《急救仙方》Vol. 7

This passage outlines a seven-step medicinal protocol for treating severe external injuries. For critical trauma, the first step involves administering either Da Chengqi Decoction or Xiao Chengqi Decoction (both purgative formulas), or Siwu Decoction (a blood-nourishing formula) to regulate bowel movements and eliminate stagnant blood. Women, however, should take the specialized Yinhong Decoction for this purpose.

The second step employs Huangmo Powder, to be taken with warm wine without strict timing restrictions. For upper-body ailments, take after meals; for lower-body conditions, take on an empty stomach; for whole-body pain, take before sleep. The third step uses Baimo Powder, similarly prepared with heated wine and administered identically to Huangmo Powder. This formula proves particularly effective for various postpartum blood disorders in women.

Step four requires Wuwanzhi Pills, step five Hongwanzi Pills, and step six Mawanzi Pills—all taken with warm wine. Women should use ai vinegar decoction as the delivery medium, though pregnant women must avoid these. The seventh step involves Huoxue Dan, Danggui Powder, and Ruxiang Powder (specific formulas detailed earlier), all wine-prepared without timing constraints, following the same administration rules as Huangmo and Baimo Powders. Notably, the Ruxiang Powder formula—when cross-referenced with the Shanquan Formula—requires six additional ingredients: one jin of white poplar bark, ten raw mustard seeds, one jin of ze lan herb, six liang of sandalwood, two liang of aquilaria, and one jin of chuanxiong rhizome. Other formula details appear in subsequent sections (Da Chengqi, Xiao Chengqi, and Siwu Decoction compositions are documented earlier).

Huangmo Powder specializes in trauma treatment, addressing:

• Broken skin and severed muscles
• Blood stagnation and abscess ulceration with intense pain
• Occupational strain causing shoulder/back/limb pain
• Post-traumatic wind-strike symptoms like limb paralysis
• Dislocated joints and muscular contractures

This formula demonstrates remarkable efficacy in tendon restoration and bone knitting. Prolonged use promotes blood circulation, reduces swelling, and enhances physical strength.

The Huangmo Powder composition includes:

• Processed Sichuan aconite
• Vinegar-prepared wild aconite
• Separately ground liquidambar resin (3 jin each)
• Wine-soaked then shade-dried angelica root and red peony root (0.5 liang each)
• Sichuan lovage rhizome (de-haired), seven-times water-processed chuanxiong
• Thoroughly washed asarum herb
• Angelica dahurica
• De-barked mountain cinnamon
• Dough-wrapped baked ginger
• Moist-paper-wrapped yellow ginger
• De-boned acanthopanax bark
• De-haired platycodon root
• De-haired then fried drynaria rhizome
• Seven-times vinegar-prepared atractylodes rhizome

This scripture records several ancient medicinal formulas for treating external injuries and musculoskeletal damage, primarily comprising three main prescriptions:

The first is the Fleeceflower Root formula, which uses two jin each of fleeceflower root (steamed seven times with black bean wine) and achyranthes root (soaked in wine for seven days then dried), combined with half a jin each of anemarrhena rhizome and myrrh, all ground into fine powder. Take two qian per dose mixed with salted wine. For upper body injuries, take after meals; for full-body damage, take before sleep. Special caution: forbidden for pregnant women.

The second is White Medicinal Powder, specifically for severe trauma including broken skin, fractured bones, torn tendons, blood stasis swelling, and even resulting infections, suppuration, or wind-stroke paralysis. This formula excels at bone-setting and tendon-mending with rapid effects, also treating postpartum blood stasis. Ingredients include ten liang each of platycodon root, angelica dahurica, and honey-fried licorice, half a jin each of chuanxiong rhizome, mountain cinnamon, and asarum, plus over ten additional herbs including aconite, dipsacus root, achyranthes root, and Chinese angelica.

The third Black Pill formula primarily treats unrelieved blood stasis from fractures and tendon injuries, wind-stroke paralysis, and limb weakness. It specifically mentions treating postpartum blood stasis causing facial and limb edema, again emphasizing the pregnancy prohibition. Ingredients include red beans, ampelopsis root, asarum, red peony root, and vinegar-boiled fleeceflower root, with monkshood requiring seven vinegar boilings.

All formulas require grinding herbs into fine powder, taking two qian per dose with wine. The text repeatedly emphasizes timing doses according to injury location and consistently warns against use during pregnancy, demonstrating ancient physicians' clear understanding of medicinal toxicity and gestational contraindications.

