右胸名为痰穴，左胸名为气穴，右肋名为血海，左肋名为食腑，胸前乃为龙潭穴，背脊
为海底穴。左乳伤发咳，右乳伤发呃，两腰为二珠穴。
凡跌打踢扑伤，男人伤上部者易治，伤下部难医，以其气上升故也。妇人伤下部者易治
，伤
，左只属阳。女人血从右转，故右属阴。要分气血之辨，此症既受脏腑脉络，又复验其生死
迟速，然后看症用药，或竟服吉利散。
一，伤全体者死速，然按其轻重随症用药，先以砂仁泡汤，调吉利散服之，以顺气活血
汤治之，仍以和伤丸糖酒下四五丸，再以调理药酒，每朝饮下。轻者，竟以红糖油和酒调，服吉
二，伤肩背者，看其轻重。如重者先以砂仁汤调吉利散服下，次以和伤丸酒化服，再以
调理药酒更妙。如轻者，用红糖油和酒调吉利散，服之而安。
三，伤左边者，气促面黄浮肿。伤右边者，气虚面白血少。即将行气活血汤治之，再服
调理药酒全治。
四，伤背者，五脏皆系于背，虽凶死缓。先多服吉利散治之，次服和伤丸，糖酒送下四
五服，百日。见危须服调理药酒为妙。
五，伤胸者，胸以血涵停流往来之所，伤久必发咳嗽，高气迷闷，面黑发热，重三四日
而死。先服苏风理气汤，次服行气活血汤、吉利散。
六，伤肝者，面主红紫，眼赤发热，主七日死。先服苏风理气汤，次服吉利散，后服琥
七，伤心口者，面青气少吐血，呼吸大痛，身体难于舒动，主七日而死。先服苏风理气
汤，次服和伤丸，每日以一百合煎汤，不时饮之。
八，伤食肚者，心下捉阵而痛，发热，高浮如鼓皮紧，饮食不进，气促发热，眼闭口臭
，面多黑色，主七日死。先服苏风理气汤，次服和伤丸。
九，伤肾者，两耳即聋，额角黑色，面浮白光，常如哭状，肿如弓形，主半月死。先服
苏风顺气补血汤，次服补肾活血汤三四剂，再服吉利散，后服琥珀丸。
十，伤小肠者，小便闭塞作痛，发热口干，面肿气急，不时作痛，口有酸水，主三日而
死。先以水、酒各一钟，煎苏风顺气汤服之。次用吉利散，后服琥珀丸即安。如闭塞数日者不治
十一，伤大肠者，粪后出红急涩，面赤气滞，主半月死。先服槐花汤，次服吉利散，后
用和
十二，伤膀胱者，小便痛涩，不时有尿滴出，胀肿发热，主五日死。先服琥珀丸，次服
行气活血汤而安。
十三，伤阴囊阴户（缺）。
十四，伤胸背俱伤者，面白肉瘦，食少发热咳嗽，主半月死，先服苏风理气汤，后用和
十五，伤气眼者，气喘大痛，夜多盗汗，身瘦食少，肿痛不宁，主一月内死。先用砂仁
汤调吉利散，次以酒煎补肾活血汤服之，再服和伤丸可安。
十六，伤血海者，血多妄行，口常吐出，前后胸背板滞作痛，主一日内死。先服行气活
血汤，次服吉利散，再饮药酒而安。
十七，伤两肋者，气喘大痛，肿如刀刺，面白气虚，主两月内死。先饮行气活血汤，次
十八，伤两肋痛者，肝火有余，气实火盛之故，须用清肝止痛汤治之。
十九，或有清痰食积流注而两肋痛者，须用清肺止痛饮，次服吉利散而安。
二十，登高跌扑损伤，瘀血凝滞而肋痛，急将大黄汤治之，次服吉利散，后用和伤丸即
二十一，醉饱房劳，脾土虚乏，肝脉得乘土位，而胃腕当心连两肋痛者，急投归原养
血和伤汤，再以十全大补丸加减，每朝送下三钱为妙。
二十二，伤寒发热两肋痛者，以足少阳胆经、足厥阴肝经之病治，用柴胡汤。
二十三，左肋痛者，痰与食也。先须通利痰食气，宽胸为主，再以活血止痛饮服之，更
以琥珀丸化服而安。
二十四，瘀血疼痛者，伤处有红肿高起，肥白者发热而痛，多气虚，瘦人发寒热而痛，
多怒内有瘀血兼腰痛。日轻夜重，此瘀血停止，故作痛也。速宜以琥珀散行之，后服和伤丸，再
饮调理药酒。
二十五，有受伤而不能开口者，即以牙皂细末吹入鼻中，一嚏即开。随以韭白汁顿热和
童便灌入口内。如不纳，此为难治之症。若纳，同瘀血呕出者，辨其轻重，先以吉利散用砂仁汤
服，再服清心和气汤，外贴接骨膏。至重者，又不吐血，头又昏迷，将韭白汁和陈酒服下。
如破碎损伤折骨者，用封口药护之。如小便不通，琥珀散通之。如腹内疼痛，必有瘀血停住
，
