2020年11月9日星期一

hemorrhoids and anal fissures,"Academic School of Osteopedics in Longzhong"---A representative of the schools of traditional Chinese medicine in the underdeveloped areas

    Genre introduction

    The academic school of Longzhong bone orthopedics originated from the Guo's orthopedics in Pingle. It began with Mr. Guo Junfu, the founder of Guo's orthopedics in the northwest. Later, Li Shenghua and other inheritors learned from modern medicine and continuously explored, innovated and improved, and formed a manual reduction and splint fixation. , The academic thought system of Longzhong bone orthopedics with unique northwestern characteristics, focusing on medical differentiation and treatment and functional exercise.

    The focus of this school is: based on the basic theories of Chinese medicine, and always adhere to the concept of "holistic thinking" and "dialectical treatment". This school believes that although orthopedic diseases are local lesions, the concept of overall treatment must be established. According to the syndrome differentiation analysis of the injury, different treatment measures are adopted, or local, or systemic, or local and systemic, and overall treatment can be given in order to obtain a satisfactory effect. In terms of treatment selection, Longzhong’s academic school of orthopedics has always adhered to the principles of simplicity, practicality, less pain and better healing. Through years of practice and inherited innovation, it has summarized a set of combined Chinese and Western medicine minimally invasive treatment techniques and manual reduction and splinting. The new methods and new experience of fixed early functional exercise have improved the scientific and technical nature of traditional Chinese medicine in treating orthopedic diseases.

    The Longzhong Bone Orthopedic Academic School has the courage to explore and learn from modern medical sciences and related frontier sciences and marginal subjects, and absorb the strengths of others for their own use. In terms of medication, it not only emphasizes comprehensive inheritance, but also requires flexible use and continuous innovation, and has developed effective prescriptions for related diseases, such as "Zhuo Fu Mixture", "Bone Spur Ointment", "Swelling and Analgesic Mixture", and "Shang Shang San Capsules" "Huoxue Dingxuan Capsules", "Lumbar and Leg Pain Capsules", "Duzhong Lumbar Pain Pills", "Gout Sacred Liquid" and a series of in-hospital preparations with remarkable curative effects and praised by the majority of patients, and actively through basic research to further clarify this The related mechanism of a class of drugs in the treatment of orthopedic diseases.

    In terms of academic research, this school insists on participating in Chinese and Western medicine, diversifying into the West, overcoming the opinions of others, drawing on the strengths of each family, advocating the integration of Chinese and Western, and conscientiously learning new knowledge and new technologies, including advanced equipment and technology in Western medicine diagnosis. The use of methods emphasizes the unique characteristics and superiority of Western medicine in the diagnosis and treatment of bone injuries, and continuously promotes the development of the cause of orthopedics of traditional Chinese medicine.

    Representative

    Name: Guo Junfu

    Department: Representative

    Position: Founder of Longzhong Bone Surgery School

    Mr. Guo Junfu (1901-1977) was born in a family of generations of medical practitioners in Pingle Town, Luoyang County, Henan Province. He entered a private school as a child and liked to read classics of Chinese medicine. At the age of sixteen, he was taught by two old gentlemen, Guo Minggang and Wang Hongji, who are proficient in Chinese medicine, internal medicine and surgery, acupuncture, and bone setting. Later, he joined the renowned Pingle Guo orthopedic expert Mr. Guo Yaotang, specializing in orthopedics. After years of assiduous study and clinical practice, he has inherited the principles and recipes passed down by the Guo family. In his youth, he began to serve Sangzi, practice medicine independently, and relieve the suffering of the people. In the 1920s and 1930s, he went to Luoyang, Kaifeng, Zhengzhou, Xi'an, Baoji and other places to conduct medical activities in Luoyang, Kaifeng, Zhengzhou, Xi'an, and Baoji. At that time, the people's livelihood in Henan was dying and bandits were everywhere. The husband and the local elders organized a militia group to defend themselves and protect their families. For a while, the bandits did not dare to covet Pingle and enjoyed high prestige in the neighborhood. After 1935, his husband participated in the anti-Japanese national salvation propaganda activities, made friends with some progressive people, and his thinking has undergone tremendous changes. In 1938, he joined the Communist Party of China and was appointed by the organization soon as secretary of the Pingle branch of the Communist Party of China. After 1940, he went to Shanghai as the foreign affairs manager and orthopedic surgeon of the Pingle Zhenhua Textile Factory, the secret working base of the CCP at that time. He practised medicine and worked with great enthusiasm for anti-Japanese rescue activities. Have done positive and beneficial work. This period of history has been affirmed by the external investigation and internal investigation of relevant party organizations in Henan Province during the "Cultural Revolution".

    After the 1940s, the Japanese invaders crossed the Yellow River south, and most of the land fell. In 1945, Mr. Wei Shaowu, the famous gentry in Gansu Province and the chairman of the World Red Swastika Society, a non-governmental charity organization, invited him to Lanzhou to participate in medical assistance activities. Mr. accepted the invitation and brought his family to Lanzhou and started a long-term stay in Gansu Province. Orthopedics medical practice work. Since then, he has forged a profound friendship with the people of Gansu, and Lanzhou has become his second hometown.

    Around 1946, after passing and approving the examination by the National Government Examination Institute at that time, he obtained the National TCM Qualification Certificate issued by the Examination Institute and signed by Dean Dai Chuanxian. In 1948, President Zhao Yuanzhen, a well-known educator in Gansu Province who was over seventy years old and a Ph.D. in the United States, accidentally injured his right leg in Gaolan Mountain during a climbing exercise, causing a femoral neck fracture. As at the beginning, it became the news of the moment. President Zhao thanked Mr. Zhao for his superb medical skills and noble medical ethics, so he wrote the four italic characters of "Sheng Shou Po Xin" in four italics, which was made into a two-meter-high red banner, as a gift to him.

    At the beginning of the founding of the People’s Republic of China, his husband served as the main person in charge of the newly established Lanzhou Chinese Medicine Association. He liaised with colleagues, joined in the grand event, opened TCM training courses, and personally taught and took exams, which contributed to the unity, development and growth of the Lanzhou TCM team in the early days of the founding. , Made a positive contribution. In 1956, the Gansu Provincial Hospital of Traditional Chinese Medicine was established. The husband gave up the generous income of private clinics and accepted the invitation of the famous Chinese medicine doctor Zhang Hanxiang to devote all his energy to the preparation and leadership of the orthopedics department of the first provincial hospital of traditional Chinese medicine in Gansu Province. At that time, the masthead news of the first page of "Gansu Daily" published photos of his work. Since then, Mr. Guo Junfu has summed up and improved his rich practical experience over the years, and gradually took the Provincial Hospital of Traditional Chinese Medicine as the base to actively develop the scientific ideas and advanced technology of integrated Chinese and Western medicine in the treatment of bone and joint injuries. It has a wide reputation among the masses, and makes the Department of Orthopedics of the Provincial Hospital of Traditional Chinese Medicine become a well-known professional department with a higher level and greater influence in the Department of Orthopedics and Traumatology in the province and even the Northwest. In order to relieve the pain of more trauma patients and further develop the cause of Orthopedics in Gansu, the husband broke away from the conservative thoughts in the family that have not been passed on for a long time. He took the initiative to propose the establishment of a training class in orthopedics of traditional Chinese medicine, compile teaching materials, give lectures in person, and full of enthusiasm He has unreservedly taught the family secret recipes and original techniques to the younger generation. These students are now leaders and backbones in the field of traditional Chinese medicine orthopedics in Gansu and surrounding provinces.

    In 1977, Mr. Guo Junfu passed away in Lanzhou. A grand memorial service was held in all walks of life in Gansu Province. Many unknown beneficiaries came to express their condolences spontaneously. Their tragic feelings were moving. There were more than 110 wreaths sent from all walks of life alone. Ai Rong, the so-called "Peaches and plums do not speak, the next is a tragic", this is really not accidental. Mr. Guo Junfu once wrote a volume of "Lectures on Traumatology", which systematically discussed and summarized the theory and practical experience of Guo’s osteopathy, prescriptions, syndrome differentiation and treatment. Originally there was a publication plan, but it was abandoned due to the Cultural Revolution. In addition, he also wrote many popular medical knowledge articles such as "Treatment Remedies" and "Surgery Prescriptions" upon appointment, which were published in the then "Gansu Daily" and "Farmer News", in order to spread scientific knowledge and oppose superstition. Active work has been done.

    To commemorate Mr. Guo Junfu’s outstanding contributions to the formation and development of the academic school of bone orthopedics in Longzhong, and to cherish the memory of his doctor’s sincere medical thinking, Gansu Provincial Hospital of Traditional Chinese Medicine made a bronze sculpture for him, standing in the hospital as an example. Hereafter.

