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過敏

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過敏

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過敏性鼻炎會影響小孩課業嗎?🙀

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蕭亦愷中醫師

🐼會,當然會!

研究指出過動症的盛行率,在台灣兒童間約是5%至7%,以往被認定是與遺傳有關,現今已被證實孩童的過敏症狀其實與過動有相關。

常見的過敏性鼻炎的症狀就是打噴嚏, 鼻子癢, 眼睛癢, 流鼻水, 鼻水倒流, 鼻塞!
㊙️其實就是鼻腔黏膜受到刺激(溫差或是低溫),而不斷產生清澈鼻水!

有些兒童可以在早晨用掉一整包衛生紙…
不幸的是,若是父母也鼻子過敏,常會認為這是正常現象而加以忽視,造成小孩在校成績直直落,甚至遭到老師的抱怨,這孩子怎麼難以管教。😰

為何鼻子過敏就會造成孩子過動?

🐼大家知道鼻水是由那裡產生的嗎?
👼鼻腔黏膜…沒錯,先由淋巴滲出水分,再由鼻腔黏膜滲出。
而頭部的淋巴液,尤其是鼻腔的淋巴液,大部分是由消化吸收系統所吸收的水分,再加上身體的礦物質以及一些營養成分而組成。

鼻水直直流,也就是體液的大量流失(一直擤鼻涕)就會造成腦部的營養不足。各位可以想像一下,鼻腔與大腦的距離不超過十公分,共用營養似乎是正確的選擇。
所以,鼻水流多了,大腦缺乏養分,就會恍神,注意力不集中。長期下來,小朋友變得煩躁,過動,也是當然的。

通常以下幾種狀況容易流鼻涕:

✅早上沒戴口罩、只在早上洗澡、愛吃冰冷食物
這幾樣習慣有個共通點,就是身體遇到冰涼。
早晨是人體體溫,也是室內溫度最低的時候。
此時,最容易流鼻涕、打噴嚏!
簡單的推想,這就是身體無法順利讓體溫上升,而藉由打噴嚏的方式提高體溫。所以打噴嚏一般被認為是排寒的一種方式。

急性期經方會用葛根湯或是小青龍湯來緩解症狀,加強肺部的血液循環,讓肺部溫度上升,身體就不需經由打噴嚏的方式去提高體溫,也不會讓鼻涕一直滴。

✅經常熬夜
熬夜也會加重過敏。㊙️
修復人體需要腎系統的幫助,熬夜會讓肝系統以及腎系統超過負荷,當鼻腔黏膜受到刺激很容易加重反應,而讓鼻水不止。

✅未定時服藥
過敏性鼻炎分為急性期與緩解期,急性期的中藥效果快,不會有嗜睡或晃神的副作用;但是有些小朋友在鼻水稍停後,常常忘記吃藥,家長也疏於監督,造成鼻炎反覆發作。
在體質上,容易流鼻水的小朋友多半是體內腸胃道的溫度較低,又帶有水分,也就是大家常聽說的寒濕。
我們用理中湯、胃苓湯去發散胃中水氣。
寒濕是長期喝冷飲或吹冷風造成,已經成為一種體質。
改善體質,就需要數個星期的不間斷服藥。切記不能隨意停藥。

🧐研究顯示[1]中藥改善過敏性鼻炎效果非常好,華人區大多也以中藥來治療兒童鼻炎居多!

您還沒帶小朋友來看鼻炎嗎?

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五月到,梅雨季跟著降臨。
放眼望去,診所滿山滿谷濕疹病患,手掌癢到無法自己,我們該如何選擇治療方式?

西方醫學來說,濕疹(eczema)是一種常見的過敏性皮膚病。濕疹一詞通常泛指一系列持久和續發的皮疹,以發紅,水腫,搔癢和乾燥為表徵,可伴有結痂、剝落、起水泡、裂開、出血或滲血[1]。在濕疹的組織切片中可以看到表皮層出現很多發炎細胞聚集,在表皮和真皮之間導致一些空泡變化,這時候在組織內可以看到一些小水泡,在皮膚表面看到的會是紅、腫甚至是滲出一些組織液,比正常的皮膚還要濕的狀態,這個時候就是標準的急性濕疹變化。這也是濕疹被稱作濕疹的主要原因。
治療上,主要以外用類固醇藥膏塗抹與內服抗組織胺類藥物,止癢且避免發炎反應。但是類固醇藥膏,可能帶來皮膚暗沉、皮膚變薄的副作用。抗組織胺則會伴隨嗜睡等不良反應。

