十不治证∶
颠仆损伤入于肺者，纵未即死，二七难过；左胁下伤透至内者；肠伤断者；小腹下伤内者；证候繁多者；伤破阴
子者；老人左股压碎者；血出尽者；肩内耳后伤透于内者；脉不实重者。
以上皆不必用药。
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巅者，头顶也。其骨男子三叉缝，女子十字缝，一名天灵盖，位居至高，内函脑髓如盖，以统全体者也。或蹦
撞损伤，如卒然而死，身体强硬，鼻口有出入声气，目闭面如土色，心口温热跳动者，此证可治。切不可撅拿并
扶起盘坐，盖恐惊乱之气上冲，或从伤处或从七窍走泄，必伤性命也。惟宜屈膝侧卧，先将高醋调混元膏，敷
于顶上，以定痛消肿，活血拔毒；再将草纸卷点着，令烟气熏其口鼻。再燃煤淬入醋内，使热气熏蒸口鼻，如无煤
之处，烧铁淬之亦可。以引五脏血脉，使之通和。待其口中呻吟有声，即以童便调八厘散温服，可以气转阳回，
外用手法推按心胸两肋腋下腹上，并轻托内腕攒筋，频频揉摩，即掌后高骨，寸关尺诊脉处也。
夫冲撞损伤，则筋脉强硬，频频揉摩，则心血来复，命脉流通，即可回生。常服正骨紫金丹，复外用散瘀和
伤汤，洗去前敷之混元膏，再换敷混元膏。服丸药后，或大便色黑干燥，此乃肠胃存有瘀血，或有耳聋者，俱
服加减苏子桃仁汤，以逐瘀血，健脾胃养精神，兼用导气通瘀锭塞于耳中。饮食宜素粥汤饮，忌气怒、油腻、面食。
卧处宜净室，勿令人喧乱。若伤重已死者，用白布缠头，以木棍轻轻拍击足心，再提发令其直正，安定颈骨，舒其
筋络，外敷混元膏，内服紫金丹。若坠车马损伤巅缝者，其邪坠而下，多在左，而少在右，因右手利便而然也，其
治法同蹦撞诸伤。如顶骨塌陷，惊动脑髓，七窍出血，身挺僵厥，昏闷全无知觉者，不治。
混元膏 治打仆损伤，骨碎筋翻，瘀血凝聚，消青紫肿痛等证。
羚羊血（五钱） 没药（五钱） 漏芦（三钱） 红花（三钱） 大黄（二钱） 麝香（三钱） 升麻（三钱）
白及（五钱） 生栀子（二钱） 甘草（二钱） 明雄黄（五钱） 白蔹（三钱）
共为细末，用高醋熬成膏，敷于顶上。
八厘散 治跌打损伤，接骨散瘀。
苏木面（一钱） 半两钱（一钱） 自然铜（醋淬七次，三钱） 乳香（三钱） 没药（三钱） 血竭（三钱）
麝香（一分） 丁香（五分） 番木鳖（油炸去毛，一钱）
共为细末，黄酒温服，童便调亦可。
正骨紫金丹 治跌打仆坠闪错损伤，并一切疼痛，瘀血凝聚。
丁香 木香 瓜儿血竭 儿茶 熟大黄 红花（各一两） 当归头 莲肉 白茯苓 白芍（各二两）
丹皮（五钱） 甘草（三钱）
共为细末，炼蜜为丸，每服三钱，童便调下，黄酒亦可。
散瘀和伤汤 治一世蹦撞损伤，瘀血积聚。
番木鳖（油炸去毛） 红花 生半夏（各五钱） 骨碎补 甘草（各三钱） 葱须（一两）
水五碗煎滚，入醋二两，再煎十数滚，熏洗患处，一日十数次。
加减苏子桃仁汤 治瘀血内聚，心经瘀热，大肠不燥者。
苏子（三钱） 苏木（末，一钱） 红花（一钱） 桃仁（炒） 麦冬 橘红（各三钱） 赤芍 竹茹 当归
（酒洗，各二钱）
水三盅，煎一盅，渣二盅，煎八分，温服。
导气通瘀锭 专治耳聋奇方。
用不去油巴豆一个，斑蝥三个，麝香少许，以葱涎蜂蜜和捻如麦粒形，丝棉裹置耳中，响声如雷，勿得惊惧。
待二十一日，耳中有脓水流出，方可去锭，奇妙无比。
十种无法治愈的证候：
从高处坠落或跌倒，损伤深入肺部的，即使没有立即死亡，十四天内也难以度过；左侧胁下穿透性内伤者；肠道断裂者；小腹内部严重受伤者；症状繁杂混乱者；阴器破损者；老年人左侧大腿被压碎者；血液流尽者；肩部内侧及耳后穿透性内伤者；脉象不实且重按无力者。
以上情况都不必用药治疗。
巅顶图（图片）
巅顶，指的是头顶部位。男性的骨缝呈三叉形，女性的骨缝呈十字形，又名天灵盖。它位居身体最高处，内部包裹着脑髓，如同盖子一样统摄全身。如果是因蹦跳撞击造成的损伤，出现突然死亡、身体僵硬、鼻口有呼吸气息声、眼睛闭合、面色如土色、心口温热且有跳动感的，这种证候是可以治疗的。千万不可强行撬开关节并扶起让其盘腿坐立，因为恐怕惊恐扰乱的气机上冲，或者从伤口或七窍（眼、耳、口、鼻等）走泄，必然导致生命危险。只适宜让患者屈膝侧卧，先用陈醋调和混元膏，敷在头顶，以止痛消肿、活血解毒；再将草纸卷点燃，用烟气熏蒸患者的口鼻。另外将烧红的煤块淬入醋中，利用热气熏蒸口鼻，如果没有煤，烧红铁块淬醋也可以。以此引导五脏血脉，使其通畅调和。等到患者口中发出呻吟声时，立即用童便（儿童尿液）调服八厘散温饮，可以使气机回转、阳气回复。外用手法推按心胸、两肋、腋下及腹部，并轻轻托提内腕处的筋络，频繁揉摩，即手掌后方的高骨（寸关尺诊脉处）。
