凡兵器伤，血出渴甚，不可饮冷水、冷茶，并食冷物，童便和老酒煎服，然后施治。庶
几无误。
夫自然铜接骨之要药，除敷药不外不用，惟伤散剂内不可忘之。续断、五加皮为佐，活
血归红为主。枳壳、青皮理气为佐。破血木香、桃仁为君。补血芍药、生地为最。疏风以理气为
主，活血要顺气为先。手必用桂枝，足必用木瓜，方虽家传，用药亦宜随变。血出，金枪散
搽好，三七、松香、冰粉强。去血过多应四物，瞑眩参 急入良。跌打内伤恶吐咀，鸡鸣散
服自然昌。集念口干绝汤水，能绝之时免祸殃。
一伤脑户天窗。二伤臂中跳脉，脾中阴股。三伤心或伤乳。四伤鸠尾或小肠五脏。五伤
脑水或脑破，声哑目直。六疼不在伤处。七出血不止，先赤后黑。八肌肉臭腐。犯此八者不治。
除不治外，复视其血脉，未出宜洪大，已出忌洪大。脉虚细沉小生，数实浮大死。所伤处出
血多，脉微缓生，急疾死。
夫人之首原有骱，亦无损折验之。则有跌扑殒碎之疾。若见脑髓出者难治。骨青者难医
。碎如黍米者可取，大则不可。若犯此者，先将活血散敷之，避风戒欲，患者宜自慎。但平则以
疏风理气汤敷服之，五六贴至伤平满，再投补血顺气汤三四贴而安。若有破伤风，牙关紧急
，角弓反张之凶候，急按飞龙夺命汤而愈。此方万投万应，不可轻忽。次日有斗伤落珠之症
，先将收珠散敷之，用银针蘸井水，将前珠散点血筋上，次用旧青绢温汤挪洗上，则用还魂
汤三四贴，待之平复再用明目生血饮服之而安。续有鼻梁骨断之症，先将接骨散敷之着骨，次
用生肌散菜油调敷，再用活血止痛散，其外自然平服而安。人有缺唇之症，先将代痛散敷之
，次将油线缝其合，后将生肌散调敷，内服活血散、止痛散而安。豚骱不比诸骱，惟此最难
。此骱出则触在胯内，使患人侧卧，出内手随内，外手随外，上手住其腰，下手捺住其挽，
将膝掬其上，出左拔其右，出右拔其左，向右拔伸而上也。内服生血补髓汤而安。豚骱以此
为则，惟有天井骨最难，若言损折，人或有登高跌倒者犯此症，其骨不能绑缚，多有换骨出
外，用喘气汤服之，使骨相对，次用接骨散敷之，用绵包裹。连肩背骨落之，有用提气活血汤
，投之三四贴而安。观其筋骨，多有损伤，头不能相对，若非吊嗽饮，焉能医此病哉！用接
骨散敷之，服生血补髓汤数贴而愈。易折在于人之两腿，伤之则为两段，医之在绑缚。先将
宽筋散煎药汤洗，使患人侧卧在床，与无患足取齐，次用接骨散敷之，用绵包，必用抄板八
片，长四寸，绵纸裹，外就用绳三条，与杉板均齐绑缚，内服活血止痛散三四贴，又用壮筋
续血骨丹，间服而愈。旧盖膝骨又名膑骨，将此旧骨在上盖之，其骱迭出于上，治之必用绵
箍，使患者仰卧，一人抬起脚踝，若使出于左，随左而下，出于右随右而下，医者缓缓双手
扶绵箍在于膝下，上手弯住其膝，下手接住其脚，弯出于右手、偏于左下，左手偏于右下，
使旧膝相对，膝下手则抬起必上。必先用接骨散敷之，绵布包裹，绵箍按在患处，内服生血
补髓汤三四贴，次服壮骨续筋丹而愈。惟小膀有二骨，一大一小，一骨折者易治，两骨折者
