凡阴囊被人扯脱者，用鸡子黄油涂，以金毛狗脊毛薄摊于上，次 封口药，又用散
血膏敷贴外，却用中叶金锁匙、紫金皮水煎服，洗用紫苏叶煎水洗。凡阴囊处，有青黑
紫色肿者，用补肉膏敷贴，或用定痛膏加赤芍、草乌、良姜、肉桂各少许，打和，用韭
叶砍烂，同药贴。如无韭叶，葱叶亦可，仍服利小便药。凡妇人腿骨出，进阴门边，不
可踏入，用凳一条，以绵衣覆上，令患人于上卧，医以手拿患人脚，用手一撙上，在好
脚边上去，其腿骨自入，却用接骨膏、定痛膏敷贴。凡下近腿胯、阴囊等处，不用通药，
但贴、不令血荫。
凡断筋损骨者，先用手寻揣伤处，整顿其筋骨平正，用接骨等膏敷贴，用正副夹缚
定。正夹用杉皮去外重皮，约手指大，排肉上，以药敷杉皮上，药上用副夹，用竹片去
里竹黄，亦如指大，疏排夹缚。凡骨碎断，或未碎断但皮破损肉者，先用补肌散填满疮口，
次用散血膏敷贴。如骨折，要接骨膏敷贴、夹缚。或皮破骨断者，用补肉膏敷贴。凡骨断
皮破者，不用酒煎药，或损在内破皮肉者，可加童便在破血药内和服。若骨断皮不破，可
全用酒煎损药服之。若只损伤，骨未折，肉未破者，用消肿膏，或定痛膏。凡皮破、骨
出差臼，拔伸不入，撙捺皮相近三分，用快刀割开些，捺入骨，不须割肉，肉自破了可
以入骨，骨入后，用补肉膏敷贴。疮四傍肿处留疮口，用补肌散填之，皮肉不破，用接
骨膏、定痛膏敷贴。若破者，必有血出，用力整时，最要快便。凡皮里有碎骨，只用定
痛膏、接骨膏敷贴，夹缚，十分伤害，自然烂开肉，其骨碎必自出，然后掺补肌散，外
以补肉膏敷贴。凡骨碎，看本处平正如何？大抵骨低，是不会损，左右骨高，骨定损了。如
折骨，要拔伸捺平正，用药敷贴，以正、副夹束缚，勿令转动，使损处坚固。如出臼，曲
处要时时曲转，使活处不强。凡敷贴用板子一片，就板子上，将蕉叶或纸，被摊接骨膏、
定痛膏在上，移在损处，皮内有碎骨，后来皮肉自烂，先掺补肌散，次敷补肉膏，碎骨
自出。若破断皮肉，先以封口药填涂，用线缝合，外用补肉膏、散血膏敷贴。凡平处骨
断、骨碎、皮不破者，只用接骨膏、定痛膏敷贴夹缚。若手足曲直等处及转动处，只宜
绢包缚，令时数转动，不可夹缚。如指骨碎断，止用苎麻夹缚；腿上用苎麻绳夹缚，冬
月热缚，夏月冷缚，余月温缚。凡拔伸捺正，要膻绢软物单正，仍拔伸当近在骨损处，不
得前去一节骨上，仍拔伸相度左右骨，各有正斜拔者。凡撙捺，要手法快便，要皮肉相
执平正，整拔亦要相度难易，或用三四人不可轻易。凡筋断，用枫香，以金沸草砍取汁，
调涂敷，次用理伤膏敷贴。
凡是阴囊被人扯脱的，用鸡蛋黄油涂抹，将金毛狗脊的细毛薄薄地铺在上面，接着敷上封口药，再在外侧敷贴散血膏，同时内服中叶金锁匙和紫金皮煎煮的药汤，外用紫苏叶煎水清洗。凡是阴囊部位出现青黑紫色肿胀的，用补肉膏敷贴，或者用定痛膏加入赤芍、草乌、良姜、肉桂各少许，捣碎混合，再用韭菜叶切碎烂，连同药物一起贴敷。如果没有韭菜叶，葱叶也可以，同时仍需服用利小便的药物。凡是妇女腿骨脱臼，卡在阴门旁边，无法踏入地面的，用一条凳子，上面覆盖绵衣，让患者仰卧其上，医生用手握住患者的脚，用力向上推撙，使其靠近好腿一侧，腿骨自然复位，之后用接骨膏、定痛膏敷贴。凡是下肢近腿部、胯部、阴囊等处受伤，不使用通利血脉的药物，只进行外敷，不让瘀血积聚。
凡是筋断骨损的，先用手触摸探查伤处，整顿筋骨使其平正，用接骨等膏药敷贴，并用正副夹板固定。正夹板用杉皮去掉外层重皮，宽度约手指大，排列在肌肉上，将药敷在杉皮上，药上再放副夹板，副夹板用竹片去掉内侧竹黄，宽度也如手指大，稀疏排列并夹缚固定。凡是骨头碎裂断裂，或者未完全断裂但皮肤破损肌肉受伤的，先用补肌散填满疮口，再用散血膏敷贴。如果是骨折，要用接骨膏敷贴、夹缚。如果皮肤破裂骨头断裂，用补肉膏敷贴。凡是骨头断裂皮肤破损的，不用酒煎药，或者损伤在内而皮肤肌肉破损的，可以在破血药中加入童便调和服用。如果骨头断裂但皮肤不破，可以全用酒煎煮损伤药服用。如果只是损伤，骨头未折，肌肉未破，用消肿膏，或定痛膏。凡是皮肤破裂、骨头脱臼，拔伸后无法复位，将皮肉向邻近处按压三分距离，用快刀割开一点，将骨头按入，不需要割肉，肉自然破了就可以放入骨头，骨头放入后，用补肉膏敷贴。