Integrating traditional Chinese and Western medicine, orthopedics has great potential (Medical Voice)
The just-concluded Beijing Winter Olympics ignited the passion of many ice and snow sports enthusiasts.
However, in skiing and skating, if the body is uncoordinated or the speed is not fast enough to respond in time, it is easy to "take a small drop in three steps, and a large drop in five steps", injuring muscles and bones, resulting in soft tissue contusions, ligament ruptures, muscle strains, and fractures. Wait, this also makes many people sigh that "the end of the snow trail is orthopedics".
Here, Jia Yusong, director and chief physician of the Department of Orthopedics of Tsinghua University Hospital of Integrated Chinese and Western Medicine, reminded everyone to protect themselves when exercising, warm up fully, and wear protective gear.
If you are injured, seek medical attention in time, and do not delay treatment.
As for the treatment of bone injuries, Jia Yusong said that both traditional Chinese medicine and western medicine have their own unique practices. After years of exploration and practice, an effective path of integrating traditional Chinese and western medicine has been formed.
You can't go all the way west, you have to ask west and east
Some people think that the distinction between traditional Chinese medicine and western medicine orthopedics is the distinction between traditional and modern, and the relationship between traditional and modern is simply understood as the relationship between backward and advanced.
"This will inevitably lead to a contemptuous attitude towards traditional Chinese medicine orthopedics. Under this attitude, it is impossible to correctly understand the value of traditional Chinese medicine orthopedics, and it is impossible to deeply understand the profound significance of integrated Chinese and Western medicine orthopedics." Jia Yusong said, " The highest purpose of medicine is to cure the patient and promote the recovery of the patient. All effective medical methods have not only preservation value, but also dissemination value.”
Feng Xingzhong, vice president of Tsinghua University Hospital of Integrated Traditional Chinese and Western Medicine and director of the Department of Endocrinology and Immunology, said that traditional Chinese medicine and Western medicine are two medical systems, with different ways of cognition of life, health and disease.
"Traditional Chinese medicine uses the emergent role of the whole human being to strengthen the righteousness and eliminate evil. It is to surround Wei to save Zhao and Dayu to control the water." He said that it is very important to find a good point of strength for the integration of Chinese and Western medicine.
In Jia Yusong's view, this force is orthopedics.
"After years of practice, the application of integrated Chinese and Western medicine in the treatment of fractures has drawn on the strengths of traditional Chinese medicine and modern Western medicine, and has put forward the guiding ideology of combining dynamic and static, equal emphasis on muscles and bones, both internal and external treatment, and doctor-patient cooperation, which fully summarizes the clinical fractures in orthopaedics. The relationship between treatment and rehabilitation, immobilization and activity, local and whole body, internal and external factors, bone and soft tissue, etc., which cannot be avoided in treatment, reflects the connotation of the holistic concept and minimally invasive concept, as well as the humanistic spirit of people-oriented." He said.
After half a century of practice and testing, these views and theories have been accepted by more and more people. They are known as traditional Chinese medicine osteosynthesis in the world, and they are constantly advancing with the times.
In recent years, with the rapid development of traffic, open injuries and multiple injuries have become more and more common in orthopedics, and closed reduction and splint fixation alone cannot meet clinical needs.
"In order to adapt to this change, the Department of Orthopedics of Integrated Chinese and Western Medicine has begun to use external fixation brackets to treat various complex fractures." Jia Yusong said that this change is a change from the original bloodless therapy of traditional Chinese and Western medicine to blood therapy. More western medicine treatment ingredients began to be integrated into the treatment of fractures with integrated traditional Chinese and western medicine.
From the actual point of view of orthopaedics, Western medicine and traditional Chinese medicine have their own theoretical systems, but in practice they can be combined and developed. We should integrate the advantages of traditional Chinese and Western medicine to complement each other's strengths and use them for our own use. This is also an important direction for the development of orthopedics in my country in the future.
"You can't go all the way to the west, you have to ignore the west and east." Feng Xingzhong said that we must cherish the originality of traditional Chinese medicine, and based on this, explain the path and method of integrating traditional Chinese and western medicine.
Four-way development, people-oriented
In the future, how should the development of orthopedics and traumatology of integrated traditional Chinese and Western medicine go?
Jia Yusong said that we can start from four aspects.
First of all, pay attention to the treatment of diseases and pay attention to health maintenance.
Traditional Chinese medicine believes that "the superior doctor treats the disease before the disease".
With the gradual promotion of the concept of "big health, big health", people's health concepts and medical models are changing, and the demand for TCM preventive health care services will further increase. Orthopedic doctors should also pay attention to it, not only pay attention to health actively maintenance, but also to the clinical.
Secondly, improve the treatment concept, inherit the essence, and keep upright and innovate.
In the past, medicine emphasized the "biomedical model", but now it emphasizes the "social-biological-psychological" medical model and advocates the concept of "people-oriented".
Around this concept, the technology tends to be "minimally invasive", and the patient's activity function is preserved as much as possible; in terms of auxiliary means, it has become increasingly "intelligent", and navigation facilities have gradually become popular.
In this process, we should give full play to the characteristics of traditional Chinese medicine treatment, apply traditional Chinese medicine bone setting, massage for tendon management, oral and external use of traditional Chinese medicine and other therapies in clinical practice, combine traditional Chinese medicine characteristic nursing with the concept of rapid recovery, improve patients' tolerance to surgery, and promote early recovery .
Third, individualized treatment is an important trend in today's medical development, and individualized treatment in orthopaedics is particularly important.
In Western medicine, 3D printing technology can produce implants that are more in line with the patient's anatomical and biomechanical characteristics, improve the fit between the implant and the patient's own structure, and maximize individual functional recovery.
In terms of traditional Chinese medicine, it is necessary to pay attention to individualized diagnosis and treatment through observation, smell, inquiry, diagnosis, four diagnosis and treatment, syndrome differentiation and treatment.
The two can work well together.
Finally, focus on cultivating the benevolence of doctors.
"Benevolence" is the starting point of TCM and TCM practitioners.
The orthopaedic and traumatic methods of integrated traditional Chinese and Western medicine have the characteristics of simplicity, convenience, and low cost.
Xiong Jian