This scripture records three medicinal formulas for treating traumatic injuries: Red Pill, Achyranthes Pill, and Hemp Seed Pill. These prescriptions primarily address external injuries such as bone fractures, tendon damage, and blood stasis with swelling and pain.

Red Pill preparation method: Take equal portions (1.5 liang each) of processed Arisaema rhizome (wrapped in wheat bran and roasted), Chinese angelica (soaked in wine overnight), Cyathula root (de-haired and wine-soaked), plant soot, Drynaria rhizome (de-haired and stir-fried), and Lindera root (boiled with black beans then baked dry). Grind these ingredients into fine powder. Mix with wine previously used to boil black beans and flour paste to form wutong seed-sized pills. Take 50 pills per dose, swallowed with scallion-infused wine or tea. This formula treats both recent and old traumatic injuries by activating blood circulation, resolving stasis, reducing swelling, relieving pain, and strengthening tendons and bones. Contraindicated for pregnant women.

Achyranthes Pill formula: Contains wine-soaked Cyathula root, processed Sichuan aconite, Arisaema rhizome (vinegar-boiled three times), cleaned Asarum herb, cooked Polygonum multiflorum, platycodon root (de-haired), cinnamon (de-barked), Chinese angelica, Ampelopsis root, red peony root, separately ground myrrh, de-haired Drynaria rhizome, de-haired Notopterygium root, raw Phaseolus beans, and separately ground pyrite (calcined and quenched in vinegar seven times). Except for ingredients requiring separate grinding, dry-fry and powder the remaining herbs, then mix with wine and flour paste to form pills. Take 50 pills per dose, with administration method varying according to injury location.

Hemp Seed Pill specifically treats severe fractures: Composed of Chinese angelica, platycodon root (also called "Buluofu"), unsoaked Cyathula root (0.5 liang each), de-haired Drynaria rhizome (2 liang), Sichuan lovage root, and plant soot. This prescription addresses extreme pain from compound fractures with torn flesh and severed tendons, as well as post-traumatic wind-dampness causing joint contractures and limb disabilities. Long-term use strengthens bones and tendons while unblocking meridians, but is likewise contraindicated during pregnancy.

All formulas emphasize wine-processing or wine-assisted ingestion, as alcohol enhances medicinal efficacy and promotes blood circulation. The elaborate herb preparation methods—whether wine-soaking, vinegar-boiling, or calcining-and-quenching—are designed to optimize therapeutic properties.

Here are two ancient medicinal formulas for treating traumatic injuries, both recorded in the Daoist medical classic Emergency Immortal Prescriptions (Jijiuxianfang).

The first formula, called "Blood-Vitalizing Elixir" (Huoxuedan), specifically treats bruises, fractures, torn tendons, swelling, and pain. The preparation involves processing specific herbs like aconite root (caowu), momordica seeds (mubiezi), red peony root (chishaoyao), cibotium rhizome (jinmaogouji), black soybeans (wudou), and Sichuan aconite (chuanwu) through specialized methods before grinding them into powder. This powder is then mixed with wine and flour paste to form pill-sized wutong seeds. Adults take fifty pills per dose with warm wine, while women take them with mugwort vinegar soup. This medicine treats blood stasis, swelling, limb pain, and even severe conditions like abscesses, stroke, and paralysis. For use, half a pill is dissolved in ash-free wine, lightly decocted, and taken warm without time restrictions. Normally stored in gauze bags hung in cool places, it can be preserved long-term for emergencies—though it's forbidden for pregnant women.

The second formula employs over thirty ingredients, including schizonepeta (jingjie), aconite (caowu), Sichuan aconite (chuanwu), liquidambar resin (fengxiang), and sandalwood (tanxiang). Each herb specifies unique processing techniques—some boiled in wine, others roasted over fire or stir-fried with lime. Certain ingredients require separate grinding, specific soaking durations, or removal of particular parts, reflecting meticulous craftsmanship. Though detailed usage isn't described, the herb combinations suggest another trauma-focused remedy.

These formulas exemplify Daoist medicine's emphasis on emergency care, highlighting precise herb processing and usage taboos. They offer both practical value and insight into ancient medical traditions.

This passage describes several medicinal formulas used by ancient Daoist physicians for treating injuries.

