篇名：上编 外治法
分类：器具释义
属性：[1]叠砖者，以砖六块，分左右各叠置三块，两足踏于其上也。
[2]用法释义：
<1>凡胸腹腋胁，跌打碰撞垫努，以致胸陷而不直者。
<2>先令病人以两手攀绳，足踏砖上，将后腰拿住，各抽去砖一个，令
病人直身挺胸，少倾又各去砖一个，仍令直身挺胸，如此者三，其
足着地，使气舒瘀散，则陷者能起，曲者可直也。
<3>再将其胸以竹帘围裹，用宽带八条紧紧缚之，勿令窒碍。
<4>但宜仰睡，不可俯卧侧眠，腰下以枕垫之，勿令左右移动。
按、方剂：
注：
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篇名：上编 外治法
分类：四肢部
属性：[1]□骨者，肩端之骨，即肩胛骨臼端之上棱骨也。
[2]其臼含纳臑骨上端，其处名肩解，即肩□与臑骨合缝处也，俗名吞口
，一名肩头。
[3]其下附于脊背，成片如翅者，名肩胛，亦名肩髆，俗名□板子骨。
[4]以上若被跌伤
<1>手必屈转向后，骨缝裂开，不能抬举，亦不能向前，惟忸于肋后而
已。
<2>其气血皆壅聚于肘，肘肿如椎，其肿不能过腕，两手脉反胀，瘀血
凝滞。
<3>如肿处痛如针刺不移者，其血必化而为脓，则腕掌皆凉，或麻木。
[5]若臑骨突出
<1>宜将突出之骨，向后推入合缝，再将臑筋向内拨转，则臑、肘、臂
、腕皆得复其位矣。
<2>内服补筋丸，外贴万灵膏，烫洗用海桐皮汤，或敷白胶香散，或金
沸草汁涂之亦佳。
按、方剂：[1]补筋丸
此药专治跌仆踒闪，筋翻筋挛，筋胀筋粗，筋聚骨错，血脉壅滞，宣
肿青紫疼痛等证。
五加皮 蛇床子 好沉香 丁香 川牛膝 白云苓 白莲蕊 肉苁蓉
菟丝子 当归(酒洗) 熟地黄 牡丹皮 宣木瓜各一两 怀山药八钱
人参 广木香各三钱
共为细末，炼蜜为丸，弹子大，每丸重三钱，用好无灰酒送下。
[2]加减补筋丸
当归一两 熟地黄 白芍药各二两 红花 乳香 白云苓 骨碎补
各一两 广陈皮二两 没药三钱 丁香五钱
共为细末，炼蜜为丸，弹子大，每丸重三钱，用好无灰酒送下。
[3]白胶香散
治皮破筋断。
白胶香一味，为细末敷之。
[4]金沸草根
捣汁涂筋封口，二七日便可相续止痛。一贴即愈，不用再涂。
[5]万灵膏：见囟骨伤
[6]海桐皮汤：见两颧骨伤
注：
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上编 外治法 - 器具释义
[1] 叠砖：使用六块砖，左右各叠放三块，双脚踩踏在砖块之上。
[2] 用法释义：
<1> 凡是胸部、腹部、腋下及胁肋部，因跌打碰撞导致垫压努伤，致使胸骨凹陷且形态不直的情况。
<2> 先让病人双手攀住绳索，双脚踩在砖上，医者抓住病人的后腰部，每次各抽去一块砖（即每侧各取走一块），令病人挺直身体并挺胸；稍等片刻后，再次各抽去一块砖，仍令病人挺直身体并挺胸；如此操作三次，直到双脚着地，使气机舒畅、瘀血消散，则凹陷处能隆起，弯曲者可变直。
<3> 再用竹帘将胸部包裹围裹，用八条宽带紧紧缚扎，但不要束缚得过于紧促以致阻碍呼吸。
<4> 适宜仰卧睡眠，不可俯卧或侧卧，腰部下方用枕头垫高，不要让其左右移动。
按语：方剂：
注：
上编 外治法 - 四肢部
[1] □骨（肩胛骨）：指肩端的骨骼，即肩胛骨关节盂端的上缘棱骨。
[2] 其关节盂容纳肱骨上端，该部位名为“肩解”，即肩□与肱骨结合的缝隙处，俗称“吞口”，又名“肩头”。
[3] 其下部附着于脊背，成片状如翅膀者，名为“肩胛”，也名“肩髆”，俗称为“□板子骨”。
[4] 以上部位若遭受跌打损伤：
<1> 手臂必定屈曲转向后方，骨缝裂开，不能抬举，也不能向前伸展，只能扭动于肋骨后方而已。
<2> 气血皆壅聚于肘部，肘部肿胀如杵，肿胀程度不超过腕部，两手脉搏反而充盈胀大，瘀血凝滞。
<3> 如果肿胀处疼痛如针刺且位置固定不移，血液必然化而为脓，此时手腕和手掌都会发凉，或者出现麻木感。
[5] 若肱骨突出：
<1> 宜将突出的骨头向后推入结合缝中，再将肱筋向内拨转，则肱、肘、臂、腕各部皆可恢复原位。
<2> 内服补筋丸，外贴万灵膏，烫洗使用海桐皮汤，或敷白胶香散，或用金沸草汁涂抹也很好。
按语：方剂：
[1] 补筋丸
此药专门治疗跌仆踒闪（跌倒扭伤），筋翻筋挛，筋胀筋粗，筋聚骨错，血脉壅滞，宣肿青紫疼痛等症状。
五加皮、蛇床子、好沉香、丁香、川牛膝、白云苓、白莲蕊、肉苁蓉、菟丝子、当归（酒洗）、熟地黄、牡丹皮、宣木瓜各一两，怀山药八钱，人参、广木香各三钱。
共研为细末，炼蜜制成丸药，大小如弹子，每丸重三钱，用好无灰酒送服。
[2] 加减补筋丸
