Chapter 166: Chair orthopedic repositioning
Pang Yuqin said: "Loosen the liver and regulate qi...... is it good to use citrus aurantium and green skin?" ”
Du Wenhao said: "Okay, but to soothe the liver and regulate qi, the best medicine is Bupleurum and Yujin, plus these two medicines, the effect will be better." ”
"Understood."
"Soft and hard knots, what medicine are you going to use?"
"Prunella vulgaris, seaweed, yellow medicine!" In the past few months, Pang Yuqin has known a lot about the main effects of commonly used Chinese medicines.
"Well, it's best to add fritillary and zombie silkworms, which are also commonly used drugs to dissolve phlegm and eliminate galls, soft and hard to disperse knots, and can be used in combination."
"Oh."
"What other medicines do you use?"
Pang Yuqin thought about it, shook her head, and said with a red face: "That's all." ”
"While the soft and hard knots are dissolved, it is best to invigorate the blood and nourish the blood, and it is both transformed and lived, isn't it better?"
"Well, if you want to nourish the blood, then add angelica and red peony!"
"Yes, you can also add moxibustion beehives to help eliminate gangrene. In addition, for this kind of cyst, it is best to add external medicine dissipation ointment and Xiaonu powder dressing, internal and external pinching, the effect is better. ”
In the process of the two of them, Pang Yuqin had already taken a pen and copied the prescription and recorded it, sent it to Du Wenhao for re-examination, and sent it to the medicine cabinet to pick up the medicine.
The next patient, with a smiling face, looked around and looked a little embarrassed.
Du Wenhao said: "What's the matter? Why are you embarrassed to see a doctor when you are sick? ”
"No, no, I'm not sick, it's ......, this, I ......" The man lowered his voice and said, "I have to pass through the lobby in the afternoon, and I may have to be boarded, I want to ask the doctor, is there any medicine for me to take a little first, it won't hurt too much, and don't leave any internal injuries?" ”
Du Wenhao smiled, and instructed Yingzi to take a small porcelain bottle of Panax notoginseng powder from the inner house, and took a small bottle of topical local anesthetic: "Well, before going to the court, swallow this bag of powder with water, and then pour this small bottle of water on cotton to wipe your buttocks and thighs, and when you beat it, you won't feel pain, there will be less bleeding, and there will be no blood in your body after the beating." But be careful, don't let your hands touch this potion, or you won't expect your hands to move all day, remember? ”
"Remember!" The man carefully took the notoginseng powder and anesthetic and asked, "Does this thing work?" ”
"Have you ever been boarded before?"
"I have suffered too much, the small surname Pi is a lawsuit for others, and people give the nickname 'Thick Skin'. Every time you go to court in a lawsuit, you have to be beaten first, and if you lose the lawsuit, you will suffer more, and you will die in pain, so I am afraid, I heard that the doctor will have some ancient medical skills, and I will come to you to ask if there is any good way. ”
When Du Wenhao heard this, this guy turned out to be a lawyer. The ancients did not advocate lawsuits, let alone lawsuits for others, especially before the Ming and Qing dynasties, people who came forward to fight lawsuits for others were called lawsuits. Despite this, there are still some gangsters who are more familiar with the yamen and are forced to live, relying on their strong bones and fighting lawsuits for others. The ancients thought that it was a shame to go to court to fight a lawsuit, especially the defendant, so they were willing to spend money to hire such a person to go to court for themselves. Of course, if the lawsuit is lost, the two will suffer together, but this cannot be replaced.
Du Wenhao said: "Since you have been beaten by the board, then it's good, if my medicine doesn't work, you will know if it works, if it works, you can help me declare a few words outside, if it doesn't work, you can ask me to return the money." How is it? ”
"That's good! That's a good idea! If it really wants to be effective, I'll pass it to you outside, there are many people looking for me to sue me, and there are many people who are hit by the board, I'll help you sell it, as long as it's easy to use, someone will definitely buy it! ”
Pi Houle paid the consultation fee and left with two bottles of medicine.
At this time, Du Wenhao heard a quarrel on Yan Miaoshou's side next to him, turned his face to look, and saw a young patient talking loudly to Yan Miaoshou: "I said Doctor Yan, I heard that you are the first apprentice of Master Qian of Tai Hospital, and your nickname is Miaoshou Rejuvenation, your medical skills should be right, why have you helped me treat this arm for almost a month, or is it like this, do you use your heart to treat it?" ”
Yan Miaoshou glared and said, "Why didn't I use my heart to cure it, why do you talk like this?" ”
"It's been a month, and you haven't healed my injury at all, and I'm still talking lightly like this, which makes me angry, and I shout in the streets and alleys! What kind of bullshit Hua Tuo magic skills, is there a Hua Tuo like you? That Hua Tuo is almost no longer a vegetable seller on the street. ”
Du Wenhao frowned, got up and asked, "What's wrong?" ”
Yan Miaoshou stood up and said with a smile: "Master, it's nothing, his elbow is dislocated, it takes too long, it's not easy to reset, and I can't do it after getting it several times." ”
When the young patient heard this, he hurriedly got up and said, "You are Dr. Du, right?" I came a few times and wanted to find you to treat my injuries, but there were too many people on your side, and I was too lazy to line up, so I asked your apprentice or apprentice grandson to see, and I came several times, and the medicine was also wiped, and the two of them pulled my hand and pulled and pulled, saying that they wanted to reset, but it didn't work. ”
Du Wenhao asked the young patient, "When did you hurt your elbow?" ”
"It's been two months, I drove the carriage to transport firewood, the horse was frightened, the car overturned, and my left hand was sprained, Huirentang and Yuanruntang have been to see, Doctor Zhuang and Doctor Tang have seen it, but it can't be cured, there is no way to reset, one hand is wasted, I heard that you have a miracle doctor from Wuweitang, who will Hua Tuo's magic skills, so I came to you to see, but your apprentice or apprentice seems to be unable to do medical skills, or you can take a look."
