一，凡看脉，先看左手寸、关、尺三部洪大，太阳、胸前及两胁、小腹阴囊下，若暖可
救，两足脉起可治，肋下动可救矣。
一，凡右手寸、关、尺三部微细沉迟者为外感；身冷、大热，头痛及满身疼痛为外感风
寒，要避风为上。忌生冷、鲜鱼、肉之类，好酒亦要忌。如此病，即该用敷药，服宜下药。若要
下药，过一日只好服疏风散、理气散可也。
一，凡跌伤五脏不省人事，宜用通关散吹入鼻中，男左女右，有嚏有痰吐出者为妙。
一，凡跌伤打伤，牙关紧闭，用霜梅肉连擦三四次，而后用药。
一，凡走骱接骨，先服接骨散，急用敷药，次用糕匣板外面扎紧。
向上为顺气，正打为塞气，倒插为逆气。三者之中，惟倒插拳最凶，各样内伤终怕的倒
插气逆，其为患甚大，不可轻视。
两眼白睛上血筋多，内瘀血亦多。或直视无神难治。扳 于中指甲，放手即还原者可治
，不还原者不可治。或紫黑者不治。阳物缩者不治。脚指甲与手指甲同看脚底伤、色蜡黄者难治
。五绝病内如一二件不犯者，亦或可治。
如行拳打人，如平拳上身者无事，次则三尖拳打亦无事，次又撮拳打则难治矣。又次有
插拳，正插犹或可治，上插则血上或吐出，有幸可治，惟下插则血下难出其害，必死矣。
用药急救（此即上章，人身上穴道之处方）
囟门下及两太阳经伤，服麻芎丸，截不断服紫金丹，结喉伤服紫金丹，人中伤服麻芎丸
，两耳打伤昏闷，板脑后破伤，同服紫金丹，酒浸童便吃下，将胜金散助之，后用煎剂收功。喉
咙有二管，气管在外，食管在内，割喉者右手持刀易治，左手持刀难治，食管断不治。气管
断，先用麻药，生半夏研细末掺上，次用HT 毛尾下绒毛，佐以人参封药敷之，再用桑白皮线缝
其皮，皮上先搽麻药，然后用线缝之，再用血竭膏敷于外，如无HT 毛用茅针花亦可。调理用
甘桔汤，又可服紫金丹，酒服一次，逐匙进，缝皮禁系线，恐其伤也。胸前横骨三节伤，必
吐血痰，服紫金丹，酒浸童便下，再服胜金散助之，煎剂收功矣。心坎上伤必口噤心闭行不
得，服夺命丹。若乳上下伤，先服夺命丹，虻虫散助之，断以煎剂收功，内用引经药。左右
胸前用柴胡，背后用桔梗、青皮等药。伤重者牙关紧闭，先用吹鼻散少许，以芦管吹入鼻中
，男左女右，无嚏再吹右鼻，倘未有嚏，又将灯草寸许，蘸唾津取药入鼻，如有嚏并有痰血
吐出者为妙。否则凶病，不可用药。左乳伤必发嗽，先服紫金丹，助以胜金散，次用六味地
黄丸，加上嗽药， 门伤必口噤、目反、身强。五绝病有三不犯者，在七日内可服夺命丹
，七日后要细心用剂。若上部行不得，先服紫金丹，下其血，后用煎剂行药。血海伤不医治
，久则成血痞，可用朴硝熨法，不必吃末药，吃胡桃药酒一坛，外贴千槌膏，其痞即消。先
服夺命丹，后贴膏药，再服虻虫散一断以愈为度。气门伤为塞气，病患必目反头强，身直如
死。若遇此病，过不得三个时辰，如救迟其气下降，大便浊气出必无救矣。此时不可慌张乱
急，往视患人气息有无，如无气者，必为倒插拳所伤也。速揪其发，伏我膝上，背后上摩运
轻敲，使气从中而出，然后用药调治。凡左右受打，皆有闷晕于地，切不可服表汗药。左以
紫金丹，右以夺命丹，甚至有三四日后发热者，乃可用表汗药，以散其风也。凡治新伤，七
日血去归经，只可服七厘散，七日后再用他药。若骨节折伤，先服瓜皮散，贴HT 录膏，在膏
药上又用运法运之，其骨自接。心坎以下小肠地位，可用行药，临病先服虻虫散三四服，次
用行药。如肠中不痛，不必用行药。膀胱伤小便必结，用灸脐法小便即通如嚏，不然知其膀
胱碎而不可治矣。食肚伤煎剂下之。阴囊若破碎，用参末封药，并将青HT 毛敷之则合。或竹
条夹之，后将缝之。如不便夹，竟缝之而服麻芎丸可也。腿伤用两头尖膏药敷之。腰脊伤用
麸皮运法，服腰痛药方。海底穴踢伤，血必冲上，当时两耳响声大震，心闷昏昏，先服护心
丸止痛。此病伤虽在下，而为患反在上部，须用活血煎剂。或大小便结，用熨脐法。外肾伤
