【風能致病】關於風的病痛你想到哪些？
#春天是風的季節
#老是感冒的朋友就是容易觸犯風邪
#星期一踢走BlueMonday
忽冷忽熱防範風邪
風邪，中醫理論中的外在因素的致病原因之一，風邪致病最急而且變化最多，多從皮毛而入。風邪有三大特性，一、到處游走，來去無踨，風邪致病多無固定部...
【風能致病】關於風的病痛你想到哪些？
#春天是風的季節
#老是感冒的朋友就是容易觸犯風邪
#星期一踢走BlueMonday
忽冷忽熱防範風邪
風邪，中醫理論中的外在因素的致病原因之一，風邪致病最急而且變化最多，多從皮毛而入。風邪有三大特性，一、到處游走，來去無踨，風邪致病多無固定部位，例如風癩、風濕性關節痛；二、搖動不定，風吹會使東西搖動，所以風邪致病多有震顫、抽搐等症狀，例如中風；三、輕浮向上，風邪致病多影響皮膚和身體上半部份，例如頭痛、咳嗽、鼻敏感、面癱等。
想防範風邪侵襲就要注意保暖，避免忽冷忽熱的情況，例如晨早起床從溫暖被窩鑽出來，宜披外套保暖；炎夏從戶外跳進冷氣大開的商場或辦公室時宜添衣；運動後一身汗切忌立即沖凍水涼或灌冰水；避免對著風口給冷氣或風扇直吹。平日多注意頸背的保暖，因為從後腦到背部有三個以風命名的穴位——風府、風門、風池，風邪容易順著這些穴位入侵身體，而感冒時按壓這些穴位有助紓緩感冒引致的不適。
風府穴
位置：頭頸交界，頭部正中線後髮際上1寸
功效：紓緩感冒不適、咽喉腫痛、落枕等。
風池穴
位置：於後頸，後頭骨下，2條大筋外緣陷窩中，相當於耳垂齊平。
功效：紓緩頭痛、肩膊痠痛等不適。
風門穴
位置：背部第二胸椎棘突下旁開1.5寸處，約與肩胛骨上角相平。
功效：紓緩感冒、肺炎、咳嗽等不適。
Prevent wind pathogen in unpredictable weather
Wind pathogen is one of the causes of illnesses from chinese medicine perspective. Wind pathogen causes illness abruptly and is very variable. It mostly invades skin, and there are three major characteristics of wind pathogen. First of all, there are usually no fixed affected parts, for example it can lead to blotchy rash or rheumatoid arthritis. Secondly, as wind moves, wind pathogen will cause symptoms such as trembling and cramps, such as stroke. Thirdly, wind pathogen mostly affects the skin and upper part of the body, causing headache, cough, nasal sensitivity, facial paralysis and so on.
If you want to prevent the invasion of wind pathogen, you must keep warm during unpredictable weather. For example, you should wear a coat to keep warm after waking up. You should wear more clothes when you enter the air-conditioned shopping mall or office in the hot summer. You should not immediately have a cool show after doing exercise. Avoid seats near the fan vent or air condition. You should keep your neck and back warm, as there are three acupoints points related to wind in Chinese- Feng Fu Point, Feng Chi Point and Feng Men Point. Wind pathogen easily invades the body along these points. Press these points to relieve the discomfort due to cold/flu.
