有一患者，肿痛发热，作渴汗出。薛曰∶此阴血受伤也，先砭去恶秽，以通壅塞，后
用四物，柴胡、黄芩、山栀、丹皮、骨碎补，以清肝火而愈。 有一患者，伤处揉散，惟
肿痛不消。薛曰∶此瘀血在内，宜急砭之，不从。薛以萝卜自然汁，调山栀末敷之，破处
以当归膏贴之，更服活血之剂而瘥。数年之后，但遇天阴，仍作痒痛，始知不砭之失。
有一患者，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。薛
诊其尺脉涩而结，此因体肥肉浓，瘀血蓄深，刺去即愈，否则内溃，有烂筋伤骨之患。薛
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
十全大补之剂遂瘥。 一男子闪伤右腿，壅肿作痛。薛谓急砭去滞血，以补元气，庶无
后患。不信，乃外敷大黄等药，内服流气饮，后涌出秽脓数碗许，其脓不止，乃复请治。视
其腿细而脉大，作渴发热，辞不治，后果殁。
窗友王汝道，环跳穴处闪伤，瘀血肿痛，发热作渴，遂砭去瘀血，知其下焦素有虚火，用
八珍加黄柏、知母、牛膝、骨碎补，四剂顿止；用十全大补汤，少加黄柏、知母、麦门、
五味，三十余剂而敛。
一妇人，磕臂出血，骨痛热渴，烦闷头晕，日晡益甚，此阴虚内热之证，用八珍加
丹皮、麦门、五味、骨碎补、肉桂，及地黄丸治之悉愈，却去桂，加牛膝，续断，二十
余剂而疮愈。
有一位患者，患处肿痛并伴有发热，口渴且出汗。薛己说：这是阴血受损所致，先用砭石刺破皮肤排出恶浊污秽之物，以疏通壅塞的气血，随后使用四物汤（由当归、川芎、白芍、熟地黄组成），加入柴胡、黄芩、山栀、丹皮、骨碎补，以清泻肝火而痊愈。
有一位患者，受伤部位被揉散，但只有肿痛不消退。薛己说：这是瘀血留在体内，应当紧急用砭石刺破排血，患者没有听从。薛己便用萝卜自然汁调和山栀末外敷在患处，再用当归膏贴敷破溃处，同时内服活血的药剂，病情才好转。几年后，每逢阴天，患处仍会发痒疼痛，这才知道当初没有进行砭刺治疗的失误。
有一位患者，臀部和大腿黑肿但皮肤未破，只是感到胀痛沉重下坠，大家都认为内部没有瘀血，只用敷凉药来止痛。薛己诊察其尺脉涩滞且有结象，认为这是因为患者身体肥胖、脂肪丰厚，导致瘀血蓄积较深，若用针刺放出瘀血即可痊愈，否则会导致内部溃烂，有腐烂筋脉、损伤骨骼的祸患。薛己进针四寸深，放出黑色血液数升，肿痛随即停止。当天患者出现发热、恶寒、烦躁口渴、头痛等症状，这是由于气血俱虚所致，服用十全大补汤（人参、白术、茯苓、甘草、当归、川芎、白芍、熟地黄、黄芪、肉桂）后痊愈。
一名男子右腿闪挫受伤，局部壅肿疼痛。薛己称应紧急用砭石去除滞留的瘀血，以补益元气，这样才不会留下后患。患者不信从，于是外敷大黄等药物，内服流气饮，后来涌出约几碗多的污秽脓液，脓水不止，于是再次请求治疗。薛己查看他的腿部肌肉消瘦而脉搏洪大，伴有口渴发热，便推辞不治，后果然死亡。
薛己的朋友王汝道，环跳穴处因闪挫受伤，出现瘀血肿痛、发热口渴的症状，薛己随即用砭石去除瘀血，得知其下焦素有虚火，于是使用八珍汤（人参、白术、茯苓、甘草、当归、川芎、白芍、熟地黄）加入黄柏、知母、牛膝、骨碎补，服用四剂症状立刻停止；随后改用十全大补汤，少量加入黄柏、知母、麦门冬、五味子，服用三十多剂后伤口愈合。
一位妇人磕碰手臂出血，伴有骨痛、发热口渴、烦闷头晕，且在下午申时（日晡）症状加重，这是阴虚内热的证候，使用八珍汤加入丹皮、麦门冬、五味子、骨碎补、肉桂，以及地黄丸治疗，全部痊愈；之后去掉肉桂，加入牛膝、续断，服用二十多剂后疮口愈合。
A patient presented with swelling, pain, fever, thirst, and sweating. Xue Ji stated: This is injury to Yin blood. First, use Bian stone (a surgical tool for draining pus or blood) to remove foul matter to unblock congestion, then administer Siwu Tang (Four Substances Decoction) [Danggui, Chuanxiong, Baishao, Shudihuang] added with Chaihu (Bupleuri Radix), Huangqin (Scutellariae Radix), Zhizi (Gardeniae Fructus), Danpi (Moutan Cortex), and Gusui Bu (Drynariae Rhizoma) to clear Liver fire, resulting in recovery.
