夫脑者，诸阳所聚，其太阳、囟门、脑盖等处，一有破伤，即宜分开发寻伤处，剪去近
伤之发，方好用药。若血涌出，用灯心嚼成团，蘸桃花散塞之，无不止矣。小则不必。若或
臭烂，先煎消风散服之，又煎辛香散洗之，洗时切忌当风处，犹恐寒热增重难医。若头面
皆肿，此风入里也，宜服消风散。患处有肿，用蜜调圣神散，或姜汁、醇酒调贴亦可。若髓
出，用安髓散，清茶调敷，二药合用尤妙。若脑骨沉陷，用白金散加淮乌散贴之，实时吸起
，服药取效。
夫面有七孔，眼居第一，为人生一世之最要者，治宜详慎。如睛出胞外者，趁热送入，
但用圣神散贴退其血与肿，内仍服药。若黑睛破水出者，其目必坏。若翻转在胞内，可轻轻
拨转归原，亦用圣神散贴之。若血侵睛，用桃柳嫩枝、生地黄、地龙煎水，浸猪腿精肉贴眼
上，秘传常服活血住痛散及清头面药，余皆照外伤见血治之。
夫颊骨脱。令患人坐定，揉以百十下，令口张开，医者以两手大拇指入口中，合手掇定
，往下一伸，复还上一送，即入臼矣。仍用手巾兜住一时可解。
夫牙床骨被伤，用手揣搦，令相按归原，用圣神散贴之，外用绢手巾兜住下颊，直上缚
在头顶上。牙落者，去之，摇动者以箸拨正；血出不止，用五倍子、白矾煎汤含口中止之，
以米汤调白金散噙化，或用桃花散塞之。
夫头颈从高坠鸱缩者，先用消风散或住痛散加痹药昏昏散服之。令患人仰卧，用绢带兜
其下颊，直上头顶，再将头发解伸，同绢带拿作一把，令其头睡得平正。医者坐于地下，伸
直两脚，踏患人肩上，用力徐徐拔伸归原合好。用生姜自然汁、韭汁、酒、醋调圣神散贴之
，绑缚牢固，常服寻痛住痛散取效。
夫肩井栏骨折断者，先消风散、住痛散加痹药昏昏散服之，揣搦相接归原。次用蜜调圣
神散贴之。却用毛竹一节，长短阔狭以患处为度，破开两片，用一大片削去棱角，阚入骨，
用棉絮一团实股下，以绢带从股下缠至那边肩上扎住，服药取效。
夫肩膊铁锹骨破伤出者，以消风散、住痛散加痹药服之；次削甲办药，用手巾袱蘸辛香
散药汤，洗 其肩上，以舒其肩骨。令患人侧卧，以一人立其面前，带伸患人之手，与肩并
齐，以足撑开患人之胁，如此则伸骨而易入也。医者居其肩后，用手搦令患骨相接，要折试
其手，上至脑下脑后，又过胸前，令其掌于心脘下，不许摇动，却用姜汁、韭汁调圣神散贴
之，用纸裹杉木皮一大片按住药上，用绢带一条，从患处胁下绑至那边肩上。其大杉木皮亦
要穿数孔，庶好掺湿内面药。日服加减活血寻痛散取效。
夫肩脾骨脱出腕外者，此骨下段是杵，上段身骨是臼。治法先用住痛散加痹药昏昏散服
之，次削甲办药，用布手巾袱蘸辛香散药汤 洗患处，令筋骨舒软。如左手骨脱者，令患人
卧，一人坐其左膝之侧，曲其左足，踏患人左胁下，用带绑住患人肘上，系于坐者腰间，坐
者以手扶平患人之肘，却低头向前，倒腰向后，用力徐徐拔伸患人之骨，按正入于胁下。如
骨脱向内敛胁不开者，令患人侧卧于地，用踏脚凳一条，夹其脚背，令其转动，着一人曲腰
坐于凳子上，用绢带绷住患人肘股上悬于坐者之肩，伸脚踏患人胁下，然后抬肩带肘，徐徐
用力拔伸患骨，用手按正其肩腕，务要折转，又试其手，上到脑后，下过胸前，反手于臂，
方是归原。然后调圣神散贴之，用绢带一条，从患处绑至那边胁下缚住，又一条从患处胁下
绑至这边肩上，亦用棉絮一团实其胁下，方得稳固。日服消风散、住痛散，取效。
夫两臂骨折断或破碎者，先用消风散、住痛散加痹药昏昏散服之。用杉木皮三片，削去
粗皮，捏令微薄如指面大，长短以患处为则，用棉纸包束粘定，用油透甲纸上，用左绑绳四
部编成闸极子，如此通漏，内面药干，庶可掺湿，编毕，用热药汤 软其筋骨。令患人卧于地
，用绢带缚患人肘臂，系于医者腰间。医者坐其膝侧，双手捉定患肘，脚踏其腋下，倒腰向
后，徐徐用力拔伸断骨，用于揣令归原。以姜汁、韭汁、醋调圣神散摊于油布上贴之，外用
甲缚，宽紧如法，带兜其手肘，悬于项下，要时常屈伸，肘腕不强，否则日久筋强，难以屈
伸，日服加减活血住痛散，若甲两头泡起，不可挑破，用黑神散油调贴即消。
夫两手肘腕骨络，俗名胖KT 。若骨出于腕外者，先用住痛散加痹药昏昏散服之，后
用药
住其
托其
原。试两
胖KT 过，
可动。其孔两旁皮弦
用左绑纸绳编上四
短甲。其短甲编作
腕间各空二分，庶
夫两手腕骨断，极难调理。用药不可过凉，夹后不可时常兜挂项下，要时常屈伸。坐则
令其舒于几案之上，或屈或伸；卧则令其舒于床席之间，时上时下。三日后令其折转，上过
脑后，又反手转于背上，渐渐折试，方是活动归原，若过三日能如此转动，亦不为迟。纵有
肿，贴药切忌过凉，恐筋寒贴肉难伸难屈也。
夫两手背骨折断而碎者，服 如前，令患人仰卧，医者坐其膝侧，伸脚踏患人腋下，左
手托住患人中间三指同作一把，着力拔伸；右手揣令归原，即与贴药加夹。用杉木皮一大阔
片，可托掌背过骨，其长短从臂骨中间起，至掌背拳尖骨为则。杉木皮中间对腕骨处剐一横
孔，令可屈伸；又用杉木皮数小片，如指面大，其长从臂骨起至掌边上，又两小片夹臂侧边
者略长半寸。各用纸束定，用左绑绳五部编之，将两部缚其托掌背大甲并两臂侧小甲梢，其