难医。折之则有藕比头者易治，两段者难医。戳尚有骨破者凶候，若无凶候则与大腿同治。
犯此症者，骨必在皮肉上，则用染烂丹去其肉。而后将骨对，切勿用汤熏洗，恐汤毒入内，
次将生肌散敷之。如骨折皮肉不破，可用接骨散敷之，后照前绑缚，用杉板六片，长三尺五
分，下骨板长五分，上骨段上板长五分，取其担力，惟此症最痛，必先服生血补髓汤三四贴
，次服壮筋续骨丹愈，数贴而安。脚踝骱易出，上之亦难，一手抬住其根，一手扳住其指，
出右手扳其右，出左手扳其左，脚跟掬指掬上脚下一伸而上也，必服宽胸活血汤而安。肩骱
与膝骱相似，其膝前送上，肩骱送下，有力可上之，先一手上按住其肩，下按住其手，缓缓
转动，候其筋舒。患人坐于低处，一人抱住其身，医者用手又捏其臂，抵住其骨，将膝挟其
手，齐力而上也。用绵裹如鸡蛋大，落其膝上，敷用接骨散，服用生血补髓汤而愈。臂出触
于上，一手按住其挽，一手按住其膝，踝先掬其上，而后抬其挽，一伸可上也。敷用接骨散
，绵布包裹，服用生血补髓汤而愈。手骱送出，一手按住其五指，一手按住其手掌，掬起
其手骱，下一伸而上也。此乃会膝之所也，必服宽筋活血散。骱出不用缚，先用骨骱散敷之
，绵布裹包，用阔板一片在患处，共享杉板四片，长三寸，缚用七日可放。手指则有三骱，
惟中节出者有之，易出易上，药必服活血止痛散，不然最疼痛也。大臂与小臂伤折，与大腿
小膀同治，惟服药下部则加牛膝、木瓜，上部加桂枝。此数者略言其要耳。我后子孙效学人
，必择贤者传之，使其坐定，逐一细讲，正谓口传心授。大抵骨折在于绑缚，用杉板取其轻熟
之故。此数方之要药，万金不可得，折伤皆出于此。药有制度之法，煎剂在于活法，不可执
一而治。但有染热病而得此症者，必无用药。其上骱之症，一言而可定也。亦要细别其骱头
，不可轻忽，则外有促筋矣。刀斧砍伤，骨碎补之奇，亦要讨论。大抵舒筋必要用宽筋散煎汤
熏洗为主。手足之筋连背在于指动，指动则此筋也动。就将此筋用汤熏洗，微微缓动伸舒也。失
枕有卧而失者，有一时之误而失者，使其低处坐定，一手扳其头，一手扳其下颈，伸之直也
。有枪戳者，看其伤在致命不致命，伤口深不深，致命处而伤不深，亦无害。若伤在腹，必
探其浅深，恐深而伤在五内者难治。伤口直者，先取止血定痛散敷之，伤口深者将绵探之，
干掺其口，待其血水流定，再将生肌散敷固，内服护风托里散而愈。有刀斧磕伤头额者，防
其寒热，一见则护风为上，大抵诊脉沉细者生，洪大者难。伤于硬处者，看其骨损伤否。伤
于软处者，看其浅深何如。伤骨即疗骨，伤肉即生肌。刀斧斫伤与戳伤不同，敷用生肌为主
，内服护风、托里为上。更详前有论伤骱内参用。有人自以刀勒咽喉者，看其刀口之平不平
，而勒有弯曲浅深，两刀勒者易，一刀勒者难。若硬其食喉，先将油线缝其合，次将生肌散
封固，内服护风托里散而安。如食喉断者必死难治，丝线缝其缺喉亦可。有伤肚皮肠出外者
，此症故险而无害。医者当去其指甲，恐致伤肠反受其害也，此人必死。但五内不伤，汤药