Another patient had a wound where the tissue was rubbed apart, yet swelling and pain persisted. Xue Ji stated: This is stasis of blood retained internally; urgent application of Bian stone is indicated. The patient did not comply. Xue Ji applied a paste made from fresh radish juice mixed with Zhizi powder externally, covered the broken skin with Danggui Ointment, and administered internal blood-activating agents, leading to improvement. Years later, itching and pain recurred whenever the weather was cloudy, revealing the error of not having used Bian stone initially.
A third patient presented with blackish swelling of the buttocks and thighs without skin rupture, accompanied by distending pain and a heavy sensation. Others believed there was no internal stasis and recommended cooling topical applications for pain relief. Xue Ji palpated the Chi pulse as choppy and knotted, concluding that due to the patient's obesity and thick adipose tissue, the stasis was deeply accumulated. Puncture would lead to immediate cure; otherwise, internal ulceration with risks of tendon rotting and bone damage would occur. Xue Ji inserted the needle four cun deep, draining several sheng of dark blood, after which swelling and pain ceased. On that day, the patient developed fever, aversion to cold, irritability, thirst, and headache, signs of deficiency of both Qi and Blood. Recovery was achieved using Shiquan Dabu Tang (Ten Thousand Benefits Great Tonifying Decoction).
A man suffered a sprain in his right thigh, resulting in localized swelling and pain. Xue Ji advised urgent puncture to remove stagnant blood and tonify Yuan Qi to prevent future complications. The patient refused, opting instead for external application of Dahuang (Rhei Radix et Rhizoma) and other herbs, and internal administration of Liqi Yin (Flowing Qi Decoction). Later, copious amounts of foul pus (several bowls) were discharged continuously. Upon re-evaluation, the leg appeared emaciated while the pulse was large, accompanied by thirst and fever. Xue Ji declined treatment, and the patient subsequently died.
Wang Rudao, a friend of Xue Ji, suffered a sprain at the Huantiao point (GB30), presenting with stasis-induced swelling, pain, fever, and thirst. Xue Ji immediately used Bian stone to remove stasis. Knowing the patient had underlying deficient fire in the Lower Jiao, he prescribed Bazhen Tang (Eight Treasures Decoction) [Renshen, Baizhu, Fuling, Gancao, Danggui, Chuanxiong, Baishao, Shudihuang] added with Huangbai (Phellodendri Cortex), Zhimu (Anemarrhenae Rhizoma), Niuxi (Achyranthis Bidentatae Radix), and Gusui Bu, which resolved symptoms within four doses. Subsequently, Shiquan Dabu Tang was used with minor additions of Huangbai, Zhimu, Maimen Dong (Ophiopogonis Radix), and Wuweizi (Schisandrae Fructus); after more than thirty doses, the wound healed.
A woman injured her arm, causing bleeding, bone pain, fever, thirst, irritability, and dizziness, with worsening symptoms in the afternoon (Ribu). This was diagnosed as Yin deficiency with internal heat. She was treated with Bazhen Tang added with Danpi, Maimen Dong, Wuweizi, Gusui Bu, and Rougui (Cinnamomi Cortex), along with Dihuang Wan (Rehmannia Pill), resulting in complete recovery. Later, Rougui was removed, and Niuxi and Xuanduan (Dipsaci Radix) were added; after more than twenty doses, the sore healed.