中一部缚于大拇指根掌两边弦上，其骨按得牢，外四部皆要宽舒，用带悬于项下，三日后亦
要折转屈伸活动，服药取效。
夫两手掌骨碎肉烂，服 如前。揣正相接，用麻油调白金生肌散贴之，用蜜调圣神散敷
四围，纸裹用杉木皮一大片按于掌上，又将纸裹软竹箬一大片盖于掌背，用手巾绑缚如法，
不必服药可也。
夫手指骨断者，先整筋骨合皮，用桃花散止其血，以竹箬软者一大片，要包得指头过，
纸裹定，用麻油调白金生肌散，摊箬纸上，包束患指，用帛缠之。次日药干，再用麻油透润
。三日后，再用麻油调白金生肌散贴之，仍服活血住痛散取效。或蜜调圣神散贴之，亦可取
效。
夫肩膊骨脱出，如左手脱出，医者以右手叉其左手，右手脱出，医者以左手叉其右手，
以膝跪其胁，用手带伸。如骨向上，以手托其上，要如故搦软，其手可齐头上肩，方可贴药
。以纸块实其腋下，用带二条，一条从这边肩上缠至那边腋下，一条从那边患处腋下缠至这
边肩上，日服住痛散自安。
夫腰骨、背脊骨折断者，令患人覆卧凳上，用大研米锤置于腹下，用绢带缚其两肓胛于
凳脑上，又缚其两足于凳脚横文件上，如此则鞠曲其腰，断骨自起而易入也。再用曲扁担一条
，从背脊趁直压其断骨，徐徐按入相接归原，然后用圣神散贴之，再用纸裹杉木皮一大片，
按在药上，以暖肚紧紧缚之。日服加减活血住痛散取效。
夫两胁筋骨折断者，不必夹缚，日服加减住痛散取效。
夫两腿环跳骨脱出者，此最难治之症也。足短者易治，足长者难治，日服加减活血住痛
散取效。
夫两足腿骨折断者， 服如前。令其仰卧，绑其胸腋系于凳脑上，如右足患，直伸左足
，竖屈右足，医者侧立右手凳弦边， 其右足踏患人右臀尖。一人以带系患人右足胫骨，正
坐凳头，着力挽带拔伸患骨。医者揣扪患骨归原即按定，双手按住莫动，令伸其足，试其齐
否，然后贴药，如法夹缚定，日服加减活血住痛散取效。
夫两足膝盖足碎断或斡脱者。服 如前，用箍伞蔑圈一个。其大要箍得膝盖骨住，四围
绢包，旁安带二条，令患人仰卧，直伸其足，医者揣扪相按居位，用圈子箍住膝盖骨上制定
不解，后用圣神散敷于圈子内外，再用草纸裹束，则不污梁，日服活血住痛散取效。
夫两足胫骨折断而碎者，与接腿骨同。
夫两踝骨及掌斡脱而若蹒跚者，服 如前。用杉木皮二大片，其长从小腿肚下起至脚底
为则，中间对踝骨处剐一圆孔，要箍得踝骨过。又用杉木皮一大片，要托得脚掌过，从趾下
起至KT 后，转折直上夹住后KT ，要留两旁边弦。又用杉木皮三四片，如指面大，编作
闸极栏子
先拔伸
时常伸
夫十足趾折断者，法与手指同。应用诸方开后。
圣神散∶淮乌、白芷、赤芍、白芨、枇杷叶、芙蓉叶各三钱，韭根、韭菜各一两，用姜
汁、韭汁、老酒同调敷。
桃花散（止血）∶大黄、黄柏、黄芩各五两，锻石半斤，同炒至灰如桃花色退火，收贮
候
消风散∶人参、防风、川芎、川朴、僵蚕、桔梗、独活、半夏、肉桂各一钱，羌活、蝉
蜕、当归各一钱五分，南星、白芷各二钱，黄芩三钱，柴胡七分，甘草五分，水煎，童便老
酒冲服。
辛香散∶（ 洗）防风、荆芥穗各十两，刘寄奴二两，独活、乳香、明矾、倍子、苦参
各
安髓散∶川芎、香附、白附子、甘草、白芷、相草、牡蛎各一两，共为细末。每服两钱
，清茶调服。
白金散∶白芷梢一味，为末，香油调敷。
淮乌散∶淮乌、川芎、白芷各等分，共为细末，姜汁和酒调服。
痹药昏昏散∶草乌一钱五分，骨碎补二钱，香附、川芎各一钱，共为细末，姜汁和酒调
服。饮醋、冷水即解。
住痛散∶杜仲、小茴、大茴各四两，共为细末，每服二钱，老酒调服。
活血住痛散∶白芷、山甲、小茴、甘草各三钱，当归、川芎各二钱，独活、羌活各一钱
五分，木瓜、山谷桂、淮乌各一钱，草乌、麝香各三，共为细末，姜、酒调作一次服。
寻痛住痛散∶乳香、没药、淮乌、川乌、川芎、山甲、木香、虎骨、自然铜、赤芍、紫
荆皮各二钱，当归一钱五分，小茴、大茴、沉香、白术、桔梗、牛膝、乌药各一钱，枳壳八
分，甘草、香附、降香节各五分，生姜三片，水煎服。
加减活血住痛散∶当归、山甲、木瓜、牛膝各三钱，乳香、没药各二钱，独活、羌活、
枳壳各一钱五分，小茴、甘草、淮乌、川芎、白芷、人参、大茴、血竭各一钱，肉桂八分，
麝香一分，生姜五片，小煎，酒冲服。
黑神散∶百草霜（即锅脐煤）一味，炒至烟尽存性，清油调敷。
脑是诸阳经汇聚之处，其太阳穴、囟门、头顶骨盖等部位，一旦有破损外伤，就应当分开头发仔细寻找受伤处，剪去靠近伤口的头发，然后才好用药。如果血液涌出，用灯心草嚼成团，蘸取桃花散塞入伤口，没有不止血的。伤势轻的则不必如此处理。如果出现腐烂发臭，先煎服消风散，再煎辛香散清洗患处，清洗时切忌对着风口，还担心寒热症状加重导致难以医治。如果头面部都肿胀，这是风邪侵入体内，适宜服用消风散。患处有肿胀，用蜂蜜调和圣神散，或者用姜汁、纯酒调和贴敷也可以。如果有骨髓流出，使用安髓散，用清茶调和敷贴，两种药合用尤其奇妙。如果头骨下沉凹陷，用白金散加淮乌散贴敷，立刻就能吸起恢复，配合服药取得疗效。
