腰骨，即脊骨十四椎、十五椎、十六椎间骨也。若跌打损伤，瘀聚凝结，身必俯卧，若欲仰卧、侧卧皆不能
也，疼痛难忍，腰筋僵硬，宜手法∶将两旁脊筋向内归附膂骨，治者立于高处将病患两手高举，则脊筋全舒，
再令病患仰面昂胸，则膂骨正而患除矣。内服补筋丸，外贴万灵膏，灸熨止痛散。
止痛散 止痛消肿，活血通经，辟风驱寒。
防风 荆芥 当归 蕲艾 牡丹皮 鹤虱 升麻（各一钱） 苦参 铁线透骨草 赤芍药（各二钱）
川椒（三钱） 甘草（八分）
共享末，装白布袋内，扎口煎滚熏洗。
补筋丸（见 骨伤）
万灵膏（见巅顶伤）
尾 骨，即尻骨也。其形上宽下窄，上承腰脊诸骨。两旁各有四孔，名曰八 。其末节名曰尾闾，一名
端，一名橛骨，一名穷骨，俗名尾椿。若蹲垫壅肿，必连腰胯，内服正骨紫金丹，洗以海桐皮汤，贴万灵膏。
正骨紫金丹（见巅顶伤）
海桐皮汤（见两颧骨伤）
万灵膏（见巅顶骨伤）
（以上见背骨图）
骨者，肩端之骨，即肩肿骨臼端之上棱骨也。其臼含纳 骨上端，其处名肩解，即肩HT 与 骨合缝处也，
俗名吞口，一名肩头。其下附于脊背，成片如翅者，名肩胛，亦名肩 ，俗名 板子骨。以上若被跌伤，手必
屈转向后，骨缝裂开，不能抬举，亦不能向前，惟扭于肋后而已，其气血皆壅聚于肘，肘肿如椎，其肿不能过
腕，两手筋反胀，瘀血凝滞，如肿处痛如针刺不移者，其血必化而为脓，则腕掌皆凉，或麻木。若 骨突出，
宜将突出之骨向后推入合缝，再将 筋向内拨转，则 肘臂腕皆得复其位矣。内服补筋丸，外贴万灵膏，烫洗用
海桐皮汤，或敷白胶香散，或金沸草汁涂之亦佳。
补筋丸 此药专治跌仆 闪，筋翻筋挛，筋胀筋粗，筋聚骨错，血脉壅滞，宜肿青紫疼痛等证。
五加皮 蛇床子 好沉香 丁香 川牛膝 白云苓 白莲蕊 肉苁蓉 菟丝子 当归（酒洗） 熟地黄
牡丹皮 宣木瓜（各一两） 怀山药（八钱） 人参 广木香（各三钱）
共为细末，炼蜜为丸，弹子大，每丸重三钱，用好无灰酒送下。
加减补筋丸
当归（一两） 熟地黄 白芍药（各二两） 红花
乳香 白云苓 骨碎补（各一两） 广陈皮（二两） 没药（三钱） 丁香（五钱）
共为细末，炼蜜为丸，弹子大，每丸重三钱，用好无灰酒送下。
白胶香散 治皮破筋断。
白胶香一味，为细末敷之。
又方∶
金沸草根，捣汁涂筋封口，二七日便可相续止痛。一帖即愈，不用再涂。
万灵膏（见巅顶骨伤）
海桐皮汤（见两颧骨伤）
The lumbar vertebrae refer to the bones between the 14th, 15th, and 16th thoracic vertebrae. If injured by falling or striking, with blood stasis accumulating and condensing, the body must lie prone; attempting to lie supine or on either side is impossible. The pain is unbearable, and the lumbar tendons are stiff. The appropriate manual therapy involves guiding the spinal muscles on both sides inward to attach to the *Suli* muscle (paraspinal muscles). The practitioner stands at a higher position, instructing the patient to raise both hands high, thereby fully relaxing the spinal muscles. Then, instruct the patient to look upward and arch the chest, which realigns the *Suli* muscle and eliminates the injury. Internally administer Bujin Wan (Tendon-Nourishing Pill), externally apply Wanling Gao (Myriad Spirits Plaster), and use Jiuyun Zhitong San (Moxibustion and Heat-Compression Pain-Relieving Powder) for fumigation and washing.
Zhitong San (Pain-Relieving Powder): Relieves pain and reduces swelling, invigorates blood and unblocks collaterals, expels wind and drives away cold.
Ingredients: Fangfeng (Saposhnikoviae Radix), Jingjie (Schizonepetae Spica), Danggui (Angelicae Sinensis Radix), Qi Ai (Artemisiae Argyi Folium), Mudanpi (Moutan Cortex), Heshi (Pyrrosiae Folium), Shengma (Cimicifugae Rhizoma) (each 1 qian); Kushen (Sophorae Flavescentis Radix), Tiexian Tougucao (Centipedae Herba), Chishao (Paeoniae Radix Rubra) (each 2 qian); Chuanjiao (Zanthoxyli Pericarpium) (3 qian); Gancao (Glycyrrhizae Radix et Rhizoma) (8 fen).
