打 树木压，或自高处 下者，此等伤皆惊动四肢五脏，必有恶血在内，专怕恶心，
先用清心药、打血药，及通大小肠药，次第先服，临服加童子小便入药内立效。专用大
小肠泄利，恐作隘塞利害之甚，清心药加前方，通利大小肠药服之，自然俱通，无闷
烦，无恶血污心，以次用止痛药，服之即止。 扑伤、刀石伤、诸般伤损至重者，皆先服
清心药，次服清小便三服去血药。或被伤者血未结，打从疮口出，或结在内，用药找入
大肠时即泄。或被打、被 、被木压恶血未积者，用药打散四肢，或归脏腑者，或归上
膈者，打从口中吐出，或归中膈，打入大肠泄出，先用此急救，次服止痛药，即二十五
味药中加减用。凡药皆凭汤使所使方，先但用清心药，煎后用童便一盏同服或止痛；重
伤者，则用姜汤、灯心汤调二十五味药服之，薄荷汤亦可。凡伤或刀伤及损五内腑，恐作
烦闷、崩血之患。如折骨者，同姜酒服，接骨药敷之。如骨碎，被重打、重 、重木及
石压者，皆用先服汤使法，并法用酒服。如轻 扑损伤，则用姜汤调下二十五味药立效。
凡打扑伤损，折骨出臼者，便宜用何首乌散。若发热体实之人，用疏风败毒散。若恶寒体
弱之人，用五积交加散，后用黄白红黑四味末子补损丹、活血丹等药调治之。凡折骨出
臼者，不宜用下瘀血之药，及通利大便之药，只宜疏风、顺气、匀血、定痛、补损而已。凡
打扑砍磕，从高跌坠，瘀血攻心不能言语者，用独圣散及破血药，下去瘀血即能言语，次
宜临证详治之。凡打扑跌坠伤于胁下，瘀痛不可忍者，先用破血药及独圣散，以复元活
血汤调理。凡打扑跌坠，损破皮肉紫黑色者，先用破血药，次用独圣散，又次用清上瘀血
汤，消下破血汤。凡打扑损伤，呕恶血汁者，先用独圣散，次用百合散，又次用生料四物
汤，加硬骨牛乳根，加减调理。凡打扑刀斧斫磕等伤，破皮损肉，血出去多，头目眩晕
者，先用川当归、大川芎煎水服，次加白芍药、熟地黄、续断、防风、荆芥、羌活、独
活、南星煎水，加童便和服则可，不可用酒。如血出少，内有瘀血者，以生料四物汤一半，
加独圣散一半煎水服，未破皮肉者，上碗加酒和服，凡打扑刀斧斫磕等伤，破伤风痛不
可忍，牙关紧急，角弓反张者，用生南星、防风等分为末，米泔调涂患处，又用热酒、童
便各半调，连进三服即苏，次用疏风败毒散治之。凡刀斧跌磕伤，破阴囊皮者，先服独
圣散，次服止痛药，如内有宿血者，用破血药。凡刀斧伤破肚皮肠出者，先用清心药加
童便和服及用独圣散，次用止痛药。如血出过多，先用当归、川芎水煎服，次加白芍药、
熟地黄、羌活、独活、防风、荆芥、白芷、续断水煎，调乳香、没药末，和服之。凡伤损
药中，不可缺乳香、没药，此药极能散血住痛。凡刀斧跌磕，闪肭脱臼者，初然不可便
用自然铜，久后方可用之，折骨者宜便用之。若不折骨，不碎骨则不可用，修合诸损药皆
要去之好。用自然铜必用火 ，方可服之，然
新出火者，其火毒与金毒相扇，挟香热药毒，虽有接骨之功，其燥散之祸，甚于刀剑，戒
之！凡坠伤，内有瘀血者，必腹胀满而痛，或胸胁满也，宜用破血药、清心药及通利之，自
然而愈。痛不止者，用独圣散服之效验。如更不止，用止痛药服之，大效如神。凡金创
所伤，从高跌坠，皮肉破损，出血过多，此宜止疼兼补为先，宜当归补血汤。若皮肉不
破损者，宜作瘀血停积治之，先以独圣散，次以破血药，随证加减，续后痛不止者，用止
痛药调理。若胸膈疼痛，用开心草、雪里开、苏木，煎酒入童便和服即效。又方，单用苏
木，煎酒和童便服。凡治刀斧金创打扑，从高跌坠，皮肉破损而伤重者，中间破处，
封口药或补肌散，四边用截血膏箍住，使新血不来潮作，此秘传之妙诀也。凡损伤，妙
在补气血，俗工不知，惟要速效，多用自然铜，恐成痼疾也。初伤只用苏木活血，黄连