    Longzhong bone setting technique

    The Longzhong Bone Surgery School is based on the basic theories of traditional Chinese medicine and has always adhered to the concept of "holistic thinking" and "differentiation of symptoms and signs". It is believed that although orthopedic diseases are local lesions, the concept of overall treatment should be established. According to the syndrome differentiation analysis of the injury, different treatment measures should be taken, or local, or systemic, or local and systemic, and overall treatment can be obtained. Satisfactory effect. In terms of treatment, the academic school of Longzhong Osteopathy has always adhered to the principles of simplicity, practicality, less pain and better healing. Through years of practice and inheritance innovation, it has summarized a set of manual reduction, internal and external fixation and early functions with clear curative effects and distinctive features. The new methods and experience of exercise have improved the scientific and technical nature of traditional Chinese medicine in treating orthopedic diseases. For example, clavicle fractures, supracondylar fractures of the humerus, ankle fractures, fractures of the lower 1/3 of the femur, and patella fractures, cervical spondylosis, lumbar disc herniation, and other restoration techniques or fixations have been improved, such as percutaneous internal fixation. Three steps, three positions, nine methods, and “two steps, three positions, five methods,” etc., make it possible to use the simplest methods and instruments to reach a higher level of diagnosis and treatment. Including the practice and research of some cases with little contact with traditional Chinese medicine in the past, such as near-articular and intra-articular fractures, the use of manual reconstruction techniques and other methods have achieved satisfactory results.

    Professor Li Shenghua led the Longzhong Bone Surgery School. On the basis of inheriting the predecessors' bone setting techniques, through years of accumulation of clinical practice experience and theoretical innovation, he systematically summarized the treatment techniques of fractures, tendons, dislocations, etc., which have been widely used in clinical practice. The application has achieved good social and economic benefits. Among them, 19 common bone setting methods with distinctive characteristics in the treatment of fractures are as follows:

    1. Touch method

    Mainly used to diagnose and understand the method of fractured end in the body. Touch the injured area with your hands, starting with light and then heavy, from shallow to deep, from far to near, with both ends facing each other.

    Second, the drawing method

    It is an important step in the fracture manipulation, used to correct the overlap and displacement of the fracture to restore the length of the limb. The injured limb is kept in its original position, along the longitudinal axis of the limb, according to the principle of separation first, separation and recombination. The traction intensity should be appropriate, continuous and stable.

    Three, flexion and extension method

    Used for uniaxial joints (joints that can only be flexed and extended) fractures. The surgeon fixes the proximal part of the joint with one hand, and holds the distal part with the other hand, along the coronal axis of the joint, under traction or flexion or extension to coordinate with the surgeon's application to correct overlap, angulation and lateral displacement. If it is an extension fracture, the joint is flexed, and if it is a flexion fracture, the joint is straight.

    Fourth, the development method

    Used for multiaxial joint fractures. Fractures are generally displaced in three planes (horizontal, sagittal, coronal), and several directions need to be changed during restoration to restore the fracture. If it is an abduction fracture, first abduction traction, then adduction traction and then flexion; if it is an adduction fracture, first adduction traction, abduction traction and then flexion (correction of anterior angle).

    Five, mention and press

    It is used for lateral displacement of bone shaft fractures of the limbs (in terms of the central axis of the human body, that is, the anterior and posterior or lying positions are called upper and lower sides). The operator presses the protruding end of the fractured end with both thumbs and presses it down, and lifts the other end of the collapsed fracture with two hands and four fingers.

    Six, control method

    Used to restore fractures in joints. First put the joints of the injured limbs in a relaxed position, and then the surgeon will flatten the protruding bones to reset them. This technique is mostly used to reconstruct the external condyle of the humerus, the radial head, and avulsion fractures near the joint.

    Seven, bone dividing method

    Used for fractures of two bones side by side, such as forearm and radius fractures. The operator’s thumbs, middle and ring fingers of both hands are used to squeeze the gap between the two bones from the palmar dorsal side (or anteroposterior side) of the fracture to make the interosseous membrane tense and separate the close fracture ends. Stabilize, and then implement other methods.

    Eight, folding top method

    It is used for diaphyseal fractures that are transversely or zigzag-shaped and cannot be completely corrected by traction force alone. The surgeon’s thumbs are pressed against the protruding end of the fracture, showing that the three fingers of the middle and the ring press against the concave end of the fracture to increase the angle. , You can completely correct the overlap shift. It is mostly used to reconstruct double fractures of ulna and radius.

    Nine, rotation method

    It is used for fractures that have a rotational displacement (spiral type) due to torsion or violence. The surgeon holds the proximal side of the fracture in one hand, and the distal side of the fracture in the other hand, and rotates forcefully toward the center to reduce the fracture. Commonly used for fractures of the middle and lower humerus shaft and children's middle and lower tibia and fibula fractures.

    X. Convolution

    It is used for fractures caused by displacement of the two fractured ends back to back and soft tissue embedded. The surgeon’s thumb and thumb, middle and ring fingers respectively pinch the front and rear sides of the distal and proximal ends of the fracture and the left and right sides, combined with the injury mechanism, determine the path of the back displacement, and perform the maneuver in the opposite direction of the distal displacement of the fracture. When turning, my hand felt a soft tissue obstruction, and immediately changed the direction of turning to correct the back shift.

    11. Push and pull

    It is used for fractures that are displaced laterally and anteriorly and close to joints. The surgeon’s thumbs, indicating, middle, and ring fingers are placed on the front and back (back of the palm) or left and right sides of the far and near ends of the fracture, pushing and pulling forcefully. The assistant can work closely together to reduce the fracture.

    12. Percussion method

    Used when the fracture ends are separated. The surgeon fixes the fractured proximal limb with one hand, and places the other hand at the distal joint of the fracture to tap or squeeze the proximal longitudinally. Commonly used for humeral shaft fractures and tibial plateau intercondylar spine fractures.

    Thirteen, fusion method

    Used to restore comminuted fractures. The palms of the surgeon’s hands were placed on both sides of the fractured end, and squeezed to the center to close the crushed bones to correct the lateral displacement. Commonly used for humeral intercondylar fractures and calcaneal fractures.

    14. Pull and shake method

    Mainly used to restore intra-articular fractures caused by muscle traction. The surgeon supports the fractured joint with one hand, and the other hand holds the distal limb joint. Repeated flexion and extension and sudden tremor, so that the tendon attached to the bone can be tightened and loosened, and the bone can be reset or turned over. It is mostly used for fractures of the internal epicondyle of the humerus, fractures of the external condyle of the humerus and colle's fractures.

    15. Swing method

    It is used to restore zigzag fractures of the diaphysis or fractures near the joints. The surgeon's thumbs and three fingers, showing, middle, and ring were placed at the far and near ends of the fracture. When correcting the residual lateral displacement, it can be swayed slowly back and forth, left and right, so that the broken ends are in close contact after the fracture is restored.

    16. Boxing

    It is used to restore children's complex fractures and old near-articular fractures, such as children's adduction Monteggia fractures. The surgeon makes a fist and beats the radial head, so that the prolapsed radial head and the fractured end of the ulna can be angled to the radial side. Another example is the children’s old fractures of the lower ulna and radius, which often occur dorsal or volar angled deformity. As long as the two ends of the angled and sunken fracture are placed with wooden blocks and cotton pads, the surgeon directly beats the fractured end to form an angle (protruding ) Position, the fracture can be completely reduced.

    17. Top pressure method

    It is used for the restoration of fractures with bones embedded in the joints, such as the restoration of third degree fractures of the epicondyle in the humerus. The surgeon supports the back of the affected elbow with one palm and presses it downward with the wrist, so that the elbow joint can be in a semi-dislocated position, and the forearm flexor group can be strained and the fracture can be pulled out. This method is also commonly used in order to restore the normal arch of the calcaneus fracture.

    18. Pry and pull method

    It is used to restore muscular femoral shaft fractures of lower limbs. The surgeon places one forearm on the anterior side of the proximal end of the fracture, and one forearm on the posterior side of the distal end of the fracture. The surgeon crosses his hands and exerts force on both shoulders. Using the principle of leverage, the overlapping displacement of the fracture is corrected.

    19. Quick back extension position with traction technique

    Used to restore thoracolumbar compression fractures. The surgeon puts his hands on the protuberance of the injured vertebra, maintains the traction, and presses down gently and continuously, repeatedly until the kyphotic deformity disappears completely. Then maintain the traction for 15-20 minutes. After reduction, the injured vertebral pillow was kept in the back extension position and rested in bed for 3 days.

    In addition, the Longzhong bone and tendon injury therapy has a unique method for treating tendon injuries, with good results and a wide range of applications. It is not only suitable for various acute soft tissue injuries, but also for various chronic soft tissue injuries. It can directly or indirectly act on the injured part through the strength and skill of the doctor, thereby regulating the physiological and pathological changes of the body, so as to achieve the purpose of curing diseases. The common methods are as follows.

    1. Swing

    (1) Rolling method: A method in which a certain part of the hand is used as a force point, and the wrist is flexibly swung or the forearm is evenly rotated to drive the hand to roll. The techniques are divided into the following four types:

    ① Straight rolling method. Holding an empty fist, focus on the dorsal protruding part of the first interphalangeal joint of the four fingers, middle, ring, and small, to focus on the treatment area, and swing the wrist back and forth evenly to drive the fist to roll back and forth in a certain range.

    ②The oblique rolling method. The second, third, fourth, and fifth fingers naturally relax in the semi-flexion and extension position, and use the metacarpophalangeal joint of the little finger or the back of the metacarpophalangeal joint of the little finger and ring finger as the focus point, and stick to the skin of the treatment site, evenly with the wrist The back and forth swing of the hand moves the hand to do a certain range of rolling back and forth.

