(附胸胁)
锁子骨,经名柱骨,横卧于两肩前缺盆之外,其两端外接肩解,或击打偏坠伤断者,用
手法先按胸骨,将肩端向内合之,揉摩断骨令其复位,用带挂肩于项,勿使摇动,服接骨紫金丹
,外敷定痛散,贴万灵膏,可愈。胸骨,即 骨,一名膺骨,又名臆骨,俗名胸膛。其两
腋下至肋骨尽处名胁,胁下小肋名季胁,俗名软肋,统胁肋之总,名曰 。岐骨者,即两凫
骨端相接之处,下即鸠尾骨也。蔽心骨,即鸠尾骨也。其质系脆骨,在胸下岐骨之间。凫骨
者
,用布缠缚数转,服接骨紫金丹,外用定痛散熨之,贴万灵膏。若内蓄瘀血肿痛,伛偻难仰
者,服紫金丹。或大便实者,参黄散下之。若受伤日久,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,服紫金丹。若伤重,内干胸中心肺两脏之气,昏迷
目闭,呕吐血水,呃逆战栗者,危在旦夕,不治。心坎上横骨,又名人字骨,从下而上,若
第一节伤者一年死,第二节伤者二年死,第三节伤者三年死。此穴内应乎肺,伤必吐血咳嗽
。凡胸前背后重伤,久则成痰火劳怯。左乳伤,发咳嗽。右乳伤,发呃逆。凡胸胁诸伤,黎
洞丸、三黄宝蜡丸皆可酌用之,再服理肺之剂以收功。
背者,自后身大椎骨以下,腰以上之通称也,一名脊骨,一名膂骨,俗呼脊梁骨,其形
一条
于前则为胸胁也。腰骨者,即脊骨之十四椎、十五椎、十六椎也。尾 骨,即尻骨也,其形
上宽下窄,上承腰脊诸骨,两旁各有四孔,名曰八 。其末节名曰尾闾,一名 端,一名撅
骨,一名穷骨,俗名尾椿也。或跌打伤者,瘀聚凝结,脊筋陇起,当先柔筋,令其和软,内
服紫金丹,敷定痛散,烧红铁烙熨之,贴混元膏。若骨缝叠出,俯仰不能,疼痛难忍,腰筋
僵硬,使患者两手攀索,两足踏砖上,每足下叠砖三块踏定,将后腰拿住,各抽去砖一块,
令病患直身,又各去一块,如是者三,其足着地,使气舒瘀散,陷者能起,曲者可直。再将
腰柱裹住,紧紧缚之,勿令窒碍,但宜仰卧,不可侧睡,膂骨正而患除,服接骨紫金丹。如
胸陷不直者,亦用此法。或气门伤,则气塞不通,口噤反张,身强如死,过不得三个时辰,
若气从大便出者立毙。凡遇此症,不可慌张,候其气息有无,如无气者,为倒插拳所伤,令
患人盘坐,揪其发伏我膝上,敲击其背心,使气从口出得苏,服黎洞丸。尾闾,若蹲垫壅肿
,必连腰胯,服黎洞丸,再服接骨紫金丹,贴万灵膏。踢伤海底穴,血必上冲,当时耳内响
声大震,人必昏晕,先服护心丸,再服紫金丹。
(Attached to the chest and hypochondrium)
The clavicle, known in meridians as the Zhu Gu (Pillar Bone), lies horizontally outside the Quepen (LI15) on both anterior shoulders. Its two ends connect externally to the shoulder joints. If fractured due to a blow causing displacement or falling, first use manual manipulation to press the sternum, bring the shoulder ends inward to align, massage the fracture to reduce it, suspend the shoulder with a strap around the neck to prevent movement, administer Jiegu Zijin Dan (Bone-Setting Purple Gold Pill), apply external Dingtong San (Pain-Calming Powder), and paste Wanling Gao (Ten Thousand Spirits Plaster); recovery is possible.