Feng Fu Point
Position: junction of head and neck, the midline of the head and 1 inch behind the hairline
Effects: relieves cold/flu discomfort, sore throat, stiff neck
(to be con’t in comment)
#男 #女 #我狀態OK #我畏冷 #氣虛 #感冒 #頭暈 #頭痛 #咳嗽
cough三態 在 李木生醫師 Facebook 的精選貼文
目前新冠肺炎疫苗在全球的施打已經超過一億劑，我們期待新冠肺炎病毒感染的速率持續的緩和，能讓世界各地的生活盡快恢復正常，然而國外也陸續傳來施打疫苗後產生不良反應的案例，針對接種疫苗的利弊風險，各國的政府和專案也開始有許多討論。
在台灣，AZ疫苗已經開打幾週了，在這段期間有很多病人問我能不能去接種AZ 疫苗，我想從一位婦產科醫師的角度出發，跟大家分享自己的觀點，讓大家在跟醫師們討論需不需要接種時，能先有初步的觀念。
AZ疫苗可能造成的不良反應
目前國際上接種AZ 疫苗後出現嚴重不良反應的案例有兩種最受矚目：一種是嚴重的過敏反應；另外一種則是凝血過多或不足的反應。
這兩種不良反應的發生率都小於10萬分之一，很難在疫苗臨床試驗階段被發掘出來，因此只能在疫苗流通到市場後，依靠健全的通報系統蒐集更完整的數據，才有機會分析疫苗與不良反應之間的關聯。
以嚴重過敏反應來說，任何疫苗都可能因為載體的關係產生嚴重的過敏反應，所以病人在施打疫苗過後的30分鐘內，一定要留在施打的醫療院所接受觀察。AZ疫苗中使用的為Polysorbate80 或類似的分子，如果你之前曾經因為接種疫苗而有過敏反應，應該要在接種前詢問醫師AZ疫苗的載體與該次引起過敏的疫苗載體是否相同，以利避免風險。
另外一種不良反應與與血液相關，這一點比較受爭議。在2500多萬個施打的個案中，出現86 個血液異常的不良反應，大部份的這些個案都是女性而且發生在施打的頭2個禮拜。德國、法國和義大利等20幾個國家因此一度暫停施打AZ疫苗，雖然機率不大，但誰都不想冒這個險。但有些歐洲國家和澳洲最近又恢復施打，但建議50歲以下接種其他疫苗 (也有國家說30歲以下) 原因是不同專家對於這些異常凝血的不良反應與AZ疫苗的相關性有不同的見解。
婦女接種AZ疫苗前宜停看聽
對於目前正在服用避孕藥或女性荷爾蒙的女性來說，施打AZ疫苗會不會增加血栓的風險呢? 坦白說，目前資訊還不是非常完整，所以我暫時無法評論，但後續會密切注意最新的研究報告，有進一步消息，會再跟大家分享。
對於目前正在備孕，或是即將成為準媽媽的女性來說，更是需要持續追蹤這款疫苗的不良反應，因為如果病患在懷孕期間不幸感染新冠肺炎，因此發生嚴重呼吸道疾病的機率高達未孕女性的3倍，而且因為媽媽發燒或肺炎病毒造成胎兒發育不良的機率也大幅增高。相對的，在AZ臨床試驗中施打疫苗後發現懷孕的女性約有一萬人，正接受持續的密切追蹤，截至目前為止尚無證據顯示AZ疫苗會對母親或胎兒健康造成嚴重影響。這些案例和研究資訊告訴我們，女性朋友們在施打這個疫苗前更需要審慎的個別的情況，才能跟醫師有充份的溝通和討論。
誰該接種AZ疫苗?誰需要小心?