面部有七窍，眼睛位居第一，是人生一世中最重要的器官，治疗应当详细谨慎。如眼球脱出眼睑外，趁热将其送入，只用圣神散贴敷以消退瘀血和肿胀，内部仍需服药。如果黑睛破裂水流出来，眼睛必定毁坏。如果眼睑翻转在内侧，可以轻轻拨转使其归位，也用圣神散贴敷。如果血液侵入睛珠，用桃柳嫩枝、生地黄、地龙煎水，浸泡猪腿精肉贴在眼睛上，秘传常服活血住痛散及清头面药，其余都照外伤见血的方法治疗。
下颌骨脱臼。让患者坐定，揉搓一百多次，令口张开，医者将两手大拇指伸入口中，合手固定，往下拉一伸，再向上送，即复位入槽。仍用手巾兜住一时辰后可解开。
牙床骨被伤，用手揣摸捏拿，令其相按归位，用圣神散贴敷，外用绢手巾兜住下颚，直上缚在头顶上。牙齿脱落者，去除之；松动者用筷子拨正；出血不止，用五倍子、白矾煎汤含在口中止血，用米汤调白金散含化，或用桃花散塞之。
头部颈部从高坠落后缩曲僵硬，先用消风散或住痛散加痹药昏昏散服用。令患者仰卧，用绢带兜住其下颚，直上至头顶，再将头发解开放开，同绢带拿作一把，令其头睡得平正。医者坐在地下，伸直两脚，踏在患者肩上，用力徐徐拔伸使骨骼归原愈合。用生姜自然汁、韭菜汁、酒、醋调和圣神散贴敷，绑缚牢固，常服寻痛住痛散取得疗效。
肩井栏骨折断者，先服消风散、住痛散加痹药昏昏散，揣摸捏拿相接归位。次用蜜调圣神散贴敷。却用毛竹一节，长短阔狭以患处为度，破开两片，用一大片削去棱角，嵌入骨缝，用棉絮一团充实股下，以绢带从股下缠至那边肩上扎住，服药取得疗效。
肩膊铁锹骨（锁骨）破伤脱出者，以消风散、住痛散加痹药服用；其次削甲备药，用手巾袱蘸辛香散药汤，清洗其肩上，以舒展其肩骨。令患者侧卧，以一人立在其面前，牵拉伸展患者的手，与肩并齐，以足撑开患者的胁部，如此则伸展骨骼而易于入槽。医者居其肩后，用手捏拿令患骨相接，要折试其手，上至脑后脑后，又过胸前，令其掌于心脘下，不许摇动，却用姜汁、韭汁调圣神散贴敷，用纸裹杉木皮一大片按住药上，用绢带一条，从患处胁下绑至那边肩上。其大杉木皮也要穿数孔，以便掺湿内面药。日服加减活血寻痛散取得疗效。
肩胛骨脱出腕外者，此骨下段是杵，上段身骨是臼。治法先用住痛散加痹药昏昏散服用，其次削甲备药，用布手巾袱蘸辛香散药汤清洗患处，令筋骨舒软。如左手骨脱者，令患者卧，一人坐其左膝之侧，曲其左足，踏患者左胁下，用带绑住患者肘上，系于坐者腰间，坐者以手扶平患者的肘，却低头向前，倒腰向后，用力徐徐拔伸患者的骨，按正入于胁下。如骨脱向内收敛胁部不开者，令患者侧卧于地，用踏脚凳一条，夹其脚背，令其转动，着一人曲腰坐于凳子上，用绢带绷住患者肘股上悬于坐者之肩，伸脚踏患者胁下，然后抬肩带肘，徐徐用力拔伸患骨，用手按正其肩腕，务要折转，又试其手，上到脑后，下过胸前，反手于臂，方是归原。然后调圣神散贴敷，用绢带一条，从患处绑至那边胁下缚住，又一条从患处胁下绑至这边肩上，亦用棉絮一团实其胁下，方得稳固。日服消风散、住痛散，取得疗效。
两臂骨折断或破碎者，先用消风散、住痛散加痹药昏昏散服用。用杉木皮三片，削去粗皮，捏令微薄如指面大，长短以患处为则，用棉纸包束粘定，用油透甲纸上，用左绑绳四部编成闸极子，如此通漏，内面药干，庶可掺湿，编毕，用热药汤软化其筋骨。令患者卧于地，用绢带缚患者肘臂，系于医者腰间。医者坐其膝侧，双手捉定患肘，脚踏其腋下，倒腰向后，徐徐用力拔伸断骨，用手揣摸令其归位。以姜汁、韭汁、醋调圣神散摊于油布上贴敷，外用夹板固定，宽紧如法，带兜其手肘，悬于项下，要时常屈伸，肘腕不强，否则日久筋强，难以屈伸，日服加减活血住痛散，若夹板两头泡起，不可挑破，用黑神散油调贴即消。
两手肘腕骨络，俗名胖KT（此处原文可能有误或特指某部位，暂译音）。若骨出于腕外者，先用住痛散加痹药昏昏散服用，后用药托其原。试两胖KT过，可动。其孔两旁皮弦用左绑纸绳编上四短甲。其短甲编作腕间各空二分，庶...（原文此处似有缺漏，依文意补全逻辑：使得关节灵活）。
两手腕骨断，极难调理。用药不可过凉，夹后不可时常兜挂项下，要时常屈伸。坐则令其舒于几案之上，或屈或伸；卧则令其舒于床席之间，时上时下。三日后令其折转，上过脑后，又反手转于背上，渐渐折试，方是活动归原，若过三日能如此转动，亦不为迟。纵有肿，贴药切忌过凉，恐筋寒贴肉难伸难屈也。
两手背骨折断而碎者，服药如前，令患者仰卧，医者坐其膝侧，伸脚踏患者腋下，左手托住患者中间三指同作一把，着力拔伸；右手揣摸令其归位，即与贴药加夹。用杉木皮一大阔片，可托掌背过骨，其长短从臂骨中间起，至掌背拳尖骨为则。杉木皮中间对腕骨处剐一横孔，令可屈伸；又用杉木皮数小片，如指面大，其长从臂骨起至掌边上，又两小片夹臂侧边者略长半寸。各用纸束定，用左绑绳五部编之，将两部缚其托掌背大甲并两臂侧小甲梢，其中一部缚于大拇指根掌两边弦上，其骨按得牢，外四部皆要宽舒，用带悬于项下，三日后也要折转屈伸活动，服药取得疗效。
两手掌骨碎肉烂，服药如前。揣正相接，用麻油调白金生肌散贴敷，用蜜调圣神散敷四围，纸裹用杉木皮一大片按于掌上，又将纸裹软竹箬一大片盖于掌背，用手巾绑缚如法，不必服药也可。
手指骨断者，先整筋骨合皮，用桃花散止其血，以竹箬软者一大片，要包得指头过，纸裹定，用麻油调白金生肌散，摊箬纸上，包束患指，用帛缠之。次日药干，再用麻油透润。三日后，再用麻油调白金生肌散贴敷，仍服活血住痛散取得疗效。或蜜调圣神散贴敷，亦可取得疗效。
肩膊骨脱出，如左手脱出，医者以右手叉其左手，右手脱出，医者以左手叉其右手，以膝跪其胁，用手带伸。如骨向上，以手托其上，要如故搦软，其手可齐头上肩，方可贴药。以纸块实其腋下，用带二条，一条从这边肩上缠至那边腋下，一条从那边患处腋下缠至这边肩上，日服住痛散自安。
腰骨、背脊骨折断者，令患者覆卧凳上，用大研米锤置于腹下，用绢带缚其两肓胛于凳脑上，又缚其两足于凳脚横文件上，如此则鞠曲其腰，断骨自起而易入也。再用曲扁担一条，从背脊趁直压其断骨，徐徐按入相接归原，然后用圣神散贴敷，再用纸裹杉木皮一大片，按在药上，以暖肚紧紧缚之。日服加减活血住痛散取得疗效。
两腿环跳骨脱出者，此最难治之症也。足短者易治，足长者难治，日服加减活血住痛散取得疗效。
两足腿骨折断者，服药如前。令其仰卧，绑其胸腋系于凳脑上，如右足患，直伸左足，竖屈右足，医者侧立右手凳弦边，以其右足踏患者右臀尖。一人以带系患者右足胫骨，正坐凳头，着力挽带拔伸患骨。医者揣扪患骨归原即按定，双手按住莫动，令伸其足，试其齐否，然后贴药，如法夹缚定，日服加减活血住痛散取得疗效。
两足膝盖足碎断或斡脱者。服药如前，用箍伞蔑圈一个。其大要箍得膝盖骨住，四围绢包，旁安带二条，令患者仰卧，直伸其足，医者揣扪相按居位，用圈子箍住膝盖骨上制定不解，后用圣神散敷于圈子内外，再用草纸裹束，则不污梁，日服活血住痛散取得疗效。
两踝骨及掌斡脱而若蹒跚者，服药如前。用杉木皮二大片，其长从小腿肚下起至脚底为则，中间对踝骨处剐一圆孔，要箍得踝骨过。又用杉木皮一大片，要托得脚掌过，从趾下起至KT后，转折直上夹住后KT，要留两旁边弦。又用杉木皮三四片，如指面大，编作闸极栏子...（原文此处似有缺漏，依文意补全逻辑：进行固定）。
十足趾折断者，法与手指同。应用诸方开后。
圣神散：淮乌、白芷、赤芍、白芨、枇杷叶、芙蓉叶各三钱，韭根、韭菜各一两，用姜汁、韭汁、老酒同调敷。
桃花散（止血）：大黄、黄柏、黄芩各五两，锻石半斤，同炒至灰如桃花色退火，收贮候用。
消风散：人参、防风、川芎、川朴、僵蚕、桔梗、独活、半夏、肉桂各一钱，羌活、蝉蜕、当归各一钱五分，南星、白芷各二钱，黄芩三钱，柴胡七分，甘草五分，水煎，童便老酒冲服。
辛香散：（洗）防风、荆芥穗各十两，刘寄奴二两，独活、乳香、明矾、倍子、苦参各...（原文此处剂量缺失，保留原貌）。
安髓散：川芎、香附、白附子、甘草、白芷、相草、牡蛎各一两，共为细末。每服两钱，清茶调服。
痹药昏昏散：草乌一钱五分，骨碎补二钱，香附、川芎各一钱，共为细末，姜汁和酒调服。饮醋、冷水即解。
住痛散：杜仲、小茴、大茴各四两，共为细末，每服二钱，老酒调服。
活血住痛散：白芷、山甲、小茴、甘草各三钱，当归、川芎各二钱，独活、羌活各一钱五分，木瓜、山谷桂、淮乌各一钱，草乌、麝香各三，共为细末，姜、酒调作一次服。
寻痛住痛散：乳香、没药、淮乌、川乌、川芎、山甲、木香、虎骨、自然铜、赤芍、紫荆皮各二钱，当归一钱五分，小茴、大茴、沉香、白术、桔梗、牛膝、乌药各一钱，枳壳八分，甘草、香附、降香节各五分，生姜三片，水煎服。
加减活血住痛散：当归、山甲、木瓜、牛膝各三钱，乳香、没药各二钱，独活、羌活、枳壳各一钱五分，小茴、甘草、淮乌、川芎、白芷、人参、大茴、血竭各一钱，肉桂八分，麝香一分，生姜五片，小煎，酒冲服。
The brain is the gathering point of all Yang meridians. For injuries to the Taiyang acupoint, fontanelle (anterior fontanelle), or cranial vault, if there is any breakage, one must part the hair to locate the injury, cut away the hair near the wound, and then apply medication. If blood gushes out, chew a piece of Juncus effusus (Jiedixin) into a ball, dip it in Taohua San (Peach Blossom Powder) to pack the wound, which will stop bleeding immediately. For minor injuries, this is unnecessary. If rotting and foul odor occur, first decoct Xiaofeng San (Wind-Expelling Powder) for oral administration, then decoct Xinxiang San (Fragrant Powder) to wash the area. During washing, avoid wind exposure, as cold and heat symptoms may worsen and become difficult to treat. If the head and face are swollen, this indicates wind pathogen invading the interior; Xiaofeng San should be taken. For swelling at the affected site, mix Shengshen San (Holy Spirit Powder) with honey, or use ginger juice and pure wine for topical application. If bone marrow exudes, use Ansui San (Marrow-Anchoring Powder) mixed with clear tea for topical application; using both medicines together is particularly effective. If the skull is depressed, apply Baijin San (White Gold Powder) combined with Huaiwu San (Huaiwu Powder) topically to lift the depression immediately, and take medicine internally for recovery.
The face has seven orifices, with the eyes being the most important for life. Treatment requires meticulous care. If the eyeball protrudes outside the eyelid, push it back in while warm, apply Shengshen San topically to reduce blood stasis and swelling, and continue internal medication. If the cornea breaks and fluid leaks, the eye will likely be lost. If the eyelid turns inward, gently flip it back to its original position and apply Shengshen San. If blood invades the eye, decoct tender branches of peach and willow, Rehmanniae Radix (Shengdihuang), and Pheretima (Dilong) in water, soak lean pork leg meat in it, and apply to the eye. Secretly prescribe Huoxue Zutong San (Blood-Invigorating and Pain-Stopping Powder) and formulas for clearing the head and face; other treatments follow standard protocols for traumatic bleeding.
For mandibular dislocation, have the patient sit still and massage the area over a hundred times until the mouth opens. The practitioner inserts both thumbs into the mouth, holds firmly, pulls down slightly, then pushes up to reduce the joint. Keep a handkerchief supporting the jaw for an hour before removing.
For injury to the alveolar bone, palpate and manipulate to realign, apply Shengshen San topically, and externally support the lower jaw with a silk handkerchief tied to the top of the head. Extract loose teeth; straighten mobile ones with chopsticks. For persistent bleeding, rinse with a decoction of Galae Fructus (Wubeizi) and Alumen (Baifan). Dissolve Baijin San in rice water and hold in the mouth, or pack with Taohua San.
For neck stiffness after falling from height, administer Xiaofeng San or Zutong San plus Biyao Hunhun San (Numbing Powder). Have the patient lie supine, support the chin with a silk ribbon tied to the crown, gather the hair with the ribbon, and ensure the head lies flat. The practitioner sits on the ground, extends legs, places feet on the patient's shoulders, and slowly applies traction to realign. Apply Shengshen San mixed with fresh ginger juice, leek juice, wine, and vinegar. Bind firmly and take Xuntong Zutong San daily.
For clavicle fracture, administer Xiaofeng San, Zutong San, plus Biyao Hunhun San. Manipulate to realign. Apply Shengshen San mixed with honey. Use a section of bamboo, sized to the injury, split into two. Shape one piece to fit the bone gap, place cotton under the arm, and bind with a silk ribbon from the armpit across the opposite shoulder. Take medicine for effect.
For fractured and dislocated clavicle, administer Xiaofeng San, Zutong San, plus Biyao Hunhun San. Prepare medicated towels soaked in Xinxiang San decoction to wash the shoulder and relax the joint. Have the patient lie on their side. An assistant stands in front, pulling the patient's arm level with the shoulder, while pressing against the patient's ribcage with a foot to open the space. The practitioner stands behind, manipulates the bones to align, tests mobility by raising the arm above the head and across the chest to touch the opposite sternum without shaking. Apply Shengshen San mixed with ginger and leek juice. Cover with paper-wrapped fir bark, and bind with a silk ribbon from the injured armpit to the opposite shoulder. Pierce holes in the bark for moisture. Take Jiajian Huoxue Xuntong San daily.
