《素问·缪刺论》曰∶人有所堕坠，恶血留内，腹中满胀，不得前后，先饮利药。此上
阴之脉，下伤少阴之络。刺足内踝之下、然骨（谷）之前，血脉出血。刺足跗上动脉，不已，
刺三毛上各一 ，见血立已，左刺右，右刺左。
《医宗金鉴》注云∶此言恶血为病，有缪刺之法也。人因堕坠，致恶血留内，腹中满胀
后不通，当先用利药。如上伤厥阴肝经之脉，下伤少阴肾经之络，当刺内踝之下、然谷之前
，有血脉令出血者，盖以此属少阴之别络，而交通乎厥阴也。兼刺足跗上动脉，即冲阳穴，
乃胃经之原也。如病不已，更刺三毛上大敦穴，左右各一 ，见血立已。缪刺，左刺右大敦
，右刺左大敦也。但足跗动脉，上关冲脉、少阴、阳明三经，只宜浅刺，不可出血不已也。
《灵枢经·寒热病篇》曰∶身有所伤，血出多，及中风寒，若有所堕坠，四肢懈惰不收
，名曰体惰，取其小腹脐下三结交。三结交者，阳明、太阴也，脐下三寸关元也。
《医宗金鉴》注云∶此言身有所伤，血出多者，及中风寒者，破伤风之属也；或因堕坠
必血出，而四肢懈惰不收者，皆名体惰也。关元，任脉穴名，又足阳明、太阴之脉皆结于此
，故为三结交也。
《灵枢经·厥病论》曰∶头痛不可取于 者，有所击堕，恶血在于内，若肉伤痛未已，
可侧刺，不可远取之也。
《医宗金鉴》注云∶经言恶血在内，头痛不可取其 者，盖头痛取 以泄其气，则头痛
也；若有所击堕，恶血在内，而取 以泄其气，则是血病而治其气矣，故勿取其 焉。若所
击仆之 肉伤痛不已，虽用刺法，亦只于所伤附近之侧刺之，以出在内之恶血而已；若仍按
经远取诸 以疗头痛，则不可也。
耀山云∶此即推类砭去瘀血之意而详言之。
《医宗金鉴》曰∶肝脉搏坚而色不变，必有坠击之事，因 肉无破，则恶血必留胁下，
呕逆，根据经针刺然谷、足跗、或三毛等穴出血；或饮利药，使恶血开行，当自愈也。若脉浮
微而涩，当知亡血过多，根据经于三结交关元穴灸之；或饮大补气血之剂而调之，则病已矣。
耀山云∶此针灸服药之总论，即医是症之提纲也。按《刺灸心法要诀》，肩井穴，主治
，肘臂疼痛不举，针五分，灸五壮，孕妇禁针。环跳穴，主治闪挫腰痛，不能回顾，针一寸
，留十呼，灸三壮。合谷穴，主治破伤风，针三分，留六呼，灸三壮。又有隔纸灸法，专治
跌打损伤疼痛极效，方附于后，系古之熨法也。
肩井穴，足少阳经穴也，在肩大骨前一寸半，以三指按取当中指陷中者是也。
合谷穴，手阳明经第四穴也，在大指次指岐骨陷中，俗名虎口也。
关元穴，任脉奇经穴也，在脐下三寸是也。
环跳穴，足少阳经穴也，在髀枢之中，侧卧伸下足、屈上足取之。
冲阳穴，足阳明胃经穴也，在足面上动脉处，即足跗也。
然谷穴，足少阳肾经涌泉穴上，内踝前起大骨陷中也。
大敦穴，足厥阴肝经第一穴也，在大趾侧，即三毛穴处也。
《针灸大成》云∶闪挫腰脊强，腰胁痛，取人中穴，针三分，留六呼，灸三壮；又取委
中穴，针五分，留七呼，禁灸。如打仆疼痛者，取承山穴，针七分，灸五壮。
人中穴，一名水沟，在鼻柱下、沟中央，近鼻孔陷中，乃督脉手足阳明之会也。
委中穴，一名血 ，足太阳膀胱经穴也，在 中央约纹动脉陷中，令人面挺伏地，卧取
承山穴，一名鱼腹，一名肉柱，一名肠山，足太阳经也。在腿肚下分肉间，须用两手高
托按壁上，两足跟离地，用足大趾竖起，上看足锐 肠下分肉间而取之。
雷火针法，治闪挫诸骨间痛，及寒湿气，而畏刺者。用沉香、木香、乳香、茵陈、羌活
姜、穿山甲各三钱，麝少许，蕲艾二两，以绵纸半尺，先铺艾茵于上，次将药末掺，卷极紧
，收用。按定痛穴，笔点记，外用纸六、七层隔穴，将卷艾药，名雷火针也。取太阳真火，
用圆珠火镜，皆可燃红，按穴上良久，取起，剪去灰，再烧再按，九次即愈。
