\u003c/p>\u003cp>臨床上的炎癥很廣泛,比如心肌炎、肺炎、支氣管炎、肝炎等,西醫治療炎癥,主要是針對致病因子使用抗生素治療。中醫理論中早已有“炎癥”的概念,但比較寬泛,“熱”和“火”都算炎癥范疇,這其中的“火”又有實火、虛火之分。按照中醫理論,引發“上火”的具體因素很多,情緒波動過大、中暑、受涼、傷風、嗜煙酒以及過食辛辣之品,缺少睡眠等都會導致“上火”。中醫針對“炎癥”這種熱證,講究辨證論治,會根據病情輕重、病程長短,各臟腑所受到的牽連狀況,酌情施以不同的治療手段。因此,不能將西醫的炎癥與中醫的熱證混為一談。因為,即便是體內確實有火有熱,而身體氣血虧虛,寒氣很重的情況下也是不能輕易用寒涼藥瀉火泄熱,因為這種火是虛火。比如反復發作、用消炎藥療效不明顯的口腔潰瘍就屬于虛火;有的人經常下午四五點鐘發低熱,這是腎陰不足的緣故,同樣是虛火。面對虛火不能用西醫消炎藥或寒涼中藥,即使癥狀得到緩解,也會傷了陽氣。一旦出現誘因還會復發。真正的實火是邪熱熾盛引起的實熱證,通常會發自平日身強體壯的人身上。這種火來勢兇猛,用藥后走得也快。既然“火”有虛火、實火之分,故治療亦有不同。\u003c/p>\u003cp>降虛火,要用滋陰降火的藥物,以治療陰虛火升的咽痛、虛煩易怒、眩暈夫眠、舌紅口燥等證,常用藥物有玄參、生地、丹皮等。食物上應拒絕高熱量、高脂肪的食品,一些較為溫熱的食品也要少吃,比如櫻桃、荔枝。消除虛火,關鍵是改變生活方式,即順應晝夜變化,保證充足睡眠,尤其不要熬夜。日常可按壓照海穴(位于腳內側,內腳踝尖下方凹陷處),用大拇指按壓直至有酸脹痛感即可,5~10分鐘為宜。\u003c/p>\u003cp>降實火,要用清泄降火的藥物,以治療肝火上升的目赤、頭痛或胃火熾盛的齒痛、便秘等證,常用藥物有龍膽草、黃芩、大黃、生石膏等。如果辨證為實火,可以喝清熱解毒的代茶飲,比如菊花茶、金銀花茶。飲食上可利用食物的苦寒之性來降火化熱,如生苦瓜具有寒涼之性,可以清暑瀉火、解熱除煩;苦菜具有清熱解毒和涼血的功效,有利于制火。實火多由情緒波動過大、缺少睡眠、貪肥膩等原因導致,因此生活中要保持良好心態,少吃油膩食物。還可每天點按少府穴(握拳,小指按到的地方就是少府穴)5分鐘,此法能有效緩解心火過旺所引起的口舌生瘡、失眠、面紅目赤、小便赤黃等癥狀。\u003c/p>","type":"text"}],"currentPage":0,"pageSize":1},"editorName":"杜毅楠"},"__env__":"production"}; 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  1. 切記!中醫的火≠西醫的炎癥

    切記!中醫的火≠西醫的炎癥

    2021年04月09日 15:54:44
    來源:生命時報

    原標題:中醫的火≠西醫的炎癥

    受訪專家:黑龍江中醫藥大學附屬第一醫院呼吸科副主任、主任醫師 隋博文

    本報特約記者 鄭文韜

    生活中,我們常常將身體出現的一些癥狀叫做“發炎”,西醫稱之為炎癥。西醫認為炎癥是機體對于刺激的一種防御反應,最為明顯的表現是“紅、腫、熱、痛”,諸如細菌、病毒、支原體、真菌、寄生蟲等“入侵”人體,都有可能導致炎癥。舉個常見的例子,當我們出現牙齦腫脹、喉嚨腫痛等一些炎癥表現時,很多人便將炎癥與中醫的“上火”聯系在一起。黑龍江中醫藥大學附屬第一醫院呼吸科主任醫師隋博文表示,上火可以說是炎癥的一個表現,但并不等同于炎癥。

    切記!中醫的火≠西醫的炎癥

    臨床上的炎癥很廣泛,比如心肌炎、肺炎、支氣管炎、肝炎等,西醫治療炎癥,主要是針對致病因子使用抗生素治療。中醫理論中早已有“炎癥”的概念,但比較寬泛,“熱”和“火”都算炎癥范疇,這其中的“火”又有實火、虛火之分。按照中醫理論,引發“上火”的具體因素很多,情緒波動過大、中暑、受涼、傷風、嗜煙酒以及過食辛辣之品,缺少睡眠等都會導致“上火”。中醫針對“炎癥”這種熱證,講究辨證論治,會根據病情輕重、病程長短,各臟腑所受到的牽連狀況,酌情施以不同的治療手段。因此,不能將西醫的炎癥與中醫的熱證混為一談。因為,即便是體內確實有火有熱,而身體氣血虧虛,寒氣很重的情況下也是不能輕易用寒涼藥瀉火泄熱,因為這種火是虛火。比如反復發作、用消炎藥療效不明顯的口腔潰瘍就屬于虛火;有的人經常下午四五點鐘發低熱,這是腎陰不足的緣故,同樣是虛火。面對虛火不能用西醫消炎藥或寒涼中藥,即使癥狀得到緩解,也會傷了陽氣。一旦出現誘因還會復發。真正的實火是邪熱熾盛引起的實熱證,通常會發自平日身強體壯的人身上。這種火來勢兇猛,用藥后走得也快。既然“火”有虛火、實火之分,故治療亦有不同。

    降虛火,要用滋陰降火的藥物,以治療陰虛火升的咽痛、虛煩易怒、眩暈夫眠、舌紅口燥等證,常用藥物有玄參、生地、丹皮等。食物上應拒絕高熱量、高脂肪的食品,一些較為溫熱的食品也要少吃,比如櫻桃、荔枝。消除虛火,關鍵是改變生活方式,即順應晝夜變化,保證充足睡眠,尤其不要熬夜。日常可按壓照海穴(位于腳內側,內腳踝尖下方凹陷處),用大拇指按壓直至有酸脹痛感即可,5~10分鐘為宜。

    降實火,要用清泄降火的藥物,以治療肝火上升的目赤、頭痛或胃火熾盛的齒痛、便秘等證,常用藥物有龍膽草、黃芩、大黃、生石膏等。如果辨證為實火,可以喝清熱解毒的代茶飲,比如菊花茶、金銀花茶。飲食上可利用食物的苦寒之性來降火化熱,如生苦瓜具有寒涼之性,可以清暑瀉火、解熱除煩;苦菜具有清熱解毒和涼血的功效,有利于制火。實火多由情緒波動過大、缺少睡眠、貪肥膩等原因導致,因此生活中要保持良好心態,少吃油膩食物。還可每天點按少府穴(握拳,小指按到的地方就是少府穴)5分鐘,此法能有效緩解心火過旺所引起的口舌生瘡、失眠、面紅目赤、小便赤黃等癥狀。

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