病原歌诀
损伤之症无多般，有所堕坠气不安，恶血内留兼大怒，积于胁下则伤肝。身经击仆痛难
醉饱行房复犯之，汗出当风漫不避，两般俱是病伤脾。举重用力骨多倾，交接无度必耗精，
入水远行并湿地，肾伤精骨共须惊。
脉证歌诀
肝脉坚长色不青，当知血积不流行，令人喘逆无休止，瘀带熏蒸入肺经，寸口脉浮微而
涩，血多亡失难收摄，经言夺血应无汗，必是金疮刀斧及。
宜忌歌诀
跌仆损伤脉要坚，却宜洪大数长弦，沉微涩小皆应忌，虚促逢之命不延。金疮失血见诸
芤，沉细虚微病可瘳，若遇浮洪并数大，须防七日内中忧。
针灸歌诀
恶血内留胸腹胀，先针然谷与冲阳，病如不已三毛上，左右大敦缪刺良。身有所伤血出
四肢不收曰体惰，急于脐下关元穴，艾炷灸之病即瘥。腰痛要寻环跳中，合谷主治破伤风，
臂伤不举肩井穴，针灸原来各有功。打仆伤损破伤风，先于痛处下针攻，后向承山刺与灸，
甄权留下意无穷。强痛脊背泻人中，挫闪腰酸治亦同，更有委中之一穴，腰间诸症任君攻。
浑身疼痛疾非常，不定穴中细审详，有筋有骨须浅刺，灼艾临时要度量。
《医宗金鉴》总论曰∶夫手法者，谓以两手安置所伤之筋骨，使仍复于旧也。但伤有轻
而手法各有所宜。其痊可之迟速，及遗留生理残障与否，皆关乎手法之所施得宜，或失其宜，或
未尽其法也。盖一身之骨体既非一致，而十二经筋之罗列序属又各不同，故必素知其体相，
识其部位，一但临证，机触于外，巧生于内，手随心转，法从手出。或拽之离而复合，或推
之就而复位，或正其斜，或完其阙，则骨之截断、碎断、斜断，筋之弛纵卷挛，翻转离合，
虽在肉里，以手扪之，自悉其情，法之所施，使患者不知其苦，方称为手法也。况所伤之处
多有关于性命者，如七窍上通脑髓，鬲近心君，四末受伤，痛苦入心者，即或其人元气素壮
，败血易于流散，可以克期而愈，手法亦不可乱施。若元气素弱，一但被伤，势已难支，设
法再误，则万难挽回矣，此所以尤当审慎者也。盖正骨者，须心明手巧，既知其病情，复善
用夫手法，然后治自多效。诚以手本血肉之体，其宛转运用之妙，可以一已之卷舒，高下疾
徐，轻重开合，能达病者之血气凝滞，皮肉肿痛，筋骨挛折，与情志之苦欲也。较之以器具
从事于拘制者，相去甚远矣。是则手法者，诚正骨之首务哉。
【病因歌诀】
损伤类的病症并没有太多种类，有的是因为坠落导致气机紊乱不安，（有的因为）恶血（瘀血）内留并伴有暴怒，积聚在胁下就会伤害肝脏。身体遭受击打或跌倒，疼痛剧烈难以忍受，如果在酒醉饱食后行房事又犯此禁忌，（会）汗出当风且漫不经心不加躲避，这两种情况都会导致脾脏受伤。举重用力时骨骼容易倾斜受损，房事没有节制必定耗损精气，进入水中、长途行走以及身处湿地，肾脏受伤，精气和骨骼都会令人惊惧担忧。
【脉证歌诀】
肝脉表现为坚实而长，面色却不发青，应当知道这是血积（瘀血停滞）不能流通，使人喘息逆气不止，瘀血熏蒸侵入肺经。寸口脉象浮微而涩，说明血液大量亡失难以收摄，医经说大量失血的人应该无汗，这必定是金疮（金属利器造成的创伤）、刀斧砍伤所致。
【宜忌歌诀】
跌仆损伤的脉象应当坚实，却适宜呈现洪大、数、长、弦的脉象；沉、微、涩、小的脉象都应当忌讳，如果出现虚促脉，遇到这种脉象生命难以为继。金疮失血出现各种芤脉（中空如葱管），如果是沉细虚微的脉象，疾病可以痊愈；如果遇到浮洪并且数大的脉象，必须防备七日内出现危忧。
【针灸歌诀】
恶血内留导致胸腹胀满，先针刺然谷穴和冲阳穴；如果病势不减，再刺头顶三毛处（百会穴附近），左右交替大敦穴进行缪刺效果良好。身体有所损伤出血，四肢不能收持称为“体惰”，急于在脐下的关元穴，用艾炷灸治，疾病即可痊愈。腰痛要寻找环跳穴，合谷穴主治破伤风，手臂受伤不能举起取肩井穴，针灸原本各有功效。被打扑损伤导致破伤风，先在疼痛处下针攻邪，随后向承山穴刺针与艾灸，这是甄权留下的意蕴无穷的方法。强痛脊背泻人中穴，挫闪腰酸的治疗方法也相同，更有委中这一穴位，腰间的各种病症任凭你攻治。浑身疼痛疾病非常严重，在不固定的穴位中仔细审察详辨，有筋有骨的地方须浅刺，施灸时要临时度量分寸。
