头顶受伤,口鼻出血,手足不动,急灌童便一碗,若能知痛,手足转动者,可治;若手
足难动,言语不明,不治;气喘呃塞者,七日必死;顶门伤破、骨未陷入者,可治;骨碎陷
入者不治,气出不收者不治,囟门出髓者即死。食后受伤,七日不死可治,眼闭者不治。
太阳受伤,晕倒在地,急灌童便一碗,若能知痛者可治;不知痛者七日死。如知痛顷刻
又晕者,二十一日死。
耳后受伤,血入内者不治。两目受伤可治。山根受伤不断者可治,断者不治。
食管断者不治,气管全断者不治,未断者十可救五。色红者可治,发青黑色不治。
两肩受伤,血入内者不治。心口受伤青色者七日死,服药三日后转红黄色者可治。食
饱受伤,三日不死,可治,心窝骨断者不治。
两胁受伤痛紧急者,七日死;伤入肺者,十四日死;伤入肝胆,面青发晕,口吐黄水者
,不满五日死;如痰冷者,四十九日死;筋骨麻木,身热如火,饮食不进者不治;破伤,血
入内者不治;血流出尽者不治;出黑血黑水者不治;两乳受伤,男人可救,宜急治。女人难
治。
大腹受伤,不发晕,口内吐饭者可治。若不吐饭,腹内作痛不绝,四十日死。发热乱言
,至夜发厥者,三日死。小腹受伤,血入内者,其脉不实,不治。孕妇犯胎者胎必下,不治
大肠受伤,粪从口出,当日死。若便出尿,四十九日死。不能语,二十日死。眼目眩晕
,手足皆冷,难治。过一时能转热者,可治。小肠受伤,昏晕发热、口中乱言,七日死。不
分阴阳者,不治。腹破肠出,未断半断者可治,全断者不治。不臭者可治,臭者不治。色不
变者可治,变紫黑色者不治。
腰伤呕血,急饮童便一碗,自知痛者可治。不知痛而发笑者,三日内死。夹脊骨受伤断
者不治。肾经受伤,呕吐不出,全身难动,挣坐不起,睡卧不安,七日死。若吐鲜血,十日
死。外肾伤,囊内有子者可知,子入小腹者不治,子碎囊内者不治。囊肿,不从上痛者可治
,时日久长,连腹内作痛者,四十九日死。若发热发晕,三日死,人事不知,手足不动,一
时死。囊破,子入小腹者不治;子未入腹,虽垂县于外,可救。老人左股压碎者不治。
凡受伤后,鱼际骨有脉者可治,脉不动者死,脉大而缓不治。汗出不止,形象变者,防
五日死。目晕青色者不治。鱼口传风不治。头目青黑,额汗不流,眼小目瞪,身汗如油,谓
之四逆,不治。
头顶受伤,出现口鼻出血、手足不能活动的症状,应立即灌服一碗童便(儿童尿液)。如果患者能感知疼痛且手足能够转动,属于可治之症;如果手足难以活动、言语不清,则属不治之症。若出现气喘、呃逆堵塞的症状,七日内必死。头顶伤口破裂但骨头未陷入者,可治;若骨头碎裂并陷入体内,或气息外泄无法收敛,均属不治;囟门(婴儿头顶骨未合处)流出脑髓的,立即死亡。饭后受伤,若七日不死则属可治;若双眼闭合不睁,属不治。
太阳穴区域受伤,导致晕倒在地,应立即灌服一碗童便。若能感知疼痛,属可治;若不知疼痛,七日内死亡。如果虽然知道疼痛,但片刻后又再次昏迷,二十一日后死亡。
耳后受伤,若血液流入内部,属不治。两目受伤,属可治。鼻梁根部(山根)受伤,若未断裂,属可治;若断裂,属不治。食管断裂,属不治;气管完全断裂,属不治;若未完全断裂,十人中有五人可救。面色红润者可治,面色发青黑色者不治。
两肩受伤,若血液流入内部,属不治。心口部位受伤,面色发青者七日内死亡;服药三日后转为红黄色者,属可治。饱食后受伤,若三日不死,属可治;若心窝骨断裂,属不治。
两胁部受伤,疼痛剧烈紧急者,七日内死亡;伤及肺部者,十四日死亡;伤及肝胆,出现面色青紫、头晕、口吐黄水者,不满五日死亡;若伴有痰饮冷症,四十九日死亡;筋骨麻木、身体发热如火、饮食不进者,属不治;开放性创伤,血液流入内部者,属不治;血液流尽者,属不治;排出黑血和黑水者,属不治;两乳受伤,男性可救治,宜急治;女性难治。
大腹部受伤,若不头晕、口中吐出食物残渣,属可治。若不吐食物,腹内持续疼痛不止,四十日后死亡。发热胡言乱语,入夜发生厥逆者,三日后死亡。小腹部受伤,血液流入内部,脉象不实者,属不治。孕妇受外伤伤及胎儿,胎儿必然流产,属不治。
