有一患者，发热烦躁，用四物、黄芩、红花、软柴、山栀、花粉，烦热已清，瘀血深蓄
，欲针出之，不从。忽牙关紧急，患处刺痛，始针去脓血即安；用托里养血，新肉渐长，忽
患处瘙痒，此风热也，用祛风消毒之剂而痊。
有一患者，臀腿胀痛，发热烦躁，刺去死血，胀痛少宽，热躁愈甚，此血脱邪火旺而然
也。急用独参汤补之，少愈；又以健脾胃养气血药治之，腐肉渐溃遂愈。大抵此症宜预调补
，以顾收敛，切不可伐其气血，不行补益，以至不能收敛矣。
有一患者，仲夏误伤手，腰背反张，牙关紧急，脉浮而散，此表症也，遂用羌活防风汤
一剂即解。此症若在秋冬腠理致密之时，须用麻黄之类以发汗。此乃暴伤，气血不损之治法
也。
有一患者，杖处略破而患此，脉洪大而实，此里症也。用大芎黄汤一剂，大便微行一次
，悉退。若投表药必死，宜急分表里虚实而治之，庶无误矣。
有一患者，寒热口干，用四物、参、 、白术、软柴、炒芩、麦门、五味，四剂少退，
余欲砭去瘀血。不从。后怔忡不寐，饮食少思，牙关牵紧，头目疼痛，恶寒发热，此脓内
也，遂砭去之即安；以八珍，枣仁、麦门、五味，二十剂前症渐愈；又用前药及独参汤，瘀
肉渐溃。后因劳又少寐盗汗，以归脾汤、麦门、五味、远志而痊，后牙关胀闷，面目 赤，
又似破伤风，仍以为虚，用八珍等药亦安。
有一位患者，出现发热、烦躁的症状，使用四物汤（补血调血方剂）、黄芩、红花、软柴胡、山栀、花粉进行治疗，烦热症状清除后，发现瘀血深积在体内，想要用针刺排出瘀血，但患者不同意。突然牙关紧闭，患处刺痛，这才进行针刺，排出脓血后症状即缓解；随后使用托里养血的方法治疗，新肉逐渐生长。忽然患处瘙痒，这是风热所致，使用祛风消毒的药剂而痊愈。
有一位患者，臀部和腿部胀痛，伴有发热和烦躁，刺破排出死血后，胀痛稍微减轻，但发热和烦躁反而更加严重，这是因为失血后邪火旺盛所致。急忙使用独参汤进行补益，症状稍有好转；接着又用健脾胃、养气血的药物进行治疗，腐肉逐渐溃烂脱落，最终痊愈。大抵这类病症应当预先调理补益，以顾护收敛功能，切不可攻伐气血，不进行补益，以至于导致伤口无法愈合收敛。
有一位患者在仲夏时节误伤手部，出现腰背反张（角弓反张）、牙关紧闭的症状，脉象浮而散，这是表证，于是服用羌活防风汤一剂即解除了病邪。这种病症如果在秋冬腠理致密的时候，必须使用麻黄之类的药物来发汗。这是针对急性外伤、气血未受损的治疗法则。
有一位患者，被杖击处略微破损却患上此症，脉象洪大而实，这是里证。使用大芎黄汤一剂，大便微通一次，所有症状全部消退。如果投用解表药物必死无疑，应当急切分辨表里虚实来进行治疗，这样才不至于出错。
有一位患者，出现寒热往来、口干的症状，使用四物汤、人参、[原文缺字，推测为茯苓或类似药]、白术、软柴胡、炒黄芩、麦门冬、五味子，服用四剂后症状稍退，我打算用砭石法去除瘀血。患者不同意。后来出现心悸失眠、饮食减少、牙关牵紧、头目疼痛、恶寒发热等症状，这是脓液内蓄所致，于是用砭石法去除脓血后症状即安；接着使用八珍汤、酸枣仁、麦门冬、五味子，服用二十剂后之前的症状逐渐痊愈；又用前面的药物配合独参汤，瘀肉逐渐溃烂脱落。后来因为劳累又出现少寐和盗汗，使用归脾汤、麦门冬、五味子、远志而痊愈。之后牙关胀闷，面目发红，又像是破伤风，但仍认为是虚证，使用八珍汤等药物也安然无恙。
A patient presented with fever and irritability. Siwu Tang (Four Substances Decoction), Huangqin (Scutellariae Radix), Honghua (Carthami Flos), Ruan Chaihu (Bupleuri Radix), Shanzhi (Gardeniae Fructus), and Huafen (Trichosanthis Radix) were administered. After the irritability and heat cleared, it was found that blood stasis was deeply accumulated. The intention was to needle out the stasis, but the patient refused. Suddenly, trismus (lockjaw) occurred, and the affected area suffered stabbing pain. Only after needling was performed to drain pus and blood did the condition stabilize. Tuoli Yangxue (Supporting the Interior and Nourishing Blood) methods were then used, and new flesh gradually grew. Suddenly, itching occurred at the affected site, which was attributed to Wind-Heat. A formula for dispelling Wind and detoxifying was administered, leading to recovery.
