一看眼，凡内伤积有瘀血，白睛必有红筋，筋多瘀血多，筋少瘀少。若眼珠动运有神气
者，可治，否则难治。
二看手指甲，以我手大指押病者指甲上，一放开血色即还原者，可治。若迟缓还原，
或乌色或紫色者不治。
三看阳道，不缩及有小便者可治，否则难治。
四看足指，与看手指甲同一法。
五看脚底，红色者易治，黄色难治，五色全犯者不治。
六看脉息，若胃气和平者易治，六脉浮数兼有外感也，难治。六脉微绝，胃气将尽者，
不治。
凡治跌打损伤重症，不可匆忙下药，若患者不能开口，先将乌梅嚼烂擦其牙龈，或将皂
角末
吹入鼻中得喷嚏，口即开，随用韭菜根捣汁炖热，和童便服之，不下咽者难治。若纳下，即
同瘀血吐出，视其伤之轻重，先服夺命神丹，随服疏风理气汤，外敷吊伤丹。若小便不通，
用火灸法或熏洗法。如破碎伤，用封药护之，次服接骨紫金丹。若腹痛者宜行，行后审症轻
重，根据方加减可也。
凡人被打，七日之内血气未曾积聚，只宜发散活血。十四日之内瘀血积胸，其势将归大
肠，故肚内作痛，宜用行药。
凡人初打必有气郁，或受风寒，恐血气攻心，宜服护心丹。
凡人看指甲，先看中指甲，黑色者伤重，脚指甲黑色者亦重。眼内有红筋，或眼白珠赤
色者亦凶，面黑者大凶，睾丸（即外肾子）上升者更凶，脚底黄色者亦凶。
凡人被打伤重，不能运动，用推法。以二人挽起其头四五次，即吐出涎沫苏醒。如不吐
，以牙皂末五分煮酒调灌，得吐即醒。牙紧不开，用乌梅擦牙法。
凡人受打，拳向上者其气顺，平打者其气塞，倒插者其气逆，逆则血瘀，故倒插伤尤难
治也。
凡人受打自觉伤重，医药不及，将童便乘热饮二三匙，或以生地龙五、七条，洗净捣烂
，热酒冲服，渣敷伤处，然后急医，方保无虞。
凡不肖医生遇伤症，先用劫药，将生半夏、草乌入口，即头浮面肿眼肿，寒颤切牙，不
必惊骇，过三时自平复。为医者当救人为急务。
凡用引经之药，上部用川芎，手用桂枝，头用白芷，胸腹用白芍，脐下用黄柏，左肋
用青
皮，右肋用枳壳，腰用杜仲，下部用牛膝，足用木瓜，身用羌活，当归。不论跌打各伤，须
要用看附。
伤肝部者，面色青兼紫红色，眼赤发热，主七日死，先服流伤饮，次服小续命汤，后服
中和丸。
伤心口者，面青气短吐血，呼吸大痛，身体不能动者，主七日死，先服流伤饮，次续命
汤，后服中和丸。
伤食肚者，心下作阵痛，身发热，腹高浮如鼓皮，气促，饮食不进，眼闭口鼻面黑，主
七日死，先服大续命汤，次服中和丸，倒插伤者不治。
伤两肾者，两耳即聋，额角黑色浮光，常如哭状，主半月死，先服生血饮，次服流伤饮
，后服中和丸。
伤小腹者，面肿气急或时作痛，口吐酸水，主三日死，先服续命汤，后服中和丸。
伤大肚者，粪后血急而又涩，面赤气滞，主半月死，先服流伤饮，次服续命汤，后服中
和丸。
伤膀胱者，小便痛涩，不时有尿膨胀，发热，主五日死，先服续命汤，次服行气活血汤
。
伤阴囊阴户者，血从小便出，主三日死，先服护心养元汤，次服大续命汤。
伤胸背者，面白肉瘦，食少，发热咳嗽，主半月死，先服流气饮，次服中和丸。
伤气海者，气喘大痛身瘦，夜多盗汗，食少肿痛不宁，主一月内死，先服流伤饮，次服
中和丸。
伤血海者，血妄行，口常吐出，胸前板住作痛，先服活气汤，次服流伤饮，再服药酒，
若不取效，主一月内定死。
伤两肋者，气喘大痛，睡下如刀刺，面白气虚，先服活血顺气汤，次服续命汤，主三日
死。
First, inspect the eyes: In cases of internal injury with accumulated blood stasis, the sclera (white part of the eye) must exhibit red veins. More veins indicate more stasis; fewer veins indicate less stasis. If the eyeballs move with spirit and vitality, it is treatable; otherwise, it is difficult to treat.
