盖闻伤（见血为伤）、损（骨疼为损）缓急，治宜权
变（医者不可执一），跌（从高坠下，或倒压闪锉为跌，此
乃先受患而后惊）、打（与人争斗及杖夹为打，此乃先惊而
后患）轻重，各有主张（跌打俱有伤损，须看轻重而治。治
跌先宜治患，而后镇惊。治打先镇惊，而后治患，此乃大概，
临时又宜活法也）。且如肌肤伤破，止血祛风为上（伤破肌
肤，不论何处，外用止血生肌药，内服祛风药。若内伤吐血及
涕血者，又当和气活血为主）。筋骨损断，活血止痛最良
（凡损筋骨，外宜整接敷夹，内服活血住痛药。若损脏腑昏
闷气绝不省人事者，又当和气行血为主）。潮热者（表邪），
发散可用。便闭者，疏利何妨。皮肉 肿，破气治血为要略
（患处 肿或红紫黑青者，皆由气血郁逆不散。外宜熨法并
敷药，内服破气破血药，若患久用药太过，肿不退，又当和
解。若破伤肉肿者，又当祛风为主）。肚腹膨胀，和荣理卫
乃宜详（胸胁腹背受患，致令肚腹膨胀，而疼痛不止者，外
宜敷贴药并熨法，内服破气去瘀药。若大便通，又当和血行
气）。老弱患疾，克发切忌太过（年老虚弱者，克伐药忌用，
太过恐生别病）。少壮受患，滋补务宜莫忙（少壮人不可
早补，恐患不能尽除，记之）。既表不必重汗，恐贼邪乘虚
而入（凡医伤先宜发表，然后治患，表后不可再表，慎之）。
自利无容再行，怕元神因之而伤（大小便自利、不可又用攻
下药，恐泄元气）。须知血未出，脉喜洪大为要（高跌，内
有瘀血，肚腹胀满，脉坚强生，脉小弱者死也）。血已出，
脉宜微细无殃（斫杀跌打俱有血出者，若不能止，脉大七日
死，滑细者生。斫疮出血三日，脉大二十日死。金枪出血太
多，脉虚细者生，数实大者死。金枪出血，脉沉小生，浮大
者死）。命门和缓，关脉实，患重不死（凡命门脉和缓，关
脉实大，患重不死）。命门虚促脱而离，患轻必伤（凡折伤
治之诀曰，鱼际脉不绝者死）。是故止血者，桃花三宝（桃
花散、三宝散治皮肤伤破，血出不止）。活血者，桂蕊一阳
（筋折断者，整接后，以桂蕊散煮酒，调一阳丹同服，以上
四方俱列于后）。祛风热，消风散，称为尽美（消风散治破
伤血出或破烂肉肿）。止疼痛，住痛散，号为君王（活血住
痛散专能活血住痛，不论内外伤皆效）。伤破肉肿，将帅散
罨，有奇效（伤破受风肉肿，外用将帅定风散罨，内服消风
散）。损断骨疼，神圣散敷之无双（折断骨者，整接后用神
圣散敷断骨处，外用杉皮薄片夹，以绢缚之，勿露风）。骨
肉瘀血生涎，先需辟秽（骨断日久，不曾治，以致生涎，整
接不上，先服辟秽丸，次日再接自效）。疮口腐烂，肉臭，
宜用辛香（伤破不治，或治之失宜，腐臭脓血淋淋，宜用
辛香散煎洗，后用生肌散罨数次，即愈也）。发散表邪五积
散（外感潮热者宜）。疏通里实万灵汤（损伤重大，身青肿，
不议处处皆效也）。红花末，能理肚腹膨胀（红花破血散，
治胀满气促）。苏木散，可疗遍体肿伤（治遍身伤损有肿之
极）。昏闷气绝，通关、七宝任选（跌打闷绝者，外宜吹通关
散，内服七宝丹即醒，后又当看伤调治）。不省人事，和气
六神堪尝（患重，气血攻心不能言，急用和气散灌入口，即醒，
外用熨药于患外熨之，醒后仍服原药，加沉香、三贵末同服，
或用六神木香汤更妙）。吐血不止，蚌霜散服之即应，郁气
不散，艾灰膏熨之便昌（伤处疼痛不止者，将艾灰玉龙膏熨
之，自愈）。白玉散，手足为之要领（手足疼痛，白玉灵验
散主之也）。紫金丹，周身可作栋梁，劳力身疼，太保散为
的要（十三太保散，治平常轻伤。用力太过，并远行劳碌，
遍身酸痛，四肢无力，皆可服。方俱附后）。闪锉腰疼，将
军末最相当（将军匀气散，治闪锉腰疼，此药常服神效）。
佛手妙散。轻患不宜擅用（神妙佛散，治筋骨断或金枪重
伤将死者，才用此药，有神效，宜珍贵之也）。换骨灵丹，
收效必莱安康（神仙换骨丹，治跌打将好，以此药收效）。
粒金丸，跌打比势皆效（粒金丸，即铁布衫，治跌打并与人
比势皆效）。真宝膏，损伤疖毒甚强（此膏能贴伤损并疖毒
者）。夫药岂无妙道，杖患自有奇方（杖夹谓官打板夹棍），
用之合宜，治如反掌，理之失法，变起苍茫。嗟夫，治此症
候，势非寻常。外缠皮肤，内连腑脏。改换形容，如蛇脱皮、
龙换骨。淋漓脓血，若蚓在灰、 在汤。医贵识症，不可指
鹿为马。药宜合病，休要视虎为野狼。徒自谬而不变，恐遇病
以彷徨，泄骨髓之真诠。非君子而不教授肺腑之秘诀，牢记
诵而莫忘。是为引。
我听说，伤（见血为伤）、损（骨疼为损）有缓急之分，治疗应当灵活变通（医者不可拘泥于一种方法）。跌（从高坠落，或倒压闪挫称为跌，这是先受创伤而后惊恐）、打（与人争斗及杖击夹打称为打，这是先惊恐而后受创），轻重不同，各有主张（跌和打都有伤损，必须根据轻重来治疗。治疗跌伤应先治创伤，然后镇惊；治疗打伤应先镇惊，然后治创伤，这是一般原则，临时又应灵活运用）。比如肌肤破损，止血祛风为上策（皮肤肌肉破损，不论在何处，外用止血生肌药，内服祛风药。如果是内伤吐血及鼻出血者，又当以调和气血、活血为主）。筋骨断裂，活血止痛最好（凡是损伤筋骨，外宜整复固定敷药夹板，内服活血止痛药。如果损伤脏腑导致昏闷气绝不省人事者，又当以调和气血、行血为主）。潮热者（表邪），发散法可用。便秘者，疏利通便何妨。皮肉肿胀，破气治血是关键（患处肿胀或红紫黑青者，皆由气血郁滞逆乱不散所致。外宜用熨法并敷药，内服破气破血药，如果患病日久用药太过，肿胀不退，又当和解。如果是破伤后肉肿者，又当以祛风为主）。肚腹膨胀，调和营卫才适宜详细论述（胸胁腹背受创，导致肚腹膨胀而疼痛不止者，外宜敷贴药并熨法，内服破气去瘀药。如果大便通畅，又当和血行气）。老弱患病，攻伐切忌太过（年老虚弱者，忌用攻伐药，太过恐怕产生其他疾病）。少壮受创，滋补务必不宜匆忙（年轻人不可过早进补，恐怕患邪不能尽除，记住这一点）。既然已经解表不必再次发汗，恐怕贼邪乘虚而入（凡医治伤先宜发表，然后治创，表解后不可再解表，谨慎对待）。自利（腹泻或小便清长）无容再行攻下，怕元神因此受伤（大小便自利，不可再用攻下药，恐怕泄耗元气）。须知血未出，脉喜洪大为要（高处跌落，内有瘀血，肚腹胀满，脉坚强有力者生，脉小弱者死也）。