新医正骨保健液配方技术探析
作者：邓承基
引言
中医正骨临床体系中，手法复位为核心诊疗手段，但单纯正骨操作仅能够矫正骨骼错位、松解表层筋肉粘连。许多慢性筋骨劳损、脊柱力学失衡患者，长期存在深层经络瘀滞、气血运行不畅、寒湿痹阻筋膜等问题，正骨之后局部微循环障碍难以快速改善，肌肉筋膜容易再次痉挛收缩，导致椎体错位反复发生，制约整体调理效果。传统外用正骨制剂普遍存在两大短板，一部分方剂偏重猛烈活血止痛，药性峻烈，长期使用易刺激皮肤；另一类方药仅侧重祛风除湿，缺乏引导药力深入筋骨间隙的配伍思路，透皮深度不足，难以配合正骨手法发挥长效作用。
依托独创新医正骨非药物内病外治疗法理论体系，结合数十年骨伤、脊柱相关疾病临床实践，邓承基新医正骨保健液逐步成型。该保健液专为正骨临床配套研发，遵循中医筋骨一体、经络贯通理论，兼顾外用安全性与深层渗透能力，可在正骨前后涂擦作用于颈、胸、腰、骨盆等病变区域，起到疏通气血、松解筋膜、消散瘀滞、温通经络的作用，巩固正骨复位效果，降低筋骨失衡复发概率。本文从配方组方理论、药材配伍思路、制备工艺要点、临床配套应用技术、配方创新优势与发展方向展开系统探析，为正骨特色外用制剂规范化研发与临床推广提供理论支撑。
一、新医正骨保健液配方创立理论基础
1.1 筋骨同调，通养并重组方理念
传统很多骨伤外用方剂侧重于 “攻邪”，大量使用活血破瘀、散寒止痛药材，适合急性扭挫伤短期使用，并不适配慢性劳损人群长期调理。新医正骨保健液立足新医正骨核心理念，人体骨正依赖筋柔，筋脉舒展依托气血滋养，确立 “疏通不耗血、温通不燥烈” 的组方准则。
对于长期久坐、劳损形成的筋结、椎体微小错位，病机多为本虚标实。标在于经络瘀阻、寒湿滞留筋膜；本在于局部气血长期运行迟缓，筋肉失于濡养。配方摒弃一味破瘀通络的思路，实现疏通类药材与养血柔筋药材合理搭配。一方面疏通经络之中的瘀血阻滞，解除肌肉持续紧张痉挛；另一方面滋养筋膜肌腱，提升软组织弹性，依靠自身筋肉力量维持骨骼力学稳定，实现治标与固本相结合，契合慢性病循序渐进调理规律。
1.2 外治透皮，引药入筋骨配伍逻辑
皮肤屏障会阻碍中药有效成分渗透，普通外用药液药力大多停留在表皮，很难抵达脊柱周围深层筋膜、椎间软组织。新医正骨保健液配方充分重视引经、透皮药材的运用，遵循 “先开路、后通络” 的用药思路。利用辛香走窜之品开通腠理，引导活血、除湿、柔筋类药材穿透皮肤，直达筋骨病变部位。
同时配方重视经络归经划分，脊柱病变涉及督脉、足太阳膀胱经为主，兼顾多条肢体经络。组方优先选择入督脉、膀胱经药材，兼顾上下肢筋骨调理，既能应对颈肩腰腿痛局部不适，也适配脊柱失衡诱发的各类躯体酸胀、麻木，实现局部调理与全身气血疏导相互统一。
1.3 适配正骨疗法的协同作用理论
正骨手法矫正骨错缝之后，软组织内部微循环会出现短暂调整，局部存在微小筋膜牵拉刺激，容易产生酸胀不适感。保健液作为正骨配套制剂，需要与手法形成协同效应。正骨前涂抹，能够放松紧张僵硬肌群，降低正骨操作阻力，减少强行复位带来的软组织损伤风险；正骨完成后使用，可以加快局部瘀血代谢，舒缓筋膜应激性痉挛，延长正骨力学平衡维持时间。基于这一临床场景，配方药性力求平和，刺激性适中，兼顾预处理与术后养护双重需求。
二、新医正骨保健液药材配伍思路解析
新医正骨保健液采用分层配伍架构，分为通络活血组、柔筋固本组、祛风散寒除湿组、透皮引经辅助组，各组药材相互协同、药性彼此制衡，形成完整复方体系。
通络活血组为全方核心。选用行气活血、通利经络药材，改善筋骨损伤区域血液循环，消散长期劳损形成的气血瘀滞。气血通畅之后，筋脉拘紧、酸胀麻木症状能够得到有效缓解。配伍讲究活血而不破血，行气而不耗气，避免长期外用造成局部气血耗伤，适配慢性脊柱劳损人群长期反复使用。
柔筋固本组是本方区别于常规跌打外用液的特色所在。多数正骨外用制剂忽视筋膜滋养，本方加入养血、柔润筋脉药材。长期筋骨劳损人群筋膜持续处于紧张状态，弹性下降，即便完成正骨复位，筋膜拉力异常依旧容易牵拉骨骼再次移位。柔筋类药材持续滋养肌腱筋膜，恢复软组织正常张力，构建稳定的力学保护屏障，从根源降低疾病复发概率。
祛风散寒除湿组针对寒湿诱因。很多颈肩腰腿痛患者，遇寒凉、阴雨天气症状加重，寒湿潜伏于筋骨缝隙，阻滞气血流通。组方选取温而不燥的除湿通络药材，温和驱散滞留筋膜的寒湿之邪，同时控制温热药材比例，防止燥热之品刺激皮肤，避免出现发红、灼热、瘙痒等过敏反应。
透皮引经辅助组承担向导作用。辛香走窜药材开启皮肤腠理通道，促进其他药材有效成分渗透吸收，引领药力深入脊柱深部软组织。各类药材有效成分依靠引经药直达病灶，提升药液利用效率，减少药材资源浪费。同时佐以少量平和药材调和全方药性，缓和刺激性，拓宽适用人群范围。