The first pill preparation: Take 1.5 qian of dripping green (a mineral medicine) and grind separately, 1.5 liang of flying squirrel feces (Trogopterus dung) ground with rush stems, and 20 myrobalan seeds with their oil shells removed. These ingredients are ground into fine powder, mixed with wine-boiled dough paste to form pill-sized balls, then pounded in a stone mortar over thirty times. The mixture is kneaded into lumps weighing 1 liang each, divided into three pills. These undergo three treatments: one portion air-dried, one sun-dried for half an hour, and one baked for half an hour. The three portions are then blended to harmonize their Yin-Yang properties. When white frost appears on the surface, it's brushed off before coating the pills with black lacquer.

For severe injuries: First cleanse the wound with a wash formula containing ingredients like tree peony bark, photinia leaves, angelica root, poplar bark, green onion, fleeceflower root, wild angelica, schizonepeta, ligusticum, and peony root - decocted and used warm for washing, then dried with silk cloth.

The Black Dragon Horn ointment specifically treats trauma, fractures and dislocations, applied similarly to the previously mentioned Black Dragon Powder. After wound cleaning and bone setting, the medicine is mixed and applied with bandaging. It can also be directly sprinkled on wounds. Ingredients include: silkworm larvae (stir-fried with silk mouths removed), red beans, achyranthes root, mountain cinnamon, platycodon root, bletilla tuber, loquat leaves, plant ash, tangkuei tail, morinda root, asarum herb, angelica root, arisaema rhizome, red peony root, fleeceflower root, ampelopsis root, anemarrhena rhizome, and aconite root - ground into powder then mixed with ginger juice or tea before spreading on paper for application to swollen areas, changed every three days. Fractures require splinting.

The Peach Blossom Powder treats chronic ulcers and arrow wounds that resist healing for years.

The Ji Jiu Xian Fang (Emergency Immortal Formulas) records several medicinal prescriptions for treating external injuries and illnesses. Here is a modern vernacular interpretation:

The first is a hemostatic formula: If the skin is broken and bleeding does not stop, first apply this powdered medicine directly to the wound. The next day, wash the wound with medicated water and reapply the powder to effectively disperse blood stasis and stop bleeding. The formula includes processed alum, dragon bone, dragon’s blood resin, pine sugar, gallnut powder frost, refined and fire-processed yellow lead (huangdan), and gypsum (calcined in yellow clay wrapping). These ingredients must be ground into an extremely fine powder and stored in a jar for later use.

The second is Zijin San (Purple-Gold Powder), used for setting bones, mending tendons, relieving pain, and regenerating flesh. It treats internal injuries with blood vomiting, heart and abdominal distension pain, limb weakness, and hemiplegia. The formula consists of purple-gold vine bark, lignum dalbergiae odoriferae, rhizoma drynariae (with hairs removed), amber, Chinese angelica root (tail removed), peach kernel (peeled), cattail pollen, prepared rhubarb, fine-cut dipsacus root, pyrolusite (quenched seven times in heated wine), achyranthes root (soaked overnight in wine), and refined mirabilitum (filtered seven times after dissolving in hot water). Grind these ingredients into powder and take with wine decocted from sappanwood, three times daily for effect.

The third is Qibao San (Seven-Treasure Powder), specifically for wind-damp leg qi (foot ailment), knee sores, hemiplegia, muscle spasms, hidden sole pain, and mobility difficulties. The formula includes stir-fried silkworm droppings, stir-fried cnidium seeds, cinnamon (peeled), dried lotus leaf, stir-fried Sichuan aconite, schizonepeta spike, ligusticum root (soil removed), and coix seed. Take about two liang of the mixture, boil with five sheng of water along with Sichuan pepper and whole scallions, then use seven-tenths of the decoction to wash the affected area while hot.

Lastly, Dingtong Wan (Pain-Stabilizing Pill) treats severe lower back pain and is suitable for all ages and genders. The formula includes clematis root (soil removed), golden bell seed (pitted and stir-fried), prepared Sichuan aconite, star anise, and other ingredients.

These prescriptions meticulously document the processing methods and dosages of medicinal ingredients, reflecting the ancient Chinese medical approach of combining external and internal treatments. Techniques like "water-flying" (feiguo) and "calcining" (duanguo) are employed to optimize the efficacy of the herbs. Proper pre-processing and administration methods must be observed when using these formulas.

