夫金疮者，木乃春之权，金乃秋之令。春则万物发生，故曰春，属震，以为东方甲木之
气。秋则万木凋零，故曰金，属兑，以为西方庚金之气也。金疮者，乃刀斧剑刃之所伤，故曰金
疮。其色所喜淡红色者，万无一失。所患紫红色者，百不一生。金疮属金，主人肺。患金疮
者，则忌咳嗽、呕哕、翻胃之症。亦宜避风为要，盖风属巽木。如风入疮口，肺金反克而成
破伤风，以致疮口浮肿溃 秽烂，故名曰破伤风。变生余症，甚至不救。须知有治宜辨疮口
浅深，脉之虚实，告凶见矣。最喜者胃气益旺，饮食如常。脾胃属土，胃气旺则元气壮，气
血生。金疮亦宜戒怒远色，怒则疮口迸裂变生 肉，欲则疮口腐烂以损新肌。凡治金疮用
敷口之药，所主乳、没、血竭、灵盖、乳石之类，自始至终不可不用此药。用之则生肌止痛
活血，金生无虞。凡服汤药必以助胃补血为主，以为金疮之大意，金疮虽有变易，各有治法
。居于边隘，偶为刀箭所伤，非得圣药，安能治耶。
《虎铃经》曰∶人为兵器所伤，出血者必甚渴，即不与水饮，所食之物，旋毛在 须干
食，食肥腻之物无所妨害，贵解渴而已，不可过多饮粥，则血沸出，人必死矣。所忌者有八∶一
曰喜笑，二曰嗔怒，三曰大言，四曰劳力，五曰妄想，六曰热羹，七曰饮酒，八曰咸酸。此
八者犯之，鲜有不患者矣。夫金疮不可治者有九∶曰伤脑，曰伤天仓，曰伤臂中跳脉，曰伤
大肠、小肠，曰伤五脏，此九者皆死处。又有金疮不可治者四焉∶曰脑髓出，曰脑破而咽喉
沸声，两目直视，曰痛不在处者，此皆伤经，曰出血不止，前赤后黑，或自肌肉腐臭、寒冷
、坚实，其疮难愈。除此之外，复论其脉，脉虚细者生，数实者死。沉小者生，浮大者死。
其所伤在阳处，血过度而脉微缓，忽略慢医，此疾必死。
夫折伤者为被物所伤于身体，或刀斧或坠险地或为跌扑伤筋。骨损皮破肉遂致伤身，有
血出不止者，有瘀血停积于脏腑结而不散者治之。不早则有入肠攻心之患，不可胜言。凡遇前症
，当视所伤轻重，如未破而内伤者有瘀血停积，先宜逐去瘀血，然后和血止痛。若肌肉裂破
流血过多者，宜调血养气兼补胃为主。
金疮，是指由金属利器（如刀、斧、剑、刃等）造成的创伤。在五行理论中，木对应春季的权柄，金对应秋季的时令。春季万物生长萌发，所以称为春，归属于震卦，代表东方甲木之气；秋季万物凋零，所以称为金，归属于兑卦，代表西方庚金之气。金疮是由刀斧剑刃等金属利器所伤，因此称为金疮。伤口颜色若呈现淡红色，则万无一失，预后良好；若呈现紫红色，则百难一生，预后极差。金疮在脏腑归属上属于金，对应人体肺脏。患有金疮者，应当忌讳咳嗽、呕吐呃逆、翻胃等症状。同时也应当以避风为重要原则，因为风归属于巽卦属木。如果风邪侵入疮口，会导致肺金被木反克，从而形成破伤风，致使疮口浮肿、溃烂流脓，因此命名为破伤风。若变生其他病症，甚至可能导致死亡。必须知道治疗时应当辨别疮口的深浅，诊察脉象的虚实，凶吉之兆便显现了。最可喜的是胃气旺盛，饮食正常。脾胃归属于土，胃气旺盛则元气强壮，气血生化有源。治疗金疮也应当戒除愤怒和远避色欲，愤怒会导致疮口迸裂并生出恶肉，纵欲会导致疮口腐烂而损伤新长出的肌肉。凡是治疗金疮使用敷于疮口的药物，主要涉及乳香、没药、血竭、灵盖（可能指某种树脂或矿物药）、乳石之类，自始至终不可不用这些药物。使用它们可以生肌、止痛、活血，使金疮愈合无忧。凡是服用汤剂，必须以助益胃气、补血为主，这是治疗金疮的大意所在。金疮虽然变化多端，但各有治法。居住在边远险隘之地，偶然被刀剑箭矢所伤，如果没有神效的药物，怎么能治愈呢？
《虎铃经》说：人被兵器所伤，出血多的必定非常口渴，此时即使不给水喝，只要吃的食物干燥易消化，食用肥腻之物也没有妨害，关键在于解除口渴而已，不可以过多饮用粥汤，否则会导致血液沸腾溢出，人必死无疑。金疮患者禁忌的事项有八项：一是喜笑，二是嗔怒，三是大声说话，四是过度劳累，五是妄想杂念，六是吃热的羹汤，七是饮酒，八是吃咸酸食物。这八项如果触犯，很少有不引发并发症的。金疮中有九种无法治愈的情况：分别是伤及脑部，伤及天仓穴（太阳穴附近），伤及手臂中跳动的脉搏，伤及大肠和小肠，伤及五脏，这九种情况都是致死之处。又有四种金疮无法治愈的情况：脑髓流出，头脑破裂且咽喉发出沸声、两眼直视，疼痛部位不固定（说明伤及经络），以及出血不止，先出鲜血后出黑血，或者肌肉自行腐臭、感觉寒冷、质地坚实，这种疮很难愈合。除此之外，再论述脉象，脉象虚细的预后良好，脉象数而实的预后不良。脉象沉小的预后良好，脉象浮大的预后不良。如果受伤部位在阳面（体表外侧），血液流失过多且脉象微缓，若疏忽大意或延误治疗，此病必死。
折伤，是指身体被物体所伤，无论是被刀斧砍伤，还是从高处坠落，或是跌扑导致筋伤。骨骼受损、皮肤破裂、肌肉随之受伤，从而导致身体损伤。有的出血不止，有的瘀血停滞积聚在脏腑内结聚不散，需要进行治疗。如果不尽早治疗，就会有瘀血入肠攻心的祸患，后果不堪设想。凡是遇到上述症状，应当视受伤轻重而定，如果未破皮但有内伤且存在瘀血停积，应当先驱逐瘀血，然后调和血液、止痛。如果肌肉裂破流血过多，应当以调理血液、养气兼补胃为主。
Jinchuang (Metal Wound), referring to trauma caused by metal sharp instruments (such as knives, axes, swords, blades). In the theory of Five Elements, Wood corresponds to the authority of Spring, and Metal corresponds to the season of Autumn. Spring is when all things grow and sprout, thus called Spring, belonging to the Zhen Trigram, representing the Qi of Jia Wood in the East; Autumn is when all trees wither, thus called Metal, belonging to the Dui Trigram, representing the Qi of Geng Metal in the West. Jinchuang is injured by metal sharp instruments like knives, axes, swords, and blades, hence named Jinchuang. If the color of the wound is light red, there is no risk, indicating a good prognosis; if it is purple-red, few will survive, indicating a poor prognosis. Jinchuang belongs to Metal in terms of organ correspondence, relating to the Lung. Patients with Jinchuang should avoid symptoms such as coughing, vomiting, hiccuping, and regurgitation. It is also essential to avoid wind, as Wind belongs to the Xun Trigram and Wood element. If wind pathogen enters the wound, it causes Metal (Lung) to be counter-controlled by Wood, leading to Po Shang Feng (Lockjaw/Tetanus), causing the wound to swell, ulcerate, and discharge pus, hence named Po Shang Feng. If other complications arise, it may even lead to death. One must know that treatment requires distinguishing the depth of the wound and examining the deficiency or excess of the pulse, upon which auspicious or ominous signs become apparent. The most desirable sign is robust Stomach Qi and normal appetite. Spleen and Stomach belong to Earth; robust Stomach Qi strengthens