篇名：上编 外治法
分类：灵枢经骨度尺寸
属性：[1]膂骨以下至尾□二十一节，长三尺。(膂骨，脊骨也。脊骨外小而内巨
，人之所以能负任者，以是骨之巨也。脊骨二十四节，今云二十一节
者，除项骨三节不在内。)
[2]腰围四尺二寸。
按、方剂：背部折法：
[1]自大椎至尾□，通折三尺。
[2]上七节，各长一寸四分一厘，共九寸八分七厘。
[3]中七节，各一寸六分一厘，共一尺一寸二分七厘。
[4]第十四节与脐平。
[5]下七节各一寸二分六厘，共八寸八分二厘。
[6]共二尺九寸九分六厘，不足四厘者，有零未尽也。
[7]直寸根据此，横寸用中指同身寸法。
[8]脊骨内阔一寸。
[9]凡云第二行侠脊一寸半，三行侠脊三寸者，皆除脊一寸外，净以寸半
三寸论，故在二行当为二寸，在三行当为三寸半也。
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篇名：上编 外治法
分类：头面部
属性：[1]凌云骨，在前发际下，即正中额骨。
[2]其两眉上之骨，即俗名左天贤骨，右天贵骨，两额角也。
[3]跌打损伤，皮破，二目及面浮虚肿
<1>若内损瘀血，上呕吐衄，气虚昏沉，不省人事，身软，面色干黄，
遍身虚浮，躁烦焦渴，胸膈疼痛，脾胃不开，饮食少进。
<2>先服疏血丸，再以五加皮汤熏洗患处，敷乌龙膏，定痛消肿。
按、方剂：[1]疏血丸
此药止血开胃。
百草霜三钱 好阿胶（蛤粉炒成珠） 藕节 侧柏叶 茅根
当归（酒洗）各一两
共为细末，炼蜜为丸，如梧桐子大，每服五钱，早晚老酒送下。
[2]五加皮汤
此汤舒筋和血，定痛消瘀。
当归（酒洗） 没药 五加皮 皮硝 青皮 川椒 香附子各三钱
丁香一钱 麝香一分 老葱三根 地骨皮一两 丹皮二钱
水煎滚，熏洗患处。
[3]乌龙膏
此膏治跌打损伤，筋断骨折，肿硬青紫。
百草霜三钱 白芨五钱 白敛三钱 百合五钱 百部三钱 乳香五钱
没药五钱 麝香一分 糯米(炒)一两 陈粉子(隔年者佳，炒)四两
共为细末，醋熬为膏。
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【背景信息】
书名：《医宗金鉴》 作者：吴谦 朝代：清 章节：背部 / 凌云骨 类别：医论
【待处理原文】
篇名：上编 外治法
分类：灵枢经骨度尺寸
属性：[1]从脊骨（脊柱）以下至尾闾骨共二十一节，全长三尺。（注：膂骨即脊骨。脊骨外部细小而内部粗大，人之所以能承担重物，是因为这块骨头粗壮。脊骨共有二十四节，此处说二十一节，是排除了颈部的三节。）
[2]腰部周长四尺二寸。
按语、方剂：背部折量法：
[1]自大椎穴至尾闾骨，总长度为三尺。
[2]上部七节，每节长一寸四分一厘，共计九寸八分七厘。
[3]中部七节，每节长一寸六分一厘，共计一尺一寸二分七厘。
[4]第十四节与肚脐平齐。
[5]下部七节，每节长一寸二分六厘，共计八寸八分二厘。
[6]总计二尺九寸九分六厘，不足的四厘为余数未计入。
[7]直寸测量依据此标准，横寸采用中指同身寸法。
[8]脊骨内部宽度为一寸。
[9]凡提到“第二行距脊骨一寸半”、“第三行距脊骨三寸”的情况，都是除去脊骨本身的一寸宽度后，净以一寸半和三寸来计算，所以在第二行实际应为二寸，在第三行实际应为三寸半。
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篇名：上编 外治法
分类：头面部
属性：[1]凌云骨，位于前发际下方，即正中的额骨。
[2]其两侧眉毛上方的骨头，即俗称的左天贤骨、右天贵骨，也就是两额角。
[3]跌打损伤，皮肤破损，双眼及面部浮肿虚肿。
<1>若体内有瘀血损伤，向上呕吐或鼻出血，气虚昏沉，不省人事，身体软弱，面色干枯发黄，全身浮肿，烦躁焦渴，胸膈疼痛，脾胃运化不开，饮食减少。
<2>先服用疏血丸，再用五加皮汤熏洗患处，敷贴乌龙膏，以定痛消肿。
按语、方剂：[1]疏血丸
此药具有止血开胃的功效。
百草霜三钱 好阿胶（用蛤粉炒成珠状） 藕节 侧柏叶 白茅根
当归（酒洗）各一两
共同研为细末，用炼蜜制成丸药，大小如梧桐子，每次服用五钱，早晚用老酒送服。
[2]五加皮汤
此汤具有舒筋和血、定痛消瘀的功效。
当归（酒洗） 没药 五加皮 皮硝 青皮 川椒 香附子各三钱
丁香一钱 麝香一分 老葱三根 地骨皮一两 丹皮二钱
用水煎煮至沸腾，用于熏洗患处。
[3]乌龙膏
此膏用于治疗跌打损伤、筋断骨折、肿胀坚硬及青紫等症状。
百草霜三钱 白芨五钱 白敛三钱 百合五钱 百部三钱 乳香五钱
没药五钱 麝香一分 糯米（炒制）一两 陈粉子（隔年者佳，炒制）四两
共同研为细末，用醋熬制成膏。
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[Background Information]
Book: *Yizong Jinjian* (Golden Mirror of the Medical Tradition)
Author: Wu Qian
Dynasty: Qing
Chapter: Back / Lingyun Bone
Category: Medical Discourse
[Original Text to Process]
Section Title: Upper Compilation - External Treatment Methods
Classification: Dimensions of Bones from the *Ling Shu Jing* (Spiritual Pivot)
Attributes: [1] From the spinal bone (spine) down to the coccyx, there are twenty-one segments, with a total length of three chi. (Note: Lü bone refers to the spine. The spine is small externally but large internally; the reason humans can bear heavy loads is due to the robustness of this bone. There are twenty-four segments in the spine; the mention of twenty-one here excludes the three cervical segments.)
