旋台骨，又名玉柱骨，即头后颈骨三节也，一名天柱骨。此骨被伤，共分四证∶一曰从高坠下，致颈骨插入
腔内，而左右尚活动者，用提项法治之；一曰打伤，头低不起，用端法治之；一曰坠伤，左右歪斜，用整法治之；
一曰仆伤，面仰头不能垂，或筋长骨错，或筋聚，或筋强骨随头低，用推、端、续、整四法治之。凡治者，临
证时问其或坠车马 伤，或高处坠下折伤，或打重跌倒，再问其或思饮食，或不思饮食，或四肢无伤，而精神不减，
或精神短少，或能坐起行走，或昏睡不语，或疼痛不止，瘀聚凝结肿硬筋胀，皆宜内服正骨紫金丹，外敷
万灵膏，并洗海桐皮汤，灸熨定痛散。外按手法治之，手法详首卷。
正骨紫金丹 万灵膏（俱见巅顶伤）
海桐皮汤（见两颧骨伤）
定痛散（见两山角骨伤）
\r背面图\p04-a52a23.bmp\r
锁子骨，经名拄骨。横卧于两肩缺盆之外，其两端外接肩解。击打损伤，或骑马乘车，因取物偏坠于地，断
伤此骨，用手法先按胸，再将肩端向内合之，揉摩断骨令其复位，然后用带挂臂于项，勿令摇动。内服人参紫金
丹，外熨定痛散，再敷万灵膏，其证可愈。
人参紫金 定痛散（俱见山角骨伤）
万灵膏（见巅顶伤）
（附∶胁肋）
\r胸骨图\p04-a52a24.bmp\r
胸肌即 骨，乃胸胁众骨之统名也。一名膺骨，一名臆骨，俗名胸膛。其两侧自腋而下，至肋骨之尽处，
统名曰胁；胁下小肋骨名曰季胁，俗名软肋；肋者，单条骨之谓也，统胁肋之总，又名曰 。凡胸骨被物从前
面撞打跌仆者重，从后面撞仆者轻。轻者先按证用手法治之，再内服正骨紫金丹，外用面麸和定痛散灸熨之，或
以海桐皮汤洗之，贴万灵膏即能获效。若内血瘀聚肿痛，伛偻难仰者，早晨以清上瘀血汤、消下破血汤分上膈、
下膈以治之，晚服疏血丸。有受伤日久，胸骨高起，肌肉削瘦，内有邪热瘀血，痞气膨闷，睛蓝体倦，痰喘咳嗽
者，宜加减紫金丹，以消热化痰，理气健脾，润肌定喘。若伤重者，内干胸中，必通心、肺两脏，其人气乱昏迷，
闭目，呕吐血水，呃逆战栗者，则危在旦夕，不可医治矣。若两侧撅肋诸骨被
伤者，则相其轻重以分别治之，凡胸胁诸伤轻者，如黎洞丸、三黄宝蜡丸等药，皆所必需，宜酌用之。
清上瘀血汤 治上膈被伤者。
羌活 独活 连翘 桔梗 枳壳 赤芍 当归（酒洗） 山栀子 黄芩 甘草 川芎 桃仁 红花 苏木
川大黄 生地黄
水煎，加老酒、童便和服。
消下破血汤 治下膈被伤者。
柴胡 川芎 川大黄 赤芍药 当归 栀子 五灵脂 木通 枳实（炒） 红花 赤牛膝 泽兰叶 苏木
生地黄 黄芩 桃仁
水煎，加老酒、童便和服。
加减紫金丹
白茯苓 苍术（米泔浸，炒，各二两） 当归 熟地黄 白芍药（炒） 陈皮（各四两） 肉苁蓉（酒洗
去鳞甲，一两） 丁香（一钱） 红花（五钱） 瓜儿血竭（三钱） 乳香（去油，三钱） 没药（去油，三钱）
共为细末，炼蜜为丸，弹子大，用黄酒送下。
黎洞丸 治跌打损伤，瘀血奔心，昏晕不省，及一切无名肿毒，昏困欲死等证。
京牛黄 冰片 麝香（各二钱五分） 阿魏 雄黄（各一两） 川大黄 儿茶 天竺黄 三七 瓜儿血竭
乳香（去油） 没药（去油，各二两） 藤黄（隔汤煮十数次，去浮沫，用山羊血五钱拌晒。如无山羊血，以子羊
血代之，二两）
以上十三味，共为细末，将藤黄化开为丸，如芡实大。若干，稍加白蜜，外用蜡皮封固。内服用无灰酒送
下，外敷用茶卤磨涂，忌一切生冷发物。
三黄宝蜡丸 专治一切跌打损伤及破伤
风，并伤力成痨，女人产后恶露不尽，致生怪证，瘀血奔心，痰迷心窍，危在旦夕。重者一钱，轻者三分，
用无灰酒送下，立刻全生。如被鸟枪打伤，铅子在内，危在顷刻，服一钱，吃酒数杯，睡一时，汗出即愈。如外
敷，将香油热化少许，鸡翎扫患处。服药后忌凉水、生冷、烧酒三日，如不忌此酒，则药无功。
天竺黄（三两） 雄黄（二两） 刘寄奴 红芽 大戟（去骨） 麒麟竭（各三两） 归尾（一两五钱）
朱砂 儿茶（各一两） 净乳香（去油，三钱） 琥珀 轻粉 水银（同轻粉研不见星） 麝香（各三钱）
以上各称足分两，各研为细末，如无真天竺黄，以真胆星三两代之，再用好黄蜡二十四两，炼净，滚汤坐定，
将药投入，不住手搅匀，取出装瓷罐内备用。
正骨紫金丹 万灵膏（俱见巅顶骨伤）
定痛散（见山角骨伤）
疏血丸（见凌云骨伤）
旋台骨，又名玉柱骨，即头后颈部第三块颈椎骨，也叫天柱骨。此部位受伤，主要分为四种证型：一是从高处坠落，导致颈骨插入胸腔内部，但左右尚能活动者，采用提项法治疗；二是被打伤，头部低垂无法抬起，采用端法治疗；三是坠落伤，身体左右歪斜，采用整法治疗；四是仆倒伤，面部仰起头部不能下垂，或者肌筋延长骨骼错位，或者肌筋聚结，或者肌筋强直骨骼随头部低下，采用推、端、续、整四种手法治疗。凡是治疗时，临证时要询问患者是坠车马受伤，还是从高处坠落折伤，或者是重击跌倒；再问其是否思饮食，或不思饮食，或四肢无伤而精神不减，或精神短少，或能坐起行走，或昏睡不语，或疼痛不止，瘀血聚凝结肿硬筋胀，这些情况都适宜内服正骨紫金丹，外敷万灵膏，并用海桐皮汤清洗，灸熨定痛散。外部配合手法治疗，手法详见首卷。