饮食如常，可保终吉。用纺车一部，对患者紧摇，勿使患处将湿汤搽上，痛处油线缝其皮，
初将生肌散封固，内服通肠活血汤而安。桑白皮线缝亦可。人之一身，十指最重，若使伤其
一指必联心痛难忍，中指比于各指最重。况且又染伤风，先将止血散敷之。如人咬伤者，
必先去其齿毒瓦斯而敷之，急投护心丸一服以安其心。若犯破伤风，急服飞龙夺命汤而愈。如
刀斧折伤者易，人咬伤者难，有毒内服退毒定毒散。如人咬伤者，其间十有九死，必难治也
。如有骨碎损者，看其伤处，破则必取骨，不破则用钻骨散穿取，后将生肌散封固，内服定
痛补髓汤而愈。若取碎骨不尽者不愈。用必看取，自然愈矣。此书不可轻忽，宜珍藏之。
凡是兵器造成的创伤，如果出血且口渴严重，不可饮用冷水、冷茶，也不可以吃生冷食物。应用童便（儿童尿液）与老酒一起煎煮后服用，然后再进行治疗。这样才大致不会出错。
自然铜是接骨的关键药物，除了外敷药之外没有不用的，但在伤科散剂中也不可忘记它。续断、五加皮作为佐药，以活血归红（促进血液回流/修复）为主。枳壳、青皮理气作为佐药。破血木香、桃仁作为君药。补血芍药、生地为最（重要）。疏风以理气为主，活血要顺气为先。手部受伤必用桂枝，足部受伤必用木瓜。方子虽然是家传秘方，但用药也应当随病情变化而调整。如果出血，用金枪散搽涂效果好；三七、松香、冰粉（可能指冰片或某种粉末）效力强。失血过多应使用四物汤，出现瞑眩反应（服药后的剧烈反应）时人参急入效果良。跌打内伤导致恶心想吐，服用鸡鸣散则自然昌盛（好转）。感到口干绝食汤水，在能忍受之时可避免祸殃。
一伤脑户穴和天窗穴。二伤手臂中的跳脉，脾经的阴股部位。三伤心或伤乳房。四伤鸠尾穴或小肠及五脏。五伤脑髓或头部破裂，声音嘶哑眼睛直视。六疼痛不在受伤处。七出血不止，先呈红色后变黑色。八肌肉臭烂腐坏。触犯这八种情况属于不治之症。除了不治之症外，还要观察其血脉：未出血时脉象宜洪大，已出血时忌见洪大脉。脉象虚细沉小为吉（生），数实浮大为凶（死）。受伤处出血多，脉象微缓为吉（生），脉象急疾为凶（死）。
人的头部原有骨骼连接，也没有损伤折断的验证方法。那么就有跌倒撞击导致粉碎的疾病。如果见到脑髓流出者难治。骨头发青者难医。碎如黍米大小的骨片可以取出，大的则不可取。如果触犯这种情况，先将活血散敷在上面，避风戒除房事，患者应当自我谨慎。平时则以疏风理气汤外敷内服，五六帖直到伤口平复愈合，再投用补血顺气汤三四帖而安宁。如果有破伤风，牙关紧急，角弓反张的凶险症状，急按飞龙夺命汤治疗即可痊愈。此方万投万应，不可轻视忽略。第二天有斗殴导致落珠（眼球脱出？）的症状，先将收珠散敷在上面，用银针蘸井水，将前珠散点涂在血筋上，其次用旧青绢在温水中擦洗患处，然后用还魂汤三四帖，等待平复后再用明目生血饮服用而安宁。接着有鼻梁骨断裂的症状，先将接骨散敷在骨头上使其着骨，其次用生肌散调菜油敷贴，再用活血止痛散，外部自然平复而安宁。