【方歌】金疮须宜验伤痕，轻伤皮肉重伤筋，外撒如圣桃花散，
血多八珍汤独参。
【注】此证有金刀伤、箭镞伤、磁锋伤。须看伤痕深浅，轻者
皮肉破损，血流不住，以桃花散撒之；重者筋断血飞，
系大脉已伤，用如圣金刀散撒上，以绢帛扎住，止而复
流，再撒。若药痂过厚拘痛者，以生肌玉红膏涂伤处；
外贴陀僧膏，长筋止痛生肌治之。无论轻重伤破出血，
初服三黄宝蜡丸；伤破微出血者，服黎洞丸；若出血过
多，其人面黄眼黑，不可专攻瘀血，宜用八珍汤；甚者
独参汤，先固根本，二方俱加苏木、红花，兼调瘀血。
此证虽系好肉暴伤，然验脉法形证，亦可以定生死。如
伤血过多，脉见虚、细、沈、小、和缓者生，若脉见浮
、洪、数、大、实、虚促者死。被伤入肺者二七死，左
胁下伤内者，肠全断者，少腹下伤内者，伤处繁多者，
老人左股压碎者，伤破阴子者，肩内耳后伤透于内者，
死。凡伤天聪穴与眉角，脑后臂里跳脉，髀内阴股，两
乳上下，心下鸠尾，及五脏六腑之俞者，皆死。脑后出
髓而不能语，目睛直视，喉中沸声，口急唾出，两手妄
举者，亦死。又有腹皮损破肠出者，看肠若仅伤一半者
，可治。先以大麦煮粥，取浓汁，温洗其肠，以桑皮尖
茸为线，蘸花蕊石散，缝肠伤口，急于缝处涂活鸡冠血
，随以清油涂肠令润，将肠轻轻纳入腹内；外用生人长
发密缝腹伤口之里肉，留外皮撒月白珍珠散，以待生肌
敛口。若伤口大者，不能外缝，以陀僧膏护贴，候自溃
脓，即按溃疡门治法。缝后勿惊笑，以米饮少少饮之，
渐增，待二十日后，再吃浓粥，调理而愈。
方剂：三黄宝蜡丸
组成：藤黄（制法见黎洞丸内）
天竹黄（无真者，九转南星代之）
红芽大戟 刘寄奴
血竭（各三两） 孩儿茶
雄黄（各三两） 朴硝（一两）
当归尾（一两五钱） 铅粉
汞（即水银） 乳香
麝香（各三钱） 琥珀（二钱）
各研极细末，称准和一处，将水银同铅粉，在铁锅
内，火上热研成末，入煎药内，共研匀；用炼净黄蜡二
十四两，放磁器内，坐滚水中化开，将药入内搅匀。病
重者每丸一钱，病轻者每丸五分，热黄酒调服，尚受伤
至重，速服数次，服药后饮酒出汗更妙，又治一切恶疮
，以香油化开，敷之甚效。
【方歌】三黄宝蜡琥天竹，大戟儿茶硝寄奴，雄竭藤黄铅粉汞，
乳归麝碾去其粗。蜡丸黄酒热调服，外治恶疮油化敷，
能疗金疮伤损证，续筋瘀散痛全无。
又方：黎洞丸
组成：三七 生大黄
阿魏 孩儿茶
天竹黄 血竭
乳香 没药（各二两）
雄黄（一两）
山羊血（无真者，以小子羊鲜心血代之）
冰片 麝香
牛黄（各二钱五分，以上各研细末）
藤黄（以秋荷叶露泡之，隔汤煮十余次，去浮沉，取中
，将山羊血拌入，晒干，二两）
取秋露水化藤黄，拌药捣千余下，如干，加炼蜜少
许为丸，重一钱，黄蜡封固。每用一丸，黄酒化服；外
敷亦用黄酒磨涂此药。如在夏天修和，取天落水拌之为
丸。
【方歌】黎洞金疮跌扑伤，发背痈疽诸恶疮，瘰历刑伤疯犬咬，
蜂蛇蝎毒服敷良，三七大黄冰麝魏，儿茶天竹竭藤黄，
羊血雄黄牛乳没，秋露和丸酒化强。
又方：桃花散（见发无定处血箭）
如圣金刀散（见足部脱疽）
生肌玉红膏、陀僧膏、八珍汤、独参汤、月白珍珠散（
俱见溃疡门）
花蕊石散（见发无定处血痔）
【方歌】金疮必须查验伤痕，轻伤在皮肉，重伤伤及筋脉。外用如圣桃花散撒敷；若出血多，则用八珍汤或独参汤。
【注】此证包括金刀伤、箭镞伤、磁锋伤。必须查看伤痕的深浅：轻者皮肉破损，血流不止，用桃花散撒敷；重者筋断血喷，系大脉已受伤，用如圣金刀散撒敷，并用绢帛扎紧止血，若止住后又流血，再撒药。如果药痂过厚导致拘挛疼痛，用生肌玉红膏涂抹伤口；外贴陀僧膏，以长筋、止痛、生肌的方法治疗。无论轻重伤破出血，初服三黄宝蜡丸；伤破微出血者，服黎洞丸；若出血过多，其人面色黄、眼黑，不可专攻瘀血，宜用八珍汤；严重者用独参汤，先固护根本，这两方都加苏木、红花，兼调瘀血。此证虽然是好肉突然受创，但通过诊脉和观察形证，也可以判断生死。如失血过多，脉象见虚、细、沉、小、和缓的为生，若脉象见浮、洪、数、大、实、虚促的为死。被伤入肺的，十四天死；左胁下伤及内脏的，肠子全断的，少腹下伤及内脏的，受伤处繁多的，老人左大腿压碎的，伤破阴器的，肩内耳后伤透于内的，皆死。凡是伤到天聪穴与眉角，脑后臂里跳动的脉搏，髀内阴股，两乳上下，心下鸠尾，以及五脏六腑俞穴的，皆死。脑后出髓而不能说话，眼睛直视，喉中有沸腾声，口急唾出，两手乱举的，也死。又有腹部皮肤破损肠子流出的，看肠子若仅伤一半的，可治。先用大麦煮粥，取浓汁，温洗其肠，用桑皮尖茸做线，蘸花蕊石散，缝合肠子伤口，急于缝处涂活鸡冠血，随即用清油涂肠使其润滑，将肠轻轻纳入腹内；外用生人长发密缝腹伤口里面的肉，留外皮撒月白珍珠散，以待生肌敛口。若伤口大的，不能外缝，用陀僧膏护贴，等待自行溃脓，就按溃疡门的治疗方法处理。缝合后不要惊吓大笑，用米饮少量饮用，逐渐增加，待二十日后，再吃浓粥，调理而愈。
方剂：三黄宝蜡丸
组成：藤黄（制法见黎洞丸内）
天竹黄（无真品者，用九转南星代替）
红芽大戟 刘寄奴
血竭（各三两） 孩儿茶
雄黄（各三两） 朴硝（一两）
当归尾（一两五钱） 铅粉
汞（即水银） 乳香
麝香（各三钱） 琥珀（二钱）
各研成极细末，称准混合一处，将水银同铅粉，在铁锅内，火上加热研磨成末，加入煎好的药液中，共同研磨均匀；用炼净的黄蜡二十四两，放在磁器内，坐入滚水中化开，将药液倒入其中搅匀。病重者每丸一钱，病轻者每丸五分，用热黄酒调服，倘若受伤至重，速服数次，服药后饮酒出汗更好，又治一切恶疮，用香油化开，敷之甚效。
