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Jinchuang (Metal Wound), referring to trauma caused by metal sharp instruments (such as knives, axes, swords, blades). In the theory of Five Elements, Wood corresponds to the authority of Spring, and Metal corresponds to the season of Autumn. Spring is when all things grow and sprout, thus called Spring, belonging to the Zhen Trigram, representing the Qi of Jia Wood in the East; Autumn is when all trees wither, thus called Metal, belonging to the Dui Trigram, representing the Qi of Geng Metal in the West. Jinchuang is injured by metal sharp instruments like knives, axes, swords, and blades, hence named Jinchuang. If the color of the wound is light red, there is no risk, indicating a good prognosis; if it is purple-red, few will survive, indicating a poor prognosis. Jinchuang belongs to Metal in terms of organ correspondence, relating to the Lung. Patients with Jinchuang should avoid symptoms such as coughing, vomiting, hiccuping, and regurgitation. It is also essential to avoid wind, as Wind belongs to the Xun Trigram and Wood element. If wind pathogen enters the wound, it causes Metal (Lung) to be counter-controlled by Wood, leading to Po Shang Feng (Lockjaw/Tetanus), causing the wound to swell, ulcerate, and discharge pus, hence named Po Shang Feng. If other complications arise, it may even lead to death. One must know that treatment requires distinguishing the depth of the wound and examining the deficiency or excess of the pulse, upon which auspicious or ominous signs become apparent. The most desirable sign is robust Stomach Qi and normal appetite. Spleen and Stomach belong to Earth; robust Stomach Qi strengthens Yuan Qi (Primal Qi) and generates Qi and Blood. Treatment for Jinchuang also requires avoiding anger and sexual indulgence. Anger causes the wound to burst and produce malignant flesh; indulgence causes the wound to rot and damage newly formed muscle tissue. For topical application on Jinchuang, herbs such as Ruxiang (Frankincense), Moya (Myrrh), Xuexie (Dragon's Blood), Linggai (possibly a resin or mineral drug), and Rushi (Calcite) are primarily used. These herbs must not be omitted from start to finish. Their use promotes tissue regeneration, relieves pain, and invigorates blood circulation, ensuring safe healing of the Jinchuang. Oral decoctions should mainly focus on benefiting Stomach Qi and nourishing Blood, which is the general principle of treating Jinchuang. Although Jinchuang presents various changes, each has its specific treatment method. Living in remote border areas, one might accidentally be injured by swords, arrows, or spears; without miraculous medicines, how could it be cured?

The *Hu Ling Jing* states: When a person is injured by weapons and bleeds excessively, they will inevitably feel extreme thirst. Even if water is withheld, as long as the food consumed is dry and easily digestible, eating fatty or greasy foods does not cause harm; the key is to relieve thirst. However, one should not drink excessive amounts of porridge soup, otherwise, it may cause blood to boil and overflow, leading to certain death. There are eight taboos for Jinchuang: 1. Laughter, 2. Anger, 3. Loud talking, 4. Physical labor, 5. Wild fantasies/delusions, 6. Hot soups/stews, 7. Alcohol consumption, 8. Salty and sour foods. Violating any of these eight rarely fails to induce complications. There are nine types of Jinchuang that are incurable: injury to the brain, injury to Tiancang (near the temple), injury to the pulsating vein in the arm, injury to the Large Intestine and Small Intestine, and injury to the Five Zang Organs. All nine are fatal conditions. Additionally, there are four other incurable types of Jinchuang: extrusion of brain marrow, rupture of the head with bubbling sounds in the throat and fixed staring eyes, pain located unpredictably (indicating meridian injury), and unceasing bleeding where fresh blood precedes dark blood, or where muscles spontaneously rot, smell foul, feel cold, and become firm; such wounds are difficult to heal. Beyond these, we discuss the pulse: a deficient and fine pulse indicates survival, while a rapid and excess pulse indicates death. A deep and small pulse indicates survival, while a floating and large pulse indicates death. If the injury is on the Yang aspect (exterior surface), blood loss is excessive, and the pulse is faint and slow, neglecting medical care or delaying treatment will certainly result in death.

Zhe Shang (Fracture Injury) refers to bodily injuries caused by objects, whether cut by knives/axes, falling from heights, or suffering sprains from falls. Bone damage, skin rupture, and subsequent muscle injury lead to bodily harm. Some cases involve continuous bleeding, while others involve stagnant blood accumulating in the Zang-Fu organs, forming clumps that do not disperse, requiring treatment. If not treated early, there is a risk of stagnant blood entering the intestines and attacking the heart, with consequences too numerous to mention. Upon encountering these symptoms, one should assess the severity of the injury. If the skin is intact but internal injury exists with stagnant blood accumulation, one should first expel the stagnant blood, then harmonize the blood and relieve pain. If muscles are lacerated with excessive bleeding, the treatment should focus on regulating blood, nourishing Qi, and supplementing the Stomach.