背脊颈骨上下及胸胁两肩背臂之痧，用钱蘸香油刮之。头额腿上痧，用棉纱线或KT 麻蘸香油
刮之。大小腹软肉内痧，用食盐以手擦之。
脖项后当中洼处刮一道，脖项后两旁左右大筋上各刮一道，前身两肩下胁上软肉缝中各斜刮
一道，两胁肋软缝中左右各刮三道，左右肩靠着肩井软肉处各刮一道，背脊骨两旁竖刮，自项下
至腰各刮一道，背后胁肋软缝中左右各刮三道。以上皆用钱蘸盐水刮之。两臂内用KT 麻一缕，捻松
绳蘸水刮之，但要出痧红紫为度。诸穴并
治一切痧症，唯KT 麻刮臂湾，专治眩晕恶心痧。若非病症，刮之亦不红紫。
松峰曰∶前刮痧法出《痧胀玉衡》书。新定刮痧法乃屡用而屡效者，并录之以备择用。
肌肤痧用油盐水刮之，则毒不内攻。血肉痧看青紫筋刺之，则毒有所泄。内形痧须辨经络
脏腑，在气在血，则可消散而绝其根。（此段言当用药。）
足太阳膀胱痧，腰背巅顶连风府胀痛难忍。
足阳明胃经痧，两目红赤如桃，唇干鼻燥，腹中绞痛。
足少阳胆经痧，胁肋肿胀痛，连两耳。
足太阴脾经痧，腹胀版痛，且不能屈伸，四肢无力，泻不止。
足厥阴肝经痧，心胃吊痛，身重难移，作肿（身上。）作胀。（腹内。）
足少阴肾经痧，痛连腰肾，小腹胀硬。
手太阳小肠经痧，半身疼痛，麻木不仁，左足不能屈伸。
手阳明大肠经痧，半身胀痛，俯仰俱废，右足不能屈伸。
手少阳三焦经痧，胸腹热胀，揭去衣被，干燥无极。
手太阴肺经痧，咳嗽声哑，气逆发呛。
手厥阴心包络痧，或醒或寐，或独语一二句。
手少阴心经痧，病重沉沉，昏迷不醒，或狂言乱语。
For sha (sand disease) located on the back of the spine, above and below the cervical vertebrae, as well as in the chest, hypochondrium, both shoulders, back, and arms, scrape using a copper coin dipped in sesame oil. For sha on the head, forehead, and legs, use cotton yarn or ramie (KT hemp) dipped in sesame oil to scrape. For sha within the soft flesh of the lower and upper abdomen, rub with salt using the hand.
Scrape one line down the central depression at the back of the neck; scrape one line on each of the large tendons on both sides at the back of the neck; scrape one diagonal line in the soft flesh creases below both shoulders and above the hypochondrium on the anterior body; scrape three lines on each side in the soft creases of the bilateral hypochondriac ribs; scrape one line on the soft flesh area where each shoulder meets near the Jianjing (GB21) acupoint; scrape vertically along both sides of the spinal column, one line from below the neck to the waist; scrape three lines on each side in the soft creases behind the hypochondriac ribs. All the aforementioned areas are scraped using a copper coin dipped in salt water. For the inner aspect of both arms, use a strand of ramie (KT hemp), twisted into a loose rope, dipped in water to scrape, until red-purple sha marks appear. The aforementioned acupoints and methods treat all types of sha syndrome. Specifically, scraping the cubital fossa (arm bend) with ramie treats sha causing dizziness and nausea. If it is not a pathological condition, scraping will not produce red-purple marks.
Liu Songfeng stated: The previous method of scraping sha was derived from the book *Shazhang Yuheng*. The newly defined scraping method has been used repeatedly with consistent efficacy; it is recorded here for reference and selection.
For sha affecting the skin and muscles, scraping with oil and salt water prevents the pathogenic toxin from attacking inward. For sha affecting the flesh and blood, observe the cyanotic purple veins and puncture them, allowing the pathogenic toxin to be discharged. For internal-form sha, one must differentiate the involved meridians and zang-fu organs, and determine whether the pathology lies in the qi level or the blood level, so that the pathogen can be dissipated and its root eradicated. (This passage indicates that medicinal treatment should be employed.)
Sha of the Foot-Taiyang Bladder Meridian presents with unbearable distending pain in the lower back, back, vertex, and connecting to the Fengfu (GV16) acupoint.
Sha of the Foot-Yangming Stomach Meridian presents with eyes red and swollen like peaches, dry lips, dry nasal passages, and colicky abdominal pain.
Sha of the Foot-Shaoyang Gallbladder Meridian presents with swelling and pain in the hypochondrium radiating to both ears.
Sha of the Foot-Taiyin Spleen Meridian presents with abdominal distension and stiff pain, inability to flex or extend, weakness in the four limbs, and incessant diarrhea.
Sha of the Foot-Jueyin Liver Meridian presents with pulling pain in the heart and stomach, heaviness of the body making movement difficult, edema of the body, and distension of the abdomen.
Sha of the Foot-Shaoyin Kidney Meridian presents with pain radiating to the lower back and kidneys, and hardness and distension of the lower abdomen.
Sha of the Hand-Taiyang Small Intestine Meridian presents with pain and numbness in half of the body, and inability to flex or extend the left foot.
Sha of the Hand-Yangming Large Intestine Meridian presents with distending pain in half of the body, inability to bend or straighten, and inability to flex or extend the right foot.
Sha of the Hand-Shaoyang Sanjiao (Triple Burner) Meridian presents with heat and distension in the chest and abdomen, a desire to remove clothing and bedding, and extreme dryness.
Sha of the Hand-Taiyin Lung Meridian presents with coughing and hoarseness, rebellious qi causing choking sensations.
Sha of the Hand-Jueyin Pericardium Meridian presents with alternating states of wakefulness and sleep, or speaking isolated sentences alone.
Sha of the Hand-Shaoyin Heart Meridian presents with severe lethargy, coma, or delirious speech.