[2] The circumference of the waist is four chi and two cun.
Commentary, Formulas: Method for measuring the back:
[1] From the Dazhui acupoint to the coccyx, the total length is three chi.
[2] The upper seven segments each measure one cun, four fen, and one li, totaling nine cun, eight fen, and seven li.
[3] The middle seven segments each measure one cun, six fen, and one li, totaling one chi, one cun, two fen, and seven li.
[4] The fourteenth segment is level with the umbilicus.
[5] The lower seven segments each measure one cun, two fen, and six li, totaling eight cun, eight fen, and two li.
[6] The total is two chi, nine cun, nine fen, and six li; the remaining four li are omitted as fractions.
[7] Vertical measurements are based on this standard; horizontal measurements use the Middle Finger Same-Body Cun method.
[8] The internal width of the spine is one cun.
[9] Whenever it mentions "the second row is one cun and half a cun away from the spine" or "the third row is three cun away from the spine," these distances exclude the one-cun width of the spine itself, calculating purely based on one cun and half a cun, and three cun respectively. Therefore, the second row should actually be two cun, and the third row should actually be three cun and a half.
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Section Title: Upper Compilation - External Treatment Methods
Classification: Head and Face Region
Attributes: [1] Lingyun bone is located below the anterior hairline, referring to the central frontal bone.
[2] The bones above the two eyebrows are commonly known as the Left Tianxian bone and Right Tiangui bone, which correspond to the two frontotemporal angles.
[3] For contusions and traumatic injuries where the skin is broken, causing edema and swelling of both eyes and the face.
<1> If there is internal injury with blood stasis, accompanied by upward vomiting or epistaxis, qi deficiency leading to drowsiness and unconsciousness, flaccidity of the body, dry yellow complexion, generalized edema, restlessness and thirst, pain in the chest and diaphragm, impaired spleen and stomach function, and reduced food intake.
<1> First, administer Shuxue Wan (Blood-Dispersing Pill), then fumigate and wash the affected area with Wujia Pi Tang (Acanthopanax Decoction), and apply Wulong Gao (Black Dragon Ointment) to relieve pain and reduce swelling.
Commentary, Formulas: [1] Shuxue Wan (Blood-Dispersing Pill)
This medicine stops bleeding and opens the appetite.
Sancaoshuang (Vegetable Soot) 3 qian; Hao Ejiao (Good Donkey-Hide Gelatin, stir-fried with Ariciae Concha Powder into pearls); Ou Jie (Lotus Rhizome Node); Cebai Ye (Platycladi Cacumen); Maogen (Imperatae Rhizoma); Dang Gui (Angelicae Sinensis Radix, washed with wine) — each 1 liang.
Grind all into fine powder, mix with refined honey to form pills the size of Sophora japonica seeds. Take 5 qian per dose, morning and evening, taken down with aged wine.
[2] Wujia Pi Tang (Acanthopanax Decoction)
This decoction relaxes tendons, harmonizes blood, relieves pain, and resolves stasis.
Dang Gui (Angelicae Sinensis Radix, washed with wine); Moyao (Myrrha); Wujia Pi (Acanthopanacis Cortex); Pinxiao (Natrii Sulfas); Qingpi (Citri Reticulatae Pericarpium Viride); Chuanjiao (Zanthoxyli Fructus); Xiangfuzi (Cyperi Rhizoma) — each 3 qian; Dingxiang (Caryophylli Flos) 1 qian; Shexiang (Moschus) 1 fen; Laocong (Old Scallion) 3 stalks; Digupi (Lycii Cortex) 1 liang; Danpi (Moutan Cortex) 2 qian.
Boil in water until rolling, then use for fumigation and washing of the affected area.
[3] Wulong Gao (Black Dragon Ointment)
This ointment treats contusions and traumatic injuries, tendon ruptures, bone fractures, swelling, hardness, and cyanosis.
Sancaoshuang (Vegetable Soot) 3 qian; Baiji (Bletillae Rhizoma) 5 qian; Bailian (Meliosmae Rhizoma) 3 qian; Baihe (Lilii Bulbus) 5 qian; Bubu (Stemonae Radix) 3 qian; Ruxiang (Olibanum) 5 qian; Moyao (Myrrha) 5 qian; Shexiang (Moschus) 1 fen; Nuomi (Glutinous Rice, stir-fried) 1 liang; Chen Fenzi (Chen Fenzi, preferably from the previous year, stir-fried) 4 liang.
Grind all into fine powder, boil with vinegar to form an ointment.
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