    ③Side rolling method. When the hand is in a resting position, the fingers are naturally relaxed, and the metacarpophalangeal joints of the little finger and the ulnar side of the small thenar are attached to the body surface of the treatment part. The wrist is relaxed. The uniform back and forth rotation of the front arm drives the hand to roll in a certain range.

    ④ Finger rolling method. Hang the wrist with the radial side of the thumb finger as the point of force, close to the skin of the dry treatment site, and relax the remaining 4 fingers naturally, or make an empty fist and swing the wrist and forearm flexibly to drive the thumb to roll at a frequency of 120 to 160 times per minute Appropriate.

    Operation requirements: The doctor should sink his shoulders and elbows when applying the spell, and the place of stress should be close to the skin of the treated area. On the one hand, a certain pressure is felt in the deep part of the treatment site, on the other hand, the forceful part of the hand cannot leave or rub the skin of the treatment site when rolling. The wrist should be relaxed when rolling, and the swing should be uniform. The frequency, amplitude, and force should be determined by the condition. The operation on the human body should generally last for 5 to 10 minutes, and the technique should be skilled, soft and with a certain strength when casting the spell, so that the deep tissues consciously have rhythmic pressure.

    Clinical application: The straight rolling method is more powerful and is mainly suitable for parts with rich muscle tissue; the oblique rolling method and the side rolling method are correspondingly less powerful, and can be applied to the whole body; the finger rolling method is mostly used for joint spaces and joints with less subcutaneous tissue. Facial acupoint massage.

    (2) One-finger Zen push method: hold an empty fist, hang the wrist, straighten the thumb, cover the eye of the fist, use the tip of the thumb to put force on the surface of the treatment site, and swing the thumb between the fingers with the lateral movement of the wrist Do joint flexion and extension exercises. You can also make a fist and use the interphalangeal joint of the thumb or the dorsal bony process of the first interphalangeal joint of the second and third fingers as a force point operation.

    The finger-rolling method is similar to the one-finger Zen push method, but the former uses the radial side of the thumb end as the force point, which is characterized by the forward and backward rotation of the thumb, while the latter uses the finger end of the thumb as the force point and the left and right lateral swing of the thumb. Features.

    Operation requirements: To be proficient in the technique, the actions should be dexterous, the amplitude should be uniform, the frequency is generally 120 to 160 times per minute, and the strength should be measured in the deep tissues.

    Clinical application: Generally used for whole body acupoint massage and the treatment of local pain in the joint space.

    2. Squeeze

    (1) Pressing method: Focusing on the treatment area with fingers, palms, elbows, etc., and pressing vertically.

    The techniques are divided into the following three types:

    ① Refers to the law. Also known as the method of tapping and acupuncture. It is mainly a method of pressing the body surface of the treatment site with the pads of the first, second, and third fingers or the protruding part of the proximal interphalangeal joint with the second and third fingers flexed. According to clinical needs, it can be tapped with one finger or with multiple fingers with both hands.

    ② Palm pressing method. Press the treatment area vertically with the palm or the base of the palm. Depending on the strength of the required force, you can press with one hand or with both hands on top of each other. During operation, it can be fixed to one part and pressed, or it can be pressed back and forth repeatedly.

    ③ Press the elbow. It is a method of focusing on the treatment area with the tip of the elbow and the olecranon. According to the strength of the required strength, the other hand can be used to grasp the wrist of the caster or press it on the fist of the caster to increase the force and make the deep tissues have an effect.

    Operation requirements: The doctor should sink his shoulders and elbows, and sink his dantian. According to the law, the direction of force should be perpendicular to the body surface of the treatment site, and the force should be gradually increased from small to large. The operation should be stable and continuous. If you tap with your fingertips, you should trim your nails, and do not pinch and scratch the local skin. According to the law, the deep tissues should have a feeling of "deqi" of swelling or swelling. At the same time, this method can be combined with the kneading method, called the kneading method.

    Clinical application: This method has a wide range of applications. The finger-pressing method is often used to press acupoints on the limbs, neck, chest, waist, and back. The palm pressing method has a large contact area and is often used on the lower limbs, chest, waist, and back. The elbow pressing method is generally only suitable for the muscular parts of the buttocks due to higher pressure.

    (2) Poke and press method: In the state of joint extension, the doctor's thumb or middle finger or palm waits to focus on the treatment area, suddenly press down, and at the same time flex the extracted joint in the opposite direction of the extension, causing the wrong The method of joint repositioning. It is a representative technique of "wish to unite first to separate, to separate and recombine".

    ①Poke the back of the wrist joint: the patient’s forearm is pronated and the palm is down. The doctor uses both hands to hold the size of the thenar muscle of the patient’s injured wrist, with both thumbs up, press on the back of the injured wrist, and shake the injured wrist 5~ 7 times, then flex the palm of the injured wrist to increase the gap between the back of the wrist, and stretch the back of the injured wrist while the doctor's thumbs are pressed toward the palm.

    ②Poke the wrist joint on the ulnar side: the patient’s forearm should be supinated and the palm up, the doctor encircles the affected wrist with the opposite hand, presses the middle finger on the ulnar side of the wrist, and shakes the injured wrist with the finger ring in the other hand. ~7 times, then pull the injured wrist to the radial dorsal side to enlarge the ulnavolar bone gap, and flex the injured wrist toward the ulnar palm while pushing down in the doctor.

    ③The waist poking method: the patient is in the prone position, the doctor stands on the patient's left side, the left palm is pressed on the patient's waist, and the right forearm supports the patient's lower limbs and thighs. The doctor's right arm shook and stretched the patient's lower limbs, and then the doctor pressed the palm of the waist and suddenly slammed it down, and at the same time, the hand pulled down and stretched the patient's back.

    Operation requirements: The force of the stamping technique is relatively strong, so you must master the technique proficiently. The action must be coherent, accurate, and ingenious, and must not be rough and forceful.

    Clinical application: It is suitable for the restoration of the staggered joints and the treatment of joint capsule and ligament injuries.

    (3) Kneading method: Use the fingertips, palm surface, base of palm or tip of elbow to focus on the body surface of the treatment area, and use the appropriate force to rotate and knead. The techniques are divided into the following four types:

    ① Finger kneading method. Use the pad of the thumb to stick to the skin of the treatment site, and make the local skin and subcutaneous tissue rotate in accordance with the kneading force of the fingers. You can also use the pads of the second, third, and fourth fingers to rub the treatment site at the same time as needed.

    ② Palm rubbing method. Use the palm surface or base of the palm to focus on the skin of the treatment site and rub it.

    ③Elbow kneading method. Use the tip of the elbow to focus on the skin of the treatment area, and perform the deep tissue rotation and rubbing.

    Operation requirements: The application site should be close to the skin of the treatment site, so that the deep tissue of the treatment site has a certain degree of pressure. Because the kneading method acts on the deeper tissues of the human body, the skin and subcutaneous tissues are required to make a gyrating motion along with the kneading force without rubbing the skin. The strength control should be based on the depth of the lesion, and the movement should be coordinated, flexible and rhythmic.

    Clinical application: The kneading method is applicable to all parts and acupoints of the whole body. Clinically, different kneading methods should be selected according to the size and depth of the lesion. However, the elbow kneading force is stronger and the stimulation is stronger, generally only suitable for the waist and hips with abundant muscle tissue.

    (4) Holding method: using one hand or both hands to form a pincer with the thumb and middle fingers, or the thumb and the other 4 fingers to form a pincer shape, and repeatedly grasp or pinch the treated area, also known as pinching law.

    If you use your fingers to hold a certain muscle, tendon and other tissues and lift them up, after reaching a certain level, the picked tissue quickly slips away from your fingers. At this time, you can often hear the bounce of tissue reset, which is called elastic tendon method. If the thumb and the showing, middle and ring fingers are lifted relative to each other and rubbed, it is called the kneading method.

    Operation requirements: According to the needs of treatment, the depth can be deep or shallow, shallow can be used to pinch skin and subcutaneous tissue, and deep can be used to pinch muscles and tendons. The frequency should be as needed, the slow is 60 times per minute, and the fast is up to 100 times per minute. The movement should be coherent and gentle when holding it, so that the patient will feel soreness and relaxation. The elastic tendon method is more stimulating. Generally, it is only allowed to repeat 3 or 4 times each time, and it must not be used frequently.

    Clinical application: The holding method has a wide range of applications, all parts of the body, especially the limbs, neck, shoulders, and back.

    (5) Pinch method: The thumb is opposed to the index finger and middle finger, pinches a certain part of the skin and subcutaneous tissue, and continuously squeezes and advances along the direction of the muscles and meridians.

    Operation requirements: The pinching method must lift the skin of the treatment site. The higher the lift, the greater the irritation. Therefore, the skin and subcutaneous tissue should be appropriately lifted according to the patient's condition and tolerance.

    Clinical application: The pinch method can be applied to all parts of the body. If used on the back, it is commonly known as the "spine pinching" method. It has the function of dredging the meridians and regulating qi and blood.

    (6) Collateral dialing method: the vertical direction of walking along the muscles and tendons with the thumbs of one hand or both hands, and the method of moving the muscles and tendons horizontally. Operation requirements: This method is often complementary to the elastic tendon method, and the stimulation is strong, so it must be steady when casting, the force is rigid and flexible, and the frequency cannot be too fast. Generally, it is appropriate to pluck 3 to 5 times per operation, and can be combined with others Use it by rolling and kneading.

