Song Yi

Chapter 167 Chair Osteopathic Reduction
Pang Yuqin said: "Soothing the liver and regulating qi..., is it good to use aurantium husk and green skin?"

Du Wenhao said: "Okay, but to soothe the liver and regulate qi, the best medicine is Bupleurum and Yujin. Adding these two medicines, the effect will be even better."

"understood."

"Soft and firm, what medicine are you going to use?"

"Prunella vulgaris, seaweed, xanthophyll seeds!" Over the past few months, Pang Yuqin has learned a lot about the main effects of commonly used traditional Chinese medicines.

"Well, it's best to add Fritillaria and silkworm, which are also commonly used medicines for reducing phlegm, eliminating gall, softening hardness and resolving stagnation, and can be used in combination."

"Oh."

"Are you taking any other medicine?"

Pang Yuqin thought for a while, shook her head, blushed and said, "That's all."

"While softening and hardening, it is best to invigorate blood and nourish blood, melt and revitalize, two-pronged approach, isn't it better?"

"Well, if you want to promote blood and nourish blood, then add angelica and red peony root!"

"Yes, you can also add moxibustion to the beehive to help eliminate gangrene. In addition, for this kind of cyst, it is best to add external medicine Xiaoxiao ointment and Xiaohe powder to attack internally and externally, and the effect will be better."

While the two of them were talking, Pang Yuqin had already transcribed the prescription with a pen, 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, seemed a little embarrassed to look around.

Du Wenhao said: "What's the matter? Seeing a doctor when you are sick, why are you embarrassed?"

"No, no, I'm not sick, it's..., this, I..." The man lowered his voice, and said, "I have to go to the lobby in the afternoon, and I may be boarded. I want to ask the doctor if there is any medicine for me first." I'll eat a little, it won't hurt too much, and don't leave any internal injuries?"

Du Wenhao smiled, and ordered Yingzi to fetch a small porcelain bottle of Panax notoginseng powder from the inner house, and a small bottle of topical local anesthetic: "Here, before going to court, first swallow this packet of powder with water, and then use this small bottle of water Pour it on the cotton to wipe the buttocks and thighs. You won’t feel any pain during the spanking, the bleeding will be less, and there will be no congestion in your body after the spanking. But be careful, don’t let your hands touch the potion, or you will lose it all the time. Don't expect to move your hands all day, remember clearly?"

"Remember clearly!" The man took the notoginseng powder and anesthetic carefully, and asked, "Does this stuff work?"

"Have you ever been boarded before?"

"I've suffered too much. My youngest surname is Pi. I'm a lawyer for other people, so I'm nicknamed 'Pi Hou'. Every time I go to court in a lawsuit, I have to take the board first. If I lose the lawsuit, I have to suffer even more. I've been dying, so I'm afraid, I heard that you know some ancient medical skills, doctor, so I came here to ask you if there is any good way."

When Du Wenhao heard that this guy turned out to be a litigator.The ancients did not advocate litigating lawsuits, let alone litigating lawsuits for others. Especially before the Ming and Qing Dynasties, people who litigate for others were called Litigation Sticks.Despite this, there are still some gangsters who are relatively familiar with the Yamen and are forced to live, relying on their strong bodies to fight lawsuits for others.The ancients believed that going to court to fight a lawsuit was a shameful thing, especially the defendant, so they were willing to spend money to hire such a person to go to court for them.Of course, if the lawsuit is lost, the two of them will suffer together, but this cannot replace it.

Du Wenhao said: "Since you've been through the board, that's good. You'll know if my medicine doesn't work. If it works, you can help me out with a few words. If it doesn't work, you can ask me to refund the money. How about it?" ?”

"That's good! That's good! If it's really effective, I'll pass it on to you outside. There are many people who sue me, and there are also many people who are punished. I'll help you sell it. As long as it works, someone will definitely buy it." !"

Pi Hou cheerfully paid the consultation fee and left with two bottles of medicine.

At this time, Du Wenhao heard a quarrel with Yan Miaoshou next to him, turned his face to look, and saw a young patient talking to Yan Miaoshou loudly: "I said Doctor Yan, I heard that you are the head of Lord Qian of the Supreme Hospital." Disciple, the nickname is Miaoshouhuichun, the medical skills should be right, why have you helped me treat this arm for almost a month, and it is still like this, are you using your heart to treat it?"

Yan Miaoshou stared and said, "Why didn't I put my heart into healing? Why do you talk like this?"

"It's been a month, and you've healed my injury and it hasn't improved at all. It's still easy for me to talk like this. It made me angry. I yelled in the streets and alleys! What nonsense, Hua Tuo's magical skills, is there a Hua Tuo like you? ? Then Hua Tuo is 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 was dislocated, it took too long, it's not easy to reset it, it can't be done after several times."

When the young patient heard this, he quickly got up and said, "You are Doctor Du, right? I have come here a few times and wanted to see you for treatment, but there are too many people on your side, and I am too lazy to line up. The grandson saw that I came here several times, the medicine was wiped off, and the two of them pulled my hand hard and pulled it again, saying they wanted to reset it, but it didn't work."

Du Wenhao asked the young patient, "When did you hurt your elbow?"

