After the fracture has been fixed by manual repair or surgical repositioning, acupuncture treatment is combined with acupuncture as early as possible, which has obvious effects on the healing of the fracture and the growth of bone scabs. The acupuncture points should follow the principle of “not treating the injury, but the distal end of the fracture”, and the acupuncture points for each part of the fracture are as follows.
1. Acupuncture points for clavicle fracture.
(1) Shoulder well (foot Shaoyang bile meridian)
Acupuncture point method: on the shoulder, at the midpoint of the line between the dazhi point (Governor’s vein) and the shoulder peak.
Main treatment: paralysis and pain in the shoulder and back, inability to lift the arm, strong pain in the neck, etc.
Acupuncture and moxibustion method: straight stab 0.5-0.8 inch, not deep stab.
(2) Da Loom (Foot Sun Bladder Meridian)
Acupuncture point method: in sitting or prone position, under the spinous process of the first thoracic vertebra, 1.5 inches next to the Directing Vessel.
Indications: Scapular pain, strong and urgent neck.
Acupuncture and moxibustion method: oblique stab 0.5-0.8 inch.
(3) Shoulder k (Hand Yangming Large Intestine Meridian)
Acupuncture method: Take the point below the front of the shoulder peak, between the shoulder peak and the large humeral node. When the upper arm is held flat, two depressions appear, and the depression in front is the shoulder k point.
Main treatment: shoulder and arm pain, arm contracture, hemiplegia, etc.
Acupuncture and moxibustion method: straight stab 0.5-0.8 inch.
(4) Quchi (Hand Yangming Large Intestine Meridian)
Acupuncture method: flex the elbow and take the point in the depression at the radial end of the transverse elbow.
Main treatment: swelling and pain in the arm, upper limb discomfort, weakness of the elbow, etc.
Acupuncture and moxibustion method: straight stab 0.5 to 0.8 inch.
2.Acupuncture points for upper arm fractures (humeral surgical neck fracture, humeral stem fracture, supracondylar humeral fracture, humeral epicondyle fracture, humeral internal epicondyle fracture).
(1) Da Loom
(2) Shoulder well
(3) Hand San Li (Hand Yang Ming Large Intestine Meridian)
Acupuncture point method: flex the elbow at the side of the wrist and take the point on the line between Yangxi and Quchi, two inches below Quchi.
Main treatment: arm numbness and pain, elbow contracture, hemiplegia, etc.
Acupuncture and moxibustion method: straight stab 0.5-0.8 inch.
(4) Hegu (Hand Yangming Large Intestine Meridian)
Acupuncture point: between the first and second metacarpal bones, about when the second metacarpal bone is taken at the midpoint of the radial side.
Indications: Finger contracture, arm pain, hemiplegia, etc.
Acupuncture and moxibustion method: straight stab 0.5-0.8 inch.
3, forearm fractures (ulnar hawk’s-beak fracture, radial head fracture, ulnar upper 1/3 fracture, radial ulnar stem cool fracture, radial stem fracture, radial lower 1/3 fracture, distal radius fracture, carpal navicular fracture, palmar phalangeal fracture) acupuncture points.
(1) shoulder k
(2) Hegu
(3) Hand Wuli (Hand Yangming Large Intestine Meridian)
Acupuncture point method: take the point on the line between Quchi and shoulder k, 3 inches above the Quchi point.
Main treatment: contracture of the elbow and arm, pain, etc.
Acupuncture and moxibustion method: straight stab 0.5 to 0.8 inch.
(4) Hui (Hand Shaoyang Sanjiao meridian)
Acupuncture method: on the line between the ulnar eagle’s mouth and the shoulder s point, 3 inches straight down from the shoulder s point, when the posterior edge of the deltoid muscle is taken.
Indications: Shoulder and arm pain, scapular swelling and pain, etc.
Acupuncture and moxibustion method: straight stab 0.5 to 1 inch.
4. acupuncture points for femoral neck fracture and intertrochanteric fracture of the femur.
(1) Kidney Yu (foot sun bladder meridian)
Acupuncture point method: prone position, under the spinous process of the second lumbar vertebra, 1.5 inches from the vital gate point (Governor’s vein).
Indications: Pain in the waist and knees, etc.
Acupuncture and moxibustion method: straight stab 0.8-1 inch.
(2) Huanjiao (foot Shaoyang gallbladder meridian)
Acupuncture method: lying on the side and flexing the hip, take the point at the intersection of the outer 1/3 and middle 1/3 of the line between the highest point of the greater trochanter and the sacral canal fissure.
Indications: pain in the lower back and hips, impotence and paralysis of the lower limbs, contusion and pain in the lower back, swelling and pain in the knees and ankles, inability to turn sideways.
Acupuncture and moxibustion method: direct stabbing 2 to 2.5 inches.
