（分症三十条。）
张子和治一男子被杖，疮痛 发，毒瓦斯入里，惊涎堵塞，牙噤不开，粥药不下，前后月余，百治
无功，甘分于死。先以三圣散，吐青痰惊涎，约半大缶。次以利膈丸百余粒，下臭恶燥粪又一大缶。
复煎通圣散数钱，热服之，更以酸辣葱醋汤发其汗。斯须，汗吐交出，其人活矣。此法可以救冤人。
郑金曜有杖丹一方，用水蛭为末，和朴硝少许，以水调敷疮上，屡施于人，良验。（《志雅堂杂抄》）
崇祯庚辰，黄公石斋，解公石帆，叶公润山被杖，士夫皆谋蚺蛇胆。愚谓此大寒，令人绝嗣，不
如三七、无名异、地龙蜡丸，酒服，则杖不知痛。如不即得，则白蜡一两， 虫一枚，酒服亦妙。壬
午，则熊公鱼山，姜公卿墅，复以直言受杖，遣人急白，如须用之。《中州集》曰∶贞 中，高琪柄
国，士夫被棰辱，医家以酒下地龙散，投以蜡丸，则受杖失痛。范中歌曰∶嚼蜡谁知味最长，一杯卯
酒地龙香，年来纸价长安贵，不重新诗重药方。偶书及此，为之一叹。痕 青肿，用莱菔捣烂敷之即
消，或用绿豆粉调敷。（《客中间集》）
薛立斋治文刑部用晦，伏阙谏南巡，受杖，瘀血已散，坏肉不溃，用托里之药，稍溃而脓清，此
血气虚也，非大剂参、 不能补。文君亦善医，以为恐腹满，强之饮食稍思，遂加大补剂，饮食日进，
肉溃脓稠而愈。尝
治江翰林姚、王、郑三吏部，李、姜、陈三礼部，南、吴二刑部，皆与文同事者，先散其瘀血，渐用
排脓托里之药俱愈。夫叫号则伤气，忍痛则伤血，此气血之虚明矣。况脾主肌肉，脾气受伤，饮食必
减，血一冰，则肌肉不旺，故必理脾，脾健肉自生。若非参、术、归、 之类，培养脾土，则肌肉何
由而生？然又须分病患虚实，及有无瘀血停积。盖打扑坠堕，皮肉不破，肚腹作痛者，必有瘀血在内，
宜以复元活血汤攻之。老弱者，四物汤加红花、桃仁、穿山甲补而行之。若血去多而烦躁，此血虚也，
名曰亡血，以独参汤补之。有损伤稍轻，别无瘀血等症，但瘀痛不止者，惟和血气，调经脉，其痛自
止。更以养血气，健脾胃，无有不效。亦有伤痛胃气作呕，或不饮食者，以四君子汤加藿香、砂仁、
当归治之。若有瘀血，不先消散，而加补剂，则成实实之祸。设无瘀血，而妄行攻利，则致虚虚之祸。
夏凤北京人，因杖疮，臀膝通溃，脓瘀未出，时发昏愦，此脓毒内作而然也。急与开之，昏愦愈
盛，此虚也。以八珍汤，一服少可。数服，死肉自腐，顿取之。令用猪蹄汤洗净，以神效当归膏涂贴，
再以十全大补汤，两月而愈。若更投破血之帖则危矣。大抵杖疮一症，皆瘀血为患，治疗浅者砭之，
深者针之，更以活血流气药和之，内溃者开之，有腐肉取之，以壮胃生血药托之，可保无虞。有伤筋
骨而作痛者，以没药降圣丹治之。若牙关紧急，或腰背反张者，以玉真散治之，并效。
薛立斋治一人，杖后，两胁胀闷，欲咳不 ，口觉血腥，遍身臀腿胀痛，倦怠不食，烦躁脉大，
此血脱烦躁也。与童便酒，及砭患处，出死血糜肉甚多。忽发热，烦躁汗出，投以独参汤三剂少止，
又用补气血、清肝火之药，数剂饮食少进。后用独参汤间服，诸症悉退，饮食顿加。但不能多寐，以
归脾汤加山栀、竹茹，四剂而熟睡。因劳心，遂烦渴自汗，脉大无力，以当归补血汤，二剂而安。又
以十全大补去川芎，加麦冬、五味、牡丹、地骨、麻黄根、炒浮麦，数剂而汗止，死肉且溃。又二十
余剂而新肉生。
一人烦躁面赤，口干作渴，脉洪大，按之如无，此血虚发躁也。以当归补血汤，二剂即止。后日
晡发热，更以四物加柴胡、牡丹、地骨、知、柏治之，热退而疮敛。东垣云∶发热恶寒，大渴不止，
其脉大无力者，非
白虎汤症。此血虚发躁，宜用当归补血汤治之。斐先生云∶肌热躁热，目赤面红，其脉洪大而虚，此
血虚也。若误服白虎汤，轻则危，重则毙。
一人杖后，头额出汗，热渴气短，烦躁骨痛，瘀血不溃，此气虚血热也。遂割去之，出血，服芩、
连之药益甚，其脉洪大而微，此气血俱虚，邪火炽甚所致。以四物加参、 、术、草，少用柴胡、炒
芩，二剂头汗顿止。又加麦冬、五味、肉桂，二剂诸症悉退。后用参、 、归、术、炒芍、熟地、麦
冬、五味，十余剂，瘀血溃而脓水稠矣。但新肉不生，以前药倍用白术而敛。
一人杖后，瘀血流注，腰胁两足俱黑，此瘀泛注也。随饮童便酒，砭出瘀血糜肉，投以小柴胡汤
去半夏，加山栀、芩、连、骨碎补，以清肝火，用八珍、茯苓，以壮脾胃，死肉溃而新肉生。后疮复
溃，得静调治，年余而痊。
一人瘀血攻注阴囊，溃而成漏，脓水清稀，所服皆寒凉之剂。诊其肝脉短涩，余脉浮而无力，此
肝木受肺金克制，又元气虚，不能收敛。遂用壮脾胃生气血之方，元气少复，后终殁于金旺之日。
一人伤处肿痛发热，作渴汗出，此瘀血作痛也。先砭去恶秽以通壅塞，后用四物、柴、芩、山栀、
丹皮、骨碎补以清肝火而愈。
一人伤处揉散，惟肿不消，此瘀血在内，宜急砭之。不从，乃以萝卜自然汁调山栀末敷之，破处
则以膏贴之，更服活血之剂而瘥。数年后，但遇天阴，仍作痒痛，始知不砭之失。
一人杖后，臀腿黑肿，而皮不破，但胀痛重坠。皆以为内无瘀血，惟敷凉药，可以止痛。诊其尺
脉涩而结，此因体肥肉浓，瘀血蓄深，刺去即愈。否则肉溃，有烂筋伤骨之患。乃入针四寸，漂黑血
数升，肿痛遂止。是日，发热恶寒，烦渴头痛，此气血俱虚而然也。以十全大补之剂遂愈。
一人杖后，瘀血内胀， 痛发热，口干作渴，饮食不甘，四肢倦怠，此肝火作痛也。脾土受制，
故患此症。喜其禀实年壮，第用降火清肝活血之剂而愈。
一人杖后，患处胀痛，悲哀忿怒，此肝火忿怒也。厥阳之火，为七情激之而然耳。遂砭去瘀血，
以小柴胡汤加山栀、黄连、桔梗而安。后用生肝血、养脾气之药，疮溃而敛。
一人杖后，患处肿，胀痛发热，欲吐呕，两胁热胀，肝脉洪大，此肝火胁胀也。但令饮童便，并
小柴胡汤加黄连、山栀、归尾、红花，诸症果退。此症若左关脉浮而无力，以手按其腹反不胀者，此
血虚而肝胀也，当以四物、参、苓、青皮、甘草之类治之。若左关脉洪而有力，胸胁胀痛，按之亦痛
者，此怒气伤肝之症也，以小柴胡、芎、归、青皮、白芍、桔梗、枳壳主之。盖此症不必论其受责之
轻重，问其患处去血之曾否，但被人扭按甚重，努力恚怒，以伤其气，瘀血归肝，多致前症。甚则胸
胁胀满，气隧不通，或血溢口鼻，多致不救。
一人受杖愈后，口苦，腰胁胀痛，服补肾行气等药不效。按其肝脉，浮而无力，此肝胆虚症也。
用参、 、芎、归、地黄、白术、麦冬、五味，治之而愈。
一人杖后，服四物、桃仁、红花、大黄等剂，以逐瘀血，腹反痛，更服一剂，痛益甚，此血虚腹
痛也。宜温补之剂，遂以归身、白术、参、 、炙草，二剂痛即止。
一人杖后，瘀血已去，饮食少思，死肉未溃，又用托里之药，脓稍溃而清，此血虚不溃也，非大
补不可。彼不从，乃强与大补之剂，饮食进而死肉溃。但少寐，以归脾汤加山栀，二剂而愈。因劳心，
烦躁作渴，脉浮洪大，以当归补血汤，二剂而安。
一人受刑太重，外皮伤破，瘀血如注，内肉糜烂、黯肿，上引胸背，下至足趾，昏愦不食，此寒
凝不溃也。随以黑羊皮热贴患处，灌以童便酒，薄粥，更以清肝活血、调血健脾之剂，神思稍苏，始
言遍身强痛。又用大剂养血补气之药，肿消食进。时仲冬，瘀血凝结，不能溃脓，又用大补之剂，壮
其阳气，其脓方熟。遂砭去，洞见其骨，涂当归膏，及服前药百余剂，肌肉渐生。
一人杖后而伤虚溃甚，以内有热毒，欲用凉药。此脾虚不敛也，非归、术、参、 之类，培养脾
土，则肌肉何由而生？岂可复用寒凉克伐之药，重揖气血耶？遂用前药而愈。
一人杖后，腹胀，呕吐眩晕，筋骨痛，此血虚筋挛也。用柴胡、黄芩、山栀、紫苏、杏仁、枳壳、
桔梗、川芎、当归、赤芍、红花、桃仁，四剂而定。后又出血过多，昏愦目黑，用十全大补等药而苏。
时肌肉溃烂，脓水淋漓，筋挛骨痛，切其脉，浮而涩，沉而弱，皆因气血耗损，不能养筋，筋虚不能
束骨，遂用养气血之药，治之而愈。
一人杖疮愈后，失于调理，头目不清，此肾虚气逆也。服祛风化痰药，反眩晕。服牛黄清心丸，
