《医宗金鉴》刊行于清乾隆7年(公元1742年),是清政府命吴谦等人编纂的一部医学丛书。其中《医宗金鉴·正骨心法要旨》(以下简称《要旨》)是伤科专论,“内洽杂证法”一篇,详细论述了损伤内证的辨治,全篇贯穿了气血辨证和脏腑辨证思想,并在总结前人治伤经验基础上,特别强调了“恶血归于肝”和“损伤内证,专从血论”的论点,是《要旨》辨治伤科内伤的特色,对伤科临床具有普遍指导意义。今就此两点作粗浅论述,以就教于同道。 “Imperial Medicine” was published in the 7th year of Qing Emperor Qianlong (AD 1742), and it is a medical series compiled by the Qing government’s life, Wu Qian and others. Among them, the “Medical Judges of Kam Kam and the Principles of the Heart” (hereinafter referred to as the “Principles”) is a monograph of traumatic diseases and an article on “Inner Confidence and Communicating Certificates”, which deals in detail with the treatment of internal syndromes of injuries. Based on the experience of the syndrome differentiation of blood syndromes and organs, and on the basis of summarizing the experiences of previous injuries, the arguments of “bad blood is attributed to the liver” and “internal damage syndrome, specializing on the theory of blood” are emphasized. Features, has universal guiding significance for the clinical practice of traumatology. This is a brief discussion of two points in order to teach the same way.