凡胸前跌出骨不得入,令患人靠实处,医人以两脚踏患人两脚,以手从胁下过背外,相
叉抱住患人背,后以手于其肩掬起其胸脯,其骨自入,却用定痛膏、接骨膏敷贴。凡胸脯
骨有拳槌伤,外有肿,内有痛,外用定痛膏敷贴,内用破血药利去瘀血,次用消血草擂
酒服。如刀伤,先宜安骨、定皮合口、挪令平正,却以封口药 疮口,外以补肌散以鸡
子清调敷贴,内服补损药、活血丹之类。凡胸骨肋断,先用破血药,却用定痛膏、接骨
膏敷贴。皮破者,用补肉膏敷贴。凡胸胁伤重,血不通者,用绿豆汁生姜和服。一以壮
力人在后挤住,自吐其血,次用破血药。肚上被伤,肚皮俱破,肠出在外,只肠全断,难
医,伤破而不断者,皆可治疗。凡肠出,可以病患手,搭在医人肩,随其左右收起,以
麻油润疮口,整入腹,却以通关散,吹鼻打喷嚏,令肠自入,用桑白皮线向皮内缝合后,
以封口药涂伤处,外以补肌散,以鸡子清调匀敷贴,或散血膏更妙。在线,以花乳石散
敷之。肚皮裂开者,用麻缕为线,或槌桑白为线,亦用花乳石散敷在线,须用从里重缝
肚皮,不可缝外重皮,留外皮开,用药掺待生肉。若肠上有小损孔,以灯火照之,肠中
有气射灯,不可治。又一法,肠出吊起病患手,用醋煎山豆根汁,服一口至二口,却以
针于病患颈上一刺,其肠自入。凡肚皮伤破,孔大肚肠与脂膏俱出,放入内则用缝,如孔
小只有膏出,用手掰去膏,不用缝。此膏出者,已无用了,不可复入肚中,反成祸患,只
须掰去不妨,此是闲肉,但放心去之。肚内被伤者,专用利大小肠,不可待秘,恐成重
患。
In cases where the bones of the chest protrude due to a fall and cannot be reduced, have the patient lean against a solid object. The physician places their feet on the patient's feet, passes their hands from under the armpits over the back, crosses them to embrace the patient's back firmly, then lifts the shoulders and raises the chest with their hands, allowing the bones to reduce spontaneously. Subsequently, apply Dingtong Gao (Pain-Relieving Ointment) and Jiegu Gao (Bone-Setting Ointment). In cases of blunt force trauma to the chest wall causing external swelling and internal pain, apply Dingtong Gao externally, and internally administer Huoxue Yao (Blood-Breaking Medicines) to eliminate blood stasis, followed by taking Xiaoxue Cao (Xiaoxue Herb) ground with wine. For knife wounds, first realign the bone, approximate the skin edges, and ensure proper alignment. Then treat the wound with Fengkou Yao (Wound-Sealing Medicine), apply Bujie San (Muscle-Nourishing Powder) mixed with egg white externally, and internally administer Bushun Yao (Trauma-Replenishing Medicines) or Huoxue Dan (Blood-Invigorating Pill). For fractured sternum or ribs, first use Huoxue Yao (Blood-Breaking Medicines), then apply Dingtong Gao (Pain-Relieving Ointment) and Jiegu Gao (Bone-Setting Ointment). If the skin is broken, apply Burou Gao (Flesh-Replenishing Ointment). For severe chest and hypochondriac injuries with stagnant blood, administer mung bean juice mixed with fresh ginger. Alternatively, have a strong person press firmly from behind to induce vomiting of stagnant blood, followed by Huoxue Yao (Blood-Breaking Medicines). For abdominal injuries where the abdominal wall is completely ruptured and intestines eviscerate: if the intestine is completely severed, it is difficult to treat; however, if it is lacerated but not severed, it can be treated. When intestines eviscerate, have the patient rest their hand on the physician's shoulder, allowing the physician to guide the reduction laterally. Lubricate the wound with sesame oil, reduce the intestine into the abdominal cavity, then blow Tongguan San (Airway-Opening Powder) into the nose to induce sneezing, facilitating spontaneous reduction. Suture using mulberry root bark thread intradermally, apply Fengkou Yao (Wound-Sealing Medicine) to the injury site, and externally apply Bujie San (Muscle-Nourishing Powder) mixed with egg white, or alternatively, Sanxue Gao (Blood-Dispersing Ointment) which is superior. Apply Huarushi San (Flower-Stone Powder) along the suture line. For abdominal wall lacerations, use hemp thread or pounded mulberry root bark as suture material, apply Huarushi San (Flower-Stone Powder) along the suture, and must re-suture the abdominal wall from the inside out. Do not merely suture the outer skin; leave the outer skin open and apply medicated powder to promote granulation. If there are small perforations in the intestine, illuminate with a lamp; if gas from the intestine jets toward the flame, the condition is untreatable. Another method: elevate the arm of the patient with eviscerated intestines, administer one to two mouthfuls of vinegar-decocted Shandougen (Sophorae Tonkinensis Radix et Cortex) juice, then prick a needle at the neck to induce spontaneous reduction. For abdominal wall rupture with large holes where intestines and omentum eviscerate, reduce and suture. If the hole is small and only omentum eviscerates, remove the omentum manually without suturing. The eviscerated omentum is useless and should not be returned to the abdomen, as this causes harm; simply remove it, as it is redundant tissue. For internal abdominal injuries, specifically use purgatives to unblock the intestines and bowels; do not wait for constipation, lest it become a critical condition.