囟骨者，婴儿顶骨未合，软而跳动之处，名曰囟门。或跌打损伤，骨缝虽绽，尚未震伤脑髓，筋未振转。其
形头项浮光，面虚眼肿，鼻大唇翻舌硬，睡困昏沉，肉虽肿而未皮破出血者，宜扶起正坐，即以葱汁合定痛散，敷
于伤处；再以毛头纸蘸醋贴药上，烧铁熨斗烙纸上，以伤处觉热疼，口中有声为度。去药贴万灵膏，三日一换。
待疼止思食，始揭去膏，以和伤汤洗之，则风除肿散，血活气理矣。肉破出血者，即用马屁勃灰先止其血；次用
榆树皮灸熨法，内服人参紫金丹，以健脾胃提元气，止渴生津，增长精神，强壮身体，令筋血和通为要。忌发物
火洒，戴抽口穿带布帽，以避风寒，不可出房。若肉破血流不止，骨陷筋翻，必损脑髓，身软屈手筋强，气息无
声，则危笃难医。若破痕触冒寒风者，不治。
马屁勃俗名狗头灰，产口外者佳。
定痛散 治一切打仆风伤，定痛消肿，舒筋和络。
当归 川芎 白芍 官桂（各一钱） 三柰（三钱） 麝香（三分） 红花（五钱） 紫丁香根（五钱）
升麻（一钱） 防风（一钱）
共为细末，老葱捣汁合敷患处，再用熨法。
灸熨法 此法专以灸熨肉破血出诸伤。盖因血液津渍潮润，以树皮隔之，方灸熨也。先以榆树皮安患处，
再以老葱捣烂，并蕲艾止痛散和匀，置树皮上，连灸五次毕，以软
绢包裹。戴抽口布帽，系紧带子，谨避风冷。
万灵膏 治跌打损伤，消瘀散毒，舒筋活血，止痛接骨如神，兼去麻木风痰，寒湿疼痛等证。
鹳筋草 透骨草 紫丁香根 当归（酒洗） 自然铜（醋淬七次） 瓜儿血竭 没药（各一两） 川芎（八钱）
赤芍（二两） 半两钱（醋淬，一枚） 红花（一两） 川牛膝 五加皮 石菖蒲 茅山苍术（各五钱）
木香 秦艽 蛇床子 肉桂 川附子（制） 半夏（制） 石斛 萆 鹿茸（各三钱） 虎胫骨（一对） 麝
香（二钱）
上除血竭、没药、麝香三味，各研细末另包外，共二十三味。先将香油十斤微火煨浸三日，然后将群药入油内，
熬黑为度，去滓加黄丹五斤再熬，将至滴水成珠离火，俟少时药温，将血竭、没药、麝香下入，搅匀取起，出火
气。
人参紫金丹 此丹提补元气，健壮脾胃，止渴生津，增长精神，和通筋血。被跌仆闪撞而气虚者，最宜
服之。
人参（三钱） 丁香（一两） 五加皮（二两） 甘草（八钱） 茯苓（二钱） 当归（酒洗，一两） 血
竭（一两） 骨碎补（一两） 五味子（一两） 没药（去油，二两）
共为细末，炼蜜为丸，每服三钱，早晚淡黄酒化服，童便化服亦可。
囟骨，是指婴儿头顶骨骼尚未闭合、质地柔软且有跳动感的位置，称为“囟门”。如果因跌打损伤导致骨缝裂开，但尚未震伤脑髓，筋脉也未发生扭转错位。其症状表现为头颈部浮肿光亮，面色虚浮，眼睑肿胀，鼻翼宽大，嘴唇外翻，舌体僵硬，嗜睡昏沉，肌肉虽肿胀但未破皮出血者，应扶起患者使其端正坐立，随即用葱汁调和定痛散，敷于受伤部位；再用毛头纸蘸取醋贴在药物上，用烧红的铁熨斗在纸上熨烫，以患处感到热疼、口中发出声音为限度。去除药贴后，贴上万灵膏，每三天更换一次。待疼痛停止、有食欲时，才揭去膏药，用和伤汤清洗患处，这样风邪可除、肿胀消散、血液流通、气机理顺。若皮肤破裂出血者，立即使用马屁勃灰先止血；随后采用榆树皮灸熨法，内服人参紫金丹，以健运脾胃、提振元气、止渴生津、增长精神、强壮身体，使筋血调和通畅为主要目的。忌食发物及辛辣炙烤食物，佩戴抽口布帽，以避风寒，不可外出房间。如果皮肤破裂且血流不止，骨骼下陷、筋脉翻转，必然损伤脑髓，出现身体软弱、屈手困难、筋脉强直、气息微弱无声等症状，则病情危重难以医治。如果伤口破损后触犯寒风，无法治愈。
马屁勃俗名狗头灰，产于口外（长城以外）者品质更佳。
定痛散：治疗各种跌仆和风邪损伤，具有定痛消肿、舒筋通络的功效。
药材组成：当归、川芎、白芍、官桂（各一钱）、三柰（三钱）、麝香（三分）、红花（五钱）、紫丁香根（五钱）、升麻（一钱）、防风（一钱）。
制法与用法：共研为细末，用老葱捣汁调和敷于患处，再配合熨法。
灸熨法：此法专门用于灸熨皮肤破裂出血的各种创伤。因为血液津液浸渍使患处潮湿，需用树皮隔开后再进行灸熨。先将榆树皮置于患处，再将老葱捣烂，与蕲艾止痛散混合均匀，放置在树皮上，连续灸治五次完毕，用软绢包裹包扎。佩戴抽口布帽，系紧带子，谨防风冷。
万灵膏：治疗跌打损伤，能消瘀散毒、舒筋活血，止痛接骨效果神奇，兼治麻木、风痰、寒湿疼痛等证候。
药材组成：鹳筋草、透骨草、紫丁香根、当归（酒洗）、自然铜（醋淬七次）、瓜儿血竭、没药（各一两）、川芎（八钱）、赤芍（二两）、半两钱（醋淬，一枚）、红花（一两）、川牛膝、五加皮、石菖蒲、茅山苍术（各五钱）、木香、秦艽、蛇床子、肉桂、川附子（制）、半夏（制）、石斛、萆薢、鹿茸（各三钱）、虎胫骨（一对）、麝香（二钱）。
制法：上述除血竭、没药、麝香三味药分别研成细末单独包装外，其余二十三味药，先用十斤香油以微火浸泡三日，然后将群药放入油中熬至黑色为度，滤去药渣，加入五斤黄丹继续熬炼，直到滴水成珠时离火，待药温稍降，将血竭、没药、麝香倒入，搅拌均匀取出，散发火气。
人参紫金丹：此丹能提补元气、健壮脾胃、止渴生津、增长精神、调和通利筋血。对于因跌仆闪挫导致气虚者，最适合服用。
药材组成：人参（三钱）、丁香（一两）、五加皮（二两）、甘草（八钱）、茯苓（二钱）、当归（酒洗，一两）、血竭（一两）、骨碎补（一两）、五味子（一两）、没药（去油，二两）。
制法与用法：共研为细末，用炼蜜制成丸药，每次服用三钱，早晚用淡黄酒送服化开，也可用童便送服化开。
