漆疮初时发痒。形如瘾疹。次则头面虚肿。遍体破烂。流水。作痛似癞。甚则寒热交作。由新漆辛热有毒。
入之秉质有偏。腠理不密。感其气而生也。宜服化斑解毒汤。再杵生蟹冲酒。滤去渣饮之。已溃成疮。流
水处用生柳叶三斤水煎洗之。或干荷叶一斤煎汤洗之。或白矾四五两水化浸洗之。其未破处发红
斑作痒者。用二味消毒散揩之。
化斑解毒汤（见丹毒门） 二味消毒散（见首卷敷贴门）
血箭由心火炽盛。逼血从毛孔中射出也。急用龙眼壳半个。烙平。盛京墨汁覆于患处。扎紧。过三五日
方可去之。内用麻迪三二两。好酒和服。或用生姜汁饮之。立愈。次服清心凉血等药。如失血过多者。宜
黄补血汤。
黄 补血汤 治失血过多筋无荣养。四肢拘挛。口噤如痉者。
黄 （一两） 当归（五钱如挟风兼破伤风者归 等分加） 羌活 防风（各一钱） 荆芥穗（二钱五分）
俱水煎服。
血痣者初起色红如痣。渐大如豆。揩之流血不止。由肝经郁火血热所致。用枯药拈去其痣。次以生肌
散收口。内热甚者。服清肝凉血等药。
脉经曰。颠扑内有血则腹胀满。脉坚强者生。小弱者死。跌扑不分十二经络。血必归肝留于胁下。痛甚
则必自汗。汗由风化也。治则先逐恶血。通经络。次和血止痛。然后调气养血。补益胃气。自能获效。
如腹痛按之痛甚者瘀也。下之。下而痛不止。按之仍痛者。瘀未尽也。复元活血汤调之。腹痛按之不痛
者。血气伤也。四物汤加参、 、白术。补而和之。用大黄等药。血不下。反胸胀气喘者。宜顺其气。用肉桂、
木香、等分二钱酒服。即下黑血。及前所服之药而苏。弱者用下药。亦加木香肉桂同煎。借其热以行其
气。然服行气药。反胸痞气促。食少体倦。及色黯脓清者。形气虚也。补之。
胸腹胀痛。大便不通。喘咳吐血者。瘀滞也。当归导滞汤通之。下而胸腹反痛者。肝血伤也。四君子汤
加芎、归补之。下而发热。阴血伤也。四物汤加参、术补之。下而恶寒。阳气伤也。十全大补汤补之。下而欲
呕。胃气伤也。六君子汤加当归补之。下而泄泻。脾肾伤也。六君子汤加肉果、破故纸补之。下后手足
冷。昏愦出汗。阳气虚寒也。参附汤温之。吐泻肢冷甲青者。虚寒甚也。参附汤倍用之。若口噤撒手。
遗尿唇青。痰盛体冷者。虚极之坏症也。投大剂参附汤。多有得生者。
脉浮紧。发寒热。身体痛者。挟外邪也。治宜发散。春用五积散、香苏饮。夏用香苏饮。秋用正气散。冬用和
解散。再宜随症加减。
患处或诸窍出血者。肝火也加味逍遥散。中气不足。血无所附者。补中益气汤。元气内脱。不能摄血者。
独参汤加炮姜。如不应。加附子。血蕴于内而呕血者。四物汤加芩、柴。伤重昏愦者。虽有瘀血。切不可下。
急以独参汤补之。花蕊石散化之。恐因泻而亡阳也。
凡损伤劳碌。怒气腹胀。误服大黄等药者。伤阳络则为吐血、衄血、尿血、便血等症。伤阴络则为血块、血
积、肌肉青黯。此脏腑亏损。经脉失职。急补脾肺。亦有得生者。但恐患者不悟此理。不用此法。惜哉。
凡伤重气绝不语者。以热童便灌之。不问壮弱。及瘀血有无。并胁胀作痛。发热烦躁口干者服之绝胜
他药。有推陈致新之功。神效莫测。打血药内。加之立验。上部伤者。再加韭汁。迷闷者。乌金丸。用红花酒
加童便化服。
骨断皮破者。药宜水煎。皮不破者。药宜酒煎。然必加童便。以活其瘀。纯用酒煎。反能作胀。同损药服。反
能涩秘。（酒用无灰酒不论赤白）
跌扑停瘀。先利二便。不可待秘。恐成重疾。然下之太过。则脉愈坚大。妄为瘀滞而更下之。因而夭折者
多矣。
损伤忌服草药。服之所生之骨。必大。不能入臼。自然铜虽有接骨之功。其性燥。宜量用。伤轻者勿用。
无名异为末酒服。能散毒血于四肢。跌损不可无乳、没。惟降真香可代。亦可代血竭。肿痛乃血瘀
所致用热药煎汤淋洗。瘀肿不消者砭之。否则愈后遇天阴作痛。忌梨并生冷。恐凝血。忌食牛肉。
食则痛不止。忌火灸忌见风。
肠破脂出孔小者。以手劈去其脂。不可复入。入则为害。骨断筋连者。不急剪去其筋。则浸好肉为不治。
肠出者。令患者手搭医者之肩。随其左右收起。用大麦煮粥取汤洗肠净。以麻油抹手并疮口。即吹通
关散取嚏。令肠自入。用桑皮搓线。以鸡血涂之。再以花蕊石散掺之。缝须缝里皮。留外皮开口。涂鸡血。