二十六，小便不通，涩滞胀痛，尿滴点而出，梗窍痛如刀刺，以琥珀散治之，后以蟋蟀
干研末，茶床子汤送下。
二十七，如有一切扑磕损伤，以至腹内停止瘀血，作痛不宁，竟以大黄散行之。
二十八，有受伤至首，骨碎损染破伤风者。夫人之首，原无旧骱，倘有跌扑折损之症，
如脑
俟
，即以苏风理气汤服之，俟身不发热，再投补中益气汤，服之可安。
二十九，有斗伤落珠之症，先将收珠散敷之，用银针蘸井水将前收珠散点红筋，次用绢
温汤
有回天手不可也，倘后人或遇此症可以医之。
三十，鼻梁折断者，可捏正断骨，先用止血散掺之，竟服壮筋续骨丹，其外自然平复，
如不断不破，惟用损伤膏贴之，内服吉利散而安。
三十一，有缺唇之症，先用代痛散敷之（即麻药），小铜钳钳牢，将油棉线缝合。饮食不
能进，当以参汤饮之，否以元米粉调薄粥汤饮之，切忌哭笑。合之后，即以金枪药敷之，内服止
痛活血散。缝时倘血冷，必须再用代痛散，以利刀略镰，待热血少流出而缝之，第一要手法
三十二，人之头，惟有下颏一骱，偶然落之不能上者，多肾虚之故得之。皆此骱如剪，
复连
三十三，天井骨急难损折，有登高倒跌者，犯此恶症，其骨不绑缚，至有骨露于外者，
此实
之，又投提气活血汤三四剂而安。
三十四，天井骨即头颈骨也，此症如伤重者必死，折者不过三四时亦死。轻者觉无妨碍
，用前药治，可以收功。
三十五，肩骱与膝骱相似，膝骱送上有力，肩骱送下有力。可上之先，将一手上按住其
肩，一手按住其手，缓缓转动，使其筋舒，使患者坐于低处，叫一人抱住其身，医者两手又捏其
肩，抵住其骨，将膝夹其手，齐力而上。绵裹用如鹅蛋大，落在胯下。外贴损伤膏，再以羌
活桂枝煎汤，化服吉利散可安。（此骱上时，须仔细斟酌参用，不可孟浪。）
三十六，臂骱出于上，一手抬其湾，一手按住其脉踝，先掬其上，而后抬其挽，竟捏手
凑拢可也。外贴损伤膏，内以经之剂煎汤调吉利散服，更以白布做圆眼，使恰 其臂骨者，扎缚
布式\r图\pb-b1.bmp\r此有孔，孔布必须做来正好为妙，两头带两条，要长布，亦须裹
三十七，手骱送出，可一手按住其五指，一手按住其臼，手掌掬起，手骱掬下，一伸而
上。
包裹，用阔板一块按住患处，再以松板四片长三寸缚好，俟愈日方可放之。
三十八，手指有骱中节出者，有绪然易出易止，两指捻伸即上。以桂枝煎汤调服活血上
止散，外贴损伤膏，否最痛故也（忌下水）。
三十九，人之一身，十指最难，若伤破其一指，则连心之痛难忍，中指比别指尤难。若
染破伤风，即将苏风理气汤服之，外将金疮药敷之。
四十，臂骱比诸骱最难，此臼出只触在眼内。可使患者侧卧，出内手随内，出外手随外
，上手揿住其腰，下捧住其湾，将膝掬其上。出左，手扳于右，向右扳伸而上。出右，扳于左，
向左扳伸而上，外贴损伤膏，内服生血补髓汤，仍用调理药酒即安。
臂骱式HT HT 出（左右 垫药枕，内蕲艾一两、红花五钱、肉桂三钱，麝香二分）。
四十一，易折者人之两腿，一伤折即为两段。医在于绑缚，使患者侧卧，与无病足取齐
。次用损伤膏贴之，取布两条，阔二寸长五尺，裹于膏药外，将纸包好，用松木板八块（即八片）
长七寸，再以绵布条三条绑缚。内服活血定痛散三四剂，又以壮筋续骨丹，调理药酒兼服而
四十二，膝骱，此臼与油盏骨在上，其骱送出于上。使患者仰卧，一人抬起脚踝，若
使出于左，随左而下。出于右，随右而下。医者缓缓双手扶揿上手，挽住其膝，下手按住其足
，使臼对膝，上手只揿膝，下手只抬起，必上矣。先贴接骨膏，次服壮筋续骨丹而安。
四十三，膝盖骨又名冰骨，其骨如跌碎或二块三块。将脚伸直揿其手，复用薄篾片照膝
大做一圈，以布卷之，再以布条四条扣于圈上，连下缚之着内，然后以布损伤膏贴之，不必换，
即投止痛接骨丹治之。惟煮鸭可食，连汤与吃，以多为美，以受伤足于月内床上，切不可悬
空掬起及下床。俟半月后，须用绵软之物放于湾下，每日增高息起，如此日久，即可挽曲
