（附坠马并破伤风及犬蛇虫伤）
胸满或胁胀宜行血。老弱者宜行气活血，更饮童便、酒。腹痛者宜下血。血去多而烦
躁者补血，如不应用独参汤。瘀肉不溃，或溃而不敛，宜大补气血。
一男子杖疮，瘀肉不腐，以大补之剂渐腐，更以托里健脾药而敛。
一男子坠马，两胁作痛，以复元活血汤，二剂顿止；更以小柴胡汤，加当归、桃仁，二
剂而安。
一男子坠马，腹作痛，以桃仁承气汤，加苏木、红花下之，顿愈；更以四物汤，加天花
粉、柴胡，二剂而愈。
一男子损臂，出血过多，又下之，致烦热不止，瘀肉不腐，以圣愈汤，四剂少安；以八
珍汤
此证，须分所患轻重，有无瘀血，及元气虚实，不可概下。盖恐有伤气血，难以溃敛，常治
先以童便和酒饮之，或加红花、苏木，其功甚捷。若概用攻利之剂，鲜不有误。凡疮愈之迟
速，在血气之虚实故也。
一老人坠马，腹作痛，以复元通气散，用童便调，进二服少愈；更以四物，加柴胡、桃
仁、红花，四剂而安。
一男子风入杖疮，牙关紧急，以玉真散，一服少愈，再服而安。
一男子跌仆，皮肤不破，两胁作胀，发热口干自汗，类风证，令先饮童便一瓯，烦渴顿
止，
下
主，恶血必归于肝，不问何经之伤，必留于胁下，盖肝主血故也。痛甚则必有自汗，但人汗
出，皆为风证，诸痛皆属于肝木，况败血凝滞，从其所属入于肝也。从高坠下，逆其所行之
血气，非肝而何？以破血行经药治之。
一男子被犬伤，痛甚恶心，令急吮去毒血，隔蒜灸患处，数壮痛即止；更贴太乙膏，服
玉真散而愈。
一男子青肿作痛，以萝卜汁调栀子末敷之；以四物汤加柴胡、黄芩、天花粉、穿山甲，
二剂少愈；更以托里散加生地黄、柴胡、红花，数剂而溃；再以托里、健脾药而愈。
一男子风犬所伤，牙关紧急，不省人事，急针患处出毒血；更隔蒜灸，良久而醒，用太
乙膏
进汤药。
《针灸经》云∶外丘穴，治 犬，即风犬所伤，发寒热，速灸三壮，更灸患处，立愈。
春末夏初，狂犬
日以后灸一壮，百日乃止。忌酒七日，捣并汁饮一二盏。
又方治狂犬伤，令人吮去恶血，灸百壮神效。
治蛇入七窍，急以艾灸蛇尾。又法以刀破蛇尾，少许入花椒七粒，蛇自出，即用雄黄、
朱砂
方用独头大蒜，切片置患处，以入于蒜上灸之，每三壮换蒜，多灸为妙。
胸部胀满或胁肋部胀闷，适宜使用行血法。年老体弱者适宜行气活血，并可饮用童便和酒。腹部疼痛者，适宜采用下血法。若失血过多且出现烦躁症状，应补血，如情况不适用独参汤时。瘀肉不溃烂，或溃烂后不愈合，适宜大补气血。
有一名男子患杖疮，瘀肉不腐烂，用大补药剂使其逐渐腐烂，再用托里健脾药促使伤口愈合。
有一名男子坠马，两胁疼痛，服用复元活血汤，两剂后疼痛立刻停止；再服用小柴胡汤，加入当归、桃仁，两剂后病情安定。
有一名男子坠马，腹部疼痛，用桃仁承气汤，加入苏木、红花攻下，立刻痊愈；再用四物汤，加入天花粉、柴胡，两剂后痊愈。
有一名男子手臂受伤，出血过多，又经过攻下治疗，导致烦热不止，瘀肉不腐烂，用圣愈汤，四剂后稍见安宁；用八珍汤……（原文此处中断）
此证，必须区分患病轻重，有无瘀血，以及元气虚实，不可一概使用攻下法。因为恐怕会损伤气血，导致难以溃烂和愈合。通常治疗先以童便调和酒饮用，或加入红花、苏木，功效非常迅速。如果一概使用攻利之剂，很少有不犯错误的。凡是疮口愈合的快慢，取决于气血的虚实。
有一名老人坠马，腹部疼痛，用复元通气散，用童便调服，进服两剂后稍见好转；再用四物汤，加入柴胡、桃仁、红花，四剂后病情安定。
有一名男子风邪侵入杖疮，牙关紧急，用玉真散，一剂后稍见好转，再服后病情安定。
有一名男子跌仆，皮肤未破，两胁胀闷，发热口干自汗，类似风证，令其先饮一碗童便，烦渴立刻停止……（原文此处中断）
主要原理是，恶血必然归于肝，无论哪条经络受伤，必然留滞于胁下，因为肝主血。疼痛剧烈则必然有自汗，但人的汗出，都被认为是风证，各种疼痛都归属于肝木，何况败血凝滞，顺从其所属进入肝脏。从高处置坠落，逆乱其所行之血气，不是肝又能是什么？用破血行经药治疗。
有一名男子被狗咬伤，疼痛剧烈恶心，令其急吮去毒血，隔蒜灸患处，灸几壮后疼痛即止；再贴太乙膏，服用玉真散而痊愈。
有一名男子青肿作痛，用萝卜汁调栀子末外敷；用四物汤加柴胡、黄芩、天花粉、穿山甲，两剂后稍见好转；再用托里散加生地黄、柴胡、红花，数剂后溃脓；再用托里、健脾药而痊愈。
有一名男子被疯狗所伤，牙关紧急，不省人事，急针患处放出毒血；再隔蒜灸，良久后苏醒，用太乙膏……（原文此处中断）进汤药。
《针灸经》说：外丘穴，治狂犬病，即疯狗所伤，发寒热，速灸三壮，再灸患处，立刻痊愈。