与上合治，外肾恐其上升，须上人靠其背，后用两手跟从小肚子两章从上压下，不可用热水
浴。尾次伤用车前子末七钱，米汤调服，或用熨法治之，并服表汗药可也。膀肚子打伤，先
服紫金丹，次服煎剂加茵陈等药，如黄病药一般。总之，上部等病以散血为主，用夺命丹，
一日连进三服，吃不得，宜当归活血等药。若小儿伤，以净为主。老人力怯，药宜减用。凡
服药之日，忌食猪肉、鸭蛋、鲜鸡、羊肉、海味等物，笋干、面、醋、菌亦宜忌，更要避风
戒色，息气除忧，过此三月，庶不成病。大凡宿伤，服虻虫散。吐血服紫金丹。危急之病服
夺命丹为上。发表莫如冬瓜散，调理有成方一十三个，照书用药决无误事。
又有一甚妙方，吾今已老且传于世，观吾手法如何。世上有不肖之辈，医家贪财戏弄，
患人之病，夺无危，其过意用些劫药使受伤之人或昏闷不惺，即能催生。倘怀孕者不拘月数，偶
伤胎气腰酸腹痛一服即安。甚至见红势欲小产者正在危急之际一服即安，再服全愈或有十月
满足交骨不开临盆十分费力，甚至存亡，顷刻之间一服即下保全母子两命。并横生逆养以至
六七日不下者，或婴儿死在腹中，命在垂危者，一服立下。服者无不效验，百发百中真神方
也。余见世人往遭此产难，母子双亡并无良策，甚为可怜余不忍，将此方秘之欲公之天下，
使母子双全永离此难，愿同志者广而传之共登寿域，不但余之幸甚即天下之人幸甚。
此乃尧都赵耀先所刊施也。盖以验方难得此方，神效抑且关于生产所系岂浅，鲜哉。予
恐刊施者少，致此方失传，于是锓板以广其施，不致此方湮没。倘人人无产难之厄，是予之所浓
望也。
一、凡是诊脉，先看左手寸、关、尺三部脉象是否洪大。若太阳经部位（头侧部）、胸前及两胁肋部、小腹及阴囊下方感觉温暖，尚可救治；若双脚脉搏跳动有力可治，胁下动脉搏动明显也可救治。
一、凡是右手寸、关、尺三部脉象微细沉迟的，属于外感病；身体发冷、高热、头痛以及全身疼痛的，属于外感风寒，应当以避风为第一要务。忌食生冷食物、鲜鱼、肉类等，好酒也要禁忌。患有此类疾病，应当使用敷药，内服宜用下药。如果要服用下药，过了一天之后，最好只服用疏风散、理气散即可。
一、凡是跌打损伤导致五脏受损、不省人事的，适宜用通关散吹入鼻中，男性从左侧鼻孔吹入，女性从右侧鼻孔吹入，若能打喷嚏并吐出痰液者为佳兆。
一、凡是跌打损伤导致牙关紧闭的，用霜梅肉连续擦拭三四次，然后再用药。
一、凡是关节脱位骨折需要接骨，先服用接骨散，紧急使用敷药，随后用糕匣板在外面扎紧固定。
向上打击为顺气，正中打击为塞气，向下插击为逆气。这三种情况中，只有倒插拳最凶险，各种内伤最终都害怕倒插引起的逆气，其危害极大，不可轻视。
两眼白睛上血丝多，说明内部瘀血也多。或者眼睛直视无神者难治。扳动中指指甲，放手后能立即恢复原状的可以治疗，不能恢复原状的不治。或者指甲呈紫黑色的不治。生殖器萎缩的不治。脚趾甲与手指甲一同观察，脚底受伤、面色蜡黄者难治。五绝病（五种危重征象）中如果有一两项未出现，或许还可以治疗。
如行拳打人，平拳打上身者无事，其次是三尖拳打亦无事，再次是撮拳打则难治了。又有一种插拳，正插或许还可治，上插则血液上行或吐出，有幸可治，唯有下插则血液下行难以排出其害，必死无疑。
用药急救（此即上一章所述人体穴位损伤的处方）：
囟门下及两侧太阳穴受伤，服用麻芎丸；截断不断者服用紫金丹；结喉受伤服用紫金丹；人中受伤服用麻芎丸；两耳被打伤昏闷，枕骨后方破伤，同服紫金丹，用酒浸泡童便喝下，再用胜金散辅助，最后用煎剂收功。喉咙有二根管子，气管在外，食管在内，割喉者如果是右手持刀容易治疗，左手持刀难治，食管断裂无法治疗。气管断裂，先用麻醉药，生半夏研成细末撒在上面，其次用人毛尾下的绒毛，佐以人参封药敷之，再用桑白皮线缝合皮肤，皮肤上先涂抹麻醉药，然后用线缝合，再用血竭膏敷于外部，如果没有人毛，用茅针花也可以。