发明紫金丹定痛接骨
川乌(炮) 草乌(炮各一两) 灵脂(去土半钱) 木鳖子(去壳) 黑牵牛(生) 骨碎补
威灵
仙金毛狗脊 防风 自然铜(淬七次) 地龙(去土) 乌药 青皮 陈皮 茴香(各半钱)
禹余粮(淬四两) 没药 红药子 麝香(各二钱半)
上细末醋糊为丸如梧子大每服十丸至二十丸温酒送下病上食后病下食前
元戎接骨丹
没药 乳香 当归 川椒 自然铜(醋淬) 赤芍 骨碎补(炙) 败龟(炙) 虎骨 白芷
(各等分) 千金藤(郁李仁是也各等分) 又方加龙骨川芎
上细末化蜡半两丸如弹子大每服一丸好酒半升化开煎用东南柳枝搅散热服
经验方治打 折骨损断服此药自顶心寻病至下遇受病处则飒飒有声觉药力习习往来则愈
自然铜( 醋淬七次一两) 川乌(去皮尖) 松明节 乳香 血竭(三钱) 龙骨(半两生)
地龙(半两) 水蛭(炒半两) 没药 苏木 降真香 土狗(十个油浸焙干)
上为末每服五钱无灰酒调下病在上食后在下食前
按以上三方并出少阴折伤例药也其用毒药以行诸经亦是瘀血已去者方可用丹溪云世以自
然铜
为接骨药然此等方尽多大抵在补气补血补土俗工惟在速效以罔利迎合病患之意而铜非 不可
服若新出火者其火毒金毒相扇挟香挟药毒虽有接伤之功而燥散之祸甚于刀剑戒之
杂方
机要刀箭药止血定痛没药散
定粉 风化灰(各一两) 乳香(半钱另研) 枯矾(三钱另研) 没药(一字另研)
上件各研为细末同和匀再研掺用之
本事地黄散治金疮止血除疼痛辟风续筋骨生肌肉
地黄苗 地松 青蒿 苍耳苗 生艾汁(三合) 赤芍(各五两入水取汁) 锻石(三分)
上五月五七月七午时修合以前药汁拌锻石阴干入黄丹三两更杵罗细凡金疮出血用药数据包
不可动十日瘥无脓肿
经验方治打扑损筋伤骨折吕显谟传
黄柏(一两) 半夏(半两)
上为细末每用半两生姜自然汁调如稀糊敷用纸花贴如干再敷骨折先以绢帛封缚次用沙木
扎定良久痛止即痒觉热乃是血活筋骨复旧轻者三五日重者不过旬月
又方治打扑损肿痛不止
生姜自然汁米醋牛皮胶同熬溶入马屁勃末不以多少调如膏以纸摊敷肿处
治刀伤斧斫
五倍子一味为末干贴神效
桑叶阴干为末干贴如无旋熨干末贴之妙
【发明】紫金丹:具有定痛和接骨的功效。
配方:川乌(炮制)、草乌(炮制)各一两,灵脂(去土)半钱,木鳖子(去壳),黑牵牛(生用),骨碎补,威灵仙,金毛狗脊,防风,自然铜(醋淬七次),地龙(去土),乌药,青皮,陈皮,茴香(各半钱),禹余粮(醋淬四两),没药,红药子,麝香(各二钱半)。
制法与用法:将上述药物研成细末,用醋糊制成梧桐子大小的丸剂。每次服用十丸至二十丸,用温酒送服。若病位在上部,饭后服用;若病位在下部,饭前服用。
元戎接骨丹:
配方:没药,乳香,当归,川椒,自然铜(醋淬),赤芍,骨碎补(炙),败龟(炙),虎骨,白芷(各等分),千金藤(即郁李仁,各等分)。另一方加龙骨、川芎。
制法与用法:将上述药物研成细末,加入半两熔化的蜡,制成弹子大小的丸剂。每次服用一丸,用半升好酒化开,煎煮后用东南方向的柳枝搅拌,趁热服用。
经验方:治疗跌打损伤、骨折断损。服用此药后,从头顶心开始探查病灶直至下部,遇到患病部位时,会感到飒飒有声,感觉到药力在体内习习往来流动,疾病即可痊愈。
配方:自然铜(醋淬七次,一两),川乌(去皮尖),松明节,乳香,血竭(三钱),龙骨(生用,半两),地龙(半两),水蛭(炒,半两),没药,苏木,降真香,土狗(十个,油浸焙干)。
制法与用法:将上述药物研为细末。每次服用五钱,用无灰酒调服。病位在上者饭后服用,病位在下者饭前服用。
按语:以上三个方剂均出自少阴经折伤治疗的范例。使用毒药是为了通行诸经气血,这也说明瘀血已经去除的情况下方可使用。丹溪先生曾说,世人认为自然铜是接骨良药,然而这些方子大多大抵侧重于补气、补血、补脾土。庸医只追求速效以谋利,迎合病患的心理,而铜并非不可服用。如果是刚从火中取出的自然铜,其火毒和金毒相互煽动,夹杂着香料和药物的毒性,虽然具有接伤之功,但其燥散之祸甚于刀剑,对此必须戒慎。
杂方
机要刀箭药止血定痛没药散:
配方:定粉,风化灰(各一两),乳香(半钱,另研),枯矾(三钱,另研),没药(一字,另研)。
制法与用法:将上述各药分别研为细末,混合均匀后再研磨,掺敷患处。
本事地黄散:治疗金创出血,止血并消除疼痛,辟除风邪,续接筋骨,生长肌肉。
配方:地黄苗,地松,青蒿,苍耳苗,生艾汁(三合),赤芍(各五两,入水取汁),锻石(三分)。
制法与用法:在五月五日或七月七日午时制备。将前几种药汁拌入锻石中,阴干后加入黄丹三两,再杵捣并过筛成细粉。凡是金创出血,用药包敷贴,不可移动,十日可愈,且不会化脓。
经验方:治疗跌打损伤、筋伤骨折。由吕显谟传授。
配方:黄柏(一两),半夏(半两)。
制法与用法:将上述药物研为细末。每次取半两,用生姜自然汁调成稀糊状,敷贴并用纸花覆盖。如果变干再行敷贴。对于骨折,先用绢帛包扎固定,再用沙木扎紧。良久之后疼痛停止,接着感到瘙痒,感觉发热,这是血液流通、筋骨恢复旧观的表现。轻者三五日痊愈,重者不超过一个月。
又一方:治疗跌打损伤导致肿痛不止。
配方:生姜自然汁,米醋,牛皮胶,同熬溶化,加入马屁勃末,用量不限,调成膏状。
制法与用法:用纸摊开敷于肿胀处。
[Invention] Zijin Dan (Purple Gold Pill): Possesses the efficacy of relieving pain and setting bones.