Second, inspect the fingernails: Press the patient's nail with your thumb. If the color returns immediately upon release, it is treatable. If the return is slow, or if the color turns blackish-purple or purple, it is untreatable.
Third, inspect the genitalia (Yang Dao). If there is no retraction and urination is possible, it is treatable; otherwise, it is difficult to treat.
Fourth, inspect the toes: The method is the same as inspecting the fingernails.
Fifth, inspect the soles of the feet: Redness indicates easy treatment; yellowing indicates difficult treatment; involvement of all five colors (abnormal appearances of complexion, tongue, etc.) indicates untreatability.
Sixth, inspect the pulse: If the Stomach Qi is harmonious, it is easy to treat. If the six pulses are floating and rapid with concurrent exterior pathogenic factors, it is difficult to treat. If the six pulses are faint and nearly absent, indicating the exhaustion of Stomach Qi, it is untreatable.
In treating severe cases of traumatic injuries, do not administer medication hastily. If the patient cannot open their mouth, first chew a dried plum (Wumei) thoroughly and rub it on the gums, or blow powder of Gleditsia Sinensis Fruit (Zaojiao) into the nose to induce sneezing, which will open the mouth. Then, prepare juice from Chinese Chive Root (Jiucai Gen), stewed hot, mixed with virgin urine (Tongbian) for oral administration. If the patient cannot swallow, it is difficult to treat. If administered successfully, blood stasis will be vomited out. Based on the severity of the injury, first administer Duoming Shendan (Life-Rescuing Divine Pill), followed by Shufeng Liqi Tang (Wind-Dispersing and Qi-Regulating Decoction), and externally apply Diaoshang Dan (Hanging Injury Pill). For urinary retention, use moxibustion or fumigation/washing methods. For open fractures, apply sealing medicine to protect the wound, then administer Jiegu Zijin Dan (Bone-Connecting Purple Gold Pill). For abdominal pain, qi-moving herbs are appropriate; after moving qi, assess the severity of symptoms and adjust the prescription accordingly.
Within seven days of being beaten, when Qi and Blood have not yet accumulated, only dispersing and blood-invigorating methods should be used. Within fourteen days, blood stasis accumulates in the chest and tends to move toward the Large Intestine, causing abdominal pain; thus, qi-moving medications are suitable.
Initially after trauma, there is inevitably Qi stagnation, possibly compounded by Wind-Cold invasion, risking Qi and Blood attacking the Heart; therefore, Huxin Dan (Heart-Protecting Pill) is suitable.
When inspecting nails, start with the middle finger. Blackening indicates severe injury; blackening of toenails also indicates severity. Red veins in the eyes or reddish-white sclera are ominous signs. A black facial complexion is extremely ominous. Retraction of the testes is even more ominous. Yellowing of the soles is also an ominous sign.
For severe trauma resulting in immobility, use pushing/manipulation techniques. Two assistants lift the patient's head four or five times, which should cause salivation and revival. If no vomiting occurs, mix five fen of Saponaria officinalis powder (Yazao) with wine and force-feed; vomiting will lead to awakening. For lockjaw, use the method of rubbing teeth with dried plums.
Regarding the direction of impact: Blows directed upward result in smooth Qi flow; horizontal blows cause Qi obstruction; downward thrusts cause Qi rebellion. Rebellion leads to blood stasis, making downward-thrust injuries particularly difficult to treat.
If the patient feels the injury is severe and medical help is delayed, drink two or three spoonfuls of hot virgin urine, or take five to seven fresh earthworms (Sheng Dilong), washed and mashed, taken with hot wine, while applying the dregs to the injury site. Seek urgent medical attention to ensure safety.