Grind all ingredients into fine powder, place in a white cloth bag, tie tightly, boil in water, and use the steam for fumigation and washing of the affected area.
Bujin Wan (See "Bone Injury" section)
Wanling Gao (See "Vertex Injury" section)
The coccyx, also known as the *Kao* bone, is wide at the top and narrow at the bottom, supporting the various bones of the lumbar spine above. There are four holes on each side, known as the Eight Liao acupoints (Ba Liao). The terminal segment is named Weilu, also called Duan, Jue, Qiong, or colloquially as Weichun. If squatting on a hard object causes local congestion and swelling, it will necessarily involve the waist and hips. Internally administer Zhenggu Zijin Dan (Orthopedic Purple Gold Pill), wash with Haitongpi Tang (Phellodendron Decoction), and externally apply Wanling Gao.
Zhenggu Zijin Dan (See "Vertex Injury" section)
Haitongpi Tang (See "Zygomatic Bone Injury" section)
Wanling Gao (See "Vertex Bone Injury" section)
(Above content refers to the Back Bone Diagram)
The scapula is the bone at the shoulder end, specifically the upper ridge of the glenoid cavity of the scapula. Its glenoid fossa accommodates the upper end of the humerus. This junction is named Jianjie (Shoulder Joint), the seam where the shoulder joint and humerus meet, commonly known asunkou, or alternatively as Jiantou. Its lower part attaches to the back, forming a plate-like structure resembling wings, named Jianjia or Jiannao, colloquially known as Banzi Gu (Plate Bone). If these areas are injured by falling, the arm will inevitably bend backward, the joint gap will separate, lifting and forward extension become impossible, and the arm can only twist behind the ribs. At this point, Qi and blood congest in the elbow, causing the elbow to swell like a pestle. The swelling does not extend beyond the wrist, while the tendons of both arms distend. With blood stasis stagnating, if the pain in the swollen area is like needle pricks and fixed in location, the blood will likely transform into pus, leading to coldness in the wrists and palms, or numbness. If the head of the humerus protrudes, push the protruding bone backward into the joint seam, then guide the surrounding tendons inward. This allows the elbow, arm, and wrist to return to their normal positions. Internally administer Bujin Wan, externally apply Wanling Gao, rinse with hot Haitongpi Tang, or apply Baijiaoxiang San (Liquidambar Powder), or smear with Jinfeicao juice, which is also effective.
Bujin Wan: This medicine specifically treats injuries from falls and sprains, tendon inversion and spasms, tendon distension and thickening, tendon aggregation and bone misalignment, blood vessel congestion, and symptoms such as swelling, bruising, purple discoloration, and pain.
Ingredients: Wujia Pi (Acanthopanacis Cortex), Shechuangzi (Cnidii Fructus), Hao Chenxiang (Aquilariae Lignum Resinatum), Dingxiang (Eugenii Flos), Chuan Niuxi (Achyranthis Bidentatae Radix), Bai Yunling (Poria), Bai Lianrui (Nelumbinis Plumula), Rousongrong (Cynomorii Herba), Tusizi (Cuscutae Semen), Danggui (Angelicae Sinensis Radix, washed with wine), Shudihuang (Rehmanniae Radix Preparata), Mudanpi (Moutan Cortex), Xuan Mugua (Chaenomelis Fructus) (each 1 liang); Huai Shanyao (Dioscoreae Hypoglaucae Rhizoma) (8 qian); Renshen (Ginseng Radix), Guang Muxiang (Aucklandiae Radix) (each 3 qian).
Grind into fine powder, mix with refined honey to form pills the size of a bullet, each weighing 3 qian. Take with good non-ashy rice wine.
Jiajian Bujin Wan (Modified Tendon-Nourishing Pill)
Ingredients: Danggui (Angelicae Sinensis Radix) (1 liang), Shudihuang (Rehmanniae Radix Preparata), Baishao (Paeoniae Radix Alba) (each 2 liang), Honghua (Carthami Flos), Ruxiang (Olibanum), Bai Yunling (Poria), Gusuibu (Drynariae Rhizoma) (each 1 liang), Guang Chenpi (Citri Reticulatae Pericarpium) (2 liang), Moyao (Myrrha), Dingxiang (Eugenii Flos) (5 qian).
Grind into fine powder, mix with refined honey to form pills the size of a bullet, each weighing 3 qian. Take with good non-ashy rice wine.
Baijiaoxiang San (Liquidambar Powder): Treats broken skin and severed tendons.
Use only Baijiaoxiang (Liquidambaris Resina), grind into fine powder, and apply to the wound.
Another prescription:
Crush Jinfeicao root (Farfarae Flos/Radix), extract the juice, and apply it to the severed tendon ends. After fourteen days, the tendons will reconnect, and pain will cease. One application leads to recovery, requiring no further application.
Wanling Gao (See "Vertex Bone Injury" section)
Haitongpi Tang (See "Zygomatic Bone Injury" section)