Surgical Nursing in Chinese Medicine: External Treatment - Surgical Therapy

For all external ulcers, regardless of yin evidence, Yang evidence, really has become pus, can be used. The specific operation process should pay attention to identify the degree of pus into the fluctuation of the most obvious place into the knife; if there is a large pus cavity, can be expanded to both ends of the incision, in order to facilitate drainage; after the incision, let the pus self-discharge, do not squeeze, in order to prevent the spread of evil venom. Observe the color, smell and drainage of pus as the basis of treatment and prognosis; after the removal of pus and necrotic tissue, fill in the cavity according to the size of pus cavity, and put in the strip of linthicum oleoresinum gauze (or petroleum jelly gauze) or medicated thread to help drainage. The operation must pay attention to strict disinfection, careful and meticulous, do not move roughly and accidents; patients with physical weakness, postoperative should take tonic drugs to avoid fainting.

Branding method

Fire needle branding method: refers to the needle will be burned red after stimulation of the affected area of the treatment method, the ancient name "burnt needle quenching". Currently there are fewer clinical surgical applications. When it is applied, there are two kinds of needles: the thick needle is used to stab the pus and the thin needle is used to dissipate it. It can be used in the clinical application for the Yin evidence of thick pus and deep pus, such as bone gangrene and phlegm, in which the pus is ripe but not yet ulcerated, or although ulcerated but the sore is too small, and the pus does not come out freely. When operating, the needle can be burnt red on the alcohol lamp, from the low place of pus cavity to the upper oblique into the branding, the pus will come out with it. A brand is not through, can be branded again, branding can be inserted into the medicinal line, so that the sores will not be bonded for a while, to facilitate the drainage of pus, should pay attention to the joints of sinews and bones must be used with caution, to prevent burnt tendons and bones, resulting in disability. The coercive ribs, waist, abdomen and other parts of the body, can not be deep stabbing, to avoid injury to the lining. In addition, the head and face for all the Yang will, and thin skin, should also be prohibited.

Branding iron branding method: branding iron ancient system with silver, are now made of iron or copper, its head such as half a grain of small beans size, there is a handle on the current electric burner instead of the fire branding, can be used to stop the bleeding, but also can be scalded to cure the root of the disease. Clinical application in trauma, large complex fracture, a lot of bleeding, and warts, polyps protruding, not easy to eliminate internal evidence. The operation of the first local infiltration anesthesia, and then burned with a branding device burned red branding, such as warts, polyps and other evidence, can be scissors root cut out and then branding; such as the large Luo fracture, can be to the bleeding point of cauterization. Pay attention to prevent the patient's mental fear and high tension, can cover the patient's eyes. Hematoma and rock swelling and other diseases, disable this method.

Acupuncture sickle method: refers to the use of three-pronged needle or blade in the sores and ulcers in the affected area, shallow stabbing skin or mucous membranes, so as to release a small amount of blood, so that the internal heat and toxicity of the blood leakage of a therapeutic method. Commonly known as "flying needle". Clinical application in acute Yang evidence, such as Dan poison, red furuncle and so on. The operation should be under routine sterilization, with three-pronged needle or blade straight to the skin or mucous membranes, rapid movement to hit the stabbing, to the extent that the affected part of the bleeding. However, it is forbidden for chronic yin and deficiency symptoms. And do not stab too deep, so as not to injure the meridians; after stabbing can then dress dressings or external application of mouth-blowing medicine.

Hanging thread method: refers to the use of ordinary silk thread or medicine silk thread or paper wrapped medicine thread or rubber band thread to hang off the fistula or sinus tract treatment method. By utilizing the tightness of the thread, the air and blood are blocked and the muscle is necrotic, so as to achieve the purpose of cutting. Clinical application of all sores after ulceration, pus is not clean, although the internal, external and other treatment is ineffective and the formation of fistulas or sinus tracts or sores too deep, or born in the blood plexus, and should not be used to cut the surgery can be used. It should be noted that if the fistula pipe is deeper and longer, found that the hanging line is slack, it is necessary to add line tightening, so as not to achieve the purpose of incision; should be carefully and carefully observe the wound, to avoid deformity healing, can not achieve the therapeutic purpose.

Ligation method: refers to the ligation of the line at the junction of the lesion and normal tissue, the use of the line of the tight force, so that the lesion of the organization of the blood and necrosis of the necrotic shedding of a method. Ligation with ordinary silk thread, medicine-made silk thread, paper wrapped medicine line, spider silk, hair and so on. Clinically used for tumors, warts, hemorrhoids, thromboembolic vasculitis and other diseases, and bleeding caused by broken veins. Attention to internal hemorrhoids with a sewing needle threading, not through the affected muscle layer; tie the line should be tight, let it fall off naturally, can not be pulled, in order to prevent bleeding; hemorrhagic tumors and rocky swellings, contraindicated use.