论曰金刃所伤，疮有微甚，生死所系，要在原经络所在。观变动之形，察微妙之脉。昔
人谓天窗、眉角、脑户、臂里跳脉、髀内阴股、两乳上下、心鸠尾、小腹及五脏六腑 ，皆
不可伤。此所谓原经络所在也。脑破出血，戴眼直视，不能语言，咽中沸声，口急唾出，两
手妄举，肌肉不生，按之干急，或青黄汁出，或疮边寒清，肉消臭败，或前出赤血，后出黑
血，或血出不止，白汁随出，此所谓观变动之形也。诊其脉虚细小者生，微缓而迟者生，反
此为难愈，此所谓察微妙之脉也，三者兼得，则治疗庶几矣。至于忌嗔怒及大言笑，思想阴
阳，行动作劳，勿食酸咸热酒羹 之类，此乃人所易为者，今兼叙之。
论曰血行脉中，周行灌溉而无穷已，金刃所伤者深，则其流湍激，若海泄河决，御之至
难，要在杜其冲溢之势，外观其形，内诊其脉之何如，若血出不断，其脉大而止者，为难治
，若血出不止，前赤后黑，或黄或白，肌肉腐臭，寒冷硬急者，亦为难治，不可不察也。
治金疮，止血闷及疼痛。麻黄散方
麻黄（去节一两半） 甘草（炙） 白芷 附子（炮裂去皮脐） 干姜（炮） 当归（切
焙） 续
上一十一味。捣罗为散，每服二钱匕，温酒调下，空腹日午夜卧各一服。可加至三钱匕
治刀斧所伤，并箭伤，血出不止，诸药贴不住者。神奇散方
麒麟竭（研） 没药（研） 自然铜（ 令紫） 天南星（炮） 干姜（烧灰） 铅丹
（炒黑） 腻
上九味。捣研为散拌匀，每用药贴疮，先以盐水洗过，烧葱研汁涂疮上，然后干掺药贴
之。
治金疮，定痛止血灭瘢。麒麟竭散方
麒麟竭（别研） 突厥白（别研各二两） 密陀僧（别研如面一两） 锻石（以小便一
斗浸三
上四味。合研令细，但是金刃所伤，浓以散敷之，以帛封裹，勿令着外风及露水，三日
后开，不见瘢痕。
治刀刃所伤，血出不止。南星散方
天南星（三枚切焙） 铅丹（半钱）
上二味。捣罗为散，干贴立定。
治金疮血出痛甚。槟榔散方
白槟榔（锉） 黄连（去须各一两）
上二味，捣罗为散敷之，血断痛止。
治一切刀斧所伤，血出不止，并久患恶疮。如神散方
龙骨（研） 虎骨（炙研） 铅丹（以火烧令通赤各半两） 丹砂（研） 腻粉（各一
钱） 麝香
上七味，同研极细，一切疮以黄连汤，或盐汤洗拭干，掺药在疮上，不得以衣沾着疮口
治金刃所伤，血出不止。黄连散方
黄连（去须） 槟榔（锉生用） 木香 白芷（各半两）
上四味，捣罗为散，掺所伤处，血即止，如妇人血运，以童子小便调下一钱匕，如脏毒
泻血，以水煎服。
治金疮，或竹木所刺，出血不止，及疼痛。桃红散方
干葛粉 染胭脂（各一两）
上二味研细，干掺在疮上，又用青绢，以鸡清涂绢，可疮口大小贴之，仍先用篦子按去
血，令药与肉平，方以青绢蘸鸡清贴之。
治金疮止血方
重午日日未出时，采百草头，唯药苗多，即尤佳，不限多少，捣取浓汁，又取锻石三五
升相和，捣作饼子，曝干为末，治一切金疮血出立止，兼治小儿恶疮。
治金疮血不止。刀箭药方
锻石（远年船上者烧一两） 龙骨（研半两） 铅丹（炒三钱） 狗脑骨（烧灰半两）
上四味，捣罗为末，敷疮上。
治金疮，止血生肌。白芷膏方
白芷 熟干地黄（焙） 当归（切焙各一两半） 白蔹（一两） 芎 （一两一分） 蜀
椒（去
上八味细锉，以猪脂五斤合和，煎三上三下，药成膏去滓，软硬得所。每日涂疮上。频
涂即效。
治金疮，止血定痛。风化散方
风化锻石末（一升） 干姜（三分生用） 生栗子末 白药末（各五两）
上四味，取端午日捣罗为散，凡有金疮，即敷之。
治金疮。石榴花散方
石榴花（曝干半两） 锻石（炒一升半）
上二味，捣罗为散，取少许敷疮上，捺少时血断便瘥。
治刀斧伤，止血生肌。蚕蛾散方
晚蚕蛾（生为细散）
上一味，以药散掺绢帛上，裹之效。
治金疮血不止。五倍散方
五倍子（生为细散）
上一味，干贴，血立定。
治金疮，止血定痛生肌。锻石膏方
锻石末（炒） 杏仁（汤去皮尖双仁炒各二两） 猪膏（半斤切）
上三味，合煎，令杏仁黄，药成，绞去滓，涂疮上，日夜五六度。
治金疮，止血。桑皮汁方
上急研桑白皮汁涂之，血便止，如不止，更取白皮裹疮上，令汁得入疮中，冬月用桑根
皮亦佳。
治金疮，止血。灰矿散方
古窑锻石 紫矿（各半两）
上二味，同为散，敷之。
治金疮血出，腹胀欲死。蒲黄散方
蒲黄 生干地黄（焙各一两半） 甘草（炙锉三分） 黄耆（锉） 当归（切焙） 芎
白芷
上八味，捣罗为散，每服三钱匕，空心酒调下，日三四服，血化为水下，若口噤斡开口
与之，仍加大黄一两半。
治金疮血不止疼痛，生肉、速瘥。石杏膏方
锻石 杏仁（汤浸去皮尖双仁炒各二两研）
上二味，都用猪脂一升煎，去筋膜调涂。
治刀斧伤疮，或至筋断。葵根敷方
上取葵菜根，捣敷之。
Discussion states: Injuries caused by metal blades (Jinren, metal sharp instruments) vary in severity, determining life or death. The key lies in identifying the affected meridians and collaterals. One must observe the morphological changes of the wound and examine the subtle pulse characteristics. Ancient practitioners held that injuries to Tianchuang (SI16), the corner of the eyebrow, Naohu (DU16), the pulsating vessels in the arm, the inner thigh and groin area, above and below both breasts, the Jiuwei (CV15) point and heart region, the lower abdomen, and the Zang-Fu organs should all be avoided as they are critical areas. This is referred to as "the location of the original