Under, Chinese medicine flavin

Chapter 128 First Aid in TCM Orthopedics
I saw Director Feng of the Department of Orthopedics and Traumatology holding an X-ray film and discussing the treatment plan with two assistants.

Dean Wu stepped forward and asked, "Director Feng, what's the situation here?"

Director Feng of the Department of Orthopedics saw Dean Wu coming in, put down the radiograph and introduced: "We have a total of six critically ill patients and two patients with milder conditions. Fractures, one is dislocation of the right shoulder joint and fracture of the right humerus."

The hip joint is the position where the femoral head of the hip is connected. Upper dislocation is the dislocation of the femoral head and the upward dislocation. When the patient fell from the scaffold, the feet landed, but the body tilted. The upward force caused the dislocation of the hip joint and the upward dislocation. , or the hip that was hit by a heavy object after landing, causing two hip joints to dislocate.

As for another right shoulder dislocation and right humerus fracture, the cause is easy to understand. When he fell, his right shoulder should have landed on the ground.

Traditional Chinese medicine treats fractures with manipulative reduction, small splint fixation, oral and external application of traditional Chinese medicine for relaxing muscles and bones, and promoting bone self-healing and repairing.

When Director Feng introduced the patient's condition.

District Chief Yang and his team walked up to the two workers who had received treatment to check their injuries.

I saw that the dislocated position of two patients receiving fracture treatment has been reset, and the fracture has been fixed with a small splint.

District Chief Yang held a worker's hand cordially, and asked as if chatting with family: "This worker, how do you feel now, and how is your injury?"

When this worker saw the big boss he looked up to, he could only obediently stand at the back of the line.

I guessed in my heart: the person shaking hands with me must be a great leader.

The construction worker spoke cautiously: "Leader...leader! The doctor said that there is nothing wrong with my injury. Not to mention, the level of doctors here is very high. Just mentioning and pushing like this, my calf is straight Come here, now the place where the medicine was applied is hot, and now I don’t feel any pain.”

Speaking of which, the worker scratched his hair honestly, and said falteringly: "You are a big leader, and you said that our whole family depends on my salary to support me. If my injury is gone, how can I pay for it?" Pay for the medical bills."

"You can rest assured that the government will continue to care about this matter." The worker, District Chief Yang, patted the worker on the shoulder flatly to comfort him, then turned to look at Mr. Zang and said, "The construction company will pay all your hospital expenses. Responsible. Mr. Zang, are you right?"

Mr. Zang, who was standing at the back of the line, was already happy. Seeing that the patient was on a splint, the resentment towards Dean Wu just now disappeared.

I thought to myself: It is really right to send it to the hospital of traditional Chinese medicine. It is good to use this kind of splint, and it is cheap.Imported small steel plates are also used by these poor ghosts, and their lives are not worth a few steel plates.

Where did I hear District Chief Zhang calling himself.

When he came back to his senses, he was greeted by District Chief Yang's slightly angry expression.

Mr. Zang didn't care what District Chief Yang said just now, and he repeatedly agreed: "I know, I will definitely do it!"

snort!
District Chief Yang snorted coldly and said, "I hope you can do what you say."

If it is said that Chinese medicine has been suppressed all the time, then Chinese medicine bone setting is definitely the most severely suppressed.

Although TCM bone setting is more conservative, most of TCM bone setting is passed down from generation to generation in the bone setting family, and the bone setting techniques are never passed on to the outside world.

The orthopedic doctors trained by the college, although their techniques are not as exquisite as those of the aristocratic family, still follow the basic techniques of traditional Chinese medicine such as bone setting, pulling and extending, rotating, folding, turning, end lifting, pressing down, dividing bones, flexing and extending.

While the success rate of TCM orthopedics is higher than that of TCM clinics, the decline rate of TCM orthopedics is far higher than that of TCM clinics.

Just because traditional Chinese medicine bone setting is too cheap, and the curative effect is better.

A pair of fixed small splints vary in size and specification, and the price ranges from a dozen yuan to a hundred yuan. However, the price of a small plate fixed in the body for Western medicine does range from a few thousand yuan to tens of thousands of yuan.

Many hospitals with traditional Chinese medicine orthopedics have an unspoken rule in the hospital for economic benefits, which is to prohibit the use of small splints in traditional Chinese medicine orthopedics.

The small splint is an important tool for external fixation in traditional Chinese medicine orthopedics. When the small splint is banned, the treatment of fractures in traditional Chinese medicine can only be reduced to an embarrassing situation on paper.

Since then, TCM orthopedics can only treat dislocations and conservative treatment of fractures.

Patients with closed fractures that can be treated by traditional Chinese medicine are forced to go to the orthopedics department of western medicine.

When patients are enduring high surgical and equipment costs, Western medicine doctors eat oil, hospitals drink soup, compradors eat minced meat, but Western equipment is full of food, because more than 90.00% of orthopedic equipment in China is imported. Yes, even domestic bone setting devices have to pay high patent fees to foreign device companies.

As a result, many Chinese people today do not know that traditional Chinese medicine bone setting can also treat fractures.

Dean Wu continued to ask: "How is the patient's condition?"

Director Feng pointed to the X-ray and showed it to Director Wu, and explained: "The patient should have collapsed, and the falling heavy object hit the right hipbone head-on. Now the patient has a fracture in the middle and upper part of the right femur, and the proximal fractured end is bent forward and inward. The femoral head protruded from the acetabulum and moved to the posterior superiority, and there was also a fracture at the posterior end of the hip bone."

The femur is the thigh bone of the human body.

Fractures are divided into proximal and distal fractures according to the fracture line. The one that is closest to the trunk is the proximal fracture, and vice versa. The proximal fracture is adducted, which will cause external rotation of the thigh.

