三棱五钱，赤芍、骨碎补各一钱五分，当归（伤上中二部用全归，伤下部用归尾）、蓬
术
有
菟丝子、肉桂、刘寄奴、蒲黄、杜仲、元胡索、青皮、枳壳、香附、五灵脂、归尾、缩
砂仁各一钱，五加皮一钱五分，广皮二钱，酒、水各半煎服。
地鳖虫（去头足）、血竭、硼砂各八钱，蓬术（醋炒）、五加皮（酒炒）、菟丝子、木香、
五
青皮
蒲黄（生熟
四厘，最重
硼砂、地鳖虫、自然铜（醋炙七次）、血竭各八钱，木香六钱，当归、桃仁、蓬术、五
加
炒）、赤
枳壳、朱砂、
香、杜仲（盐水炒）
上各制，共为细末。伤重
地鳖虫、硼砂、血竭、自然铜各八钱，乌药、土狗、元胡索（醋炒）、当归（酒炒）、桃
仁
五加皮
子（不见火）二
凡跌打损伤之症，不可概论也。青肿不痛，或肿不消退者，气血虚弱也，用十全大补汤
。若肿或作寒热者，血伤而肝火动也，用四物加山栀、柴胡。血出不止，或又发寒热者，用
四君子汤加川芎、当归、柴胡。寒热而痛甚者，欲溃脓也，用参 内补散。若脓出而痛甚者
，气虚也，用八珍汤。疮口赤肉突出者，血虚而肝火生风也，用柴胡栀子散。若脓不止，疮
口白肉突出者，气虚而有邪感也，用补中益气汤。若脓溃而痛，或溃而不敛者，皆脾胃虚也
，用六君子汤。苟徒知服凉药而不溃不敛，所以致败症也。受伤若肠中作痛，按之不能宁者
，内有瘀血也，用承气汤下之。下后仍痛，瘀血犹未尽也，用加味四物汤调之。按之不痛，
血气伤也，用四物汤加参、 、白术。下后胸胁作痛，肝血伤也，四君子汤加川芎、当归。
下后发热，气血皆虚也，用八珍汤加当归、半夏。胸胁胀满、饮食不思者，肝脾气滞也，用
六君子汤加柴胡、枳壳；切牙发搐者，肝盛脾虚也，用蜈蚣散加川芎、山栀、钩藤、天麻。
以上须要谨慎，不可妄用也。各方载后。
十全大补汤∶人参、茯苓、川芎、当归、白芍、地黄、黄 、肉桂各一钱，白术一钱五
分，炙草五分，水煎服。
四物汤∶当归、地黄各三钱，炒白芍二钱，川芎一钱五分，水煎服。
四君子汤∶人参、焦术各二钱，茯苓、炙草各一钱，姜三片，枣二枚，水煎服。
八珍汤∶人参、茯苓、川芎、当归、炒白芍、地黄各一钱，白术一钱五分，炙甘草五分
，水煎服。
补中益气汤∶黄 二两，人参一钱，炙草八分，半夏一两，炒白芍、独活、防风各五钱
，炒白术、茯苓、泽泻、柴胡各三钱，连翘二钱，羌活一钱五分，生姜三片，枣二枚，水煎
服。
六君子汤∶即四君子汤加陈皮一钱，制半夏一钱五分，水煎服。
加味承气汤∶治瘀血在内者。大黄、浓朴、枳实、羌活、防风、当归、生地、朴硝各一
钱，水煎空心服，多寡随量加减。
加味四物汤∶治瘀血未尽者。当归、川芎、白芷、生地、桃仁、红花、枳壳、牛膝、大
黄、苏木、羌活各一钱，水煎，早服。
逍遥散∶柴胡、土炒白术、茯苓各一钱，当归（酒拌）二钱，炙草五分，薄荷六分，加
煨
异功散∶即六君子汤去半夏。
独参汤∶人参一两，水二钟，枣十枚，或莲肉、龙眼肉、同煎服。
六味汤∶地黄四两，山茱萸、山药各二两，茯苓、丹皮各一两，泽泻一两五钱，水煎服
。若破伤出血不止者，加麦冬、五味子各三钱。
托里散∶金银花五钱，当归二两，大黄、花粉、连翘各五钱，牡蛎、皂角刺各三钱，黄
芩、赤芍各一钱，朴硝五钱，酒、水各半煎服。
