《内经》云∶人有所堕坠，恶血留内，腹内胀满，不得前后，先饮利药，此上伤厥阴之
脉，下伤少阴之络，刺足内踝然谷之前出血，刺足肘上动脉，不已，刺三毛各一 ，见血立
已，左刺右，右刺左。《灵枢》云∶有所堕坠，恶血留于内，若有所大怒，气上而不下，积
于胁下则伤肝。又中风及有所击打，若醉入房，汗出当风则伤脾。又头痛不可取于 ，有所
击堕恶血，恶血在于内，痛不已，可侧刺，不可远取之也。《内经》又云∶肝脉搏坚而长，
色不青，当病堕。若搏因血在胁下，令人呕逆。《金匮》云∶寸口脉浮微而涩，皆当亡血，
设不出汗者，其身有疮亡血故也。子和云，诸落马坠井，打扑伤损，闪肭伤折，杖疮肿散，
痛不止者，可峻下之。痛止肿消，宜以通经散等药治之。此堕坠之病，《内经·灵枢》、
《金匮》、子和，所论其详，独正骨兼金镞科，惟危氏言其整顿手法，折伤手足，各有六出
臼、四折骨、背脊骨折法、十不治，并用药法，则至矣尽矣。后田马骑启发前人之书，补其
阙略，经义大同小异。此科之书，当重危氏，今之学人，专攻治外，不行诊视，不明其脉焉
。知内伤轻重，因此之误，不浅浅哉？若能识折伤出臼，出臼处搦入其窠，折伤处根据法夹缚
，明脉理的在何经受证，用后项次序之药，终无夭阏之祸，可不谨乎？今将人之周身总三百
六十五骨节，开列于后。
人身总有三百六十五骨节，以一百六十五字都关次之。首自铃骨之上为头，左右前后至
辕骨，以四十九字，共关七十二骨，巅中为都颅骨者（一有势，微有髓及有液，）次颅为髅
骨者一（有势，微有髓，）髅前为顶威骨者一（微有髓，女人无此骨，）髅后为脑骨者一（有
势，微有髓，）脑左为枕骨者一（有势无液。）枕就之中，附下为天盖骨者一（下为肺系之本，）
盖骨之后为天柱骨者一（下属脊窳，有髓，）盖前为言骨者（一言上复合于髅骨，有势无髓，）
言下为舌本骨者，左右共二（有势无髓，）髅前为囟骨者一（无势无液，）囟下为伏委骨者一
（俚人讹为伏犀骨是也，无势髓，）伏委之下为俊骨者一（附下即眉宇之分也，无势髓。）眉
上左为天贤骨者一（无势髓，下同，）眉上右为天贵骨者一（眉上直目睛也，）左睛之上为智
宫骨者一（无势髓，）右睛之上为命门骨者一（两睛之下，中为鼻。）鼻之前为梁骨者一（无
势髓，）梁之忘为颧骨者一（有势无髓，下同，）梁之左为骨者一 （颧 之后，即耳之分，）
梁之端为嵩柱骨者一，（无势髓。）左耳为同正骨者一（无势髓，）右耳为纳邪骨者一（同上，）
正邪之后溪完骨者，左右共二，（无势，无髓，）正寻之上附内为嚏骨者一（无势少穴，）嚏
后之上为通骨者，左右前后共四，（有势少液，）嚏上为 骨者一（无势多液，）其 后连属
为颔也，左颔为乘骨者一（有势多液，）右颔溪车骨者一（同上，）乘车之后为辕骨者，左右
共二（有势有液，）乘车上下，出齿牙三十六事（无势髓，庸下就一，则不铭其数，）复次铃
骨之下为膻中，左右前后至 ，以四十字，关九十七骨，辕骨之下，左右为铃骨者二，（多
液，）铃中为会厌骨者一（无势髓，）铃中之下为咽骨者，左中及右共三（无髓，）咽下为喉
骨者，左中及右共三，（同上，）喉下为咙骨者，环次共十事（同上），咙下之内为肺系骨者，
累累然共十二（无势髓，）肺系之后为谷骨者一（无髓，）谷下为KT 道骨者左右共二（同
上，）咙外次下为顺骨者共八（少液，）顺骨之端为顺隐骨者共八（同上，）顺下之左为洞骨
者一（在上溪是，）顺下之右为棚骨者一（女人无此，）洞棚之下中央为 KT 骨者一，（缺
盆有人呼为 骨，） KT 真下为天枢骨者一，（无髓，）铃下之左右为缺盆骨者二，（有势
多液，）左缺盆前之下为下厌骨者一，（无髓，）右缺盆前之下为分 骨者一，（同上，）厌
之后附下为仓骨者一（同上，）仓下之左右为 骨者共八（有势无液。） 下之左为胸骨者一
（男子此骨大则好勇，） 下之左右荡骨者一（女子此骨大则多夫，）胸之下为乌骨者一（男
子此骨满者发甲白，）荡之下为臆骨者一，（此骨高多彘外家，）铃中之后为脊窳骨者共二十二，
（上接天柱有髓，）脊窳次下为大动骨者一（上通天柱，共成二十四椎，）大动之端为归下骨
者一（道家谓之尾闾，）归下之后为篡骨者一（此骨能限精液，）归下之前 骨者一（此骨薄
者遇字处隐下，）复次缺盆之下，左右至衬以二十五字，关六十骨（此下之骨至手，共二十
有七骨，）支其缺盆之后，为伛甲骨者左右共二（有势多液，）伛甲之端为甲隐骨者左右共二，