整体配方寒热平衡、攻补兼顾。活血药搭配养血药，温散药材配伍润养药材，规避单一药性偏盛带来的弊端。既适合气滞血瘀型筋骨病症，也可用于寒湿痹阻、气血不足型慢性劳损，临床适用证型更广。
三、保健液制备关键工艺技术要点
配方疗效不仅取决于药材配伍，提取制备工艺直接影响有效成分析出率、药液稳定性与透皮效果。新医正骨保健液采用低温静态浸提工艺，全程规避高温煎煮破坏挥发性活性物质。
原料预处理环节，所有中药材分拣除去杂质，按特性进行分段粉碎，控制粉碎粒度。适度粉碎增大药材与溶媒接触面积，促进有效物质溶出，同时不宜过度研磨，防止细小残渣难以过滤，影响药液清澈度。
溶媒体系选择与浸泡周期管控为核心技术。选用适宜浓度醇性溶媒，乙醇作为天然溶媒，能够充分溶解脂溶性、挥发性活性成分，同时兼具扩张皮肤毛细血管、辅助透皮作用。浸泡过程密封避光存放，维持稳定环境温度，分两次浸提，合并两次浸提滤液，提升药材有效成分提取率。单次长时间浸泡容易析出杂质，分段浸提能够减少无效杂质溶出，降低皮肤刺激风险。
完成浸提后实施多级精细过滤，分层去除悬浮杂质，静置熟化一段时间。熟化过程让药液体系趋于稳定，减少储存过程中出现浑浊、沉淀现象。过滤完成后检验色泽、气味、均匀度，合格后密封分装。储存条件保持阴凉避光，避免高温与阳光直射，保障长期存放药效稳定。
在制剂改良方向上，工艺持续优化透皮增效技术，在不增加皮肤刺激性前提下，促进有效成分渗透深度。同时严格把控酸碱度，使药液接近人体皮肤弱酸环境，提升外用舒适度，降低敏感肌肤人群过敏概率。整套工艺不添加多余化学添加剂，依靠药材本身配伍实现药效，坚持绿色天然制剂研发思路。
四、新医正骨保健液临床配套应用技术规范
4.1 不同阶段使用方法
正骨术前调理：针对肌肉僵硬严重、活动受限明显患者，将保健液均匀涂抹于病变脊柱节段及周边肌群，配合轻柔按揉，等待药液自然吸收。充分放松痉挛筋膜，降低正骨操作难度，减少复位过程疼痛感。
正骨术后养护：复位完成休息片刻后，在调理区域薄涂药液，适度轻柔推拿促进吸收，帮助缓解复位后酸胀、紧绷感，改善局部循环，巩固骨骼力线平衡。
日常居家保健：对于恢复期人群，指导每日局部涂擦，持续松解筋结，配合规范体态导引，形成 “机构正骨调理 + 居家药液养护” 完整方案。
4.2 适应症与使用禁忌界定
临床主要适用各类劳损引发的颈肩僵硬、腰背酸痛、骶髂关节不适、肢体麻木酸胀；脊柱力学失衡伴随的筋膜拘挛；各类慢性软组织损伤恢复期调理；正骨疗法术后康复养护。
同时严格划定使用禁忌，皮肤存在破损、溃疡、急性皮炎人群禁止使用；酒精过敏人群禁用；孕妇腰骶部位谨慎使用。保健液属于外用筋骨调理制剂，仅作为正骨配套保健手段，不能替代正骨手法。针对严重器质性病变、肿瘤、感染类疾病，不单独依靠本品调理，遵循中西医规范联合诊疗原则。
4.3 辨证灵活调整使用方案
临床实践中，可根据患者体质与证型调整使用频次。寒湿偏重、畏寒怕冷人群，可适当配合局部温和热敷，促进药液吸收；阴虚燥热、皮肤易敏感人群，减少单次用量，缩短按揉时间，防止温热刺激诱发不适。坚持辨证施用，避免统一标准化模式，充分发挥复方配方的适应性优势。
五、配方技术创新价值与现存优化方向
5.1 配方体系创新亮点
当前市面上多数正骨外用制剂独立于正骨疗法体系之外，配方研发并未结合正骨诊疗流程设计。邓承基新医正骨保健液最大创新，就是紧密围绕新医正骨疗法临床需求研发，形成手法与外用制剂一体化方案。打破 “正骨只管复位，药液单纯止痛” 相互割裂的现状，构建内外协同的完整调理模式。
配伍思路突破传统跌打药酒重攻伐、轻养护的局限，把 “柔筋固筋” 提升至和活血化瘀同等重要位置，契合慢性脊柱劳损反复发作的核心病机。药性平和，适合长期持续保健调理，填补适合正骨配套长期使用的温和型外用保健液市场空白。制剂工艺坚持低温浸提，保留药材挥发性活性物质，保障透皮通络效果，实现传统中药配伍经验与现代制剂工艺相互融合。
5.2 后续优化发展方向
现阶段配方与工艺依然具备持续完善空间。持续开展长期临床观察，收集不同年龄段、不同病程患者使用反馈，进一步微调药材配比，优化针对多种证型的适配能力。持续优化提取工艺参数，建立标准化生产操作流程，推动配方工艺规范化。
与此同时，开展使用方案标准化研究，梳理不同脊柱病症对应的涂抹部位、使用频次、配套手法规范，形成统一的临床操作指引。推动配方技术传承总结，将组方理论、配伍思路、应用经验系统整理，便于基层中医骨伤从业者学习推广，助力新医正骨特色诊疗体系整体发展。
结语
邓承基新医正骨保健液，植根于新医正骨非药物内病外治理论与传统中医骨伤外治思想，以筋骨同调、通养并重作为核心组方原则，构建层次清晰、药性制衡的中药复方体系。配方立足于正骨临床真实场景，兼顾术前松解、术后巩固、日常居家养护多重需求，有效弥补单纯正骨手法存在的短板，通过疏通经络、活血化瘀、柔筋缓挛、温散寒湿改善局部生理状态，降低脊柱筋骨失衡复发概率。
