凡束缚，春三日，夏二日；秋三日，冬四月。缚处用药水泡，洗去旧药，不可惊动
损处，洗了仍用前膏敷缚。若束缚要杉木浸软，去粗皮；竹片去黄用青，共削约手指大
片，用杉木皮为正夹，竹片为副夹，疏排周匝，以小绳三度缚，缚时相度高下远近，使
损处气血相续，有紧有宽，说见前。二三日一次换药敷，直要缚一个月药，次以补损好
膏贴之，亦要以杉皮夹住，令损处坚固骨老，方不夹之。其杉皮贴肉上，药敷杉皮上，纸
被贴药上，竹片夹纸被上缚之。凡肿是血作，用热药水泡洗，次敷贴，等草药一时讨不及
者，只用理伤膏贴最便。凡用夹，须摊药于纸上平，两头要带薄，搭头搭得不浓，不碍
肉平坦者，无高低不均之患。若四岸高低不均，此上便有空缺不着肉处，即生 ，切记
之。凡敷贴接骨等药，疼痛不止者，可加乳香、没药、枫香、白芷、肉桂、南星、独活
等味，各量加些于药中敷贴，其肉温暖，疼痛即住。刀斧伤者，去肉桂、南星、独活。凡
换药不可生换，用手巾打湿搭润，逐片取脱，随手荡洗换药，不可经停一时，恐生肉 。仍
先摊药，随即应手换之，此大节病累遭害，切记之。凡伤重，其初麻而不痛，应拔伸捺正，
或用刀取开皮，二三日后方知痛，且先匀气血。凡被杖打，痛肿而未破者，先用棱针出
血；若破者不须出血，只用撒地金钱、山薄荷、生地黄、地薄荷、猪 聍叶、泽兰叶、血
见愁捣敷贴。若成杖疮，用黑膏药、白膏药、红膏药、太乙膏、牛脂膏贴之。凡刀斧伤者，
看轻重用药，如轻者，只用补肌散 ，重者宜用封口药 ，紧缚住。如伤重者，外用散
血膏敷贴。
凡是进行夹板固定，春季需每三日更换一次，夏季每两日更换一次；秋季每三日更换一次，冬季每四日更换一次。在绑扎部位用药水浸泡清洗，洗去旧药，注意不可惊动损伤处。清洗后仍使用之前的膏药敷贴并固定。如果固定需要使用杉木，需将其浸软，去掉粗皮；竹片要去掉黄色的外皮，只保留青色部分，共同削成大约手指粗细的薄片。用杉木皮作为正夹（主要支撑），竹片作为副夹（辅助支撑），均匀排列在四周，用小绳子缠绕捆绑三圈。捆绑时要根据高低远近调整松紧度，使损伤处的气血得以延续，做到有紧有宽，具体说法见前文。每隔二三天更换一次药物敷贴，直到固定满一个月后，再改用补损生肌的好膏药贴敷，此时也要用杉木皮夹住，使损伤处骨骼坚固老化，之后才不再需要夹板固定。其顺序是：杉木皮贴肉，药敷在杉木皮上，纸被盖在药上，竹片夹在纸被外进行捆绑。
凡是肿胀是由瘀血引起的，需用热水浸泡清洗，然后敷贴。如果一时找不到合适的草药，只用理伤膏贴敷最为方便。凡是用夹板固定，必须将药物均匀摊在纸上，平整放置，两头要薄一些，搭接处不要过厚，不阻碍皮肤平坦，这样就没有高低不平的隐患。如果四周高低不平，上面就会有空缺接触不到皮肤的地方，这就容易产生溃疡（此处原文为“ ”，指疮疡或凹陷性损伤），切记这一点。
凡是敷贴接骨等药物，如果疼痛不止，可以加入乳香、没药、枫香、白芷、肉桂、南星、独活等药材，各适量加入药中敷贴，使肌肉感到温暖，疼痛即可停止。如果是刀斧造成的开放性伤口，则去掉肉桂、南星、独活。每次换药时不可直接生硬地撕下，要用湿毛巾搭在上面润湿，逐片取下脱落，随手荡洗干净再换药，不可让伤口长时间暴露在外，恐怕会导致肌肉腐烂（原文为“ ”，指腐肉或溃烂）。还是先摊好药，随即迅速更换，这是大病累遭伤害的关键环节，切记这一点。
凡是伤势严重的人，起初可能麻木而不痛，应当进行拔伸和捺正复位，或者用刀切开皮肤，二三日后才会感到疼痛，且要先调和气血。凡是遭受杖打，肿痛但未破皮的，先用棱针放血；如果已经破皮，则不需要放血，只用撒地金钱、山薄荷、生地黄、地薄荷、猪耳叶、泽兰叶捣碎后敷贴。如果形成杖疮，用黑膏药、白膏药、红膏药、太乙膏、牛脂膏贴敷。凡是刀斧造成的伤口，根据轻重用药，如轻者，只用补肌散，重者宜用封口药，紧紧缚住。如果伤势严重，外用散血膏敷贴。
For splinting fixation, in spring, change every three days; in summer, every two days; in autumn, every three days; in winter, every four days. Soak the bound area with medicinal water to wash off the old medicine, without disturbing the injured site. After washing, apply the previous ointment and re-fixate. If fir tree wood is needed for splinting, soak it until soft and remove the rough bark; for bamboo strips, remove the yellow outer layer and use only the green inner part. Shave them into slices approximately the thickness of a finger. Use fir tree bark as the primary splint (main support) and bamboo strips as secondary splints (auxiliary support), arranging them evenly around the circumference. Bind tightly with small ropes three times. During binding, adjust the tightness according to height and distance to ensure continuity of Qi and blood at the injury site, ensuring both tightness and looseness where appropriate, as explained previously. Change the medication and dressing once every two or three days, continuing this fixation for one month. Thereafter, apply a nourishing ointment for healing injuries, still using fir bark splints to make the bone firm and mature before removing the splints entirely. The order is: fir bark against the skin, medicine applied on the fir bark, paper covering placed over the medicine, and bamboo strips clamping the paper covering externally.
