Liao, xia, TCM history (78) (era) series

Five, orthopedics

Jinyuan period, the government set "ZhengGu and gold Zu families", further establish the important status in medical h. This period of bells "always" and "parallel to fang fang" and "effective prescription" about the ZhengGu bodies discussed in orthopedics, reflects the learning, diagnosis and treatment for making significant development.

(a) and the technological progress: the diagnosis of the wound of Moslem prescription according to shape, depth, the extent of damage muscle bones the trauma is divided into ten etc. "Always kind of laryngeal trauma introduced fong bells, scrotal trauma and abdominal trauma bowel out debridement technique of suture, advocate using" song "white mulberry line suture needle; Special introduce diagnosis trauma bowel perforation, think "not cure". The prescription "application" and "hemostatic method, on the" a "will hurt a little beyond from injury, and the body than BieTi tied to put high (raise) enable blood hurt limb to force cannot come to the method of wounds. The one from injury, a little beyond the band in self-injury, will be tied back to bind, complex bind tightly tied back, the blood could stop determined."

(2) fracture dislocation treatment technology achievements: this period on human head, chest back, spine, the limb fractures and dislocations diagnosis, classification and treatment had some discussion. Including spinal, humeral fractures reset and patella fracture fixation created new method etc.

The diagnosis of about a fracture-dislocation of the classification, dangerous also Lin will extremities fractures and joint dislocation, classified as "six out of mortar, four fold bone," "six limbs mortar" refers to the shoulder, elbow, wrists, hip, knee, ankle joint dislocation, six "four fold bone" means the humerus, forearm bone, femoral and tibial fractures peroneal four long backbone. Dangerous also emphasized the Lin when fracture to touch identify diagnostic bone shift direction; Before the first recorded above shoulder dislocation and dishes are under two types dislocation. Also pointed out that a fracture-dislocation of the ankle department turn inward and have two types eversion maneuver. The effect of parallel to the party when described the parts and wrist joints and ankle parts of the damage, including these parts of the fracture dislocation. The Moslem prescription "describes the course of fracture healing and limb fracture healing agenda: notes that children fracture healing is due to its growth ability more adult flourish of reason. The reason that influence fracture healing has four aspects, namely, wash too much, remove the fixed premature, improper premature and diet activities. Which remove fixed premature and activities is not reasonable, modern clinical as cause fracture delay healing or nonunion factors. The treatment of fractures, the Moslem prescription "was also reset and external fixation with internal and external medicine in the method. More in books in the proposed method: "fractures dragging, both darling tied tied. Those on both sides and to tied together. JiuJi still (back)" This period to different parts of body bone and joint injury dislocation of the diagnosis and treatment technology in different degree of progress, presently points as follows:

Cervical spine fracture dislocation. The water first record of bells square "said:" whoever Zuo into neck bone, use a handkerchief a, rope, department and a stalk, jandova hangs down, although with towel, cela tied around the connect is in afterbrain twisted rope head but to watts Ying a five or six inches high, see Zuo into the shallow depth, consider height, make straight with people sitting on its leg sit quietly to king import and export trading. Medical hands smooth and speak in it, si with kick to Ying son." This pocket Ying carotid sit, was a traction fast reset, though no, but its modern quadriceps USES similar with traction reset, but medical history initiative. France's gayle sen G1issor) to (1677 years to application similar suspension cervical spine injury with treatment. "Always" also introduces such bells party position, make the wounded lie with her hands healers who lead and two feet tread the wounded shoulders against traction reset cervical spine fracture. The prescription "think, injury and death in my joints on a pew speed" also use traction reset method for treatment of thoracolumbar fractures. "always kind bells square," account of thoracolumbar fractures, puts forward to the wounded stomach, climbing doors rim, hands two feet up the doctor traction, another healers who use hand press local "climb out door dial. This is law" reset medical history earliest application hyperextension method records of spine fracture restoration. "and" is think reattachment prescription should "make patient supine, with a hard pillow put back up" treatment, which can be regarded as the modern "waist pillow mat method" is correct and disregarding the merger described by fracture spine of spinal cord injury completely paraplegia and incompleteness of paraplegia symptoms.

The flaps of Moslem prescription method of fracture spine introduced three kinds, the first kind is the LiZhongNa soar door tugging stretch method ". The second approach is to introduce the "sages took doppler suddenly thorn (method of" Demeter is let patients prone bed, use cloth belt crossover cross stretched upper body and the lower body, in a great each stretch, then put the patient, healers who carry up by hand press spinal local or "boldly set back hard cuju patients in the bone into the." This "carry pressure", the 19th century British surgeon Thomas's (H.O master Thomas, 1843 ~ 1891) had recommended, therefore the modern western known as "Thomas's law", and the third way is to let patients prone on the bed, with a board, a back injury spans fixed to the wall after you push hard on the other end, wood kept fracture restoration, fracture restoration, the prescription of claim and placed with board piece is fixed, the spine bandage later called "waist column" fixed method, principle and dangerous also Lin's waistline splint method are the same. In addition the Moslem prescription) first describes the tail, and creative cone fractures in applying the middle finger into the valley, touching the bone forcibly ways according to its own place, also advocated by "reset" may be less and food, how to perform injuries from shit, "these therapies and in view is very scientific and practical value of clinical and today.

