（三条）
一妇人闪臂腕，肿大已三月，手臂日细，肌瘦恶寒，食少短气，脉息微细。属形病俱虚
也，遂投补中益气加肉桂，引诸药以行至臂；再加贝母、香附，以解久病之郁；间服和血定
痛丸，以葱熨之，肿消二三。因怒，患处仍胀，胸膈两胁微痛，以前汤更加木香、山栀、半
夏、桔梗服之少可。复因惊，不寐少食，盗汗，以归脾汤加五味、麦门，二十余剂而安，肿
消三四，手臂渐肥。但经水过期而少，此心脾之血尚未充足而然也。乃用八珍加五味、麦门
、丹皮、远志、香附、贝母、桔梗，四十余剂，诸症悉愈。后因怒发热谵语，经水如涌，此
怒动肝火，以小柴胡汤，加生地黄三钱，一剂遂止；以四物加柴胡，调理而康。
州守陈克明子，闪右臂腕，肿痛肉色不变，久服流气等药，加寒热少食，舌干作渴。余
曰∶伤损等症，肿不消，色不变，此运气虚而不能愈，当助脾胃、壮气血为主。遂从余法治
之，不二月形气渐充，肿热渐消，半载诸症悉退，体如常。
一小儿闪腿腕壅肿，形气怯弱。余欲治以补气血为主，佐以行散之剂。不信。乃内服
流气饮，外敷寒凉药，加寒热体倦。余曰∶恶寒发热，脉息洪大，气血虚极也，治之无功。
后内溃，沥尽气血而亡。
一男子闪伤右腿，壅肿作痛。余谓∶急砭去滞血，以补元气，庶无后患。不信。乃外敷
大黄等药，内服流气饮。后涌出秽脓数碗许，其脓不止。乃复请治，视其腿细而脉大，作渴
发热，辞不治，后果殁。
窗友黄汝道，环跳穴处闪伤，瘀血肿痛，发热作渴。遂砭去瘀血，知其下焦素有虚火，
用八珍加黄柏、知母、牛膝、骨碎补，四剂顿止。用十全大补汤少加黄柏、知母、麦门、五
味，三十余剂而敛。
（共三条医案）
一位妇女手臂和手腕扭伤，肿胀已经三个月，手臂日渐变细，肌肉消瘦且怕冷，饮食减少、气短，脉搏微弱细小。这属于形体与病证皆虚的情况，于是给予补中益气汤加入肉桂，引导诸药到达手臂部位；再加浙贝母、香附，以解除久病产生的郁结；间歇服用和血定痛丸，并用葱白熨烫患处，肿胀消退了二三分。后来因为生气，患处再次胀满，胸膈及两侧胁肋轻微疼痛，用之前的方剂更加入木香、山栀、半夏、桔梗服用后症状稍有好转。又因为受惊，出现失眠、食少、盗汗，使用归脾汤加入五味子、麦门冬，二十多剂后病情安定，肿胀消退了三四分，手臂逐渐丰满。但是月经推迟且量少，这是心脾之血尚未充足所致。于是使用八珍汤加入五味子、麦门冬、牡丹皮、远志、香附、浙贝母、桔梗，四十多剂后，所有症状全部痊愈。后来因为生气导致发热、胡言乱语，月经量如涌出般多，这是怒气引动肝火所致，用小柴胡汤加入三钱生地黄，一剂后出血停止；再用四物汤加入柴胡进行调理而康复。
州守陈克明的儿子，右臂手腕扭伤，肿痛但皮肤颜色未变，长期服用流气等药物后，出现寒热往来、食欲减退、舌干口渴的症状。我说：损伤类病症，如果肿胀不消、肤色不变，这是因为元气虚弱而不能痊愈，应当以扶助脾胃、壮大气血为主。于是按照我的方法治疗，不到两个月形体和气机逐渐充盈，肿胀和热象逐渐消退，半年后所有症状全部退去，身体恢复如常。
一个小孩腿腕扭伤导致壅肿，形体和气机怯弱。我想以补益气血为主进行治疗，辅以行气散结的药物。家属不信。于是内服流气饮，外敷寒凉药物，导致出现寒热、身体疲倦的症状。我说：恶寒发热，脉搏洪大，这是气血极度虚弱的表现，治疗不会有成效。后来内部溃烂，气血耗尽而死。
一名男子右腿扭伤，壅肿作痛。我说：急需砭石刺破排出瘀血，然后补益元气，这样才没有后患。家属不信。于是外敷大黄等药物，内服流气饮。后来流出污秽脓液数碗左右，脓液不止。于是再次请求治疗，查看其腿部肌肉萎缩而脉搏洪大，伴有口渴、发热，我拒绝治疗，后果然死亡。
窗友黄汝道，环跳穴处扭伤，瘀血肿痛，发热口渴。于是用砭石去除瘀血，得知他下焦素有虚火，使用八珍汤加入黄柏、知母、牛膝、骨碎补，四剂后症状立刻停止。再用十全大补汤少量加入黄柏、知母、麦门冬、五味子，三十多剂后伤口愈合。
(Three medical cases in total)
A woman suffered a sprain of the arm and wrist, with swelling persisting for three months. The arm gradually became thinner, accompanied by emaciation, aversion to cold, poor appetite, shortness of breath, and a faint and fine pulse. This was classified as deficiency in both form (body constitution) and disease. Therefore, Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) was administered with added Rou Gui (Cortex Cinnamomi), to guide the herbs to the arm. Bei Mu (Fritillariae Bulbus) and Xiang Fu (Cyperi Rhizoma) were added to resolve the stagnation caused by the chronic condition. He Xue Ding Tong Wan (Blood-Regulating and Pain-Relieving Pill) was taken intermittently, and the swollen area was moxibusted/warmed with scallions (Cong Bai). The swelling subsided by two or three parts. Later, due to anger, the affected area swelled again, with slight pain in the chest, diaphragm, and hypochondrium. The previous decoction was modified by adding Mu Xiang (Aucklandiae Radix), Shan Zhi (Gardeniae Fructus), Ban Xia (Pinelliae Rhizoma Praeparatum), and Jie Geng (Platycodonis Radix); symptoms improved slightly after ingestion. Subsequently, due to fright, she experienced insomnia, poor appetite, and night sweats. Gui Pi Tang (Restore the Spleen Decoction) was prescribed with added Wu Wei Zi (Schisandrae Fructus) and Mai Men Dong (Ophiopogonis Radix). After more than twenty doses, her condition stabilized, the swelling subsided by three or four parts, and the arm gradually regained flesh. However, her menstruation was delayed and scanty, indicating that the blood of the Heart and Spleen was still insufficient. Therefore, Ba Zhen Tang (Eight Treasure Decoction) was used with additions of