。如大解，须以余桶照床高床摆之方可，俟好抬篾圈，忌下水，绑扎后以煎剂服之（附录煎
当归 羌活 丹皮 乳香 续断 陈皮 赤芍 加皮 没药 红花（各一钱） 生地 木瓜
牛
半，空心热服。不拘几帖，多只七八剂，再以药酒或丸调理为妙。
四十四，小膀有二骨，一大一小，折一根易治，二根俱断难治。折之偶披者易治，平断
者难
药，一日换二次，冬天两日换一次。医者必自看为妥，若非此症与大腿同治，倘犯此症，骨
必在皮肉之上，以骨镶对，不可用汤薰洗，恐伤毒入内故也。速以金枪药敷之。如骨折皮不
破，揿骨平复，外竟贴接骨膏，然后照前绑扎，用松木板六块长七寸，上骨折上长，下骨折
下长各寸许，取其根力。但此症最痛，必先服止痛接骨丹数剂，次服壮筋续骨丹及药酒调理
四十五，脚踝骱易出易入，抬住脚跟，一手扳住其指，出右手偏于右，出左手偏于左，
足指掬于上，足掬下，一伸可上。外贴损伤膏，内服宽筋散可复。
四十六，有男妇偶破足指，前半节或翻下断，或翻上断，医者以左手按捏住其足之两
侧，
见水，外有促筋失枕、刀斧砍伤、碎骨补骨之奇，备详于下。
四十七，枪戳者，看其伤处致命否，伤处深否，致命不深亦不为害。如伤在腹，必探其
深浅
筋
缓缓伸舒可也。如骨节断者，不可薰洗，戒之。失枕有卧而误失者，使其低处，一手扳其手
，一手扳其下颏，缓缓伸之可复。如要用药，惟吉利散。如人受伤至重，以致大便不通者，
须用皂角为末，以蜂蜜调和为丸，如橄榄式摔入便内即通。更有受阴极者，十皆九死，无药
四十八，刀斧砍伤头颅额角者，防其身发寒热，一见即以金枪药敷之，护风为上。尤须
诊脉，沉细者生，易治；洪大者危，难医。伤于硬处者，看骨损否，伤于软处者，看伤内深浅。
损骨先治骨，损肉只生肌。刀斧砍伤比触伤不同，外敷金枪药，内服护心托里散为上，更宜
详究首论，原无旧骱内参用。
四十九，有人自以刀勒咽喉者，须观刀口之平否，有湾者深，无湾者浅；两刀者易治，
一刀勒者难医。如破食喉或破半片，或全断者，以油绵线缝之。看其血出不止，将滑石、五倍各
等分共为细末敷之，后将金枪药封固，内服护风托里散四五剂。使身不发寒热，即服补中和
气汤，内加人参钱半即安。倘有水喉断者，并穿破者，不治。
五十，肚腹皮伤并肠出外者，此症固险，而实无害。医者当去指甲，恐伤破其肠耳。倘
五内不伤，药汤饮食可进，可保无恙。将温汤揉上，用油绵线缝合，金枪药封固，内服通肠活血
汤五六剂，再服补中益气汤而安。
五十一，骨碎如粉者，看其伤处必有碎骨，当取出外，将金枪药封固，内服生血补髓汤
，再服壮筋续骨丹。如碎而不破，只捏平复，外将损伤膏贴之，内服壮筋续骨丹，再将药酒调理
。如不碎不破，竟以损伤膏贴之，内用吉利散，以红糖油调酒，服下即安。
五十二，有登高坠下者，兼跌扑损伤，不拘上下背脊骨者。若破，看其骱出否，如其骱
又出又破，即将碎骨轻揿上平复，即将止血定痛散敷之，后将金枪药封固。恐伤风，急投苏风理
气汤。如不发寒热，即以补中益气汤服下，全愈。如不触出并不破碎，皮肉不损，外贴接骨
膏，内服吉利散，次服调理药酒，再用和伤丸即安。
五十三，登高跌扑折左右肋者，此骨难于绑缚，只揿其平，外贴损伤膏，内用接骨散，
五十四，捏碎阴囊者，并卵子拖出者，卵子碎者不治。惟拖出者，以指轻轻掀进，以油
棉线
五十五，有捏伤阳物者，看其小便，若不通投琥珀散行之，后以吉利散治之。若通，竟
以吉利散，外敷金枪药，如不破不用。
五十六，踢伤肛门谷道者，有肛门可肿或内胀，或大便不通，或有血无血。如肿胀投以
通肠
，急投槐花散，如只身热再服除热之药，恐用药矣。大便不通血已止，竟服通肠活血汤五六
剂，治之即安，后有总论。
五十七，被火烧枪炮打伤者，此症论之最重。何为最重，恐火毒入于五内，不能饮食，
更畏热物，不时思饮冷水，乃见火毒入内太重之故也。急投清心去毒散。何为最轻，火毒未入脏
