治从高堕下,落大木车马间,胸腹中有血,不得气息方。
桃仁(十四枚) 大枣(二十枚) 大黄 硝石 甘草(各一两) 蒲黄(一两半)
上六味, 咀,以水三升,煮取一升,绞去滓,适寒温服尽之,当下,下不止,渍麻
汁一杯,饮之即止。
又方 治腹中瘀血,痛在腹中不出,满痛短气,大小便不通方。
桃仁 虫(各三十枚) 荆芥(五分) 大黄 芎 (各三两) 当归 桂心 甘草
(各二
两) 蒲黄(五两)
上九味 咀,以水一斗,煮取三升,分三服。
又方 治堕落瘀血方。
桃仁(五十枚) 水蛭 虻虫(各二十枚) 甘草 桂心 当归(各二两) 芒硝(三
两) 大
黄(
上八味, 咀,以水八升,煮取三升,绞去滓,适寒温,服一升,日三。(深师方无芒
硝。)
治腕折瘀血方∶
桃仁(四十枚) 乱发(一握) 大黄(如指节大一枚)
上三味,以布方广四寸,以绕乱发烧之, 咀桃仁、大黄,以酒三升,煮取一升,顿服,
血尽出。(《肘后方》云∶仲景治坠马及一切筋骨损方,用大黄三两,绯帛如手大烧灰,乱
发如鸡子大烧灰,久用炊单布一尺烧灰,桃仁四十九枚,去皮尖熬,败蒲席一握,长三寸切,
甘草一枚如中指节,上七味,以童子小便量多少煎汤,成纳酒一大盏,次下大黄,去滓分温
三服,先别锉败蒲席半领煎汤以浴,衣被重覆,服药斯须通利数行,痛楚立瘥。利及浴水赤
勿怪,即瘀血也。)
又方 桃仁(六十枚) 大黄(六两) 桂心(二两)
上三味, 咀,以酒六升,煮取三升,分三服,当下血瘥。
治疗因高处坠落,或跌落在大木车、马匹之间,导致胸腹部内有瘀血,气息不畅的方剂。
桃仁(十四枚) 大枣(二十枚) 大黄 硝石 甘草(各一两) 蒲黄(一两半)
以上六味药,切碎,用水三升,煎煮至一升,过滤去除药渣,待温度适宜时一次性服完,应当排出瘀血,如果出血不止,饮用一杯麻汁即可停止。
又一方:治疗腹中瘀血,疼痛在腹中无法消散,胀满疼痛且呼吸短促,大小便不通的方剂。
桃仁 䗪虫(各三十枚) 荆芥(五分) 大黄 川芎(各三两) 当归 桂心 甘草(各二两) 蒲黄(五两)
以上九味药,切碎,用水一斗,煎煮至三升,分三次服用。
又一方:治疗因坠落导致的瘀血。
桃仁(五十枚) 水蛭 虻虫(各二十枚) 甘草 桂心 当归(各二两) 芒硝(三两) 大黄(缺具体剂量,依原文保留)
以上八味药,切碎,用水八升,煎煮至三升,过滤去除药渣,待温度适宜时,每次服用一升,每日三次。(《深师方》中没有芒硝。)
治疗手腕骨折及瘀血的方剂:
桃仁(四十枚) 乱发(一握) 大黄(如手指节大小的一枚)
以上三味药,用宽四寸的布包裹乱发烧成灰,切碎桃仁和大黄,用酒三升,煎煮至一升,一次性服下,瘀血即可排尽。(《肘后方》记载:张仲景治疗坠马及一切筋骨损伤的方子,使用大黄三两,绯色丝绸如手掌大小烧成灰,乱发如鸡蛋大小烧成灰,长期使用过的炊单布一尺烧成灰,桃仁四十九枚,去皮尖后炒制,败蒲席一握,切成三寸长,甘草一枚如中指节大小,以上七味药,根据情况用童子小便煎汤,最后加入一大盏酒,再放入大黄,过滤去渣,分三次温服。另外先锉碎半领败蒲席煎汤洗浴,衣物被褥重重覆盖,服药不久后通利数次,痛苦立即痊愈。排泄物和洗浴水变红不要奇怪,那就是瘀血。)
又一方:
桃仁(六十枚) 大黄(六两) 桂心(二两)
以上三味药,切碎,用酒六升,煎煮至三升,分三次服用,应当排出瘀血而病愈。
Formula for treating internal blood stasis in the chest and abdomen, causing difficulty in breathing, resulting from falling from a height or being crushed between large wooden carts and horses.
