阿胶兮女人圣药,藕节吐血之良方。炒蒲黄呕血可用,骨断兮须求土鳖。姜黄破血能止
瘀血赖丹皮苏木。大黄便闭而可行,生地黄善生新血。破风不醒 一味,跌打后忌姜葱麻
油。疮不敛象皮血竭,古钱三七为仙药,延胡索号曰神品无差。手损兮桂枝急用,瘀血在肠
桃归须下。散肿兮荆芥为美,止痛兮滴乳堪夸。头顶引以川芎,足损须用牛膝。补血止血兮
姜,消血积三棱莪术。理腰伤兮炒杜仲,旋复花续断疗筋,见肿消能除青肿。橄榄灰止血尤
良,柿霜饼血流者无殃。乌药二香顺气之良,金刀泽兰跌仆无双。后人若问作歌者,却是汉
庭张子房。
凡欲识跌打重伤死生,必先察其六脉,起者生,迟细者生,洪大者死;坚强者生,小弱
者死,大者二十日死。若命脉和缓关脉实,虽伤重不妨命,脉虚促虽轻亦死。
凡跌打伤有不治者五,不知痛痒兼发战者,一不治也;天柱骨折及太阳二穴伤者,二不治也
;小腹带断心伤破阴囊穿者,三不治也;伤食喉,四不治也;汗出如油尽力叫喊者,五不治
也。凡人手足俱有两胫,若一胫断者可治,两胫俱断者,则不治。大抵骨碎与断,要看明伤
处平正如何,凡骨低是骨不曾伤,左右再看方知伤处,先须拔捺端正,方用外药。凡认伤处
则骨头平正,便见左右损处,则相度骨缝,仔细捻捺骨归旧处。顶门虽破骨未入内,可治。
凡耳后受伤不治。食饱受伤三日不死可治。心胸紧痛,青色未裹心,此乃偏心受伤,可治。
男子两乳受伤,可治,宜急救之,若女人则不治。腹内受伤吐粪者不治。凡气出而不收兼眼
不闭者,不治。凡肾子受伤入腹者不治。正皮破未入腹者可治。正心口青肿者不治。挟脊
断者亦不治之症也。
阿胶是女性的圣药,藕节是治疗吐血的良方。炒蒲黄可用于呕血,骨断则须求土鳖虫。姜黄能破血,瘀血赖丹皮、苏木消散。大黄可通便利闭,生地黄善于促进新血生成。[此处原文似有脱漏或语意不全,依文意译为:若风邪侵袭导致昏迷不醒,需另寻一味药;跌打损伤后忌食姜、葱、麻油]。疮口不愈合可用象皮、血竭,古钱三七被称为仙药,延胡索号称神品无误。手部损伤急用桂枝,瘀血在肠道需用桃仁、当归下行。消肿以荆芥为美,止痛以乳香(滴乳)堪夸。头顶部的损伤引经药以川芎为主,足部损伤须用牛膝。补血止血用姜,消除血积用三棱、莪术。调理腰部损伤用炒杜仲,旋复花、续断治疗筋伤,见肿消(可能指某种草药或症状描述,依语境保留原名)能去除青肿。橄榄灰止血效果尤佳,柿霜饼对血流不止者无害。乌药、二香(可能指沉香、檀香等,依原文保留)是顺气的良药,金刀泽兰对于跌打损伤无与伦比。后人若问作歌者是谁,却是汉代的张子房(张良)。
凡是想要识别跌打重伤的死生预后,必须先诊察其六脉,脉起者生,脉迟细者生,脉洪大者死;脉坚强者生,脉小弱者死,脉大者二十日死。如果命脉和缓、关脉实,虽然伤势重但不妨性命,脉虚促即使伤势轻也会死亡。
凡是跌打损伤中有五种不治之症:不知痛痒兼发抖的,是一不治;天柱骨骨折及太阳穴受伤的,是二不治;小腹受伤连带心脏损伤、阴囊破裂穿通的,是三不治;伤食喉的,是四不治;汗出如油且尽力叫喊的,是五不治。凡人的手足都有两条胫骨,若一条胫骨断了可以治疗,两条胫骨都断了,则无法治疗。大抵骨头碎裂与断裂,要看清楚受伤处是否平正,凡是骨头低陷的是骨头没有伤,从左右再看才知道受伤处,先须拔捺端正,才用外药。凡是认清受伤处则骨头平正,便看见左右损伤处,则相度骨缝,仔细捻捺使骨头归回原位。顶门虽破但骨头未入内,可治。凡是耳后受伤不治。吃饱饭受伤三天不死可治。心胸紧痛,青色未包裹心脏,这是偏心受伤,可治。男子两乳受伤,可治,宜急救,若是女人则不治。腹内受伤吐粪的不治。凡是气出而不收兼眼睛不闭的,不治。凡是肾子受伤进入腹腔的不治。表皮破但未入腹的可治。心口青肿的不治。挟脊断裂也是不治之症。
First, align the severed tendons properly, apply juice of *Inulae Flos* (Xuanfuhua) to them, and then rub with medication, wrap, and bandage.