又肚腹瘀痛，杖痕肿痒，发热作渴，饮食不思，痰气上升，以为杖疮余毒复作。诊之，左尺脉洪大，
按之如无，此肾经不足，不能归源，遂用人参、黄 、茯苓、陈皮、当归、川芎、熟地、山药、山萸、
五味、麦冬、炙草，服之寻愈。后因劳，热渴头痛，倦怠少食，用补中益气加麦冬、五味而痊。
一人受杖愈后，腿作痛，意脓血过多，疮虽愈，肝经血尚未充，而湿热乘肝也。遂以八珍加牛膝、
木瓜、苍术、黄柏、防己、炙草，以祛湿热、养阴血。痛渐止，乃去防己、黄柏，服之遂瘳。
一人杖后，瘀血失砭，胀痛烦渴，纵饮凉童便，胀顿止。以萝卜细捣涂之，血渐散。已而患处作
痒，仍涂之，痒止后口干作渴，小腹引阴茎作痛，小便如淋，时出白津，此肝经郁火也。遂以小柴胡
汤加大黄、黄连、山栀饮之，诸症悉退，再用养血药而安。夫小腹引阴茎作痛等症，往往误认为寒症，
投以热药，则诸窍出血，或二便不通，以及危殆。轻亦损其目矣。（凡肝郁病，误用热药皆贻大患。）
一人杖后痛甚，发热，呕吐少食，胸膈痞满，用行气破血之剂益甚，口干作渴，大便不调，患处
色黯，此痛伤胃呕也。遂以四君、当归、炒芩、软柴胡、藿香，二剂诸症渐愈。又用大补之剂，溃之
而瘳。
一人杖后，发热 痛，服寒凉药，更加口干作渴，肚腹亦痛。自以为瘀血，欲下之。按其肚腹不
痛，脉微细而迟，饮食恶寒而呕，此凉药伤胃也。急用六君加白芍、当归、炮附子各一钱，服之，前
症益甚，反加谵语面赤。意其药力未至耳，前药再加附子五分，（非明眼不能。）服之即睡，觉来，
诸病顿退而安。
一人杖后，瘀血虽去，饮食形气如故，但热渴 痛，膈间有痰，以小柴胡汤加花粉、贝母、桔梗、
山栀，
二剂少愈。又加生地、归尾、黄芩、柴胡、山栀、花粉而愈。凡治百余人，其受杖血气不损者，惟此
一人耳，治者审之。
一人杖后，误服行气之剂，胸痞气促，食少体倦，色黯脓清，此形气俱虚之症也。先用六君、桔
梗，二剂胸膈气和。后用补中益气去升麻，加茯苓、半夏、五味、麦冬治之，元气渐复而愈。若用前
剂，戕伐元气，多致不救。
一人去其患处瘀血，用四物、柴胡、红花治之， 痛顿止。但寒热口干，饮食少思，用四物、白
术、茯苓、柴胡、黄芩、花粉，四剂寒热即退。用六君、芎、归、藿香，而饮食进。腐肉虽溃，脓水
渐稠，误服下药一钟，连泻四次，患处色黯。喜其脉不洪数，乃以十全大补，倍加肉桂、麦冬、五味，
数剂肉色红活，新肉渐生。喜在壮年，易于调理，又月余而愈，否则不救。凡杖疮跌扑之症，患处如
有瘀血，止宜砭去，服壮元气之药。盖其气血已损，切不可再用行气下血之药，复损脾胃，则运气愈
难荣达于下，而反为败症。怯弱者，多致夭枉。
一人受杖，肿痛，敷寒凉之药，欲内消瘀血，反致臀腿俱冷，瘀血并胸腹痞闷。急去所敷之药，
以热的童便酒洗患处，服六君、木香、肉桂，四剂瘀血解，乃刺之。更以壮脾胃、养气血得痊愈。盖
气血得温则行，得寒则凝，寒极生热，变化为脓，腐溃深大，血气既败，肌肉无由而生，欲望其生难
矣。
一人杖后，发热烦躁，宜用四物、黄芩、红花、软柴胡、山栀子、花粉，烦热已清，瘀血深蓄，
欲针出之。不从，忽牙关紧急，患处作痛，始针去脓血，即安也。用托里养血，新肉渐长。忽患处瘙
痒，此风热也，用祛风消毒之剂而痊。
有一人杖后，臀腿胀痛，发热烦躁，刺去死血，胀痛少宽，热躁愈甚，此血脱邪火旺而然也。急
宜用独参汤以补之，少愈。又以健脾养气血药以治之，而腐渐溃遂愈。大抵有此症，则宜预为调补，
以顾收敛，切勿使伐其气与血，不行补益遂致不能收敛也。
一人仲夏受杖伤手，腰背发胀，牙关紧急，脉浮而散，此表症也。遂用羌活防风汤，一剂即解。
此症若在
秋冬，腠理致密之时，须用麻黄之类以发汗，此乃暴伤，气血不损治法也。
一人杖处略破而患痛，脉洪大而实，此里症也。用大芎黄汤一剂，大便微行一次，悉退。若投表
药必死，宜急分表里虚实而治之，庶无误也。
一人杖后，寒热口干，用四物、参、 、白术、软柴、炒芩、麦冬、五味，四剂少退。欲砭去瘀
（分为三十个症候条目。）
张子和治疗一名男子，因受杖刑，疮口疼痛发作，毒邪内陷，惊涎堵塞气道，牙关紧闭无法张开，饮食药物均无法下咽，前后持续一个多月，各种治疗方法都无效，病人几乎濒临死亡。先用三圣散，吐出青色的痰液和惊涎，大约半大罐。接着服用利膈丸一百多粒，排出恶臭干燥的粪便，又是一大罐。然后煎煮通圣散几钱，热服，再用酸辣葱醋汤发汗。不久，汗出、吐泻并见，病人便活了过来。这种方法可以挽救那些遭受冤屈的人。
郑金曜有一个治杖伤的方子叫“杖丹”，用水蛭研成粉末，加入少许朴硝，用水调匀敷在疮口上，多次用于他人，效果很好。（出自《志雅堂杂抄》）
崇祯庚辰年，黄公石斋、解公石帆、叶公润山等人受杖刑，士大夫们都谋划使用蚺蛇胆来解毒。我认为蚺蛇胆是大寒之药，会让人断绝后代，不如用三七、无名异、地龙制成蜡丸，用酒送服，这样受杖时就不会感到疼痛。如果一时得不到这些药，就用一两白蜡、一枚蜈蚣，用酒送服也很奇妙。壬午年，熊公鱼山、姜公卿墅又因直言进谏受杖刑，派人紧急告知我，如果需要用药。《中州集》记载：贞元年间，高琪掌权，士大夫受鞭打侮辱，医家用酒送服地龙散，再投以蜡丸，受杖者便感觉不到疼痛。范中歌曰：“嚼蜡谁知味最长，一杯卯酒地龙香，年来纸价长安贵，不重新诗重药方。”偶然写到这里，为此叹息。伤痕青肿，用莱菔捣烂敷上即可消退，或者用绿豆粉调敷。（出自《客中间集》）
薛立斋治疗文刑部用晦，他在宫阙前跪伏进谏南巡之事，受杖刑后，瘀血已经消散，但坏死的肌肉没有溃烂，使用托里透脓的药物，稍微溃破但脓液清稀，这是气血虚弱所致，不用大剂量的参、芪不能补益。文君也懂医术，担心腹部胀满，勉强进食后稍能思考，于是加大补剂的用量，饮食日渐增加，肌肉溃破，脓液变稠而痊愈。曾经治疗江翰林姚、王、郑三位吏部官员，李、姜、陈三位礼部官员，南、吴二位刑部官员，他们都是与文君共事的同事，先消散他们的瘀血，逐渐使用排脓托里的药物，都痊愈了。大声呼号会伤气，忍耐疼痛会伤血，这气血虚弱的道理是很明显的。况且脾主肌肉，脾气受伤，饮食必然减少，血液凝滞，则肌肉不旺盛，所以必须调理脾胃，脾健运则肌肉自然生长。如果不是参、术、归、芪之类的药物，培养脾土，那么肌肉从哪里生出来呢？然而又需要分辨病患的虚实，以及是否有瘀血停滞。大概被打或从高处坠落，皮肤肌肉没有破损，但肚子痛，里面一定有瘀血，应该用复元活血汤攻逐。年老体弱者，用四物汤加红花、桃仁、穿山甲，补益兼行血。如果失血多而烦躁，这是血虚，名叫亡血，用独参汤补益。有损伤较轻，没有其他瘀血症候，只是瘀痛不止的，只需调和气血，疏通经脉，疼痛自然停止。再用养血气、健脾胃的药，没有不有效的。也有因伤痛导致胃气上逆作呕，或不思饮食的，用四君子汤加藿香、砂仁、当归治疗。如果有瘀血，不先消散，就加上补剂，就会造成“实实”的祸患（即实证误补）。如果没有瘀血，却妄用攻下利导的药，就会造成“虚虚”的祸患（即虚证误攻）。
夏凤是北京人，因为杖疮，臀部膝盖全部溃烂，脓瘀未排出，时常昏沉迷糊，这是脓毒内扰所致。急忙给他开窍，昏沉反而加重，这是虚证。用八珍汤，一服后稍有好转。数服后，死肉自然腐烂，立即去除。让他用猪蹄汤洗净疮口，涂抹神效当归膏，再用十全大补汤，两个月后痊愈。如果再投用破血的药帖就危险了。大抵杖疮这一病症，都是瘀血为害，治疗浅表的用砭石刺之，深的用针刺之，再用活血流气的药调和它，内部溃烂的开泄它，有腐肉的去除它，用壮胃生血的药托举它，可以保证无虞。有伤及筋骨而疼痛的，用没药降圣丹治疗。如果牙关紧急，或者腰背反张的，用玉真散治疗，都有效。
薛立斋治疗一人，受杖后，两胁胀闷，想咳嗽却咳不出，口中有血腥味，全身臀部腿部胀痛，倦怠不想吃东西，烦躁脉大，这是血脱导致的烦躁。给予童便酒，并在患处砭刺，放出很多死血和糜肉。忽然发热，烦躁出汗，投以独参汤三剂，症状稍止，又用补气血、清肝火的药，数剂后饮食稍进。后来间断服用独参汤，所有症状全部消退，饮食突然增加。但不能多睡，用归脾汤加山栀、竹茹，四剂后熟睡。因为劳心，出现烦渴自汗，脉大无力，用当归补血汤，二剂后安定。又以十全大补汤去掉川芎，加麦冬、五味子、牡丹皮、地骨皮、麻黄根、炒浮小麦，数剂后汗止，死肉溃烂。又二十多剂后新肉生长。