凡是冲撞损伤，会导致筋脉僵硬，频繁揉摩可以使心血恢复，命脉流通，即可使死者复活。平时可常服正骨紫金丹，外用时用散瘀和伤汤清洗掉之前敷的混元膏，再重新敷上混元膏。服用丸药后，如果大便颜色黑且干燥，这是肠胃中存有瘀血的表现；如果有耳聋的情况，都需服用加减苏子桃仁汤，以驱逐瘀血，健脾胃、养精神，同时使用导气通瘀锭塞入耳中。饮食宜清淡的粥汤饮品，忌食生气发怒、油腻及面食。休息场所应保持洁净安静，不要让人喧哗扰乱。如果伤势过重已经死亡的，用白布缠头，用木棍轻轻拍击足心，再提拉头发使其头部正直，安定颈骨，舒展筋络，外敷混元膏，内服紫金丹。如果是坠车马导致巅顶骨缝损伤，邪气下沉多在左侧，少在右侧，这是因为右手便利所致，其治疗方法与蹦撞各类损伤相同。如果顶骨塌陷，惊动脑髓，七窍出血，身体挺僵厥逆，昏闷完全无知觉的，属于不治之症。
混元膏：治疗打扑损伤，骨碎筋翻，瘀血凝聚，消除青紫肿痛等证候。
羚羊血（五钱）、没药（五钱）、漏芦（三钱）、红花（三钱）、大黄（二钱）、麝香（三钱）、升麻（三钱）、白及（五钱）、生栀子（二钱）、甘草（二钱）、明雄黄（五钱）、白蔹（三钱）。
共研为细末，用陈醋熬制成膏，敷于头顶。
八厘散：治疗跌打损伤，接骨散瘀。
苏木面（一钱）、半两钱（一钱）、自然铜（用醋淬炼七次，三钱）、乳香（三钱）、没药（三钱）、血竭（三钱）、麝香（一分）、丁香（五分）、番木鳖（油炸去毛，一钱）。
共研为细末，用黄酒温服，用童便调服也可以。
正骨紫金丹：治疗跌打仆坠闪错损伤，以及一切疼痛，瘀血凝聚。
丁香、木香、瓜儿血竭、儿茶、熟大黄、红花（各一两）、当归头、莲肉、白茯苓、白芍（各二两）、丹皮（五钱）、甘草（三钱）。
共研为细末，用炼蜜制成丸药，每次服用三钱，用童便送服，用黄酒送服也可以。
散瘀和伤汤：治疗各种蹦撞损伤，瘀血积聚。
番木鳖（油炸去毛）、红花、生半夏（各五钱）、骨碎补、甘草（各三钱）、葱须（一两）。
用水五碗煎至沸腾，加入醋二两，再煎煮十余次沸腾，用来熏洗患处，一天十几次。
加减苏子桃仁汤：治疗瘀血内聚，心经瘀热，大肠不燥结者。
苏子（三钱）、苏木（末，一钱）、红花（一钱）、桃仁（炒制）、麦冬、橘红（各三钱）、赤芍、竹茹、当归（酒洗，各二钱）。
用水三盅，煎取一盅药液，药渣再加水二盅，煎取八分药液，温服。
导气通瘀锭：专门治疗耳聋的奇方。
用不去油的巴豆一个，斑蝥三个，少许麝香，用葱汁和蜂蜜调和捻成麦粒形状，用丝棉包裹置于耳中，会听到响声如雷，不要惊慌恐惧。等待二十一天，耳中有脓水流出，方可取出药锭，效果奇妙无比。
Ten Incurable Conditions:
Falling or being struck with injury penetrating into the Lung (Zang organ), even if death does not occur immediately, it is difficult to survive beyond fourteen days; penetrating internal injury under the left hypochondrium; rupture of the intestines; severe internal injury in the lower abdomen; conditions with numerous and chaotic symptoms; damage to the external genitalia; crushing fracture of the left thigh in the elderly; exhaustion of blood; penetrating internal injury in the shoulder interior and behind the ear; pulse that is neither firm nor heavy upon deep palpation.
Medication is unnecessary for the above conditions.
[Image: Diagram of the Crown]
