凡跌扑伤损，及努力负重，忿怒气逆，皆使瘀血停蓄。其症寒热发黄，胸胁小腹满痛，手不可近。宜
分上中下治之。如吐衄停瘀、属上部，必漱水不欲咽，犀角地黄汤。血结胸膈，属中部，必燥渴谵语，桃仁承
气汤。少腹硬满，大便黑，属下部，必发狂善忘，抵当汤、代抵当汤。三焦蓄血，必狂躁便实，生地黄汤。蓄血
初起，胸腹痛，香壳散。从高坠下，恶血留停，腹胁痛不可忍，复元活血汤。努伤血滞，沉香降气散。胸前
血瘀，生韭汁和童便服。夹血如见祟状，当归活血汤。身寒热发黄，脉弦细而伏，《千金》用大黄、芒硝、归
尾、桃仁、人参、桂心，为末。酒服二
方寸匕。蓄血下黑如漆、最危，必神脉不变，方可治。瘀血燥结，玉烛散。头面身体发黄，以绢包生姜渣
擦之，自退。
〔上部〕犀角地黄汤 见一卷温。或加 当归 桔梗 陈皮 甘草 藕汁 红花
〔中部〕桃仁承气汤 见一卷疫。
〔下部〕抵当汤 水蛭（三十个，熬） 虻虫（三十个炒） 桃仁（二十个） 大黄（酒浸，三两）
〔下部〕代抵当汤 见二卷血。
〔三焦〕生地黄汤 生地汁（一升） 干漆（炒，五钱） 生藕汁（半升） 蓝叶（一握） 虻虫（二十个）
水蛭（十个） 大黄（一两） 桃仁（五钱）水煎。分二服。
〔胸痛〕香壳散 香附（炒，三钱） 枳壳（炒，二钱） 青皮 陈皮 乌药 赤芍 蓬术（醋炒。各一钱）
归尾（三钱） 红花（五分） 炙草（二分） 生草（三分） 研末，每服四钱。
〔腹胁〕复元活血汤 见二卷血。
〔怒伤〕沉香降气散 见三卷郁。
〔见祟〕当归活血汤 归 芍 地 姜 桂 苓 枳 柴 草 桃仁 红花
〔燥结〕玉烛散 见六卷腹痛。
凡是跌打损伤，以及用力举重、愤怒导致气机逆乱，都会造成瘀血停滞积聚。其症状表现为寒热往来、身黄，胸胁及小腹部胀满疼痛，手不能触碰。应当根据病位分为上、中、下三部进行治疗。如吐血、衄血后留下的瘀血，属于上部，必然出现想含水漱口但不欲咽下的症状，用犀角地黄汤。血液结聚在胸膈部位，属于中部，必然出现口干燥渴、胡言乱语的症状，用桃仁承气汤。少腹部坚硬胀满，大便色黑，属于下部，必然出现发狂、健忘的症状，用抵当汤或代抵当汤。三焦蓄血，必然出现狂躁、大便干结的症状，用生地黄汤。蓄血初起，胸腹疼痛，用香壳散。从高处坠落，恶血停留体内，胁腹疼痛难以忍受，用复元活血汤。努伤导致气血阻滞，用沉香降气散。胸前血瘀，服用生韭菜汁混合童子尿。夹带瘀血如同见鬼祟状（精神异常），用当归活血汤。身体寒热、发黄，脉象弦细而伏，《千金方》使用大黄、芒硝、归尾、桃仁、人参、桂心，研为末。用酒送服两方寸匕。蓄血下行排出黑色如漆样的粪便，最为危重，必须神志清醒、脉象正常，才可以治疗。瘀血燥结，用玉烛散。头面身体发黄，用绢布包裹生姜渣擦拭，黄疸自然消退。
〔上部〕犀角地黄汤 见一卷温病篇。可加当归、桔梗、陈皮、甘草、藕汁、红花。
〔中部〕桃仁承气汤 见一卷疫病篇。
〔下部〕抵当汤 水蛭（三十个，炒制）、虻虫（三十个，炒制）、桃仁（二十个）、大黄（酒浸，三两）。
〔下部〕代抵当汤 见二卷血证篇。
〔三焦〕生地黄汤 生地汁（一升）、干漆（炒制，五钱）、生藕汁（半升）、蓝叶（一把）、虻虫（二十个）、水蛭（十个）、大黄（一两）、桃仁（五钱）。用水煎煮，分两次服用。
〔胸痛〕香壳散 香附（炒制，三钱）、枳壳（炒制，二钱）、青皮、陈皮、乌药、赤芍、蓬术（醋炒，各一钱）、归尾（三钱）、红花（五分）、炙甘草（二分）、生甘草（三分）。研为细末，每次服用四钱。
〔腹胁〕复元活血汤 见二卷血证篇。
〔怒伤〕沉香降气散 见三卷郁证篇。
〔见祟〕当归活血汤 当归、芍药、地黄、生姜、桂枝、茯苓、枳实、柴胡、甘草、桃仁、红花。
〔燥结〕玉烛散 见六卷腹痛篇。
Whenever there are falls and blows, or strain from lifting heavy loads, or anger causing qi rebellion, all can cause blood stasis to accumulate. The symptoms include alternating chills and fever, jaundice, fullness and pain in the chest, hypochondrium, and lower abdomen, with tenderness such that the area cannot be touched. Treatment should be divided according to the upper, middle, and lower regions. For residual blood stasis after hematemesis or epistaxis, which belongs to the upper region, there must be a desire to rinse the mouth with water but no desire to swallow it; use Xijiao Dihuang Tang (Rhino Horn and Rehmannia Decoction). Blood binding in the chest and diaphragm belongs to the middle region, accompanied by dry thirst and delirious speech; use Tao Ren Cheng Qi Tang (Persicae Semen and Rhubarb Decoction). Hardness and fullness of the lower abdomen with black stools belong to the lower region, accompanied by mania and forgetfulness; use Didang Tang (Mustard Seed and Leech Decoction) or Dai Didang Tang (Substitute Mustard Seed and Leech Decoction). Blood stasis in the Sanjiao (Triple Burner) is characterized by restlessness and constipation; use Shengdihuang Tang (Rehmanniae Radix Decoction). In the early stage of blood stasis with chest and abdominal pain, use Xiangke San (Aucklandiae and Aurantii Powder). From a high fall, with evil blood remaining and unbearable pain in the abdomen and hypochondrium, use Fuyuan Huoxue Tang (Revitalize the Origin and Invigorate Blood Decoction). Strain injury causing blood stagnation is treated with Chenxiang Jiangqi San (Aquilariae and Zedoaria Decoction). Blood stasis in the anterior chest is treated with fresh leek juice mixed with infant urine. When blood stasis presents with hallucinations resembling