余自先祖世业伤科，传至不佞，已三世矣。代以经济存心，不图蝇头微利。余稚幼时，
子以《人子须知》一书授余不肖曰∶此书实为六经之羽翼，人伦之大道，欲尽人子之道者，
从此始。是故不佞自垂髫以至弱冠，读书而外，并留心医学。讵知不才负罪良深，资禀愚钝
，不克远绍宗功，显扬祖德，少壮之年，即召陟屺之悲。尝闻家藏医书，系先君子所录。手
泽犹存。以是不揣鄙陋，节录伤科方药诸论，增附接骨入臼诸法，采珠探玉，集腋成裘，以
继先志，如下凡例云∶
一、伤科古无专门，附于疡医也。按周官云∶医师职掌四医∶疾医、疡医、食医、兽医
疡医分掌四症∶肿疡、溃疡、金疡、折疡。而金疡者，即金刃之伤也；折疡者，即跌扑骨折
之伤也。后有专其事者，或称正骨科，或称正体科。今即分列科门，总由损伤而成，故名之
一、是书目录，先经义而后叙骨论，次手法而再详证治，周身骨 自顶及踵，次序井
列如星布。惟方以类聚，丸散膏丹，名目不能细载，以方名字数多寡概之，如三字丸、五字
散、七字丹之类，挨次载录，以便翻阅。
一、《灵》、《素》经文，乃医家之祖，如读书家之五经也，其义渊源，故冠于卷首。
朝诸家论注，散见集中者，必详考姓氏书目，即片言只字，不敢妄袭，必按某书某氏曰。间
有自述一、二条，非独逞臆见，必引古而证今，然后敢畅其说，而竟其论。
一、脉乃四诊之一。损伤之症，虽有外形可观，然其五内虚实，血气盛衰，非察候脉息
，何由悉其病情。故广引《脉经》，详为解注，以便学人参悟也。
一、针灸之文无多，非阙略而仍其旧也。但其文简而详，即如论刺、论灸法中，兼及或
攻或补之义，简而且备。学人不可以非专科，少用针灸而忽之。
一、骨之图，骨之论，悉根据《部颁经书图注》论定。间有同骨异名，或异骨同名，或一
、三名，或三、四骨合一名，及乎骨之大小长短，并以男女互异不等，详参细释，同归一辙
。至骨之致命处，另为标出。
一、论筋，乃接骨上 之要事也。经曰∶诸筋皆属于节。节者骨之节 也，专是科者能
不讲乎。兹按《灵枢》经文，详为注释，列于简次，知有端绪也。
一、治跌闪折骨出臼，先用手法，按摩推拿，端提摸接，然后方可用器具夹缚，至用方
又在后也。故其次序，仍遵《金鉴》编例，稍有增补手法，悉注各骨之下。惟有用掮用牮之
法，附于注后，以广其则。
一、伤科证治，悉考薛氏《正体类要》，并《灵》、《素》经旨，以及各家方法，重为
。但以出汗附于发热之条，呕血并入作呕之下。较之《金鉴》，复加外邪、不食、头痛、筋
挛、肝火、湿痰、青肿、烂溃、不敛、伤风、发痉诸门，虽属兼症，而发明余绪，实可以备
参考。至注中议论，不过遍考经史，搜索前人着述，间或事出见闻，心怀臆断之文，敢以存
俟高明，定其可否也。
一、自颠顶骨至足跟骨，详加论注，并引手法治验，复增咽喉、肚腹二条，以补身图之
一、凡人跌闪之伤，多在手足四肢。手有肩、肘、腕三出臼之区，又有上下骨折之所；
有环跳、膝湾、踝骨三 ，大腿、小胫二折，左右共四折骨六出 ，与两手同。其接骨入
，家传秘法，无不各按诸骨图考，采录精详，公诸同业，于医学稍有裨益。
一、所集丸散膏丹方中，皆详载炮制分两，便于根据方预为修合，以备急用。至汤饮煎药
，偶有不载分两者，如古方之分两，难施于今人，因禀质有强弱，病样非一致；又如时方之
无分两者，可因人变通，增减为用也。更有古方，药味分两与今不同者，尽皆详考群书，别
其宜否而载之。
一、拙纂损伤、啮伤等门，即《金匮要略》云∶金刃虫兽所伤，非内外因也。然其条下
集附单方，不可执定此伤而用此药，总缘病无别致，方可通用也。
一、所附单方，即古之奇方也，本诸百家子书所录，皆系效验。窃恐用此者，或见笑于
，以致良璧怀疑，明珠见弃。故特为表出，使穷乡僻壤无医之处，按症选方，甚便甚捷。
一、是书凡属有关跌闪损伤之论无不搜罗，而片言只字似无遗漏，设或专门口授手法，
村妪野叟单方，若经试验，尽皆叙入。东坡曰∶若已经效于世间，不必皆从于己出。惟法近
怪异，药用胎骨之类，一概屏弃。卷尽十二，科专一门，学人珍之。
我祖上世代从事伤科医术，传到我这一代，已经是第三世了。历代祖先都以济世救人为宗旨，不贪图微小的利益。我年幼时，父亲将《人子须知》这本书交给我，说道：“这本书实际上是六经（中医经典理论体系）的辅助，是人伦大道的体现，想要尽到人子之道的人，从这里开始学习。”因此，我从童年到二十岁成年期间，除了读书之外，也留心医学。没想到我才疏学浅，罪过深重，资质愚钝，不能远承先祖功业，显扬祖德，在年少壮年之时，就遭遇了丧父之痛（陟屺之悲指父母去世）。曾经听说家中藏有医书，是已故父亲所记录。手泽（先人遗物或手迹）犹存。因此，我不自量力，节录伤科方药诸论，增补接骨入臼等方法，采撷精华，集腋成裘，以继承先人的志向，如下凡例所述：
一、伤科在古代没有专门的科室，附属于疡医（外科医生）。据《周礼》记载：医师掌管四种医生：疾医（内科）、疡医（外科）、食医（营养/饮食）、兽医。疡医分管四种病症：肿疡、溃疡、金疡、折疡。其中金疡，就是金属利器造成的创伤；折疡，就是跌打扑倒导致的骨折创伤。后来有专门从事此业的人，有的称为正骨科，有的称为正体科。现在既然分列科室门类，总归是由损伤而成，所以命名为伤科。
