若因出血过多，用四物、参、术，如不应。用人参、黄 以补气，当归、熟地以养
血。若因溃后，用八珍汤。若胃热伤津液，用竹叶黄 汤。胃虚津液不足，用补中益气汤，
胃火炽盛，竹叶石膏汤。若烦热作渴，小便淋涩，乃肾经虚热，非地黄丸不能救。 有
一患者，瘀血虽去，饮食形气如故，但热渴 痛，膈痞有痰，以小柴胡汤加天花粉、贝
母、桔梗、山栀，二剂少愈。又加生地、归尾、黄芩、柴胡、山栀、花粉而愈。薛治百
余人，其杖后血气不虚者，惟此一人耳。
若大肠血虚火炽者，用四物汤送润肠丸；或以猪胆汁导之。若肾虚火燥者，用六味地
黄丸。肠胃气虚，用补中益气汤。
若元气虚弱，或不戒房劳，或妄行攻伐，致死肉上延，或腐而不痛，黑而不脱者，当
大补元气，无可保生。若手足节HT 断去者无妨，骨断筋连不急剪去，若侵及好肉则不治。
若预为调补脾气，则无此患。大凡脓瘀内 者，即针之而投托里散，或口噤、遗尿而似
破伤风者，急用十全大补汤加附子，多有生者。
有一患者，愈后腿作痛。薛意脓血过多，疮虽愈，肝经血气尚未充实，而湿热乘虚也，
遂以八珍加牛膝、木瓜、苍术、黄柏、防己、炙草，以祛湿热，养阴血，痛渐止，乃去防
己、黄柏服之遂瘳。
应痛丸 治折伤后，为四气所侵，手足疼者。
破故纸 骨碎补（去毛） 苍术（生用） 草乌（各半斤） 穿山甲（去膜，桑柴灰炒，泡起为
度，柴灰亦可） 舶上茴香（炒，各六两）
上锄草乌半斤，用生姜一斤擂烂，同草乌一处淹两宿，焙干为末，酒煮面糊为丸，如
梧桐子大。每服五十丸，用酒或米汤送下，忌热物片时。
乳香散 治打伤损，手足疼痛不可忍者。
乳香 没药（各另研，三钱） 白芷（二钱） 肉桂（五钱） 白术 当归（各炒） 粉草（各五钱）
上为细末研匀。每服二钱，不拘时，酒调下。
如果是因为出血过多导致的症状，使用四物汤、人参、白术；如果效果不明显，则用人参、黄芪来补气，当归、熟地黄来养血。如果是溃疡之后出现的症状，使用八珍汤。如果是胃热损伤津液，使用竹叶石膏汤（注：原文“竹叶黄 汤”结合上下文及中医常识，此处应为竹叶石膏汤或竹叶石膏类方，但根据后文“胃火炽盛，竹叶石膏汤”，前文若指同类证候，通常亦为此方或类似清热生津方。鉴于原文有缺字“黄 ”，且后文明确提到“竹叶石膏汤”，此处暂按原文语境理解为清热生津之剂，若严格对应后文逻辑，前文可能亦指代此类方剂，但为忠实原文结构，此处保留对“竹叶...汤”的翻译，并在术语解释中说明）。胃气虚弱导致津液不足，使用补中益气汤；胃火炽盛，使用竹叶石膏汤。如果出现烦热口渴、小便淋漓涩痛，这是肾经虚热，非六味地黄丸不能救治。有一位患者，瘀血虽然已经去除，饮食和形体气息都恢复正常，但仍然感到发热、口渴、疼痛，胸膈部痞闷且有痰，用小柴胡汤加天花粉、贝母、桔梗、山栀，服用两剂后症状稍有好转。后来又加入生地黄、当归尾、黄芩、柴胡、山栀、花粉，最终痊愈。薛己治疗了上百人，其中受杖刑后气血没有虚弱的，只有这一位患者如此。
如果是大肠血虚火旺的情况，使用四物汤送服润肠丸；或者用猪胆汁进行导便。如果是肾虚火燥的情况，使用六味地黄丸。肠胃气虚的情况，使用补中益气汤。
如果是元气虚弱，或者不节制房事，或者错误地使用攻伐药物，导致死肉向上蔓延，或者腐烂但不疼痛，颜色发黑且不脱落的情况，应当大补元气，否则难以保全生命。如果手足关节断裂脱落，倒无妨；骨头断裂而筋脉相连的，不必急于剪除；如果侵犯到健康的肌肉组织，就无法治愈了。如果在事前就调理补益脾气，就不会出现这种祸患。大凡脓血瘀滞在内，就用针刺排脓并投用托里散；如果出现牙关紧闭、遗尿等类似破伤风的症状，急用十全大补汤加附子，大多能存活。
有一位患者，伤口愈合后腿脚作痛。薛己认为这是因为脓血过多，疮口虽然愈合，但肝经的血气尚未充实，湿热乘虚而入，于是用八珍汤加牛膝、木瓜、苍术、黄柏、防己、炙甘草，以祛除湿热，滋养阴血，疼痛逐渐停止，然后去掉防己、黄柏继续服用，最终痊愈。
应痛丸：治疗跌打损伤后，被风、寒、湿、热四气侵袭，导致手足疼痛的情况。
处方组成：破故纸、骨碎补（去毛）、苍术（生用）、草乌（各半斤）、穿山甲（去膜，用桑柴灰炒，泡起为标准，柴灰也可以）、舶上茴香（炒，各六两）。
制法：将半斤草乌与一斤生姜一起捣烂，同草乌一处浸泡两个晚上，焙干后研为细末，用酒煮面糊制成丸药，大小如梧桐子。每次服用五十丸，用酒或米汤送下，服药期间暂时忌食热性食物。
乳香散：治疗被打伤损，手足疼痛剧烈无法忍受的情况。
处方组成：乳香、没药（各另研，三钱）、白芷（二钱）、肉桂（五钱）、白术、当归（各炒）、粉草（各五钱）。