"For two months, I was driving a carriage to transport firewood. The horse was frightened, the cart overturned, and my left hand was sprained. Huirentang and Yuanruntang have been to see it, and Dr. Zhuang and Dr. Tang have seen it, but it can't be cured. Well, I can’t reset it, and one hand is useless. I heard that you have a genius doctor from Wuweitang who knows Hua Tuo’s magical skills, so I came to see you, but your apprentice or grandson seems to be incapable of medical skills. Or show it to you."

Du Wenhao asked him to take off one side of his clothes, carefully inspected the injury on the elbow, and said in a deep voice: "Your elbow dislocation is old, if it can be reset in time at that time, it will not be so much. Yue, this is very troublesome. It is normal for the doctor to be unable to return to the position for a while, so don’t worry too much. If it is not possible, I can help you reset it with surgery, but the surgical reset will leave a certain degree of joint dysfunction. It is a good choice. So let’s try manual reset first.”

When the young patient heard this, he said happily: "Ginger is still old and hot. I said that old ginger refers to medical skills, not age. Doctor Du, please treat me quickly. I have lost all my hands. After a month, how much money has been lost, and the whole family is still waiting for me to earn money to support the family."

Du Wenhao nodded, and ordered Wu Cong to bring a basin of warm water, and poured two bottles of bone-setting water for bruises prepared by the pharmacy into it, and asked the patient to soak his injured elbow in the water.Explain to Hantou and the others, wait for the water to cool before changing it, and soak it four times in a row.Check and find that the soft tissue of the elbow is soft, and then rub the elbow and triceps of the patient with bone-setting potion for bruises until the skin becomes hot.

After explaining, Du Wenhao then went back to see a doctor.

An hour later, after soaking and rubbing here, Du Wenhao came over and taught Yan Miaoshou to relax the patient's tendons and adhesions, and asked him to flex, extend, varus, valgus and rotate the patient's elbow joint, from light to heavy , From slow to fast, the activity lasts for half an hour.

Then, let Yan Miao hold the upper arm of the patient tightly with both hands, and let Hantou hold the wrist of the affected limb tightly with both hands, so that the elbow joint can be kept in a semi-flexed position to resist pulling and stretching, so as to relieve the contracture of the triceps.

After this series of preparatory activities for relief, the affected joint has been loosened and has a certain range of motion.Du Wenhao used acupuncture to anesthetize the patient's elbow, applied local infiltration anesthetic, and began to formally reset.

Du Wenhao was on the wooden bar of a long armchair, wrapped in a soft towel, asked the patient to lie down on his back, put the affected limb around the back of the chair from the wooden bar wrapped with the towel, and asked Yan Miao to hold the upper arm of the patient with both hands And fix it, let Hantou hold the wrist of the affected limb tightly with both hands, and maintain the semi-flexed position of the elbow joint. Du Wenhao stands beside the patient's elbow, pushes the convex olecranon forward with his palm, and Yan Miaoshou and Hantou fight Pulling and stretching, the three of them exerted force slowly, evenly and continuously at the same time.

As the flexion of the elbow joint gradually increased, all three of them felt the slight clicking sound of the olecranon sliding into the trochlea of ​​the humerus over a cup of tea!
"It's done!" Du Wenhao exclaimed happily. After checking the three points on the back of the elbow, it has returned to normal, and the elbow can slowly flex and extend normally!
The young patient was overjoyed and thanked him repeatedly.

Du Wenhao said: "Don't worry, your elbow needs to be immobilized with a splint to reduce swelling, otherwise there will be trouble."

Du Wenhao took the bone-setting splint, slowly bent the affected elbow into a right angle, and fixed the affected elbow with the splint for suspension traction. You have to remove the splint, and you have to take the necessary medicine fumigation. You can finally fully recover. During this period, you need to do more flexion and extension of the wrist and finger joints. You don’t need to take any other medicine.”

The young man nodded repeatedly, thanked him a thousand times, took the consultation fee, and left happily.

This kind of immediate trauma recovery surprised all the patients waiting for treatment in the pharmacy, and whispered that Dr. Du was really skilled in medicine.

With shame on his face, Yan Miao said, "Master, so you are so proficient in bruises? You are really good at rejuvenation!"

Du Wenhao smiled: "My uncle is an old doctor. He owns a pharmacy and is good at all kinds of medical skills. I have studied medicine from him since I was a child. I have learned all these bone-setting methods. This kind of old elbow joint reset cannot be as good as a fresh one. For one-time reduction like elbow dislocation, full preoperative preparation is very necessary, and the reduction can only be started after the soft tissue of the joint and the adhesion and contracture of the joint capsule are loosened, and the reduction process must not be rushed to avoid causing new damage.”

Hantou smiled and said: "Master, it's the first time we've seen you use this long back chair to reset joints. It really works!"

"This is also learned from my uncle. The reset technique you two use is like tug-of-war. It doesn't work. The force is not uniform, 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 failed. .”

Yan Miaoshou nodded again and again, and sighed sincerely: "Master's wonderful methods of curing diseases are frequently produced, and the whimsical ideas are amazing. In the future, when encountering difficult medical cases, it is better to ask Master for advice more often."

(End of this chapter)