痧感时气咳嗽，肺经受伤，不可同伤风治，法当刮痧为先，清喉顺气，凉肺散痧为主（
匏八）。
一人伤风咳嗽，日晡微寒发热，脉芤虚而无力，乃肺经痧也，刮放稍可，不服药，至十
余日嗽不止，用匏八方加前胡、山豆根愈。
痧凌肺经，气逆发呛，痰涎呕哕，或面目浮肿，或心胸烦闷，此热毒入气分，痧筋往往
不现，当刮之。间有入血分者，必待痧筋方刺之，急宜理其痧毒，若从伤风治则误。
一人呛不绝声，面目肿，呕痰不已，更吐鲜血，脉弦紧且数。此痧气搏激于筋脉间，令
多刮之，用石二方加童便，微冷服，又用丝四方而痊。
一女子发热咳嗽，呕吐痰涎，胸中胀闷，面目浮肿，服风嗽药，心益胀闷，延及一月，
知为痧之变症，刮讫，用金一方加贝母、薄荷、童便饮之即愈。
痛而不吐泻者，名干霍乱。毒入血分宜放痧，新食宜吐，久食宜消，食消下结宜攻。痛
而吐泻者，毒入气分宜刮痧，有痧筋则放，宜调其阴阳之气。须知肠胃食积，宜驱不宜止，
止则益痛。若吐泻而后痛者，此因泻粪秽触，宜用藿香正气，须防食积血滞。或消或攻或活
血，彼山药、茯苓及燥湿之剂，温暖之药，皆不可乱投。干霍乱盘肠大痛，先放痧，用石二
方与润下丸妙。
一人晚觉腹痛，吐泻数十次，痛益甚，宿食虽吐泻尽，乃毒入血分，血瘀作痛也。用丝
六、丝七方少平，次日再服，愈。
痧症感受时行邪气导致咳嗽，是肺经受到损伤，不能按照普通伤风来治疗。治疗方法应当以刮痧为先导，清利咽喉、顺降气机，以清凉肺部、透发痧毒为主（参考方剂：匏八方）。
有一人患伤风咳嗽，傍晚时分出现轻微恶寒发热，脉象芤虚且无力，这是肺经受痧邪侵袭所致。经过刮痧和刺络放血后症状稍有好转，但未服药，直到十几天咳嗽不止，使用匏八方加入前胡、山豆根后痊愈。
痧邪侵犯肺经，导致气机上逆引发呛咳，伴有痰涎呕吐或呃逆，或者面目浮肿，或者心胸烦闷，这是热毒进入气分，此时痧筋往往不明显，应当进行刮痧。间或有热毒进入血分的，必须等到出现痧筋才能进行刺络放血，急需调理痧毒，如果当作普通伤风治疗就会误事。
有一人呛咳声不断，面目浮肿，呕吐痰涎不止，甚至吐出鲜血，脉象弦紧且快速。这是痧气在筋脉之间搏动激荡所致，应当多刮拭，使用石二方加入童便，微冷服用，又配合使用丝四方而痊愈。
有一名女子发热咳嗽，呕吐痰涎，胸中胀闷，面目浮肿，服用治风嗽的药物后，心中更加胀闷，拖延了一个月，知道这是痧症的变证，刮痧结束后，使用金一方加入贝母、薄荷，并用童便送服，随即痊愈。
腹痛但不吐泻的，称为干霍乱。毒邪进入血分适宜刺络放痧，新近饮食停滞适宜催吐，久积饮食适宜消导，食积消除后若有结滞适宜攻下。腹痛且伴有吐泻的，毒邪进入气分适宜刮痧，有痧筋则刺络放血，适宜调理阴阳之气。须知肠胃中的食积，应当驱除而不宜止涩，止涩则会加重疼痛。如果是吐泻之后才出现疼痛的，这是因为排泄秽物刺激所致，适宜使用藿香正气散，须防备食积血瘀。或者采用消导、攻下或活血的方法，山药、茯苓以及燥湿、温热的药物，都不可随意投用。干霍乱引起的盘肠大痛，先进行刺络放痧，使用石二方配合润下丸，效果奇妙。
有一人晚上感到腹痛，吐泻数十次，疼痛加剧，虽然宿食已经通过吐泻排尽，但这是毒邪进入血分，导致血瘀作痛。使用丝六方、丝七方少量服用后疼痛稍平，次日再服用，痊愈。
Sha syndrome contracted from seasonal pathogens causing cough involves injury to the Lung meridian; it cannot be treated as common wind-cold. The method should prioritize scraping (Gua Sha) to clear the throat and smooth Qi, with cooling the Lungs and dispersing Sha as the main principle (see Formula: Bao Ba Fang).