The right chest is named the Phlegm Point (Tan Xue), the left chest is named the Qi Point (Qi Xue), the right hypochondrium is named the Sea of Blood (Xue Hai), the left hypochondrium is named the Food Fu (Shi Fu), the center of the chest is the Dragon Pool Point (Long Tan Xue), and the center of the spine is the Sea Bottom Point (Hai Di Xue). Injury to the left breast causes cough, injury to the right breast causes hiccups, and both loins are the Two Pearls Points (Er Zhu Xue).
In cases of falls, blows, kicks, or tumbles, injuries to the upper body in men are easier to treat, while injuries to the lower body are difficult to cure, because Qi tends to rise. Injuries to the lower body in women are easier to treat, while injuries to the upper body are difficult, because the left belongs to Yang and the right belongs to Yin. Women's blood flow follows the right as Yin. It is essential to distinguish between Qi and Blood. Since these conditions involve the Zang-Fu organs and meridians, one must verify the speed of life or death before prescribing medication based on symptoms, or simply administer Jili San (Auspicious Powder).
1. Injuries affecting the whole body lead to rapid death, but treatment should follow the severity. First, soak Amomum fruit (Sha Ren) in water, mix with Jili San, and take it. Then treat with Shunqi Huoxue Tang (Regulate Qi and Invigorate Blood Decoction), and simultaneously take Heshang Wan (Harmonize Injury Pills) with sugar wine, four or five pills at a time. Afterwards, drink Tiaoli Yaojiu (Regulating Medicinal Wine) every morning. For mild cases, simply mix Jili San with brown sugar, oil, and wine and take it.