    Clinical application: It is mostly used for chronic injury diseases such as muscle and tendon spasm and adhesion.

    3. Friction techniques

    (1) Mofa: Use the abdomen of the fingers or the palm of the hand to make a gentle and coordinated circular friction movement on the body surface of the treatment site.

    Differentiation of technique:

    Palm massage: focus on the circular friction movement on the body surface of the treated part with the palm surface.

    ②Finger rubbing method: Use the thumb paddle or the paddles of the 3 fingers, middle and ring to exert force on the circular friction movement on the body surface of the treatment site.

    Operational requirements: This method is lighter, and friction only occurs on the surface of the skin without driving the subcutaneous tissue, which is different from the kneading method. The frequency of rubbing depends on the condition, generally 60 to 120 times per minute.

    Clinical application: It can be used in all parts of the body. Sometimes rubbing and rubbing are used in combination to make rubbing and rubbing both. Drugs can be added as a medium for rubbing at acupoints.

    (2) Rubbing method: A certain part of the finger or palm is used to focus on the body surface of the treatment part, and rub back and forth quickly and evenly in a straight line. Clinically, finger rubbing method, palm rubbing method, thenar rubbing method, side rubbing method, etc. can be selected according to different treatment sites.

    Operation requirements: The rubbing method is to make a straight back and forth movement on the body surface, the frequency is generally 80-120 times per minute, and the friction part should have a feeling of heat, so the requirements: ①The movement should be continuous, uniform, and brisk; Lengthen; ③The operator's hands and the patient's body surface should have cloth or oil emulsion medium to prevent skin abrasions.

    Clinical application: It can be used in all parts of the body. It is mainly used to treat rheumatic arthralgia and numbness of limbs.

    (3) Pushing method: Use fingers or palms and other parts to focus on the body surface of the human body to be treated, and do a uniform straight back and forth push. The difference between this method and the rubbing method is that the frequency of the pushing method is slower, about 60 times per minute, and the frequency of the rubbing method is faster; the force of the pushing method can reach deeper tissues, while the rubbing method is limited to the skin surface; the pushing method generally has no feeling of heat , And the rubbing law requires a warm feeling in the casting site.

    Differentiation of technique:

    ①Finger pushing method: Use the thumb or the radial side to focus on the body surface of the treatment site, push and move in a straight line along the meridian direction or muscle fiber direction.

    ② Palm push method: also known as the smooth technique. Press the palm of your hand against the skin of the limb, move it from the proximal end of the limb to the distal end to weigh it; push it from the distal end to the proximal end to say it is straight. Smooth strokes are often combined and applied.

    ③Fist push method: Make a fist with your hand, place your fists upwards or horizontally, use the small thenar muscle or the proximal knuckle flexion of the second, third, fourth, and fifth fingers as the force point, and push the treatment area in a straight line.

    Operational requirements: The push method should be close to the skin and exert a little force to induce the deep tissues.

    Clinical application: All parts of the body can be selected according to needs. It is often used clinically on the limbs, chest, waist and back.

    (4) Rubbing method: Use the two palms or the roots of the two palms or the radial sides of the two index fingers to face each other, clamp the treatment area and rub in the opposite direction.

    Operation requirements: light, fast and coordinated when rubbing with both hands. The amount of clamping force depends on the condition. Those with weak strength can only be under the skin, and those with strong strength can drive the muscles and make the local area feel sore.

    Clinical application: It is mostly used in limbs and neck to reconcile qi and blood, relieve muscle spasm pain and relieve fatigue.

    4. Vibration techniques

    (1) Vibration method: Press the whole palm of the hand on the treatment site, and use the rapid and rhythmic tremor of the hand to induce vibration in the deep tissue of the treatment site.

    Operation requirements: When vibrating, you must sink your shoulders and elbows, and apply pressure evenly with your palms. The pressure depends on your condition. The frequency of tremor is generally required to be 120 to 160 times per minute, and there is often local induction of swelling and heating.

    Clinical application: This method can stimulate menstrual qi and has a good antispasmodic and analgesic effect. It is mostly used in the meridian points such as limbs, trunk and abdomen.

    (2) Shake method: Hold the distal end of the affected limb with one hand or both hands, and gently do small continuous up and down or left and right shaking methods under traction.

    Operation requirements: when shaking, it should be carried out under a slight traction, the affected limb should not be bent, the force should be uniform, the amplitude should not be too large, and the frequency should be fast, so that the vibration force is transmitted along the longitudinal axis of the limb to the proximal end, so that the limb produces a rhythmic vibration.

    Clinical application: This method can relieve the spasm of muscles, ligaments, joint capsules and other tissues, enlarge the joint space, and remove adhesions. It is mostly used for painful diseases of the shoulder and waist.

    5. Exercise techniques

    (1) Shaking method: It is a method in which one hand holds the distal end of the affected limb, and the other hand presses or holds the joint of the affected limb. The circular movement of the wrist or upper limb of the doctor is used to drive the joint of the affected part to make circular movement.

    ① Shoulder shaking: straight arm shaking shoulder method: the patient takes a sitting position, naturally straighten the upper limbs, and relax the shoulders. The doctor stands behind the side of the affected shoulder in the same direction, holds the wrist of the affected limb with the hand of the same side, and holds the shoulder of the patient with the other hand, and drives the patient's shoulder to perform circular rotation with the upper limb of the doctor. Arm bending and shoulder shaking method: The patient takes a sitting position, elbows, and shoulders relax. The doctor stands on the side of the patient's shoulder, facing the patient, holding the elbow of the affected limb with the same hand, and holding the shoulder with the other hand, and the circling movement of the upper limb of the doctor drives the circling movement of the patient's shoulder.

    ②Elbow shaking: The patient takes a sitting position and bends the elbow. The doctor holds the patient's elbow with the opposite hand and fixes it; the same hand holds the patient's wrist and makes the patient's forearm rotate clockwise or counterclockwise.

    ③Wrist shaking: the method of shaking the wrist with both hands: the patient's palm is down and the wrist is relaxed. The doctor's thumbs are on the top and the four fingers are facing each other, and the patient's thenar is fastened. movement.

    Single-handed wrist swing method: the patient's palm is up or down, the doctor holds the patient's wrist in one hand and fixes it, and the other hand holds the patient's fingers, and the circular motion of the doctor's forearm drives the patient's wrist to make a circular motion.

    ④Hip-shaking: the method of flexing the legs and shaking the hips: the patient is placed in a supine position, the affected limb is bent and the hip is bent. The doctor supported his knee joint with one hand, and held the distal end of his calf with the other hand, and passively made the hip joint rotate clockwise or counterclockwise. Straight leg hip-shaking method: The patient lies on his back, the lower limbs are stretched and relaxed, the doctor stands on the affected side, holding the lower leg of the affected limb in one hand, and supporting the hip with the other hand, pulling and extending, passively rotate the hip joint internally or externally .

    ⑤Knee shaking: The patient lies on his back, the affected limb is bent and the hip is bent, and the knee is relaxed. The doctor stands on the affected side with one hand resting on the inner side of the popliteal with four fingers. The thumb and the four fingers are pressed against the medial collateral ligament or the inner knee eye, and the affected knee is attached to the doctor's chest and abdomen, and the other hand holds the lower leg of the calf. When casting the spell, shake the calf with the hand at the bottom of the calf to make a counterclockwise circular motion of the affected knee.

    ⑥Ankle shaking: One-handed ankle shaking method: The patient lies on his back and the ankle is relaxed. An assistant holds the lower leg of the affected side. The surgeon holds the affected ankle joint in one hand and the toe of the affected side in the other hand.

    Shaking the ankle with both hands: Take the lateral ankle as an example. The patient is lying on his side with the affected limb on the upper side. An assistant holds the lower end of the affected side of the calf. The surgeon holds the heel of the affected side in one hand and the back of the affected side in the other hand. Place it on the injured part of the lateral malleolus, and drive the patient's ankle joint to do a circular rotation movement with the surgeon's wrist joint.

    ⑦Neck shake: Pull and stretch neck shake method: The patient takes a sitting position, the neck relaxes, and the doctor stands behind the patient. The doctor's two forearms pressed the patient's shoulders to fix the patient's body, the doctor's wrist was flexed, his jaw was supported with four fingers, and his thumb was placed at Fengchi acupoint. When performing the spell, the doctor gradually straightened and extended the wrist joint, and at the same time shook the patient's neck with the circular rotation of the wrist.

    Neck shake back method: The patient takes a sitting position and the neck relaxes. The doctor stands on the side of the patient, presses the top of the head with one hand, and supports the chin with the other hand. Slowly shake the head and neck several times in the opposite direction with both hands, and then rotate the neck. When the machine is turned on, the hands are suddenly reversed, and the neck is rotated quickly with a little force, while the hands are loosened at the beginning.

    ⑧ Waist-shaking: Seated waist-shaking method: the patient takes the seated position, an assistant presses and supports the patient’s hips, fixes the patient in the seated position, the surgeon stands behind the patient, hugs the patient’s chest with both hands from under the armpits and lifts up slightly to perform the procedure At this time, the waist of the doctor is driven to make the patient's waist do a circular shaking.