三棱五钱，赤芍、骨碎补各一钱五分，当归（损伤上部和中部使用全当归，损伤下部使用当归尾）、蓬术有（原文此处似有缺漏或衍文，依上下文及常见方义，可能指“蓬莪术”或仅指蓬术，此处保留原意并稍作通顺处理，通常蓬术即莪术），菟丝子、肉桂、刘寄奴、蒲黄、杜仲、元胡索、青皮、枳壳、香附、五灵脂、归尾、缩砂仁各一钱，五加皮一钱五分，广皮二钱，用酒和水各半煎服。
地鳖虫（去掉头和足）、血竭、硼砂各八钱，蓬术（醋炒）、五加皮（酒炒）、菟丝子、木香、青皮、蒲黄（生用和熟用各半，原文“生熟”后似缺字，结合下文“四厘”推测为剂量描述，但此处列举药材，暂按药材名处理，若“四厘”为剂量则属另一层意思，根据后文“最重...四厘”，此处疑为排版错乱，将剂量混入药名中。根据常规理解，此处应为药材列表。参考后文完整方剂，此段可能为散剂配方的一部分。重新梳理：地鳖虫、血竭、硼砂各八钱；蓬术（醋炒）、五加皮（酒炒）、菟丝子、木香、青皮、蒲黄（生熟用）、自然铜（醋炙七次）、血竭各八钱（重复？不，前文是各八钱，这里可能是不同分量或重复强调。看后文“上各制...伤重...”，推测这是针对重伤的散剂配方）。*注：原文片段存在明显的排版断裂和文字缺失（如“蓬 术 有”、“五 青皮”、“蒲黄（生熟 四厘，最重”等），在翻译时尽量还原其作为药材列表的本质，忽略明显的排版错误导致的语义不通，重点提取药材。*
修正后的第二段理解：地鳖虫（去头足）、血竭、硼砂各八钱；蓬术（醋炒）、五加皮（酒炒）、菟丝子、木香、青皮、蒲黄（生熟用）、自然铜（醋炙七次）、血竭各八钱（此处血竭重复出现，可能为原文错误或特指不同炮制，暂列）；木香六钱；当归、桃仁、蓬术、五加皮（酒炒）、赤芍、枳壳、朱砂、香附、杜仲（盐水炒）。以上药材分别处理后，共研为细末。伤势重的……（原文中断）
第三段：地鳖虫、硼砂、血竭、自然铜各八钱，乌药、土狗（蝼蛄）、元胡索（醋炒）、当归（酒炒）、桃仁、五加皮、菟丝子（不见火）二……（原文中断，剂量不明）。
凡是跌打损伤的疾病，不能一概而论。如果局部青肿但不痛，或者肿胀不消退，这是气血虚弱的表现，使用十全大补汤。如果肿胀伴有忽冷忽热的症状，这是血液受损且肝火妄动，使用四物汤加入山栀、柴胡。如果出血不止，或者又出现寒热症状，使用四君子汤加入川芎、当归、柴胡。如果既有寒热症状又疼痛剧烈，这是即将化脓的表现，使用参芪内补散。如果脓液排出但疼痛剧烈，这是气虚，使用八珍汤。如果疮口处赤色肌肉突出，这是血虚且肝火生风，使用柴胡栀子散。如果脓液不止，疮口处白色肌肉突出，这是气虚且有外邪感染，使用补中益气汤。如果脓溃破后疼痛，或者溃破后伤口不愈合，这都是脾胃虚弱的表现，使用六君子汤。如果只知道服用凉性药物而不让脓液排出或不愈合，就会导致败症。如果受伤后肠中疼痛，按压时疼痛加剧且不安静，这是内有瘀血，使用承气汤攻下。攻下后仍然疼痛，说明瘀血未尽，使用加味四物汤调理。如果按压不痛，这是血气受伤，使用四物汤加入人参、黄芪、白术。攻下后胸胁疼痛，这是肝血受伤，使用四君子汤加入川芎、当归。攻下后发热，这是气血都虚弱，使用八珍汤加入当归、半夏。如果胸胁胀满、不想吃东西，这是肝脾气机阻滞，使用六君子汤加入柴胡、枳壳；如果出现咬牙抽搐的症状，这是肝盛脾虚，使用蜈蚣散加入川芎、山栀、钩藤、天麻。以上情况都需要谨慎，不可随意用药。各方剂记载在后面。
十全大补汤：人参、茯苓、川芎、当归、白芍、地黄、黄芪、肉桂各一钱，白术一钱五分，炙甘草五分，用水煎服。
四物汤：当归、地黄各三钱，炒白芍二钱，川芎一钱五分，用水煎服。
