（附∶金疮 杖疮 竹木刺 汤火）
经曰∶有所坠堕，恶血留内，腹中胀满，不得前后，先饮利药导之。如落马跌磕，从高坠堕
，打扑伤损，内肭挫折，杖疮肿 大痛，不破损出血，先宜主方行去瘀血。若金刃伤，皮破血出
过多，但宜活血和血止痛，次兼调气养血，补益胃气，切忌大行血之药。跌扑损伤，骨折出臼，
急用白矾冲汤，布蘸熨伤处痛止。实时整理稍迟，则肉肿血凝痛甚矣。切须仔细辨认曲直，或宜
轻手揣摸揉捺。更要相度左右骨，宜正宜斜，交接平正，看骨缝情势捺归臼。或宜数人重手拔捺
、端正，当近本骨平复，用苎绳扎；
或杉木板片绑，三五日淋洗换药。切勿见风，不救。如手臂骨出，向左右拔，向右左拔。如脑骨
碎，剪去发，轻手搓揉平正。不破，用乌龙散敷围；破者，风流散填涂，外用油纸或绵纸包。凡
入骨后，用乌龙散围肿处，留破处，用风流散填。凡无药处，但挑开口，解小便入，咽之即生
。
主方 大黄 枳壳（各二钱） 当归尾 浓朴 陈皮 甘草梢 红花 苏木 木通（各一
钱） 水钟半，煎数沸，滤服。
不通加芒硝（一钱）；已通去大黄。瘀血不下加桃仁、肉桂、黑丑、刘寄奴、土牛膝之类。
轻者无瘀血、及去血多，或老、幼，减黄、壳、苏、硝等，加玄胡索、赤芍、丹皮、泽兰、骨碎
补之类。定痛，以真乳香、没药研细，调入药服；次兼归、芎、白芷、木香之类。弱人加参、
。切忌生冷草药。饮酒无灰者，食牛肉痛甚。
乌龙散 跌扑骨碎出臼，先煎葱汤洗。整骨端正，用软绢或皮纸摊贴，外木片缚。虫兽伤
亦贴。留破口以风流散涂。
穿山甲（炒黄） 丁皮（无真者，用丁香。各六两） 土当归（即土独活，二两） 百草霜
（另研） 枇杷叶（去毛。各五钱）
上为细末，姜汁水或生地黄汁，同姜汁调贴。
风流散 治损伤皮肉，血出不止，及破脑伤风，用药填敷。
血竭（二钱半） 乳香（同灯心研） 没药（各五钱） 降香节（四钱） 归尾（三钱）
龙骨（五花者） 红花（各二钱） 苏木（一钱） 灯心（一把）
上各为细末和匀，每用少许，干掺伤处，血不止多掺。血药干结，外用清油调涂。
淋洗方 伤重用此煎洗，然后上药。
荆芥穗 土当归（各三钱） 大葱数株同生姜捣烂，煎汤热洗患处。
小红丸 皮破骨出筋断，损后伤肢节挛缩，多服养筋骨气血。
骨碎补（姜制） 土当归 川乌（炮） 杨白皮 芍药（各六钱） 川芎 蓬术（煨。各三钱
）肉桂 细辛（各四钱） 干姜（炮） 丁香（各二钱） 续断（一钱） 附子（三钱，半制）
乳香（另研） 没药（研。各五分。）
为末，醋糊丸绿豆大，朱砂衣，三十丸酒下。
简便方 坠打痛肿。归尾、大黄（等分）为末，每三钱酒下。
又 大黄 杏仁 当归 赤芍 川芎酒煎服。以绿豆粉炒，酒、醋调敷。
又 立止痛无痕，砂糖、葱白捣敷，板缚；或半夏末水调敷。
又 白蒺藜或益母草，或没药，为末酒下。瘀血，老茄种为末，酒下。
恶血攻心∶干荷叶烧灰三钱，酒下，日三服。无药只饮酒，瘀血亦下；外葱捣、炒、敷，熨
斗熨；或小粉炒黑，葱汁、醋调敷；或葱蜜捣敷。
骨断∶白芨末（三钱）酒下即续；外用骨碎补为末，黄米粥调敷。
跌打伤∶没药（研末，三钱）酒下；或胡桃肉酒下。外麦麸、热酒、醋和敷。
又 姜汁四两，香油四两，顺搅匀，以无灰酒热调下，饮至醉。
《内经》说：如果有从高处坠落跌伤，导致恶血（瘀血）留滞体内，腹部胀满，大小便不通，应当先服用通利药物以引导排出。如果是落马或跌倒磕碰，从高处置坠落，被打扑造成损伤，内部脏腑受挫，或者被杖责打得肿胀剧痛但皮肤未破损出血，应当首先使用主方来行气活血、去除瘀血。如果是金属利器造成的创伤，皮肤破裂出血过多，只适宜使用活血和血止痛的药物，其次兼用调气养血、补益胃气的药物，切忌使用强力破血逐瘀的药物。对于跌扑损伤导致的骨折脱臼，应立即用白矾冲水，用布蘸取药液熨烫受伤部位，疼痛即可停止。此时及时整复，如果稍晚处理，肌肉就会肿胀、血液凝结，疼痛会更加剧烈。必须仔细辨认骨骼的曲直情况，或者宜用手轻轻触摸揉按。更要观察左右骨骼的位置，判断是应该正位还是斜位，使交接处平整端正，根据骨缝的情况将骨头推回关节窝内。或者需要数人用力拔捺、端正复位，使其靠近原骨并恢复平齐，然后用苎麻绳绑扎；或者用杉木板片固定，三到五天淋洗并换药。切勿让伤口见风，否则无法救治。如手臂骨脱臼，向左右方向拔伸牵引。如头骨碎裂，剪去头发，用手轻轻搓揉使其平整。如果没有破皮，用乌龙散敷在周围；如果破皮，用风流散填涂，外用油纸或绵纸包裹。凡是异物刺入骨中，用乌龙散围敷肿胀处，留出破口，用风流散填塞。如果在没有药物的地方，只需挑开伤口，解小便灌入伤口，咽下尿液就能存活。
