脑骨者，诸阳所聚，太阳、囟门、脑盖骨等处，若伤破
即性命所系。医须分开患人之发，寻看伤处，剪去近疮之发，
然后用药。伤破重，则用桃花散和灯心塞之，小则不必多用。
每日寻看伤处，如若烂臭，以辛香散洗之，将生肌散调搽。
治伤之时切忌当风，诚恐破血生风，则发热头面皆肿，以熨
药贴之。不退，以乳香寻痛散调搽，加川乌贴之，仍服消风
散。又用白金散，清油调搽患处。可服安髓散，清油调服。
面者有七孔，眼居其一，伤最难治。若被打伤，眼出于
胞外者，决难复入。但以蜜调神圣散贴之，听其自然。若破
黑晴，胆水已出，其瞳人必坏。若在胞内，却可轻轻拨转居
原，以神圣散蜜调贴，仍用活血住痛散，以清茶调服可愈。
牙龈骨被打伤折断，先用两手揣正，令骨相接居原。用
神圣散贴于外面，然后用布袋兜着下颏，直上缚在发上。或
牙龈已落，悬空摇动，以筋拨正安之。出血不止，用桃花散
断血，以白金散饮汤调，口噙之，遂可奏效。
从高坠下，顿颈骨者，令患人仰卧，用绢兜其颊下，又
解伸患人头发，作一把手捉定，行伸两足，踏其两肩，用力
徐徐拔而伸之，以归原为则。如过，则头伸太多，则又软
了。用神圣散，以自然姜汁和酒调贴，常服乳香寻痛散，痊愈。
井栏骨断，以手揣正，断骨相接归原。用棉絮二个，如
果子大，于断骨两旁轻轻托起相接。以神圣散姜汁调贴患处。
若烂了伤破皮，不可用姜汁，以蜜调贴，然后用竹筒一节，
长短宽狭，随人为则裁断破碎。用一片大者，嵌入骨，在竹
内用纸实腋下，用绢袋兜缚，日服乳香寻痛散。
饭匙骨断，被打伤跌出于外者，须带伸其手。医者以手
揣其患处，相接归原。用神圣散贴之。用绢袋从患处腋下，
兜缚至那边肩上。日服活血住痛散。如骨出在上，医者以左
手入患人右手，以膝撑其两胁，其骨自入。
两肩骨出者，如患左手，医者以右手入患人左手按之；
右手，医者以左手按之。如骨向下者，医者以手托骨向上，
令其归原。如折转其手，上脑为度。用神圣散贴之。用绢袋
一条，从肩上缚至那边腋下，又缚至那边肩上。服活血住痛散。
腕骨出，治法与肩骨同。相接归原，以神圣散贴之。用
杉木皮一大片，中间刳开一孔，中间对面共四块，亦如前法，
使腕骨伸屈，用绢袋兜其头上。日服乳香寻痛散，无误。
臂骨断，揣定断骨归原，用神圣散贴之。然后用杉皮三
片，削去粗皮，密密掐令微破，长短有法。如断向内，以三片
短者向内，一片长者向外，作夹托，用绵四部缚之。向身处
遂转放宽，令血气贯通。第二部差紧，要血脉流通，一二间
相接太紧，则血不通，骨亦难接。日服活血住痛散。三日后
换夹，则削薄其夹，比在前更薄，此扎缚亦宜宽些。如有肿，
神圣散内加螵蛸、朴硝。四围有泡，用百草霜炒令无烟，纸
摊于地上，存性为末，清油调搽泡上。
接手骨，与接臂骨同法治之。
接掌腕骨，与接腕骨同法治之。
The cranial bones are the gathering point of all Yang meridians, including areas such as the Taiyang region (region of the temporalis muscle and surrounding area), fontanelle, and skull cap. If these areas are injured and broken, it is a matter of life and death. The physician must part the patient's hair to locate the injury, cut away the hair near the wound, and then apply medication. For severe injuries, Taohua San (Peach Blossom Powder) and Jiedixin (Juncus Effusus, 灯心草) should be used to pack the wound; for minor injuries, less is needed. Inspect the wound daily. If it becomes rotten and foul-smelling, wash it with Xinfang San (Fragrant Powder) and apply Shengji San (Flesh-Regenerating Powder) mixed with an appropriate vehicle. During treatment, avoid exposure to wind, lest blood stasis generate wind, causing fever and swelling of the head and face. Apply Yi Yao (Warming Compress Medication). If symptoms persist, apply Ruxiang Xuntong San (Frankincense Pain-Relieving Powder) and add Chuanwu (Aconitum Carmichaelii Dehanchet Root, 川乌) externally, while internally administering Xiaofeng San (Wind-Dispersing Powder). Additionally, apply Baijin San (Platinum Powder) mixed with refined oil to the affected area. An Sui San (Marrow-Anchoring Powder) may be taken internally, mixed with refined oil.