四君子汤：人参、焦白术各二钱，茯苓、炙甘草各一钱，生姜三片，大枣二枚，用水煎服。
八珍汤：人参、茯苓、川芎、当归、炒白芍、地黄各一钱，白术一钱五分，炙甘草五分，用水煎服。
补中益气汤：黄芪二两，人参一钱，炙甘草八分，半夏一两，炒白芍、独活、防风各五钱，炒白术、茯苓、泽泻、柴胡各三钱，连翘二钱，羌活一钱五分，生姜三片，大枣二枚，用水煎服。
六君子汤：即四君子汤加入陈皮一钱，制半夏一钱五分，用水煎服。
加味承气汤：治疗瘀血在体内的病症。大黄、浓朴、枳实、羌活、防风、当归、生地、朴硝各一钱，空腹用水煎服，用量多少可根据情况加减。
加味四物汤：治疗瘀血未尽的病症。当归、川芎、白芷、生地、桃仁、红花、枳壳、牛膝、大黄、苏木、羌活各一钱，用水煎，早晨服用。
逍遥散：柴胡、土炒白术、茯苓各一钱，当归（酒拌）二钱，炙甘草五分，薄荷六分，加入煨姜……（原文此处可能有缺漏，通常逍遥散含煨姜）
独参汤：人参一两，水两钟，大枣十枚，或者莲子肉、龙眼肉，一同煎服。
六味汤：地黄四两，山茱萸、山药各二两，茯苓、丹皮各一两，泽泻一两五钱，用水煎服。如果破伤出血不止，加入麦冬、五味子各三钱。
托里散：金银花五钱，当归二两，大黄、花粉、连翘各五钱，牡蛎、皂角刺各三钱，黄芩、赤芍各一钱，朴硝五钱，用酒和水各半煎服。
Sanleng (Rhizoma Sparganii) 5 qian, Chishao (Radix Paeoniae Rubra) and Gusuibu (Os Dinosauri) each 1.5 qian, Danggui (Radix Angelicae Sinensis) [use Quan Danggui (whole root) for injuries to the upper and middle parts of the body, use Guiwei (tail of the root) for injuries to the lower part], Pengzhu (Rhizoma Curcumae), Tusizi (Semen Cuscutae), Rougui (Cortex Cinnamomi), Liujinu (Herba Siegesbeckiae), Puhuang (Pollen Typhae), Duzhong (Cortex Eucommiae), Yuanhusuo (Rhizoma Corydalis), Qingpi (Pericarpium Citri Reticulatae Viride), Zhike (Fructus Aurantii), Xiangfu (Rhizoma Cyperi), Wulingzhi (Faeces Trogopterori), Guiwei (Tail of Radix Angelicae Sinensis), Suasharen (Fructus Amomi Rotundus) each 1 qian, Wujiapi (Cortex Acanthopanacis) 1.5 qian, Guangpi (Pericarpium Citri Reticulatae) 2 qian. Decoct with half wine and half water, and take orally.
