【疾病知多D】散瘀攻略

〈碌熱雞蛋碌唔碌得走瘀血？〉

撞傷後，患處往往可能會出現一片瘀血，一般稱為挫傷(Contusion)。
　　
那這片瘀血到底從何而來呢？
　　
許慎在《說文解字》裡說：
　　
瘀，積血也。从疒於聲。
　　
張舜徽在《說文解字約注》裡補充說：
　　
瘀之言鬱也，謂鬱聚一處，久而不散也。血之在身，流行無滯，偶因外損內傷，以致血行失度，隨受傷之處停積不散，皆成瘀血。
　　
對，「外損內傷」往往可能會撞破皮下血管導致血液流出血管形成皮下出血，便可能會導致「血行失度」並「隨受傷之處停積不散」，從而可能會形成瘀血。
　　
不過大多隨著血紅蛋白(Hemoglobin)（俗稱「血紅素」）逐漸被分解成為膽綠素(Biliverdin)、膽紅素(Bilirubin)，瘀血便會從紅色變成綠色、黃色，最後便會慢慢消褪。
　　
所以時間是其中一種活血化瘀藥。
　　
不過人們同時可能會碌熱雞蛋「碌」走瘀血。
　　
對，碌「熱」雞蛋能夠促進血液循環，有助散瘀，這點無錯。不過重點是「熱」而不是「雞蛋」。
　　
這就是說，理論上，不論是碌什麼，同樣有助散瘀，不過一般不宜用力「捽」走瘀血，避免「捽」破皮下血管而加劇皮下出血，從而避免愈「捽」愈瘀。
　　
不過熱敷同時可能會增加患處的血流量，誘發腫脹。所以一般還是建議「先冷敷，後熱敷」，首先用低溫收縮血管，減慢患處的血液循環，減少患處的血流量，減少腫脹，然後才用熱力散瘀。
　　
除此之外，一些蛋白酶(Protease)，例如Bromelain、Papain或許能夠促進散瘀。[1][2][3]

（如欲了解更多用藥資訊，歡迎看看「小小藥罐子」網誌。）

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Reference:
1. Zuschlag JM. Double-blind clinical study using certain proteolytic enzyme mixtures in karate fighters [working paper]. In: Mucos Pharma GmbH(Germany).1988;1-5.
2. Rathgeber WF. The use of proteolytic enzymes (chymoral) in sporting injuries. S Afr Med J.1971;45:181-183.
3. Deitrick RE. Oral proteolytic enzymes in the treatment of athletic injuries: a double-blind study. Pa Med.1965;68:35-37.

Dr余:「這水果怎麼有點Dehydration?(脫水)是不運送過程有碰撞到？」

我:「那是會Contusion(頓挫傷)好嗎？」

#重症醫師的對話都這麼無聊嗎？^_^

Dr余:「這水果怎麼有點Dehydration?(脫水)是不運送過程有碰撞到？」

我:「那是會Contusion(頓挫傷)好嗎？」

#重症醫師的對話都這麼無聊嗎？^_^

[BREAKING] Frank Vogel gives an update on Anthony Davis' calf contusion

[BREAKING] James Worthy REPORTS AD will not play against T-Wolves due to a right calf contusion

Allen Iverson wasn't around during the final minutes, so Eric Snow picked up the slack for the Philadelphia 76ers.


Snow scored 25 points and made seven free throws in the final minute as the 76ers withstood Iverson's foul trouble to win their season-high ninth consecutive game, 100-94 over the Denver Nuggets on Sunday night.

''Eric played great, and he was exhausted,'' Philadelphia coach Larry Brown said. ''He missed a big jumper and came right back and knocked one in when we really needed it, so he did a lot of good things.''

Snow went 17-for-19 from the line, and the 76ers went 36-for-46 to move to three games of New Jersey for the Atlantic Division lead. The Nets lost to Utah.

''We missed some shots, but we got the stops and rebounds when we needed it and were able to keep the lead, even when Allen was in foul trouble for most of the game and eventually fouled out,'' said Snow, who fell one point short of his career high. ''That made it interesting.''

Iverson scored 17 points -- 10.2 below his average -- before fouling out with 5:49 to play. He missed 11 of his 16 shots from the field and played just 29 minutes.

''It was frustrating, but all I care about is getting out of Denver,'' Iverson said. ''Getting away from here, away from those referees with a win.''

Juwan Howard scored 25 points to lead the Nuggets, who lost their 12th in a row.

''We just went toe-to-toe with one of the hottest teams in the league and came up a little short,'' Denver coach Jeff Bzdelik said. ''We had an opportunity and let it slip away.''

Iverson made his only basket of the fourth quarter with 8:18 left, and when he fouled out the 76ers were leading 88-78. Denver took advantage, and Vincent Yarbrough followed Shammond Williams' 3-pointer with one of his own to narrow the gap to 92-88 with 2:45 left.

''I think it helped me that they made some 3-pointers,'' Snow said. ''That keeps you mentally in the game.''

Snow put the Sixers up 96-91 with a free throw, following a delay-of-game technical, and he made one of two after being fouled. Howard's 3-pointer got Denver to 96-94, and the Nuggets still had a chance to tie when Derrick Coleman hit only one free throw. But Howard's pass to Williams hit the sideline with 18 seconds left, and Snow sealed the victory with two more free throws.

''We fell apart in the last two minutes when things didn't go well,'' Williams said.

The Sixers extended their six-point halftime lead to 81-68 in the third quarter, and Iverson sat out much of the period after picking up his fifth foul with 6:40 left. Snow picked up the slack, scoring eight points, while Brian Skinner and Greg Buckner had a basket each in the final 1:08.

Philadelphia played most of the second quarter without Iverson, who was rested the first three minutes of the quarter and sat out the final 2:41 after picking up three offensive fouls. Snow converted four free throws and a jumper, and Efthimios Rentzias hit a 3-pointer in the final five seconds to put the Sixers ahead 53-47 at halftime.

Game notes
Four of Iverson's fouls came on charging calls. ... Philadelphia's Keith Van Horn was held out with a stomach virus. ... Iverson was cheered after each made shot and free throw. ... The Sixers have scored at least 100 points in six consecutive games. ... The losing streak is Denver's longest since a 16-game skid from Feb. 2 to March 10, 1998. ... Ryan Bowen missed his second game because of a stomach muscle contusion.