（附肝火作痛，血虚作痛。）
大宗伯沈立斋，盂冬闪腰作痛，胸间痰气不利，以枳壳、青皮、柴胡、升麻、木香、茴香、当归、
川芎、赤芍、神曲、红花，四剂而瘥。但饮食不甘，微有潮热，以参、 、白术、陈皮、白芍各一钱，
归身二钱，川芎八钱，软柴胡、地骨皮、炙草各五分，十余剂而康。
刘尚宝体臂闪作痛，服透骨丹，反致肢节俱痛，下体益甚。以二陈、南星、羌活、防风、牛膝、
木瓜、苍术、黄芩、黄柏治之，身痛遂安。以前药再加归尾、赤芍、桔梗，治之而痊。
郑吏部素有湿痰，孟冬坠马，服辛热破血之药，遍身作痛，发热口干，脉大而滑，此热剂激动痰
火为患耳。治以清燥汤去人参、当归、黄 ，加黄芩、山栀、半夏、黄柏，热痛顿去，患处少愈。更
用二陈、羌活、桔梗、苍术、黄柏、姜制生地、当归遂痊。
杨司天骨已入HT ，患处仍痛，服药不应，肝脉洪大而急，此肝火盛而作痛也。用小柴胡汤加山栀、
黄连，二剂痛止。用四物、山栀、知、柏调理而康。
一妇人磕臂出血，骨痛热渴，烦闷头晕，日晡益甚，此阴虚内热之症。用八珍汤加丹皮、麦冬、
五味、骨碎补、肉桂及地黄丸，治之悉愈。去桂加牛膝、续断，二十余剂而疮愈。
（附气虚血滞，气虚不溃。）
一小儿足伤作痛，肉色不变，伤在骨也。频用炒葱熨之，五更用和血定痛丸，间用健胃生气血之
剂，数日后服地黄丸，三月余而瘥。
一小儿臂骨出HT 接入，肿痛发热，服流气等药益甚，饮食少思。以葱熨之，其痛即止。以六君、
黄、柴胡、桔梗、续断、骨碎补治之，饮食进而痛肿消。又用补中益气加麦冬、五味治之，气血和
而热退愈矣。
戴给事坠马，腿肿痛而色黯，食少倦怠，此元气虚弱，不能运散瘀血而然耳。遂用补中益气，去
升麻、柴胡，加木瓜、茯苓、白芍、白术，治之而愈。
少宗伯刘五清， 伤一块，微痛少食，用六君子汤，倍加当归、黄 ，其痛渐止。月余，瘀血内
痼而不溃，彼以为痊，此阳气虚极，须用调补。不从，至来春，头晕，痰涎壅塞。服清气化痰，病势
愈盛，脉洪大而微细。（此或轻取重取之分。）欲以参、 、归、术、附子之类补之。不信，至秋初旬，
因怒昏溃而厥。（雄按∶瘀之内痼，未始非初治失佐流通之品所致也。）
大宗伯沈立斋，在初冬时节闪挫腰部导致疼痛，胸部痰气运行不畅。使用枳壳、青皮、柴胡、升麻、木香、茴香、当归、川芎、赤芍、神曲、红花，服用四剂后痊愈。但饮食无味，伴有轻微潮热，使用人参、[原文缺字，据方义推测为黄芪或类似补气药]、白术、陈皮、白芍各一钱，当归身二钱，川芎八钱，软柴胡、地骨皮、炙甘草各五分，服用十余剂后康复。
刘尚宝手臂和身体闪挫导致疼痛，服用透骨丹后，反而导致四肢关节都疼痛，下半身更加严重。使用二陈汤、天南星、羌活、防风、牛膝、木瓜、苍术、黄芩、黄柏治疗，身体疼痛随即安定。在此基础上加入当归尾、赤芍、桔梗，继续治疗而痊愈。
郑吏部平素患有湿痰，初冬时从马上摔下，服用了辛热破血的药物，导致全身疼痛，发热口干，脉象大而滑，这是热性药物激发了痰火造成的祸患。治疗使用清燥汤，去掉人参、当归、黄芪，加入黄芩、山栀、半夏、黄柏，热痛立刻消除，患处稍有好转。随后使用二陈汤、羌活、桔梗、苍术、黄柏、姜制生地、当归，最终痊愈。
杨司天的骨头已经复位（HT），但患处仍然疼痛，服药无效，肝脉洪大且急数，这是肝火旺盛导致的疼痛。使用小柴胡汤加山栀、黄连，服用两剂后疼痛停止。再用四物汤、山栀、知母、黄柏调理而康复。
一位妇人磕碰手臂出血，骨头疼痛，发热口渴，烦躁闷乱头晕，傍晚时分症状加重，这是阴虚内热的病症。使用八珍汤加牡丹皮、麦冬、五味子、骨碎补、肉桂以及地黄丸治疗，全部治愈。去掉肉桂，加入牛膝、续断，服用二十多剂后伤口愈合。
一个小男孩脚部受伤疼痛，肌肉颜色没有变化，说明伤在骨骼。频繁用炒热的葱熨烫，五更天时服用和血定痛丸，间歇使用健胃生养气血的药剂，几天后服用地黄丸，三个多月后痊愈。
一个小男孩臂骨脱臼复位后，肿痛发热，服用流气等药物后病情加重，饮食减少不想进食。用葱熨烫，疼痛立即停止。使用六君子汤、黄芪、柴胡、桔梗、续断、骨碎补治疗，饮食增加，肿痛消退。又使用补中益气汤加麦冬、五味子治疗，气血调和，热退病愈。
戴给事从马上摔下，腿部肿痛且颜色发暗，食欲少，疲倦乏力，这是元气虚弱，不能运化消散瘀血所致。于是使用补中益气汤，去掉升麻、柴胡，加入木瓜、茯苓、白芍、白术，治疗而痊愈。
少宗伯刘五清，跌打损伤一块，微痛且食欲不振，使用六君子汤，加倍加入当归、黄芪，疼痛逐渐停止。一个月后，瘀血在内凝结而不溃散，他认为已经痊愈，但这其实是阳气极度虚弱，必须使用调补之法。他不听从，到了来年春天，出现头晕，痰涎壅塞。服用清气化痰药，病情势头更加旺盛，脉象洪大却重按微弱。（此处可能指轻取重取脉象的区别。）想要用人参、[原文缺字]、当归、白术、附子之类来补益。他不相信，到了秋初旬日，因为发怒昏厥并溃散。（雄按：瘀血在内凝结，未尝不是初期治疗缺少流通药物的缘故。）
(Attached: Pain caused by Liver Fire, Pain caused by Blood Deficiency.)