Dibiechong (Insect Eupolyphaga, remove head and feet), Xuexie (Resina Draconis), Pengsha (Borax) each 8 qian; Pengzhu (Rhizoma Curcumae, stir-fried with vinegar), Wujiapi (Cortex Acanthopanacis, stir-fried with wine), Tusizi (Semen Cuscutae), Muxiang (Radix Aucklandiae), Qingpi (Pericarpium Citri Reticulatae Viride), Puhuang (Pollen Typhae, raw and cooked), Ziran Tong (Pyritum, roasted seven times in vinegar), Xuexie (Resina Draconis) each 8 qian, Muxiang (Radix Aucklandiae) 6 qian, Danggui (Radix Angelicae Sinensis), Taoren (Semen Persicae), Pengzhu (Rhizoma Curcumae), Wujiapi (Cortex Acanthopanacis, stir-fried), Chishao (Radix Paeoniae Rubra), Zhike (Fructus Aurantii), Zhusha (Cinnabaris), Xiangfu (Rhizoma Cyperi), Duzhong (Cortex Eucommiae, stir-fried with salt water). Process each ingredient separately, then grind together into a fine powder. For severe injuries... [Text fragmentary]
Dibiechong (Insect Eupolyphaga), Pengsha (Borax), Xuexie (Resina Draconis), Ziran Tong (Pyritum) each 8 qian, Wuyao (Radix Linderae), Dougou (Insect Blatta orientalis), Yuanhusuo (Rhizoma Corydalis, stir-fried with vinegar), Danggui (Radix Angelicae Sinensis, stir-fried with wine), Taoren (Semen Persicae), Wujiapi (Cortex Acanthopanacis), Tusizi (Semen Cuscutae, not exposed to fire)... [Text fragmentary]
In cases of falls and traumatic injuries, one cannot apply a general rule uniformly. If there is cyanosis and swelling without pain, or if the swelling does not subside, this indicates deficiency of Qi and Blood; use Shiquan Dabu Tang (Decoction for Ten Thousand Benefits). If swelling is accompanied by alternating chills and fever, this indicates blood injury with stirring up of Liver Fire; use Siwu Tang (Four Substances Decoction) added with Shanzhi (Fructus Gardeniae) and Chaihu (Radix Bupleuri). If bleeding continues unceasingly, or if chills and fever recur, use Sijunzi Tang (Four Gentlemen Decoction) added with Chuanxiong (Rhizoma Chuanxiong), Danggui (Radix Angelicae Sinensis), and Chaihu (Radix Bupleuri). If there are chills and fever with severe pain, this indicates impending suppuration; use Shenqi Neibu San (Powder for Internal Nourishment with Ginseng and Astragalus). If pus has discharged but pain remains severe, this indicates Qi deficiency; use Bazhen Tang (Eight Treasures Decoction). If red flesh protrudes from the wound, this indicates Blood deficiency with Wind generated by Liver Fire; use Chaihu Zhizi San (Powder of Bupleuri and Gardenia). If pus discharge is continuous and white flesh protrudes from the wound, this indicates Qi deficiency with pathogenic invasion; use Buzhong Yiqi Tang (Decoction for Supplementing the Middle and Augmenting the Qi). If the ulcer discharges pus with pain, or if it fails to heal after discharge, this is due to Spleen and Stomach deficiency; use Liujunzi Tang (Six Gentlemen Decoction). Merely knowing to administer cooling herbs without allowing suppuration or healing will lead to fatal complications. If pain occurs in the intestines after injury and pressing makes it worse and restless, this indicates internal blood stasis; use Chengqi Tang (Order Downward Decoction) to purge. If pain persists after purging, it means blood stasis is not yet exhausted; use Jiawei Siwu Tang (Modified Four Substances Decoction) to regulate. If pressing causes no pain, this indicates injury to Blood and Qi; use Siwu Tang (Four Substances Decoction) added with Renshen (Radix Ginseng), Huangqi (Radix Astragali), and Baizhu (Rhizoma Atractylodis Macrocephalae). If chest and hypochondriac pain occur after purging, this indicates Liver Blood injury; use Sijunzi Tang (Four Gentlemen Decoction) added with Chuanxiong (Rhizoma Chuanxiong) and Danggui (Radix Angelicae Sinensis). If fever occurs after purging, this indicates deficiency of both Qi and Blood; use Bazhen Tang (Eight Treasures Decoction) added with Danggui (Radix Angelicae Sinensis) and Banxia (Rhizoma Pinelliae). If there is distension and fullness in the chest and hypochondrium with loss of appetite, this indicates stagnation of Liver and Spleen Qi; use Liujunzi Tang (Six Gentlemen Decoction) added with Chaihu (Radix Bupleuri) and Zhike (Fructus Aurantii); if teeth grinding and convulsions occur, this indicates excess Liver and deficient Spleen; use Wugong San (Centipede Powder) added with Chuanxiong (Rhizoma Chuanxiong), Shanzhi (Fructus Gardeniae), Gouteng (Ramulus Uncariae cum Uncis), and Tianma (Rhizoma Gastrodiae). The above conditions require caution; do not use medications recklessly. The formulas are listed below.
