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[Upper Compilation External Treatment Methods - Explanation of Instruments]
[1] Bamboo mat refers to the cooling mats used in summer, cut to size according to the length and width of the affected area.
[2] Usage explanation:
<1> For any limb fracture, first use manual manipulation to reduce and fix it, then wrap it with cloth. Surround the outside of the cloth with a bamboo mat and tie it tightly to prevent misalignment or displacement of the bone fragments. This is a general-purpose instrument.

[Upper Compilation External Treatment Methods - Head and Face]
[1] The ear is the organ responsible for hearing. The tragus is named "Bi" (Shield), and the helix is named "Guo" (Wall).
[2] In cases where the ear is severed by a knife, knocked off by trauma, or detached at one end while adhering at the other:
<1> Internally use sealing medicine; externally apply Antiseptic and Pain-Relieving Powder (Xiaodu Dingtong San).
<2> Observe the direction of detachment behind the ear. Use a goose feather quill to clamp horizontally, then secure it vertically and horizontally with a bamboo clip. Ensure the two ears face each other when tying gently, or use suturing methods.
Note: Formulas: [1] Sealing Medicine, Antiseptic and Pain-Relieving Powder, Suturing Method: All see Nasal Bone Injury section.

[Upper Compilation External Treatment Methods - Head and Face]
[1] Fontanelle bone refers to the soft, pulsating area on the top of an infant's head where the skull bones have not yet fused, known as the fontanel.
[2] If caused by falling or striking, although the cranial suture may split, if the brain marrow is not shaken/injured and the tendons are not twisted/dislocated, the symptoms manifest as swelling and luster on the head and neck, pale/distended face, swollen eyes, enlarged nose appearance, everted lips, stiff tongue, lethargy, and drowsiness.
[3] If the skin is swollen but not broken or bleeding:
<1> Assist the patient to sit upright.
<2> Immediately mix Cong Juice (Cong Zhi) with Pain-Relieving Powder (Dingtong San) and apply to the injury site; cover with mulberry paper dipped in vinegar, and iron over the paper with a heated iron. Continue until the injury site feels hot and painful, and sounds are heard from the mouth.
<3> Remove the medicinal paste and apply Wanling Ointment (Wanling Gao), changing it every three days.
<4> Once pain subsides and appetite returns, remove the plaster and wash with He Shang Decoction (He Shang Tang). This expels wind, dissipates swelling, activates blood, and regulates qi.
[4] If the skin is broken and bleeding:
<1> Immediately use Pilewort Ash (Mapibo Hui) to stop the bleeding.
<2> Next, apply the Elm Bark Moxibustion-Ironing Method.
<3> Internally administer Ginseng and Purple Gold Elixir (Renshen Zijin Dan) to strengthen the spleen and stomach, boost yuan qi, relieve thirst and generate fluids, enhance spirit, strengthen the body, and ensure harmonious flow of tendons and blood.
<4> Avoid stimulating foods and strong alcohol. Wear a drawstring cap and cloth hat to avoid wind and cold; do not leave the room.
[5] If the wound breaks and bleeds continuously, the bone is depressed, and tendons are everted, the brain marrow must be damaged. Symptoms include limp body, inability to flex hands, rigid tendons, and faint breath without sound. This is critical and difficult to treat. If the open wound is exposed to cold wind, it is incurable.
[6] Mapibo, commonly known as Dog Head Ash, is best sourced from beyond the Great Wall.
Note: Formulas: [1] Pain-Relieving Powder (Dingtong San)
Treats all types of falls and blows, relieves pain, reduces swelling, soothes tendons, and harmonizes collaterals.
Angelica Root (Danggui), Ligusticum Rhizome (Chuanxiong), White Peony Root (Baishao), Cinnamon Twig (Guangui) each 1 qian; Sannei 3 qian; Musk (Shexiang) 3 fen; Safflower (Honghua) 5 qian;
Purple Lilac Root (Zi Dingxiang Gen), Cimicifuga Rhizome (Shengma), Saposhnikovia Root (Fangfeng) each 1 qian.
Grind into fine powder, mix with juice of old green onion, apply to the injured area, followed by ironing method.
[2] Moxibustion-Ironing Method
This method is specifically for moxibustion and ironing injuries where flesh is broken and blood flows. Since blood and fluids cause moisture, place bark as a barrier before applying heat/moisture. Place elm bark on the injury site first, then mix mashed old green onion with Qiai Pain-Relieving Powder evenly, place on the bark, perform moxibustion five times consecutively, and wrap in soft silk. Wear a drawstring cloth cap, tighten straps, and carefully avoid wind and cold.
[3] Wanling Ointment (Wanling Gao)
Treats traumatic injuries, resolves stasis, disperses toxicity, soothes tendons, invigorates blood, stops pain, and sets bones miraculously. Also treats numbness, wind-phlegm, and pain from cold-dampness.
Stork Grass (Guanjin Cao), Bone-Penetrating Grass (Tougucao), Purple Lilac Root (Zidingxiang Gen), Angelica Root (Danggui, wine-washed), Natural Pyrite (Ziran Tong, quenched in vinegar seven times);
Dragon's Blood (Gua'er Xuejie), Myrrh (Moyao) each 1 liang; Chuanxiong 8 qian; Red Peony Root (Chishao) 2 liang; Banliang Qian (quenched in vinegar) 1 piece;
Safflower (Honghua) 1 liang; Cyathula Root (Chuan Niuxi), Acanthopanax Bark (Wujiapi), Acorus Rhizome (Shichangpu), Cangzhu 5 qian each; Costus Root (Muxiang), Gentiana Macrophylla (Qinjiao);
Cnidium Fruit (Shechuangzi), Cinnamon Bark (Rougui), Prepared Aconite (Chuan Fuzi), Prepared Pinellia (Banxia), Dendrobium (Shihu), Galangal (Bixie), Deer Antler (Lurong) each 3 qian; Tiger Tibia (Hu Jinggu) 1 pair; Musk (Shexiang) 2 qian.
Except for Dragon's Blood, Myrrh, and Musk which are ground separately, there are 23 ingredients. Simmer 10 jin of sesame oil over low heat for three days. Add herbs, boil until black, filter dregs. Add 5 jin of Yellow Litharge (Huangdan), boil until drops form pearls. Remove from fire, let cool slightly, add Dragon's Blood, Myrrh, and Musk, stir well, remove to dissipate heat.
[4] Ginseng and Purple Gold Elixir (Renshen Zijin Dan)
This pill boosts yuan qi, strengthens spleen and stomach, relieves thirst, generates fluids, enhances spirit, and harmonizes tendons and blood. It is most suitable for those with qi deficiency due to falls, twists, or collisions.
Ginseng (Renshen) 3 qian; Clove (Dingxiang) 1 liang; Acanthopanax Bark (Wujiapi) 2 liang; Licorice Root (Gancao) 8 qian; Poria (Fuling) 2 qian;
Angelica Root (Danggui, wine-washed) 1 liang; Dragon's Blood (Xuejie) 1 liang; Drynaria Rhizome (Gusuibu); Schisandra Berry (Wuweizi) 1 liang each; Myrrh (Moyao, de-oiled) 2 liang.
Grind into fine powder, make pills with refined honey. Take 3 qian per dose, morning and evening, dissolved in light yellow wine or child's urine.