疮口四周肿胀处留出疮口，用补肌散填充，如果皮肉未破，用接骨膏、定痛膏敷贴。如果破损了，必然有出血，用力整复时，最重要的是动作迅速。凡是皮里有碎骨，只用定痛膏、接骨膏敷贴，夹缚，十分严重的伤害，自然会烂开肌肉，碎骨必定自行排出，然后掺入补肌散，外部再用补肉膏敷贴。凡是骨头碎裂，要看局部平整情况如何？大致来说，骨头凹陷是不会受损，左右骨头隆起，骨头一定受损了。如果是骨折，要拔伸并按压平正，用药敷贴，用正、副夹板束缚，不要让它转动，使损伤处坚固。如果是脱臼，弯曲处要时时弯曲转动，使活动处不僵硬。凡是敷贴，用一片板子，就在板子上，将芭蕉叶或纸，摊开接骨膏、定痛膏在上面，移到损伤处，皮内有碎骨，后来皮肉自然腐烂，先掺补肌散，次敷补肉膏，碎骨自然排出。如果皮肉破断，先用封口药填涂，用线缝合，外部用补肉膏、散血膏敷贴。凡是平坦处骨头断裂、骨头碎裂、皮肤不破的，只用接骨膏、定痛膏敷贴夹缚。如果是手足弯曲伸直等处及转动关节，只宜用绢布包裹束缚，让时常数次转动，不可夹缚。如果指骨碎裂断裂，只用苎麻夹缚；腿部用苎麻绳夹缚，冬天热敷，夏天冷敷，其他月份温敷。凡是拔伸按压正位，要用柔软的单层绢物垫正，且拔伸点应当靠近骨损伤处，不得前去一节骨头上，还要拔伸观察左右骨骼，各有正斜角度进行拔伸。凡是按压，手法要迅速便利，要使皮肉相执平正，整复拔伸也要观察难易程度，有时需要三四人配合，不可轻易行事。凡是筋断裂，用枫香脂，以金沸草砍取汁液，调匀涂抹敷贴，其次用理伤膏敷贴。
In cases where the scrotum is torn off by external force, apply butter from a chicken egg (Jizi Huangyou) and thinly spread the fine hairs of Cibotium barometz (Jinmao Gouji) on top. Subsequently, apply a sealing paste (Fengkou Yao), followed by an external application of Sanxue Gao (Blood-Dispersing Ointment). Internally, decoct and administer Zhongye Jin Suo Chi (Mid-leaf Golden Lock Key) and Zijin Pi (Purple Gold Bark). Externally, wash with a decoction of Perilla Leaf (Zisu Ye). For swelling presenting as cyanotic, black, or purple discoloration in the scrotal region, apply Butou Gao (Flesh-Replenishing Ointment). Alternatively, mix Dingtong Gao (Pain-Calming Ointment) with small amounts of Chishao (Red Peony Root), Caowu (Aconitum Carmichaelii Deh.), Liangjiang (Galangal Rhizome), and Rougui (Cinnamon Bark), crush them together, and apply using crushed Chinese Leek Leaves (Jiu Ye); if leek leaves are unavailable, Scallion Leaves (Cong Ye) may be used. Concurrently, administer diuretic herbs to promote urination.
