痧症有恶饮热汤者，有反喜饮热汤者，惟其喜饮热汤，痧症益莫能识，慢痧所以变成劳瘵也。原其痧毒之始入于气
分，令人喘嗽吐痰发热声哑，盖火毒伤肺，肺为娇脏，若不知治变成百日紧劳，轻者数年难愈，卒至危亡。痧毒之始入
于血分，重者兆变在即，轻者岁月延挨。若乃毒瘀胃口，必须去尽而愈。毒瘀肝经，损坏内溃，吐血数发，势极多危。
毒瘀心包络，更加凶险，不待时日。毒瘀肾经，腰脊疼痛，嗽痰咯血，日甚一日，不可得痊。凡痧毒遗患，总成劳瘵，
治须识之于始，（凡脏腑之病俱可疗治，）莫咎其终。（若一溃损脏腑便属不治。）
治验∶
一王君瑞内室，咳嗽吐痰发热，左背疼痛，已年余矣。延余诊之，六脉浮紧洪数，脉症不合，又无痧筋，但用刮痧
痛减，服散痧清热消痰顺气四剂而愈。
一杨音节痧胀不服药，惟放痧三次，胃脘间成一大块，咳嗽吐痰，发热不食，日渐 瘦。延余诊之，右关脉芤而紧，
余脉俱数。余曰∶“内有瘀血，必吐出而可解。”用桃仁、苏木、泽兰、白蒺藜、香附、乌药酒煎服之，吐紫黑血碗许，
更用活血引下之剂，加童便酒服之而愈。
一左元峰痧胀，放痧三次，不服药，痧根不绝，变成劳瘵，咳嗽咯血，音哑发喘，骨瘦如柴，脉洪大无伦。余辞不
治，又二月而终。
In Sha syndrome (a disease caused by "Sha" toxin, often manifesting as acute abdominal pain or skin eruptions), some patients dislike drinking hot water, while others prefer it. It is precisely because they prefer hot water that Sha syndrome becomes difficult to identify, which is why slow Sha (chronic Sha) eventually transforms into Lao Zhai (a chronic consumptive disease characterized by deficiency, cough, and hemoptysis).
Tracing the mechanism, when Sha toxin initially enters the Qi level (the functional aspect of the human body), it causes symptoms such as panting, coughing, expectoration, fever, and hoarseness. This is because fire-toxin damages the Lung. The Lung is known as the "delicate organ" (referring to its tender nature, making it susceptible to cold, heat, dryness, dampness, and other pathogens). If timely treatment is not administered, it may develop into Bai Ri Jin Lao (a prolonged and severe consumptive condition). Mild cases may take years to heal, while severe cases lead to death.
If Sha toxin initially enters the Blood level (the circulatory aspect of the human body), critical cases show imminent danger signs, while mild cases drag on over time, gradually worsening. If the toxin stagnates in the stomach region (epigastrium), complete removal of the stasis-toxin is required for recovery. If the toxin stagnates in the Liver Meridian, it causes internal damage and ulceration, with recurrent hematemesis, presenting an extremely critical situation. If the toxin stagnates in the Pericardium (the protective outer layer of the heart), the condition is even more perilous, leading to death without much delay. If the toxin stagnates in the Kidney Meridian, it results in lower back and spine pain, coughing with expectoration and hemoptysis, worsening day by day, making recovery impossible.
Any sequelae left by Sha toxin ultimately form Lao Zhai. The key to treatment lies in early identification. (Generally speaking, diseases of the Zang-Fu organs are treatable,) so do not blame the outcome at the end stage. (However, once the Zang-Fu organs suffer ulcerative damage, the condition becomes incurable.)
Clinical Cases:
1. The wife of Mr. Wang Junrui suffered from cough, expectoration, fever, and left back pain for over a year. Upon consultation, her six pulses (cun, guan, chi positions on both hands) were floating, tight, surging, and rapid. The pulse did not match the symptoms, and no Sha veins (purple-red subcutaneous vessels indicating deep Sha toxin) were visible. However, after scraping therapy (Gua Sha), the pain decreased. She was prescribed four doses of formulas to disperse Sha, clear heat, resolve phlegm, and regulate Qi, resulting in a cure.
2. Mrs. Yang Yiejie suffered from Sha distension but refused medication, undergoing only three rounds of bloodletting (Fang Sha, a method of puncturing skin or superficial veins to release blood for detoxification). Subsequently, a large mass formed in her epigastrium, accompanied by cough, expectoration, fever, anorexia, and gradual emaciation. Upon consultation, her right Guan pulse (corresponding to the Spleen and Stomach) was knifelike (Kou pulse, floating, large, and hollow) and tight, while the remaining pulses were rapid. I stated, "There is intra-abdominal blood stasis; it must be vomited out to resolve." I prescribed a decoction of Peach Kernel (Tao Ren), Sappan Wood (Su Mu), Agrimony (Ze Lan), Tribulus Fruit (Bai Ji Li), Cyperus Rhizome (Xiang Fu), and Linderia Bark (Wu Yao), brewed with wine. She vomited approximately one bowl of dark purple-black blood. Subsequently, she took a formula to invigorate blood and guide stasis downward, taken with child's urine (Tong Bian, used in TCM for its yin-nourishing, fire-clearing, and stasis-resolving properties) and wine, leading to recovery.
3. Mr. Zuo Yuanfeng suffered from Sha distension. After three rounds of bloodletting and refusing medication, the root of the Sha toxin remained, transforming into Lao Zhai. Symptoms included cough, hemoptysis, hoarseness, panting, and extreme emaciation ("skin and bones"). His pulse was excessively surging and large. I declined to treat him due to the poor prognosis, and he passed away two months later.