{"id":12721,"date":"2024-11-24T10:50:35","date_gmt":"2024-11-24T00:50:35","guid":{"rendered":"https:\/\/tcmdrma.com\/?p=12721"},"modified":"2025-05-08T15:04:08","modified_gmt":"2025-05-08T05:04:08","slug":"%e6%80%a5%e6%80%a7%e8%84%9a%e8%b8%9d%e6%89%ad%e4%bc%a4%e7%9a%84%e4%b8%ad%e8%a5%bf%e5%8c%bb%e5%af%b9%e6%af%94%e6%b2%bb%e7%96%97","status":"publish","type":"post","link":"https:\/\/tcmdrma.com\/zh-hans\/%e6%80%a5%e6%80%a7%e8%84%9a%e8%b8%9d%e6%89%ad%e4%bc%a4%e7%9a%84%e4%b8%ad%e8%a5%bf%e5%8c%bb%e5%af%b9%e6%af%94%e6%b2%bb%e7%96%97\/","title":{"rendered":"\u6025\u6027\u811a\u8e1d\u626d\u4f24\u7684\u4e2d\u897f\u533b\u5bf9\u6bd4\u6cbb\u7597"},"content":{"rendered":"

患者信息：<\/strong>
\n某大学生，女性，主诉为左脚踝处急性扭伤，发生于数小时前。目前无法正常行走，局部疼痛、肿胀，经检查，损伤主要集中在足太阳膀胱经。<\/p>\n

就诊经过：<\/strong>
\n这是一个非常简单、常见的病例。之所以记录为医案，是因为该患者在治疗过程中提出了一连串问题，这些问题清晰反映了中西医在脚踝扭伤治疗上的巨大差异。以下是案例的详细记录。<\/p>\n

患者就诊时，局部肿胀明显，触诊发现经络阻滞严重。我决定以针灸为主，辅以活动治疗，而非西医推荐的RICE原则（休息、冰敷、包扎、抬高）。扎针后，我鼓励患者尝试活动患处，过程中展开了以下对话：<\/p>\n

1. 患者问：“我的脚踝很疼，我可以动吗？”
\n答：“可以动，而且要动到那个最痛的位置，越痛越动。”
\n行针几分钟后，患者疼痛显著减轻，但她仍对左脚承重有所顾忌。<\/p>\n

2. 患者问：“扭伤了，局部要不要包扎固定？”
\n答：“按照西医的方法需要，但按照我所采用的中医方法完全不需要。”<\/p>\n

3. 患者问：“那我该怎么回家？”
\n答：“自己可以走回去，我知道你左脚还不太敢用力，尽量恢复正常步态吧。”<\/p>\n

4. 患者问：“有什么注意事项吗？”
\n答：“不要冰敷，不要碰冷水，不要吃发物。最好明天再来针灸一次。”<\/p>\n

患者带着疑问离开诊所。第二天，前台告诉我，患者取消了复诊，因为她的脚踝已经完全恢复正常了。作为前台的助理，他拥有西医专业背景，对此非常惊讶，他提到一般脚踝扭伤第二天是最疼的，但患者仅接受一次针灸治疗，且只用了寥寥一两针便痊愈了。<\/p>\n

治疗解析：<\/strong>
\n从这个案例来看，我的治疗原则与西医的RICE完全相反：<\/p>\n

活动患处：鼓励患者治疗时活动而非休息，目标是让气血流通，经络疏通。
\n不冰敷：冰敷会抑制人体自然修复的过程，加剧局部堵塞，延缓愈合。
\n不包扎：避免因固定造成的进一步经络阻滞。<\/p>\n

为什么中医这样处理？<\/strong>
\n中医认为，人的生机是流动的，局部损伤引起的主要问题是经络的堵塞。要消除堵塞，关键在于促进气血运行，而非抑制。冰敷和包扎都会加强堵塞，导致恢复时间延长，更多的后遗症且后期局部容易出现淤青。<\/p>\n