当归一两，熟地黄、白芍药各二两，红花、乳香、白云苓、骨碎补各一两，广陈皮二两，没药三钱，丁香五钱。
共研为细末，炼蜜制成丸药，大小如弹子，每丸重三钱，用好无灰酒送服。
[3] 白胶香散
治疗皮肤破损、肌腱断裂。
仅用白胶香一味药，研为细末敷患处。
[4] 金沸草根
捣烂取汁涂抹于筋断封口处，十四日即可接续止痛。一次贴敷即愈，无需再涂。
[5] 万灵膏：见囟骨伤章节
[6] 海桐皮汤：见两颧骨伤章节
注：
Upper Compilation: External Treatment Methods - Explanation of Instruments
[1] Diezhuan (Stacked Bricks): Use six bricks, stacking three on the left and three on the right, with both feet stepping upon them.
[2] Explanation of Usage:
<1> For cases involving the chest, abdomen, axilla, and hypochondrium where contusions or collisions cause compression injuries, resulting in a depressed and misaligned sternum.
<2> First, instruct the patient to grasp a rope with both hands and step on the bricks. The practitioner holds the patient's lower back, removing one brick from each side at a time. Instruct the patient to straighten their body and expand their chest. After a short while, remove another brick from each side, again instructing the patient to straighten their body and expand their chest. Repeat this process three times until the feet touch the ground. This allows the qi to flow smoothly and blood stasis to dissipate, thereby raising the depressed area and straightening the curvature.
<3> Wrap the chest tightly with a bamboo mat and secure it firmly with eight wide belts, ensuring not to bind so tightly as to obstruct breathing.
<4> The patient should sleep supine; prone or lateral sleeping is prohibited. Place a pillow under the waist to prevent left-right movement.
Note: Formulas:
Commentary:
Upper Compilation: External Treatment Methods - Limbs Region
[1] Jianjia Gu (Scapular Bone): Refers to the bone at the shoulder end, specifically the upper ridge of the glenoid cavity of the scapula.
[2] The glenoid cavity accommodates the proximal end of the humerus. This junction is named "Jianjie" (Shoulder Joint), which is the suture line where the scapula and humerus meet. It is commonly known as "Tunkou" or "Jiantou" (Shoulder Head).
