治肠痈者少腹肿痞。按之即痛如淋。小便自调。时时发热。自汗出。复恶寒。
者脓未成。可下之。脉洪数者脓已成。不可下也。此汤主之。
大黄（四两。） 牡丹（一两。） 桃仁（五十个。） 冬瓜仁（半升。） 芒硝（三
合。）
上五味。以水六升。煮取一升。去滓。内芒硝。再煎数沸。顿服之。有脓当下。如无脓。
当
歌曰 肿居少腹（按之即痛如淋。小便自调。时时发热自汗出复恶寒。）大肠痈。黄四
牡丹一
王晋三云。肺与大肠相表里。大肠痈者。肺气下结于大肠之头。其道远于上。其位近于
下。治
肺润肠。不过瓜子一味而已。服之当下血。下未化脓之血也。若脓已成形。肉已坏。又当先
用排脓散及汤。故原文云。脓已成。不可下也。
治金疮病。
王不留行（十分。八月八日采。） 蒴 细叶（十分。七月七日采。） 甘草（十八分。）
桑
干姜（二分。） 芍药（二分。）
右九味。王不留行、蒴 、桑皮三味烧灰存性。各别杵。筛合。治之为散。服方寸匕。
小疮
歌曰 金疮诹（吉日按春秋而）采不留行。桑蒴同（王不留）行（按时而取三物各）
十分明。
尤在泾云。金疮经脉斩绝。营卫阻弛。治之者必使经脉复行。营卫相贯而后已。 除烧
灰外
元犀按。金刃伤处。封固不密。中于风则疮口无汁。中于水则出青黄汁。风则发痉。水
则湿烂成疮。王不留行疾行脉络之血灌溉周身。不使其湍激于伤处。桑根皮泄肌肉之风水。
蒴叶释名接骨草。渗筋骨之风水。三者皆烧灰。欲其入血去邪止血也。川椒祛疮口之风。
浓朴燥刀痕之湿。黄连退肌热。芍药散恶血。干姜和阳。甘草和阴。用以为君者。欲其入血
退肿生肌也。风湿去。阴阳和。疮口收。肌肉生。此治金疮之大要。
治疗肠痈（肠道化脓性炎症）的症状表现为：少腹部肿胀痞硬，按压时疼痛如同淋病（小便涩痛），但小便通畅自如，时常发热，自行出汗，随后又感到恶寒。如果脉象迟紧，说明脓液尚未形成，可以使用攻下法；如果脉象洪数，说明脓液已经形成，则不可使用攻下法。此方主治上述情况。
大黄（四两） 牡丹皮（一两） 桃仁（五十个） 冬瓜子（半升） 芒硝（三合）
以上五味药，用水六升，煎煮至剩余一升，滤去药渣，加入芒硝，再煮沸数次，一次性服用。如果有脓血排出，则是正常现象；如果没有脓血，则应当排出瘀血。
歌诀曰：病灶位于少腹（症状为按压即痛如淋、小便自调、时时发热、自汗出且复恶寒），这是大肠痈。大黄用四两，牡丹皮用一两。
王晋三说：肺与大肠相表里。大肠发生痈肿，是因为肺气下结于大肠的起始部位。其病源距离上部较远，但其位置靠近下部。治疗上通过润肺润肠，不过依靠瓜子这一味药而已。服用后应当排出瘀血，这是尚未化脓的血液。如果脓液已经成形，肌肉已经腐败，则应当先使用排脓散及排脓汤。所以原文说：“脓已成，不可下也。”
治疗金创（金属利器造成的创伤）。
王不留行（十分，八月八日采集） 蒴藋细叶（十分，七月七日采集） 甘草（十八分） 桑根白皮（十分） 川椒（一分，去目及闭口者，炒出汗） 干姜（二分） 芍药（二分）
以上九味药，将王不留行、蒴藋、桑根白皮这三味药烧成灰但保留药性，分别捣碎，过筛混合，制成散剂。每次服用一方寸匕。小伤口可直接外敷或内服（原文此处略有脱漏，依常规理解）。
歌诀曰：金创用药需择吉日（按春秋季节）采集王不留行。桑皮与蒴藋同用（王不留行等三物按时采集各取十分明确）。
尤在泾说：金创导致经脉断裂，营卫之气阻滞松弛。治疗必须使经脉重新通行，营卫之气相互贯通后才能痊愈。除了烧成灰的药物外……
元犀按语：金刃损伤处，若封固不严密，受风邪侵袭则疮口无分泌物，受水湿侵袭则流出青黄色汁液。受风邪会引起痉挛，受水湿则会导致湿烂成疮。王不留行能迅速运行脉络之血以灌溉周身，防止血液在伤处湍急淤积。桑根白皮能泄除肌肉中的风水邪气。蒴藋叶别名接骨草，能渗利筋骨中的风水邪气。这三味药都烧成灰，是希望它们入血分以祛除邪气、止血。川椒能祛除疮口之风邪。厚朴能燥除刀痕处的湿气。黄连能退除肌肤之热。芍药能消散恶血。干姜能调和阳气。甘草能调和阴气。将这些作为君药，是希望它们入血分以退肿生肌。风湿去除，阴阳调和，疮口收敛，肌肉生长，这是治疗金创的关键要点。
Treatment for Intestinal Abscess (Chang Yong, an inflammatory condition of the intestines characterized by swelling and pus) presents with distension and hardness in the lower abdomen. Pain upon pressure resembles that of strangury (Lin syndrome, characterized by painful and difficult urination), yet urination is normal. There is intermittent fever, spontaneous sweating, followed by aversion to cold. If the pulse is slow and tight, the pus has not yet formed, and purgation may be employed. If the pulse is surging and rapid, the pus has already formed, and purgation is contraindicated. This decoction is indicated for this condition.