Unscrupulous doctors may initially use drastic purgatives (Jie Yao), such as raw Pinellia Tuber (Banxia) or Aconitum carmichaelii root (Caowu). This may cause facial swelling, eyelid edema, chills, and teeth grinding. Do not panic; these symptoms will subside naturally after three shichen (six hours). Saving lives is the urgent duty of a physician.
When using guiding herbs (Yin Jing Zhi Yao): Use Ligusticum Chuanxiong Rhizome (Chuanxiong) for the upper body; Cinnamon Twig (Guizhi) for the hands; Angelica Dahurica Root (Baizhi) for the head; White Peony Root (Baishao) for the chest and abdomen; Phellodendron Bark (Huangbai) below the navel; Green Tangerine Peel (Qingpi) for the left hypochondrium; Bitter Orange (Zhike) for the right hypochondrium; Eucommia Bark (Duzhong) for the waist; Achyranthes Bidentata Root (Niuxi) for the lower body; Malus Pumila Fruit (Mugua) for the feet; Notopterygium Rhizome and Root (Qianghuo) and Angelica Sinensis Root (Danggui) for the whole body. Regardless of the type of trauma, these guidelines must be consulted.
Liver injury: Complexion is green with purplish-red hues, eyes are red and feverish. Prognosis is death within seven days. First administer Liushang Yin (Flowing Injury Infusion), then Xiao Xuming Tang (Minor Life-Sustaining Decoction), and finally Zhonghe Wan (Harmonizing Pill).
Heart injury: Complexion is blue, shortness of breath, hemoptysis, severe pain on respiration, immobility. Prognosis is death within seven days. First administer Liushang Yin, then Xuming Tang (Life-Sustaining Decoction), and finally Zhonghe Wan.
Stomach/Abdomen injury: Paroxysmal epigastric pain, fever, distended abdomen like a drum, dyspnea, inability to eat, closed eyes, blackened nose and face. Prognosis is death within seven days. First administer Da Xuming Tang (Major Life-Sustaining Decoction), then Zhonghe Wan. Downward-thrust injuries are untreatable.
Kidney injury: Immediate deafness, black floating luster on the temples, expression resembling weeping. Prognosis is death within half a month. First administer Shengxue Yin (Blood-Generating Infusion), then Liushang Yin, and finally Zhonghe Wan.
Lower Abdomen injury: Facial swelling, dyspnea, intermittent pain, vomiting sour fluid. Prognosis is death within three days. First administer Xuming Tang, then Zhonghe Wan.
Large Abdomen injury: Urgent and obstructed defecation with blood, flushed face, Qi stagnation. Prognosis is death within half a month. First administer Liushang Yin, then Xuming Tang, and finally Zhonghe Wan.
Bladder injury: Painful and obstructed urination, frequent sensation of bladder distension, fever. Prognosis is death within five days. First administer Xuming Tang, then Xingqi Huoxue Tang (Qi-Moving and Blood-Invigorating Decoction).
Genital injury (scrotum/vagina): Hematuria. Prognosis is death within three days. First administer Huxin Yangyuan Tang (Heart-Protecting and Origin-Nourishing Decoction), then Da Xuming Tang.
Chest and Back injury: Pale complexion, emaciation, reduced appetite, fever, cough. Prognosis is death within half a month. First administer Liuqi Yin (Qi-Flowing Infusion), then Zhonghe Wan.
Qihai (Sea of Qi) injury: Dyspnea, severe pain, emaciation, night sweats, reduced appetite, painful swelling and restlessness. Prognosis is death within one month. First administer Liushang Yin, then Zhonghe Wan.
Xuehai (Sea of Blood) injury: Uncontrolled bleeding, frequent spitting of blood, board-like stiffness and pain in the chest. First administer Huoqi Tang (Qi-Activating Decoction), then Liushang Yin, followed by medicinal wine. If ineffective, death is certain within one month.
Hypochondriac injury: Dyspnea, severe pain, stabbing pain when lying down, pale complexion, Qi deficiency. First administer Huoxue Shunqi Tang (Blood-Invigorating and Qi-Regulating Decoction), then Xuming Tang. Prognosis is death within three days.