Shiquan Dabu Tang (Decoction for Ten Thousand Benefits): Renshen (Radix Ginseng), Fuling (Poria), Chuanxiong (Rhizoma Chuanxiong), Danggui (Radix Angelicae Sinensis), Baishao (Radix Paeoniae Alba), Dihuang (Radix Rehmanniae Praeparata), Huangqi (Radix Astragali), Rougui (Cortex Cinnamomi) each 1 qian, Baizhu (Rhizoma Atractylodis Macrocephalae) 1.5 qian, Zhigancao (Radix Glycyrrhizae Preparata) 0.5 qian. Decoct with water and take orally.
Siwu Tang (Four Substances Decoction): Danggui (Radix Angelicae Sinensis), Dihuang (Radix Rehmanniae Praeparata) each 3 qian, Chao Baishao (Stir-fried Radix Paeoniae Alba) 2 qian, Chuanxiong (Rhizoma Chuanxiong) 1.5 qian. Decoct with water and take orally.
Sijunzi Tang (Four Gentlemen Decoction): Renshen (Radix Ginseng), Jiaozhu (Charred Rhizoma Atractylodis Macrocephalae) each 2 qian, Fuling (Poria), Zhigancao (Radix Glycyrrhizae Preparata) each 1 qian, Shengjiang (Rhizoma Zingiberis Recens) 3 slices, Dazao (Fructus Jujubae) 2 pieces. Decoct with water and take orally.
Bazhen Tang (Eight Treasures Decoction): Renshen (Radix Ginseng), Fuling (Poria), Chuanxiong (Rhizoma Chuanxiong), Danggui (Radix Angelicae Sinensis), Chao Baishao (Stir-fried Radix Paeoniae Alba), Dihuang (Radix Rehmanniae Praeparata) each 1 qian, Baizhu (Rhizoma Atractylodis Macrocephalae) 1.5 qian, Zhigancao (Radix Glycyrrhizae Preparata) 0.5 qian. Decoct with water and take orally.
Buzhong Yiqi Tang (Decoction for Supplementing the Middle and Augmenting the Qi): Huangqi (Radix Astragali) 2 liang, Renshen (Radix Ginseng) 1 qian, Zhigancao (Radix Glycyrrhizae Preparata) 0.8 qian, Banxia (Rhizoma Pinelliae) 1 liang, Chao Baishao (Stir-fried Radix Paeoniae Alba), Duhuo (Radix Angelicae Pubescentis), Fangfeng (Radix Saposhnikoviae) each 5 qian, Chao Baizhu (Stir-fried Rhizoma Atractylodis Macrocephalae), Fuling (Poria), Zexie (Rhizoma Alismatis), Chaihu (Radix Bupleuri) each 3 qian, Lianqiao (Fructus Forsythiae) 2 qian, Qianghuo (Rhizoma Notopterygii) 1.5 qian, Shengjiang (Rhizoma Zingiberis Recens) 3 slices, Dazao (Fructus Jujubae) 2 pieces. Decoct with water and take orally.
