前搐者，阳明也；两旁搐者，少阳也。又曰∶太阳宜汗，阳明宜下，少阳宜和，若明此三法
而不中病者，未之有也。又曰∶在表则以辛热发散之，宜防风汤、羌活防风汤；在半表半里
，以辛凉和解之，宜羌麻汤；在里则以寒药下之，宜小芎黄汤、大芎黄汤。其外敷仍用葱熨
法神效。此家传秘授经效之方也。
《儒门事亲》云∶病生之因，其有四焉。有不因气动而病生于外者，谓坠堕斫射，剥割
，落马堕井，打仆闪肭损伤，汤沃火烧，虫蛇螫毒之类，四因之一也。有独治内而愈者，
兼治内而愈者；有独治外而愈者，有兼治外而愈者；有先治内后治外而愈者，有先治外后治
内而愈者；有须解毒而攻击者，有须无毒而调引者。方法所施，或重或轻，或缓或急，或收
或散，或润或燥，或软或坚。方士之用，见解不同，各擅己心，好丹非素，故复问之。
凡落马坠井，因而打仆，便生心恙，是痰涎散于上也，宜三圣散空心吐之；如本人虚弱
瘦瘁，可用独圣散吐之；后服安魄之药，如定志丸之类，牛黄、人参、朱砂之属。
凡跌打损伤，车碾杖疮，肿发 痛，可用禹功散、通经散、神佑丸、导水丸等药，峻泻
二十行，则痛止当痒。痛属夏，痒属秋，秋出则夏衰矣。盖此痛得之于外，非其先元虚弱。
古人云∶痛随利减，病去如归。此法得之唯阳高硕明、侯德和，使外伤者不致癃残跛 之患
凡一切刀器所伤，有刀箭药，用风化锻石一斤，龙骨四两，二味为细末，先于端四日，
刺蓟菜，于端午日五更，合杵臼内捣和为团，作饼子若酒曲，中心穿眼，悬于背阴处阴干，
捣罗为末，于疮口上掺贴大效。《内经》云∶先治外而后治内是也。
凡一切虫兽所伤，及杖疮 发，或透入里者，可服木香槟榔丸七八十丸或百余丸，生姜
，五七行，量虚实加减用之。又犬咬蛇伤，不可便贴膏药及生肌散之类，先当用导水丸、禹
功散之类，可泻毒瓦斯，或泻十余行，实时痛减肿消，然后可用膏药及生肌散之类敷之。《内
经》云∶先治内而后治外是也。
耀山云∶按张氏专门大攻大利，薛氏专用大温大补，何二公用药相反如此？有言南方宜
北方宜攻。李士材又引《内经》征四失论言富贵人宜补，贫贱人宜攻。故二公之收效若一耶
。然而读张氏之论，亦有调引之法；而薛氏之方，未尝无攻利之剂也。是以仅录张氏之法，
而原方繁多不录。
前文提到的抽搐，若发生在口角部位，属于阳明经病变；若发生在身体两侧，属于少阳经病变。又说：太阳病适宜用发汗法，阳明病适宜用攻下法，少阳病适宜用和解法，如果明确了这三种治法而没有治不好病的，这是从未有过的事。又说：病邪在表，应当用辛热药物发散，适宜使用防风汤、羌活防风汤；病邪在半表半里之间，应当用辛凉药物和解，适宜使用羌麻汤；病邪在里，应当用寒性药物攻下，适宜使用小芎黄汤、大芎黄汤。体外的敷贴治疗仍然采用葱熨法，效果神奇。这是家传秘授且经过验证有效的方剂。
《儒门事亲》说：疾病产生的原因，主要有四种。有一种不是因气机逆乱而在外部产生的病，比如坠落、砍射、剥割、落马坠井、殴打仆倒、闪挫扭伤损伤，以及热水浇烫、火烧、虫蛇咬伤中毒等，这是四种原因之一。有的只需治疗内部就能痊愈，有的内外兼治才能痊愈；有的只需治疗外部就能痊愈，有的内外兼治才能痊愈；有的先治疗内部后治疗外部而痊愈，有的先治疗外部后治疗内部而痊愈；有的需要解毒并配合攻逐疗法，有的不需要毒性药物而只需调理引导。治疗方法的应用，有的重有的轻，有的缓有的急，有的收敛有的发散，有的滋润有的燥湿，有的软化有的坚结。医生们的用药，见解不同，各自坚持自己的观点，喜好丹砂（红色/温热）而贬低素硝（白色/寒凉），所以再次对此进行探讨。
凡是落马坠井，因而被打仆，随即产生心神异常症状，这是因为痰涎散溢于上部，适宜在三圣散空腹时服用催吐；如果病人身体虚弱消瘦，可以使用独圣散催吐；之后服用安神定魄的药物，如定志丸之类，包含牛黄、人参、朱砂等药材。
凡是跌打损伤，车轮碾压或杖击造成的创伤，肿胀并发疼痛，可以使用禹功散、通经散、神佑丸、导水丸等药物，峻猛泻下二十次左右，那么疼痛就会停止并转为瘙痒。疼痛属夏季（阳气盛），瘙痒属秋季（阴气生），秋季的症状出现则夏季的实证就衰退了。大概这种疼痛是外感所致，并非患者原本元气虚弱。古人说：疼痛随着大便通畅而减轻，病邪去除就像回家一样轻松。这种方法只有阳高县的硕明、侯德和两位医生掌握，使得外伤患者不致留下癃闭、残疾、跛行等祸患。