This prescription records several herbal formulas for treating musculoskeletal injuries and stopping bleeding. The first method involves grinding medicinal herbs into fine powder, mixing with wine-cooked flour paste to form pills the size of phoenix tree seeds. Take fifty pills per dose, washed down with salted broth or wine.

The second formula, called "Seven Qi Decoction" (Qiqi Tang), specifically treats long-accumulated meridian damage, particularly effective for stiff back, productive cough, physical weakness and emaciation—especially when chronic conditions flare up during autumn and winter. Containing over ten ingredients including green tangerine peel, aged tangerine peel and burreed rhizome, each dose uses five qian of herbs boiled with three slices of ginger and one jujube in one-and-a-half large bowls of water until reduced by thirty percent, then strained for consumption.

The third is an external wash called "Immortal's Correction Powder" (Xianzheng San) for post-fracture cleansing. With ingredients like cinnamon bark and Chinese angelica, the decoction is used hot for fumigating and washing injured areas to relieve muscle spasms and mobility impairment. After washing, apply Black Dragon Horn ointment, with additional bandaging for open wounds.

Lastly, the hemostatic formula uses powdered dragon's blood and dalbergia odorifera for topical application on unstopped bleeding from flesh wounds or head injuries. Special emphasis is placed on using premium safflower (known as "horse-head safflower") and five-colored dragon bones, each ground separately. All formulas stress selecting internal or external applications according to injury location and severity.

This medical formula records several traditional Chinese emergency remedies. First is the external wound hemostatic formula: grind frankincense (with rush pith), myrrh (ground separately, five qian each), a small amount of platycodon root, angelica sinensis (three qian), sappan wood, and dalbergia odorifera (small amounts) into powder. Take a whole chicken with feathers and internal organs, boil thoroughly in vinegar, wrap in yellow clay and simmer dry over gentle heat, then roast into powder. After finely grinding all ingredients, sprinkle directly on profusely bleeding wounds. When bleeding slows, apply mixed with clear oil.

The bone-setting powder formula includes: borax (one and a half qian), lead carbonate powder and angelica sinensis (one qian each), ground and taken with sappan wood decoction (two qian per dose), followed by continued drinking of sappan wood decoction. This formula specifically treats fractures and tendon ruptures from falls or livestock accidents, promoting bone reunion, tendon reconnection, pain relief, and blood activation.

The scar removal formula uses equal parts vitex fruit, malaytea scurfpea fruit (commonly called suizi), and negundo chastetree fruit. Grind finely, steam nine times, soak overnight in boys' urine, then dry-fry. Apply wrapped in silk cloth to rub scars.

The yin-red decoction for women's blood stasis contains: burnt parturient hair ash and deer antler glue (one qian each), myrrh (three qian), taken with a large cup of wine. Treats critical symptoms like abdominal distension and urinary/fecal obstruction caused by unresolved blood stasis.

The gelatin-artemisia decoction for menstrual regulation includes: dried rehmannia root (three qian), donkey-hide gelatin, ligusticum root, and mugwort leaves (two qian each), decocted with water and wine. Used for amenorrhea, followed by turtle shell powder consolidation.

Finally, the fracture washing formula: decocted water cleans broken bones before setting, followed by black dragon horn paste application. These formulas all emphasize "emergency use" and "immediate effect," reflecting characteristics of ancient emergency medicine.

This records a medicinal formula for treating external injuries: requiring five liang of eucommia bark (a Chinese medicinal herb), seven liang of acanthopanax bark (another medicinal herb), and a handful of scallion roots.

The specific preparation method is: decoct these three ingredients with five sheng of water until the liquid reduces to seven-tenths of its original volume (approximately three and a half sheng remaining). After decoction, strain out the herb residue and use the liquid to rinse the wound. Take two and a half liang of the decoction orally each time.

For severe external injuries where the wound has already ruptured, the herb residue can be applied directly to the affected area. In cases of bone fractures, first administer the medicine, then secure and bandage the injury with splints. More detailed procedures can be referenced in the preceding chapters.

(Note: This is an external-use formula recorded in the seventh volume of Ji Xian Fang (Emergency Immortal Formulas), primarily used for treating external injuries. In the formula, eucommia bark strengthens bones and tendons, acanthopanax bark promotes blood circulation and disperses stasis, while scallion roots have anti-inflammatory effects—their combined action aids in wound healing.)