Director Feng brought President Wu to the patient's bed. The patient had already taken off his trousers and was lying quietly on the bed wearing only a pair of briefs.

The patient was lying on his side with a healthy body, and the right hipbone and mid-thigh section of the affected area were severely swollen, and the greater trochanter moved backward and upward.

The greater trochanter is the square raised part above the femoral head and femoral neck. It is located on the outer surface of the hip joint. When you touch the junction of the hipbone and femur with your hands, the raised part is the greater trochanter.

Dean Wu turned behind the patient and saw a bulge in the buttocks. He stretched out his hand and touched the affected area lightly. It was indeed a bulge from the dislocated femoral head.

Due to the adduction of the proximal folded end, this right leg is externally rotated and turned outward.

Watching Dean Wu doing the examination, Director Feng stood beside the patient, pointed to the patient's affected area, and explained the treatment plan discussed by everyone: "The patient has now undergone general anesthesia, and we are going to use the stretching, pushing and pressing reset method. Reposition the dislocated femoral head."

Pull-push reduction is the most commonly used treatment for posterosuperior hip dislocations.

The hip joint is the largest pestle-and-socket joint in the whole body, and its structure is the most stable. It is not easy to dislocate under normal circumstances. It will only happen when it is subjected to strong external violence, which can cause the femoral head to shift.

Due to the different angles of violent impact, it can be divided into anterior dislocation, posterior dislocation and central dislocation.Among them, posterior dislocation is more common.

"Traumatology Buyao Hip bone" contains: "The hip bone is the medullary bone, also known as the condyle bone. Its outward concave shape resembles a mortar, and the upper end of the hip bone is like a pestle. It is called the machine, and It’s called Bishu, which means the Huantiao point, and it’s commonly known as the buttocks. If it comes out, it’s difficult to get on, because it’s too big and thick, so you can’t hold it with your hands.”

Since the buttocks and thighs are the thickest parts of the human body, it is impossible to pinch the affected area with hands and reset it.

Under the long-term clinical exploration of traditional Chinese medicine, the method of wrapping and pulling the cloth belt was assisted to complete the reset.

After Director Feng introduced his treatment plan, he and two assistants put the patient in the healthy side lying position.

Lift the thigh of the patient's affected leg to [-] degrees from the body while keeping the calf at [-] degrees like the thigh.

An assistant began to wrap the patient's right thigh with a wide cloth belt specially provided by traditional Chinese medicine bone setting, from the root of the leg to the position close to the knee, so as to ensure that the fractured femur will not be damaged when exerting force. injury.

Another assistant supported the patient's calf with knees bent at [-] degrees with both hands.

At this time, a group of District Chief Yang who came to inspect the wounded also gathered around to watch, wanting to see how Chinese medicine treats fractures. Everyone has never seen Chinese medicine for bone setting, and it is also a novelty.

Director Feng walked to the back of the patient, supported the patient's iliac crest of the pelvis with one hand, and found the dislocated and dislocated greater trochanter with the other.

The iliac crest of the pelvis is the arc-shaped position on both sides of the pelvis like butterfly wings.

Director Feng aimed at the position with both hands, and said loudly: "One, two, three! Let's work together!"

The assistant holding the wide cloth belt pulls the wide cloth belt backwards with both hands to reverse traction, and pulls the thigh toward the bed.

The other assistant, with his hands on his knee, pushes forward hard, giving the upper thigh a forward pulling force.

Director Feng pulled the iliac crest of the pelvis backward with one hand, and pushed forward the greater trochanter and the dislocated femoral head with the other hand.

The three of them worked together for a long time, the assistant who pulled the cloth bag, his hands were already blue and white from the cloth belt, and the assistant who pushed his knees forward was also flushed.

Director Feng's two thumbs, which he pushed hard, were also blue and white.

At this moment, there was only a crisp sound of bones being reset, the femoral head returned to the acetabulum, and the buttocks bulge disappeared instantly.

Director Feng and the two assistants also let out a breath of foul air. Orthopedic doctors must have a strong body, and people with weak strength really can't do bone setting in traditional Chinese medicine.

It's no wonder why Mutu is either going to work or exercising every day.

Director Feng supported the patient's right leg, which was wrapped in a wide cloth band, and turned it slightly. He saw that the femoral head and acetabulum could rotate freely, without the feeling of blockage, and there was no abnormal sound in the joint.

Director Feng gently found the patient's right leg, looked at an assistant and said, "Little Li! Splint the patient first to avoid secondary damage to the fracture. After the anesthesia fails, take an X-ray of the patient and see Look at the effect of hip reduction."

The assistant who pulled the cloth just now said: "I see, mentor!"

As he spoke, he began to untie the cloth belt for the patient, preparing for splinting.

"Xiao Liu, go and transfer the treated patients to our orthopedics department." Director Feng ordered another assistant.

District Chief Yang, who had watched the entire treatment process, interjected and asked, "Director Feng, doesn't the patient still have fractures? Why don't you treat him?"

Director Feng said neither humble nor overbearing: "The affected part of the patient's right thigh is now severely swollen, and it is not suitable for repairing the fracture. Only after taking Da Huo Luo Dan, activating blood and dredging collaterals to reduce swelling, can the fracture be reset. Even Western medicine for fractures requires anti-inflammation and swelling. to perform surgery.”

After the explanation, Director Feng went straight to the next patient, and there were still several patients waiting for treatment.

Finally, District Chief Zhang, under the leadership of the director of the hospital office, checked the conditions of other accident patients.

Seeing that the emergency department of Guang'anmen Hospital was orderly and the treatment was effective, District Chief Yang just said a few words on the occasion and left with a group of people.

(End of this chapter)