（此骨无则至贤，）前支缺盆为飞动骨，左右共二，（此骨消病痱缓，）次飞动之左为龙 骨
者一，（有势无髓无液，）次飞动之右为虎冲骨者一，（同上，）龙 之下为龙本骨者一，虎冲
之下为虎端骨者一，（并有势有髓，）本端之下为腕也，龙本上肉为进贤骨者一，（男子此骨
隆为名臣，虎端上肉为及爵骨者一，女人此骨定为命妇，）腕前左右为上力骨者共八，（有势
多液，）次上力为驻骨脊左右共十，（同上，）次驻骨为揭骨者左右共十，（同上，）次搦为助
势骨者左右共十，（左助外为爪，右助外为甲，）爪甲之下各有衬骨左右共十，（无势无液，）
复次 KT 之下左右前后至初步，以五十二字，关一百三十六骨，此下至两乳下分左右，
自两足心众骨所会处也， KT 之下为心徼骨者一，（无髓，） KT 之左为胁骨者上下
共十二，（君小肠之分也，）左胁之端各有胁隐骨者，分次亦十二，（无髓，）胁骨之下为季胁
骨者共二，（多液，）季胁之端为季隐骨者共二，（无髓，） KT 之右为肋骨者共十二，（胁
大腹之分也，）肋骨之下为眇肋骨者共二，（各无隐骨，唯兽有之，）右肋之端为肋隐骨者共
十二，（无髓，） 骨之前为大横骨者一，（有势少髓，）横骨之前为白环骨者共二，（有势有
液，）白环之前为内辅骨者左右共二，（有势有液，）内辅之后为骸关骨者，左右共二，（同上），
骸关之下为 骨者左右共二，（同上，） 骨之下为髀枢骨者左右共二，（有势多髓，）髀枢下
端为膝盖骨者左右共二，（无势多液，）膝盖左右各有侠升骨者共二，（有势多液，）髀枢之下
为骨者左右共二，（有势多髓，） 骨之外为外辅骨者左右共二，（有势有液，） 骨之下为
立骨者左右共二，（同上，）立骨左右各有内外踝骨者共四，（有势少液，）踝骨之前，各有下
力骨者左右共十，（有势，多液，）踝骨之后各有京骨者左右共二，（有势，少液，）下力之前，
各有释欹之前，各有起仆骨者共十，（有势，）起仆之前，各有平助骨者，左右共十，（有势，）
平助之前，各有衬甲骨者左右共十，（有势少液，）释欹两旁，各有核骨者左右共二，（有势
多液，）起仆之下，各有初步骨者，左右共二，（有势无髓有液，女人则无此骨。）凡此三百
六十五骨也，天地相乘，惟人至灵，其女人则无顶威、左洞右棚、及初步等五骨，止有三百
六十骨。又男子女人一百九十骨，或隐或衬，或无髓势，余二百五十六骨，并有髓液，以藏
诸筋，以会诸脉，溪谷相需，而成身形，谓之四大，此骨度之常也。
论手有四折骨六出臼。凡手臂出臼，此骨上段骨是臼，下段骨是杵，四边筋脉锁定，或
出臼，亦锉损筋，所以出臼。此骨须拽手直，一人拽，须用手把定此间骨，搦教归窠，看骨
出那边，用竹一片夹定一边，一边不用夹，须在屈直处夹。才服药后，不可放定，或时又用
拽屈拽直，此处筋多，吃药后，若不屈直，则恐成疾，日后曲直不得。
肩胛上出臼，只是手骨出臼归下，身骨出臼归上，或出左，或出右，须用舂杵一枚，矮
凳一个，令患者立凳上，用杵撑，在于出臼之处，或低，用物垫起，杵长则垫凳起，令一人
把住手，拽去凳，一人把住舂杵，令一人助患人，放身从上坐落，骨节已归窠矣，神效。若
不用小凳，则两小梯相对，木棒穿从两梯股中过，用手把住木棒，正棱在出臼腋下，骨节蹉
跌之处，放身从上坠，骨节自然归臼矣。
脚六出臼四折骨，或脚板上交KT 处出臼，须用一人拽去，自用手摸其骨节，或骨突
出在内，用手正从此骨头拽归外，或骨突向外，须用力拽归内，则归窠。若只拽不用手整入
窠内，误人成疾，脚膝出臼，与手臂肘出臼同，或出内出外，亦用一边夹定，此处筋脉最多，
服药后时时用屈直，不可定放。又恐再出窠，时时看顾，不可疏慢。
正骨金疮，须看脉候，如伤脏腑致命处，一观其脉虚促危矣。伤处浅，命脉虚促，亦为
后虑；伤至重，命脉和缓，亦无虑也，脉有虚有实，有去来，有疏密，或被伤藏脉不死者，
必关脉实重，则无虑，或伤至死处。关脉无别，脉洪大则难医。如用两件药后，脉不转动，
急急住药，若脉渐渐随药转，此则可治无虑。或血出甚者，脉不要洪大，只要平正重实，其
血不曾出者，亦无恶血在内，其脉欲洪大，不要疏密，亦不要进退来去，恐其变凶，看伤脉
每与内科脉不同，或伤内，或致命，或难医处被伤者命脉，便已去矣，此等切勿治之。
