篇名：上编 外治法
分类：手法总论
属性：夫手法者，谓以两手安置所伤之筋骨，使仍复于旧也。
[1]但伤有重轻，而手法各有所宜，其痊可之迟速，及遗留残疾与否，皆
观乎手法之所施得宜，或失其宜，或未尽其法也。
[2]盖一身之骨体，既非一致，而十二经筋之罗列序属，又各不同，故必
素知其体相，识其部位，一旦临证，机触于外，巧生于内，手随心转
，法从手出，或拽之离而复合，或推之就而复位，或正其斜，或完其
阙，则骨之截断、碎断、斜断，筋之弛纵、卷挛、翻转、离合，虽在
肉里，以手扪之，自悉其情，法之所施，使患者不知其苦，方称为手
法也。
[3]况所伤之处，多有关于性命者，如七窍上通脑髓，膈近心君，四末受
伤，痛苦入心者，即或其人元气素壮，败血易于流散，可以克期而愈
，手法亦不可乱施；若元气素弱，一旦被伤，势已难支，设手法再误
，则万难挽回矣，此所以尤当审慎者也。
[4]盖正骨者，须心明手巧，既知其病情，复善用夫手法，然后治自多效
。诚以手本血肉之体，其宛转运用之妙，可以一己之卷舒，高下疾徐
，轻重开合，能达病者之血气凝滞，皮肉肿痛，筋骨挛折，与情志之
苦欲也。较之以器具从事于拘制者，相去甚远矣。是则手法者，诚正
骨之首务哉。
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上编 外治法
分类：手法总论
属性：所谓手法，是指用双手安置受伤的筋骨，使其恢复到原来的状态。
[1]但是损伤有轻重之分，而手法各有其适宜的应用范围，痊愈的快慢，以及是否遗留残疾，都取决于手法施用是否得当，或者失当，或者未能完全遵循法则。
[2]因为全身的骨骼形体，并非完全一致，而且十二经筋的排列顺序归属，又各不相同，所以必须平时了解其体态相貌，识别其部位，一旦临证，外部触碰到病机，巧妙产生于内心，手随心意转动，法则从手中发出，有的牵引使其分离后复合，有的推按使其靠拢而复位，有的矫正其倾斜，有的修补其缺损，那么骨的截断、碎断、斜断，筋的松弛纵长、卷曲挛缩、翻转、离合，虽然在肌肉深处，用手触摸，自然能详尽了解其情况，法则所施用的效果，使患者不知道痛苦，这才称为手法。
[3]况且受伤的地方，多关系到性命，如七窍向上连通脑髓，膈肌靠近心君（心脏），四肢末端受伤，痛苦深入内心的人，即使他元气本来强壮，败血容易流散，可以限期痊愈，手法也不可以乱施；如果元气本来虚弱，一旦被伤，形势已经难以支撑，假设手法再出错，那么就万难挽回了，这就是特别应当审慎的原因。
[4]大概正骨者，必须心思明澈、手法灵巧，既然知道了病情，又善于运用手法，然后治疗自然多有成效。确实因为手本是血肉之体，其宛转运用的妙处，可以通过自己身体的卷舒、高下、疾徐、轻重、开合，能够通达患者的气血凝滞、皮肉肿痛、筋骨挛折，以及情志的苦欲。与使用器具从事拘束限制相比，相差甚远了。这样看来，手法确实是正骨的首要任务。
Upper Volume: External Treatment Methods
Classification: General Discussion on Manipulation Techniques
Attributes: The term "manipulation technique" refers to the use of both hands to position injured bones and tendons, restoring them to their original state.
[1] However, injuries vary in severity, and manipulation techniques have specific indications. The speed of recovery and whether disabilities remain depend entirely on whether the manipulation is applied appropriately; if it is misapplied or fails to fully adhere to the principles, outcomes may suffer.
[2] Since the skeletal structure of the entire body is not uniform, and the arrangement and affiliation of the Twelve Sinew Channels (Twelve Jing-Jin) differ from one another, one must be familiar with the physical constitution and recognize anatomical locations beforehand. Upon clinical examination, when external contact triggers an understanding of the pathology, skill arises internally. The hand moves according to the mind, and methods are executed through the hand. Some techniques involve traction to separate and then recombine parts; others involve pushing to bring fragments together for reduction; some correct deformities, while others fill defects. Whether bones are fractured transversely, comminuted, or obliquely, or whether tendons are lax, contracted, twisted, or displaced—even if these conditions lie deep within the muscles—palpation allows the practitioner to fully comprehend the situation. When the application of method alleviates pain to the point that the patient is unaware of suffering, it can truly be called a manipulation technique.
[3] Moreover, injured areas often relate to life itself. For instance, the seven orifices connect upward to the brain marrow; the diaphragm is near the Heart (the Sovereign Mind); injuries to the four extremities cause pain that penetrates the heart. Even if a patient’s Yuan Qi (Original Qi) is naturally robust, allowing blood stasis to dissipate and recovery to occur within a set period, manipulation should still not be applied recklessly. If the patient’s Yuan Qi is inherently weak, an injury may already be beyond support; if manipulation is further mishandled, recovery becomes nearly impossible. This is why extreme caution is required.
[4] Therefore, practitioners of bone-setting must possess mental clarity and manual dexterity. Having understood the condition and mastered the appropriate manipulation techniques, treatment will naturally yield frequent success. Indeed, the hand is composed of flesh and blood; its subtle capacity for flexible movement—through curling and extending, adjusting height and depth, controlling speed, varying pressure, and opening and closing—can address the patient’s Qi and Blood stagnation, swelling and pain in skin and flesh, contracture and fracture of bones and tendons, as well as emotional distress and desires. Compared to using rigid instruments that constrain the body, this approach is vastly superior. Thus, manipulation techniques are indeed the primary priority in bone-setting.