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The back has sixteen vertebral segments, to which the meridians of the five zang organs and six fu organs are attached. When people grow old and their waists bend forward, it is because their essence and spirit have been exhausted. Those who are good at self-care should still strive to keep their spines upright. (Excerpted from the Chapter on Spine and Back)

**Fractured Spine/Back**
Use a door panel, let the patient lie flat and secure, then administer Jiegu Dan (Bone-Connecting Pill).
*Ingredients:* Tribolii Fructus (Dibiechong), Angelicae Sinensis Radix (Danggui), Psoraleae Fructus (Poguozhi) (each 2 qian), Eucommiae Cortex (Duzhong), Polygalae Radix (Yuanzhi) (each 3 qian), Pheretima (Dilong) (1 qian). Grind all into fine powder, mix with wine, and take orally.

**Injury to Jiliang Acupoint**
Symptoms include dizziness, weakness, unbearable pain, coughing up blood. Take this prescription.
*Ingredients:* Carthami Flos (Honghua), Drynariae Rhizoma (Gusuibu), Boswelliae Resina (Ruxiang), Myrrha Resina (Moyao), Monkey Bone, Tiger Bone, Persicariae Herba (Liujinu), Poppy Shell (Suke), Dragon Bone (Longgu), Sanguisorbae Radix (Diyu), Glycyrrhizae Radix et Rhizoma (Gancao) (each 1 qian), Walnut Shell (Qiaotuke) (1.5 qian), Costi Radix (Muxiang) (0.5 qian), Amomi Fructus (Sharen) (7 grains), Tribolii Fructus (Dibiechong) (10 pieces), Red Dates (Hongzao) (5 pieces). Use fresh urine as a guide, decoct with wine and take.
*External Application:* Cibotii Rhizoma (Gouji), Sanguisorbae Radix (Diyu), Mountain Leek Root (Shanjiu Gen), Boswelliae Resina (Ruxiang), Myrrha Resina (Moyao), Carthami Flos (Honghua). Pound together until paste-like and apply to the injury site. Then take the internal medicine.
*Second Internal Prescription:* Rehmanniae Radix Preparata (Shudi), Poria (Fuling) (each 1.5 qian), Angelicae Dahuricae Radix (Baizhi), Dragon Bone (Longgu) (each 1.2 qian), Gentianae Macrophyllae Radix (Qinjiao), Platycodonis Radix (Jiegeng), Notopterygii Rhizoma et Radix (Qianghuo), Eucommiae Cortex (Duzhong), Dipsaci Radix (Xuduan), Glycyrrhizae Radix et Rhizoma (Gancao) (each 1 qian), Lianggeli (2 qian). Use fish bone as a guide, stew in good wine and take.

**Injury to Beilou Acupoint**
Symptoms include chronic cough leading to yellowish edema, weakness in four limbs, afternoon tidal fever. Take this prescription.
*Ingredients:* Angelicae Sinensis Radix (Danggui), Cibotii Rhizoma (Gouji), Lycopii Herba (Zelan), Boswelliae Resina (Ruxiang), Myrrha Resina (Moyao) (each 1.5 qian), Taxilli Herba (Sangjisheng), Drynariae Rhizoma (Gusuibu), Chuanxiong Rhizome (Chuanxiong), Sanguisorbae Radix (Diyu), Arecae Semen (Binglang), Dipsaci Radix (Xuduan), Perillae Fructus (Zisu), Gentianae Macrophyllae Radix (Qinjiao). Use black dates as a guide, decoct with wine and take; then take Pingwei San (Calm the Stomach Powder): Atractylodis Rhizoma (Cangzhu), Magnoliae Officinalis Cortex (Nongpu), Phellodendri Cortex (Huangbai), Amomi Fructus (Sharen), Lycii Fructus (Qizi), Cyperi Rhizoma (Xiangfu), Cuscutae Semen (Tusizi) (each 1 qian), Citri Reticulatae Pericarpium (Chenpi) (8 fen), Scutellariae Radix (Huangqin) (6 fen). Grind into powder, make pills with honey, take 3 qian with wine. Avoid green onions.

**Injury to Beixin Acupoint**
Located in the center of the back.
*Ingredients:* Rehmanniae Radix (Shengdi), Schisandrae Fructus (Wuweizi), Saposhnikoviae Radix (Fangfeng), Angelicae Pubescentis Radix (Duhuo), Costi Radix (Muxiang) (each 1 qian), Boswelliae Resina (Ruxiang), Myrrha Resina (Moyao) (each 1.2 qian). Grind into powder, use green onion as a guide, take with wine.

