In the field of treating bones with hands, professor-traumatologist Tip Huang Xien enjoys great authority, who divides zheng gu into 13 independent methods: palpation of mo, pinching ne, pressing an, pulling thi, pushing tui, stretching la, lifting, stressing ding, direction sun,.

Mo fa - palpation method.

This is one of the methods of diagnosing a patient. When examining the method of mofa, they examine, feel, compare with the norm, determine the state of the musculoskeletal system, functional block, area and section of the spine, physiological and pathological mobility of the vertebral segments, the volume of passive and active movements in the spine (flexion, extension, tilts to the right.

The MOFA method reveals pathological abnormalities, contractures and seals, nodes, fibrous formations, the most painful points and segments. During the examination, the patient's posture, head position, posture in standing and sitting positions, curvature of the spine, smoothness of the physiological curvature of the spine, muscle rigidity, limitation of movement activity, direction of the spinous processes in the standing position and when leaning forward are determined..

Method mofa Palpation is carried out with three fingers: the second, third and fourth. The fingers are tense, the third moves along the spinous processes of the spine. Diagnosis is made in the initial position (IP) standing, sitting, tilted, lying. In IP lying, diagnostics are performed with three head positions: to the right, to the left, forward. Cracks in the vertebral body are determined by fluoroscopy at an angle of 45 ° (oblique image).

Ne fa - tuck method.

It consists in squeezing the damaged area with one or two hands. Using this method, the pain area is determined, the pain syndrome is checked. Ne fa is performed with the fingertips and the entire surface, as well as the bases of the palms..

Method not fa: a) with the tips of the thumb and forefinger when examining the muscles and bones of the forearm; b) the entire surface of the fingers when examining the elbow joint. This method can restore the correct position of the bones in case of a fracture with displacement, reduce the dislocation. Ne fa with the fingers of one hand is used for fractures with displacement of the bones of the forearm, dislocations, fractures of the fingers and wrist joint. With the bases of the palms of both hands, ne fa is performed for fractures of the humerus, bones of the forearm and lower leg, dislocations of the humerus and knee joint.

An fa pressure method.

An fa-pressure method (Fig.. 3) is used to combine fragments in fractures with displacement and dislocations by pressing on the protruding part of the bone. Pressing is carried out with one or two fingers or the whole palm.

An fa method: a - thumb on the lateral surface of the spinous process in the lumbar spine; b - with the thumb on the protruding part of the clavicle in combination with stretching during reduction of the fragment An fa is used for fractures of the clavicle, ribs, bones of the forearm, lower leg, with posterior protrusion of the vertebrae in the lumbar region, in case of dislocation in the wrist and ankle joints. Pressure on the protruding spinous processes must be combined with extension in the lumbar spine.

Thi fa - pull method.

Thi fa - method of pulling, lifting (Fig.. 4) is used to combine the descended fragments in case of fractures with displacement and dislocations. In this case, the lowered part of the bone is captured with the thumb and forefinger (or index and middle) of one or both hands, then lifted up with a strong movement.

Thi fa method (comparison of fragments in case of fracture of the clavicle) It is possible to correct both ends of the broken bone at the same time. This method is used for fractures with displacement of the bones of the forearm and collarbone..

Tui fa - pushing method.

Tui fa - pushing method (Fig.. 5) is performed with fingers or the base of the palm to align fragments in fractures with displacement and to correct dislocations. The essence of the method is to first stretch, and then push the bone (joint) into place. It is used for displacement of the olecranon outward, for dislocations in the elbow joint, fractures of the bones of the forearm and phalanges of the fingers.

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