篇名：上编 外治法
分类：四肢部
属性：[1]踝骨者，□骨之下，足跗之上，两旁突出之高骨也。在内者名内踝，
俗名合骨；在外者为外踝，俗名核骨。
[2]或驰马坠伤，或行走错误，则后跟骨向前，脚尖向后，筋翻肉肿，疼
痛不止：
<1>先用手法拨筋正骨，令其复位。
<2>再用竹板夹定跟骨，缚于□骨之上。
<3>三日后解缚视之，以枕支于足后，用手扶筋，再以手指点按其筋结
之处，必令端平。
<4>内服正骨紫金丹，灸熨以定痛散，洗以海桐皮汤，常服健步虎潜丸
[3]若稍愈后，遽行劳动，致□骨之端，向里歪者，则内踝突出肿大；向
外歪者，则外踝突出肿大，血脉瘀聚凝结，步履无力，足底欹斜，颇
费调治，故必待气血通畅全复，始可行动。
按、方剂：[1]正骨紫金丹：见颠顶骨伤
[2]定痛散：见囟骨伤
[3]海桐皮汤：见两颧骨伤
[4]健步虎潜丸：见胯骨伤
注：
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篇名：上编 外治法
分类：头面部
属性：[1]齿者，口龈所生之骨也，俗名曰牙。
[2]有门牙、虎牙、槽牙、上下尽根牙之别。
[3]凡被跌打砍磕，落去牙齿者：
<1>只用补肌散敷之，并封口药。
<2>内服破血药，以止其痛。其药只用水煎，不宜酒煎，此法颇收功效
[4]如牙断跌磕砍伤：
<1>牙齿未动者，用芙容膏涂之。
<2>如齿动者，用蒺藜根烧存性为末，常揩搽之即牢，用固齿散时时揩
之亦佳。
按、方剂：[1]补肌散
止血除痛，避风续筋骨，生肌肉。
地黄苗 地菘 青蒿 苍耳苗 赤芍药（水煎取汁）各五两 生艾汁
三合
以上五月五日、七月七日午时修合，以前药汁拌石灰阴干，入黄丹三
两，更杵为细末。凡有伤折出血，用药包封，不可动，约十日可瘥，
不肿不脓。
[2]芙蓉膏
治打扑伤损，肿痛，紫黑色久不退者。
紫荆皮 南星各一两 芙蓉二两 独活 白芷 赤芍药各五钱
以上共为末，用生姜汁、茶清调温贴敷，伤损紫黑色久不退者，加
肉桂五钱。
[3]固齿散
骨碎补 牡鼠骨（□灰）
共研细末，磁罐收贮听用。
[4]封口药：见鼻柱骨伤
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【上编 外治法 - 四肢部】
[1] 踝骨，是胫骨（小腿骨）下方、足背上方，两侧突出的高起之骨。位于内侧的称为内踝，俗称合骨；位于外侧的称为外踝，俗称核骨。
[2] 若是骑马坠落受伤，或行走时不慎扭伤，导致跟骨向前移位，脚尖向后，筋络翻转，肌肉肿胀，疼痛不止：
<1> 首先使用手法拨动筋络、矫正骨骼，使其复位。
<2> 再用竹板夹住固定跟骨，绑扎在胫骨之上。
<3> 三天后解开束缚查看，用枕头支撑足跟后方，用手扶持筋络，再用手指点按按压筋结之处，务必使其端正平整。
<4> 内服正骨紫金丹，外用灸熨定痛散，熏洗使用海桐皮汤，平时常服用健步虎潜丸。
[3] 如果在症状稍有好转后，就急于进行劳动，导致胫骨下端向内歪斜的，则内踝突出肿大；向外歪斜的，则外踝突出肿大。此时血脉瘀滞凝结，行走无力，足底倾斜，非常难以调治，因此必须等到气血通畅完全恢复之后，才可以行动。
附方说明：
[1] 正骨紫金丹：见“颠顶骨伤”章节。
[2] 定痛散：见“囟骨伤”章节。
[3] 海桐皮汤：见“两颧骨伤”章节。
[4] 健步虎潜丸：见“胯骨伤”章节。
【上编 外治法 - 头面部】
[1] 牙齿，是口腔牙龈所生长的骨头，俗称牙。
[2] 分为门牙、虎牙、槽牙、上下尽头牙等不同种类。
[3] 凡是因跌打、砍击等外力导致牙齿脱落者：
<1> 仅使用补肌散敷贴患处，并配合封口药。
<2> 内服活血化瘀药物，以停止疼痛。此药只用水煎煮，不宜用酒煎煮，此法颇有功效。
[4] 如果是牙齿折断或因跌打砍击受伤：
<1> 牙齿未松动者，使用芙蓉膏涂抹。
<2> 如果牙齿松动者，将蒺藜根烧至存性（保留药效的炭化状态）研成粉末，经常擦拭涂抹即可牢固，使用固齿散经常擦拭也不错。
附方说明：
[1] 补肌散
功效：止血除痛，避风续筋骨，生肌肉。
配方：地黄苗、地菘、青蒿、苍耳苗、赤芍药（水煎取汁）各五两，生艾汁三合。
制法与用法：以上药材于五月五日、七月七日午时制作。用前药汁拌和石灰阴干，加入黄丹三两，再捣碎为细末。凡有损伤骨折出血，用药包封患处，不可移动，约十日可痊愈，不肿不化脓。
[2] 芙蓉膏
主治：治疗跌打损伤肿痛，以及紫黑色久不退者。
配方：紫荆皮、南星各一两，芙蓉二两，独活、白芷、赤芍药各五钱。
制法与用法：以上共研为末，用生姜汁、茶清调匀温热后贴敷。若伤损处紫黑色久不退者，加肉桂五钱。
[3] 固齿散
配方：骨碎补、牡鼠骨（煅灰）。
制法与用法：共研细末，用磁罐收贮备用。
[4] 封口药：见“鼻柱骨伤”章节。
[Upper Compilation: External Treatment Methods - Limbs]
[1] The malleolus is the prominent bone located below the tibia (shin bone) and above the dorsum of the foot. The one on the medial side is called the medial malleolus, commonly known as Hegu; the one on the lateral side is called the lateral malleolus, commonly known as Hegu.