春末夏初，狂犬……（原文此处中断）日以后灸一壮，百日才停止。忌酒七日，捣碎并汁饮一二盏。
治蛇钻入七窍，急以艾灸蛇尾。另一法用刀剖开蛇尾，放入少许花椒七粒，蛇自己出来，即用雄黄、朱砂……（原文此处中断）
方用独头大蒜，切片置于患处，在蒜上施灸，每灸三壮换一片蒜，多灸为妙。
(Attached: Injuries from falling off horses, tetanus, and dog/snake/insect bites)
Chest fullness or hypochondriac distension indicates the suitability of blood-invigorating methods. For the elderly and weak, qi-moving and blood-invigorating methods are suitable, along with drinking child's urine (Tongbian) and wine. Abdominal pain indicates the suitability of blood-purging methods. If excessive blood loss is accompanied by restlessness, blood-nourishing methods should be used; for example, if Dushen Tang (Single Ginseng Decoction) is not applicable. When necrotic tissue does not slough off, or fails to heal after ulceration, substantial tonification of qi and blood is indicated.
A male patient suffered a beating injury where the bruised tissue did not putrefy. It gradually putrefied after administration of substantial tonifying formulas, and subsequently healed using formulas that support the interior and strengthen the spleen.
A male patient fell from a horse and experienced pain in both hypochondria. After two doses of Fuyuan Huoxue Tang (Revitalize Blood Decoction), the pain ceased immediately. Subsequently, Xiao Chaihu Tang (Minor Bupleurum Decoction) was administered with added Danggui (Angelicae Sinensis Radix) and Taoren (Persicae Semen), leading to stabilization after two doses.
A male patient fell from a horse and experienced abdominal pain. He was treated with Tao Ren Cheng Qi Tang (Peach Kernel Order the Colon Decoction) augmented with Sumu (Sappan Wood) and Honghua (Carthami Flos) to purge the bowels, resulting in immediate recovery. He was then treated with Siwu Tang (Four Substances Decoction) augmented with Tianhuafen (Trichosanthis Radix) and Chaihu (Bupleuri Radix), recovering after two doses.