人有缺唇的症状，先将代痛散敷在上面，其次用油线缝合其缺口，后将生肌散调敷，内服活血散、止痛散而安宁。髋关节（豚骱）不同于其他关节，只有这个最难处理。此关节脱出则触碰到胯内，使患者侧卧，内手随之向内，外手随之向外，上手按住腰部，下手捺住其挽（可能是特定部位或动作），将膝盖托起其上，出左拔其右，出右拔其左，向右拔伸而上。内服生血补髓汤而安宁。髋关节以此为例，只有天井骨（肩井穴附近或肩部）最难，如果说损伤骨折，人或许有登高跌倒者触犯此症，其骨不能绑缚固定，多有换骨出外，用喘气汤服用，使骨相对，其次用接骨散敷在上面，用绵包裹。连同肩背骨脱落的情况，有用提气活血汤，投用三四帖而安宁。观察其筋骨，多有损伤，头不能相对，如果不是吊嗽饮，怎么能医治此病呢！用接骨散敷在上面，服用生血补髓汤数帖而愈。容易折断在于人的两条腿，受伤则分为两段，医治在于绑缚固定。先将宽筋散煎药汤清洗，使患者侧卧在床上，与无患足取齐，其次用接骨散敷在上面，用绵包，必须用抄板八片，长四寸，绵纸包裹，外面就用绳三条，与杉板均齐绑缚，内服活血止痛散三四帖，又用壮筋续血骨丹，间服而愈。旧盖膝骨又名膑骨，将此旧骨在上覆盖，其关节叠出于上，治疗必须用绵箍，使患者仰卧，一人抬起脚踝，若使出于左，随左而下，出于右随右而下，医者缓缓双手扶绵箍在于膝下，上手弯住其膝，下手接住其脚，弯出于右手、偏于左下，左手偏于右下，使旧膝相对，膝下手则抬起必上。必须先用接骨散敷在上面，绵布包裹，绵箍按在患处，内服生血补髓汤三四帖，次服壮骨续筋丹而愈。惟小腿有二骨，一大一小，一骨折者易治，两骨折者难医。折断则有藕节状者易治，两段者难医。戳刺尚有骨破者属凶险征候，若无凶险征候则与大腿同治。触犯此症者，骨必在皮肉上，则用染烂丹去除其肉。而后将骨对正，切勿用汤熏洗，恐汤毒入内，其次将生肌散敷在上面。如骨折皮肉不破，可用接骨散敷在上面，后照前法绑缚，用杉板六片，长三尺五分，下骨板长五分，上骨段上板长五分，取其担力，惟此症最痛，必先服生血补髓汤三四帖，次服壮筋续骨丹愈，数帖而安。脚踝关节易脱位，复位亦难，一手抬住其根，一手扳住其趾，出右手扳其右，出左手扳其左，脚跟掬指掬上脚下一伸而上也，必服宽胸活血汤而安宁。肩关节与膝关节相似，其膝前送上，肩关节送下，有力可上之，先一手上按住其肩，下按住其手，缓缓转动，候其筋舒。患者坐于低处，一人抱住其身，医者用手又捏其臂，抵住其骨，将膝挟其手，齐力而上也。用绵裹如鸡蛋大，落其膝上，敷用接骨散，服用生血补髓汤而愈。手臂脱位触于上，一手按住其挽，一手按住其膝，踝先掬其上，而后抬其挽，一伸可上也。敷用接骨散，绵布包裹，服用生血补髓汤而愈。手腕关节送出，一手按住其五指，一手按住其手掌，掬起其手腕关节，下一伸而上也。此乃会膝之所也，必服宽筋活血散。关节脱位不用缚，先用骨骱散敷在上面，绵布裹包，用阔板一片在患处，共享杉板四片，长三寸，缚用七日可放。手指则有三关节，只有中节脱位的有，易出易复位，药必服活血止痛散，不然最疼痛也。