Both traditional Chinese and western medicine to severe fracture avoiding amputation

ZhaoJiRong LiShuJun WangYu Gansu institute of traditional Chinese medicine

China's traditional Chinese medicine to

        On August 7, 2010 22, a well-known rare disaster sadly, gannan Tibetan autonomous prefecture ZhouQuXian plunged strong rainfall, many people are still in a dream, is from the river rushed out of the debris flow whirl, and little su is one of the survivors, only 17 years old, she was in a deep sleep in sudden mudslides rushed out very far, double lower limbs by mudslides in sundry parts, and washed out of the slab clamp in the debris flow in the water for eight hours, provincial and outside experts, experts on several rounds of traditional Chinese and western medicine consultation, amputation life became the focus of the experts to discuss, has been the scene of the disaster relief gannan boat song of provincial department of LiuWeiZhong director come all the way from boat song to host little su illness consultation, LiuTingChang personal house please overnight in gansu province's most famous traumatology experts consultation guidance treatment, to set up a special project team: both traditional Chinese and western medicine treatment, finally let tenacious little su ushered in the dawn of life, now she is to achieve a traditional Chinese physician and efforts. The doctor of traditional Chinese medicine in the treatment of the disease about some of the experience to carry on the analysis summary, for everybody reference.

        To begin with patients have been right ankle fracture fixed, at that time affected part: right ankle surrounding tissues ring defect, defect width 15 × 20 cm2, ankle front, pretibial tendons, with tendon exposed, tendons surface black, heel skin peel, the wound with a lot of purulent secretion, there is peculiar smell, right foot back, plantar skin color pale, skin temperature is low, foot back shallow artery not touch, peripheral circulation is poor, hypoesthesia, left crus middle severe soft tissue crush injury, subcutaneous gore blue.

        Diagnosis: 1. Right ankle surrounding tissues defect and infection; 2. Right ankle joint debridement, fixed postoperative; 3. Left lower limb soft tissue injury; 4. The top left tibia fractures.

        According to the situation at that time, the panel discussion to determine the therapeutic principles: both traditional Chinese and western medicine, limb-salvage treatment and recuperation body combination. Treatment: 1. Clear wounds as soon as possible the necrotic tissue according to the wound condition to anti-inflammatory therapy, the normal growth of granulation tissue, and to make local blood circulation to improve; 2. Because local (mainly foot) blood supply is very poor, advanced to avoid rush to fixed with right foot activities cause the further injury of the blood vessels; 3. According to the defect granulation tissue growth situation, option forward clear necrosis tendon tissue, to ensure that the granulation tissue good growth; (4) strengthen the support treatment, correct hypoalbuminemia and metabolic disorders, anti-inflammatory and symptomatic treatment; 5. Right ankle external fixation; 6. Left tibia fracture line gimmick reset small plate external fixation treatment. In the western medicine treatment at the same time, we according to patients with various periods of different situations, the doctor of traditional Chinese medicine dialectical argument, in order to foster and improve their resistance, traditional Chinese medicine and traditional Chinese medicine combination of internal and external, bones and muscles pay equal attention to, pathogenesis inside and outside.

        First visit patients local tissue defect serious, tibia exposed formation section, the wound has purulent secretion, there is peculiar smell, right foot back, plantar skin color pale, tongue reddish, moss micro greasy, pulse count.

        The doctor of traditional Chinese medicine syndrome differentiation: hot poison intrinsic, deficiency of vital energy not bracket. To to make up for the spleen yiqi, complete with heat to wet, Toni disinfection powder add and subtract: main astragalus root of 20 g, 20 g of rhizoma atractylodis macrocephalae, poria cocos 10 grams, angelica dahurica 10 grams, angelica 10 grams, chicken's gizzard-membrane 10 grams, coix seed 15 grams, dandelion 20 grams, honeysuckle 15 grams, Bi Xie 10 grams, honeysuckle stem 15 grams, gleditsia sinensis Lamarck 10 grams, yuan and 10 grams, the divine comedy 10 grams, 10 g dried tangerine or orange peel, dangshen 10 grams. Water Fried points clothing, daily 1 agent.