正骨紫金丹 万灵膏（均见于巅顶伤章节）
海桐皮汤（见于两颧骨伤章节）
定痛散（见于两山角骨伤章节）
背面图
锁子骨，经络名称为拄骨。横向卧于两肩缺盆穴之外侧，其两端外接肩关节。被击打损伤，或骑马乘车时因取物偏身坠地，折断损伤此骨，用手法先按压胸部，再将肩端向内合拢，揉摩断骨使其复位，然后用带子将手臂挂于颈项上，不要令其摇动。内服人参紫金丹，外熨定痛散，再敷万灵膏，病症即可痊愈。
人参紫金丹 定痛散（均见于山角骨伤章节）
万灵膏（见于巅顶伤章节）
（附注：胁肋部）
胸骨图
胸肌即胸骨，是胸胁众多骨骼的统称。一名膺骨，一名臆骨，俗名胸膛。其两侧自腋下向下，至肋骨尽头处，统称为胁；胁下的小肋骨名为季胁，俗名软肋；肋，指单条的骨头，统括胁肋的总称，又名为胸廓。凡胸骨被物体从前面撞打跌仆者伤势重，从后面撞仆者伤势轻。轻者先按证候用手法治疗，再内服正骨紫金丹，外用面麸调和定痛散进行灸熨，或以海桐皮汤清洗，贴敷万灵膏即可见效。若内部瘀血聚积肿痛，弯腰难以仰起者，早晨服用清上瘀血汤、消下破血汤分别治疗上膈和下膈，晚上服用疏血丸。有受伤日久，胸骨高起，肌肉消瘦，内有邪热瘀血，痞气膨闷，眼睛发蓝身体疲倦，痰喘咳嗽者，宜用加减紫金丹，以清热化痰，理气健脾，润肤定喘。若伤势重者，内伤波及胸中，必定干扰心、肺两脏，其人气息紊乱昏迷，闭目，呕吐血水，呃逆战栗者，则危在旦夕，不可医治了。若两侧撅肋诸骨被伤者，则根据轻重分别治之，凡胸胁诸伤轻者，如黎洞丸、三黄宝蜡丸等药物，都是必需的，宜酌情使用。
清上瘀血汤 治疗上膈被伤者。
羌活 独活 连翘 桔梗 枳壳 赤芍 当归（酒洗） 山栀子 黄芩 甘草 川芎 桃仁 红花 苏木 川大黄 生地黄
水煎，加老酒、童便混合服用。
消下破血汤 治疗下膈被伤者。
柴胡 川芎 川大黄 赤芍药 当归 栀子 五灵脂 木通 枳实（炒） 红花 赤牛膝 泽兰叶 苏木 生地黄 黄芩 桃仁
水煎，加老酒、童便混合服用。
加减紫金丹
白茯苓 苍术（米泔浸，炒，各二两） 当归 熟地黄 白芍药（炒） 陈皮（各四两） 肉苁蓉（酒洗去鳞甲，一两） 丁香（一钱） 红花（五钱） 瓜儿血竭（三钱） 乳香（去油，三钱） 没药（去油，三钱）
共研为细末，炼蜜为丸，大小如弹子，用黄酒送下。
黎洞丸 治疗跌打损伤，瘀血奔心，昏晕不省人事，及一切无名肿毒，昏困欲死等证候。
京牛黄 冰片 麝香（各二钱五分） 阿魏 雄黄（各一两） 川大黄 儿茶 天竺黄 三七 瓜儿血竭 乳香（去油） 没药（去油，各二两） 藤黄（隔水蒸煮十数次，去掉浮沫，用山羊血五钱拌晒。若无山羊血，以子羊血代替，二两）
以上十三味，共研为细末，将藤黄化开制成丸剂，大小如芡实。若太干，稍加白蜜，外用蜡皮封固。内服用无灰酒送下，外敷用茶卤磨涂，忌食一切生冷发物。
三黄宝蜡丸 专治一切跌打损伤及破伤风，并伤力成劳损，女人产后恶露不尽，致生怪证，瘀血奔心，痰迷心窍，危在旦夕。重者一钱，轻者三分，用无灰酒送下，立刻全生。如被鸟枪打伤，铅子在内，危在顷刻，服一钱，吃酒数杯，睡一时辰，汗出即愈。如外敷，将香油热化少许，用鸡翎扫患处。服药后忌凉水、生冷、烧酒三日，如不忌此酒，则药无功。
天竺黄（三两） 雄黄（二两） 刘寄奴 红芽大戟（去骨） 麒麟竭（各三两） 归尾（一两五钱） 朱砂 儿茶（各一两） 净乳香（去油，三钱） 琥珀 轻粉 水银（同轻粉研不见星点） 麝香（各三钱）
以上各称足分两，各研为细末，如无真天竺黄，以真胆星三两代替，再用好黄蜡二十四两，炼净，滚汤坐定，将药投入，不住手搅匀，取出装瓷罐内备用。
Xuantai bone, also known as Yuzhu bone, refers to the third cervical vertebra at the back of the neck, also called Tianzhu bone. Injuries to this bone are divided into four types: First, falling from a height causing the cervical bone to insert into the thoracic cavity while retaining left-right mobility; treat with the Neck-Lifting Method (Ti Xiang Fa). Second, blunt trauma causing the head to droop and unable to lift; treat with the End Method (Duan