调理用甘桔汤，又可服用紫金丹，用酒送服一次，逐匙进服，缝皮时禁止系线，恐怕造成损伤。胸前横骨三节受伤，必然吐血痰，服用紫金丹，用酒浸泡童便送下，再服用胜金散辅助，用煎剂收功。心窝处受伤必然口噤心闭行走不得，服用夺命丹。若乳房上下受伤，先服用夺命丹，用虻虫散辅助，断以煎剂收功，内用引经药。左右胸前用柴胡，背后用桔梗、青皮等药。重伤者牙关紧闭，先用吹鼻散少许，以芦管吹入鼻中，男性左侧女性右侧，若无喷嚏再吹右鼻，倘若还没有喷嚏，又将灯草寸许，蘸唾津取药入鼻，如有喷嚏并有痰血吐出者为佳兆。否则为凶病，不可用药。左乳受伤必然引发咳嗽，先服用紫金丹，用胜金散辅助，接着用六味地黄丸，加上止咳药。门伤（此处指某种特定创伤或误植，依原文保留）必然口噤、目反、身强。五绝病中有三项不出现的，在七日内可服用夺命丹，七日后要细心用药。若上部气血运行不畅，先服用紫金丹，下其瘀血，后用煎剂行药。血海受伤不医治，久则形成血痞，可用朴硝熨法，不必吃粉末药，吃胡桃药酒一坛，外贴千槌膏，其痞块即消。先服用夺命丹，后贴膏药，再服用虻虫散，断以痊愈为度。气门受伤为塞气，病患必然目反头强，身体挺直如死人。若遇到此病，过不了三个时辰，如果救助迟缓其气下降，大便浊气排出则必无救了。此时不可慌张乱急，前往查看患人气息有无，如无气息者，必为倒插拳所伤也。迅速揪住其头发，伏在我的膝盖上，背部上方按摩运轻敲，使气从中而出，然后用药调治。凡左右受打，皆有闷晕于地，切不可服用表汗药。左侧用紫金丹，右侧用夺命丹，甚至有三四日后发热者，才可用表汗药，以散其风邪。凡治疗新伤，七日血去归经，只可服用七厘散，七日后再用其他药。若骨节折伤，先服用瓜皮散，贴HT录膏，在膏药上又用运法运之，其骨自接。心坎以下小肠部位，可用行药，临病先服用虻虫散三四服，次用行药。如肠中不痛，不必用行药。膀胱受伤小便必然结滞，用灸脐法小便即通如嚏，不然知其膀胱破碎而不可治矣。食肚（胃部）受伤用煎剂下之。阴囊若破碎，用参末封药，并将青HT毛敷之则合。或用竹条夹之，后将缝之。如不便夹，竟缝之而服用麻芎丸亦可。腿伤用两头尖膏药敷之。腰脊伤用麸皮运法，服用腰痛药方。海底穴踢伤，血必冲上，当时两耳响声大震，心闷昏昏，先服用护心丸止痛。此病伤虽在下，而为患反在上部，须用活血煎剂。或大小便结滞，用熨脐法。外肾受伤与上述方法合治，外肾恐其上升，须上人靠其背，后用两手跟从小肚子两旁从上压下，不可用热水浴。尾闾次伤用车前子末七钱，米汤调服，或用熨法治之，并服用表汗药亦可。膀肚子（腹部）打伤，先服用紫金丹，次服用煎剂加茵陈等药，如黄病药一般。总之，上部等病以散血为主，用夺命丹，一日连进三服，吃不下，宜用当归活血等药。若小儿受伤，以净为主。老人力气虚弱，药量宜减少。凡服药之日，忌食猪肉、鸭蛋、鲜鸡、羊肉、海味等物，笋干、面、醋、菌类亦宜禁忌，更要避风戒色，息气除忧，过了这三个月，才不会留下病根。大凡宿伤，服用虻虫散。吐血服用紫金丹。危急之病服用夺命丹为上策。发表莫如冬瓜散，调理有成方十三个，照书用药决无误事。
又有一个非常奇妙的方子，我现在年老且传于世，看我的手法如何。世上有不肖之辈，医家贪财戏弄，利用病人的疾病，夺取本无危险的生命，故意多用劫药使受伤之人或昏闷不醒，即能催生。倘若怀孕者不拘月数，偶伤胎气腰酸腹痛一服即安。甚至见红势欲小产者正在危急之际一服即安，再服全愈。或有十月满足交骨不开临盆十分费力，甚至存亡，顷刻之间一服即下保全母子两命。并横生逆养以至六七日不下者，或婴儿死在腹中，命在垂危者，一服立下。服用者无不效验，百发百中真神方也。我见世人往往遭遇此产难，母子双亡并无良策，甚为可怜我不忍心，将此方秘之欲公之天下，使母子双全永离此难，愿同志者广而传之共登寿域，不但余之幸甚即天下之人幸甚。
