篇名：上编 外治法
分类：器具总论
属性：[1]跌扑损伤，虽用手法调治，恐未尽得其宜，以致有治如未治之苦，则
未可云医理之周详也。
[2]爰因身体上下、正侧之象，制器以正之，用辅手法之所不逮，以冀分
者复合，欹者复正，高者就其平，陷者升其位。
[3]则危证可转于安，重伤可就于轻，再施以药饵之功，更示以调养之善
，则正骨之道全矣。
按、方剂：
注：
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篇名：上编 外治法
分类：头面部
属性：[1]颊车骨，即下牙床骨也，俗名牙钓，承载诸齿，能咀食物，有运动之
象，故名颊车。
[2]其骨尾形如钩，上控于曲颊之环。
[3]或打仆脱臼，或因风湿袭入钩环脱臼，单脱者为错，双脱者为落。
[4]凡治脱者
<1>用手法摘下不脱者，以两手捧下颏，稍外拽，复向内托之，则双钩
皆入上环矣。
<2>再以布自地阁缠绕头顶以固之。
<3>宜内服正骨紫金丹，外贴万灵膏。
<4>待能饮食后，去布，只用布兜其下颏，系于顶上，二三日可愈。
[5]若双脱者，治法同前。若欠而致脱臼者，乃突滑也，无妨。
[6]脱臼者，俗名吊下巴。欠者，俗名打哈气。
按、方剂：[1]正骨紫金丹：见颠顶骨伤
[2]万灵膏：见囟骨伤
注：
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【上编 外治法 - 器具总论】
[1] 对于跌打损伤，虽然使用了手法进行调理治疗，但恐怕未能完全达到适宜的效果，从而导致出现“经过治疗却如同未治”的痛苦，这就不能说是医理周全详备了。
[2] 因此，依据人体上下、正面与侧面的形态特征，制作器具来矫正畸形，用以辅助手法治疗所无法达到的效果，期望使分离的骨骼重新复合，歪斜的恢复端正，高突的部位使其平整，凹陷的部位使其回升至正常位置。
[3] 这样，危重的证候可以转为平安，严重的创伤可以减轻为轻伤，再施以药物内服的功效，并指导良好的调养方法，那么正骨的方法就完备了。
【上编 外治法 - 头面部】
[1] 颊车骨（Jiache Bone），即下颌骨，俗称牙钩，承载所有的牙齿，能够咀嚼食物，具有运动的特性，因此得名颊车。
[2] 该骨的尾部形状像钩子，向上控制于曲颊部位的环状结构中。
[3] 或者因被打扑导致脱臼，或因风湿侵袭导致钩环处脱臼，单侧脱臼称为“错”，双侧脱臼称为“落”。
[4] 凡是治疗脱臼的情况：
<1> 使用手法将未完全脱出的部分复位：用双手捧住下巴，稍向外牵引，再向内托举，则双侧的钩状结构都能进入上方的环中。
<2> 再用布带从下巴缠绕至头顶以固定患处。
<3> 宜内服正骨紫金丹（Zhenggu Zijin Dan, Orthopedic Purple Gold Pill），外贴万灵膏（Wanling Gao, Ten Thousand Efficacy Plaster）。
<4> 待患者能够进食后，去掉布带，仅用布兜住下巴，系于头顶，二三日即可痊愈。
[Upper Compilation External Treatment Methods - General Discussion on Appliances]
[1] Regarding injuries from falls and blows, although manipulative techniques are used for treatment, it is feared that the effects may not be entirely appropriate, leading to the suffering of "treated as if untreated." This would imply that the medical principles are not comprehensive or detailed.
[2] Therefore, based on the anatomical features of the upper and lower body, as well as the anterior and posterior aspects, appliances are fabricated to correct deformities. These serve to assist manipulative techniques where they fall short, aiming to reunite separated bones, straighten misaligned structures, level protrusions, and elevate depressions to their normal positions.
[3] In this way, critical conditions can be stabilized, and severe injuries can be mitigated. Combined with the efficacy of internal herbal medicine and proper guidance on convalescence, the methods of bone-setting become complete.
[Upper Compilation External Treatment Methods - Head and Face]
[1] The Jiache Bone (Mandible), commonly known as the jaw hook, bears all the teeth and enables mastication. Due to its mobility, it is named Jiache.
[2] The tail end of this bone is shaped like a hook, which articulates upward into the ring-like structure at the angle of the jaw.
[3] Dislocation may result from trauma or be caused by wind-dampness invading the hook-and-ring joint. Unilateral dislocation is termed "Cuo" (misalignment), while bilateral dislocation is termed "Luo" (falling out).
[4] Treatment for dislocation:
<1> Use manual reduction for partial dislocations: Hold the chin with both hands, pull slightly outward, then push inward. This allows both hooks to re-enter the upper sockets.
<2> Secure the area by wrapping a cloth bandage from the chin over the top of the head.
<3> Internally administer Zhenggu Zijin Dan (Orthopedic Purple Gold Pill) and externally apply Wanling Gao (Ten Thousand Efficacy Plaster).
<4> Once the patient can eat, remove the main bandage but continue using a chin strap tied to the top of the head. Recovery typically occurs within two to three days.
[5] If bilateral dislocation occurs, the treatment method is the same as above. If dislocation results from yawning, it is considered a subluxation due to sliding, which is generally harmless.
[6] Dislocation is colloquially known as "hanging jaw." Yawning is colloquially known as "opening mouth wide."
Notes and Formulas:
[1] Zhenggu Zijin Dan: See section on Cranial Trauma.
[2] Wanling Gao: See section on Fontanelle Injury.