    Standing waist shaking method: The patient stands on the side of the bed, pressing the bed with both hands. The doctor stands on the patient's side, one hand rests on the patient's lower abdomen, and the other hand presses the patient's waist. When performing the procedure, the patient's waist is driven by the circling movement of the doctor's upper arm.

    Supine waist-shaking method: The patient lies on his back, with both lower limbs bend knees and hips. The doctor presses the patient's knees with one hand and forearm, and the other hand supports the lower ends of his calves. The circular motion of the doctor's upper limbs drives the patient's waist to flex and stretch.

    Prone position waist-shaking method: The patient takes the prone position, and the lower limbs are naturally stretched and relaxed. The doctor presses the waist of the patient with one hand and hugs the thighs of the lower limbs with the other hand and moves them away from the bed. When performing the spell, the waist of the doctor and the rotation of the arms holding both lower limbs are used to drive the patient's waist to shake under the lateral force.

    Operation requirements: All kinds of shaking methods must follow the principle that the shaking frequency should be slow, and the amplitude should be increased from small to large, and it is best to be carried out under coordinated traction. Clinical application: Shaking method can relieve soft tissue spasm, loosen adhesions around joints, and restore joint function. It is mostly used for joint stiffness, joint acute and chronic sprains, and staggered stitches.

    (2) Pulling method: The doctor pulls both hands in the opposite direction to stretch and rotate a joint of the spine or limbs to make it exceed a certain range of motion instantly.

    ①Neck pull method: Neck side pull method: the patient takes a sitting position, the doctor takes a standing position opposite to the patient, the doctor holds the patient’s affected side with opposite hands, and presses the patient’s elbow fossa with the elbow to make When the affected elbow is flexed, the doctor presses the affected side's head with the other hand to make the neck bend to the healthy side. When there is resistance, gently push the patient's head 3 to 5 times, and then suddenly exert force to make the head Further lateral flexion.

    Cervical rotation reduction method: The patient sits on a low stool, and the neck is relaxed. The doctor stands behind the patient, with one thumb against the patient’s deviated spinous process, and the other side holds the patient’s mandible with the elbow fossa, and performs a slight traction. At the same time, the doctor presses the patient’s head forward and keeps the neck flexion 45 °, face the affected side and rotate 45°, and then the surgeon makes the patient's head and neck continue to rotate to the affected side, the hand of the apical spinous process forcefully pushes the tip of the deviated spinous process to the opposite side, and the joint reset is often heard Bounce.

    ② Chest pull method: also known as knee-top method, the patient sits on a low stool, with both hands drooping naturally, the doctor sits behind the patient and embraces the patient's shoulders and upper chest with his arms. Instruct the patient to tilt his head back, lean his back against the doctor, and place his head on his right shoulder. The doctor puts his right knee against the spinous process of the affected vertebra. At the end of the patient's deep inhalation and early exhalation, the doctor presses both arms and hands backward and downward, and the right knee pushes forward and upward at the same time, often audible bounce.

    ③Three pull method of waist: prone position pull method: the patient takes the prone position. The doctor pulls his shoulders with one hand, and pushes the patient’s waist with the other hand. When the push pulls to a certain limit of activity, the hand that pushes the waist suddenly jabs and presses; then the doctor pulls the lower end of his thigh with one hand, and pushes the patient’s waist with the other hand, pulling the leg as above , Poke the waist.

    Oblique pull method: The patient takes a lateral position, straightens the lower limbs, and flexes the hips and knees about 80° on the upper limbs. The doctor presses the front of his shoulder with one hand or elbow, and presses the back of his hip with the other hand or elbow, so that the lumbar spine can rotate to the maximum. When the rotation reaches the limit, the doctor suddenly exerts relative force with both hands under the cooperation of the waist and hip. Smell the snapping sound of joint reset.

    Side-lying position: The patient takes the side-lying position, an assistant supports the front of the patient's shoulders, the doctor stands behind the patient, pushes the patient's waist with one hand, and holds the lower end of the upper limb with the other hand, and pulls the patient's lower limbs backwards. The patient's waist was stretched back to its limit, and then the hand that pushed the waist suddenly pushed forward.

    ④Lumbar rotation reduction method: The patient takes a seated position, and the doctor sits behind the patient. Take the spinous process to the right as an example. An assistant fixes the patient's left lower limb in the knee and hip flexion position. The doctor uses the left thumb to push the right side of the crooked spinous process, and the right hand passes through the patient's armpit and wraps around the neck. Instruct the patient to bend forward at the waist, pull the hand around the shoulders to the side and back to rotate the waist as much as possible while pushing the thumb of the spinous process to the left. The sound of resetting is often heard.

    ⑤Shoulder pull method: basic movements include lifting, adduction, extension, and abduction. Abduction and lift: The patient takes a sitting position, bends the elbow 90°, the doctor stands on his side, bends the knees and squats, puts the affected hand on the doctor's shoulder, the doctor holds the affected shoulder with both hands and stands slowly at the same time Lift up and lift the affected shoulder abduction. Adduction: The patient takes a sitting position, bends the elbow, and puts his hand on his chest. The doctor stands behind the patient and firmly presses his back to stabilize his body. At the same time, he supports his shoulders with the same hand and holds his elbow with the other hand to make it elbow. The part moves inward and upward. Stretching back: The patient takes a sitting position, the upper limbs droop naturally, the doctor stands on the affected side, supports the shoulders with the hand on the same side as the patient, and holds the wrist with the other hand, so that the patient’s upper limbs are stretched back and the elbows are bent, and the back of the hand is attached to the waist The back moves up and down repeatedly along the spine.

    Operational requirements: The pulling method is a passive movement method. When pulling, the pulling joint must be extended or rotated to the maximum. On the basis of maintaining this position, suddenly increase the pulling range to make the force act on the being Treatment site. Because of the strong force of the pulling method, the technique should be mastered when using it, and the focus position should be accurate. It should be used with caution for those with osteoporosis and spondylolisthesis.

    Clinical application: This method has the effects of restoring the staggered joints, releasing tissue incarceration, and restoring joint motion functions. It is often used in the treatment of acute and chronic soft tissue injuries of the spine and intervertebral facet joints.

    (3) Flexion and extension method: The doctor holds the two ends of the joint of the affected limb separately, and makes the joint flexion and extension with proper traction.

    ①Shoulder flexion and extension method: The patient takes a sitting position, the doctor holds his elbow in one hand, and his wrist in the other hand, so that the shoulder is gently flexed and extended several times. After the muscles of the affected area are relaxed, they can suddenly stretch forward and upward for 2 or 3 times. The extent of extension should be to the extent that the patient can tolerate it.

    ②Elbow flexion and extension method: The patient takes a sitting position, and the forearm is supinated and the elbow is bent 90°. The doctor holds his elbow in one hand and his wrist in the other. After shaking the elbow 5 to 7 times, the elbow joint is gradually straightened and extended appropriately. Then the doctor uses the thumb holding the elbow to press down the upper end of the forearm of the affected elbow to maintain traction, and at the same time, the hand holding the wrist gradually flexes the elbow joint to Limit, and then suddenly pull and stretch to make the elbow joint as straight as possible.

    ③Wrist flexion and extension method: The patient’s forearm is pronated and the palm is down. The doctor holds the affected wrist in one hand and the four fingers in the other. After shaking the wrist 5 to 7 times, the wrist joint is suddenly stretched and flexed.

    ④Hip flexion and extension method: The patient is placed in a supine position, both lower limbs are straightened, the doctor stands on the affected side, clamps the affected leg under the armpit, and supports the calf with his hand and forearm, and presses the hip with the other hand. Pull and stretch. Then the hand supporting the hip suddenly patted the affected hip, using the moment the patient's attention shifted to flex the hip and knee joints, and pressing down on the knee to flex the hip as much as possible. Subsequently, the doctor supported the calf of the affected limb with one hand and forearm, and supported the knee joint with the other hand, flexing and extending the hip and knee joint several times.

    ⑤Knee flexion and extension method: The patient sits on the side of the bed, the body is slightly tilted back, one assistant supports the patient behind, and the other assistant holds the lower end of the affected limb and fixes the femur. The doctor holds the lower end of the lower leg of the affected limb by the lower ends of the two thighs, holds the inner and outer sides of the affected knee with both hands, and presses the thumbs of both hands on the knees and eyes on both sides. When performing the spell, the doctor uses his own backward falling force to extend the patient's knee joint distally, and uses his own knee joint flexion and extension to drive the affected knee to perform flexion and extension exercises.

    ⑥Ankle flexion and extension method: The patient takes a sitting position with the feet in a neutral position and relaxes. An assistant holds the upper part of the affected ankle and fixes it. The doctor holds the affected ankle in one hand and the toe in the other to make the ankle joint flexion and extension.

    ⑦Waist extension method: The patient takes the prone position, an assistant stands at the head of the bed and pulls the patient's arms with both hands, and the other assistant stands at the end of the bed, holding the lower ends of the patient's calves with both hands. Under the opposing traction, the doctor supports the patient with one hand. With the other hand on the patient’s waist. When performing the procedure, the assistant at the end of the bed lifts the patient's lower limbs, and the doctor lifts the patient's thighs so that the patient's waist is stretched back, and at the same time, press the waist of the hand to make it hyperextend.