闪跌灸药∶专治跌打损伤，兼医疯痛。硫黄二两、银朱、明雄黄、辰砂各三钱、川乌、
各一钱五分、生大黄、黄柏各一钱、麝香一分。先将硫黄熔化，入诸药末搅匀，地上预铺大
纸一张，将药倾上，再用纸一张盖上，压匾成块，候冷，每纸一寸可裁十块，每用一块点着
，放粗浓草纸上，不住手以浓纸移熨，药尽又换药点熨，至热气透入肌骨，则气血立刻流通
，其患如失。
《素问·缪刺论》说：人如果从高处坠落，导致瘀血滞留体内，腹部胀满，大小便不通，应当先服用通利药物。这是指上部的阴经之脉和下部的少阴经络受损。针刺足内踝下方、然骨穴之前的部位，使血脉出血。再针刺足背上的动脉处，如果病不愈，再针刺足大趾爪甲角旁的三毛处各一针，见血即止，左病刺右，右病刺左。
《医宗金鉴》注释说：这里讲的是瘀血致病，有缪刺的方法。人因坠落，导致瘀血留滞体内，腹部胀满且后窍（肛门）不通，应当先用通利药物。如果是上部损伤了厥阴肝经的经脉，下部损伤了少阴肾经的络脉，应当针刺内踝下方、然谷穴之前，有血脉的地方令其出血，因为此处属于少阴的别络，而与厥阴相通。同时针刺足背上的动脉，即冲阳穴，是胃经的原穴。如果病不愈，再针刺足大趾爪甲角旁的大敦穴，左右各一针，见血即止。缪刺法，就是左病刺右大敦，右病刺左大敦。但是足背动脉涉及冲脉、少阴、阳明三条经脉，只宜浅刺，不可令出血过多不止。
《灵枢经·寒热病篇》说：身体受到外伤，失血过多，以及感受风寒，或者因坠落受伤，四肢懈怠无力不能收持，称为“体惰”，取小腹脐下三寸的“三结交”穴。“三结交”是指阳明经和太阴经相交结的地方，即脐下三寸的关元穴。
《医宗金鉴》注释说：这里说的是身体受外伤，失血过多，以及感受风寒者，属于破伤风之类；或者因坠落必然出血，而四肢懈怠无力不能收持者，都称为“体惰”。关元是任脉的穴位，又因为足阳明、太阴两条经脉都结聚于此，所以称为“三结交”。
《灵枢经·厥病论》说：头痛不可以取用腧穴来治疗的情况，是因为头部受到击打或坠落，瘀血留在体内，如果肌肉疼痛尚未痊愈，可以侧向针刺，不可以远端取穴治疗。
《医宗金鉴》注释说：经文说瘀血在体内，头痛不可以取其腧穴，大概是因为头痛取腧穴是为了泄其气，从而缓解头痛；如果是因为击打坠落，瘀血在体内，而取腧穴泄气，那就是治气而非治血，所以不要取其腧穴。如果因击打仆倒导致的肌肉疼痛不止，即使使用针刺方法，也只应在受伤部位的附近侧向针刺，以排出体内的瘀血而已；如果仍然按照经络远端取穴来治疗头痛，那是不可以的。
耀山说：这就是推广砭石去除瘀血的意思并详细阐述。
《医宗金鉴》说：肝脉搏动坚实而面色不变，必定有坠击之事，因为肌肉没有破损，则瘀血必留于胁下，出现呕逆症状，根据经络针刺然谷、足背、或三毛等穴令其出血；或者服用通利药物，使瘀血运行消散，应当自愈。如果脉象浮微而涩，应当知道是失血过多，根据经络在三结交关元穴进行艾灸；或者服用大补气血的药物来调理，病就好了。
耀山说：这是针灸服药的总体论述，也就是诊治此类病症的提纲。按《刺灸心法要诀》，肩井穴，主治颈项强痛，肘臂疼痛不能抬举，针五分，灸五壮，孕妇禁针。环跳穴，主治闪挫腰痛，不能回头回顾，针一寸，留针十呼，灸三壮。合谷穴，主治破伤风，针三分，留六呼，灸三壮。又有隔纸灸法，专门治疗跌打损伤疼痛，效果极佳，方剂附在后面，这是古代的熨法。
肩井穴，是足少阳胆经的穴位，在肩头大骨前一寸半，用三指按压，中指陷落处即是。
合谷穴，是手阳明大肠经的第四穴，在大指和二指之间的岐骨陷中，俗称虎口。
关元穴，是任脉奇经的穴位，在脐下三寸处。
环跳穴，是足少阳胆经的穴位，在髋关节之中，侧卧伸下腿、屈上腿时取穴。
