篇名:上编 外治法
分类:胸背部
属性:[1]尾□骨,即尻骨也。其形上宽下窄,上承腰脊诸骨。
[2]两旁各有四孔,名曰八□,其末节名曰尾闾,一名□端,一名橛骨,
一名穷骨,俗名尾椿。
[3]若蹲垫壅肿,必连腰胯,内服正骨紫金丹,洗以海桐皮汤,贴万灵膏
按、方剂:[1]正骨紫金丹:见颠顶伤
[2]海桐皮汤:见两颧骨伤
[3]万灵膏:见囟骨伤
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篇名:上编 外治法
分类:头面部
属性:[1]扶桑骨,即两额骨旁,近太阳肉内凹处也。
[2]若跌仆损伤,或掀肿,或血出,或青紫坚硬,头疼耳鸣,青痕满面
,憎寒恶冷,心中发热,大便干燥,宜内服正骨紫金丹。
[3]如破损者,外以灸熨法定痛,外破者乌龙膏敷之。
按、方剂:[1]正骨紫金丹:见颠顶骨伤
[2]灸熨法:见囟骨伤
[3]乌龙膏方:见凌云骨伤
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篇名:上编 外治法
分类:器具释义
属性:[1]杉篱者,复逼之器也。量患处之长短阔狭、曲直凸凹之形,以杉木为
之,酌其根数,记清次序,不得紊乱,然后于每根两头各钻一孔,以
绳联贯之,有似于篱,故名焉。但排列稀疏,不似竹廉之密耳。
[2]用法释义:
<1>凡用以围裹于竹帘之外,将所穿之绳结住,再于篱上加绳以缠之,
取其坚劲挺直,使骨缝无离绽脱走之患也。
<2>盖骨节转动之处,与骨节甚长之所,易于摇动,若仅用竹廉,恐挺
劲之力不足,故必加此以环抱之,则骨缝吻合坚牢矣。
按、方剂:
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【上编 外治法 - 胸背部】
[1] 尾闾骨(骶骨),就是尻骨。它的形状是上面宽下面窄,上部承接腰部和脊柱的各块骨头。
[2] 两侧各有四个孔,称为“八髎”(八个骶后孔),其末端一节称为尾闾,又叫做橛端,又叫做橛骨,又叫做穷骨,俗称尾椿。
[3] 如果因蹲坐或垫压导致肿胀,必定牵连腰部和大腿根部,内服正骨紫金丹,用海桐皮汤清洗患处,贴敷万灵膏。
按:方剂说明:[1] 正骨紫金丹:见颠顶伤章节;[2] 海桐皮汤:见两颧骨伤章节;[3] 万灵膏:见囟骨伤章节。
【上编 外治法 - 头面部】
[1] 扶桑骨,即两额骨旁边,靠近太阳穴肌肉内部凹陷的地方。
[2] 如果发生跌打损伤,或者红肿,或者出血,或者呈现青紫色且坚硬,伴有头痛、耳鸣,面色布满青痕,怕冷恶寒,心中发热,大便干燥,适宜内服正骨紫金丹。
[3] 如果有破损,外用灸熨法固定疼痛,外部皮肤破损的用乌龙膏敷贴。
按:方剂说明:[1] 正骨紫金丹:见颠顶骨伤章节;[2] 灸熨法:见囟骨伤章节;[3] 乌龙膏方:见凌云骨伤章节。
【上编 外治法 - 器具释义】
[1] 杉篱,是一种加固固定的器具。根据患处长短、宽窄、弯曲、挺直、凸起、凹陷的形状,用杉木制作,斟酌所需木条的数量,记录清楚顺序,不得混乱,然后在每根木条的两头各钻一个孔,用绳子串联起来,形状类似篱笆,所以叫它杉篱。只是排列比较稀疏,不像竹帘那样紧密。
[2] 用法解释:
<1> 凡是用来包裹在竹帘外面,将穿好的绳结扎住,再在杉篱上加绳子缠绕,取其坚固强劲、挺直的特性,使骨缝没有分离、错位脱出的隐患。
<2> 因为骨节转动之处,以及骨节很长的部位,容易摇动,如果仅用竹帘,恐怕挺劲的力量不足,所以必须加上这个杉篱来环抱固定,那么骨缝就能吻合牢固了。
按:方剂说明:无。
[Upper Compilation: External Treatment Methods - Chest and Back Region]
[1] The Wei Lu bone (sacrum), also known as the Kao bone, is shaped wider at the top and narrower at the bottom, with its upper part supporting the various bones of the lumbar spine.
[2] There are four holes on each side, collectively referred to as the "Ba Liao" (eight sacral foramina). The terminal segment is named Wei Lu, alternatively called Jue Duan, Jue Gu, or Qiong Gu, and commonly known as Wei Chun.
[3] If swelling occurs due to squatting or pressure, it inevitably involves the waist and hips. Internally administer Zhenggu Zijin Dan, wash the area with Haitongpi Tang, and apply Wanling Gao.
Note on Formulas: [1] Zhenggu Zijin Dan: See section on Crown Injuries; [2] Haitongpi Tang: See section on Zygomatic Bone Injuries; [3] Wanling Gao: See section on Fontanelle Bone Injuries.
[Upper Compilation: External Treatment Methods - Head and Face Region]
[1] Fusang bone refers to the areas beside the frontal bones on both sides, specifically the concave regions near the muscles of the temples.
[2] In cases of falls or trauma causing swelling, bleeding, cyanosis with hardness, headache, tinnitus, facial bruising, aversion to cold, internal heat sensation, and dry stool, it is appropriate to internally administer Zhenggu Zijin Dan.
[3] For open wounds, use moxibustion and warming therapy (Jiu Wen Fa) to alleviate pain externally; for skin breaks, apply Wulong Gao.
Note on Formulas: [1] Zhenggu Zijin Dan: See section on Crown Bone Injuries; [2] Moxibustion and Warming Therapy: See section on Fontanelle Bone Injuries; [3] Wulong Gao Formula: See section on Lingyun Bone Injuries.
[Upper Compilation: External Treatment Methods - Explanation of Instruments]
[1] Shan Li is a device used for reinforcement and fixation. It is crafted from fir wood according to the length, width, curvature, straightness, convexity, and concavity of the injured area. The number of wooden strips is determined, and their order is clearly recorded to avoid confusion. A hole is drilled at both ends of each strip, which are then linked together with rope. Resembling a fence, it is thus named Shan Li. However, the arrangement is sparse, unlike the tight weave of bamboo mats.
[2] Explanation of Usage:
<1> It is placed outside a bamboo mat. The threaded ropes are tied, and additional ropes are wrapped around the Shan Li to leverage its firmness and rigidity, preventing separation or dislocation of the bone fractures.
<2> Areas where joints rotate or where bones are long are prone to movement. Relying solely on bamboo mats may lack sufficient tensile strength. Therefore, adding this Shan Li for circumferential support ensures that the bone fragments align firmly and securely.