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The *Ling Shu Jing* (Spiritual Pivot), chapter "Pathogenic Factors, Zang-Fu Organs, and Disease Manifestations," states: If there has been a fall from height, evil blood (stasis) remains inside; if there is great anger, qi ascends but does not descend, accumulating under the hypochondrium, then the Liver is injured.

[Annotation] When a person falls, blood already stagnates inside. If subsequently angered greatly, injuring the Liver, its qi ascends without descending. The stagnant blood and ascending qi coagulate and stagnate together, accumulating under the hypochondrium, thereby injuring the Liver. The treatment method should first guide the angry qi to disperse, preventing it from accumulating in the Liver, so the Liver can remain uninjured. Then, administer purgative or resolving medicines to break down the evil blood, eliminating the retained blood under the hypochondrium.

The *Ling Shu Jing*, chapter "Pathogenic Factors, Zang-Fu Organs, and Disease Manifestations," states: If there has been being struck or fallen, or engaging in sexual intercourse while drunk, or sweating and exposing oneself to wind, then the Spleen is injured.

[Annotation] Being struck or fallen injures the external body. For example, engaging in sexual intercourse after drinking alcohol, or failing to avoid wind exposure when sweating, allows pathogenic factors to lodge in the skin and muscles, injuring the internal organs. These are all causes of Spleen injury.

The *Su Wen* (Basic Questions), chapter "Essential Meaning of Pulse Investigation," states: When the Liver pulse is firm and long, yet the complexion is not green, one should suspect injury from falling or beating, due to blood accumulating under the hypochondrium, causing wheezing and rebellious Qi.

[Annotation] This refers to the varying nature of the Liver pulse and corresponding diseases. When the Liver pulse feels firm and long upon palpation, and the complexion is not green, it indicates injury from falling or beating. Because blood accumulates under the hypochondrium, it causes continuous wheezing and rebellious Qi. Specifically, the Foot Jueyin Liver Meridian distributes along the hypochondrium and ribs, running behind the throat; its branch passes through the Liver, pierces the diaphragm, and flows upward into the Lungs. Now that blood accumulates under the hypochondrium, the stagnant blood qi steams upward to the Lungs, thus causing wheezing and rebellious Qi.

The *Jin Gui Yao Lue* (Essential Prescriptions of the Golden Cabinet) states: At the Cun Kou (Radial artery at the wrist) position, if the pulse is floating, faint, and choppy, it usually indicates loss of blood. If there is sweating, or if assuming no sweating occurs, and there are sores on the body or wounds from knives/axes, this is due to blood loss.

[Annotation] The classic states: Those who lose much blood do not sweat; those who sweat excessively do not lose blood. Generally, both conditions present with a floating, faint, and choppy pulse. Since the pulse is diagnosed as such, it shows signs of exhaustion/depletion. Without the symptom of sweating, how else could it be explained than by blood loss? Thus, we know there are symptoms of blood loss due to metal trauma or being struck/fallen.

It further discusses: If the Liver pulse is firm and the color remains unchanged, there must have been an incident of being struck or fallen. Since the flesh is not broken, evil blood must remain under the hypochondrium, accompanied by vomiting and rebellious Qi. According to the classics, needle points such as Ran Gu (KI2) or the hair-root points on the dorsum of the foot to induce bleeding, or administer resolving medicines to move the evil blood, and it will heal naturally. If the pulse is floating, faint, and choppy, one should know that excessive blood loss has occurred. According to the classics, moxa should be applied to San Jiao Jie (Sanyinjiao, SP6) and Guan Yuan (CV4), or large tonifying formulas for Qi and Blood should be administered to regulate the condition, and the disease will resolve.