《黄帝内经》说：人如果从高处坠落，瘀血滞留体内，导致腹部胀满，大小便不通，应当先服用通利大便的药物。这是因为上部的损伤影响了厥阴经的脉络，下部的损伤影响了少阴经的络脉。治疗时，应针刺足内踝前方然谷穴处出血；若未愈，再针刺足膝上方动脉处；若仍不愈，则针刺足大趾爪甲角旁（即“三毛”）各一针，见血即可痊愈。采用左病右治、右病左治的交叉刺法。
《灵枢经》说：因坠落导致瘀血滞留体内，或者因为大怒，气机上逆而不能下行，积聚在胁下就会损伤肝脏。另外，中风以及遭受击打，或者醉酒后行房事，出汗时吹受风邪，就会损伤脾脏。还有头痛的情况，不可取用……（原文此处有缺字），遭受击打坠落后若有瘀血，瘀血在体内，疼痛不止，可以侧身针刺，不可远取其他穴位。
《黄帝内经》又说：肝脉搏动坚实而长，面色不发青，这是因坠落受伤所致。如果脉搏搏动是因为胁下有瘀血，会导致人呕吐逆气。
《金匮要略》说：寸口脉浮微而涩，通常都是失血的表现。假如没有出汗，那是因为有疮疡导致失血。
张子和说：凡是落马、坠井、被打扑伤损、闪挫骨折、杖刑造成的肿胀散痛且疼痛不止的，可以使用峻猛的泻下法。待疼痛停止、肿胀消退后，宜用通经散等药物进行治疗。
关于坠落损伤的疾病，《黄帝内经·灵枢》、《金匮要略》以及张子和的论述都很详细。唯独正骨兼金镞科中，危氏详细阐述了整复手法，包括手足脱臼各有六种复位方法、四种骨折处理方法、背脊骨折法、十种不治之症，以及用药法则，可谓详尽无遗。后来田马骑等人启发前人著作，补充了其中的缺失和简略之处，经义大体相同，细节略有差异。这类书籍，应当以危氏的著作为重。现在的学医者，专门攻治外伤，不进行诊察视诊，不明白脉理。因此无法判断内伤的轻重，由此产生的错误，难道不是很大的吗？如果能识别折伤和脱臼，将脱臼处捏拿归位，对骨折处按照法则进行夹缚，明确脉理和经络证候，使用下面列出的顺序药物，最终就不会有夭折的祸患，能不谨慎吗？现在将人体周身总共三百六十五个骨节，开列如下。
人身总共有三百六十五个骨节，用一百六十五个字来依次关联描述。首先从锁骨之上为头部，左右前后直至辕骨，用四十九个字，共关联七十二个骨节。头顶正中为都颅骨（一说有势，微有髓及有液），其次为髅骨一个（有势，微有髓），髅骨前方为顶威骨一个（微有髓，女性没有这个骨），髅骨后方为脑骨一个（有势，微有髓），脑骨左侧为枕骨一个（有势无液）。枕骨之中，附于下方为天盖骨一个（下方为肺系之本），盖骨之后为天柱骨一个（下属脊柱窳部，有髓），盖骨前方为言骨（言骨上部复合于髅骨，有势无髓），言骨下方为舌本骨，左右共两个（有势无髓），髅骨前方为囟骨一个（无势无液），囟骨下方为伏委骨一个（俗人讹传为伏犀骨，无势髓），伏委骨下方为俊骨一个（附于下方即眉宇之分，无势髓）。眉毛上方左侧为天贤骨一个（无势髓，下同），眉毛上方右侧为天贵骨一个（眉毛上方直对目睛），左眼上方为智宫骨一个（无势髓），右眼上方为命门骨一个（两眼下方，中间为鼻）。鼻子前方为梁骨一个（无势髓），梁骨遗忘处（应为鼻梁侧面）为颧骨一个（有势无髓，下同），梁骨左侧为……骨一个（颧骨之后，即耳之分野），梁骨端部为嵩柱骨一个（无势髓）。左耳为同正骨一个（无势髓），右耳为纳邪骨一个（同上），正邪骨之后溪完骨，左右共两个（无势，无髓），正寻骨之上附内为嚏骨一个（无势少穴），嚏骨后上方为通骨，左右前后共四个（有势少液），嚏骨上方为……骨一个（无势多液），其……骨后连属为下颌，左侧下颌为乘骨一个（有势多液），右侧下颌为溪车骨一个（同上），乘车骨之后为辕骨，左右共两个（有势有液），乘车骨上下，长出牙齿三十六颗（无势髓，庸俗之人就近计数，则不铭刻其数）。
再次，锁骨之下为膻中，左右前后直至……，用四十个字，关联九十七个骨节。辕骨之下，左右为锁骨两个（多液），锁孔中为会厌骨一个（无势髓），锁孔之下为咽骨，左中及右共三个（无髓），咽骨下方为喉骨，左中及右共三个（同上），喉骨下方为咙骨，环次共十个（同上），咙骨内侧下方为肺系骨，累累然共十二个（无势髓），肺系骨之后为谷骨一个（无髓），谷骨下方为KT道骨，左右共两个（同上），咙骨外侧次下方为顺骨共八个（少液），顺骨端部为顺隐骨共八个（同上），顺骨下方左侧为洞骨一个（在上溪是处），顺骨下方右侧为棚骨一个（女性没有此骨），洞骨、棚骨之下中央为KT骨一个（缺盆有人呼为……骨），KT真骨下方为天枢骨一个（无髓），锁骨下左右为缺盆骨两个（有势多液），左缺盆前下方为下厌骨一个（无髓），右缺盆前下方为分……骨一个（同上），厌骨之后附下为仓骨一个（同上），仓骨下左右为……骨共八个（有势无液）。……骨下左侧为胸骨一个（男子此骨大则好勇），……骨下左右为荡骨一个（女子此骨大则多夫），胸骨之下为乌骨一个（男子此骨满者发甲白），荡骨之下为臆骨一个（此骨高多彘外家，意指此类人多淫欲或特殊体质），锁孔之后为脊窳骨共二十二个（上接天柱有髓），脊窳骨次下方为大动骨一个（上通天柱，共成二十四椎），大动骨端部为归下骨一个（道家谓之尾闾），归下骨之后为篡骨一个（此骨能限精液），归下骨之前……骨一个（此骨薄者遇字处隐下）。