那麼在實務上究竟應不應該建議接種AZ疫苗呢?我認為決定的因素有幾個:
病人接觸新冠肺炎的風險
台灣目前沒有社區感染，感染病毒的機會並不高，只是境外移入仍存在風險，短期來說，若是爆發社區感染才開始接種疫苗，也需要等三個禮拜以上才能形成有效地保護力。而長遠來說，國人還是需要接種疫苗達到一定比率才能安全的開放國門。若是因為工作需要出國的朋友，就應該依目的地的盛行率做決定，像是在歐美地區，接種疫苗的好處明顯的大於壞處；而像我一樣的醫護人員，在工作上比較有可能接觸到病毒帶原者，感染的風險也會較高，也應該考慮接種疫苗，增加保護力。
病人是否罹患慢性病
研究顯示有高血壓、糖尿病或BMI >30的病患在感染新冠肺炎病毒後，更容易而產生嚴重的呼吸道疾病，因為健康上的風險高，上述慢性病的病患也可以考慮接種疫苗。若有上述問題但懷孕的婦女，則應與婦產科醫師討論其利弊。
備孕或懷孕中的婦女
接種AZ疫苗後，有超過半數的人反應接種處疼痛、倦怠或頭痛的問題，而且大約有1成的人會發燒，雖然這些不良反應都是暫時的，很快就會消失，若希望盡可能避免懷孕初期發燒的情況，計劃懷孕或孕期中的女性可以考慮懷孕初期避開接種疫苗。有些證據顯示若接種第一劑後懷孕，在生產後才接種第二劑也能提供相同的保護，不需再重打第一劑。若孕期間接種其他疫苗如百日咳與流感疫苗則與AZ疫苗的施打需考慮間隔約兩個禮拜。
接種AZ疫苗有利有弊，除了關切衛福部及相關專家提出的建議，我們也可以就自己目前的狀態先想一想，在做決定前停看聽，如果有其他的問題，千萬別忘了跟你的醫師作討論喔！
The global “COVID-vaccinated” population has reached 100 million. In the process of reaching herd immunity via mass vaccination, more rare but serious adverse effects from these vaccines are being reported in the mass media. Discussions about the safety of vaccines arevigorous at both government and the community levels.
The AstraZeneca (AZ) vaccine has been used for COVID vaccination in Taiwan for a few weeks now. Many of my patients asked me if they are suitable for vaccination. So here I would like to share my thoughts with you as an obstetrician and gynaecologist.
Adverse reactions associated with the AZ vaccine
There are two types of adverse reactions being discussed the most in the international community: severe allergic reactions and blood-clotting problems. Both of these adverse reactions occur in the order of one in ten thousand, which were difficult to discover during the clinical trial stage. Therefore most of the data we see now are an accumulation of real-time data as we proceed with global vaccination.
The severe allergic reaction (such as anaphylaxis) can occur with any medication being administered to the human body. For vaccines it is usually the vehicle or the excipients molecule with which it is used to carry the active vaccine that incites the allergic reactions. Polysorbate 80 is a suspected culprit excipient used in the AZ vaccine. So if one has had severe allergic reaction in other vaccines that uses polysorbate 80 as its vehicles then it is possible the person can also be allergic to the AZ vaccine.
The abnormal blood-clotting reactions associated with the AZ vaccines are being discussed vigorously in both the scientific community and the media. In about 25 million recipients of the AZ vaccine, 86 cases of serious abnormal blood-clotting cases were reported by March 2021. Most cases occur within first 2 weeks of vaccination and most are women. Although the AZ vaccination was temporarily stopped in some European countries earlier in March, it has resumed since with some countries recommend vaccination in those 50 yo or above (some say 30 or above). Currently there is no international consensus amongst the experts.
Many professional bodies of obstetrics and gynaecology around the world have issued statements regarding vaccination against COVID19 in women planning pregnancy or breast feeding. Thus far most have only cautioned against the vaccination if there is serious concurrent comorbidities such as those who are immunocompromised or organ transplant. There does not seem to have report of additional risks of the vaccination during pregnancy. There is insufficient evidence to conclude if oral contraceptives and hormone replacement therapy are risk factors for developing vaccine-related blood clotting events. More time and data are required to tell.
So should women receive the AZ vaccine? These factors should be considered and discussed with your doctors.
Risk of contracting COVID
Contracting COVID during pregnancy is associated with 3-fold risk of serious complications. So immunisation against COVID should be prioritised if the area you live in carries high risk of infection.
Underlying chronic conditions
For those with hypertension, diabetes or high BMI, because higher risk of COVID related complications are expected, vaccination might offer risk-reducing benefits. but in women with diabetes or high BMI where high risk pregnancy is expected, one should discuss the risks and benefits with your own obstetrician.