主方：大黄、枳壳（各二钱），当归尾、浓朴、陈皮、甘草梢、红花、苏木、木通（各一钱）。用水半钟，煎煮几沸，过滤后服用。
如果大便仍不通，加芒硝（一钱）；如果已经通畅，去掉大黄。如果瘀血不下行，加桃仁、肉桂、黑丑、刘寄奴、土牛膝之类。病情较轻且无瘀血、或者失血过多者，或者是老人、儿童，减少大黄、枳壳、苏木、芒硝等的用量，增加玄胡索、赤芍、丹皮、泽兰、骨碎补之类。为了定痛，可以用真乳香、没药研成细末，调入药中服用；其次兼用当归、川芎、白芷、木香之类。体弱的人加入人参、[此处原文缺字，推测为黄芪或类似补气药]。切忌食用生冷草药。饮用无灰酒（纯粮酿造酒），吃牛肉会导致疼痛加剧。
乌龙散：用于跌扑导致的骨折、骨碎、脱臼。先煎葱汤清洗。整骨复位端正后，用软绢或皮纸摊开贴敷，外用木片束缚。虫兽咬伤也贴此药。留有破口的用风流散涂敷。
穿山甲（炒黄）、丁皮（没有真品丁皮的，用丁香代替，各六两）、土当归（即土独活，二两）、百草霜（另研）、枇杷叶（去毛，各五钱）。
以上研成细末，用姜汁水或生地黄汁，同姜汁调和后贴敷。
风流散：治疗损伤皮肉，血流不止，以及头部破伤感染风邪，用药填敷。
血竭（二钱半）、乳香（同灯心草一起研）、没药（各五钱）、降香节（四钱）、归尾（三钱）、龙骨（五花龙骨）、红花（各二钱）、苏木（一钱）、灯心草（一把）。
以上分别研成细末混合均匀，每次取少许，干撒在伤处，如果血不止可以多撒一些。如果血与药干结，外用清油调和涂敷。
淋洗方：重伤者用此方煎汤清洗，然后再上药。
荆芥穗、土当归（各三钱）、大葱数株同生姜捣烂，煎汤热洗患处。
小红丸：用于皮破、骨出、筋断，损伤后肢体关节挛缩，多服可滋养筋骨气血。
骨碎补（姜制）、土当归、川乌（炮制）、杨白皮、芍药（各六钱）、川芎、蓬术（煨，各三钱）、肉桂、细辛（各四钱）、干姜（炮制）、丁香（各二钱）、续断（一钱）、附子（三钱，半制）、乳香（另研）、没药（研，各五分）。
研成末，用醋糊制成绿豆大小的丸剂，朱砂为衣，每次三十丸，酒送服。
简便方：用于坠打引起的疼痛肿胀。当归尾、大黄（等分）研成末，每次三钱，酒送服。
又方：大黄、杏仁、当归、赤芍、川芎，酒煎服。或者用绿豆粉炒，酒、醋调敷。
又方：立止痛且不留疤痕，砂糖、葱白捣烂敷贴，板子固定；或者半夏末用水调敷。
又方：白蒺藜或益母草，或没药，研成末酒送服。有瘀血者，老茄子种子研成末，酒送服。
恶血攻心：干荷叶烧成灰三钱，酒送服，每日三次。如果没有药，只饮酒，瘀血也能下行；外用葱捣烂、炒热、敷贴，或用熨斗熨烫；或者用小淀粉炒黑，葱汁、醋调敷；或者葱蜜捣烂敷贴。
骨断：白芨末（三钱）酒送服即可接续；外用骨碎补研成末，黄米粥调敷。
跌打损伤：没药（研末，三钱）酒送服；或者胡桃肉酒送服。外用麦麸、热酒、醋调和敷贴。
又方：姜汁四两，香油四两，顺向搅匀，用无灰酒热调下，喝到醉为止。
(Attached: Metal wounds, beating injuries, bamboo/wood splinters, scalds and burns)
The *Neijing* (Classic of Internal Medicine) states: If there is a fall from height causing injury, leading to the retention of evil blood (stasis) within the body, abdominal distension, and obstruction of urination and defecation, one should first administer purgative medicines to guide their expulsion. In cases of falling from a horse or stumbling, dropping from a high place, being beaten or struck causing internal trauma, or suffering severe swelling and pain from beating without skin rupture or bleeding, one should initially use the Main Formula to promote qi circulation, remove