凡受不甚重伤，越四五日，腹中绞痛，胸闷呕恶，或四肢麻木，或骨节疼痛，脉象或浮
或伏，与症不合。指甲紫，两腿弯有青筋，必是痧秽之毒，宜刮宜放宜先服散痧之药，不可服伤
药，与姜酒热汤等物。若犯之，则祸不旋踵矣。治法，吹人马平安散，吃蟾酥丸，又服再造
紫金丹。俟痧退后，再投祛瘀生新之药，始无妨碍。又有伤症兼疫症者，先治其疫，而后治
伤，庶可两痊。予临症时，常遇之，故特补出。
放痧穴道歌（佚）
伤损之症，或患处或诸窍出血者，此肝火炽盛，血热错经妄行也。用加味逍遥散。中气
虚弱，血无所附而妄行，加味四君子汤。中气下陷，补中益气汤。元气内脱，用独参汤加炮姜、
附子。血蕴于内而呕血者，四物汤加柴、芩。烦劳太过，或恼怒气逆，或过服寒毒等药，致
伤阳络，则吐血、衄血、便血；伤阴络，则血积血块，肌肉青黑，脏腑亏损，经隧失职，急
补脾肺二脏自愈。或呕吐黑血者，因打扑伤损，败血流入胃脘，色如豆汁，从呕而出。形实
者，用百合散；形虚者，加味芎归汤。或出血过多，脉洪大而虚，重按全无，血虚发热，用
当归补血汤；脉细沉微，按之轻弱，此阴盛发热，四君子汤加姜、附。或筋惕肉 ，此亡血也，
用圣愈汤。发热汗出不止者，血脱也，用独参汤。凡血脱之症，脉实者难治，脉虚者可疗也
凡是受到不严重的重伤，过了四五天，腹中绞痛，胸闷恶心呕吐，或者四肢麻木，或者骨节疼痛，脉象或浮或伏，与症状不相符合。指甲发紫，两腿腘窝处有青筋显露，必定是痧秽之毒，应当采用刮痧、放痧的方法，并先服用散痧的药物，不可服用治疗跌打损伤的药物，以及姜酒热汤等温热之物。如果犯了这些禁忌，灾祸就会立刻降临。治疗方法，吹入人马平安散，内服蟾酥丸，再服用再造紫金丹。等到痧症消退后，再投用祛瘀生新的药物，这样才没有妨碍。又有受伤病症兼夹疫病者，先治疗其疫病，然后治疗外伤，才可以两者都痊愈。我临证时，经常遇到这种情况，所以特别补充出来。
放痧穴道歌（已佚失）
损伤的病症，如果是患处或者各个孔窍出血的，这是肝火炽盛，血热导致血液不按正常经络运行而妄行。使用加味逍遥散。中气虚弱，血液无所依附而妄行，使用加味四君子汤。中气下陷，使用补中益气汤。元气内部脱失，使用独参汤加入炮姜、附子。血液蕴结在体内而呕血的，使用四物汤加入柴胡、黄芩。烦劳过度，或者恼怒导致气机逆乱，或者过服寒凉有毒的药物，导致损伤阳络，就会出现吐血、鼻衄、便血；损伤阴络，就会出现血积、血块，肌肉呈现青黑色，脏腑亏损，经脉功能失职，急需补益脾肺二脏即可自愈。如果出现呕吐黑血的情况，是因为被打扑造成损伤，败血流入胃脘，颜色像豆汁一样，从呕吐而出。体质壮实的人，使用百合散；体质虚弱的人，使用加味芎归汤。如果出血过多，脉象洪大但按之空虚，重按完全无感，这是血虚发热，使用当归补血汤；脉象细沉微弱，轻按感觉软弱，这是阴盛发热，使用四君子汤加入姜、附子。如果出现筋肉跳动，这是亡血的表现，使用圣愈汤。发热且汗出不止的，这是血脱的表现，使用独参汤。凡是血脱的病症，脉象实的难治，脉象虚的可以治疗。
In cases of minor severe trauma, after four or five days, if there is colicky abdominal pain, chest tightness with nausea and vomiting, numbness in the four limbs, or pain in the bone joints, and the pulse is either floating (Fu) or hidden (Fu), which does not match the symptoms. The fingernails turn purple, and blue veins appear in the popliteal fossae of both legs; this must be due to Sha (sand-heat toxin) and filth poison. It is appropriate to use scraping (Gua Sha), bloodletting (Fang Sha), and first administer herbs to dissipate Sha. One must not administer trauma-healing medicines, nor ginger-wine hot soups or other warm substances. If these contraindications are violated, disaster will follow immediately. The treatment method involves insufflating Renma Ping'an San into the nose, taking Chansu Wan internally, and further administering Zaizao Zijin Dan. After the Sha syndrome subsides, then administer drugs that remove blood stasis and generate new blood, so that no harm will result. There are also cases where trauma syndromes are complicated by epidemic diseases; one should first treat the epidemic disease, and then treat the trauma, so that both may recover. I frequently encounter such cases in clinical practice, so I have specially added this section.
Song on Acupoints for Bloodletting Sha (Lost)
In injury syndromes, if bleeding occurs at the injured site or from various orifices, this is due to blazing Liver Fire causing Heat in the Blood to flow recklessly outside the meridians. Use Jiawei Xiaoyao San. If Middle Qi is deficient, and Blood has no root and flows recklessly, use Jiawei Sijunzi Tang. If Middle Qi sinks, use Buzhong Yiqi Tang. If Yuan Qi (Original Qi) collapses internally, use Dushen Tang added with Pao Jiang (Prepared Ginger) and Fuzi (Prepared Aconite). If Blood stagnates internally causing hematemesis, use Siwu Tang added with Chai Hu (Bupleuri Radix) and Huang Qin (Scutellariae Radix). Excessive fatigue, or anger leading to rebellious Qi, or excessive intake of cold and toxic drugs, may damage the Yang Collaterals, resulting in hematemesis, epistaxis, or hematochezia; damaging the Yin Collaterals results in blood accumulation and clots, muscles turning dark blue/black, loss of Zang-Fu function, and failure of the meridians to perform their duties; urgently tonifying the Spleen and Lung Zang-Fu organs will lead to self-healing. If black blood is vomited, it is because beating or falling caused injury, allowing ruined blood to flow into the stomach cavity, resembling bean curd dregs, and being vomited out. For those with a robust constitution, use Baihe San; for those with a deficient constitution, use Jiawei Xionggui Tang. If bleeding is excessive, and the pulse is large and forceful but empty upon pressing, and completely absent upon heavy pressure, this is Fever due to Blood Deficiency; use Danggui Buxue Tang. If the pulse is fine, deep, and faint, feeling weak upon light pressure, this is Fever due to Yin Excess; use Sijunzi Tang added with Jiang (Ginger) and Fuzi (Aconite). If muscle twitching occurs, this is Loss of Blood; use Shengyu Tang. Fever with incessant sweating indicates Blood Collapse; use Dushen Tang. In all cases of Blood Collapse, if the pulse is solid/excess, it is difficult to treat; if the pulse is deficient/weak, it can be treated.