然谷穴，是足少阴肾经的穴位，在涌泉穴之上，内踝前起大骨下的陷中。（注：原文此处误写为足少阳肾经，实为足少阴肾经，翻译时保留原文表述但需知其为肾经穴位）
《针灸大成》说：闪挫导致腰脊强直，腰胁疼痛，取人中穴，针三分，留六呼，灸三壮；又取委中穴，针五分，留七呼，禁灸。如被打仆疼痛者，取承山穴，针七分，灸五壮。
人中穴，一名水沟，在鼻柱下方、人中沟中央，近鼻孔的陷中，是督脉与手足阳明经交会之处。
委中穴，一名血郄，是足太阳膀胱经的穴位，在腘窝中央约纹处的动脉陷中。令人面部朝下伏地，仰卧取穴。
承山穴，一名鱼腹，一名肉柱，一名肠山，属足太阳膀胱经。在小腿肚下方分肉之间，须用两手高托按住墙壁，两脚脚跟离地，用足大趾竖起，向上看足跟锐骨下方的分肉间取穴。
雷火针法，治疗闪挫引起的诸骨间疼痛，以及寒湿之气，对于畏惧针刺者适用。用沉香、木香、乳香、茵陈、羌活、生姜、穿山甲各三钱，麝香少许，蕲艾二两，用半尺长的绵纸，先铺艾绒在上面，再将药末撒在上面，卷得非常紧，收藏备用。按住疼痛穴位，用笔点记，外用六七层纸隔开穴位，将卷好的艾药点燃，名为雷火针。取太阳真火，或用圆珠火镜聚焦，皆可燃红，按在穴位上良久，取下，剪去灰烬，再烧再按，九次即可痊愈。
闪跌灸药：专门治疗跌打损伤，兼治风湿疼痛。硫黄二两、银朱、明雄黄、辰砂各三钱、川乌、草乌各一钱五分、生大黄、黄柏各一钱、麝香一分。先将硫黄熔化，加入各种药末搅拌均匀，在地上预先铺一大张纸，将药液倾倒在纸上，再用一张纸盖上，压扁成块，冷却后，每平方寸纸可裁成十块，每次用一块点燃，放在粗浓草纸上，不停地用厚纸移动熨烫，药尽后再换药点燃熨烫，直到热气透入肌骨，则气血立刻流通，患处病痛消失。
Suwen: Mi Ci Lun states: If a person falls from a height, causing blood stasis to remain internally, resulting in abdominal fullness and distension, and inability to pass stool or urine, one should first administer purgative medicines. This refers to the injury of the Yin meridians above and the Luo-connecting vessels of Shaoyin below. One should puncture the area below the medial malleolus and anterior to the Ran Gu (KI 2) acupoint, allowing blood from the collateral vessels to flow. Then puncture the arterial pulse on the dorsum of the foot. If the condition does not improve, puncture each of the three hairs (San Mao, LR 1) on the big toe with one needle; bleeding immediately stops the condition. For left-sided symptoms, puncture the right side; for right-sided symptoms, puncture the left side.
