名中医温建民治疗拇外翻术后经验

Experience of national famous TCM practitioner WEN Jianmin in treating after hallux valgus surgery

拇外翻是指拇趾向外偏斜超过正常生理范围的一种足部畸形,是前足最常见的病变之一,温建民教授采用中西医结合微创技术治疗拇外翻,在术后根据“二期分治”骨折病理念,综合考虑患者术前“肝肾亏虚,阴阳失衡”、术后早期“血瘀水停,骨折筋伤”、晚期“肝肾亏虚,筋骨未坚”的基本病机,遵循标本兼治的原则,术中充分松解外侧结构,术后应用补肝肾、强筋骨类药物强健筋骨,嘱咐患者避免进行久立、久行相关的活动,减少拇外翻的复发,在早期应用愈骨一号方活血利水,晚期应用愈骨二号方补益肝肾,强筋壮骨,以达到加速拇外翻术后恢复、减少并发症发生的效果。

Hallux valgus refers to the abnormal eversion of the hallux beyond the normal physiological range,which is one of the most common forefoot deformities.Professor Wen Jianmin uses an integrated approach of Chinese and Western medicine with minimally invasive techniques to treat hallux valgus.Based on the“two-stage fracture treatment”concept in pathology,he comprehensively considers the patient’s preoperative“liver and kidney deficiency,imbalance of yin and yang”,early postoperative“blood stasis and water retention,fracture and tendon injury”,and later“liver and kidney deficiency,tendons and bones not strong”basic pathogenesis.Following the principles of treating both symptoms and root causes,he fully releases the lateral structures during surgery,and applys liver and kidney reinforcing,bone and tendon strengthening medicines after surgery.His patients are advised to avoid long periods of standing and walking to reduce recurrence of hallux valgus.In order to accelerate postoperative recovery of hallux valgus and reduce complications,Yugu No.1 formula is used early to activate blood circulation and drain dampness,and Yugu No.2 formula is used later to tonify the liver and kidney and strengthen tendons and bones.