《病源论》云∶凡金疮通内，血多内漏，若腹胀满，两胁胀，不能食者死。瘀血在内，
腹胀，脉牢大者生，沉细者死。
《葛氏方》若血内漏者方∶
服蒲黄二方匕，血立下。
又方∶煮小豆，服汁五升。
又方∶以器盛汤，令热熨腹，达内则消。
又方∶掘地作坎，以水泼坎中搅之。取浊汁，饮二升许。
《千金方》金疮内漏方∶
牡丹为散，水服三指撮，立尿血出。
《医门方》金疮血内漏，腹满欲死方∶
白芷 黄 当归 续断 芎 （各八分） 甘草（六分，炙） 蒲黄 干地黄（各十
二分）
捣筛为散，空腹以酒服方寸匕，日三。瘀血化为水下。口噤，加大黄十二分。
《病源论》云∶夫金疮，多伤经络，去血损气，其疮未瘥，则血气尚虚。若因而房室者，
致情意感动，阴阳发泄，惊触于疮，故血汁重出也。
《葛氏方》云∶金疮未愈以交接，血漏惊出则杀人方∶
急以蒲黄粉之。
又方∶取所交妇人中裙带三寸，烧末服之。
《医门方》治金疮中风， ，欲死方∶
生葛根一斤，切，以水九升，煮取三升，去滓，分三服。无生葛，以干葛末，温酒服三
指撮。若口噤，多饮竹沥亦佳。
《葛氏方》云∶金疮，忌 怒，大言，大笑，思想阴阳，行动作力，多食饮咸酸、饮酒、
热羹 ，皆使疮痛。疮瘥后百日、半年，乃稍稍复常耳。
又云∶若多饮粥辈，则血溢出杀人。
《陶景本草注》云∶金疮禁食猪肉、梨。
《诸病源候论》说：凡是金属利器造成的创伤导致内部贯通，血液大量内漏，如果出现腹部胀满、两侧胁肋部胀闷、不能进食的情况，就会死亡。如果瘀血停留在体内，出现腹部胀满，脉象坚实有力的可以存活，脉象沉细的则会死亡。
《葛氏方》中治疗血液内漏的方剂：
服用蒲黄两方寸匕的量，血液立刻会排出。
另一个方子：
煮小豆，服用其汁液五升。
又一个方子：
用容器盛装热水，让热气熨烫腹部，使热力深入体内，瘀血即可消散。
又一个方子：
在地上挖一个坑，往坑里泼水并搅动。取浑浊的汁液，饮用大约二升。
《千金方》中治疗金疮内漏的方剂：
将牡丹研成散剂，用水送服三指撮的量，尿液中立刻会有血液排出。
《医门方》中治疗金疮血液内漏、腹部胀满濒临死亡的方剂：
白芷、黄芪、当归、续断、川芎（各八分），甘草（六分，炙烤过），蒲黄、干地黄（各十二分）。
捣碎并筛成散剂，空腹时用酒送服一方寸匕，每日三次。瘀血化为水液排出。如果牙关紧闭，增加大黄十二分。
《诸病源候论》说：金属利器造成的创伤，大多损伤经络，耗损血液和元气，伤口尚未愈合时，气血仍然虚弱。如果因此进行房事，导致情欲冲动，阴阳之气发泄，惊恐触动伤口，所以血液和津液再次流出。
《葛氏方》说：金疮未愈合就进行性交，血液泄漏且受惊而出，会导致死亡。急救方法：
迅速用蒲黄粉末敷撒伤口。
又一个方子：
取性交妇女的中裙带三寸长，烧成灰烬后服用。
《医门方》治疗金疮中风、口噤、濒临死亡的方剂：
生葛根一斤，切碎，用水九升，煮取三升，去除药渣，分三次服用。如果没有生葛根，可用干葛根粉，用温酒送服三指撮的量。如果牙关紧闭，多饮竹沥也很好。
《葛氏方》说：金疮患者，忌讳发怒、大声说话、大笑、思虑房事、用力行动，多吃咸酸食物、饮酒、喝热羹汤，都会导致伤口疼痛。伤口痊愈后一百天、半年，才能逐渐恢复正常。
又说：如果过多饮用粥类食物，会导致血液溢出而致死。
*Zhubing Yuanhou Lun* (Treatise on the Pathogenesis and Manifestations of All Diseases) states: In cases where metal wounds penetrate internally with massive internal hemorrhage, if abdominal distension, fullness in both hypochondriac regions, and inability to eat occur, death ensues. If blood stasis remains within, causing abdominal distension, a firm and large pulse indicates survival, whereas a deep and fine pulse indicates death.
