骨折好發於各年齡層，在手術復位及固定後，仍須經一系列的發炎、修補以及再塑型等過程後才完成骨癒合。根據統計，約有5~10%的患者發生骨折後癒合不良。本病例之54歲女性患者，原有體重過重問題，於此次跌倒造成骨折，經三個月復健治療後，癒合狀況不如預期，故至本院中醫求診，中醫辨證屬瘀阻脈絡、肝腎虧虛證型。給予血府逐瘀湯加減與傷科止痛手法後，治療效果有限，於是改用傷科活血化瘀手法及熱敷衛教後，諸症狀緩解明顯，患者可回到原來的工作崗位。

Bone fractures are common in each age group. After reduction and fixation, bone healing can be simplified into three successive stages: inflammation, repair, and remodeling. According to statistics, the prevalence of delayed healing and non-union is 5-10%. We report a case of a 54-year-old overweight woman who sustained a delayed-union right tibial fracture while 3-month rehabilitation. Based on syndrome differentiation of TCM, the patient was diagnosed as blood stasis and liver-kidney yin deficiency pattern. Her clinical signs were not improved very much after taking XUE FU ZHU YU DECOCTION and applying pain-relief-manipulation. Due to the limited therapeutic effect, we then approached the activate-blood-and-resolve-stasis manipulation and hot compressing patient instructions. Afterwards the patient’s clinical signs were significantly improved and she was able to get back to work.