**Injury to Sannian Acupoint**
Located on the left and right sides of the back.
*Ingredients:* Taiwu Yao (Taiwu), Aconiti Radix Preparata (Chuanwu), Aconiti Kusnezoffii Radix (Caowu), Sparagmi Rhizoma (Weilingxian), Anisi Stellati Fructus (Da Hui), Panacis Japonici Radix (San Qisanqi), Citri Reticulatae Pericarpium (Guangpi), Tribolii Fructus (Dibiechong) (each 1 qian), Cinnamomi Cortex (Rougui), Glycyrrhizae Radix et Rhizoma (Gancao) (each 4 fen). Use fresh urine as a guide, take with wine. (Note: Taiwu is suspected to be Wu Yao/Linderae Radix, produced in Taizhou).

**Injury to Yaoyan (Kidney Eye)**
*Ingredients:* Cinnamomi Cortex (Rougui) (8 fen), Dragon Bone (Longgu), Curcumae Radix (Yujin), Ziziphi Spinosae Semen (Zaoren), Acanthopanacis Cortex (Wujiapi), Carthami Flos (Honghua), Tiger Bone, Cyperi Rhizoma (Xiangfu), Glycyrrhizae Radix et Rhizoma (Gancao) (each 1 qian), Chunma, Tribolii Fructus (Dibiechong) (2 qian), Lianggeli (1.5 qian), Costi Radix (Muxiang) (7 fen), Node of Rheae Rhizoma (Oujie), Ecliptae Herba (Hanzhang Cao) stems (4 each). Stew in wine and take.
*External Application:* Cinnamomi Cortex (Rougui), Mustard Seed (Baijiezi), Boswelliae Resina (Ruxiang), Myrrha Resina (Moyao). Grind into powder, mix with egg white and apply.

**Prescription for Waist Injury**
*Ingredients:* Eucommiae Cortex (Duzhong) (2 qian), Achyranthis Bidentatae Radix (Niuxi) (1.5 qian), Psoraleae Fructus (Poguozhi), Drynariae Rhizoma (Gusuibu), Rehmanniae Radix (Shengdi), Zhihan, Qingmuxiang, Wu Yao, Boswelliae Resina (Ruxiang), Myrrha Resina (Moyao), Angelicae Sinensis Radix (Danggui), Sparagmi Rhizoma (Weilingxian) (each 1.2 qian), Xiao Huixiang, Cnidii Fructus (Shechuangzi) (each 8 fen), Notopterygii Rhizoma et Radix (Qianghuo), Angelicae Pubescentis Radix (Duhuo) (each 6 fen), Cinnamomi Cortex (Rougui) (5 fen), Tribolii Fructus (Dibiechong) (5 pieces). If pain is due to kidney deficiency, remove Tribolii Fructus and Angelicae Pubescentis Radix, add Prepared Rehmanniae Radix (Shudi) 1 qian.

**Caowu San (Aconite Powder) for Treating Lumbar Pain from Trauma**
*Ingredients:* Aconiti Radix Preparata (Chuanwu), Aconiti Kusnezoffii Radix (Caowu) (raw use), Drynariae Rhizoma (Gusuibu), Citri Reticulatae Pericarpium (Chenpi), Boswelliae Resina (Ruxiang), Myrrha Resina (Moyao) (equal parts), Arborvitae Twig (Shanshu Jie) (7 pieces, processed with wine). Grind into powder, mix and take 1-2 qian. If injured on the hand, add Manis Squama (Chuanshanjia), Asari Radix et Rhizoma (Xixin), Cinnamomi Ramulus (Guizhi), Sparagmi Rhizoma (Weilingxian). For left hand injury, add Bupleuri Radix (Chaihu), Costi Radix (Muxiang), take with wine.

**Prescription for Lumbar Pain with Abdominal Distension**
*Ingredients:* Notopterygii Rhizoma et Radix (Qianghuo), Aurantii Fructus Immaturus (Qingpi), Linderae Radix (Wuyao), Trogopterori Faeces (Wulingzhi), Anisi Stellati Fructus (Da Hui), Eucommiae Cortex (Duzhong), Arecae Semen (Binglang), Carthami Flos (Honghua), Persicamine (Taoren), Zhuang Huang, Glycyrrhizae Radix et Rhizoma (Gancao). If stool is blocked, add Rheum Palmatum Radix et Rhizoma (Dahuang), Natrii Sulfas (Pu Xiaoxiao), Litchi Seed (Lizhi He); if urination is blocked, add Plantaginis Semen (Cheqian), Akebiae Caulis (Mutong), Toosendan Fructus (Chuanlianzi), Iron Horse Whip (Tiema Bian).

