夫金疮愈以后，肌肉充满，不得屈伸者，此由伤绝经筋，荣卫不得循行也。其疮虽愈，
筋急不得屈伸也。
夫金疮始伤之时，半伤其筋，荣卫不通，其疮虽愈合，后仍令痹不仁也。若被疮截断诸
解、身躯、肘中，及腕、膝、髀若踝际，亦可连续，须急及热，其血气未寒，即去碎骨便更
缝连，其愈后直不屈伸。若碎骨不去，令人痛烦，脓血不绝。不绝者，不得安。诸中伤人神
箭镞、金刃中骨，骨破碎者，须令箭镞出，仍应除碎骨尽，乃敷药。不尔，疮永不合。
纵合，常疼痛。若更犯触损伤，便惊血沸溃，有死者。
夫金疮痉者，此由血脉虚竭，饮食未复，未盈月日，荣卫伤穿，风气得入，五脏受寒，
则痉。其状，口急背直，摇头马鸣，腰为反折，须臾十发，气息如绝，汗出如雨。不及时救
凡金疮卒无汁者，中风也；边自出黄汁者，中水也。并欲作痉，急治之。又痛不在疮处
夫金疮愈闭后，忽惊肿，动起糜沸跳手，大者如盂，小者如杯，名为盗血。此由肌未定
，里不满，因作劳、起早，故令盗血涌出，在人皮中，不肯自消，亦不成脓，反牢核。又有
加血，加血者，盗血之满也。其血凝深，不可妄破。破之者，盗血前出，不可禁止，加血追
之。出即满疮中，便留止，令人短气，须臾命绝。
金疮（金属利器造成的创伤）愈合之后，肌肉虽然丰满充实，但肢体仍不能屈伸活动，这是由于损伤了经筋，导致营卫之气无法正常运行所致。即使伤口表面已经愈合，筋脉依然拘急，导致肢体不能屈伸。
在金疮刚受伤的时候，如果半伤其筋，会导致营卫之气运行不通畅。即使伤口后来愈合了，日后仍会引起肢体麻木、感觉迟钝（痹不仁）。如果是被创伤截断了关节缝隙、身躯、肘部，以及手腕、膝盖、大腿或脚踝等部位，虽然可以进行缝合连接，但必须迅速且趁热进行，在气血尚未变冷之前，去除碎骨并重新缝合连接。如果处理不当，愈合后会出现肢体僵硬、不能屈伸的情况。如果不去除碎骨，会使人感到疼痛烦躁，脓血淋漓不尽。若脓血不止，则身体不得安宁。凡是遭受金属利器伤害的人，其神气……
若是箭镞、金刃刺入骨头，导致骨头破碎的，必须将箭镞取出，并且应当彻底清除碎骨，然后才能敷药。如果不这样做，伤口永远无法愈合。即使勉强愈合，也常伴有疼痛。如果再受到触碰损伤，就会导致惊骇出血，血液沸腾溃散，甚至有死亡的危险。
所谓金疮痉（因金疮引发的痉挛病症），是由于血脉虚竭，饮食尚未恢复，未满一个月，营卫之气受损穿透，风气乘虚而入，五脏受寒，从而引发痉挛。其症状表现为：口部拘急、背部挺直、头部摇动、发出马嘶样的声音、腰部向后反折如弓状，短时间内发作多次，气息微弱似断绝，汗水如雨般流出。若不及时救治……凡金疮突然没有汁液渗出的，是中了风邪；伤口边缘自行渗出黄色汁液的，是中了水毒。这些情况都可能导致痉病，必须紧急治疗。另外，疼痛并不在伤口处……
金疮愈合闭合之后，忽然出现惊恐性肿胀，触动时感觉糜烂沸腾、跳动应手，大的像盂盆，小的像杯子，这被称为“盗血”。这是由于肌肉尚未安定，内部气血未充盈，因为过度劳累、早起劳作，导致“盗血”涌出，积聚在皮肤之下，不肯自行消散，也不化脓，反而形成坚硬的核块。又有“加血”的情况，“加血”是指“盗血”充满的状态。这种血液凝结位置较深，不可随意刺破。如果刺破它，之前的“盗血”会涌出而不可制止，随后的“加血”会紧随其后流出。一旦流出就会充满疮口，停滞不前，使人呼吸短促，片刻之间即可导致死亡。
After the healing of a metal weapon injury (Jinchuang), although the muscles are full and robust, the limbs cannot flex or extend. This is due to the severing of the Jingjin (Meridian Sinews), causing Ying and Wei (Nutritive and Defensive Qi) to fail in their normal circulation. Although the wound has healed, the sinews remain tense, preventing flexion and extension.
At the initial stage of a metal weapon injury, if the sinews are partially severed, the circulation of Ying and Wei Qi becomes obstructed. Even if the wound subsequently heals, it may later lead to numbness and loss of sensation (Bi Buren). If the injury severs the joints, torso, elbows, wrists, knees, thighs, or ankles, although suturing can reconnect the tissues, it must be done urgently while the area is warm. The fragmented bones should be removed before re-suturing while the Qi and Blood are still warm. Otherwise, upon healing, the limb may become straight and unable to flex or extend. If the fragmented bones are not removed, it causes painful irritability and continuous discharge of pus and blood. If this discharge does not cease, the body cannot find peace. For all those injured by metal weapons, their Shen Spirit...
If an arrowhead or metal blade penetrates the bone, causing it to shatter, the arrowhead must be extracted, and all fragmented bones should be thoroughly removed before applying medication. Otherwise, the wound will never heal. Even if it does heal, it will often remain painful. If further contact or trauma occurs, it may cause fright-induced hemorrhage, with blood boiling and bursting, potentially leading to death.
The condition known as Jinchuang Jing (Spasm caused by metal weapon injury) arises from the depletion of blood vessels and failure of dietary recovery within less than a month. The Ying and Wei Qi are damaged and penetrated, allowing Wind Qi to enter. When the Five Zang Organs are affected by Cold, spasm occurs. The manifestations include: tightness of the mouth, rigidity of the back, shaking of the head, sounds resembling a horse's neigh, opisthotonos (arching of the back), frequent attacks within a short time, breath appearing to cease, and profuse sweating like rain. Without timely rescue... If a metal weapon injury suddenly presents with no exudate, it indicates invasion by Wind; if yellow fluid spontaneously oozes from the edges, it indicates invasion by Water toxicity. Both conditions may develop into spasm and require urgent treatment. Furthermore, the pain is not located at the wound site...
After the healing and closure of a metal weapon injury, sudden frightening swelling may occur. Upon touch, it feels like rotting boiling water and throbs against the hand. Large swellings resemble a basin, while small ones resemble a cup. This is termed "Dao Xue" (Robbing Blood). This occurs because the muscle tissue has not yet stabilized and the interior is not fully filled. Due to overexertion or rising early, "Dao Xue" surges out and accumulates under the skin. It refuses to dissipate on its own, does not form pus, but instead forms a hard nodule. There is also a condition called "Jia Xue" (Added Blood), which refers to the fullness caused by "Dao Xue". This coagulated blood is deep-seated and should not be punctured recklessly. If punctured, the preceding "Dao Xue" will gush out uncontrollably, followed by the "Jia Xue". Once expelled, it fills the wound cavity and stagnates, causing shortness of breath and potentially leading to death within moments.