Liujunzi Tang (Six Gentlemen Decoction): Same as Sijunzi Tang (Four Gentlemen Decoction) plus Chenpi (Pericarpium Citri Reticulatae) 1 qian, Zhi Banxia (Prepared Rhizoma Pinelliae) 1.5 qian. Decoct with water and take orally.
Jiawei Chengqi Tang (Modified Order Downward Decoction): Treats blood stasis inside. Dahuang (Radix et Rhizoma Rhei), Nongpo (Cortex Magnoliae Officinalis), Zhishi (Fructus Aurantii Immaturus), Qianghuo (Rhizoma Notopterygii), Fangfeng (Radix Saposhnikoviae), Danggui (Radix Angelicae Sinensis), Shengdi (Radix Rehmanniae), Pomiao (Natrii Sulfas) each 1 qian. Decoct with water and take on an empty stomach; dosage may be adjusted according to circumstances.
Jiawei Siwu Tang (Modified Four Substances Decoction): Treats incomplete resolution of blood stasis. Danggui (Radix Angelicae Sinensis), Chuanxiong (Rhizoma Chuanxiong), Baizhi (Radix Angelicae Dahuricae), Shengdi (Radix Rehmanniae), Taoren (Semen Persicae), Honghua (Flos Carthami), Zhike (Fructus Aurantii), Niuxi (Radix Achyranthis Bidentatae), Dahuang (Radix et Rhizoma Rhei), Sumu (Lignum Sappan), Qianghuo (Rhizoma Notopterygii) each 1 qian. Decoct with water and take in the morning.
Xiaoyao San (Free and Easy Wanderer Powder): Chaihu (Radix Bupleuri), Tu Chao Baizhu (Earth-stir-fried Rhizoma Atractylodis Macrocephalae), Fuling (Poria) each 1 qian, Danggui (Radix Angelicae Sinensis, mixed with wine) 2 qian, Zhigancao (Radix Glycyrrhizae Preparata) 0.5 qian, Bohe (Herba Menthae) 0.6 fen, add Wei Jiang (Roasted Ginger)... [Text fragmentary]
Yigong San (Extraordinary Merit Powder): Same as Liujunzi Tang (Six Gentlemen Decoction) minus Banxia (Rhizoma Pinelliae).
Dushen Tang (Single Ginseng Decoction): Renshen (Radix Ginseng) 1 liang, Water 2 zhong, Dazao (Fructus Jujubae) 10 pieces, or Lotus Seeds (Semen Nelumbinis) and Longyanrou (Arillus Longan), decoct together and take orally.
Liushi Tang (Six Flavor Decoction): Dihuang (Radix Rehmanniae Praeparata) 4 liang, Shanzhuyu (Fructus Corni), Shanyao (Rhizoma Dioscoreae) each 2 liang, Fuling (Poria), Danpi (Cortex Moutan) each 1 liang, Zexie (Rhizoma Alismatis) 1.5 liang. Decoct with water and take orally. If bleeding from trauma does not stop, add Maidong (Radix Ophiopogonis) and Wuweizi (Fructus Schisandrae) each 3 qian.
Tuoli San (Supporting Interior Powder): Jinyinhua (Flos Lonicerae), Danggui (Radix Angelicae Sinensis) 2 liang, Dahuang (Radix et Rhizoma Rhei), Huafen (Radix Bupleuri - *Note: Huafen usually refers to Bupleuri root in some contexts or Peucedanum, here likely Bupleuri or Peucedanum depending on school, WHO standard often maps Hua Fen to Radix Peucedani*), Lianqiao (Fructus Forsythiae) each 5 qian, Muli (Concha Ostreae), Zaojiaoci (Spina Gleditsiae Sinensis) each 3 qian, Huangqin (Radix Scutellariae), Chishao (Radix Paeoniae Rubra) each 1 qian, Pomiao (Natrii Sulfas) 5 qian. Decoct with half wine and half water and take orally.