大凡头上受伤、脑髓出者，难治；骨色青者，亦难治。若他处骨肉破碎，即将空痛散敷
之，内服疏风理气汤五、六剂。伤口平复，再投补血顺气汤。若有破伤风，牙关紧闭，角弓反张
之症，急以飞龙夺命汤投之。
若目受伤，将收珠散敷之，用银簪脚以井花水蘸药点血筋上，次以青布或用旧青绢汤洗
揉，随用还魂汤二服，待其平复，再服生血明目饮。
若鼻梁骨断，先用接骨散敷之，次用生肌散菜油调搽，再服活血止痛散。
如口唇缺破，先敷代痛散，随将青鹑尾下绒毛护之，以桑枝油线缝合，再敷生肌散，服
活血
止痛饮。有含刀在口，割断舌头尚未见落者，用鸡蛋肉软白衣袋其断舌，将血丹用蜜调涂在
患处，再以蜜和蜡调匀，敷在鸡蛋衣上，取其微软能通药力。但药在口中易散，勤勤敷之为
妙。如不得速效，再以金疮药治之。如被人咬破舌头者，以生蟹杵烂涂之，亦平复。
倘下颏骱骨脱落，先用宽筋散煎汤熏洗，次以绵裹大指入其口，指抵住下边，外用手心
托住
，缓缓揉上推进骱骨而止，再服补肾和气汤。有登高跌扑两肩天井骨受伤，不便绑扎，但见
伤损肿胀，即先服喘气汤，使骨节相对，次用接骨散敷之，以绵包裹，斜连搭胸背敷之，再
服活血汤。
盖肩骱落与膝骱落同，而膝骱送上省力，肩骱送下省力，总属易上。将一手按住其肩，
一手托
住其手，缓缓摇动，使其筋舒血畅，再令本人坐于低处，一人抱住其身，医者以两手又捏其
肩，两膝夹住其手，齐力一上。用绵包裹好，外敷接骨，内服生血补髓汤。
遇臂骱触出，上用一手抬住其腕，下用一手按其手，内 用足踝抵住，齐力一伸而上，
即敷接骨散，以绵包之，内服生血补髓汤。
若手骱跌出，上用一手按其臼，下用一手托住指掌，用力一伸而上，此乃会脉之所
宜，即服
宽筋活血散，以接骨散敷之，用绵包裹，再用阔板一片，又用二寸长杉树板四片帮贴患处，
扎缚七日，可得平复。
手指有三骱臼，惟中节出者有之，然易出易上，用两手抽伸法上之，服宽筋活血汤。有
臂臼
出而触在腹内者，当另处人侧卧出肉，用手随内出外，又用手随内上扑住其腰，下手捧住其
腕，将膝揭住其上，出左向右扳，往右向左扳，一伸即上。服生血补髓汤。
盖两腿易于伤损，伤则两段，先将宽筋散熏洗，使患侧卧，外敷接骨散，好足同敷，用
绵包
裹，要四寸长杉板八片帮好，以绵绳三条绑缚，服活血止痛散三、四剂，再服壮筋续骨丹。
凡治膝盖骨跌脱离骱，须用绵花衣捆作大包，令伤者仰卧，将包衬于膝下，一抬脚踝，若骨
偏于左随左而下，偏于右随右而下。医者扶定棉包，以上手挽住其膝，下手按住其脚，使臼
骱相对，用力一扳，推起入骱矣。先敷接骨散，用棉包布裹挽下，以包按之，服生血补髓汤
五剂，再服壮筋续骨汤。
如小膀有大小两骨，一茎折者易治。俱折者难治。而骨折看有藕七头（七字折断理然而
成字）
易治。如两骨平断者难医。更有戳穿皮肉者，尤难治也。此症与上大腿治同一法，如骨戳皮
外，须将碎骨镶上断处，不可汤洗，将生肌散敷之。如骨折不破皮肉，以接骨散敷之。足踝
之骱骨易出难上，须一手抬住其脚掬上以脚根，一手扳其脚指，左出偏其左，右出偏其右，
将脚掬上，以脚根掬下，不可以一伸而上，内服宽筋活血散，脚偶被伤致令筋促酸痛，不
便伸缩，宜用宽筋散煎汤洗之。
治失枕颈项强痛，令其低处坐定，一手扳其下颏，缓缓伸直矣。
凡刀枪所戳，但伤皮肉者，敷金疮药。伤内膜及肠胃者，不治。刀斧砍伤头额，易发寒
热，
脉细者可治，脉大者难治。损骨先疗骨，伤肉先生肌，外敷金疮药，内服护风托里散。自刎
食管断者，先以生半夏研细末掺之，再以青鹑绒毛和入人参末敷之，再以桑白皮油线缝之，
以软绢缠封，急切。无有青鹑绒毛，以茅针花搓软代之，随用紫金丹和入胎骨一分酒调，用
匙灌下，再用护风托里散服之。有肚皮破而肠出者，先去病患指甲。如肠出食可进者，急用
纺纱车对患处，顺摇勿使风伤患处，将温水揉之令入，用桑白皮搓线缝合破处，外敷金疮药
，服通肠活血汤。
一凡夹棍伤，出衙门即用热童便一盆，将足浸之，如便冷烧红砖二块淬之即热，直至童
便面
上浮起白油腻，其伤尽处，庶不烂溃。再用肥皂捣于泥，入鸡蛋清和匀敷伤处，以草纸包裹
，用脚带条缚紧，一夜不动即效。内服汤药末药见后。
大凡头部受伤、脑髓流出的，难以治愈；骨骼颜色发青的，也难以治愈。如果身体其他部位骨肉破碎，立即将空痛散外敷，内服疏风理气汤五到六剂。伤口平复后，再服用补血顺气汤。如果有破伤风，出现牙关紧闭、角弓反张的症状，紧急给予飞龙夺命汤服用。
如果眼睛受伤，将收珠散外敷，用银簪脚蘸井花水点涂在血络上，随后用青布或旧青绢煎汤清洗揉搓，接着服用还魂汤两剂，待其平复后，再服用生血明目饮。
如果鼻梁骨断裂，先用接骨散外敷，再用生肌散调菜油涂抹，然后服用活血止痛散。
如口唇缺损破裂，先敷代痛散，随即用鹌鹑尾下的绒毛覆盖保护，以桑枝油线缝合，再敷生肌散，服用活血止痛饮。如有含刀在口中，割断舌头但尚未脱落者，用鸡蛋内膜包裹断舌，将血丹用蜂蜜调匀涂在患处，再用蜂蜜和蜡调匀，敷在鸡蛋内膜上，取其微软能通药力。但药物在口中容易散失，勤加敷用为好。如果未能迅速见效，再用金疮药治疗。如被人咬破舌头，用生螃蟹捣烂涂抹，也能平复。