此乃尧都赵耀先所刊施也。盖以验方难得此方，神效抑且关于生产所系岂浅鲜哉。予恐刊施者少，致此方失传，于是锓板以广其施，不致此方湮没。倘人人无产难之厄，是予之所浓望也。
1. When examining the pulse, first observe the Cun (inch), Guan (bar), and Chi (cubit) positions on the left hand. If the pulse is full and large (Hong Da), and the Taiyang region (temporal area), chest, hypochondrium, lower abdomen, and scrotum feel warm, it can be saved. If the pulses in both feet are palpable and strong, it is treatable; if there is pulsation under the ribs, it is also treatable.
2. If the Cun, Guan, and Chi positions on the right hand are fine, thin, deep, and slow, it indicates an external contraction. Chills, high fever, headache, and generalized body pain indicate external wind-cold invasion; avoiding wind is paramount. Avoid raw/cold foods, fresh fish, meat, and strong alcohol. For such conditions, apply external plasters and administer purgative medicines internally. If purgatives are used, after one day, it is best to only administer Shufeng San (Wind-Dispersing Powder) or Liqi San (Qi-Regulating Powder).
3. For falls or blows causing damage to the five Zang organs and loss of consciousness, blow Tongguan San (Pass-the-Gate Powder) into the nostrils. For males, use the left nostril; for females, the right. It is auspicious if the patient sneezes and expels phlegm.
4. For falls or blows causing lockjaw, rub with Frost Plum Meat (Shuangmei Rou) three to four times before applying medication.
5. For joint dislocations and bone fractures, first administer Jiegu San (Bone-Setting Powder), urgently apply external plasters, and then tightly bind with a board outside.