blood stasis, and eliminate stagnant blood. For metal blade injuries where the skin is broken and bleeding is excessive, only blood-invigorating and harmonizing medicines for pain relief are suitable; subsequently, qi-regulating, blood-nourishing, and stomach-qi-tonifying medicines should be added. Strong blood-breaking and stasis-expelling drugs must be strictly avoided. For sprains and contusions resulting in fractures or dislocations, immediately dissolve alum in water, dip cloth into the solution, and apply hot compresses to the injured area until pain subsides. Reduction should be performed promptly; if delayed, muscle swelling and blood coagulation will cause severe pain. One must carefully examine the alignment of bones, either gently palpating and kneading, or assessing the position of left and right bones to determine whether they require straightening or angling, ensuring the joints are level and aligned. Based on the condition of the bone fissures, push the bone back into the joint socket. Alternatively, several people may use strong force to pull and align the bone, restoring it to its original position, then bind it with ramie rope or fix it with fir wood boards. Wash and change dressings every three to five days. Avoid exposure to wind, as this renders the injury incurable. For arm dislocations, traction should be applied laterally. For skull fractures, cut the hair and gently rub the area to flatten it. If the skin is intact, apply Wulong San around the injury; if broken, fill the wound with Fengliu San and cover externally with oiled paper or cotton paper. For foreign bodies embedded in bone, surround the swelling with Wulong San, leaving the wound open, and fill it with Fengliu San. In situations lacking medical supplies, simply incise the wound, introduce urine into the wound and have the patient drink it to survive.