在制备工艺层面，依托低温分段浸提技术，最大限度保留药材有效活性成分，兼顾药效发挥与外用安全性。相较于常规筋骨外用制剂，本配方不再局限短期镇痛消肿，更加注重修复筋膜正常生理张力，着眼于长期维持人体脊柱力学稳态，体现标本兼顾的中医诊疗思维。
伴随非药物中医特色疗法持续发展，正骨配套外用制剂拥有广阔的应用前景。持续完善新医正骨保健液配方配比、标准化制备工艺与临床使用规范，能够进一步丰富新医正骨诊疗技术体系，为广大慢性筋骨病、脊柱失衡相关亚健康人群提供更加完善、系统化的中医调理方案，推动中医正骨特色外治技术持续传承创新。
Analysis of the Formulation Technology of Deng Chengji's New Orthopedic Bone-Setting Health Liquid
Author: Deng Chengji
Introduction
In the clinical system of traditional Chinese medicine (TCM) bone-setting, manual reduction serves as the core diagnosis and treatment method. However, simple bone-setting operations can only correct skeletal misalignment and release superficial muscle and tendon adhesions. For many patients with chronic muscle and bone strain and spinal biomechanical imbalance, long-term problems such as deep meridian stasis, poor qi and blood circulation, and cold-damp obstruction in the fascia persist. After bone-setting, local microcirculation disorders are difficult to improve rapidly, and the muscle fascia is prone to spasm and contraction again, leading to repeated vertebral misalignment, which restricts the overall conditioning effect. Traditional external bone-setting preparations generally have two major shortcomings: some formulas focus heavily on violent blood-activating and pain-relieving effects, with drastic medicinal properties that easily irritate the skin after long-term use; other prescriptions only emphasize dispelling wind and dampness, lacking the compatibility concept of guiding medicinal properties to penetrate deep into the gaps between bones and tendons, resulting in insufficient transdermal depth that makes it difficult to cooperate with bone-setting techniques to exert long-term effects.