【方歌】三黄宝蜡琥天竹，大戟儿茶硝寄奴，雄竭藤黄铅粉汞，乳归麝碾去其粗。蜡丸黄酒热调服，外治恶疮油化敷，能疗金疮伤损证，续筋瘀散痛全无。
又方：黎洞丸
组成：三七 生大黄
阿魏 孩儿茶
天竹黄 血竭
乳香 没药（各二两）
雄黄（一两）
山羊血（无真品者，以小子羊鲜心血代替）
冰片 麝香
牛黄（各二钱五分，以上各研细末）
藤黄（以秋荷叶露泡之，隔汤煮十余次，去浮沉，取中间部分，将山羊血拌入，晒干，二两）
取秋露水化开藤黄，拌药捣千余下，如干，加炼蜜少许为丸，重一钱，黄蜡封固。每用一丸，用黄酒化服；外敷也用黄酒磨涂此药。如在夏天修合，取天落水拌之为丸。
【方歌】黎洞金疮跌扑伤，发背痈疽诸恶疮，瘰历刑伤疯犬咬，蜂蛇蝎毒服敷良，三七大黄冰麝魏，儿茶天竹竭藤黄，羊血雄黄牛乳没，秋露和丸酒化强。
又方：桃花散（见发无定处血箭）
如圣金刀散（见足部脱疽）
生肌玉红膏、陀僧膏、八珍汤、独参汤、月白珍珠散（俱见溃疡门）
花蕊石散（见发无定处血痔）
[Formula Song] For metal wounds, one must examine the injury marks: light injuries affect skin and flesh, while severe injuries damage tendons. Apply Rusheng Taohua San (Holy Peach Powder) externally; if bleeding is profuse, use Bazhen Tang (Eight-Treasure Decoction) or Dushen Tang (Single-Ginseng Decoction).
[Note] This condition includes injuries from knives, arrowheads, and sharp ceramics. One must inspect the depth of the wound: for light injuries where skin and flesh are broken and blood flows incessantly, apply Taohua San (Peach Powder); for severe injuries where tendons are severed and blood spurts, indicating damage to major vessels, apply Rusheng Jindao San (Holy Knife Powder), bind tightly with silk cloth to stop bleeding, and reapply if bleeding resumes. If the medicinal scab is too thick causing stiffness and pain, apply Shengji Yuhong Gao (Flesh-Regenerating Jade Red Ointment) to the wound; cover externally with Tuoseng Gao (Pottery Monk Ointment) to promote tendon regeneration, relieve pain, and generate flesh. Regardless of the severity or bleeding, initially administer Sanhuang Baola Wan (Three-Yellows Precious Wax Pill); for minor bleeding from broken skin, administer Lidong Wan (Lidong Pill); if bleeding is excessive, presenting with sallow complexion and dark eyes, do not focus solely on expelling blood stasis, but use Bazhen Tang (Eight-Treasure Decoction); in severe cases, use Dushen Tang (Single-Ginseng Decoction) first to consolidate the root. Both formulas should be supplemented with Sumu (Daemonorops Draconis) and Honghua (Carthamus Tinctorius) to regulate blood stasis. Although this condition involves sudden trauma to healthy tissue, life and death can be determined by pulse