二、本书目录，先阐述经义，然后叙述骨骼理论，接着介绍手法，再详细讲解证治，全身骨骼从头顶到脚踵，次序井然排列如星斗分布。至于方剂，按类别聚集，丸散膏丹，名称繁多无法一一细载，以方名字数的多少来概括，如三字丸、五字散、七字丹之类，依次录入，以便翻阅。
三、《灵枢》、《素问》经文，是医家的祖师，如同读书人的五经一样，其义理渊源流长，所以冠于卷首。对于各朝各家关于经络的论述注释，散见于集中的，必定详细考证姓氏书目，即使是片言只字，也不敢随意抄袭，必须标明“某书某氏曰”。偶尔有自己陈述的一两条，并非独逞臆见，一定引用古书来证明今说，然后才敢畅述其说，完成其论述。
四、脉诊是四诊（望闻问切）之一。损伤的病症，虽然外形可以观察，但其五脏内里的虚实，气血的盛衰，如果不通过察候脉息，怎么能完全了解病情呢？所以广泛引用《脉经》，详细进行解释注释，以便学习者参悟。
五、针灸的文章不多，不是遗漏而保留旧貌。而是其文字简练而详尽，比如在论刺、论灸法中，兼及或攻或补的意义，简单而且完备。学习者不要因为不是专科，少用针灸而忽视它。
六、骨骼的图谱、骨骼的理论，都依据《部颁经书图注》审定。偶尔有同名异骨，或异骨同名，或一名多骨，或多骨合一名，以及骨骼的大小长短，并且男女互有不同不等，详细参考细致解释，归于统一标准。至于骨骼的致命部位，另外标示出来。
七、论筋，是接骨复位的重要事项。经书说：“诸筋皆属于节。”节者，是骨的关节处，专门从事此科的人能不讲求吗？这里按照《灵枢》经文，详细进行注释，列于简次，使学习者知道有头绪。
八、治疗跌闪折骨出臼，先用手法，按摩推拿，端提摸接，然后才可以使用器具夹缚，至于使用方药又在后面。所以其顺序，仍遵循《医宗金鉴》的编例，稍有增补手法，全部注明在各骨之下。只有使用掮（支撑）、牮（顶住）的方法，附于注后，以扩充其法则。
九、伤科证治，全部考察薛氏《正体类要》，以及《灵枢》、《素问》经旨，还有各家方法，重新编纂。但是把出汗附于发热条目下，呕血并入作呕条目下。与《医宗金鉴》相比，又增加了外邪、不食、头痛、筋挛、肝火、湿痰、青肿、烂溃、不敛、伤风、发痉等门类，虽然属于兼症，但发明余绪，实在可以作为参考。至于注释中的议论，不过是遍考经史，搜索前人著作，偶尔有事出见闻，心怀臆断的文字，敢于保存以待高明之士，判定其是否可行。
十、从颠顶骨至足跟骨，详细加以论注，并引用手法治疗的验案，又增加咽喉、肚腹两条，以补充身体图谱的不足。
十一、凡是人跌闪之伤，多在手足四肢。手有肩、肘、腕三个脱臼的区域，又有上下骨折的地方；有环跳、膝弯、踝骨三个关节，大腿、小腿两个骨折，左右共四个骨折六个关节，与两手相同。其接骨复位，家传秘法，无不根据各骨图谱考证，采集记录精详，公之于同业，对医学稍有裨益。
十二、所收集的丸散膏丹方中，都详细记载炮制和分量，便于根据方子预先调制，以备急用。至于汤饮煎药，偶尔有不记载分量的，如古方的分量，难以适用于今人，因为禀赋有强弱，病状不一致；又如时方没有分量，可以根据人变通，增减使用。更有古方，药味分量与今不同的，全都详细考证群书，辨别适宜与否而记载。
十三、拙作编纂损伤、啮伤等门类，即《金匮要略》所说：金刃虫兽所伤，不属于内因或外因。然而其条目下集合附有单方，不可固执地认为此伤就用此药，总缘于病无别致，方可通用。
十四、所附单方，即古代的奇方，本于百家子书所录，都是有效验的。担心使用者，或被嘲笑，以致良璧被怀疑，明珠被抛弃。所以特别表出，使穷乡僻壤无医之处，按症选方，甚便甚捷。
十五、本书凡属有关跌闪损伤的论述无不搜罗，片言只字似无遗漏，假设或者是专门口授的手法，村妇野老的单方，如果经过试验，全都叙入。东坡说：如果已经在世间有效，不必都出自己出。只有方法近于怪异，药用胎骨之类，一概摒弃。卷共十二卷，科专一门，学习者珍视。
My ancestors practiced orthopedics (traumatology) for generations. By the time it reached me, it had been three generations. Our family has always been dedicated to saving lives and helping others, not seeking trivial profits. When I was young, my father handed me a book titled *Renzi Xu Zhi* (Requirements for Filial Piety), saying: "This book is actually an aid to the Six Channels (a theoretical framework in TCM representing disease progression), embodying the great way of human relations. Those who wish to fulfill their duties as children should begin their study here." Therefore, from childhood until adulthood (around age 20), besides studying literature, I also paid