        External treatment with traditional Chinese medicine hospital of traditional Chinese medicine in gansu province first made in two lotion is rinsed repeatedly affected part, make its organizational necrotic tissue and purulent secretion rinse clean as far as possible, avoid empyemata further damage the normal tissue, then use moist burn cream on the wound, reoccupy jade red gauze block covered his, and every day a dressing.

        The internal and external treatment after a week wound secretion gradually decreased, but the wound surface color still with gray is given priority to, considering patients evil poison gradually clear, lack of qi and blood. Cure to qi and blood tonic is given priority to, party to eight Jane soup change cutting, dangshen 15 grams, radix astragali 30 grams, prepared rehmannia root 15 grams, rhizoma ligustici wallichii 10 grams, poria cocos 10 grams, rhizoma atractylodis macrocephalae 10 grams, red paeony root 10 grams, angelica 15 grams, liquorice 5 grams, three slices of ginger, jujube six COINS. Water Fried points clothing, daily dose.

        Ten days later wound surface color into ruddy bleeding. Followed by an tonifying spleen green blood of the agent, the party to spleen-invigorating soup change cutting, 30 grams of astragalus, codonopsis pilosula 15 grams, rhizoma atractylodis macrocephalae 10 grams, fushen 10 grams, angelica 10 grams, polygala 10 grams, radix aucklandiae 5 grams, born hawthorn 15 grams, rhizoma acori graminei 10 grams, cinnamon 3 grams, the ginger 3 pieces, jujube six COINS. Water Fried points clothing, daily dose.

        Patients granulation tissue grew well. After two months of treatment, the right lower limb necrosis defect by tissue hyperplasia tissue growth filling cover, with artificial skins, patients clinical cure the hospital.

        According to the case of traditional Chinese medicine in surgery, patients wound is big, time is not more, be faced with the danger of amputation. Accepts when the wound with a purulent secretion, the color gray, when for hot poison intrinsic, qi and blood is insufficient, lack of qi and blood can't bracket poison out, and pus not, consumption injury qi and blood, and will not more. As the medical portal "cloud:" wound not gathered, the muscle is not born; muscle is not born, the carrion don't go; carrion don't go, because not strong, the spleen and stomach qi and blood is not busy; service to make up for Joe is given priority to, and assist in promoting blood circulation through the medicine." This period to make up for the spleen yiqi, heat to wet for cure, party by Toni disinfection powder add and subtract. Party of reuse astragalus membranaceus, because of the spleen and stomach can raise temperature born muscle, tonic SAP and Joe boils, for the boils home effective medicine.

        Pus after all the Lord with birth muscle long meat for the purpose, tonifying qi and blood for treatment, the surgical authentic "cloud:" the spleen and stomach qi zhuang and fill, make pus particle from row, gas from the solution, dead meat from collapse, the new meat authigenic, food from into, soring since gathered." Party to eight Jane soup change cutting, the inside and outside and cure wound surface color by original gray into ruddy bleeding, followed by an tonifying spleen green blood of the agent, the party to spleen-invigorating soup change cutting. Treatment within, to foster the general, tonifying spleen and stomach is given priority to. Such as "surgical card to encyclopedia" cloud: "the spleen and stomach muscles, the Lord, the convergence, the spleen and stomach qi, otherwise shut strong, fan qi and blood, the decay yesterday, this life toward the pus day, what about the delay time." The spleen and stomach tonic, yiqi green blood ideas, always throughout the disease of treatment.

        External treatment, Chinese traditional medicine external treatment to protect wound, promote wound granulation tissue and the blood supply, jade red gauze piece of covering wound and fill the missing organization lacuna inside, make its wound avoided because outside pollution and cause further damage, on the other hand plays a promoting blood circulation, born muscle, urges the granulation tissue growth role.

        This case through both traditional Chinese and western medicine, internal and external stagnation, bones and muscles and comprehensive treatment, make its defect tissue growth, after skin graft, the preservation of the lower limbs. This is a typical through the combination of TCM and western medicine therapy to clinical cure case, through this case, so that we in the future clinical work to further play to the advantages of treatment of traditional Chinese and western medicine, traditional Chinese and western medicine treatment of complementarity, provides a good idea and method.