腑，饮食如常，知火毒之轻也。伤破皮肉亦将去毒散投下，此乃小心之法，外将琥珀膏敷之
五十八，斩落手臂、指、脚、腿、膀者，此症乘其被此血热凑上妙，或手或臂以通身，
如血
之，再以金枪药封固，内服托里止痛散，再服调理之剂，并药酒可安。
五十九，或断桥梁、墙壁城垣倾倒压折骨节者，若伤头颅，可有碎骨否?如有，将铜钳
钳去碎骨，如不去碎骨，恐有后患，不能收口。第一畏染破伤风，须投护风理气汤，次服接骨丹
。如伤两太阳晕迷不苏，饮食不下，口不能言，汤水不下，竟不能医治。脑髓出者，不治。
伤断天井骨者，不治。如伤胸背以致伤五脏者，必不言语，饮食不进，尚可救之，何也?气
闷在心，急以吉利散，用砂仁汤调服，若受此药尚可救治。如发寒热，急投护风理气汤，倘
不受，再看两日，再投吉利散，如前探之。如再不受，不治。若伤两软肋，看其轻重，饮食
如常，不发寒热，以吉利散治之。若发寒热，投苏风理气汤。如伤腰子者，重竟不治，轻者
如皮肉不破，外贴损伤膏，内服补肾和血汤，并药酒调理而安。
六十，凡打伤倒插或紫，致命部穴受害，牙关紧闭，口眼不开者，先以砂仁炒研细末泡
汤，令受伤人饮之顺气，次以吉利散淡姜汤调服。
六十一，伤头颅，额角破损，昏迷不苏，须用红萝卜子炒研为末，泡汤饮之，次将淡姜
汤调吉利散服下。如服伤最重者，用前散二钱，轻者一钱最宜。避风为上，此症恐染破伤风。服
过砂仁汤，即以苏风理气汤投下一剂，护风为要。
六十二，小肠受踢，打扑跌伤痛者，伤处痛涩滞，小便闭塞，一步不能行走，其内必定
有瘀血。急投归通破血汤而安。如小便二三，尚可救治，否此大便可迟，迟久实难治矣，不久可
治也。凡肛门谷道之中，阴囊之后，名曰海底穴，或被踢伤，或触重伤，看其伤之轻重，或
肿或青，或黑或紫，或红或肿，而兼红紫，痛及不忍者，内服行气活血止痛汤一剂，外贴损
伤药，次服吉利散。如肿青黑，身发寒热，小便不通，两卵子不时升上升下，气色迷闷，小
腹疼痛，内必有瘀血。须服苏风行气活血汤，次服琥珀散，外贴损伤膏，亦服吉利散。谷道
胀肿，大小便不通，日夜发热，不思饮食，坐卧不宁，先服苏风顺气汤，次服琥珀丸。气喘
发嗽，欲笑欲哭，小便滞涩，红肿不消，作阵而痛，先服补肾活血止痛汤，次服吉利散，再
以补肾调理药酒。更有一经受伤即不能言语，人事不省，口出唾涎，喉鼻喘息，俱无六脉沉
细，面白无光，此为凶症。胸腋有动，或可医治，以猪牙皂末少许入鼻，否只以灯心蘸末吹
入得涕，竟以砂仁汤送下，后仍用砂仁汤调吉利散服，再将苏风理气活血止痛汤服之。若身
不发热，不犯前症，但以补肾理气顺气药酒，久服可安。如犯，即照前度调治。伤处贴损伤
膏，倘略疼微痛，只用吉利散砂仁汤调服，贴膏而愈。不必用他药也。
腑脏功能正常，饮食如常，说明火毒较轻。若皮肤肌肉破损，也将外用去毒散，这是谨慎的处理方法，外部再敷上琥珀膏。
五十八，对于被斩断手臂、手指、脚、腿、膀臂的情况，此症候在血液热邪上冲时处理最为巧妙。无论是手还是手臂，都要使全身气血通畅，然后以金枪药封固伤口，内服托里止痛散，再服用调理剂，并配合药酒即可安稳。
五十九，若是桥梁、墙壁或城垣倒塌压折骨节者，如果伤及头颅，是否有碎骨？如果有，需用铜钳夹去碎骨，如果不去除碎骨，恐怕会有后患，导致伤口无法愈合。首先担心感染破伤风，须投用护风理气汤，其次服用接骨丹。如果伤及两侧太阳穴导致昏迷不醒，饮食不下，口不能言，汤水难进，则完全无法医治。脑髓流出者，不治。伤断天井骨者，不治。如果伤及胸背以致伤及五脏，必然不能言语，饮食不进，尚可救治，为什么呢？因为气闷在心，急用吉利散，用砂仁汤调服，如果受得了此药尚可救治。如果出现寒热症状，急投护风理气汤，倘若身体不受此药，再看两日，再投吉利散，如前法试探。如果再不受药，则不治。如果伤及两侧软肋，视其轻重，若饮食如常，不发寒热，以吉利散治疗。若发寒热，投苏风理气汤。如果伤及肾脏（腰子），重伤完全无法救治，轻者如果皮肉未破，外贴损伤膏，内服补肾和血汤，并用药酒调理即可安稳。
