Hunan Daily reporter Zhang Chunxiang Correspondent Tao Yan
"You are fine, it doesn't matter, don't be nervous." "You are so young, I helped you touch it. The vertebrae should be fine. I will prescribe some medicine for you. Don't worry." In the orthopedic clinic on the second floor of the outpatient clinic of the Second Affiliated Hospital of Hunan University of Traditional Chinese Medicine ( Hunan Provincial Hospital of Traditional Chinese Medicine ), Professor Tian Xinyi, a famous traditional Chinese medicine doctor in Hunan Province, explained to every patient kindly and patiently.
After 50 years of practicing medicine, Tian Xinyi has been using countless patients with bone injuries to cure diseases. He learned from the "Four Great Kings" of orthopedics in Hunan (Zhang Maozhen, Zhang Luchu, Sun Dawu, Zhan Jingshan), and was deeply aware of the essence of bone correction in traditional Chinese medicine and summarized rich experience in the treatment of bone injury diseases in combination of traditional Chinese and Western medicine.
Now, he is in his seventies and his body is not as good as before because of the two cerebral hemorrhages. Even if he is slow, he always moves forward step by step to relieve the suffering of the patient.
Because my father was a doctor, he learned from the "Four Great Kings" of orthopedics in Hunan
If his father had not died of illness when he was young, perhaps Tian Xinyi would not have embarked on the road of medical treatment so firmly.
In 1950, Tian Xinyi was born in Longshan County, Xiangxi Prefecture, Hunan Province. His grandfather and father knew some massage techniques and were quite famous in the local area. Since childhood, Tian Xinyi has been influenced by the mysterious Chinese medicine method. When he was 17 years old, his father suddenly fell seriously ill and could not find out the cause of the disease. He died at the age of 40. This incident hit Tian Xinyi a huge blow.
"If there are good conditions, he may not die!" Memories seemed to bring the gray-haired old man to his youth, bringing him back to the most painful years. It was his father's death that made Tian Xinyi, who was young at the time, secretly made up his mind to become a doctor. "I must study medicine and find out what disease my father was suffering from."
1970, Tian Xinyi was admitted to Hunan University of Traditional Chinese Medicine as he wished, and officially embarked on the road to medical treatment. After graduating from university, he was assigned to work in the Department of Orthopedics of Hunan Provincial Hospital of Traditional Chinese Medicine. At that time, Zhang Maozhen's technique, Zhang Luchu's diagnosis and treatment, Sun Dawu's theory, and Zhan Jingshan's sprinkling tendons were famous. The four of them were also known as the "Four Great Vajras" of orthopedics.
"Zhang Maozhen is the eldest apprentice of Zhang Zigeng, a famous bone injury expert. His reduction techniques are among the best. If we can't get back, he will return to the patient with a quick and easy apprentice. It's very magical; Zhang Luchu is Zhang Zigeng's second apprentice. He prescribes traditional Chinese medicine prescriptions to patients with dialectical treatment methods, which is very effective; Sun Dawu's theoretical foundation is solid, and I followed him to learn writing methods, and in theory he has guided me a lot; Zhan Jingshan is the son of Zhan Zhenchuan, a famous orthopedic doctor, and he uses muscle-based knife and acupuncture to treat bone injury diseases, which is very distinctive." Tian Xinyi said.
Tian Xinyi felt very lucky. When he first arrived at the Orthopedics Department, the department was in a state of disagreement. He was fortunate to follow four orthopedics experts to learn orthopedics techniques, syndrome differentiation treatment, clinical summary, etc., and to get everything, further consolidate the foundation of traditional Chinese medicine and improve the level of traditional Chinese medicine clinical practice.
Consolidate the root and keep the source. Make full use of the characteristics of traditional Chinese medicine for treating bone injuries
With unremitting efforts, Tian Xinyi has summarized his "Tian Family" experience step by step.
Once upon a time, a 4-year-old child had a double fracture of his forearm and was seriously displaced. He failed to restore the patient several times in the outer hospital. He found Tian Xinyi here more than a week later. Tian Xinyi's wonderful hands rejuvenated, and once the reset was successful, the child avoided surgery.
A case of a triple ankle fracture also impressed Tian Xinyi. At that time, the patient was only in his twenties and was injured in Shenzhen. He was seriously ectopic. Later, he rushed back to Changsha to find Tian Xinyi. After Tian Xinyi used clever techniques to help him reset, he fixed it through a shaping splint, combined with traditional Chinese medicine treatment and functional exercise, the patient's three ankle function was completely restored after more than a month.
"Traditional Chinese medicine has obvious advantages in treating bone injury diseases. For example, for distal radius fracture , manual reduction can make the anatomical alignment reach more than 95%, or even 100%, which is simpler and faster than the operation, less damage, less economic burden on the patient, and better effect." Tian Xinyi said, for example, for children with double forearm fractures, the surgery will cause major damage, causing the skeleton to grow slowly, and the traditional Chinese medicine reduction effect will be faster and better, and the recovery will be earlier.
In addition to techniques, the use of traditional Chinese medicine is also a very important part of the treatment of bone injury diseases.