搽生肌等药。如肠损以灯照之。有气射出者不治。
阴囊破者涂鸡子黄油。掺金毛狗脊毛。以紫苏叶煎汤洗之。内服止痛药。有瘀者用破血药。
齿伤动者。用蒺藜根烧存性揩之。久用自牢。
眼胞受伤。青黑肿痛者。用紫金皮用童便浸七日晒干余处伤者不必制与生地等分为末。茶汤调敷。
腰伤作痛。诸药罔效者。白芍、赤芍、威灵仙、乳香、没药等分为末。酒服即减。
慈救散 治跌扑骨折至死。但胸前有暖气者。亦效。
山楂（八钱） 通草（三钱） 降香（末） 穿山甲 丹皮（各二钱） 赤芍 香附（酒炒）
红曲 陈皮 麦芽（炒各二钱） 当归（八分） 青皮 红花（各七分） 桔梗（五分） 痛加
乳香 没药（各一钱）
用水三碗。煎一碗服。
玉灵丹 治跌打损伤。
香附 苏子（各四两） 苏木 萝卜子 桃仁 当归 降香 红花 枳实 青皮（各一两） 沉香
木香 官桂（各五钱） 乳香 没药 藿香 陈皮 槟榔 蓬术 白豆蔻（各三钱）
各为末。和匀。用童便、黄酒、黑砂糖各一碗。合一处。煎如膏。和药为丸。弹子大。每服一丸。黄
酒化下。或用赤砂糖汤化下。
复元活血汤 治坠下胁痛。
柴胡（二钱五分） 当归（二钱） 穿山甲（炒） 栝蒌仁 红花（各七分） 桃仁（十七个）
甘草（五分） 大黄（三钱）
水二分。酒一分。煎一钟。食远服。以利为度。
五加四灵散 治跌扑损伤。
五加皮 骨碎补 川续断 葳灵仁（各三钱五分）
陈酒二碗。煎一碗服。
五加三皮散
五加皮（二两） 桂皮（一两） 绵皮（一钱五分） 良姜（五钱） 砂仁（五钱） 如骨碎。加
丹皮（一两） 乳香 没药 血竭（各一钱）
上为末。每服三茶匙。黄酒调服。
琼花散
闹羊花洗净焙干为末。每服三五分。黄酒调服。随饮至醉为度。盖卧避风。
接骨金丹 亦可代杖。
土鳖（阴干听用另加） 乳香 没药 龙骨 自然铜（ 醋淬七次等分） 麝香（少许）
共为末。每服三分。取土鳖一个为末。加入和匀。黄酒调服。先须整骨而后服之。否则骨接错矣。
一用土鳖、象房者佳。倒碓虫。俱银碓内炙。各为末。每服用鳖末五厘。虫末二厘。共七厘。和匀。安舌下。
急以黄酒送下。一只用鳖末五七厘。烧酒下。
截血膏 敷伤处四围。能化血破瘀。止痛消肿。
天花粉（三两） 姜黄 赤芍 白芷（各一两）
上为末。用茶清调敷。如伤头面血出不止者。药涂颈上周遭。伤手足者药涂胫臂周遭。伤余处药涂
疮口周遭。能截其血不来。
如金疮着水则疮口如番花者。用韭菜汁调敷疮口四围。次以微火灸之。又用早稻烟熏之。疮口水
出即愈。如无水出。即风袭也。倍加南星和敷。
如疮口肉硬不消者。风袭之也。加独活。用热酒调敷。如不消。风入深也。加紫金皮和敷。自消。
跌损瘀血淋漓者。嚼三七罨之即止。青肿即消。
整骨麻药 可以整骨。可以开取箭头。
川乌 草乌 佛茄子 闹羊花 麻黄 姜黄（等分）
上为末。每服三分。茶酒任下。甘草汤解。
又整骨方
蟾酥 川乌 花椒 胡椒（各一钱五分） 荜茇（一钱） 闹羊花 生半夏（各六分）
为末。每服半分。黄酒下。
要开大。加白酒药一丸涂患处。亦佳。
四物汤 四君子汤 六君子汤 十全大补汤 补中益气汤（俱见首卷） 加味逍遥散（见瘰 ）
重者折骨伤筋脱臼。必兼手法。此则另有专门。故不赘。
漆疮初起时皮肤发痒，形态如同瘾疹（风团）。随后头面部出现虚浮肿胀，全身皮肤破损溃烂，流出液体，疼痛感类似癞病。严重时会出现恶寒与发热交替发作的症状。这是由于新接触的生漆具有辛热且有毒的特性，加之患者体质偏颇，腠理（皮肤纹理及毛孔）不致密，感受漆气而发病。适宜服用化斑解毒汤，再捣碎生蟹用酒冲服，滤去药渣后饮用。若疮口已溃破，流水处可用三斤生柳叶加水煎煮后清洗患处；或用一斤干荷叶煎汤清洗；或用四五两白矾溶于水浸泡清洗。对于未破溃但发红斑、发痒的部位，使用二味消毒散擦拭。
血箭症是由于心火炽盛，逼迫血液从毛孔中射出所致。紧急时用半个龙眼壳，烧烙平整，盛放京墨汁覆盖在患处，包扎固定。过三至五日后才可去除。内服麻黄三两至二两（注：原文“麻迪”疑为麻黄之误或地方异名，此处依语境及常用活血方推测可能指代相关药材，但按字面保留或修正为常见活血药，鉴于后文有清心凉血，此处暂按原文“麻迪”处理，若为笔误通常指麻黄或牡丹皮等，结合“好酒和服”，此处暂译为麻黄/牡丹皮类，但严格遵循原文提取实体），用优质黄酒送服；或者饮用生姜汁，可立即痊愈。随后服用清心凉血类药物。如果失血过多，适宜服用黄芪补血汤。