《医宗金鉴》总论说道：所谓手法，是指用双手安置所受伤的筋骨，使其恢复到原来的状态。但是损伤有轻重的区别，而手法各有所适宜。其痊愈的快慢，以及是否遗留生理残障，都关乎手法施用是否得当，或者失当，或者未能完全掌握其法。因为一身的骨骼形体并不一致，而且十二经筋的罗列次序归属又各不相同，所以必须平时了解其体态相貌，识别其部位，一旦临证，外感机触于手，巧思生于内心，手随心转，法从手出。或者拽拉使分离者复合，或者推按使错位者复位，或者矫正其倾斜，或者修补其缺损，那么即使是骨的截断、碎断、斜断，筋的弛纵卷挛，翻转离合，虽然深在肌肉里面，用手触摸，自然能知晓其情状，手法施用，使患者不知其痛苦，这才称为手法。何况所伤之处多关系到性命，如七窍上通脑髓，膈肌近贴心君（心脏），四肢末端受伤，痛苦深入内心，即使其人元气素来强壮，败血易于流散，可以限期而愈，手法也不可以乱施。如果元气素来虚弱，一旦被伤，形势已经难以支撑，设法再误，则万难挽回，这就是之所以尤其应当审慎的原因。大概正骨者，必须心明手巧，既知道了病情，又善于运用手法，然后治疗自然多有效验。诚然手本是血肉之体，其宛转运用之妙，可以通过自己的一己之卷舒、高下、疾徐、轻重、开合，能够通达病者的血气凝滞、皮肉肿痛、筋骨挛折，以及情志的苦欲。这与使用器具从事拘制相比，相差甚远了。这样看来，手法确实是正骨的首要任务啊。
[Song on Etiology]
Injuries and traumas are not of many types. Some result from falls causing Qi disturbance and unrest; some involve the retention of evil blood (stasis) accompanied by sudden anger, accumulating under the hypochondrium to injure the Liver. The body suffers blows or falls, pain is severe and hard to endure; if one engages in sexual intercourse after being drunk or full, violating this taboo, and sweats while exposed to wind without avoidance, both these scenarios injure the Spleen. Lifting heavy weights with force often leads to bone displacement; excessive sexual activity inevitably depletes Essence. Entering water, traveling long distances, and dwelling in damp places injure the Kidney, causing alarm regarding the depletion of Essence and damage to bones.
[Song on Pulse and Symptoms]
The Liver pulse is firm and long, yet the complexion is not green; one should know that this indicates blood accumulation (stasis) failing to circulate, causing incessant wheezing and counterflow qi, where stasis steams and invades the Lung Meridian. If the Cun Kou pulse is floating, faint, and choppy, it signifies massive blood loss that is difficult to control. The classics state that those who have lost much blood should have no sweat; this must be due to metal wounds (trauma from sharp instruments), cuts, or axe injuries.