The crown (Dian) refers to the top of the head. In men, the cranial suture forms a trident shape, while in women, it forms a cross shape. It is also known as Tianlinggai (Heavenly Spirit Cover). Located at the highest point of the body, it encloses the brain marrow like a lid, governing the entire body. If injury results from jumping or collision, presenting as sudden death, stiff body, audible respiration through nose and mouth, closed eyes, earth-colored complexion, warmth and pulsation in the heart region, this condition is treatable. One must absolutely avoid forcibly prying joints or lifting the patient into a seated position, as this may cause Qi (vital energy) disturbed by shock to rush upward, or escape through the wound or the seven orifices (eyes, ears, mouth, nose), inevitably endangering life. The patient should be placed in a flexed lateral recumbent position. First, apply Hunyuan Gao (Mixed Primordial Ointment) mixed with aged vinegar to the crown to relieve pain, reduce swelling, invigorate blood, and draw out toxins. Then, light rolled straw paper and smoke the patient's nose and mouth with the fumes. Alternatively, quench hot coal in vinegar to generate heat vapor for fumigation of the nose and mouth; if coal is unavailable, quenched red-hot iron works equally well. This guides the blood vessels of the five Zang organs to achieve smooth circulation. Once moaning sounds are heard from the mouth, administer Bali San (Eight-Centigram Powder) warmed with child's urine (Tongbian) to restore Qi flow and Yang energy. Externally, use manual techniques to push and press the chest, heart, hypochondriac regions, axillae, and abdomen. Gently lift and manipulate the tendons at the inner wrist, frequently rubbing and massaging, specifically the high bone posterior to the palm (the Cun, Guan, Chi pulse-taking sites).