黄芪补血汤用于治疗因失血过多导致筋脉失去濡养，出现四肢拘挛抽搐、牙关紧闭如痉病症状的情况。
黄芪（一两） 当归（五钱，若兼挟风邪或破伤风则与归等分，加羌活、防风各一钱，荆芥穗二钱五分）
以上药物均用水煎煮后服用。
血痣初起时颜色红润像痣一样，逐渐增大如豆粒大小，摩擦后流血不止。这是由于肝经郁结之火和血热所致。使用枯药（腐蚀性药物）挑除血痣，随后使用生肌散促进伤口愈合。体内热象严重者，服用清肝凉血类药物。
《脉经》记载：头部遭受跌打损伤，体内有瘀血则腹部胀满。脉象坚强有力的预后良好，脉象细小虚弱的预后不良。跌打损伤如果不分辨十二经络，瘀血必然归于肝脏，停留于胁下。疼痛剧烈时必然自汗，汗出是因为风气作用所致。治疗原则是先驱逐恶血，疏通经络，其次调和血液止痛，然后调理气机养血，补益胃气，自然能获效。如果腹痛且按压时疼痛加剧，说明有瘀血，应当攻下。攻下后疼痛不止，按压仍然疼痛的，说明瘀血未尽，需用复元活血汤调理。腹痛且按压不痛的，是气血受损，用四物汤加入人参、黄芪、白术，进行补益调和。如果使用大黄等泻下药，血液不下行，反而出现胸部胀满气喘的，应当顺其气机，用肉桂、木香各二钱，用酒送服，即可排出黑血，以及之前所服的药液，病人即可苏醒。体质虚弱者使用泻下药时，也应加入木香、肉桂同煎，借助其温热之性来推动气机运行。然而，如果服用行气药后，反而出现胸膈痞闷、气短急促、食欲不振、身体疲倦，以及面色晦暗、脓液清稀的，这是形气虚弱，应当补益。
胸部和腹部胀痛，大便不通，喘咳吐血的，是瘀血阻滞，用当归导滞汤通利。攻下后胸腹反而疼痛的，是肝血受损，用四君子汤加入川芎、当归补益。攻下后发热的，是阴血受损，用四物汤加入人参、白术补益。攻下后恶寒的，是阳气受损，用十全大补汤补益。攻下后想呕吐的，是胃气受损，用六君子汤加入当归补益。攻下后腹泻的，是脾肾受损，用六君子汤加入肉豆蔻、补骨脂补益。攻下后手足冰冷，神志昏沉出汗的，是阳气虚寒，用参附汤温补。呕吐腹泻、四肢冰冷、指甲青紫的，是虚寒严重，加倍使用参附汤。如果出现牙关紧闭、撒手无力、遗尿、嘴唇青紫、痰多身体冰冷的，是极度虚衰的坏证，投以大剂量参附汤，大多能够存活。
脉象浮紧，出现恶寒发热，身体疼痛的，是兼夹外邪。治疗宜发散解表。春季用五积散、香苏饮；夏季用香苏饮；秋季用正气散；冬季用和解散。此外还应根据症状加减用药。
患处或各个孔窍出血的，是肝火旺盛，用加味逍遥散。中气不足，血液无所依附的，用补中益气汤。元气内部脱失，不能统摄血液的，用独参汤加入炮姜。如果无效，加入附子。血液蕴结于内部而呕血的，用四物汤加入黄芩、柴胡。伤势严重神志昏迷的，虽然有瘀血，切不可攻下。紧急时用独参汤补益，再用花蕊石散化解瘀血，恐怕因为攻下而导致亡阳。
凡是因损伤劳累、愤怒导致腹胀，或者误服大黄等药物的，损伤阳络则出现吐血、鼻衄、尿血、便血等症状；损伤阴络则出现血块、血积、肌肉青黯。这是脏腑亏损，经脉功能失职，紧急补益脾肺，也有存活的。只是恐怕患者不明白这个道理，不使用这种方法，可惜啊。
凡是伤势严重导致气息断绝、不能说话的，用热童子尿灌服。不问体质强弱，以及是否有瘀血，凡是胁肋胀满作痛、发热烦躁口干的患者，服用此法胜过其他药物，有推陈致新的功效，神效难以测度。在打血药中加入，立即见效。上部受伤者，再加韭汁；昏迷不醒者，用乌金丸，用红花酒加童子尿化开服用。
骨头断裂皮肤破损的，药物宜用水煎煮；皮肤未破损的，药物宜用酒煎煮。但必须加入童子尿，以活化瘀血。纯用酒煎煮，反而会导致胀满。与接骨药同服，反而会导致便秘。（酒选用无灰酒，不论赤酒还是白酒）
跌打损伤导致瘀血停滞，先通利大小便，不可等待便秘发生，恐怕形成重疾。然而如果攻下太过，则脉象更加坚大，误认为是瘀滞而再次攻下，因而夭折的人很多。
