凡金疮通内，血多内漏，若腹胀满，两胁胀，不能食者死。瘀血在内，腹胀，脉牢大者
夫被弓弩所伤，若箭镞有 药，入人皮脉，令人短气，须臾命绝。口噤唇干，血为
断绝，腹满不言，其人如醉，未死之间，为不可治。若荣卫青瘀，血应时出，疮边温热，口
毒箭有三种∶岭南夷俚，用焦铜作箭镞；次，岭北诸处，以诸蛇虫毒螫物汁着管中，渍
箭镞。此二种才伤皮，便洪肿沸烂而死。唯射猪犬，虽困得活。以其啖粪故也。人若中之，
便即食粪，或饮粪汁，并涂疮即愈。不尔，须臾不可复救。 箭着宽处者，虽困渐治，
不必死。若近胸腹，便宜速治，小缓，毒入内，则不可救。
夫金疮肠断者，视病深浅，各有死生。肠一头见者，不可连也。若腹痛短气，不得饮食
者，大肠一日半死，小肠三日死。肠两头见者，可速续之。先以针缕如法，连续断肠，便取
鸡血涂其际，勿令气泄，即推内之。肠但出不断者，当作大麦粥，取其汁，持洗肠，以水渍
内之。当作研米粥饮之。二十余日，稍作强糜食之，百日后乃可进饭耳。饱食者，令人肠痛
决漏。常服钱屑散。
若肠腹HT 从疮出，有死者，有生者，但视病取之，各有吉凶。HT 出如手，其
下牢核，烦满短气，发作有时，不过三日必死。HT 下不留，安定不烦，喘息如故，但
疮痛者，当以生丝缕系绝其血脉，当令一宿，乃可截之。勿闭其口，膏稍导之。
凡是金属利器造成的创伤贯通体内，血液大量内漏，如果出现腹部胀满、两胁部胀闷、不能进食的情况，预后不良，多导致死亡。若瘀血滞留体内，导致腹部胀满，脉象牢大而有力者（原文此处似有缺漏或语意未完，依文意译为：脉象牢大者提示病情危重）。
被弓弩射伤的人，如果箭头带有毒药，进入人的皮肤和血脉，会导致人呼吸短促，片刻之间便会断气。出现牙关紧闭、嘴唇干燥、血液运行断绝、腹部胀满且不能言语、神志恍惚如同醉酒状态，在尚未完全死亡之前，属于难以治疗的病症。如果营卫之气郁滞青紫瘀血，血液应当立即流出，疮口周围温热，这是毒箭所致。
毒箭有三种：岭南地区的少数民族，使用烧焦的铜制作箭头；其次，岭北各地，将各种蛇虫毒液涂抹在箭管中，浸泡箭头。这两种毒箭只要损伤皮肤，就会引起剧烈肿胀、溃烂并致死。唯独射中猪狗时，虽然动物也会困顿，但往往能存活，这是因为它们食用粪便的缘故。人如果被这种毒箭射中，应立即食用粪便，或者饮用粪汁，并涂抹于疮口即可痊愈。否则，片刻之后便无法救治。箭头射入较宽浅部位者，虽然情况危急，但经过渐进治疗可以好转，不一定死亡。如果箭头靠近胸腹部位，应当迅速治疗，稍有迟缓，毒素深入体内，则无法挽救。
这就是所说的被矛箭所伤，如果射中腹部，则气机激荡，气机激荡后肠管会随伤口孔洞脱出。
对于金疮导致肠断的情况，根据病情的深浅，各有生死之别。如果肠子一端断裂可见，不可强行连接。如果出现腹痛、呼吸短促、不能饮食的症状，大肠断裂者一日半后死亡，小肠断裂者三日后死亡。如果肠子两端断裂均可见，应迅速接续。先用针线按照规范方法，连续缝合断裂的肠管，然后取鸡血涂抹在接口处，防止气体泄漏，随即推回腹腔内。如果肠管只是脱出而没有断裂，应当煮大麦粥，取其汁液清洗肠管，再用水浸润后纳入腹腔内。同时应当喝研碎的米粥。二十多天后，逐渐改为食用稠厚的流质食物，一百天以后才可以吃米饭。如果过早饱食，会导致肠痛、破裂及内漏。平时常服用钱屑散。
如果肠腹内的组织从伤口脱出，有的死亡，有的存活，只需根据病情处理，各有吉凶之兆。如果脱出的组织如手大小，下方有硬结肿块，伴有烦闷胀满、呼吸短促，发作有时，不超过三日必定死亡。如果脱出的组织没有残留，患者安定且不烦躁，喘息如常，仅疮口疼痛，应当用生丝线结扎切断其血脉，需等待一夜，然后方可截除。不要封闭伤口，用膏药稍作疏导。
In cases of metallic trauma penetrating the interior, with significant internal hemorrhage, if abdominal distension and fullness occur, accompanied by distension in both hypochondriac regions and an inability to eat, the prognosis is fatal. If blood stasis remains within, causing abdominal distension, and the pulse is firm and large (indicating severe stagnation), the condition is critical.