倘若下巴关节脱臼，先用宽筋散煎汤熏洗，然后用棉絮裹住大拇指伸入口中，指头抵住下方，外部用手心托住，缓缓揉推使关节复位为止，再服用补肾和气汤。有从高处跌落导致双肩肩峰骨受伤的，不便绑扎，只见损伤肿胀，就先服用喘气汤，使骨节相对，再用接骨散外敷，用棉絮包裹，斜连搭在胸背处敷贴，再服用活血汤。
大概肩关节脱位与膝关节脱位相同，而膝关节复位省力，肩关节复位费力，总体属于容易复位。将一只手按住其肩部，另一只手托住其手臂，缓缓摇动，使其筋脉舒展、血液通畅，再令患者坐在低处，一人抱住其身，医者用双手捏其肩部，两膝夹住其手臂，合力向上复位。用棉絮包裹好，外部敷接骨药，内部服用生血补髓汤。
遇到肘关节脱出，上面一只手抬起其手腕，下面一只手按压其手部，内侧用足踝抵住，合力一伸即复位，随即敷接骨散，用棉絮包裹，内部服用生血补髓汤。
如果腕关节跌出，上面一只手按其关节窝，下面一只手托住手指手掌，用力一伸即复位，这是会脉所适宜的治法，随即服用宽筋活血散，用接骨散外敷，用棉絮包裹，再用一块阔板，以及四片二寸长的杉树板帮贴患处，扎缚七日，可得平复。
手指有三个关节窝，只有中节脱位的才有这种情况，然而易脱易复位，用两手抽伸法复位，服用宽筋活血汤。有肘关节脱出并嵌入腹内者，应当让旁人侧卧露出肌肉，用手随内出外，又用手随内上扑住其腰部，下手捧住其手腕，将膝盖顶住其上，向左扳，向右扳，一伸即复位。服用生血补髓汤。
大概双腿易于损伤，损伤则两段，先将宽筋散熏洗，使患侧卧，外部敷接骨散，好腿同敷，用棉絮包裹，要用八片四寸长的杉树板帮好，以三条棉绳绑缚，服用活血止痛散三到四剂，再服用壮筋续骨丹。
凡是治疗膝盖骨跌脱离位，须用棉花衣捆作大包，令伤者仰卧，将包垫于膝下，一抬脚踝，若骨头偏于左随左而下，偏于右随右而下。医者扶定棉包，以上手挽住其膝，下手按住其脚，使关节窝相对，用力一扳，推起入位矣。先敷接骨散，用棉包布裹挽下，以包按之，服用生血补髓汤五剂，再服用壮筋续骨汤。
如小腿有大小两根骨头，一根折断者易治。都折断者难治。而骨折看是否有“藕七头”（“七”字折断理而成字）易治。如两骨平断者难医。更有戳穿皮肉者，尤其难治。此症与大腿治疗同一方法，如骨头戳出皮外，须将碎骨镶上断处，不可用水清洗，将生肌散外敷。如骨折未破皮肉，以接骨散外敷。足踝的关节骨易脱出难复位，须一只手抬起其脚捧上以脚跟，一只手扳其脚趾，左出偏其左，右出偏其右，将脚捧上，以脚跟捧下，不可以一伸即复位，内服宽筋活血散，脚偶被伤致使筋脉拘急酸痛，不便伸缩，宜用宽筋散煎汤清洗。
治疗落枕颈项强痛，令其在低处坐定，一手扳其下巴，缓缓伸直即可。
凡是刀枪刺伤，只伤皮肉的，敷金疮药。伤及内膜及肠胃者，无法治愈。刀斧砍伤头额，易发寒热，脉细者可治，脉大者难治。损骨先疗骨，伤肉先生肌，外敷金疮药，内服护风托里散。自刎切断食管者，先用生半夏研成细末掺之，再以鹌鹑绒毛混入人参末敷之，再以桑白皮油线缝合，以软绢缠封，急切。没有鹌鹑绒毛，以茅针花搓软代替，随即用紫金丹混入胎骨一分酒调，用匙灌下，再用护风托里散服用。有肚皮破而肠子流出者，先去病患指甲。如肠子流出且可进食者，急用纺纱车对着患处，顺摇勿使风伤患处，将温水揉之令其回纳，用桑白皮搓线缝合破处，外敷金疮药，服用通肠活血汤。
凡是夹棍伤，出衙门即用热童便一盆，将足浸之，如便冷烧红砖二块淬之即热，直至童便面上浮起白油腻，其伤尽处，才不会烂溃。再用肥皂捣于泥，入鸡蛋清和匀敷伤处，以草纸包裹，用脚带条缚紧，一夜不动即效。内服汤药末药见后。
Generally, injuries to the head with brain matter extrusion are difficult to treat; bones appearing greenish in color are also difficult to treat. If flesh and bone are shattered elsewhere on the body, immediately apply Kongtong San externally and internally administer Shufeng Liqi Tang (Wind-Dispersing Qi-Regulating Decoction) for five to six doses. Once the wound has healed, subsequently administer Buxue Shunqi Tang (Blood-Nourishing Qi-Smooth Decoction). If tetanus occurs, presenting symptoms of trismus (lockjaw) and opisthotonos (arched back), urgently administer Feilong Duoming Tang (Flying Dragon Snatching Life Decoction).
