I don’t know the location and extent of your sprain. If you have a fracture or dislocation, you must first go to the hospital for surgery and find an experienced orthopedic surgeon to reset and fix the bones! General soft tissue injuries Closed injuries: 1. In the early stage, the main treatments are to activate blood circulation, remove blood stasis, reduce swelling and relieve pain: (1) Elevate the affected area, bandage with pressure and apply appropriate braking. (2) Selection of medicines for external application: 1. Goose does not eat grass, black medicine, verbena or parasol. Mash equal amounts or dry them in the sun and grind them into powder. Add an appropriate amount of wine for external application. 2. Dieda Powder (paste): Tianji Huang, when blood is seen, chicken bones are fragrant, penetrate the bones to eliminate, Mao She is fragrant, grind both sides of the needle into powder, mix well with water and wine for external application; or add Vaseline to make an ointment for external application. 3. Shuangbai Powder (paste): 2 taels each of Platycladus orientalis and rhubarb, 1 tael each of Phellodendron cypress, Adenophora adenophora, and Mint. Grind into powder, mix well with water and wine, and apply externally; or add Vaseline to make an ointment for external application. (3) Medications for oral administration: 1. 5 qian of Aesculus aesculus or 5 qian each of large and small ribs, decocted in water and taken. 2. Blood stasis dissipating and relieving pain decoction: 3 qian each of angelica root, red peony root, Jihu, Akebia, and Yanhu, 2 qian peach kernel, 1.5 qian each safflower and licorice, add or subtract according to syndrome differentiation, decoct in water and take. 3. Patent medicines: Qili Powder, Diedai Pills, or Yunnan Baiyao. (4) If the pain is severe, new acupuncture (ear acupuncture, body acupuncture) or drugs can be used to relieve the pain. (5) Closure therapy: Use 20-40 ml of 0.25-0.5 procaine solution for partial closure, limb closure or girdle closure. It is recommended to closely observe whether shock or crush syndrome occurs so that preventive and treatment measures can be taken as early as possible. 2. In the later stage, the focus is on regulating qi and activating blood, relaxing muscles and activating collaterals: (1) When there is still obvious hematoma, the accumulated blood can be extracted by aseptic puncture and then bandaged under pressure. (2) Local hot compress or fumigation: Use 1. Equal amounts of Ai Ai, Trachelospermia, Ivy, and Liuerling, mash, apply hot compress or boil water for fumigation. 2. Sanya bitter leaves, double-eyed dragon leaves, small rhizome leaves, and Jiujie tea, 5 qian each for fresh use, mash, add wine and water to decoct and take; apply the residue externally or decoct it with water and fumigate it, once a day. 3. 5 qian each for Acanthus genus, Uncaria, and Wangbuliuxing, 3 qian each for Fangfeng, Clematis, and Acanthopanax bark, decocted in water, fumigated and washed. (3) Medications for oral administration: 1. 1 liang of Lorus, 5 qian each of Kuangjinteng and Qianjinba, 5 jujubes, decocted in water and taken. 2. Huoxue Shujin Decoction: 3 qian each of Angelicae Sinensis, Sichuan Duan, Qianghuo, Fangfeng, and Clematis, 2 qian each of Niacin, Qingpi, and Frankincense. Add or subtract according to syndrome differentiation, decoct in water and take. 3. Huoluo Pills (patent medicine): suitable for pain caused by long-term blood stasis and difficulty in flexion and extension of limbs. 4. Huqian Pills (patent medicine): suitable for weak Qi and blood, weak muscles and bones after injury. (4) Massage therapy: Use massage techniques such as kneading, rubbing, pushing, pinching, or elastic tendons and collaterals on the affected tissues or muscles, tendons, pain points, and Shu points; you can rub it with bruise oil, bruise wine, or wintergreen oil. massage. (5) For patients with a longer course of disease, 25 mg of hydrocortisone acetate can be added to 5 to 10 ml of 0.5 to 1 procaine solution for local injection, once every 5 to 7 days, three times as one course of treatment. (6) Functional training: Give full play to the subjective initiative of the injured and strengthen limb function training. Such as waist and back muscle exercises, thigh quadriceps exercises, shoulder lifts and arm swing exercises, etc. Open injuries: 1. Minor injuries can be debrided, sutured or bandaged. 2. For serious injuries, complex wounds, and open injuries whose nature cannot be determined at the moment, first aid should be given on the spot. (1) Immediately use sterile gauze or use a cleaner hand towel or cloth on the spot to bandage the wound, and immobilize and elevate the affected area appropriately. (2) If there is open injury to the limb and there is a lot of bleeding, a tourniquet can be applied if the pressure bandage is ineffective (Details: War Injury Rescue). (3) Actively prevent and treat shock, and proceed further only after the injury is stable. 3. Principles of wound treatment (1) Generally, within 6 to 8 hours after injury (about 12 hours for the head and neck), the wound is lightly contaminated and debridement should be performed (details: debridement). (2) If the injury has exceeded the above time and the wound is seriously contaminated, it can be treated according to the following principles: 1. After flushing the wound with sterile saline or warm water, place a drainage material in the wound without suturing, and wrap it with a sterile dressing. After the infection is controlled, secondary suturing is performed.