损伤后忌服草药，服用的话新生的骨头必然粗大，不能纳入关节臼窝。自然铜虽然有接骨的功效，但其性质燥烈，应酌情使用。伤势轻者不要使用。无名异研末用酒送服，能消散四肢的毒血。跌打损伤不可没有乳香、没药，惟独降真香可以替代，也可以替代血竭。肿痛是由于血瘀所致，用热药煎汤淋洗。瘀肿不消的用砭石刺破排血，否则痊愈后遇到阴天会疼痛。忌食梨和生冷食物，恐怕凝结血液。忌食牛肉，吃了则疼痛不止。忌火灸，忌见风。
肠道破裂脂肪流出的，孔径小的，用手剔除脂肪，不可让其重新进入，进入则为害。骨头断裂筋脉相连的，不紧急剪断其筋，则会浸蚀好的肌肉成为不治之症。肠子脱出的，让患者手搭在医者肩上，随着患者的左右动作将肠子收回。用大麦煮粥取汤清洗肠子干净，用麻油涂抹手和疮口，随即吹入通关散取嚏，使肠子自行回纳。用桑皮搓成线，用鸡血涂抹，再撒上花蕊石散缝合。缝合必须缝里面的皮，留外皮开口，涂抹鸡血，搽抹生肌等药物。如果肠子损坏，用灯照看，有气体射出的，属于不治之症。
阴囊破损的，涂抹鸡蛋黄油，掺入金毛狗脊的毛，用紫苏叶煎汤清洗。内服止痛药，有瘀血的用破血药。
眼睑受伤，青黑肿痛的，用紫金皮用童子尿浸泡七天，晒干，其余部位受伤的不必制作，与生地等分为末，茶汤调敷。
腰部受伤作痛，各种药物无效的，用白芍、赤芍、威灵仙、乳香、没药等分为末，用酒送服即减轻。
慈救散 治疗跌打骨折致死，只要胸前还有暖气的，也有效。
山楂（八钱） 通草（三钱） 降香（末） 穿山甲 丹皮（各二钱） 赤芍 香附（酒炒）
红曲 陈皮 麦芽（炒各二钱） 当归（八分） 青皮 红花（各七分） 桔梗（五分） 痛加
乳香 没药（各一钱）
用水三碗，煎成一碗服用。
玉灵丹 治疗跌打损伤。
香附 苏子（各四两） 苏木 萝卜子 桃仁 当归 降香 红花 枳实 青皮（各一两） 沉香
木香 官桂（各五钱） 乳香 没药 藿香 陈皮 槟榔 蓬术 白豆蔻（各三钱）
各研为末，混合均匀。用童子尿、黄酒、黑砂糖各一碗，合在一起，煎成膏状，与药粉混合制成丸药，如弹子大小。每次服用一丸，用黄酒化开送下，或者用赤砂糖汤化开送下。
复元活血汤 治疗坠落后胁部疼痛。
柴胡（二钱五分） 当归（二钱） 穿山甲（炒） 栝蒌仁 红花（各七分） 桃仁（十七个）
甘草（五分） 大黄（三钱）
水二分，酒一分，煎成一钟。饭后远时服用，以大便通畅为度。
五加四灵散 治疗跌打损伤。
五加皮 骨碎补 川续断 威灵仙（各三钱五分）
陈酒二碗，煎成一碗服用。
五加三皮散
五加皮（二两） 桂皮（一两） 绵皮（一钱五分） 良姜（五钱） 砂仁（五钱） 如果骨头碎裂，加
丹皮（一两） 乳香 没药 血竭（各一钱）
以上研为末。每次服用三茶匙，用黄酒调服。
琼花散
闹羊花洗净焙干为末。每次服用三五分，用黄酒调服。随饮至醉为止，盖被卧倒避风。
接骨金丹 也可以代替杖刑后的治疗。
土鳖虫（阴干备用，另加） 乳香 没药 龙骨 自然铜（醋淬七次，等分） 麝香（少许）
共研为末。每次服用三分。取一个土鳖虫研末，加入混合均匀，用黄酒调服。必须先整复骨骼然后服药，否则骨头接错。
另一种用法：用土鳖虫、象房者佳，倒碓虫。都在银臼内炙烤，各研为末。每次服用土鳖虫末五厘，虫末二厘，共七厘，混合均匀，放在舌下。急用黄酒送下。还有一种用法：只用土鳖虫末五七厘，用烧酒送下。
截血膏 敷在受伤处四周，能化瘀破血，止痛消肿。
天花粉（三两） 姜黄 赤芍 白芷（各一两）
以上研为末，用茶水调敷。如果是头部外伤血流不止的，药涂在颈部周围；手足受伤的，药涂在小腿和手臂周围；其他部位受伤的，药涂在疮口周围。能截断血液不再流出。
如果是金创沾水，则疮口像番红花一样的，用韭菜汁调敷疮口四周，然后用微火灸之，又用早稻烟熏之，疮口有水流出即愈。如果没有水流出，就是风邪侵袭，加倍加入南星和敷。
如果疮口肉质坚硬不消退的，是风邪侵袭，加入独活，用热酒调敷。如果不消退，是风邪深入，加入紫金皮和敷，自然消退。
整骨麻药 可以用于整骨，也可以用于取出箭头。
川乌 草乌 佛茄子 闹羊花 麻黄 姜黄（等分）
以上研为末。每次服用三分，茶或酒任下，甘草汤解药性。
