接骨由来法不同,编歌根据次说全功。若能洞达其中意,妙法都归掌握中。骨折大凡手足
或短或长或脱窠,或凹或凸或歪侧,务将手足慎抚摩。长者脱下短缩上,突凹歪斜宜度量。
身上骨若断而分,须用三指摩的当。内如脉动一般呵,骨折断碎无别何。整骨先服保命丹,
酒下骨软方动他。手足断须扯捻好,足断而长添一劳。先须脚底牢牮实,断伤骨下微 高。
足跟之下更高 ,病痊无患自证验。如不牮实骨尚长,以后愈长愈可厌。此为缩法之手功,
手长难疗成废躬,歪从患骨下托起,扯直无歪归于同。合奠不突还原样,凹者捻妥无别尚。
试手必以两手齐,试足须将脚并放。复臼膏药自急需,光细布摊称体肤。长短阔狭随患处,
膏宜摊浓糁多铺。将膏紧裹包贴定,夹非杉皮力不胜。浸软渐剖去粗皮,板长患处短方称。
还当排得紧重重,夹上布缠缠莫松。缠布阔宜二寸许,从上至下尽力封,布上再扎三条带,
中间上下护要害,先缚中间后两头,宽紧得宜始安泰。如缚手足斜折断,中间紧而两头宽。
骨断若如截竹样,中宽聚气紧两端。气血断处来聚着,手用带儿复掌络。脚要米袋两边挨,
挨定不动胜妙药。对症汤丸日日施,药洗换膏三日期。三七之时骨接牢,房事油腥犯不宜。
紫金丹作收功例,骨仍坚固无流弊。我今编此手法歌,传与后人须仔细。
接骨的方法由来已久,且各不相同,编写这首歌曲诀是为了全面阐述其功效。如果能透彻理解其中的意旨,精妙的技法就都能掌握在手中了。
骨折大多发生在手足部位,表现为骨骼变短、变长或脱位,或者出现凹陷、凸起以及歪斜侧曲的情况。务必小心谨慎地抚摸按摩患肢。对于变长的骨头,需将其脱下复位;对于缩短的骨头,需向上牵引;对于突起、凹陷或歪斜的,应当仔细衡量矫正。
如果身上的骨头断裂分离,必须用三指进行恰当的按摩揉动。如果摸起来感觉像脉搏跳动一样(说明断端刺激血管或神经),或者骨折已经粉碎,就没有其他办法了(意指难以处理或预后不良)。整骨之前先服用保命丹,用酒送服,待筋骨松软后再进行手法操作。
手足骨折必须拉扯并捻转使其对位良好,足部骨折若发生延长则增加治疗的劳苦。必须先让脚底牢固支撑垫实,断裂受伤的骨头下方要稍微垫高一些。足跟之下更要垫得更高,这样病愈后没有隐患,自然可以验证效果。如果不垫实而骨头仍然较长,以后愈合后会越长越令人厌恶(指畸形)。这是缩骨法的手部功夫,手部骨折若变长很难治疗,会导致肢体废用。歪斜的要从患骨下方托起,拉扯直正使歪斜消除归于正常。
合拢后不再突起还原样,凹陷的要捻转妥当无异常。测试时必须双手同时操作,测试足部须将双脚并排放置。复臼膏药自然是急需之物,用光滑细布摊开以贴合肌肤。长短宽窄随患处而定,膏药宜摊得浓稠,撒粉要多铺些。将膏药紧紧包裹包扎固定,夹板非杉皮不可,因为力量不够。将杉皮浸软后逐渐剖去粗皮,板子的长度要适合患处,短处才相称。还应当排列紧密重重固定,夹板上缠布不要松。缠布的宽度适宜二寸左右,从上至下尽力封固,布上再扎三条带子,中间上下保护要害部位,先缚中间后缚两头,宽紧适宜才能安稳。如果是手足斜向折断,中间要紧而两头要宽。骨头断裂若像截断竹子一样,中间宽松以聚气,两端要紧。气血在断处聚集,用手用带子恢复手掌经络。脚部要用米袋两边挨靠,挨定不动胜过妙药。对症的汤剂丸药每日施用,药物清洗和更换膏药每三天一次。三七天后骨头连接牢固,此时不宜行房事及食用油腻腥膻食物。紫金丹作为收功的常规用药,骨头依然坚固没有流弊。我如今编写这首手法歌诀,传给后人必须仔细研读。
The methods for setting bones have existed for a long time and vary; this song is composed to comprehensively explain their efficacy. If one can thoroughly understand the underlying principles, exquisite techniques will all be within one's grasp.
Fractures mostly occur in the limbs, manifesting as shortening, lengthening, or dislocation of the bones, or presenting with concavity, convexity, or lateral deviation. One must carefully palpate and massage the affected limb. For elongated bones, reduction by traction is required; for shortened bones, upward traction is needed; for protruding, depressed, or deviated fractures, careful measurement and correction are essential.
If a bone in the body is fractured and separated, it must be properly massaged using three fingers. If the fracture site feels like a pulsating vessel (indicating vascular or nerve stimulation), or if the bone is comminuted, there is little else that can be done (implying poor prognosis or difficulty in management). Before manual reduction, administer Baoming Dan (Preserve Life Pill) orally with wine; once the tendons and bones become relaxed, proceed with manipulation.
Limb fractures must be pulled and rotated to achieve proper alignment. Lower limb fractures with lengthening increase the labor of treatment. The sole of the foot must be firmly supported and padded; the area beneath the fractured bone should be slightly elevated. The heel should be elevated even higher; this ensures no complications after recovery, which serves as empirical verification. If not properly padded while the bone remains long, the deformity will worsen upon healing. This describes the manual technique for shortening bones. Hand fractures with elongation are difficult to treat and may result in disability. Deviations should be lifted from below the affected bone, pulled straight to eliminate angulation, and restored to normal alignment. After reduction, there should be no protrusion, and depressions should be smoothed out without abnormality. Testing requires simultaneous use of both hands; testing the foot requires placing both feet together.
Fujiu Gao (Restore Joint Paste) is urgently needed; spread it on smooth, fine cloth to fit the skin. The dimensions should match the injury site. The paste should be applied thickly and generously dusted with powder. Wrap tightly and secure the dressing. Splints made of Phyllostachys edulis (Bamboo) are preferred due to insufficient strength of other materials. Soak the bamboo until soft, gradually peel off the rough outer layer, and ensure the splint length suits the injury site. Arrange the splints tightly and securely; wrap with cloth without loosening. The wrapping cloth should be about two inches wide, sealed tightly from top to bottom. Tie three bands over the cloth: protect vital areas above and below the center. Bind the center first, then the ends; adjust tightness appropriately for stability. For oblique fractures of the limbs, tighten the middle and leave the ends wider. For transverse fractures resembling cut bamboo, keep the middle loose to allow Qi accumulation and the ends tight. Blood and Qi gather at the fracture site; use bands and hands to restore the palm meridians. Use rice bags to support both sides of the foot; immobilization here is superior to miraculous medicine. Administer symptomatic decoctions and pills daily. Wash with medicated water and change the paste every three days. After twenty-one days, the bone union becomes firm. Sexual activity and consumption of greasy or fishy foods are prohibited during this period. Zijin Dan (Purple Gold Pill) is used as a standard finishing regimen to ensure solid bone healing without adverse sequelae. I have compiled this manual technique song to be passed down to future generations, who must study it carefully.