跌仆损伤，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。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，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。
裹帘（器一无图）裹帘，以白布为之。因患处不宜他器，只宜布缠，始为得法，故名裹帘。其长短阔狭，量
病势用之。
振挺（器二无图）振挺，即木棒也，长尺半，圆如钱大，或面杖亦可。盖受伤之处，气血凝结，疼痛
肿硬，用此挺微微振击其上下四旁，使气血流通，得以四散，则疼痛渐减，肿硬渐消也。
用法释义∶凡头被伤，而骨未碎筋未断，虽瘀聚肿痛者，皆为可治。先以手法端提颈、项、筋骨，再用布缠
头二三层令紧，再以振挺轻轻拍击足心，令五脏之气上下宣通，瘀血开散，则不奔心，亦不呕呃，而心神安矣。
若已缠头拍击足心，竟不觉疼，昏不知人，痰响如曳锯，身体僵硬，口溢涎沫，乃气血
垂绝也，不治。
披肩（器三无图） 披肩者，用熟牛皮一块，长五寸，宽三寸，两头各开二孔，夹于伤处，以棉绳穿之，
紧紧缚定，较之木板稍觉柔活。
用法释义∶凡两肩扑坠闪伤，其骨或断碎，或旁突，或斜努，或骨缝开错筋翻。法当令病患仰卧凳上，安合
骨缝，揉按筋结，先以棉花贴身垫好，复以披肩夹住肩之前后，缚紧，再用白布在外缠裹毕，更用扶手板，长二
尺余，宽三四寸，两头穿绳悬空挂起，令病患俯伏于上，不使其肩骨下垂。过七日后，开视之，如俱痊，可撤板
不用；如尚未愈，则仍用之。若不根据此治法，后必遗残患芦节。
攀索（器四）攀索者，以绳挂于高处，用两手攀之也。
叠砖（器五） 叠砖者，以砖六块，分左右各叠置三块，两足踏于其上也。
\r攀索叠砖用法图\p04-a52a1.bmp\r
用法释义∶凡胸、腹、腑、胁，跌、打、蹦、撞、垫、努，以致胸陷而不直者，先令病患以两手攀绳，足
踏砖上，将后腰拿住，各抽去砖一个，令病患直身挺胸；少顷，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。再将其胸以竹帘围裹，用宽带八条紧紧缚之，勿令窒碍，但宜
仰睡，不可俯卧侧眠，腰下以枕垫之，勿令左右移动。
通木（器六）用杉木宽三寸，浓二寸，其长自腰起上过肩一寸许，外面平整，向脊背之内面刻凹形，务
与脊骨膂肉吻合，约以五分（分去声）度之，第一分自左侧面斜钻二孔右侧面斜钻二孔；越第二分至第三分、
四分、五分，俱自左右侧面各斜钻一孔，用宽带一条，自第一分上左孔穿入，上越右肩，下胸前，斜向左腑下绕
背后，穿于第一分右次孔内；再用一带自第一分上右孔穿入，上越左肩，下胸前，斜向右腋下绕背后，穿入第一
分左次孔内，两带头俱折转紧扎木上；第三分、四分亦以带穿之，自软肋横绕腹前，复向后穿入原孔内，紧扎木
上；第五分以带穿入孔内，平绕前腹，复向后紧扎木上，切勿游移活动，始于患处有益。凡用此木，先以绵絮软
帛贴身垫之，免致疼痛。
用法释义∶凡脊背跌打损伤，膂骨开裂高起者，其人必伛偻难仰。法当令病者俯卧，再着一人以两足踏其两
肩，医者相彼开裂高起之处，宜轻宜重，或端或拿，或按或揉，令其缝合，然后用木根据前法逼之。
\r通木图\p04-a52a2.bmp\r
\r通木背面用法图\p04-a52a3.bmp\r
\r通木正面用法图\p04-a52a4.bmp\r
腰柱（器七） 腰柱者，以杉木四根，制如扁担形，宽一寸，浓五分，长短以患处为度，俱自侧面钻孔，
以绳联贯之。
用法释义∶凡腰间闪挫岔气者，以常法治之。若腰节骨被伤错笋，膂肉破裂，筋斜伛偻者，用醋调定痛散，
敷于腰柱上，视患处将柱排列于脊骨两旁，务令端正；再用蕲
艾，做薄褥覆于柱上，以御风寒，用宽长布带，绕向腹前，紧紧扎裹，内服药饵，调治自愈。
\r腰柱图\p04-a52a5.bmp\r
\r腰柱用法图\p04-a52a6.bmp\r
竹帘（器八）竹帘者，即夏月凉帘也，量患处之大小长短裁取之。
用法释义∶凡肢体有断处，先用手法安置讫，然后用布缠之，复以竹帘围于布外，紧扎之，使骨缝无参差
走作之患，乃通用之物也。
杉篱（器九）杉篱者，复逼之器也。量患处之长短阔狭、曲直凸凹之形，以杉木为之。酌其根数，记清
次序，不得紊乱，然后于每根两头各钻一孔，以绳联贯之。有似于篱，故名焉。但排列稀疏，不似竹帘之密耳。
用法释义∶凡用以围裹于竹帘之外，将所穿之绳结住，再于篱上加绳以缠之，取其坚劲挺直，使骨缝无离绽脱