2. Drugs for external application: Choose (1) red castor leaves, Jiu Bing Ying, and Tritonic acid, smash them into pieces and apply them externally; if the wound is inflamed, rinse with decoction of rhubarb, Guanzhong, and licorice; (2) Muscle-promoting ointment: 2 liang of Angelica sinensis, licorice 1 liang, 5 qian of Angelica dahurica, 3 qian of Lithospermum, 1 jin of sesame oil, soak for three days, simmer for a long time, remove the residue and filter, then simmer until water drips and forms beads, add 2 liang of white wax, melt, add dried blood and light powder. 4 taels, stir well into a paste and apply externally to the wound. 4. Systemic treatment: Depending on the severity of the injury, the degree of wound contamination, and the general condition of the casualty, the following methods should be appropriately selected: (1) Inject 1,500 units of tetanus antimycin into the muscle (skin test first). (2) Take orally or inject analgesic drugs when necessary, such as oral painkillers, intramuscular injection of meperidine, etc. (3) Use antibacterial drugs to prevent and control infections. (4) Oral administration or injection of drugs to improve the body's general condition and promote wound healing; if the patient is severely injured and unable to eat and the general condition is poor, necessary fluids and blood transfusions should be given. (5) Wound infection, red, swollen, hot, painful, floating pulse, should be treated by clearing away heat, detoxifying and reducing swelling. Five-flavored disinfectant drink can be added or subtracted: 3 qian each of dandelion, purpurea, wild chrysanthemum, saposhnikovia, angelica, and 5 qian of honeysuckle. 1.5 qian each of frankincense and licorice, decocted in water and taken. Excessive bleeding, loose and heavy pulse, no response to heavy pressure, the treatment should be to replenish qi and absorb blood to stabilize the bleeding. You can use Danggui Buxue Decoction: 4 qian of Angelica sinensis, 3 qian each of astragalus and white peony root, 1.5 qian of frankincense, decoction in water. Weakness of qi and blood, loose wounds, and heavy and thready pulse should be treated by tonifying the qi and nourishing the blood. Patent medicines can be used: Bazhen Pills and Buzhongyiqi Pills. [Note] The above prescriptions are for adults and should be reduced for children. Pregnant women and those during menstruation should not use blood stasis removers. TCM treatment of fractures: (1) Oral administration of oral medications plays a great role in regulating the balance of the body, correcting functional disorders of the organs, meridians, and qi and blood caused by injury, and promoting the healing of fractures. Treatment can be divided into three stages according to the syndrome differentiation of fractures: 1. Early stage (within two weeks after the injury): mainly promoting blood circulation, removing blood stasis, reducing swelling and relieving pain: (1) Piergu Powder: Grind large bone and small bone into powder. , 1 to 2 yuan per serving, mixed with boiling water or white wine. (2) Guiwei, gardenia, paeonol, red peony root, peach kernel 3 qian each, safflower 2 qian, frankincense 1.5 qian, add or subtract according to syndrome differentiation, decoct in water and take. Pregnant women should not take this product. Additions and subtractions: If the injury is in the upper limbs, add cinnamon twig, lower limbs, add oxiqi, chest, add bupleurum, add eucommia ulmoides to the waist, add magnolia officinalis, jishi to the abdomen, add skullcap, yinhua, forsythia for fever, and for swelling Obviously add Poria, Alisma, and Akebia, and for constipation, add Rhubarb and Glauber's salt. 2. Middle stage (within 2 to 3 weeks after injury): Mainly promote qi and blood circulation, and repair bones and tendons: (1) 1 tael of natural copper, 5 qian of frankincense and myrrh, 3 qian of rhizome, grind into powder, take 5 qian each time 1 cent, take with boiling water or white wine. (2) Dangquai 4 qian, Dipsacus 4 qian, pollen 3 qian, husk 3 qian, Drynaria 5 qian, frankincense 1.5 qian, rhizome 1 qian, natural copper 3 qian, licorice 1 qian, addition and subtraction based on syndrome differentiation, decoction Clothes. 3. Late stage (more than three weeks after the injury): Mainly nourish qi and blood, strengthen muscles and bones: (1) 5 qian to 1 tael each of Millet Spatholobus, Niu Dali, Qian Jinba, Wuzhi Maotao, and Broad Muscle Vine, Decoction in water or grind into powder, take 1 to 2 qian each time, drink with wine. (2) Patent medicines: Bazhendan, Huqian Pills, etc. (2) External use 1. Application method: It is suitable for the early and middle stages of fracture. It has the functions of promoting blood circulation and dispersing blood stasis, reducing swelling and pain, and accelerating healing. (1) Early stage: The affected area often has obvious swelling and pain, and Shuangbai Powder (ointment) or Diodaosan (ointment) can be applied externally. (Xiang: general soft tissue injury). (2) Mid-term: Most of the swelling and pain in the affected area have been relieved. At this time, external application below can be used. ①Jiegu Powder: Grind Drynaria, Frankincense, Myrrh, Dipsacus Dipsacus, Natural Copper, Rhubarb, and Turtle into powder in equal parts, mix with water and wine and apply. ②Puogu Powder (paste): Grind the large part of the bone, the small part of the bone, the daphne, methacrylic acid, and Liangmianzhen into powder, mix well with water and wine, boil and heat for external application, or add Vaseline and cook into a paste for external application. (3) Late stage: The fracture has initially healed, but is not yet solid. You can apply bone bone ointment or patent medicine for external application, and cooperate with fumigation and functional exercises. 2. Rubbing method is suitable for all stages of fractures. Rub the affected area with bruise medicine and combine it with massage techniques, which can activate blood circulation and remove blood stasis, relax muscles and activate collaterals. 3. Fumigation and washing method is suitable for patients with joint mobility impairment in the late stage of fracture. It has the effect of warming the meridians and dispersing blood stasis, relaxing the muscles and activating the collaterals.
