《灵枢经·邪气脏腑病形篇》曰∶有所堕坠，恶血在内，有所大怒，气上而不下，积于胁下，则伤肝。
【注】人因堕坠，血已留内，若复因大怒伤肝，其气上而不下，则留内之血，两相凝滞，积于胁下，而肝伤
矣。法当先导怒气，勿积于肝，则肝可以无伤，然后饮以利药，以破恶血，则胁下无留血矣。
《灵枢经·邪气脏腑病形篇》曰∶有所击仆，若醉入房，汗出当风，则伤脾。
【注】有所击仆，乃伤其外体也。如醉后入房，或汗出不知避忌当风，则邪客于肌肤，伤其内体矣，是皆伤
脾之因也。
《素问·脉要精微论》曰∶肝脉搏坚而长，色不青，当病坠若搏，因血在胁下，令人喘逆。
【注】此言肝脉有刚柔，而病亦以异也。肝脉搏击于手，而且坚且长，其色又不青，当病或坠或搏，因血
积于胁下，令人喘逆不止也。正以厥阴之脉，布胁肋循喉咙之后；其支别者，复从肝贯膈上注肺，今血在胁下，
则血之积气上熏于肺，故令人喘逆也。
《金匮要略》曰∶寸口脉浮，微而涩，然当亡血。若汗出，设不汗出者，其身有疮，被刀斧所伤，亡血故
也。
【注】经言∶夺血者无汗，夺汗者无血。盖二者皆当脉浮微而涩，今诊之如此，是有枯竭之象，而无汗出之
证，非亡血而何？故知有金伤或击仆而亡血之证也。
又论曰∶肝脉搏坚而色不变，必有击堕之事。因肉无破，则恶血必留胁下，兼致呕逆，根据经针刺然谷足跗，
或三毛等穴出血，或饮利药使恶血开行，当自愈也。若脉浮微而涩，当知亡血过多，根据经于三结交关元穴灸之，
或饮大补气血之剂而调之，则病已矣。
《灵枢经·邪气脏腑病形篇》说：如果有从高处坠落，导致恶血（瘀血）留在体内；或者有大发怒的情况，导致气机上逆而不能下行，积聚在胁肋下方，就会损伤肝脏。
【注】人因为坠落，血液已经停滞在体内，如果又因大怒而伤肝，气机上逆而不下降，那么停滞在体内的血液与上逆之气相互凝滞，积聚在胁肋下方，从而损伤肝脏。治疗方法应当先疏导怒气，防止其积聚在肝脏，这样肝脏就可以免受伤害，然后再服用通利药物，以破除恶血，胁肋下方的瘀血就能消除。
《灵枢经·邪气脏腑病形篇》说：如果有被击打或跌倒，或者在醉酒状态下行房事，出汗后吹受风邪，就会损伤脾脏。
【注】被击打或跌倒，是损伤了外在形体。如醉酒后行房事，或者出汗后不知道避开忌讳、吹受风邪，那么邪气就会客居在肌肤之间，损伤内在形体，这些都是损伤脾脏的原因。
《素问·脉要精微论》说：肝脏的脉搏搏动坚实而长，但面色不发青，这应当是患有坠落或被殴打之伤，因为血液积聚在胁肋下方，使人出现气喘、气逆的症状。
【注】这里说的是肝脉有刚柔之分，疾病表现也因此不同。肝脏的脉搏在手指下感觉既坚实又长，面色也不发青，应当是有坠落或被殴打的病史，因为血液积聚在胁肋下方，导致气机上熏于肺，使人不停止地气喘、气逆。正因为足厥阴肝经的经脉，分布于胁肋，沿着喉咙后方上行；它的分支，又从肝脏穿过膈肌，向上注入肺部，现在血液积聚在胁肋下方，那么瘀积的血气向上熏蒸到肺，所以使人出现气喘、气逆的症状。
《金匮要略》说：寸口脉浮，微弱而涩，这通常应当是失血的表现。如果有汗出，假设没有汗出的情况，身上有疮疡，被刀斧所伤，这就是因为失血造成的。
【注】经文说：大量失血的人不会出汗，大量出汗的人不会失血。大概这两种情况都应当出现脉象浮、微、涩，现在诊察脉象如此，这是津血枯竭的迹象，而没有汗出的症状，这不是失血是什么？因此知道有金属利器创伤或击打跌倒导致失血的证候。
又论述说：肝脏的脉搏坚实而颜色没有改变，必定有被击打或坠落的事情发生。因为肌肉没有破损，那么恶血必然留存在胁肋下方，兼带引起呕吐、气逆，根据经文针刺然谷穴、足跗部的三毛穴等穴位使其出血，或者服用通利药物使恶血运行排出，应当自然痊愈。如果脉象浮、微、涩，应当知道是失血过多，根据经文在“三结交”穴（即三阴交穴）和关元穴进行艾灸，或者服用大补气血的药物来调理，病就好了。
The *Ling Shu Jing* (Spiritual Pivot), chapter "Pathogenic Factors, Zang-Fu Organs, and Disease Manifestations," states: If there has been a fall from height, evil blood (stasis) remains inside; if there is great anger, qi ascends but does not descend, accumulating under the hypochondrium, then the Liver is injured.
