篇名：上编 外治法
分类：器具释义
属性：[1]竹帘者，即夏月凉帘也，量患处之大小长短裁取之。
[2]用法释义：
<1>凡肢体有断处，先用手法安置讫，然后用布缠之，复以竹廉围于布
外，紧扎之，使骨缝无参差走作之患，乃通用之物也。
按、方剂：
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篇名：上编 外治法
分类：头面部
属性：[1]耳者，司听之窍也。耳门之名曰蔽，耳轮之名曰廓。
[2]凡耳被砍跌打落，或上脱下粘，或下脱上粘
<1>内用封口药，外用消毒定痛散敷贴。
<2>及耳后看脱落所向，用鹅翎横夹定，却用竹夹子直上横缚定，缚
时要两耳相对，轻轻缚住，或用缀法。
按、方剂：[1]封口药、消毒定痛散、缀法：俱见鼻梁骨伤
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篇名：上编 外治法
分类：头面部
属性：[1]囟骨者，婴儿顶骨未合，软而跳动之处，名曰囟门。
[2]或跌打损伤，骨缝虽绽，尚未震伤脑髓，筋未振转。其形头项浮光，
面虚眼肿，鼻大唇翻舌硬，睡困昏沉。
[3]肉虽肿而未皮破出血者
<1>宜扶起正坐。
<2>即以葱汁合定痛散，敷于伤处；再以毛头纸蘸醋贴药上，烧铁熨斗
烙纸上，以伤处觉热疼，口中有声为度。
<3>去药贴万灵膏，三日一换。
<4>待疼止思食，始揭去膏，以和伤汤洗之，则风除肿散，血活气理矣
[4]肉破出血者
<1>即用马屁勃灰先止其血。
<2>次用榆树皮灸熨法。
<3>内服人参紫金丹，以健脾胃，提元气，止渴生津，增长精神，强壮
身体，令筋血和通为要。
<4>忌发物、火酒。戴抽口，穿带布帽，以避风寒，不可出房。
[5]若肉破血流不止，骨陷筋翻，必损脑髓，身软屈手筋强，气息无声，
则危笃难医。若破痕触冒寒风者，不治。
[6]马屁勃，俗名狗头灰，产口外者佳。
按、方剂：[1]定痛散
治一切打扑损伤，定痛消肿，舒筋和络。
当归 川芎 白芍 官桂各一钱 三奈三钱 麝香三分 红花五钱
紫丁香根五钱 升麻一钱 防风一钱
共为细末，老葱捣汁合敷患处，再用熨法。
[2]灸熨法
此法专以灸熨肉破血出诸伤。盖因血液津渍潮润，以树皮隔之，方灸
熨也，先以榆树皮安患处，再以老葱捣烂，并蕲艾止痛散和匀，置树
皮上，连灸五次毕，以软绢包裹。戴抽口布帽，系紧带子，谨避风冷
[3]万灵膏
治跌打损伤，消瘀散毒，舒筋活血，止痛接骨如神，兼去麻木风痰，
寒湿疼痛等证。
鹳筋草 透骨草 紫丁香根 当归（酒洗） 自然铜（醋淬七次）
瓜儿血竭 没药各一两 川芎八钱 赤芍二两 半两钱（醋淬）一枚
红花一两 川牛膝 五加皮 石菖蒲 茅山苍术各五钱 木香 秦艽
蛇床子 肉桂 川附子（制） 半夏（制） 石斛 荜薢 鹿茸
各三钱 虎胫骨一对 麝香二钱
以上除血竭、没药、麝香三味，各研细末另包外，共二十三味。先将
香油十斤微火煨浸三日，然后将群药入油内，熬黑为度，去滓加黄丹
五斤再熬，将至滴水成珠，离火，俟少时药温，将血竭、没药、麝香
下入，搅匀，取起出火气。
[4]人参紫金丹
此丹提补元气，健壮脾胃，止渴生津，增长精神，和通筋血，被跌仆
闪撞而气虚者，最宜服之。
人参三钱 丁香一两 五加皮二两 甘草八钱 茯芩二钱
当归(酒洗)一两 血竭一两 骨碎补一两 五味子一两 没药(去油)
二两
共为细末，炼蜜为丸，每服三钱，早晚淡黄酒化服，童便化服亦可。
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【上编 外治法 - 器具释义】
[1]竹帘，就是夏季使用的凉席，根据患处的大小和长短裁剪而成。
[2]用法说明：
<1>凡是肢体发生骨折的地方，先用手法复位固定好，然后用布缠绕包裹，再在布外面围上竹帘，紧紧扎牢，以防止骨缝错位或移位，这是通用的器具。
【上编 外治法 - 头面部】
