金疮须宜验伤痕，轻伤皮肉重伤筋，外撒如圣桃花散，血多八珍汤独参。
【注】此证有金刃伤、箭镞伤、瓷锋伤。须看伤痕深浅，轻者皮肉破损，血流不住，以
桃花散撒之；重者筋断血飞，系大脉已伤，用如圣金刀散撒上，以绢帛扎住，止而复流，再
撒。若药痂过浓拘痛者，以生肌玉红膏涂伤处；外贴陀僧膏，长筋止痛生肌治之。无论
轻重伤破出血，初服三黄宝蜡丸；伤破微出血者，服黎洞丸；若出血过多，其人面黄眼
黑，不可专攻瘀血，宜用八珍汤；甚者独参汤，先固根本，二方俱加苏木、红花，兼调
瘀血。此证虽系好肉暴伤，然验脉法形证，亦可以定生死。如伤血过多，脉见虚、细、沉、
小、和缓者生，若脉见浮、洪、数、大、实、虚促者死。被伤入肺者二七死，左胁下伤内
者，肠全断者，少腹下伤内者，伤处繁多者，老人左股压碎者，伤破阴子者，肩内耳后伤
透于内者，死。凡伤天窗穴与眉角，脑后臂里跳脉，髀内阴股，两乳上下，心下鸠尾，
及五脏六腑之输者，皆死。脑后出髓而不能语，目睛直视，喉中沸声，口急唾出，两手
妄举者，亦死。又有腹皮损破肠出者，看肠若仅伤一半者，可治，先以大麦煮粥，取浓
汁，温洗其肠，以桑皮尖茸为线，蘸花蕊石散，缝肠伤口，急于缝处涂活鸡冠血，随以
清油涂肠令润，将肠轻轻纳入腹内；外用生
人长发密缝腹伤口之里肉，留外皮撒月白珍珠散，以待生肌敛口。若伤口大者，不能外
缝，以陀僧膏护贴，候自溃脓，即按溃疡门治法。缝后勿惊笑，以米饮少少饮之，渐增，
待二十日后，再吃浓粥，调理而愈。
三黄宝蜡丸
藤黄（制法见黎洞丸内，四两） 天竹黄（无真者，九转南星代之） 红芽大戟 刘
寄奴 血竭（各三两） 孩儿茶 雄黄（各三两） 朴硝（一两） 当归尾（一两五钱）
铅粉 汞（即水银） 乳香 麝香（各三钱） 琥珀（二钱）
各研极细末，称准和一处，将水银同铅粉，在铁锅内，火上热研成末，入前药内，共
研匀；用炼净黄蜡二十四两，放瓷器内，坐滚水中化开，将药入内搅匀。病重者每丸一
钱，病轻者每丸五分，热黄酒调服；倘受伤至重，连服数次，服药后，饮酒出汗更妙。又
治一切恶疮，以香油化开，敷之甚效。
【方歌】三黄宝蜡琥天竹，大戟儿茶硝寄奴，雄竭藤黄铅粉汞，乳归麝碾去其粗。蜡
丸黄酒热调服，外治恶疮油化敷，能疗金疮伤损证，续筋瘀散痛全无。
黎洞丸
三七 生大黄 阿魏 孩儿茶 天竹黄 血竭 乳香 没药（各二两） 雄黄（一两） 山羊
血（无真者，以小子羊鲜心血代之，五钱） 冰片 麝香 牛黄（各二钱五分，以上各研细末）
藤黄（以秋荷叶露泡之，隔汤煮十余次，去浮沉，取中，将山羊血拌入，晒干，二两）
取秋露水化藤黄，拌药捣千余下，如干，加炼蜜少许，为丸，重一钱，黄蜡封固。每
用一丸，黄酒化服；外敷亦用黄酒磨涂此药。如在夏天修和，取天落水拌之为丸。
【方歌】黎洞金疮跌扑伤，发背痈疽诸恶疮，瘰 刑伤疯犬咬，蜂蛇蝎毒服敷良。三
七大黄冰麝魏，儿茶天竹竭藤黄，羊血牛雄黄乳没，秋露和丸酒化强。
桃花散（见发无定处血箭）
如圣金刀散（见足部脱疽）
生肌玉红膏 陀僧膏 八珍汤 独参汤 月白珍珠散（俱见溃疡门）
花蕊石散（见发无定处血痣）
金疮（金属利器造成的创伤）必须仔细查验伤痕，轻伤伤及皮肉，重伤伤及筋脉。外用撒敷如圣桃花散；若出血量大，服用八珍汤或独参汤。
【注】此类病症包括金刃伤、箭镞伤、瓷锋伤。必须查看伤痕的深浅程度：轻者皮肉破损，血流不止，用桃花散撒敷伤口；重者筋断血涌，是大脉已受伤，用如圣金刀散撒敷，并用绢帛扎紧止血，如果血止住后又流出，再次撒药。如果药痂过厚导致拘挛疼痛，涂抹生肌玉红膏在伤处；外贴陀僧膏，以起到长筋、止痛、生肌的治疗作用。无论轻伤还是重伤破皮出血，初期服用三黄宝蜡丸；伤口破损轻微出血者，服用黎洞丸；如果出血过多，患者面色发黄、眼周发黑，不可专门攻逐瘀血，宜用八珍汤；病情严重者用独参汤，先固护根本，这两方都加入苏木、红花，兼以调理瘀血。此证虽然属于好肉突然受创，但通过诊察脉象和形体症状，也可以判断生死预后。如失血过多，脉象见虚、细、沉、小、和缓的为生证；若脉象见浮、洪、数、大、实、虚促的为死证。被伤及肺部者，十四日死；左胁下伤及内脏者，肠子完全断裂者，少腹下部伤及内脏者，受伤部位繁多者，老人左侧大腿被压碎者，阴部受伤者，肩内耳后穿透至内部者，均死。凡是损伤天窗穴与眉角，脑后臂内侧跳动之脉，髀内阴股，两乳上下，心下鸠尾，以及五脏六腑腧穴的部位，皆死。脑后出髓且不能言语，眼球直视，喉中有沸腾声，口急唾液涌出，两手胡乱挥舞者，亦死。又有腹部皮肤破损肠子脱出者，看肠子如果仅损伤一半，可治，先用大麦煮粥，取浓汁，温洗脱出的肠子，用桑皮尖茸作为线，蘸花蕊石散，缝合肠子伤口，急于缝合处涂抹活鸡冠血，随即用清油涂抹肠子使其润滑，将肠子轻轻纳入腹腔内；外用死人长发严密缝合腹部伤口内部的肌肉，保留外皮撒月白珍珠散，以待生肌收敛伤口。如果伤口较大，不能外部缝合，用陀僧膏护贴，等待自行溃脓，即按照溃疡门的治法处理。缝合后不要惊吓大笑，少量饮用米饮，逐渐增加量，等待二十日后，再吃浓粥，调理而痊愈。
三黄宝蜡丸
藤黄（制法见黎洞丸内，四两） 天竹黄（无真品者，用九转南星代替） 红芽大戟 刘寄奴 血竭（各三两） 孩儿茶 雄黄（各三两） 朴硝（一两） 当归尾（一两五钱） 铅粉 汞（即水银） 乳香 麝香（各三钱） 琥珀（二钱）