Main Formula: Dahuang (Rhei Radix et Rhizoma), Zhike (Aurantii Fructus Immaturus) (each 2 qian); Dangguiwei (Angelicae Sinensis Radix caudex), Houpo (Magnoliae Officinalis Cortex), Chenpi (Citri Reticulatae Pericarpium), Gancaoshao (Glycyrrhizae Radix et Rhizoma tip), Honghua (Carthami Flos), Sumu (Sappan Lignum), Mutong (Akebiae Caulis) (each 1 qian). Decoct half a zhong of water for a few boils, filter, and take orally.
If bowel movement remains unobstructed, add Mangxiao (Natrii Sulfas) (1 qian); if already patent, remove Dahuang. If blood stasis does not descend, add Taoren (Persicae Semen), Rougui (Cinnamomi Cortex), Heiqiu (Momordicae Fructus), Liuji Nu (Artemisiae Annuae Herba), Tu Niuxi (Cyathulae Radix), etc. For mild cases without stasis, or those with significant blood loss, or for the elderly and young, reduce the dosage of Dahuang, Zhike, Sumu, Mangxiao, etc., and increase Xuanhusuo (Corydalis Rhizoma), Chishao (Paeoniae Radix Rubra), Danpi (Moutan Cortex), Zelan (Lycopus Herba), Gusuibu (Drynariae Rhizoma), etc. To relieve pain, grind real Rushiang (Boswelliae Resina) and Moyao (Commiphora Myrrha Resina) into fine powder and mix into the decoction; subsequently add Danggui (Angelicae Sinensis Radix), Chuanxiong (Chuanxiong Rhizoma), Baizhi (Angelicae Dahuricae Radix), Muxiang (Aucklandiae Radix), etc. For weak individuals, add Renshen (Ginseng Radix et Rhizoma)... [text missing]. Strictly avoid raw/cold herbs. Drinking pure grain wine and eating beef will exacerbate pain.
Wulong San: Used for falls causing bone fractures, comminution, or dislocation. First wash with decocted green onion soup. After reducing the bone to proper alignment, spread on soft silk or leather paper and apply externally, binding with wooden splints. Also applicable for insect and beast bites. Apply Fengliu San to open wounds.
Shanjiapia (Manis Squama, stir-fried yellow), Dingpi (Zanthoxyli Pericarpium; if genuine unavailable, use Dingxiang/Syzygium Aromaticum Flos, each 6 liang), Tudanggui (Herba Actaeae Spicatae, 2 liang), Baicaoshuang (Carbonis Cytisi, separately ground), Pipaye (Eriobotryae Folium, de-hair, each 5 qian).
Grind all into fine powder. Mix with ginger juice water or Shengdihuang juice (Rehmanniae Radix) and ginger juice to form a paste for external application.
Fengliu San: Treats soft tissue injuries with continuous bleeding, and head wounds infected by wind pathogen. Fill and apply medicine to the wound.
Xuejie (Dragon's Blood), Rushiang (Boswelliae Resina, ground together with Dengxincao/Junci Medulla), Moyao (Commiphora Myrrha Resina) (each 5 qian), Jiangxiangjie (Sappan Lignum node), Guiwei (Angelicae Sinensis Radix caudex) (3 qian), Longgu (Fossilia Ossis Mastodi, five-flower variety), Honghua (Carthami Flos) (each 2 qian), Sumu (Sappan Lignum) (1 qian), Dengxincao (Junci Medulla) (one bundle).
Grind each into fine powder and mix evenly. Take a small amount, sprinkle dry onto the wound; apply more if bleeding persists. If the mixture dries and hardens, mix with clear sesame oil for external application.
Linxi Fang: For severe injuries, decoct and wash before applying other medicines.