meridians." If the brain is ruptured with bleeding, eyes fixed upward staring straight ahead, inability to speak, gurgling sounds in the throat, tight lips with saliva spurting out, hands waving randomly, failure of muscle regeneration, dryness and tension upon palpation, discharge of greenish-yellow fluid, coldness and clarity at the wound margin, muscle wasting with foul odor, initial bright red blood followed by dark black blood, continuous bleeding accompanied by white fluid discharge—these constitute what is called "observing the morphological changes." Diagnosing a deficient, fine, and small pulse indicates survival; a slightly slow and delayed pulse also indicates survival. Reversal of these signs suggests difficulty in cure. This is termed "examining the subtle pulse." When these three aspects (identifying meridians, observing morphology, examining pulse) are integrated, treatment has a reasonable chance of success. One must avoid anger, loud laughter, sexual thoughts, physical exertion, and consumption of sour, salty, hot, alcoholic, or soup-like foods. These are measures within human capability and are hereby recorded together.
It is discussed that blood circulates within the vessels, irrigating the body endlessly. Deep injuries from metal blades cause rapid and turbulent bleeding, akin to a breach in the sea or a rupture of the Yellow River, making control extremely difficult. The crucial step is to curb the surging momentum. Externally observe the form, internally diagnose the pulse. If bleeding is unceasing and the pulse is large but stops flowing, it is difficult to treat. If bleeding continues, starting red and turning black, or yellow or white, with rotting, foul-smelling, cold, stiff, and tense flesh, it is also difficult to treat and requires careful examination.
To treat metal blade injuries, stop bleeding, relieve stuffiness, and alleviate pain. Mahuang San Formula:
Ephedrae Herba (Mahuang, 麻黄) (remove nodes, 1.5 liang), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) (honey-fried), Angelicae Dahuricae Radix (Baizhi, 白芷), Aconiti Lateralis Radix Praeparata (Fuzi, 附子) (processed, skin and placenta removed), Zingiberis Rhizoma (Ganjiang, 干姜) (processed), Angelicae Sinensis Radix (Danggui, 当归) (sliced and roasted), Cistanches Herba (Roucongrong, 续断 - *Note: Text says 'Xu', likely Cistanches or Dipsacus, context implies healing*).
These eleven ingredients are crushed and sieved into a powder. Take 2 qianbi per dose, mixed with warm wine, taken on an empty stomach, at midnight, and before sleep. Dosage may be increased to 3 qianbi.