Ingredients: Chuanwu (Aconiti Radix, processed), Caowu (Aconiti Kusnezoffii Radix, processed) each 1 liang, Lingzhi (Dioscoreae Hypoglaucae Rhizoma, cleaned of soil) 0.5 qian, Muguzi (Mallotus Fructus, shell removed), Heiqianniu (Pharbitidis Semen, raw), Gusuibu (Drynariae Rhizoma), Weilingxian (Clematidis Radix et Rhizoma), Jinmaogouji (Cibotii Rhizoma), Fangfeng (Saposhnikoviae Radix), Ziran Tong (Pyritum, quenched in vinegar seven times), Dilong (Pheretima, cleaned of soil), Wuyao (Linderae Radix), Qingpi (Citri Reticulatae Pericarpium Viride), Chenpi (Citri Reticulatae Pericarpium), Huixiang (Foeniculi Fructus) each 0.5 qian, Yuyuliang (Hematitum, quenched in vinegar 4 liang), Moyao (Myrrha), Hongyaizi (Euphorbiae Humifusae Herba), Shexiang (Moschus) each 2.5 qian.
Preparation and Administration: Grind the above ingredients into a fine powder, use vinegar paste to form pills the size of wutong seeds. Take 10 to 20 pills per dose, administered with warm wine. If the lesion is located in the upper body, take after meals; if in the lower body, take before meals.
Yuanrong Jiegu Dan (Yuanrong Bone-Setting Pill):
Ingredients: Moyao (Myrrha), Xuxiang (Boswelliae Resina), Danggui (Angelicae Sinensis Radix), Chuanjiao (Zanthoxyli Pericarpium), Ziran Tong (Pyritum, quenched in vinegar), Chishao (Paeoniae Radix Rubra), Gusuibu (Drynariae Rhizoma, roasted), Baigui (Testudinis Carapax et Plastrum, roasted), Hugu (Pantheris Os), Baizhi (Angelicae Dahuricae Radix) in equal proportions; Qianteng (Stephaniae Tetrandrae Caulis, which is also Dayren/Pruni Semen) in equal proportions. Another prescription adds Longgu (Fossilia Ossis Mastodi) and Chuanxiong (Ligustici Chuanxiong Rhizoma).
Preparation and Administration: Grind the above ingredients into a fine powder, add 0.5 liang of melted wax, and form pills the size of bullet shots. Take one pill per dose, dissolve it in half sheng of good wine, decoct it, stir with a willow branch from the southeast direction, and drink while hot.
Empirical Prescription: Treats contusions, fractures, and bone injuries. After taking this medicine, starting from the top of the head, search for the pathology downwards. Upon reaching the affected area, there will be a rustling sound, and one will feel the medicinal power circulating continuously within the body, leading to recovery.