Generally, the affected area is first fumigated with boiling medicinal liquid, followed by external washing and hot compress, combined with massage and functional exercises to improve the curative effect. Commonly used prescriptions include: (1) 3 qian each of Fangfeng and Acanthopanax bark, 5 qian each of Acanthopanax, Uncaria, Wangbuliuxing, Clematis, and Ginger, boiled in water, fumigated and washed. (2) Take 1 tael each of Xiaopugu and Touguxiao, simmer in water and wash thoroughly. [Attachment] Tips on dressing method 1. After the fracture is reduced and fixed, if the swelling and pain are severe, the dressing can be changed once the next day. Generally, in the early stage of fracture, the dressing can be changed every 2 to 3 days. During this period, if any Malalignment of the fracture should be corrected in time, and the dressing can be changed every 5 to 7 days in the future. 2. Topical medicines can be prepared with vinegar, wine, oil, etc. according to the situation to improve the efficacy. Vinegar has an astringent effect. When the swelling of the affected area is obvious, vinegar can be used as a dressing; wine can expand blood vessels in the skin and smooth blood flow, which is beneficial to the penetration and absorption of drugs. When there is deep injury or blood stasis, wine can be added to the dressing; oil , honey or Vaseline can moisturize and protect the skin, maintain the efficacy of the medicine, and extend the dressing change time. 3. According to the principle of cold coagulation and heat dissipation, external application of the drug after heating can improve the effect of promoting blood circulation and dispersing blood stasis, but skin burns should be prevented. Chinese herbal medicine treatment for acute lumbar sprain: Apply Shuangbai Powder locally; or use goose grass, big umbrella, camphor leaves, and a large bowl, mash appropriate amounts of each and add wine for external application. For oral administration, take 5 qian of Goose Bujicao, decoct it in water and drink it with wine; or use 4 qian each of Guiwei and red peony root, 3 qian each of paeonol bark, Yanhu, Eucommia, Dipsacus, and peach kernel, and 2 qian of Alecia japonica, and decoct it in water. Clothes. Chinese herbal medicine treatment for chronic waist injury (1) If the local tenderness is obvious, aggravated by activity or the muscles are tense, it is recommended to activate blood circulation, remove blood stasis, promote qi and relieve pain. Choose: 1. Angelica sinensis and Rehmannia glutinosa 4 qian each, peach kernel, red peony root, Chuanxiong rhizome, and Eucommia ulmoides each. 3 qian, 2 qian each of Corydalis Corydalis and Muxiang, decoct in water and take. 2. 1 liang each of Zhigubu and Qiangbangzi, 5 qian each of Sanya Kugen, Sanye Jiguxiang, and Gouji, decoct them in water and take them. (2) For those who suffer from back pain, like to press and are afraid of cold, weak limbs, muscle atrophy, and weak pulse, choose: 1. 5 qian of Morinda citrifolia, 1 tael each of Gouji, Qianjinba, and Jinyingzi, decoct in water, and rinse Drink service. 2. 1 tael each of Niu Dali and Qian Jinba, 5 qian each of Dog Ridge, Niuqi, Acanthopanax bark, Sangjishi, and Wuzhimaotao. Decoct in water and drink with wine. 3. Patent medicines: Shenqi Pills, Huoluo Pills. (3) If you are afraid of cold and dampness, which are aggravated by rainy weather, choose: 1. Cross the River Dragon 5 qian, Black Tiger 5 qian, Banfenghe, Black Bean Ginger, Millet Spatholobi, Thousand Jin Ba, 1 liang each, Lulu 3 qian each of Tongtong and Clematis, boil in water and drink with wine. 2. Duhuo 3 qian, Loranth 5 qian, Gentiania 3 qian, Uncaria 4 qian, Angelicae 3 qian, White peony root 3 qian, Ligusticum chuanxiong 3 qian, Rehmannia glutinosa 4 qian, Eucommia 4 qian, Poria cocos 3 qian, Licorice 2 qian, Decoct in water and drink with wine.