(3) Ju s (Foot Shaoyang Gallbladder meridian)
Acupuncture method: take the point at the midpoint of the line connecting the anterior superior iliac spine and the greater trochanter of the femur to the highest point, lying on the side.
Main treatment: low back and hip pain, leg pain and foot impotence.
Acupuncture and moxibustion method: direct stabbing 1.5 to 2 inches.
(4) Foot San Li (Foot Yang Ming Stomach Meridian)
Acupuncture method: 3 inches below the calf nose, 1 horizontal finger from the lateral tibial anterior ridge when the tibialis anterior muscle, bending the knee or lying down to take the point.
Indications: Knee and shin pain, etc.
Acupuncture and moxibustion method: straight stab 0.5 ~ 1.5 inches.
(5) Yanglingquan (foot Shaoyang bile meridian)
Acupuncture method: take the point in the depression below the small head of the fibula.
Indications: Hemiplegia, lower limb impotence, numbness, knee swelling and pain.
Stabbing method: straight or oblique downward stabbing 1 to 1.5 inches.
5.Acupuncture points for femoral stem fracture and intercondylar fracture of femur.
(1) ring jump
(2) Cheng Fu (foot sun bladder meridian)
Acupuncture point method: in the recumbent position, take the point in the middle of the transverse hip stripe.
Main treatment: lumbar, sacral, hip and femoral pain.
Acupuncture and moxibustion method: direct stabbing 1.5 to 2 inches.
(3) Yanglingquan
(4) Foot San Li
6. Points for patellar fractures, intercondylar fractures of the tibia and tibiofibular symphysis.
(1) Fu Hare (foot Yangming Stomach meridian)
Acupuncture points: pain in the lower back and hips, coldness and paralysis in the legs and knees, etc.
Main treatment: 6 inches above the upper edge of the patella of the knee, when the line between the anterior superior iliac spine and the outer upper edge of the patella is on, taken supine.
Acupuncture and moxibustion: 0.6 to 1.2 inch straight stab.
(2) Blood Sea (Foot Taiyin Spleen Meridian)
Acupuncture method: bend the knee and take the point 2 inches above the inner upper edge of the patella, when the bulge of the medial head of the quadriceps muscle.
Indications: Medial bone pain, knee pain.
Acupuncture and moxibustion method: straight stab 0.8 ~ 1 inch.
(3) Absolute bone (foot Shaoyang bile meridian)
Acupuncture method: 3 inches above the tip of the outer ankle, when the point is taken in the depression between the posterior edge of the fibula and the long and short tendons of the fibula.
Indications: Hemiplegia, knee and leg pain, etc.
Acupuncture and moxibustion method: straight stab 0.5-0.8 inch.
(4) Kunlun (Foot Sun Bladder meridian)
Acupuncture method: Take the point in the depression between the Achilles tendon and the outer ankle.
Indications: Back and knee pain, heel pain.
Acupuncture and moxibustion method: direct stabbing 0.5 to 1 inch.
7. Points for ankle fractures, talus fractures, heel fractures, metatarsal fractures and toe fractures.
(1) Yanglingquan
(2) Foot San Li
(3) Sanyinjiao (foot Taiyin spleen meridian)
Point method: 3 inches above the high point of the inner ankle, at the inner posterior edge of the tibia.
Main treatment: foot and knee pain.
Acupuncture and moxibustion method: direct stabbing 0.5-1 inch.
(4) Kunlun
(5) Chengshan (Foot Sun Bladder meridian)
Acupuncture method: take the point under the skin of the gastrocnemius muscle, when extending the calf, when the skin appears under the cross angle.
Indications: Low back pain, leg pain, etc.
Acupuncture method: straight stab 0.7 to 1 inch.
8. Points for spinal fractures.
(1) Three vertebral points above and below the fracture site, 1 to 2 groups each.
(2) the large vertebrae (Governor’s vein)
Acupuncture points: prone or sitting with head down, taken in the depression under the spinous process of the seventh cervical vertebra.
Main treatment: shoulder and back pain.
Acupuncture and moxibustion method: oblique stabbing 0.5 to 1 inch.
(3) Kidney Yu
(4) Da Loom
(5) Yanglingquan
(6) Foot San Li
(7) Guizhong (foot sun bladder meridian)
Acupuncture point method: point taken at the middle of the transverse stripe of the N fossa of the knee joint
Indications: Pain, weakness and impotence in the lower extremities of the waist, back, coccyx and buttocks.
Acupuncture and moxibustion method: direct stabbing 1 to 1.5 inches.
9. Acupuncture points for rib fractures.
(1) Neiguan (Hand Conjunctive Yin Pericardium Meridian)
Acupuncture method: supine palm, 2 inches above the transverse wrist position, between the two tendons.