For swelling caused by blood stasis, soak and wash with hot water, then apply dressings. If suitable herbs are unavailable at the moment, applying *Lishang Gao* (Trauma Healing Ointment) is most convenient. When applying splints, spread the medicine evenly on paper, keeping the ends thin so that overlapping areas are not too thick, avoiding obstruction of the skin's flatness, thus preventing uneven pressure. If the edges are uneven, gaps may form where the dressing does not touch the skin, leading to ulceration; remember this well.
For bone-setting pastes, if pain persists, add *Ruxiang* (Frankincense), *Moyao* (Myrrh), *Fengxiang* (Styrax), *Baizhi* (Angelica Dahurica), *Rougui* (Cinnamon Bark), *Nanxing* (Arisaema Cum Bile), and *Duhuo* (Angelica Pubescens) in appropriate amounts to the paste. This warms the flesh and stops pain. For knife or axe wounds, exclude *Rougui*, *Nanxing*, and *Duhuo*. When changing dressings, do not peel them off dryly; moisten with a wet towel to soften, remove piece by piece, clean immediately, and reapply. Do not leave the wound exposed for long, lest tissue decay occur. Prepare the new dressing beforehand and apply it promptly. This is a critical point for severe trauma; remember it well.
For severe injuries, numbness without pain may occur initially. Perform traction and reduction, or incise the skin if necessary. Pain will manifest after two or three days; first, regulate Qi and blood. For blunt force trauma (cane beating) causing swelling and pain without skin breakage, use a *Lingzhen* (tri-edged needle) to bleed. If the skin is broken, do not bleed; instead, crush and apply *Sadi Jinqian* (Lysimachia christinae), *Shan Bohe* (Wild Mint), *Sheng Dihuang* (Rehmannia Root), *Di Bohe* (Ground Mint), *Zhu Er Ye* (Pig Ear Leaf), and *Zelan Ye* (Eupatorium Leaf). For cane-induced ulcers, apply *Hei Gaoyao* (Black Plaster), *Bai Gaoyao* (White Plaster), *Hong Gaoyao* (Red Plaster), *Taiyi Gao* (Taiyi Ointment), or *Niuzhi Gao* (Beef Fat Ointment). For knife or axe wounds, select medicine based on severity: mild cases use *Bujie San* (Muscle-Replenishing Powder); severe cases use *Fengkou Yao* (Wound-Sealing Medicine) with tight binding. For very severe injuries, apply *Sanxue Gao* (Blood-Dispersing Ointment) externally.