2 English reference osteomyelitis [Xiangya Medical Dictionary]
Suppurative osteomyelitis [Chinese medicine terminology Committee]. Terminology of Traditional Chinese Medicine (2004)]
Attached bone abscess [Chinese medicine terminology review Committee] Terminology of traditional Chinese medicine (20 13)]
Suppurative osteomyelitis [Chinese medicine terminology Committee]. Terminology of traditional Chinese medicine (20 13)]
3. Summarize the disease name of osteophyte [1]. See Outline of Surgery, Volume II. That is, gangrene of bone [1].
Bone adhesion abscess (bone adhesion abscess) is also called bone carbuncle, bone gangrene and bone gangrene. It refers to a purulent disease in which toxic pathogens invade deeply and attach to bones [2]. This is headless gangrene. Equivalent to suppurative osteomyelitis [2].
4 "Pathogenesis of Gangrene" Volume 32: "Bony carbuncle is also caused by excessive body heat and cold wind. Wind-cold is in tendon, contending with hot air, approaching bone, and forming carbuncle. Its shape is headless, but it is swollen and wide, and its skin is thin and shiny, which is called bone carbuncle. " It is caused by pathogenic factors that go deep into the bone [3].
Conclusion of Pathogenic Qi Depression (Volume 33): "Those who are attached to bone gangrene will get rid of the wind, and wind and heat will struggle with each other, and they will encounter cold and dampness, or they will lie in cold in summer and autumn, and wind and heat will stagnate, and gangrene will occur with bone attached. I am happy in the big festival. My husband and mother are happy with the xx head and xx knee of the mouse. The baby is tender and awkward. "
The volume of Essentials of Surgery says: "gangrene is deeper than poison gas. Attached to the bone. "
5 Osteonecrosis Symptoms Osteonecrosis occurs suddenly, and the whole body is unwell and weak, followed by chills, high fever and sweating, but the fever does not decrease, eating less, the fur is yellow and greasy, the pulse is slippery, and even nausea and vomiting. The pain in the affected area is like a cone, red, swollen and hot, and the movement is limited [3]. Similar to acute suppurative osteomyelitis [3].
6. Syndrome Differentiation of Osteogangrene 6. 1 Syndrome of Absence of Bone Attached with Damp-heat Stasis refers to Damp-heat Stasis, manifested as chills and high fever, which makes the affected limb unable to move due to chills, followed by local swelling, skin color unchanged and burning, and the affected limb has obvious bone tenderness and tapping pain, yellow tongue coating and heavy pulse.
6.2 Bone-attached deprivation with excessive heat toxicity refers to excessive heat toxicity, which usually occurs about 1 ~ 2 weeks after onset, and is characterized by persistent high fever, swelling of limbs, severe pain, redness of skin, burning, pus discharge, yellow and greasy tongue coating and rapid pulse.
6.3 Septic bone-attached abscess refers to bone erosion caused by sepsis. After festering, the acute symptoms are gradually relieved, and the muscles of the affected limb are atrophied for a long time, and the thick bones can be touched. When examining with a probe, you can often touch rough dead bones, which may be accompanied by fatigue, mental fatigue, dizziness, palpitation and so on.
6.4 Bone attachment due to deficiency of vital qi and mutual accumulation of toxin and blood stasis is to correct deficiency and mutual accumulation of toxin and blood stasis, so that the pus will burst or cut by itself, and the pus will start to be sticky and rancid, clear away heat and relieve pain, or the pus will drip, and it will not heal for a long time, forming a dead bone, which is difficult to emerge, accompanied by deficiency heat, night sweats and soreness of the waist and knees.
7. Acute bone attachment Acute osteomyelitis is the name of this disease [4]. Refers to acute onset, chills and high fever, local swelling and pain, or gangrene in the abscess formation stage [2]. Acute gangrene often occurs in the long bones of limbs, local swelling, sticking the bones with tendons, pushing them, hurting the bone marrow, dripping pus after ulceration, which is not easy to close, and can become a sinus and damage the bones and muscles [4].
7. 1 Etiology and pathogenesis of acute bone gangrene. Acute bone gangrene is formed by deep invasion of toxic pathogens and attachment to bones [4].
7.2 Symptoms of acute bone gangrene Acute bone gangrene mostly occurs in long bones of limbs, local swelling, adhesion between tendons and bones, continuous pushing and squeezing, biting pain, dripping pus after collapse, not easy to close, which can form sinus and damage bones and muscles [4].
Acute onset, chills and high fever, local swelling and pain, and even convulsions, coma, headache, nausea and vomiting [4].
8. Chronic bone attachment Chronic osteopenia is the name of this disease [5]. Refers to the gangrene attached to bone caused by acute extension or open fracture poisoning, which is characterized by sinus formation, pus discharge or dead bone [2]. Chronic gangrene mostly occurs in the long bones of limbs, local swelling, sticking the bones with tendons, pushing them, biting the bones, dripping pus after collapse, not easy to shut up, and can form sinuses and damage the bones and muscles [5].
8. 1 Symptoms of chronic gangrene: Chronic gangrene mostly occurs in long bones of limbs, local swelling, adhesion between tendons and bones, continuous pushing, biting pain, purulent water dripping after ulceration, which is difficult to close, and can form sinuses and damage bones and muscles [5].
8.2 Etiology and pathogenesis of chronic bone gangrene Osteogangrene is a purulent disease that is deeply attacked by poisonous pathogens and attached to bones [5]. Known as chronic gangrene, it is caused by acute extension or open fracture poisoning, which is characterized by sinus formation, pus discharge or dead bone, and long-term unhealed.
The treatment of gangrene should focus on eliminating those who have not developed pus in the early stage of gangrene, and should clear away heat and toxic materials, promote blood circulation and dredge collaterals. The prescription should be Xianfang Huosheng Decoction combined with Huanglian Jiedu Decoction or Wuwei Disinfection Drink, and Huangjin Powder or Shuangbai Powder should be used locally. If pus has developed but not festered, support should be given priority to and Tori should be used to penetrate pus. You can only add or subtract Tori Disinfection Drink, partially cut pus and discharge it, or treat it by other methods [3].
If cold and heat come and go, it is advisable to clear away heat and dry dampness, remove blood stasis and dredge collaterals, and you can choose Xianfang Huosheng Decoction or Hexingxiao Pill for oral administration.
If purulent or mature, it is advisable to clear away heat and dry dampness, help poison and nourish the stomach, and take Huanglian Jiedu Decoction orally to add flavor; If patients see the symptoms of deficiency of both qi and blood, they should replenish blood and qi, and then choose Bazhen Decoction or Shiquan Dabu Pill. If pus is produced, it should be cut and drained; If you see dead bone forming in the sore, take out the rotten bone with surgical forceps; If the sinus is formed, it is advisable to expand the wound by surgery, remove the hard wall of the sinus and drain it with medicine twist; If the wound is ruddy and the pus will be exhausted, apply Shengji powder instead and shut up.
10 About headless gangrene (headless gangrene; Suppurative osteomyelitis and arthritis) is the name of this disease [6]. It refers to purulent diseases that occur between bones and joints [2]. Equivalent to suppurative osteomyelitis and suppurative arthritis [2]. Most of them are caused by toxic pathogens, cold coagulation and qi stagnation [6].