夫金疮，多伤经络，去血损气。其疮未瘥，则血气尚虚，若因而房室，致情意感动，阴
阳发泄，惊触于疮，故血汁重出。
夫金疮，多伤经络，去血损气。其疮未瘥，则血气尚虚，若因而房室，致情意感动，阴
阳发泄，惊触于疮，故血汁重出。
夫金疮，多伤经络，去血损气。其疮未瘥，则血气尚虚，若因而房室，致情意感动，阴
阳发泄，惊触于疮，故血汁重出。
夫金疮干无汁，亦不大肿者，中风也。寒气得大深者，至脏便发作痉，多凶少愈。中水
者则肿，多汁或成脓。
此由疮着于风，风气相搏，故肿也。
夫金疮，冬月之时，衣浓絮温，故裹欲薄；夏月之时，衣单日凉，故裹欲浓。重寒伤荣
，重热伤卫。筋劳结急，肉劳惊肿，骨劳折沸，难可屈伸；血脉劳者，变化作脓；荣卫不通
，留结成痈。
凡始缝其疮，各有纵横；鸡舌隔角，横不相当。缝亦有法，当次阴阳；上下逆顺，急缓
相望；阳者附阴，阴者附阳；腠理皮脉，复令复常。但亦不晓，略作一行；阴阳闭塞，不必
作脓；荣卫不通，留结为痈。昼夜不卧，语言不同；碎骨不去，其人必凶。鸡舌隔角，房不
相当；头毛解脱，志失故常；疮不再缝，膏不再浆。
金创（金属利器造成的创伤），大多损伤经络，导致失血并耗损气。如果伤口尚未痊愈，此时气血仍然虚弱，若因此进行房事，致使情欲冲动，阴阳之气发泄，惊恐触动伤口，所以血液和津液再次流出。
金创（金属利器造成的创伤）伤及血液并耗损气。气由肺所主管，风邪侵袭肺部，所以出现咳嗽。
金创（金属利器造成的创伤）导致失血，使得经络空虚枯竭，津液不足，肾脏虚燥，所以出现口渴。
金创（金属利器造成的创伤）长久不愈合，以及包扎束缚不得法，伤口内部腐败败坏，所以滋生虫类。
金创（金属利器造成的创伤）干燥无汁液，也不怎么肿胀的，是中风的表现。寒气侵入极深的，到达脏腑就会发作痉病（以项背强直、四肢抽搐为主要表现的病证），预后多凶险，少有好转。被水湿所伤的则肿胀，多汁或化脓。
这是由于伤口受风，风气与正气相搏结，所以发生肿胀。
金创（金属利器造成的创伤），在冬季时，衣物厚实保暖，所以包扎应当轻薄；在夏季时，衣物单薄清凉，所以包扎应当浓密厚重。过度寒冷会损伤营气（行于脉中、具有营养作用的气），过度炎热会损伤卫气（行于脉外、具有防御作用的气）。筋脉劳损则拘急结聚，肌肉劳损则惊恐肿胀，骨骼劳损则折断沸腾（形容疼痛剧烈或骨质受损严重），难以屈伸；血脉劳损，则变化化为脓液；营卫之气不通畅，停滞结聚而成痈肿。
凡是刚开始缝合伤口，各有纵横方向；鸡舌隔角（指缝合时交错进针的方法，如鸡舌状间隔，角状交错），横向不对应。缝合也有法则，应当顺应阴阳；上下逆顺，急缓相互呼应；阳经附着阴经，阴经附着阳经；腠理、皮肤、脉络，使之恢复常态。如果不明白这些道理，粗略地缝一行；阴阳闭塞，不一定化脓；营卫不通，停滞结聚成为痈肿。昼夜不卧，言语错乱；碎骨不去除，病人必定凶险。鸡舌隔角，房室不相当（指缝合角度不当）；头毛脱落，神志失去常态；伤口不再次缝合，药膏不再敷浆。
Jinchuang (metal weapon injuries) often damage the meridians and collaterals, leading to blood loss and qi depletion. If the wound has not yet healed, the blood and qi remain deficient. If sexual intercourse is engaged in under these circumstances, causing emotional arousal and the release of yin and yang energies, the shock may disturb the wound, resulting in the re-bleeding of blood and fluids.
Jinchuang (metal weapon injuries) injure the blood and deplete the qi. Qi is governed by the Lung; when wind pathogens invade the Lung, coughing occurs.
Jinchuang (metal weapon injuries) involving blood loss cause the meridians and collaterals to become empty and exhausted, with insufficient body fluids. This leads to deficiency and dryness in the Kidney, resulting in thirst.
If Jinchuang (metal weapon injuries) fail to heal for a long time, or if bandaging is improper, the internal tissue of the wound becomes necrotic, leading to the generation of parasites/worms.
When a Jinchuang (metal weapon injury) is dry without exudate and does not swell significantly, it indicates Wind invasion. If Cold pathogens penetrate deeply into the Zang organs, they trigger Jing disease (spasm disorder characterized by stiffness and convulsions), which carries a poor prognosis with few recoveries. Injuries contaminated by water result in swelling, excessive exudate, or suppuration.
This swelling arises because the wound is exposed to Wind, and the Wind pathogen combats with the healthy Qi.
Regarding Jinchuang (metal weapon injuries): in winter, when clothing is thick and warm, bandages should be light; in summer, when clothing is thin and cool, bandages should be dense. Excessive cold damages Ying Qi (nutritive Qi circulating within the vessels), while excessive heat damages Wei Qi (defensive Qi circulating outside the vessels). Sinew strain causes contraction and knotting; flesh strain causes alarm-like swelling; bone strain leads to fracture and severe pain, making flexion and extension difficult; vessel strain results in transformation into pus; obstruction of Ying and Wei Qi leads to stagnation and the formation of carbuncles.
When initially suturing a wound, one must consider longitudinal and transverse directions. The "Chicken Tongue and Corner Separation" technique involves staggered needle entry where horizontal alignment is not direct. Suturing follows specific principles aligned with Yin and Yang; upper and lower points follow reverse and smooth paths, responding to urgency and slowness. Yang channels attach to Yin, and Yin channels attach to Yang, restoring the normal state of pores, skin, and vessels. Ignorance of these methods leads to simple single-line suturing; this causes blockage of Yin and Yang, preventing suppuration but allowing stagnation to form carbuncles due to obstructed Ying and Wei Qi. Sleeplessness day and night and disordered speech indicate severity; failure to remove bone fragments portends a fatal outcome. Improper "Chicken Tongue and Corner Separation" angles lead to misalignment; hair loss and loss of mental clarity are signs of critical condition. Failure to re-suture or re-apply medicinal plasters worsens the prognosis.