血已出，脉宜微细无殃（砍杀跌打均有血出者，若不能止，脉大七日死，滑细者生。砍疮出血三日，脉大二十日死。金枪出血太多，脉虚细者生，数实大者死。金枪出血，脉沉小者生，浮大者死）。命门脉和缓，关脉实，患重不死（凡命门脉和缓，关脉实大，患重不死）。命门虚促脱而离，患轻必伤（凡折伤治疗的诀要说，鱼际脉不绝者死）。所以止血者，用桃花三宝（桃花散、三宝散治皮肤伤破，血出不止）。活血者，用桂蕊一阳（筋折断者，整复后，以桂蕊散煮酒，调一阳丹同服，以上四方俱列于后）。祛风热，消风散，称为尽美（消风散治破伤血出或破烂肉肿）。止疼痛，住痛散，号为君王（活血住痛散专能活血止痛，不论内外伤皆效）。伤破肉肿，将帅散罨，有奇效（伤破受风肉肿，外用将帅定风散罨，内服消风散）。损断骨疼，神圣散敷之无双（折断骨者，整复后用神圣散敷断骨处，外用杉皮薄片夹，以绢缚之，勿露风）。骨肉瘀血生涎，先需辟秽（骨断日久，不曾治，以致生涎，整复不上，先服辟秽丸，次日再接自效）。疮口腐烂，肉臭，宜用辛香（伤破不治，或治之失宜，腐臭脓血淋淋，宜用辛香散煎洗，后用生肌散罨数次，即愈也）。发散表邪五积散（外感潮热者宜）。疏通里实万灵汤（损伤重大，身青肿，不议处处皆效也）。红花末，能理肚腹膨胀（红花破血散，治胀满气促）。苏木散，可疗遍体肿伤（治遍身伤损有肿之极）。昏闷气绝，通关、七宝任选（跌打闷绝者，外宜吹通关散，内服七宝丹即醒，后又当看伤调治）。不省人事，和气六神堪尝（患重，气血攻心不能言，急用和气散灌入口，即醒，外用熨药于患外熨之，醒后仍服原药，加沉香、三贵末同服，或用六神木香汤更妙）。吐血不止，蚌霜散服之即应，郁气不散，艾灰膏熨之便昌（伤处疼痛不止者，将艾灰玉龙膏熨之，自愈）。白玉散，手足为之要领（手足疼痛，白玉灵验散主之也）。紫金丹，周身可作栋梁，劳力身疼，太保散为的要（十三太保散，治平常轻伤。用力太过，并远行劳碌，遍身酸痛，四肢无力，皆可服。方俱附后）。闪锉腰疼，将军末最相当（将军匀气散，治闪锉腰疼，此药常服神效）。佛手妙散。轻患不宜擅用（神妙佛散，治筋骨断或金枪重伤将死者，才用此药，有神效，宜珍贵之也）。换骨灵丹，收效必莱安康（神仙换骨丹，治跌打将好，以此药收效）。粒金丸，跌打比势皆效（粒金丸，即铁布衫，治跌打并与人比势皆效）。真宝膏，损伤疖毒甚强（此膏能贴伤损并疖毒者）。夫药岂无妙道，杖患自有奇方（杖夹谓官打板夹棍），用之合宜，治如反掌，理之失法，变起苍茫。嗟夫，治此症候，势非寻常。外缠皮肤，内连腑脏。改换形容，如蛇脱皮、龙换骨。淋漓脓血，若蚓在灰、 在汤。医贵识症，不可指鹿为马。药宜合病，休要视虎为野狼。徒自谬而不变，恐遇病以彷徨，泄骨髓之真诠。非君子而不教授肺腑之秘诀，牢记诵而莫忘。是为引。
I have heard that "shang" (injury with bleeding) and "sun" (bone injury with pain) vary in urgency, and treatment should be flexible (physicians must not adhere rigidly to a single method). "Die" (falling from height or being crushed/twisted is called die; this involves injury first, then fright), and "Da" (fighting or beating with sticks/clamps is called Da; this involves fright first, then injury). Their severity differs, each having its own principle (both die and da involve shang and sun; one must treat according to severity. For die, treat the injury first, then calm the fright; for Da, calm the fright first, then treat the injury. This is the general rule, but flexibility is required in practice). For instance, if skin and muscles are broken, stopping bleeding and dispelling wind is superior (for broken skin/muscles, regardless of location, use external hemostatic and flesh-regenerating medicines, and internal wind-dispelling medicines. If there is internal injury with vomiting blood or epistaxis, harmonizing qi and activating blood is primary). If tendons and bones are broken, activating blood and stopping pain is best (for tendon/bone injuries, externally apply reduction, splinting, and plasters; internally take blood-activating and pain-stopping medicines. If organs are damaged leading to coma, breathlessness, and unconsciousness, harmonizing qi and moving blood