處方 : 赤(chi)芍 歸尾 川芎 蘇木 陳皮 乳香(xiang) 桃仁 續斷 烏(wu)藥(yao)(yao) 沒藥(yao)(yao) 木通 甘(gan)草
功能主治 : 活血止(zhi)痛。治跌撲傷(shang)損。（跌打(da)損傷(shang)）
用法用量 : 河水煎服。
摘錄 : 《傷科補要》卷三
胸(xiong)(xiong)(xiong)(xiong)(xiong)(xiong)部(bu)(bu)挫(cuo)傷(shang)(shang)容易與(yu)哪些(xie)癥(zheng)狀(zhuang)混淆？ 胸(xiong)(xiong)(xiong)(xiong)(xiong)(xiong)部(bu)(bu)挫(cuo)傷(shang)(shang)的(de)(de)(de)鑒(jian)別(bie)診斷： 1、胸(xiong)(xiong)(xiong)(xiong)(xiong)(xiong)骨(gu)(gu)(gu)裂(lie)：胚(pei)胎(tai)時(shi)(shi)期，胸(xiong)(xiong)(xiong)(xiong)(xiong)(xiong)骨(gu)(gu)(gu)始基形成(cheng)(cheng)(cheng)左右(you)胸(xiong)(xiong)(xiong)(xiong)(xiong)(xiong)骨(gu)(gu)(gu)板。約(yue)在(zai)(zai)(zai)第(di)9~10周時(shi)(shi)，兩(liang)側(ce)胸(xiong)(xiong)(xiong)(xiong)(xiong)(xiong)骨(gu)(gu)(gu)板在(zai)(zai)(zai)中線相(xiang)(xiang)互融(rong)合(he)(he)(he)形成(cheng)(cheng)(cheng)整體(ti)(ti)胸(xiong)(xiong)(xiong)(xiong)(xiong)(xiong)骨(gu)(gu)(gu)。如(ru)(ru)果胚(pei)胎(tai)發育過程(cheng)中未能(neng)完(wan)成(cheng)(cheng)(cheng)此種融(rong)合(he)(he)(he)，或(huo)(huo)僅部(bu)(bu)分(fen)融(rong)合(he)(he)(he)，則(ze)形成(cheng)(cheng)(cheng)胸(xiong)(xiong)(xiong)(xiong)(xiong)(xiong)骨(gu)(gu)(gu)裂(lie)。按裂(lie)隙的(de)(de)(de)部(bu)(bu)位(wei)與(yu)程(cheng)度，可(ke)分(fen)為上段胸(xiong)(xiong)(xiong)(xiong)(xiong)(xiong)骨(gu)(gu)(gu)裂(lie)、下(xia)段胸(xiong)(xiong)(xiong)(xiong)(xiong)(xiong)骨(gu)(gu)(gu)裂(lie)和(he)(he)全胸(xiong)(xiong)(xiong)(xiong)(xiong)(xiong)骨(gu)(gu)(gu)裂(lie)。 2、胸(xiong)(xiong)(xiong)(xiong)(xiong)(xiong)骨(gu)(gu)(gu)壓(ya)(ya)(ya)(ya)痛(tong)(tong)：多(duo)數病(bing)(bing)(bing)人胸(xiong)(xiong)(xiong)(xiong)(xiong)(xiong)骨(gu)(gu)(gu)壓(ya)(ya)(ya)(ya)痛(tong)(tong)最明(ming)(ming)顯(xian)(xian)(xian)的(de)(de)(de)部(bu)(bu)位(wei)在(zai)(zai)(zai)胸(xiong)(xiong)(xiong)(xiong)(xiong)(xiong)骨(gu)(gu)(gu)下(xia)部(bu)(bu)，即相(xiang)(xiang)當于(yu)第(di)四(si)、第(di)五肋間(jian)的(de)(de)(de)胸(xiong)(xiong)(xiong)(xiong)(xiong)(xiong)骨(gu)(gu)(gu)部(bu)(bu)。 3、胸(xiong)(xiong)(xiong)(xiong)(xiong)(xiong)骨(gu)(gu)(gu)下(xia)端壓(ya)(ya)(ya)(ya)痛(tong)(tong)：胸(xiong)(xiong)(xiong)(xiong)(xiong)(xiong)骨(gu)(gu)(gu)下(xia)端壓(ya)(ya)(ya)(ya)痛(tong)(tong)是白(bai)血病(bing)(bing)(bing)的(de)(de)(de)重(zhong)要體(ti)(ti)征(zheng)(zheng)之(zhi)(zhi)一。除此還可(ke)見于(yu)惡性(xing)(xing)淋巴瘤(liu)、骨(gu)(gu)(gu)髓增殖性(xing)(xing)疾病(bing)(bing)(bing)，但后兩(liang)者較為少見。白(bai)血病(bing)(bing)(bing)，又叫血癌，當人們患有白(bai)血病(bing)(bing)(bing)，特(te)別(bie)是患有急性(xing)(xing)白(bai)血病(bing)(bing)(bing)時(shi)(shi)，胸(xiong)(xiong)(xiong)(xiong)(xiong)(xiong)骨(gu)(gu)(gu)壓(ya)(ya)(ya)(ya)痛(tong)(tong)便成(cheng)(cheng)(cheng)為重(zhong)要的(de)(de)(de)體(ti)(ti)征(zheng)(zheng)之(zhi)(zhi)一。