A male patient injured his arm and suffered excessive bleeding. Subsequent purgative treatment led to persistent irritability and heat, and the bruised tissue failed to putrefy. Shengyu Tang (Holy to Save Life Decoction) was administered for four doses, bringing slight relief. Bazhen Tang (Eight Treasures Decoction)... [Text breaks here]
This condition requires differentiation based on severity, presence of blood stasis, and the deficiency or excess of yuan qi (primordial qi). One must not indiscriminately use purgatives, as this may damage qi and blood, making it difficult for the wound to ulcerate and heal. Typically, treatment begins with drinking child's urine mixed with wine, or adding Honghua (Carthami Flos) and Sumu (Sappan Wood), which yields rapid results. Indiscriminate use of purgative formulas rarely avoids error. The speed of wound healing depends on the deficiency or excess of qi and blood.
An elderly patient fell from a horse and experienced abdominal pain. Fuyuan Tongqi San (Revitalize Qi Powder) was administered, mixed with child's urine. After two doses, there was slight improvement. Subsequently, Siwu Tang (Four Substances Decoction) with added Chaihu (Bupleuri Radix), Taoren (Persicae Semen), and Honghua (Carthami Flos) stabilized the condition after four doses.
A male patient had wind pathogens invading a beating injury, resulting in trismus (lockjaw). Yuzhen San (Jade True Powder) was administered; slight improvement occurred after one dose, and stability was achieved after the second dose.
A male patient fell but the skin remained intact. He experienced distension in both hypochondria, fever, dry mouth, and spontaneous sweating, resembling wind patterns. He was instructed to first drink a bowl of child's urine, which immediately relieved irritability and thirst... [Text breaks here]
The primary principle is that evil blood (stagnant blood) inevitably returns to the Liver. Regardless of which meridian is injured, the blood stagnates in the hypochondriac region because the Liver governs blood. Severe pain often leads to spontaneous sweating. Although sweating is generally associated with wind patterns, all pains belong to Liver wood. Moreover,败血 (defeated/stagnant blood) stagnates and enters the Liver according to its affinity. Falling from a height disrupts the flow of qi and blood; thus, the Liver is implicated. Treatment involves herbs that break blood stasis and unblock meridians.
A male patient was bitten by a dog, experiencing severe pain and nausea. He was instructed to urgently suck out the toxic blood, followed by moxibustion through garlic at the injury site. After several moxa cones, the pain ceased. Taiyi Gao (Great Unity Plaster) was applied, and he recovered after taking Yuzhen San (Jade True Powder).
A male patient presented with cyanosis and pain. A paste of Zhizi (Gardeniae Fructus) powder mixed with Luobo juice (Radish Juice) was applied externally. Siwu Tang (Four Substances Decoction) was administered with added Chaihu (Bupleuri Radix), Huangqin (Scutellariae Radix), Tianhuafen (Trichosanthis Radix), and Chuanshanjia (Manis Squama). Slight improvement occurred after two doses. Tuoli San (Support Interior Powder) was then administered with added Shengdihuang (Rehmanniae Radix), Chaihu (Bupleuri Radix), and Honghua (Carthami Flos). After several doses, suppuration occurred. Finally, Tuoli (Support Interior) and spleen-strengthening formulas led to recovery.
A male patient was bitten by a mad dog, presenting with trismus and unconsciousness. The injury site was needled urgently to release toxic blood, followed by moxibustion through garlic. After a long period, he regained consciousness. Taiyi Gao (Great Unity Plaster)... [Text breaks here] oral decoctions were administered.
The *Zhenjiu Jing* (Classic of Acupuncture and Moxibustion) states: Waqiu (GB36) treats rabies, specifically injuries from mad dogs causing chills and fever. Quick moxibustion of three cones at this point, followed by moxibustion at the injury site, leads to immediate recovery.
In late spring and early summer, regarding rabies... [Text breaks here] moxibustion of one cone should be performed after a certain number of days, continuing for one hundred days. Alcohol is forbidden for seven days. The herb is crushed, juiced, and one to two cups are drunk.
Another method for treating rabies bites involves sucking out the evil blood and performing one hundred moxa cones, which is highly effective.
To treat a snake entering the seven orifices, urgently apply moxibustion to the snake's tail. Another method involves cutting the snake's tail, placing seven grains of Huajiao (Zanthoxyli Pericarpium) inside, causing the snake to exit spontaneously. Then, Xionghuang (Realgar) and Zhusha (Cinnabar)... [Text breaks here]
For another prescription, use a single-clove garlic slice placed on the injury site, with moxibustion applied over the garlic. Change the garlic slice every three moxa cones. Extensive moxibustion is advisable.