走之患也。盖骨节转动之处，以骨节甚长之所，易于摇动，若仅用竹帘，恐挺劲之力不足，故必加此以环抱之，
则骨缝吻合坚牢矣。
\r杉篱竹帘\p04-a52a7.bmp\r
\r竹帘杉篱用法图\p04-a52a8.bmp\r
抱膝（器十）抱膝者，有四足之竹圈也。以竹片作圈，较膝盖稍大些须，再用竹片四根，以麻线紧缚圈
上，作四足之形，将白布条通缠于竹圈及四足之上。用于膝盖，虽拘制不致痛苦矣。
用法释义∶膝盖骨覆于楗、 二骨之端，本活动物也。若有所伤，非骨体破碎，即离位而突出于左右，虽用
手尘推入原位，但步履行止，必牵动于彼，故用抱膝之器以固之，庶免复离原位，而遗跛足之患也。其法将抱
膝四足，插于膝盖两旁，以竹圈辖住膝盖，令其稳妥，不得移动，再用白布宽带紧紧缚之。
\r抱膝图\p04-a52a9.bmp\r
\r抱膝用法图\p04-a52a10.bmp\r
跌仆损伤，虽然使用手法进行调治，但恐怕未能完全得其适宜，从而导致出现“治疗如同未治疗”的痛苦，这就不能说是医理周全了。因此，根据身体上下、正侧的形态，制作器具来矫正它们，以辅助手法所不及之处，期望断裂者重新复合，歪斜者恢复端正，高起者归于平整，下陷者升至原位，那么危重的证候可以转为平安，重伤可以变为轻伤。再施以药物的功效，更教导以调养的方法，那么正骨的方法就完备了。
裹帘（器具一，无图）：裹帘，是用白布制成的。因为患处不适合用其他器具，只宜用布缠绕，这才算是得法，所以名叫裹帘。其长短宽窄，根据病势来决定使用。
振挺（器具二，无图）：振挺，就是木棒，长一尺半，圆如铜钱大小，或者面杖也可以。大概受伤的地方，气血凝结，疼痛肿胀坚硬，用这个挺微微振动敲击其上下四周，使气血流通，得以四散，那么疼痛逐渐减轻，肿胀坚硬逐渐消退。
用法释义：凡是头部被伤，而骨头未碎筋未断，虽然有瘀血聚集肿痛，都属于可治之症。先用手法端提颈、项部的筋骨，再用布缠绕头部二三层使其紧固，然后用振挺轻轻拍击足心，令五脏之气上下宣通，瘀血开散，那么就不会上冲于心，也不会呕吐呃逆，心神就能安宁了。如果已经缠头并拍击足心后，竟然不觉疼痛，昏迷不省人事，喉间痰响如拉锯声，身体僵硬，口吐涎沫，这是气血将要绝灭的表现，属于不治之症。
披肩（器具三，无图）：披肩，是用一块熟牛皮制成，长五寸，宽三寸，两头各开两个孔，夹在伤处，用棉绳穿过，紧紧缚定，比木板稍微觉得柔韧灵活一些。
用法释义：凡是两肩扑坠闪伤，其骨头或断碎，或旁突，或斜努，或骨缝开错筋翻。方法应当让病患仰卧在凳子上，安合骨缝，揉按筋结，先用棉花贴身垫好，再用披肩夹住肩的前后，缚紧，再用白布在外缠绕包裹完毕，更用扶手板，长二尺多，宽三四寸，两头穿绳悬空挂起，让病患俯伏在上面，不让其肩骨下垂。过了七天后，打开查看，如果都痊愈，可以撤去板子不用；如果尚未痊愈，则仍然使用它。如果不依据此治法，后来必定遗留残患芦节（指关节变形如芦节）。
攀索（器具四）：攀索，是用绳子挂在高处，用两手攀握它。
叠砖（器具五）：叠砖，是用六块砖，分左右各叠置三块，两脚踏在其上。
\r攀索叠砖用法图\p04-a52a1.bmp\r
用法释义：凡是胸、腹、腑、胁部，因跌、打、蹦、撞、垫、努等外力，导致胸部下陷而不直的情况，先让病患用两手攀绳，脚踏砖上，助手抓住其后腰，各抽去一个砖，令病患直身挺胸；一会儿，又各去掉一个砖，仍令直身挺胸。像这样重复三次，当脚着地时，使气舒瘀散，那么下陷的能起来，弯曲的能变直。再将其胸部用竹帘围裹，用八条宽带紧紧缚之，不要令其窒碍，只宜仰睡，不可俯卧侧眠，腰部下面用枕头垫着，不要令其左右移动。
通木（器具六）：用杉木宽三寸，厚二寸，其长度从腰部起上过肩膀一寸许，外面平整，向脊背的内面刻成凹形，务必与脊骨膂肉吻合，大约分为五分（分读去声）来度量。第一分自左侧面斜钻两个孔，右侧面斜钻两个孔；越过第二分至第三分、第四分、第五分，俱自左右侧面各斜钻一个孔，用一条宽带，从第一分上左孔穿入，上越右肩，下过胸前，斜向左腋下绕背后，穿入第一分右次孔内；再用一条带子从第一分上右孔穿入，上越左肩，下过胸前，斜向右腋下绕背后，穿入第一分左次孔内，两个带头都折转紧扎在木上；第三分、第四分也用带子穿过，从软肋横绕腹前，复向后穿入原孔内，紧扎在木上；第五分用带子穿入孔内，平绕前腹，复向后紧扎在木上，切勿游移活动，才开始对患处有益。凡是用这个木，先用绵絮软帛贴身垫着，以免致痛。