Tao Ren (14 seeds) [Prunus persica Seed], Da Zao (20 fruits) [Ziziphus jujuba Fruit], Da Huang [Rhei Radix et Rhizoma], Xiao Shi [Natrii Sulfas], Gan Cao (each 1 liang) [Glycyrrhizae Radix et Rhizoma], Pu Huang (1.5 liang) [Typhae Pollen].
The above six herbs are coarsely crushed, decocted with 3 sheng of water until reduced to 1 sheng, strained to remove dregs, and taken all at once when the temperature is suitable. Stool containing blood should be passed; if bleeding does not stop, drinking one cup of sesame juice will stop it.
Another formula for treating abdominal blood stasis, characterized by pain remaining in the abdomen, distending pain, shortness of breath, and obstruction of both urination and defecation.
Tao Ren [Prunus persica Seed], E Chong (each 30 insects) [Asiatic Ground Beetle], Jing Jie (0.5 fen) [Schizonepetae Herba], Da Huang [Rhei Radix et Rhizoma], Xiong Qiong (each 3 liang) [Ligustici Chuanxiong Rhizoma], Dang Gui [Angelicae Sinensis Radix], Gui Xin [Cinnamomi Ramulus], Gan Cao (each 2 liang) [Glycyrrhizae Radix et Rhizoma], Pu Huang (5 liang) [Typhae Pollen].
The above nine herbs are coarsely crushed, decocted with 1 dou of water until reduced to 3 sheng, and divided into three doses.
Another formula for treating blood stasis due to falling.
Tao Ren (50 seeds) [Prunus persica Seed], Shui Zhi [Hirudo], Meng Chong (each 20 insects) [Blephararida], Gan Cao [Glycyrrhizae Radix et Rhizoma], Gui Xin [Cinnamomi Ramulus], Dang Gui [Angelicae Sinensis Radix] (each 2 liang), Mang Xiao (3 liang) [Natrii Sulfas], Da Huang [Rhei Radix et Rhizoma] (dosage missing in original text).
The above eight herbs are coarsely crushed, decocted with 8 sheng of water until reduced to 3 sheng, strained to remove dregs, and 1 sheng is taken each time when the temperature is suitable, three times a day. (The *Shen Shi Fang* does not contain Mang Xiao.)
Formula for treating wrist fracture and blood stasis:
Tao Ren (40 seeds) [Prunus persica Seed], Luan Fa [Capilli Humanis Carbonisatus] (one handful), Da Huang [Rhei Radix et Rhizoma] (one piece the size of a finger joint).
The above three ingredients: wrap the Luan Fa in a cloth four cun wide and burn it to ash. Coarsely crush Tao Ren and Da Huang. Decoct with 3 sheng of wine until reduced to 1 sheng, and take in one dose to expel all blood. (The *Zhou Hou Bei Ji Fang* records: Zhang Zhongjing's formula for treating horse falls and all kinds of bone and tendon injuries uses Da Huang 3 liang, Fei Bo [Silk Carbonisatus] the size of a hand burned to ash, Luan Fa the size of an egg burned to ash, used cooking cloth chi 1 burned to ash, Tao Ren 49 seeds peeled and roasted, Bai Pu Xi [Typhae Caulis] one handful cut into 3-cun pieces, Gan Cao one piece the size of a middle finger. The above seven herbs are decocted with an appropriate amount of urine from a young boy. Finally, add one large cup of wine, then add Da Huang. Strain and divide into three warm doses. Additionally, decoct half a lead of Bai Pu Xi for bathing. Cover heavily with clothes and bedding. After taking the medicine, there will be several bowel movements shortly, and pain will immediately subside. Do not be surprised if excrement and bathwater turn red; this is blood stasis.)
Another formula:
Tao Ren (60 seeds) [Prunus persica Seed], Da Huang (6 liang) [Rhei Radix et Rhizoma], Gui Xin (2 liang) [Cinnamomi Ramulus].
The above three herbs are coarsely crushed, decocted with 6 sheng of wine until reduced to 3 sheng, and divided into three doses. Blood stasis should be expelled and the condition cured.