六十，凡是打伤导致倒插或淤紫，致命部穴受害，牙关紧闭，口眼不开者，先以炒研成细末的砂仁泡汤，令受伤人饮下以顺气，其次以吉利散用淡姜汤调服。
六十一，伤及头颅，额角破损，昏迷不醒，须用红萝卜子炒研为末，泡汤饮之，其次将吉利散用淡姜汤调服。如果服用前散（指砂仁散）伤势最重者，用二钱，轻者一钱最合适。避风为上策，此症恐感染破伤风。服过砂仁汤后，即投下一剂苏风理气汤，以护风为要。
六十二，小肠受踢打跌扑疼痛者，伤处痛涩滞胀，小便闭塞，一步不能行走，体内必定有瘀血。急投归通破血汤即可安稳。如果小便尚能排出二三，尚可救治，否则大便也会延迟，拖延久了实难治愈，不久尚可治也。凡肛门谷道之中，阴囊之后，名为海底穴，如果被踢伤或触重伤，看其伤的轻重，或肿或青，或黑或紫，或红或肿，兼见红紫色，疼痛难忍，内服行气活血止痛汤一剂，外贴损伤药，其次服用吉利散。如果肿胀青黑，身体发寒热，小便不通，两个睾丸不时上下升降，气色迷闷，小腹疼痛，体内必有瘀血。须服苏风行气活血汤，其次服琥珀散，外贴损伤膏，亦服吉利散。谷道胀肿，大小便不通，日夜发热，不思饮食，坐卧不宁，先服苏风顺气汤，其次服琥珀丸。气喘咳嗽，欲笑欲哭，小便滞涩，红肿不消，阵发性疼痛，先服补肾活血止痛汤，其次服吉利散，再以补肾调理药酒。更有一种情况是受伤后即不能言语，人事不省，口出唾涎，喉鼻喘息，六脉皆沉细，面白无光，此为凶症。如果胸腋部位尚有动感，或可医治，取少许猪牙皂末吹入鼻中，否则只以灯心草蘸末吹入使其流泪，随即以砂仁汤送下，随后仍用砂仁汤调吉利散服用，再将苏风理气活血止痛汤服下。如果身体不发热，不犯前述病症，仅以补肾理气顺气药酒，久服可安。如果犯了前述病症，即照前法度调治。伤处贴损伤膏，倘若略疼微痛，只用吉利散砂仁汤调服，贴膏即可痊愈。不必用其他药物。
The fu organs function normally, and diet is unchanged, indicating that the fire toxin is mild. If the skin and flesh are broken, external application of detoxifying powder will also be administered; this is a cautious method, followed by the external application of Hupo Gao (Amber Plaster).
Fifty-eight: For cases where arms, fingers, feet, legs, or shoulders have been severed, it is crucial to address the condition while blood heat rises. Whether the injury involves the hand or arm, the entire body's qi and blood must be unblocked. The wound should then be sealed with Jinqiang Yao (Golden Gun Medicine), internally administered Tuoli Zhitong San (Support Interior and Stop Pain Powder), followed by conditioning agents and medicinal wine for stabilization.