各研成极细末，称准混合一处，将水银同铅粉，在铁锅内，火上加热研磨成末，加入前面的药中，共同研匀；用炼制干净的黄蜡二十四两，放入瓷器内，置于滚水中化开，将药粉倒入其中搅匀。病重者每丸一钱，病轻者每丸五分，用热黄酒调服；倘若受伤至极重，连续服用数次，服药后饮酒出汗效果更佳。又治疗一切恶疮，用香油化开，外敷非常有效。
【方歌】三黄宝蜡琥天竹，大戟儿茶硝寄奴，雄竭藤黄铅粉汞，乳归麝碾去其粗。蜡丸黄酒热调服，外治恶疮油化敷，能疗金疮伤损证，续筋瘀散痛全无。
黎洞丸
三七 生大黄 阿魏 孩儿茶 天竹黄 血竭 乳香 没药（各二两） 雄黄（一两） 山羊血（无真品者，以小子羊鲜心血代替，五钱） 冰片 麝香 牛黄（各二钱五分，以上各研细末） 藤黄（以秋荷叶露浸泡，隔水蒸煮十余次，去除上浮和下沉部分，取中间部分，将山羊血拌入，晒干，二两）
取秋露水化开藤黄，拌药捣千余下，如果太干，加少许炼蜜，制成丸剂，重一钱，用黄蜡封固。每次用一丸，用黄酒化开服下；外敷也用黄酒磨涂此药。如果在夏天配制，取天落水拌合制成丸剂。
【方歌】黎洞金疮跌扑伤，发背痈疽诸恶疮，瘰疬刑伤疯犬咬，蜂蛇蝎毒服敷良。三大黄冰麝魏，儿茶天竹竭藤黄，羊血牛雄黄乳没，秋露和丸酒化强。
桃花散（见发无定处血箭）
如圣金刀散（见足部脱疽）
生肌玉红膏 陀僧膏 八珍汤 独参汤 月白珍珠散（俱见溃疡门）
花蕊石散（见发无定处血痣）
Jinchuang (trauma caused by metal sharp instruments) requires careful examination of the wound. Minor injuries affect the skin and flesh, while severe injuries damage the tendons. Externally apply Rusheng Taohua San; if bleeding is heavy, administer Bazhen Tang or Dushen Tang.
[Note] This condition includes wounds from blades, arrowheads, and porcelain edges. One must assess the depth of the wound: for minor injuries where the skin and flesh are broken and blood flows incessantly, apply Taohua San; for severe injuries where tendons are severed and blood spurts, indicating major vessels are damaged, apply Rusheng Jindao San and bind tightly with silk to stop bleeding. If bleeding recurs after stopping, reapply the powder. If the medicinal scab is too thick causing constriction and pain, apply Shengji Yuhong Gao to the wound; externally paste Tuoseng Gao to promote tendon regeneration, relieve pain, and generate flesh. Regardless of whether the injury is minor or severe with broken skin and bleeding, initially administer Sanhuang Baola Wan; for slight bleeding from broken skin, administer Lidong Wan; if excessive bleeding occurs and the patient presents with a sallow complexion and dark circles around the eyes, do not focus solely on eliminating blood stasis, but rather use Bazhen Tang; in severe cases, use Dushen Tang to first consolidate the root. Both formulas should be combined with Sumu and Honghua to regulate blood stasis. Although this condition involves sudden trauma to healthy flesh, life or death prognosis can be determined by examining the pulse and physical