    ⑧ Lumbar flexion method: The patient takes a supine position, knees and hips bend, the doctor presses the patient’s knees with one hand and forearm, while holding the patient’s buttocks with the other hand, so that the patient’s waist is bent as much as possible.

    Operation requirements: The flexion and extension techniques should first relax the patient's joints. The magnitude of the flexion and extension should be tolerated by the patient. Generally, the frequency of activities should be slow, and the amplitude should be increased from small to large. Sometimes it can be suddenly flexed or extended according to the condition.

    Clinical application: The flexion and extension technique has the effect of loosening adhesion and restoring the function of joint movement. It is mostly used for patients with poor joint flexion and extension or stiffness of joint adhesion.

    6. Percussion techniques are the techniques of hitting the treatment area with your hands. There are many different types of this technique, such as palm percussion, boxing, finger-back strike, and finger slashing.

    Operation requirements: Use virtual palms when tapping; make empty fists when tapping with fists, and the fists can be up or down; when tapping with the back of the fingers, the fingers must be relaxed; each finger must be straight and separated during splitting , Hit with the ulnar edge of the finger and the small thenar area. It can be operated with one hand or both hands at the same time. However, no matter what kind of hitting technique is used in clinical practice, the requirements: ①The wrist must be relaxed, and the flexible flexion and extension of the wrist should be used to drive the hand to do the hitting technique; It should be from light to heavy, from slow to fast, or alternate between fast and slow, coordinated, and dexterous; ③The tapping technique must be flexible and should not be hit hard.

    Clinical application: Percussion techniques can stimulate the nerve ending receptors on the body surface, promote local circulation and metabolism, and play a role in reconciling the Qi and blood of the meridians. It can be used clinically in various parts of the body and is often used as a finishing technique.

    In recent years, Longzhong bone orthopedics has continued to develop. Through the training of undergraduates, masters, doctors and teachers and apprentices, a large number of traditional Chinese orthopedics talents have been trained. Longzhong bone orthopedics has become a scale, and its main academic ideas have been continuously developed. In terms of medical diseases, he not only uses Long Chinese medicine to treat bone diseases, such as osteomyelitis, bone tuberculosis, ankylosing spondylitis, synovitis, osteoporosis, etc., but also specializes in Longzhong manipulation for treatment of limb fractures and dislocations and neck, shoulder, waist and leg pain , And its operation is simple, safe and reliable, low cost, easy to be accepted by patients, and is well-known. With the efforts of the third-generation successors represented by Professor Li Shenghua, the Longzhong Osteopathology has been systematically summarized and vigorously developed on the basis of inheriting the wisdom of sages, combining Chinese medicine and modern medicine, and summing up its own clinical experience. There are 4 sessions of Longzhong Osteopathic Manipulations held every year in the province, and 50 people are trained in each session. It has been spread in hospitals at all levels in Gansu, and has been well received by patients and benefited the land of Longyuan.

    Featured medicine of Longzhong bone setting school

    oral

    1. Mixture

    1. Detumescence and pain relief mixture

    In the early stage of trauma, broken bones, tendons, and veins are damaged, and blood from the meridians spills into the skin, causing swelling and pain. When the injury is severe, the bleeding is large, the soft tissue tension increases, and tension blisters can be produced; hematoma can also cause veins And lymphatic drainage disorder, aggravate swelling and affect fracture reduction. Qing Chen Shiduo’s "Record of Syndrome Differentiation · Bone Bone Door" has long pointed out: "People have bruises and fractures..., internal treatment must be based on promoting blood circulation and removing blood stasis. If blood is not active, blood stasis cannot be removed, and if blood stasis is not removed, bone cannot be repaired. Also.” Therefore, the dialectical legislation focuses on promoting blood circulation and removing blood stasis, promoting qi to relieve pain.

    The Chinese medicines of Xiaozhongzhitong Mixture have the effects of promoting blood circulation and removing blood stasis, reducing swelling and relieving pain. In the early stage of injury, the tissues are in spasm and pain, and there are pathological changes of exudation and edema. At the same time, the carbuncle is dissipated, the exudation is reduced, and the swelling subsides. All medicines are used together to promote blood circulation and remove blood stasis, reduce swelling and relieve pain. It is used to treat early limb swelling Pain has a better effect. It has been clinically used for several years and has a good effect.

    [Drug Name] Xiaozhongzhitong Mixture

    【Chinese Pinyin】 Xiao Zhong Zhi Tong He Ji

    [Properties] This product is brown liquid, slightly pungent, bitter in taste.

    [Main ingredients] It is composed of Angelica sinensis, Panax notoginseng, leech, Eupatorium, Qingpi, etc.

    [Functions and Indications] Promoting blood circulation, reducing swelling, promoting Qi and relieving pain. It is used for early stage of traumatic injury, swelling and pain of injury.

    [Usage and Dosage] Oral, 50ml for adults, 2 times a day, reduce the amount for children. Shake well while serving.

    [Specifications] 250ml/bottle.

    [Storage] Store in a cool and dry place, sealed.

    【Packing】Medicinal plastic bottle.

    [Approval number] Ganyao Z04000844.

    2. Heat-clearing and detoxifying mixture

    "Qingrejiedu Mixture" is based on the "Wuwei Disinfection Drink" of "Yi Zong Jin Jian", guided by the principles of TCM syndrome differentiation and treatment, and the principles of formulating prescriptions, combined with four diagnosis and screening.

    [Source of prescription] Dean Li Shenghua, a doctoral tutor and orthopedic expert in our hospital.

    [Drug name] Heat-clearing and detoxifying mixture

    【Chinese Pinyin】 Qing Re Jie Du He Ji

    [Prescription] Red Qi, Angelica, Wild Chrysanthemum, Dandelion, Chuanxiong, etc.

    [Properties] This product is brown liquid with slightly bitter taste and fresh fragrance.

    [Functions and Indications] Clearing away heat and detoxification, replenishing qi and promoting blood circulation. Used for traumatic swelling and pain and wound infection.

    [Usage and Dosage] Orally, 50ml each time, 2 times a day.

    [Preparation specifications] 250ml/bottle.

    [Storage] Sealed and stored in a cool and dry place.

    【Packing】Medicinal plastic bottle.

    [Approval number] Ganyao Z11012106.

    3. Mixture of neck, shoulder and back pain

    Neck, shoulder and low back pain is related to vertebral body and bone and joint diseases. It mainly manifests as soreness, numbness of the limbs, inability to turn sides and other clinical symptoms. It is more common in the middle-aged and elderly people. A mixture of neck, shoulder and back pain.

    [Prescription source] This is a prescription formulated by the Department of Orthopedics of our hospital after many years of clinical practice.

    【Drug Name】Neck, Shoulder and Back Pain Mixture

    【Chinese Pinyin】Jing Jian Yao Tong He Ji

    [Prescription] Pueraria lobata, Chuanxiong, Gastrodia, centipede, etc.

    [Properties] This product is dark brown liquid.

    【Functions and Indications】Relieve tendons and promote blood circulation, dispel wind and relieve pain. It is used for cervical spondylosis, frozen shoulder and lumbar disc herniation caused by neck drowsiness, inability to turn sides, numbness of the limbs, low back pain and soft legs.

    [Usage and Dosage] Oral, 50ml once for adults, twice a day. Reduce it for children, or follow doctor's advice. Shake well when taking.

    [Preparation specifications] 250ml/bottle

    [Storage] Sealed and stored in a cool and dry place.

    【Packing】Medicinal plastic bottle.

    [Approval number] Ganyao Z04000850.

    4. Gout mixture

    Gout is a common clinical disease and frequently-occurring disease. With the improvement of people's living standards, the incidence of this disease is on the rise. Aiming at the clinical symptoms of gout, such as swelling, heat, pain, flexion, and other clinical symptoms, combined with years of clinical experience, the gout mixture was developed.

    [Prescription source] This is a prescription formulated by the Department of Orthopedics of our hospital after many years of clinical practice.

    【Drug Name】Gout Mixture

    [Chinese Pinyin] Tong Fen He Ji

    [Prescription] Erhua, Gongying, Achyranthes, etc.

    [Properties] This product is brown liquid, slightly pungent in gas and slightly bitter in taste.

    【Functions and Indications】Clear heat and detoxify, reduce swelling and relieve pain. Indications for gouty arthritis and acute inflammation.

    [Precautions] Soy products and animal organs are forbidden for gout patients.

    [Usage and Dosage] Oral, 100ml once, twice a day, or follow the doctor's advice, shake well when taking.

    [Preparation specifications] 250ml/bottle.

    [Storage] Sealed and stored in a cool and dry place.

    【Packing】Medicinal plastic bottle.

    [Approval number] Ganyao Z04000848.

    2. Pills

    1. Duzhong lumbago pills

    Lumbar disc herniation belongs to the category of low back pain in Chinese medicine. It is a common and frequently-occurring disease in orthopedics, and it is the direct cause of low back and leg pain. This disease belongs to the deficiency of the essence, the deficiency of the liver and the kidney, and the deficiency of the essence is the exogenous wind, cold and dampness. The traditional method is to nourish the liver and kidney, warm the channels and dispel cold. Duzhong Yaotong Pills are made after several years of clinical practice, under the guidance of Chinese medicine theory, combined with the use of modern techniques for statistical processing, and corrected under the guidance of famous experts, to treat low back pain.

