接骨者，使已断之骨合拢一处，复归于旧位也。凡骨之断而两分，或折而陷下，或破而
散乱，或岐而傍突，相其情势，徐徐接之，使断者复续，陷者复起，碎者复完，突者复平，皆赖
乎手法也。或皮肉不破者，骨若全断，动则辘辘有声。如骨损未断，动则无声。或有零星
败骨在内，动则淅淅之声，后必溃烂流脓。其骨已无生气，脱离肌肉，其色必黑，小如米粒
，大若指头，若不摘去，溃烂经年，急宜去净。如其骨尚未离肉，不可生割，恐伤其筋，俟
其烂脱，然后去之。治法∶先用代痛散煎汤熏洗，将其断骨拔直相对，按摩平正如旧，先用
布条缚紧，又将糕匣木板修圆绑之，又将布条缠缚，再将杉篱环抱外边，取其紧劲挺直，使
骨
，仍照前法。二、三月间，换绑数次，百日可痊。凡人断臂与断膊，断腿与断 ，绑法相同
，治分上下。或用器具，与形体相得，随机变化可也。或筋断者，难续。盖筋因柔软，全断
则缩于肉里，无用巧之处也；若断而未全，宜用续筋药敷之，内服壮筋养血汤可愈。
（附失颈）
下颏者，即牙车相交之骨也。若脱，则饮食言语不便，由肾虚所致。其骱曲如环形，与
上颊
推进，其骱有响声，齿能合者上也。服补肾壮筋汤。
夫人之筋，赖气血充养，寒则筋挛，热则筋纵，筋失营养，伸舒不便。感冒风寒，以患
失颈，头不能转，使患人低坐，用按摩法频频揉摩，一手按其头，一手扳其下颏，缓缓伸舒，令
其正直，服疏风养血汤可也。
接骨，就是让已经断裂的骨头重新合拢一处，恢复到原来的位置。凡是骨头断裂分成两截，或者折断后陷入下方，或者破碎散乱，或者分叉旁突，都要观察其具体情况和态势，慢慢地进行接续，使断裂的重新连接，陷入的重新抬起，破碎的重新完整，旁突的重新平整，这些都依赖于手法操作。如果皮肤肌肉没有破损，但骨头完全断裂，活动时会有辘辘的声音；如果骨头受损但未完全断裂，活动时则没有声音。如果有零星的坏死骨头在体内，活动时会发出淅淅的声音，之后必然溃烂流脓。这些骨头已经失去生机，脱离了肌肉，颜色必定发黑，小的像米粒，大的像指头，如果不摘除干净，会溃烂经年，应当急于去除干净。如果骨头尚未脱离肌肉，不可强行切割，恐怕损伤筋脉，等到它腐烂脱落后再去除。治疗方法：先用代痛散煎汤熏洗，将断骨拔直并对准，按摩使其平整如旧，先用布条缚紧，又将糕匣木板修圆绑住，再用布条缠缚，最后用杉篱环抱在外边，取其紧致挺直的特性，使骨头固定，仍照前面的方法。二、三个月之间，更换绑扎数次，一百天可以痊愈。凡是手臂或上臂骨折，大腿或小腿骨折，绑扎的方法相同，治疗分为上部与下部区别。或者使用器具，与身体形态相适应，随机变化即可。如果是筋断裂，难以接续。因为筋具有柔软特性，完全断裂则会缩入肉里，无法用技巧接续；如果断裂但未完全断开，适宜用续筋药敷贴，内服壮筋养血汤可以治愈。
（附：下颌关节脱位）
下颏，即牙车相交的骨头。如果脱位，则饮食言语不便，这是由于肾虚所致。其关节弯曲如环形，向上颊推进，其关节有响声，牙齿能闭合的是上等复位效果。服用补肾壮筋汤。
人的筋，依赖气血充养，受寒则筋脉拘挛，受热则筋脉松弛，筋失去营养，伸展舒张不便。感冒风寒，导致患上下颌关节脱位，头部不能转动，让患者低坐，用按摩法频频揉摩，一手按住头部，一手扳动下颏，缓缓伸展舒张，令其正直，服用疏风养血汤即可。
Bone setting is the process of bringing broken bones together to restore them to their original position. When a bone is fractured into two parts, depressed, shattered and scattered, or displaced with abnormal protrusions, one must observe the specific condition and situation, and slowly perform reduction maneuvers to reconnect the fracture, elevate the depression, reconstruct the integrity of the shattered fragments, and flatten the protrusions. All these depend on manual techniques. If the skin and flesh are intact but the bone is completely fractured, movement produces a rattling sound; if the bone is damaged but not completely fractured, there is no sound upon movement. If there are small pieces of necrotic bone inside, movement produces a rustling sound, which will inevitably lead to ulceration and pus discharge later. These bones have lost vitality and detached from the muscle tissue; their color must be black, ranging in size from rice grains to finger segments. If not removed thoroughly, they will cause chronic ulceration for years, so it is urgent to remove them completely. If the bone has not yet detached from the muscle, do not forcibly cut it, as this may damage the tendons; wait until it decays and falls off before removing it. Treatment method: First, fumigate and wash with a decoction of Daisheng San (Pain-Relieving Powder). Straighten and align the fractured bone ends, massage them to be flat and smooth as before. Secure tightly with cloth strips, then bind with a rounded wooden board from a cake box, wrap again with cloth strips, and finally embrace the outside with a bamboo splint (Shanli), utilizing its tightness and straightness to fix the bone, following the previous method. Change the binding several times between the second and third months; recovery can be expected within one hundred days. The binding methods for fractures of the arm or forearm, thigh or leg are the same, though treatment distinguishes between upper and lower body parts. Instruments may be used according to the body shape, adapting flexibly as needed. If a tendon is ruptured, it is difficult to reconnect. Because tendons are soft, a complete rupture causes them to retract into the muscle, making technical repair impossible; if the rupture is incomplete, applying tendon-repairing medicine externally and taking Zhuangjin Yangxue Tang (Tendon-Strengthening and Blood-Nourishing Decoction) internally can lead to cure.
(Attachment: Mandibular Dislocation)
The mandible refers to the bone at the temporomandibular joint. Dislocation results in difficulty in eating and speaking, caused by Kidney Deficiency. The condyle is curved like a ring. Pushing it upward toward the zygomatic arch, if the joint makes a clicking sound and the teeth can close properly, it indicates successful reduction. Take Bushen Zhuangjin Tang (Kidney-Nourishing and Tendon-Strengthening Decoction).
Human tendons rely on Qi and Blood for nourishment. Cold causes tendon contraction, while heat causes tendon laxity. Loss of nutrition leads to difficulty in extension and relaxation. Contracting wind-cold may result in mandibular dislocation, where the head cannot turn. Have the patient sit low, use massage techniques to frequently rub and knead, hold the head with one hand and pull the mandible with the other, slowly extending and relaxing until alignment is restored. Taking Shufeng Yangxue Tang (Wind-Dispersing and Blood-Nourishing Decoction) is appropriate.