possession, use Danggui Huoxue Tang (Angelicae Sinensis and Blood-Invigorating Decoction). For body chills, fever, and jaundice with a wiry, thin, and deep pulse, Qianjin Fang uses Dahuang (Rhei Radix et Rhizoma), Mangxiao (Natrii Sulfas), Guiwei (Cinnamomi Ramulus), Taoren (Persicae Semen), Renshen (Ginseng Radix et Rhizoma), and Guixin (Cinnamomi Ramulus), ground into powder. Take two fangcunbi (square-inch scoops) with wine. Stools like lacquer indicate severe blood stasis and are critical; treatment is only possible if the spirit is clear and the pulse remains unchanged. For dry and bound blood stasis, use Yuzhu San (Jade Candle Powder). Jaundice of the head, face, and body can be treated by rubbing with ginger residue wrapped in silk cloth, which will resolve spontaneously.
[Upper Region] Xijiao Dihuang Tang (Rhino Horn and Rehmannia Decoction) - See Vol. 1, Warm Diseases. Can add Danggui (Angelicae Sinensis Radix), Jiegeng (Platycodonis Radix), Chenpi (Citri Reticulatae Pericarpium), Gancao (Glycyrrhizae Radix et Rhizoma), Ouji (Nelumbinis Nelumbo Leaf Juice), Honghua (Carthami Flos).
[Middle Region] Tao Ren Cheng Qi Tang (Persicae Semen and Rhubarb Decoction) - See Vol. 1, Epidemic Diseases.
[Lower Region] Didang Tang (Mustard Seed and Leech Decoction): Shuizhi (Hirudo, 30 pieces, fried), Mengchong (Ophryogenia, 30 pieces, fried), Taoren (Persicae Semen, 20 pieces), Dahuang (Rhei Radix et Rhizoma, wine-soaked, 3 liang).
[Lower Region] Dai Didang Tang (Substitute Mustard Seed and Leech Decoction) - See Vol. 2, Blood Disorders.
[Sanjiao/Triple Burner] Shengdihuang Tang (Rehmanniae Radix Decoction): Shengdizhi (Rehmanniae Radix Juice, 1 sheng), Ganqi (Dry Resin of Commiphora, fried, 5 qian), Shengouji (Fresh Lotus Root Juice, 0.5 sheng), Lanye (Isatidis Folium, one handful), Mengchong (Ophryogenia, 20 pieces), Shuizhi (Hirudo, 10 pieces), Dahuang (Rhei Radix et Rhizoma, 1 liang), Taoren (Persicae Semen, 5 qian). Decoct in water, divide into two doses.
[Chest Pain] Xiangke San (Aucklandiae and Aurantii Powder): Xiangfu (Cyperi Rhizoma, fried, 3 qian), Zhike (Aurantii Fructus Immaturus, fried, 2 qian), Qingpi (Citri Reticulatae Pericarpium Viride), Chenpi (Citri Reticulatae Pericarpium), Wuyao (Linderae Radix), Chishao (Paeoniae Radix Rubra), Pengzhu (Curcumae Longae Rhizoma, vinegar-fried, each 1 qian), Guiwei (Cinnamomi Ramulus, 3 qian), Honghua (Carthami Flos, 5 fen), Zhigancao (Prepared Glycyrrhizae Radix et Rhizoma, 2 fen), Shenggancao (Raw Glycyrrhizae Radix et Rhizoma, 3 fen). Grind into powder, take 4 qian per dose.
[Abdomen/Hypochondrium] Fuyuan Huoxue Tang (Revitalize the Origin and Invigorate Blood Decoction) - See Vol. 2, Blood Disorders.
[Anger Injury] Chenxiang Jiangqi San (Aquilariae and Zedoaria Decoction) - See Vol. 3, Qi Depression.
[Hallucinations/Possession] Danggui Huoxue Tang (Angelicae Sinensis and Blood-Invigorating Decoction): Danggui (Angelicae Sinensis Radix), Shaoyao (Paeoniae Radix), Dihuang (Rehmanniae Radix), Shengjiang (Zingiberis Rhizoma Recens), Guizhi (Cinnamomi Ramulus), Fuling (Poria), Zhishi (Aurantii Fructus Immaturus), Chaihu (Bupleuri Radix), Gancao (Glycyrrhizae Radix et Rhizoma), Taoren (Persicae Semen), Honghua (Carthami Flos).
[Dry Binding] Yuzhu San (Jade Candle Powder) - See Vol. 6, Abdominal Pain.