大臂与小臂伤折，与大腿小腿同治，惟服药下部则加牛膝、木瓜，上部加桂枝。这几条略言其要点罢了。我后代子孙效学之人，必须选择贤者传授，使其坐定，逐一细讲，正谓口传心授。大抵骨折在于绑缚，用杉板取其轻熟之故。这几个方子的要药，万金不可得，折伤皆出于此。药有制度之法，煎剂在于活法，不可执一而治。但有染热病而得此症者，必无用药。其上关节脱位的症状，一言而可定也。也要细别其关节头，不可轻视忽略，则外有促筋矣。刀斧砍伤，骨碎补之奇，也要讨论。大抵舒筋必要用宽筋散煎汤熏洗为主。手足之筋连背在于指动，指动则此筋也动。就将此筋用汤熏洗，微微缓动伸舒也。落枕有卧而失者，有一时之误而失者，使其低处坐定，一手扳其头，一手扳其下颈，伸之直也。有枪戳者，看其伤在致命不致命，伤口深不深，致命处而伤不深，亦无害。若伤在腹，必探其浅深，恐深而伤在五内者难治。伤口直者，先取止血定痛散敷在上面，伤口深者将绵探之，干掺其口，待其血水流定，再将生肌散敷固，内服护风托里散而愈。有刀斧磕伤头额者，防其寒热，一见则护风为上，大抵诊脉沉细者生，洪大者难。伤于硬处者，看其骨损伤否。伤于软处者，看其浅深何如。伤骨即疗骨，伤肉即生肌。刀斧斫伤与戳伤不同，敷用生肌为主，内服护风、托里为上。更详前有论伤关节内参用。有人自以刀勒咽喉者，看其刀口之平不平，而勒有弯曲浅深，两刀勒者易，一刀勒者难。若硬其食喉，先将油线缝其合，次将生肌散封固，内服护风托里散而安宁。如食喉断者必死难治，丝线缝其缺喉亦可。有伤肚皮肠出外者，此症故险而无害。医者当去其指甲，恐致伤肠反受其害也，此人必死。但五内不伤，汤药饮食如常，可保终吉。用纺车一部，对患者紧摇，勿使患处将湿汤搽上，痛处油线缝其皮，初将生肌散封固，内服通肠活血汤而安宁。桑白皮线缝亦可。人之一身，十指最重，若使伤其一指必联心痛难忍，中指比于各指最重。况且又染伤风，先将止血散敷在上面。如人咬伤者，必先去其齿毒瓦斯而敷之，急投护心丸一服以安其心。若犯破伤风，急服飞龙夺命汤而愈。如刀斧折伤者易，人咬伤者难，有毒内服退毒定毒散。如人咬伤者，其间十有九死，必难治也。如有骨碎损者，看其伤处，破则必取骨，不破则用钻骨散穿取，后将生肌散封固，内服定痛补髓汤而愈。若取碎骨不尽者不愈。用必看取，自然愈矣。此书不可轻忽，宜珍藏之。
In cases of weapon injuries, if there is bleeding and severe thirst, one must not drink cold water or cold tea, nor eat cold food. Decoct children's urine (Tongbian) with aged wine and administer orally, then proceed with treatment. This way, errors can be largely avoided.
