bone bruise Sp 9

[Guest guest]

Hi everybody

 

I have a patient who presented about 3 weeks ago with a huge

(baseball sized) hematoma right on Sp 9. Strangely enough, he was

hit by a baseball! There is little muscle tissue or, consequently,

blood supply at Sp 9 as you know. He saw a doctor who told him he

could lance it at the time or that he could just wait and it would

eventually go away. He came to see me and I have been surrounding

the bump on the medial side only as the tibia has so little tissue

there I can't really insert on the other side. I have also been

using Sp 6. I gave him a bottle of Jin Gu Die Shang Wan and sent him

on his way thinking it would go away quickly as this treatment has

worked very quickly for normal hematomas in the past. I treated him

twice the first week and weekly since. It has reduced somewhat and

has a discolored appearance which I consider good, that the blood is

slowly dispersing to the capillary circulation at the skin level. I

hesitate to use pricking since it was a " bone bruise " and I'm afraid

of puncturing the periostium and introducing bacteria to that area.

But it just seems like an inordinately slow process compared to

other hematomas I've seen in the past. Is pricking safe or

recommended? Is there another formula which might work better? He

reports no pain (at least not since the acute phase subsided). He's

been " working " the bump with some massage--is that good or bad? I

also recommended rubbing it with fresh ginger root and using hot

soaks. It doesn't interfere with movement but looks pretty awful and

probably would be painful if hit. Is this perhaps not local qi and

blood stasis after all? Is there a damp component? Are the Kidneys

involved and how? His toungue and pulse are unchanged from his

normal presentation which I consider to be slight essence vacuity--

susceptible to colds, allergies lifelong, " not too smart " , sort of

dull affect. We got his allergies under control a while back and he

only sees me on and off for massage. He's quite " clingy " and kind of

a " whiner " , very sensitive to acupuncture (he yells loudly before I

insert the needles!). He's a kind and wonderful individual, of

course and a great Dad. Any help out there? Maybe it just takes time

because of the lack of perfusion and we're already doing the best we

can. Just would like some feedback/support on this.

 

Thanks, Shanna