attention to medicine. Alas, I am untalented and burdened with deep faults; my natural endowment is dull, and I cannot carry forward my ancestors' achievements or glorify their virtue. In my youth, I suffered the grief of losing my father (Zhiqi zhi bei, referring to the death of parents). I once heard that there were medical books hidden at home, recorded by my late father. His handwritten notes still remained. Thus, presuming upon my limited knowledge, I excerpted discussions on formulas and herbs for trauma, added methods for reducing fractures and dislocations, gathered pearls and jade (collected essential knowledge), and compiled this work to continue my predecessors' aspirations, as detailed in the following precepts:
1. Orthopedics did not have a specialized department in ancient times but was attached to Yang Yi (surgeons specializing in sores and wounds). According to the *Rites of Zhou*, physicians were responsible for four types: Ji Yi (internal medicine), Yang Yi (surgery), Shi Yi (dietetics), and Shou Yi (veterinary medicine). Yang Yi managed four conditions: Zhong Yang (swelling sores), Kui Yang (ulcerated sores), Jin Yang (injuries caused by metal blades), and Zhe Yang (fractures caused by falls and blows). Jin Yang refers to injuries from sharp metal objects; Zhe Yang refers to fractures from falling or striking. Later, specialists emerged, sometimes called Zheng Gu Ke (Orthopedic Department) or Zheng Ti Ke (Body Alignment Department). Now that we have separated these into specific departments, they all stem from injuries, hence the name "Shang Ke" (Traumatology).
2. The table of contents first explains canonical principles, then discusses bone theory, followed by manual techniques, and finally details syndrome differentiation and treatment. The bones of the entire body, from the crown to the heels, are listed in order like stars in the sky. Regarding formulas, they are grouped by category. Pills, powders, ointments, and elixirs are too numerous to list individually by full name; instead, they are summarized by character count, such as "Three-Character Pill," "Five-Character Powder," or "Seven-Character Elixir," listed sequentially for easy reference.