To treat injuries from knives and axes, as well as arrow wounds, where bleeding is unceasing and other topical medications fail. Shenqi San Formula:
Daemonorops Draco (Qilinjie, 麒麟竭) (ground), Myrrha (Moyao, 没药) (ground), Pyritum (Zirantong, 自然铜) (calcined until purple), Pinelliae Tuber (Tiannanxing, 天南星) (processed), Zingiberis Rhizoma (Ganjiang, 干姜) (burnt to ash), Minium (Qiandan, 铅丹) (stir-baked until black), Nifens (Nifen, 腻粉).
These nine ingredients are crushed, ground, and mixed evenly. Apply the powder to the wound after washing with salt water. First, apply juice from burnt scallions, then sprinkle the dry powder on the wound.
To treat metal blade injuries, stop bleeding, relieve pain, and eliminate scars. Qilinjie San Formula:
Daemonorops Draco (Qilinjie, 麒麟竭) (separately ground), Borneolum Syntheticum (Tuju Bai, 突厥白 - *likely a specific grade of Borneol*) (separately ground, each 2 liang), Litharge (Miduoseng, 密陀僧) (separately ground to flour consistency, 1 liang), Fuxi (Duanshi, 锻石) (soaked in one dou of urine for three days...).
These four ingredients are mixed and ground finely. For any metal blade injury, apply a thick layer of powder, wrap with cloth, and protect from wind and dew. After three days, remove; no scar will remain.
To treat knife injuries with unceasing bleeding. Nanxing San Formula:
Pinelliae Tuber (Tiannanxing, 天南星) (three pieces, sliced and roasted), Minium (Qiandan, 铅丹) (half qian).
These two ingredients are crushed and sieved into a powder. Apply dry powder to stop bleeding immediately.
To treat metal blade injuries with severe bleeding and pain. Binglang San Formula:
Arecae Semen (Binglang, 槟榔) (crushed), Coptidis Rhizoma (Huanglian, 黄连) (remove roots, each 1 liang).
These two ingredients are crushed and sieved into a powder and applied. Bleeding stops and pain ceases.
To treat all knife and axe injuries with unceasing bleeding, and chronic malignant ulcers. Rushen San Formula:
Os Draconis (Longgu, 龙骨) (ground), Os Tigris (Hugu, 虎骨) (roasted and ground), Minium (Qiandan, 铅丹) (heated until red-hot, half liang each), Cinnabaris (Dansha, 丹砂) (ground), Calomel (Nifen, 腻粉) (one qian each), Moschus (Shexiang, 麝香).
These seven ingredients are ground extremely fine. Clean all wounds with Huanglian Decoction or salt water, wipe dry, and sprinkle powder on the wound. Do not let clothing touch the wound.
To treat metal blade injuries with unceasing bleeding. Huanglian San Formula:
Coptidis Rhizoma (Huanglian, 黄连) (remove roots), Arecae Semen (Binglang, 槟榔) (crushed, raw), Aucklandiae Radix (Muxiang, 木香), Angelicae Dahuricae Radix (Baizhi, 白芷) (each half liang).
These four ingredients are crushed and sieved into a powder. Sprinkle on the injured area to stop bleeding. For women with blood syncope, mix with child's urine and take one qianbi. For internal toxicity causing bloody diarrhea, decoct in water and take.
To treat metal blade injuries, punctures from bamboo or wood, unceasing bleeding, and pain. Taohong San Formula:
Puerariae Lobatae Radix Powder (Gangen Fen, 干葛粉), Dyed Rouge (Ranyanzhi, 染胭脂) (each 1 liang).
Grind these two ingredients finely. Sprinkle dry powder on the wound. Then, use blue silk coated with egg white, sized to the wound. First, press out blood with a comb so the medicine levels with the flesh, then apply the egg-white-coated blue silk.
Formula to stop bleeding in metal blade injuries:
Collect herb tips on the Dragon Boat Festival (Wu Day) before sunrise; medicinal sprouts are best. Quantity unlimited. Crush to extract thick juice. Mix with 3-5 sheng of Duanshi (Fuxi). Pounded into cakes, sun-dried, and powdered. Stops bleeding instantly in all metal blade injuries and treats pediatric malignant ulcers.
Medicine for knife and arrow wounds with unceasing bleeding:
Duanshi (from old boats, calcined, 1 liang), Os Draconis (Longgu, 龙骨) (ground, half liang), Minium (Qiandan, 铅丹) (stir-baked, 3 qian), Dog Brain Bone (Gounao Gu, 狗脑骨) (burnt to ash, half liang).
These four ingredients are crushed and sieved into powder. Apply to the wound.