diagnosis and observation of signs and symptoms. If excessive blood loss occurs, a void, fine, deep, small, and moderate pulse indicates survival, whereas a floating, surging, rapid, large, excess, or void-rapid pulse indicates death. Injury penetrating the lungs results in death within fourteen days; injury to the internal organs under the left hypochondrium, complete severance of the intestines, injury to the internal organs in the lower abdomen, multiple injury sites, crushing of the left thigh in the elderly, injury to the genitalia, and penetration through the shoulder interior or behind the ear all result in death. Injuries to Tiancong acupoint and brow corners, pulsing vessels in the back of the head and inner arms, inner thighs and groin, above and below both breasts, Jiwei point below the heart, and the Shu points of the Zang and Fu organs all result in death. Extrusion of marrow from the back of the head accompanied by inability to speak, fixed gaze, bubbling sounds in the throat, urgent salivation, and random raising of both hands also indicate death. In cases where abdominal skin is broken and intestines protrude, if only half of the intestine is injured, it is treatable. First, boil millet porridge, take the thick decoction, and wash the intestines with warm liquid. Use mulberry bark tips as thread, dip in Huarui Shi San (Flower Porphyry Stone Powder), and suture the intestinal wound. Immediately apply fresh rooster comb blood to the suture site, then coat the intestine with clarified oil to keep it moist, and gently return the intestine into the abdominal cavity. Externally, use human long hair to densely suture the inner flesh of the abdominal wound, leave the outer skin exposed, apply Yuebai Zhenzhu San (Moon-White Pearl Powder), and wait for flesh regeneration and wound closure. If the wound is too large for external suturing, protect and cover with Tuoseng Gao (Pottery Monk Ointment), wait for spontaneous suppuration, and then treat according to the methods for ulcerative diseases. After suturing, avoid shock and laughter; drink rice water in small amounts, gradually increasing the quantity. After twenty days, consume thick porridge and recover through conditioning.