Du Wenhao asked him to take off one side of his clothes, carefully checked the injury at his elbow, and said in a deep voice: "Your elbow dislocation is old, if you can reduce it in time at that time, there will be so many things, and it will be delayed for two months, which is very troublesome." It's normal that the healer can't return to his position for a while, so don't be too anxious. I can use surgery to help you realign, however, surgical reduction will leave a certain degree of joint dysfunction and is not the best option. So let's try manual reset first. ”
When the young patient heard this, he said happily: "Jiang is still old and spicy,—— I said that this old ginger refers to medical skills, not age, Doctor Du, you can treat me quickly, I have lost one hand, how much money have I earned in the past two months, and the family is still waiting for me to earn money to support my family." ”
Du Wenhao nodded, instructed Wu Cong to bring a basin of warm water, poured two bottles of bruises-injured bone water prepared by the pharmacy, and asked the patient to put the injured elbow into the water to soak. Explain to them, wait for the water to be cold, and then change it, and soak it four times in a row. The soft tissues of the elbow were found to be soft, and the patient was then rubbed with the bruising solution until the skin was hot.
After explaining, Du Wenhao went back to diagnose the patient.
After an hour of coming, after soaking and rubbing, Du Wenhao came over and taught Yan Miao's hands to relax the patient's tendons and loosen adhesions, and asked him to flex, extend, invert, valgus and rotate the patient's elbow joint, from light to heavy, from slow to fast, and move for half an hour.
Then, let Yan Miao hold the patient's upper arm tightly, let Han Tou hold the wrist of the affected limb with both hands, and maintain the elbow joint in a semi-flexed position to do confrontation and stretch traction to relieve the contracture of the triceps.
After this series of relieving preparations, the affected joint has loosened and has some range of motion. Du Wenhao used acupuncture to anesthetize the patient's elbow, rubbed the local infiltration anesthetic, and began to officially reduce.
Du Wenhao wrapped the wooden strip of a long backrest chair with a soft towel, told the patient to lie down and lie down, put the affected limb around the back of the chair from the wooden strip wrapped around the towel, let Yan Miao's hands hold the patient's upper arm with both hands and fix it, let Han Tou hold the wrist of the affected limb with both hands, and maintain the semi-flexion position of the elbow joint, Du Wenhao stood next to the patient's elbow and pushed the convex olecranon forward with the palm of his hand, and Yan Miao's hand and Han Tou did the confrontation and stretch traction, and the three of them used slow, even, and continuous force at the same time.
As the flexion of the elbow joint gradually increased, and with a cup of tea, all three of them felt the slight click of the olecranon sliding into the humeral trochlea!
"That's it!" Du Wenhao shouted happily, the three-point sign behind the elbow has returned to normal, and the elbow has been able to slowly flex and extend normally!
The young patient was overjoyed and thanked him.
Du Wenhao said: "Don't worry, your elbow must be fixed with a splint to reduce swelling, otherwise there will be trouble." ”
Du Wenhao took a bone fixation splint, slowly bent the affected elbow joint into a right angle, and fixed the affected elbow with a splint for suspension traction, and advised: "Don't move around like this, keep it for about half a month, and then I will remove the splint for you, and carry out the necessary drug fumigation." Eventually, you will be able to make a full recovery. During this period, you will need to do more flexion and extension activities of the wrist and knuckles. You don't need to take any other medicine. ”
The young man nodded again and again, thanked him for his kindness, took the consultation fee, and left happily.
This kind of immediate trauma reduction made the patients waiting in the entire pharmacy feel very surprised, and whispered that Dr. Du is really like a god.
Yan Miao's face was ashamed, and he said, "Master, it turns out that you are so proficient in bruises?" You're a great rejuvenation! ”
Du Wenhao smiled: "My uncle is an old doctor, he runs his own pharmacy, and he is good at all kinds of medical skills. This kind of old elbow joint reduction, can not be reduced at one time like a fresh elbow dislocation, it is very necessary to fully prepare before surgery, only when the soft tissues of the joint, the adhesion and contracture of the joint capsule are loosened, can the reduction begin, and the reduction process must not be rushed, so as not to cause new damage. ”
He smiled and said, "Master, it's the first time we've seen you use this long-backed chair to reset the joint." It really works! ”
"This is also learned from my uncle, the reduction technique used by the two of you is like a tug-of-war, that doesn't work, the force is uneven, and the patient is not easy to cooperate, it is easy to cause the body to move, and the strength cannot be exerted, so it fails."
Yan Miaoshou nodded again and again, and sighed sincerely: "The master's wonderful methods for curing diseases are frequent, and the whimsical ideas are breathtaking. In the future, when you encounter difficult cases, you should ask your ancestors for advice. ”