降火，白术和中，童便煎服。在下者可下瘀血，但先须补托。在上者宜饮韭汁或和粥吃，
切不可饮冷水，血见寒则凝，但一丝血入心即死。凡老人坠马，腰痛不可转侧，先用苏
木、人参、黄 、川芎、当归、陈皮、甘草煎服，次以前药，调下红黑黄白四末子补损
丹、活血丹。凡杖打闪肭疼痛，皆滞血证，宜破血药下之，痛不可忍则伤血故也，宜清心
药，更不止用独圣散大效。凡刀斧打扑斫磕，跌断血筒，出如涌泉者，此伤经也，用封口
药，以手按实，少时即止，又止血散 之亦可。如肿痛，捣葱炒热缚之。凡损大小便
不通，未可便服损药。盖损药热亦用酒，涩秘愈甚，看患人虚实，实者用破血药加木通，
尚未通加芒硝，虚者以四物汤加枳壳、麻仁、桃仁滑肠之类，虚人不可下者，四物汤加穿
山甲。凡服损药，不可吃冷物，鱼、牛肉极冷，尤不可吃，若吃牛肉，痛不可治。又瘟
猪肉、猪母肉，尤不可吃，切记之。凡损不可服草药，服之所生之骨必大，不得入臼，相
兼君臣药服则可，要加温补气血药同煎。凡损药必热，能生气血以接骨也，更忌用火灸，
如敷药不效，服药亦不效。凡用敷贴等草药，皆要临时生采新鲜者，用之有效。如出远路
讨不便者，可为末用，研末不及生采者为胜。如无草药讨处；就用君臣药接缚之。凡损药
内用酒者，不问红白，只忌灰酒，且重伤不可便用酒，反承起气，作腹胀胸满，切记切
记。如稍定，却用酒水煎或汤浸酒。凡打伤在两胁、两胸、两肚、两肋，却用通气、通
血、清心药。又看病患虚实不同，虚者，通药须兼补药放缓，且用贴药在前，通药在后。
凡用通药反不通者，后用顺气药，腹肚全无膨胀而得安。此为不干血作，乃是气闭不通。
如腹肚果有血作，一通便下，亦须以顺气药兼之。庶胸膈肚腹不致紧闷，气顺后，却用
损药。凡人醉卧，跌床下，肿背疼痛不可屈伸，损药不效，服黑豆酒数日愈，豆能下气，
所损轻也。凡小儿跌凳角上，止用萝卜子煎服愈，亦顺气也。凡整作之法，除头脑上不
可用药水洗，恐成破伤风，余可加熟油同药水避风洗之，且与住痛，整时先用热酒磨草
乌，服一二盏方整，整时气绝，用苏合香丸。须苏未苏，以黑豆、防风、甘草、黄连煎冷
服，或苡草擂水服，不可用盐解之。若吐加生姜汁。上皆专科用药之法，人有虚实，不
可一律而施，即如末条，整时先服草乌酒，整而气绝，灌以苏合香丸走窜之剂，未苏，又
以冷药灌之。若施之气虚之人，惨于加创矣！惟薛氏法，量证施治，专于内补，可以遵用。
见后分证处治条，学人宜审焉。
被树木压伤，或从高处坠落者，这类损伤都会惊动四肢和五脏，体内必然有恶血（瘀血）停滞，特别担心出现恶心症状。应先用清心药、化瘀止血药，以及通利大小肠的药物，按顺序先服用，服药时加入童子小便（儿童尿液），立即见效。如果专门使用通利大小肠的药物，恐怕会造成严重的闭塞危害。在清心药中加入前方，并服用通利大小肠的药物，自然能同时通畅，没有烦闷感，也没有恶血污损心脏，随后依次使用止痛药，服用后疼痛即止。
对于扑打伤、刀石伤、各种严重损伤，都应先服用清心药，接着服用三次清利小便及去瘀血的药物。如果受伤者血液未凝结，从伤口流出，或者凝结在体内，用药引导进入大肠时就会排出。如果是被打、被踢、被木压导致恶血尚未积聚的，用药使四肢瘀血消散，或者归入脏腑的，或者归入上膈的，通过口中吐出；或者归入中膈的，打入大肠排出。先用这些急救方法，再服用止痛药，这可以从二十五味药中进行加减使用。凡是药物都依据“汤使”（引经报使药）的原则组方，起初只使用清心药，煎好后用一盏童子小便同服以止痛；重伤者，则用姜汤、灯心草汤调服二十五味药，薄荷汤也可以。凡是损伤，无论是刀伤还是损伤五脏六腑，都担心引发烦闷、大出血的祸患。如骨折者，同姜酒服用接骨药，并外敷接骨药。如骨头碎裂，被重打、重踢、重物及石头压伤者，都先用汤使法，并配合酒服。如轻微扑打损伤，则用姜汤调下二十五味药，立即见效。
