（附论）
夫金刃所伤。有肠出者。有肠出已断者。视其轻重之证。可决死生。肠有一头见者。不
可续
速以
口。
然后
饮助
被伤肚皮俱破。肠出在外。只肠全断难医。伤破者不断。皆可治疗。肠及肚皮破者。用
花蕊
为线
开用
如伤孔大。肚肠与脂膏出。放入内则用缝。如孔小只有膏出。先用清心药与服。用手擘
去膏
心去
方
磁石散（出圣惠方）
治金疮肠出。宜入之。
磁石（ 研） 滑石（研） 铁精（各二两） 上等分。同研细末。每服一钱匕。以温
酒调下。空
米饮服。一
治金疮肠出方。（出圣惠方）
取人屎干为末以粉肠。即入。若肠干。取浓面浆湿肠上即入。以冷水 。而令吸气。即
易入
治被伤肠出不断出。欲燥而草土肠着。（出圣惠方）
作大麦粥。取汁洗肠。推纳之。常研米粥饮之。二十日稍稍作强糜。百日后乃可瘥。草
土当
治金疮中肠出。不能入者。（出圣济总录）
以小麦三升。用水九升。煮取五升。绢滤过候冷。含喷疮上渐入。以冷水喷其背。不宜
多令
须
缝金疮肠出者。（方见桑皮方）
又方（出本草）
\x治金疮肠出者。
以桑白皮作线缝之。更以热鸡血涂上。立愈。唐安藏剖腹。用此法效。
（附论）
凡是金属利器或刀刃造成的创伤，有的会导致肠子脱出体外，有的则是肠子脱出后已经断裂。观察病情的轻重程度，就可以判断患者的生死预后。如果肠子只有一端露在外面，不可以尝试接续，应立即用口将其吹回体内。
然后饮用具有辅助作用的汤药。如果是被刀伤导致肚皮全部破裂，肠子暴露在外部，只有当肠子完全断裂时才难以医治；若是受伤破损但肠管未断的，都可以进行治疗。对于肠子和肚皮都破损的情况，使用花蕊石作为缝合线进行缝合，开口大小需与伤口孔径相当。如果肚肠和脂膏（腹腔脂肪组织）脱出，放入体内后则进行缝合；如果孔洞较小仅有脂膏脱出，先服用清心药物，用手拨开去除脂膏，清理心脏部位（此处指清理创面深处），然后进行处理。
磁石散（出自《圣惠方》）
治疗金疮导致的肠子脱出。适宜将药粉纳入肠内。
磁石（研碎）、滑石（研碎）、铁精（各二两）。以上药材等分，共同研磨成细末。每次服用一钱匕的量，用温酒调服。空腹时也可用米汤送服。一日三次。
治疗金疮肠脱出的方剂。（出自《圣惠方》）
取干燥的人粪研成粉末，用来撒在肠子上，随即送回体内。如果肠子干燥，取浓稠的面浆湿润肠子后再送入。用冷水喷洒背部，令患者吸气，肠子就容易复位。
治疗因刀伤导致肠子脱出但未断裂，想要干燥并粘附草土的情况。（出自《圣惠方》）
煮大麦粥，取汁液清洗肠子，推纳回腹中。平时常喝米粥。二十天后逐渐进食稍硬的稀饭。一百天后才可以痊愈。草土应当避免接触。
治疗金疮中肠子脱出无法回纳的情况。（出自《济生方》/《圣济总录》）
取小麦三升，用水九升，煮至剩余五升。用绢布过滤，待冷却后，含在口中喷向伤口，使肠子逐渐回纳。同时用冷水喷洒其背部，不宜过多，令其……须……缝合金疮肠脱出的情况。（方法见桑皮方）
又一方（出自《本草》）
治疗金疮肠子脱出。
用桑白皮制成线状进行缝合，再用热鸡血涂抹在上面，立刻痊愈。唐代安藏剖腹产时，使用此法有效。
(Attached Discussion)
Injuries caused by metal blades may result in evisceration (protrusion of intestines), or the intestines may protrude and subsequently rupture. By observing the severity of the symptoms, one can determine the prognosis for life or death. If only one end of the intestine is visible, it should not be sutured; instead, it should be rapidly blown back into the body with the mouth.
Subsequently, administer supportive decoctions. In cases where abdominal wall injuries are complete with intestines exposed externally, treatment is difficult only if the intestines are completely severed. However, if the injury involves tearing without severance, all such cases are treatable. For injuries involving both intestinal and abdominal wall rupture, use Huarui Shi (Pyrite) as a suture thread. The incision size should match the wound aperture. If the intestines and omentum (abdominal fat) protrude, they should be reduced into the cavity followed by suturing. If the aperture is small and only the omentum protrudes, first administer Qingxin Yao (Heart-Clearing Medicine), manually retract the omentum, clear the area, and then proceed with treatment.
Cishi San (Magnetite Powder) [From *Shenghui Fang*]
Indicated for evisceration due to metallic wounds. The powder should be applied internally.
Cishi (Magnetite, ground), Huashi (Talcum, ground), Tiejing (Iron Essence) — two liang each. These are equal parts, ground together into a fine powder. Take one qianbi (a small measuring spoon) per dose, mixed with warm wine. It can also be taken on an empty stomach with rice gruel. Three times a day.
Formula for Treating Evisceration from Metallic Wounds [From *Shenghui Fang*]
Take dried human feces, grind into powder, and apply to the intestines before reducing them. If the intestines are dry, moisten them with thick wheat starch paste before reduction. Spray cold water on the patient's back while instructing them to inhale deeply, which facilitates reduction.
For treating metallic wounds where intestines protrude but remain intact, preventing them from drying out and adhering to grass or soil [From *Shenghui Fang*]
Prepare barley porridge and use its juice to wash the intestines before pushing them back. Maintain a diet of rice gruel. After twenty days, gradually introduce slightly thicker congee. Full recovery is expected after one hundred days. Avoid contact with grass and soil.
For metallic wounds where intestines protrude and cannot be reduced [From *Shengji Zonglu*]
Take three sheng of wheat and nine sheng of water. Boil until five sheng remain. Filter through silk cloth and let cool. Hold the liquid in the mouth and spray it onto the wound to gradually reduce the intestines. Simultaneously, spray cold water on the patient's back. Do not use excessive amounts... Sutures for metallic wounds with evisceration [See Sangpi Formula].
Another Formula [From *Bencao*]
Treating metallic wounds with evisceration.
Use Sangbaipi (Cortex Mori / Mulberry Bark) as a thread for suturing. Apply hot chicken blood over the suture site for immediate healing. This method was effective when Tang Anzhang underwent a cesarean section.