Another patient presented with distending pain in the buttocks and legs, accompanied by fever and irritability. Dead blood was pricked out, resulting in slight relief of the distending pain, but the fever and irritability worsened. This was due to blood loss causing an excess of pathogenic fire. Dushen Tang (Single Ginseng Decoction) was urgently administered to tonify; symptoms improved slightly. Subsequently, herbs to strengthen the Spleen and Stomach and nourish Qi and Blood were used. As the necrotic tissue gradually sloughed off, the patient recovered. Generally, this type of condition requires preliminary tonification to support consolidation. One must absolutely avoid attacking Qi and Blood or failing to tonify, lest healing be impeded.
A patient injured his hand in mid-summer and developed opisthotonos (back arching) and trismus. The pulse was floating and scattered, indicating a Exterior Syndrome. One dose of Qianghuo Fangfeng Tang (Notopterygii and Saposhnikoviae Decoction) resolved the condition. If this syndrome had occurred in autumn or winter when the pores are tight, herbs like Mahuang (Ephedrae Herba) would have been required to induce sweating. This represents the treatment method for acute trauma where Qi and Blood are not yet depleted.
Another patient suffered a slight break in the skin from a beating but developed this condition. The pulse was surging and forceful, indicating an Interior Syndrome. Da Xionghuang Tang (Major Angelica and Rhubarb Decoction) was administered. After one dose, there was a slight bowel movement, and all symptoms subsided. Administering Exterior-releasing drugs would have been fatal. It is crucial to urgently differentiate between Exterior/Interior and Deficiency/Excess to treat correctly and avoid error.
A patient presented with alternating chills and fever and dry mouth. Siwu Tang (Four Substances Decoction), Renshen (Ginseng Radix), [missing character], Baizhu (Atractylodis Macrocephalae Rhizoma), Ruan Chaihu (Bupleuri Radix), Chao Huangqin (Fried Scutellariae Radix), Maimendong (Ophiopogonis Radix), and Wuweizi (Schisandrae Fructus) were prescribed. After four doses, symptoms slightly receded. I intended to use Bian (stone therapy) to remove blood stasis, but the patient refused. Later, palpitations, insomnia, poor appetite, trismus, headache, eye pain, aversion to cold, and fever developed. This indicated internal accumulation of pus. Bian therapy was used to drain it, bringing immediate relief. Bazhen Tang (Eight Treasures Decoction), Zaoren (Ziziphi Spinosomi Semen), Maimendong (Ophiopogonis Radix), and Wuweizi (Schisandrae Fructus) were administered for twenty doses, gradually resolving previous symptoms. Previous herbs combined with Dushen Tang (Single Ginseng Decoction) were used as necrotic tissue gradually sloughed off. Later, due to overwork, insomnia and night sweats recurred. Guipi Tang (Restore the Spleen Decoction), Maimendong (Ophiopogonis Radix), Wuweizi (Schisandrae Fructus), and Yuanzhi (Polygalae Radix) led to recovery. Subsequently, the patient experienced distension and stuffiness in the jaw, redness of the face and eyes, resembling Lockjaw (Tetanus). However, it was still considered a Deficiency pattern. Bazhen Tang (Eight Treasures Decoction) and other herbs were used, resulting in stability.