又一种整骨方
蟾酥 川乌 花椒 胡椒（各一钱五分） 荜茇（一钱） 闹羊花 生半夏（各六分）
研为末。每次服用半分，用黄酒送下。
Lacquer dermatitis initially presents with itching, resembling urticaria (wind wheals). Subsequently, the head and face exhibit flaccid swelling, while the entire body suffers from skin breakdown, oozing fluid, and pain similar to leprosy. In severe cases, alternating chills and fever occur. This condition arises because fresh lacquer is acrid, hot, and toxic; combined with the patient's constitutional bias and loose interstices (skin texture and pores), it contracts the pathogenic qi of the lacquer. It is appropriate to take Huaban Jiedu Tang (Spot-Resolving and Toxin-Unblocking Decoction) and crush raw crab to mix with wine, filtering out the dregs before drinking. If the sores have ulcerated and are oozing, wash the affected area with three jin of fresh willow leaves decocted in water, or one jin of dried lotus leaf decocted in water, or soak and wash with four to five liang of alum dissolved in water. For areas that are not broken but show red spots and itching, apply Erwei Xiaodu San (Two-Ingredient Toxin-Resolving Powder).
Blood Arrow syndrome is caused by blazing Heart Fire forcing blood to shoot out from the hair follicles. Urgently use half a longan shell, burn it flat, fill it with Jingmo juice, cover the affected area, and bind tightly. Remove it after three to five days. Internally, administer Mahuang (Ephedrae Herba) two to three liang mixed with good wine, or drink ginger juice, which leads to immediate recovery. Subsequently, take medications for clearing Heart heat and cooling blood. If excessive blood loss has occurred, Huangqi Buxue Tang (Astragalus Blood-Nourishing Decoction) is suitable.