The *Ge Shi Fang* (Prescriptions by Master Ge) provides formulas for internal hemorrhage:
Administer two "fang cun bi" (a measure roughly equivalent to a square inch spoonful) of Puhuang (Caulis et Flos Nelumbinis), and the blood will be expelled immediately.
Another formula:
Boil Vigna angularis (Adzuki Bean), and drink five sheng (approx. 1 liter) of its juice.
Yet another formula:
Fill a vessel with hot water and apply it as a warm compress to the abdomen; allowing the heat to penetrate deeply will dissipate the blood stasis.
Yet another formula:
Dig a pit in the ground, pour water into it, and stir. Drink approximately two sheng (approx. 0.4 liters) of the turbid liquid.
The *Qianjin Fang* (Essential Prescriptions Worth a Thousand Gold) offers a formula for internal hemorrhage from metal wounds:
Grind Mudanpi (Cortex Moutan) into a powder, take three "zhi cuo" (a measure taken with three fingers) with water, and bloody urine will be expelled immediately.
The *Yimen Fang* (Medical Gate Prescriptions) provides a formula for metal wound internal hemorrhage with severe abdominal fullness approaching death:
Baizhi (Radix Angelicae Dahuricae), Huangqi (Radix Astragali), Danggui (Radix Angelicae Sinensis), Xuduan (Radix Dipsaci), Xiongqiong (Radix Chuanxiong) (each 8 fen), Gancao (Radix Glycyrrhizae, 6 fen, prepared by roasting), Puhuang (Caulis et Flos Nelumbinis), Dihuang (Radix Rehmanniae Preparata) (each 12 fen).
Pulverize and sieve into a powder. Take one "fang cun bi" with wine on an empty stomach, three times daily. The blood stasis will transform and be discharged as fluid. If trismus (lockjaw) is present, add Dahuang (Radix et Rhizoma Rhei) 12 fen.
*Zhubing Yuanhou Lun* states: Metal wounds often damage meridians and collaterals, depleting blood and qi. While the wound has not healed, blood and qi remain deficient. If sexual intercourse occurs under these circumstances, emotional arousal leads to the release of yin and yang energies, and shock disturbs the wound, causing blood and fluids to flow out again.
*Ge Shi Fang* states: If sexual intercourse occurs before the metal wound has healed, resulting in leaking blood and shock, it can be fatal. Emergency treatment:
Immediately dust the wound with Puhuang powder.
Another formula:
Take a three-cun (approx. 10 cm) strip of the girdle from the woman's middle skirt involved in the act, burn it to ash, and ingest it.
The *Yimen Fang* provides a formula for wind-stroke following metal wounds, characterized by trismus and approaching death:
Use 1 jin (approx. 500-600g) of fresh Gegen (Puerariae Radix), chop it, boil in nine sheng (approx. 1.8 liters) of water until reduced to three sheng (approx. 0.6 liters), remove the dregs, and divide into three doses. If fresh Gegen is unavailable, use dried Gegen powder, taking three "zhi cuo" with warm wine. If trismus is present, drinking abundant Zhuli (Bambusae Caulis in Taeniam) is also beneficial.
*Ge Shi Fang* states: Patients with metal wounds should avoid anger, loud talking, excessive laughter, thinking about sexual matters, strenuous physical activity, consuming salty or sour foods, drinking alcohol, and eating hot soups, as all these factors cause pain in the wound. It takes one hundred days to half a year after the wound heals for the body to gradually return to normal.
It also states: Excessive consumption of porridge-like foods can cause blood to overflow and lead to death.
*Tao Hongjing's Commentary on Bencao* states: Patients with metal wounds are prohibited from eating pork and pears.