Jingjiesui (Schizonepetae Spica), Tudanggui (Herba Actaeae Spicatae) (each 3 qian), Dacong (Allii Fistulosi Bulbus, several stalks) pounded together with Shengjiang (Zingiberis Rhizoma Recens) until mashed. Decoct in water and wash the affected area while hot.
Xiaohong Wan: For skin rupture, bone protrusion, tendon severance, and post-injury joint contracture. Frequent administration nourishes sinews, bones, qi, and blood.
Gusuibu (Drynariae Rhizoma, processed with ginger), Tudanggui (Herba Actaeae Spicatae), Chuanwu (Aconiti Radix Praeparata), Yangbapi (Celtis Sinensis Cortex), Shaoyao (Paeoniae Radix Alba) (each 6 qian), Chuanxiong (Chuanxiong Rhizoma), Pengzhu (Curcumae Rhizoma, roasted) (each 3 qian), Rougui (Cinnamomi Cortex), Xixin (Asari Radix et Rhizoma) (each 4 qian), Ganjiang (Zingiberis Rhizoma, processed), Dingxiang (Syzygium Aromaticum Flos) (each 2 qian), Xuduan (Dipsaci Radix) (1 qian), Fuzi (Aconiti Lateralis Radix Praeparata, semi-processed) (3 qian), Rushiang (Boswelliae Resina, separately ground), Moyao (Commiphora Myrrha Resina, ground) (each 5 fen).
Grind into powder, make pills with vinegar paste the size of mung beans, coat with Zhusha (Cinnabar). Take 30 pills with wine.
Simple Formula: For pain and swelling from falls and blows. Guiwei (Angelicae Sinensis Radix caudex), Dahuang (Rhei Radix et Rhizoma) (equal parts) ground into powder. Take 3 qian with wine.
Another formula: Dahuang (Rhei Radix et Rhizoma), Xingren (Armeniacae Semen Amarum), Danggui (Angelicae Sinensis Radix), Chishao (Paeoniae Radix Rubra), Chuanxiong (Chuanxiong Rhizoma) decocted in wine and taken orally. Alternatively, stir-fried with Menglufen (Phaseoli Radiati Amylum), mixed with wine and vinegar for external application.
Another formula: Stops pain instantly without scarring. Mash Baitang (Saccharum) and Congbai (Allii Fistulosi Bulbus) for application, bound with boards; or Banxia (Pinelliae Rhizoma) powder mixed with water for application.
Another formula: Baijili (Tribuli Fructus) or Yimucao (Leonuri Herba), or Moyao (Commiphora Myrrha Resina), ground into powder and taken with wine. For blood stasis, Laoqiazhong (Solanis Melonganae Semen vetus) ground into powder and taken with wine.
Evil blood attacking the heart: Dry Heye (Nelumbinis Folium) burned to ash (3 qian), taken with wine, three times daily. If no medicine is available, drinking wine alone can help expel stasis; externally, mash Congbai (Allii Fistulosi Bulbus), stir-fry, and apply; or use an ironing hot plate for warming compression; or fry Xiaofen (Tapiocae Amylum) until black, mix with Congjuice (Allii Fistulosi Juice) and Cu (Vinegar) for application; or mash Congmi (Allii Fistulosi Bulbus and Saccharum) for application.
Bone fracture: Baiji (Bletillae Rhizoma) powder (3 qian) taken with wine promotes immediate healing; externally, Gusuibu (Drynariae Rhizoma) powder mixed with Huangmi porridge (Setaria Italica) for application.
Sprains and contusions: Moyao (Commiphora Myrrha Resina, ground powder, 3 qian) taken with wine; or Hutaorou (Juglandis Semen) taken with wine. Externally, Maifu (Triticici Vulgaris Bran), hot wine, and Cu (Vinegar) mixed for application.
Another formula: Jiangzhi (Zingiberis Rhizoma Juice) 4 liang, Xiangyou (Sesami Oleum) 4 liang, stirred uniformly. Mix with warm Wuhui Jiu (pure grain wine) and drink until intoxicated.