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TCM Bone-setting Therapy

Ⅸ-6Traditional MedicineHaicheng, LiaoningBatch 4 (2014)Extension ItemFeatured

01 · Historical Records

The bone-setting skill was once widely circulated among the people of Haicheng during the Daoguang and Xianfeng reigns of the Qing dynasty. Between 1912 and 1949, Su Xiangliang studied the bone-setting skill under the local famous physician Doctor Qu and then founded the school; thereafter the heritage project was transmitted from generation to generation within the Su family, and was continuously developed and refined in practice.

02 · Core Techniques & Process

Haicheng Su's bone setting has a long history and is one of the traditional therapies of Chinese medicine for fractures, joint dislocations, and other diseases of the locomotor system; it is mainly circulated in the urban and rural areas of Haicheng, Liaoning, and in Anshan, Yingkou, Liaoyang, Panjin, and other places. Haicheng Su's bone setting mainly treats patients' bone-injury diseases through manipulations such as pulling and stretching, reduction, alignment, and massage, finishing with external fixation by small splints. In clinical practice, besides the traditional diagnostic and therapeutic methods of Chinese medicine - the eight-principles pattern differentiation and the theory of qi, blood, and meridians - modern medical means are also applied to make a definite diagnosis and treat bone and joint injuries according to each individual case. In long years of medical practice, Su's bone setting gradually formed its own distinctive four methods of bone setting, namely the distraction-reduction method, the firm-soft fixation method, the internal-external medication method, and the natural exercise method. The distraction-reduction method combines tuina anesthesia and analgesia with bone-setting manipulation, using skillful language and movements to divert the patient's attention and reducing fractures and dislocations in a moment; the firm-soft fixation method uses thin linden wood strips, which are abundantly produced locally in Liaoning, and selects single, double, or multiple layers stacked together to form splints according to the site of the fracture, binding them with cloth straps and then wrapping the whole with thick bandages; the internal-external medication method, under the guidance of the theory of qi and blood, gives primacy to activating blood and resolving stasis, nourishing blood and relaxing sinews, and tonifying the liver and kidneys, supplemented by opening the orifices, so as to achieve marked efficacy; and the natural exercise method integrates qigong, guided stretching, and limb movement into one. On the basis of boosting qi, it is also organically combined with exercise. Value is placed on the exercise form of voluntary activity: through exercises such as swinging the limbs and breathing, the dynamic balance of qi, blood, yin, and yang within the body is promoted and recovery from injury is accelerated. Its core techniques are: for reduction, combining manipulation with instruments; for fixation, combining internal with external fixation; for movement, combining active with passive; and for medication, combining internal with external application. Haicheng Su's bone setting inherits and develops the folk traditional bone-setting skill, can treat most fractures, dislocations, and joint diseases, and requires no surgery, reducing iatrogenic injury and the possibility of infection and shortening patients' recovery time.

Reduction by distracting the mind

The mind is distracted by talk and movement while reduction is done, easing both pain and fear in a matter of seconds.

Firm yet yielding fixation

Thin willow and basswood slats from Liaoning are layered one, two or more deep, tied and then bandaged overall.

Natural exercise

Breathing and limb movement are combined into self-directed exercise to restore the balance of qi and blood without apparatus.

Internal and external medication

Under the qi-blood doctrine the method acts on stasis, sinew and kidney in turn, with orifice-opening herbs added along the way.

Four combinations

Reduction pairs hand with instrument, fixation inner with outer, movement active with passive, medication oral with topical.

03 · Regional Records & Related Items

Haicheng Su's bone setting is one of the traditional therapies of Chinese medicine for fractures, joint dislocations, and other diseases of the locomotor system, and is mainly circulated in the urban and rural areas of Haicheng, Liaoning, and in Anshan, Yingkou, Liaoyang, Panjin, and other places; the bone-setting skill was once widely circulated among the people of Haicheng during the Daoguang and Xianfeng reigns of the Qing dynasty, and between 1912 and 1949 Su Xiangliang studied the bone-setting skill under the local famous physician Doctor Qu and then founded the school, after which the heritage project was transmitted from generation to generation within the Su family and continuously developed and refined in practice. The fifth-generation inheritor Su Jicheng established an intangible-cultural-heritage protection base to promote and transmit Haicheng Su's bone-setting therapy, and has trained sixty-four disciples.

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04 · Cultural Value & Contemporary Safeguarding

It both inherits the traditional medicine of China and lightens the burden of medical care on ordinary people, and it is also a vivid embodiment of the medical ethics, style, and skill of Chinese medicine, having medical and sociocultural value. Su Jicheng (recorded in the official file of the affiliated inheritor): Male, Han ethnicity, born in April 1964, a native of Haicheng, Liaoning. Over the years he has emphasized traditional manipulation, and is especially known for treating cervical spondylosis and lumbar disc herniation by TCM manipulation, continuously enriching the four methods of Su's bone setting. He has served as chief editor of academic monographs such as Su's Bone Setting, Su's Tuina and Clinical Practice, and One Hundred Difficult Cases of Bone Injury, and has developed six improved external-fixation devices for bone injury. He is a representative inheritor of Haicheng Su's bone setting (TCM Bone-setting Therapy), a project in the fifth national-level batch of intangible cultural heritage. To promote and transmit Haicheng Su's bone-setting therapy, he established an intangible-cultural-heritage protection base, and has trained sixty-four disciples.

05 · Associated Representative Bearers

Representative bearers recorded under this item, organized by national nomination batch:

06 · Authoritative Sources & Bibliography

  1. TCM Bone-setting Therapy (Haicheng, Liaoning) · China ICH Official Project Archive
  2. Su Jicheng · National Representative Bearer Archive

Sources

China Intangible Cultural Heritage Network (ihchina.cn)

Read the official ihchina.cn record ↗

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