醫徹中西:西醫不能說的「身體唔好」

Posted by | 2018-05-24 | Allied Health, Articles

【明報專訊】最近看到一份科研報告,指出肥胖的人炎症指數會增加。其實,不止肥胖人士,很多以為與發炎無關的疾病,炎症指數也會增加。

文:余秋良(香港醫學專科學院院士、浸會大學中醫藥學院榮譽教授)
文章日期:2017年9月11日

醫徹中西:西醫不能說的「身體唔好」

發炎不一定細菌引起

發炎的意思不一定是細菌引起。燒傷、扭傷也會引起發炎。其實很多人在骨痛、胸痛的時候,醫生診斷為關節炎、胸膜炎,都是沒有細菌的發炎。肥胖隨之而有的炎症,可以說是身體狀况不佳的一種表現反應。

最近有一位中年男病人,六年前患上鼻咽癌,當初做了電療和化療,癌症一直沒有復發,只是口乾未能改善。但五年後,聲線開始變差,看醫生後,發覺是左邊聲帶神經半癱,斷定為最近的病變。為何在五年後才有這種病變呢?據說是神經炎或血管發炎所引起。奇怪的是為何在五年後才發生呢?來診時,他的身體完全不在狀態,所以可以說是身體狀况不好的時候,炎症會增加,這病人就是因之前鼻咽癌部位引起這些局部病變。

炎症與身體狀態息息相關

整體來說,炎症與身體狀况不好有密切關係,只是西醫不能以身體不好為診斷,既以微觀方式去解釋身體各部之時,更難說宏觀性身體不好。同樣,很多人神經衰弱、憂慮、抑鬱的時候,身體明顯不好,有些更加因身體狀况不好影響精神,炎症指數更高。以上男病人,雖然說是聲帶神經半癱影響沙啞失聲,怎樣醫都無改善,但以中醫藥療法,清痰通絡消瘀,八星期後明顯聲音響亮清晰。

中醫以臟腑氣血,痰阻瘀塞等方法去描述其中的這種變化,不失為一個可用之法。其實,西醫亦可將整體身體用微觀方法,在這方面重組思維框架,加倍精心描述以前未提及的身體全面細節,而以新診斷框架解說炎症各方面的問題。

當中醫西醫互相添補,醫學方面可以有更多進步空間。

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