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Xuantai bone, also known as Yuzhu bone, refers to the third cervical vertebra at the back of the neck, also called Tianzhu bone. Injuries to this bone are divided into four types: First, falling from a height causing the cervical bone to insert into the thoracic cavity while retaining left-right mobility; treat with the Neck-Lifting Method (Ti Xiang Fa). Second, blunt trauma causing the head to droop and unable to lift; treat with the End Method (Duan Fa). Third, fall injury causing lateral deviation; treat with the Straightening Method (Zheng Fa). Fourth, falling injury causing the face to look up and the head unable to droop, or muscle-tendon elongation with skeletal dislocation, or muscle-tendon knotting, or muscle-tendon stiffness with the head drooping along with the bone; treat with the Pushing (Tui), Ending (Duan), Continuation (Xu), and Straightening (Zheng) methods. During treatment, inquire whether the injury resulted from falling off a cart or horse, falling from a height, or being struck and tumbling. Ask about appetite (desiring or lacking desire for food), limb condition (no injury vs. injury), mental state (unimpaired spirit vs. diminished spirit), mobility (able to sit/walk vs. comatose/unresponsive), pain persistence, and signs of blood stasis such as swelling, hardness, and distension. These conditions generally warrant internal administration of Zhenggu Zijin Dan (Orthopedic Purple Gold Pill), external application of Wanling Gao (Ten Thousand Spirits Ointment), washing with Haitongpi Tang (Pterocarpus Indicus Decoction), and moxibustion/heat therapy with Dingtong San (Pain-Relieving Powder). External manual therapy should be applied; details are in Volume One.

Zhenggu Zijin Dan, Wanling Gao (see Head-Crown Injury section)
Haitongpi Tang (see Zygomatic Bone Injury section)
Dingtong San (see Mountain-Angle Bone Injury section)
Back View Diagram

Suozzi bone, named Zhugu in meridian theory. It lies horizontally outside the Clavicular Fossa (Quepen) on both shoulders, connecting to the shoulder joint at both ends. Fractures caused by blows, or falling off balance while riding or taking items from a vehicle, require manual reduction: first press the chest, then push the shoulder end inward, massage the fracture site to restore alignment, and suspend the arm with a sling around the neck to prevent movement. Internal administration of Renshen Zijin Dan (Ginseng Purple Gold Pill), external heat therapy with Dingtong San, followed by application of Wanling Gao will cure the condition.

Renshen Zijin Dan, Dingtong San (see Mountain-Angle Bone Injury section)
Wanling Gao (see Head-Crown Injury section)

(Attachment: Hypochondrium/Ribs)
Chest Bone Diagram

The chest bone (sternum/thorax) is the collective term for the bones of the chest and hypochondrium. Also called Ying bone or Yi bone, commonly known as the chest. The sides extending from the axilla down to the end of the ribs are collectively called the Hypochondrium (Xie); the small ribs below the hypochondrium are called Ji Xie (Seasonal Hypochondrium), commonly known as soft ribs; "Lei" refers to individual rib bones. Collectively, the chest and hypochondrium are termed the Thoracic Cage. Anterior impacts/falls cause heavier injuries than posterior ones. For mild cases, apply manual therapy, internally administer Zhenggu Zijin Dan, externally apply Dingtong San mixed with wheat bran for heat therapy, wash with Haitongpi Tang, and apply Wanling Gao for efficacy. If internal blood stasis causes swelling/pain and difficulty extending the back, take Qing Shang Yu Xue Tang (Clear Upper Stasis Decoction) and Xiao Xia Po Xue Tang (Eliminate Lower Break-Stasis Decoction) in the morning for upper and lower Jiao respectively, and Shuxue Wan (Blood-Dispersing Pill) in the evening. For chronic injuries with elevated sternum, emaciation, internal pathogenic heat/stasis, Qi stagnation/bloating, blueish eyes, fatigue, phlegm-wheezing/cough, use Jiajian Zijin Dan (Modified Purple Gold Pill) to clear heat, resolve phlegm, regulate Qi, strengthen Spleen, moisten skin, and calm wheezing. Severe injuries penetrating the chest affect the Heart and Lung organs, causing chaotic Qi, coma, closed eyes, vomiting blood/water, hiccups, and tremors; this is critical and incurable. Injuries to the floating ribs should be treated according to severity. Mild chest/hypochondrium injuries may utilize Lidong Wan (Li Dong Pill) or Sanhuang Bao La Wan (Three-Yellow Precious Wax Pill) as needed.