一人烦躁面红，口干口渴，脉洪大，按之空虚，这是血虚导致的烦躁。用当归补血汤，二剂即止。后来下午发热，再用四物汤加柴胡、牡丹皮、地骨皮、知母、黄柏治疗，热退而疮口收敛。东垣说：发热恶寒，大渴不止，脉大无力的，不是白虎汤证。这是血虚烦躁，宜用当归补血汤治疗。斐先生说：肌热躁热，目赤面红，脉洪大而虚，这是血虚。如果误服白虎汤，轻则危险，重则致死。
一人受杖后，头额出汗，热渴气短，烦躁骨痛，瘀血未溃，这是气虚血热。于是割去坏死组织，出血，服用黄芩、黄连等药反而加重，其脉洪大而微弱，这是气血俱虚，邪火炽盛所致。用四物汤加参、芪、术、草，少用柴胡、炒黄芩，二剂后头汗顿止。又加麦冬、五味子、肉桂，二剂后诸症悉退。后用参、芪、归、术、炒芍药、熟地、麦冬、五味子，十余剂后，瘀血溃破，脓水变稠。但新肉不生，以前药加倍白术而收敛。
一人受杖后，瘀血流注，腰部胁部两腿都发黑，这是瘀血泛注。随即饮用童便酒，砭刺放出瘀血糜肉，投以小柴胡汤去掉半夏，加山栀、芩、连、骨碎补，以清肝火，用八珍汤、茯苓，以壮脾胃，死肉溃烂而新肉生长。后来疮口再次溃烂，静养调治，一年多后痊愈。
一人瘀血攻注阴囊，溃烂而成瘘管，脓水清稀，所服的都是寒凉药剂。诊其肝脉短涩，其余脉浮而无力，这是肝木受肺金克制，又是元气虚，不能收敛。于是用壮脾胃生气血的方子，元气稍恢复，后来终究在金旺之日去世。
一人伤处肿痛发热，口渴出汗，这是瘀血作痛。先砭去恶秽以通壅塞，后用四物汤、柴胡、黄芩、山栀、丹皮、骨碎补以清肝火而愈。
一人伤处揉散，只有肿胀不消，这是瘀血在内，应当急用砭石刺之。不听，于是用萝卜自然汁调山栀末敷之，破处则以膏贴之，再服用活血药剂而病愈。几年后，只要遇到阴天，仍然作痒痛，才知道不砭刺的失误。
一人受杖后，臀部腿部黑肿，但皮肤没有破，只是胀痛沉重下坠。大家都认为里面没有瘀血，只敷凉药，可以止痛。诊其尺脉涩而结，这是因为身体肥胖肉厚，瘀血蓄积很深，刺去即可痊愈。否则肌肉溃烂，有烂筋伤骨的祸患。于是入针四寸，漂出黑血数升，肿痛遂止。当天，发热恶寒，烦渴头痛，这是气血俱虚所致。用十全大补剂遂愈。
一人受杖后，瘀血内胀，隐痛发热，口干口渴，饮食不甘，四肢倦怠，这是肝火作痛。脾土受制，所以患此症。庆幸他禀赋充实年岁壮，只用降火清肝活血的药剂而愈。
一人受杖后，患处胀痛，悲哀忿怒，这是肝火忿怒。厥阳之火，被七情激惹而如此。于是砭去瘀血，用小柴胡汤加山栀、黄连、桔梗而安。后用生肝血、养脾气的药，疮溃而敛。
一人受杖后，患处肿，胀痛发热，想吐呕，两胁热胀，肝脉洪大，这是肝火胁胀。只令饮童便，并小柴胡汤加黄连、山栀、归尾、红花，诸症果退。此症若左关脉浮而无力，用手按其腹部反而不胀的，这是血虚而肝胀，当以四物汤、参、苓、青皮、甘草之类治疗。若左关脉洪而有力，胸胁胀痛，按之也痛的，这是怒气伤肝的症候，以小柴胡汤、川芎、当归、青皮、白芍、桔梗、枳壳为主治。大概此症不必论其受责轻重，问其患处去血与否，只要被人扭按甚重，努力恚怒，以伤其气，瘀血归肝，多导致前述诸症。严重时胸胁胀满，气隧不通，或血溢口鼻，多导致不治。
一人受杖痊愈后，口苦，腰胁胀痛，服用补肾行气等药无效。按其肝脉，浮而无力，这是肝胆虚症。用参、芪、芎、归、地黄、白术、麦冬、五味子，治疗而愈。
一人受杖后，服用四物汤、桃仁、红花、大黄等剂，以逐瘀血，腹部反而痛，更服一剂，痛更甚，这是血虚腹痛。宜温补之剂，遂以归身、白术、参、芪、炙甘草，二剂痛即止。
一人受杖后，瘀血已去，饮食少思，死肉未溃，又用托里之药，脓稍溃而清，这是血虚不溃，非大补不可。他不听从，强行给予大补之剂，饮食进而死肉溃。但少寐，用归脾汤加山栀，二剂而愈。因劳心，烦躁作渴，脉浮洪大，用当归补血汤，二剂而安。
一人受刑太重，外皮伤破，瘀血如注，内肉糜烂、黯肿，上引胸背，下至足趾，昏愦不食，这是寒凝不溃。随即以黑羊皮热贴患处，灌以童便酒，薄粥，再以清肝活血、调血健脾之剂，神思稍苏，始言遍身强痛。又用大剂养血补气之药，肿消食进。时值仲冬，瘀血凝结，不能溃脓，又用大补之剂，壮其阳气，其脓方熟。遂砭去，洞见其骨，涂当归膏，及服前药百余剂，肌肉渐生。
一人受杖后而伤虚溃甚，以内有热毒，欲用凉药。这是脾虚不敛，非归、术、参、芪之类，培养脾土，则肌肉何由而生？岂可复用寒凉克伐之药，重揖气血耶？遂用前药而愈。
一人受杖后，腹胀，呕吐眩晕，筋骨痛，这是血虚筋挛。用柴胡、黄芩、山栀、紫苏、杏仁、枳壳、桔梗、川芎、当归、赤芍、红花、桃仁，四剂而定。后又出血过多，昏愦目黑，用十全大补等药而苏。时肌肉溃烂，脓水淋漓，筋挛骨痛，切其脉，浮而涩，沉而弱，皆因气血耗损，不能养筋，筋虚不能束骨，遂用养气血之药，治之而愈。
一人杖疮愈后，失于调理，头目不清，这是肾虚气逆。服祛风化痰药，反眩晕。服牛黄清心丸，又肚腹瘀痛，杖痕肿痒，发热作渴，饮食不思，痰气上升，以为杖疮余毒复作。诊之，左尺脉洪大，按之如无，这是肾经不足，不能归源，遂用人参、黄芪、茯苓、陈皮、当归、川芎、熟地、山药、山萸肉、五味子、麦冬、炙甘草，服之寻愈。后因劳，热渴头痛，倦怠少食，用补中益气加麦冬、五味而痊。
一人受杖愈后，腿作痛，意脓血过多，疮虽愈，肝经血尚未充，而湿热乘肝也。遂以八珍汤加牛膝、木瓜、苍术、黄柏、防己、炙甘草，以祛湿热、养阴血。痛渐止，乃去防己、黄柏，服之遂瘳。
一人受杖后，瘀血失砭，胀痛烦渴，纵饮凉童便，胀顿止。以萝卜细捣涂之，血渐散。已而患处作痒，仍涂之，痒止后口干作渴，小腹引阴茎作痛，小便如淋，时出白津，这是肝经郁火也。遂以小柴胡汤加大黄、黄连、山栀饮之，诸症悉退，再用养血药而安。夫小腹引阴茎作痛等症，往往误认为寒症，投以热药，则诸窍出血，或二便不通，以及危殆。轻亦损其目矣。（凡肝郁病，误用热药皆贻大患。）
一人受杖后痛甚，发热，呕吐少食，胸膈痞满，用行气破血之剂益甚，口干作渴，大便不调，患处色黯，这是痛伤胃呕也。遂以四君子汤、当归、炒黄芩、软柴胡、藿香，二剂诸症渐愈。又用大补之剂，溃之而瘳。
一人受杖后，发热隐痛，服寒凉药，更加口干作渴，肚腹亦痛。自以为瘀血，欲下之。按其肚腹不痛，脉微细而迟，饮食恶寒而呕，这是凉药伤胃也。急用六君子汤加白芍、当归、炮附子各一钱，服之，前症益甚，反加谵语面赤。意其药力未至耳，前药再加附子五分，（非明眼不能。）服之即睡，觉来，诸病顿退而安。
一人受杖后，瘀血虽去，饮食形气如故，但热渴隐痛，膈间有痰，以小柴胡汤加花粉、贝母、桔梗、山栀，二剂少愈。又加生地、归尾、黄芩、柴胡、山栀、花粉而愈。凡治百余人，其受杖血气不损者，惟此一人耳，治者审之。
一人受杖后，误服行气之剂，胸痞气促，食少体倦，色黯脓清，这是形气俱虚之症也。先用六君子汤、桔梗，二剂胸膈气和。后用补中益气汤去升麻，加茯苓、半夏、五味子、麦冬治之，元气渐复而愈。若用前剂，戕伐元气，多致不救。
一人去其患处瘀血，用四物汤、柴胡、红花治之，隐痛顿止。但寒热口干，饮食少思，用四物汤、白术、茯苓、柴胡、黄芩、花粉，四剂寒热即退。用六君子汤、川芎、当归、藿香，而饮食进。腐肉虽溃，脓水渐稠，误服下药一钟，连泻四次，患处色黯。喜其脉不洪数，乃以十全大补汤，倍加肉桂、麦冬、五味子，数剂肉色红活，新肉渐生。喜在壮年，易于调理，又月余而愈，否则不救。凡杖疮跌扑之症，患处如有瘀血，止宜砭去，服壮元气之药。盖其气血已损，切不可再用行气下血之药，复损脾胃，则运气愈难荣达于下，而反为败症。怯弱者，多致夭枉。