Ziran Tong (Ferrosum Oritum) is a crucial herb for bone setting. It is used in almost all external applications, and should never be omitted in trauma powders. Xu Duan (Dipsaci Radix) and Wu Jia Pi (Acanthopanacis Cortex) serve as adjunct herbs, while Huo Xue Gui Hong (promoting blood circulation and restoring redness/health) is the main action. Zhi Qiao (Aurantii Fructus) and Qing Pi (Citri Reticulatae Pericarpium Viride) regulate Qi as adjuncts. Po Xue Mu Xiang (Costi Radix) and Tao Ren (Persicae Semen) act as sovereign herbs for breaking blood stasis. Bu Xue Shao Yao (Paeoniae Radix Alba) and Sheng Di Huang (Rehmanniae Radix) are most important for nourishing blood. Dispersing wind relies mainly on regulating Qi, and promoting blood circulation requires smoothing Qi as a priority. For hand injuries, Gui Zhi (Cinnamomi Ramulus) must be used; for foot injuries, Mu Gua (Chaenomelis Fructus) is essential. Although these formulas are family secrets, herbal selection should adapt to changes in condition. If bleeding occurs, applying Jin Qiang San (Golden Spear Powder) is effective; San Qi (Notoginseng Radix), Song Xiang (Colophonium), and Bing Fen (Borneolum Syntheticum) are potent. For excessive blood loss, Si Wu Tang (Four Substances Decoction) should be administered; if Ming Xuan reaction (severe adverse reaction indicating strong drug effect) occurs, adding Ginseng urgently yields good results. For internal trauma from falls and blows causing nausea and vomiting, Ji Ming San (Rooster Crowing Powder) promotes recovery. If the patient experiences extreme dry mouth and refuses fluids, enduring this state temporarily may prevent disaster.
First, injury to Naohu (GV16) and Tianchuang (SI10) acupoints. Second, injury to the jumping pulse in the arm, or the Yin Gu area of the Spleen meridian. Third, injury to the Heart or breasts. Fourth, injury to Jiawei (CV15) acupoint, small intestine, or five zang organs. Fifth, injury to brain marrow or skull fracture, accompanied by hoarseness and fixed gaze. Sixth, pain located away from the injury site. Seventh, unceasing bleeding that turns from red to black. Eighth, foul-smelling necrotic muscle. These eight conditions are considered incurable. Apart from these incurable cases, observe the pulse: before bleeding, a洪大 (Hóng Dà, surging and large) pulse is favorable; after bleeding, a 洪大 pulse is unfavorable. A 虚细沉小 (Xū Xì Chén Xiǎo, deficient, fine, deep, and small) pulse indicates survival, while a 数实浮大 (Shuò Shí Fú Dà, rapid, excess, floating, and large) pulse indicates death. If there is heavy bleeding at the injury site, a 微缓 (Wēi Huǎn, faint and slow) pulse suggests survival, whereas an 急疾 (Jí Jí, rapid and urgent) pulse suggests death.
The human head possesses joints but lacks specific signs for fracture verification. However, crushing injuries from falls occur. If brain marrow leaks out, it is difficult to treat. If bones appear green, they are hard to heal. Bone fragments the size of millet seeds can be removed, but larger ones cannot. If such a case occurs, first apply Huo Xue San (Blood-Activating Powder), avoid wind, abstain from sexual activity, and the patient must exercise caution. Generally, apply Shu Feng Li Qi Tang (Wind-Dispersing and Qi-Regulating Decoction) externally and internally for five to six doses until the wound heals flatly, then administer Bu Xue Shun Qi Tang (Blood-Nourishing and Qi-Smoothing Decoction) for three to four doses to ensure stability. If wind-toxin enters the wound (tetanus), presenting with trismus and opisthotonos, urgently administer Fei Long Duo Ming Tang (Flying Dragon Life-Extending Decoction) for cure. This formula is universally effective and must not be neglected. On the following day, if there is prolapse of the eyeball (Luo Zhu) from combat injuries, first apply Shou Zhu San (Eyesball-Receiving Powder). Dip a silver needle in well water, dab the previous powder onto the blood vessels, then wash the area with old blue silk soaked in warm water. Administer Huan Hun Tang (Returning Soul Decoction) for three to four doses. Once stabilized, use Ming Mu Sheng Xue