大肠受伤,粪便从口中排出,当日死亡。若小便排出,四十九日死亡。不能说话,二十日死亡。眼睛眩晕、手足皆冷,难治。若过一个时辰后转热,属可治。小肠受伤,出现昏晕、发热、口中胡言乱语,七日后死亡。不分阴阳证候者,属不治。腹部破裂肠子脱出,若未断或半断者,属可治;若完全断裂,属不治。若无臭味,属可治;若有臭味,属不治。颜色无变化者,属可治;变为紫黑色者,属不治。
腰部受伤呕血,急饮一碗童便,若能自知疼痛,属可治。若不知疼痛而发笑者,三日内死亡。夹脊骨受伤断裂者,属不治。肾经受伤,呕吐物无法吐出,全身难以活动,挣扎坐起困难,睡卧不安,七日内死亡。若呕吐鲜血,十日内死亡。外肾(生殖器)受伤,阴囊内有睾丸者可判断情况,睾丸进入小腹者,属不治;睾丸在囊内破碎者,属不治。阴囊肿胀,若疼痛不从上方传来,属可治;若时日长久,牵连腹内疼痛者,四十九日死亡。若发热头晕,人事不知,手足不动,一时即死。阴囊破裂,睾丸进入小腹者,属不治;睾丸未进入腹部,虽垂悬于体外,尚可救治。老人左侧大腿被压碎者,属不治。
凡受伤之后,大鱼际骨处有脉搏跳动者可治;脉搏不动者死;脉搏大而迟缓者,属不治。汗出不止,形体神态改变者,防备五日内死亡。眼睛周围发青黑色者,属不治。鱼口疔疮传变风毒者,属不治。头目青黑,额头出汗但不流淌,眼裂变小且眼球突出,身体出汗如油,称为“四逆”证,属不治。
Injury to the vertex of the head, with bleeding from the mouth and nose and immobility of the hands and feet: Immediately administer one bowl of *Tongbian* (urine of a healthy child). If the patient can perceive pain and the hands and feet can move, it is treatable; if the hands and feet are difficult to move and speech is unclear, it is untreatable. If there is panting and hiccups blocking the throat, death will occur within seven days. If the wound on the vertex is broken but the bone has not sunk in, it is treatable; if the bone is shattered and sunk in, or if Qi escapes and cannot be retained, it is untreatable. If marrow flows out from the fontanelle (*Xinmen*), death occurs immediately. Injury after eating: if the patient survives seven days, it is treatable; if the eyes are closed, it is untreatable.
Injury to the Taiyang region (temples), causing fainting and falling to the ground: Immediately administer one bowl of *Tongbian*. If the patient can perceive pain, it is treatable; if they cannot perceive pain, death will occur within seven days. If they perceive pain but faint again shortly after, death will occur within twenty-one days.
