoma (Gancao, 甘草) (roasted and crushed), Angelicae Dahuricae Radix (Baizhi), Zanthoxyli Fructus (Shujiao, 蜀椒) (eyes and closed-mouth ones removed).
The above ten herbs are pounded and sifted into a powder. Take three qianbi per dose, mixed with warm wine, at any time.
[Indication] Treats bone and sinew injuries from high falls, presenting with fever, swelling, and pain. Use Xuduan San (Dipsacus Powder).
Ingredients: Dipsaci Radix (Xuduan, 续断) (crushed), Rehmanniae Radix Preparata (Sheng Gan Dihuang, 生干地黄) (dried), Angelicae Sinensis Radix (Danggui, 当归) (cut and dried), Ligustici Chuanxiong Rhizoma (Chuanxiong, 芎), Aconiti Lateralis Radix Praeparata (Fuzi, 附子) (roasted until cracked, peel and umbilicus removed), Cinnamomi Ramulus (Guizhi, 桂) (coarse bark removed, each 1 liang).
The above nine herbs are pounded and sifted into a powder. Take three qianbi per dose, mixed with warm wine, at any time.
[Indication] Treats limb injuries from high falls, presenting with fever and pain. Use Danggui Tang (Angelica Decoction).
Ingredients: Angelicae Sinensis Radix (Danggui, 当归) (cut and dried, 4 liang), Rheum Palmatum Rhizoma (Dahuang, 大黄) (raw and crushed, 2 liang), Rehmanniae Radix Preparata (Sheng Gan Dihuang, 生干地黄) (dried, 5 liang).
The above three herbs are coarsely pounded and sifted. Take five qianbi per dose, add one and a half cups of water, decoct until seven-tenths remain, remove dregs, and take warm at any time. Slight diarrhea indicates efficacy.
[Indication] Treats irritability and stuffiness due to fall injuries. Use Jingjie Tang (Schizonepeta Decoction).
Ingredients: Schizonepetae Spica (Jingjiesui), Lophatheri Herba (Dan Zhuye, 淡竹叶) (cut), Angelicae Sinensis Radix (Danggui, 当归) (cut and dried, each banliang).
The above three herbs are coarsely pounded and sifted. Add one cup of water, decoct together until half a cup remains, remove dregs, add one cup of Rehmanniae Juice (Dihuangzhi, 地黄汁), boil for three to five times, divide into three warm doses, and take continuously.
[Indication] Treats pain due to Qi and Blood stasis from fall injuries. Use Ejiao Tang (Donkey-hide Gelatin Decoction).
Ingredients: Asini Corii Colla (Ejiao, 阿胶) (roasted until dry), Artemisiae Argyi Folium (Aiye, 艾叶) (each 2 liang), Zingiberis Rhizoma (Ganjiang, 干姜) (roasted, banliang), Paeoniae Radix Alba (Shaoyao, 芍药) (1 liang).
The above four herbs are coarsely pounded and sifted. Take three qianbi per dose, add one cup of water, decoct until seven-tenths remain, remove dregs, and take warm at any time.
[Indication] Treats limb fractures from high falls, where blood stasis does not move, presenting with fever, swelling, and pain. Use Xiaoshi Tang (Niter Decoction).
Ingredients: Natrii Sulfas (Xiaoshi, 硝石) (ground), Persicae Semen (Taoren, 桃仁) (skin and tip removed, double-kernel part removed and ground), Rheum Palmatum Rhizoma (Dahuang, 大黄) (raw and crushed), Glycyrrhzae Radix et Rhizoma (Gancao, 甘草) (roasted and crushed, each 1 liang), Typhae Pollen (Puhuang, 蒲黄) (1.5 liang), Da... (Original text incomplete here, likely referring to another ingredient starting with 'Da').
The above six herbs (note: original lists five clear ingredients plus an incomplete term) are coarsely pounded and sifted. Take three qianbi per dose, add one cup of water, decoct until seven-tenths remain, remove dregs, and take warm. Passing blood stasis indicates efficacy.