Fifty-nine: In cases where bones and joints are crushed by falling bridges, walls, or city ramparts, if the head is injured, one must check for bone fragments. If present, remove them with copper forceps; failure to remove fragments may lead to complications and prevent wound closure. The primary concern is tetanus infection; thus, Hufeng Liqi Tang (Protect Wind and Regulate Qi Decoction) must be administered first, followed by Jiangu Dan (Bone-Connecting Pill). If both Taiyang acupoints are injured causing coma, inability to eat, speak, or swallow liquids, the case is incurable. Extrusion of brain matter is also incurable. Fracture of the Tianjing bone is incurable. If chest and back injuries damage the five zang organs, speech and appetite will cease, but rescue is still possible because qi stagnation is in the heart; urgently administer Jili San (Auspicious Powder) mixed with Amomum villosum (Sharen, 砂仁) decoction. If the patient can tolerate this, rescue is possible. If chills and fever develop, urgently administer Hufeng Liqi Tang. If the patient cannot tolerate it, observe for two days and attempt Jili San again as before. If still intolerant, the case is incurable. For injuries to both soft ribs, assess severity: if diet is normal and no chills/fever occur, treat with Jili San. If chills/fever occur, administer Sufeng Liqi Tang (Soothe Wind and Regulate Qi Decoction). For kidney (lower back) injuries, severe cases are incurable; mild cases without skin breakage should have external application of Sunshang Gao (Trauma Plaster) and internal administration of Bushen Hexue Tang (Tonify Kidney and Harmonize Blood Decoction) along with medicinal wine for recovery.
Sixty: For blunt trauma causing inversion or purple discoloration, affecting vital acupoints, with locked jaw and eyes unable to open, first prepare fine powder from roasted Amomum villosum (Sharen, 砂仁), brew in water, and let the patient drink to regulate qi. Then, administer Jili San mixed with light ginger decoction.
Sixty-one: For head injuries with frontal/temporal lacerations and coma, roast Radish seeds (Hongluobozi, 红萝卜子), grind into powder, brew in water, and drink. Subsequently, administer Jili San mixed with light ginger decoction. For severe injuries using the aforementioned powder, use 2 qian; for mild injuries, 1 qian is optimal. Avoid wind exposure, as tetanus infection is a risk. After drinking the Amomum villosum decoction, immediately administer one dose of Sufeng Liqi Tang to protect against wind.
Sixty-two: For kicks or falls injuring the small intestine, causing painful stiffness, urinary obstruction, and inability to walk, there is definitely internal blood stasis. Urgently administer Guitong Poxue Tang (Regulate Intestines and Break Blood Stasis Decoction) for stabilization. If urination is partial (two or three times), rescue is possible; otherwise, defecation will delay, making treatment difficult after prolonged duration, though early intervention remains effective. The area behind the anus and scrotum is named Haidi Xue (Sea Bottom Acupoint). If kicked or severely impacted, assess severity: swelling, cyanosis, blackness, purple hue, redness, or mixed red-purple colors with unbearable pain require internal administration of Xingqi Huoxue Zhitong Tang (Move Qi, Invigorate Blood, and Stop Pain Decoction), external application of trauma medicine, followed by Jili San. If swollen, cyanotic, black, accompanied by chills/fever, urinary retention, testicular ascent/descent, mental confusion, and lower abdominal pain, internal blood stasis is confirmed. Administer Sufeng Xingqi Huoxue Tang, followed by Hupo San (Amber Powder), external application of Sunshang Gao, and Jili San. For anal swelling, urinary/fecal obstruction, day-night fever, anorexia, and restlessness, first administer Sufeng Shunqi Tang, followed by Hupo Wan (Amber Pill). For wheezing, coughing, emotional instability (laughing/crying), urinary difficulty, persistent red/swollen tissues, and paroxysmal pain, first administer Bushen Huoxue Zhitong Tang, followed by Jili San, and finally Bushen conditioning medicinal wine. Another critical sign is immediate loss of speech, unconsciousness, salivation, throat/nasal gasping, deep/thin pulse, and pale complexion; this is a ominous sign. If chest/axillary movement persists, treatment may be attempted: insufflate a small amount of Glycyrrhiza uralensis root powder (Zhuyazao, 猪牙皂) into the nose. If ineffective, use a rush pith stick dipped in powder to induce tearing, then administer via Amomum villosum decoction. Subsequently, continue with Jili San mixed in Amomum villosum decoction, followed by Sufeng Liqi Huoxue Zhitong Tang. If no fever or prior symptoms occur, long-term use of Bushen Liqi Shunqi medicinal wine ensures recovery. If symptoms recur, follow previous protocols. Apply Sunshang Gao to the injury site. For slight pain, only Jili San mixed in Amomum villosum decoction and plaster application are needed for cure; no other medicines are required.