Injury behind the ears: if blood enters internally, it is untreatable. Injury to both eyes: treatable. Injury to the Shangen (root of the nose): if not severed, it is treatable; if severed, it is untreatable. Severance of the esophagus: untreatable. Complete severance of the trachea: untreatable; if not completely severed, five out of ten may be saved. A red complexion indicates treatability; a bluish-black complexion indicates untreatability.
Injury to both shoulders: if blood enters internally, it is untreatable. Injury to the heart region (epigastrium) with a bluish complexion: death within seven days; if the complexion turns red-yellow after three days of medication, it is treatable. Injury after a full meal: if the patient survives three days, it is treatable; if the bone at the heart pit is fractured, it is untreatable.
Injury to both hypochondriac regions with urgent and severe pain: death within seven days; injury penetrating the lungs: death within fourteen days; injury penetrating the Liver and Gallbladder, presenting with a cyanotic face, dizziness, and vomiting yellow fluid: death in less than five days; if accompanied by cold phlegm, death within forty-nine days; numbness of muscles and bones, body heat like fire, inability to eat or drink: untreatable. Open wounds where blood enters internally: untreatable. Exhaustion of blood flow: untreatable. Discharge of black blood and black fluid: untreatable. Injury to both breasts: male patients can be saved with urgent treatment; female patients are difficult to treat.
Injury to the greater abdomen without dizziness, with regurgitation of food: treatable. If food is not regurgitated, but continuous abdominal pain persists: death within forty days. Fever with delirium, and syncope occurring at night: death within three days. Injury to the lower abdomen with internal bleeding and a deficient pulse: untreatable. Trauma to a pregnant woman affecting the fetus: the fetus will inevitably abort, which is untreatable.
Injury to the large intestine, with feces expelled from the mouth: death on the same day. If urine is passed instead: death within forty-nine days. Inability to speak: death within twenty days. Dizziness of the eyes and coldness of hands and feet: difficult to treat. If warmth returns after one shi period (two hours), it is treatable. Injury to the small intestine, presenting with fainting, fever, and delirious speech: death within seven days. Failure to distinguish between Yin and Yang syndromes: untreatable. Abdominal rupture with evisceration of intestines: if not severed or partially severed, treatable; if completely severed, untreatable. If odorless, treatable; if odorous, untreatable. If color remains unchanged, treatable; if it changes to purple-black, untreatable.
Waist injury with hematemesis: immediately drink one bowl of *Tongbian*. If the patient perceives pain, it is treatable. If the patient does not perceive pain but laughs: death within three days. Fracture of the vertebrae adjacent to the spine: untreatable. Injury to the Kidney meridian, with inability to vomit, immobility of the whole body, difficulty sitting up despite struggling, and restlessness in sleep: death within seven days. Vomiting fresh blood: death within ten days. Injury to the external kidneys (genitals): if the testis is within the scrotum, its condition can be assessed; if the testis enters the lower abdomen, it is untreatable; if the testis is crushed within the scrotum, it is untreatable. Scrotal swelling: if pain does not originate from above, it is treatable; if prolonged and pain extends into the abdomen, death within forty-nine days. Fever and dizziness: death within three days. Loss of consciousness, immobility of hands and feet: death instantly. Rupture of the scrotum with testis entering the lower abdomen: untreatable; if the testis has not entered the abdomen, even if hanging externally, it can be saved. Crushing fracture of the left thigh in the elderly: untreatable.
After any injury, if a pulse is palpable at the Yuji area (thenar eminence), it is treatable; if the pulse is absent, death ensues; if the pulse is large and slow, it is untreatable. Unceasing sweating and alteration of physical appearance: beware of death within five days. Bluish-black discoloration around the eyes: untreatable. Transmission of wind toxin via Yukou carbuncle: untreatable. Cyanosis of the head and eyes, sweat on the forehead that does not flow, narrowed eye fissures with protruding eyeballs, and oily sweat on the body: this is called "Sini" (Four Reversals), which is untreatable.