It is usually because the patient has a history of heavy alcohol consumption, long-term use of hormones, or a history of hip fracture and trauma, which will affect the blood circulation of the femoral head, resulting in necrosis of the femoral head and bone tissue, and even collapse.

In the early stage, minimally invasive methods such as decompression and bone grafting can be used for head preservation treatment of the femoral head, and for those who have obvious collapse, artificial hip arthroplasty is recommended to improve clinical symptoms.

Xu Changshan decided to go to Zhou Meng's house first to help with the follow-up, and Zhou Meng carried the old lady back to the house on the fourth floor.

Mrs. Liu asked Zhou Meng to pour tea to greet the guests, Zhou Meng made two cups of jasmine for the guests, his family is very poor, it can be described as a family with four walls, his mother is not in good health, his little salary is basically spent on medical treatment, if it is not for the poor economic situation, he will not sell the He Shou Wu left by his father.

Xu Changshan took a look at Mrs. Liu's recent examination report at the Mine Hospital, and the MRI report showed that the bone tissue of the hip joint was recovering.

Xu Changshan made some adjustments to the blood and bone broth, reducing the dosage of Angelica, Yanhusuo, and ***, which are mainly to promote blood circulation and remove stasis and analgesia, and now the patient's pain has basically disappeared, and the blood supply of bone tissue has returned to normal, so the dose is naturally reduced.

Tangerine peel, turmeric, open and depressed.

Broken bones, interrupted, cinnamon, dog spine, and bone-penetrating grass warm and yang and benefit the kidneys, strengthen muscles and bones.

Duhuo and Angelica dahurica disperse cold and dampness, reduce swelling and pain, increase the turtle and blood exhaustion, and beware of qi and blood coagulation.

Because the environment in which the patient lives is close to Qingshan Lake, it is relatively humid, and now it is early winter, and the cold is heavier, and Atractylodes and clematis have been added.

The patient's course of illness has been five years, and after cutting her pulse, it was found that her pulse was thin and tight, her ulnar weakness was not satisfactory, her yin and yang deficiency was lacking, and her kidney qi was deficient and tired.

For the weakness of the physique, astragalus, atractylodes, and purple river car are added to strengthen the spleen and dispel dampness, and nourish qi and blood.

The adjusted formula focuses on tonifying the liver and kidneys, nourishing qi and blood, dissipating cold and dampness, warming the meridians, and strengthening the muscles and bones.

Xu Changshan adjusted the prescription while teaching Xu Chunliang, the old man believed that bone disease belongs to the kidneys, which is caused by kidney qi deficiency, which can also be seen from the patient's complexion, the complexion is gloomy, and the typical color of kidney water is overflowing.

Xu Chunliang admired his grandfather more and more, not only because of his medical skills, but also because of his benevolent heart to help the world and save people.

After Xu Changshan examined Mrs. Liu's limbs, he said that her current physical condition can be used for hip reduction.

Hip dislocation is usually referred to clinically as a prolapse of the femoral head from the weak area between the iliac ligament and ischial ligament, which can form a tear in the round ligament of the posterior joint capsule and femoral head.

Hip dislocation is divided into anterior dislocation, posterior dislocation, and central dislocation, and Mrs. Liu in front of her is a typical posterior dislocation.

Manual reduction is generally carried out in a painless situation, and there is no anesthesia at present.

Following the principle of taking the lower disease, acupuncture the large vertebral acupoint, the life gate, the waist Yang Pass, the lack of thorns to open up the Ren pulse, the puncture back Xi acupoint to open up the Du pulse, the middle belly, and the sea of qi, this way the acupoint is pierced, open up the second pulse of Ren Du.

Next, through the sun and Shaoyang meridians, choose Weizhong, Waiqiu, and Kinmen respectively.

Then the viscera include the kidneys and bladder.

The final step is to pass through the Yuan Shen and choose Baihui, Yintang, and Shenmen to go under the needle.

Xu Chunliang looked at his grandfather's needlework, although the old man was old, his technique was still steady and accurate when he was doing the needle.

In traditional Chinese medicine, the dragon is nine, the tiger is six, the dragon is pure yang, and the tiger is yin. is the so-called Dragon Nine Tiger Six.

The battle between the dragon and the tiger refers to the fact that when the needle is in the three parts of heaven, man and earth, it is a supplement and a laxative. The milli needle pierced into the acupuncture point to draw qi, lifted to the heavens, rotated to the right along the qi veins, and then quickly twisted back. Acupuncture is done nine times first, and then six times of diarrhea is done back.

After doing it, go to the human department to do nine supplements and six diarrheas.

After doing it, I went to the ground and did the same nine supplements and six laxatives, all of which were twisted and turned.

The purpose of doing dragon and tiger combat techniques is to relieve pain and analgesia.

Dragon Tiger

Lifting, is insertion. Also do a supplement and a laxative in the three parts. After the whole technique is done, lift the needle to the heavens and wait here, so that the qi keeps circulating. What is the purpose? When the qi is about to pass through the joints, the joints are stuck, and the qi cannot pass, and pain is generated.

For example, someone has a dislocated body or a broken bone. If you can't get over, you can use the method of lifting and lowering the dragon and tiger to let the gas pass.