    [Preparation name] Duzhong Yaotong Pills

    【Chinese Pinyin】Du Zhong Yao Tong Wan

    【Prescription】Eucommia ulmoides, Yuanhu, gastrodia elata, soil beetle, etc.

    [Properties] This product is a brown concentrated pill.

    [Functions and Indications] Activating blood to reduce swelling, dredging collaterals and relieving pain, strengthening waist and kidney. Used for lumbar disc herniation, lumbar spinal stenosis, lumbar spondylolisthesis, bone hyperplasia, low back and leg pain.

    [Contraindications] Pregnant women should not take it.

    [Usage and Dosage] Orally, 8 capsules at a time, 2 times a day, with warm water.

    [Preparation specifications] 40g/bottle.

    【Packing】Medicinal plastic bottle.

    【Storage】Sealed, please refrigerate after opening.

    [Approval number] Ganyao Z09001921.

    3. Yishen Jiangu Pill (concentrated pill)

    Traditional Chinese medicine believes that low back pain is closely related to the essence of the kidneys, so the treatment of low back pain requires strengthening of the muscles and bones, and the foundation of strengthening the muscles and bones lies in the kidney. "Wang Shu·Wang Long Body Fluid" "The discord between Yin and Yang causes the fluid to overflow and flow down to the yin, the marrow fluid is reduced, and the lower is too weak, so the back pain and tibia are sore, and the waist is the home of the kidneys. , Kidney yin deficiency, lumbar spine loss of moisture, waist and knee pain must appear, so warming the kidney yang, filling the essence and marrow is the fundamental way to treat low back pain. Yishen Jiangu Pill is based on the advantages of traditional Chinese medicine. The principles of formulating prescriptions of traditional Chinese medicine are based on the etiology and pathology of lumbar intervertebral disc herniation, combined with modern pharmacy theories to replenish the marrow and strengthen the bones, promote blood circulation and clear collaterals.

    [Preparation name] Yishen Jiangu Pill (concentrated pill)

    【Chinese Pinyin】 Yi Shen Jian Gu Wan

    [Prescription] Salvia, Angelica, Sumu, Lubian, Shengdi, Cynomorium, etc.

    [Properties] This product is a brown concentrated pill.

    [Functions and Indications] Warming the kidney and strengthening yang, filling essence and nourishing marrow, used for chronic low back pain, lumbar disc herniation, and recovery period after lumbar disc operation.

    [Contraindications] Pregnant women should not take it.

    [Usage and Dosage] Oral, 15-20 capsules each time, 2 times a day, take rice wine or warm water.

    [Preparation specifications] 40g/bottle.

    【Packing】Medicinal plastic bottle.

    【Storage】Store in a cool and dry place.

    [Approval number] Ganyao Z09001922.

    4. Big honey pill

    Da Mi Wan has a long history of habitual application in China, and it is still popular with most patients, especially those who are physically weak. Dami Pills have many advantages, such as good absorption and digestion, especially for people with weak spleen and stomach, the elderly, and children. Taking Dami Pills is better than taking other oral dosage forms except oral liquid. Secondly, Dami Pills are easy to store. Long shelf life, no medicinal preservatives are added. Honey has fresh-keeping properties, does not spoil itself, and is a rare antibacterial preservative that is beneficial to the body; third, the big honey pills are mostly raw powder preparations, which are suitable for expensive raw materials and Chinese medicinal materials that are difficult to extract and process components. Better efficiency. Finally, the big honey pill is packaged in a single pill, which is convenient to carry.

    5. Anti-proliferative waist pills

    [Source of prescription] Department of Orthopedics Department of our hospital formulated after many years of clinical practice.

    [Preparation name] Anti-Zhengsheng Waist Pill

    【Chinese Pinyin】 Kang Zeng Sheng Yao Wan

    [Prescription] Maqianzi (sunburn), frankincense, myrrh, cohosh, etc.

    【Properties】This product is brown big honey pill.

    [Functions and Indications] Promoting blood circulation, removing blood stasis, strengthening tendons and relieving pain, suitable for elderly patients with waist and leg pain, numbness, weakness and weakness.

    [Precautions] Do not take it for heart disease, high blood pressure and pregnant women.

    [Usage and Dosage] Oral, one pill once, twice a day.

    [Preparation specifications] 9g×10 pills

    【Packing boxes.

    【Storage】Sealed, kept in a cool and dry place.

    [Approval number] Ganyao Z04000832.

    3. Capsules

    Damage capsule

    Bruises, blood stasis and pain are mainly manifested as local stasis, swelling and pain and other clinical symptoms. The damage capsules use frankincense, myrrh and other drugs. Because of their hygroscopicity and irritation, they are packed in opaque capsules to protect the drugs from the effects of humidity, oxygen, and light in the air, thereby improving the stability of the drug. , Capsules dissolve and absorb quickly in the stomach, and are convenient to divide doses, carry and store, so they are prepared into full powder capsules.

    Damage capsule contains a variety of active substances that promote bone growth and development, which can promote fracture healing, reduce swelling, and relieve pain. It is an ideal medicine for treating fractures. It has been clinically used for decades and has a significant effect.

    [Source of prescription] Department of Orthopedics Department of our hospital formulated after many years of clinical practice.

    【Formulation name】 Damage capsule

    [Chinese Pinyin] Sun Shang Jiao Nang

    [Properties] The content of this product is brick gray powder with pungent and bitter taste.

    【Prescription】Soiled turtle, Frankincense (removing oil), Myrrh (removing oil), etc.

    [Functions and Indications] It relieves pain, grows muscle, relaxes tendons and promotes blood circulation, and is used for fractures, dislocations and bruises.

    [Precautions] During medication, avoid using irritating food.

    [Usage and Dosage] Orally,  2 times a day, 4-6 capsules each time, with warm water.

    [Preparation specifications] 0.5g×45 tablets

    【Packing】Plastic box.

    【Storage】Store in a cool and dry place.

    [Approval number] Ganyao Z04000841.

    Four, syrup

    Huoxue Quyu Syrup

    Fractures and soft tissue injuries are mainly manifested by clinical symptoms such as swelling and pain in the affected area. On the basis of many years of clinical experience, the use of angelica, red peony and other herbs to prepare syrups improves the taste of the drugs and is more suitable for children to take.

    [Source of prescription] Department of Pediatric Orthopedics in this hospital formulated after years of clinical practice.

    [Drug name] Huoxue Quyu Syrup

    [Chinese Pinyin] Huo Xue Qu Yu Tang Jiang

    [Prescription] Angelica, red peony root, Bupleurum, pollen, etc.

    [Properties] This product is light brown liquid with slightly pungent gas and slightly bitter taste.

    [Functions and Indications] Promoting blood circulation and removing blood stasis, removing blood stasis and regenerating newness, reducing swelling and relieving pain. It is used for children and adults with fractures and various soft tissue injuries at the initial stage of limb swelling and pain.

    [Precautions] Pregnant women should not take it, or follow the doctor's advice.

    [Usage and Dosage] Orally, twice a day. 1~3 years old, take 15ml once orally; 4~6 years old, take 20ml each time; 7~10 years old, take 30ml once; 11-14 years old, take orally, 50ml once, shake well.

    [Preparation specifications] 250ml/bottle

    [Approval number] Ganyao Z04000851.

    Topical preparation

    1. Ointment

    1. Xiaoding cream

    [Source of prescription] Department of Orthopedics Department of our hospital formulated after many years of clinical practice.

    【Formulation name】 Xiaoding ointment

    [Chinese Pinyin] Xiao Ding Gao

    【Prescription】Black fungus, catechu, raw rhubarb, etc.

    [Properties] This product is dark brown ointment.

    [Functions and Indications] Promoting blood circulation and removing blood stasis, clearing heat and reducing inflammation, reducing swelling and pain, used for traumatic blood stasis, swelling and pain, and other local inflammatory pains, such as siphonitis.

    [Precautions] Oral use is forbidden, and it is forbidden for ulcerated purulent parts.

    [Usage and Dosage] For external use, apply the ointment on hemp paper, apply it to the affected area, and bandage with gauze, once a day.

    [Preparation specifications] 20g/box.

    【Packing】Glass bottle.

    【Storage】Sealed, kept in a cool and dry place.

    [Approval number] Ganyao Z04000858.

    2. Bone Spur Cream

    The theory of traditional Chinese medicine believes that “the liver governs the tendons, the kidney governs the bones”, the deficiency of the liver and kidney, and the dystrophy of the muscles and bones are the basis for the pathogenesis of osteoarthritis. Taking promoting qi, promoting blood circulation, removing blood stasis, dredging collaterals and relieving pain as a prescription, combined with "activating and eliminating" as a paste, clinical practice has shown that it has a good effect of reducing swelling and pain, improving joint structure and protecting joint function. This product is used for all kinds of osteoproliferative joint pain.

    [Source of prescription] Department of Orthopedics Department of our hospital formulated after many years of clinical practice.

    [Name of preparation] Bone spur cream

    [Chinese Pinyin] Gu Ci Gao

    【Prescription】It is composed of angelica, chuanxiong and papaya.

    [Properties] This product is a brown paste.

    [Functions and Indications] Promoting blood circulation and removing blood stasis, and rejuvenating joints; used for various osteoproliferative joint pain.