Pregnancy
More than half of recipients will get injection site pain and about 10% will develop a fever. To avoid fever during early pregnancy one can avoid getting vaccination during this period. If one has become pregnant after the first dose, there is evidence that receiving a second dose after pregnancy still offers protection against COVID. for those who need flu or whooping cough vaccination during pregnancy, one should consider taking the COVID vaccine 2 weeks apart from the other vaccines.
Like all medicines/procedures, decision to receive the AZ vaccination is individualised based on the benefits and risks associated. It is important to review government updates on vaccination and this article hopefully provides some framework on which women can consult their physicians when considering the AZ vaccination.
cough三態 在 CheckCheckCin Facebook 的最佳貼文
【按穴祛濕】按壓穴道有助氣血運行
⭐力度適中有痠脹麻感覺就夠
⭐持之以恆每日按就最好
#星期二提升正能量
養生穴位隨手按
五個祛濕開關掣
中醫理論認為「脾主運化」，脾的主要功能為運化水濕，不但食物需要通過脾胃來運化，身體內的液體也要經由脾來代謝排濕，如果脾虛，或後天飲食不節、嗜吃生冷食物而損傷脾胃，會導致水濕滯留；水濕太多，令脾滯而無力運化，所以祛濕首重健脾。健脾祛濕除靠飲食外，平日多按以下五個穴位都有幫助，按法為每個穴位以拇指指腹以陰力按揉約2-3分鐘，或者趁洗澡時用絲瓜瓤輕擦穴位亦可。
足三里穴
功效：調理脾胃、補中益氣、通經活絡、疏風化濕。
位置：位於外膝眼（膝蓋側的凹位）對下4隻手指下的位置。
豐隆穴
功效：又稱「化痰穴」，主治痰多咳嗽、便秘水腫，對痰濕體質人士特別有幫助。
位置：小腿外側，外足踝尖上8寸，腓骨前緣外二橫指處。
陰陵泉穴
功效：主治水腫、腹瀉、小便不利及黃疸。
位置：小腿內側，脛骨內側髁下方凹陷處。
天樞穴
功效：疏調大腸，扶土化濕，理氣消滯。
位置：腹中部，肚臍旁邊2寸（約3橫指寬度），腹直肌中。
水分穴
功效：主治水腫、小便不利、胃口欠佳及嘔吐等症狀。
位置：腹中部，肚臍對上1寸（2橫指寬）
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Five ‘switches’ to dispel dampness from the body
According to Chinese Medicine theories, the spleen governs the circulation of the body, which means it helps to circulate the fluid inside us. Together with the stomach, it promotes the movement of food in the body, and at the same time, eliminate fluid through metabolism.
Individuals with a weak spleen or those who do not control their diet and enjoy eating raw and cold food can hurt the spleen and stomach. This is how water stagnates in the body. The excessive dampness can cause the spleen to stagnate. Therefore, it is important to strengthen the spleen first.
Besides relying on our diet to strengthen our spleen, we can regularly massage the four acupoints below. Place the fingertip of your thumb on each acupoint and gently massage for 2-3 minutes, or use a loofah to rub on the acupoints gently during shower.
Zu San Li Acupoint
Effects: strengthens the spleen and stomach, clears heat and dispels dampness
Location: on the anterior aspect of the lower leg, four-finger breadth below knee cap.
Beautiful bulge point
Effects: relieves cough and phlegm, constipation, edema. Especially helpful for those with phlegm and dampness body type.
Location: outer calves above the ankle, two fingers widths from your tibia.
Ying Ling Quan
Effects: alleviates edema, diarrhea, difficulty urinating and jaundice
Location: inner calves, below the knee caps at the depressed point of inner tibia
Tianshu Point (Celestial Pivot)
Effects: Regulates the intestines, support to spleen to remove dampness, and regulates qi to aid digestion.
Location: Center of the abdomen, 3 finger-breadths from the belly button.