Qingshang Yuxue Tang (Clear Upper Stasis Decoction) - For upper Jiao injuries.
Qianghuo, Duhuo, Lianqiao, Jiegeng, Zhike, Chishao, Danggui (wine-washed), Shanzhizi, Huangqin, Gancao, Chuanxiong, Taoren, Honghua, Sumu, Chuan Dahuang, Shengdihuang.
Decoct in water, mix with aged wine and child's urine before consumption.

Xiaoxia Posuo Tang (Eliminate Lower Break-Stasis Decoction) - For lower Jiao injuries.
Chaihu, Chuanxiong, Chuan Dahuang, Chishaoyao, Danggui, Zhizi, Wulingzhi, Mutong, Zhishi (stir-fried), Honghua, Chi Niuxi, Zelan Ye, Sumu, Shengdihuang, Huangqin, Taoren.
Decoct in water, mix with aged wine and child's urine before consumption.

Jiajian Zijin Dan (Modified Purple Gold Pill)
Baifuling, Cangzhu (soaked in rice water, stir-fried, 2 liang each), Danggui, Shudihuang, Baishaoyao (stir-fried), Chenpi (4 liang each), Roucongrong (wine-washed, scales removed, 1 liang), Dingxiang (1 qian), Honghua (5 qian), Gu'er Xuejie (3 qian), Ruxiang (de-oiled, 3 qian), Moyao (de-oiled, 3 qian).
Grind to fine powder, make pills with refined honey, size of a bullet, swallow with yellow wine.

Lidong Wan (Li Dong Pill) - For traumatic injuries, blood stasis rushing to the heart, fainting/unconsciousness, nameless swellings/toxins, lethargy nearing death.
Jing Niuhuang, Bingpian, Shexiang (2.5 qian each), Awei, Xionghuang (1 liang each), Chuan Dahuang, Ercha, Tiantuzhuang, Sanqi, Gu'er Xuejie, Ruxiang (de-oiled), Moyao (de-oiled, 2 liang each), Tenghuang (steamed 10+ times, remove foam, mix with 5 qian goat blood and dry; substitute lamb blood if unavailable, 2 liang).
Grind 13 ingredients to powder, dissolve Tenghuang to form pills size of Euryale seed. Add white honey if too dry. Seal with wax. Take with non-fermented wine. For external use, grind with tea brine. Avoid cold/raw/spicy foods.

Sanhuang Bao La Wan (Three-Yellow Precious Wax Pill) - Specifically for all traumatic injuries, Tetanus (Poshang Feng), strain-induced consumptive disease, postpartum lochia retention causing strange symptoms, blood stasis rushing to heart, phlegm confusing heart orifices, critical condition. Heavy dose: 1 qian; Light dose: 3 fen. Take with non-fermented wine for immediate recovery. Gunshot wounds with lead fragments: take 1 qian, drink several cups of wine, sleep for one shichen (2 hours); sweating indicates recovery. External application: melt sesame oil, apply with chicken feather. After oral intake, avoid cold water, raw food, and strong liquor for 3 days; otherwise, the medicine fails.
Tiantuzhuang (3 liang), Xionghuang (2 liang), Liu Jinu, Hongya Daji (bone removed), Qilinjie (3 liang each), Guiwei (1.5 liang), Zhusha, Ercha (1 liang each), Jing Ruxiang (de-oiled, 3 qian), Hupo, Qingfen, Shuiyin (ground with Qingfen until no stars visible), Shexiang (3 qian each).
Weigh accurately, grind to fine powder. Substitute real Tiantuzhuang with real Dansheng (3 liang) if unavailable. Melt 24 liang of pure yellow wax, place in boiling water bath, add herbs, stir continuously, pour into porcelain jar for storage.

Zhenggu Zijin Dan, Wanling Gao (see Crown Bone Injury section)
Dingtong San (see Mountain-Angle Bone Injury section)
Shuxue Wan (see Lingyun Bone Injury section)