Bone scraping for osteomyelitis

  According to the “Three Kingdoms” record: “Yu tasted for the stray arrowheads, through its left arm, after the trauma although healed, every to the cloudy rain, bone often pain. The doctor said: “arrowheads poisonous, poison into the bone, when the broken arm for trauma, scrape the bone to remove the poison, then this problem is removed.” Yu then stretched his arm and asked the doctor to split it. When Yu invited all the generals to eat and drink, the blood of the arm flowed away and filled the plate, while Yu cut and drew wine, laughing and talking. Translated into vernacular, Guan Yu was once shot by a random arrow that penetrated his left arm, and although the wound healed later, (but) every rainy day, the bones were often painful.  The doctor said, “The arrow is poisonous and the poison has penetrated into the bone marrow, so we should cut open the arm and remove the toxin by scraping the bone. Guan Yu then held out his arm for the doctor to cut it open. At that time, Guan Yu was sitting around drinking with the generals, his arm was dripping with blood, and it was spilling out of the plate holding the blood, but Guan Yu cut the meat and drank, laughing and talking as usual.  It shows Guan Yu’s handsome, radiant grace and bravery, and also illustrates the excellent medical skills of Chinese surgeons during the Three Kingdoms period.
This description in the four great novels “Romance of the Three Kingdoms” is very wonderful – that is, scraping the bones to heal the poison. Only the
This miraculous medical technique pioneered by the ancestors of Chinese medicine for more than 1,000 years has actually been clinically applied and developed for the treatment of osteomyelitis, a difficult orthopedic disease, and is one of the core techniques in the treatment of osteomyelitis in Chinese medicine, now commonly referred to as focal debridement.  Osteomyelitis is one of the difficult orthopedic diseases, in which the infected bacteria invade the bone through various pathways, proliferate and destroy the affected area, repeated sinus tracts exude pus and do not heal, and even induce skin cancer. Due to the residency of bacteria in the inactivated tissue of the affected dead bone and the scar barrier formed around the lesion by long-term inflammatory stimulation, the immunity of the body and drug treatment cannot completely destroy the bacteria in the lesion, and non-foci removal cannot be completely cured.  Only modern focal debridement in modern medicine related technology into the future become perfect safer better results, such as anesthesia technology, allowing patients to operate in a painless state, blood transfusion technology support can make complex time-consuming blood loss patients to avoid hemorrhagic shock, advanced medical equipment to make the operation faster, surgical repair technology can be removed in the focal area after the reconstruction of the affected bone and soft tissue defects.  If Guan Yu had lived in modern times, he would not have had to grit his teeth. At the time, Hua Tuo’s skill level would not only not have made him a famous doctor, but he might not have been able to pass the medical qualification exam. The technique of bone scraping invented and created by our ancestors has matured over the millennia and is no longer the same as it was in the past, but still plays an irreplaceable role in the treatment of osteomyelitis.