Relying on the unique theoretical system of non-drug external treatment for internal diseases in new orthopedic bone-setting, combined with decades of clinical practice in bone injury and spinal-related diseases, Deng Chengji's New Orthopedic Bone-Setting Health Liquid has gradually taken shape. This health liquid is specially developed for supporting clinical bone-setting practice. Following the TCM theories of integrating bones and tendons as well as unblocking meridians and collaterals, it takes into account both external safety and deep penetration capabilities. When applied to the affected areas of the neck, chest, waist, pelvis and other lesions before and after bone-setting, it can dredge qi and blood, release fascia, dissipate stasis, and warm and unblock meridians, so as to consolidate the effect of bone-setting reduction and reduce the recurrence probability of muscle and bone imbalance. This article systematically explores the formulation theory of the health liquid, the idea of medicinal material compatibility, the key points of preparation technology, the clinical supporting application technology, the innovation advantages of the formula and its development direction, providing theoretical support for the standardized research and development as well as clinical promotion of characteristic bone-setting external preparations.
I. Theoretical Basis for the Establishment of the New Orthopedic Bone-Setting Health Liquid Formula
1.1 Formulation Concept of Simultaneously Regulating Bones and Tendons, Combining Unblocking and Nourishing
Many traditional external formulas for bone injury focus on "expelling pathogenic factors", using a large number of medicinal materials that activate blood circulation, remove blood stasis, dispel cold and relieve pain. They are suitable for short-term use in acute sprains and contusions, but not for long-term conditioning of people with chronic strain. The New Orthopedic Bone-Setting Health Liquid is based on the core concept of new orthopedic bone-setting, which holds that the alignment of bones relies on the flexibility of tendons, and the stretching of tendons depends on the nourishment of qi and blood. It establishes the formulation principle of "unblocking without consuming blood, warming and unblocking without being dry and drastic".
