① Touch your hands and you will understand your heart. Use the fingertips to touch the fractured area, and feel it with your heart. The technique is gradually heavier, from shallower to deeper, from far to near to understand the fracture displacement, whether it is separated or broken, etc. The doctor must establish a fracture displacement in his mind. Three-dimensional image. Although the shape of bones can be clearly seen through X-rays, X-rays can only give people a flat indication, and touching the heart with your hands will help you understand the whole picture. Therefore, touching the heart with hands will be the leading method for using other clinical methods to treat syndromes.

②Pull out and pull. The initial method of repairing a fracture is to have one or several people hold the near and far parts of the fracture, first put the limb in the original deformed position, and resist traction along the longitudinal axis of the limb, then change the direction of the limb according to the bone setting steps, and continue traction to correct it. Shortening deformity of limbs, restoring limb length, and creating conditions for the implementation of other bone-setting techniques.

③Rotation, flexion and extension. The position of the proximal fracture segment is difficult to change, and the distal segment loses continuity and can move. Therefore, methods such as rotation, flexion, extension, abduction, and adduction are used to correct the rotation or angular displacement of the fracture end.

④ Lift, press and squeeze. The method used to correct the lateral displacement of fractures was called Nazheng in ancient times. The lateral displacement of the fracture is divided into anterior and posterior displacement and medial and lateral displacement; the former is corrected by the lifting and pressing method, and the latter is corrected by the end-squeezing method. The doctor fixes the proximal end of the fracture with one hand, and holds the distal end of the fracture with the other hand, either lifting and pressing up and down, or squeezing the left and right ends.

⑤Swing touch. It is used for transverse and zigzag fractures, which can make the fracture surfaces in close contact and increase the stability of reduction. Use both hands to fix the fracture, and with the assistant maintaining traction, gently rock the distal end of the fracture left and right or up and down until the bone fricative disappears, which is called the rocking method. The touching method can make the fracture end tightly embedded. The doctor fixes the fracture part with one hand and gently taps the distal end of the fracture with the other hand.

⑥Pinch and break the bones. This technique is used to correct the fracture displacement of the juxtaposed parts of the two bones. The doctor uses the thumbs and the index and middle fingers of both hands to squeeze or pinch the gap between the two bones from the palmar dorsal side of the fracture to tense the interosseous membrane and break the close fractures. When the ends are separated, the near and far fracture segments are relatively stable, and the juxtaposed double fractures can be reduced together like a single fracture.

⑦ Folding top maneuver. The fold-roof method is used to correct fractures in areas with rich muscles and large overlapping displacements that cannot be corrected by the pull-out and traction method alone. Press both thumbs side by side against the protruding end of the fracture, and wrap the remaining fingers of both hands around the sunken end of the fracture. Squeeze the protruding end hard to increase the original angle of the fracture to 30 to 50 degrees. When the bone cortex of the fracture end is close, suddenly use The four encircling fingers straighten the angle at the distal folded end and perform reflexion to correct the deformity. The convolution method is used to correct dorsally displaced oblique fractures, spiral fractures, and soft tissue embedded fractures. Hold the far and near broken ends with both hands respectively, and rotate them in the opposite direction according to the original fracture displacement direction, so that the broken ends face each other.

⑧Tuina massage. This method is a specific application of the tendon-regulating technique when repairing fractures. The purpose is to regulate the damaged tendons around the fracture after the fracture is reduced. However, the tendon-regulating technique should be used gently and is only used as an auxiliary technique at the end.

Requirements

The operation of bone-setting techniques requires stability, accuracy, agility, uniform force, coherent movements, steady and appropriate strength, and avoid force and violence. It is best to achieve satisfactory results with bone correction in one go. Repeated corrections often aggravate local soft tissue damage, make swelling more severe, make reduction more difficult, and may cause delayed fracture healing or joint stiffness.