腹破肠出者，急复纳入，以麻缕缝合，外敷花蕊石散。如脂已出，急以手取去而缝之，如已出而复推入，则内溃害
命矣。若肠出干燥者，煮大麦粥取汁洗湿推入，不时少以米粥研烂饮之。二十日外，始可薄粥，百日后乃瘥。切勿令惊，
惊则杀人矣。（用桑皮线尤佳）
一小儿持碗跌仆，腹破肠出，即纳入以麻线缝完，敷花蕊石散而愈。
一小儿持刀而戏，仆地刀入腹，肠屎并出，不救。（因肠破故不救也。）
一小儿伤腹，发热作呕 痛。外敷内服皆止痛清热之剂，日晡益甚，余谓脾经气血益虚，朝用补中益气汤，夕用
四物、参、 、归、术，诸症渐愈，乃用托里散，疮口自敛。
一小儿胁伤成疮，脓清不敛，寒热作渴，余朝用补中益气汤培益脾气，夕用六味地黄丸滋补肝血渐愈，却用托里
散、异功散，而肌肉自生。
一小儿伤腹出血，发热烦躁，先用当归补血汤而安，却用圣愈汤，患处顿愈；又用托里散、八珍汤而痊愈。
花蕊石散（方见前）
益气汤（方见肌肉不生）
托里散（方见热毒疮疡）
地黄丸（方见作渴不止）
当归补血汤（方见发热不止）
圣愈汤（方见出血不止）
阴囊皮破出血作痛者，敷当归膏。初伤出血，不可骤止之，血瘀于内则作脓；或伤口原小，血出不尽而内溃，甚至
睾丸露出；或阴囊尽溃者，内服托里之剂，外敷当归膏，则囊自生矣。其外伤腐溃，及内伤瘀血作脓者皆同囊痈治之。
惟睾丸碎者不治。
一小儿伤阴茎，出血作痛，寒热发搐，切牙顿闷，唇口牵动，手足时冷，欲用破伤风药，余谓∶出血诸症，肝经主
之；唇动诸症，肝木侮脾土也。遂用异功散加升麻、柴胡、天麻，治之顿愈。
一小儿阴囊被伤，肿痛不愈，朝寒暮热，饮食少思，余谓脾胃复伤之症，当用参、术、归、 等药治之。不信，别
用清热之药，果作泻欲呕，手足并冷，余先用六君加柴胡、升麻而渐愈，又用异功散加柴胡、升麻而痊愈。
一小儿持碗仆地误伤阴囊，睾丸露出，血出不止，寒热时搐，此肝经血虚而火动耳，随敷当归膏，服柴胡清肝散加
熟地、黄 ，及六味丸而愈。
一小儿被竹篾伤破阴囊，出血甚多，腹痛发搐，切牙流涎七日矣，气口脉大于人迎二三倍，此因惊停食也，切忌风
药，余用五味异功散加柴胡、钩藤钩而安。凡伤损之症，小儿患之，多有夹惊夹食者，夹食则气口脉大于人迎，或作呕
吐吞酸腹痛泻秽等症。夹惊则左关弦洪而软，或作顿闷切牙
目直项急等症。日久不治，若成破伤风疾，则祸在反掌之间矣。
一小儿阴茎被伤断而皮相连，寒热作痛，血出不止，余谓急当剪去，调补肝肾二经，则热自安，痛自止矣。遂用补
中益气汤加麦门、五味子而愈。
一小子因跌，小腹皮破，服破血之剂，阴囊胀肿，作痛发热，按其腹却不痛，余谓当用补血之药，不信，遂致不起。
补中益气汤 治跌扑等症，伤损元气，或过用克伐，恶寒发热，肢体倦怠；或溃后血气虚弱，不能生肌收敛；
或兼饮食劳役，头痛身热，烦躁作渴，脉洪大弦虚；或微细濡弱，自汗，饮食少思，尤疮疡虚损之圣药也。（方见肌肉不
生）
柴胡清肝散（方见胁痈）
地黄丸（方见作渴不止）
Those with abdominal rupture and evisceration (prolapse of intestines) should have the intestines immediately reduced into the abdominal cavity, sutured with hemp thread, and externally applied with Huarui Shi San (Flower Porphyry Stone Powder). If adipose tissue has protruded, it must be quickly removed by hand and then sutured; if protruded intestines are forcibly pushed back in, internal ulceration will occur, endangering life. If the protruded intestines are dry, they should be washed moist with the juice from boiled barley porridge and then reduced, while occasionally drinking a small amount of mashed rice porridge. Only after twenty days can thin porridge be consumed, and recovery is expected after one hundred days. Do not allow the child to be startled, as startling may lead to death. (Using mulberry bark thread is especially good.)