[1]耳朵，是主管听觉的器官。耳屏的名称叫“蔽”，耳廓的名称叫“廓”。
[2]凡是耳朵被砍伤、跌打导致脱落，或者上端脱落下端粘连，或者下端脱落上端粘连的情况：
<1>内部使用封口药，外部用消毒定痛散敷贴。
<2>观察耳后脱落的方向，用鹅毛管横向夹住固定，再用竹夹子纵向横向绑缚固定。绑缚时要让两耳相对，轻轻绑住，或者采用缀合的方法。
按语：方剂：[1]封口药、消毒定痛散、缀法：均见鼻梁骨损伤章节。
【上编 外治法 - 头面部】
[1]囟骨，是指婴儿头顶骨骼尚未闭合，柔软且跳动的部位，称为囟门。
[2]如果是跌打损伤，虽然骨缝裂开，但尚未震伤脑髓，筋络也未扭转错乱。其症状表现为头项部浮肿光亮，面色虚浮，眼睛肿胀，鼻子显得大，嘴唇翻卷，舌头僵硬，嗜睡昏沉。
[3]如果皮肤肿胀但未破裂出血：
<1>宜扶起患者使其正坐。
<2>立即用葱汁调和定痛散，敷于受伤处；再用毛头纸蘸醋贴在药物上，用烧热的铁熨斗熨烫纸张，以受伤处感到热疼，口中发出声音为度。
<3>去掉药贴，贴上万灵膏，每三天更换一次。
<4>等到疼痛停止、有食欲时，才揭去膏药，用和伤汤清洗，这样风邪可除，肿胀消散，血液流通，气机理顺。
[4]如果皮肤破裂出血：
<1>立即用马屁勃灰先止住血。
<2>接着使用榆树皮灸熨法。
<3>内服人参紫金丹，以健脾胃，提元气，止渴生津，增长精神，强壮身体，使筋血和谐通畅为主要目的。
<4>忌食发物、火酒。戴抽口帽，穿带布帽，以避风寒，不可出房门。
[5]如果皮肤破裂血流不止，骨头凹陷，筋络翻转，必然损伤脑髓，身体软弱，屈手无力，筋脉强直，气息微弱无声，则病情危重难以医治。如果伤口破损处触冒寒风者，无法治愈。
[6]马屁勃，俗名狗头灰，产于口外的为佳。
按语：方剂：[1]定痛散
治疗一切跌打损伤，定痛消肿，舒筋和络。
当归 川芎 白芍 官桂各一钱 三奈三钱 麝香三分 红花五钱
紫丁香根五钱 升麻一钱 防风一钱
共研为细末，用老葱捣汁调和敷于患处，再用熨法。
[2]灸熨法
此法专门用于灸熨皮肤破裂出血的各种损伤。因为血液津液浸渍潮湿，用树皮隔开，然后进行灸熨。先将榆树皮安放在患处，再将老葱捣烂，与蕲艾止痛散混合均匀，放在树皮上，连续灸五次完毕，用软绢包裹。戴抽口布帽，系紧带子，谨慎避免风冷。
[3]万灵膏
治疗跌打损伤，消瘀散毒，舒筋活血，止痛接骨如神，兼治麻木风痰，寒湿疼痛等证候。
鹳筋草 透骨草 紫丁香根 当归（酒洗） 自然铜（醋淬七次）
瓜儿血竭 没药各一两 川芎八钱 赤芍二两 半两钱（醋淬）一枚
红花一两 川牛膝 五加皮 石菖蒲 茅山苍术各五钱 木香 秦艽
蛇床子 肉桂 川附子（制） 半夏（制） 石斛 荜薢 鹿茸
各三钱 虎胫骨一对 麝香二钱
以上除了血竭、没药、麝香三味，各研细末另包外，共二十三味。先将香油十斤用微火煨浸三日，然后将群药放入油内，熬至黑色为度，滤去药渣，加入黄丹五斤再熬，直到滴水成珠，离火，等待片刻药温稍降，将血竭、没药、麝香下入，搅拌均匀，取出散去火气。
[4]人参紫金丹
此丹提升补益元气，健壮脾胃，止渴生津，增长精神，和通筋血，对于因跌仆闪挫而导致气虚者，最适合服用。
人参三钱 丁香一两 五加皮二两 甘草八钱 茯芩二钱
当归(酒洗)一两 血竭一两 骨碎补一两 五味子一两 没药(去油)
二两
共研为细末，炼蜜为丸，每次服用三钱，早晚用淡黄酒化开服用，用童便化开服用也可以。
[Upper Compilation External Treatment Methods - Explanation of Instruments]
[1] Bamboo mat refers to the cooling mats used in summer, cut to size according to the length and width of the affected area.