Fa). Third, fall injury causing lateral deviation; treat with the Straightening Method (Zheng Fa). Fourth, falling injury causing the face to look up and the head unable to droop, or muscle-tendon elongation with skeletal dislocation, or muscle-tendon knotting, or muscle-tendon stiffness with the head drooping along with the bone; treat with the Pushing (Tui), Ending (Duan), Continuation (Xu), and Straightening (Zheng) methods. During treatment, inquire whether the injury resulted from falling off a cart or horse, falling from a height, or being struck and tumbling. Ask about appetite (desiring or lacking desire for food), limb condition (no injury vs. injury), mental state (unimpaired spirit vs. diminished spirit), mobility (able to sit/walk vs. comatose/unresponsive), pain persistence, and signs of blood stasis such as swelling, hardness, and distension. These conditions generally warrant internal administration of Zhenggu Zijin Dan (Orthopedic Purple Gold Pill), external application of Wanling Gao (Ten Thousand Spirits Ointment), washing with Haitongpi Tang (Pterocarpus Indicus Decoction), and moxibustion/heat therapy with Dingtong San (Pain-Relieving Powder). External manual therapy should be applied; details are in Volume One.
Zhenggu Zijin Dan, Wanling Gao (see Head-Crown Injury section)
Haitongpi Tang (see Zygomatic Bone Injury section)
Dingtong San (see Mountain-Angle Bone Injury section)
Back View Diagram
Suozzi bone, named Zhugu in meridian theory. It lies horizontally outside the Clavicular Fossa (Quepen) on both shoulders, connecting to the shoulder joint at both ends. Fractures caused by blows, or falling off balance while riding or taking items from a vehicle, require manual reduction: first press the chest, then push the shoulder end inward, massage the fracture site to restore alignment, and suspend the arm with a sling around the neck to prevent movement. Internal administration of Renshen Zijin Dan (Ginseng Purple Gold Pill), external heat therapy with Dingtong San, followed by application of Wanling Gao will cure the condition.