A child fell while holding a bowl, resulting in abdominal rupture and evisceration. The intestines were immediately reduced, sutured with hemp thread, and Huarui Shi San was applied externally, leading to recovery.
A child was playing with a knife, fell to the ground, and the knife penetrated the abdomen, causing both intestines and feces to protrude. This case was incurable. (Because the intestine was ruptured, it was incurable.)
A child suffered an abdominal injury, presenting with fever, vomiting, and pain. Both internal and external treatments used analgesic and heat-clearing agents. Symptoms worsened in the late afternoon. I reasoned that this indicated further deficiency of Qi and Blood in the Spleen Meridian. In the morning, Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) was administered to tonify Qi and raise Yang; in the evening, Siwu Tang (Four Substances Decoction) plus Ren Shen (Ginseng), Bai Zhu (Atractylodes Macrocephala Rhizome), and Dang Gui (Angelica Sinensis Root) were used to nourish Blood and strengthen the Spleen. Various symptoms gradually improved, and finally, Tuoli San (Support the Interior Powder) was used, allowing the wound to heal spontaneously.
A child suffered a rib injury resulting in an ulcer with clear pus that failed to heal, accompanied by alternating chills and fever, and thirst. In the morning, Buzhong Yiqi Tang was used to cultivate and benefit Spleen Qi; in the evening, Liuwei Dihuang Wan (Six-Ingredient Pill with Rehmannia) was used to nourish Liver Blood. Symptoms gradually improved. Subsequently, Tuoli San and Yigong San (Yi Gong Powder) were used, leading to spontaneous muscle growth.
A child suffered an abdominal injury with bleeding, presenting with fever and irritability. Danggui Buxue Tang (Dang Gui Tonifies the Blood Decoction) was first administered to stabilize the condition, followed by Shengyu Tang (Sheng Yu Decoction), after which the affected area healed instantly. Finally, Tuoli San and Bazhen Tang (Eight Treasures Decoction) were used for complete recovery.
Huarui Shi San (See formula mentioned previously)
Yiqi Tang (See formula under "Muscle Does Not Grow")
Tuoli San (See formula under "Heat-Toxic Ulcers")
Dihuang Wan (See formula under "Unremitting Thirst")
Danggui Buxue Tang (See formula under "Unremitting Fever")
Shengyu Tang (See formula under "Unremitting Bleeding")
For those with scrotal skin rupture, bleeding, and pain, apply Danggui Gao (Angelica Ointment). For initial injuries with bleeding, do not stop the bleeding abruptly; otherwise, blood stasis inside will lead to suppuration. Or, if the wound is originally small, incomplete drainage of blood may cause internal ulceration, even exposing the testicles. Or if the entire scrotum is ulcerated, internally administer support-the-interior agents and externally apply Danggui Gao, and the scrotum will regenerate naturally. Cases of external trauma with rotting ulcers, and internal injuries with blood stasis leading to suppuration, are all treated according to the methods for Nang Yong (Scrotal Abscess). Only cases where the testicles are shattered are incurable.