signs. If excessive blood loss results in a deficient, fine, deep, small, or moderate pulse, survival is likely; if the pulse is floating, surging, rapid, large, excess, or deficient and hurried, death is imminent. Injury penetrating the lungs leads to death within fourteen days. Injury to the internal organs under the left hypochondrium, complete severing of the intestines, injury to the internal organs in the lower abdomen, multiple injury sites, crushing of the left thigh in the elderly, injury to the genitalia, penetration of injuries from the shoulder interior or behind the ear into the interior, all result in death. Injuries to the Tianchuang acupoint and eyebrow angle, the pulsating vessels in the back of the head and inner arm, the inner thigh and groin, above and below both breasts, the center below the heart (Jiwei), and the Shu points of the five zang and six fu organs are all fatal. Extrusion of marrow from the back of the head accompanied by inability to speak, fixed gaze, bubbling sounds in the throat, urgent salivation, and random waving of both hands also indicate death. In cases where abdominal skin is broken and intestines protrude, if only half of the intestine is injured, it is treatable. First, boil millet porridge, take the thick decoction, and wash the protruding intestine with warm liquid. Use mulberry bark tip fibers as thread, dip in Huarui Shi San, and suture the intestinal wound. Immediately apply fresh rooster comb blood to the suture site, then coat the intestine with clarified oil to keep it moist, and gently return the intestine to the abdominal cavity. Externally, use human hair to densely suture the internal muscle of the abdominal wound, leave the external skin exposed, and apply Yuebai Zhenzhu San to await flesh generation and wound closure. If the wound is too large for external suturing, protect and paste with Tuoseng Gao, wait for spontaneous suppuration, and then treat according to the methods for ulcerative diseases. After suturing, avoid fright and laughter; drink rice water in small amounts, gradually increasing the quantity. Wait twenty days before consuming thick porridge, and recover through regulation.