用法释义：凡是脊背跌打损伤，膂骨开裂高起的，其人必然伛偻难仰。方法应当让病者俯卧，再让一人用两脚踏在其两肩上，医者观察那开裂高起之处，宜轻宜重，或端或拿，或按或揉，令其缝合，然后用木头根据前面的方法逼迫固定。
\r通木图\p04-a52a2.bmp\r
\r通木背面用法图\p04-a52a3.bmp\r
\r通木正面用法图\p04-a52a4.bmp\r
腰柱（器具七）：腰柱，是用四根杉木制成，形状如扁担，宽一寸，厚五分，长短以患处为度，俱从侧面钻孔，用绳子联贯起来。
用法释义：凡是腰间闪挫岔气的，用常规法治之。如果腰节骨被伤错笋，膂肉破裂，筋斜伛偻的，用醋调匀定痛散，敷在腰柱上，视患处将柱子排列于脊骨两旁，务必令其端正；再用蕲艾，做成薄褥覆盖在柱上，以御风寒，用宽长布带，绕向腹前，紧紧扎裹，内服药饵，调治自愈。
\r腰柱图\p04-a52a5.bmp\r
\r腰柱用法图\p04-a52a6.bmp\r
竹帘（器具八）：竹帘，就是夏天的凉席，量患处的大小长短裁取它。
用法释义：凡是肢体有断处的，先用手法安置完毕，然后用布缠绕它，再用竹帘围在布外，紧扎它，使骨缝没有参差走作的隐患，这是通用的器具。
杉篱（器具九）：杉篱，是再次逼迫固定的器具。量患处长短宽窄、曲直凸凹的形状，用杉木制成。斟酌其根数，记清次序，不得紊乱，然后在每根两头各钻一个孔，用绳子联贯起来。有点像篱笆，所以叫这个名字。只是排列稀疏，不像竹帘那样紧密。
用法释义：凡是用来围裹在竹帘之外，将所穿的绳子结住，再在篱上加绳缠绕，取其坚劲挺直，使骨缝没有离绽脱走的隐患。大概骨节转动之处，以骨节甚长的地方，易于摇动，如果仅用竹帘，恐怕挺劲之力不足，所以必须加此以环抱之，那么骨缝吻合坚牢了。
\r杉篱竹帘\p04-a52a7.bmp\r
\r竹帘杉篱用法图\p04-a52a8.bmp\r
抱膝（器具十）：抱膝，是有四足的竹圈。用竹片作圈，比膝盖稍大些须，再用竹片四根，用麻线紧缚在圈上，作四足的形状，将白布条通缠在竹圈及四足之上。用于膝盖，虽然拘制但不致痛苦。
用法释义：膝盖骨覆于楗骨、股骨之二骨的端部，本是活动的物体。如果有伤，不是骨体破碎，就是离位而突出于左右，虽然用手尘推入原位，但步履行止，必牵动于彼，所以用抱膝的器具来固护它，庶免再次脱离原位，而遗留跛足的隐患。其方法是将抱膝四足，插于膝盖两旁，以竹圈辖住膝盖，令其稳妥，不得移动，再用白布宽带紧紧缚之。
\r抱膝图\p04-a52a9.bmp\r
\r抱膝用法图\p04-a52a10.bmp\r
Fractures and sprains, although treated with manual manipulation, may not be fully addressed appropriately, leading to the suffering of "treatment as if no treatment had occurred." In such cases, one cannot claim that the medical principles are thorough. Therefore, based on the anatomical positions (upper/lower, anterior/posterior) of the body, instruments are fabricated to correct deformities, assisting where manual manipulation falls short. This aims to reunite separated parts, straighten tilted ones, level elevated areas, and restore depressed regions to their proper positions. Consequently, critical conditions can be stabilized, and severe injuries can be mitigated. Furthermore, by applying herbal medicine and instructing on proper recuperation, the art of bone-setting becomes complete.