For the tendon nodules and minor vertebral misalignment formed by long-term sedentary behavior and strain, the pathogenesis is mostly benign (deficiency) in origin and sthenia (excess) in manifestation. The manifestation lies in the obstruction of meridians by static blood and the retention of cold and dampness in the fascia, while the origin lies in the long-term slow operation of local qi and blood and the lack of nourishment of muscles and tendons. The formula abandons the idea of simply unblocking collaterals by removing blood stasis, and realizes the reasonable collocation of unblocking medicinal materials and blood-nourishing and tendon-relaxing medicinal materials. On the one hand, it unblocks the blood stasis in the meridians and collaterals, relieves the continuous tension and spasm of muscles; on the other hand, it nourishes fascia and tendons, improves the elasticity of soft tissues, and maintains the mechanical stability of bones by relying on the self-strength of muscles and tendons. Thus it achieves the combination of treating the symptoms and the root cause, which conforms to the gradual conditioning rule of chronic diseases.
1.2 Compatibility Logic of External Treatment for Transdermal Absorption and Guiding Medicinals into Bones and Tendons
The skin barrier will hinder the penetration of active ingredients of traditional Chinese medicine. The medicinal power of ordinary external medicinal liquids mostly stays in the epidermis, and it is difficult to reach the deep fascia around the spine and the soft tissues around the intervertebral space. The formula of the New Orthopedic Bone-Setting Health Liquid attaches great importance to the application of meridian-guiding and transdermal medicinal materials, following the medication idea of "opening the path first, then unblocking the collaterals". Pungent and fragrant herbs that move swiftly are used to open the striae and interstices of the skin, guiding blood-activating, dampness-removing and tendon-relaxing medicinal materials to penetrate the skin and directly reach the affected parts of bones and tendons.
At the same time, the formula emphasizes the classification of meridian tropism. Spinal lesions mainly involve the Governor Vessel and the Bladder Meridian of Foot-Taiyang, while taking into account multiple meridians of the limbs. The formulation prioritizes the selection of medicinal materials that enter the Governor Vessel and the Bladder Meridian, and also takes into account the conditioning of the bones and tendons of the upper and lower limbs. It can not only deal with the local discomfort of neck, shoulder, waist and leg pain, but also adapt to various types of body soreness and numbness induced by spinal imbalance, realizing the unity of local conditioning and systemic qi and blood regulation.
1.3 Synergistic Effect Theory Adapted to Orthopedic Bone-Setting Therapy
After the bone-setting technique corrects the bone misalignment, the microcirculation inside the soft tissue will undergo a short-term adjustment, and there is a local minor fascia traction stimulus, which is prone to cause soreness and discomfort. As a supporting preparation for bone-setting, the health liquid needs to form a synergistic effect with the manipulation. Applying it before bone-setting can relax the tense and stiff muscle groups, reduce the resistance of bone-setting operation, and reduce the risk of soft tissue injury caused by forced reduction. Using it after the completion of bone-setting can speed up the metabolism of local blood stasis, relieve the stress spasm of fascia, and prolong the maintenance time of spinal mechanical balance. Based on this clinical scenario, the medicinal properties of the formula are intended to be mild, with moderate irritation, taking into account the dual needs of pre-treatment and post-operative maintenance.
II. Analysis of the Compatibility Ideas of Medicinal Materials in the New Orthopedic Bone-Setting Health Liquid
The New Orthopedic Bone-Setting Health Liquid adopts a layered compatibility structure, which is divided into the collateral-unblocking and blood-activating group, the tendon-nourishing and root-consolidating group, the wind-dispelling, cold-resolving and dampness-removing group, and the transdermal and meridian-guiding auxiliary group. The medicinal materials in each group cooperate with each other, and their medicinal properties restrict each other to form a complete compound system.