**Injury to Qidang Acupoint**
*Ingredients:* Angelicae Sinensis Radix (Danggui), Paeoniae Radix Alba (Baishao), Boswelliae Resina (Ruxiang), Myrrha Resina (Moyao), Corydalis Rhizome (Yuanhu), Phellodendri Cortex (Huangbai), Cimicifugae Rhizoma (Shengma), Prepared Aconitum Lateralis Radix (Shu Fu), Xiao Huixiang, Poria (Fuling), Poria cum Radix (Fushen), Draconis Os (Xuexue), Aquilariae Lignum Resinatum (Chenxiang), Glycyrrhizae Radix et Rhizoma (Gancao). Use three red dates as a guide.

**Injury to Lanma Acupoint**
*Ingredients:* Angelicae Sinensis Radix Caudex (Guiwei), Moutan Cortex (Danpi) (each 5 qian), Acanthopanacis Cortex (Wujiapi), Coicis Semen (Yiren), Achyranthis Bidentatae Radix (Chuanniuxi), Achyranthes Bidentatae Radix (Huainiuxi) (each 7 qian), Panacis Japonici Radix (San Qisanqi), Lingma (each 2 qian), Cinnamomi Cortex (Rougui) (1 qian). Grind into powder, take with wine.

**Injury to Fengwei Acupoint**
Symptoms: Severe pain in Yaoyan, blocked stool. This indicates a fracture of the Fengchi (Phoenix Wing) bones with residual accumulated blood. Take the following prescription.
*Ingredients:* Taxilli Herba (Sangjisheng), Hexifeng (He Xi Feng - likely a local name or variant), Pinelliae Rhizoma (Banxia), Psoraleae Fructus (Poguozhi), Acanthopanacis Cortex (Wujiapi), Carthami Flos (Honghua), Manis Squama (Chuanshanjia), Boswelliae Resina (Ruxiang), Myrrha Resina (Moyao), Glycyrrhizae Radix et Rhizoma (Gancao) (each 1 qian), Puerariae Radix (Gange). Take.
*External Application:* Boswelliae Resina (Ruxiang), Myrrha Resina (Moyao), Red Yeast Rice (Hongqu), Tribolii Fructus (Dibiechong), Hemp Root (Magen), Wulongcao, add green onion and ginger, pound into paste, apply with glutinous rice.

**Injury to Shenshu Acupoint**
Located below Mingmen (Gate of Life) at the 15th thoracic vertebra of the spine.
*Ingredients:* Rehmanniae Radix (Shengdi) (1 qian), Psoraleae Fructus (Poguozhi), Hyoscyami Semen (Tianxianzi), Linderae Radix (Wuyao) (each 1.2 qian), Phellodendri Cortex (Huangbai), Ostreae Concha (Muli), Corydalis Rhizome (Yuanhusuo), Xiao Huixiang, Lycopii Herba (Zelan), Carthami Flos (Honghua), Arnebiae Radix et Rhizoma (Zicao), Sappan Lignum (Sumu), Boswelliae Resina (Ruxiang), Costi Radix (Muxiang), Eucommiae Cortex (Duzhong) (each 8 fen). No guide herb, decoct in water and take.

**Injury to Qihai Acupoint**
Located above Guanyuan.
*Ingredients:* Paeoniae Radix Rubra (Chishao), Angelicae Sinensis Radix Caudex (Guiwei), Carthami Flos (Honghua), Psoraleae Fructus (Poguozhi), Achyranthis Bidentatae Radix (Niuxi), Hongxiao, Hongqu, Arnebiae Radix et Rhizoma (Zicao), Persicariae Herba (Liujinu), Cinnamomi Cortex (Rougui), Glycyrrhizae Radix et Rhizoma (Gancao), Arborvitae Bark (Shanshu Pi). Use guide herb, decoct in wine and take.

**Injury to Guanyuan Acupoint**
Mu point of the Small Intestine.
*Ingredients:* Angelicae Sinensis Radix Caudex (Guiwei), Poria (Chiling), Panacis Japonici Radix (San Qisanqi), Alismatis Rhizoma (Zexie), Guangmuxiang, Gardeniae Fructus (Zhiren), Natural Pyrite (Zirantong), Cinnamomi Cortex (Rougui), Plantaginis Semen (Cheqian), Persicamine (Taoren), Sparganii Rhizoma (Sanleng), Curcumae Zedoariae Rhizoma (Ezhu), Glycyrrhizae Radix et Rhizoma (Gancao). Use Jiaxin (Rice Flower) as a guide, decoct in wine and take.

**Injury to Mingguan Acupoint**
*Ingredients:* Moschus (Shexiang), Cinnamomi Cortex (Rougui), Panacis Japonici Radix (San Qisanqi), Ostreae Concha (Muli), Aurantii Fructus Immaturus (Qingpi), Costi Radix (Muxiang), Atractylodis Macrocephalae Rhizoma (Baizhu) (each 3 qian), Asari Radix et Rhizoma (Xixin) (2 qian), Glycyrrhizae Radix et Rhizoma (Gancao) (5 fen).