For collision injuries causing stiffness of sinews and vessels, frequent rubbing and massaging restores Heart blood and unblocks the vital pulse, potentially reviving the patient. Regularly take Zhenggu Zijin Dan (Bone-Setting Purple-Gold Pill) externally wash off the previous Hunyuan Gao using Sanyu He Shang Tang (Blood-Dispelling and Injury-Healing Decoction), then reapply Hunyuan Gao. After taking the pills, if stools are black and dry, this indicates residual blood stasis in the intestines and stomach. For cases of deafness, administer Jiajian Suzi Taoren Tang (Modified Perilla Seed and Peach Kernel Decoction) to expel blood stasis, strengthen the Spleen and Stomach, and nourish the spirit. Simultaneously, insert Daoqi Tongyu Ding (Qi-Moving and Stasis-Unblocking Plaster) into the ear. Diet should consist of plain porridge and soups; avoid anger, greasy foods, and wheat products. The resting environment should be clean and quiet, free from noise and disturbance. If the injury is so severe that death has already occurred, wrap the head with white cloth, gently tap the sole of the foot with a wooden stick, pull the hair to align the head straight, stabilize the cervical vertebrae, and relax the sinews. Apply Hunyuan Gao externally and administer Zijin Dan internally. For injuries to the crown sutures from falling from carts or horses, the pathogenic factor tends to settle on the left more than the right due to the dominance of the right hand; the treatment method is the same as for other collision injuries. If the cranial bone collapses, disturbing the brain marrow, with bleeding from the seven orifices, rigid extension, convulsions, coma, and complete loss of consciousness, it is incurable.
Hunyuan Gao (Mixed Primordial Ointment): Treats beating and falling injuries, fractured bones, dislocated tendons, coagulated blood stasis, and resolves cyanosis, purple discoloration, swelling, and pain.
Antelope Blood (5 qian), Myrrh (5 qian), Rhizoma Leuzeae (3 qian), Safflower (3 qian), Rhubarb (2 qian), Musk (3 qian), Cimicifuga (3 qian), Bletilla (5 qian), Raw Gardenia (2 qian), Licorice Root (2 qian), Realgar (5 qian), Ampelopsis (3 qian).
Grind into fine powder, boil with aged vinegar to form an ointment, and apply to the crown.
Bali San (Eight-Centigram Powder): Treats falls and blows, sets bones, and disperses stasis.
Sappan Wood Flour (1 qian), Banliangqian (1 qian), Pyritum (Natural Copper, quenched in vinegar seven times, 3 qian), Frankincense (3 qian), Myrrh (3 qian), Dragon's Blood (3 qian), Musk (1 fen), Clove (5 fen), Strychnos Nux-vomica (fried, hairs removed, 1 qian).
Grind into fine powder, take warm with yellow wine, or mix with child's urine.
Zhenggu Zijin Dan (Bone-Setting Purple-Gold Pill): Treats falls, collisions, sprains, and twists, all types of pain, and coagulated blood stasis.
Clove, Costus Root, Gu'er Xuejie (a type of Dragon's Blood), Child's Tears (Catechu), Prepared Rhubarb, Safflower (each 1 liang), Angelica Sinensis Head, Lotus Seed Meat, Poria, White Peony Root (each 2 liang), Moutan Cortex (5 qian), Licorice Root (3 qian).
Grind into fine powder, make pills with refined honey. Take 3 qian per dose, washed down with child's urine or yellow wine.
Sanyu He Shang Tang (Blood-Dispelling and Injury-Healing Decoction): Treats various collision injuries and accumulated blood stasis.
Strychnos Nux-vomica (fried, hairs removed), Safflower, Raw Pinellia (each 5 qian), Drynaria, Licorice Root (each 3 qian), Green Onion Roots (1 liang).
Decoct in five bowls of water until boiling, add two taels of vinegar, boil vigorously ten more times. Use to fumigate and wash the injured area, ten to twenty times daily.
Jiajian Suzi Taoren Tang (Modified Perilla Seed and Peach Kernel Decoction): Treats internal accumulation of blood stasis, Heat in the Heart channel due to stasis, and non-dry Large Intestine.
Perilla Seed (3 qian), Sappan Wood (powder, 1 qian), Safflower (1 qian), Peach Kernel (stir-fried), Ophiopogon, Tangerina Peel (each 3 qian), Red Peony Root, Bamboo Shavings, Angelica Sinensis (wine-washed, each 2 qian).
Decoct in three cups of water to obtain one cup of liquid. Decoct the dregs with two cups of water to obtain eight-tenths of a cup. Take warm.
Daoqi Tongyu Ding (Qi-Moving and Stasis-Unblocking Plaster): A special prescription for treating deafness.
Use one Croton Seed (unrefined oil), three Mylabris, and a small amount of Musk. Mix with green onion juice and honey, roll into the shape of a wheat grain. Wrap in silk cotton and place in the ear. Loud noises like thunder will be heard; do not be frightened. Wait twenty-one days until pus flows from the ear, then remove the plaster. The effect is miraculous.