心腹绞绞大痛，或如板硬，或如绳缚，或如筋吊，或如锥触，或如刀割，痛极难忍。轻者，亦微微绞痛，胀闷非常，
放痧可愈。若不愈，必审脉症何因，辨暑秽、食积、痰血所阻施治，须连进数服，俟其少安，方可渐为调理。此症
世多放痧数次不愈，听命于天，不肯服药，遂至痧毒攻坏脏腑，惟死而已，惜哉！
治验∶
一廉齐朱先生夫人，夏月痧痛危急，刮痧放痧不愈。更易三医莫敢任事，举家无措。宋臣王兄邀余往视，六脉微伏，
治之未愈，其晚绞痛如前。明晨贤郎宋伊芳兄复邀余，右手脉伏，更放痧三十二针兼刮痧讫，用宝花散、沉香丸清茶稍冷
饮之，并用散痧解毒，活血顺气之剂。亲友尚恐无救，留余俟饭后，坦君云夏王兄曰∶“睡矣，何如”？余曰∶“睡则神
情已定，气血渐和，殆将安”。越翼日，乃廖。
一贾公清作泻腹痛如绳绞。延余，脉洪大数实，放痧不愈，用乌药顺气汤加大黄，下积而痊。
一故友麓庵朱兄夫人，公范母也。口吐痰涎，腹中绞痛，医治沉重，六日不愈。延余诊之，左脉微伏。余曰∶“痧也”。
令刮之，少安，用药不服。次日，复昏沉大痛，举家惊惶、亲戚填门。复延余，刺左中指一针，出毒血，兼令刮痧，不
愈。用降香桃花散冲砂仁汤，微冷送下，并用防风散痧汤加山豆根、茜草、丹参、金银花、山楂、卜子稍冷服而安。
一何君雅子正月盘肠绞痛。延余，脉伏，令刮痧，用沉香郁金散，棱术汤，冷冻饮料之，稍愈。黄昏时复绞痛非常，叫
喊不已。复邀余，用细辛大黄丸清茶微冷冻饮料之，又用紫朴汤而痊。
The heart and abdomen experience twisting, severe pain, sometimes feeling as hard as a board, as if bound by a rope, as if tendons are being pulled, as if pierced by an awl, or as if cut by a knife; the pain is extreme and unbearable. In mild cases, there is also slight twisting pain with severe distension and stifling sensation, which can be cured by bloodletting (Fangsha). If it does not resolve after bloodletting, one must carefully examine the pulse and symptoms to determine the cause, distinguishing whether it is obstructed by summerheat and turbid qi, food stagnation, or phlegm and blood stasis, and then apply treatment. Several doses must be taken continuously until the condition slightly stabilizes before gradual regulation can begin. In this condition, many people in the world undergo bloodletting several times without success, resign themselves to fate, refuse to take medicine, and thus the sha toxin attacks and damages the zang-fu organs, leading only to death. What a pity!
Clinical Cases:
The wife of Mr. Lianqi Zhu suffered from critical sha-induced abdominal cramping in summer. Gua Sha and bloodletting failed to cure her. Three other physicians were too afraid to take responsibility, leaving the family helpless. Brother Wang Songchen invited me to examine her. The six pulses were faint and hidden. After treatment, she did not improve, and that night the cramping pain returned as before. The next morning, Brother Song Yifang, the son of the virtuous gentleman, invited me again. The right hand pulse was hidden. I performed bloodletting with thirty-two needles combined with Gua Sha. Then, I administered Baohua San (Precious Flower Powder) and Chenxiang Wan (Agarwood Pill), given with clear tea slightly cooled. Simultaneously, I prescribed agents for dispersing sha, detoxifying, invigorating blood, and regulating qi. Relatives still feared there was no hope for rescue and asked me to stay until after lunch. Tan Jun and Brother Xia Wang said, "She has fallen asleep, how is she?" I replied, "Sleeping indicates that the spirit has stabilized and qi and blood are harmonizing; she will likely rest peacefully." The following day, she recovered.
Mr. Jia Qing experienced diarrhea and abdominal pain resembling rope-like twisting. He invited me to treat him. The pulse was surging, rapid, and excess. Bloodletting failed to cure him. I used Wuyao Shunqi Tang (Aucklandia Decoction to Regulate Qi) with added Dahuang (Rhubarb Rhizome), which purged the stagnation and led to recovery.
The wife of my old friend Brother Zhulan An, who was Mother Gongfan, vomited phlegm and saliva and suffered from abdominal cramping. Medical treatment was heavy-handed, and she did not recover after six days. I was invited to diagnose her; the left pulse was faint and hidden. I said, "This is sha." I instructed her to undergo Gua Sha, which provided slight relief, but she refused medication. The next day, she became comatose with severe pain again. The whole family panicked, and relatives filled the house. I was invited again. I pricked one needle at the tip of the left middle finger to release toxic blood, and instructed her to undergo Gua Sha. It did not resolve. I used Jiangxiao Taohua San (Costus and Peach Blossom Powder) mixed with Amomum Villosum Soup, administered slightly cooled. Simultaneously, I used Fangfeng San Sha Tang (Saposhnikovia Decoction to Disperse Sha) added with Dougen (Millettiae Radix), Qiancao (Rubia Cordifolia Root), Danshen (Salvia Miltiorrhiza Root), Jinyinhua (Lonicerae Flos), Shanzha (Crataegi Fructus), and Bolu Zi (Brassicae Semens), administered slightly cooled, which brought peace.
Young Master Ya, son of Gentleman He, suffered from intestinal colic in the first lunar month. He invited me to treat him. The pulse was hidden. I instructed him to undergo Gua Sha and used Chenxiang Yujin San (Agarwood and Turmeric Powder) and Lengzhu Tang (Curcuma and Bitter Orange Decoction), administered chilled. He improved slightly. At dusk, the cramping pain returned severely, and he cried out incessantly. He invited me again. I used Xixin Dahuang Wan (Asarum and Rhubarb Pill), administered with clear tea slightly chilled. He then recovered using Zipu Tang (Magnolia Bark Decoction).