一名髀骨，上端如杵，入于髀枢之臼，下端如锤，接于 骨，统名曰股，乃下体两大支之通称也，俗名大
腿骨。坠马拧伤，骨碎筋肿，黑紫清凉，外起白泡，乃因骨碎气泄，此证治之鲜效。如人年少气血充足者，虽
形证肿痛而不昏沉，无白泡者可治。法以两手按摩碎骨，推拿复位，再以指顶按其伤处，无错落之骨，用竹帘
裹之，每日早服正骨紫金丹。俟三日后，开帘视之，若有不平处，再捻筋结令其舒平，贴万灵膏，仍以竹帘裹之。
正骨紫金丹（见巅顶骨伤）
万灵膏（见巅顶骨伤）
膝盖骨即连骸，亦名膑骨。形圆而扁，覆于楗 上下两骨之端，内面有筋联属。其筋上过大腿，至于两胁，下
过骨，至于足背。如有跌打损伤，膝盖上移者，其筋即肿大，株连于 内之筋， 内之筋，上连腰胯，故每
有腰屈疼痛之证，或下移 骨则 肿，或足腹冷硬，步履后拽斜行也。若膝盖离位向外侧者，则内筋肿大；向内
侧者，则筋直 肿。宜详视其骨如何斜错，按法推拿，以复其位。内服补筋丸，以定痛散灸熨之，熏八仙逍遥汤
则愈。
补筋丸 （见 骨伤）
定痛散（见山角骨伤）
八仙逍遥汤（见玉梁骨伤）
骨，即膝下踝上之小腿骨，俗名 胫骨者也。其骨二根，在前者名成骨，又名 骨，其形粗；在后者名辅
骨，其形细，又俗名劳堂骨。若被跌打损伤，其骨尖斜突外出，肉破血流不止，疼痛呻吟声细，饮食少进，若其
人更气血素弱，必致危亡。宜用手法，按筋正骨令复其位，贴万灵膏，以竹帘裹住，再以白布缠之，先服正骨紫
金丹，继服健步虎潜丸。
万灵膏 正骨紫金丹（俱见巅顶骨伤）
健步虎潜丸（见髋骨伤）
一块称为髀骨，上端像杵头，插入髀枢（髋关节）的臼窝中，下端像锤头，连接于胫骨，统称为股，这是下肢两大主干骨的通称，俗称大腿骨。坠马或扭伤导致骨折、筋肿，患处发黑紫且感觉清凉，外部出现白泡，这是因为骨头碎裂、气机外泄所致，这种病症治疗很少见效。如果患者年轻、气血充足，虽然形体和症状表现为肿痛但神志不昏沉，且没有白泡的，可以治愈。治疗方法是用双手按摩碎骨，推拿使其复位，再用手指顶按受伤部位，对于没有错位的碎骨，用竹帘包裹固定，每天早晨服用正骨紫金丹。等到三天后，打开竹帘查看，如果有不平之处，再揉捏筋结使其舒展平整，贴上万灵膏，仍然用竹帘包裹固定。
膝盖骨即连骸，也叫做膑骨。形状圆而扁平，覆盖在楗骨（股骨）上下两端的末端，内面有筋脉相连属。这些筋脉向上经过大腿，到达两侧胁部，向下经过胫骨，到达足背。如果有跌打损伤，膝盖骨向上移位的，其筋脉就会肿大，牵连到腘窝内的筋脉，腘窝内的筋脉向上连接腰胯，所以常有腰部弯曲疼痛的症状；或者膝盖骨向下移位导致腘窝肿胀，或者小腿和腹部冷硬，走路时脚向后拖拽、斜着行走。如果膝盖骨离位向外侧倾斜，则内侧筋脉肿大；向内侧倾斜，则筋脉伸直且腘窝肿胀。应当仔细查看骨头如何斜向错位，按照手法推拿，使其恢复原位。内服补筋丸，外用定痛散进行艾灸熨烫，熏洗八仙逍遥汤即可痊愈。
胫骨，即膝盖以下脚踝以上的小腿骨，俗称胫骨。这块骨头有两根，在前面的称为成骨，又名胫骨，形状较粗；在后面的称为辅骨，形状较细，又俗称劳堂骨。如果被跌打损伤，骨头尖端斜向突出皮肤外面，肌肉破裂血流不止，疼痛呻吟声细微，饮食减少摄入，如果这个人本身气血虚弱，必然导致危重甚至死亡。应当使用手法，按压筋脉、矫正骨骼使其恢复原位，贴上万灵膏，用竹帘包裹住，再用白布缠绕固定，先服用正骨紫金丹，接着服用健步虎潜丸。
One bone is called the *Bigu* (femur), with its upper end resembling a pestle, inserting into the acetabulum of the *Bishu* (hip joint), and its lower end resembling a hammer head, connecting to the tibia. Collectively named *Gu* (thigh), it is the general term for the two major supporting bones of the lower body, commonly known as the thigh bone. In cases of falling from a horse or twisting injuries causing bone fracture and tendon swelling, where the area turns dark purple and feels cold, and white blisters appear externally, this is due to bone fragmentation and leakage of Qi. Such conditions are rarely curable. However, if the patient is young with abundant Qi and Blood, although there is physical swelling and pain without mental confusion or white blisters, it is treatable. The method involves massaging the fractured bones with both hands and manipulating them back into position. Then, press the injured area with fingers. For bones that have not dislocated, wrap them in a bamboo splint. Administer *Zhenggu Zijin Dan* orally every morning. After three days, open the splint to inspect; if there are irregularities, knead the tendon knots to smooth them out, apply *Wanling Gao*, and re-wrap with the bamboo splint.
The patella, also known as *Lianhai* or *Bin Gu*, is round and flat, covering the ends of the upper and lower segments of the *Jian Gu* (femur). Its inner surface has tendons attached. These tendons pass upward over the thigh to the flanks, and downward over the tibia to the dorsum of the foot. If subjected to traumatic injury and the patella shifts upward, the tendons become swollen, affecting the tendons within the popliteal fossa (*Nao*). Since these popliteal tendons connect upward to the waist and hips, symptoms often include pain upon bending the waist. If the patella shifts downward, the popliteal fossa swells, or the calf and abdomen become cold and hard, resulting in dragging the foot and walking obliquely when moving. If the patella dislocates laterally outward, the medial tendons swell; if medially inward, the tendons straighten and the popliteal fossa swells. One should carefully observe the direction of the bony displacement, manipulate according to technique to restore alignment. Internally administer *Bu Jin Wan*, externally apply *Ding Tong San* for moxibustion and warming, and fumigate with *Baxian Xiaoyao Tang* for recovery.
The tibia, located below the knee and above the ankle, is commonly known as the *Jing Gu*. This region consists of two bones: the anterior one is called *Cheng Gu* or *Jing Gu*, which is thick; the posterior one is called *Fu Gu*, which is thin, and is also commonly known as *Laotang Gu*. If injured by trauma, with the sharp end of the bone protruding outward through the skin, causing unceasing bleeding from ruptured flesh, fine groaning from pain, and reduced food intake, especially if the person has inherent deficiency of Qi and Blood, it will inevitably lead to critical danger or death. Manual therapy should be used to press the tendons and correct the bone to restore position. Apply *Wanling Gao*, wrap with a bamboo splint, and secure with white cloth. First, administer *Zhenggu Zijin Dan*, followed by *Jianbu Huqian Wan*.