2. For shoulder and back injuries, assess the severity. For severe cases, first take Jili San mixed with Sha Ren decoction, then take Heshang Wan dissolved in wine, followed by Tiaoli Yaojiu for better results. For mild cases, mix Jili San with brown sugar, oil, and wine and take it to stabilize.
3. Injuries to the left side cause shortness of breath, yellow complexion, and edema. Injuries to the right side cause Qi deficiency, pale complexion, and blood deficiency. Immediately treat with Xingqi Huoxue Tang (Move Qi and Invigorate Blood Decoction), then take Tiaoli Yaojiu for complete recovery.
4. Back injuries affect the Five Zang organs which connect to the back; although critical, death is slower. Take more Jili San first, then Heshang Wan sent down with sugar wine, four or five doses, requiring 100 days of recuperation. If critical signs appear, taking Tiaoli Yaojiu is advisable.
5. Chest injuries occur where blood gathers and flows; long-term injury leads to cough, stifling sensation, dark complexion, and fever, with death in three to four days for severe cases. First take Sufeng Liqi Tang (Dispel Wind and Regulate Qi Decoction), then Xingqi Huoxue Tang and Jili San.
6. Liver injuries present with red-purple complexion, red eyes, and fever, indicating death within seven days. First take Sufeng Liqi Tang, then Jili San, followed by Hupo Wan (Amber Pill).
7. Heart area injuries present with blue complexion, shortness of breath, hemoptysis, severe pain on breathing, and difficulty moving, indicating death within seven days. First take Sufeng Liqi Tang, then Heshang Wan, drinking decoction prepared from 100 Lily Bulbs (Bai He) frequently throughout the day.
8. Stomach (Food Belly) injuries present with paroxysmal pain in the epigastrium, fever, abdominal distension tight as drum skin, inability to eat, shortness of breath, closed eyes, bad breath, and dark complexion, indicating death within seven days. First take Sufeng Liqi Tang, then Heshang Wan.
9. Kidney injuries present with sudden deafness, black temples, pale puffy face, crying appearance, and bow-shaped swelling, indicating death within half a month. First take Sufeng Shunqi Buxue Tang (Dispel Wind, Smooth Qi, Tonify Blood Decoction), then Bushen Huoxue Tang (Tonify Kidney and Invigorate Blood Decoction) for three to four doses, followed by Jili San, and finally Hupo Wan.
10. Small intestine injuries present with urinary obstruction and pain, fever, dry mouth, facial swelling, shortness of breath, intermittent pain, and sour taste in the mouth, indicating death within three days. First decoct Sufeng Shunqi Tang with one cup of water and one cup of wine, take it. Then use Jili San, followed by Hupo Wan for relief. If obstructed for several days, it is incurable.
11. Large intestine injuries present with urgent bloody diarrhea, red complexion, and Qi stagnation, indicating death within half a month. First take Huaihua Tang (Sophora Flower Decoction), then Jili San, followed by Heshang Wan.
12. Bladder injuries present with painful and difficult urination, dribbling, distension, swelling, and fever, indicating death within five days. First take Hupo Wan, then Xingqi Huoxue Tang for relief.
13. Scrotum or vulva injuries (Text missing).
14. Combined chest and back injuries present with pale face, emaciation, poor appetite, fever, and cough, indicating death within half a month. First take Sufeng Liqi Tang, then Heshang Wan.
15. Eye injuries present with severe shortness of breath and pain, night sweats, emaciation, poor appetite, and restless swelling and pain, indicating death within one month. First take Jili San mixed with Sha Ren decoction, then take Bushen Huoxue Tang decocted in wine, followed by Heshang Wan for relief.
16. Sea of Blood injuries present with excessive bleeding, vomiting blood, stiffness and pain in the chest and back, indicating death within one day. First take Xingqi Huoxue Tang, then Jili San, followed by medicinal wine for relief.
17. Bilateral hypochondrium injuries present with severe shortness of breath and pain, stabbing-like swelling, pale face, and Qi deficiency, indicating death within two months. First drink Xingqi Huoxue Tang, then Jili San, followed by Heshang Wan.
