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，乃下体两大支之通称也，俗名大
腿骨。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。如人年少气血充足者，虽
形证肿痛而不昏沉，无白泡者可治。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，用竹帘
裹之，每日早服正骨紫金丹。俟三日后，开帘视之，若有不平处，再捻筋结令其舒平，贴万灵膏，仍以竹帘裹之。
正骨紫金丹（见巅顶骨伤）
万灵膏（见巅顶骨伤）
膝盖骨即连骸，亦名膑骨。形圆而扁，覆于楗 上下两骨之端，内面有筋联属。其筋上过大腿，至于两胁，下
过骨，至于足背。如有跌打损伤，膝盖上移者，其筋即肿大，株连于 内之筋， 内之筋，上连腰胯，故每
有腰屈疼痛之证，或下移 骨则 肿，或足腹冷硬，步履后拽斜行也。若膝盖离位向外侧者，则内筋肿大；向内
侧者，则筋直 肿。宜详视其骨如何斜错，按法推拿，以复其位。内服补筋丸，以定痛散灸熨之，熏八仙逍遥汤
则愈。
补筋丸 （见 骨伤）
定痛散（见山角骨伤）
八仙逍遥汤（见玉梁骨伤）
骨，即膝下踝上之小腿骨，俗名 胫骨者也。其骨二根，在前者名成骨，又名 骨，其形粗；在后者名辅
骨，其形细，又俗名劳堂骨。若被跌打损伤，其骨尖斜突外出，肉破血流不止，疼痛呻吟声细，饮食少进，若其
人更气血素弱，必致危亡。宜用手法，按筋正骨令复其位，贴万灵膏，以竹帘裹住，再以白布缠之，先服正骨紫
金丹，继服健步虎潜丸。
万灵膏 正骨紫金丹（俱见巅顶骨伤）
健步虎潜丸（见髋骨伤）
One bone is called the *Bigu* (femur), with its upper end resembling a pestle, inserting into the acetabulum of the *Bishu* (hip joint), and its lower end resembling a hammer head, connecting to the tibia. Collectively named *Gu* (thigh), it is the general term for the two major supporting bones of the lower body, commonly known as the thigh bone. In cases of falling from a horse or twisting injuries causing bone fracture and tendon swelling, where the area turns dark purple and feels cold, and white blisters appear externally, this is due to bone fragmentation and leakage of Qi. Such conditions are rarely curable. However, if the patient is young with abundant Qi and Blood, although there is physical swelling and pain without mental confusion or white blisters, it is treatable. The 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 in a bamboo splint. Administer *Zhenggu Zijin Dan* orally every morning. After three days, open the splint to inspect; if there are irregularities, knead the tendon knots to smooth them out, apply *Wanling Gao*, and re-wrap with the bamboo splint.
The patella, also known as *Lianhai* or *Bin Gu*, is round and flat, covering the ends of the upper and lower segments of the *Jian Gu* (femur). Its inner surface has tendons attached. These tendons pass upward over the thigh to the flanks, and downward over the tibia to the dorsum of the foot. If subjected to traumatic injury and the patella shifts upward, the tendons become swollen, affecting the tendons within the popliteal fossa (*Nao*). Since these popliteal tendons connect upward to the waist and hips, symptoms often include pain upon bending the waist. If the patella shifts downward, the popliteal fossa swells, or the calf and abdomen become cold and hard, resulting in dragging the foot and walking obliquely when moving. If the patella dislocates laterally outward, the medial tendons swell; if medially inward, the tendons straighten and the popliteal fossa swells. One should carefully observe the direction of the bony displacement, manipulate according to technique to restore alignment. Internally administer *Bu Jin Wan*, externally apply *Ding Tong San* for moxibustion and warming, and fumigate with *Baxian Xiaoyao Tang* for recovery.
The tibia, located below the knee and above the ankle, is commonly known as the *Jing Gu*. This region consists of two bones: the anterior one is called *Cheng Gu* or *Jing Gu*, which is thick; the posterior one is called *Fu Gu*, which is thin, and is also commonly known as *Laotang Gu*. If injured by trauma, with the sharp end of the bone protruding outward through the skin, causing unceasing bleeding from ruptured flesh, fine groaning from pain, and reduced food intake, especially if the person has inherent deficiency of Qi and Blood, it will inevitably lead to critical danger or death. Manual therapy should be used to press the tendons and correct the bone to restore position. Apply *Wanling Gao*, wrap with a bamboo splint, and secure with white cloth. First, administer *Zhenggu Zijin Dan*, followed by *Jianbu Huqian Wan*.