A patient suffered from wind-cold cough, experiencing slight chills and fever in the late afternoon, with a Kou (hollow) and deficient pulse lacking strength. This was Sha affecting the Lung meridian. After scraping and bloodletting, symptoms slightly improved, but without medication, the cough persisted for over ten days. It was cured using Bao Ba Fang added with Qian Hu (Peucedani Radix) and Shan Dou Gen (Sophorae Tonkinensis Radix et Rhizoma).
When Sha invades the Lung meridian, rebellious Qi causes paroxysmal coughing, accompanied by salivary vomiting or hiccups, facial edema, or chest oppression. This indicates heat-toxin entering the Qi level, where Sha vessels often do not appear; scraping is indicated. In rare cases where toxin enters the Blood level, one must wait for Sha vessels to appear before performing bloodletting. Urgent management of Sha toxin is required; treating it as common wind-cold would be an error.
A patient presented with incessant paroxysmal coughing, facial swelling, continuous vomiting of phlegm, and hemoptysis, with a Wiry, Tight, and Rapid pulse. This resulted from Sha Qi agitating within the vessels. Extensive scraping was performed, followed by administration of Shi Er Fang added with Tong Bian (Child's Urine), taken cool. Recovery was achieved with Si Si Fang.
A young woman suffered from fever, cough, vomiting of phlegm, chest distension, and facial edema. After taking medicines for wind-cough, her chest oppression worsened. After one month, recognizing this as a variation of Sha syndrome, she underwent scraping. She was then treated with Jin Yi Fang added with Bei Mu (Fritillariae Bulbus) and Bo He (Menthae Haplocalycis Herba), administered with Tong Bian, resulting in immediate recovery.
Abdominal pain without vomiting or diarrhea is termed Dry Huoluan (Severe Colic). If toxin enters the Blood level, bloodletting is appropriate. For recent food stagnation, emesis is indicated; for long-standing stagnation, digestion promotion is used. After resolving food stagnation, if obstruction remains, purgation is applied. Abdominal pain with vomiting and diarrhea indicates toxin entering the Qi level; scraping is appropriate, and bloodletting is used if Sha vessels are present, aiming to regulate Yin and Yang Qi. It must be known that intestinal food stagnation should be expelled, not stopped; stopping it exacerbates pain. If pain occurs after vomiting and diarrhea, it is due to irritation from excreta; Huo Xiang Zheng Qi San is appropriate, while guarding against food stagnation and blood stasis. Treatments may include digestion promotion, purgation, or blood activation. Shao Yao (Paeoniae Radix Alba), Fu Ling (Poria), drying-dampness agents, and warming herbs should not be indiscriminately prescribed. For the severe colic of Dry Huoluan, bloodletting is performed first, followed by Shi Er Fang combined with Run Xia Wan (Moistening Downward-Purgative Pill), yielding excellent results.
A patient experienced abdominal pain at night, with dozens of episodes of vomiting and diarrhea, worsening pain. Although old food was expelled through vomiting and diarrhea, the pain persisted because toxin had entered the Blood level, causing blood stasis pain. Small doses of Si Liu Fang and Si Qi Fang were administered, providing slight relief. A second dose the next day led to recovery.