初起跌倒，牙关紧闭，不省人事，捧心拱起，鼻扇耳鸣，急为大放毒血，用金七、石一
丸、竹五味（竹五）。
小腹急痛，肾缩，面黑气滞，出冷汗，名为脱阳，有似发痧。用连须葱白三茎研烂，酒
四碗，煮二碗，作三服。又炒盐熨脐下气海穴，令气热。
腹胀连背心或腰胯，如芒刺痛，用烧酒坛头泥研筛细，和烧酒作团，辊擦痛处，即有细
白毛粘团上。
腹胀，浑身板痛。此二症胸前或腰背用小针穿皮挑出筋毛，自愈。只拣疼处看，有毫毛
聚起者便是。药用涤痧丸、普济消毒饮。
一人伛偻不前，自谓鬼箭打，药樵视其疼处，用小针贯红绿丝线，就肤间穿过二三分许
即拽断，亦不见血豁处露绒毛状，挑三四针后，其行如驶。
痧不内攻则外溃，为肿为毒之外，又有发为紫 血者，亦异症也（竹六）。
一养媳手足下半身俱肿，大腹亦胀，发出两腿足紫血 ，如圆眼密布，皆云烂麻疯，服
药益甚。及见腿弯痧筋发现，遂放五针，又指头十余针，尽去毒血，诊脉俱和，用竹六方二
服，结痂愈。
一人犯大麻疯，眉发脱，面目败，手足挛，遇老人为放痧三次，曰∶此痧疯也。传一方
曰∶日服之，以渐而痊（方附竹六后）。
胀闷废食，两胁疼甚，口出痰血沫如西瓜瓤汁，用薰陆香为君，佐以寄奴、茜草之类，
治之即愈（薰陆即丹阳所产零陵香）。
湘闻京师曾患时症，凡吐唾淡红色，旋病不数日死。有乩仙传方，但知其和猪胆汁作锭
，锭可活三人，适一医用猪胆作引，亦立愈。遂屡用得效，症与此类，附记。
初起时出现跌倒、牙关紧闭、神志不清，胸口疼痛且身体拱起，鼻翼扇动、耳鸣，急需大量放出毒血，使用金七丸、石一丸、竹五味（竹五）。
小腹部急痛，睾丸收缩，面色发黑、气机阻滞，出冷汗，这被称为脱阳证，症状类似发痧。用带须的葱白三根研烂，加入四碗酒，煮至两碗，分三次服用。另外用炒热的盐熨烫脐下的气海穴，使局部感到热气。
腹胀牵连到背部或腰胯部，像被芒刺刺痛一样，用烧酒坛底部的泥研细过筛，与烧酒混合做成团块，在疼痛处滚动擦拭，马上会有细小的白色绒毛粘附在团块上。
腹胀，全身僵硬疼痛。这两种症状可在胸前或腰背部用小针穿透皮肤挑出筋毛，即可自愈。只需挑选疼痛的地方观察，如果有毫毛聚起的就是。药物使用涤痧丸、普济消毒饮。
有一人弯腰曲背无法前行，自称被鬼箭射中，药樵查看其疼痛部位，用小针贯穿红绿丝线，在皮肤间穿过二三分深后随即拽断，也不见出血豁口露出绒毛状物，挑了几针后，其行走速度恢复正常。
痧毒如果不向内攻则向外溃散，除了形成肿胀和毒素外，又有表现为紫黑色出血的症状，这也是异症（竹六）。
一位养媳的手足及下半身全部肿胀，大腹也胀，双腿足部发出紫黑色出血点，如桂圆肉般密布，众人都说是烂麻风病，服药后病情加重。等到发现腿弯处的痧筋显现，于是放血五针，手指十余针，将毒血全部放出，诊脉象平和，使用竹六方服用两剂，结痂痊愈。
一人患大麻风病，眉毛头发脱落，面目毁损，手足拘挛，遇到老人为其放痧三次，说：这是痧疯病。传授一个方子说：每天服用，逐渐痊愈（方子附在竹六之后）。
腹胀胸闷、厌食，两胁剧烈疼痛，口中吐出痰血沫，状如西瓜瓤汁，以薰陆香为主药，辅以寄奴、茜草等药物，治疗即愈（薰陆香即丹阳所产的零陵香）。
湘闻听说京城曾流行时行疾病，凡是呕吐唾沫呈淡红色，不久便死亡的。有乩仙传下方子，只知道是和猪胆汁制成锭剂，一锭可救活三人，恰好有一位医生用猪胆作为引药，也立刻痊愈。于是多次使用都有效，此症与此类似，附带记录。
At the initial stage, there is falling, lockjaw (trismus), unconsciousness, chest pain with the body arching forward, nasal flaring, and tinnitus. It is urgent to release a large amount of toxic blood, using Jinqi Wan (Golden Seven Pill), Shiyi Wan (Stone One Pill), and Zhuwuwu (Bamboo Five).