凡是各种刀器所致的伤害，有刀箭药，配方是用风化锻石一斤，龙骨四两，将这两味药研成细末，先在端午节前四天，刺破蓟菜，在端午日五更天，放入杵臼中捣和做成团块，制成像酒曲一样的饼子，中间穿个眼，悬挂在背阴处阴干，再捣碎过筛成粉末，撒在疮口上贴敷，效果极大。《内经》说：先治疗外部后治疗内部，指的就是这种情况。
凡是各种虫兽所伤，以及杖疮肿胀发作，或者病邪透入体内的，可以服用木香槟榔丸七八十丸或百余丸，配生姜送服，每日五六次，根据虚实情况加减用量。另外，被狗咬或被蛇伤，不可以立即贴膏药及生肌散之类的药物，应当先用导水丸、禹功散之类的药物，可以泻出毒瓦斯，或者泻下十余次，立刻疼痛减轻、肿胀消退，然后才可以使用膏药及生肌散之类的药物敷贴。《内经》说：先治疗内部后治疗外部，指的就是这种情况。
耀山说：按照张氏专门使用大攻大利的药物，薛氏专门使用大温大补的药物，为什么这两位公子的用药如此相反？有人说南方气候适宜北方宜攻伐。李士材又引用《内经·征四失论》说富贵人适宜进补，贫贱人适宜攻伐。所以这两位医生的疗效是一样的吗？然而阅读张氏的论述，也有调理引导的方法；而薛氏的方剂，也未尝没有攻利之剂。因此仅收录张氏的方法，而原方繁多不再全部收录。
The convulsions mentioned earlier, if occurring at the corners of the mouth, belong to the Yangming channel pathology; if occurring on both sides of the body, they belong to the Shaoyang channel pathology. It is also stated: Taiyang disease is suitable for diaphoresis (sweating method), Yangming disease is suitable for purgation (downward draining method), and Shaoyang disease is suitable for harmonization (harmonizing method). If these three methods are clearly understood, there has never been a case where the treatment failed to hit the mark. Furthermore, it is said: When the pathogen is in the exterior, acrid-warm herbs should be used to disperse it, such as Fangfeng Tang (Saposhnikovia Decoction) or Qianghuo Fangfeng Tang (Notopterygium and Saposhnikovia Decoction); when the pathogen is in the half-exterior half-interior, acrid-cool herbs should be used to harmonize, such as Qiangma Tang (Notopterygium and Ephedra Decoction); when the pathogen is in the interior, cold-natured herbs should be used for purgation, such as Xiao Xionghuang Tang (Minor Angelica and Rhubarb Decoction) or Da Xionghuang Tang (Major Angelica and Rhubarb Decoction). For external application, the Congyun Method (scallion moxibustion/warming therapy) remains effective and miraculous. These are secret family prescriptions that have proven efficacious through experience.