[2] Usage explanation:
<1> For any limb fracture, first use manual manipulation to reduce and fix it, then wrap it with cloth. Surround the outside of the cloth with a bamboo mat and tie it tightly to prevent misalignment or displacement of the bone fragments. This is a general-purpose instrument.
[Upper Compilation External Treatment Methods - Head and Face]
[1] The ear is the organ responsible for hearing. The tragus is named "Bi" (Shield), and the helix is named "Guo" (Wall).
[2] In cases where the ear is severed by a knife, knocked off by trauma, or detached at one end while adhering at the other:
<1> Internally use sealing medicine; externally apply Antiseptic and Pain-Relieving Powder (Xiaodu Dingtong San).
<2> Observe the direction of detachment behind the ear. Use a goose feather quill to clamp horizontally, then secure it vertically and horizontally with a bamboo clip. Ensure the two ears face each other when tying gently, or use suturing methods.
Note: Formulas: [1] Sealing Medicine, Antiseptic and Pain-Relieving Powder, Suturing Method: All see Nasal Bone Injury section.
[Upper Compilation External Treatment Methods - Head and Face]
[1] Fontanelle bone refers to the soft, pulsating area on the top of an infant's head where the skull bones have not yet fused, known as the fontanel.
[2] If caused by falling or striking, although the cranial suture may split, if the brain marrow is not shaken/injured and the tendons are not twisted/dislocated, the symptoms manifest as swelling and luster on the head and neck, pale/distended face, swollen eyes, enlarged nose appearance, everted lips, stiff tongue, lethargy, and drowsiness.
[3] If the skin is swollen but not broken or bleeding:
<1> Assist the patient to sit upright.
<2> Immediately mix Cong Juice (Cong Zhi) with Pain-Relieving Powder (Dingtong San) and apply to the injury site; cover with mulberry paper dipped in vinegar, and iron over the paper with a heated iron. Continue until the injury site feels hot and painful, and sounds are heard from the mouth.
<3> Remove the medicinal paste and apply Wanling Ointment (Wanling Gao), changing it every three days.
<4> Once pain subsides and appetite returns, remove the plaster and wash with He Shang Decoction (He Shang Tang). This expels wind, dissipates swelling, activates blood, and regulates qi.
[4] If the skin is broken and bleeding:
<1> Immediately use Pilewort Ash (Mapibo Hui) to stop the bleeding.
<2> Next, apply the Elm Bark Moxibustion-Ironing Method.
<3> Internally administer Ginseng and Purple Gold Elixir (Renshen Zijin Dan) to strengthen the spleen and stomach, boost yuan qi, relieve thirst and generate fluids, enhance spirit, strengthen the body, and ensure harmonious flow of tendons and blood.
<4> Avoid stimulating foods and strong alcohol. Wear a drawstring cap and cloth hat to avoid wind and cold; do not leave the room.
[5] If the wound breaks and bleeds continuously, the bone is depressed, and tendons are everted, the brain marrow must be damaged. Symptoms include limp body, inability to flex hands, rigid tendons, and faint breath without sound. This is critical and difficult to treat. If the open wound is exposed to cold wind, it is incurable.