The fontanelle bone refers to the area at the vertex of an infant's skull where the bones have not yet fused, which is soft and pulsating, known as the "fontanelle." If injury from falling or striking causes the cranial sutures to separate, but the brain marrow has not been shaken or damaged, and the tendons have not undergone torsion or displacement, the clinical presentation may include swelling and luster on the head and neck, a pale and deficient facial appearance, swollen eyes, a large nose, everted lips, a stiff tongue, drowsiness, and lethargy. In cases where the flesh is swollen but the skin is intact without bleeding, the patient should be supported into an upright sitting position. Immediately apply Dingtong San (Pain-Calming Powder) mixed with green onion juice to the injured area; then cover the medication with mulberry paper dipped in vinegar, and cauterize the paper using a heated iron. The treatment should continue until heat and pain are felt at the injury site and sounds are produced from the mouth. Remove the medicinal patch and apply Wanling Gao (Ten-Thousand-Spirit Plaster), changing it every three days. Once the pain subsides and appetite returns, remove the plaster and wash the area with He Shang Tang (Injury-Healing Decoction). This will dispel wind, dissipate swelling, invigorate blood, and regulate qi. In cases where the skin is broken and bleeding occurs, immediately use Mapi Bo ash (Dog-head Ash) to stop the bleeding first; subsequently, employ the Elm Bark Moxibustion and Cauterization Method, and administer Ren Shen Zi Jin Dan (Ginseng Purple-Gold Pill) internally to strengthen the spleen and stomach, boost primary qi, relieve thirst and generate fluids, enhance spirit, and strengthen the body, with the primary goal of harmonizing and unblocking the tendons and blood. Avoid triggering foods and spicy, roasted items. Wear a cloth cap with a drawstring to avoid wind and cold, and do not leave the room. If the skin is broken with continuous bleeding, the bone is depressed, and the tendons are everted, the brain marrow must be damaged. Symptoms such as flaccidity of the body, difficulty flexing the hands, tendon rigidity, and weak, silent breathing indicate a critical condition that is difficult to treat. If the wound is exposed to cold wind after breaking, it is incurable.
Mapi Bo is commonly known as Dog-head Ash; the variety produced outside the Great Wall is considered superior.
Dingtong San (Pain-Calming Powder): Treats all types of traumatic injuries and wind-pathogen damage; calms pain, reduces swelling, relaxes tendons, and harmonizes collaterals.