[Indication] Treats hand and foot fractures from high falls, causing pain. Use Ejiao Tang (Donkey-hide Gelatin Decoction - Formula 2).
Ingredients: Asini Corii Colla (Ejiao, 阿胶) (roasted until dry), Paeoniae Radix Alba (Shaoyao, 芍药) (each 1.5 liang), Rehmanniae Radix Preparata (Sheng Gan Dihuang, 生干地黄) (dried), Ligustici Chuanxiong Rhizoma (Chuanxiong, 芎), Angelicae Sinensis Radix (Danggui, 当归) (cut and dried), Artemisiae Argyi Folium (Aiye, 艾叶) (each 1 liang), Gan... (Original text incomplete here, likely Ganjiang/Dried Ginger).
The above eight herbs (note: original lists seven clear ingredients plus an incomplete term) are coarsely pounded and sifted. Take three qianbi per dose, add one cup of water, decoct until seven-tenths remain, remove dregs, and take warm at any time.
[Indication] Treats all fractures, as well as severe pain from donkey/horse falls, blows, and sprains. Use Wushang Jiegu Wan (Five Injuries Bone-Knitting Pill).
Ingredients: Myrrha (Moyao, 没药) (ground, 1 liang), Boswelliae Resina (Ruxiang, 乳香) (ground), Zanthoxyli Fructus (Shujiao, 蜀椒) (eyes and closed-mouth ones removed, roasted until sweat appears), Paeoniae Radix Alba (Shaoyao, 芍药), Ligustici Chuanxiong Rhizoma (Chuanxiong, 芎), Angelicae Sinensis Radix (Danggui, 当归) (cut and dried, each 1 liang).
The above seven herbs are pounded and ground into powder. Use 3.5 liang of Yellow Beeswax (Huangla, 黄蜡), melt it, pour in the herb powder, stir constantly until uniform, and form pills the size of bullet seeds. Take one pill per dose, dissolve in one cup of good wine, take warm, and lie down on the painful area for a short time.
[Indication] Treats high falls causing fractures with unresolved blood stasis and hypochondriac pain. Use Qianniuzi San (Pharbitidis Semen Powder).
Ingredients: Pharbitidis Semen (Qianniuzi, 牵牛子) (raw, taken as powder), Angelicae Sinensis Radix (Danggui, 当归) (cut and dried, each 1 liang), Arecae Semen (Binglang, 槟榔) (crushed), Cinnamomi Ramulus (Guizhi, 桂) (coarse bark removed), Aucklandiae Radix (Muxiang, 木香) (roasted, each banliang), Pruni Semen (Yuliren, 郁李)... (Original text incomplete here, likely Yuliren).
The above seven herbs are pounded, sifted, and mixed uniformly. Take one qianbi per dose. Mix with warm wine, take on an empty stomach. Passing blood stasis indicates efficacy. Externally apply Baigui Gao (Tortoise Shell Ointment).
[Baigui Gao Formula]
Ingredients: Testudinis Carapax et Plastrum (Baigui, 败龟) (soaked in vinegar and roasted, 2.5 liang), Rheum Palmatum Rhizoma (Dahuang, 大黄) (raw and crushed, 1 liang), Momordicae Semen (Mubiezi, 木鳖子) (shell removed, ground, 2 liang), Angelicae Sinensis Radix (Danggui, 当归) (cut and dried, 1 liang), Cinnamomi Ramulus (Guizhi, 桂)... (Original text incomplete here).
The above five herbs are pounded and sifted into powder. First, decoct one sheng of good wine until half a sheng remains, remove from heat, let cool slightly, add half a liang of herb powder, stir constantly with a spoon until it becomes an ointment. Spread on paper and apply to the injured area.
[Indication] Treats donkey/horse falls and other traumatic fractures causing unbearable pain. Use Danggui San (Angelica Powder).
