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）
腹部破裂、肠管脱出者，应立即将肠管回纳腹腔，用麻线缝合伤口，外部敷涂花蕊石散。如果脂肪组织已经脱出，应迅速用手去除并缝合；若将已脱出的肠管强行推回体内，则会导致内部溃烂，危及生命。如果脱出的肠管干燥，可用煮大麦粥的汁液清洗湿润后推回，并不时少量饮用研烂的米粥。二十天之后，才可以进食稀薄的粥食，一百天后才能痊愈。切勿让患儿受惊，受惊则可能导致死亡。（使用桑皮线更佳）
有一个小孩拿着碗跌倒，腹部破裂、肠管脱出，立即将肠管回纳并用麻线缝合完毕，外敷花蕊石散而痊愈。
有一个小孩拿着刀玩耍，摔倒在地，刀刺入腹部，肠子和粪便一起流出，无法救治。（因为肠子破裂所以无法救治。）
有一个小孩腹部受伤，出现发热、呕吐、疼痛的症状。内外均使用止痛清热的药物，傍晚时分症状加重，我认为这是脾经气血更加虚弱所致，早晨服用补中益气汤以补气升阳，晚上服用四物汤加人参、白术、当归等药以养血健脾，各种症状逐渐好转，最后使用托里散，疮口自然愈合。
有一个小孩胁部受伤形成疮疡，脓液清稀且不能愈合，伴有寒热交替和口渴，我早晨服用补中益气汤以培补脾气，晚上服用六味地黄丸以滋补肝血，症状逐渐好转，随后使用托里散和异功散，肌肉自然生长。
有一个小孩腹部受伤出血，出现发热和烦躁，先服用当归补血汤使病情安定，接着服用圣愈汤，患处顿时痊愈；又服用托里散和八珍汤而完全康复。
花蕊石散（方剂见前文）
益气汤（方剂见“肌肉不生”条下）
托里散（方剂见“热毒疮疡”条下）
地黄丸（方剂见“作渴不止”条下）
当归补血汤（方剂见“发热不止”条下）
圣愈汤（方剂见“出血不止”条下）
阴囊皮肤破裂出血并疼痛者，敷涂当归膏。初次受伤出血，不可骤然止血，否则血液瘀积于内则会化脓；或者伤口原本较小，血液排出不尽导致内部溃烂，甚至睾丸外露；或者阴囊全部溃烂者，内服托里药物，外敷当归膏，阴囊自然会重新生成。其外伤腐溃，以及内伤瘀血化脓的情况，都按照囊痈的方法治疗。只有睾丸破碎者，无法治愈。
有一个小孩阴茎受伤，出血疼痛，伴有寒热、抽搐、咬牙、突然昏闷、唇口抽动、手足时而发冷等症状，想要使用治疗破伤风的药物，我认为：出血诸症由肝经主导；唇部抽动诸症是肝木克制脾土所致。于是使用异功散加升麻、柴胡、天麻治疗，顿时痊愈。
有一个小孩阴囊受伤，肿痛不愈，早晨怕冷晚上发热，饮食减少，我认为这是脾胃再次受损的症状，应当用人参、白术、当归等药物治疗。家属不信，另外使用清热药物，果然导致腹泻、欲呕、手足冰冷，我先用六君子汤加柴胡、升麻治疗而逐渐好转，又用异功散加柴胡、升麻而完全康复。
有一个小孩拿碗跌倒误伤阴囊，睾丸外露，出血不止，伴有寒热和间歇性抽搐，这是肝经血虚导致虚火妄动所致，随即敷涂当归膏，服用柴胡清肝散加熟地黄、黄芪，以及六味地黄丸而痊愈。
有一个小孩被竹篾刺破阴囊，出血很多，腹痛抽搐，咬牙流涎已有七天，气口脉比人迎脉大二三倍，这是因为受惊且停食所致，切忌使用祛风药物，我用五味异功散加柴胡、钩藤治疗而安定。凡是损伤病症，小儿患病，多有兼夹惊恐和停食的情况。兼夹停食则气口脉大于人迎脉，或出现呕吐、吞酸、腹痛、泄泻秽臭等症状。兼夹惊恐则左关脉弦洪而软，或出现突然昏闷、咬牙、目直视、项强急等症状。日久不治疗，若发展成破伤风疾病，则祸患就在转瞬之间了。
有一个小孩阴茎被切断但皮肤相连，伴有寒热疼痛，出血不止，我认为应当立即剪去断端，调理补益肝肾二经，则热自退，痛自止。于是使用补中益气汤加麦冬、五味子而痊愈。
一个小子因跌倒，小腹皮肤破裂，服用破血药物后，阴囊肿胀疼痛、发热，按压腹部却不痛，我认为应当使用补血药物，家属不信，最终导致死亡。
补中益气汤 治疗跌打损伤等症，损伤元气，或过度使用攻伐药物，出现恶寒发热、肢体倦怠；或溃烂后气血虚弱，不能生肌收敛；或兼有饮食劳役，头痛身热、烦躁口渴、脉象洪大弦虚；或脉象微细濡弱、自汗、饮食少思，尤其是疮疡虚损的圣药。（方剂见“肌肉不生”条下）
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")