What is bone setting in Chinese medicine

Orthopedic bone, Chinese medicine refers to the use of push, pull, press, press and other techniques to treat fractures, dislocations and other diseases. Bone-setting, for the name of the specialty, is the diagnosis and treatment of injury specialties, but also the ancient medical "thirteen" one, also known as injury or orthopedic injuries.

Object of the bone is mainly due to external forces of bone, joint and soft tissue damage, but also includes the same kind of cause of internal organ damage. The word "positive" is used here as a gerund. It is a science and technology to rectify the deformation of the limbs due to bone and joint injuries and restore them to their original position.

The official medical system of the Yuan Dynasty had a "Bone-setting and Golden Arrowhead Section". Therefore, the Yuan Dynasty to bone specializing in the medical doctor Gui Yilin in his "world medicine to get the effect of the formula" Volume 18 has a "bone and gold arrowhead Section" to specialize in bone and joint injuries and gold blade injuries to the disease of the pulse due to the evidence of the treatment.

The treatment of bone injuries and gold blade wounds is specialized in the treatment of bone and joint injuries and the pulse and evidence of gold blade wounds.

Treatment measures

Reconditioning

Orthopaedic bone is the use of skillful manipulation, so that the displaced end of the fracture is correctly reset and treatment of soft tissue injuries of a kind of therapy. Therefore, when performing manipulation, the first thing to do is to do a good job of fracture examination and diagnosis. On this basis, through the eyes, hands and heart will be able to achieve the hand with the heart to turn, so that the purpose of the fracture correction.

Direct or indirect violence acts on the limb or trunk to fracture a localized bone. Due to the size of the force on the part of the different positions and muscle contraction, can cause various types of fractures, due to the different types of fractures, rehabilitation techniques are also different. Such as complete fracture, docking with close press method; sunken fracture, using the method of pushing the trapped back up; comminuted fracture, with pinching and squeezing method of reset; spiral fracture, with rotating press method of articulation; raised fracture, with the method of spreading and pressing the leveling; embedded fracture of the caudal vertebrae and other hooks and press and stretching the spread of the method of restoration; humerus internal and external condyles and other fractures of the green branch, with the dabbing push pinching and squeezing the method of reset; for the fracture of the fracture ends of the overlap and shortening of the displaced, according to the For overlapping and shortened fracture ends, the principle of "wanting to unite and separate first, separate and compound" is used for restoration. Before the operation, gently press and massage the injured part to relax the contracted muscles and relieve the pain, and then use the method of pulling, stretching and pulling to reset the overlapped fracture; for those who are displaced to the side, they can be reset by lifting and shaking and pressing; for the fracture of the two bones side by side, the fracture will be separated by the method of buckling and squeezing the bones, and then reset by the method of pinching and squeezing. In the process of bone-setting, in addition to the use of appropriate, skillful techniques, the treatment must be timely, the action should be bold, meticulous, accurate and agile. If too much force is applied, there is a danger of injury to the soft tissues of the bone; if the force is too small, the purpose of resetting cannot be achieved. When performing the operation, the hand technique should be used correctly, and strive to complete the restoration at one time. Repeatedly applying the operation many times will not only damage the fracture end, but also have a negative effect on healing, and will bring more pain to the patient. The sooner the operation is performed, the better. Fractures of the limbs, should be carried out within half an hour after the injury. At this time, the injured limb numbness, has not yet occurred serious edema, the affected part of the tension is small, pain is slight, is the best positive whole period. If the local swelling is serious, or skin rupture, etc., need to be treated appropriately, until the swelling subsides, skin healing, muscle spasm relaxation, and then manipulation. However, it is important to prevent delayed treatment so as not to artificially cause old fractures.

Fixation

The purpose of orthopedic fixation is to strengthen the effect of the correction and the relative stability of the local area in order to accelerate the healing of the fracture. The range of fixation should be appropriate. Too large, will affect the activities of the injured limb; too small, can not achieve the purpose of fixation, the injured limb for a long time immobilization, the qi and blood operation is blocked, easy to produce muscle atrophy, joint stiffness, osteoporosis, delayed fracture healing and other adverse consequences. If the system is transverse fracture, after fixation along the axis of the backbone push, if the lower limb bone in addition to push, can make it step on the ground, so that can be measured to know whether it has been correctly reset, and is conducive to the connection. For the initial failure of the first time, or displaced fracture, can be used "to move to cure the movement" method, and then pulling and stretching, shaking after the restoration and fixation to be corrected. For long bone fracture, three-point bandage fixation method is adopted. The role of three-point compression is conducive to the axis of the fracture segment, which can make the fractured limb to achieve anatomical reset, but also to solve the limb dysfunction due to the limb "static and dynamic" contradictions caused by the injured limb. The fracture broken end docking good, limb function recovery. x-ray shows the bone scab through the fracture line, the fracture line has been basically fuzzy, you can release the fixation.