[2] If injured by falling from a horse or twisting while walking, causing the calcaneus to shift forward and the toes backward, with tendons flipped and muscles swollen, accompanied by unceasing pain:
<1> First, use manual manipulation to adjust the tendons and correct the bones to restore their proper position.
<2> Then, fix the calcaneus with bamboo splints and bind them onto the tibia.
<3> After three days, remove the binding for inspection. Support the posterior aspect of the foot with a pillow, hold the tendons with your hand, and press/acupress the nodules in the tendons with your fingers until they are level and aligned.
<4> Internally administer Zhenggu Zijin Dan (Bone-Setting Purple Gold Pill), externally apply warming moxibustion with Dingtong San (Pain-Calming Powder), and wash with Haitongpi Tang (Phellodendron Bark Decoction). Regularly take Jianbu Huqian Wan (Leg-Strengthening Tiger-Hiding Pill).
[3] If labor is undertaken prematurely after slight improvement, causing the distal end of the tibia to deviate inward, the medial malleolus will protrude and swell; if it deviates outward, the lateral malleolus will protrude and swell. Blood stasis accumulates and coagulates, leading to weakness in walking and tilting of the sole. This condition is difficult to treat, so one must wait until Qi and blood flow smoothly and fully recover before resuming activity.
Notes on Formulas:
[1] Zhenggu Zijin Dan (Bone-Setting Purple Gold Pill): See "Injury to the Vertex Bone".
[2] Dingtong San (Pain-Calming Powder): See "Injury to the Fontanelle Bone".
[3] Haitongpi Tang (Phellodendron Bark Decoction): See "Injury to the Zygomatic Bones".
[4] Jianbu Huqian Wan (Leg-Strengthening Tiger-Hiding Pill): See "Injury to the Hip Bone".
[Upper Compilation: External Treatment Methods - Head and Face]
[1] Teeth are the bones grown from the oral gingiva, commonly referred to as teeth.
[2] They are categorized into incisors, canines, premolars/molars, and wisdom teeth at the upper and lower ends.
[3] For cases where teeth are knocked out due to falls, blows, or cuts:
<1> Apply Bujisan (Muscle-Replenishing Powder) locally and use Fengkou Yao (Sealing Mouth Medicine).
<2> Internally administer Huoxue Yao (Blood-Breaking/Activating Medicines) to stop pain. These medicines should be decocted only in water, not wine; this method is quite effective.
[4] For cases where teeth are broken or injured by falls/blows/cuts:
<1> If the tooth is not loose, apply Furong Gao (Hibiscus Ointment).
<2> If the tooth is loose, burn Jili Gen (Tribulus Root) until carbonized but retaining efficacy, grind into powder, and frequently rub it on the area to secure the tooth. Using Guchi San (Tooth-Fortifying Powder) for frequent rubbing is also good.
Notes on Formulas:
[1] Bujisan (Muscle-Replenishing Powder)
Efficacy: Stops bleeding and pain, wards off wind, reconnects sinews and bones, generates muscle tissue.
Ingredients: Dihuang Miao (Young Rehmannia Herb), Disong (Wild Chrysanthemum Leaves), Qinghao (Artemisia Annua), Cang'er Miao (Xanthium Young Shoots), Chi Shaoyao (Red Peony Root, decocted in water to extract juice) each 5 liang; Sheng Ai Zhi (Fresh Mugwort Juice) 3 he.
Preparation and Usage: Process these ingredients at noon on the 5th day of the 5th lunar month and the 7th day of the 7th lunar month. Mix the previous medicinal juices with lime, dry in shade, add Huangdan (Lead Monoxide) 3 liang, and pound into fine powder. For any injury with fracture and bleeding, wrap the affected area with the medicine. Do not move it; it will heal in about ten days without swelling or suppuration.
[2] Furong Gao (Hibiscus Ointment)
Indications: Treats traumatic injuries with swelling and pain, especially those with purple-black discoloration that persists for a long time.
Ingredients: Zijing Pi (Broussonetia Bark), Nanxing (Arisaema Rhizome) each 1 liang; Furong (Hibiscus Flower) 2 liang; Duhuo (Angelica Pubescens), Baizhi (Angelica Dahurica), Chi Shaoyao (Red Peony Root) each 5 qian.
Preparation and Usage: Grind all ingredients into powder. Mix with fresh ginger juice and clear tea liquor, warm, and apply as a compress. For persistent purple-black discoloration, add Rougui (Cinnamon Bark) 5 qian.
[3] Guchi San (Tooth-Fortifying Powder)
Ingredients: Gusui Bu (Drynaria Rhizome), Mushu Gu (Rat Bone, calcined to ash).
Preparation and Usage: Grind into fine powder and store in a porcelain jar for use.
[4] Fengkou Yao (Sealing Mouth Medicine): See "Injury to the Nasal Bridge Bone".