（三条）
一妇人闪臂腕，肿大已三月，手臂日细，肌瘦恶寒，食少短气，脉息微细。属形病俱虚
也，遂投补中益气加肉桂，引诸药以行至臂；再加贝母、香附，以解久病之郁；间服和血定
痛丸，以葱熨之，肿消二三。因怒，患处仍胀，胸膈两胁微痛，以前汤更加木香、山栀、半
夏、桔梗服之少可。复因惊，不寐少食，盗汗，以归脾汤加五味、麦门，二十余剂而安，肿
消三四，手臂渐肥。但经水过期而少，此心脾之血尚未充足而然也。乃用八珍加五味、麦门
、丹皮、远志、香附、贝母、桔梗，四十余剂，诸症悉愈。后因怒发热谵语，经水如涌，此
怒动肝火，以小柴胡汤，加生地黄三钱，一剂遂止；以四物加柴胡，调理而康。
州守陈克明子，闪右臂腕，肿痛肉色不变，久服流气等药，加寒热少食，舌干作渴。余
曰∶伤损等症，肿不消，色不变，此运气虚而不能愈，当助脾胃、壮气血为主。遂从余法治
之，不二月形气渐充，肿热渐消，半载诸症悉退，体如常。
一小儿闪腿腕壅肿，形气怯弱。余欲治以补气血为主，佐以行散之剂。不信。乃内服
流气饮，外敷寒凉药，加寒热体倦。余曰∶恶寒发热，脉息洪大，气血虚极也，治之无功。
后内溃，沥尽气血而亡。
一男子闪伤右腿，壅肿作痛。余谓∶急砭去滞血，以补元气，庶无后患。不信。乃外敷
大黄等药，内服流气饮。后涌出秽脓数碗许，其脓不止。乃复请治，视其腿细而脉大，作渴
发热，辞不治，后果殁。
窗友黄汝道，环跳穴处闪伤，瘀血肿痛，发热作渴。遂砭去瘀血，知其下焦素有虚火，
用八珍加黄柏、知母、牛膝、骨碎补，四剂顿止。用十全大补汤少加黄柏、知母、麦门、五
味，三十余剂而敛。
(Three medical cases in total)
A woman suffered a sprain of the arm and wrist, with swelling persisting for three months. The arm gradually became thinner, accompanied by emaciation, aversion to cold, poor appetite, shortness of breath, and a faint and fine pulse. This was classified as deficiency in both form (body constitution) and disease. Therefore, Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) was administered with added Rou Gui (Cortex Cinnamomi), to guide the herbs to the arm. Bei Mu (Fritillariae Bulbus) and Xiang Fu (Cyperi Rhizoma) were added to resolve the stagnation caused by the chronic condition. He Xue Ding Tong Wan (Blood-Regulating and Pain-Relieving Pill) was taken intermittently, and the swollen area was moxibusted/warmed with scallions (Cong Bai). The swelling subsided by two or three parts. Later, due to anger, the affected area swelled again, with slight pain in the chest, diaphragm, and hypochondrium. The previous decoction was modified by adding Mu Xiang (Aucklandiae Radix), Shan Zhi (Gardeniae Fructus), Ban Xia (Pinelliae Rhizoma Praeparatum), and Jie Geng (Platycodonis Radix); symptoms improved slightly after ingestion. Subsequently, due to fright, she experienced insomnia, poor appetite, and night sweats. Gui Pi Tang (Restore the Spleen Decoction) was prescribed with added Wu Wei Zi (Schisandrae Fructus) and Mai Men Dong (Ophiopogonis Radix). After more than twenty doses, her condition stabilized, the swelling subsided by three or four parts, and the arm gradually regained flesh. However, her menstruation was delayed and scanty, indicating that the blood of the Heart and Spleen was still insufficient. Therefore, Ba Zhen Tang (Eight Treasure Decoction) was used with additions of Wu Wei Zi, Mai Men Dong, Mu Dan Pi (Moutan Cortex), Yuan Zhi (Polygalae Radix), Xiang Fu, Bei Mu, and Jie Geng. After more than forty doses, all symptoms resolved. Later, due to anger, she developed fever and delirium, and her menstrual flow became profuse like a gush. This was attributed to Liver Fire stirred by anger. Xiao Chai Hu Tang (Minor Bupleurum Decoction) was administered with 3 qian of Sheng Di Huang (Rehmanniae Radix). The bleeding stopped after one dose. Si Wu Tang (Four Substance Decoction) with added Chai Hu (Bupleuri Radix) was then used for regulation, leading to recovery.
The son of Chen Keming, Prefect, suffered a sprain of the right arm and wrist. There was swelling and pain, but the skin color remained unchanged. Having taken Liu Qi (Flowing Qi) formulas for a long time, he developed alternating chills and fever, poor appetite, dry tongue, and thirst. I stated: In trauma cases, if swelling does not subside and skin color remains unchanged, it is because the vital energy (Yuan Qi) is deficient and cannot heal. The treatment should primarily focus on supporting the Spleen and Stomach and strengthening Qi and Blood. Following my treatment regimen, within less than two months, his physical form and Qi gradually filled out, and the swelling and heat gradually subsided. After half a year, all symptoms disappeared, and his body returned to normal.
A child suffered a sprain of the leg and ankle, resulting in obstructive swelling, with a weak physical form and Qi. I intended to treat him primarily by tonifying Qi and Blood, assisted by agents promoting circulation and dispersal. The family did not believe this. Instead, they administered Liu Qi Yin internally and applied cold-natured herbs externally. This led to chills, fever, and fatigue. I stated: Aversion to cold and fever with a surging and large pulse indicate extreme deficiency of Qi and Blood; treatment will be ineffective. Later, internal ulceration occurred, and after exhausting Qi and Blood, the child died.
A man suffered a sprain injury to the right leg, resulting in obstructive swelling and pain. I advised: Urgent phlebotomy (using a lancet/bian stone) is needed to remove stagnant blood, followed by tonification of Original Qi, to avoid future complications. The family did not believe this. They applied Da Huang (Rhei Radix et Rhizoma) and other herbs externally and took Liu Qi Yin internally. Later, foul pus flowed out in quantities of several bowls, and the discharge did not stop. They requested treatment again. Examination revealed a thin leg with a large pulse, accompanied by thirst and fever. I declined treatment, and he subsequently died.
Huang Rudao, a friend from my study window, suffered a sprain at the Huan Tiao (GB30) acupoint, resulting in blood stasis, swelling, pain, fever, and thirst. I used a lancet to remove the blood stasis. Knowing he had underlying deficient fire in the Lower Jiao, I prescribed Ba Zhen Tang with added Huang Bo (Phellodendri Cortex), Zhi Mu (Anemarrhenae Rhizoma), Niu Xi (Achyranthis Bidentatae Radix), and Gu Sui Bu (Drynariae Rhizoma). Symptoms ceased abruptly after four doses. Shi Quan Da Bu Tang (Comprehensive Great Tonifying Decoction) with small amounts of Huang Bo, Zhi Mu, Mai Men Dong, and Wu Wei Zi was then used. After more than thirty doses, the wound healed.