From Evil Sect Leader to Doctor-Chapter 253 - 229: Clash of Dragon and Tiger

It is usually because the patient has a history of heavy drinking, long-term use of steroids, or has a history of hip fractures and trauma, all of which can affect the blood circulation to the femoral head, leading to a disease where the femoral head and bone tissues become necrotic and even collapse.

In the early stage, micro-invasive methods such as decompression and bone grafting can be used for femoral head preservation treatment. For cases with obvious collapse, artificial hip joint replacement is recommended to improve clinical symptoms.

Xu Changshan decided to first go to Zhou Meng's home to help with a follow-up consultation. Zhou Meng carried his mother back to their fourth-floor home.

Mrs. Liu asked Zhou Meng to serve tea to the guests. Zhou Meng made two cups of jasmine tea for the guests. His family was very poor, living in a place that could be described as devoid of all possessions. His mother's health was not good, and most of his salary was spent on medical expenses. If it weren't for the poor economic situation, he wouldn't have sold the He Shouwu left by his father.

Xu Changshan looked at Mrs. Liu's recent examination report from the mine hospital, and the MRI report showed that the bone tissue of the hip joint was recovering.

Xu Changshan made some adjustments to the Blood Circulation and Bone Nourishing Soup, reducing the dosage of Angelica, Corydalis, and Frankincense. These primarily served to promote blood circulation, remove stasis, and relieve pain. Now that the patient's pain had almost disappeared and the blood supply to the bone tissue had returned to normal, it was natural to reduce the dosage.

Dried tangerine peel and Curcuma were used to relieve depression and regulate Qi.

Rhizoma Drynariae, Dipsacus, Cinnamon, Dog spine, and Bone-penetrating Grass were used to warm yang and benefit the kidneys, strengthen muscles and bones.

Duhuo and Angelica Dahurica were used to disperse cold and dampness, reduce swelling and pain. Earthworm and Dragon's Blood were added to prevent stagnation of Qi and blood.

Because the patient's living environment was close to Qingshan Lake, the humidity was high, and it was early winter with heavy cold, so Atractylodes and Clematidis were added.

The patient's course of illness had lasted for five years. After taking the pulse, it was found that she had a deep and fine pulse, tight, deficient at the chi position, indicating Shaoyin yang deficiency and kidney Qi fatigue.

For the weak constitution, Astragalus, Atractylodes, and Purple River Vehicle were added to strengthen the spleen, remove dampness, and tonify Qi and blood.

The adjusted prescription focused on nourishing the liver and kidneys, benefiting Qi and blood, dispersing cold and dampness, warming the meridians, and strengthening muscles and bones.

While adjusting the prescription, Xu Changshan instructed Xu Chunliang earnestly. The old master believed that bone diseases were related to the kidneys, all caused by kidney Qi deficiency. This could be seen from the patient's complexion, which was dull and a typical manifestation of the diffusion of kidney water color.

Xu Chunliang grew increasingly respectful of his grandfather, not only for his medical skills but also for his benevolent heart to heal the world. Today, the old master came to the mining area not for money. He didn't charge a penny for the medicines he brought for those old patients. In today's world, conscientious doctors like his grandfather were rare.

After examining Mrs. Liu's limbs, Xu Changshan stated that her current physical condition allowed for the hip joint to be relocated.

Clinically, what is usually referred to as hip dislocation means that the femoral head is expelled from the weak zone between the iliac ligament and the ischial ligament, causing a tear in the posterior joint capsule and the femoral head's round ligament.

Hip dislocation is classified into anterior dislocation, posterior dislocation, and central dislocation. Mrs. Liu was a typical case of posterior dislocation.

Manual relocation is generally performed without pain. Currently, there are no anesthetic conditions, so Xu Changshan first performed acupuncture for pain relief on Mrs. Liu.

Following the principle of treating lower diseases by targeting upper points, acupuncture was performed at Dazhui, Mingmen, and Yaoyangguan points; Lieque was used to unblock the Ren Meridian, and Houshen was used to unblock the Du Meridian, Zhongwan, and Qi Sea. After completing this route of acupuncture points, the Ren and Du Meridians were unblocked.

Next, the Taiyang and Shaoyang Channels were unblocked, with acupuncture points selected at Weizhong, Waqiu, and Jinmen, respectively.

Then, the Zangfu organs including Shenshu and Pangguangshu were unblocked.

The last step was to unblock the Yuanshen, with acupuncture points selected at Baihui, Yintang, and Shenmen.

Xu Chunliang watched as his grandfather performed acupuncture. Despite his old age, the old master's technique remained steady and precise.

In Chinese medicine, the dragon is nine, and the tiger is six. The dragon is pure yang, and the tiger represents yin. It is said that "the dragon is nine, and the tiger is six."

The battle between the dragon and the tiger refers to the supplementation and drainage done at the Tianren Earth Three Sections. The filiform needle is inserted into the acupuncture point to induce Qi, lifted to the Tian section, rotated clockwise along the meridian, and then quickly twisted back. The needle technique is first supplemented nine times, then drained six times.

After completion, nine supplements and six drainage are done at the Ren section.

Then, the same nine supplements and six drainages are done at the Earth section, all using the twisting method.

The purpose of the dragon and tiger battle technique is to relieve pain and analgesia.

The ascending and descending of the dragon and tiger refer to the insertion and lifting. Similarly, supplementation and drainage are done at the three sections. After the entire technique is completed, the needle is lifted to the Tian section, where it waits, allowing the Qi to circulate continuously. What is the purpose? When the Qi is supposed to pass through a joint, if the joint is stuck and the Qi cannot pass, pain will occur.

