满身胀痛，面色尘黑，身有黑斑，毒在脏腑。气滞血凝，以致疼痛难忍，用金七丸（外
用老姜汁点眼角，男左女右，汗出即愈）。
汤水入口即吐，研伏龙肝泡水澄饮即定，药亦以此水煎，用金四方。
水泻不计遍数，不可下，又不可止涩，惟分理阴阳，用五苓散去桂；白术换苍术，加车
前、木通之类。
急痛，霎时晕倒，半刻即死，急为放痧 刮，服涤痧丸，亦得救活。
痧之慢者，或十日半月而死，甚至三四月而死，必须速治，迟则痧毒蔓延滞结，在内者
先坏脏腑，在中者先损经络，在表者先溃肌肉，一若失治，便成死症。
初犯痧症，邪气胜，元气衰，或旬日辄发，久则日近一月，盖由胃气本弱，故尔数犯，
待痧退后，当用木八方，充其胃气，则痧自断矣。
一时晕昏跌倒，乃痧毒所攻，毒血一冲，必坏脏腑。盖毒血与食积痰气，结聚心腹胸膈
之间，而经络不转，气血不通，虽欲刮放，而痧不出；治法∶视其食积、痰血、气阻及暑热
、伏热、秽触之类，急用药消散，俟胸膈一松，昏迷自醒，然后验筋刺之，用金八、石一丸
心腹绞肠大痛，如板硬、如绳转、如筋吊、如锥、如割。轻者亦微微绞痛，胀闷非常，
放痧可愈。若不愈，必审脉症，辨暑、秽、食积、血痰所阻施治，须连进数剂，俟少安，方
可渐为调理（石二至八）。
一妇绞痛危急，刮放不愈，右手脉伏，放痧三十针，用石二末，金八丸，清茶饮之，并
用石三方服下，熟睡愈。
一妇口吐痰涎，腹中绞痛，刮之少安，用药不效。次日复昏沉大痛、先刺指头出血，用
石四末冲砂仁汤下，并用金一方加丹参、山豆根、茜、银、楂、卜，服下而安。
一人盘肠绞痛脉伏，刮痧，用石五、石六方稍愈。黄昏复绞痛叫喊，又有石七、石八方
而痊。
Full-body distending pain, complexion dark and dusty like covered in soot, black spots on the body, indicating toxin has entered the Zang-Fu organs. Qi stagnation and blood coagulation result in unbearable pain. Use Jinqi Wan (apply fresh ginger juice to the corner of the eye externally: left for males, right for females; recovery occurs upon sweating).
Decoctions are vomited immediately upon entering the mouth. Crush Fulonggan (Caulis Longan? No, *Fulonggan* is Hearth Earth / *Longus Gan* - actually *Fulonggan* is 灶心土/伏龙肝, dried earth from the center of a cooking stove) with water, let it settle, and drink the supernatant to stop vomiting. Decoct medicines using this water. Use Jinsifang.
Watery diarrhea occurring without limit in frequency. Do not use purgatives, nor astringents. Only employ the method of separating and regulating Yin and Yang. Use Wuling San (Five-Ingredient Powder with Poria) removing Guizhi (Cinnamon Twig); replace Baizhu (Atractylodis Rhizoma) with Cangzhu (Atractylodis Rhizoma), and add Cheqianzi (Plantaginis Semen) and Mutong (Akebiae Caulis) etc.
Sudden severe pain, fainting instantly, death within moments. Urgently perform Fangsha (bloodletting/scraping therapy) and Guasha (scraping therapy). Adminish Dishasha Wan (Toxin-Clearing Sha Pill), which can also save life.
For slow-onset Sha disease, death may occur in ten days or half a month, or even after three to four months. Rapid treatment is essential; delay allows Sha toxin to spread and knot. Internally, Zang-Fu organs are damaged first; in the meridians, they are impaired first; at the surface, muscles ulcerate first. If treatment is missed, it becomes a fatal condition.
In initial Sha attacks, pathogenic factors are strong while Yuanqi (Original Qi) is weak. Attacks may recur every ten days, or eventually monthly, due to originally weak Stomach Qi. After Sha recedes, use Mubafang to tonify Stomach Qi, thereby cutting off the Sha disease.
Sudden fainting and falling is caused by Sha toxin attacking. Toxic blood rushing will damage Zang-Fu organs. Toxic blood combined with food retention, phlegm turbidity, and Qi obstruction knots in the chest, diaphragm, abdomen, and epigastrium. Meridians fail to circulate, and Qi and Blood are blocked. Although scraping/bloodletting is attempted, Sha cannot emerge. Treatment: Observe whether the cause is food retention, phlegm-blood stasis, Qi obstruction, summerheat, latent heat, or filth/toxicity. Urgently administer medicine to dissipate these. Wait until the chest/diaphragm relaxes and coma resolves, then examine tendons for acupuncture. Use Jinbafang and Shiyiwan.
Severe colicky pain in the heart and abdomen, feeling hard as a board, twisting like a rope, pulling like a tendon, piercing like an awl, or cutting like a knife. Mild cases have slight colicky pain and extreme distension/stuffiness. Fangsha can cure this. If ineffective, carefully examine pulse and symptoms to differentiate between Summerheat, Filth, Food Retention, Blood-Stasis, or Phlegm-Turbidity obstructions. Administer several doses continuously. Once slightly stabilized, gradual regulation can begin (Shier to Shibafang).
A woman suffered critical colicky pain. Scraping/bloodletting failed. Right hand pulse was hidden/faint. Performed thirty needle pricks for Fangsha. Administered Shi'er Mo (powder), Jinbawan, taken with clear tea. Also administered Shisanfang. She fell into a deep sleep and recovered.
A woman vomited saliva and phlegm, suffering abdominal colicky pain. Scraping provided slight relief, but medicine was ineffective. The next day, she became comatose with severe pain. First, prick fingers to bleed. Administer Shisi Mo washed down with Amomi Fructus decoction. Also use Jin-yifang added with Danshen (Salviae Miltiorrhizae Radix et Rhizoma), Shandougen (Sophorae Tonkinensis Radix), Qiancao (Rubiae Cordifoliae Radix), Yinhua (Lonicerae Japonicae Flos), Shanzha (Crataegi Fructus), and Buzi (Radish Seed), after which she stabilized.
A man suffered Pan Chang (coiled intestine) colicky pain with a hidden pulse. After scraping, he improved slightly using Shiwufang and Shiliufang. At dusk, he screamed again with colicky pain. He recovered after using Shiqifang and Shibafang.