（附气遏肉死。）
一妇人指伤，背俱肿，微呕少食，彼以为毒瓦斯内攻。诊视其脉沉细，此痛伤胃气所致也。遂刺出
脓碗许，先以六君子、藿香、当归而食进，继以八珍、黄 、白芷、桔梗，月余而愈。
一男子修伤足趾，色黑不痛而欲脱，此因阳气虚，不能运达于患处也。急去之，速服补剂，以壮
元气。否
则死肉延足，必不救矣。不信，果烂上胫而死。
一女子数岁，严寒上京，两足受冻不仁，用汤泡溃。至春，十趾俱烂，牵连未落，先用托里之剂
助其阳气，自溃脱，得保其生。此因寒邪遏绝，运气不至，又加热汤泡溃，故死而不痛也。常见人严
寒而出，冻伤其耳，不知痒。若以手触之，其耳即落。当以暖处良久，或热手熨之，无恙。若以火烘
汤泡其耳，即死，至春必溃落矣。北方寒气损人若此，可不察之？
云间曹子容，为室人中风灌药，误咬去指半节， 痛寒热。外敷大黄等，内服清热败毒，患处不
痛不溃，脓清，寒热愈甚，此因凉药遏绝隧道而然也。遂敷玉龙膏以散寒气，更服六君子汤以壮脾胃。
数日后，患处微痛，肿处渐消，此阳气运达患处也。果出稠脓，不数日，半指溃脱，更服托里药而敛。
上舍王天爵伤足 肿，内热作渴，外敷内服，皆寒凉败毒，患处益肿而不溃，且恶寒少食，欲作
呕吐。此气血俱虚，又因寒药凝结隧道，伤损胃气，以致前症耳。遂用香砂六君子、归、芎、炮姜，
外症悉退。惟体倦晡热，饮食不甘，以补中益气汤加地骨皮、五味、麦冬，治之而愈。
州守王廷用伤指，即用帛裹之，瘀血内溃， 痛至手。谓宜解患处，以出瘀血，更用推陈致新之
剂。不信，而敷凉药，虽少止，次日复作。又敷之，数日后，手心背俱溃，出瘀秽脓水。尚服败毒之
剂，气血益虚，色黯脓清，饮食少思。仍请治，投以壮脾胃气血之剂，由是脓水渐稠而愈。
钱国宾曰∶甲子春，余舟泊清江浦时，征辽官兵沙船，两岸打闸，水急索断，头目王元跌倒，头
向地，脚朝天，正对石椿，脑盖骨圆圆如钟大，竟离头坠地，去人丈许。众兵围看，余见而呼曰∶某
知接骨，今病者破
脑，魂魄惊散，怕人，不敢归窍，汝等在此，此人立死矣。且暂散，诊其脉洪浮，脑骨虽坠，脑膜未
破，可救。先安脑骨，急取舟中接骨药，散于周遭，内用四物汤加桃仁、大黄各一钱，红花五分。恐
血攻心，移病者于无风之室，令倚勿睡，睡则血上。至半日，始苏醒，次日能饮食。日日与接骨药一
剂，十日而痊。接骨神方∶土鳖虫四十九个，酒炙黄；暴死人骨一两；螃蟹 黄，五钱；象虱十个；
半两钱十个， 红醋淬取末；自然铜三钱， 红醋淬；乳香、没药各三钱；木香二钱；麝香五分。为
末，每服七分，热酒调下。照量加酒，以行药力。服后，骨中自响。轻者数服，重者十余服，接骨如
故。
（附注：气机被遏导致肌肉坏死。）
有一位妇女手指受伤，背部全部肿胀，轻微呕吐，进食很少。旁人认为这是毒瓦斯内攻所致。诊察其脉象沉细，这是疼痛损伤了胃气所导致的。于是刺破排出了约一碗脓液，先用六君子汤、藿香、当归治疗，饮食逐渐增加；继而又用八珍汤、黄芪、白芷、桔梗治疗，一个多月后痊愈。
有一位男子修剪脚趾时受伤，脚趾颜色发黑但不痛且想要脱落，这是因为阳气虚弱，不能运达至患处所致。急忙去除坏死的组织，迅速服用补益剂，以壮大元气。如果不这样做，死肉蔓延至小腿，必定无法救治了。患者不信，果然烂至小腿而死。
有一位几岁大的女孩，在严寒时节前往京城，双脚受冻麻木，用热水浸泡导致皮肤溃破。到了春天，十个脚趾全部腐烂，牵连未脱落，先用托里透脓的药剂帮助其阳气，自行溃破脱落，得以保全生命。这是因为寒邪遏制绝断，运气不通，又加上用热汤浸泡溃破，所以死亡而不痛。常见有人在严寒中外出，耳朵冻伤而不知痒。如果用手触摸，耳朵就会掉落。应当在温暖的地方停留很久，或者用热手熨烫，才能安然无恙。如果用火烘烤或用热汤浸泡耳朵，就会死亡，到了春天必定溃烂脱落。北方的寒气损害人体如此严重，怎能不仔细考察呢？
云间的曹子容，因为妻子中风灌药时，误咬去了手指半节，出现怕冷发热。外敷大黄等药物，内服清热败毒的药物，患处不痛也不溃烂，脓液清稀，怕冷发热更加严重，这是因为凉药遏制绝断了经络隧道所致。于是外敷玉龙膏以散寒气，再服用六君子汤以壮大脾胃。几天后，患处微微疼痛，肿胀处逐渐消退，这是阳气运达至患处的表现。果然流出稠厚的脓液，没过几天，半截手指溃烂脱落，再服用托里药而收敛愈合。
上舍王天爵脚部受伤肿胀，体内发热口渴，外敷和内服的都是寒凉败毒的药物，患处更加肿胀且不溃烂，并且恶寒、进食少，想要呕吐。这是因为气血都虚弱，又因寒凉药物凝结经络隧道，损伤了胃气，从而导致上述症状。于是用香砂六君子汤、当归、川芎、炮姜治疗，外部症状全部消退。只有身体疲倦、下午发热，饮食不甘美，用补中益气汤加地骨皮、五味子、麦冬治疗，痊愈。
州守王廷界手指受伤，立即用布包裹它，瘀血在内溃散，疼痛放射至手部。认为应当解开患处，排出瘀血，再用推陈致新的药剂。患者不信，而敷用凉药，虽然稍许停止，第二天又发作。再次敷用，几天后，手心手背都溃烂，流出瘀秽的脓水。还继续服用败毒的药剂，气血更加虚弱，面色黯黑，脓液清稀，饮食减少不想吃。仍然请医生诊治，投予壮大脾胃气血的药剂，从此脓水逐渐变稠而痊愈。
钱国宾说：甲子年春天，我船停泊在清江浦时，征讨辽东的官兵沙船，两岸打桩，水流湍急绳索断裂，头目王元跌倒，头着地，脚朝天，正对着石桩，脑盖骨圆圆的像钟一样大，竟然脱离头部坠落在地，离人有一丈多远。众兵围观看，我见状喊道：“我知道接骨，现在病人脑部破损，魂魄惊散，害怕人，不敢回归窍穴，你们在这里，这个人立刻会死。”暂且让众人散去，诊察他的脉象洪浮，脑骨虽然坠落，但脑膜未破，可以救治。先安置好脑骨，急忙取来舟中的接骨药，撒在周围，内服四物汤加桃仁、大黄各一钱，红花五分。担心血液攻心，将病人移至无风的房间，让他倚靠不要睡觉，睡觉则血液上行。到半天后，才苏醒，第二天能饮食。每天给予一剂接骨药，十天痊愈。接骨神方：土鳖虫四十九个，酒炙；暴死人骨一两；螃蟹黄，五钱；象虱十个；半两钱十个，用红醋淬炼取末；自然铜三钱，用红醋淬炼；乳香、没药各三钱；木香二钱；麝香五分。研为末，每次服用七分，用热酒调下。根据情况加酒，以行药力。服药后，骨头中自会作响。轻者服几次，重者服十几次，接骨如初。
