It is usually because the patient has a history of drinking a lot of alcohol, taking hormones for a long time, or has a history of hip fracture and trauma, which will affect the blood circulation of the femoral head, resulting in necrosis of the femoral head, bone tissue, and even collapse.
In the early stage, minimally invasive methods such as decompression and bone grafting can be used for head-preserving treatment of the femoral head. For cases where obvious collapse has occurred, artificial hip replacement is recommended to improve clinical symptoms.
Xu Changshan decided to go to Zhou Meng's home to help with the follow-up consultation, and Zhou Meng carried his mother back to his home on the fourth floor.
Old Mrs. Liu asked Zhou Meng to pour tea to greet the guests, and Zhou Meng made two cups of jasmine for the guests. His family was very poor, and it could be described as living in poverty. His mother was in poor health, and most of his salary was spent on medical treatment.
, if the economic situation was not so bad, he would not sell the Polygonum multiflorum left by his father.
Xu Changshan took a look at Mrs. Liu's recent examination report at the mine hospital. The MRI report showed that the bone tissue of the hip joint was recovering.
Xu Changshan made some adjustments to the Huoxueyanggu Decoction, reducing the dosage of Angelicae Sinensis, Corydalis Corydalis, and Rhizoma Corydalis. These are mainly to promote blood circulation, remove blood stasis, and relieve pain. Now the patient's pain has basically disappeared, and the blood supply to the bone tissue has returned to normal. He can do it naturally.
Output reduction.
Tangerine peel and turmeric can relieve depression and promote qi.
Drynariae, Dipsacus Dipsacus, Cinnamon, Dog's Ridge, and Rhizoma Polygonatum warm yang and nourish the kidneys, strengthen muscles and bones.
Duhuo, Angelica dahuricae dispels cold and dampness, relieves swelling and pain, increases the symptoms of phlegm and blood deficiency, and prevents stagnation of qi and blood.
Because the patient's living environment is close to Qingshan Lake and is relatively humid, and it is the early winter season and the cold is severe, Atractylodes and Clematis have been added to the treatment.
The patient had been ill for five years. After taking her pulse, it was found that her pulse was thin, tight, weak and dissatisfied with the lower limbs, deficiency of shaoyin and yang, and exhaustion of kidney qi.
For those with weak constitution, add Astragalus, Atractylodes, and Ziheche to strengthen the spleen, remove dampness, and replenish qi and blood.
The adjusted prescription focuses on nourishing the liver and kidneys, replenishing qi and blood, dispersing cold and dampness, warming the meridians, and strengthening the muscles and bones.
While Xu Changshan was adjusting the prescription, he taught Xu Chunliang steadfastly. The old man believed that bone disease belongs to the kidneys and is caused by kidney qi deficiency. This can also be seen from the patient's complexion, which is gloomy and has a typical kidney water color.
Xu Chunliang admired his grandfather more and more, not only for his medical skills, but also because of his benevolent heart to save people. The old man who came to the mining area today was not just for money. He didn't take any of the medicine he brought to the old patients.
,In today’s era, there are not many conscientious doctors like grandpa.
After Xu Changshan examined Mrs. Liu's limbs, she said that her current physical condition allowed her to undergo hip joint reduction.
Usually clinically referred to as hip dislocation, it means that the femoral head protrudes from the weak area between the iliac ligament and the ischial ligament, which can cause a tear in the posterior joint capsule and the round ligament of the femoral head.
Hip dislocation is divided into anterior dislocation, posterior dislocation and central dislocation. The old lady Liu in front of me is a typical posterior dislocation.
Manual reduction is usually performed without pain. Currently, there is no anesthesia. Xu Changshan first performed acupuncture for Mrs. Liu to relieve pain.
Following the principle of treating disease at the lower end, acupuncture Dazhui acupoint, Mingmen, Yaoyangguan, acupuncture Lieqi to open up the Ren meridian, acupuncture Houxi acupoint to open up the Du meridian, Zhongwan and Qihai. After acupuncture of this acupoint is completed, Ren Du is opened up.
Second pulse.
Next, we choose the Taiyang and Shaoyang meridians, Weizhong, Waiqiu, and Jinmen respectively.
Then clear the internal organs including Shenshu and Bladdershu.
The final step is to connect with Yuanshen and choose Baihui, Yintang, and Shenmen for acupuncture.
Xu Chunliang watched his grandfather perform acupuncture. Although the old man was old, his technique was still steady and precise when performing acupuncture.
In traditional Chinese medicine, the dragon is nine and the tiger is six. The dragon is pure yang and the tiger is yin. It is the so-called dragon, nine and tiger six.
The battle between dragon and tiger means that when the needle is in the three parts of heaven, man and earth, it is tonic and purge. The needle is inserted into the acupuncture point to draw Qi, lifts to the heaven part, rotates to the right along the Qi meridians, and then quickly twists the needle back.
The method is to do nine times of tonic first, and then go back to do six times of purgation.
After finishing it, go to the Human Resources Department to do nine tonics and six purgatives.
After that, go back to the ground and do the same nine tonics and six purgatives, all using the twisting method.
The purpose of doing the Dragon-Tiger Combat Technique is to relieve pain and relieve pain.
dragon tiger
Lifting and lowering means inserting and lifting. Similarly, perform one tonic and one purgative on the three parts. After the whole technique is completed, raise the needle to the sky and wait here to keep the Qi circulating. What is the purpose? When the Qi needs to pass through the joints, the joints
When it gets stuck and the breath cannot pass, pain occurs.
For example, if someone has a dislocated joint or a broken bone and the energy cannot pass, use the method of raising and lowering the dragon and tiger to let the energy pass.
The battle between dragon and tiger is done by twisting method. This analgesic technique has a strong anesthesia effect.