Renshen Zijin Dan, Dingtong San (see Mountain-Angle Bone Injury section)
Wanling Gao (see Head-Crown Injury section)
(Attachment: Hypochondrium/Ribs)
Chest Bone Diagram
The chest bone (sternum/thorax) is the collective term for the bones of the chest and hypochondrium. Also called Ying bone or Yi bone, commonly known as the chest. The sides extending from the axilla down to the end of the ribs are collectively called the Hypochondrium (Xie); the small ribs below the hypochondrium are called Ji Xie (Seasonal Hypochondrium), commonly known as soft ribs; "Lei" refers to individual rib bones. Collectively, the chest and hypochondrium are termed the Thoracic Cage. Anterior impacts/falls cause heavier injuries than posterior ones. For mild cases, apply manual therapy, internally administer Zhenggu Zijin Dan, externally apply Dingtong San mixed with wheat bran for heat therapy, wash with Haitongpi Tang, and apply Wanling Gao for efficacy. If internal blood stasis causes swelling/pain and difficulty extending the back, take Qing Shang Yu Xue Tang (Clear Upper Stasis Decoction) and Xiao Xia Po Xue Tang (Eliminate Lower Break-Stasis Decoction) in the morning for upper and lower Jiao respectively, and Shuxue Wan (Blood-Dispersing Pill) in the evening. For chronic injuries with elevated sternum, emaciation, internal pathogenic heat/stasis, Qi stagnation/bloating, blueish eyes, fatigue, phlegm-wheezing/cough, use Jiajian Zijin Dan (Modified Purple Gold Pill) to clear heat, resolve phlegm, regulate Qi, strengthen Spleen, moisten skin, and calm wheezing. Severe injuries penetrating the chest affect the Heart and Lung organs, causing chaotic Qi, coma, closed eyes, vomiting blood/water, hiccups, and tremors; this is critical and incurable. Injuries to the floating ribs should be treated according to severity. Mild chest/hypochondrium injuries may utilize Lidong Wan (Li Dong Pill) or Sanhuang Bao La Wan (Three-Yellow Precious Wax Pill) as needed.