The battle between the dragon and the tiger is the twisting method, which is a pain-relieving technique with a strong anesthetic effect.

Dragon and tiger lifting is an interpolation method, the joint is dislocated, and it will only be used when the qi cannot pass.

Xu Changshan finished the nine supplements and six diarrheas of the dragon and tiger battle.

began to reset with a gyration technique, and let Xu Chunliang be his assistant.

The patient adopts 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 the other hand makes the knee joint on the affected side extremely bent and lifts the popliteal fossa upward, so that the affected limb is lifted from the knee upward, so that the affected limb is adducted from the knee to adduction, and the knee joint on the affected side is adducted from the knee to the outward, and a reverse question mark is drawn outward.

This technique is also called knee reduction method, and the key skill of the technique is that the traction force should be used slowly, and the impulse force should never be used, because patients with necrosis of the femoral head are usually accompanied by osteoporosis, and if the reduction process is not properly controlled, it is very likely to cause fractures.

After all, Xu Changshan is old, and hip joint reduction is very demanding on the physical strength of the doctor, and the old man first completed the left joint reduction for the patient, and he was already tired and sweating.

Although the pain relief effect of acupuncture was good, it lasted for a short time, and then he was able to prick the acupoints again by fighting between dragons and tigers.

Xu Chunliang really couldn't bear to let his grandfather be so tired, so he took the initiative to ask Ying to take over from him to do the work of resetting.

Xu Changshan thought about it for a while and agreed, and re-guided the main points of the reset technique.

Xu Chunliang asked Zhou Meng to take over the work of his assistant, fixed the patient's right ankle joint with one hand, and pulled the affected limb into the whirlpool method with the rotation method.

The patient only has a little pain, but as the joint is reduced, the pain disappears quickly, as the so-called long pain is better than short pain.

Xu Changshan asked the patient to move the joints of her legs, checked it for her, and was sure that it had indeed been successfully reset, and couldn't help but sigh in his heart, the back waves of the Yangtze River pushed the front waves, and a new generation replaced the old people, and he was still old after all, and this kind of reduction still had sufficient physical strength as a guarantee.

sighed and couldn't help but be surprised, it seems that there are successors to the Rejuvenation Hall, just from the grandson's reset method today, decisive and accurate, and he has his own style back then.

Xu Changshan explained to Zhou Meng, do not let the patient get out of bed within three days after reduction, do not bear weight within three months, do an MRI every six months, if you are okay after three reexaminations, you can basically rest assured, this femoral bone replacement surgery can be completely avoided.

Zhou Meng was very grateful to their grandfather and grandson, and sincerely wanted to keep them for dinner, but Xu Changshan said that he still had a few patients to visit, so that Zhou Meng could take good care of his mother, and other things would be talked about later.

When the two men went out, Zhou Meng chased them out again and took out a thousand yuan to the old man.

Xu Changshan put on a straight face, if Zhou Meng is like this, he will not be given a follow-up in the future, and the thousand yuan will be kept to honor his mother.

Zhou Meng was so moved that his eyes were red, and he kept sending the two of them downstairs, and wanted to send them again, but Xu Changshan refused to let them.

In the morning, Xu Chunliang accompanied his grandfather to a few more houses, some of them had passed away, some of them had already moved away, and the old man had brought so many traditional Chinese medicines, and only a small half of them were sent out. Walking down in a circle, it was already noon, Xu Changshan originally planned to stay in the mining area for a day, but everything had been done in half a day.

When he went back, he passed by the door of Mrs. Wei again, looking at the high-rise buildings under construction in a circle, Xu Changshan shook his head, and could not hide the loss in his heart.

The times change, the rise and fall of industry, and the upgrading of industry cannot be changed, Xu Changshan pointed to the coal mine not far away and told his grandson that he had exercised there for a period of time in the early seventies, so that he could clear the remnants of feudal thinking.

Accept the transformation of the working class.

He was in the mining area, the clinic could not be opened, the family had lost their source of income, and his wife was alone with three children, all of whom supported them by picking up scrap metal and providing them with school.

Those days were the lowest point in his life, and if it weren't for the help of these simple workers in the mining area, he might not be able to survive.

Xu Chunliang saw that his grandfather missed the past very much, and people were like this when they were old, so he proposed to accompany his grandfather to the mine to have a look, and Xu Changshan had this intention.

Now there are no workers in the Qingshan mine, and a stone monument is erected at the entrance, indicating that it has become a provincial-level cultural relics 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 Orientals for a long time, and during that time, they frantically excavated coal resources, and used the railway to continuously transport coal to Haizhou, where it was loaded back to Neon, and there are still many buildings from the Japanese occupation period on the mine.

The gate of Qingshan Mine is locked, it is currently not open to the public, Xu Chunliang found the old man who was the gatekeeper and stuffed him with two packs of cigarettes, and the old man immediately gave them the green light, reminding them that they are usually not allowed to come in, and today is an exception for them, let them go in and do not touch things, do not enter the mine without authorization, and must leave within three hours.

Xu Chunliang wanted to temporarily store the snakeskin bag containing medicinal materials in the communication room, but the old man had to hold it, so Xu Chunliang had to carry it, and there was half a bag of medicinal materials and medicinal wine inside, although it was not too heavy, but it looked like an escape, which seriously affected the image of the sect leader Xu.

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