腕骨，即掌骨乃五指之本节也，一名壅骨，俗名虎骨。其骨大小六枚，凑以成掌，非块然一肌也。基上并接
臂辅两骨之端，其外侧之骨名高骨，一名锐骨，亦名踝骨，俗名龙骨，以其能宛屈上下，故名曰腕。若坠车马，
手掌着地，只能伤腕；若手指着地，其指翻贴于臂上者，则腕缝必分开。伤腕者，壅肿疼痛，法以两手揉摩其腕，
内服正骨紫金丹，外贴万灵膏；若手背向后翻贴于臂者，以两手促其手背，轻轻回翻之，令复其位，仍按摩其筋，
必令调顺，内服人参紫金丹，外敷混元膏。
正骨紫金丹 万灵膏 混元膏（俱见巅顶骨伤）
人参紫金丹（见山角骨伤）
五指之骨，名锤骨，即各指本节之名也。若被打折，五指皆同，株连肿痛，因其筋皆相连也。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。若手背与手心，皆坚硬壅肿热痛，必正其骨节，则无
后患。若不实时调治，其所壅之血，后必化而为脓。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。
散瘀和血汤 万灵膏（俱见巅顶骨伤）
\r四肢图\p04-a52a26.bmp\r
竹节骨，即各指次节之名也。跌打损伤，骨碎筋弯，指不能伸，以手捻其屈节，则指必舒直，洗以散瘀和
伤汤，贴以万灵膏。如
指甲缝蓄积毒血，其甲必脱落，若再生指甲，其形多不如旧。若第三节有伤，治同次节，其指甲名爪甲。
散瘀和伤汤 万灵膏（俱见巅顶骨伤）
The carpal bones, also known as the metacarpals (metacarpal bones), are the proximal joints of the five fingers, alternatively called Yonggu (Ong Bone), and commonly referred to as "Tiger Bone." There are six bones of varying sizes that converge to form the palm; they are not a single solid mass of muscle. Their bases connect superiorly to the ends of the two auxiliary bones of the forearm. The bone on the lateral side is named Gaogu (High Bone), also known as Ruigu (Sharp Bone) or Huai Gu (Ankle Bone), and colloquially as Longgu (Dragon Bone). It is termed "Wan" (Wrist) because it can flex and extend up and down. If falling from a carriage or horse with the palm striking the ground, only the wrist may be injured; however, if the fingers strike the ground and flip back to adhere against the forearm, the joint space of the wrist must separate. For wrist injuries characterized by swelling and pain, the treatment method involves massaging the wrist with both hands, taking internally Zhenggu Zijin Dan (Orthopedic Purple Gold Pill), and applying externally Wanling Gao (Ten Thousand Spirits Ointment); if the dorsum of the hand flips backward to adhere against the forearm, use both hands to press the dorsum and gently rotate it back into position, then massage the tendons to ensure they are aligned smoothly, taking internally Renshen Zijin Dan (Ginseng Purple Gold Pill) and applying Hunyuan Gao (Primordial Unity Ointment) externally.
Zhenggu Zijin Dan, Wanling Gao, Hunyuan Gao (all see section on Head/Crown Bone Injuries)
Renshen Zijin Dan (see section on Mountain Corner Bone Injuries)
The bones of the five fingers are named Chuigui (Hammer Bones), referring to the proximal phalanges (proximal joints) of each finger. If fractured by blunt force trauma, the condition is similar for all five fingers, resulting in connected swelling and pain because their tendons are interconnected. Although the palm and dorsum appear externally as one undifferentiated unit, internally the bones consist of the proximal joints of each finger connected together. If both the dorsum and palmar surfaces become hard, swollen, hot, and painful, the bone joints must be realigned to prevent future complications. If not treated promptly, the stagnant blood will eventually transform into pus. Those with robust Qi may take formulas for treating sores and toxins, and recover with proper care; those with deficient Qi may develop fistulas later. Wash with Sanyu He Shang Tang (Blood-Dispersing and Injury-Healing Decoction) and apply Wanling Gao.
Sanyu Hexue Tang, Wanling Gao (both see section on Head/Crown Bone Injuries)
[Diagram of Four Limbs]
The Zhujie Gu (Bamboo-Joint Bone) refers to the middle phalanges (secondary joints) of each finger. In cases of falls or blows causing bone fragmentation and tendon curvature where the finger cannot extend, manipulating the flexed joint by hand will allow the finger to straighten out. Wash with Sanyu He Shang Tang and apply Wanling Gao. If toxic blood accumulates in the nail fold, the nail will inevitably fall off; if a new nail grows, its shape will likely differ from the original. If the distal phalanx (third segment) is injured, the treatment is the same as for the middle segment; the nail is also called Zhua Jia (Claw Nail).
Sanyu He Shang Tang, Wanling Gao (both see section on Head/Crown Bone Injuries)