(Note: Qi stagnation leading to muscle necrosis.)
A woman injured her finger, resulting in swelling of the entire back, slight vomiting, and poor appetite. Others believed this was due to internal attack by toxic vapors. Upon examination, her pulse was deep and fine; this was caused by pain damaging the Stomach Qi. Pus amounting to approximately one bowl was drained via puncture. Initially, Liu Jun Zi Tang (Six Gentlemen Decoction), Huo Xiang (Patchouli), and Dang Gui (Angelica Sinensis) were administered, after which food intake improved. Subsequently, Ba Zhen Tang (Eight Treasures Decoction), Huang Qi (Astragalus), Bai Zhi (Angelica Dahurica), and Jie Geng (Platycodon) were used, and she recovered after more than a month.
A man injured his toe while trimming it; the toe turned black, was painless, and appeared ready to detach. This was due to deficiency of Yang Qi, which failed to circulate to the affected area. The necrotic tissue was urgently removed, and potent tonics were rapidly administered to strengthen Yuan Qi (Original Qi). Had he not done so, the necrosis would have spread up the leg, rendering him incurable. He did not believe this advice and indeed died as the rot extended to his lower leg.
A girl of several years old traveled to the capital during severe cold. Her feet became numb from frostbite, and she soaked them in hot water, causing skin breakdown. By spring, all ten toes had rotted and remained attached. She was first treated with formulas that supported the interior and aided Yang Qi, allowing the necrotic parts to spontaneously separate and slough off, thereby saving her life. This occurred because Cold Evil obstructed and severed the circulation of Qi and Blood, compounded by the injury from hot water soaking, leading to necrosis without pain. It is common to see people who go out in severe cold suffer frostbitten ears that feel no itch. If touched by hand, the ear may fall off. One should remain in a warm place for a long time or warm the ear with hands to ensure safety. If roasted by fire or soaked in hot water, death ensues, and by spring, ulceration and detachment will occur. Northern Cold damages the human body thusly; how can one fail to examine this carefully?