The collateral-unblocking and blood-activating group is the core of the whole formula. It selects medicinal materials that move qi, activate blood circulation and unblock meridians and collaterals, so as to improve blood circulation in the area affected by bone and tendon injury, and dissipate the long-term accumulated blood stasis formed by strain. After the qi and blood are unobstructed, the symptoms of tendon vessel constriction, soreness and numbness can be effectively relieved. The compatibility emphasizes activating blood without breaking blood, moving qi without consuming qi, avoiding the consumption of local qi and blood caused by long-term external use, and is suitable for long-term repeated use by people with chronic spinal strain.
The tendon-nourishing and root-consolidating group is the characteristic that distinguishes this formula from conventional external medicinal liquids for injuries from falls. Most external bone-setting preparations neglect the nourishment of fascia, while this formula adds medicinal materials that nourish blood and moisten the tendons. The fascia of people with long-term muscle and tendon strain is in a state of continuous tension, with reduced elasticity. Even after the completion of bone-setting reduction, the abnormal tension of fascia will still easily pull the bones to displace again. The tendon-nourishing medicinal materials continuously nourish the tendons and fascia, restore the normal tension of soft tissues, build a stable mechanical protection barrier, and fundamentally reduce the recurrence probability of the disease.
The wind-dispelling, cold-resolving and dampness-removing group targets the pathogenic factors of cold and dampness. Many patients with neck, shoulder, waist and leg pain have aggravated symptoms when encountering cold weather or rainy days, as cold and dampness lurk in the gaps between bones and tendons, blocking the flow of qi and blood. The formulation selects warm but non-dry medicinal materials for dehumidification and collateral-unblocking, which gently dispels the cold and dampness pathogens retained in the fascia, while controlling the proportion of warm medicinal materials to prevent dry and hot ingredients from irritating the skin and avoid allergic reactions such as redness, burning sensation and itching.
The transdermal and meridian-guiding auxiliary group acts as a guide. Pungent and fragrant herbs that move swiftly open the channels of the skin striae and interstices, promote the penetration and absorption of active ingredients of other medicinal materials, and lead the medicinal power to penetrate deep into the deep soft tissues of the spine. The active ingredients of various medicinal materials rely on the guiding medicinals to directly reach the lesion site, improving the utilization efficiency of the medicinal liquid and reducing the waste of medicinal material resources. At the same time, a small amount of mild medicinal materials are added to harmonize the medicinal properties of the whole formula, alleviate irritation, and broaden the applicable population.
The overall formula has a balanced nature of cold and heat, and combines attack and tonification. Blood-activating medicinal materials are matched with blood-nourishing medicinal materials, and warm-dispersing medicinal materials are combined with nourishing and moistening medicinal materials, avoiding the drawbacks caused by a single biased medicinal property. It is not only suitable for bone and tendon syndromes of qi stagnation and blood stasis type, but also can be used for chronic strain of cold-dampness obstruction and qi and blood deficiency types, with a wider range of clinically applicable syndrome types.
III. Key Technical Points of Preparation of the Health Liquid
The curative effect of the formula not only depends on the compatibility of medicinal materials, but also the extraction and preparation process directly affects the precipitation rate of active ingredients, the stability of the medicinal liquid and the transdermal effect. The New Orthopedic Bone-Setting Health Liquid adopts a low-temperature static leaching process, which avoids high-temperature decoction throughout the whole process to prevent the destruction of volatile active substances.
In the raw material pretreatment process, all traditional Chinese medicinal materials are sorted to remove impurities, and are crushed in sections according to their characteristics to control the crushing particle size. Appropriate crushing increases the contact area between medicinal materials and the solvent, promoting the dissolution of active substances. At the same time, excessive grinding should be avoided to prevent fine residues from being difficult to filter, which would affect the clarity of the medicinal liquid.
The selection of the solvent system and the control of the soaking cycle are the core technologies. An alcohol-based solvent with appropriate concentration is selected. As a natural solvent, ethanol can fully dissolve fat-soluble and volatile active ingredients, and at the same time has the effect of dilating skin capillaries and assisting transdermal penetration. During the soaking process, the materials are stored in a sealed, light-proof environment with stable ambient temperature, and leached twice in two stages. The leachate filtrates from the two times are combined to improve the extraction rate of active ingredients of medicinal materials. A single long-time soaking is likely to precipitate impurities, while segmented leaching can reduce the dissolution of ineffective impurities and lower the risk of skin irritation.