A child injured his penis, presenting with bleeding, pain, chills, fever, convulsions, teeth grinding, sudden dizziness/fainting, twitching of lips and mouth, and intermittent coldness of hands and feet. It was desired to use medicines for treating wind-stroke (tetanus). I reasoned: Among various bleeding syndromes, the Liver Meridian governs them; among symptoms involving lip movement, it is Liver Wood insulting Spleen Earth. Thus, Yigong San plus Sheng Ma (Cimicifuga Rhizome), Chai Hu (Bupleurum Root), and Tian Ma (Gastrodia Rhizome) was used, leading to immediate recovery.
A child suffered an injury to the scrotum, with swelling, pain, morning chills, and evening fever, along with poor appetite. I reasoned that this was a syndrome of re-injury to the Spleen and Stomach, and treatment should involve Ren Shen, Bai Zhu, Dang Gui, etc. The family did not believe this and used heat-clearing drugs instead. Consequently, diarrhea and nausea occurred, along with coldness of hands and feet. I first used Liujun Zi Tang (Six Gentlemen Decoction) plus Chai Hu and Sheng Ma, leading to gradual improvement, and then used Yigong San plus Chai Hu and Sheng Ma for complete recovery.
A child fell while holding a bowl and accidentally injured his scrotum, with testicles exposed and continuous bleeding, accompanied by chills, fever, and intermittent convulsions. This was due to Liver Blood deficiency causing hyperactive fire. Immediately, Danggui Gao was applied, and Chaihu Qinggan San (Bupleurum Clears the Liver Decoction) plus Shu Di Huang (Prepared Rehmannia Root), Huang Qi (Astragalus Root), and Liuwei Wan (Six-Ingredient Pill) were administered, leading to recovery.
A child's scrotum was punctured by a bamboo splinter, causing significant bleeding, abdominal pain, convulsions, teeth grinding, and salivation for seven days. The Qi Kou pulse was two to three times larger than the Ren Ying pulse. This was due to fright and food stagnation. Wind-dispelling drugs must be strictly avoided. I used Wuwei Yigong San (Five-Ingredient Yi Gong Powder) plus Chai Hu and Gou Teng (Uncaria Rhynchophylla Hook) to stabilize the condition. Generally, for traumatic injuries in children, there are often concurrent fright and food stagnation. With food stagnation, the Qi Kou pulse is larger than the Ren Ying pulse, or symptoms such as vomiting, acid regurgitation, abdominal pain, and foul diarrhea occur. With fright, the Left Guan pulse is wiry, surging, yet soft, or symptoms such as sudden dizziness, teeth grinding, staring eyes, and neck stiffness occur. If left untreated for a long time, developing into tetanus (Po Shang Feng Disease), disaster strikes within moments.
A child's penis was severed but remained connected by skin, presenting with chills, fever, pain, and continuous bleeding. I reasoned that the severed part should be immediately excised, and the Liver and Kidney meridians should be regulated and tonified, so that heat would subside and pain would cease. Thus, Buzhong Yiqi Tang plus Mai Men Dong (Ophiopogon Tuber) and Wu Wei Zi (Schisandra Fruit) was used, leading to recovery.
A boy fell, breaking the skin of the lower abdomen. After taking blood-breaking agents, the scrotum became swollen, painful, and febrile. Palpation of the abdomen revealed no pain. I reasoned that blood-nourishing drugs should be used. The family did not believe this, and the condition ultimately proved fatal.
Buzhong Yiqi Tang treats conditions such as falls and blows that damage Yuan Qi (Original Qi), or excessive use of purgative/attacking drugs, resulting in aversion to cold, fever, and limb fatigue; or post-ulceration weakness of Qi and Blood failing to generate flesh and close wounds; or concurrent dietary and labor overexertion causing headache, body heat, irritability, thirst, and a洪大 (surging-large) wiry-empty pulse; or a subtle, fine, soggy, weak pulse, spontaneous sweating, and poor appetite. It is especially a sacred medicine for deficiency and wasting of ulcerative diseases. (See formula under "Muscle Does Not Grow")
Chaihu Qinggan San (See formula under "Rib Abscess")
Dihuang Wan (See formula under "Unremitting Thirst")