If the eye is injured, apply Shouzhu San externally. Dip the tip of a silver hairpin into well water (Jinghua Shui) to moisten the medicine and dab it onto the blood vessels. Subsequently, wash and rub the area with a blue cloth or old blue silk soaked in decoction. Then, take Huanhun Tang (Soul-Returning Decoction) for two doses. After stabilization, take Shengxue Mingmu Yin (Blood-Generating Eye-Brightening Drink).
If the nasal bone is fractured, first apply Jiegu San externally, then apply Shengji San mixed with rapeseed oil topically, followed by taking Huoxue Zhitong San (Blood-Invigorating Pain-Relieving Powder).
For lacerations or defects of the lips, first apply Daitong San. Cover the area with down from quail tails for protection, suture using mulberry branch oil thread, apply Shengji San again, and take Huoxue Zhitong Yin (Blood-Invigorating Pain-Relieving Drink). In cases where a knife was held in the mouth, severing the tongue but it has not yet fallen off, wrap the severed tongue in egg white membrane (Danbaoyi). Mix Xuedan (Blood Cinnabar) with honey and apply to the lesion. Further mix honey and beeswax, apply over the egg membrane, utilizing its softness to facilitate medicinal penetration. Since medicines in the mouth disperse easily, frequent application is advisable. If rapid effect is not achieved, treat with Jinchuang Yao (Metal Wound Medicine). For tongues bitten by others, apply crushed fresh crab externally, which will also lead to recovery.
In cases of mandibular joint dislocation, first fumigate and wash with Kuanjin San decoction. Wrap cotton around the thumb, insert it into the mouth to support the lower part, while supporting externally with the palm. Gently massage and push until the joint reduces. Subsequently, take Bushen Heqi Tang (Kidney-Nourishing Qi-Harmonizing Decoction). For bilateral acromial injuries from falls, which are difficult to bandage, if swelling is observed, first administer Chuanqi Tang (Panting-Qi Decoction) to align the joints, then apply Jiegu San externally, wrap in cotton, and apply obliquely across the chest and back. Follow with Huoxue Tang (Blood-Invigorating Decoction).