For example, if someone is dislocated or has a broken bone, and the Qi cannot pass, the dragon and tiger ascending and descending method is used to allow the Qi to pass.

The Dragon and Tiger Battle is a twisting technique, which is extremely effective for pain relief.

The Dragon and Tiger Rise and Fall is an insertion and pulling method, only used when joints are dislocated and the qi cannot pass through.

Xu Changshan completed the nine reinforcements and six drainages of the Dragon and Tiger Battle.

He began repositioning with a rotational technique, letting Xu Chunliang assist him.

The patient was placed in a supine position, Xu Chunliang pressed on both sides of the patient's pelvis with his hands, Xu Changshan fixed one hand on the ankle joint, and with the other hand, he bent the knee joint of the affected side extremely and pulled up the popliteal fossa, pulling the affected limb upward from the knee, adducting the knee inward, drawing a reverse question mark with the knee joint.

This technique is also called knee traction repositioning. The key skill of the technique is that the traction force must be applied slowly and not with a jolt, because patients with femoral head necrosis often have osteoporosis, and if the force is not controlled properly during repositioning, it is very likely to cause a fracture.

After all, Xu Changshan was getting older, and hip joint repositioning requires a lot of physical strength from the doctor. The old man finished the left joint repositioning for the patient, sweating profusely.

Acupuncture is effective for pain relief, but it is short-lived, so he still needed to perform acupoint needling with the Dragon and Tiger Battle technique next.

Xu Chunliang couldn't bear seeing his grandfather so tired and volunteered to take over the repositioning work.

Xu Changshan considered for a moment and agreed, guiding him again on the key points of the repositioning technique.

Xu Chunliang let Zhou Meng take over his assistant duties, fixed the patient's right ankle joint with one hand, and used the rotational method to pull the affected limb inward. Xu Chunliang's actions were swift and neat, and Xu Changshan wanted to remind him to control the force, but before he could speak, Xu Chunliang had already successfully repositioned the joint.

The patient only felt a brief pain, but as the joint was repositioned, the pain quickly disappeared, embodying the saying that long pain is worse than short pain.

Xu Changshan asked the patient to move her leg joints and checked to make sure that the repositioning was indeed successful. He couldn't help but sigh, as the Yangtze River waves push forward, new generations replace the old, and he was, after all, old himself; such repositioning requires abundant physical strength as a guarantee.

In the midst of his sighs, he couldn't help but feel delighted, seeing that Huichun Hall would have successors. Judging by his grandson's repositioning technique today, it was decisive and accurate, much like himself back in the day.

Xu Changshan instructed Zhou Meng not to let the patient get out of bed within three days post-repositioning, and not to bear weight for three months. An MRI should be done every six months, and after three re-examinations, if everything is fine, you can be assured, and the femoral head replacement surgery will be unnecessary.

Zhou Meng thanked the grandfather and grandson profusely and sincerely wanted to invite them to stay for a meal, but Xu Changshan said he still had a few patients to visit and asked Zhou Meng to take good care of his mother, and they'd talk about other things later.

As the grandfather and grandson left, Zhou Meng ran after them, taking out a thousand yuan to give to the old man.

Xu Changshan sternly said that if Zhou Meng did that, he wouldn't offer further check-ups in the future, and he should keep that money to be filial to his mom.

Zhou Meng was moved to tears and saw them off to the downstairs, wanting to go further, but Xu Changshan wouldn't let him.

In the morning, Xu Chunliang accompanied his grandfather to several more places. Some people had passed away, some had moved away, and the old man, having brought so much traditional Chinese medicine, had only distributed a small portion. By the time they finished their rounds, it was already noon. Xu Changshan had originally planned to stay a day in the mining area, but half a day had been enough to complete all tasks.

On their way back, they passed by Mrs. Wei's door again. Looking at the row upon row of high-rise buildings under construction, Xu Changshan shook his head, unable to hide the disappointment in his heart. Perhaps the next time he comes, this worker village, bearing historical memory, will no longer exist.

Times change, and the rise and fall of industry and the upgrade of industries are inevitable. Xu Changshan pointed to the coal mine not far away and told his grandson that in the early 1970s, he had once trained there to rid himself of feudal remnants and undergo the working class transformation.

While in the mining area, his clinic couldn't operate, and the family lost its source of income. His wife, alone with three children, had to survive by scavenging and picking up scrap metal to support their education.

That period was the low point of his life, and if not for the help of the simple workers in the mining area, he probably wouldn't have pulled through.

Xu Chunliang noticed that his grandfather was very nostalgic for the past, as old people often are, so he suggested accompanying him to visit the mine, which was exactly what Xu Changshan intended.

Now, Qingshan Mine no longer had workers. A stone stele stood at the entrance, indicating that it had become a provincial cultural relic protection unit, though it wasn't an open tourist attraction.

Xu Changshan told his grandson that Qingshan Mine had been occupied by Easterners for quite a long time. During that time, they frantically dug coal resources and continuously transported them via rail to Hai Zhou, where they shipped them to Neon. There are still many buildings from the Japanese occupation period preserved at the mine.

The entrance to Qingshan Mine was locked, and it was currently not open to the public. Xu Chunliang found the gatekeeper and offered him two packs of cigarettes; the gatekeeper immediately turned a blind eye, reminding them that normally no one is allowed in and that today was an exception. They should not touch anything inside or enter the mine shaft without permission and must leave within three hours.

Xu Chunliang originally wanted to temporarily leave the snakeskin bag with the medicinal materials in the reception room, but the old man insisted on carrying it, so Xu Chunliang had to carry it himself. Inside was half a bag of medicinal materials and medicinal wine. Although not very heavy, it made him look like a refugee, greatly affecting the image of Grandmaster Xu.

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