Striking upwards promotes smooth Qi flow; striking straight causes Qi obstruction; striking downwards reverses Qi flow. Among these, downward thrusts (Daocha Quan) are the most ferocious. All internal injuries fear reversed Qi from downward thrusts the most, as the harm is severe and should not be underestimated.
If there are many blood vessels visible on the whites of the eyes, there is also much internal blood stasis. Fixed gaze without spirit is difficult to treat. Pulling the nail bed of the middle finger: if it returns to normal upon release, it is treatable; if not, it is untreatable. Purple-black nails are untreatable. Retraction of the penis is untreatable. Observe toenails together with fingernails; foot sole injury with waxy yellow complexion is difficult to treat. If one or two of the "Five Extinction" signs (five critical prognostic indicators) are absent, treatment may still be possible.
When struck by fists: flat punches to the upper body are harmless; Sanjian punches are also harmless; Cuo punches are difficult to treat. There is also the Cha punch: straight thrusts might be treatable; upward thrusts may cause vomiting of blood, which has a chance of being treated; downward thrusts cause blood to sink and cannot be expelled, leading to certain death.
Emergency Medication (Prescriptions for acupoint injuries mentioned in the previous chapter):
For injuries below the fontanelle and at the bilateral Taiyang acupoints, take Maxiong Wan. For unceasing bleeding, take Zijin Dan. For injuries to the laryngeal prominence (Jiehou), take Zijin Dan. For injuries to the Philtrum (Renzhong), take Maxiong Wan. For dizziness/heaviness from blows to both ears, or scalp wounds at the occiput, take Zijin Dan with wine-soaked child's urine, assisted by Shengjin San, followed by a decoction to conclude treatment. The throat has two tubes: the trachea is external, the esophagus is internal. Throat cuts caused by a right-handed knife are easier to treat; those by a left-handed knife are difficult. Esophageal rupture is untreatable. Tracheal rupture: first use anesthesia, sprinkle fine powder of Raw Pinellia Rhizome (Sheng Banxia), then apply downy hairs from human tail hair assisted by Ginseng root paste, suture the skin with mulberry bark thread (after applying anesthesia), and cover externally with Xuejie Gao (Dragon's Blood Plaster). If human hair is unavailable, reed flower tips may be used. For recovery, use Ganjie Tang, and optionally take Zijin Dan with wine, spoon by spoon. Do not tie sutures tightly to avoid further injury. For fractures of the three segments of the transverse bone in the chest, expect hemoptysis; take Zijin Dan with wine-soaked child's urine, assisted by Shengjin San, concluding with a decoction. Injuries to the heart pit cause lockjaw, cardiac closure, and inability to walk; take Duoming Dan. For breast injuries above or below, first take Duoming Dan, assisted by Mengchong San, concluding with a decoction using channel-guiding herbs. Use Bupleurum Root (Chaihu) for left/right chest, and Platycodon Root (Jiegeng) and Tangerine Peel (Qingpi) for the back. For severe cases with lockjaw, blow a small amount of Biqisan (Nose-Blowing Powder) into the nostrils via a reed tube (male left, female right); if no sneeze, blow the other nostril. If still no sneeze, dip a piece of rush pith in saliva to introduce medicine into the nose. Sneezing with expulsion of phlegm/blood is auspicious. Otherwise, it is a critical condition where medication is contraindicated. Left breast injury causes coughing; take Zijin Dan, assisted by Shengjin San, then Liuwei Dihuang Wan with antitussive herbs. [Text error "Men" likely refers to a specific trauma type] causes lockjaw, opisthotonos, and rigidity. If three of the Five Extinction signs are absent, Duoming Dan can be taken within seven days; after seven days, dosage must be carefully managed. If upper body Qi stagnation occurs, take Zijin Dan to purge blood, then use a decoction. Injury to the Sea of Blood (Xuehai) untreated leads to blood masses; use Pungent Niter (Puxiao) moxibustion/irrigation, avoid powders, drink one jar of Walnut Medicinal Wine, and apply Qianchui Gao externally to dissipate the mass. Take Duoming Dan first, then apply plaster, then Mengchong San until cured. Qi Gate injury causes Qi obstruction, resulting in opisthotonos, neck stiffness, and rigid body like a corpse. If untreated for more than three hours, or if rescue is delayed allowing Qi to descend and foul stool to