Bonesetting massage means: massage is the main external treatment for fracture, dislocation, tendon and other diseases in orthopedics and traumatology department of traditional Chinese medicine. Also known as bonesetting massage and traumatology massage.

Chinese name

Bonesetting massage

Another name

Bone-setting massage, traumatology massage

nature

The main external treatment methods of massage in orthopedics and traumatology of traditional Chinese medicine

First appearance

Zhou dynasty

document

Li Zhou Tian Guan

classify

Bonesetting Manipulation and Meridian Massage

catalogue

1 historical background

2 scope of use

3 classification

4 Preventive measures

Misunderstanding 1

Misunderstanding 2

Misunderstanding 3

Misunderstanding 4

Historical background

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As early as the Zhou Dynasty, there were doctors specializing in fracture. There is a record of fracture location in Zhou Li Tianguan. The elbow backup prescription was introduced for the first time in Jin Dynasty, and the joint dislocation was reduced by traction and other means. Mandibular reduction, which was recorded in the Tang Dynasty's "Prepare for a Thousand Women", is still in clinical use. The manipulation of setting bones, such as kicking, touching, pulling and stretching, and the reduction of dislocation of shoulder and hip joint, recorded in the recipe for breaking bones and tendons, used the principle of lever mechanics for the first time, which had a far-reaching impact on future generations. The Song Dynasty's "Sheng Ji Zong Lu" further summarized the comprehensive treatment methods of bone injury, such as bonesetting massage, drug wrapping and ointment rubbing. Bonesetting metalworking families appeared in the Yuan Dynasty. In Ming Dynasty, Wei Yilin discussed the methods of reduction and fixation of dislocation of cervical vertebra, shoulder, elbow, hip, knee, ankle and patella in The Effective Treatment Prescription of Famous Doctors in the World. The 19 bone-setting technique recorded in Xue Ji's "Bone-setting Yao Lei" in Ming Dynasty is simple and practical. Wang Kentang's Standard of Syndrome Differentiation and Treatment also recorded many methods to repair fractures. Jin Jian, a medical doctor in Qing Dynasty, summed up the previous experience of bonesetting, and summarized eight techniques: touching, receiving, lifting, pressing, rubbing, pushing and taking. After 1949, Chinese medicine and integrated traditional Chinese and western medicine workers made scientific research on the eight methods of bonesetting, and made some improvements and innovations, enriching and improving the content and level of bonesetting massage.

Available range

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Bonesetting massage is suitable for the following aspects:

① Tendon injury. Muscles, tendons and ligaments can be reconstructed only by surgical suture, but some patients with fractures can straighten tendons and fix the broken tissues after straightening, which can relieve pain and is conducive to the growth and anastomosis of broken ends.

② Tendon slippage. You can feel the funicular process in the painful part, and the joint activity is seriously blocked. If it is not treated properly, it can turn into tendinitis, resulting in adhesion, so it should be recovered as soon as possible by applying manipulation.

③ Dislocation and subluxation of various joints should be accelerated after bone setting according to different conditions such as fixation, dressing and medication.

④ For closed fracture, bone-setting manipulation is one of the main methods to treat fracture.

classify

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Bone-setting massage can be divided into bone-setting manipulation and meridian massage according to its functions and indications. Bone-setting manipulation is mainly used to restore the normal anatomical position of bones and joints through manipulation. Eight methods of bone setting are the basic methods of bone setting. Meridian massage is mainly used for muscle spasm and pain caused by acute and chronic soft tissue injuries in all parts of the body. Such as thumb massage, palm root massage, tiger's mouth massage, shiatsu, pulling and kneading, etc.

Matters needing attention

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Urban white-collar workers, who use computers for a long time, often work in a fixed posture, with muscle strain and dislocation of spinal joints, so that cervical spondylosis is as common as a cold. Rehabilitation experts believe that in view of the dislocation of spinal joints, bonesetting massage can be used to reset the joints. But it is worth emphasizing that manual reduction is not a health massage. Experts stressed that in manual reduction, the diagnosis basis of symptoms, palpation and X-rays must be based on the premise of "cervical dislocation", otherwise, if you don't understand bonesetting, don't mess around and break your neck, and the consequences will be very serious.

Misunderstanding 1

Lumbago is cervical spondylosis. Get a massage from a masseur.

White-collar workers bend their heads at their desks for a long time, which is particularly easy to cause muscle fatigue, cervical instability and dislocation of small joints, which in turn leads to backache, arm numbness, dizziness and other symptoms. In this case, most people will go to leisure places and let medical staff massage to relieve pain and discomfort.

Bone-setting massage therapy can treat cervical spondylosis, especially for joint dislocation, mild hyperosteogeny of vertebral body and intervertebral instability. But before doing massage, we must first rule out diseases such as spinal tumor, tuberculosis, fracture, dislocation, rheumatoid disease and gout. These diseases can't be massaged casually, which is called "massage taboo".

Although cervical spondylosis is very common, as a rehabilitation doctor, we must carefully analyze the condition. Usually, after consultation and palpation, X-ray (CT or MR examination can be done if necessary) should be combined to make accurate positioning. This can avoid misdiagnosis and mistreatment to a great extent.

Misunderstanding 2

Take time for a massage and pull it for three to five minutes.

"Bone-setting massage is like swimming in the water. You need to warm up first. It is impossible for the patient to manually reset him as soon as he comes up. " Duan Junfeng said, "Usually, the restoration of bonesetting massage should be divided into four steps, and the relaxation of muscles should be considered first."

When resetting, you must first relax the spasmodic muscles. Especially in the process of reduction, if you encounter some muscle tension, you should use the methods of relaxing muscles, such as pain point massage, kneading, pinching and other soft tissues to fully relax, and then adjust the patient's cervical vertebra to a posture conducive to joint reduction, or rotate the cervical vertebra to "shake" or bend sideways to "straighten". In the process of bone setting, it must be "seeking correction while moving"

Pull left and right, is eager for success. If you judge the wrong direction and reset it rudely, it is easy to have accidental injuries and aggravate the condition.

Misunderstanding 3

When the cervical joint is reset, you must hear the sound of the joint "giggle" before you can rest assured.

Regardless of leisure or rehabilitation, many people are addicted to the sound of "cough" when doing massage. If you don't hear the "giggle" sound of joint activity, you feel that your dislocated joint has not been reset.

Director Duan said that in fact, when we do manual reduction of cervical joints, we usually turn the patient's head to the maximum angle, and with a little limited "flash force" (sudden force), we can reset the dislocated joints, and sometimes we can hear the "giggle" sound of joint reduction during the operation.

Therefore, not every restoration must have a "giggle" sound, and we do not blindly pursue this sound. At the same time, experts said that young and middle-aged patients can use the light "flash force" to reset, and teenagers and the elderly should not use "flash force". Instead, you should do the reset action 2-3 times repeatedly and reset it slowly. In the process of slow reset, this connector may not break suddenly.

Misunderstanding 4

Cervical spondylosis is committed, only massage is done, and other auxiliary treatments are not considered.

Once the human cervical facet joints are dislocated, symptoms such as dizziness, numbness of limbs, shoulder and back pain will appear. Just doing bonesetting massage and resetting joints can't completely solve the problem of spinal joints. Need to combine other auxiliary methods, such as physical therapy, acupuncture, Chinese medicine and so on. And through a series of comprehensive treatment, the bone and soft tissue can be treated simultaneously, so as to achieve the goal of complete recovery.

I hope my answer is helpful to you. If you can, please give Bian Xiao a compliment. Thank you.