18. Bilateral hypochondrium pain is due to excess Liver Fire and vigorous Qi and Fire. Treat with Qinggan Zhuitong Tang (Clear Liver and Stop Pain Decoction).
19. If bilateral hypochondrium pain is caused by phlegm and food accumulation flowing into the channels, use Qingfei Zhuitong Yin (Clear Lung and Stop Pain Drink), followed by Jili San for relief.
20. Rib pain from falling from heights causing blood stasis: urgently treat with Dahuang Tang (Rhubarb Decoction), then Jili San, followed by Heshang Wan for relief.
21. Gastric pain connecting from the epigastrium to the hypochondrium due to spleen deficiency and liver overacting on spleen after drunkenness or sexual exhaustion: urgently administer Guiyuan Yangxue Heshang Tang (Restore Origin, Nourish Blood, Harmonize Injury Decoction), followed by Shiquan Dabu Wan (Ten Complete Tonifying Pills) modified, taken three qian each morning.
22. Hypochondrium pain with fever from cold damage: treat according to Foot-Shaoyang Gallbladder and Foot-Jueyin Liver meridians using Chaihu Tang (Bupleurum Decoction).
23. Left hypochondrium pain is due to phlegm and food. First promote the discharge of phlegm and food Qi, focusing on opening the chest, then take Huoxue Zhuitong Yin (Invigorate Blood and Stop Pain Drink), followed by Hupo Wan dissolved for relief.
24. Pain from blood stasis: swollen and red at the injury site. Obese people have fever and pain due to Qi deficiency; thin people have chills, fever, and pain due to anger and internal blood stasis with lower back pain. Pain is lighter during the day and heavier at night, caused by stagnant blood. Urgently use Hupo San (Amber Powder) to move it, then Heshang Wan, followed by Tiaoli Yaojiu.
25. For injuries preventing mouth opening: blow fine powder of Gleditsia sinensis (Ya Zao) into the nose to induce sneezing and open the mouth. Then pour hot leek white juice mixed with children's urine into the mouth. If not accepted, it is difficult to treat. If accepted and vomited with blood, assess severity. First take Jili San with Sha Ren decoction, then Qingxin Heqi Tang (Clear Heart and Harmonize Qi Decoction), externally apply Jiagu Gao (Bone-Setting Plaster). For severe cases without vomiting blood but with coma, take leek white juice with aged wine. For fractures, use sealing medicine. For urinary retention, use Hupo San. For abdominal pain due to blood stasis, use Dahuang San.
26. Urinary retention with painful, difficult, and dribbling urination, feeling like knife-stabbing in the urethra: treat with Hupo San, then take powdered dried field crickets (Xishuai Gan) sent down with Chachuangzi Tang for relief.
27. For all kinds of bumps and bruises causing abdominal blood stasis and restless pain: use Dahuang San to move it.
28. Head injuries with bone fragmentation and tetanus: The head originally has no old joints. If fractured, wait until fever subsides, then take Sufeng Liqi Tang. Once fever subsides, administer Buzhong Yiqi Tang (Tonify Middle and Augment Qi Decoction) for relief.
29. Testicular dislocation from fighting: Apply Shouzhu San (Receive Pearl Powder) first. Use a silver needle dipped in well water to dot the red veins with the powder, then clean with warm silk cloth. This requires miraculous skill; future generations may encounter this.
30. Broken nasal bridge: Reset the bone, apply Zhixue San (Stop Bleeding Powder), then take Zhuangjin Xugu Dan (Strengthen Tendons and Reconnect Bone Pill) for natural restoration. If not broken, apply Sunshang Gao (Trauma Plaster) and take Jili San internally.
31. Cleft lip: Apply Daitong San (Replace Pain Powder, i.e., anesthetic) first. Clamp firmly with small copper pliers, suture with oiled cotton thread. If unable to eat, drink Ginseng decoction, or thin porridge soup mixed with Yuan rice flour. Avoid crying or laughing. After suturing, apply Jin Qiang Yao (Golden Spear Medicine) and take Zhuitong Huoxue San (Stop Pain and Invigorate Blood Powder) internally. If blood is cold during suturing, reapply Daetong San, make slight incisions to allow fresh blood flow, then suture. Skill is paramount.