Ingredients: Dang Gui (Angelicae Sinensis Radix), Chuan Xiong (Ligusticum Chuanxiong Rhizoma), Bai Shao (Paeoniae Radix Alba), Guan Gui (Cinnamomi Ramulus) (each 1 qian); San Nai (Kaempferiae Galangal Rhizome) (3 qian); She Xiang (Moschus) (3 fen); Hong Hua (Carthami Flos) (5 qian); Zi Ding Xiang Gen (Symplocos Racemosa Root) (5 qian); Sheng Ma (Cimicifugae Rhizoma) (1 qian); Fang Feng (Saposhnikoviae Radix) (1 qian).
Preparation and Usage: Grind all ingredients into a fine powder. Mix with juice extracted from crushed old green onions and apply to the affected area, followed by the cauterization method.
Moxibustion and Cauterization Method: This method is specifically used for moxibustion and cauterization of wounds involving broken skin and bleeding. Since blood and bodily fluids cause moisture, bark is placed as a barrier before applying heat. First, place elm bark on the injured area. Then, crush old green onions and mix them evenly with Qi Ai Zhi Tong San (Qiai Pain-Stopping Powder). Place this mixture on the bark and perform moxibustion five times consecutively. Finally, wrap the area with soft silk. Wear a drawstring cloth cap and tie the straps tightly to strictly avoid wind and cold.
Wanling Gao (Ten-Thousand-Spirit Plaster): Treats traumatic injuries; resolves stasis, disperses toxicity, relaxes tendons, invigorates blood, stops pain, and sets bones with miraculous efficacy. It also treats numbness, wind-phlegm, and pain due to cold-dampness.
Ingredients: Guan Jin Cao (Euphorbia Humifusa Herb), Tou Gu Cao (Exocarpium Citri Reticulatae / or specific herb depending on context, often Lycii Cortex or similar penetrating herbs in formulas, here likely referring to a specific local herb), Zi Ding Xiang Gen (Symplocos Racemosa Root), Dang Gui (Angelicae Sinensis Radix, washed with wine), Zi Ran Tong (Pyritum, quenched in vinegar seven times), Gua Er Xue Jie (Dragon's Blood), Mo Yao (Myrrha), each 1 liang; Chuan Xiong (Ligusticum Chuanxiong Rhizoma) (8 qian); Chi Shao (Paeoniae Radix Rubra) (2 liang); Ban Liang Qian (a specific coin or herb preparation, quenched in vinegar, one piece); Hong Hua (Carthami Flos) (1 liang); Chuan Niu Xi (Cyathulae Radix), Wu Jia Pi (Acanthopanacis Cortex), Shi Chang Pu (Acori Tatarinowii Rhizoma), Mao Shan Cang Zhu (Atractylodis Rhizoma), Mu Xiang (Aucklandiae Radix), Qin Jiao (Gentianae Macrophyllae Radix), She Chuang Zi (Cnidii Fructus), Rou Gui (Cinnamomi Cortex), Chuan Fu Zi (Aconiti Lateralis Radix Praeparata), Ban Xia (Pinelliae Rhizoma Praeparatum), Shi Hu (Dendrobii Caulis), Bi Xie (Dioscoreae Hypoglaucae Rhizoma), Lu Rong (Cervi Cornu Pantotrichum), each 3 qian; Hu Jing Gu (Pantheris Os) (one pair); She Xiang (Moschus) (2 qian).
Preparation: Except for Xue Jie (Dragon's Blood), Mo Yao (Myrrha), and She Xiang (Moschus), which are ground into fine powders and packed separately, the remaining twenty-three ingredients are soaked in 10 jin of sesame oil over low heat for three days. Then, add the herbs to the oil and boil until black. Strain the dregs, add 5 jin of Huang Dan (Lead Monoxide), and boil again until the liquid forms beads when dropped into water. Remove from fire. When the medicine cools slightly, add the Xue Jie, Mo Yao, and She Xiang powders, stir evenly, remove, and allow the fire energy to dissipate.
Ren Shen Zi Jin Dan (Ginseng Purple-Gold Pill): This pill boosts primary qi, strengthens the spleen and stomach, relieves thirst and generates fluids, enhances spirit, and harmonizes and unblocks tendons and blood. It is most suitable for those with qi deficiency caused by falls, knocks, or sprains.
Ingredients: Ren Shen (Ginseng Radix et Rhizoma) (3 qian); Ding Xiang (Caryophylli Flos) (1 liang); Wu Jia Pi (Acanthopanacis Cortex) (2 liang); Gan Cao (Glycyrrhizae Radix et Rhizoma) (8 qian); Fu Ling (Poria) (2 qian); Dang Gui (Angelicae Sinensis Radix, washed with wine, 1 liang); Xue Jie (Dragon's Blood) (1 liang); Gu Sui Bu (Drynariae Rhizoma) (1 liang); Wu Wei Zi (Schisandrae Chinensis Fructus) (1 liang); Mo Yao (Myrrha, de-oiled, 2 liang).
Preparation and Usage: Grind all ingredients into a fine powder. Form pills with refined honey. Take 3 qian per dose, morning and evening, dissolved in light yellow wine or child's urine.