After leaching, multi-stage fine filtration is implemented to remove suspended impurities layer by layer, and then the medicinal liquid is left to stand for maturation for a period of time. The maturation process stabilizes the medicinal liquid system, reducing the phenomenon of turbidity and precipitation during storage. After filtration, the color, smell and uniformity are tested, and after being qualified, the product is sealed and subpackaged. The storage condition is cool and shaded, avoiding high temperature and direct sunlight, so as to ensure the stable medicinal effect during long-term storage.
In the direction of formulation improvement, the process continues to optimize the transdermal synergistic technology to promote the penetration depth of active ingredients without increasing skin irritation. At the same time, strictly control the pH value to make the medicinal liquid close to the weak acid environment of human skin, improve the external comfort, and reduce the allergy probability of sensitive skin groups. The whole set of process does not add excess chemical additives, relying on the compatibility of medicinal materials themselves to realize the medicinal effect, adhering to the research and development idea of green natural preparations.
IV. Clinical Supporting Application Technical Specifications of the New Orthopedic Bone-Setting Health Liquid
4.1 Usage Methods in Different Stages
Pre-operative conditioning before bone-setting: For patients with severe muscle stiffness and limited mobility, evenly apply the health liquid to the affected spinal segments and the surrounding muscle groups, cooperate with gentle kneading and pressing, and wait for the medicinal liquid to be naturally absorbed. It fully relaxes the spasmodic fascia, reduces the difficulty of bone-setting operation, and reduces the pain during the reduction process.
Post-operative maintenance after bone-setting: A short rest after the completion of reduction, thinly apply the medicinal liquid on the conditioned area, and appropriately perform gentle massage to promote absorption. It helps to relieve the soreness and tightness after reduction, improve local circulation, and consolidate the bone force line balance.
Daily home health care: For people in the recovery period, instruct them to apply the liquid locally every day to continuously release tendon nodules, and cooperate with standardized posture guidance, forming a complete program of "institutional bone-setting conditioning + home medicinal liquid maintenance".
4.2 Definition of Indications and Usage Contraindications
The main clinical indications are various strains-induced neck and shoulder stiffness, low back pain, sacroiliac joint discomfort, limb numbness and soreness; tendon spasm accompanied by spinal mechanical imbalance; recovery period conditioning of various chronic soft tissue injuries; post-operative rehabilitation maintenance for bone-setting therapy.
At the same time, strictly delineate the usage contraindications: people with broken, ulcerated skin or acute dermatitis are prohibited from using it; people with alcohol allergy are forbidden to use it; pregnant women should cautiously use it on the lumbosacral region. The health liquid is an external medicinal liquid for muscle and bone conditioning, and it is only used as a supporting health care method for bone-setting, and cannot replace bone-setting manipulation. For severe organic lesions, tumors and infectious diseases, do not rely solely on this product for conditioning, and follow the principle of standardized combined diagnosis and treatment of traditional Chinese and Western medicine.
4.3 Flexible Adjustment of Usage Plans According to Syndrome Differentiation
In clinical practice, the frequency of use can be adjusted according to the patient's constitution and syndrome type. For people with heavy cold-dampness and aversion to cold, appropriate local gentle hot compresses can be matched to promote the absorption of the medicinal liquid; for people with yin deficiency and dry heat, who have easily sensitive skin, reduce the single dosage and shorten the kneading time, so as to prevent the warm stimulation from inducing discomfort. Adhere to syndrome differentiation application, avoid a unified standardized model, and give full play to the adaptive advantages of the compound formula.