Formula: Sanhuang Baola Wan (Three-Yellow Precious Wax Pill)
Composition: Tenghuang (Preparation method see Lidong Wan)
Tianzhuhuang (If genuine is unavailable, substitute with Jiuzhuan Nanxing)
Hongya Daji, Liu Jinu
Xuejie (3 liang each), Haiercha
Xionghuang (3 liang each), Poxiao (1 liang)
Dangguiwei (1.5 liang), Qianfen
Gong (i.e., Mercury), Xuxiang
Shexiang (0.3 qian each), Hupo (2 qian)
Grind all ingredients into extremely fine powder, weigh accurately, and mix together. Place mercury and lead oxide in an iron pot, heat over fire, and grind into powder. Add to the decocted medicine, grind uniformly. Melt 24 liang of refined yellow wax in a ceramic vessel placed in boiling water. Pour the medicinal mixture into the melted wax and stir evenly. For severe cases, take one pill weighing 1 qian; for mild cases, 0.5 qian. Take with hot yellow wine. For extremely severe injuries, take several doses rapidly. Sweating after taking the medicine and drinking wine is beneficial. It also treats all malignant sores; dissolve in sesame oil and apply topically with good effect.
[Formula Song] Sanhuang Baola Hu Tianzhu, Daji Ercha Xiao Jinu, Xiong Jie Tenghuang Qianfen Gong, Ru Gui She Nian Qu Qi Cu. La Wan Huangjiu Re Tiao Fu, Wai Zhi E Chuang You Hua Fu, Neng Liao Jin Chuang Shang Sun Zheng, Xu Jin Yu San Tong Quan Wu.
Another Formula: Lidong Wan (Lidong Pill)
Composition: Sanqi, Sheng Dahuang
Awei, Haiercha
Tianzhuhuang, Xuejie
Xuxiang, Moyao (2 liang each)
Xionghuang (1 liang)
Shanyangxue (If genuine is unavailable, substitute with fresh heart blood of young sheep)
Bingpian, Shexiang
Niuhuang (2.5 qian each, above ingredients ground into fine powder)
Tenghuang (Soak in autumn lotus leaf dew, steam over water for more than ten times, discard floating and settled parts, take the middle portion, mix with Shanyangxue, dry, 2 liang)
Dissolve Tenghuang in autumn dew, mix with other medicines, pound for over a thousand times. If too dry, add a little refined honey to form pills weighing 1 qian each, sealed with yellow wax. Take one pill dissolved in yellow wine per dose; for external application, grind the medicine with yellow wine. If prepared in summer, use rainwater to form pills.
[Formula Song] Lidong Jin Chuang Die Pu Shang, Fabei Yongju Zhu E Chuang, Luoli Xingshang Fengquan Yao, Feng She Xie Du Fu Fu Liang, Sanqi Dahuang Bing She Wei, Ercha Tianzhu Jie Tenghuang, Yangxue Xionghuang Niuru Mo, Qiulu He Wan Jiu Hua Qiang.
Other Formulas: Taohua San (See Blood Arrow Bleeding at Indeterminate Locations)
Rusheng Jindao San (See Foot Gangrene)
Shengji Yuhong Gao, Tuoseng Gao, Bazhen Tang, Dushen Tang, Yuebai Zhenzhu San (All see Ulcerative Diseases Section)
Huarui Shi San (See Blood Hemorrhoids at Indeterminate Locations)