Shoulder dislocations are similar to knee dislocations, though reducing the knee is easier than the shoulder, both are generally reducible. Press one hand on the shoulder, support the arm with the other, gently shake to relax tendons and promote circulation. Have the patient sit low, have an assistant hold the body, while the physician pinches the shoulders,夹s the arms between knees, and exerts upward force to reduce. Wrap in cotton, apply external bone-setting medicine, and internally administer Shengxue Busui Tang (Blood-Generating Marrow-Nourishing Decoction).
For elbow dislocation, lift the wrist with one hand above, press the hand below, and brace against the ankle internally. Exert force to extend and reduce. Apply Jiegu San, wrap in cotton, and internally administer Shengxue Busui Tang.
For wrist dislocation, press the glenoid fossa with one hand above, support the palm and fingers with the other, and extend forcefully to reduce. This method suits the Huimai pulse. Take Kuanjin Huoxue San (Tendon-Relaxing Blood-Invigorating Powder), apply Jiegu San externally, wrap in cotton, and secure with a wide board and four 2-inch fir boards for seven days to achieve healing.
Fingers have three joint sockets; only the middle phalanx dislocation presents this issue, but it is easy to reduce. Use the two-hand traction method to reduce, and take Kuanjin Huoxue Tang (Tendon-Relaxing Blood-Invigorating Decoction). In cases of elbow dislocation protruding into the abdomen, have another person lie on their side to expose muscle. Guide the limb outwards and upwards, pressing against the waist, holding the wrist, and bracing with the knee. Pull left-to-right or right-to-left, extending to reduce. Take Shengxue Busui Tang.
Legs are prone to injury, often resulting in double fractures. First fumigate and wash with Kuanjin San. Place the patient on their affected side, apply Jiegu San externally to both legs, wrap in cotton, and secure with eight 4-inch fir boards bound by three cotton ropes. Take Huoxue Zhitong San for three to four doses, then Zhuangjin Xugu Dan (Tendon-Strengthening Bone-Continuing Pill).
For patellar dislocation, bundle cotton clothes into a large pad. Have the patient lie supine with the pad under the knee. Lift the ankle; if the bone shifts left, guide it down left, and vice versa. Stabilize the pad, grasp the knee with the upper hand, press the foot with the lower hand, align the joint socket, and forcefully lever it back into place. Apply Jiegu San, cover with padded cloth, press with the pad, take Shengxue Busui Tang for five doses, then Zhuangjin Xugu Tang (Tendon-Strengthening Bone-Continuing Decoction).
The lower leg has two bones; a single fracture is easy to treat, while both being fractured is difficult. Fractures resembling "lotus root segments" (seven-headed break pattern) are easier to treat. Flat breaks are difficult. Penetrating wounds through skin and flesh are particularly difficult. Treatment follows the same method as thigh fractures. If bone pierces the skin, realign fragments without washing with water, and apply Shengji San. If skin is intact, apply Jiegu San. Ankle joint dislocations are easy to dislocate but hard to reduce. Lift the foot with heels up, pull toes, adjust direction based on displacement, lift heel down, do not simply extend. Internally take Kuanjin Huoxue San. For sprains causing tendon spasm and pain limiting movement, wash with Kuanjin San decoction.
For stiff neck (Shizhen), have the patient sit low. Grasp the chin with one hand and slowly straighten the neck.
For stab wounds from knives or spears affecting only skin and flesh, apply Jinchuang Yao. Injuries penetrating internal membranes or intestines are incurable. Head/forehead cuts from axes/knives may cause chills and fever; fine pulse indicates treatability, large pulse indicates difficulty. Treat bone first, then flesh. Apply Jinchuang Yao externally, take Hufeng Tuoli San (Wind-Protection Interior-Supporting Powder) internally. For self-inflicted esophageal severance, first apply fine powder of Banxia (Pinellia Rhizome), then apply mixture of quail down and Ginseng powder, suture with mulberry bark oil thread, and bind with soft silk. If quail down is unavailable, use softened cattail flower stamens. Administer Zijin Dan (Purple Gold Pill) mixed with fetal bone powder and wine via spoon, followed by Hufeng Tuoli San. For abdominal rupture with evisceration, remove patient's fingernails first. If intestines are exposed and food can be ingested, quickly position a spinning wheel near the wound to prevent wind exposure. Wash with warm water to reduce intestines, suture with mulberry bark thread, apply Jinchuang Yao externally, and take Tongchang Huoxue Tang (Intestine-Unblocking Blood-Invigorating Decoction).
For torture by wooden clamps, upon release, soak feet in a basin of hot child's urine. If urine cools, heat red-hot bricks and quench them in the urine until a white oily film floats on the surface, preventing ulceration. Mash soap into mud, mix with egg white, apply to wound, wrap in grass paper, and bind tightly with a foot strap. Leave undisturbed overnight for effect. Internal herbal remedies are listed later.