篇名：上编 外治法
分类：四肢部
属性：[1]□骨，即膝下踝上之小腿骨，俗名□胫骨者也。
[2]其骨二根
<1>在前者名成骨，又名骭骨，其形粗。
<2>在后者名辅骨，其形细，又俗名劳堂骨。
[3]若被跌打损伤，其骨尖斜突外出，肉破血流不止，疼痛呻吟声细，饮
食少进，若其人更气血素弱，必致危亡。
[4]宜用手法，按筋正骨，令复其位，贴万灵膏，以竹帘裹住，再以白缠
之，先服正骨紫金丹，继服健步虎潜丸。
按、方剂：[1]万灵膏：见囟骨伤
[2]正骨紫金丹：见颠顶骨伤
[3]健步虎潜丸：见胯骨伤
注：
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篇名：上编 外治法
分类：经义
属性：『灵枢经·邪气脏腑病形篇』曰：有所堕地，恶血在内，有所大怒，气上
而不下，积于胁下，则伤肝。
按、方剂：
注：[1]人因堕坠，血已留内，若复因大怒伤肝，其气上而不下，则留内之血
，两相凝滞，积于胁下，而肝伤矣。
[2]法当先导怒气，勿积于肝，则肝可以无伤，然后饮以利药，以破恶血
，则胁下无留血矣。
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篇名：上编 外治法
分类：手法释义
属性：[1]提者，谓陷下之骨，提出如旧也。其法非一：
<1>有用两手提者。
<2>有用绳帛系高处提者。
<3>有提后用器具辅之不致仍陷者。
[2]必量所伤之轻重浅深，然后施治。倘重者轻提，则病莫能愈；轻者重
提，则旧患虽去，而又增新患矣。
按、方剂：
注：
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【上编 外治法 - 四肢部】
[1] 胫骨，指的是膝盖以下、脚踝以上的小腿骨骼，俗称胫骨。
[2] 小腿有两根骨头：
<1> 位于前方的称为“成骨”，又名“骭骨”（gàn gǔ，指长骨），形状较粗壮。
<2> 位于后方的称为“辅骨”，形状较细，俗称“劳堂骨”。
[3] 如果遭受跌打损伤，导致骨尖斜向突出体外，皮肤破裂且血流不止，患者因疼痛而发出细微的呻吟声，饮食减少摄入。如果此人原本气血虚弱，必然会导致生命危险。
[4] 适宜采用手法治疗，通过按摩筋络、矫正骨骼，使其恢复原位。贴上万灵膏，用竹帘包裹固定，再用白布缠绕。先服用正骨紫金丹，继服健步虎潜丸。
按语·方剂：[1] 万灵膏：参见囟骨伤章节。
[2] 正骨紫金丹：参见颠顶骨伤章节。
[3] 健步虎潜丸：参见胯骨伤章节。
【上编 外治法 - 经义】
《灵枢经·邪气脏腑病形篇》记载：有人从高处坠落，恶血滞留体内；又因大怒，导致气机上逆而不能下行，积聚在胁下，从而损伤肝脏。
按语·方剂：无。
注：[1] 人因坠落后，血液已滞留体内，如果再因大怒损伤肝脏，气机上逆而不下降，则体内滞留的血液与逆乱之气相互凝滞，积聚在胁下，导致肝受损。
[2] 治疗方法应当首先疏导怒气，防止其积聚于肝，这样肝脏就可以免受伤害，然后饮用具有利导作用的药物，以破除恶血，那么胁下就不会有留存的瘀血了。
【上编 外治法 - 手法释义】
[1] “提”法，是指将陷入凹陷的骨骼提出，使其恢复到原来的状态。这种方法有多种：
<1> 有用双手直接提起的。
<2> 有用绳索绑在高处进行牵引提起的。
<3> 有在提起后使用器具辅助支撑，以防止再次陷入的。
[2] 必须衡量受伤的轻重和深浅，然后再实施治疗。如果伤势重却只用轻力提拉，疾病就无法痊愈；如果伤势轻却用大力提拉，虽然旧患去除，却又增加了新的损伤。
按语·方剂：无。
注：无。
[Upper Compilation External Treatment Methods - Limbs]
[1] The tibia refers to the bone of the lower leg located between the knee and the ankle, commonly known as the shinbone.
[2] There are two bones in the lower leg:
<1> The one located anteriorly is named Chenggu (Cheng Bone), also called Gan Gu (Long Bone), which is relatively thick in shape.
<2> The one located posteriorly is named Fugu (Auxiliary Bone), which is thinner in shape, and is commonly known as Laotang Bone.
[3] If injured by a fall or blow, causing the sharp end of the bone to protrude obliquely outward, with broken skin and unceasing bleeding, and the patient groaning softly due to pain while having reduced food intake, if the person is constitutionally deficient in Qi and Blood, it will inevitably lead to a critical condition or death.
[4] Manual therapy should be employed to massage the tendons and correct the bone alignment, restoring them to their proper position. Apply Wanling Ointment, wrap with a bamboo mat, and then bind with white cloth. First administer Zhenggu Zijin Dan (Bone-Setting Purple Gold Pill), followed by Jianbu Huqian Wan (Walking Tiger Hidden Dragon Pill).
Note on Formulas: [1] Wanling Ointment: See section on Fontanelle Injury.
[2] Zhenggu Zijin Dan: See section on Vertex Bone Injury.
[3] Jianbu Huqian Wan: See section on Hip Bone Injury.
[Upper Compilation External Treatment Methods - Classic Theory]
The *Ling Shu Jing* (Spiritual Pivot), Chapter "Pathogenic Factors, Zang-Fu Organs, and Disease Manifestations" states: "If one falls from a height, evil blood remains inside; if accompanied by great anger, Qi ascends instead of descending, accumulating under the hypochondrium, thereby injuring the Liver."
Note on Formulas: None.
Annotation: [1] When a person suffers a fall, blood already stagnates within. If further aggravated by great anger that injures the Liver, causing Qi to ascend without descending, the stagnant blood and rebellious Qi coagulate together, accumulating under the hypochondrium, thus damaging the Liver.
[2] The treatment method should first guide the dispersal of angry Qi to prevent accumulation in the Liver, so the Liver can remain uninjured. Then, administer diuretic or resolving medicines to break up the evil blood, ensuring no residual blood remains under the hypochondrium.
[Upper Compilation External Treatment Methods - Explanation of Manual Techniques]
[1] The technique of "lifting" (Ti) refers to elevating depressed bones back to their original position. This method varies:
<1> Using both hands to lift directly.
<2> Using ropes tied to a high point for traction lifting.
<3> Using supportive devices after lifting to prevent re-depression.
[2] One must assess the severity and depth of the injury before applying treatment. If a severe injury is treated with light lifting, the disease cannot be cured; if a mild injury is treated with heavy lifting, although the old injury may be resolved, new injuries will be added.
Note on Formulas: None.
Annotation: None.