篇名：上编 外治法
分类：头面部
属性：[1]地阁骨，即两牙车相交之骨，又名颏，俗名下巴骨，上载齿牙。
[2]打扑损伤者，□唇肿痛，牙车振动虚浮，饮食不进，目闭神昏，心热
神乱，气弱体软。
[3]用布兜裹系缚顶上
<1>内服大神效活络丹消瘀散，止痛和血，理气健脾。
<2>再噙化人参紫金丹。
<3>搽固齿散，口漱荜拨散，以去牙根肿痛。
<4>外贴万灵膏
<5>忌风寒冷物，戒气恼。
按、方剂：[1]大神效活络丹
此丹宣畅气血，通利经络，并风湿诸痹，口眼喎斜，半身不遂，行步
艰难，筋骨拘挛，手足疼痛等证。
白花蛇（酒浸，焙） 乌梢蛇（酒浸，涪） 麻黄（去节） 防风
灸草 官桂 草豆蔻 羌活 元参 天麻 藿香 何首乌 白芷
川连黄 老耆 熟地黄 川大黄各二两 辽细辛 赤芍药 砂(水飞)
没药（去油） 乳香（去油） 直僵蚕（去黑嘴，炒） 天竺黄
败龟板（酥炙） 丁香 虎胫骨（稣炙） 乌药 青皮 黑附子
白蔻仁（炒） 骨碎补 白茯苓 于白术（土炒） 当归（酒洗）
沉香各一两 金蝎（去毒） 葛根 威灵仙（酒浸）各二两五钱
瓜儿血竭 犀角各七钱五钱 麝香五钱 地龙（去土）五钱
净松香五钱 两头尖 川芎各二两 京牛黄二钱五分 片脑二钱五分
共为细末，炼蜜为丸，金铂为衣，每丸重一钱，以蜡皮封裹，温酒送
，随病上下，食前后服。
[2]人参紫金丹：见山角骨伤
[3]固齿散：见齿伤
[4]荜拨散：见两颧伤
[5]万灵膏：见颠顶伤
注：
%
【上编 外治法】
【分类：头面部】
[1] 地阁骨，即两侧牙车穴相交处的骨骼，又称颏部，俗称下巴骨，上方承载牙齿。
[2] 若因跌打损伤导致该部位受伤，会出现嘴唇肿胀疼痛，牙车骨振动且感觉虚浮松动，饮食无法进食，眼睛闭合、神志昏迷，心中烦热、精神错乱，气息虚弱、身体软弱无力等症状。
[3] 治疗时，用布兜裹并系缚于头顶以固定头部。
<1> 内服大神效活络丹，以消除瘀血、散除淤滞，止痛并调和血液，调理气机并健脾。
<2> 再含化服用人参紫金丹。
<3> 外搽固齿散，口中漱洗荜拨散，以去除牙根部位的肿痛。
<4> 外部贴敷万灵膏。
<5> 忌避风寒冷之物，戒除愤怒恼怒情绪。
按语及方剂详解：
[1] 大神效活络丹：
此丹药能宣通畅达气血，疏通利导经络，主治风湿等引起的各种痹证，以及口眼歪斜、半身不遂、行走困难、筋骨拘挛抽搐、手足疼痛等证候。
药材组成：白花蛇（酒浸，焙干）、乌梢蛇（酒浸，焙干）、麻黄（去节）、防风、灸草（炙甘草）、官桂、草豆蔻、羌活、元参、天麻、藿香、何首乌、白芷、川连黄（黄连）、老耆（黄芪）、熟地黄、川大黄各二两、辽细辛、赤芍药、砂仁（水飞处理）、没药（去油）、乳香（去油）、直僵蚕（去黑嘴，炒制）、天竺黄、败龟板（酥炙）、丁香、虎胫骨（酥炙）、乌药、青皮、黑附子、白蔻仁（炒制）、骨碎补、白茯苓、于白术（土炒）、当归（酒洗）、沉香各一两、金蝎（全蝎，去毒）、葛根、威灵仙（酒浸）各二两五钱、瓜儿血竭、犀角各七钱五分、麝香五钱、地龙（去土）五钱、净松香五钱、两头尖、川芎各二两、京牛黄二钱五分、片脑（冰片）二钱五分。
制作与服用方法：共研为细末，用炼蜜制成丸药，以金箔为衣，每丸重一钱，用蜡皮密封包裹，温酒送服，根据病位在上或在下，分别在饭前或饭后服用。
[2] 人参紫金丹：参见“山角骨伤”章节。
[3] 固齿散：参见“齿伤”章节。
[4] 荜拨散：参见“两颧伤”章节。
[5] 万灵膏：参见“颠顶伤”章节。
[Upper Compilation: External Treatment Methods]
[Classification: Head and Face]
[1] The "Di Ge" bone refers to the bone at the intersection of the two sides of the mandible (jaw joint), also known as the chin, commonly called the lower jaw bone, which supports the teeth above.
[2] In cases of contusion or trauma, symptoms include swelling and pain of the lips, vibration and looseness of the mandibular bone, inability to eat, closed eyes with coma, internal heat with mental confusion, weak qi, and physical weakness.