is primary). For tidal fever (exterior pathogen), dispersing methods can be used. For constipation, purging and draining is acceptable. For swelling of skin and flesh, breaking qi and treating blood is key (swelling at the site, whether red, purple, black, or blue, is due to stagnation and rebellion of qi and blood not dispersing. Externally use warming moxibustion/plaster methods and apply medicaments; internally take qi-breaking and blood-breaking medicines. If the condition persists and excessive medication fails to reduce swelling, harmonization is needed. If swelling follows an open wound, dispelling wind is primary). For abdominal distension, harmonizing Ying and Wei is appropriate (trauma to chest, hypochondrium, abdomen, or back causing abdominal distension and unceasing pain: externally apply patches and warming methods; internally take qi-breaking and stasis-resolving medicines. If bowel movements normalize, harmonize blood and move qi). For the elderly and weak, harsh purgatives/draining agents must be avoided excessively (elderly and frail patients should avoid harsh drugs; excessive use may cause other diseases). For the young and strong, tonification should not be rushed (young people should not be tonified early, lest pathogens remain; remember this). Since the exterior has been released, do not induce heavy sweating, lest evil pathogens enter through deficiency (when treating trauma, release the exterior first, then treat the injury; after releasing the exterior, do not repeat it; be cautious). Do not use purgatives again for spontaneous diarrhea/urination, fearing damage to the Yuan Shen (if stool or urine flows spontaneously, do not use purgatives, lest vital energy be depleted). It is essential to know that if blood has not exited, a surging and large pulse is favorable (high falls with internal blood stasis and abdominal distension: a firm and strong pulse indicates survival, while a small and weak pulse indicates death). If blood has exited, a fine and subtle pulse is auspicious (for cuts/falls with bleeding: if bleeding cannot stop and the pulse is large, death occurs in seven days; a slippery and fine pulse indicates survival. For cut wounds bleeding for three days, a large pulse means death in twenty days. For severe metal wounds with excessive bleeding, a deficient and fine pulse indicates survival, while a rapid, full, and large pulse indicates death. For metal wound bleeding, a deep and small pulse indicates survival, while a floating and large pulse indicates