凡人从高坠下，跌伤五脏，不省人事，气塞不通者，看其两太阳及胸前胁下如何？若动
，则可救。急用通关散吹鼻中，如有嚏，语声得出者，投黎洞丸，再服复元活血汤，逐瘀生新。
若迟，则不救。或有从高倒坠，天柱骨折，致颈插入腔内，而左右尚活动者，用提法治之；
或打伤，头低不起，用端法治之；或坠伤，左右歪斜，用整法治之；或伤而面仰，头不能垂
，或筋长骨错，或筋聚筋强，头垂不起者，用推、端、续、整四法治之。临症时，须问其或
翻车坠马，或高处坠下，或打重跌倒，再问或思食不思食。若四肢无伤，精神不减，或能坐
起行动者，轻；或昏睡不语，或疼痛呼号，瘀聚凝结，肿硬筋胀者，重。投三黄宝蜡丸，服
接骨紫金丹，敷万灵膏，熨定痛散。手法详后。
颠顶骨，男子三叉缝，女子十字纹，一名天灵盖，位居至高，内函脑髓，以统全体者也
。或跌打 撞等伤，卒然而死，身体强直，口鼻尚有出入之气，心口温热跳动者，可救。惟宜屈
膝盘坐（《金鉴》“盘坐”作“侧卧”），先将醋调混元膏，敷于顶上，再将草纸卷点燃着，
令
呻吟有声，用童便调八厘散，或黎洞丸亦可。俟其气转阳回，外用手法。按摩心胸两腋下，
并托其手腕，频频揉摩两手脉窠。凡伤则筋脉强硬，频频揉摩，则心血来复，命脉流通，即
可回生。再服接骨紫金丹，外用散瘀和伤汤，洗去前药，换敷混元膏。或大便干燥，乃内存
瘀血，服加减苏子桃仁汤。或耳聋者，用导气通瘀锭，塞耳中，食宜素粥，切戒恼怒，忌
油腻面食，卧宜净室，勿令人喧扰。若重伤已死者，用白布缠头，以木棍轻轻拍击足心，再
提发令其颈端直，舒其筋络，外敷混元膏，内服紫金丹。如外皮未破，而骨已碎，内膜已穿
，血向内流，声哑不语，面青唇黑者，不治。或顶骨塌陷，惊动脑髓，七窍出血，身挺僵厥
，昏闷全无知觉者，不治。或骨碎髓出，不治。或皮开肉绽，血流不止者，可治。用止血絮
封固，先止其血，服补气养血汤。宜避风寒，戒怒远色，俟其结痂。若溃烂流脓，用甘葱煎
洗去封药，掺铁扇散，盖玉红膏，服疏风养血汤，照法洗换，待其结痂痊愈。
凡人从高处置坠落，跌伤五脏，导致神志昏迷、气息闭塞不通的，观察其两侧太阳穴及胸前胁下部位的情况。如果这些部位还有活动迹象（如肌肉抽动或脉搏跳动），则尚有救治希望。应立即使用通关散吹入鼻中，如果患者打喷嚏且能发出声音，便给予黎洞丸服用，随后再服用复元活血汤，以祛除瘀血、促进新血生成。如果延误时机，则无法救治。
有的因高处坠落，导致颈椎骨折，致使颈部插入胸腔内部，但身体左右尚能活动的，采用“提法”进行治疗；或者因殴打受伤，头部低垂无法抬起的，采用“端法”治疗；或者因坠落受伤，身体向左右歪斜的，采用“整法”治疗；或者受伤后面部朝上仰起，头部不能下垂，或者是筋脉拉长骨骼错位，或者是筋脉聚集拘挛僵硬，头部无法低垂的，采用推、端、续、整四种手法治疗。临症时，必须询问患者是翻车坠马，还是从高处坠落，或是重重跌倒，再询问是否有食欲。如果四肢没有受伤，精神未减，或者能够坐起行动的，属于轻伤；如果昏睡不语，或者疼痛呼号，瘀血聚结凝结，肿胀坚硬筋脉胀大的，属于重伤。给予三黄宝蜡丸服用，接骨紫金丹内服，万灵膏外敷，定痛散熨烫。手法详见后文。
颠顶骨，男子呈三叉缝状，女子呈十字纹状，又名天灵盖，位居人体最高处，内部包裹脑髓，统领全身。如果是跌打撞击等外伤，突然死亡，身体强直，口鼻仍有呼吸之气，心口温热且有跳动的，可以救治。只宜让患者屈膝盘坐（《医宗金鉴》中“盘坐”作“侧卧”），先用醋调和混元膏，敷在头顶，再将草纸卷点燃，让患者呻吟有声，用童便调服八厘散，或者黎洞丸也可以。等到患者气息回转、阳气回复后，外用手法按摩心胸和两腋下，并托住其手腕，频繁揉摩两手脉窝。凡是受伤都会导致筋脉强硬，频繁揉摩，则心血得以恢复，命脉流通，即可回生。再服用接骨紫金丹，外用散瘀和伤汤清洗去除前药，换敷混元膏。如果大便干燥，说明体内存有瘀血，服用加减苏子桃仁汤。如果耳聋的，用导气通瘀锭塞入耳中。饮食宜吃素粥，切忌恼怒，忌食油腻面食，卧床应在洁净房间，不要让人喧扰。如果是重伤已死的，用白布缠头，用木棍轻轻拍击足心，再提拉头发令其颈部端正伸直，舒展筋络，外敷混元膏，内服紫金丹。如果外皮未破，但骨头已碎，内膜已穿破，血液向内流，声音嘶哑不能说话，面色青紫嘴唇发黑的，属不治之症。或者顶骨塌陷，惊动脑髓，七窍出血，身体挺立僵直厥逆，昏闷完全失去知觉的，属不治之症。或者骨头粉碎骨髓流出，属不治之症。或者皮开肉绽，血流不止的，可治。用止血絮封固，先止住血，服用补气养血汤。宜避风寒，戒除愤怒和房事，等待其结痂。如果溃烂流脓，用甘葱煎水清洗去除封药，掺入铁扇散，盖上玉红膏，服用疏风养血汤，按照方法清洗更换，等待其结痂痊愈。
Any person falling from a height and injuring the five Zang organs, resulting in loss of consciousness and blocked Qi, should be examined for movement in the bilateral Taiyang acupoints and the chest and hypochondrium. If there is movement, it can be saved. Immediately blow Tongguan San (Passing Obstruction Powder) into the nose. If sneezing occurs and voice can be produced, administer Lidong Wan (Lidong Pill), followed by Fuyuan Huoxue Tang (Recovering Vitality Blood-Invigorating Decoction) to eliminate blood stasis and generate new blood. If treatment is delayed, it cannot be saved.