[3] The lower part attaches to the back, appearing plate-like like wings, named "Jianjia" or "Jianbo," commonly referred to as "Banzi Gu" (Plate Bone).
[4] If the aforementioned areas suffer contusion injuries:
<1> The arm will inevitably flex backward, the joint space will separate, and lifting or forward extension becomes impossible; the limb can only twist behind the ribs.
<2> Qi and blood accumulate congestedly in the elbow, causing swelling resembling a pestle. The swelling does not extend beyond the wrist. The pulses in both wrists become surprisingly full and distended due to stagnant blood.
<3> If the swollen area experiences fixed, needle-like pain, the blood will likely transform into pus. Consequently, the wrists and palms may become cold or numb.
[5] If the humerus is dislocated/protruding:
<1> Push the protruding bone backward into the joint socket. Then, manipulate the humeral tendons inward. This will restore the humerus, elbow, forearm, and wrist to their proper positions.
<2> Internally administer Bujin Wan (Tendon-Replenishing Pill); externally apply Wanling Gao (Ten-Thousand Spirits Plaster). For hot washing, use Haitongpi Tang (Picrodera Decoction). Alternatively, apply Baijiaoxiang San (Styrax Powder) or smear Jinfeicao Zhi (Boehmeria Juice), which is also effective.
Note: Formulas:
[1] Bujin Wan (Tendon-Replenishing Pill)
This formula specifically treats contusions, sprains, tendon dislocation and spasms, tendon swelling and thickening, tendon aggregation with bone misalignment, blood vessel congestion, diffuse swelling, cyanosis, and pain.
Ingredients: Wujiapi (Acanthopanacis Cortex), Shechuangzi (Cnidii Fructus), Hao Chenxiang (Aquilariae Lignum Resinatum), Dingxiang (Caryophylli Flos), Chuan Niuxi (Achyranthis Bidentatae Radix), Bai Yunling (Poria), Bailianrui (Nelumbinis Plumula), Roushourong (Cynomorii Herba), Tuszisi (Cuscutae Semen), Danggui (Angelicae Sinensis Radix, wine-washed), Shudihuang (Rehmanniae Radix Preparata), Mudanpi (Moutan Cortex), Xuan Mugua (Chaenomelis Fructus) each 1 liang; Huai Shanyao (Dioscoreae Rhizoma) 8 qian; Renshen (Ginseng Radix), Guang Muxiang (Aucklandiae Radix) each 3 qian.
Process: Grind all ingredients into fine powder. Mix with refined honey to form pills the size of quail eggs. Each pill weighs 3 qian. Take with good, unadulterated rice wine.
[2] Jiajian Bujin Wan (Modified Tendon-Replenishing Pill)
Ingredients: Danggui (Angelicae Sinensis Radix) 1 liang; Shudihuang (Rehmanniae Radix Preparata), Baishao Yao (Paeoniae Radix Alba) each 2 liang; Honghua (Carthami Flos), Rushiag (Olibanum), Bai Yunling (Poria), Gusui Bu (Drynariae Rhizoma) each 1 liang; Guang Chenpi (Citri Reticulatae Pericarpium) 2 liang; Moyao (Myrrha), Dingxiang (Caryophylli Flos) 3 qian and 5 qian respectively.
Process: Grind all ingredients into fine powder. Mix with refined honey to form pills the size of quail eggs. Each pill weighs 3 qian. Take with good, unadulterated rice wine.
[3] Baijiaoxiang San (Styrax Powder)
Treats skin lacerations and tendon ruptures.
Ingredients: Only Baijiaoxiang (Styrax).
Preparation: Grind into fine powder and apply topically.
[4] Jinfeicao Gen (Boehmeria Root)
Preparation: Crush and extract juice. Apply to the severed tendon site. Healing and pain cessation occur within fourteen days. One application suffices for recovery; no further application is needed.
[5] Wanling Gao (Ten-Thousand Spirits Plaster): See section on Fontanelle Injury.
[6] Haitongpi Tang (Picrodera Decoction): See section on Zygomatic Bone Injury.
Commentary: