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[Song on Etiology]
Injuries and traumas are not of many types. Some result from falls causing Qi disturbance and unrest; some involve the retention of evil blood (stasis) accompanied by sudden anger, accumulating under the hypochondrium to injure the Liver. The body suffers blows or falls, pain is severe and hard to endure; if one engages in sexual intercourse after being drunk or full, violating this taboo, and sweats while exposed to wind without avoidance, both these scenarios injure the Spleen. Lifting heavy weights with force often leads to bone displacement; excessive sexual activity inevitably depletes Essence. Entering water, traveling long distances, and dwelling in damp places injure the Kidney, causing alarm regarding the depletion of Essence and damage to bones.

[Song on Pulse and Symptoms]
The Liver pulse is firm and long, yet the complexion is not green; one should know that this indicates blood accumulation (stasis) failing to circulate, causing incessant wheezing and counterflow qi, where stasis steams and invades the Lung Meridian. If the Cun Kou pulse is floating, faint, and choppy, it signifies massive blood loss that is difficult to control. The classics state that those who have lost much blood should have no sweat; this must be due to metal wounds (trauma from sharp instruments), cuts, or axe injuries.

[Song on Indications and Contraindications]
For fall and trauma injuries, the pulse should be firm, preferably presenting as洪大 (Surging), 数 (Rapid), 长 (Long), or 弦 (Wiry). Pulses that are 沉 (Deep), 微 (Faint), 涩 (Choppy), or 小 (Fine) are all contraindicated; encountering a 虚促 (Deficient and Interrupted) pulse portends a shortened lifespan. For metal wound blood loss, various 芤 (Hollow) pulses may appear; if the pulse is Deep, Fine, Deficient, and Faint, the disease can heal. However, if the pulse is Floating, Surging, Rapid, and Large, one must beware of danger within seven days.

[Song on Acupuncture and Moxibustion]
When evil blood (stasis) remains internally causing chest and abdominal distension, first needle Ran Gu (KI2) and Chong Yang (ST42). If the condition persists, prick the hair tuft at the vertex (Baihui area) and perform Mu Ci (lateral needling) on Da Dun (LR1) on both sides for good effect. When the body is injured and bleeding, leading to limbs unable to hold themselves, termed "Body Laziness" (Ti Duo), urgently moxa the Guan Yuan (CV4) point below the umbilicus with moxa cones, and the disease will heal. For lower back pain, seek Huan Tiao (GB30); He Gu (LI4) treats tetanus; for arm injuries where lifting is impossible, use Jian Jing (GB21). Acupuncture and moxibustion each have their merits. For tetanus resulting from trauma, first attack the needle at the painful site, then needle and moxa Cheng Shan (BL57); this profound method was left by Zhen Quan. To drain strong pain in the spine, reduce Ren Zhong (GV26); the treatment for sprains and waist soreness is the same. Furthermore, Wei Zhong (BL40) is a point that allows you to treat various waist conditions. For general body pain from severe illness, carefully examine the non-fixed acupoints. Where tendons and bones are involved, shallow needling is required; when applying moxa, measure the dosage appropriately.

*General Discussion from Yi Zong Jin Jian*: The term "manual manipulation" refers to using both hands to position injured sinews and bones, restoring them to their original state. However, injuries vary in severity, and different manipulations are suitable for different cases. The speed of recovery and whether physiological disabilities remain depend entirely on whether the manipulation was applied appropriately, improperly, or incompletely. Since the skeletal structure of the whole body is not uniform, and the arrangement and affiliation of the twelve sinew meridians differ, one must thoroughly understand the body's morphology and identify its locations beforehand. Once clinical practice begins, external tactile cues trigger internal ingenuity; the hand follows the mind, and the technique emerges from the hand. One may pull apart separated parts to rejoin them, or push displaced parts to restore them; one may correct obliquity or repair defects. Even if bones are fractured, shattered, or obliquely broken, and sinews are lax, contracted, twisted, or dislocated, although deep within the flesh, palpation with the hand reveals the situation clearly. When the technique is applied such that the patient feels no pain, it is truly called manual manipulation. Moreover, since many injury sites relate to life itself—for example, the seven orifices connect upward to the brain marrow, the diaphragm is near the Heart (the Monarch), and injuries to the four extremities cause pain that enters the heart—even if the patient has robust primordial Qi and the defeated blood disperses easily allowing for timely recovery, manual manipulation must not be applied recklessly. If the patient’s primordial Qi is inherently weak, once injured, the condition is already difficult to sustain; if further error occurs in treatment, it becomes irretrievable. This is why extreme caution is required. Generally, bone-setters must have clear minds and skillful hands; knowing the condition and adeptly using manual techniques ensures effective treatment. Indeed, the hand is flesh and blood; its subtlety of movement, through flexion and extension, high and low, fast and slow, heavy and light, opening and closing, can penetrate the patient's stagnant Qi and blood, swollen and painful skin and flesh, contracted and broken sinews and bones, and the desires and aversions of emotional states. Compared to using rigid instruments for fixation, this is vastly superior. Thus, manual manipulation is indeed the primary task of bone-setting.