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如何應用鳳陽門正骨千手大法於橈骨遠端骨折之病例報告

The Case Report of Distal Radius Fracture Treated by The Feng Yang Men Bone-setting Manipulation

摘要


橈骨遠端骨折為跌倒時,以手緊急撐地之常見傷害,若未適當復位及固定,致復原情況不理想,常造成病患日後之手部活動不利及功能受限。本病例為八十九歲女性,跌倒時以左手撐地導致左側橈骨遠端骨折,經西醫徒手整復後以石膏固定,卻因瘀青腫脹仍難消、疼痛劇烈造成血壓飆升與嚴重影響睡眠而求助於中醫。應用鳳陽門正骨千手大法將西醫整復不良處重新整復後,使局部循環恢復而瘀青腫痛消散迅速,使骨折處接觸面積增加而加速骨折癒合。整復後固定再搭配內服、外敷中藥之中醫整體治療,使骨折處的結構及功能迅速恢復!本篇文章主要提出並討論使用鳳陽門正骨千手大法整復橈骨遠端伸直型骨折的正骨手法,提供給各位同道參考。

並列摘要


Distal radius fracture is a common injury when people fall onto an outstretched hand. If the fracture is not reduced or fixed appropriately, it will result in bad recovery situations, including limitation of wrist movements and wrist dysfunction. This case is concerned with an 89-year-old woman who fell onto her left hand and resulted in her left distal radius fractures. Although orthopedic surgeons used nonoperative treatment by bone-setting manipulation and casting for immobilization, bruise and pain were not alleviated. Because of soaring blood pressure and severe sleep disturbance caused by severe pain derived from her fracture, she turned to Chinese medicine to resolve her problem. After the application of the Feng Yang Men bone-setting manipulation to this unsatisfactory fracture reduction, bruise and pain were dissipated by restored local circulation, and fracture healing was accelerated by the increment of contact in this area. The overall treatment of traditional medicine, including fracture reduction, fixation, oral medicines and topical medicines, made the structure and function of the fracture recover rapidly! This article presents and discusses the use of the Feng Yang Men bone-setting manipulation for Colles’ fracture, and provides reference for the same medical industry.

參考文獻


David J Petron, MD: Distal radius fractures in adults. UpToDate. Literature review current through: Jun 2015.
Lewis, MH(1978).Median nerve decompression after Colles's fracture.J Bone Joint Surg Br.60(B(2)),195.
李端雲、張國伏、楊小軍、陳煒璋、袁友保(2009)。石膏外固定腕關節不同位置治療colles骨折的療效分析。中華現代臨床醫學雜誌。7(3),202。
栗景陽、榮國威、貢小英(2001)。30例嚴重colles 骨折非手術治療療效分析。中華創傷雜誌。17(7),402-404。
張志豪(2014)。遠端橈骨骨折。臺大醫網。109(85),18-19。

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