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In cases of wrist joint dislocation, the physician uses the left hand with palm facing up to support and manipulate the injured arm, while the right hand grasps the proximal joint area below the wrist. The physician secures the retracted position and pulls firmly outward to reduce the joint, followed by administering Jiegu Dan (Bone-Setting Pill) and applying a plaster. In cases of shoulder or arm joint dislocation, the patient is instructed to sit on a low stool, cross their arms around their knees, and use the knees as leverage for pulling. The physician observes whether the arm reduces naturally when gently lowered forward; if reduced, Jiegu Dan is administered and a plaster applied. For scapular dislocation, a chair is used to encircle the hypochondrium, padded with soft clothing and cotton quilts. An assistant holds the patient while extending both arms downward to suspend the wrists, which are then bound with silk cloth. For injuries to the bone near Jianjing (GB21) under the hypochondrium, binding is contraindicated; instead, the area must be manually pressed flat and aligned, covered with Heilong San (Black Dragon Powder) on silk cloth. Rib injuries are treated similarly. For hand bone dislocations, the direction of displacement must be assessed: if displaced left, press right to reduce; if displaced right, press left to reduce. For comminuted skull fractures, gently press the fragments into alignment. If the skin is intact, Wulong San (Black Dragon Powder) is applied; if the skin is broken, Taohua San (Peach Blossom Powder) is packed into the wound and wrapped in silk. Exposure to wind and water must be avoided to prevent tetanus. If the wound is within hair-bearing areas, the hair should be shaved before applying medication. For hip dislocation from the upper buttock, manual traction and extension are performed by an assistant before reduction. Dislocation from the groin is considered incurable. Severe injuries generally require traction and realignment, possibly involving incision for reduction, followed by application of Taohua San and Heilong San, and splinting. Traction should be applied close to the injury site, avoiding pressure on the second phalanx. The method of traction—whether linear or angular, and whether one or three assistants are needed—depends on the severity and complexity of the injury.

When a fracture is compound with bone protruding through the skin, the fractured ends are often sharp or uneven, preventing direct reduction. After anesthesia with Ma Yao (Anesthetic Medicine), the bone ends are filed smooth with a rasp and sawed even with a small saw, then reduced. Medication and plasters are applied, covered with several layers of cotton paper, and secured with a splint. The plaster is changed after one or two days, and two doses of Jiegu Dan are taken daily. In hot weather, clear tea should be used to clean the wound to prevent stagnation of Qi. Tibial dislocation inward is difficult to treat; if outward, it can be pushed back into place manually, followed by medication. For traumatic swelling where the patient refuses palpation and hardness makes it difficult to determine if bones are shattered, anesthesia is required first. Palpation of the swollen area may reveal crepitus indicating bone fragmentation. If confirmed, the area is incised, bleeding is controlled with Zhixue San (Hemostatic Powder), and anesthesia is maintained. Shattered bone fragments are removed, replaced with healthy bone grafts if necessary, and covered with plaster, then wrapped in oiled paper. A cup of light salt water is given to the patient until they regain consciousness, after which Jiegu Dan is administered. For genital trauma with bleeding, Taoren San (Peach Seed Powder) is used to stop bleeding, the wound is sutured, and a plaster is applied. Treatment within one month is effective; delayed treatment is difficult.