Ingredients: Angelicae Sinensis Radix (Danggui, 当归) (cut and dried, 3 fen), Ligustici Chuanxiong Rhizoma (Chuanxiong, 芎) (1.5 liang), Cinnamomi Ramulus (Guizhi, 桂) (coarse bark removed, 0.5 liang), Glycyrrhzae Radix et Rhizoma (Gancao, 甘草) (roasted and crushed, 3 fen), Aconiti Lateralis Radix Praeparata (Fuzi, 附子) (roasted until cracked, peel... [text cuts off]).
The above seven herbs are pounded and sifted into a powder. Take two qianbi per dose, mixed with warm wine, at any time.
[Indication] Treats fall injuries causing muscle/sinew pain, blood stasis stagnation, and persistent swelling/heat. Use Dihuang Zaoguo Fang (Rehmannia Wine Lees Wrap Method).
Ingredients: Rehmanniae Radix Recens (Sheng Dihuang, 生地黄) (washed, cut finely, pounded), Wine Lees (Jiuzao, 酒糟) (each 1 jin).
Mix the above two ingredients evenly. Apply according to the swollen area, place in a large bowl, steam over a steamer until hot, wrap the swollen area with cloth/silk, and change once daily.
[Indication] Treats all blows and falls, donkey/horse injuries, dislocations, and fractures, also stabilizing pain. Use Jiegu Gao (Bone-Knitting Ointment).
Ingredients: Dipsaci Radix (Xuduan, 续断) (1 liang), Cinnamomi Ramulus (Guizhi, 桂) (coarse bark removed), Aconiti Lateralis Radix Praeparata (Fuzi, 附子) (roasted until cracked, peel and umbilicus removed), Bletillae Rhizoma (Baiji, 白芨), Ampelopsis Radix (Bailian, 白蔹), Angelicae Sinensis Radix (Danggui, 当归) (cut and dried), Morus Albae Cortex (Sanggenbapi, 桑根白皮)... [text cuts off].
The above ten herbs are pounded and sifted into powder. For blows, sprains, or comminuted fractures, take 3 qianbi of powder, add half a cup of wine, 2 qianbi of white flour, and a little fresh ginger juice. Simmer over low heat into an ointment, spread on silk, and apply. Change every three days. In winter, fix with sandwood splints and cotton rope; in summer, use five willow branches. Tight fixation is acceptable.
[Indication] Treats internal and external injuries in men and women, stops various pains, knits bones, harmonizes blood, treats all fractures, insect bites, Yin qi entering the abdomen, eliminates edema, unblocks blood vessels, treats hemiplegia, critical febrile diseases, abdominal blood stasis, hypochondriac stabbing pain, Qi rushing to the heart causing confusion, breast abscesses, postpartum blood stasis infusing limbs, chronic hemorrhoids, and any pain. Take one pill for severe pain, half a pill for mild pain. Use half a sheng of non-ashy wine and a piece of Frankincense (Ruxiang, 乳香) the size of a soap bean. Grind the Frankincense completely first, then grind the Huoxue Wan (Blood-Invigorating Pill), put them together in a pot, boil for five to six times, take warm before bed. Lie down on the painful area after taking. Cover with blankets if sweating is desired. For women's diseases, add one qianbi of Angelicae Sinensis Radix powder (Danggui, 当归) and decoct with Frankincense wine as before. This medicine is miraculous; pregnant women must not take it. Huoxue Wan Formula.
Ingredients: Mulberry Branch (Huasangzhi, 花桑枝) (harvest southern branch on May 5th, size of arm, about ten branches, burn with charcoal until smoke ceases, immediately dip in strong vinegar, take out, dry and powder), Black Soybean (Xiongheidou, 雄黑豆) (wash, soak, peel, dry, 3 sheng, store in bag), Frankincense (Ruxiang, 乳香) (half a jin, freshly ground), Ink Stick (Mo, 墨) (half a jin, freshly ground), Raw Chestnut Husk/Shavings (Shenglixie, 生栗屑)... [text cuts off].
Mulberry Branch Powder (1.5 liang), Black Soybean Powder (1 liang), Chestnut Shavings Powder (1.5 liang), Ink Powder (0.5 liang), Frankincense (0.5 liang).
