Trauma is a common disease in orthopedics, and many medical problems can occur after trauma, especially in elderly patients, such as infection problems, nutrition problems, prolonged bed rest leading to deep vein thrombosis, psychological disorders caused by trauma, etc. The combination of Chinese and Western medicine with moderate intervention is beneficial for the prognosis and quality of life improvement of patients. Gu, a 94-year-old female, was admitted to the hospital on June 12, 2009, with a “fracture of the trochanter of the femur” due to “painful limitation of movement of the right lower limb for 7 hours”. The patient fell at home, landed on her right hip, and immediately felt painful limitation of movement of her right lower limb. On admission, he had pain and limited movement of the right lower extremity, with spontaneous sweating, irritability, fever, fatigue, thirst, dullness, frequent urination and constipation. Previous coronary artery disease for 40 years, arrhythmia – frequent ventricular premature, severe osteoporosis with multiple fractures for 10 years, mild anemia, and history of left clavicle fracture. Physical examination: BP 120/70 mmHg, HR 80 times/min, R18 times, clear consciousness, mild disorientation, clear lungs, small wet rales in the right lower lung, heart rate 80 times/min, arrhythmia, premature beats 4-6 times, apical grade 3 systolic murmur, enlarged heart border to the left, liver and spleen not reached, subcutaneous petechial swelling around the fracture site, pressure pain, dark petechial spots on the tongue, thin white fur, thin pulse slightly counted. X-ray: right femoral ramus fracture ECG: sinus rhythm, frequent ventricular premature wbc:10.74, N79.5% ESR35/h Fe↓ Main diagnosis: pulmonary infection, right femoral ramus fracture, coronary artery disease, arrhythmia – frequent ventricular premature. We treat this patient in several steps: acute phase, recovery phase I. Acute phase treatment: Acute phase modern research shows that 1. after trauma is very prone to hypermetabolism of the body (high oxygen consumption, hyperglycemia, enhanced proteolytic metabolism with negative nitrogen balance and hyperlactatemia), hyperdynamic circulation and excessive inflammatory response and multiorgan insufficiency syndrome. For this problem, we provide timely anti-inflammation and nutritional support for patients, actively correct anemia; anti-inflammation: cephalexin sodium intravenous drip; thymidine to improve immunity, lower limb traction, nutritional support with amino acids, fat milk, multivitamins. 2. The healing of fracture is closely related to nutritional status and local circulation and other factors. For this problem, deer melon peptide intravenous drip promotes healing. Due to femoral trochanter fracture and lower limb traction, the patient’s activities are severely restricted, and prevention of decubitus ulcers is especially important. We once admitted an elderly trauma patient who died from a large decubitus ulcer after being bedridden at home for only two weeks, as a warning, early use of anti-decubitus air cushions may effectively prevent decubitus ulcers from occurring. According to traditional Chinese medicine, this disease is “injury to the bones” and “injury to the tendons”, as recorded in the Nei Jing: “Qi hurts pain and the form hurts swelling” and in the Jin Jian of Medicine: General Discussion of the Methods of Internal Treatment of Miscellaneous Diseases “Today’s orthopedics, that is, the evidence of ancient bruises and injuries. Specially from the blood theory, must first identify or stagnant blood accumulation, or too much dead blood, and then apply the method of internal treatment, so that there is no error. If the skin is not broken and the internal damage, there is a lot of bruising, broken flesh and bones, each to the death of blood too much. The two treatments are different. For those who have blood stasis, it is appropriate to attack and benefit; for those who have blood loss, it is appropriate to supplement and move the blood, this patient belongs to those whose skin is not broken but damaged internally, so it is appropriate to attack and benefit. soup with flavor: astragalus 30g angelica 20g white peony 20g lotus seeds 20g yam 20g shancha 10g wine army 6g grain malt 20g chicken blood vine 30g dangpi 6g salvia 10g ginger 10g jujube 10g . Rhubarb can help to remove blood stasis, remove rhubarb when the stool is cleared, add blood exhaust tablets for oral intake, and apply Wanhua oil topically. Second, the recovery period to prevent deep vein thrombosis, prevent decubitus ulcer, promote healing, using pneumatic blood circulation drive massage double lower extremities, assist lower extremity movement, while requiring patients to regularly move healthy limbs to prevent deep vein thrombosis, outpatient clinic once saw a patient, male 65 years old, riding a bicycle was hung by a tractor, injured the left foot, went to the hospital, because there is no fracture doctor told him to bed at home to recuperate, 3 weeks later, the injured side Three weeks later, the injured side of the lower limb was swollen and painful, and was examined for deep vein thrombosis. Due to the local blood circulation obstruction of the fracture, venous reflux was blocked, capillary permeability was enhanced, and plasma entered the tissue interstices from the blood vessels, resulting in venous stasis. Continue to use anti-decubitus air cushion to prevent decubitus ulcers, intravenous drip of deer melon polypeptide to promote healing, and raw vein injection to benefit qi and nourish yin, danhong injection to improve myocardial blood supply and improve circulation, benefit qi and nourish blood to activate blood circulation and relieve pain, and continue treatment with the following herbs: Astragalus 30g angelica 20g red and white peony 15g each lotus seed 20g yam 20g shancha 10g gum wheat sprout 20g henbane 30g danpi 6g Danshen 10g Bonesetter g15 Ginger 10g Jujube 10g with functional exercise, two months later 8.11 radiographs showed that some bone scabs were formed and could already move around in bed. Through the success of the treatment of this case in the elderly: we have the following experience: 1, for the elderly fracture should pay attention to care, because a small problem may cause a series of problems leading to the occurrence of death. 2, the elderly condition is complex, the treatment of fracture should have a holistic view, the preventive measures for complications (deep vein thrombosis, crushing pneumonia, malnutrition) should be in place, and the care should be meticulous, so that prevention is the main focus and prevention is better than cure. 3, Chinese medicine: “know that the liver transmits the spleen, when the first real spleen”, the role of internal and external use of Chinese medicine can not be ignored. According to Chinese medicine, “If you don’t pass, it hurts, and if you don’t glory, it hurts.” The effect of pain can be achieved by removing stasis and eliminating swelling. 4. It is necessary for patients to actively and consciously move around in bed. The initial understanding of trauma began with GABG surgery carried out in the CCU ward. After looking up books on TCM, we found that TCM’s understanding of trauma was helpful for post-bypass rehabilitation, and thus applied to other post-operative procedures.