Qingshang Yuxue Tang (Clear Upper Stasis Decoction) - For upper Jiao injuries.
Qianghuo, Duhuo, Lianqiao, Jiegeng, Zhike, Chishao, Danggui (wine-washed), Shanzhizi, Huangqin, Gancao, Chuanxiong, Taoren, Honghua, Sumu, Chuan Dahuang, Shengdihuang.
Decoct in water, mix with aged wine and child's urine before consumption.
Xiaoxia Posuo Tang (Eliminate Lower Break-Stasis Decoction) - For lower Jiao injuries.
Chaihu, Chuanxiong, Chuan Dahuang, Chishaoyao, Danggui, Zhizi, Wulingzhi, Mutong, Zhishi (stir-fried), Honghua, Chi Niuxi, Zelan Ye, Sumu, Shengdihuang, Huangqin, Taoren.
Decoct in water, mix with aged wine and child's urine before consumption.
Jiajian Zijin Dan (Modified Purple Gold Pill)
Baifuling, Cangzhu (soaked in rice water, stir-fried, 2 liang each), Danggui, Shudihuang, Baishaoyao (stir-fried), Chenpi (4 liang each), Roucongrong (wine-washed, scales removed, 1 liang), Dingxiang (1 qian), Honghua (5 qian), Gu'er Xuejie (3 qian), Ruxiang (de-oiled, 3 qian), Moyao (de-oiled, 3 qian).
Grind to fine powder, make pills with refined honey, size of a bullet, swallow with yellow wine.
Lidong Wan (Li Dong Pill) - For traumatic injuries, blood stasis rushing to the heart, fainting/unconsciousness, nameless swellings/toxins, lethargy nearing death.
Jing Niuhuang, Bingpian, Shexiang (2.5 qian each), Awei, Xionghuang (1 liang each), Chuan Dahuang, Ercha, Tiantuzhuang, Sanqi, Gu'er Xuejie, Ruxiang (de-oiled), Moyao (de-oiled, 2 liang each), Tenghuang (steamed 10+ times, remove foam, mix with 5 qian goat blood and dry; substitute lamb blood if unavailable, 2 liang).
Grind 13 ingredients to powder, dissolve Tenghuang to form pills size of Euryale seed. Add white honey if too dry. Seal with wax. Take with non-fermented wine. For external use, grind with tea brine. Avoid cold/raw/spicy foods.
Sanhuang Bao La Wan (Three-Yellow Precious Wax Pill) - Specifically for all traumatic injuries, Tetanus (Poshang Feng), strain-induced consumptive disease, postpartum lochia retention causing strange symptoms, blood stasis rushing to heart, phlegm confusing heart orifices, critical condition. Heavy dose: 1 qian; Light dose: 3 fen. Take with non-fermented wine for immediate recovery. Gunshot wounds with lead fragments: take 1 qian, drink several cups of wine, sleep for one shichen (2 hours); sweating indicates recovery. External application: melt sesame oil, apply with chicken feather. After oral intake, avoid cold water, raw food, and strong liquor for 3 days; otherwise, the medicine fails.
Tiantuzhuang (3 liang), Xionghuang (2 liang), Liu Jinu, Hongya Daji (bone removed), Qilinjie (3 liang each), Guiwei (1.5 liang), Zhusha, Ercha (1 liang each), Jing Ruxiang (de-oiled, 3 qian), Hupo, Qingfen, Shuiyin (ground with Qingfen until no stars visible), Shexiang (3 qian each).
Weigh accurately, grind to fine powder. Substitute real Tiantuzhuang with real Dansheng (3 liang) if unavailable. Melt 24 liang of pure yellow wax, place in boiling water bath, add herbs, stir continuously, pour into porcelain jar for storage.
Zhenggu Zijin Dan, Wanling Gao (see Crown Bone Injury section)
Dingtong San (see Mountain-Angle Bone Injury section)
Shuxue Wan (see Lingyun Bone Injury section)