3. The texts of *Ling Shu* (Spiritual Pivot) and *Su Wen* (Basic Questions) are the ancestors of medical science, akin to the Five Classics for scholars. Their profound origins warrant their placement at the beginning of the volume. For commentaries on meridians by various schools throughout history, scattered within the collection, I have carefully verified authors and sources. Even a single phrase or word is not plagiarized without attribution; I strictly cite "So-and-so in Book X says." Occasionally, I include one or two personal statements, not to assert subjective views arbitrarily, but to cite ancient texts to validate modern applications before elaborating fully.
4. Pulse diagnosis is one of the Four Diagnostic Methods (Inspection, Auscultation/Olfaction, Inquiry, Palpation). Although external signs of trauma are visible, the deficiency or excess of the five internal organs and the flourishing or decline of Qi and Blood cannot be fully understood without examining the pulse. Therefore, I extensively quote the *Mai Jing* (Pulse Classic) and provide detailed annotations to facilitate learning and comprehension.
5. There are few articles on acupuncture and moxibustion, not due to omission but because the original texts are concise yet comprehensive. For instance, discussions on needling and moxibustion cover both reinforcing and reducing methods simply and thoroughly. Students should not neglect these techniques merely because they are not the primary focus of this specialty.
6. Bone diagrams and theories are based on the *Bu Ban Jing Shu Tu Zhu* (Illustrated Commentary on Officially Promulgated Classics). Rare cases of homonyms (different bones with same names) or synonyms (different names for same bone), or one name for multiple bones, are clarified. Variations in bone size and length between genders are also detailed and explained uniformly. Critical points where injury may be fatal are separately marked.
7. Discussion of tendons is crucial for fracture reduction. The classics state: "All tendons belong to the joints." Joints are the articulations of bones. Specialists in this field must study them. Here, I annotate according to the *Ling Shu*, providing clear guidelines for students.
8. For treating sprains, dislocations, and fractures, manual techniques such as massage, pushing, grasping, and aligning are applied first. Only after this can splints and bindings be used, and herbal prescriptions are addressed subsequently. This sequence follows the compilation style of *Yi Zong Jin Jian* (Golden Mirror of Medicine), with minor additions. Manual techniques are noted under each bone section. Methods involving support props (Qian and Jian) are appended to expand the rules.
9. Syndrome differentiation and treatment are based on Xue’s *Zheng Ti Lei Yao* (Classified Essentials for Body Alignment), the principles of *Ling Shu* and *Su Wen*, and other schools' methods. However, sweating is categorized under fever, and hematemesis under vomiting. Compared to *Yi Zong Jin Jian*, I have added sections on external pathogens, loss of appetite, headache, tendon spasms, Liver Fire, damp-phlegm, bruising, ulceration, non-healing, wind-cold invasion, and convulsions. Although these are accompanying symptoms, their clarification provides valuable reference material. Comments in the annotations are derived from extensive research of classics and historical texts. Subjective observations based on personal experience are included for experts to evaluate.
10. From the vertex bone to the heel bone, detailed annotations are provided, along with clinical cases of manual treatment. Two additional sections on the throat and abdomen are added to supplement the body diagram.
11. Traumatic injuries often affect the limbs. The upper limbs have three dislocation areas (shoulder, elbow, wrist) and sites for proximal and distal fractures. The lower limbs have three joint areas (hip/tiao-kuan, knee bend, ankle) and two fracture sites (thigh, shin). Each side has four fractures and six joints, mirroring the upper limbs. My family's secret methods for reducing fractures are meticulously documented based on bone charts and shared with peers to benefit medical practice.
12. Formulas for pills, powders, ointments, and elixirs include detailed processing instructions and dosages for easy preparation in emergencies. Decoctions may lack specific dosages if ancient weights are impractical for modern constitutions or if contemporary formulas allow flexibility. Ancient formulas with different ingredient ratios are cross-referenced with various texts to determine appropriateness before inclusion.
13. Sections on injuries and bites correspond to the *Jin Gui Yao Lue*'s description of injuries from metal, blades, insects, and beasts, which are neither purely internal nor external causes. Simple remedies collected under these headings are general-purpose, as the diseases themselves do not vary significantly in nature.
14. Attached simple remedies are ancient unique formulas recorded in various sub-school texts, all proven effective. To prevent them from being dismissed or ignored, I highlight them so that people in remote areas without access to doctors can select appropriate formulas easily and quickly.
15. This book collects all relevant discussions on sprains and fractures, leaving no stone unturned. Oral techniques from specialists and folk remedies from villagers, if tested, are included. As Su Dongpo said: "If it works in the world, it need not originate from oneself." However, bizarre methods or ingredients like fetal bones are excluded. The work comprises twelve volumes, focusing exclusively on this specialty. May students cherish it.