凡是跌扑损伤，骨折脱臼者，适宜使用何首乌散。若发热且体质壮实的人，使用疏风败毒散。若恶寒且体质虚弱的人，使用五积交加散，之后用黄白红黑四味末子补损丹、活血丹等药物调理。凡是骨折脱臼者，不宜使用下瘀血药，以及通利大便的药，只宜疏风、顺气、匀血、定痛、补损而已。凡是跌扑砍磕，从高跌落，瘀血攻心导致不能言语者，使用独圣散及破血药，下去瘀血后就能言语，随后应当临证详细治疗。凡是跌扑损伤伤于胁下，瘀痛不可忍者，先用破血药及独圣散，以复元活血汤调理。凡是跌扑损伤，皮肉破损呈紫黑色者，先用破血药，次用独圣散，又次用清上瘀血汤，消下破血汤。凡是跌扑损伤，呕吐恶血汁者，先用独圣散，次用百合散，又次用生料四物汤，加硬骨牛乳根，加减调理。
凡是跌扑刀斧砍磕等伤，皮肉破损，出血过多，头目眩晕者，先用川当归、大川芎煎水服用，其次加白芍药、熟地黄、续断、防风、荆芥、羌活、独活、南星煎水，加童子小便调和服用即可，不可用酒。如果出血少，内有瘀血者，以生料四物汤一半，加独圣散一半煎水服用，皮肉未破损者，上方加酒调和服用。凡是跌扑刀斧砍磕等伤，破伤风痛不可忍，牙关紧急，角弓反张者，用生南星、防风等分为末，米泔水调涂患处，又用热酒、童子小便各半调和，连进三服即可苏醒，随后用疏风败毒散治疗。凡是刀斧跌磕伤，破阴囊皮者，先服独圣散，次服止痛药，如内有宿血者，用破血药。凡是刀斧伤破肚皮肠出者，先用清心药加童子小便调和服用及使用独圣散，次用止痛药。如出血过多，先用当归、川芎水煎服用，其次加白芍药、熟地黄、羌活、独活、防风、荆芥、白芷、续断水煎，调乳香、没药末，和服之。
凡是损伤药物中，不可缺乳香、没药，此药极能散血止痛。凡是刀斧跌磕，闪肭脱臼者，起初不可便用自然铜，久后方可用之，骨折者宜便用之。若不折骨，不碎骨则不可用，修合诸损药皆要去之好。用自然铜必用火煅，方可服用，然而新出火者，其火毒与金毒相扇，挟香热药毒，虽有接骨之功，其燥散之祸，甚于刀剑，戒之！凡是坠伤，内有瘀血者，必腹胀满而痛，或胸胁满也，宜用破血药、清心药及通利之，自然痊愈。痛不止者，用独圣散服用有效验。如更不止，用止痛药服用，大效如神。
凡是金创所伤，从高跌落，皮肉破损，出血过多，此宜止疼兼补为先，宜当归补血汤。若皮肉不破损者，宜作瘀血停积治之，先以独圣散，次以破血药，随证加减，续后痛不止者，用止痛药调理。若胸膈疼痛，用开心草、雪里开、苏木，煎酒入童便和服即效。又方，单用苏木，煎酒和童便服。凡是治疗刀斧金创跌扑，从高跌落，皮肉破损而伤重者，中间破处，封口药或补肌散，四边用截血膏箍住，使新血不来潮作，此秘传之妙诀也。
凡是损伤，妙在补气血，俗工不知，惟要速效，多用自然铜，恐成痼疾也。初伤只用苏木活血，黄连降火，白术和中，童便煎服。在下者可下瘀血，但先须补托。在上者宜饮韭汁或和粥吃，切不可饮冷水，血见寒则凝，但一丝血入心即死。凡是老人坠马，腰痛不可转侧，先用苏木、人参、黄芪、川芎、当归、陈皮、甘草煎服，其次以前药，调下红黑黄白四末子补损丹、活血丹。凡是杖打闪肭疼痛，皆滞血证，宜破血药下之，痛不可忍则伤血故也，宜清心药，更不止用独圣散大效。
凡是刀斧打扑斫磕，跌断血筒（血管），出如涌泉者，此伤经也，用封口药，以手按实，少时即止，又止血散敷之亦可。如肿痛，捣葱炒热缚之。凡是损大小便不通，未可便服损药。盖损药热亦用酒，涩秘愈甚，看患人虚实，实者用破血药加木通，尚未通加芒硝，虚者以四物汤加枳壳、麻仁、桃仁滑肠之类，虚人不可下者，四物汤加穿山甲。