制法：以上药材研为细末并混合均匀。每次服用二钱，不拘时间，用酒调服。
If the symptoms are caused by excessive blood loss, use Siwu Tang (Four Substances Decoction), Renshen (Ginseng Radix et Rhizoma), and Baizhu (Atractylodis Macrocephalae Rhizoma); if there is no response, use Renshen (Ginseng Radix et Rhizoma) and Huangqi (Astragali Radix) to tonify Qi, and Danggui (Angelicae Sinensis Radix) and Shudihuang (Rehmanniae Radix Praeparata) to nourish Blood. If the symptoms occur after ulceration, use Bazhen Tang (Eight Treasures Decoction). If Stomach Heat injures the body fluids, use Zhuye Shigao Tang (Bamboo Leaf and Gypsum Decoction). If Stomach deficiency leads to insufficient body fluids, use Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction); if Stomach Fire is blazing, use Zhuye Shigao Tang (Bamboo Leaf and Gypsum Decoction). If there is irritability, heat, thirst, and dysuria with a scanty, burning stream, this is deficient heat in the Kidney channel; only Liuwei Dihuang Wan (Six-Ingredient Pill with Rehmannia) can save the patient. There was one patient whose stasis had been removed, and whose diet and physical constitution were normal, yet he still suffered from fever, thirst, and pain, with chest oppression and phlegm. He was treated with Xiaochaihu Tang (Minor Bupleurum Decoction) plus Tianhuafen (Trichosanthis Radix), Beimu (Fritillariae Bulbus), Jiegeng (Platycodonis Radix), and Shanzhi (Gardeniae Fructus). After two doses, his condition improved slightly. Then Shengdihuang (Rehmanniae Radix), Dangguiwei (Angelicae Sinensis Radix Cauda), Huangqin (Scutellariae Radix), Chaihu (Bupleuri Radix), Shanzhi (Gardeniae Fructus), and Huafen (Trichosanthis Radix) were added, leading to recovery. Xue Ji treated over a hundred patients; among those who received corporal punishment without becoming Qi and Blood deficient, this was the only such case.
