篇名：上编 外治法
分类：手法释义
属性：[1]按者，谓以手往下抑之也。摩者，谓徐徐揉摩之也。
[2]此法盖为皮肤筋肉受伤，但肿硬麻木，而骨未断折者设也。
<1>或因跌扑闪失，以致骨缝开错，气血郁滞，为肿为痛。
<2>宜用按摩法，按其经络，以通郁闭之气；摩其壅聚，以散瘀结之肿
，其患可愈。
按、方剂：
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篇名：上编 外治法
分类：胸背部
属性：[1]背骨，自后身大椎骨以下，腰以上之通称也。
[2]其骨一名脊骨，一名膂骨，俗呼脊梁骨。
[3]其形一条居中，共二十一节，下尽尻骨之端，上载两肩，内系脏腑，其
两旁诸骨，附接横叠，而弯合于前，则为胸胁也。
[4]先受风寒，后被跌打损伤者，瘀聚凝结，若脊筋陇起，骨缝必错，则成
伛偻之形。
<1>当先揉筋，令其和软，再按其骨，徐徐合缝，背膂始直。
<2>内服正骨紫金丹。
<3>再敷定痛散，以烧红铁器烙之，觉热去敷药，再贴混元膏。
按、方剂：[1]正骨紫金丹、混元膏：俱见颠顶伤。
[2]定痛散：见囟骨伤
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【上编 外治法 - 手法释义】
[1] “按”，是指用手向下按压；“摩”，是指慢慢地揉搓。
[2] 这种疗法是为了皮肤和筋肉受伤，仅出现肿胀、僵硬、麻木，而骨骼没有折断的情况所设立的。
<1> 有的因为跌倒碰撞或扭闪失误，导致骨缝错位，气血郁滞，从而形成肿胀和疼痛。
<2> 适宜使用按摩法，按压其经络，以疏通郁闭的气机；揉摩其瘀血积聚之处，以消散瘀结的肿胀，这样病患即可痊愈。
【上编 外治法 - 胸背部】
[1] “背骨”，是身体后方从大椎骨以下到腰部以上的统称。
[2] 这块骨头又名脊骨，又名膂骨，民间俗称脊梁骨。
[3] 它的形状是一条居中排列，共有二十一节，下端尽于尻骨之端，上端承载双肩，内部联系脏腑；其两旁诸骨附着连接、横叠弯曲合于前方，这就构成了胸胁部。
[4] 先遭受风寒侵袭，后又受到跌打损伤的人，瘀血聚积凝结，如果脊筋隆起，骨缝必然错位，就会形成驼背（伛偻）的形态。
<1> 应当先揉捏筋肉，使其变得柔和松软，再按压骨骼，慢慢使骨缝复位，背部的脊柱才能恢复挺直。
<2> 内服正骨紫金丹。
<3> 再外敷定痛散，用烧红的铁器熨烫患处，感觉热度消退后敷上药物，然后再贴上混元膏。
按语及方剂说明：
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篇名：上编 外治法
分类：胸背部
属性：
[1] “背骨”，是身体后方从大椎骨以下到腰部以上的统称。
[2] 这块骨头又名脊骨，又名膂骨，民间俗称脊梁骨。
[3] 它的形状是一条居中排列，共有二十一节，下端尽于尻骨之端，上端承载双肩，内部联系脏腑；其两旁诸骨附着连接、横叠弯曲合于前方，这就构成了胸胁部。
[4] 先遭受风寒侵袭，后又受到跌打损伤的人，瘀血聚积凝结，如果脊筋隆起，骨缝必然错位，就会形成驼背（伛偻）的形态。
<1> 应当先揉捏筋肉，使其变得柔和松软，再按压骨骼，慢慢使骨缝复位，背部的脊柱才能恢复挺直。
<2> 内服正骨紫金丹。
<3> 再外敷定痛散，用烧红的铁器熨烫患处，感觉热度消退后敷上药物，然后再贴上混元膏。
[Upper Compilation External Treatment Methods - Explanation of Manipulation Techniques]
[1] "An" (pressing) refers to pressing downward with the hand; "Mo" (rubbing) refers to slowly kneading and rubbing.
[2] This method is designed for injuries to the skin and muscles where there is only swelling, stiffness, and numbness, but no bone fracture.
<1> Some cases result from falls, collisions, or sprains, causing misalignment of the bone joints, stagnation of Qi and blood, leading to swelling and pain.
<2> It is appropriate to use massage techniques: press the meridians to unblock stagnant Qi; rub the areas of accumulation to dissipate swelling caused by blood stasis. In this way, the condition can be cured.
[Upper Compilation External Treatment Methods - Chest and Back]
[1] "Backbone" (Beigu) is a general term for the vertebrae from the Dazhui point (GV14) below on the posterior body up to the waist.
[2] This bone is also called the spinal column (Jigu) or the muscle-bone between the spine and shoulder blades (Lvgǔ), commonly known in vernacular as the backbone.
[3] Its shape is a single central column consisting of twenty-one segments, extending down to the end of the coccyx, supporting the shoulders above, and connecting internally to the Zang-Fu organs. The bones on both sides attach and overlap horizontally, curving forward to form the chest and hypochondrium.
[4] For those who first suffer from wind-cold invasion and subsequently sustain traumatic injury, blood stasis accumulates and coagulates. If the spinal tendons protrude, the bone joints must be misaligned, resulting in a kyphotic (hunchbacked) deformity.
<1> One should first knead the tendons until they are soft and pliable, then press the bones to gradually realign the joints, allowing the dorsal spine to become straight again.
<2> Internally administer Zhenggu Zijin Dan (Orthopedic Purple Gold Pill).
<3> Externally apply Dingtong San (Pain-Relieving Powder), cauterize the area with a red-hot iron tool, remove the heat source before applying the medicine, and then paste Hanyuan Gao (Primordial Ointment).
Notes and Formulas:
Note:
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Title: Upper Compilation External Treatment Methods
Category: Chest and Back
Attributes:
[1] "Backbone" (Beigu) is a general term for the vertebrae from the Dazhui point (GV14) below on the posterior body up to the waist.
[2] This bone is also called the spinal column (Jigu) or the muscle-bone between the spine and shoulder blades (Lvgǔ), commonly known in vernacular as the backbone.
[3] Its shape is a single central column consisting of twenty-one segments, extending down to the end of the coccyx, supporting the shoulders above, and connecting internally to the Zang-Fu organs. The bones on both sides attach and overlap horizontally, curving forward to form the chest and hypochondrium.
[4] For those who first suffer from wind-cold invasion and subsequently sustain traumatic injury, blood stasis accumulates and coagulates. If the spinal tendons protrude, the bone joints must be misaligned, resulting in a kyphotic (hunchbacked) deformity.
<1> One should first knead the tendons until they are soft and pliable, then press the bones to gradually realign the joints, allowing the dorsal spine to become straight again.
<2> Internally administer Zhenggu Zijin Dan (Orthopedic Purple Gold Pill).
<3> Externally apply Dingtong San (Pain-Relieving Powder), cauterize the area with a red-hot iron tool, remove the heat source before applying the medicine, and then paste Hanyuan Gao (Primordial Ointment).
Notes, Formulas: [1] Zhenggu Zijin Dan (Orthopedic Purple Gold Pill), Hanyuan Gao (Primordial Ointment): Both are described in the section on head and vertex injuries.
[2] Dingtong San (Pain-Relieving Powder): Described in the section on fontanelle bone injuries.
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