32. Dislocated chin: Due to Kidney deficiency. The joint resembles scissors; reset and fixate.
33. Cervical vertebrae (Tianjing Gu) are hard to fracture. Falling from height causing this evil condition with exposed bone is difficult to treat. Use previous medicines, then Tiqi Huoxue Tang (Raise Qi and Invigorate Blood Decoction) for three to four doses for relief.
34. Tianjing Gu is the neck bone. Severe injuries are fatal; fractures die within three to four hours. Mild cases feel no hindrance and recover with previous medicines.
35. Shoulder joint resembles knee joint. To reduce: press shoulder with one hand, hold arm with other, rotate slowly to relax tendons. Have patient sit low, another person holds body. Doctor presses shoulders against bones, uses knee to clamp hands, and lifts together. Wrap cotton pad like goose egg under armpit. Apply Sunshang Gao externally, decoct Qianghuo and Guizhi to dissolve Jili San internally for relief. (Caution: Handle carefully, do not be rash.)
36. Arm joint dislocation: Lift elbow with one hand, press wrist with other, lift up, then align hand. Apply Sunshang Gao externally, decoct Jingzhi agents to mix Jili San internally. Make round eye hole with white cloth to fit arm bone, bind securely. Cloth must fit perfectly.
37. Hand joint reduction: Press five fingers with one hand, press socket with other, lift palm, push joint down, extend and lift up. Wrap with wide board, bind with four pine boards (three cun long) until healed.
38. Finger interphalangeal joint dislocation: Easy to reduce by pinching and extending. Decoct Guizhi to mix Huoxue Shangzhi San (Invigorate Blood and Stop Dislocation Powder) internally, apply Sunshang Gao externally. Avoid water due to pain.
39. Fingers are hardest to treat. Injury to one finger causes heart-piercing pain; middle finger is most difficult. If tetanus occurs, take Sufeng Liqi Tang, apply Jinchuang Yao externally.
40. Arm joint is hardest to reduce. Socket touches inside. Patient lies sideways. Inner arm moves in, outer arm moves out. Press waist with upper hand, support elbow with lower hand, lift knee above. For left dislocation, pull right and extend up. For right, pull left and extend up. Apply Sunshang Gao externally, take Shengxue Buisui Tang (Generate Blood and Tonify Marrow Decoction) internally, followed by Tiaoli Yaojiu.
Arm Joint Reduction Method: Pillow with Qiai (Irish Moss), Honghua (Safflower), Rougui (Cinnamon Bark), Shexiang (Musk).
41. Legs are prone to fracture. Reduce by binding. Patient lies sideways, align with healthy leg. Apply Sunshang Gao, wrap with two strips of cloth (two cun wide, five chi long), paper wrap, eight pine boards (seven cun long), bind with three cotton strips. Take Huoxue Dingtong San (Invigorate Blood and Stop Pain Powder) for three to four doses, Zhuangjin Xugu Dan, and Tiaoli Yaojiu.
42. Knee joint: Socket and patella are above, joint reduces upward. Patient lies supine, one person lifts ankle. If reducing left, go down left; if right, go down right. Doctor presses knee with upper hand, holds knee, presses foot with lower hand, aligns socket with knee, presses knee only with upper hand, lifts only with lower hand, must reduce. Apply Jiagu Gao first, then Zhuangjin Xugu Dan.
43. Patella (Ice Bone): If shattered into two or three pieces, straighten leg, press hand, make circle with thin bamboo strip matching knee size, wrap with cloth, bind with four strips internally. Apply Sunshang Gao, do not change. Take Zhuitong Jiagu Dan (Stop Pain and Settle Bone Pill). Eat boiled duck with soup. Keep injured leg on bed for one month, do not suspend or stand. After half month, place soft object under bend, raise daily to restore curvature. Use bucket for defecation. Avoid water. Take decoction after binding (Appendix: Danggui, Qianghuo, Danpi, Ruxiang, Xuduan, Chenpi, Chi Shao, Jipi, Moyao, Honghua each 1 qian, Shengdi, Mugua, Niuxi half, take hot on empty stomach. 7-8 doses, then medicinal wine or pills).