Shoulder dislocation of the reset method, with "dangerous also Lin pestle palm sits stool law" and the "frame ladder law." Its after fall Lin that the principle of similar "chair type" method. The prescription of the shoulder dislocation and introduced three new reset law: one is "hand sufficient pedal method", the second is "Qian law", is the wounded were hurt the doctor with his shoulders, make segments for shoulder against the wounded shoulder, then take the wounded alar Qian up to reset. The third method referred to resemble modern "secco Kerr's law" (Kochers 1870), also advocated to shoulder dislocation reattachment "ten" word bandages with fixed, the bandage fixing method, to the 19th century French's Velpeau lipper (since, 1795 ~ 1867) advocate application called "was lives in Nashville in pukou bandages," the baby shoulder injury caused by the dislocation, prescription "also recorded bodies, and advocate using the above ACTS reduction manipulation.

"Always kind bells introduced to treat" two square "shoulder... if that bone brain righteousness out" surgical neck fracture displacement humerus, "use of bag, such as wrist before the, wrist in a department; if left behind a discount to right, right out of fold left brachial. He then left the humerus namely bun, meet the right touch right." always touched left either party, "not only the first of the bells humerus surgical neck fracture into adduction type and the flexor type, still have also been introduced in clinical applications of adduction, extension, outside the flexor correct into Angle shift. Dangerous also reset fixed method of Lin" hands buttock, including a mortar ", such as the elbow on the humerus fractures condylar fractures, etc. Dangerous also about "Lin records of mortar" arm out, is actually on the humerus fractures condylar during orthopaedic therapy. The earliest record of the history on the humerus fractures unbend condylar unilateral splint fixed method, which is beneficial to fracture healing, and serious foot position, partial or scratch migration is part correct.

"Always kind bells with" sticky "party introduced knees method" the differential diagnosis of the hip dislocation, before and after that "with people than in the knees, such as not sticky and knees, it is a inward, such as sticky knee cannot open to outside," is a hip dislocation parting diagnostics before - "sticky," modern medicine knees levy YiLiShi levy, is called the twentieth century just reported. Threat of dislocation of the hip, hip already recognize also Lin is truss mortar joints, application suspension reduction method. The flaps of Moslem prescription introduced dislocation of the hip method has 3: it is "suspension law"; One is in "hand based on foot law" add cloth belt traction upper body and limb; One is adopted to anterior dislocation method of limb adduction reset. This "adduction method" is LiZhongNa initiative.

Femoral fractures: "run" account the prescription femoral, patellar, tibial phil, foot waist metatarsal bone, calcaneal fractures and knee, such as introduction of reduction method dislocation is traction, chuai knead reset; Also on the femur between forward knees with a pillow stretched karzai and rehabilitation limb fixed together. Patella fracture to invent the tuck circle fixed method. "Always kind of patella fracture record party bells, and puts forward QuQuWei reset by" half bamboo hoop "bamboo circle, this method is fixed so far clinical applications. In the meantime, "forever" in describing such bells party when knee injuries, is presented first blood ", with acupotomology to the method is scientific. So far for knee injury clinical hematoma still stand for the suction of articular cavity hemorrhage, in order to prevent the articular adhesion, for knee dislocation, dangerous also recorded the Lin dislocation, think "knee joint hands with elbow out," says that reset mortar shall not be fixed after.

Foot on a fracture-dislocation of the reset law: joints to effect the parallel with the fa "account fang, points out that it is a fracture-dislocation of the turn inward and eversion occurred two types. This paper introduces the application of traction, reverse reset method.

Fracture dislocation treatment: besides gimmick "always kind bells reset outside the party" also injured houzhou Daniel renewal of broken party content and when using part of the kidney, promoting blood circulation to remove blood stasis, JianGu qi-deficiency wounds, dangerous also fractures a fracture-dislocation of the familiar Lin reset after fixation of the activities, such as his elbow reset after fixation FangDing, or forward "not bowed with ye again when dragging straight, here, take medicine reinforced after unyielding straight, if is fear into a disease, in the future the merits." shall not be The knee for also pointed out: "after taking the drug, always use bend and not fixed put." (both see the passing of 18) to both sides to roll joints drill even.

(serial, to be continued)