Yuan Qi (Primal Qi) and generates Qi and Blood. Treatment for Jinchuang also requires avoiding anger and sexual indulgence. Anger causes the wound to burst and produce malignant flesh; indulgence causes the wound to rot and damage newly formed muscle tissue. For topical application on Jinchuang, herbs such as Ruxiang (Frankincense), Moya (Myrrh), Xuexie (Dragon's Blood), Linggai (possibly a resin or mineral drug), and Rushi (Calcite) are primarily used. These herbs must not be omitted from start to finish. Their use promotes tissue regeneration, relieves pain, and invigorates blood circulation, ensuring safe healing of the Jinchuang. Oral decoctions should mainly focus on benefiting Stomach Qi and nourishing Blood, which is the general principle of treating Jinchuang. Although Jinchuang presents various changes, each has its specific treatment method. Living in remote border areas, one might accidentally be injured by swords, arrows, or spears; without miraculous medicines, how could it be cured?
The *Hu Ling Jing* states: When a person is injured by weapons and bleeds excessively, they will inevitably feel extreme thirst. Even if water is withheld, as long as the food consumed is dry and easily digestible, eating fatty or greasy foods does not cause harm; the key is to relieve thirst. However, one should not drink excessive amounts of porridge soup, otherwise, it may cause blood to boil and overflow, leading to certain death. There are eight taboos for Jinchuang: 1. Laughter, 2. Anger, 3. Loud talking, 4. Physical labor, 5. Wild fantasies/delusions, 6. Hot soups/stews, 7. Alcohol consumption, 8. Salty and sour foods. Violating any of these eight rarely fails to induce complications. There are nine types of Jinchuang that are incurable: injury to the brain, injury to Tiancang (near the temple), injury to the pulsating vein in the arm, injury to the Large Intestine and Small Intestine, and injury to the Five Zang Organs. All nine are fatal conditions. Additionally, there are four other incurable types of Jinchuang: extrusion of brain marrow, rupture of the head with bubbling sounds in the throat and fixed staring eyes, pain located unpredictably (indicating meridian injury), and unceasing bleeding where fresh blood precedes dark blood, or where muscles spontaneously rot, smell foul, feel cold, and become firm; such wounds are difficult to heal. Beyond these, we discuss the pulse: a deficient and fine pulse indicates survival, while a rapid and excess pulse indicates death. A deep and small pulse indicates survival, while a floating and large pulse indicates death. If the injury is on the Yang aspect (exterior surface), blood loss is excessive, and the pulse is faint and slow, neglecting medical care or delaying treatment will certainly result in death.
Zhe Shang (Fracture Injury) refers to bodily injuries caused by objects, whether cut by knives/axes, falling from heights, or suffering sprains from falls. Bone damage, skin rupture, and subsequent muscle injury lead to bodily harm. Some cases involve continuous bleeding, while others involve stagnant blood accumulating in the Zang-Fu organs, forming clumps that do not disperse, requiring treatment. If not treated early, there is a risk of stagnant blood entering the intestines and attacking the heart, with consequences too numerous to mention. Upon encountering these symptoms, one should assess the severity of the injury. If the skin is intact but internal injury exists with stagnant blood accumulation, one should first expel the stagnant blood, then harmonize the blood and relieve pain. If muscles are lacerated with excessive bleeding, the treatment should focus on regulating blood, nourishing Qi, and supplementing the Stomach.