再次，缺盆之下，左右至衬骨，用二十五个字，关联六十个骨节（此下之骨至手，共二十七个骨节）。支撑缺盆之后，为伛甲骨，左右共两个（有势多液），伛甲骨端部为甲隐骨，左右共两个（此骨无则至贤，意指骨骼畸形或异常），前支缺盆为飞动骨，左右共两个（此骨消病痱缓，意指此骨变化与疾病有关），次飞动骨左侧为龙……骨一个（有势无髓无液），次飞动骨右侧为虎冲骨一个（同上），龙……骨之下为龙本骨一个，虎冲骨之下为虎端骨一个（并有势有髓），本端骨之下为腕部，龙本骨上肉为进贤骨一个（男子此骨隆为名臣），虎端骨上肉为及爵骨一个（女人此骨定为命妇），腕前左右为上力骨共八个（有势多液），次上力骨为驻骨脊，左右共十个（同上），次驻骨为揭骨，左右共十个（同上），次搦骨为助势骨，左右共十个（左助外为爪，右助外为甲），爪甲之下各有衬骨，左右共十个（无势无液）。
再次，KT骨之下，左右前后直至初步，用五十二个字，关联一百三十六个骨节，此下至两乳下分左右，自两足心众骨所会处也。KT骨之下为心徼骨一个（无髓），KT骨左侧为胁骨，上下共十二个（君小肠之分也），左胁骨端各有胁隐骨者，分次亦十二个（无髓），胁骨之下为季胁骨共两个（多液），季胁骨端为季隐骨共两个（无髓），KT骨右侧为肋骨共十二个（胁大腹之分也），肋骨之下为眇肋骨共两个（各无隐骨，唯兽有之），右肋骨端为肋隐骨共十二个（无髓），……骨之前为大横骨一个（有势少髓），横骨之前为白环骨共两个（有势有液），白环骨之前为内辅骨，左右共两个（有势有液），内辅骨之后为骸关骨，左右共两个（同上），骸关骨之下为……骨，左右共两个（同上），……骨之下为髀枢骨，左右共两个（有势多髓），髀枢下端为膝盖骨，左右共两个（无势多液），膝盖左右各有侠升骨共两个（有势多液），髀枢之下为……骨，左右共两个（有势多髓），……骨之外为外辅骨，左右共两个（有势有液），……骨之下为立骨，左右共两个（同上），立骨左右各有内外踝骨共四个（有势少液），踝骨之前，各有下力骨，左右共十个（有势，多液），踝骨之后各有京骨，左右共两个（有势，少液），下力骨之前，各有释欹之前，各有起仆骨共十个（有势），起仆骨之前，各有平助骨，左右共十个（有势），平助骨之前，各有衬甲骨，左右共十个（有势少液），释欹两旁，各有核骨，左右共两个（有势多液），起仆骨之下，各有初步骨，左右共两个（有势无髓有液，女人则无此骨）。
凡此三百六十五个骨节，天地相乘，惟人至灵。其女性则没有顶威、左洞、右棚、及初步等五个骨节，止有三百六十个骨。又男子女人有一百九十个骨，或隐或衬，或无髓势，其余二百五十六个骨，并有髓液，以藏诸筋，以会诸脉，溪谷相需，而成身形，谓之四大，这是骨度的常理。
论手部有四折骨六出臼。凡是手臂脱臼，此骨上段骨是臼，下段骨是杵，四边筋脉锁定，或因脱臼，也锉损筋，所以导致脱臼。此骨必须拽手伸直，一人拽，须用手把定此间骨，捏拿使其归位，看骨向哪边出，用竹片夹定一边，一边不用夹，须在屈直处夹。才服药后，不可固定不动，有时还要用拽屈拽直，此处筋多，吃药后，若不屈伸，则恐成疾，日后曲直不得。
肩胛上出臼，只是手骨出臼归下，身骨出臼归上，或出左，或出右，须用舂杵一枚，矮凳一个，令患者立凳上，用杵撑，在于出臼之处，或低，用物垫起，杵长则垫凳起，令一人把住手，拽去凳，一人把住舂杵，令一人助患人，放身从上坐落，骨节已归窠矣，神效。若不用小凳，则两小梯相对，木棒穿从两梯股中过，用手把住木棒，正棱在出臼腋下，骨节蹉跌之处，放身从上坠，骨节自然归臼矣。
脚部有六出臼四折骨，或脚板上交KT处出臼，须用一人拽去，自用手摸其骨节，或骨突出在内，用手正从此骨头拽归外，或骨突向外，须用力拽归内，则归窠。若只拽不用手整入窠内，误人成疾，脚膝出臼，与手臂肘出臼同，或出内出外，亦用一边夹定，此处筋脉最多，服药后时时用屈直，不可定放。又恐再出窠，时时看顾，不可疏慢。
