凡阴囊被人扯破者，用鸡子黄油，并金毛狗脊毛，薄摊涂油于上，次敷封口药；又用截血膏敷贴，或乌龙
膏敷贴亦可。内服加减紫金丹，洗用紫苏叶煎水洗之。
凡阴囊有青黑紫色肿者，用定痛膏加赤芍、草乌、良姜、肉桂各少许打和，用韭叶捣烂同贴。如无韭叶，
用葱叶亦可。仍服利小水之药。
定痛膏 治打仆伤损，动筋折骨，跌磕
木石压伤肿痛。
芙蓉叶（二两） 紫荆皮 独活 南星（生） 白芷（各五钱）
上共为末，加马齿苋一两，捣极烂，和末一处，用生葱汁老酒和炒暖敷。
封口药（见鼻柱骨伤）
截血膏（见唇口伤）
乌龙膏（见凌云骨伤）
加减紫金丹（见胸骨伤）
\r背骨图\p04-a52a25.bmp\r
背者，自后身大椎骨以下，腰以上之通称也。其骨一名脊骨，一名膂骨，俗呼脊梁骨。其形一条居中，共二
十一节，下尽尻骨之端，上载两肩，内系脏腑，其两旁诸骨，附接横叠，而弯合于前，则为胸胁也。先受风寒，后
被跌打损伤者，瘀聚凝结，若脊筋陇起，骨缝必错，则成伛偻之形。当先揉筋，令其和软，再按其骨，徐徐合缝，
背膂始直。内服正骨紫金丹，再敷定痛散，以烧红铁器烙之，觉热去敷药，再贴混元膏。
正骨紫金丹 混元膏（俱见巅顶伤）
定痛散（见山角骨伤）
For cases where the scrotum is torn by external force, apply chicken egg yolk oil (Jizi Huang You) and the golden-haired root hairs of *Cibotium barometz* (Jinmao Gouji Mao). Spread the oil thinly over the wound, then apply a sealing paste (Fengkou Yao); alternatively, apply Jiexue Gao (Blood-Stop Paste) or Wulong Gao (Black Dragon Paste). Internally administer Jiajian Zijin Dan (Modified Purple Gold Pill), and wash the area with a decoction of Perilla Leaf (Zisu Ye).
For cases where the scrotum presents with cyanotic, black, or purple swelling, mix Dingtong Gao (Pain-Calming Paste) with small amounts of Red Peony Root (Chishao), Aconite Root (Caowu), Galangal Rhizome (Liangjiang), and Cinnamon Bark (Rougui). Blend these ingredients and apply them together with mashed chive leaves (Jiuye). If chive leaves are unavailable, green onion leaves (Congye) may be used. Concurrently, administer herbs that promote urination.
Dingtong Gao (Pain-Calming Paste): Treats contusions and injuries, tendon damage, bone fractures, and swelling/pain caused by impacts from wood or stones.
Ingredients:
Hibiscus Leaf (Furong Ye) - 2 liang
Bauhinia Bark (Zijing Pi)
Angelica Pubescens Root (Duhuo)
Arisaema Rhizome (Nanxing, raw)
Angelica Dahurica Root (Baizhi)
(Latter four ingredients: 5 qian each)
Process: Grind all ingredients into a fine powder. Add 1 liang of Purslane (Machixian), mash it thoroughly until extremely soft, and mix it with the powder. Combine with juice from raw green onions and aged wine, heat slightly, and apply as a warm compress.
Sealing Paste (Fengkou Yao): See section on Nasal Bridge Injury.
Blood-Stop Paste (Jiexue Gao): See section on Lip and Mouth Injury.
Black Dragon Paste (Wulong Gao): See section on Lingyun Bone Injury.
Modified Purple Gold Pill (Jiajian Zijin Dan): See section on Sternum Injury.
[Image: Back Bone Diagram]
The back (Bei) refers generally to the region from the Dazhui point (GV14) downwards to above the waist. The bones in this region are known as the spinal column (Jigu) or the lumbar spine (Lvgu), commonly called the backbone. Structurally, it forms a single central column consisting of twenty-one segments. It extends downward to the tip of the coccyx (Kaogu) and upward to support both shoulders. Internally, it connects with the zang-fu organs. The bones on either side attach and stack horizontally, curving forward to form the chest and hypochondrium. In cases where wind-cold invasion precedes traumatic injury, blood stasis accumulates and coagulates. If the spinal tendons become prominent, the intervertebral spaces must be misaligned, resulting in kyphosis (hunchback deformity). Treatment should begin by massaging the tendons to soften them, followed by gentle manipulation of the bones to realign the joints. Only then will the dorsal spine return to straightness. Internally administer Zhenggu Zijin Dan (Bone-Setting Purple Gold Pill), externally apply Dingtong San (Pain-Calming Powder), and use hot iron cauterization (moxibustion-like heat therapy). Remove the heat source when warmth is felt, then apply Hunyuan Gao (Primordial Paste).
Purple Gold Pill for Bone Setting (Zhenggu Zijin Dan) & Primordial Paste (Hunyuan Gao): See section on Vertex Injury.
Pain-Calming Powder (Dingtong San): See section on Shan'jiao Bone Injury.