[6] Mapibo, commonly known as Dog Head Ash, is best sourced from beyond the Great Wall.
Note: Formulas: [1] Pain-Relieving Powder (Dingtong San)
Treats all types of falls and blows, relieves pain, reduces swelling, soothes tendons, and harmonizes collaterals.
Angelica Root (Danggui), Ligusticum Rhizome (Chuanxiong), White Peony Root (Baishao), Cinnamon Twig (Guangui) each 1 qian; Sannei 3 qian; Musk (Shexiang) 3 fen; Safflower (Honghua) 5 qian;
Purple Lilac Root (Zi Dingxiang Gen), Cimicifuga Rhizome (Shengma), Saposhnikovia Root (Fangfeng) each 1 qian.
Grind into fine powder, mix with juice of old green onion, apply to the injured area, followed by ironing method.
[2] Moxibustion-Ironing Method
This method is specifically for moxibustion and ironing injuries where flesh is broken and blood flows. Since blood and fluids cause moisture, place bark as a barrier before applying heat/moisture. Place elm bark on the injury site first, then mix mashed old green onion with Qiai Pain-Relieving Powder evenly, place on the bark, perform moxibustion five times consecutively, and wrap in soft silk. Wear a drawstring cloth cap, tighten straps, and carefully avoid wind and cold.
[3] Wanling Ointment (Wanling Gao)
Treats traumatic injuries, resolves stasis, disperses toxicity, soothes tendons, invigorates blood, stops pain, and sets bones miraculously. Also treats numbness, wind-phlegm, and pain from cold-dampness.
Stork Grass (Guanjin Cao), Bone-Penetrating Grass (Tougucao), Purple Lilac Root (Zidingxiang Gen), Angelica Root (Danggui, wine-washed), Natural Pyrite (Ziran Tong, quenched in vinegar seven times);
Dragon's Blood (Gua'er Xuejie), Myrrh (Moyao) each 1 liang; Chuanxiong 8 qian; Red Peony Root (Chishao) 2 liang; Banliang Qian (quenched in vinegar) 1 piece;
Safflower (Honghua) 1 liang; Cyathula Root (Chuan Niuxi), Acanthopanax Bark (Wujiapi), Acorus Rhizome (Shichangpu), Cangzhu 5 qian each; Costus Root (Muxiang), Gentiana Macrophylla (Qinjiao);
Cnidium Fruit (Shechuangzi), Cinnamon Bark (Rougui), Prepared Aconite (Chuan Fuzi), Prepared Pinellia (Banxia), Dendrobium (Shihu), Galangal (Bixie), Deer Antler (Lurong) each 3 qian; Tiger Tibia (Hu Jinggu) 1 pair; Musk (Shexiang) 2 qian.
Except for Dragon's Blood, Myrrh, and Musk which are ground separately, there are 23 ingredients. Simmer 10 jin of sesame oil over low heat for three days. Add herbs, boil until black, filter dregs. Add 5 jin of Yellow Litharge (Huangdan), boil until drops form pearls. Remove from fire, let cool slightly, add Dragon's Blood, Myrrh, and Musk, stir well, remove to dissipate heat.
[4] Ginseng and Purple Gold Elixir (Renshen Zijin Dan)
This pill boosts yuan qi, strengthens spleen and stomach, relieves thirst, generates fluids, enhances spirit, and harmonizes tendons and blood. It is most suitable for those with qi deficiency due to falls, twists, or collisions.
Ginseng (Renshen) 3 qian; Clove (Dingxiang) 1 liang; Acanthopanax Bark (Wujiapi) 2 liang; Licorice Root (Gancao) 8 qian; Poria (Fuling) 2 qian;
Angelica Root (Danggui, wine-washed) 1 liang; Dragon's Blood (Xuejie) 1 liang; Drynaria Rhizome (Gusuibu); Schisandra Berry (Wuweizi) 1 liang each; Myrrh (Moyao, de-oiled) 2 liang.
Grind into fine powder, make pills with refined honey. Take 3 qian per dose, morning and evening, dissolved in light yellow wine or child's urine.