Pound together *Crotonis Fructus* (Badou) and *Scarabaeus* (Dinglang), apply externally; after a short while, when itching occurs, it can be removed.
*Colla Corii Asini* (Ejiao) is a holy medicine for women; *Rhizoma Nymphaeae* (Oujie) is an excellent prescription for hematemesis. Stir-fried *Polygoni Multiflori Caulis et Folium* (Puhuang) can be used for hemoptysis; for bone fractures, seek *Eupolyphaga seu Steleophaga* (Tubie). *Curcumae Longae Rhizoma* (Jianghuang) breaks blood stasis; blood stasis relies on *Moutan Cortex* (Danpi) and *Sappan Lignum* (Sumu) to resolve. *Rhei Radix et Rhizoma* (Dahuang) can relieve constipation; *Rehmanniae Radix Praeparata* (Shengdihuang) is good at generating new blood. [Text implies: If wind pathogen causes unconsciousness, seek another herb; after trauma, avoid ginger, scallion, and sesame oil]. For wounds that do not heal, use *Elephantopus Scaber* (Xiangpi) and *Dragon's Blood* (Xuejie); ancient coin *Notoginseng* (Qian Sanqi) is called immortal medicine; *Corydalis Rhizoma* (Yanhusuo) is hailed as a divine product without error. For hand injuries, *Cinnamomi Ramulus* (Guizhi) should be used urgently; for blood stasis in the intestines, *Peach Kernel* (Taoren) and *Angelicae Sinensis Radix* (Danggui) are needed to descend. To dissipate swelling, *Schizonepetae Herba* (Jingjie) is beautiful; to relieve pain, *Boswelliae Resina* (Diru/Ruxiang) is praiseworthy. For head injuries, *Ligustici Chuanxiong Rhizoma* (Chuanxiong) guides; for foot injuries, *Achyranthis Bidentatae Radix* (Niuxi) is required. To tonify blood and stop bleeding, use ginger; to eliminate blood accumulation, use *Sparganii Rhizoma* (Sanleng) and *Curcumae Rhizoma* (Ezhu). To manage waist injuries, stir-fried *Eucommiae Cortex* (Duzhong) is used; *Inulae Flos* (Xuanfuhua) and *Dipsaci Radix* (Xuduan) treat tendon injuries; "Jianzhongxiao" (likely a specific herb or symptom description) removes bruising. Olive ash stops bleeding excellently; persimmon frost cake does no harm to those with profuse bleeding. *Aucklandiae Radix* (Wuyao) and "Erxiang" are good for regulating qi; *Lycopersicon esculentum*? No, likely *Persicae Semen*? Text says *Lycoris radiata*? Actually *Ze Lan* (Lycopus Japonicus Herba) with "Jindao" is unparalleled for trauma. If later generations ask who wrote this song, it is Zhang Zifang (Zhang Liang) of the Han Dynasty.
To identify life and death prognosis from severe trauma, one must first examine the six pulses. A rising pulse indicates survival; a slow and fine pulse indicates survival; a surging and large pulse indicates death. A firm and strong pulse indicates survival; a small and weak pulse indicates death; a large pulse indicates death within twenty days. If the vital pulse is harmonious and the Guan pulse is excess, although the injury is severe, life is not threatened. If the pulse is deficient and hurried, even a light injury may result in death.
There are five types of traumatic injuries that are incurable: 1. Unawareness of pain and itch accompanied by tremors; 2. Fracture of the Tianzhu bone (axis vertebra) and injury to the Taiyang acupoint; 3. Injury to the lower abdomen involving heart damage, rupture of the scrotum; 4. Injury to the food pipe (esophagus); 5. Sweating like oil and shouting with all strength. In humans, both hands and feet have two tibiae. If one tibia is fractured, it is treatable; if both are fractured, it is incurable. Generally, for crushed or broken bones, one must clearly observe whether the injury site is level. If the bone is depressed, it means the bone itself is not fractured; examining from left and right reveals the actual injury site. One must first reduce and align the bones correctly before applying external medicines. Once the injury site is identified and bones are aligned, observe the left and right damaged areas, measure the bone gaps, and carefully manipulate the bones back into their original positions. If the top of the head is broken but the bone has not penetrated inward, it is treatable. Injuries behind the ears are incurable. Trauma sustained after a full meal, where the patient survives three days, is treatable. Tight pain in the chest and heart area, with cyanosis not covering the heart, indicates eccentric injury and is treatable. Bilateral breast injury in men is treatable and requires emergency rescue; however, in women, it is incurable. Abdominal injury with feces vomiting is incurable. Loss of Qi that cannot be retained combined with eyes not closing is incurable. Testicular injury entering the abdominal cavity is incurable. Skin abrasion without penetration into the abdomen is treatable. Cyanotic swelling at the center of the chest (heart region) is incurable. Fracture/dislocation along the spine is also an incurable condition.