夫金疮愈以后,肌肉充满,不得屈伸者,此由伤绝经筋,荣卫不得循行也。其疮虽愈,
筋急不得屈伸也。
夫金疮始伤之时,半伤其筋,荣卫不通,其疮虽愈合,后仍令痹不仁也。若被疮截断诸
解、身躯、肘中,及腕、膝、髀若踝际,亦可连续,须急及热,其血气未寒,即去碎骨便更
缝连,其愈后直不屈伸。若碎骨不去,令人痛烦,脓血不绝。不绝者,不得安。诸中伤人神
箭镞、金刃中骨,骨破碎者,须令箭镞出,仍应除碎骨尽,乃敷药。不尔,疮永不合。
纵合,常疼痛。若更犯触损伤,便惊血沸溃,有死者。
夫金疮痉者,此由血脉虚竭,饮食未复,未盈月日,荣卫伤穿,风气得入,五脏受寒,
则痉。其状,口急背直,摇头马鸣,腰为反折,须臾十发,气息如绝,汗出如雨。不及时救
凡金疮卒无汁者,中风也;边自出黄汁者,中水也。并欲作痉,急治之。又痛不在疮处
夫金疮愈闭后,忽惊肿,动起糜沸跳手,大者如盂,小者如杯,名为盗血。此由肌未定
,里不满,因作劳、起早,故令盗血涌出,在人皮中,不肯自消,亦不成脓,反牢核。又有
加血,加血者,盗血之满也。其血凝深,不可妄破。破之者,盗血前出,不可禁止,加血追
之。出即满疮中,便留止,令人短气,须臾命绝。
After the healing of a metal weapon injury (Jinchuang), although the muscles are full and robust, the limbs cannot flex or extend. This is due to the severing of the Jingjin (Meridian Sinews), causing Ying and Wei (Nutritive and Defensive Qi) to fail in their normal circulation. Although the wound has healed, the sinews remain tense, preventing flexion and extension.
At the initial stage of a metal weapon injury, if the sinews are partially severed, the circulation of Ying and Wei Qi becomes obstructed. Even if the wound subsequently heals, it may later lead to numbness and loss of sensation (Bi Buren). If the injury severs the joints, torso, elbows, wrists, knees, thighs, or ankles, although suturing can reconnect the tissues, it must be done urgently while the area is warm. The fragmented bones should be removed before re-suturing while the Qi and Blood are still warm. Otherwise, upon healing, the limb may become straight and unable to flex or extend. If the fragmented bones are not removed, it causes painful irritability and continuous discharge of pus and blood. If this discharge does not cease, the body cannot find peace. For all those injured by metal weapons, their Shen Spirit...
If an arrowhead or metal blade penetrates the bone, causing it to shatter, the arrowhead must be extracted, and all fragmented bones should be thoroughly removed before applying medication. Otherwise, the wound will never heal. Even if it does heal, it will often remain painful. If further contact or trauma occurs, it may cause fright-induced hemorrhage, with blood boiling and bursting, potentially leading to death.
The condition known as Jinchuang Jing (Spasm caused by metal weapon injury) arises from the depletion of blood vessels and failure of dietary recovery within less than a month. The Ying and Wei Qi are damaged and penetrated, allowing Wind Qi to enter. When the Five Zang Organs are affected by Cold, spasm occurs. The manifestations include: tightness of the mouth, rigidity of the back, shaking of the head, sounds resembling a horse's neigh, opisthotonos (arching of the back), frequent attacks within a short time, breath appearing to cease, and profuse sweating like rain. Without timely rescue... If a metal weapon injury suddenly presents with no exudate, it indicates invasion by Wind; if yellow fluid spontaneously oozes from the edges, it indicates invasion by Water toxicity. Both conditions may develop into spasm and require urgent treatment. Furthermore, the pain is not located at the wound site...
After the healing and closure of a metal weapon injury, sudden frightening swelling may occur. Upon touch, it feels like rotting boiling water and throbs against the hand. Large swellings resemble a basin, while small ones resemble a cup. This is termed "Dao Xue" (Robbing Blood). This occurs because the muscle tissue has not yet stabilized and the interior is not fully filled. Due to overexertion or rising early, "Dao Xue" surges out and accumulates under the skin. It refuses to dissipate on its own, does not form pus, but instead forms a hard nodule. There is also a condition called "Jia Xue" (Added Blood), which refers to the fullness caused by "Dao Xue". This coagulated blood is deep-seated and should not be punctured recklessly. If punctured, the preceding "Dao Xue" will gush out uncontrollably, followed by the "Jia Xue". Once expelled, it fills the wound cavity and stagnates, causing shortness of breath and potentially leading to death within moments.