一人受杖，肿痛，敷寒凉之药，欲内消瘀血，反致臀腿俱冷，瘀血并胸腹痞闷。急去所敷之药，以热的童便酒洗患处，服六君子汤、木香、肉桂，四剂瘀血解，乃刺之。更以壮脾胃、养气血得痊愈。盖气血得温则行，得寒则凝，寒极生热，变化为脓，腐溃深大，血气既败，肌肉无由而生，欲望其生难矣。
一人受杖后，发热烦躁，宜用四物汤、黄芩、红花、软柴胡、山栀子、花粉，烦热已清，瘀血深蓄，欲针出之。不从，忽牙关紧急，患处作痛，始针去脓血，即安也。用托里养血，新肉渐长。忽患处瘙痒，此风热也，用祛风消毒之剂而痊。
有一人受杖后，臀腿胀痛，发热烦躁，刺去死血，胀痛少宽，热躁愈甚，这是血脱邪火旺而然也。急宜用独参汤以补之，少愈。又以健脾养气血药以治之，而腐渐溃遂愈。大抵有此症，则宜预为调补，以顾收敛，切勿使伐其气与血，不行补益遂致不能收敛也。
一人仲夏受杖伤手，腰背发胀，牙关紧急，脉浮而散，这是表症也。遂用羌活防风汤，一剂即解。此症若在秋冬，腠理致密之时，须用麻黄之类以发汗，此乃暴伤，气血不损治法也。
一人杖处略破而患痛，脉洪大而实，这是里症也。用大芎黄汤一剂，大便微行一次，悉退。若投表药必死，宜急分表里虚实而治之，庶无误也。
(Thirty symptom categories.)
Zhang Zihe treated a man who had been beaten with a staff. The wound became painful, toxic heat entered the interior, and phlegm-fluids from fright blocked the airway, causing lockjaw (trismus) so that food and medicine could not be swallowed. This persisted for over a month; all treatments failed, and the patient was near death. First, San Sheng San (Three Holy Powders) was administered to induce vomiting of green phlegm and fright-phlegm, amounting to about half a large jar. Next, Li Ge Wan (Diaphragm-Opening Pills) were given in quantities of over one hundred pills, resulting in the evacuation of foul, dry feces, another full jar. Then, Tong Sheng San (Universal Salvation Powder) was decocted in small amounts and taken hot, followed by inducing sweating with a sour, spicy scallion and vinegar soup. Soon after, sweating and purging occurred simultaneously, and the patient survived. This method can save those who have suffered unjust punishment.
Zheng Jinyao had a formula for staff injuries called "Zhang Dan" (Staff Injury Elixir). It consists of leeches (Hirudo, 水蛭) ground into powder, mixed with a small amount of mirabilite (Natrii Sulfas, 朴硝), and applied topically with water to the wound. It has been used on many people with good results. (From *Zhiya Tang Za Chao*)
In the Gengchen year of the Chongzhen reign, Huang Gong Shizhai, Xie Gong Shifan, and Ye Gong Runshan were beaten with staffs. Scholars planned to use python gallbladder (Boa Gallbladder, 蚺蛇胆) to detoxify. I considered this to be extremely cold-natured and capable of causing sterility. Instead, I recommended using Notoginseng Root (Notoginseng Radix et Rhizoma, 三七), Ilmenite (Ferrum Oxydatum Rubrum, 无名异), and earthworms (Pheretima, 地龙) made into wax pills, taken with wine, so that pain would not be felt during beating. If these were unavailable, one ounce of white beeswax (Cera Flava/Alba, 白蜡) and one centipede (Scolopendra, 蜈蚣), taken with wine, were also effective. In the Renwu year, Xiong Gong Yushan and Jiang Gong Qingshu again received beatings for speaking truthfully. They sent messengers urgently requesting my advice. The *Zhongzhou Ji* records: During the Zhenyuan era, Gao Qi held power, and scholars were whipped and humiliated. Physicians prescribed Di Long San (Earthworm Powder, 地龙散) with wine, followed by wax pills, rendering the patients insensible to pain. Fan Zhong wrote: "Who knows the taste of chewing wax is longest? A cup of morning wine makes earthworms fragrant. Paper prices in Chang'an are high these years; people value medicinal prescriptions more than new poems." I write this incident and sigh. For blue and swollen scars, radish (Raphani Fructus, 莱菔) mashed and applied dissipates them immediately, or green mung bean powder (Phaseoli Radiati Semen, 绿豆粉) mixed with water can be applied. (From *Ke Zhong Jian Ji*)