There is acute pain in the lower abdomen, retraction of the kidneys (testes), dark complexion, stagnant qi, and cold sweating. This is named Tuoyang syndrome (Yang Collapse), resembling Sha disease. Use three stalks of scallion white with roots, mash them, add four bowls of wine, boil down to two bowls, and divide into three doses. Additionally, apply hot fried salt to moxibustion point Qihai (CV6) below the navel until warmth is felt.
Abdominal distension extends to the back or waist and hips, feeling like stabbing pain from thorns. Use mud from the bottom of a liquor jar, grind it fine and sieve it, mix with liquor to form a ball, and roll/rub it over the painful area. Fine white hairs will immediately adhere to the ball.
Abdominal distension and whole-body stiff pain. For these two symptoms, use a small needle to pierce the skin on the chest or lower back to pick out tendon fibers; this will heal spontaneously. Only examine the painful areas; if fine hairs are gathered, that is the sign. Medicinally, use Disha Wan (Sha-Cleansing Pill) and Puji Xiaodu Yin (Universal Benefit Detoxification Decoction).
One person was stooped and unable to walk forward, claiming to have been struck by a ghost's arrow. Yaoqiao examined the painful area, threaded red and green silk through a small needle, passed it through the skin for about two or three fen, then pulled it off abruptly. There was no bleeding or visible hairy protrusion from the puncture. After picking three or four needles, his walking speed returned to normal.
If Sha toxin does not attack internally, it ulcerates externally, causing swelling and toxicity. Besides this, there are cases manifesting as purple hemorrhage, which is also an atypical symptom (Zhu Liu).
A foster daughter had swelling in her hands, feet, and lower half of the body, with abdominal distension. Purple hemorrhagic spots appeared on both legs and feet, densely distributed like longan flesh. Everyone said it was leprosy, and medication worsened the condition. When Sha veins were observed in the popliteal fossae, five needles were used for bloodletting, plus more than ten on the fingers, completely removing the toxic blood. The pulse was harmonious. Two doses of the Zhu Liu Formula were administered, leading to scabbing and recovery.
One person suffered from severe leprosy, with loss of eyebrows and hair, disfigurement, and contracture of limbs. An elderly man performed bloodletting for Sha three times, stating: "This is Sha-Feng disease." He transmitted a formula saying: "Take it daily, and you will gradually recover" (The formula is attached after Zhu Liu).
Abdominal distension, fullness, loss of appetite, severe pain in both hypochondria, and expectoration of bloody sputum resembling watermelon pulp juice. Use Xunlu Xiang (Frankincense/Lingling Fragrance) as the chief herb, assisted by Jinu (Rhizoma Polygonati) and Qiancao (Radix Rubiae) etc., to treat it; recovery follows immediately (Xunlu Xiang refers to Lingling Xiang produced in Danyang).
Xiangwen heard that the capital once suffered from a seasonal epidemic where anyone vomiting pale red saliva died within a few days. A spirit medium transmitted a prescription, known only to be mixed with pig bile to make tablets, each tablet capable of saving three people. Coincidentally, a physician used pig bile as a guiding drug, and the patient recovered instantly. It was used repeatedly with success. This case is similar to the current one, recorded here.