For scapular dislocation, where the lower segment acts as a pestle and upper body as a mortar, first take Zutong San plus Biyao Hunhun San. Wash the area with Xinxiang San decoction to relax tendons and bones. For left-sided dislocation, have the patient lie down. An assistant sits by the left knee, bends the left leg, steps on the patient's left ribcage, and ties a belt around the patient's elbow to the assistant's waist. The assistant supports the elbow, leans forward, arches back, and slowly applies traction to reduce the joint into the axilla. If the bone retracts inward, have the patient lie on their side, use a footstool to rotate the leg, have an assistant sit on the stool, suspend the patient's elbow via a ribbon over their shoulder, step on the ribcage, and lift the shoulder/elbow with traction. Reduce the joint, test mobility (arm overhead and across chest), then apply Shengshen San. Bind with two silk ribbons: one from injury to opposite armpit, one to the current shoulder. Stuff cotton in the armpit for stability. Take Xiaofeng San and Zutong San daily.
For bilateral arm fractures, administer Xiaofeng San, Zutong San, plus Biyao Hunhun San. Prepare thin splints from fir bark, wrap in cotton paper, oil them, and weave binding ropes into a lattice structure to allow ventilation. Soften tendons with hot medicinal water. Have the patient lie down, tie elbows to the practitioner's waist. The practitioner sits by the knees, grasps the elbows, steps on the armpits, arches back, and applies slow traction to realign. Apply Shengshen San mixed with ginger, leek juice, and vinegar on oiled cloth. Splint securely, sling the arm under the neck, and encourage frequent flexion/extension to prevent tendon stiffening. Take Jiajian Huoxue Zutong San daily. If blisters form under splints, do not pop; apply Heishen San mixed with sesame oil.
For elbow/wrist dislocations (colloquially "pang KT"), administer Zutong San plus Biyao Hunhun San. Support and reduce the joint. Test mobility. Weave short splints with binding rope, leaving 2 fen gaps between joints for flexibility.
For wrist fractures, treatment is difficult. Avoid overly cooling medications. Do not keep the arm constantly suspended; encourage movement. When sitting, rest on a table; when lying, move limbs frequently. After three days, gradually test range of motion by reaching behind the head and back. Swelling should be treated with non-cooling topical agents to prevent tendon stiffness.
For dorsal hand fractures, administer previous medicines. Have patient lie supine. Practitioner steps on armpit, lifts three middle fingers with one hand for traction, and reduces with the other. Apply splints made of wide fir bark spanning palm to knuckles, with a hole for wrist flexion. Add smaller splints along the forearm sides. Bind with five ropes, securing the thumb base. Sling under neck. Test mobility after three days. Take medicine.
For crushed palm flesh, realign bones. Apply Baijin Shengji San mixed with sesame oil to the wound, surround with Shengshen San mixed with honey. Cover with paper-wrapped fir bark and soft bamboo leaf. Bind securely. Internal medicine may be omitted.
For finger fractures, realign bones and skin. Stop bleeding with Taohua San. Wrap the finger in a large soft bamboo leaf, secure with paper, apply Baijin Shengji San mixed with sesame oil, and bind with silk. Re-moisten with sesame oil next day. On the third day, reapply Baijin Shengji San and take Huoxue Zutong San. Alternatively, use Shengshen San mixed with honey.
For shoulder dislocation, if the left arm is dislocated, the practitioner uses the right hand to grasp it, kneeling on the patient's side, and pulls with a belt. If the bone points upward, support it manually until relaxed, then align the hand with the shoulder level before applying medication. Pack paper in the armpit. Bind with two ribbons crossing from one shoulder to the opposite armpit. Take Zutong San daily.
For lumbar/spinal fractures, have the patient lie prone on a bench with a heavy roller under the abdomen. Tie shoulder blades and feet to the bench to curve the spine, lifting the fracture site. Press a curved pole along the spine to slowly reduce the fracture. Apply Shengshen San, cover with paper-wrapped fir bark, and bind tightly with a warming abdominal binder. Take Jiajian Huoxue Zutong San daily.
For intercostal muscle/bone fractures, no splinting is needed; take Jiajian Zutong San daily.
For hip (Huantiao) dislocation, this is difficult to treat. Shortened limb cases are easier than lengthened ones. Take Jiajian Huoxue Zutong San daily.
For leg fractures, administer previous medicines. Have patient lie supine, tie chest/armpits to bench. For right leg injury, extend left leg, bend right leg. Practitioner stands by the bench, steps on the right buttock. An assistant ties a belt around the right tibia and pulls for traction. Practitioner reduces the bone, holds firm, extends the leg to check alignment, applies medication, and splints. Take Jiajian Huoxue Zutong San daily.
For knee fractures/dislocations, administer previous medicines. Use a woven bamboo hoop to encircle the kneecap, padded with silk, with two side straps. Have patient lie supine, extend leg. Practitioner reduces the bone, secures the hoop, applies Shengshen San inside and out, wraps in grass paper to keep clean. Take Huoxue Zutong San daily.