Xue Lizhai treated Wen Yonghui, a Minister of Justice, who knelt at the palace gate to remonstrate against a southern tour and was beaten. The blood stasis had dispersed, but necrotic flesh did not ulcerate. He used internal fortification drugs; it slightly ulcerated but the pus was clear. This indicated deficiency of qi and blood, which could not be supplemented without large doses of Ginseng Root (Ginseng Radix, 人参) and Astragalus Root (Astragali Radix, 黄芪). Mr. Wen also understood medicine; fearing abdominal fullness, he forced himself to eat slightly, allowing him to think clearly. Thus, larger tonifying doses were added. Food intake increased daily, the flesh ulcerated, pus became thick, and he recovered. He once treated Jiang Hanlin Yao, Wang, Zheng (three Ministry of Personnel officials), Li, Jiang, Chen (three Ministry of Rites officials), and Nan, Wu (two Ministries of Justice officials), all colleagues of Mr. Wen. First, their blood stasis was dispersed, then gradually using drainage and internal fortification drugs, all recovered. Loud crying injures qi; enduring pain injures blood. The deficiency of qi and blood is thus clear. Moreover, the spleen governs muscles. If spleen qi is injured, food intake decreases. If blood stagnates ("freezes"), muscles do not flourish. Therefore, the spleen must be regulated; when the spleen is healthy, muscles grow naturally. Without drugs like Ginseng, Atractylodes Macrocephala Rhizome (Atractylodis Macrocephalae Rhizoma, 白术), Angelica Sinensis Root (Angelicae Sinensis Radix, 当归), and Astragalus, to nourish spleen earth, how would muscles arise? However, one must distinguish between deficiency and excess in the patient, and whether there is stagnant blood stasis. Generally, if beaten or fallen, skin and flesh are intact but the abdomen hurts, there must be internal blood stasis, best treated with Fu Yuan Huo Xue Tang (Revive the Blood Decoction, 复元活血汤). For the elderly and weak, Si Wu Tang (Four Substances Decoction, 四物汤) plus Safflower Seed (Carthami Flos, 红花), Peach Kernel (Persicae Semen, 桃仁), and Pangolin Scales (Manis Squama, 穿山甲) should be used to tonify while moving blood. If much blood is lost leading to irritability, this is blood deficiency, termed "loss of blood," treated with Du Shen Tang (Single Ginseng Decoction, 独参汤). If injury is slight, with no other blood stasis symptoms, only persistent stasis-pain, one need only harmonize qi and blood and regulate meridians; pain will stop naturally. Further using blood-nourishing and spleen-strengthening drugs yields excellent results. If trauma causes stomach qi rebellion with vomiting or anorexia, Si Jun Zi Tang (Four Gentlemen Decoction, 四君子汤) plus Patchouli Herb (Agastachis Herba, 藿香), Amomum Fruit (Amomi Fructus Rotundus, 砂仁), and Angelica Sinensis Root treats it. If blood stasis exists and tonics are added before dispersing it, it creates a "double excess" disaster (treating excess as excess). If no blood stasis exists and purgatives are wrongly used, it creates a "double deficiency" disaster (treating deficiency as deficiency).