Cao Zirong from Yunjian had half of a finger bitten off when his wife, suffering from wind-stroke (Zhong Feng), was being medicated. He experienced aversion to cold and fever. External application of Da Huang (Rhubarb) and other herbs, along with internal administration of cooling and detoxifying agents, resulted in the lesion being painless and non-ulcerated, with thin pus, and worsening aversion to cold and fever. This was due to cooling medicines obstructing the meridians and collaterals. Yu Long Gao (Jade Dragon Ointment) was applied externally to disperse cold, and Liu Jun Zi Tang (Six Gentlemen Decoction) was taken internally to strengthen the Spleen and Stomach. After several days, the lesion became slightly painful, and the swelling gradually subsided, indicating the return of Yang Qi to the area. Indeed, thick pus emerged, and within a few days, half the finger ulcerated and detached. Further treatment with interior-supporting formulas led to healing.
Wang Tianjue, a Shangshe, suffered foot injury and swelling, accompanied by internal heat and thirst. Both external applications and internal medications were cooling and detoxifying. Consequently, the lesion swelled more without ulcerating, and he developed aversion to cold, poor appetite, and nausea. This was due to deficiency of both Qi and Blood, combined with cooling medicines congealing the meridians and damaging Stomach Qi, leading to these symptoms. Xiang Sha Liu Jun Zi Tang (Amomum and Atractylodes Six Gentlemen Decoction), Dang Gui (Angelica Sinensis), Chuan Xiong (Ligusticum), and Pao Jiang (Prepared Ginger) were administered, resolving all external symptoms. However, he still experienced fatigue and afternoon fever, with unpalatable diet. Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) added with Di Gu Pi (Cortex Lycii), Wu Wei Zi (Schisandra), and Mai Dong (Ophiopogon) cured him.
Wang Tingyong, a Zhou Shou, injured his finger and immediately wrapped it with cloth. This caused blood stasis to rupture internally, with pain radiating to the hand. It was advised to unwrap the wound to drain the stasis and use formulas to eliminate stale matter and generate new tissue. He refused, applying cooling medicines instead. Although symptoms temporarily ceased, they recurred the next day. Repeated application led to ulceration of the palm and dorsum of the hand after several days, discharging foul, bloody pus. He continued taking detoxifying formulas, further depleting Qi and Blood, resulting in dark complexion, thin pus, and loss of appetite. Upon reconsultation, formulas strengthening Spleen and Stomach Qi and Blood were administered. The pus gradually thickened, and he recovered.
Qian Guobin stated: In the spring of the Jiazi year, while my boat was moored at Qingjiangpu, sandboats belonging to troops conscripted for Liaodong were driving piles on both banks. The current was swift, breaking the ropes. Commander Wang Yuan fell, landing head-down and feet-up, directly onto a stone post. His skull cap, round like a large bell, was completely detached and fell to the ground, about one zhang away. Soldiers gathered around. Seeing this, I shouted, "I know bone-setting. Now the patient's brain is exposed, his soul and spirit are scattered, he fears people, and his spirit cannot return to its cavity. You stay here, and this person will die instantly." I told them to disperse temporarily. His pulse was surging and floating. Although the skull bone was detached, the dura mater was intact, so he could be saved. The skull bone was first secured. Urgently, bone-setting medicine from the boat was taken and scattered around the wound. Internally, Si Wu Tang (Four Substances Decoction) plus Tao Ren (Peach Kernel) and Da Huang (Rhubarb), each 1 qian, and Hong Hua (Carthamus), 5 fen, were given. Fearing blood attacking the heart, the patient was moved to a draft-free room and instructed to lean rather than lie down, as lying down would cause blood to rise upward. After half a day, he regained consciousness and could eat the next day. One dose of bone-setting medicine was administered daily, and he recovered in ten days. Divine Bone-Setting Formula: Tu Bie Chong (Ground Beetle), 49 pieces, prepared with wine; Gu (Bone) of a person who died suddenly, 1 liang; Xie Huang (Crab Yellow), 5 qian; Xiang Shi (Elephant Louse), 10 pieces; Ban Liang Qian (Half-Ounce Coin), 10 pieces, quenched in red vinegar to obtain powder; Zi Ran Tong (Natural Copper), 3 qian, quenched in red vinegar; Ru Xiang (Frankincense) and Mo Yao (Myrrh), each 3 qian; Mu Xiang (Aucklandia), 2 qian; She Xiang (Musk), 5 fen. Grind into powder. Take 7 fen per dose, mixed with hot wine. Add wine according to need to promote the action of the medicine. After ingestion, sounds will naturally arise from the bones. Mild cases require a few doses; severe cases require over ten doses. The bone will join as if original.