[Annotation] When a person falls, blood already stagnates inside. If subsequently angered greatly, injuring the Liver, its qi ascends without descending. The stagnant blood and ascending qi coagulate and stagnate together, accumulating under the hypochondrium, thereby injuring the Liver. The treatment method should first guide the angry qi to disperse, preventing it from accumulating in the Liver, so the Liver can remain uninjured. Then, administer purgative or resolving medicines to break down the evil blood, eliminating the retained blood under the hypochondrium.
The *Ling Shu Jing*, chapter "Pathogenic Factors, Zang-Fu Organs, and Disease Manifestations," states: If there has been being struck or fallen, or engaging in sexual intercourse while drunk, or sweating and exposing oneself to wind, then the Spleen is injured.
[Annotation] Being struck or fallen injures the external body. For example, engaging in sexual intercourse after drinking alcohol, or failing to avoid wind exposure when sweating, allows pathogenic factors to lodge in the skin and muscles, injuring the internal organs. These are all causes of Spleen injury.
The *Su Wen* (Basic Questions), chapter "Essential Meaning of Pulse Investigation," states: When the Liver pulse is firm and long, yet the complexion is not green, one should suspect injury from falling or beating, due to blood accumulating under the hypochondrium, causing wheezing and rebellious Qi.
[Annotation] This refers to the varying nature of the Liver pulse and corresponding diseases. When the Liver pulse feels firm and long upon palpation, and the complexion is not green, it indicates injury from falling or beating. Because blood accumulates under the hypochondrium, it causes continuous wheezing and rebellious Qi. Specifically, the Foot Jueyin Liver Meridian distributes along the hypochondrium and ribs, running behind the throat; its branch passes through the Liver, pierces the diaphragm, and flows upward into the Lungs. Now that blood accumulates under the hypochondrium, the stagnant blood qi steams upward to the Lungs, thus causing wheezing and rebellious Qi.
The *Jin Gui Yao Lue* (Essential Prescriptions of the Golden Cabinet) states: At the Cun Kou (Radial artery at the wrist) position, if the pulse is floating, faint, and choppy, it usually indicates loss of blood. If there is sweating, or if assuming no sweating occurs, and there are sores on the body or wounds from knives/axes, this is due to blood loss.
[Annotation] The classic states: Those who lose much blood do not sweat; those who sweat excessively do not lose blood. Generally, both conditions present with a floating, faint, and choppy pulse. Since the pulse is diagnosed as such, it shows signs of exhaustion/depletion. Without the symptom of sweating, how else could it be explained than by blood loss? Thus, we know there are symptoms of blood loss due to metal trauma or being struck/fallen.
It further discusses: If the Liver pulse is firm and the color remains unchanged, there must have been an incident of being struck or fallen. Since the flesh is not broken, evil blood must remain under the hypochondrium, accompanied by vomiting and rebellious Qi. According to the classics, needle points such as Ran Gu (KI2) or the hair-root points on the dorsum of the foot to induce bleeding, or administer resolving medicines to move the evil blood, and it will heal naturally. If the pulse is floating, faint, and choppy, one should know that excessive blood loss has occurred. According to the classics, moxa should be applied to San Jiao Jie (Sanyinjiao, SP6) and Guan Yuan (CV4), or large tonifying formulas for Qi and Blood should be administered to regulate the condition, and the disease will resolve.