Xia Feng, from Beijing, suffered staff wounds where buttocks and knees completely ulcerated. Pus and stasis had not exited, and he frequently fell into stupor due to internal toxin action. Urgently opening the orifices worsened the stupor, indicating deficiency. Ba Zhen Tang (Eight Treasures Decoction, 八珍汤) was given; one dose brought slight relief. After several doses, dead flesh naturally rotted and was removed. He was instructed to wash the wound with pig trotter soup, apply Shen Xiao Dang Gui Gao (Miraculous Angelica Ointment, 神效当归膏), and take Shi Quan Da Bu Tang (Comprehensive Great Tonifying Decoction, 十全大补汤). He recovered in two months. Using blood-breaking patches here would have been dangerous. Generally, staff injuries involve blood stasis. Superficial cases are treated with bian stone (stone lancets); deep cases with needles. These are harmonized with blood-activating and qi-moving drugs. Internal ulcers are opened; necrotic flesh is removed; recovery is ensured by using stomach-strengthening and blood-generating drugs to support the body. Injuries to tendons and bones causing pain are treated with Moyao Jiang Sheng Dan (Myrrh Supreme Victory Pill, 没药降圣丹). If lockjaw or opisthotonos (back arching) occurs, Yu Zhen San (Jade True Powder, 玉真散) is effective.
Xue Lizhai treated a man who, after beating, experienced distension and stuffiness in both hypochondria, desire to cough without success, metallic taste in mouth, generalized swelling/pain in buttocks and legs, fatigue, anorexia, irritability, and a large pulse. This was irritability due to blood loss. He was given child urine mixed with wine, and the affected areas were scarified, releasing much dark blood and necrotic tissue. Suddenly, fever, irritability, and sweating occurred. Three doses of Du Shen Tang (Single Ginseng Decoction, 独参汤) slightly stopped symptoms. Then, drugs tonifying qi/blood and clearing liver fire were used for several doses, improving appetite. Intermittent Du Shen Tang eventually resolved all symptoms and greatly improved diet. Insomnia remained; Gui Pi Tang (Restore the Spleen Decoction, 归脾汤) plus Gardenia Fruit (Gardeniae Fructus, 山栀) and Bamboo Shavings (Bambusae Caulis in Taenia, 竹茹) for four doses induced deep sleep. Mental exertion caused irritability, thirst, spontaneous sweating, and a large, forceless pulse. Dang Gui Bu Xue Tang (Angelica Tonifying Blood Decoction, 当归补血汤) for two doses stabilized him. Then, Shi Quan Da Bu Tang minus Chuanxiong Rhizome (Chuanxiong Rhizoma, 川芎), plus Ophiopogon Tuber (Ophiopogonis Tuber, 麦冬), Schisandra Berry (Schisandrae Chinensis Fructus, 五味子), Moutan Cortex (Moutan Radicis Cortex, 牡丹皮), Groundtree Bark (Lycii Cortex, 地骨皮), Hemp Root (Ephedrae Radix, 麻黄根), and fried floating wheat (Tritici Spica Preparata, 炒浮小麦) for several doses stopped sweating and allowed necrotic flesh to ulcerate. Over twenty more doses generated new flesh.
Another man presented with irritability, red face, dry mouth/thirst, and a surging-large pulse that felt empty upon pressure. This was irritability due to blood deficiency. Dang Gui Bu Xiang Tang (Angelica Tonifying Blood Decoction, 当归补血汤) for two doses stopped it. Later, afternoon fever occurred; Si Wu Tang plus Bupleurum Root (Bupleuri Radix, 柴胡), Moutan Cortex, Groundtree Bark, Anemarrhena Rhizome (Anemarrhenae Rhizoma, 知母), and Phellodendron Bark (Phellodendri Chinensis Cortex, 黄柏) cleared heat and closed the wound. Dong Yuan stated: Fever with chills, extreme thirst, and a large, forceless pulse is NOT Bai Hu Tang (White Tiger Decoction, 白虎汤) syndrome. This is blood-deficiency irritability, treated with Dang Gui Bu Xue Tang. Mr. Fei said: Muscle heat, restlessness, red eyes/face, and a surging-large but empty pulse indicate blood deficiency. Misusing Bai Hu Tang leads to danger or death.
A man, after beating, had sweat on forehead, heat/thirst, shortness of breath, bone pain, and non-ulcerated stasis. This was qi deficiency with blood heat. Necrotic tissue was excised, bleeding occurred, and Huang Qin (Scutellaria Root, 黄芩)/Lian Lian (Coptis Rhizome, 黄连) worsened it. Pulse was surging-large yet faint, indicating combined qi/blood deficiency with fierce pathogenic fire. Si Wu Tang plus Ginseng, Astragalus, Atractylodes, Licorice, with small amounts of Bupleurum and fried Scutellaria for two doses stopped head sweat. Adding Ophiopogon, Schisandra, and Cinnamon Bark (Cinnamomi Ramulus, 肉桂) for two doses resolved symptoms. Subsequently, Ginseng, Astragalus, Angelica, Atractylodes, fried White Peony Root (Paeoniae Radix Alba, 炒芍药), Prepared Rehmannia Root (Rehmanniae Radix Praeparata, 熟地), Ophiopogon, and Schisandra for over ten doses caused stasis to ulcerate and pus to thicken. New flesh did not grow; doubling Atractylodes in the previous formula promoted closure.