The Dragon-Tiger lifting method is a thrusting method, which is used only when the joints are dislocated and the breath cannot pass.
Xu Changshan finished the nine tonics and six purgatives of the battle between dragon and tiger.
He began to use maneuvers to reset his position, and asked Xu Chunliang to be his assistant.
The patient is in a supine position. Xu Chunliang presses both sides of the patient's pelvis with both hands. Xu Changshan fixes the ankle joint with one hand and uses the other hand to bend the knee joint on the affected side extremely and lift the popliteal fossa upward, so that the affected limb is lifted upward from the knee.
, let the affected limb retract from the knee inward to inward, make the knee joint on the affected side retract from inward to outward, and draw a reverse question mark outward.
This technique is also called knee traction reduction. The key technique of the technique is to exert traction force slowly and never use momentum, because patients with femoral head necrosis usually have osteoporosis. If the force is not mastered properly during the reduction process,
Very likely to cause fractures.
After all, Xu Changshan was old, and hip joint reduction required a lot of physical strength from the doctor. The old man finished the joint reduction on the patient's left side first, and he was already sweating profusely from exhaustion.
Although acupuncture was effective in relieving pain, it only lasted for a short time. Next, he used the dragon-tiger method to prick the acupoints again.
Xu Chunliang couldn't bear that his grandfather was so tired, so he volunteered to take over his job to do the reset.
Xu Changshan thought about it for a while but agreed, and re-instructed the key points of the reset technique.
Xu Chunliang asked Zhou Meng to take over the work of his assistant, fixing the patient's right ankle joint with one hand, and using a roundabout method to lift and adduct the affected limb. Xu Chunliang's movements were crisp and agile. Xu Changshanben wanted to remind him to pay attention to his control strength.
Before he could say anything, Xu Chunliang had already successfully reset the joint.
The patient only had a slight pain, but as the joint was restored, the pain quickly disappeared. As the saying goes, long-term pain is not as good as short-term pain.
Xu Changshan asked the patient to move the joints of her legs and checked her. He was convinced that the reset had been successful. He couldn't help but sigh in his heart. The waves behind the Yangtze River push the waves ahead. A new generation replaces the old. After all, he is still old. This kind of reset still needs to be sufficient.
physical strength as a guarantee.
While sighing, I couldn't help but be surprised. It seemed that there was a successor to Huichun Hall. Judging from Sun Tzu's reset method today, he was decisive and accurate, much like his own style back then.
Xu Changshan told Zhou Meng that the patient should not get out of bed for three days after the reduction, and he should still not be able to bear weight within three months. An MRI should be done every six months. If everything is fine after three reexaminations, he can basically rest assured. This femoral head replacement surgery is completely complete.
No need to do it.
Zhou Meng thanked them profusely and sincerely wanted to keep them for dinner. However, Xu Changshan said that he still had a few patients to visit and asked Zhou Meng to take good care of his mother and talk about other things later.
When the two men went out, Zhou Meng chased them out and gave the old man a thousand yuan.
Xu Changshan had a serious face. If Zhou Meng behaved like this, he would not give him follow-up consultations in the future. He should keep the thousand yuan to honor his mother.
Zhou Meng was so moved that his eyes were red, and he kept sending the two of them downstairs. He wanted to send them off again, but Xu Changshan refused to let them go.
In the morning, Xu Chunliang accompanied his grandfather to a few more houses. Some people had passed away and some had moved away. The old man had brought so many Chinese medicines, but only half of them had been given out. After walking around, it was already noon. Xu Changshan originally
I planned to stay in the mining area for one day, but I finished everything in half a day.
When going back, he passed by the door of Mrs. Wei again and looked at the rows of high-rise buildings under construction. Xu Changshan shook his head, unable to hide the disappointment in his heart. Maybe next time he comes back, this workers' village carrying historical memories has already
No more.
Times have changed, the rise and fall of industry, and industrial upgrading cannot be changed. Xu Changshan pointed to the coal mine not far away and told his grandson that he had practiced there for a period of time in the early 1970s, asking him to eliminate the remaining feudal thoughts.
Accept the transformation of the working class.
He was in a mining area, the clinic could not be opened, and the family had lost its source of income. His wife and three children had to rely on picking up rags and scrap metal to support the three of them and send them to school.
Those days were the lowest point in his life. If he hadn't relied on the help of these honest workers in the mining area, he might not have been able to survive.
Xu Chunliang saw that his grandfather missed the past very much, which is what people do when they get old, so he proposed to accompany his grandfather to the mine to have a look. Xu Changshan had exactly what he wanted.
There are no workers in Qingshan Mine now. There is a stone tablet at the entrance, indicating that it has become a provincial cultural relic protection unit, but it is not a tourist attraction open to the public.
Xu Changshan told his grandson that the Qingshan Mine had been occupied by the Japanese for a long time. During that time, they frantically mined coal resources and used railways to continuously transport the coal to Haizhou, where it was shipped back to Neon.
, there are still many buildings from the Japanese colonial period remaining on the mine.
The gate of Qingshan Mine was locked, and it was currently not open to the public. Xu Chunliang found the old guard and gave him two packs of cigarettes. The old man immediately gave them the green light, reminding them that no one was allowed in.
Today we made an exception for them. They were asked not to touch anything or enter the mine without permission. They must leave within three hours.
Xu Chunliang originally wanted to store the snakeskin bag containing the medicinal materials in the reception room temporarily, but the old man insisted on holding it, so Xu Chunliang had to carry it on his back. There was half a bag of medicinal materials and medicinal wine in it. Although it was not too heavy, it looked like he was on a run for it.
It seems to have seriously affected the image of many great leaders.