Yin (Brightening Eyes and Generating Blood Drink) to restore health. For nasal bone fractures, first apply Jie Gu San (Bone-Setting Powder) directly on the bone, then apply Sheng Ji San (Flesh-Generating Powder) mixed with vegetable oil, followed by Huo Xue Zhi Tong San (Blood-Activating and Pain-Stopping Powder) for external stabilization. For cleft lip, first apply Dai Tong San (Pain-Substituting Powder), suture the gap with oiled thread, apply Sheng Ji Powder, and internally take Huo Xue San and Zhi Tong San. The hip joint (Tunjia) is unique and difficult. When dislocated inward, have the patient lie on their side. The inner hand moves inward, the outer hand outward. One hand holds the waist, the other presses the lever point, lifting the knee. Pull right when left comes out, pull left when right comes out, extending upward to the right. Internally take Sheng Xue Bu Sui Tang (Blood-Generating and Marrow-Nourishing Decoction). This serves as a model for hip reduction. The shoulder joint (Tianjing) is the most difficult. In cases of falling from heights, bones may dislocate and cannot be easily bound. Administer Chuan Qi Tang (Qi-Raising Decoction) to align bones, then apply Jie Gu Powder wrapped in cotton. For shoulder and back dislocations, use Ti Qi Huo Xue Tang (Qi-Lifting and Blood-Activating Decoction) for three to four doses. Observe tendons and bones; if misaligned, Diaosou Yin (Cough-Hanging Drink) may be necessary. Apply Jie Gu Powder and take Sheng Xue Bu Sui Tang for several doses to recover. Leg fractures are common; if broken into two segments, reduction relies on binding. First wash with Kuan Jin San (Tendon-Loosening Powder) decoction. Have the patient lie on their side, aligning with the uninjured leg. Apply Jie Gu Powder, wrap in cotton, and use eight splints (4 cun long, wrapped in cotton paper). Secure with three ropes aligned with fir wood boards. Internally take Huo Xue Zhi Tong Powder for three to four doses, alternating with Zhuang Jin Xu Xue Gu Dan (Tendon-Strengthening and Blood-Continuing Bone Pill) for recovery. For patella (Bin Gu) displacement, cover with the old bone, stabilize with a cotton bandage. Have the patient lie supine, one person lifts the ankle. If displaced left, guide down left; if right, guide down right. The physician slowly supports the knee with both hands, bending the knee with the upper hand and catching the foot with the lower hand. Align the patella by pulling right-down with the right hand and left-down with the left hand. Lift the foot to align. Apply Jie Gu Powder, wrap in cotton cloth, place the bandage on the site, and internally take Sheng Xue Bu Sui Tang for three to four doses, followed by Zhuang Gu Xu Jin Dan (Bone-Strengthening and Tendon-Continuing Pill). The lower leg has two bones, one large and one small. Single fractures are easy to treat; double fractures are difficult. Fractures resembling lotus root nodes are easier than those split into two segments. Puncture wounds with bone breakage are ominous; if not ominous, treat like thigh fractures. If bone protrudes through skin, use Ran Lan Dan (Rotting-Dissolving Elixir) to remove flesh. Then realign bones. Do not wash with hot soup to avoid toxin absorption. Apply Sheng Ji Powder. If skin is intact, apply Jie Gu Powder and bind with six fir boards (3 chi 5 cun long). This injury is very painful; take Sheng Xue Bu Sui Tang for three to four doses, then Zhuang Jin Xu Gu Dan. Ankle dislocation is easy to cause but hard to reduce. Hold the root with one hand, pull the toes with the other. Pull right with right hand, left with left hand, lifting the heel and extending the foot upward. Take Kuan Xiong Huo Xue Tang. Shoulder dislocation resembles knee dislocation but moves downward. Press the shoulder with one hand and the hand with the other, rotating slowly until tendons relax. Have the patient sit low, another person holds them, the physician manipulates the arm against the bone, using the knee to clamp the arm, and lifts together. Wrap cotton like an egg, place on the knee, apply Jie Gu Powder, and take Sheng Xue Bu Sui Tang. Arm