The face has seven orifices, and the eyes are one of them; eye injuries are the most difficult to treat. If beaten such that the eyeball protrudes outside the orbit, it is extremely difficult to push it back in. Apply Shensheng San (Divine Holy Powder) mixed with honey to the area and allow nature to take its course. If the cornea (black pupil) is ruptured and the aqueous humor (gall water) has leaked out, the pupil will inevitably be damaged. However, if the eyeball remains within the orbit, it can be gently manipulated back into position. Apply Shensheng San mixed with honey, and internally administer Huoxue Zhutong San (Blood-Invigorating and Pain-Stopping Powder) mixed with clear tea for recovery.
If the gum bone is fractured by impact, first manually reduce the fracture to realign the bones. Apply Shensheng San externally, then use a cloth bag to support the chin and tie it securely to the hair. If the gum tissue has detached and is swinging loosely, use tendons to manipulate it back into place. If bleeding does not stop, use Taohua San to arrest bleeding, and hold Baijin San mixed with decoction in the mouth to achieve efficacy.
In cases of falling from a height resulting in cervical spine injury, have the patient lie supine. Use a silk cloth to support the submandibular region. Untie the patient's hair, gather it into a single bunch, and grasp it firmly. Extend the patient's legs, step on their shoulders, and apply gentle, steady traction until reduction is achieved. Over-traction may cause excessive extension and laxity. Apply Shensheng San mixed with fresh ginger juice and wine. Regularly administer Ruxiang Xuntong San for complete recovery.
For clavicle fractures, manually reduce the fracture to realign the bones. Place two cotton pads, sized like fruits, on either side of the fracture to gently support and approximate the bone ends. Apply Shensheng San mixed with ginger juice to the site. If the skin is broken and ulcerated, do not use ginger juice; instead, use honey. Cut a section of bamboo tube to appropriate length and width, crush it slightly. Insert a large piece into the bone structure, pack paper around the axilla inside the bamboo, and bind with a silk bag. Administer Ruxiang Xuntong San daily.
For scapula/clavicle fractures where displacement occurs externally due to trauma, extend the arm. The physician palpates the injury site to reduce and realign the bone. Apply Shensheng San. Bind a silk bag from the axilla across to the opposite shoulder. Administer Huoxue Zhutong San daily. If the bone is displaced superiorly, the physician inserts their left hand into the patient's right armpit and uses their knee to brace the lateral ribs, allowing the bone to spontaneously reduce.
For bilateral shoulder dislocations: if the left arm is injured, the physician uses their right hand to press the patient's left arm; if the right arm is injured, the physician uses their left hand. If the humeral head is displaced inferiorly, lift it upward to reduce. Rotate the arm until the head reaches the level of the brain/skull base. Apply Shensheng San. Bind a silk strap from the shoulder to the opposite axilla, and then to the opposite shoulder. Administer Huoxue Zhutong San.
For wrist joint dislocation, the treatment method is the same as for the shoulder. Reduce and realign, then apply Shensheng San. Use a large piece of fir bark with a hole carved in the center, divided into four sections facing each other, similar to previous methods, to allow wrist flexion and extension. Secure with a silk bag around the head. Administer Ruxiang Xuntong San daily without error.
For forearm bone fractures, manually reduce the fracture fragments. Apply Shensheng San. Then use three pieces of fir bark, scraping off the rough outer bark and scoring them densely until slightly broken, ensuring appropriate length. If the fracture is inward-facing, place three short pieces inward and one long piece outward as splints. Bind with four layers of cotton. Loosen the binding towards the body to ensure qi and blood circulation. The second layer should be tighter to promote blood flow; if adjacent pieces are too tight, blood flow is obstructed, hindering bone healing. Administer Huoxue Zhutong San daily. After three days, change the splints, shaving them thinner than before, and loosen the bindings slightly. If swelling is present, add Bieqiao (Sepia Efficax, 海螵蛸) and Poxiao (Natrii Sulfas, 朴硝) to Shensheng San. If blisters form around the periphery, stir-fry Baicaoshuang (Soot from Hundred Herbs, 百草霜) until no smoke is produced, spread on paper on the ground to preserve properties, grind into powder, and apply mixed with refined oil to the blisters.
Hand bone reduction follows the same method as forearm bone reduction.
Palmar carpal bone reduction follows the same method as wrist joint reduction.