Ingredients: Ziran Tong (Pyritum, quenched in vinegar seven times, 1 liang), Chuanwu (Aconiti Radix, skin and tip removed), Songmingjie (Pinus resinous nodes), Xuxiang (Boswelliae Resina), Xuexie (Dracaenae Sanguis) 3 qian, Longgu (Fossilia Ossis Mastodi, raw, 0.5 liang), Dilong (Pheretima, 0.5 liang), Shuizhi (Hirudo, fried, 0.5 liang), Moyao (Myrrha), Sumu (Sappan Lignum), Jiangzhenxiang (Dalbergiae Odoriferae Lignum), Tugou (Gryllotalpa, ten pieces, soaked in oil and baked dry).
Preparation and Administration: Grind the above ingredients into a powder. Take 5 qian per dose, mixed with unfermented wine. For lesions in the upper body, take after meals; for those in the lower body, take before meals.
Commentary: The above three prescriptions are derived from examples of treating traumatic injuries related to the Shaoyin meridian. The use of toxic herbs is intended to promote circulation through the meridians, indicating that these formulas should only be used when blood stasis has been cleared. Danxi stated that people generally consider Ziran Tong (Pyritum) as a bone-setting herb. However, most of these formulas essentially focus on tonifying qi, tonifying blood, and tonifying the spleen earth. Quack doctors seek quick effects for profit, catering to patients' desires. Copper itself is not unadvisable to take. However, if Ziran Tong is taken directly out of fire, its fire toxicity and metal toxicity interact, compounded by the toxicity of spices and other drugs. Although it has the merit of healing wounds, its drying and dispersing harm is worse than swords or knives; this must be guarded against.
Miscellaneous Prescriptions
Jiyao Daojian Yao Zhixue Tingtong Moyao San (Essential Knife and Arrow Hemostatic and Pain-Relieving Myrrha Powder):
Ingredients: Dingfen (Minium, calcined), Fenghuahui (Alumen Exsiccatum) each 1 liang, Xuxiang (Boswelliae Resina) 0.5 qian (separately ground), Kufan (Alumen Ustums) 3 qian (separately ground), Moyao (Myrrha) 1 zi (separately ground).
Preparation and Administration: Grind each ingredient into a fine powder separately, mix them evenly, grind again, and apply externally.
Benshi Dihuang San (Benshi Rehmannia Powder): Treats metallic wounds, stops bleeding, relieves pain, expels wind, reconnects sinews and bones, and generates flesh.
Ingredients: Dihuangmiao (Rehmanniae Herba), Disong (Selaginellae Tamariscinae Herba), Qinghao (Artemisiae Annuae Herba), Cangermiao (Xanthii Psuedocacatus Herba), Sheng Aizhi (Artemisiae Argyi Juice, 3 he), Chishao (Paeoniae Radix Rubra) each 5 liang (soaked in water to extract juice), Duanshi (Ferrum Oxydatum Rubrum) 3 fen.
Preparation and Administration: Prepare on the fifth day of the fifth lunar month or the seventh day of the seventh lunar month at noon. Mix the juices of the previous herbs with Duanshi, dry in the shade, then add 3 liang of Huangdan (Minium), pound thoroughly, and sieve into a fine powder. For any metallic wound with bleeding, apply with a medicated pack without moving it; it will heal in ten days without suppuration.
Empirical Prescription: Treats contusions, tendon injuries, and fractures. Passed down by Lv Xianmo.
Ingredients: Huangbai (Phellodendri Cortex) 1 liang, Banxia (Pinelliae Rhizoma) 0.5 liang.
Preparation and Administration: Grind into a fine powder. Use 0.5 liang per application, mix with fresh ginger juice to form a thin paste. Apply and cover with paper flowers. Reapply if dry. For fractures, first bind with silk cloth, then secure with sand wood splints. After a while, pain ceases, followed by itching and a sensation of heat, indicating that blood circulation has resumed and bones/sinews are restoring. Mild cases heal in 3-5 days; severe cases do not exceed a month.
Another Prescription: Treats persistent swelling and pain from contusions.
Ingredients: Fresh ginger juice, rice vinegar, niupi jiao (Colla Corii Asini), boiled together until dissolved, add Mapi Bo (Polyporus Umbellatus) powder in appropriate amounts, mix into a paste.
Preparation and Administration: Spread on paper and apply to the swollen area.
Treatment for knife cuts and axe wounds:
Ingredients: Wubeizi (Galla Chinensis) alone, ground into powder.
Preparation and Administration: Apply dry powder; highly effective. Sangye (Mori Folium) dried in shade, ground into powder, applied dry; if not available, warming and applying the dry powder is also excellent.