In cases of high fall where the cervical vertebrae are fractured, causing the neck to insert into the thoracic cavity while the body remains mobile on both sides, apply the "lifting" technique. For injuries from beating where the head cannot be raised, apply the "supporting" technique. For injuries from falling where the body tilts left or right, apply the "aligning" technique. For injuries where the face looks upward and the head cannot droop, or where tendons are elongated with bone dislocation, or where tendons are gathered and stiff preventing the head from drooping, apply the four techniques of pushing, supporting, connecting, and aligning. At the bedside, inquire whether the injury resulted from overturning vehicles or horses, falling from heights, or heavy falls. Also ask about appetite. If the limbs are uninjured, spirit is unimpaired, or the patient can sit up and move, the injury is mild. If the patient is comatose and silent, or cries out in pain, with coagulated blood stasis, swelling, hardness, and distended tendons, the injury is severe. Administer Sanhuang Baola Wan (Three-Yellow Precious Wax Pill), Jiegu Zijin Dan (Bone-Knitting Purple-Gold Elixir), apply Wanling Gao (Ten-Thousand Miracles Plaster), and hot compress with Dingtong San (Pain-Stabilizing Powder). Manual techniques are detailed later.
The vertex bone, known as Tianlinggai (Heavenly Spirit Cover), presents as a three-pronged suture in men and a cross-shaped suture in women. Located at the highest point, it encloses the brain marrow and governs the whole body. In cases of sudden death due to falls or blows, where the body is rigid but breath remains at the mouth and nose, and the heart region is warm and pulsating, rescue is possible. The patient should be seated with knees bent (the *Yizong Jinjian* states "lying on side"). First, apply Hunyuan Gao (Primordial Paste) mixed with vinegar to the vertex. Then, ignite rolled straw paper and have the patient groan. Administer Bali San (Eight-Centigram Powder) or Lidong Wan (Lidong Pill) mixed with children's urine. Once Qi returns and Yang energy recovers, apply manual therapy: massage the chest, heart, and axillae, support the wrists, and frequently rub the pulse hollows of both hands. Injury causes tendon and vessel stiffness; frequent rubbing restores Heart blood and circulates vital pulses, enabling revival. Subsequently, take Jiegu Zijin Dan (Bone-Knitting Purple-Gold Elixir), wash off previous medicines with Sanyu He Shang Tang (Stasis-Dispelling and Injury-Healing Decoction), and reapply Hunyuan Gao (Primordial Paste). If stool is dry, indicating internal blood stasis, take Jiajian Suzi Taoren Tang (Modified Perilla Seed and Peach Kernel Decoction). For deafness, insert Daoqi Tongyu Ding (Qi-Conducting Stasis-Unblocking Cone) into the ear. Diet should consist of plain rice porridge; avoid anger, greasy foods, and wheat products. Rest in a quiet room without noise. For severe cases clinically dead, wrap the head with white cloth, gently tap the sole of the foot with a wooden stick, pull the hair to straighten the neck, stretch the meridians, apply Hunyuan Gao externally, and take Zijin Dan internally. If the skin is intact but bones are shattered, membranes pierced, blood flows inward, voice is hoarse, face is cyanotic, and lips black, it is incurable. If the vertex bone collapses, disturbing brain marrow, with bleeding from the seven orifices, body rigid and convulsed, unconscious and unaware, it is incurable. If bones are crushed and marrow leaks out, it is incurable. If flesh is torn and bleeding does not stop, it is treatable. Use hemostatic cotton to seal the wound, stop bleeding first, then take Buqi Yangxue Tang (Qi-Nourishing and Blood-Supplementing Decoction). Avoid wind and cold, abstain from anger and sexual activity, wait for scabbing. If ulceration and pus occur, wash off sealing medicine with Gancong Jian (Sweet Scallion Decoction), sprinkle Tieshan San (Iron Fan Powder), cover with Yuhong Gao (Jade Red Plaster), take Shufeng Yangxue Tang (Wind-Dispersing and Blood-Nourishing Decoction), follow washing and changing protocols, until healing and scabbing occur.