    【Usage and Dosage】For external use, apply to the affected area.

    【Contraindications】Pregnant women are prohibited, athletes should use it with caution.

    [Precautions] The use area should not exceed 2% of the surface area.

    [Preparation specifications] 20g/box

    【Packing】Plastic box.

    【Storage】Sealed, kept in a cool and dry place.

    [Approval number] Ganyao Z11012102.

    3. Analgesic cream

    Analgesic ointment is a traditional preparation of Gansu Provincial Hospital of Traditional Chinese Medicine for decades. Based on the clinical symptoms of carbuncle, ulcer, ulcer, swelling, swelling, heat and pain, Zhe Fritillaria, Angelica dahurica, Borneol and other drugs are used to prepare an ointment and apply it to the skin and mucous membranes for absorption Thereby, the bioavailability of the drug is improved. The clinical observation results show that the pain-relieving ointment has more than ten years of clinical application for sore carbuncle, mastitis, mumps, lymphadenitis, hemorrhoids, anal leakage, etc., and has a unique curative effect.

    [Source of prescription] Department of Surgery Department of our hospital formulated after many years of clinical practice.

    [Name of preparation] Analgesic ointment

    【Chinese Pinyin】 Zhi Tong Gao

    [Prescription] Zhejiang Fritillaria, Angelica dahurica, Yuancun, Muxiang, Rhubarb, etc.

    [Properties] This product is light yellow ointment.

    [Functions and Indications] Relieve swelling and pain, remove saprophytic muscles, and be used for carbuncle, sore, mastitis and other diseases.

    [Precautions] Oral use is forbidden, and it is forbidden for ulcerated purulent parts.

    【Usage and dosage】Appropriate amount for external use

    [Preparation specifications] 20g/box

    【Packing】Plastic box.

    【Storage】Sealed, kept in a cool and dry place.

    [Approval number] Ganyao Z04000855.

    4. Yuhong paste

    Traumatic ulcer disease manifests as wound tingling, burns, ulcers, and other clinical symptoms such as difficult mouth closure. Drugs such as angelica and light powder are used to prepare ointments, which are absorbed through the skin and mucous membranes, thereby improving the bioavailability of the drugs. It is used for moisturizing and promoting blood circulation. Resolve blood stasis, dispel rot and grow muscle, relieve pain and postoperative wound tingling, burns, sores, ulcers, etc.

    【Source of prescription】Experienced prescription of our dermatology department

    [Drug name] Yuhong ointment

    [Chinese Pinyin] Yu Hong Gao

    [Properties] This product is purple-red ointment.

    [Main ingredients] Angelica, Dragon's blood, light powder, etc.

    [Functions and Indications] Invigorate blood, grow muscles, moisturize skin and eliminate spots.

    【Usage and Dosage】For external use, apply an appropriate amount to the affected area.

    [Precautions] Oral use is forbidden, and it is forbidden for ulcerated purulent parts.

    [Specifications] 20g/box.

    【Storage】Sealed, kept in a cool and dry place.

    【Packing】Medicinal plastic box.

    [Approval number] Ganyao Z04000852.

    5. Qingdai cream

    Indigo Ointment mainly treats sore carbuncle and heat furunculus, which is mainly visceral heat, fire and toxin aggregation. Therefore, the main treatment is to clear away heat and detoxify. Indigo Naturalis has a bitter taste and coldness. The main content of indigo is 5-8% and indirubin is about 0.1%, which can clear heat. Detoxification, cooling blood to relieve convulsions, dispelling swelling, single-flavor external application, very effective for various sores, carbuncle and heat boils.

    【Source of prescription】Experience prescription of Chinese medicine department in our hospital.

    [Drug Name] Indigo Naturalis Cream

    [Chinese Pinyin] Qing Dai Gao

    [Properties] This product is dark blue ointment.

    [Main ingredients] Qingdai etc.

    [Functions and Indications] Clearing away heat and detoxification, cooling blood to eliminate carbuncle, used to treat various sores and carbuncle heat furuncle.

    [Usage and Dosage] Apply externally to the affected area several times a day.

    [Precautions] Oral use is forbidden, and it is forbidden for ulcerated purulent parts.

    [Specifications] 20g/box.

    【Storage】Sealed, kept in a cool and dry place.

    【Packing】Medicinal plastic box.

    [Approval number] Ganyao Z04000856.

    6. Eczema cream

    Eczema is mainly manifested as skin rash, erosion, body fluid oozing, itching intolerance and other symptoms. Choose red stone fat, atractylodes, phellodendron, etc., to prepare an ointment for external application to the affected area, and absorb through the skin and mucous membranes to improve bioavailability. Clinical application three For more than ten years, it has obvious curative effect.

    [Source of prescription] Experienced prescriptions of TCM department in our hospital

    [Drug name] Eczema cream

    [Chinese Pinyin] Shi Zhen Gao

    [Properties] This product is gray-blue ointment.

    [Main ingredients] Red stone fat, atractylodes, cork, etc.

    【Functions and Indications】Remove dampness, reduce inflammation, and be used for skin eczema.

    【Usage and Dosage】Appropriate amount for external use.

    [Precautions] Do not take orally, and ban on ulcerated and purulent parts.

    [Specifications] 20g/box.

    【Storage】Sealed, kept in a cool and dry place.

    【Packing】Medicinal plastic box.

    [Approval number] Ganyao Z04000857.

    Second, the prescription

    Jade red oil gauze

    This prescription is used for sore, ulcer, long-lasting mouth, etc. Its syndrome is internal resistance of fire toxin, poor blood flow, stagnation of veins, heat toxins and internal stasis, so it is used to clear heat and eliminate inflammation, detoxify, and stop bleeding. The method, shared by all medicines, has an excellent curative effect on the treatment of sore ulcers, unclosed mouth for a long time, postoperative wound healing, bedsores and other diseases. It is prepared into oil gauze strip agent, which is applied to the wound surface or filled in the cleaned abscess cavity to drain, so as to achieve the effects of anti-inflammatory and pain relief, decaying and growing muscle, and healing the wound. It has been clinically used for nearly 30 years and its curative effect is remarkable.

    [Source of prescription] Clinical experience prescription of the dermatology department of our hospital.

    [Drug Name] Yuhong Oil Gauze Strip

    [Chinese Pinyin] Yu Hong You Sha Tiao

    [Properties] This product is purple oil gauze strips.

    [Functions and Indications] Clearing away heat and reducing inflammation, promoting blood circulation, cooling blood, tightening sores and promoting muscle. It is used for the treatment of sore ulcers, difficult to close mouth, non-healing wounds after operation, or slow healing, burns, scalds, bedsores, leaky tubes, etc.

    [Usage and Dosage] After cleaning the sore surface and the wound surface with 0.01% Xinjie Ermei solution, choose a suitable size gauze to cover the affected area. If it is a leaky tube, cut the gauze into a suitable strip after washing the wound. Stuffing, one change a day.

    [Approval number] Ganyao Z04000845.

    Three, lotion

    Traumatology Cleanser

    "Traumatology Cleansing Liquid" is an external prescription based on the folk prescription "Huoxue Xiaosong Ointment", based on the classic prescriptions of predecessors, combined with more than 20 years of clinical experience, plus, minus, and screening. It has the effects of clearing away heat and detoxification, removing blood stasis and swelling, and cleansing the skin, and is mainly used for early soft tissue injuries, open wounds and acute and chronic osteomyelitis. The preparation has obvious clinical curative effect, and has the characteristics of simplicity, convenience, cheapness and experience.

    [Source of prescription] Dean Li Shenghua, a doctoral tutor and orthopedic expert in our hospital.

    [Drug name] Traumatology Cleanser

    [Chinese Pinyin] Sang Ke Jie Fu Ye

    【Prescription】Sophora flavescens, angelica, knotweed, cork, comfrey, etc.

    【Properties】This product is brown liquid with slight gas.

    [Functions and Indications] Clearing away heat and toxins, removing blood stasis and swelling, cleansing and regenerating new skin. Mainly used for early soft tissue injuries, open wounds and acute and chronic osteomyelitis.

    【Usage and Dosage】Appropriate amount for external use, rub the affected area 3 times a day.

    [Preparation specifications] 250ml/bottle.

    4. Preparations for orthopedic complications

    Jianwei Qingchang Mixture

    [Name of preparation] Jianwei Qingchang Mixture

    【Chinese Pinyin】 Jian Wei Qing Chang He Ji

    【Prescription】Rhubarb, Citrus aurantium, Magnolia officinalis, Muxiang and other 6 herbs.

    [Properties] This product is brown liquid with bitter and salty taste.

    [Functions and Indications] To invigorate the stomach and clear the intestines, it is used to prepare the intestines before the intestinal system inspection.

    [Usage and Dosage] Orally, 25-50ml each time, 2 times a day, or follow the doctor's advice, shake well when taking.

    [Preparation specifications] 250ml/bottle

    [Packing] Oral liquid medicinal plastic bottle packaging.

    【Storage】Sealed, please refrigerate after opening.

    [Approval number] Ganyao Z11012103.

没有评论:

发表评论

hemorrhoids ligation,Irritating anorectal swelling

    Irritating anorectal swelling     Anal bulging is different from anal pain. In the mild cases, local fullness and falling, and severe c...