Huangqi Buxue Tang treats conditions where excessive blood loss causes tendons to lose nourishment, resulting in limb spasms, contractures, and trismus resembling tetany.
Huangqi (Astragali Radix, 1 liang) Danggui (Angelicae Sinensis Radix, 5 qian; if complicated by wind or broken-skin tetanus, equal parts added with Qianghuo and Fangfeng 1 qian each, Jingjie Sui 2.5 qian).
All ingredients are decocted in water and taken orally.
Blood Nevus begins as a red spot resembling a mole, gradually enlarging to the size of a bean, bleeding continuously when rubbed. This is caused by Liver Meridian stagnant fire and blood heat. Use a caustic medicine to pick away the nevus, then apply Shengji San (Flesh-Generating Powder) to close the wound. For those with severe internal heat, take medications for clearing Liver heat and cooling blood.
The *Mai Jing* states: Head trauma with internal blood stasis causes abdominal distension and fullness. A strong pulse indicates survival, while a small and weak pulse indicates death. Trauma without distinguishing the twelve meridians results in blood returning to the Liver and accumulating under the hypochondrium. Severe pain leads to spontaneous sweating, which is due to Wind transformation. The treatment principle is first to expel evil blood and unblock the meridians, then harmonize the blood to stop pain, followed by regulating Qi and nourishing blood, and tonifying Stomach Qi, which naturally yields efficacy. If abdominal pain worsens upon pressure, it indicates stasis, and purgatives should be used. If pain persists after purgation and remains tender on pressure, stasis is incomplete, and Fuyuan Huoxue Tang (Restore Vitality and Invigorate Blood Decoction) should be used to regulate. If abdominal pain does not worsen upon pressure, it indicates Qi and Blood injury; Siwu Tang (Four Substances Decoction) added with Renshen, Huangqi, and Baizhu should be used for tonification and harmonization. If using Dahuang and other purgatives fails to move the blood and instead causes chest distension and asthma, one should follow the Qi mechanism, using Rougui and Muxiang (2 qian each) taken with wine to expel black blood, along with previously ingested medicines, leading to revival. For the weak, when using purgatives, add Muxiang and Rougui to decoct together, borrowing their heat to move Qi. However, if taking Qi-moving drugs leads to chest oppression, shortness of breath, poor appetite, fatigue, dark complexion, and thin pus, this indicates deficiency of Form and Qi, requiring tonification.
Chest and abdominal distension and pain, constipation, wheezing, coughing, and hemoptysis indicate blood stasis obstruction; use Danggui Daoshi Tang (Angelica Guiding Stagnation Decoction) to unblock. If pain worsens in the chest and abdomen after purgation, it indicates Liver Blood injury; use Sijunzi Tang (Four Gentlemen Decoction) added with Chuanxiong and Danggui for tonification. Fever after purgation indicates Yin Blood injury; use Siwu Tang added with Renshen and Baizhu for tonification. Chills after purgation indicate Yang Qi injury; use Shiquan Dabu Tang (Ten Complete Tonifying Decoction) for tonification. Nausea after purgation indicates Stomach Qi injury; use Liujunzi Tang (Six Gentlemen Decoction) added with Danggui for tonification. Diarrhea after purgation indicates Spleen and Kidney injury; use Liujunzi Tang added with Roudoukou and Pugu Zhi for tonification. Cold extremities, confusion, and sweating after purgation indicate Yang Qi deficiency and cold; use Shenfu Tang (Ginseng and Aconite Decoction) for warming. Vomiting, diarrhea, cold limbs, and cyanotic nails indicate severe deficiency-cold; double the dose of Shenfu Tang. Trismus, open hands, enuresis, cyanotic lips, profuse phlegm, and cold body indicate extreme deficiency and critical collapse; administer a large dose of Shenfu Tang, with many survivors.
Floating and tight pulse, chills, fever, and body pain indicate concurrent external pathogens. Treatment should focus on dispersing and releasing. Spring: Wuji San (Five Accumulations Powder), Xiangsu Yin (Perilla and Liquorice Drink); Summer: Xiangsu Yin; Autumn: Zhengqi San (Upright Qi Powder); Winter: Hejie San (Harmonizing and Resolving Powder). Adjust according to symptoms.
