山角骨,即头顶两旁棱骨也。凡有跌打损伤未破者,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,宜内服正骨紫金丹,外用灸熨如囟骨伤法。
如肉破流血不止者,先用马屁勃灰止血,后以榆树皮盖伤处,以艾合定痛散灸之。如伤重者,先服人参紫金丹,
后如前法。如损伤太重成破伤风,不治。
正骨紫金丹(见前巅顶伤)
人参紫金丹(见前囟骨伤)
凌云骨,在前发际下,即正中额骨。其两眉上之骨,即俗名左天贤骨,右天贵骨,两额角也。跌打损伤皮
破二目,及面浮虚肿,若内损瘀血,上呕吐衄,气虚昏沉,不省人事,身软,面色干黄,遍身虚浮,躁烦焦渴,
胸膈疼痛,脾胃不开,饮食少进,先服疏血丸,再以五加皮汤熏洗患处,敷乌龙膏,定痛消肿。
疏血丸 此药止血开胃。
百草霜(三钱) 好阿胶(蛤粉炒成珠) 藕节 侧柏叶 茅根 当归(酒洗,各一两)
共为细末,炼蜜为丸,如梧桐子大,每服五钱,早晚老酒送下。
五加皮汤 此汤舒筋和血,定痛消瘀。
当归(酒洗) 没药 五加皮 皮硝 青皮 川椒 香附子(各三钱) 丁香(一钱) 麝香(一分) 老
葱(三根) 地骨皮(一钱) 丹皮(二钱)
水煎滚,熏洗患处。
乌龙膏 此膏治跌打损伤,筋断骨折,肿硬青紫。
百草霜(三钱) 白及(五钱) 白蔹(三钱) 百合(五钱) 百部(三钱) 乳香(五钱) 没药(五钱)
麝香(一分) 糯米(炒,一两) 陈粉子(隔年者佳,炒,四两)
共为细末,醋熬为膏。
山角骨,即头顶两侧隆起的棱形骨头。凡是遭受跌打损伤且皮肤未破裂的,无论左右出现青紫肿胀坚硬、瘀血凝聚疼痛,或者昏迷闭目、身体软弱无法起身、气息短促、不能言语、心中慌乱、睡眠时呼吸急促、饮食减少的情况,适宜内服正骨紫金丹,外用艾灸和热敷的方法,参照囟门骨损伤的处理方法。如果皮肤破裂流血不止,先用马屁勃灰来止血,然后用榆树皮覆盖伤口,用艾草配合定痛散进行艾灸。如果伤势较重,先服用人参紫金丹,然后按照上述方法处理。如果损伤过于严重导致破伤风,则无法治愈。
正骨紫金丹(见前文巅顶损伤章节)
人参紫金丹(见前文囟门骨损伤章节)
凌云骨,位于前发际线下方,即正中额的骨头。其两眉上方的骨头,即俗称为左天贤骨、右天贵骨的两处额角。跌打损伤导致皮肤破裂、双眼受伤,以及面部浮肿虚肿,若内部有瘀血损伤,向上呕吐或鼻出血,气虚昏沉、不省人事、身体软弱、面色干枯发黄、全身虚浮、烦躁焦渴、胸膈疼痛、脾胃功能停滞、饮食减少,应先服用疏血丸,再用五加皮汤熏洗患处,敷上乌龙膏,以止痛消肿。
疏血丸 此药具有止血开胃的功效。
百草霜(三钱) 优质阿胶(用蛤粉炒至成珠状) 藕节 侧柏叶 白茅根 当归(用酒清洗,各一两)
共同研磨成细末,用炼蜜制成丸药,大小如梧桐子,每次服用五钱,早晚用老酒送服。
五加皮汤 此汤剂具有舒筋活血、止痛化瘀的功效。
当归(用酒清洗) 没药 五加皮 皮硝 青皮 川椒 香附子(各三钱) 丁香(一钱) 麝香(一分) 老葱(三根) 地骨皮(一钱) 牡丹皮(二钱)
加水煎煮至沸腾,用于熏洗患处。
乌龙膏 此膏药治疗跌打损伤、筋断骨折、肿胀坚硬及青紫色瘀斑。
百草霜(三钱) 白及(五钱) 白蔹(三钱) 百合(五钱) 百部(三钱) 乳香(五钱) 没药(五钱) 麝香(一分) 糯米(炒制,一两) 陈粉子(隔年的为佳,炒制,四两)
共同研磨成细末,用醋熬制成膏状。
Shanjiao bone refers to the ridge-like bones on both sides of the top of the head. In cases of falls or blows where the skin is not broken, regardless of whether there is bluish-purple swelling and hardness on either side due to blood stasis accumulation and pain, or if there is coma with closed eyes, physical weakness preventing rising, shortness of breath, inability to speak, mental agitation, panting during sleep, and reduced food intake, Zhenggu Zijin Dan (Orthopedic Purple Gold Pill) should be taken internally, and moxibustion and hot compresses should be applied externally, following the method for Fontanelle bone injury. If the flesh is broken and bleeding does not stop, first use Mopibo ash (Clerodendrum cyrtophyllum ash) to stop bleeding, then cover the wound with elm bark, and apply moxibustion using Ai Ye (Mugwort Leaf) combined with Dingtong San (Pain-Relieving Powder). For severe injuries, first take Renshen Zijin Dan (Ginseng Purple Gold Pill), then proceed as above. If the injury is too severe resulting in tetanus, it is incurable.