中醫來看,濕疹也是由濕氣造成的。這些濕氣的聚集,也可以說是皮下的組織液的過度累積,造成皮膚無法獲得養分,而出現乾癢,水泡紅腫等現象。那濕氣為甚麼會聚集呢?主要是因為局部區域的發汗量過大,例如手掌,腳掌,或是關節處。有研究顯示,濕疹患者的局部排汗量是正常人的二點五倍。
找到發汗量過大的原因,是可以快速止癢消腫的,不需要過度的症狀治療。
在《素問‧宣明五氣篇》記載“五臟化液:心為汗,肺為涕,肝為淚,脾為涎,腎為唾,是謂五液。”[2] 也就是「汗為心之液」的由來。
發汗異常的問題,在於心臟❤的控管能力不佳,經方看待發汗的系統很簡單,消化系統吸收營養與水分後,就是汗液的來源,心系統負責將這些水分與電解質送到皮膚表面,肺系統則控制汗腺的開關。
常見的汗皰疹,在手掌、手指側面及腳掌,會出現透明像珍珠樣的小水泡,這就是水分已送到皮膚表面,可是汗腺沒有打開,造成水堵在皮下,出現小水泡,奇癢無比。我們用麻黃加朮湯,打開毛孔,讓水分排出去。
主婦濕疹(又稱富貴手)多發於經常接觸水以及刺激性物品的人,如主婦、水泥工等等。在手指及手掌發病,一般不過手腕,從手指開始長出小皰疹、變厚、角質化,嚴重時皮膚乾燥、碌落甚至乾裂見血。
皮膚會出現變厚的現象,就是濕氣在肌肉層中,讓表皮層無法收到應得的養分,只好越變越厚去保護自己,我們用麻杏薏甘湯去除肌肉層的濕氣,小便量會增加,帶走皮下的組織液累積。

那…醫生,我要怎麼做才可以根治濕疹呢?答案只有一個,運動⚽。我們用適當的運動增強心臟的機能與肺活量,只要能夠順利將汗水排出體外,就不會有濕疹的產生喔!!

[1]趙辨. 濕疹面積及嚴重度指數評分法. 中華皮膚科雜誌. 2014年1月, 第37卷 (第1期): 3 [20160901]
[2] 《宣明五氣篇》是《黃帝內經•素問》中的第二十三篇文章,承接上篇《藏氣法時論》五臟之氣法象四時的理論,按照五行法則歸納五味所入、五氣所病、五精所並、五臟所惡、五臟化液、五味所禁、五病所發、五邪所亂、五邪所見、五臟所藏、五臟所主、五勞所傷、五臟之脈等,以此闡明五臟的生理活動、病理變化的規律,作為臨床診治的指導原則。

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濕疹 & 汗皰疹

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🤔當【心臟】超時工作,肩膀、肩胛、都會酸酸的
如果是初期的心臟問題,上手臂、甚至連到我們的小指跟無名指都會麻麻不舒服。

🎈可是為什麼辦公室那麼多人?
我的肩頸酸痛最嚴重,
這就是 【越有”心”,越疲勞】,

承擔較多的壓力與疲勞,加上身體動的角度太少,可能窩在電腦,可能一直看手機,沒有做開胸與通暢經脈的運動,當然肩頸 ”特” 酸痛。

#校正【辦公室⇒酸痛】
#原來是【心臟】遞出請假單 !
#你願意讓【心臟】渡假嗎 ?
#越有”心”,越疲勞

這些穴道都可以改善酸痛。
按摩風池穴及天柱穴改善頭頸部血液循環與眼睛疲勞。
肩部肩井穴可舒緩肩部痠痛,
背部肩胛骨上的天宗穴及
內側的膏肓穴可以緩解背部附近的酸痛。

按摩這五個穴道可以緩解頸肩背附近的痠痛症狀。

另外背部的天宗穴及膏穴肓,因位於背後不易自行按壓,可以利用大小適中的按摩球(或網球)平躺利用身體重量按壓穴位。並且可以透過旋轉伸展運動,鬆開肩背部肌肉以舒緩肩背痛。

另外其他的經絡按摩,對心臟都很好
1.腋下每天撥15-30下。
2.拍一拍手或按一按【跟心臟有關的經絡在內側】

可是為什麼辦公室那麼多人? 我的肩頸酸痛最嚴重,這就是 【越有”心”,越疲勞】,
承擔較多的壓力與疲勞,加上身體動的角度太少,可能窩在電腦,可能一直看手機,沒有做開胸與通暢經脈的運動,當然肩頸 ”特” 酸痛。

很多人覺得大腦想太多,所以才累,其實累的都是【心臟】,心的背後有個老闆【心神】,管理我們的意識跟情感…
就問一句話 !
你玻璃心碎滿地的時候,是碎在胸口 ? 還正碎在大腦 ?

為什麼是心在碎,因為【心】負責我們的情感跟意識,

大腦是來幫我們寫腳本的,但真正指揮這個腳本運作,執行你許多夢想與計畫,是我們的心神喔,這個心神就住在我們的【心臟】周圍。

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