Massage

Orthopaedic massage is a unique healing art of Mongolian orthopaedics. It is also one of the auxiliary treatment means of bone setting. The different stages of the fracture, the massage techniques used are also different. Counted:

Initial massage: one week after the fracture, due to the local soft tissue, blood vessels and lymphatic vessels were damaged to varying degrees, resulting in blood, Hila heat hyperactivity, blood stasis, pain, swelling and other symptoms. In this regard, it is appropriate to adopt the technique of resolving renal stasis and reducing swelling. That is, daily in the splint fixed gap and on the upper section, spraying white wine for rubbing; padding at the implementation of massage; injured limb implementation of centripetal stroking; pain sites should be embedded Mo method; injured limb adjacent joints using pinch Mo method; in addition, the relevant acupuncture points supplemented by rubbing. The above massage can help improve blood flow, promote metabolism and accelerate fracture healing.

Mid-term massage: after the initial comprehensive treatment, the fracture site is basically stabilized, tendon stretching, swelling and pain. According to the theories of "the kidney stores the essence, the essence produces the marrow, the marrow nourishes the bone" and "the liver produces the blood, the blood nourishes the tendon", in this period, we should tonify the kidney, benefit the liver, and strengthen the bone as the main therapeutic principle. Therefore, massage is appropriate to take the liver, spleen, heart, kidney, lung and other points. First spray white wine, with the thumb for shake or rubbing; with the palm of the hand along the spine upward push or massage; or lateral rubbing, in order to further improve blood flow, accelerate fracture healing.

Later massage: after the initial and intermediate treatment, the bone scab is basically formed, and the fracture is completely healed. However, due to internal damage and external injuries, long-term bedridden, often leading to three root balance imbalance, weak qi and blood, stiff joints, muscle atrophy. At this time, in addition to continue the medium-term massage, should also be in the stomach, large intestine, bladder and other relevant points sprayed with white wine, Shi rubbing, shake Mo, push Mo method; on the local massage, rubbing Mo; on the affected limb muscles, it is the implementation of tuan Mo, take Mo, rubbing; on the affected limb joints to take kneading Mo, shaking Mo, show Mo method; on the affected limb fingers (toes), it is the use of trailing Mo method. Through the above massage, can make the injured limb qi and blood unimpeded, strong bones and tendons, restore function.

Massage method: from light to heavy, the range is slightly wider, the operation should be careful. For those who are weak and thin, the technique should be light and slow; for those who are strong and strong, slightly heavy and fast. But must pay attention to keep the affected area stable. Spray wine massage method is based on the "blood is nourished by the essence of food; blood with the gas line" point of view and the creation of use. Not only can it prevent the injury heat internal sinking, tendon constriction, but also can accelerate the fracture healing and limb function recovery.

Drug therapy

The internal drug therapy. According to the different periods of the fracture and different symptoms, the principle of medication is also like massage, divided into three phases of the initial, middle and after the prescription.

Initial stage: manifestation of blood, Hila heat hyperactivity, stagnation of malignant blood, the affected area is obviously swollen and painful. Commonly used prescriptions are: seven treasures powder, seven Xiongwan, ice tablet seventeen-flavored powder, ice tablet twenty-five-flavored powder, black cloud incense four-flavored soup and so on. If accompanied by burning heat in the chest and palpitation, Shen Xiang Ba Wei Tang, Ru Yi Zhi Bao Wan and other prescriptions can be cast. If coughing and sputum are unfavorable, Sha Shen Si Wei Tang can be applied, and San Qi Shan Wei San can also be applied to remove the poison. If there is urinary closure, one can take the traditional prescription for bone injuries--eating an egg yolk; if there is dryness in the stool, one can take Sesame Monazukuri Soup, or add a small amount of walnuts and honey to take internally; and if there is localized fever, it is advisable to apply tortoise blood.

In the middle stage, medicines with the efficacy of draining yellow water, lowering the heat potential, and renewing the tendons and bones can be used, such as six-flavored copper-coin powder, eight-flavored vermillion powder, three-flavored ochre powder, six-flavored stone vitex powder, six-flavored eucommia powder, twenty-five-flavored bone-setting powder, and so on.

Later stage: it is advisable to take strong tendons and bones, suppressing He Yi, strengthening the body and moistening the stiffness of the drugs, such as stomach-healthy pomegranate five-flavored powder, twenty-five flavors of large doses, sedum thirty-five flavors of powder, mercury eighteen flavors of powder, and so on. In the affected area, especially the joints can be administered medicinal water immersion or drug rubbing. Generally use white wine, vinegar, water and other points, decoction and immersion, or with green salt hot water immersion, or with cypress branches, rosewood, artemisia three medicinal wine decoction and immersion.

Open fracture, should be first cleaned and reset to apply medicine, suture wound. In addition to the use of viscosuppressive and purgative medicines to prevent infection, but also to consider the use of drugs with the efficacy of muscle growth, in order to promote wound healing. For example, pearl five-flavored powder, musk seventeen-flavored powder is applied externally and saffron eight-flavored powder is taken internally, which has the effect of renewing veins and connecting bones, stopping bleeding and generating muscle. For the white vein injury, can be cast to thirteen flavors of the roc gold wing pill, and with the roc dung or musk, sheep dung and white wine baking heat external compress.