Main treatment: chest pain, painful contracture of the elbow and arm, etc.
Acupuncture and moxibustion method: straight stab 0.5 to 1 inch.
(2) Quchi
(3) Yanglingquan
(4) foot three li
10. Acupuncture points for pelvic fractures.
(1) Kidney Yu
(2) Cheng Fu (foot solar bladder meridian).
Acupuncture point method: prone, taken in the middle of the transverse hip line.
Indications: Pain in the lumbar, sacral, hip and femoral regions.
Acupuncture and moxibustion method: direct stabbing 1.5 to 2.5 inches.
(3) Yanglingquan
(4) Foot San Li
(5) Sanyinjiao
(6) Zhizhong
11.Auricular pain relief points
Patients with fractures have varying degrees of pain in the affected limb, which not only causes great pain to the patient, but also affects the therapeutic effect. The pain relief method of auricular pressure pills can be used to deal with the pain, and generally receive more satisfactory results.
(1) Sympathetic: to the junction between the end of the lower foot of the ear wheel and the ear wheel.
(2) Subcortical: to the inner part of the ear screen.
(3) Shen Men: within the triangular fossa, slightly below the bifurcation of the upper and lower legs of the opposite ear wheel.
(4) Matching points: take the corresponding points to match the injured area.
Fracture points for upper limb: shoulder, elbow and wrist points.
Fractures of the lower extremities: knee, ankle, hip and other points.
Spinal fracture matching points: adrenal, liver, kidney, lumbar and other points.
12.Acupuncture analgesic points (internal numbing points)
Electro-acupuncture internal anesthesia points are used for analgesia after orthopedic surgery of the extremities, with the advantages of fast onset of analgesia, long effect time, simple operation and economic applicability. According to the theory of “qi moves blood, qi stagnates blood, and if it does not pass, it hurts”, the internal anesthesia point is close to the foot Taiyin Spleen meridian, and the spleen dominates the muscles and extremities. Acupuncture of the internal numbness point has the effect of activating the blood and unblocking the meridians, which can achieve the effect of analgesia after limb surgery and facilitate wound healing.
Acupuncture program: the internal anesthesia point is located seven inches above the inner ankle, 0.5 inch from the posterior edge of the tibia, select bilateral internal anesthesia points, routine skin disinfection, into the needle 1.5 inches, the needle sensation radiates to the foot, or 5 toes at the same time can have a slightly flexed shape. Fixed therapeutic instrument and wire, using continuous wave, frequency from low to high (100-1000 times / min), the intensity of the patient can tolerate as appropriate, acupuncture 20-30 minutes to pull out the needle.
13, wind and cold attack points
(1) Fengchi (foot Shaoyang bile meridian point)
Acupuncture point method: Xiang, when under the occipital bone, level with Fengfu, in the depression between the sternocleidomastoid muscle and the upper end of the rhomboid muscle.
Indications: Headache, vertigo, strong pain in the neck, painful redness of the eyes, etc.
Acupuncture and moxibustion method: straight stab 0.5-0.8 inch.
(2) Hegu (Hand Yangming Large Intestine Meridian Point)
Acupuncture point: between the 1st and 2nd metacarpal bones on the back of the hand, at the midpoint of the radial side of the second metacarpal bone.
Indications: Pain in the wrist and arm, etc.
Acupuncture and moxibustion method: straight stab 0.4 to 1 inch.
14.Acupuncture points for Qi stagnation and blood stasis
(1) Neiguan
(2) Qi Hai (Ren Ren point)
Acupuncture: on the midline of the lower abdomen, 1.5 inches below the umbilicus.
Main Treatment: Generating Yang energy.
Acupuncture and moxibustion method: direct stabbing 0.5 to 1 inch.
(3) Blood Sea
(4) A-Yi point
15. Acupuncture points for dampness and stasis
(1) Foot San Li
(2) Yinlingquan (Foot Taiyin Spleen meridian)
Acupuncture points: on the inner side of the lower leg, in the depression below the medial tibial condyle.
Main treatment: clearing heat and warmth, strengthening the spleen and regulating Qi, benefiting the kidneys and regulating the meridians, and activating the channels.
Acupuncture and moxibustion method: direct stabbing 1.0-2.0 inch.
(3) Sanyinjiao
(4) Shang Ju Xu (Foot Yang Ming Stomach meridian)
Acupuncture point: on the anterolateral side of the lower leg, 6 inches below the calvarium, one cross finger from the front edge of the tibia.
Indications: Lower limb paralysis or spasm, swelling and pain in the knee joint.
Acupuncture and moxibustion method: 0.5 to 1.2 inch straight stab.
16. Points for deficiency of liver and kidney
(1) Taixi
(2) Foot San Li
(3) Sanyinjiao
(4) Qihai