Prepare these five herbs on May 5th. Avoid chickens, dogs, and women seeing the process. Grind Frankincense first, mix with strong vinegar, combine with the other four herbs, adjust consistency, mix into a paste, pound in a clean mortar 300-500 times, form into pills the size of small bullets, dry, store in gauze bags inside porcelain jars, seal tightly. At night, face North Pole, burn incense and pray: "For any disease in men or women, taking this will cure it." When dry, floating on water is ideal. Suitable for fractures with residual blood stasis. After finishing this, take Baixue San (Stasis-Expelling Powder).
[Baixue San Formula]
Ingredients: Rheum Palmatum Rhizoma (Dahuang, 大黄) (coat with 2 liang fresh ginger juice, roast until juice is absorbed, dry, pound to powder, 1 liang), Apricot Seed (Xingren, 杏仁) (soak in water, remove skin/tip/double kernel, grind like flour, 1 liang).
Mix the above two herbs evenly, divide into eight doses. For each dose, use two cups of urine from a young boy, boil for three to five times, remove dregs, take warm before bed. The blood stasis will be expelled through the intestines.
[Xugu Wan Formula]
Ingredients: Pig Fat from December (Layezhizhi, 腊月猪脂) (10 liang), Refined Beeswax (Lalian, 蜡炼) (more than half a jin), Lead Monoxide (Qiandan, 铅丹) (double-sifted), Pyritum (Zirantong, 自然铜) (quench in vinegar seven times, grind), Litharge (Miduoseng, 密陀僧) (finely ground)... [text cuts off].
The above ten herbs: Melt pig fat in a new tripod, cool, add wax, remove tripod to a cold place, add Litharge, Lead Monoxide, and Pyritum, simmer slowly until drops do not disperse in water. Remove tripod to a cold place again, add remaining herbs, stir evenly with willow stick, pour into porcelain basin, stir constantly until solidified, form into pills the size of bullets. Line with bamboo skin, store in extreme cold. For fractures, take one pill, add a little oil, melt over fire, apply to painful area, cover with oiled paper/silk. For severe cases, fix with rush pith and wood splints. Take another pill, divide into small pills, take with hot green onion wine to stop pain. If pain returns after effect wears off, take another dose. For fractures, reapply for comfort. For severe toothache, apply externally to stop pain.
[Indication] Treats fracture pain. Use Huangqi San (Astragalus Powder).
Ingredients: Astragali Radix (Huangqi, 黄 ) (crushed), Red Peony Root (Chishaoyao, 赤芍药), Dried Ginger (Ganjiang, 干姜) (roasted), Rheum Palmatum Rhizoma (Dahuang, 大黄) (crushed), Aconiti Lateralis Radix Praeparata (Fuzi, 附子) (roasted until cracked, peel and umbilicus removed), Angelicae Sinensis Radix (Danggui, 当归) (cut and dried), Dipsaci Radix (Xuduan, 续断), Cinnamomi Ramulus (Guizhi, 桂), Prepared Rehmannia Root (Sheng Dihuang, 干地黄) (dried)... [text cuts off].
The above twelve herbs are pounded and sifted into a powder. Take two qianbi per dose, mixed with warm wine, at any time.
[Indication] Treats fracture pain where bones and sinews have not united and muscles have not grown. Use Yanhusuo Yin (Corydalis Decoction).
Ingredients: Corydalis Rhizoma (Yanhusuo, 延胡索), Doronicum Rhizome (Luyao, 鹿药), Astragali Radix (Huangqi, 黄), Prepared Rehmannia Root (Shu Gan Dihuang, 熟干地黄) (each 1.5 liang), Cinnamomi Ramulus (Guizhi, 桂) (coarse bark removed), Angelicae Sinensis Radix (Danggui, 当归) (cut and dried), Ampelopsis Radix (Bailian, 白蔹), Taxilli Herba (Sangjisheng, 桑寄生).
The above eight herbs are coarsely pounded and sifted. Take five qianbi per dose, add one and a half cups of water, decoct until one cup remains, remove dregs, and take warm at any time.