[Song on Indications and Contraindications]
For fall and trauma injuries, the pulse should be firm, preferably presenting as洪大 (Surging), 数 (Rapid), 长 (Long), or 弦 (Wiry). Pulses that are 沉 (Deep), 微 (Faint), 涩 (Choppy), or 小 (Fine) are all contraindicated; encountering a 虚促 (Deficient and Interrupted) pulse portends a shortened lifespan. For metal wound blood loss, various 芤 (Hollow) pulses may appear; if the pulse is Deep, Fine, Deficient, and Faint, the disease can heal. However, if the pulse is Floating, Surging, Rapid, and Large, one must beware of danger within seven days.
[Song on Acupuncture and Moxibustion]
When evil blood (stasis) remains internally causing chest and abdominal distension, first needle Ran Gu (KI2) and Chong Yang (ST42). If the condition persists, prick the hair tuft at the vertex (Baihui area) and perform Mu Ci (lateral needling) on Da Dun (LR1) on both sides for good effect. When the body is injured and bleeding, leading to limbs unable to hold themselves, termed "Body Laziness" (Ti Duo), urgently moxa the Guan Yuan (CV4) point below the umbilicus with moxa cones, and the disease will heal. For lower back pain, seek Huan Tiao (GB30); He Gu (LI4) treats tetanus; for arm injuries where lifting is impossible, use Jian Jing (GB21). Acupuncture and moxibustion each have their merits. For tetanus resulting from trauma, first attack the needle at the painful site, then needle and moxa Cheng Shan (BL57); this profound method was left by Zhen Quan. To drain strong pain in the spine, reduce Ren Zhong (GV26); the treatment for sprains and waist soreness is the same. Furthermore, Wei Zhong (BL40) is a point that allows you to treat various waist conditions. For general body pain from severe illness, carefully examine the non-fixed acupoints. Where tendons and bones are involved, shallow needling is required; when applying moxa, measure the dosage appropriately.
*General Discussion from Yi Zong Jin Jian*: The term "manual manipulation" refers to using both hands to position injured sinews and bones, restoring them to their original state. However, injuries vary in severity, and different manipulations are suitable for different cases. The speed of recovery and whether physiological disabilities remain depend entirely on whether the manipulation was applied appropriately, improperly, or incompletely. Since the skeletal structure of the whole body is not uniform, and the arrangement and affiliation of the twelve sinew meridians differ, one must thoroughly understand the body's morphology and identify its locations beforehand. Once clinical practice begins, external tactile cues trigger internal ingenuity; the hand follows the mind, and the technique emerges from the hand. One may pull apart separated parts to rejoin them, or push displaced parts to restore them; one may correct obliquity or repair defects. Even if bones are fractured, shattered, or obliquely broken, and sinews are lax, contracted, twisted, or dislocated, although deep within the flesh, palpation with the hand reveals the situation clearly. When the technique is applied such that the patient feels no pain, it is truly called manual manipulation. Moreover, since many injury sites relate to life itself—for example, the seven orifices connect upward to the brain marrow, the diaphragm is near the Heart (the Monarch), and injuries to the four extremities cause pain that enters the heart—even if the patient has robust primordial Qi and the defeated blood disperses easily allowing for timely recovery, manual manipulation must not be applied recklessly. If the patient’s primordial Qi is inherently weak, once injured, the condition is already difficult to sustain; if further error occurs in treatment, it becomes irretrievable. This is why extreme caution is required. Generally, bone-setters must have clear minds and skillful hands; knowing the condition and adeptly using manual techniques ensures effective treatment. Indeed, the hand is flesh and blood; its subtlety of movement, through flexion and extension, high and low, fast and slow, heavy and light, opening and closing, can penetrate the patient's stagnant Qi and blood, swollen and painful skin and flesh, contracted and broken sinews and bones, and the desires and aversions of emotional states. Compared to using rigid instruments for fixation, this is vastly superior. Thus, manual manipulation is indeed the primary task of bone-setting.