pass, death is inevitable. Do not panic. Check respiration. If absent, it was likely a downward thrust injury. Quickly pull the hair, place the patient prone over your knee, massage and lightly tap the back to expel Qi, then medicate. For blows causing fainting, do NOT use diaphoretic (sweating) medicines. Use Zijin Dan for left-side injuries, Duoming Dan for right-side. Fever appearing 3-4 days later may require diaphoretics to disperse wind. For new injuries, after seven days when blood returns to its vessels, only take Qili San; use other medicines after seven days. For joint fractures, take Guapi San, apply HT Lu Gao, and perform manipulation over the plaster for natural bone setting. For injuries below the heart pit in the Small Intestine area, use Qi-moving medicines. First take Mengchong San 3-4 doses, then Qi-moving medicines. If intestines are not painful, Qi-moving medicines are unnecessary. Bladder injury causes urinary retention; use umbilical moxibustion to restore urination. If ineffective, the bladder is shattered and untreatable. Stomach/Digestive tract injuries are treated with purgative decoctions. Scrotal rupture: seal with Ginseng powder and apply green HT hair to heal. Alternatively, clamp with bamboo strips then suture. If clamping is inconvenient, suture directly and take Maxiong Wan. Leg injuries: apply Liangtoujian Gao. Waist/spine injuries: use bran manipulation method and take Lower Back Pain Formula. Kick to Haidi Acupoint causes blood rushing up, roaring in ears, chest oppression, and dizziness; first take Huxin Wan for pain. Though injured below, the pathology affects the upper body; use blood-invigorating decoction. For constipation, use umbilical irrigation. External Genital injury: treat similarly, but prevent upward migration by having someone lean against the back and pressing down from the lower abdomen with heels; avoid hot baths. Weili/Coccyx injury: take 7 qian of Plantago Seed powder mixed with rice soup, or use irrigation and diaphoretics. Abdominal blunt trauma: take Zijin Dan, then decoction with Yinchen (Artemisia Capillaris) etc., similar to jaundice formulas. Generally, upper body injuries focus on dispersing blood using Duoming Dan (three doses daily); if unable to swallow, use Dang Gui blood-invigorating medicines. Pediatric injuries prioritize purity/cleanliness. Elderly patients have weak constitution; reduce dosage. During medication, avoid pork, duck eggs, fresh chicken, mutton, seafood, dried bamboo shoots, noodles, vinegar, and mushrooms. Avoid wind, sexual abstinence, calm the mind, and remove worry. After three months, complications will likely be avoided. For chronic old injuries, take Mengchong San. For hematemesis, take Zijin Dan. For critical emergencies, Duoming Dan is superior. For releasing the exterior, Donggua San is best. There are thirteen standard formulas for regulation; following them ensures no errors.
There is another excellent formula, now passed down due to my old age. Observe my technique. Unscrupulous doctors, greedy for wealth, exploit patients' illnesses, turning non-critical cases into crises by using harsh purgatives to induce coma, thereby claiming credit for "inducing labor." For pregnant women regardless of gestational age, if fetal Qi is injured causing backache and abdominal pain, one dose brings relief. Even if threatened miscarriage with bleeding occurs in a critical state, one dose brings relief, and a second dose cures it. For term pregnancy with inflexible pubic symphysis causing difficult labor or life-threatening situations, one dose induces delivery, saving both mother and child. For breech presentation or failure to progress for 6-7 days, or dead fetus in utero in critical condition, one dose works immediately. This formula is effective in every case, truly miraculous. Seeing people suffer maternal and infant mortality due to lack of good strategies, I could not bear it. I secreted this formula to share with the world, hoping to save mothers and children permanently from this disaster. I urge colleagues to spread it widely so we may all reach longevity. It is my great fortune and the fortune of the world.
This was published and distributed by Zhao Yaoxian of Yaodu. Since verified formulas are rare, and this one is miraculous and crucial for childbirth, few would distribute it. Fearing it would be lost, I had it woodblock printed to disseminate it widely, preventing its obscurity. My deepest hope is that everyone is spared the calamity of difficult childbirth.