A man, after beating, had blood stasis flowing downward, turning black on waist, hypochondria, and legs. This was widespread stasis infusion. Child urine/wine was drunk, scarification released stasis/necrotic tissue. Xiao Chai Hu Tang (Minor Bupleurum Decoction, 小柴胡汤) minus Pinellia Tuber (Pinelliae Rhizoma, 半夏), plus Gardenia, Scutellaria, Coptis, and Drynaria Rhizome (Drynariae Rhizoma, 骨碎补) cleared liver fire. Ba Zhen Tang and Poria (Poria, 茯苓) strengthened spleen/stomach. Dead flesh ulcerated, new flesh grew. The wound re-ulcerated later; quiet recuperation led to recovery in over a year.
Blood stasis attacked the scrotum of another man, ulcerating into a fistula with thin pus. He had taken cold-natured drugs. Liver pulse was short and choppy; others were floating and forceless. Liver wood was controlled by Lung metal, and yuan qi was deficient, unable to consolidate. A formula strengthening spleen/stomach and generating qi/blood was used. Yuan qi partially recovered, but he died on a day associated with strong Metal.
A man had swelling, pain, fever, thirst, and sweating at the injury site, indicating stasis-pain. Scarification removed filth to unblock obstruction. Si Wu Tang, Bupleurum, Scutellaria, Gardenia, Moutan Cortex, and Drynaria cleared liver fire, curing him.
Another man had rubbing dispersal but persistent swelling, indicating internal stasis requiring urgent scarification. He refused, so fresh radish juice mixed with Gardenia powder was applied topically, and ointment on broken skin, plus oral blood-activating drugs. He recovered. Years later, cloudy weather caused itching/pain, realizing the error of not scarifying.
After beating, a man had black swelling of buttocks/legs, skin intact, heavy distending pain. Others assumed no internal stasis, applying cooling drugs. His Chi pulse was choppy and knotted. Due to obesity, stasis was deep. Needling cured it; otherwise, muscle rotting and tendon/bone damage would occur. Four-cun needle insertion drained liters of black blood, stopping pain. That day, fever/chills, irritability/thirst/headache appeared due to qi/blood deficiency. Shi Quan Da Bu Tang cured him.
Another man had internal stasis distension, dull pain, fever, thirst, poor taste in mouth, limb fatigue after beating. This was liver fire pain affecting spleen earth. Fortunately, he was robust and young; fire-reducing, liver-clearing, blood-activating drugs cured him.
Another man had distending pain, sorrow/anger after beating. This was liver fire from emotional agitation. Scarification removed stasis; Xiao Chai Hu Tang plus Gardenia, Coptis, Platycodon Root (Platycodi Radix, 桔梗) calmed him. Later, liver-blood-nourishing and spleen-qi-tonifying drugs closed the wound.
Another man had swelling, distending pain, fever, nausea, hot/hypochondrial distension, and surging liver pulse after beating. This was liver fire hypochondrial distension. Drinking child urine and Xiao Chai Hu Tang plus Coptis, Gardenia, Angelica Tail (Angelicae Sinensis Radix, 归尾), and Safflower cured him. If the left Guan pulse were floating/forceless and abdominal pressing revealed no distension, it would be blood-deficiency liver distension, treated with Si Wu Tang, Ginseng, Poria, Tangerine Peel (Citri Reticulatae Pericarpium, 青皮), Licorice. If left Guan pulse were surging/forceful with tender abdominal distension, it would be anger-injuring-liver syndrome, treated with Xiao Chai Hu Tang, Chuanxiong, Angelica, Tangerine Peel, White Peony, Platycodon, Aurantium Fruit (Aurantii Fructus, 枳壳). Regardless of beating severity or blood loss, severe twisting/pressing and angry exertion injure qi, sending stasis to the liver, causing these symptoms. Severe cases involve chest/hypochondrial fullness, blocked qi pathways, or nose/mouth bleeding, often fatal.
After recovering from beating, a man had bitter taste, hypochondrial pain. Kidney-tonifying/qi-moving drugs failed. Liver pulse was floating/forceless, indicating liver/gallbladder deficiency. Ginseng, Astragalus, Chuanxiong, Angelica, Rehmannia, Atractylodes, Ophiopogon, Schisandra cured him.
Another man took Si Wu Tang, Peach Kernel, Safflower, Rhubarb (Rhei Radix et Rhizoma, 大黄) to expel stasis after beating, but developed abdominal pain worsening with more doses. This was blood-deficiency abdominal pain. Warming/tonifying drugs, specifically Angelica Root (Angelicae Sinensis Radix, 归身), Atractylodes, Ginseng, Astragalus, Honey-fried Licorice (Glycyrrhizae Radix et Rhizoma Praeparata cum Melle, 炙草), for two doses stopped pain.
After beating, stasis gone, anorexia, non-ulcerated necrotic flesh. Fortification drugs yielded clear pus, indicating blood-deficiency non-ulceration requiring major tonification. He resisted, forcing large tonics, improving diet and ulcerating flesh. Insomnia remained; Gui Pi Tang plus Gardenia for two doses cured it. Mental exertion caused irritability/thirst, floating-surging pulse. Dang Gui Bu Xue Tang for two doses stabilized him.
A man subjected to severe punishment had broken skin, pouring stasis, internal rot/dark swelling extending to chest/back/toes, stupor/anorexia. This was cold-congealment preventing ulceration. Hot black sheepskin was applied, child urine/wine and thin gruel灌ed, plus liver-clearing/blood-activating/spleen-regulating drugs. Consciousness slightly returned, reporting body stiffness/pain. Large qi/blood-tonifying drugs reduced swelling and improved appetite. In mid-winter, stasis congealed, preventing pus maturation. Major tonifying drugs strengthened yang, ripening pus. Scarification exposed bone. Angelica ointment and previous herbs for over 100 doses gradually regenerated muscle.
Another man had severe deficiency/ulceration after beating, with internal heat toxins, desiring cooling drugs. This was spleen-deficiency failure to close. Without Angelica, Atractylodes, Ginseng, Astragalus to nourish spleen earth, how would muscles grow? Cold/clearing drugs would further injure qi/blood. Previous drugs cured him.
Another man had abdominal distension, vomiting/dizziness, bone/tendon pain after beating. This was blood-deficiency tendon spasm. Bupleurum, Scutellaria, Gardenia, Perilla Leaf (Perillae Folium, 紫苏), Apricot Kernel (Armeniacae Semen Amarum, 杏仁), Aurantium Fruit, Platycodon, Chuanxiong, Angelica, Red Peony Root (Paeoniae Radix Rubra, 赤芍), Safflower, Peach Kernel for four doses settled it. Later, excessive bleeding caused stupor/black vision; Shi Quan Da Bu Tang revived him. With rotting muscle, dripping pus, tendon spasm/bone pain, pulses were floating-choppy and sinking-weak, indicating qi/blood depletion failing to nourish tendons. Nourishing qi/blood drugs cured him.
After staff wound recovery, poor regulation caused unclear head/eyes, indicating kidney deficiency with qi reversal. Wind-dispelling/phlegm-resolving drugs worsened dizziness. Niuhuang Qingxin Wan (Calculus Bovis Heart-Clearing Pill, 牛黄清心丸) caused abdominal stasis-pain, wound itching/fever/thirst/anorexia, rising phlegm/qi, suspected residual toxin recurrence. Left Chi pulse was surging-large but empty upon pressure, indicating kidney meridian insufficiency failing to return to source. Ginseng, Astragalus, Poria, Tangerine Peel, Angelica, Chuanxiong, Prepared Rehmannia, Chinese Yam (Dioscoreae Rhizoma, 山药), Cornus Fruit (Corni Fructus, 山萸肉), Schisandra, Ophiopogon, Honey-fried Licorice cured him quickly. Later, exertion caused heat/thirst/headache/fatigue/anorexia; Buyang Huan Wu Tang (Tonify Yang to Restore Five Tenths Decoction - *Note: Text says Bu Zhong Yi Qi Tang*, 补中益气汤) plus Ophiopogon/Schisandra cured him.