凡是服损药，不可吃冷物，鱼、牛肉极冷，尤不可吃，若吃牛肉，痛不可治。又瘟猪肉、猪母肉，尤不可吃，切记之。凡是损不可服草药，服之所生之骨必大，不得入臼，相兼君臣药服则可，要加温补气血药同煎。凡是损药必热，能生气血以接骨也，更忌用火灸，如敷药不效，服药亦不效。凡用敷贴等草药，皆要临时生采新鲜者，用之有效。如出远路讨不便者，可为末用，研末不及生采者为胜。如无草药讨处；就用君臣药接缚之。
凡是损药内用酒者，不问红白，只忌灰酒，且重伤不可便用酒，反承起气，作腹胀胸满，切记切记。如稍定，却用酒水煎或汤浸酒。凡是打伤在两胁、两胸、两肚、两肋，却用通气、通血、清心药。又看病患虚实不同，虚者，通药须兼补药放缓，且用贴药在前，通药在后。凡用通药反不通者，后用顺气药，腹肚全无膨胀而得安。此为不干血作，乃是气闭不通。如腹肚果有血作，一通便下，亦须以顺气药兼之。庶胸膈肚腹不致紧闷，气顺后，却用损药。
凡人醉卧，跌床下，肿背疼痛不可屈伸，损药不效，服黑豆酒数日愈，豆能下气，所损轻也。凡是小儿跌凳角上，止用萝卜子煎服愈，亦顺气也。凡是整复之法，除头脑上不可用水洗，恐成破伤风，余可加熟油同药水避风洗之，且与住痛，整复时先用热酒磨草乌，服一二盏方整，整复时气绝，用苏合香丸。须苏未苏，以黑豆、防风、甘草、黄连煎冷服，或苡草擂水服，不可用盐解之。若吐加生姜汁。上皆专科用药之法，人有虚实，不可一律而施，即如末条，整复时先服草乌酒，整复而气绝，灌以苏合香丸走窜之剂，未苏，又以冷药灌之。若施之气虚之人，惨于加创矣！惟薛氏法，量证施治，专于内补，可以遵用。见后分证处治条，学人宜审焉。
Injuries caused by being crushed by trees or falling from heights involve disturbance to the four limbs and five zang organs, inevitably resulting in internal accumulation of evil blood (stasis). The primary concern is nausea. One should first administer heart-clearing medicines, stasis-resolving hemostatic agents, and medications that unblock the large and small intestines in sequence. Adding urine from a healthy young boy (Tongzi Xiaobian) to the decoction before administration yields immediate results. Relying solely on purgatives for the intestines may cause severe obstruction; therefore, combining heart-clearing formulas with intestinal unblocking agents ensures smooth passage without distress or cardiac contamination by stasis. Subsequently, analgesics are administered to stop pain.