Guolian (Instrument 1, no illustration): Guolian is made of white cloth. Since other instruments are unsuitable for the injured area, wrapping with cloth is the only appropriate method, hence the name. Its length and width are determined according to the severity of the condition.
Zhen Ting (Instrument 2, no illustration): Zhen Ting refers to a wooden rod, approximately one chi five cun long and round like a coin; a rolling pin may also be used. Where injury has caused qi and blood stagnation, resulting in pain, swelling, and hardness, gently vibrating and tapping the surrounding areas with this rod promotes the circulation and dispersion of qi and blood, thereby gradually reducing pain and subsiding swelling and hardness.
Explanation of Usage: For head injuries where bones are not shattered and tendons are not severed, even with blood stasis causing swelling and pain, the condition is treatable. First, use manual manipulation to align the neck and upper back structures. Then, wrap the head tightly with two or three layers of cloth. Next, gently tap the soles of the feet with the Zhen Ting to promote the free flow of qi among the Five Viscera, dispersing blood stasis. This prevents the stasis from rushing to the Heart or causing vomiting and hiccups, thus calming the Shen (Spirit). However, if after wrapping the head and tapping the feet, the patient feels no pain, falls into unconsciousness, exhibits rattling phlegm sounds resembling sawing, rigid body posture, and foaming at the mouth, it indicates impending exhaustion of qi and blood; this is incurable.
Pijian (Instrument 3, no illustration): Pijian consists of a piece of tanned cowhide, five cun long and three cun wide, with two holes opened at each end. It is placed over the injury site, threaded with cotton rope, and tied tightly. It offers slightly more flexibility than wooden boards.
Explanation of Usage: For shoulder dislocations or fractures caused by falling or twisting, where bones may be shattered, displaced laterally, angulated, or joint spaces misaligned with tendon displacement, the patient should lie supine on a bench. The bone joints should be realigned, and tendon knots massaged. Cotton padding is placed against the skin first. Then, the Pijian is used to clamp the front and back of the shoulder, secured tightly, and wrapped externally with white cloth. A support board (Fu Shou Ban), over two chi long and three to four cun wide, with ropes at both ends, is suspended overhead. The patient lies prone on this setup to prevent the shoulder bones from drooping. After seven days, inspect the area. If healed, remove the board; otherwise, continue its use. Failure to follow this protocol will likely result in residual deformity resembling a reed node.
Pan Suo (Instrument 4): Pan Suo involves hanging a rope from a high place for the patient to grasp with both hands.
Die Zhuan (Instrument 5): Die Zhuan involves stacking six bricks, three on each side, for the patient to stand upon.
\rIllustration of Usage for Pan Suo and Die Zhuan\p04-a52a1.bmp\r
Explanation of Usage: For chest, abdomen, viscera, or hypochondriac injuries caused by falling, striking, jumping, colliding, cushioning, or straining, resulting in chest depression and deformity, have the patient grasp the rope with both hands and stand on the bricks. An assistant holds the lower back. Remove one brick from each side, instructing the patient to straighten the torso and protrude the chest. Repeat this process twice more (removing one brick each time). When the feet touch the ground, qi flows freely, stasis dissipates, depressed areas rise, and curvature straightens. Subsequently, wrap the chest with a bamboo mat (Zhulian) and secure it tightly with eight broad belts. Ensure breathing is not obstructed. The patient must sleep supine, avoiding prone or lateral positions. Place a pillow under the waist to prevent left-right movement.
