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fight fist and skull verb phrase To have a knock-down, drag-out, bare-fisted fight without weapons. [DARE labels this phrase "chiefly South, South Midland" in the U.S.]

c1926 Bird Cullowhee Wordlist They fought fist-and-skull. 1939 Hall Coll (Sugarlands TN) I got to lookin' at it, ... scared to look at a bear thinkin' a man of my age and size would jump on a bear to fight fist and skull without somethin' to fight with.