Water divide point
Effects: alleviates edema, difficulty urination, poor appetite and vomiting
Location: one inch above belly button
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#男 #女 #我狀態OK #我疲憊 #痰濕 #腹瀉
cough三態 在 stu sis Facebook 的最佳解答
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[185687] 52487. mac ova seas - 珠寶和首飾 (2020)★★🆁
[185688] 52488. 法兹樂隊 - 控制 (2019)★★
[185689] 52489. Raidas：傳說 (1987)★★
[185690] 52490. Raidas - 傳說 (1987)★★★
[185691] 52491. COQ Gang - T (2020)★
[185692] 52492. MC Keyso - 上海說唱之王 (2020)★
[185693] 52493. 抱歉了培根：孫生迎接孫媽媽番外篇！原來我自拍會內八 (2020)★
[185694] 52494. Wackyboys：接到出獄通知！！孫生：媽 歡迎回來！ (2020)★★
[185695] 52495. Wackyboys：孫媽出獄了下集！金盆洗手！2年沒吃到螃蟹笑中帶淚 (2020)★★‒
[185696] 52496. 孫生又來了：孫生去監獄探望媽媽 心情五味雜陳 (2020)★★
[185697] 52497. 孫生又來了：孫生跟媽媽的真情告白。 (2020)★★
[185698] 52498. 牛排：如何讓壽司在我身上跑！ (2020)★★
[185699] 52499. Ourealgoat - 때 묻은 돈 (2020)★★
[185700] 52500. ADEN - IDFK (2020)★★
[185701] 52501. Lethal Bizzle - Daily Duppy (2020)★★
[185702] 52502. Jtrizz & Jax - Monsters Inc #NoHook2 (2020)★★
[185703] 52503. JUNNY & Kid Milli - New Girl (2020)★★
[185704] 52504. Nippa - Change My Tone (2020)★★
[185705] 52505. Torro7 - Tequila (2020)★★
[185706] 52506. WayMoBandzz - In My Bag & Focused (2020)★★
[185707] 52507. SPF - Now We're Cooking (2020)★★
[185708] 52508. Los - Smile Now Cry Later (2020)★★
[185709] 52509. Lucii - Mirror (2020)★★
[185710] 52510. Zudizilla - Faça a coisa certa (2016)★★
[185711] 52511. Kliicks - Take Risks (2020)★★
[185712] 52512. Jammer & Jme - Ain't The Same (2020)★★
[185713] 52513. Lil Poet & Cough - 의정부Uijeongbu (2020)★★
[185714] 52514. Futuristic Swaver - 2020 P. Diddy (2020)★★
[185715] 52515. GLEB & fobia - FRISTAJLYN Vol. 5 (2020)★★
[185716] 52516. J Kil & Rio Da Yung OG - Meth Heads (2020)★★
[185717] 52517. EL - Bad Bitch B (2020)★★
[185718] 52518. Double M & Bankz - Total Wipeout (2020)★★
[185719] 52519. Bruh Bruh & Trapboy Freddy - Don't Understand Me (2020)★★
[185720] 52520. CVLTE & demxntia - paradise. (2020)★★
[185721] 52521. BAD HOP, Tiji Jojo, Hideyoshi & Jin Dogg - Suicide (Remix) (2020)★★
[185722] 52522. Ray & Khaych - Tryna (2020)★★
[185723] 52523. Quamz - Youngest Plug (2020)★★
[185724] 52524. Pesh Mayweather - Skamlanta (2020)★★
[185725] 52525. TekTwo - Don't Need No More (2020)★★
[185726] 52526. T.Y. - Jamaican Rum 2 (2020)★★
[185727] 52527. Yoandri - Empathy (2020)★★
[185728] 52528. Yoandri - Cherry On Top (2017)★★
[185729] 52529. Mariah Carey - Oh Santa! (2010)★★
[185730] 52530. The Emotions - Blind Alley (1972)★★★🆁