正骨金疮，须看脉候，如伤脏腑致命处，一观其脉虚促危矣。伤处浅，命脉虚促，亦为后虑；伤至重，命脉和缓，亦无虑也，脉有虚有实，有去来，有疏密，或被伤藏脉不死者，必关脉实重，则无虑，或伤至死处。关脉无别，脉洪大则难医。如用两件药后，脉不转动，急急住药，若脉渐渐随药转，此则可治无虑。或血出甚者，脉不要洪大，只要平正重实，其血不曾出者，亦无恶血在内，其脉欲洪大，不要疏密，亦不要进退来去，恐其变凶，看伤脉每与内科脉不同，或伤内，或致命，或难医处被伤者命脉，便已去矣，此等切勿治之。
The *Huangdi Neijing* (Yellow Emperor's Inner Canon) states: If a person falls from a height, evil blood (stasis) remains inside, causing abdominal distension and fullness, and inability to pass stool or urine. One should first drink purgative medicines. This is because the injury above damages the meridians of Jueyin (Liver and Pericardium), and the injury below damages the collaterals of Shaoyin (Kidney and Heart). Acupuncture should be performed at Ran Gu (KI2) located anterior to the medial malleolus of the foot until bleeding occurs. If not healed, acupuncture should be performed at the arterial pulse above the knee joint. If still not healed, one needle should be inserted into each of the "San Mao" (hair tufts near the nail of the big toe) until bleeding occurs, which will immediately cure the condition. The treatment follows the principle of treating the left side for right-sided symptoms and vice versa.
The *Ling Shu* (Spiritual Pivot) states: Due to falling, evil blood (stasis) remains inside. If accompanied by great anger, Qi ascends but does not descend, accumulating under the hypochondrium, it injures the Liver. Additionally, wind-stroke, blows, or having intercourse while drunk with sweat exposed to wind will injure the Spleen. Regarding headache, it should not be treated by distant points; if there is evil blood (stasis) from blows or falls remaining inside causing persistent pain, lateral needling can be used, but distant points should not be selected.
