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Traditional Chinese medicine combined therapy for thoracolumbar simple compression fracture

2012年12月12日

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Traditional Chinese medicine combined therapy for thoracolumbar simple compression fracture

 

 

GuoZhongHua Ningxia institute of traditional Chinese medicine

 

 

China's traditional Chinese medicine to

 

 

 

        Thoracolumbar compression fracture is also called the "spine fracture", "spine fractures", as is common disease, frequently-occurring disease, in order to buckling type damage see more, multiple was born in t2-t11 ~ L1. Simple compression fracture injury that appear after the back pain, activities, such limited without spinal cord and nerve root damage symptoms. X ray film and vertebral body is wedge change, compression level less than 1/2 vertebral body. CT and injured vertebral compression fractures, no bone piece into spinal canal. It is because of stability fracture, the general need not take surgery, can choose the doctor of traditional Chinese medicine bonesetting therapy.

 

        The doctor of traditional Chinese medicine treatment of thoracolumbar simple compression fracture has a long history. The card to the criterion · ulcers medical "volume six cloud:" only appropriate supine, do not turn down, after moving into a fear of loss. Emphasize on after reduction must be hard board, fracture department pad soft pillow. The YiZong JinJian · bonesetting possess message "recorded in" tong wood "and" waist column "fixed, similar to the elastic waist now. Reset method is also quite a lot, such as double ankle suspension method, cushion pillow method, climbing rope fold brick method, climb out door drag method, only bolster method now also very practical, the rest and no longer use.

 

        Thoracolumbar simple compression fracture treatment's main purpose is to restore and maintain injury vertebral height, chest and waist segment to restore spinal biomechanics performance and reduce sequela have positive significance. Clinical observation, early timely correct use traditional Chinese medicine combined therapy including cushion pillow method, herbal internal and external administration in the treatment of the disease, with functional exercise results were satisfactory, X line review shows that compression fracture vertebral body can return to close to normal height, the function recovered well.

 

        Bed rest general should strictly bed 4 ~ 6 weeks, appropriate lie hard card. 6 weeks off the bed activities, must wear waist protection. Four months after injury should avoid forward bend down action.

 

        Cushion pillow method hurt job cushion pillow patients using weight make the injured area spinal restore physiological arc bending, it can cause bone convex parts slow response, and through the cushion pillow make vertebral body to stay at a stable posture, the longitudinal ligament and intervertebral disc fiber ring produce passive stretch tension, thus maintaining the reset state injury job. Injury job cushion pillow method for injury job underlying corn millet pillow, specifications for 30 cm x 15 cm x 8 cm, corn millet pillow don't fill, to allow a sliding resistance. In addition, the author used 3 cm thick sponge fold in the waist, and heightening gradually, make the spine a stretch, also can achieve the same effect, and patients feel more comfortable and easy to accept.

 

        Acrobatics method back muscle function exercise to maintain reset, enhance back muscle, reduce backache recurrence rate is of great significance. Functional exercise method step by step, first in the injury after 1 week practice of straight-leg raising and five support method, 2 weeks three support method practice, and gradually transition to the tiny type, function exercise lasting 6 months.

 

        Traditional Chinese medicine oral medication or external after fracture early blood stasis storage in the belly, qi and blood stagnation, abdominal distension, abdominal pain, move bowels impassability, moss thin white, pulse string tight, certificate of qi and blood stasis, to appropriate of qi and blood stasis, break through the real. Party with recovery invigorate the circulation of blood soup, ke down by stasis tonga decrease, external detumescence powder. Full abdomen move bowels impassability person, moss HuangHou greasy, pulse string powerful, blood stasis syndrome of qi stagnation, the gas impassability you prefer sweeter drinks, add rocky rhubarb, or choose peach pit bearing gas soup. Is in the middle of the 2 weeks after patients lie long qi, swelling and pain is away and did not do, still activities is limited, dark red tongue, moss thin white, pulse string slow, blood stasis syndrome is not completely, bones and muscles is not complex, to appropriate invigorate the circulation of blood and camp, bone renewal bar, choose earthworm powder, YaoShang qi tonga minus, attached with bone paste. Later the waist sour leg soft, limb weakness, after a dull pain in the local activities, tongue light moss white, pulse is weak, the certificate of liver and kidney deficiency, blood two virtual, it should attach importance to improve kidney tonic, qi and blood, promoting fracture healing, liuwei dihuang decoction soup, strong waist health renal soup or eight Jane with this.