For severe injuries such as blunt trauma, knife wounds, or stone impacts, heart-clearing medicines should be taken first, followed by three doses of diuretics and stasis-resolving agents. If blood has not coagulated, it flows out through the wound; if coagulated internally, medication guides it into the large intestine for excretion. In cases where stasis has not yet accumulated due to beating, kicking, or crushing, medications disperse stasis in the limbs. Stasis located in the upper chest may be expectorated orally, while stasis in the middle chest is directed to the large intestine for excretion. After these emergency measures, analgesics derived from the "Twenty-Five Ingredients Formula" are used with modifications. All prescriptions follow the principle of "tang shi" (guiding herbs). Initially, only heart-clearing medicine is decocted and taken with a cup of child's urine for pain relief. For severe injuries, ginger soup or Juncus effusus (Dengxin Cao) soup is used to mix the Twenty-Five Ingredients Formula; mint soup is also acceptable. For knife injuries or damage to the five fu organs, complications like restlessness and hemorrhage must be prevented. Fractures are treated with ginger wine and bone-setting medicines applied externally. Comminuted fractures from heavy impact require the "tang shi" method combined with wine administration. Minor bruises respond quickly to the Twenty-Five Ingredients Formula mixed with ginger soup.
For fractures and dislocations, Heshaowu San (Polygonum multiflorum Powder) is appropriate. Patients with fever and robust constitution should use Shufeng Baidu San (Wind-Dispersing and Toxin-Vanquishing Powder). Those with chills and weak constitutions should use Wuji Jiajiao San (Five Accumulations Combined Powder), followed by tonics like Busun Dan (Damage-Replenishing Pill) and Huoxue Dan (Blood-Activating Pill). Fractures and dislocations should not be treated with strong purgatives or blood-draining herbs initially; instead, focus on dispersing wind, regulating qi, harmonizing blood, relieving pain, and replenishing deficiency. If stasis attacks the heart causing aphasia after a fall, Dusheng San (Sole Saint Powder) and blood-breaking herbs are used to expel stasis, restoring speech, followed by detailed clinical treatment. For painful bruising under the ribs, Dusheng San and blood-breaking herbs are used first, followed by Fuyuan Huoxue Tang (Restore Origin and Activate Blood Decoction). For purple-black skin lesions, use blood-breaking herbs, then Dusheng San, followed by Qing Shang Yuxue Tang (Clear Upper Stasis Decoction) and Xiao Xia Poxue Tang (Eliminate Lower Break-Stasis Decoction). For vomiting of dark blood, start with Dusheng San, then Baihe San (Lily Bulb Powder), and finally Shengliao Siwu Tang (Raw Material Four Substances Decoction) with Hard-bone Cow Milk Root.
For heavy bleeding causing dizziness after cuts or falls, decoct Chuan Danggui (Angelica sinensis) and Da Chuanxiong (Ligusticum chuanxiong). Add Baishao (White Peony), Shudihuang (Prepared Rehmannia), Xuduan (Dipsacus), Fangfeng (Saposhnikovia), Jingjie (Schizonepeta), Qianghuo (Notopterygium), Duohuo (Angelica pubescens), and Nanting (Arisaema). Mix with child's urine; do not use wine. If bleeding is light but stasis exists, mix half Shengliao Siwu Tang with half Dusheng San. For intact skin, add wine. For tetanus symptoms (lockjaw, opisthotonos) after cuts, grind Nanxing (Arisaema) and Fangfeng equally into powder, apply with rice wash water, or mix with hot wine and child's urine for oral administration. Follow with Shufeng Baidu San. For scrotal wounds, take Dusheng San, then analgesics; use blood-breaking herbs if old stasis is present. For evisceration, use heart-clearing medicine with child's urine and Dusheng San, followed by analgesics. For excessive bleeding, decoct Danggui and Chuanxiong, then add Baishao, Shudihuang, Qianghuo, Duohuo, Fangfeng, Jingjie, Baizhi (Angelica dahurica), and Xuduan. Mix with Rushxiang (Frankincense) and Moyao (Myrrh) powders. Rushxiang and Moyao are essential in injury medicines for their ability to dispel stasis and stop pain.
Ziran Tong (Pyritum) should not be used immediately for sprains or dislocations, only after some time; it is suitable for fractures. Do not use it for non-fractured bones. When preparing Ziran Tong, it must be calcined (fire-calcined). Freshly calcined Ziran Tong contains fire and metal toxins that interact with aromatic heat herbs; although it aids bone setting, its drying and scattering effects can be more harmful than knives. Avoid this! Abdominal distension and pain after falling indicate internal stasis; treat with blood-breaking, heart-clearing, and unblocking herbs. If pain persists, use Dusheng San, then analgesics.