Bleeding from lesions or orifices indicates Liver Fire; use Jiawei Xiaoyao San (Modified Free Wanderer Powder). Insufficient Middle Qi causing blood to lack attachment requires Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction). Internal collapse of Yuan Qi failing to control blood requires Dushen Tang (Single Ginseng Decoction) added with Paojiang (Prepared Ginger). If ineffective, add Fuzi. Internal blood accumulation causing hematemesis requires Siwu Tang added with Huangqin and Chaihu. For severe injuries with coma, although there is blood stasis, do not purge. Urgently tonify with Dushen Tang, then resolve stasis with Huarui Shi San (Flower Coral Stone Powder), fearing Yang collapse from purgation.
Injuries from labor, anger-induced distension, or accidental ingestion of Dahuang damage Yang collaterals, causing hematemesis, epistaxis, hematuria, and melena; damaging Yin collaterals causes blood clots, blood accumulations, and dark muscle discoloration. This indicates organ deficiency and meridian dysfunction; urgently tonify Spleen and Lung, with potential for survival. Regrettably, patients often fail to understand this and refuse this method.
For severe injuries causing breathlessness and aphasia,灌 warm Child Urine. Regardless of constitution strength or presence of stasis, for hypochondriac distension/pain, fever, irritability, and dry mouth, this method surpasses others, promoting elimination of the old and generation of the new with miraculous effects. Adding it to blood-invigorating formulas ensures immediate results. For upper body injuries, add Leizhi Juice (Chinese Chive Juice); for coma, use Wujin Wan (Black Gold Pill) dissolved in Honghua Wine and Child Urine.
For bone fractures with broken skin, decoct medicines in water; for intact skin, decoct in wine. However, Child Urine must be added to activate stasis. Pure wine decoction may cause distension. Combined with bone-setting herbs, it may cause constipation. (Use non-ashy wine, red or white).
For trauma with stagnant stasis, promote urination and defecation first; do not wait for constipation, lest it become a serious disease. Over-purgation makes the pulse stronger and larger, leading to misdiagnosis of stasis and repeated purgation, often resulting in premature death.
Herbal medicines are contraindicated in trauma; ingestion causes newly formed bones to be too large to fit into joints. Ziran Tong (Natural Copper) aids bone setting but is drying; use cautiously. Avoid in mild injuries. Wumingyi (Iron Oxide) powder taken with wine dissipates toxic blood in the limbs. Rushang and Moyao are essential for trauma; Jiangzhenxiang can substitute them and also substitutes Xuexie. Pain and swelling are caused by blood stasis; wash with hot herbal decoctions. For unresolved stasis and swelling, use Bian (stone pricking). Otherwise, pain occurs on cloudy days post-recovery. Avoid pears and raw/cold foods to prevent blood coagulation. Avoid beef, as consumption prolongs pain. Avoid moxibustion and wind exposure.
For ruptured intestines with eviscerated fat, manually remove the fat; reinsertion is harmful. For fractured bones with connected tendons, cut the tendons promptly to prevent rotting healthy flesh. For eviscerated intestines, have the patient rest their hand on the physician's shoulder, guiding the intestine back. Wash the intestine clean with barley porridge soup. Apply sesame oil to hands and wound, blow Tongguan San (Pass-the-Gate Powder) into the nose to induce sneezing, allowing the intestine to return. Use mulberry bark thread coated with chicken blood for suturing the inner layer, leaving the outer layer open, applying chicken blood and Shengji medicines. If the intestine is damaged and gas escapes when lit by lamp, it is incurable.
For scrotal rupture, apply Chicken Egg Yellow Oil, sprinkle Jinmao Gouji Mao (Dog Fern Root Hair), and wash with Perilla Leaf decoction. Internally take pain-relieving medicines; use blood-breaking medicines for stasis.
For loose teeth, rub with burned Tribulus Root until carbonized; long-term use stabilizes them.
For eyelid trauma with cyanosis, swelling, and pain, use Zijin Pi soaked in Child Urine for seven days, dried. For other injuries, no preparation needed; mix equally with Shengdi, powder, and apply with tea water.
For lumbar injury pain unresponsive to other medicines, mix Baishao, Chishao, Weilingxian, Rushang, and Moyao equally, powder, and take with wine for relief.
Cijiu San treats fatal falls and fractures; effective if warmth remains in the chest.
Shanzha (8 qian) Tongcao (3 qian) Jiangxiang (powder) Shanjia (Pangolin Scale) Mudanpi (2 qian each) Chishao Xiangfu (wine-fried) Hongqu Chenpi Maiya (fried, 2 qian each) Danggui (8 fen) Qingpi Honghua (7 fen each) Jiegeng (5 fen). Add Rushang and Moyao (1 qian each) for pain.
Decoct in 3 bowls of water to 1 bowl. Take orally.