Shen Lizhai, Grand Secretary of Rites, suffered a lumbar sprain with pain in early winter, accompanied by obstructed phlegm and Qi in the chest. He was treated with Zhiqiao (Fructus Aurantii), Qingpi (Exocarpium Citri Grandis), Chaihu (Radix Bupleuri), Shengma (Rhizoma Cimicifugae), Muxiang (Radix Aucklandiae), Huixiang (Fructus Foeniculi), Danggui (Radix Angelicae Sinensis), Chuanxiong (Rhizoma Chuanxiong), Chishao (Radix Paeoniae Rubra), Shenqu (Massa Medicata Fermentata), and Honghua (Flos Carthami). After four doses, he recovered. However, he had poor appetite and slight tidal fever. He was then prescribed Renshen (Radix Ginseng), [Character missing in original text], Baizhu (Rhizoma Atractylodis Macrocephalae), Chenpi (Pericarpium Citri Reticulatae), and Baishao (Radix Paeoniae Alba) each at 1 qian; Danggui shen (Radix Angelicae Sinensis, root part) at 2 qian; Chuanxiong at 8 qian; Ruan Chaihu (Radix Bupleuri, soft variety), Digupi (Cortex Lycii), and Zhigancao (Radix Glycyrrhizae Preparata) each at 5 fen. After more than ten doses, he was fully recovered.
Liu Shangbao suffered a sprain in his arm and body causing pain. After taking Tougudan (Bone-Penetrating Pill), his pain worsened to involve all joints, especially in the lower body. He was treated with Erchen Tang (Two-Cured Decoction), Nanting (Rhizoma Arisaematis), Qianghuo (Rhizoma et Radix Notopterygii), Fangfeng (Radix Saposhnikoviae), Niuxi (Radix Achyranthis Bidentatae), Mugua (Fructus Chaenomelis), Cangzhu (Rhizoma Atractylodis Lanceae), Huangqin (Radix Scutellariae), and Huangbai (Cortex Phellodendri). His body pain subsided. Subsequently, Guiwei (Tail of Radix Angelicae Sinensis), Chishao (Radix Paeoniae Rubra), and Jiegeng (Radix Platycodonis) were added to the previous prescription, leading to a complete cure.
Zheng Libu had chronic damp-phlegm. In early winter, he fell from a horse and took acrid-hot blood-breaking herbs, resulting in generalized pain, fever, dry mouth, and a large, slippery pulse. This was due to hot herbs agitating phlegm-fire. He was treated with Qingzao Tang (Clear-Dryness Decoction), removing Renshen (Radix Ginseng), Danggui (Radix Angelicae Sinensis), and Huangqi (Radix Astragali), and adding Huangqin (Radix Scutellariae), Shanzhi (Fructus Gardeniae), Banxia (Rhizoma Pinelliae), and Huangbai (Cortex Phellodendri). The heat and pain disappeared immediately, and the affected area improved slightly. He was then cured using Erchen Tang (Two-Cured Decoction), Qianghuo (Rhizoma et Radix Notopterygii), Jiegeng (Radix Platycodonis), Cangzhu (Rhizoma Atractylodis Lanceae), Huangbai (Cortex Phellodendri), Jiangzhi Shengdi (Ginger-processed Rhizoma Rehmanniae Recens), and Danggui (Radix Angelicae Sinensis).