The commentary in Yizong Jinjian notes: This describes the method of Mi Ci (mirrored needling) for diseases caused by blood stasis. Due to a fall, blood stasis remains internally, causing abdominal fullness and obstruction of the posterior orifice (anus). One should first use purgative medicines. If the upper part injures the Jueyin Liver meridian's main vessel, and the lower part injures the Shaoyin Kidney meridian's Luo-connecting vessel, one should puncture below the medial malleolus and anterior to Ran Gu (KI 2), inducing bleeding where collateral vessels are present, as this belongs to the branch Luo of Shaoyin which communicates with Jueyin. Simultaneously puncture the arterial pulse on the dorsum of the foot, which is Chong Yang (ST 42), the Yuan-source point of the Stomach meridian. If the illness persists, further puncture Da Dun (LR 1) at the San Mao (three hairs) area, one needle on each side; bleeding stops the condition immediately. The Mi Ci method involves puncturing the right Da Dun for left-sided symptoms, and the left Da Dun for right-sided symptoms. However, the arterial pulse on the dorsum of the foot involves the Chong, Shaoyin, and Yangming meridians; it should only be shallowly punctured, and excessive bleeding should be avoided.
Ling Shu: Han Re Bing Pian states: When the body suffers trauma with significant blood loss, or contracts wind-cold, or suffers a fall, leading to flaccidity and weakness of the four limbs that cannot be controlled, it is called "Ti Duo" (Body Languor). Treat the "San Jie Jiao" (Three Intersections) located three cun below the umbilicus. The "San Jie Jiao" refers to the intersection of the Yangming and Taiyin meridians, specifically Guan Yuan (CV 4), which is three cun below the umbilicus.
The commentary in Yizong Jinjian notes: This discusses cases of bodily trauma with excessive blood loss, or contraction of wind-cold, which belong to categories like Po Shang Feng (Broken Wind/lockjaw); or due to falls inevitably causing blood loss, resulting in flaccid and uncontrolled limbs, all termed "Ti Duo". Guan Yuan is an acupoint of the Ren (Conception) Vessel, and since both the Foot-Yangming and Foot-Taiyin meridians converge here, it is called the "San Jie Jiao".
Ling Shu: Jue Bing Lun states: Headache should not be treated by selecting distant acupoints if there has been a blow or fall, causing blood stasis internally. If the muscle pain from the injury has not yet healed, lateral needling near the site can be used; distant selection is not appropriate.
The commentary in Yizong Jinjian notes: The classic states that for internal blood stasis causing headache, one should not select specific acupoints to drain Qi. Generally, selecting acupoints for headache aims to drain Qi to relieve pain; however, if the cause is trauma with internal blood stasis, draining Qi treats the Qi rather than the Blood, so one should avoid selecting those distant acupoints. If the muscle pain from the blow or fall persists, even when using needling, one should only perform lateral needling near the injured area to expel the internal blood stasis; continuing to select distant acupoints along the meridians to treat the headache is incorrect.
Yaoshan comments: This elaborates on the principle of using Bian stones to remove blood stasis.
Yizong Jinjian states: If the Liver pulse is firm and hard while the complexion remains unchanged, there must have been a falling or striking incident. Since the skin/muscle is not broken, blood stasis likely remains under the ribs, accompanied by vomiting and reflux. According to the meridians, puncture Ran Gu (KI 2), the dorsal foot arteries, or San Mao (LR 1) to induce bleeding; or administer purgative medicines to move the blood stasis, and the condition should heal itself. If the pulse is floating, faint, and choppy, it indicates excessive blood loss. Moxibustion should be applied to the San Jie Jiao Guan Yuan (CV 4) point according to the meridians; or administer powerful Qi- and Blood-tonifying formulas to regulate the condition, and the illness will resolve.
Yaoshan comments: This is a general discussion on acupuncture, moxibustion, and herbal medicine, serving as the outline for diagnosing and treating such conditions. According to Ci Jiu Xin Fa Yao Jue, Jian Jing (GB 21) treats neck stiffness, elbow and arm pain with inability to lift, needled 5 fen, moxa 5 cones, contraindicated in pregnancy. Huan Tiao (GB 30) treats sprain-strain low back pain with inability to turn the head, needled 1 cun, retained for 10 breaths, moxa 3 cones. He Gu (LI 4) treats Po Shang Feng (Broken Wind), needled 3 fen, retained for 6 breaths, moxa 3 cones. There is also a paper-interposed moxibustion method, highly effective for severe pain from traumatic injuries, detailed below, which is an ancient warming therapy.
Jian Jing (GB 21) is an acupoint of the Foot-Shaoyang Gallbladder Meridian, located 1.5 cun anterior to the top of the shoulder bone, found in the depression centered between three fingers.