[3] Treatment involves wrapping and binding the head with cloth to fixate it on the vertex.
<1> Internally administer Dashenxiao Huoluo Dan (Great Divine Efficacy Meridian-Activating Pill) to eliminate blood stasis, disperse accumulation, relieve pain, harmonize blood, regulate qi, and strengthen the spleen.
<2> Subsequently, hold in the mouth and dissolve Renshen Zijin Dan (Ginseng Purple Gold Pill).
<3> Apply Guchi San (Teeth-Strengthening Powder) externally, and rinse the mouth with Bibo San (Long Pepper Powder) to alleviate swelling and pain of the tooth roots.
<4> Externally apply Wanling Gao (Ten Thousand Spirits Plaster).
<5> Avoid wind and cold foods, and refrain from anger and irritation.
Notes and Formula Details:
[1] Dashenxiao Huoluo Dan (Great Divine Efficacy Meridian-Activating Pill):
This pill promotes the circulation and unblocking of Qi and Blood, and unblocks the meridians. It treats various Bi syndromes caused by wind-dampness, facial paralysis (deviation of mouth and eyes), hemiplegia, difficulty walking, tendon contraction and spasms, and pain in the limbs.
Ingredients: *Agkistrodon* (Baihua She, soaked in wine, roasted), *Zaocys* (Wushao She, soaked in wine, roasted), *Ephedrae Herba* (Mahuang, nodes removed), *Saposhnikoviae Radix* (Fangfeng), *Glycyrrhizae Radix et Rhizoma Preparatum* (Zhicao/Gancao prepared with honey), *Cinnamomi Cortex* (Guigui), *Amomi Fructus Rotundus* (Caodoukou), *Notopterygii Rhizoma et Radix* (Qianghuo), *Scrophulariae Radix* (Yuanshen), *Gastrodiae Rhizoma* (Tianma), *Agastaches Herba* (Huoxiang), *Polygoni Multiflori Radix* (Heshouwu), *Angelicae Dahuricae Radix* (Baizhi), *Coptidis Rhizoma* (Chuanlianhuang/Coptis), *Astragali Radix* (Laoqi/Huangqi), *Rehmanniae Radix Preparata* (Shudihuang), *Rhei Radix et Rhizoma* (Chuandahuang), each 2 liang; *Asari Radix et Rhizoma* (Liaoxixin), *Paeoniae Radix Rubra* (Chishaoyao), *Amomi Semen* (Sharen, water-flown), *Myrrha* (Moyao, oil removed), *Olibanum* (Ruxiang, oil removed), *Bombyx Batryticatus* (Zhi Jiangcan, black mouth removed, stir-fried), *Bambusae Concretio Silicea* (Tianzhuhuang), *Testudinis Carapax et Plastrum* (Baiguiban, fried with酥), *Syzygii Aromatici Flos* (Dingxiang), *Panthera tigris* bone (Hu Jinggu, fried with酥), *Aucklandiae Radix* (Wuyao), *Citri Reticulatae Pericarpium* (Qingpi), *Aconiti Lateralis Radix Preparata* (Heifuzi), *Amomi Fructus Rotundus* (Baikourén, stir-fried), *Drynariae Rhizoma* (Gusuibu), *Poria* (Baifuling), *Atractylodis Macrocephalae Rhizoma* (Yubaizhu, soil-fried), *Angelicae Sinensis Radix* (Danggui, wine-washed), *Aquilariae Lignum Resinatum* (Chenxiang), each 1 liang; *Scorpio* (Jinxie/Quanxie, detoxified), *Puerariae Radix* (Gegen), *Salviae Miltiorrhizae Radix* (Weilingxian, soaked in wine), each 2.5 liang; *Sanguis Draconis* (Gua'er Xuejie), *Rhinocerotis Cornu* (Xijiao), each 0.75 liang; *Moschus* (Shexiang) 0.5 liang; *Pheretima* (Dilong, earth removed) 0.5 liang; *Pinus Rosin* (Jingsongxiang) 0.5 liang; *Acronychia pedunculata* (Liangtoujian), *Ligusticum Chuanxiong Rhizoma* (Chuanxiong), each 2 liang; *Bovis Calculus* (Jing Niuhuang) 0.25 liang; *Borneolum Syntheticum* (Pian Nao/Bingpian) 0.25 liang.
Preparation and Administration: Grind all ingredients into a fine powder, mix with refined honey to form pills, coat with gold foil. Each pill weighs 1 qian. Seal with wax skin. Take with warm wine according to the location of the disease (upper or lower body), either before or after meals.
[2] Renshen Zijin Dan (Ginseng Purple Gold Pill): See section on "Shanjiao Bone Injury".
[3] Guchi San (Teeth-Strengthening Powder): See section on "Tooth Injury".
[4] Bibo San (Long Pepper Powder): See section on "Zygomatic Injury".
[5] Wanling Gao (Ten Thousand Spirits Plaster): See section on "Vertex Injury".