骨，即膝下踝上下腿骨也，俗名 胫骨。其形二根；在前名成骨，其形粗；在后名辅
骨，其形细，俗名劳堂骨。下至踝骨、 骨之下，足跗之上，两旁突出之高骨也。在内名内踝，
俗名合骨；在外为外踝，俗名核骨。其骱出者，一手抬住其脚踝骨，一手扳住脚后根拔直，
拨筋正骨，令其复位，其骱有声，转动如故，再用布带缚之，木板夹定，服舒筋活血汤。一
、二日后，解开视之，倘有未平，再用手法，按摩其筋结之处，必令端直，再服健步虎潜丸
。稍愈后，若遽行劳动，致 骨之端复走。向里歪者，则内踝突出肿大，向外歪者，则外踝
突出肿大，瘀聚凝结，步履无力，颇费调治，必待气血通畅，始可行动。若脚趾骱失，与
手指同法治之。跗者，足背也，一名足趺，俗称脚面，其骨乃足趾本节之骨也。其受伤不一
，轻者仅伤筋肉易治，重则骨缝参差难治。先以手轻轻搓摩，令其骨合筋舒，洗八仙逍遥汤
，贴万灵膏，内服健步虎潜丸及补筋丸可也。
凡人跌扑斗殴，内伤其血。复轻生投水，外着于寒，血得寒而凝结，寒得血而入深，未
有能生者也。治法先祛其寒，继逐其瘀。祛寒用麻桂温经汤，逐瘀投紫金丹。若迟延日久，则
气滞血凝，筋脉拘紧，手足挛拳，必致不治，急服大神效活络丹，冀其渐渐疏通，或可挽回
。若妇人怀孕受伤，不可妄投伤药，恐伤胎元，反为不美。宜服安胎和气饮，稍加祛瘀生新
之剂，使气血和，而痛自止矣。
骨，指的是膝盖以下、脚踝以上的腿部骨骼，俗称胫骨。它的形状由两根骨头组成；在前面的一根叫成骨，形体较粗；在后面的一根叫辅骨，形体较细，俗称劳堂骨。向下延伸至踝骨下方、足背上方两侧突出的高骨，就是踝骨。在内侧的称为内踝，俗称合骨；在外侧的称为外踝，俗称核骨。如果是关节脱位，一只手托住其脚踝骨，另一只手扳住脚后跟将其拔直，通过拨筋正骨的手法使其复位，听到关节复位的声响，活动恢复如常，再用布带捆绑固定，用木板夹板固定，服用舒筋活血汤。一两天后，解开查看，如果有未完全平整的地方，再用手手法处理，按摩有筋结的部位，务必使其端正笔直，然后再服用健步虎潜丸。稍有好转后，如果急于行走劳动，导致骨的末端再次错位。向内侧歪斜的，则内踝突出肿大；向外侧歪斜的，则外踝突出肿大，瘀血聚集凝结，走路无力，很难调理治疗，必须等到气血通畅，才可以行动。如果是脚趾关节脱位，治疗方法与手指相同。跗，指的是足背，也叫足趺，俗称脚面，这里的骨头是足趾第一指节（本节）的骨头。这里受伤的情况不一，轻的只是伤及筋肉，容易治疗；重的则骨缝参差不齐，难以治疗。先用双手轻轻搓摩，使骨头合拢、筋脉舒展，用八仙逍遥汤清洗，贴敷万灵膏，内服健步虎潜丸和补筋丸即可。
大凡跌打扑倒或斗殴，会导致体内损伤血液。如果再轻视生命跳入水中，外部受寒，血液遇到寒冷就会凝结，寒气侵入血液深处，这种情况没有能存活的。治疗方法先要祛除寒气，接着驱逐瘀血。祛寒使用麻桂温经汤，逐瘀使用紫金丹。如果拖延时间日久，就会导致气滞血凝，筋脉拘挛紧缩，手足蜷曲成拳，必定导致无法医治，急需服用大神效活络丹，希望它能逐渐疏通经络，或许还可以挽回局面。如果是妇女怀孕时受伤，不可胡乱投用伤科药物，恐怕伤害胎元，反而不好。应该服用安胎和气饮，稍微加入一些祛瘀生新的药剂，使气血调和，疼痛自然停止。
The *gu* (bone) refers to the leg bones below the knee and above the ankle, commonly known as the tibia. Its shape consists of two bones; the one in front is called *chenggu* (Cheng Bone), which is thicker; the one at the back is called *fugu* (Auxiliary Bone), which is thinner, commonly known as *laotanggu*. Extending downwards to the high bones protruding on both sides below the malleolus and above the dorsum pedis are the malleoli. The one on the medial side is named *neihuai* (Inner Malleolus), commonly known as *hegu*; the one on the lateral side is named *waihuai* (Outer Malleolus), commonly known as *hegu*. In cases of joint dislocation (*jia chu*), one hand supports the ankle bone while the other hand pulls the heel straight, employing tendon-pulling and bone-setting techniques to restore alignment. Upon hearing a click indicating reduction and restoration of mobility, bind with cloth straps and fix with wooden splints, then administer Shujin Huoxue Tang (Relax Tendons and Invigorate Blood Decoction). After one or two days, untie and inspect. If any misalignment remains, apply manual therapy to massage areas of tendon nodules until straightened, then administer Jianbu Huqian Wan (Strengthen Steps and Tiger-Hidden Pill). Once slightly improved, if one rushes to walk or labor, the ends of the bone may dislocate again. If displaced inward, the inner malleolus protrudes and swells; if displaced outward, the outer malleolus protrudes and swells. Blood stasis accumulates and coagulates, causing weakness in walking, making treatment difficult. One must wait until Qi and blood flow smoothly before ambulation is possible. For toe joint dislocations, treat them using the same method as for fingers. The *fu* (dorsum) refers to the top of the foot, also called *zudie*, commonly known as the foot surface. The bones here are those of the proximal phalanges (basic joints of the toes). Injuries here vary: mild cases involve only muscle and tendon injury and are easy to treat; severe cases involve misaligned bone gaps and are difficult to treat. Gently rub with hands initially to align bones and relax tendons, wash with Baxian Xiaoyao Tang (Eight Immortals Easeful Decoction), apply Wanling Gao (Myriad Spirits Plaster), and internally administer Jianbu Huqian Wan (Strengthen Steps and Tiger-Hidden Pill) and Bujin Wan (Reinforce Tendons Pill).
Generally, falls, blows, or fights cause internal damage to blood. If followed by jumping into water due to despair, external cold penetrates. When blood encounters cold, it coagulates; when cold enters deep into the blood, survival is unlikely. The treatment principle is first to dispel cold, then to drive out blood stasis. To dispel cold, use Magui Wenjing Tang (Cinnamon Twig and Ephedra Warming Meridians Decoction); to drive out stasis, use Zijin Dan (Purple Gold Elixir). If delayed for a long time, Qi stagnation and blood coagulation will lead to contracted tendons and meridians, resulting in curled hands and feet, inevitably becoming incurable. Urgently administer Dashenxiao Huoluo Dan (Great Divine Effect Unblocking Collaterals Elixir) to hope for gradual unblocking, possibly saving the patient. If a pregnant woman suffers an injury, do not recklessly administer trauma medicines, lest they harm the fetal origin, which would be detrimental. Instead, administer Antai Heqi Yin (Fetus-Securing and Qi-Harmonizing Drink), adding slightly agents that remove stasis and generate new tissue, so that Qi and blood harmonize and pain ceases naturally.