**Injury to Pangguang (Bladder) Acupoint**
Symptoms: Abdominal distension not subsiding, inability to urinate. Take this prescription.
*Ingredients:* Plantaginis Semen (Cheqian) (1.5 qian), Polyporus (Zhuling), Alismatis Rhizoma (Zexie), Arecae Semen (Binglang), Xiao Huixiang, Platycodonis Radix (Jiegeng), Citri Reticulatae Pericarpium (Chenpi), Aurantii Fructus Immaturus (Qingpi), Eucommiae Cortex (Duzhong), Taxilli Herba (Sangjisheng), Pinelliae Rhizoma (Banxia), Galangali Rhizoma (Liangjiang), Glycyrrhizae Radix et Rhizoma (Gancao) (each 1 qian), Zhuang Huang (8 fen). Use Jiaxin (Rice Flower) and Fresh Ginger as guides, stew in water and take.

**Injury to Tianshu Acupoint**
Mu point of the Large Intestine.
*Ingredients:* Zhuang Huang, Persicamine (Taoren), Rehmanniae Radix (Shengdi), Persicariae Herba (Liujinu), Notopterygii Rhizoma et Radix (Qianghuo), Lingma, Saposhnikoviae Radix (Fangfeng), Morindae Officinalis Radix (Baji), Boswelliae Resina (Ruxiang), Myrrha Resina (Moyao), Glycyrrhizae Radix et Rhizoma (Gancao). Use Fresh Ginger as a guide, decoct in wine and take. Another method: Persicamine (Taoren), Crotonis Fructus (Qianjinzi), Rheum Palmatum Radix et Rhizoma (Dahuang), Silphidae Insect (Dianlang). Grind into powder, decoct in wine and take.

**Injury to Fenmen (Anus)**
*Ingredients:* Angelicae Sinensis Radix Caudex (Guiwei), Zhuang Huang, Schisandrae Fructus (Wuweizi), Angelicae Pubescentis Radix (Duhuo), Panacis Japonici Radix (San Qisanqi), Cinnamomi Cortex (Rougui), Trogopterori Faeces (Wulingzhi), Rehmanniae Radix (Shengdi), Glycyrrhizae Radix et Rhizoma (Gancao). Grind into powder, take with wine.

**Injury to Fengmen Acupoint**
This is the lower orifice. Severe injury causes fainting; rescue first, then take Qiyeyihuazhi (Paris Polyphylla). Follow with medication.
*Ingredients:* Psoraleae Fructus (Poguozhi), Platycodonis Radix (Jiegeng), Moutan Cortex (Danpi), Carthami Flos (Honghua), Akebiae Caulis (Mutong), Chaenomelis Fructus (Mugua), Panacis Japonici Radix (San Qisanqi), Anisi Stellati Fructus (Da Hui), Angelicae Pubescentis Radix (Duhuo), Boswelliae Resina (Ruxiang), Myrrha Resina (Moyao), Glycyrrhizae Radix et Rhizoma (Gancao) (each 1 qian), Cinnamomi Cortex (Rougui) (8 fen), Poria (Fuling) (1.5 qian). Use Caoguo Tu (Stove Heart Earth) as a guide, stew in wine and take. Then take the following prescription: Huoshi (Living Stone), Cinnabaris (Zhusha), Renzhongbai (Human Ash) (each 8 fen), Dragon Bone (Longgu), Linderae Radix (Wuyao), Corni Fructus (Zaopi), Poria (Fushen), Nelumbinis Stamen (Lianxu), Gentianae Macrophyllae Radix (Qinjiao), Poria (Fuling), Glycyrrhizae Radix et Rhizoma (Gancao) (each 1 qian), Dipsaci Radix (Xuduan), Bauhiniae Cortex (Zijingpi) (each 1.2 qian), Magnoliae Officinalis Cortex (Nongpu) (6 fen). Use seven Jianlian (Lotus seeds) as a guide, stew in water and take.

**Neck Fracture**
Sit the patient on a high chair, rub the area with both hands. First take Quanshen Dan (Whole Body Pill), then take Hong Yao (Red Medicine). Swallow steamed chicken liver mixed with fresh urine and wine.
**Neck Bone Dislocation/Fracture**
Hold the ear gates with both hands, lift and reduce the head. First take Ginseng Decoction, then take Hong Yao (Red Medicine).
**Waist Bone/Yaoyan Injured by Stick**
Untreatable. Injuries from fists are treatable.
**Tailbone Injured by Strike**
Take Quanshen Dan, delivered with Oujie (Lotus Node) decoction. If bleeding does not stop, take 1 fen of Hong Yao (Red Medicine), delivered with chicken soup, and it will heal.