Sanhuang Baola Wan
Tenghuang (preparation method see Lidong Wan, 4 liang) Tianzhuhuang (if genuine is unavailable, substitute with Jiuzhuan Nanxing) Hongya Daji Liu Jinu Xuejie (each 3 liang) Haiercha Xionghuang (each 3 liang) Puxiao (1 liang) Danggui Wei (1.5 liang) Qianfen Gong (i.e., Shuiyin/Rhubarb mercury) Ruxiang Moxiang (each 3 qian) Hupo (2 qian)
Grind each into extremely fine powder, weigh accurately, and mix together. Place Gong (Shuiyin) and Qianfen in an iron pot, heat over fire, and grind into powder. Add to the previous medicines and grind uniformly. Melt 24 liang of refined Huangla (yellow beeswax) in a porcelain vessel placed in boiling water. Pour the medicine mixture into the melted wax and stir evenly. For severe conditions, take one pill weighing 1 qian; for mild conditions, take one pill weighing 0.5 qian. Administer with hot Huangjiu (yellow wine). If the injury is extremely severe, take consecutively several times; sweating after taking the medicine and drinking wine is even more effective. It also treats all kinds of malignant sores; dissolve in Xiangyou (sesame oil) and apply externally with great efficacy.
[Pill Song] Sanhuang Baola Hu Tianzhu, Daji Ercha Xiao Jinu, Xiong Jie Tenghuang Qianfen Gong, Ru Gui She Nian Qu Qi Cu. La Wan Huangjiu Re Tiao Fu, Wai Zhi E Chuang You Hua Fu, Neng Liao Jinchuang Shangsun Zheng, Xu Jin Yu San Tong Wu Quan.
Lidong Wan
Sanqi Sheng Dahuangawei Haiercha Tianzhuhuang Xuejie Ruxiang Moyao (each 2 liang) Xionghuang (1 liang) Shanyangxue (if genuine is unavailable, substitute with fresh heart blood of young sheep, 5 qian) Bingpian Moxiang Niuhuang (each 2.5 qian, above all ground into fine powder) Tenghuang (soak in autumn lotus leaf dew, steam over water for more than ten times, remove floating and sinking parts, take the middle part, mix with Shanyangxue, dry, 2 liang)
Take autumn dew water to dissolve Tenghuang, mix with medicines, and pound for over a thousand times. If too dry, add a little refined honey. Form into pills weighing 1 qian each, sealed with yellow beeswax. Take one pill per dose, dissolved in Huangjiu; for external application, also grind this medicine with Huangjiu for topical coating. If prepared in summer, use rainwater to mix and form pills.
[Pill Song] Lidong Jinchuang Diepu Shang, Fabei Yongju Zhu Echuang, Luoli Xingshang Fengquan Yao, Fengshe Xie Du Fu Fu Liang. Sanqi Dahuang Bing She Wei, Ercha Tianzhu Jie Tenghuang, Yangxue Niu Xionghuang Ru Mei, Qiulu He Wan Jiu Hua Qiang.
Taohua San (see Blood Arrow appearing in unpredictable locations)
Rusheng Jindao San (see Foot部的 Gangrene)
Shengji Yuhong Gao Tuoseng Gao Bazhen Tang Dushen Tang Yuebai Zhenzhu San (all see Ulcerative Diseases section)
Huarui Shi San (see Blood Moles appearing in unpredictable locations)