The *Huangdi Neijing* also states: A liver pulse that is firm and long, without bluish discoloration of the face, indicates injury from a fall. If the pulsation is due to blood stasis under the hypochondrium, it causes vomiting and regurgitation.
The *Jinkui Yaolue* (Essential Prescriptions of the Golden Cabinet) states: A cun position pulse that is floating, faint, and choppy generally indicates blood loss. If sweating has not occurred, it is because blood loss resulted from sores or ulcers on the body.
Zi He stated: For all cases of falling from horses, falling into wells, blunt trauma, sprains, fractures, or swelling and pain from beating that does not cease, severe purgation can be used. Once the pain stops and swelling subsides, medicines such as Tongjing San (Unblocking Meridian Powder) should be used for treatment.
Regarding diseases of falling injuries, the discussions in the *Huangdi Neijing · Ling Shu*, *Jinkui Yaolue*, and Zi He are detailed. Only in the specialty of Bone Setting and Arrowhead Removal does Wei Shi elaborate on reduction techniques, including six methods for dislocation of hands and feet, four methods for bone fractures, methods for spinal fractures, ten untreatable conditions, and medication protocols, which are extremely comprehensive. Later, Tian Maqi and others were inspired by previous works to supplement their omissions and simplifications; the canonical meanings are largely similar with minor differences. Books on this subject should prioritize Wei Shi's work. Current practitioners focus solely on external treatment without diagnostic examination, failing to understand pulse diagnosis. Consequently, they cannot determine the severity of internal injuries, leading to significant errors. Is this not a grave mistake? If one can identify fractures and dislocations, manipulate dislocated joints back into their sockets, apply splinting according to methods for fractures, clarify the pulse and meridian syndromes, and use the sequence of medications listed below, one will ultimately avoid premature death. Can one not be cautious? Now, the total of 365 bone joints in the human body are listed below.
The human body has a total of 365 bone joints, described sequentially using 165 characters. Starting from above the clavicle as the head, extending left, right, front, and back to the Yuan bone, using 49 characters, a total of 72 bones are connected. The center of the crown is the Dulu bone (one, said to have potential, slight marrow, and fluid). Next behind the skull is the Lou bone (one, with potential, slight marrow). Anterior to the Lou bone is the Dingwei bone (one, slight marrow, absent in women). Posterior to the Lou bone is the Naoggu bone (one, with potential, slight marrow). To the left of the Naoggu is the Zhen bone (one, with potential, no fluid). Within the Zhen, attached inferiorly is the Tiangai bone (one, inferiorly serving as the root of the Lung system). Posterior to the Tiangai is the Tianzhu bone (one, inferiorly connecting to the spinal cavity, with marrow). Anterior to the Tiangai is the Yan bone (the upper part of the Yan bone connects to the Lou bone, with potential, no marrow). Inferior to the Yan bone is the Sheben bone, two on the left and right (with potential, no marrow). Anterior to the Lou bone is the Xin bone (one, no potential, no fluid). Inferior to the Xin bone is the Fuwei bone (one, colloquially misnamed Fusixi bone, no potential marrow). Inferior to the Fuwei is the Jun bone (one, attached inferiorly to the brow area, no potential marrow). Above the left eyebrow is the Tianxian bone (one, no potential marrow, same below). Above the right eyebrow is the Tiangui bone (directly above the eyes). Above the left eye is the Zhigong bone (one, no potential marrow). Above the right eye is the Mingmen bone (below both eyes, in the middle is the nose). Anterior to the nose is the Liang bone (one, no potential marrow). At the forgotten place of the Liang is the Quan bone (one, with potential, no marrow, same below). To the left of the Liang is the [missing character] bone (posterior to the cheekbone, corresponding to the ear). At the end of the Liang is the Songzhu bone (one, no potential marrow). The left ear is the Tongzheng bone (one, no potential marrow). The right ear is the Naxie bone (same as above). Posterior to the Zheng and Xie bones are the Xiwan bones, two on the left and right (no potential, no marrow). Attached internally above the Zheng search is the Ti bone (one, no potential, few acupoints). Superior posterior to the Ti is the Tong bone, four on the left, right, front, and back (with potential, little fluid). Superior to the Ti is the [missing character] bone (one, no potential, much fluid). Connected posteriorly to this [missing character] is the mandible. The left mandible is the Cheng bone (one, with potential, much fluid). The right mandible is the Xiche bone (same as above). Posterior to the Chengche bone is the Yuan bone, two on the left and right (with potential, with fluid). Between the upper and lower Chengche, thirty-six teeth emerge (no potential marrow, common people count locally, thus not inscribing the number).