V. Innovation Value of the Formulation Technology and Its Existing Optimization Directions
5.1 Innovation Highlights of the Formulation System
Most of the current orthopedic external preparations on the market are independent of the bone-setting therapy system, and their formula research and development are not designed in combination with the bone-setting diagnosis and treatment process. The biggest innovation of Deng Chengji's New Orthopedic Bone-Setting Health Liquid is that it is developed closely around the clinical needs of the new orthopedic bone-setting therapy, forming an integrated scheme of manipulation and external preparations. It breaks the current situation of "bone-setting only focuses on reduction, and the medicinal liquid simply relieves pain", which are separated from each other, and builds a complete conditioning mode of internal and external coordination.
The compatibility idea breaks through the limitation of traditional medicinal liquor for injuries from falls that focuses on attacking and expelling pathogen but neglects nourishment, and elevates "nourishing and consolidating the tendons" to the same important position as activating blood circulation and removing blood stasis, which conforms to the core pathogenesis of recurring chronic spinal strain. With mild medicinal properties, it is suitable for long-term continuous health conditioning, filling the market gap of mild external health liquid suitable for long-term supporting use of bone-setting. The formulation technology adheres to low-temperature leaching to retain the volatile active substances of medicinal materials, ensuring the effect of transdermal and collateral-unblocking, realizing the mutual integration of traditional TCM compatibility experience and modern preparation technology.
5.2 Subsequent Optimization and Development Directions
At this stage, the formula and process still have room for continuous improvement. Continue to carry out long-term clinical observation, collect the usage feedback of patients of different ages and different disease courses, further fine-tune the proportion of medicinal materials, and optimize the adaptability to multiple syndrome types. Continuously optimize the extraction process parameters, establish standardized production operation procedures, and promote the standardization of the formula process.
At the same time, carry out research on the standardization of usage plans, sort out the specifications of the corresponding application parts, usage frequency and supporting manipulations for different spinal diseases, and form a unified clinical operation guideline. Promote the inheritance and summary of formula technology, systematically organize the formulation theory, compatibility ideas and application experience, so as to facilitate the learning and promotion of grassroots TCM orthopedic practitioners, and help the overall development of the characteristic new orthopedic bone-setting diagnosis and treatment system.
Conclusion
Deng Chengji's New Orthopedic Bone-Setting Health Liquid is rooted in the non-drug external treatment theory for internal diseases of new orthopedic bone-setting and the external treatment thought of traditional Chinese medicine orthopedics and traumatology. It takes the simultaneous regulation of bones and tendons, the integration of unblocking and nourishment as the core formulation principle, and constructs a traditional Chinese medicine compound system with clear layers and mutually restraining medicinal properties. The formula is based on the real clinical scenarios of bone-setting, taking into account the multiple needs of pre-operative relaxation, post-operative consolidation, and daily home health care. It effectively makes up for the shortcomings of simple bone-setting manipulation, and improves the local physiological state by dredging meridians and collaterals, promoting blood circulation to remove blood stasis, nourishing tendons and relieving spasm, warming and dissipating cold and dampness, so as to reduce the recurrence probability of spinal muscle and bone imbalance.
In terms of preparation technology, relying on the low-temperature segmented leaching technology, it maximizes the retention of active ingredients of medicinal materials, taking into account both the exertion of medicinal efficacy and external safety. Compared with conventional external preparations for muscles and bones, this formula is no longer limited to short-term analgesia and detumescence, but pays more attention to repairing the normal physiological tension of fascia, focusing on maintaining the long-term mechanical homeostasis of the human spine, which embodies the TCM diagnosis and treatment thinking of treating both symptoms and root causes.
With the continuous development of characteristic non-drug TCM therapies, orthopedic supporting external preparations have broad application prospects. Continuously improving the formula ratio, standardized preparation process and clinical use specifications of the new orthopedic bone-setting health liquid can further enrich the technical system of new orthopedic bone-setting, provide a more perfect and systematic TCM conditioning plan for the majority of people with chronic muscle and bone diseases and sub-health related to spinal imbalance, and promote the continuous inheritance and innovation of TCM characteristic external bone-setting technology.
