天灸

三伏天灸 Tian Jiu is a traditional Chinese medicine therapy. Chinese herb pastes are applied to selected acupuncture points of the body to regulate the flow of “Qi” and blood circulation to strengthen the immune system. The therapy is carried out twice a year on days when “Yang Qi” in summer and “Yin Qi” in winter are strongest to maximize the effects. Tian Jiu has proven to have positive effects on illnesses and diseases which are likely to be affected by changes in weather and seasons, such as allergic rhinitis and asthma. Patients who are having fever, serious high blood pressure, diabetes, and pregnancy are not suitable for receiving Tian Jiu therapy. Tian Jiu in summer 2017 will be carried

氣管敏感

常有病人每到天氣變化、遇冷空氣,或嗅到異味,即咳個不停,甚至咳到淚水鼻涕一併而出,更有甚者,咳得小便滲出。這反覆咳嗽的情況既非哮喘也不是感冒,市民習慣稱為「氣管敏感」,屬於中醫「內傷咳嗽」的範疇,以虛證處理。 氣管敏感的病因,多為先天不足,以及後天失養,導致稟賦、體質偏虛。先天不足如小孩和老人氣血虛弱;後天失養如患肺病之後,又或久病大病沒有好好調養,導致肺氣虛弱,或致脾腎皆虛。患者容易受外界環境影響,遇冷空氣、煙味便不停咳嗽。 氣管敏感的患者,大多服食止咳藥、抗過敏藥,可以止一時之咳嗽,但病根未除,病情反覆,夜晚咳嗽劇烈,有痰難咯出或無痰,多說幾句話便咳起來,聲音沙啞,自覺不夠氣說話;也有患者咳聲重濁,痰多成塊;咳得厲害的患者有反胃作嘔、肋骨痛、滲尿等症狀,屢見不鮮。 中醫以陰虛、氣虛、痰濕論證,各以滋陰、補氣、袪痰治療。治氣管敏感,也有治肺、治脾、治腎的分別。一般來說,由肺至脾,脾至腎,是病情深入的迹象。各個證型可相兼,也可互相轉化。但無論何種證型,久咳不治最後必會累及腎。 要減輕或預防氣管敏感,首先要注意氣候變化,防寒保暖,尤其要讓頸部溫暖,避免出入溫差太大的地方。辛辣煎炸當然不能吃,肥膩生冷也不可吃,以免助濕生痰。戒吸煙,少說話,免刺激咽喉。病人要有恒心和耐性接受治療,氣管敏感會慢慢好轉。 撰文:陳曉萼醫師

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