骨者，肩端之骨，即肩胛骨也。其臼含纳 骨上端，其处名肩解，即肩HT 与 骨合缝
处也。俗名吞口，一名肩头，其下附于脊骨成片如翅者。其骱若脱，手不能举。使患人低坐，一
人抱住其身，将手拔直，用推拿法，酌其重轻，待其筋舒，一手捏其肩，抵住骱头，齐力拔
出，骱内有响声者，乃复其位矣。用布带落其项下，服舒筋活血汤。凡上骱时，骱内必有响
声活动，其骱以上；若无响声活动者，其骱未上也，不可误人。
肘骨者，胳膊中节上下支骨交接处也，俗名鹅鼻骨。上接 骨，其骱名曲 。自肘至腕
，有正辅二根∶其在下而形体长大连肘尖者，为臂骨；其在上而形体短细者，为转骨。叠并相倚
，下接于腕骨。其骱若出，一手捏住骱头，一手拿其脉窝，先令直拔下，骱内有声响，将手
曲转，搭着肩头，肘骨合缝，其骱上矣。服生血补髓汤，或紫金丹。
腕骨，即掌骨，乃五指之本节也，俗名虎骨。其大小六枚，凑以成掌，非块然一骨也。
其上并接臂、辅两骨之端，其外侧高骨，俗名龙骨，能宛屈上下，故名腕。若手掌着地，只能伤
腕。若手指着地，其指翻贴于臂者，腕缝必开，壅肿疼痛。先两手揉摩其腕，一手按住其骱
，一手拔其指掌，掬转有声，活动，其骱复位。仍按摩其筋，必令调顺。然命脉之所，服宽
筋散，须防着寒，得免酸疼之患。凡人手指有三节，其骱突出者，俱可拔直捏正，屈伸活动
；服和营止痛汤。其法相同，不必逐骱论也。
骨，指的是肩端的骨头，也就是肩胛骨。它的关节窝容纳肱骨的上端，这个部位名叫“肩解”，即肩关节与肱骨结合的缝隙处。俗称“吞口”，也叫“肩头”，其下方附着在脊椎骨上，形状像翅膀一样成片状。如果这个关节脱位，手就无法举起。让患者低坐，一人抱住其身体，将手臂拔直，使用推拿手法，根据力量轻重斟酌操作，待筋脉舒展后，一只手捏住肩膀，抵住关节头部，合力将其拔出，若关节内有响声，说明已经复位。用布带悬吊于项下，服用舒筋活血汤。凡是上肢关节脱位，关节内必然有响声且活动自如，说明关节已复位；如果没有响声和活动感，说明关节未复位，不可误治害人。
肘关节，是胳膊中段上下两根骨头交接的地方，俗称“鹅鼻骨”。上方连接肱骨，这个关节名叫“曲池”（注：原文此处可能有缺字或通假，结合语境指肘关节）。从肘到腕，有两根骨头并列：在下面且形体长大连着肘尖的，称为臂骨（尺骨）；在上面且形体短细的，称为转骨（桡骨）。两骨重叠并靠，下方连接腕骨。如果这个关节脱位，一只手捏住关节头部，另一只手握住肘窝，先令其向下直拔，关节内有声响，然后将手弯曲转动，搭在肩头上，使肘关节合缝，关节就复位了。服用生血补髓汤，或者紫金丹。
腕骨，就是掌骨，是五指的根本节段，俗称“虎骨”（注：此处俗名可能指代特定部位或误传，通常腕部无虎骨之称，但依原文翻译）。它由六块小骨头组成，凑合形成手掌，并不是整块单一的骨头。它的上方并排连接前臂的两根骨的末端，其外侧的高骨，俗称“龙骨”，能够弯曲上下活动，所以叫作腕。如果手掌着地受伤，只能伤及手腕。如果手指着地，手指翻转贴在手臂上，腕部的缝隙必定裂开，导致壅肿疼痛。先用双手揉摩手腕，一只手按住关节，另一只手拔拉手指和手掌，使其发出声音并活动，关节即可复位。仍然按摩其筋脉，必须使其调和顺畅。然而命脉所在之处，服用宽筋散时，须防止受寒，以免产生酸痛的祸患。凡人的手指有三节，其关节突出的，都可以拔直捏正，屈伸活动；服用和营止痛汤。方法相同，不必逐个关节论述。
The "gu" (bone) refers to the bone at the shoulder end, which is the scapula. Its glenoid cavity accommodates the proximal end of the humerus. This area is named "Jianjie" (Shoulder Joint), which is the suture where the shoulder joint and the humerus meet. It is commonly known as "Tunkou" or "Jiantou". Below it, attached to the vertebral column in a wing-like sheet, lies the structure. If this joint dislocates, the arm cannot be raised. Have the patient sit low; one person holds their body while another straightens the arm. Apply tuina manipulation, adjusting the force according to severity, until the tendons relax. One hand grasps the shoulder, pressing against the head of the joint, and applies coordinated traction to reduce it. A sound within the joint indicates successful reduction. Suspend the arm with a cloth bandage under the neck and administer Shujin Huoxue Tang (Relax Tendons and Invigorate Blood Decoction). In cases of upper limb joint dislocation, there must be an audible sound and mobility within the joint, indicating that the joint has been reduced. If there is no sound or mobility, the joint has not been reduced; do not mislead the patient.
The elbow joint is the junction between the proximal and distal segments of the forearm bones, commonly known as "Ebi Gu" (Goose Nose Bone). It articulates superiorly with the humerus, and this joint is referred to as "Quji" (Bent Pool). From the elbow to the wrist, there are two parallel bones: the longer bone below, continuous with the olecranon, is the ulna (arm bone); the shorter, thinner bone above is the radius (turning bone). They overlap and lean against each other, articulating inferiorly with the carpal bones. If this joint dislocates, one hand grasps the head of the joint while the other holds the cubital fossa. First, apply downward traction. An audible sound indicates reduction. Then, flex and rotate the arm, resting it on the shoulder, ensuring the elbow joint sutures align, signifying successful reduction. Administer Shengxue Buisui Tang (Generate Blood and Nourish Marrow Decoction) or Zijin Dan (Purple Gold Pill).
The wrist bones, also known as metacarpals, are the proximal segments of the five fingers, commonly referred to as "Hugu" (Tiger Bone - *note: likely a local colloquialism for the carpal/metacarpal region*). There are six small bones that form the palm, rather than being a single solid bone. Superiorly, they articulate with the distal ends of the two forearm bones. The prominent bone on the lateral side, commonly called "Longgu" (Dragon Bone), allows for flexion and extension, hence the name "wrist". Injury from falling on the palm affects only the wrist. If falling on the fingers causes them to flip and adhere to the forearm, the wrist joint space will open, leading to swelling and pain. Massage both wrists first. One hand stabilizes the joint while the other pulls the fingers and palm, producing a sound and restoring mobility, thereby reducing the joint. Continue massaging the tendons until they are harmonious and smooth. At vital pulse points, when administering Kuanjin San (Loosen Tendons Powder), prevent exposure to cold to avoid soreness. Humans have three segments in each finger; any protruding joints can be straightened and realigned by manual traction, allowing for flexion and extension. Administer Heying Zhitong Tang (Harmonize Ying-Nutrient and Stop Pain Decoction). The method is the same; there is no need to discuss each joint individually.