dislocation upwards: hold the armpit with one hand, the elbow with the other, lift the wrist, and extend upward. Apply Jie Gu Powder, wrap in cotton, take Sheng Xue Bu Sui Tang. Wrist dislocation: hold five fingers with one hand, palm with the other, lift the wrist joint, and extend downward/upward. This involves the knee joint area; take Kuan Jin Huo Xue San. Do not bind; apply Gu Jia San, wrap in cotton cloth, use a wide board and four 3-cun fir boards, bind for seven days. Finger joints have three segments; only the middle segment dislocates. It is easy to reduce. Take Huo Xue Zhi Tong Powder, otherwise pain is severe. Upper and lower arm fractures are treated like thigh and calf fractures. Add Niu Xi (Achyranthis Bidentatae Radix) and Mu Gua for lower body prescriptions, and Gui Zhi for upper body. These are key points. Descendants learning this must choose worthy teachers, sit together, and explain in detail—true oral transmission. Bone setting relies on binding; fir wood is used for its lightness and flexibility. The key herbs of these formulas are priceless; all fractures stem from here. Herbs have processing methods, and decoctions require flexible application; do not adhere rigidly. If heat disease complicates the injury, medication may be ineffective. Joint dislocation descriptions are concise. Carefully distinguish joint heads to avoid tendon contraction. Axe cuts require discussion of Gusuibu (Drynariae Rhizoma). Generally, loosening tendons requires washing with Kuan Jin San decoction. Hand and foot tendons connect to the back; finger movement activates these tendons. Wash and gently stretch these tendons. Stiff neck (Shijin) can occur during sleep or sudden error. Sit low, pull the head with one hand and the lower neck with the other to straighten. Gunshot wounds: assess lethality and depth. Superficial fatal zone injuries are harmless. Abdominal wounds require probing depth; deep visceral injuries are hard to treat. Straight wounds: apply Zhixue Ding Tong San. Deep wounds: probe with cotton, sprinkle dry powder, wait for bleeding to stop, then apply Sheng Ji Powder, and internally take Hufeng Tuoli San (Wind-Protecting and Interior-Supporting Decoction). Head/forehead axe injuries: prevent chills/fever; prioritize wind protection. Deep/fine pulse indicates survival; surging/large pulse indicates difficulty. Hard area injuries: check bone damage. Soft area injuries: check depth. Treat bone injuries by healing bone, meat injuries by generating flesh. Axe cuts differ from punctures; prioritize Sheng Ji Powder externally and Hufeng/Tuoli formulas internally. Refer to previous joint injury discussions. Throat strangulation: assess cut smoothness and depth. Double cuts are easier than single. If esophagus is stiff, suture with oiled thread, apply Sheng Ji Powder, and take Hufeng Tuoli San. Severed esophagus is fatal; suturing with silk thread may help. Protruding intestines: dangerous but manageable if viscera are intact. Remove fingernails to prevent intestinal damage. Patient likely dies, but if viscera are safe, normal diet ensures survival. Use a spinning wheel to fan the patient, keep wet soup off the wound, suture skin with oiled thread, apply Sheng Ji Powder, and take Tong Chang Huo Xue Tang (Intestine-Unblocking and Blood-Activating Decoction). Mulberry bark thread can also be used. Fingers are critical; injury to one causes heart pain. Middle finger is most important. Wind-toxin infection risk: apply Zhixue San first. Human bites: remove tooth toxins, apply medicine, take Huxin Wan (Heart-Protecting Pill) urgently. If tetanus occurs, take Fei Long Duo Ming Tang. Axe cuts are easier than bites; bites are toxic, take Tuidu Dingdu San. Nine out of ten bite victims die; difficult to treat. Bone fragmentation: assess injury. If broken, remove bone; if intact, use Zuangu San (Bone-Boring Powder) to extract fragments. Apply Sheng Ji Powder, take Dingtong Busui Tang (Pain-Stopping and Marrow-Nourishing Decoction). Incomplete removal prevents healing. Meticulous extraction leads to natural recovery. This book must not be neglected; treasure it.