Osteomyelitis is a refractory bone disease. It is caused by bacteria infection in the bones and is prone to not healing for a long time, which often makes patients very painful. At first, Tian Xinyi followed Zhang Luchu, the old director of the Orthopedics Department, to learn how to treat it. After his own innovation and improvement, he designed a prescription for "Kyan Jian Bone Decoction". It used two-pronged inflammation and to replenish qi and blood drugs, which was quite effective for patients with osteomyelitis.
Mr. Wang (pseudonym), 60 years old this year, lives in Liaoning. He replaced femoral head after femoral neck fracture. As a result, he was infected and was diagnosed with osteomyelitis locally. In April this year, due to the impact of the epidemic, Mr. Wang contacted Tian Xinyi through remote consultation. After taking "Keyan Jianbian Tang" for more than a month, Mr. Wang felt that he had improved significantly. He was able to walk smoothly after taking it for less than two months.
Adhere to the truth and innovate, and innovate in the integration of traditional Chinese and Western medicine. The development of orthopedics in traditional Chinese medicine
Although he was born in traditional Chinese medicine, he stood on the basis of his predecessors. Instead, he insisted on adhering to the truth and innovate, and adopted the integrated treatment of traditional Chinese and Western medicine according to different conditions of the disease.
Take osteomyelitis as an example. If the patient does not heal for many years and the infection is severe, treatment with pure Chinese medicine may not have a good effect, and surgical treatment is also required.
"Patients who have been infected with osteomyelitis for many years will form fistula . According to the traditional Chinese medicine method, Hongshengdan will be used to corrode the fistula, thereby achieving the effect of removing the infection. However, this old method is very slow. If surgical treatment is used, the infected area will be removed and sutured in one go, and the effect will be immediately achieved." Tian Xinyi said.
Tian Xinyi once had a patient with humeral osteomyelitis for more than 20 years. The fistula had grown to the size of his fingers and had not healed. After surgery combined with traditional Chinese medicines such as "Kyan Jian Bone Decoction" for about a month, the patient recovered completely.
"The times have developed, and people's ideas and concepts have also been different. The effect of multiple methods at the same time may be better. We cannot be conservative and treat them completely according to traditional methods." From 1974 to 1975, Tian Xinyi studied at Xiangya Second Hospital of Central South University for one year. It was this experience that profoundly influenced his academic concepts. Compared with the four famous orthopedic doctors, Tian Xinyi's generation of doctors has made more breakthroughs in the combination of Chinese and Western treatment.
Tian Xinyi introduced that taking lumbar disc herniation as an example, if the sciatic nerve is severely compressed, according to the traditional Chinese medicine method, the herniation cannot be removed and the effect is slow, which has been causing compression and may lead to incomplete paralysis. Only by removing the herniated parts by surgery can the condition be avoided to continue to worsen. The same is true for elderly people with femoral neck fractures and femoral head necrosis. Total hip replacement can allow patients to recover in a short period of time, reduce the patient's pain, and reduce the burden of nursing.
The doctor is kind-hearted. He takes these eight words as the principle of practicing medicine
If you want to do things well, a sharp weapon is very important, and cultivating your mind is also indispensable. This is especially true when you are a doctor. Without kindness, you cannot become a truly good doctor.
"Patients are entrusting their lives to us when they see a doctor. As long as they can help the patients, I will do what I can." In the early 1990s, a young man with a lumbar compression fracture who was less than 30 years old rushed to the hospital from Chaling, Zhuzhou to the hospital for surgery. During the operation, the patient had a lot of bleeding and needed a blood transfusion urgently, but the money was gone in his account. Seeing this, Tian Xinyi, who was not the surgeon's surgeon, took the initiative to advance the 3,000 yuan he carried on his body to the patient. The patient finally completed the operation successfully and turned the crisis into safety.
"He recovered well at that time, so he ran over to say thank you to me." Tian Xinyi still remembers it freshly. In fact, Tian Xinyi often secretly supports patients with family difficulties. Many patients I met during treatment have also become friends with Tian Xinyi for many years.
For patients, he is a kind doctor, but for students, he is an absolute strict teacher. It is normal for Tian Xinyi's student to be flushed because of making mistakes.Tian Xinyi always believes that strict teachers produce high disciples. "Only by strictly demanding them, they can develop well in the future on the road of business and life." What is covered by the strict requirements of
is nothing more than a painstaking cultivation of teachers.
Tian Xinyi, who has been teaching master's degree students since 2003, was awarded the Outstanding Teaching Teacher of Hunan University of Traditional Chinese Medicine, and was named the National Famous Old Traditional Chinese Medicine Expert Inheritance Studio this year. Today, the students he trains are spread all over the country and have become the backbone of local traditional Chinese medicine orthopedics.
"Doctors must have the pain of the patient in their hearts. If they think that there are still many diseases that have not been conquered, they must keep working hard; they must also have sympathy and kindness to the patients. Whether they are old, weak, sick, disabled, rich or not, they must be treated equally and fairly." This old man has been a doctor for a lifetime, and he expressed such emotion.
(first instance: Zhang Chunxiang; second instance: Hu Yufen; third instance: Yang Youhua)