For injuries caused by bows and crossbows, if the arrowhead is poisoned and penetrates the skin and vessels, it causes shortness of breath, leading to death within moments. Symptoms include lockjaw, dry lips, cessation of blood circulation, abdominal fullness, muteness, and a delirious state resembling drunkenness. Before complete death occurs, such cases are considered incurable. If Ying and Wei (Nutritive and Defensive Qi) show cyanotic stasis, and blood should flow out immediately, with the wound edges being warm, this indicates a venomous arrow injury.
There are three types of venomous arrows: In the Lingnan region, ethnic minorities use scorched copper for arrowheads; secondly, in various places north of the岭 (Ling Mountains), juices from various snakes and insects are applied inside the arrow shafts to soak the arrowheads. These two types cause immediate severe swelling, boiling ulceration, and death upon skin penetration. However, when shooting pigs or dogs, although they may become weak, they often survive because they consume feces. If humans are struck by these arrows, they must immediately consume feces or drink fecal juice, and apply it to the wound to recover. Otherwise, rescue is impossible after a short while. If the arrow strikes a wider area, although the condition is critical, gradual treatment can lead to improvement, and death is not inevitable. If the arrow is near the chest or abdomen, rapid treatment is essential; any delay allows the toxin to enter the interior, making it incurable.
This refers to injuries from spears or arrows. If the abdomen is struck, Qi agitation occurs, causing the intestines to protrude through the wound opening due to the agitation of Qi.
Regarding metallic trauma resulting in intestinal rupture, survival depends on the depth of the injury. If only one end of the intestine is visible at the break, reconnection is not feasible. If abdominal pain, shortness of breath, and inability to eat occur, death follows in one and a half days for large intestine rupture, and three days for small intestine rupture. If both ends of the ruptured intestine are visible, rapid suturing is required. First, suture the broken ends using needles and thread according to proper methods. Then, apply chicken blood to the junction to prevent gas leakage, and push the intestine back into the abdominal cavity. If the intestine is merely prolapsed but not ruptured, prepare millet porridge, extract its juice to wash the intestine, moisten it with water, and reduce it into the cavity. The patient should also drink rice gruel. After more than twenty days, gradually introduce thick liquid food. Only after one hundred days can regular rice be consumed. Overeating leads to intestinal pain, rupture, and internal leakage. Regularly administer Qianxie San (Coin Scrap Powder).
If abdominal organs protrude from the wound, some patients die while others survive; outcomes depend on specific conditions. If the protruding tissue is hand-sized, with a hard mass below, accompanied by irritability, fullness, and shortness of breath occurring intermittently, death will occur within three days. If the protruding tissue does not remain stuck, the patient is calm without irritability, breathing is normal as before, and only the wound hurts, tie off the blood vessels supplying the protruding part with raw silk thread. Leave it tied overnight, then amputate it. Do not close the wound completely; use ointment to facilitate drainage.