For women whose femur has dislocated and is lodged near the vulva, preventing walking, place a stool covered with cotton clothing. Have the patient lie supine on it. The physician should grasp the patient's foot and forcefully push it upwards towards the unaffected leg until the femur naturally reduces. Afterwards, apply Jiegu Gao (Bone-Joining Ointment) and Dingtong Gao. For injuries near the lower legs, hips, or scrotum, avoid using blood-invigorating purgatives; instead, use only topical applications to prevent blood stasis accumulation.
For severed tendons and damaged bones, first palpate the injury site to realign the bones and tendons. Apply Jiegu Gao or similar ointments and secure with primary (Zhengjia) and secondary (Fujia) splints. The primary splint consists of fir bark (Shanpi) stripped of its outer layer, cut to finger-width, placed along the muscle, with medicine applied on top. The secondary splint uses bamboo strips (Zhupian) stripped of their inner yellow layer, also finger-width, arranged sparsely for binding. If bones are shattered or fractured with skin/muscle damage, first fill the wound with Bujisan (Muscle-Replenishing Powder), then apply Sanxue Gao. For fractures, apply Jiegu Gao and splint. For open fractures (skin broken, bone exposed), apply Butou Gao. If the fracture is internal with skin/muscle rupture, add fresh urine (Tongbian) to blood-dispersing formulas for oral administration. If the bone is broken but the skin is intact, decoct trauma herbs in wine for oral consumption. For soft tissue injuries without fracture or skin breakage, apply Xiaozhong Gao (Swelling-Reducing Ointment) or Dingtong Gao. If skin is broken and joints are dislocated, and traction fails to reduce, press the skin/muscle 3 fen towards the adjacent area, make a small incision with a sharp knife, and manually reduce the bone without cutting flesh further. After reduction, apply Butou Gao. Leave wounds open around swollen areas and fill with Bujisan; if skin/muscle is intact, apply Jiegu Gao and Dingtong Gao. In cases of severe injury with bleeding, rapid manipulation is crucial. If shrapnel/bone fragments remain under the skin, apply Dingtong Gao and Jiegu Gao with splinting; severe trauma will cause necrosis, allowing fragments to expel naturally. Then apply Bujisan followed by Butou Gao. Assess bone alignment: depression suggests no major damage, while elevation indicates fracture. For fractures, reduce and align via traction, apply medicine, and splint firmly to prevent movement. For dislocations, maintain mobility through gentle bending exercises to prevent stiffness. For application, place Jiegu Gao or Dingtong Gao on banana leaves or paper over a board, then transfer to the injury site. If bone fragments remain, subsequent necrosis will expel them after applying Bujisan and Butou Gao. For severed skin/muscle, seal with Fengkou Yao, suture with thread, and externally apply Butou Gao and Sanxue Gao. For flat-area fractures/shatters with intact skin, use Jiegu Gao and Dingtong Gao with splinting. For joints (hands/feet flexion/extension), use silk bandages allowing periodic movement rather than rigid splints. For finger fractures, bind with ramie fiber; for leg fractures, use ramie rope bindings—warm in winter, cool in summer, lukewarm otherwise. During traction, ensure soft linen padding and apply force close to the injury site, not distal joints, adjusting for angular deformities. Manipulation must be swift and precise, requiring multiple assistants if necessary. For severed tendons, apply Liquidambar resin (Fengxiang) mixed with juice extracted from Boerhaavia diffusa (Jinfecao), followed by Lishang Gao (Trauma-Healing Ointment).