For open wounds with heavy bleeding, prioritize pain relief and tonification using Danggui Buxue Tang (Angelica Tonify Qi Decoction). For closed injuries with stasis, use Dusheng San, then blood-breaking herbs, adjusting according to symptoms. If pain continues, use analgesics. For chest pain, use Kaixin Cao, Xuelifkai, and Sumu (Sappan Wood) decocted in wine with child's urine. Alternatively, use Sumu alone with wine and child's urine. For severe open wounds, apply Fengkou Yao (Sealing Wound Medicine) or Bujisan (Muscle-Replenishing Powder) to the center, and surround with Jiexue Gao (Blood-Stopping Paste) to prevent fresh blood flow—a secret technique. Injury treatment relies on tonifying qi and blood; laymen often overuse Ziran Tong for quick results, risking chronic disease. Initial treatment uses Sumu to activate blood, Huanglian (Coptis) to clear fire, Baizhu (Atractylodes) to harmonize the middle, and child's urine. Lower injuries may require purging stasis after initial tonification; upper injuries benefit from leek juice or congee. Never drink cold water, as cold causes blood to coagulate; even a trace entering the heart is fatal.
For elderly patients with lumbar pain after falling from horses, decoct Sumu, Renshen (Ginseng), Huangqi (Astragalus), Chuanxiong, Danggui, Chenpi (Tangerine Peel), and Gancao (Licorice). Then take Busun Dan and Huoxue Dan. Pain from beating or sprains indicates stagnant blood; use blood-breaking herbs. If unbearable, use heart-clearing medicine, then Dusheng San. For severed vessels spurting blood, apply sealing medicine and pressure, or Hemostatic Powder. For swelling, apply hot fried green onion. If urination/defecation is blocked, do not immediately use injury medicines, as they are hot and wine exacerbates constipation. For excess patterns, use blood-breaking herbs plus Mutong (Akebia) and Mangxiao (Mirabilite); for deficiency, use Siwu Tang with Zhike (Bitter Orange), Mahren (Hemp Seed), and Taoren (Peach Kernel) to lubricate the intestines. For very deficient patients unable to purge, add Chansanjia (Pangolin Scale) to Siwu Tang.
Avoid cold foods, especially fish and beef, which are very cold and worsen pain. Avoid diseased pork and sow pork. Herbal remedies for fractures may cause excessive bone growth preventing reduction; combine with sovereign-minister herbs and warm tonics. Injury medicines are hot to generate qi and blood for bone healing; avoid moxibustion. Freshly gathered herbs for poultices are superior to powdered ones. If herbs are unavailable, use sovereign-minister herbs for binding. Avoid ash wine; heavy injuries should not initially use wine as it raises qi causing distension. Once stable, use wine-water decoctions. For injuries to flanks/chest/abdomen, use qi-moving, blood-activating, and heart-clearing medicines. Adjust for deficiency by combining tonics with moving herbs. If moving herbs fail, use qi-regulating herbs to relieve distension. This indicates qi closure rather than blood stasis. If blood stasis is confirmed, move it and regulate qi to prevent tightness. Use injury medicines only after qi is smooth.
For drunk falls causing back pain, black bean wine cures mild injuries by directing qi downward. For children falling on corners, radish seeds decoction regulates qi. For reduction, do not wash the head with water to avoid tetanus; other areas can be washed with cooked oil and herbal water away from wind. Before reduction, drink hot wine with Caowu (Aconitum carmichaelii). If fainting occurs during reduction, administer Suhexiang Wan (Styrax Pill). If unconscious, give cold decoction of Black Bean, Fangfeng, Gancao, and Huanglian, or Yi Cao (Coix Seed) paste. Do not use salt. Add ginger juice if vomiting. These are specialized methods; adjust for patient constitution. The final method involves Caowu wine, then Suhexiang Wan, then cold medicine; applying this to qi-deficient patients is cruel. Only Xue’s method, focusing on internal tonification based on syndrome, is recommended. Refer to subsequent syndrome-specific treatments.