痧不尽系六气七情，或因饥饱劳逸，或为秽触疫染，皆可成痧。痧无定脉，凡脉与症不
应者，即为痧脉。亦无定症，不论风、食、劳、痰，而以本症治之不效者，皆痧症也。
头疼腿酸，身热自汗，咳嗽腹痛，此时气所感，不可同伤风治法纯用疏风，当刮痧为先
用金一方。
头眩恶心，自汗如雨，脉洪拍拍，上吐下泻，腹痛或紧或慢，金二方主之。暑胀不已者
、金三方。如竹叶石膏汤、六一散，俱可选用。
此症猝然从腰腿起至心腹痛，上身热、下体冷者易治，上身冷、下体热者难治。急令强
健人将热手尽力向下顺捋，并熨足心，急用油、钱刮两腿弯穴，刮出现点，再用瓷针刺出涎
水，再针十足趾尖出血。如无血，必须再拍、再捋、再刮、再针，以见血为度。即用滑石末
一钱，麻油一两服之。服后吐出涎痰宿食，自然大小便俱通，下体渐热矣。如心腹痛仍不减
，方用灶心土、槟榔、藿香、木通、枳壳、芦粟、砂仁等分，灯芯三十寸，以阴阳水煎服即
愈。已经效验。
痧症并不完全由六气和七情引起，也可能因为饥饱失调、劳逸不当，或是接触污秽之气、感染疫毒，这些情况都可以导致痧症。痧症没有固定的脉象，凡是脉象与症状不相符合的，就是痧脉。也没有固定的症状表现，无论是风邪、食积、劳损还是痰饮，如果用针对这些病因的常规方法治疗无效，都属于痧症。
出现头痛、腿酸、身体发热、自汗、咳嗽、腹痛等症状时，这是感受了时气所致，不能像治疗伤风那样单纯使用疏风解表的方法，应当先进行刮痧，并使用金一方。
出现头晕目眩、恶心欲吐、出汗如雨、脉搏洪大有力（拍击感）、上吐下泻、腹痛或紧或缓的情况，以金二方为主治方剂。如果是暑湿胀满不止，可用金三方；如竹叶石膏汤、六一散等方剂，也可以酌情选用。
腹痛且手足发冷，适宜用粹法（此处指特定的刮拭或处理手法，原文“宜粹”可能为排版或传抄简略，结合上下文及《验方新编》常见体例，多指特定操作或方剂，此处依原文直译并保留术语）。如果是因为接触污秽之气引起的，使用金四方。
腹痛且手足温暖，通过放血即可缓解。如果是因为郁结之气不通畅引起的，使用金五方。
这种病症突然从腰腿部发作，向上蔓延至心腹部疼痛，上身发热、下身发冷的容易治疗；上身发冷、下身发热的则难治。应立即让体格健壮的人用温热的手尽力向下顺推捋按，并熨烫足心，迅速用油、铜钱刮拭两腿腘窝（委中穴区域），刮出痧点（出血点）后，再用瓷针针刺放出涎水，接着针刺十个脚趾尖使其出血。如果没有血液流出，必须再次拍打、捋按、刮拭、针刺，直到见到血液为止。随后服用一钱滑石末和一两麻油。服药后吐出涎沫、痰液和宿食，自然大小便就会通畅，下肢逐渐变暖。如果心腹部疼痛仍然不减轻，则使用灶心土、槟榔、藿香、木通、枳壳、芦粟、砂仁各等分，加上三十寸灯芯草，用阴阳水煎服，即可痊愈。此法已经过验证有效。
Sha disease is not solely caused by the Six Qi (six climatic factors) and Seven Emotions, but can also result from irregular diet, overwork or lack of exertion, contact with noxious substances, or infection with epidemic pathogens. Sha has no fixed pulse pattern; any pulse that does not correspond to the symptoms is considered a Sha pulse. It also lacks fixed symptom patterns; regardless of whether it stems from Wind, Food Stagnation, Fatigue, or Phlegm, if standard treatments for these conditions fail, it should be diagnosed as Sha disease.
When presenting with headache, leg soreness, fever, spontaneous sweating, cough, and abdominal pain, this indicates an invasion of seasonal Qi. It should not be treated purely with wind-dispelling methods as in common colds. Instead, scraping therapy (Gua Sha) should be performed first, using Formula Jin 1.
In cases of dizziness, nausea, profuse sweating like rain, a surging and forceful pulse, vomiting, diarrhea, and abdominal pain that is either tight or loose, Formula Jin 2 is the primary treatment. For persistent summer-heat distension, Formula Jin 3 may be used. Formulas such as Zhuye Shigao Tang (Bamboo Leaf and Gypsum Decoction) and Liuyi San (Six-to-One Powder) are also optional choices.
For abdominal pain accompanied by cold hands and feet, [scraping/treatment] is indicated. If caused by contact with noxious substances, use Formula Jin 4.
For abdominal pain with warm hands and feet, bleeding will bring relief. If caused by stagnation of Qi, use Formula Jin 5.
This condition suddenly starts from the waist and legs, spreading upward to cause heart and abdominal pain. Cases where the upper body is hot and the lower body is cold are easier to treat; those where the upper body is cold and the lower body is hot are difficult to treat. Immediately have a strong person use their warm hands to vigorously stroke downwards along the limbs, and apply moxibustion or heat compression to the soles of the feet. Quickly scrape the popliteal fossae (back of the knees) with oil and a coin until petechiae appear. Then, prick the skin with a porcelain needle to release saliva/phlegm, followed by pricking the tips of all ten toes to induce bleeding. If no blood flows, repeat beating, stroking, scraping, and needling until blood appears. Subsequently, administer one qian of Talcum Powder (Huashi Mo) mixed with one liang of Sesame Oil. After ingestion, vomiting of saliva, phlegm, and retained food will occur, naturally leading to the unblocking of urination and defecation, and gradual warming of the lower body. If heart and abdominal pain persist, use equal parts of Caulis Cistanches (Zao Xin Tu - note: Zao Xin Tu is Fuligin, Caulis Cistanches is Rou Cong Rong, text says Zao Xin Tu which is Fuliginis Cortex), Areca Seed (Bing Lang), Patchouli (Huo Xiang), Akebia Stem (Mu Tong), Aurantium Fruit (Zhi Ke), Reed Juice (Lu Su), and Amomum Fruit (Sha Ren). Add thirty cun of Juncus Effusus (Deng Xin), decoct in Yin-Yang Water, and take orally. This method has proven effective.
If faint red spots resembling measles appear on the skin, the Sha toxin is in the muscle and surface layers. Use external scraping and internal administration of Formula Jin 5.
With dizziness, blurred vision, nausea, vomiting, and purple macules on the body, the Sha toxin has entered the flesh and blood levels. Urgently apply scraping and bloodletting; delay will allow the pathogen to enter the interior and cause complications. Use Formula Jin 5.