治疗原则总结：<\/strong>
\n任何对人体的治疗都应遵循“宜通不宜堵”的原则。局部损伤后，通过针灸疏通经络，再辅以适当活动，能快速恢复患处功能，避免并发症。这一案例再次验证了中医的整体观念和动态治疗思路的有效性。<\/p>\n

重要提示：<\/strong>
\n这种疗法仅适用于中医针灸治疗过程中，由专业医生根据患者具体病情进行操作，患者绝不能自行模仿或尝试，否则极有可能因方法不当而加重病情。<\/p>\n

 <\/p>\n

注意：中医根据个体差异所采取的治疗手段和治疗效果亦有差异，医案分享不构成治疗建议。<\/p>\n

医案编号：104   @爱康中医馆，墨尔本<\/p>\n","protected":false},"excerpt":{"rendered":"

患者信息： 某大学生 […]<\/p>\n","protected":false},"author":1,"featured_media":12719,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_uag_custom_page_level_css":"","footnotes":""},"categories":[76],"tags":[151,150],"class_list":["post-12721","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-76","tag-ankle-sprain","tag-150"],"acf":[],"uagb_featured_image_src":{"full":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/11\/ankle-sprain-case.jpg",2560,1706,false],"thumbnail":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/11\/ankle-sprain-case-150x150.jpg",150,150,true],"medium":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/11\/ankle-sprain-case-300x200.jpg",300,200,true],"medium_large":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/11\/ankle-sprain-case-768x512.jpg",768,512,true],"large":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/11\/ankle-sprain-case-1024x682.jpg",1024,682,true],"1536x1536":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/11\/ankle-sprain-case-1536x1024.jpg",1536,1024,true],"2048x2048":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/11\/ankle-sprain-case-2048x1365.jpg",2048,1365,true],"blog-large":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/11\/ankle-sprain-case-669x272.jpg",669,272,true],"blog-medium":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/11\/ankle-sprain-case-320x202.jpg",320,202,true],"recent-posts":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/11\/ankle-sprain-case-700x441.jpg",700,441,true],"recent-works-thumbnail":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/11\/ankle-sprain-case-66x66.jpg",66,66,true],"fusion-200":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/11\/ankle-sprain-case-200x133.jpg",200,133,true],"fusion-400":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/11\/ankle-sprain-case-400x267.jpg",400,267,true],"fusion-600":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/11\/ankle-sprain-case-600x400.jpg",600,400,true],"fusion-800":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/11\/ankle-sprain-case-800x533.jpg",800,533,true],"fusion-1200":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/11\/ankle-sprain-case-1200x800.jpg",1200,800,true],"portfolio-full":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/11\/ankle-sprain-case-940x400.jpg",940,400,true],"portfolio-one":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/11\/ankle-sprain-case-540x272.jpg",540,272,true],"portfolio-two":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/11\/ankle-sprain-case-460x295.jpg",460,295,true],"portfolio-three":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/11\/ankle-sprain-case-300x214.jpg",300,214,true],"portfolio-five":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/11\/ankle-sprain-case-177x142.jpg",177,142,true],"woocommerce_thumbnail":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/11\/ankle-sprain-case-500x333.jpg",500,333,true],"woocommerce_single":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/11\/ankle-sprain-case-700x466.jpg",700,466,true],"woocommerce_gallery_thumbnail":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/11\/ankle-sprain-case-100x100.jpg",100,100,true]},"uagb_author_info":{"display_name":"Max Ma","author_link":"https:\/\/tcmdrma.com\/zh-hans\/author\/tcmdrma-com\/"},"uagb_comment_info":0,"uagb_excerpt":"患者信息： 某࣪…","_links":{"self":[{"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/posts\/12721","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/comments?post=12721"}],"version-history":[{"count":4,"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/posts\/12721\/revisions"}],"predecessor-version":[{"id":12725,"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/posts\/12721\/revisions\/12725"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/media\/12719"}],"wp:attachment":[{"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/media?parent=12721"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/categories?post=12721"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/tags?post=12721"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}