Yang Sitian’s bone had been reduced (HT), but pain persisted despite medication. His Liver pulse was surging and rapid, indicating excessive Liver Fire causing pain. Xiao Chaihu Tang (Minor Bupleurum Decoction) was administered with added Shanzhi (Fructus Gardeniae) and Huanglian (Rhizoma Coptidis). After two doses, the pain ceased. He was then regulated with Siwu Tang (Four Substance Decoction), Shanzhi (Fructus Gardeniae), Zhimu (Rhizoma Anemarrhenae), and Huangbai (Cortex Phellodendri), leading to recovery.
A woman suffered an arm contusion with bleeding, bone pain, fever, thirst, irritability, dizziness, and worsening symptoms in the late afternoon. This was a syndrome of Yin deficiency with internal heat. She was treated with Bazhen Tang (Eight Treasure Decoction) plus Danpi (Cortex Moutan), Maidong (Radix Ophiopogonis), Wuweizi (Fructus Schisandrae), Gusuibu (Os Dinosauri), Rougui (Cortex Cinnamomi), and Dihuang Wan (Rehmannia Pill). All symptoms resolved. Rougui (Cortex Cinnamomi) was removed, and Niuxi (Radix Achyranthis Bidentatae) and Xuduan (Radix Dipsaci) were added. After more than twenty doses, the wound healed.
(Attached: Qi Deficiency with Blood Stasis, Qi Deficiency preventing suppuration.)
A young boy injured his foot, causing pain without discoloration of the flesh, indicating bone injury. He was frequently fumigated with stir-fried scallions. At the fifth watch (3-5 AM), Hexue Dingtong Wan (Blood-Nourishing and Pain-Calming Pill) was given. Intermittently, formulas strengthening the stomach and generating Qi and Blood were used. After several days, Dihuang Wan (Rehmannia Pill) was administered, and he recovered after over three months.
A young boy dislocated and reduced his arm bone, experiencing swelling, pain, and fever. Taking Liqi (Qi-Circulating) medicines worsened the condition, reducing his appetite. Fumigation with scallions stopped the pain immediately. He was treated with Liu Jun Zi Tang (Six Gentlemen Decoction), Huangqi (Radix Astragali), Chaihu (Radix Bupleuri), Jiegeng (Radix Platycodonis), Xuduan (Radix Dipsaci), and Gusuibu (Os Dinosauri). His appetite improved, and swelling/pain subsided. Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) with Maidong (Radix Ophiopogonis) and Wuweizi (Fructus Schisandrae) was then used. As Qi and Blood harmonized, the fever receded and he recovered.
Dai Jishi fell from a horse, resulting in swollen, painful legs with dark discoloration, poor appetite, and fatigue. This was due to deficient Yuan Qi failing to transform and dissipate blood stasis. Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) was used, removing Shengma (Rhizoma Cimicifugae) and Chaihu (Radix Bupleuri), and adding Mugua (Fructus Chaenomelis), Fuling (Sclerotium Poriae), Baishao (Radix Paeoniae Alba), and Baizhu (Rhizoma Atractylodis Macrocephalae). He was cured.
Liu Wuqing, Vice Minister of Rites, sustained a bruise with mild pain and poor appetite. Liu Jun Zi Tang (Six Gentlemen Decoction) was prescribed with doubled Danggui (Radix Angelicae Sinensis) and Huangqi (Radix Astragali). The pain gradually ceased. After a month, blood stasis consolidated internally without suppuration. He believed he was cured, but this was actually extreme Yang Qi deficiency requiring tonification. He refused treatment. By spring, he experienced dizziness and phlegm-saliva obstruction. Taking Qingqi Hua Tan (Clear Qi and Transform Phlegm) medicines worsened the condition, resulting in a surging yet faint pulse upon deep pressure. (This may refer to differences between light and heavy palpation.) It was proposed to treat with Renshen (Radix Ginseng), [Character missing], Danggui (Radix Angelicae Sinensis), Baizhu (Rhizoma Atractylodis Macrocephalae), and Fuzi (Radix Aconiti Lateralis Preparata) for tonification. He did not believe it. In early autumn, following anger, he fainted and collapsed. (Xiong's Note: Internal consolidation of blood stasis may well have resulted from the initial treatment lacking circulating agents.)