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。
凡是胸前因跌打导致骨头脱出无法复位，让患者靠在坚实处，医生用两脚踏住患者的双脚，双手从腋下穿过背部外侧，交叉抱住患者的后背，然后用手托起其肩部并抬起胸脯，骨头自然就会复位，随后使用定痛膏、接骨膏敷贴。凡是胸脯骨受到拳脚捶打损伤，外部有肿胀，内部有疼痛，外用定痛膏敷贴，内服破血药以祛除瘀血，接着用消血草研磨后加酒服用。如果是刀伤，先应使骨骼归位、皮肤对齐闭合、调整至平整端正，然后用封口药处理疮口，外用补肌散用鸡蛋清调匀敷贴，内服补损药、活血丹之类的药物。凡是胸骨肋骨断裂，先用破血药，再用定痛膏、接骨膏敷贴。皮肤破损的，用补肉膏敷贴。凡是胸胁部重伤，气血不通畅的，用绿豆汁和生姜一起服用。或者由一名力气大的人在后面挤住患者，使其吐出瘀血，然后再用破血药。腹部被伤，肚皮全部破裂，肠子掉在外面，只有肠子完全断裂的，难以医治；如果肠子破裂但未完全断裂的，都可以治疗。凡是肠子掉出来，可以让患者用手搭在医生的肩膀上，随着医生的左右移动将肠子收回，用麻油润湿疮口，将其整复纳入腹腔，然后用通关散吹入鼻腔引起打喷嚏，使肠子自行缩回，用桑白皮线向皮内缝合后，用封口药涂抹伤口，外用补肌散用鸡蛋清调匀敷贴，或者用散血膏效果更好。在线条处，敷上花乳石散。肚皮裂开的，用麻线作为缝线，或者将桑白皮捣烂做成线，也在线条处敷上花乳石散，必须从里层重新缝合肚皮，不可只缝合外层皮肤，保留外皮敞开，用药粉掺撒等待长出新肉。如果肠子上有小破损孔，用灯火照射，如果肠中有气体射向灯火，则不可治。另一种方法，让肠子掉出的患者吊起手臂，用醋煎煮山豆根汁，服用一到两口，然后用针在患者颈部刺一下，肠子自然就会缩回。凡是肚皮受伤破裂，孔洞大且肚肠与脂膏都掉出来的，放入体内后进行缝合；如果孔洞小只有脂膏掉出，用手掰去脂膏即可，不用缝合。这种掉出的脂膏已经没用了，不可再放回肚中，否则反而造成祸患，只需掰去即可，这是多余的肉，尽管放心去除。腹部内部受伤的，专门使用通利大小肠的药物，不可等待便秘发生，恐怕会形成重症。
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.