Next, below the clavicle is the Danzhong, extending left, right, front, and back to [missing character], using 40 characters, connecting 97 bones. Below the Yuan bone, on the left and right, are the Ling bones (two, much fluid). In the center of the Ling is the Huiyan bone (one, no potential marrow). Below the center of the Ling is the Yan bone, three on the left, middle, and right (no marrow). Below the Yan bone is the Hou bone, three on the left, middle, and right (same as above). Below the Hou bone is the Long bone, ten in circular sequence (same as above). Internally below the Long bone are the Feixi bones, twelve in a row (no potential marrow). Posterior to the Feixi is the Gu bone (one, no marrow). Below the Gu are the KT Dao bones, two on the left and right (same as above). Laterally below the Long bone are the Shun bones, eight in total (little fluid). At the ends of the Shun bones are the Shunyin bones, eight in total (same as above). Inferior to the left of the Shun is the Dong bone (one, located at Shangxi). Inferior to the right of the Shun is the Peng bone (one, absent in women). Centrally below the Dong and Peng is the KT bone (one, some call the Quepen bone [missing character]). Below the true KT bone is the Tianshu bone (one, no marrow). On the left and right below the Ling are the Quepen bones (two, with potential, much fluid). Inferior anterior to the left Quepen is the Xia'yan bone (one, no marrow). Inferior anterior to the right Quepen is the Fen [missing character] bone (one, same as above). Posterior to the Yan bone, attached inferiorly, is the Cang bone (one, same as above). Left and right below the Cang are the [missing character] bones, eight in total (with potential, no fluid). Left below the [missing character] is the Xiong bone (one, if large in men, indicates bravery). Left and right below the [missing character] are the Dang bones (one, if large in women, indicates many husbands). Below the Xiong bone is the Wu bone (one, if full in men, leads to white nails/hair). Below the Dang bone is the Yi bone (one, if high, indicates promiscuity). Posterior to the center of the Ling are the Jiyu bones, twenty-two in total (connecting superiorly to Tianzhu, with marrow). Inferior to the Jiyu is the Dadong bone (one, connecting superiorly to Tianzhu, totaling twenty-four vertebrae). At the end of the Dadong is the Guixia bone (one, called Weilu by Taoists). Posterior to the Guixia is the Cuan bone (one, this bone limits essence and fluid). Anterior to the Guixia is the [missing character] bone (one, if thin, hidden at the character location).
Next, below the Quepen, left and right to Chen, using 25 characters, connecting 60 bones (bones below to the hand total 27). Supporting posterior to the Quepen are the Yuji bones, two on the left and right (with potential, much fluid). At the ends of the Yuji bones are the Jiayin bones, two on the left and right (if absent, leads to extreme wisdom/anomaly). Anterior supporting the Quepen are the Feidong bones, two on the left and right (changes here relate to wasting-thirst and paralysis). To the left of the Feidong is the Long [missing character] bone (one, with potential, no marrow, no fluid). To the right of the Feidong is the Huchong bone (one, same as above). Below the Long [missing character] is the Longben bone (one). Below the Huchong is the Huduan bone (one, both with potential and marrow). Below the Ben and Duan is the wrist. The flesh above the Longben is the Jinxian bone (one, if prominent in men, indicates a famous minister). The flesh above the Huduan is the Jijue bone (one, if present in women, indicates a noble lady). Anterior to the wrist, on the left and right, are the Shangli bones, eight in total (with potential, much fluid). Next, the Shangli are the Zhuguj spine, ten on the left and right (same as above). Next, the Zhu bones are the Jie bones, ten on the left and right (same as above). Next, the Nuo bones are the Zhushi bones, ten on the left and right (left exterior is claw, right exterior is nail). Below the claws and nails are the Chen bones, ten on the left and right (no potential, no fluid).
