巴渝魏氏正骨流派论治桡骨远端骨折经验

Experience of Bayu Wei’s osteopathy school in treating distal radius fractures

巴渝魏氏正骨流派治疗桡骨远端骨折主张“能保守勿手术,能微创勿开放”。保守治疗以“察色扪骨、望形分龄、各施其法”为总纲,“牵拉划弧折顶分骨”为关键复位技术。内服方药、两期辨证,补肾活血贯穿始终;外用“银珠粉”贴敷患处,使用新型有限触压夹板固定断端以减少肿胀,配合屈肘悬吊减少移位;理筋结合练功加速伤肢康复。该诊疗方案提高了桡骨远端骨折保守治疗的效果,丰富了中医治疗骨折的理论。

Bayu Wei’s osteopathy school in the treatment of distal radius fractures,which advocates“conservative treatment without surgery,minimally invasive treatment without opening”.The conservative treatment is based on the principle of“viewing the skin and feeling the bone,observing the shape and dividing the age,apply their respective methods”.The core reduction technology is“traction and pulls on the radius,abduction and supination of the wrist,compression of the fracture end and turning to the opposite side,separation of the radius and ulna”.Internal medication,two-stage syndrome differentiation,tonifying the kidney and promoting blood circulation throughout the entire process.Apply“Yizhu Powder”externally to the affected area,use a new limited contact pressure splint to fix the broken end to reduce swelling,and cooperate with elbow flexion suspension to reduce displacement.Combining muscle management with martial arts to accelerate the recovery of injured limbs.This diagnosis and treatment scheme improves the effect of conservative management for distal radius fracture,and enriches the theory of traditional Chinese medicine for fracture treatment.