篇名：上编 外治法
分类：四肢部
属性：[1]一名髀骨，上端如杵，入于髀枢之臼，下端如锤，接于□骨，统名曰
股，乃下身两大肢之通称也，俗名大腿骨。
[2]坠马拧伤，骨碎筋肿，黑紫清凉，外起白泡，乃因骨碎气泄，此证治
之鲜效。
[3]如人年少气血充足者，虽形证肿痛而不昏沉，无白泡者可治。
<1>法以两手按摩碎骨，推拿复位，再以指顶按其伤处，无错落之骨，
用竹廉裹之。
<2>每日早服正骨紫金丹，俟三日后，开廉视之，若有不平处，再捻筋
结，令其舒平，贴万灵膏，仍以竹廉裹之。
按、方剂：[1]正骨紫金丹：见颠顶骨伤
[2]万灵膏：见囟骨伤
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属性：[1]五指之骨，名锤骨，即各指本节之名也。
[2]若被打伤折，五指皆同，株连肿痛，因其筋皆相连也。
[3]手掌与背，其外体虽混一不分，而其骨在内，乃各指之本节相连而成
者也。
[4]若手背与手心，皆坚硬壅肿热痛，必正其骨节，则无后患。
[5]若不实时调治，其所壅之血，后必化而为脓。
[6]气盛者，服疮毒之剂，调治可愈；气虚者，将来成漏矣。
洗以散瘀和伤汤，贴万灵膏。
按、方剂：[1]散瘀和伤汤：见颠顶骨伤
[2]万灵膏：见囟骨伤
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[Upper Compilation External Treatment Methods - Limbs Section]
Attributes: [1] The femur, also known as the bit bone. Its upper end is shaped like a pestle and fits into the acetabulum of the hip joint (bit shu); its lower end is shaped like a hammer and connects to the tibia (character missing in original text, inferred as tibia or lower limb bones based on anatomy and context). Collectively referred to as "gu" (thigh), this is the general term for the two large limbs of the lower body, commonly known as the thigh bone.
[2] If fracture and tendon swelling result from falling from a horse or twisting injury, with the affected area appearing dark purple and feeling cold, and white blisters forming externally, this indicates that bone fragmentation has led to the leakage of Qi. Such conditions are rarely curable.
[3] For young individuals with sufficient Qi and Blood, although there is physical swelling and pain, if consciousness remains clear without drowsiness and no white blisters appear, the condition is treatable.
<1> The treatment method involves massaging the fractured bones with both hands and manipulating them back into position. Then, press the injured area with fingers. For bones that have not dislocated, wrap them with bamboo splints.
<2> Administer Zhenggu Zijin Dan (Bone-Setting Purple Gold Pill) orally every morning. After three days, remove the splints to inspect. If any irregularities remain, massage the tendon knots until they are smooth and flat, apply Wanling Gao (Ten Thousand Spirits Plaster), and re-wrap with bamboo splints.
Notes on Formulas: [1] Zhenggu Zijin Dan (Bone-Setting Purple Gold Pill): See section on Cranial Injuries.
[2] Wanling Gao (Ten Thousand Spirits Plaster): See section on Fontanelle Injuries.
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Attributes: [1] The bones of the five fingers are called chui bones, which refers to the proximal phalanges (ben jie) of each finger.
[2] If injured by blunt force causing fractures, the injuries to all five fingers are similar, leading to interconnected swelling and pain because their tendons are connected.
[3] Although the dorsal and palmar surfaces of the hand appear as a unified external structure, the internal bones are formed by the connection of the proximal phalanges of each finger.
[4] If both the back and palm of the hand become hard, swollen, hot, and painful, the bone joints must be realigned to prevent future complications.
[5] If not treated promptly, the stagnant blood will eventually transform into pus.
[6] Individuals with robust constitution (excess Qi) can be cured by administering anti-toxic herbal formulas; those with deficient constitution (deficient Qi) may develop fistulas later.
Wash the area with Sanyu He Shang Tang (Blood-Breaking and Injury-Healing Decoction) and apply Wanling Gao (Ten Thousand Spirits Plaster).
Notes on Formulas: [1] Sanyu He Shang Tang (Blood-Breaking and Injury-Healing Decoction): See section on Cranial Injuries.
[2] Wanling Gao (Ten Thousand Spirits Plaster): See section on Fontanelle Injuries.
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