Next, below the KT bone, left, right, front, and back to Chubu, using 52 characters, connecting 136 bones. From here down to below the breasts, divided left and right, is where the bones of the soles of the feet converge. Below the KT bone is the Xinjiao bone (one, no marrow). To the left of the KT bone are the Xie bones, twelve up and down (corresponding to the Small Intestine). At the ends of the left Xie bones are the Xieyin bones, twelve in sequence (no marrow). Below the Xie bones are the Ji Xie bones, two in total (much fluid). At the ends of the Ji Xie are the Ji Yin bones, two in total (no marrow). To the right of the KT bone are the Li ribs, twelve in total (corresponding to the Large Abdomen). Below the Li ribs are the Miao Li ribs, two in total (each without Yin bones, only animals have them). At the ends of the right Li ribs are the Li Yin bones, twelve in total (no marrow). Anterior to the [missing character] bone is the Daheng bone (one, with potential, little marrow). Anterior to the Heng bone are the Baihuan bones, two in total (with potential, with fluid). Anterior to the Baihuan are the Neifu bones, two on the left and right (with potential, with fluid). Posterior to the Neifu are the Haiguan bones, two on the left and right (same as above). Below the Haiguan are the [missing character] bones, two on the left and right (same as above). Below the [missing character] bones are the Bisu bones, two on the left and right (with potential, much marrow). At the lower end of the Bisu are the Xigai bones, two on the left and right (no potential, much fluid). On the left and right of the Xigai are the Xiasheng bones, two in total (with potential, much fluid). Below the Bisu are the [missing character] bones, two on the left and right (with potential, much marrow). Exterior to the [missing character] bones are the Waifu bones, two on the left and right (with potential, with fluid). Below the [missing character] bones are the Li bones, two on the left and right (same as above). On the left and right of the Li bones are the Neiwai An bones, four in total (with potential, little fluid). Anterior to the An bones are the Xiali bones, ten on the left and right (with potential, much fluid). Posterior to the An bones are the Jing bones, two on the left and right (with potential, little fluid). Anterior to the Xiali bones are the Shiqi [missing character], anterior to each are the Qipu bones, ten in total (with potential). Anterior to the Qipu bones are the Pingzhu bones, ten on the left and right (with potential). Anterior to the Pingzhu are the Chenjiagu bones, ten on the left and right (with potential, little fluid). On both sides of the Shiqi are the He bones, two on the left and right (with potential, much fluid). Below the Qipu bones are the Chubu bones, two on the left and right (with potential, no marrow, with fluid, absent in women).
These 365 bones are formed by the interaction of Heaven and Earth, with humans being the most spiritual. Women lack five bones: Dingwei, left Dong, right Peng, and two Chubu bones, totaling 360 bones. Of these, 190 bones in both men and women are either hidden, lined, or lack potential/marrow. The remaining 256 bones possess marrow and fluid, storing tendons and connecting vessels. The streams and valleys interact to form the body shape, called the Four Greats. This is the constant measure of bones.
Discussion on Hands: There are four types of fractures and six types of dislocations. Whenever an arm dislocates, the proximal bone segment is the mortar (socket), and the distal segment is the pestle. The tendons and vessels on all four sides lock it; if dislocated, the tendons may also be torn, causing the dislocation. This bone must be pulled straight. One person pulls, while another holds the bone in place, manipulating it back into the socket. Observe which direction the bone protrudes, use a bamboo strip to splint one side, leaving the other unsplinted, ensuring the splint is placed at the flexion/extension point. After taking medicine, do not fixate it completely; occasionally pull into flexion and extension. This area has many tendons; after medication, if not flexed and extended, it may become diseased, resulting in permanent stiffness.
Shoulder Blade Dislocation: This is simply the arm bone dislocating downwards, or the body bone dislocating upwards, either to the left or right. Use one pestle and one low stool. Have the patient stand on the stool, prop with the pestle at the dislocation site. If low, pad it up; if the pestle is long, raise the stool. One person holds the hand, remove the stool, one person holds the pestle, and one person assists the patient to drop their body weight from above. The joint will return to the socket miraculously. If not using a small stool, place two small ladders opposite each other, thread a wooden rod through the rungs, hold the rod, align the edge with the axilla of the dislocation, and let the body drop from above; the joint will naturally return to the socket.
Foot Dislocations and Fractures: There are six dislocations and four fractures. If the dislocation occurs at the junction of the foot plate and KT, one person must pull while feeling the joint manually. If the bone protrudes inward, pull it outward; if it protrudes outward, pull it inward to return it to the socket. If only pulling without manual reduction, it will cause disease. Knee dislocations are the same as elbow dislocations. Whether inward or outward, splint one side. This area has the most tendons; after medication, frequently flex and extend, do not fixate. Fear re-dislocation, so monitor constantly, do not be negligent.
Bone Setting and Metal Wounds: Must observe the pulse. If vital organs are injured fatally, a deficient and rapid pulse indicates danger. If the wound is superficial but the life pulse is deficient and rapid, there is future concern. If the injury is severe but the life pulse is harmonious and slow, there is no worry. Pulses can be deficient or excess, coming or going, sparse or dense. If internal organs are injured but the patient survives, the Guan pulse must be solid and heavy, indicating no worry. Or if injured fatally, if the Guan pulse shows no distinction and is flooding and large, it is difficult to treat. If after using two doses of medicine the pulse does not change, stop the medicine urgently. If the pulse gradually responds to the medicine, it is treatable and safe. If there is heavy bleeding, the pulse should not be flooding, but rather level, correct, heavy, and solid. If no blood was lost, there is no evil blood inside; the pulse may want to be flooding, but should not be sparse or dense, nor fluctuating in arrival/departure, fearing malignant transformation. Injury pulses often differ from internal medicine pulses. If internally injured, fatally injured, or in difficult-to-treat areas, if the life pulse has departed, do not treat such cases.