Yuling Dan treats bruises and injuries.
Xiangfu Suzi (4 liang each) Sumu Luobozit Taoren Danggui Jiangxiang Honghua Zhishi Qingpi (1 liang each) Chenchen Muxiang Guanzi (5 qian each) Rushang Moyao Huoxiang Chenpi Binglang Pengzhi Baudoukou (3 qian each).
Powder each, mix evenly. Combine with 1 bowl each of Child Urine, Yellow Wine, and Brown Sugar. Decoct to paste consistency, mix with powder to form pills the size of弹子. Take one pill per dose, dissolved in Yellow Wine or Red Sugar Water.
Fuyuan Huoxue Tang treats hypochondriac pain after falling.
Chaihu (2.5 qian) Danggui (2 qian) Shanjia (fried) Gualouren Honghua (7 fen each) Taoren (17 pieces) Gancao (5 fen) Dahuang (3 qian).
Decoct in 2 parts water and 1 part wine to 1 cup. Take well after meals, stopping when bowels move freely.
Wujia Siling San treats trauma.
Wujapi Gusuibu Chuanxuduan Weilingxian (3.5 qian each).
Decoct in 2 bowls of aged wine to 1 bowl. Take orally.
Wujia Sanpi San
Wujapi (2 liang) Guipi (1 liang) Mianpi (1.5 qian) Liangjiang (5 qian) Sharen (5 qian). If bone fracture, add Mudanpi (1 liang) Rushang Moyao Xuexie (1 qian each).
Powder. Take 3 tea spoons per dose, mixed with Yellow Wine.
Qionghua San
Yaoyanghua (Deadly Nightshade Flower) washed, dried, powdered. Take 3-5 fen per dose, mixed with Yellow Wine. Drink until drunk, then lie down avoiding wind.
Jieguo Jindan can also treat beating injuries.
Tubie (Ground Beetle, dried) Rushang Moyao Longgu Ziran Tong (quench in vinegar 7 times, equal parts) Shexiang (small amount).
Powder. Take 3 fen per dose. Take 1 Tubie, powder it, mix evenly, take with Yellow Wine. Reduce bone displacement first, then take medicine, otherwise bones may set incorrectly.
Alternative: Use Tubie or Elephant House (likely a specific insect/plant name, contextually ambiguous, kept as literal translation or omitted if unclear, here "Elephant House" refers to a specific traditional ingredient, possibly a beetle variant or plant part, strictly following text "Xiangfang"). Daochui Chong (Mortar Pestle Worm). Roast in silver mortar, powder. Take 5 li Tubie powder, 2 li Chong powder, total 7 li, mix, place under tongue, swallow quickly with Yellow Wine. Another method: 5-7 li Tubie powder, swallow with Shaojiu (Burning Wine).
Jiexue Gao applies around the injury site to resolve blood, break stasis, relieve pain, and reduce swelling.
Tianhuafen (3 liang) Jianghuang Chishao Baizhi (1 liang each).
Powder. Mix with clear tea water to apply. For head wounds with continuous bleeding, apply around the neck. For hand/foot wounds, apply around shins/arms. For other wounds, apply around the sore. Stops bleeding.
If metal wounds get wet and resemble safflower flowers, apply Leizhi Juice around the wound, moxa with mild fire, smoke with early rice tobacco. Healing occurs when fluid drains. If no fluid, Wind invasion; add Nanxing.
If wound flesh is hard and does not subside, Wind invasion; add Duohuo, apply with hot wine. If still unresolved, Wind has penetrated deep; add Zijin Pi. Self-resolves.
For dripping traumatic blood stasis, chew Sanqi and apply to stop bleeding and reduce swelling.
Zhenggu Mayao (Bone-Setting Anesthetic) for bone setting and arrow removal.
Chuanwu Caowu Foqiezi Yaoyanghua Mahuang Jianghuang (equal parts).
Powder. Take 3 fen, with tea or wine. Detoxify with Licorice Soup.
Another Bone-Setting Formula
Chansu Chuanwu Huajiao Huyao (1.5 qian each) Bibo (1 qian) Yaoyanghua Shengbanxia (6 fen each).
Powder. Take 0.5 fen, with Yellow Wine.
To enlarge incision, add 1 pill of Baijiuyao applied to the site.
Siwu Tang, Sijunzi Tang, Liujunzi Tang, Shiquan Dabu Tang, Buzhong Yiqi Tang (all in Volume 1). Jiawei Xiaoyao San (see Scrofula section).
Severe cases involving bone fractures, tendon injuries, and dislocations require manual manipulation, which is a specialized field; thus, not elaborated here.