He Gu (LI 4) is the fourth acupoint of the Hand-Yangming Large Intestine Meridian, located in the depression between the metacarpal bones of the thumb and index finger, commonly known as the Tiger's Mouth.
Guan Yuan (CV 4) is an acupoint of the Ren (Conception) Vessel, located 3 cun below the umbilicus.
Huan Tiao (GB 30) is an acupoint of the Foot-Shaoyang Gallbladder Meridian, located in the hip joint pivot; take the point lying on the side with the lower leg extended and the upper leg flexed.
Chong Yang (ST 42) is an acupoint of the Foot-Yangming Stomach Meridian, located at the arterial pulse on the dorsum of the foot.
Ran Gu (KI 2) is an acupoint of the Foot-Shaoyin Kidney Meridian (Note: Text erroneously says Shaoyang, but context implies Kidney/Shao Yin as per standard anatomy and previous mention), located superior to Yong Quan (KI 1), in the depression anterior to the prominent bone of the medial malleolus.
Da Dun (LR 1) is the first acupoint of the Foot-Jueyin Liver Meridian, located on the lateral side of the big toe, at the San Mao (three hairs) area.
Zhen Jiu Da Cheng states: For sprain-strain causing spinal stiffness and waist/flank pain, select Ren Zhong (GV 26), needled 3 fen, retained for 6 breaths, moxa 3 cones; also select Wei Zhong (BL 40), needled 5 fen, retained for 7 breaths, moxa contraindicated. For pain from beating or falling, select Cheng Shan (BL 57), needled 7 fen, moxa 5 cones.
Ren Zhong (GV 26), also known as Shui Gou, is located in the central groove of the philtrum, below the nasal column, near the nostrils; it is the meeting point of the Du Vessel and the Hand-Foot Yangming meridians.
Wei Zhong (BL 40), also known as Xue Xi, is an acupoint of the Foot-Taiyang Bladder Meridian, located in the depression of the arterial pulse at the center of the popliteal crease. Have the patient lie prone with face down to locate the point.
Cheng Shan (BL 57), also known as Yu Fu, Rou Zhu, or Chang Shan, belongs to the Foot-Taiyang Meridian. It is located in the fleshy separation between the muscles of the calf. To locate it, support oneself high against a wall with both hands, lift heels off the ground, raise the big toes, and look up towards the fleshy separation below the sharp bone of the heel.
Lei Huo Zhen (Thunder Fire Needle) method treats pain in bones and joints from sprains and strains, as well as cold-dampness, suitable for those afraid of needling. Use Chen Xiang (Aquilaria Wood), Mu Xiang (Aucklandia Root), Ru Xiang (Frankincense), Yin Chen (Artemisia Capillaris), Qiang Huo (Notopterygium Rhizome), Jiang (Ginger), Chuan Shan Jia (Pangolin Scales) each 3 qian, She Xiang (Musk) a small amount, and Qi Ai (Artemisia Mugwort) 2 liang. Use half a chi of cotton paper, first lay mugwort on top, then sprinkle the powdered herbs, roll tightly, and store. Press against the painful acupoint, mark with a pen, cover with 6-7 layers of paper, ignite the rolled herb-mugwort mixture, named Lei Huo Zhen. Utilize true solar fire or a convex lens to ignite until red-hot, press onto the acupoint for a while, remove, trim ash, re-ignite and press again; nine cycles constitute a cure.
Shan Die Jiu Yao (Flash/Fall Moxibustion Medicine): Specifically treats traumatic injuries and rheumatic pain. Liu Huang (Sulfur) 2 liang, Yin Zhu (Cinnabar mixed with sulfur?), Ming Xiong Huang (Realgar), Chen Sha (Cinnabar) each 3 qian, Chuan Wu (Aconitum carmichaelii), [Caowu implied] each 1.5 qian, Sheng Da Huang (Raw Rhubarb), Huang Bo (Phellodendron Bark) each 1 qian, She Xiang (Musk) 1 fen. First melt the Sulfur, mix in the other powdered herbs evenly. Pre-lay a large sheet of paper on the ground, pour the medicine onto it, cover with another sheet of paper, and press flat into blocks. After cooling, each square inch of paper can be cut into ten blocks. Ignite one block, place it on thick coarse paper, and continuously move the thick paper to iron/warm the area. Replace the medicine when exhausted, continuing until heat penetrates to the muscles and bones, causing immediate circulation of Qi and Blood, and the ailment disappears.