Zhenggu Zijin Dan (See previous section on Vertex injury)
Renshen Zijin Dan (See previous section on Fontanelle bone injury)
Lingyun bone is located below the anterior hairline, referring to the frontal bone in the midline. The bones above the two eyebrows are commonly known as the Left Tianxian bone and Right Tiangui bone, corresponding to the two forehead angles. In cases of falls or blows causing skin rupture, eye injury, facial edema, internal blood stasis, upward vomiting or epistaxis, qi deficiency with drowsiness and loss of consciousness, physical weakness, dry yellow complexion, generalized edema, restlessness and thirst, chest and diaphragm pain, stagnation of spleen and stomach function, and reduced food intake, Shuxue Wan (Blood-Dispersing Pill) should be taken first, followed by fumigation and washing of the affected area with Wujia Pi Tang (Acanthopanax Decoction), and application of Wulong Gao (Black Dragon Plaster) to relieve pain and reduce swelling.
Shuxue Wan This medicine stops bleeding and stimulates appetite.
Baicaoshuang (Soot from Hundred Herbs Burned, 3 qian) Hao Ejiao (High-quality Donkey-hide Gelatin, stir-fried with蛤粉 [Artemisia argyi powder] until pearl-like, 1 liang) Ou Jie (Lotus Rhizome Node, 1 liang) Ce Bai Ye (Biota Tops, 1 liang) Mao Gen (Imperata Rhizome, 1 liang) Dang Gui (Angelica Sinensis Root, washed with wine, 1 liang)
Grind all into fine powder, mix with refined honey to form pills the size of Sophora seeds. Take 5 qian per dose, morning and evening, with aged wine.
Wujia Pi Tang This decoction relaxes tendons, harmonizes blood, relieves pain, and resolves stasis.
Dang Gui (Angelica Sinensis Root, washed with wine, 3 qian) Moyao (Myrrh, 3 qian) Wujia Pi (Acanthopanacis Cortex, 3 qian) Pinxiao (Mirabilite, 3 qian) Qing Pi (Citrus Reticulata Green Peel, 3 qian) Chuan Jiao (Sichuan Pepper, 3 qian) Xiang Fu Zi (Cyperus Rhizome, 3 qian) Ding Xiang (Clove, 1 qian) She Xiang (Musk, 1 fen) Lao Cong (Old Scallion, 3 stalks) Digupi (Lycium Bark, 1 qian) Dan Pi (Moutan Cortex, 2 qian)
Boil in water, and use the steam for fumigation and wash the affected area.
Wulong Gao This plaster treats falls and blows, tendon ruptures, bone fractures, swelling, hardness, and bluish-purple discoloration.
Baicaoshuang (Soot from Hundred Herbs Burned, 3 qian) Bai Ji (Bletilla Rhizome, 5 qian) Bai Lian (Ampelopsis Radix, 3 qian) Bai He (Lily Bulb, 5 qian) Bai Bu (Stemona Root, 3 qian) Ru Xiang (Frankincense, 5 qian) Moyao (Myrrh, 5 qian) She Xiang (Musk, 1 fen) Nuo Mi (Glutinous Rice, stir-fried, 1 liang) Chen Fen Zi (Old Corn Kernels, preferably from the previous year, stir-fried, 4 liang)
Grind all into fine powder, and boil with vinegar to form a plaster.