The sternum, also called Ying Gu (Chest Bone) or Yi Gu (Breastbone), is commonly known as the chest. The area from the axillae to the end of the ribs is termed the hypochondrium (Xie). The small ribs below the hypochondrium are called the costal margin (Ji Xie), commonly known as soft ribs. Collectively, the hypochondrium and ribs are referred to as the "hypochondriac region" (Xie Lei). The Qigu (Divided Bone) refers to the junction of the ends of the Fu Gu (Sternum/Manubrium), located below which is the Jiwei bone (Xiphoid process). The Bixin bone is also the Jiwei bone. It consists of cartilaginous tissue located between the lower Qigu bones. For the Fu Gu, bind with cloth for several turns, take Jiegu Zijin Dan, apply Dingtong San with heat compression externally, and paste Wanling Gao. If there is internal blood stasis causing swelling and pain, with difficulty bending forward or extending backward, take Zijin Dan. If constipation is present, purge with Canhuang San. If the injury is old, with the sternum protruding, muscle wasting, internal pathogenic heat and blood stasis, epigastric fullness and distension, blueish discoloration of the eyes, fatigue, phlegm, wheezing, and cough, take Zijin Dan. If the injury is severe, affecting the Qi of the Heart and Lungs internally, leading to coma with closed eyes, vomiting blood and water, hiccups, and tremors, the condition is critical and untreatable.
The transverse bone above the heart pit, also called the Renzi bone (Human Character Bone), when injured: injury to the first segment leads to death in one year; the second segment in two years; the third segment in three years. This area corresponds internally to the Lung; injury inevitably causes hemoptysis and cough. Severe injuries to the front or back of the chest, if prolonged, can transform into Phlegm-Fire consumption (Tan Huo Lao Qie). Injury to the left breast induces cough; injury to the right breast induces hiccups. For all chest and hypochondriac injuries, Lidong Wan (Li Dong Pill) and Sanhuang Bao La Wan (Three Yellows Precious Wax Pill) may be used酌情ly, followed by formulas that regulate the Lung to conclude treatment.
The back (Bei) is the general term for the area from the Dazhui (GV14) below to the waist above. It is also called the spine (Ji Gu) or Lv Gu (Back Muscle Bone), commonly known as the backbone. Its shape is linear; anteriorly it corresponds to the chest and hypochondrium. The lumbar vertebrae refer to the 14th, 15th, and 16th vertebrae of the spine. The coccyx (Wei Lu Gu), also called Kao Gu, is wide at the top and narrow at the bottom, supporting the lumbar and spinal bones above. There are four holes on each side, known as the Ba Liao (Eight Holes). The terminal segment is called Wei Lu, also known as Di Duan, Jue Gu, Qiong Gu, or commonly as Weichun. If injured by falls or blows, with blood stasis aggregation and condensation, and raised spinal tendons, first soften the tendons to make them pliable. Internally take Zijin Dan, apply Dingtong San, cauterize with a red-hot iron tool, and paste Hunyuan Gao. If vertebral dislocation occurs, preventing flexion and extension, with unbearable pain and stiff lumbar tendons, have the patient grasp ropes with both hands and stand on bricks with feet. Place three bricks under each foot, secure them, hold the lower back, remove one brick from each foot, straighten the patient's body, remove another brick, repeat this three times until feet touch the ground. This allows Qi to circulate and stasis to dissipate, raising depressed areas and straightening curved ones. Then wrap and tightly bind the lumbar column to avoid obstruction. The patient should only lie supine, not laterally. Once the Lv Gu is aligned, the ailment ceases; administer Jiegu Zijin Dan. This method is also used for depressed chests. If the Qi Gate is injured, Qi becomes blocked, leading to lockjaw, opisthotonos, and rigidity resembling death; death occurs within three hours if Qi exits through the anus. In such cases, do not panic. Check for respiration. If absent, it indicates injury from an upward-thrusting fist. Have the patient sit cross-legged, pull their hair to rest their head on your knee, strike their back to expel Qi through the mouth for revival, then administer Lidong Wan. For swelling and congestion of the Wei Lu (coccyx) caused by squatting impacts, which affects the waist and hips, take Lidong Wan, then Jiegu Zijin Dan, and paste Wanling Gao. If the Haidi acupoint is kicked, blood rushes upward, causing loud ringing in the ears and fainting. First take Huxin Wan (Heart-Protection Pill), then Zijin Dan.