據(ju)臨(lin)床觀察(cha)，多(duo)數病(bing)(bing)(bing)人胸(xiong)(xiong)(xiong)(xiong)(xiong)(xiong)骨(gu)(gu)(gu)壓(ya)(ya)(ya)(ya)痛(tong)(tong)最明(ming)(ming)顯(xian)(xian)(xian)的(de)(de)(de)部(bu)(bu)位(wei)在(zai)(zai)(zai)胸(xiong)(xiong)(xiong)(xiong)(xiong)(xiong)骨(gu)(gu)(gu)下(xia)部(bu)(bu)，即相(xiang)(xiang)當于(yu)第(di)四(si)、第(di)五肋間(jian)的(de)(de)(de)胸(xiong)(xiong)(xiong)(xiong)(xiong)(xiong)骨(gu)(gu)(gu)部(bu)(bu)。醫學(xue)家們認為，產(chan)(chan)生(sheng)骨(gu)(gu)(gu)痛(tong)(tong)的(de)(de)(de)原因主要是由于(yu)骨(gu)(gu)(gu)髓內白(bai)血病(bing)(bing)(bing)細胞大量增殖，引起骨(gu)(gu)(gu)髓腔容積壓(ya)(ya)(ya)(ya)力增高，以(yi)(yi)及(ji)(ji)白(bai)血病(bing)(bing)(bing)細胞浸潤骨(gu)(gu)(gu)膜(mo)(mo)刺激感覺神(shen)經(jing)而(er)引起。從(cong)解剖學(xue)上看，胸(xiong)(xiong)(xiong)(xiong)(xiong)(xiong)骨(gu)(gu)(gu)板很薄，覆蓋此部(bu)(bu)的(de)(de)(de)皮膚也很薄，骨(gu)(gu)(gu)膜(mo)(mo)感覺神(shen)經(jing)也較豐富(fu)，所以(yi)(yi)，對觸(chu)壓(ya)(ya)(ya)(ya)很敏感，往往會(hui)產(chan)(chan)生(sheng)明(ming)(ming)顯(xian)(xian)(xian)的(de)(de)(de)壓(ya)(ya)(ya)(ya)痛(tong)(tong)。 局部(bu)(bu)劇烈(lie)疼痛(tong)(tong)，指觸(chu)患處(chu)，可(ke)觸(chu)及(ji)(ji)肋骨(gu)(gu)(gu)膜(mo)(mo)厚鈍或(huo)(huo)線狀(zhuang)剝(bo)離，肋間(jian)隙肌肉緊韌，有時(shi)(shi)能(neng)觸(chu)及(ji)(ji)一滾動的(de)(de)(de)條狀(zhuang)物(wu)肋間(jian)肌肌纖維剝(bo)離，壓(ya)(ya)(ya)(ya)痛(tong)(tong)明(ming)(ming)顯(xian)(xian)(xian)． 胸(xiong)(xiong)(xiong)(xiong)(xiong)(xiong)壁(bi)軟(ruan)組織(zhi)(zhi)損(sun)(sun)傷(shang)(shang)是指胸(xiong)(xiong)(xiong)(xiong)(xiong)(xiong)壁(bi)的(de)(de)(de)皮膚、皮下(xia)組織(zhi)(zhi)、胸(xiong)(xiong)(xiong)(xiong)(xiong)(xiong)肌及(ji)(ji)肋間(jian)組織(zhi)(zhi)在(zai)(zai)(zai)外力的(de)(de)(de)作用下(xia)造成(cheng)(cheng)(cheng)的(de)(de)(de)機械性(xing)(xing)損(sun)(sun)傷(shang)(shang)，占胸(xiong)(xiong)(xiong)(xiong)(xiong)(xiong)部(bu)(bu)損(sun)(sun)傷(shang)(shang)的(de)(de)(de)40%~60%。表淺的(de)(de)(de)軟(ruan)組織(zhi)(zhi)損(sun)(sun)傷(shang)(shang)如(ru)(ru)擦(ca)傷(shang)(shang)、挫(cuo)傷(shang)(shang)等，一般在(zai)(zai)(zai)臨(lin)床上無重(zhong)要性(xing)(xing)，但是如(ru)(ru)果發生(sheng)廣泛挫(cuo)裂(lie)傷(shang)(shang)或(huo)(huo)穿透傷(shang)(shang)，就可(ke)產(chan)(chan)生(sheng)嚴(yan)重(zhong)的(de)(de)(de)影響。胸(xiong)(xiong)(xiong)(xiong)(xiong)(xiong)壁(bi)軟(ruan)組織(zhi)(zhi)損(sun)(sun)傷(shang)(shang)按其(qi)皮膚有無破裂(lie)有開放(fang)和(he)(he)閉(bi)合(he)(he)(he)性(xing)(xing)之(zhi)(zhi)分(fen)。開放(fang)性(xing)(xing)損(sun)(sun)傷(shang)(shang)中根(gen)據(ju)胸(xiong)(xiong)(xiong)(xiong)(xiong)(xiong)壁(bi)傷(shang)(shang)口(kou)與(yu)胸(xiong)(xiong)(xiong)(xiong)(xiong)(xiong)膜(mo)(mo)腔或(huo)(huo)與(yu)縱隔(ge)有無相(xiang)(xiang)通又分(fen)為穿透傷(shang)(shang)和(he)(he)非(fei)穿透傷(shang)(shang)。嚴(yan)重(zhong)者可(ke)引起呼吸和(he)(he)循環功能(neng)障礙，如(ru)(ru)不及(ji)(ji)時(shi)(shi)有效處(chu)理(li)，可(ke)導(dao)致病(bing)(bing)(bing)人迅速死亡(wang)。
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