44. Lower leg has two bones. One fracture easy, both hard. Oblique fracture easy, transverse hard. Change dressing twice daily (every two days in winter). Doctor must examine. If not this condition, treat like thigh. If this condition, bone above skin, align bone, do not fumigate/wash to avoid toxin entering. Apply Jin Qiang Yao quickly. If skin intact, press bone flat, apply Jiagu Gao externally, bind with six pine boards (seven cun long). Most painful, take Zhuitong Jiagu Dan first, then Zhuangjin Xugu Dan and medicinal wine.
45. Ankle joint easy to reduce. Hold heel, pull toe. Right hand pulls right, left hand pulls left. Lift toes up, sole down, extend and lift. Apply Sunshang Gao externally, take Kuanjin San (Relax Tendons Powder) internally.
46. Male/female toe injury: Front segment flipped down or up. Doctor presses sides of foot. See water... External treatments for tendon strain, axe wounds, bone setting detailed below.
47. Gunshot wound: Check if vital or deep. Abdominal wounds probe depth. Slowly extend. Do not fumigate/wash fractured joints. Neck strain: lower position, pull hand and chin slowly. Use Jili San. Severe injury with constipation: Gleditsia powder with honey pill inserted rectally. Extreme cold injury is mostly fatal.
48. Axe/cleaver head/temple wounds: Prevent chills/fever, apply Jin Qiang Yao immediately to protect wind. Pulse diagnosis: deep/thin good/easy; surging/large dangerous/hard. Hard area check bone, soft area check depth. Bone injury treat bone, flesh injury generate flesh. External Jin Qiang Yao, internal Huxin Tuoli San (Protect Heart and Support Interior Powder). Refer to initial theory regarding original joints.
49. Self-strangulation: Check cut smoothness. Curved deep, straight shallow. Two cuts easy, one cut hard. Sew esophagus with oiled cotton thread. If bleeding stops, apply calcined gypsum and Chinese gall powder, seal with Jin Qiang Yao, take Hufeng Tuoli San for four to five doses. If no chills/fever, take Buchong Heqi Tang with Ginseng. Water pipe (trachea) rupture is incurable.
50. Abdominal wall injury with evisceration: Dangerous but harmless if internal organs safe. Remove fingernails. If internal organs safe, eat/drink normally. Rub with warm water, sew with oiled cotton thread, seal with Jin Qiang Yao, take Tongchang Huoxue Tang for five to six doses, then Buzhong Yiqi Tang.
51. Comminuted fracture: Remove fragments, seal with Jin Qiang Yao, take Shengxue Buisui Tang, then Zhuangjin Xugu Dan. If comminuted but skin intact, press flat, apply Sunshang Gao, take Zhuangjin Xugu Dan, regulate with medicinal wine. If not comminuted/intact, apply Sunshang Gao, take Jili San with brown sugar/oil/wine.
52. Fall from height with spine injury: If broken and dislocated, press fragments flat, apply Zhixue Dingtong San, seal with Jin Qiang Yao. Fear wind, take Sufeng Liqi Tang. If no chills/fever, take Buzhong Yiqi Tang. If not dislocated/broken, apply Jiagu Gao, take Jili San, Tiaoli Yaojiu, Heshang Wan.
53. Rib fracture from fall: Hard to bind, press flat, apply Sunshang Gao externally, take Jiegu San internally.
54. Crushed scrotum/testicle dragged out: Crushed testicle incurable. Dragged out: gently push in, sew with oiled cotton thread.
55. Crushed penis: Check urination. If blocked, use Hupo San, then Jili San. If unblocked, use Jili San, apply Jin Qiang Yao externally if not broken.
56. Kick to anus: Swelling, distension, constipation, blood or no blood. Swelling: Tongchang Huoxue Tang. Urgent: Huaihua San. Fever only: clear heat. Constipation stopped bleeding: Tongchang Huoxue Tang for five to six doses. Total theory follows.
57. Fire/gunpowder burns: Most severe. Fire toxin enters internal organs, inability to eat, fear heat, desire cold water. Urgently take Qingxin Qudu San (Clear Heart and Remove Toxin Powder). Lightest: Fire toxin has not entered viscera...