After beating, leg pain suggested excessive pus/blood loss. Though healed, liver meridian blood was insufficient, allowing damp-heat to attack liver. Ba Zhen Tang plus Achyranthes Root (Achyranthis Bidentatae Radix, 牛膝), Papaya (Chaenomelis Fructus, 木瓜), Atractylodes Lancea Rhizome (Atractylodis Rhizoma, 苍术), Phellodendron, Stephania Stem (Stephaniae Tetrandrae Caulis, 防己), Licorice cleared damp-heat/nourished yin blood. Pain stopped; Stephania/Phellodendron removed, continued cure.
After beating, missed scarification caused distending pain/thirst. Drinking cold child urine stopped distension. Mashed radish applied dispersed blood. Itching followed; application stopped itch. Thirst, lower abdomen pulling penile pain, dysuria-like symptoms, white discharge occurred, indicating liver meridian depressed fire. Xiao Chai Hu Tang plus Rhubarb, Coptis, Gardenia resolved symptoms; blood-nourishing drugs stabilized him. Lower abdominal pain pulling to penis is often mistaken for cold, treated with hot drugs, causing bleeding from orifices or bowel/bladder blockage, even danger. Mild cases damage eyes. (Misusing hot drugs for liver depression always causes great harm.)
Another man had severe pain, fever, vomiting/anorexia, chest diaphragm stuffiness after beating. Qi-moving/blood-breaking drugs worsened it, causing thirst, irregular bowels, dark wound color. This was pain injuring stomach causing vomiting. Si Jun Zi Tang, Angelica, fried Scutellaria, soft Bupleurum, Patchouli for two doses improved symptoms. Large tonifying drugs closed the wound.
Another man had fever/dull pain after beating. Cold drugs worsened thirst/abdominal pain. Suspecting stasis, he wanted purgatives. Abdomen was not tender; pulse was minute/fine/slow. Food aversion to cold/vomiting indicated cold drugs injuring stomach. Six Jun Zi Tang plus White Peony, Angelica, Processed Aconite Root (Aconiti Lateralis Radix Praeparata, 炮附子) 1 qian each worsened symptoms, adding delirium/red face. Assuming drug effect hadn't reached, adding 0.5 qian Aconite (*requires expert eye*) induced sleep. Upon waking, all diseases retreated.
Another man had stasis gone, normal diet/energy, but heat/thirst/dull pain, phlegm in diaphragm after beating. Xiao Chai Hu Tang plus Trichosanthes Root (Trichosanthis Radix, 花粉), Fritillaria Bulb (Fritillariae Cirrhosae Bulbus, 贝母), Platycodon, Gardenia for two doses slightly improved. Adding Rehmannia Root (Rehmanniae Radix, 生地), Angelica Tail, Scutellaria, Bupleurum, Gardenia, Trichosanthes cured him. Among over 100 patients, only this one had undamaged qi/blood after beating. Practitioners should note this.
Another man mistakenly took qi-moving drugs after beating, causing chest stuffiness, shortness of breath, anorexia/fatigue, dark color/clear pus. This was combined form/qi deficiency. Six Jun Zi Tang + Platycodon for two doses harmonized chest diaphragm qi. Bu Zhong Yi Qi Tang minus Shengma (Cimicifugae Rhizoma, 升麻), plus Poria, Pinellia, Schisandra, Ophiopogon gradually restored yuan qi. Using previous drugs would have damaged yuan qi, likely fatal.
Removing stasis from injury site, treating with Si Wu Tang, Bupleurum, Safflower stopped dull pain. But chills/fever/thirst/anorexia occurred. Si Wu Tang, Atractylodes, Poria, Bupleurum, Scutellaria, Trichosanthes for four doses resolved chills/fever. Six Jun Zi Tang, Chuanxiong, Angelica, Patchouli improved diet. Although necrotic flesh ulcerated and pus thickened, accidentally taking one measure of purgative caused four diarrheas and dark wound color. Fortunately, pulse was not surging-rapid. Shi Quan Da Bu Tang doubled with Cinnamon Bark, Ophiopogon, Schisandra for several doses restored red flesh and new growth. Being young facilitated recovery; healed in over a month, otherwise fatal. Generally, for staff injuries/falls with stasis, only scarification and yuan qi-strengthening drugs are suitable. Since qi/blood are already damaged, qi-moving/blood-draining drugs must not be used to further injure spleen/stomach, making circulation difficult and leading to defeat syndromes. Weak individuals often die prematurely.
A man subjected to beating applied cold drugs to reduce stasis internally, causing cold buttocks/legs and chest/abdominal stuffiness. Urgently removing topical drugs, washing with hot child urine/wine, taking Six Jun Zi Tang, Aucklandia Root (Aucklandiae Radix, 木香), Cinnamon Bark for four doses resolved stasis, then needled. Strengthening spleen/stomach and nourishing qi/blood led to recovery. Qi/blood move with warmth, coagulate with cold. Extreme cold generates heat, transforming into pus. Deep rotting/ulceration败败s qi/blood, preventing muscle generation. Survival is difficult.
Another man had fever/irritability after beating. Si Wu Tang, Scutellaria, Safflower, soft Bupleurum, Gardenia, Trichosanthes cleared heat. Deep stasis required needle drainage. He refused, suddenly developing lockjaw/wound pain. Needle drainage of pus/blood provided immediate relief. Internal fortification/blood-nourishing promoted new flesh. Sudden itching indicated wind-heat; wind-dispelling/detoxifying drugs cured him.
One man had buttock/leg distending pain, fever/irritability after beating. Dead blood was pricked out; pain slightly eased but heat/restlessness worsened. This was blood-loss with fierce pathogenic fire. Urgent Du Shen Tang (Single Ginseng Decoction, 独参汤) tonified, slight improvement. Spleen-strengthening/qi-blood-nourishing drugs resolved rot/ulceration. Generally, such cases require preemptive tonification to support consolidation. Never deplete qi/blood without tonifying, leading to failure to consolidate.
A man injured hand in mid-summer, with back/waist distension, lockjaw, floating/scattered pulse. This was exterior syndrome. Qiang Huo Fang Feng Tang (Notopterygium and Saposhnikovia Decoction, 羌活防风汤) for one dose resolved it. In autumn/winter when pores are tight, Ephedra (Ephedrae Herba, 麻黄) type drugs are needed for sweating. This is acute injury treatment without qi/blood damage.
Another man had slightly broken wound pain, surging-large solid pulse. This was interior syndrome. Da Xiong Huang Tang (Large Chuanxiong and Rhubarb Decoction, 大芎黄汤) for one dose caused slight bowel movement, resolving symptoms. Exterior drugs would be fatal. Differentiate exterior/interior, deficiency/excess urgently to avoid error.
Another man had chills/fever/thirst after beating. Si Wu Tang, Ginseng, Astragalus, Atractylodes, soft Bupleurum, fried Scutellaria, Ophiopogon, Schisandra for four doses slightly improved. Desired scarification to remove stasis...