death). If the Mingmen pulse is gentle and relaxed, and the Guan pulse is solid, even severe injuries are not fatal (if the Mingmen pulse is gentle and the Guan pulse is full and large, severe injuries are not fatal). If the Mingmen pulse is deficient, rapid, and drifting away, even mild injuries will cause harm (the secret of treating fractures states: if the Yuji pulse does not cease, death occurs). Therefore, for stopping bleeding, use Taohua Sanbao (Taohua San and Sanbao San treat broken skin with unceasing bleeding). For activating blood, use Guirui Yiyang (for broken tendons, after reduction, mix Guirui San with boiled wine and take together with Yiyang Dan; these four formulas are listed later). For dispelling wind-heat, Xiaofeng San is praised as perfect (Xiaofeng San treats open wounds with bleeding or swollen flesh). For stopping pain, Zhutong San is hailed as king (Huoxue Zhutong San specifically activates blood and stops pain, effective for both internal and external injuries). For broken skin and swollen flesh, Jiangshuai San applied externally yields miraculous effects (for wind-involved swollen flesh after injury, apply Jiangshuai Dingfeng San externally and take Xiaofeng San internally). For broken bone pain, Shensheng San applied externally is unparalleled (for broken bones, after reduction, apply Shensheng San to the fracture site, secure with thin fir wood slices and silk bandages, avoiding exposure to wind). For bone/muscle stasis generating phlegm/saliva, first eliminate filth (if a bone fracture is untreated for a long time, generating saliva/phlegm preventing reduction, first take Bihui Wan, then reduce the next day for self-efficacy). For rotting sores and foul flesh, pungent aromatics are suitable (untreated or improperly treated wounds with foul pus and blood: wash with Xinxiang San decoction, then apply Shengji San several times until healed). To disperse exterior pathogens, Wujisan is indicated (for exterior cold with tidal fever). To unblock interior excess, Wanling Tang is used (for major trauma with body bruising/swelling; it is effective everywhere). Honghua Mo can manage abdominal distension (Honghua Huoxue San treats distension and shortness of breath). Sumu San can treat widespread swelling injuries (treats extreme swelling from whole-body trauma). For coma and breathlessness, Tongguan or Qibao can be chosen (for trauma-induced coma, blow Tongguan San externally and take Qibao Dan internally to regain consciousness, then adjust treatment based on