Wu Wei Zi, Mai Men Dong, Mu Dan Pi (Moutan Cortex), Yuan Zhi (Polygalae Radix), Xiang Fu, Bei Mu, and Jie Geng. After more than forty doses, all symptoms resolved. Later, due to anger, she developed fever and delirium, and her menstrual flow became profuse like a gush. This was attributed to Liver Fire stirred by anger. Xiao Chai Hu Tang (Minor Bupleurum Decoction) was administered with 3 qian of Sheng Di Huang (Rehmanniae Radix). The bleeding stopped after one dose. Si Wu Tang (Four Substance Decoction) with added Chai Hu (Bupleuri Radix) was then used for regulation, leading to recovery.
The son of Chen Keming, Prefect, suffered a sprain of the right arm and wrist. There was swelling and pain, but the skin color remained unchanged. Having taken Liu Qi (Flowing Qi) formulas for a long time, he developed alternating chills and fever, poor appetite, dry tongue, and thirst. I stated: In trauma cases, if swelling does not subside and skin color remains unchanged, it is because the vital energy (Yuan Qi) is deficient and cannot heal. The treatment should primarily focus on supporting the Spleen and Stomach and strengthening Qi and Blood. Following my treatment regimen, within less than two months, his physical form and Qi gradually filled out, and the swelling and heat gradually subsided. After half a year, all symptoms disappeared, and his body returned to normal.
A child suffered a sprain of the leg and ankle, resulting in obstructive swelling, with a weak physical form and Qi. I intended to treat him primarily by tonifying Qi and Blood, assisted by agents promoting circulation and dispersal. The family did not believe this. Instead, they administered Liu Qi Yin internally and applied cold-natured herbs externally. This led to chills, fever, and fatigue. I stated: Aversion to cold and fever with a surging and large pulse indicate extreme deficiency of Qi and Blood; treatment will be ineffective. Later, internal ulceration occurred, and after exhausting Qi and Blood, the child died.
A man suffered a sprain injury to the right leg, resulting in obstructive swelling and pain. I advised: Urgent phlebotomy (using a lancet/bian stone) is needed to remove stagnant blood, followed by tonification of Original Qi, to avoid future complications. The family did not believe this. They applied Da Huang (Rhei Radix et Rhizoma) and other herbs externally and took Liu Qi Yin internally. Later, foul pus flowed out in quantities of several bowls, and the discharge did not stop. They requested treatment again. Examination revealed a thin leg with a large pulse, accompanied by thirst and fever. I declined treatment, and he subsequently died.
Huang Rudao, a friend from my study window, suffered a sprain at the Huan Tiao (GB30) acupoint, resulting in blood stasis, swelling, pain, fever, and thirst. I used a lancet to remove the blood stasis. Knowing he had underlying deficient fire in the Lower Jiao, I prescribed Ba Zhen Tang with added Huang Bo (Phellodendri Cortex), Zhi Mu (Anemarrhenae Rhizoma), Niu Xi (Achyranthis Bidentatae Radix), and Gu Sui Bu (Drynariae Rhizoma). Symptoms ceased abruptly after four doses. Shi Quan Da Bu Tang (Comprehensive Great Tonifying Decoction) with small amounts of Huang Bo, Zhi Mu, Mai Men Dong, and Wu Wei Zi was then used. After more than thirty doses, the wound healed.