White Angelica Ointment to stop bleeding and regenerate flesh in metal blade injuries:
Angelicae Dahuricae Radix (Baizhi, 白芷), Prepared Rehmanniae Radix (Shudihuang, 熟干地黄) (roasted), Angelicae Sinensis Radix (Danggui, 当归) (sliced and roasted, each 1.5 liang), Peucedani Radix (Bailian, 白蔹) (1 liang), Ligustici Chuanxiong Rhizoma (Chuanxiong, 川芎) (1.1 liang), Zanthoxyli Pericarpium (Shujiao, 蜀椒) (remove seeds...).
These eight ingredients are finely chopped and mixed with five jin of lard. Boil using the "three up, three down" method. Strain and adjust consistency. Apply to the wound daily. Frequent application yields quick results.
Fenghua San to stop bleeding and relieve pain in metal blade injuries:
Calcined Duanshi Powder (Fenghua Duanshi Mo, 风化锻石末) (1 sheng), Raw Zingiberis Rhizoma (Ganjiang, 干姜) (3 fen), Fresh Chestnut Powder (Sheng Lizi Mo, 生栗子末), Ba Yao Powder (Baiyao Mo, 白药末) (each 5 liang).
On the Dragon Boat Festival, crush and sieve these four ingredients into a powder. Apply to any metal blade injury.
Pomegranate Flower Powder for metal blade injuries:
Dried Pomegranate Flower (Shiliuhua, 石榴花) (half liang), Calcined Duanshi (Duanshi, 锻石) (1.5 sheng).
Crush and sieve these two ingredients. Apply a small amount to the wound and press briefly to stop bleeding and heal.
Silkworm Moth Powder to stop bleeding and regenerate flesh in knife/axe injuries:
Late Silkworm Moth (Wancanye, 晚蚕蛾) (raw, ground to fine powder).
Sprinkle this powder on silk fabric and wrap the wound. Effective.
Wubei San for unceasing bleeding in metal blade injuries:
Chinese Gall (Wubeizi, 五倍子) (raw, ground to fine powder).
Apply dry powder; bleeding stops immediately.
Duanshi Paste to stop bleeding, relieve pain, and regenerate flesh in metal blade injuries:
Calcined Duanshi Powder (Duanshi Mo, 锻石末) (stir-fried), Apricot Kernel (Xingren, 杏仁) (blanched, skin and tip removed, double-kernel, roasted, each 2 liang), Lard (Zhugao, 猪膏) (half jin, cut).
Simmer these three ingredients until apricot kernels turn yellow. Strain and apply to the wound 5-6 times day and night.
Mulberry Bark Juice to stop bleeding in metal blade injuries:
Grind fresh Mulberry Root Bark (Sangbaidi, 桑白皮) urgently to extract juice and apply. Bleeding stops. If not, wrap the wound with white bark to allow juice penetration. Winter use of mulberry root bark is also good.
Ash Mineral Powder to stop bleeding in metal blade injuries:
Ancient Kiln Duanshi (Guyao Duanshi, 古窑锻石), Purple Resin (Zikuang, 紫矿) (each half liang).
Grind together into a powder and apply.
Puhuang San for metal blade injury bleeding with abdominal distension nearing death:
Polygoni Cathayensis Spora (Puhuang, 蒲黄), Prepared Rehmanniae Radix (Sheng Gan Dihuang, 生干地黄) (roasted, each 1.5 liang), Honey-fried Licorice Root (Zhi Gancao, 甘草) (crushed, 3 fen), Astragali Radix (Huangqi, 黄耆) (crushed), Angelicae Sinensis Radix (Danggui, 当归) (sliced and roasted), Ligustici Chuanxiong Rhizoma (Chuanxiong, 川芎), Angelicae Dahuricae Radix (Baizhi, 白芷).
Crush and sieve these eight ingredients into powder. Take 3 qianbi per dose with wine on an empty stomach, 3-4 times daily. Blood transforms into water and drains. If jaw is locked, pry open mouth to administer. Add Rhubarb (Dahuang, 大黄) 1.5 liang.
Shixing Gao to stop bleeding, relieve pain, regenerate flesh, and accelerate healing in metal blade injuries:
Duanshi (锻石), Apricot Kernels (Xingren, 杏仁) (soaked in water, skin and tip removed, double-kernel roasted, ground, each 2 liang).
Simmer these two ingredients in one sheng of lard. Remove membranes, mix, and apply.
Okra Root Poultice for knife/axe wounds, even tendon severance:
Take Okra Root (Kuigen, 葵根), crush, and apply as a poultice.