For tibial fractures, treat similarly to femoral fractures.
For ankle dislocations causing limping, administer previous medicines. Use two large fir bark splints extending from calf to sole, with a hole for the ankle. Use another large splint for the sole, extending to the heel, leaving sides open. Weave smaller splints into a lattice structure... [text incomplete].
For toe fractures, follow finger fracture protocol. Formulas follow.
Shengshen San: Aconitum carmichaelii (Huaiwu), Angelica dahurica (Baizhi), Red Peony Root (Chishao), Bletilla striata (Baiji), Loquat leaf (Pipaye), Hibiscus mutabilis leaf (Furongye) each 3 qian; Leek root and Leek each 1 liang. Mix with ginger juice, leek juice, and aged wine for topical application.
Taohua San (Hemostatic): Rhubarb (Dahuang), Phellodendron bark (Huangbai), Scutellaria root (Huangqin) each 5 liang; Calcined alum (Duanshi) 0.5 jin. Stir-fry together until ash-colored like peach blossoms, cool, and store.
Xiaofeng San: Ginseng (Renshen), Saposhnikovia root (Fangfeng), Ligusticum chuanxiong (Chuanxiong), Magnolia bark (Chuanpu), Bombyx batryticatus (Jiangcan), Platycodon root (Jiegeng), Angelica pubescens (Duhuo), Pinellia ternata (Banxia), Cinnamon bark (Rougui) each 1 qian; Notopterygium root (Qianghuo), Cicada slough (Chantui), Angelica sinensis (Danggui) each 1.5 qian; Aconitum kusnezoffii (Nanxing), Baizhi each 2 qian; Huangqin 3 qian; Bupleurum (Chaihu) 0.7 qian; Licorice (Gancao) 0.5 qian. Decoct in water, take with child's urine and aged wine.
Xinxiang San (Wash): Saposhnikovia root (Fangfeng), Schizonepeta spike (Jingjie sui) each 10 liang; Herba Centipedae (Liujinu) 2 liang; Duhuo, Frankincense (Ruxiang), Alum (Mingfan), Wubeizi, Sophora flavescens (Kushen)... [dosages missing in source].
Ansi San: Chuanxiong, Cyperus rotundus (Xiangfu), Fuzi (Baifuzi), Gancao, Baizhi, Xiangcao (likely typo for Xiangfu or similar), Oyster shell (Muli) each 1 liang. Grind to fine powder. Take 2 qian with clear tea.
Baijin San: Baizhi tip only, grind to powder, mix with sesame oil for topical application.
Huaiwu San: Huaiwu, Chuanxiong, Baizhi in equal parts. Grind to powder, mix with ginger juice and wine for oral administration.
Biyao Hunhun San: Caowu 1.5 qian, Drynaria rhizome (Gusuibu) 2 qian, Xiangfu, Chuanxiong each 1 qian. Grind to powder, mix with ginger juice and wine. Neutralized by vinegar or cold water.
Zutong San: Eucommia bark (Duzhong), Fennel (Xiaohui), Anise (Dahui) each 4 liang. Grind to powder. Take 2 qian with aged wine.
Huoxue Zutong San: Baizhi, Pangolin scales (Shanjia), Xiaohui, Gancao each 3 qian; Danggui, Chuanxiong each 2 qian; Duhuo, Qianghuo each 1.5 qian; Quince (Mugua), Guizhi, Huaiwu each 1 qian; Caowu, Musk (Shexiang) each 3 qian. Grind to powder, mix with ginger and wine for single dose.
Xuntong Zutong San: Ruxiang, Myrrh (Moyao), Huaiwu, Chuanwu, Chuanxiong, Shanjia, Costus root (Muxiang), Tiger bone (Hugu - note: illegal/protected species, historical context), Pyrite (Zirantong), Chishao, Vitex fruit (Zijingpi) each 2 qian; Danggui 1.5 qian; Xiaohui, Dahui, Agarwood (Chenxiang), Atractylodes (Baizhu), Jiegeng, Achyranthes (Niuxi), Lindera (Wuyao) each 1 qian; Aurantium (Zhike) 0.8 qian; Gancao, Xiangfu, Jiangxiangjie each 0.5 qian; Fresh ginger 3 slices. Decoct in water.
Jiajian Huoxue Zutong San: Danggui, Shanjia, Mugua, Niuxi each 3 qian; Ruxiang, Moyao each 2 qian; Duhuo, Qianghuo, Zhike each 1.5 qian; Xiaohui, Gancao, Huaiwu, Chuanxiong, Baizhi, Renshen, Dahui, Dragon's blood (Xuexie) each 1 qian; Rougui 0.8 qian; Shexiang 0.1 qian; Ginger 5 slices. Light decoction, take with wine.
Heishen San: Suo Long (Soot from stove bottom) only. Stir-fry until smoke ceases but substance remains. Mix with clarified sesame oil for topical application.