本生堂 中醫診所

本生堂 中醫診所
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2014年12月18日 星期四

中醫治療 失眠



對於習慣睡好、睡熟的人,失眠 的痛苦是難以想象的……







…普遍體質下降、都市生活緊張……失眠的人似是越來越多,我碰到的失眠病人年紀最小的只有十多歲,是因為皮膚問題而來診的,自述常會眼光光到天光,好的時候也是睡不熟不長、多夢……



 




失眠的病人很小純粹只是失眠,常會夾雜其它症狀;從中醫的角度,失眠是身體內在臟腑氣血失衡的一種表現,失衡的原因可以是各式各樣、過食、情緒、外感、內傷……而內在失衡常衍生多於一種症狀,甚至是多種症狀,失眠往往只是其中之一而已。

如昨天所說,如果服用安眠藥或精神科藥物,那只是用藥物暫時解決症狀、維穩而已,並不是真正解決問題。



 
 
 
  




較多出現失眠的是女士停經前後、中醫所說的 “經斷前後諸症” 中的失眠,中醫藥是有較佳的療效(2014.5.14 的網誌〈男女更年期〉中有論述)。



 



碰過最嚴重的是一年約七十、風濕性關節炎女病人,自稱近四十年只睡過三晚好覺,那三晚是她一生中重要的三晚、都記得清清楚楚;其它日子都是眼光光到天光、或好的時候矇矇矓矓到天光……似已覺得睡眠無望,只是希望關節痛與身體不適能有所緩解……頭三天服藥後關節痛與其它症狀好轉,但仍未能入睡,我也開始覺得有些棘手,但複診後服第四天藥當晚便能入睡……



 
 




Pavarotti / Nessun dorma (無人入眠、誰都不許睡、公主徹夜未眠…)  






當夜,在死寂又靜謐的氣氛中,卡拉夫王子揚聲唱出:
Nessun dorma! Nessun dorma!
無人入眠!無人入眠!
Tu pure, o Principessa!
妳也一樣,公主殿下!
Nella tua fredda stanza.
獨守冰冷的寢宮
Guardi le stelle che tremano d'amore e di speranza.
仰望萬點繁星,為愛與希望不住顫抖
Ma il mio mistero è chiuso in me,
但我的秘密深藏於心
Il nome mio nessun saprà!
無人知我何名何姓
No, no, sulla tua bocca lo dirò,
不,不!唯當我吻妳朱唇,方才透露
quando la luce splenderà!
當晨光照耀
Ed il mio bacio scioglierà il silenzio che ti fa mia.
我的吻將打破沉默,使妳屬我

然而耳邊隱約傳來城中婦女淒厲的悲鳴:
Il nome suo nessun saprà...
沒人知他何名何姓
E noi dovrem, ahimè, morir, morir!
而我們都將沒命,沒命!

此時,卡拉夫知道自己必要得勝,即大聲宣告:
Dilegua, o notte!
消失吧,夜晚!
Tramontate, stelle! Tramontate, stelle!
下沉吧,星星!下沉吧!
All'alba, vincerò!
天破曉時,我將得勝!
Vincerò! Vincerò!
我將得勝!我將得勝!


 
 
 

2014年12月17日 星期三

失眠看 中醫? 西醫?



在網上搜尋不到昨天國內新聞網頁說的那篇 SCMP 報導文章,卻找到兩個年青人爭論中醫好或西醫好的記錄……







論據都頗有水準……中方、男方 一針見血地說 西醫藥 只是壓抑 症狀,並沒有治好疾病,更會引至身體其它問題出現……中醫藥 是身體總體治療 令症狀減輕與消失… 

西方、女方 舉自己 兩週失眠 作為反証,說嘗試過中醫藥、但並無幫助,之後轉看西醫,一粒藥丸便馬上解決問題;西醫有科學儀器檢驗身體、西藥快,中藥慢……







我當然支持男方,女方的無效例子是很值得商榷……中醫的水準太參差,失眠的中醫病理病機頗為複雜,沒有一定水準的中醫很難會奏效。

因為碰到一個失準的便作結論說中醫慢、中醫無效 並不合理。

很多倚賴西藥、精神科藥物的失眠病人,開始時也如女方一樣開心滿意,但日久藥物效能漸減,對身體的副作用也逐漸浮現加重……這亦正正是男方所說的關鍵……只是壓抑症狀,並沒有治療疾病,解決問題。






我碰到的失眠病人幾乎都能在服藥當晚或第二晚便能入睡。




Corelli "Christmas Concerto", Orpheus Chamber Orchestra






雙方爭論原文如下:


In this week's Rumble Box, Wong Yat-hei and Joyee Chan are engaged in an argument about Chinese vs Western medicine.

Chinese medicine

Ever seen the ads on how this or that cold medicine can help you clear your nose and stop the fever dead in a short time? You can get well quickly and resume all your activities in your jam-packed schedule without a hitch, the ads promise. But if you ask me, that's a tall order, creating unreasonable expectations in sick people.
Many people think of Western medicine as a storehouse of miracle cures because drugs make symptoms disappear quickly. But does making the symptoms go away mean a person is cured?
Definitely not. Western medicine is an illness suppressor, not a curer. It makes patients believe they have recovered after they no longer have the symptoms. However, the illness continues to linger undetected in their bodies.
Patients who have undergone major surgery or have been on Western medication for a long period may even develop other health problems, such as irregular heart beat or a bad stomach. This is a result of the nature of Western medicine; its aim is to kill all the germs, but in doing so, it also damages the body. With Western medicine, it's always a trade-off: if you want a certain part of your body to get better, you have to risk problems in another part in return.
So if you are serious about your health, you should consider taking Chinese medicine, which helps your body recover fully. Chinese medicine takes a whole-body approach towards healing, and does not isolate only the "infected area", as Western medicine does.
Because Western culture has dominated the world for the past few centuries, Western medicine plays a major role in today's health-care system. But if you take a closer look, you'll find glaring flaws that need to be addressed. After all, Chinese medicine, founded on 5,000 years of wisdom, has not been around for so long for nothing.

Wong Yat-hei




Western medicine

It's not fun to go two weeks without sleep. You can imagine how my health and mood suffer when insomnia strikes me once every two months or so. I mean I do go to bed and close my eyes, but I just can't get to sleep deeply enough. So I wake up every day feeling restless, exhausted and irritated.
My Chinese doctor prescribed me some very strong and bitter herbal powder, which I needed to dissolve in hot water and drink. But it did not help.
So I turned to Western medicine. I took just one pill and I soon collapsed in deep, sweet sleep.
So don't knock the idea of quick remedies. When you're on the verge of serious illness or a nervous breakdown, a quick remedy is most welcome. Herbs just don't work fast enough.
And if my insomnia persists despite the pills, there are hi-tech facilities at hospitals that can analyse my sleep patterns, brain activity and breathing.
The data can help doctors trained in Western medicine pinpoint the problem. That is a lot more scientific and reliable approach than just measuring your pulse. The medication and equipment used in Western medicine are well-tested before they are used for diagnosis and treatment. Doctors don't just operate on a hunch.
Besides, in Western medicine, most doctors specialise in a specific part of the body or a specific type of illness. They know your problem much better than someone who practises general medicine. I trust Western medicine to cure my insomnia, and many others trust it to cure their cancers, heart problems and lung infections.

Joyee Chan