If there is Blood deficiency and blazing fire in the Large Intestine, use Siwu Tang (Four Substances Decoction) to deliver Runchang Wan (Moisten the Intestines Pill); or use pig bile for enema. If there is Kidney deficiency with dryness and fire, use Liawei Dihuang Wan (Six-Ingredient Rehmannia Pill). If there is Qi deficiency in the intestines and stomach, use Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction).
If Yuanqi (Primal Qi) is weak, or if sexual activity is not regulated, or if purgative treatments are used improperly, causing necrotic tissue to spread upward, or rotting without pain, turning black and refusing to slough off, one must vigorously tonify Yuanqi; otherwise, life cannot be preserved. If joints of the hands and feet are severed, it is not harmful; if bones are broken but tendons remain connected, do not cut them off hastily; if the damage invades healthy flesh, it is incurable. If the Spleen Qi is regulated and tonified in advance, such disasters will not occur. Generally, if pus and stasis are retained internally, puncture them and administer Tuoli San (Support the Interior Powder); if trismus, urinary incontinence, and other symptoms resembling polio/lockjaw appear, urgently use Shiquan Dabu Tang (Complete Great Tonifying Decoction) with Fuzi (Aconiti Lateralis Radix Praeparata); many patients survive.
There was a patient whose leg hurt after healing. Xue Ji reasoned that due to excessive pus and blood loss, although the sore had healed, the Qi and Blood of the Liver channel were not yet sufficient, allowing damp-heat to take advantage of the deficiency. Thus, he prescribed Bazhen Tang (Eight Treasures Decoction) plus Niuxi (Achyranthis Bidentatae Radix), Mugua (Chaenomelis Fructus), Cangzhu (Atractylodis Rhizoma), Huangbai (Phellodendri Cortex), Fangji (Stephaniae Tetrandrae Radix), and Zhigancao (Glycyrrhizae Radix et Rhizoma Praeparata cum Melle) to dispel damp-heat and nourish Yin-Blood. The pain gradually ceased. Then Fangji (Stephaniae Tetrandrae Radix) and Huangbai (Phellodendri Cortex) were removed, and the remaining formula was taken until full recovery.
Yingtong Wan (Pain-Relieving Pill): Treats hand and foot pain caused by invasion of Wind, Cold, Damp, and Heat after fractures or injuries.
Ingredients: Pogu Zhi (Cibotii Rhizoma), Gusuibu (Drynariae Rhizoma) (remove hairs), Cangzhu (Atractylodis Rhizoma) (used raw), Caowu (Aconiti Kusnezoffii Radix) (each half jin); Chuanshanjia (Manis Squama) (remove membrane, stir-fry with mulberry branch ash until swollen and floating; wood ash is also acceptable), Bo Shang Huixiang (Foeniculi Fructus) (stir-fried, each six liang).
Preparation: Take half a jin of Caowu (Aconiti Kusnezoffii Radix), pound one jin of fresh ginger into a paste, soak both together overnight for two days, dry by baking, and grind into powder. Use wine to make wheat flour paste pills, sized like paulownia seeds. Take fifty pills per dose, washed down with wine or rice soup. Avoid hot foods for a while after taking.
Ruxiang San (Frankincense Powder): Treats unbearable hand and foot pain after contusions and injuries.
Ingredients: Ruxiang (Olibanum), Moyao (Myrrha) (each separately ground, three qian); Baizhi (Angelicae Dahuricae Radix) (two qian); Rougui (Cinnamomi Cortex) (five qian); Baizhu (Atractylodis Macrocephalae Rhizoma), Danggui (Angelicae Sinensis Radix) (each stir-fried); Fencao (Glycyrrhizae Radix et Rhizoma) (each five qian).
Preparation: Grind all ingredients into a fine powder and mix evenly. Take two qian per dose at any time, mixed with wine.