injury). For unconsciousness, Heqi Liushen is worthy of trial (for severe cases where qi/blood attacks the heart causing inability to speak, urgently administer Heqi San orally to regain consciousness, apply warming medicine externally, then resume original medicine adding Chenxiang and Sangui powder, or use Liushen Muxiang Tang which is better). For unceasing hematemesis, Bangshuang San responds immediately; for stagnant qi, Aihui Gao applied resolves it (for persistent pain at the injury site, apply Aihui Yulong Gao to heal itself). Baiyu San is essential for hands and feet (for hand/foot pain, Baiyu Lingyan San is primary). Zijin Dan serves as a pillar for the whole body; for labor-induced body ache, Taibao San is the essential remedy (Shisan Taibao San treats minor common injuries. For overexertion, long travel fatigue, whole-body soreness, and limb weakness, it can be taken. Formulas follow). For sprain/twist lower back pain, Jiangjun Mo is most appropriate (Jiangjun Yunqi San treats sprain/twist lower back pain; regular use is miraculous). Foshou Miaosan should not be used casually for mild conditions (Shenmiao Fo San is for broken tendons/bones or severe metal wounds near death; only use this medicine for miraculous effect, value it highly). Huangu Lingdan ensures recovery and health (Shenxian Huangu Dan is used for final recovery after trauma healing). Lijin Wan is effective for all types of trauma and combat (Lijin Wan, also known as Tiebu Shan, is effective for trauma and martial arts sparring). Zhenbao Gao is very strong for injuries and carbuncles (this plaster adheres to injuries and carbuncles). How can medicines lack wonderful principles? Stick injuries have their own unique prescriptions (stick/clamp refers to official beatings with boards/clubs). Used appropriately, treatment is like turning a palm; mishandled, changes arise unpredictably. Alas, treating these syndromes is not ordinary. Externally entangling skin, internally connecting to zang-fu. Altering appearance, like snake shedding skin or dragon changing bones. Dripping pus and blood, like earthworms in ash or boiling soup. Physicians value recognizing syndromes; do not mistake deer for horse. Medicines should match the disease; do not view tiger as wild wolf. Stubbornly erroneous without change, fearing hesitation when encountering disease, leaking the true essence of marrow. Not a gentleman who would not teach the secrets of the lungs and intestines; memorize and recite without forgetting. This is the preface.