*Rumen Shiqin* states: The causes of disease arise from four main categories. One category involves diseases generated externally not due to qi movement disorders, such as falls, cuts, lacerations, falling from horses or wells, beating, bruising, sprains, strains, scalds by hot water, burns, insect bites, snakebites, and poisoning. This is one of the four causes. Some cases heal with internal treatment alone, some require combined internal and external treatment; some heal with external treatment alone, some require combined treatment; some heal with prior internal then subsequent external treatment, while others heal with prior external then subsequent internal treatment. Some require detoxification combined with attacking/purgative methods, while others require non-toxic regulating and guiding methods. The application of therapeutic methods varies: some are heavy, some light; some slow, some urgent; some astringent, some dispersing; some moistening, some drying; some softening, some hardening. Physicians' applications differ in perspective, each adhering to their own views, favoring *Dan* (cinnabar/red/warm) over *Su* (saltpeter/white/cool), hence this further inquiry.
For instance, after falling from a horse or into a well, resulting in being beaten or bruised, if mental disturbances arise immediately, this is due to phlegm-saliva scattering upward. It is suitable to administer Sansheng San (Three Holy Powders) on an empty stomach to induce vomiting. If the patient is weak and emaciated, Dusheng San (Single Holy Powder) may be used for vomiting. Subsequently, administer medicines to calm the spirit and stabilize the soul, such as Dingzhi Wan (Stabilizing Will Pill), containing Niuhuang (Calculus Bovis, 牛黄), Renshen (Ginseng Radix, 人参), Zhusha (Cinnabar, 朱砂), etc.
For all contusions and traumatic injuries, crushes from cartwheels, or wounds from caning, where swelling and pain occur, drugs such as Yugong San (Yu Gong Powder), Tongjing San (Unblocking Meridians Powder), Shenyuan Wan (Shen Yuan Pill), and Dao Shui Wan (Guiding Water Pill) can be used to vigorously purge approximately twenty times. Then pain will cease and transform into itching. Pain corresponds to Summer (Yang abundance), itching to Autumn (Yin emergence); when Autumn symptoms appear, Summer excess declines. Generally, this pain is acquired externally, not due to pre-existing yuan-qi deficiency. The ancients said: "Pain decreases with unobstructed bowels; removing the disease is like returning home." This method was mastered only by Shuoming and Hou Dehe from Yanggao County, preventing injured persons from suffering sequelae such as strangury, disability, or lameness.
For all injuries caused by blades or weapons, there is a "Daojian Yao" (Blade and Arrow Medicine). The formula uses one jin of Fenghua Duanshi (Weathered Hammered Stone, 风化锻石) and four liang of Longgu (Fossilized Bones, 龙骨). These two ingredients are ground into fine powder. Four days before the Dragon Boat Festival, prick Thistle plants. On the early morning of the fifth day of the fifth lunar month, pound and mix them in a mortar to form dough, shape into cakes resembling yeast starters, pierce a hole in the center, and hang them in a shady place to dry naturally. Afterward, grind and sieve into powder. Sprinkling and applying this powder directly onto the wound yields great efficacy. As stated in *Neijing*: "Treat the exterior first, then the interior," refers to this situation.
For all injuries caused by insects or beasts, or caning wounds with swelling and eruption, or when pathogens penetrate inward, Muxiang Binglang Wan (Aucklandia and Areca Seed Pill) can be taken, 70–80 pills or over 100 pills, taken with fresh ginger, five to seven times daily, adjusted according to deficiency or excess. Additionally, for dog bites or snakebites, do not immediately apply plasters or Shengji San (Regenerate Flesh Powder). Instead, first use Dao Shui Wan or Yugong San to purge toxic vapors, perhaps inducing ten-plus bowel movements. Immediately, pain will decrease and swelling will subside. Only then can plasters and Shengji San be applied. As stated in *Neijing*: "Treat the interior first, then the exterior," refers to this situation.
Yaoshan remarked: According to Zhang Shi, he specialized in strong attacking and purging methods; Xue Shi specialized in strong warming and tonifying methods. Why did these two gentlemen use such opposite medications? Some argued that the South favors [tonifying/moistening] while the North favors attacking. Li Shicai further cited *Neijing·Zheng Si Shi Lun* (Discourse on the Four Errors), stating that wealthy people should be tonified, while poor people should be attacked. Thus, do the two doctors achieve similar results? However, reading Zhang Shi's discussions, there are also methods of regulation and guidance; and Xue Shi's formulas were not devoid of attacking and purging agents. Therefore, only Zhang Shi's methods are recorded here, while the numerous original formulas are omitted due to their volume.