Tong Mu (Instrument 6): Made of fir wood, three cun wide and two cun thick, extending from the waist up past the shoulders by about one cun. The outer surface is flat, while the inner surface facing the spine is carved concavely to fit the spinal muscles perfectly. It is divided into five sections (fen, pronounced qù shēng). At the first section, drill two diagonal holes on the left side and two on the right. From the second through fifth sections, drill one diagonal hole on each side. Thread a broad belt through the upper-left hole of the first section, over the right shoulder, across the chest, diagonally under the left axilla, around the back, and into the next-right hole of the first section. Thread another belt through the upper-right hole of the first section, over the left shoulder, across the chest, diagonally under the right axilla, around the back, and into the next-left hole of the first section. Tie both ends tightly to the wood. Pass belts through the third and fourth sections, wrapping horizontally across the soft ribs and abdomen, then back through the original holes, tying tightly. Pass a belt through the fifth section, wrapping horizontally across the anterior abdomen, then back to tie tightly. The instrument must remain stable without shifting to be effective. Before application, pad the skin with cotton wadding and soft fabric to prevent pain.
Explanation of Usage: For spinal injuries from falls or blows where the vertebral processes are fractured and elevated, the patient typically suffers from kyphosis and difficulty extending backward. Have the patient lie prone. An assistant stands on the patient's shoulders. The practitioner assesses the fracture site, applying appropriate pressure—lifting, pressing, or massaging—to realign the fragments. Then, apply the Tong Mu according to the described method to stabilize the spine.
\rIllustration of Tong Mu\p04-a52a2.bmp\r
\rIllustration of Back Usage of Tong Mu\p04-a52a3.bmp\r
\rIllustration of Front Usage of Tong Mu\p04-a52a4.bmp\r
Yao Zhu (Instrument 7): Yao Zhu consists of four fir wood strips shaped like a carrying pole, one cun wide and half a cun thick, sized according to the injury site. Holes are drilled on the sides, and they are linked by ropes.
Explanation of Usage: For lumbar sprains or qi stagnation, standard treatments apply. However, if the lumbar vertebrae are misaligned, muscle tissue is torn, or tendons are displaced causing kyphosis, mix Ding Tong San (Pain-Relieving Powder) with vinegar and apply it to the Yao Zhu. Arrange the columns alongside the spine, ensuring alignment. Cover the columns with a thin mattress made of Qiai (Ai Ye, Artemisia argyi) to protect against wind and cold. Secure tightly with a long broad belt around the abdomen. Administer internal herbal medicine for self-healing.
\rIllustration of Yao Zhu\p04-a52a5.bmp\r
\rIllustration of Usage of Yao Zhu\p04-a52a6.bmp\r
Zhulian (Instrument 8): Zhulian is simply a summer bamboo cooling mat, cut to the size and length of the injury site.
Explanation of Usage: For limb fractures, after manual reduction, wrap the area with cloth, then encase it in the Zhulian and tie tightly. This prevents bone fragments from shifting or displacing. It is a general-purpose instrument.
Shan Li (Instrument 9): Shan Li is an additional stabilizing instrument. It is made of fir wood, tailored to the length, width, and contour (concave/convex) of the injury. The number of slats is determined, and their order is noted to avoid confusion. Holes are drilled at both ends of each slat, which are then linked by ropes. Resembling a fence, it is named accordingly. It is spaced more sparsely than the Zhulian.
Explanation of Usage: Used outside the Zhulian, the ropes are knotted, and additional ropes are wound around the Shan Li for extra rigidity. This prevents bone fragments from separating or displacing. Areas involving joint movement, especially long bone segments, are prone to instability. Relying solely on Zhulian may lack sufficient tensile strength; therefore, adding Shan Li provides circumferential support, ensuring firm union of the bone fragments.
\rIllustration of Shan Li and Zhulian\p04-a52a7.bmp\r
\rIllustration of Usage of Zhulian and Shan Li\p04-a52a8.bmp\r
Bao Xi (Instrument 10): Bao Xi is a circular bamboo frame with four legs. A bamboo hoop, slightly larger than the knee, is constructed. Four bamboo pieces are tightly bound to the hoop with hemp thread to form four legs. White cloth strips are wrapped around the hoop and legs. When applied to the knee, it immobilizes the joint without causing excessive discomfort.
Explanation of Usage: The patella sits atop the distal ends of the femur and tibia/fibula and is naturally mobile. Injury may cause comminution or lateral displacement. Even if manually reduced, walking inevitably stresses the joint. The Bao Xi device stabilizes the area to prevent redisplacement and subsequent claudication. Place the four legs beside the knee, securing the patella within the hoop to ensure stability. Tighten with a broad white cloth belt.
\rIllustration of Bao Xi\p04-a52a9.bmp\r
\rIllustration of Usage of Bao Xi\p04-a52a10.bmp\r