Da Huang (Rhei Radix et Rhizoma, 4 liang) Mu Dan Pi (Moutan Cortex, 1 liang) Tao Ren (Persicae Semen, 50 kernels) Dong Gua Ren (Benincasae Semen, half sheng) Mang Xiao (Natrii Sulfas, 3 he)
The above five herbs are boiled in six sheng of water until one sheng remains. The dregs are strained out, Mang Xiao is added, and it is boiled for a few more boils. It is taken in one dose. If pus or blood is discharged, it indicates the abscess is draining; if no pus is discharged, stasis should be expelled.
The song states: The lesion is located in the lower abdomen (symptoms include pain upon pressure resembling strangury, normal urination, intermittent fever, spontaneous sweating, and aversion to cold); this is Large Intestine Abscess. Da Huang is used in four liang, Mu Dan Pi in one liang.
Wang Jin San stated: The Lung and the Large Intestine are exterior-interiorly related. In cases of Large Intestine Abscess, Lung Qi descends and knots at the head of the Large Intestine. Its origin is distant from above, but its location is close to below. Treatment involves moistening the Lung and the Intestines, relying primarily on the use of melon seeds. After administration, blood should be discharged; this is the blood before it has transformed into pus. If the pus has already formed and the flesh has decayed, one should first employ Pai Nong San (Draining Pus Powder) and Pai Nong Tang (Draining Pus Decoction). Hence, the original text states: "If pus has formed, do not purge."
Treatment for Metal Wounds (Jin Chuang, injuries caused by sharp metal instruments).
Wang Bu Liu Xing (Vaccariae Semen, ten fen, harvested on the 8th day of the 8th lunar month) Shuo Di Xi Ye (Achyranthis Bidentatae Caulis et Folium, ten fen, harvested on the 7th day of the 7th lunar month) Gan Cao (Glycyrrhizae Radix et Rhizoma, eighteen fen) Sang Bai Pi (Mori Cortex, ten fen) Chuan Jiao (Zanthoxyli Pericarpium, one fen, remove eyes and closed ones, stir-fry until oil appears) Gan Jiang (Zingiberis Rhizoma, two fen) Shao Yao (Paeoniae Radix, two fen)
Of the nine ingredients, Wang Bu Liu Xing, Shuo Di, and Sang Bai Pi are burned to ash while retaining their medicinal properties. Each is pounded separately, sifted, and mixed to form a powder. Administer one fang cun bi (a measure equivalent to a square inch scoop) per dose. For small wounds...
The song states: For metal wounds, select auspicious days (according to spring and autumn seasons) to harvest Wang Bu Liu Xing. Sang Bai Pi and Shuo Di are used together (the three items including Wang Bu Liu Xing are harvested at appropriate times, each taking ten fen clearly).
You Zai Jing stated: Metal wounds sever the meridians, causing Ying and Wei Qi to become obstructed and lax. Treatment must ensure the meridians resume flow and Ying and Wei Qi interpenetrate before healing can occur. Apart from the herbs burned to ash...
Yuan Xi commented: At sites of injury from blades, if the wound is not sealed tightly, exposure to Wind results in no exudate from the wound opening, while exposure to Water results in yellowish-green discharge. Exposure to Wind may cause spasms; exposure to Water leads to damp-rotten sores. Wang Bu Liu Xing rapidly circulates blood in the collaterals to irrigate the whole body, preventing turbulent stagnation at the injury site. Sang Bai Pi drains Wind-Water from the muscles. Shuo Di leaves, also known as Jie Gu Cao (Bone-Setting Herb), seeps out Wind-Water from the sinews and bones. All three are burned to ash, intending for them to enter the Blood level to dispel evil pathogens and stop bleeding. Chuan Jiao dispels Wind from the wound opening. Hou Po dries dampness from knife marks. Huang Lian clears heat from the skin. Shao Yao disperses bad blood (stasis). Gan Jiang harmonizes Yang. Gan Cao harmonizes Yin. Using these as sovereign drugs aims to enter the Blood level to reduce swelling and generate tissue. When Wind-Dampness is removed and Yin-Yang are harmonized, the wound closes and muscle regenerates. This is the essential principle for treating metal wounds.