{"id":13409,"date":"2025-02-13T10:19:34","date_gmt":"2025-02-13T00:19:34","guid":{"rendered":"https:\/\/tcmdrma.com\/?p=13409"},"modified":"2025-02-19T15:42:16","modified_gmt":"2025-02-19T05:42:16","slug":"%e4%bd%a0%e4%bb%80%e4%b9%88%e6%97%b6%e5%80%99%e4%bc%9a%e6%83%b3%e5%88%b0%e6%89%be%e4%b8%ad%e5%8c%bb%e6%95%b4%e4%bd%93%e8%b0%83%e7%90%86%e5%91%a2%ef%bc%9f","status":"publish","type":"post","link":"https:\/\/tcmdrma.com\/zh-hans\/%e4%bd%a0%e4%bb%80%e4%b9%88%e6%97%b6%e5%80%99%e4%bc%9a%e6%83%b3%e5%88%b0%e6%89%be%e4%b8%ad%e5%8c%bb%e6%95%b4%e4%bd%93%e8%b0%83%e7%90%86%e5%91%a2%ef%bc%9f\/","title":{"rendered":"\u4f60\u4ec0\u4e48\u65f6\u5019\u4f1a\u60f3\u5230\u627e\u4e2d\u533b\u6574\u4f53\u8c03\u7406\u5462\uff1f"},"content":{"rendered":"

最近网诊了一位西班牙的37岁欧裔女士，她描述了一大堆让人眼花缭乱的症状和疾病。我让chatgpt整理了一下，她身上至少有14种西医病症：<\/p>\n

湿疹、食物不耐受、激素失衡、卵巢囊肿、子宫囊肿、经前综合症（PMS）、肠易激综合征（IBS）、银屑病、植物过敏反应、中耳炎、阴道念珠菌感染、睡眠障碍、盗汗和背痛。<\/p>\n

同时，我也让chatgpt帮我列出了如果去看西医需要看的科室：<\/p>\n

    \n
  1. 皮肤科（处理湿疹、银屑病等皮肤问题）<\/li>\n
  2. 过敏免疫科（针对食物不耐受和植物过敏反应）<\/li>\n
  3. 胃肠科（针对肠易激综合征和消化问题）<\/li>\n
  4. 内分泌科（针对激素失衡、盗汗及部分睡眠问题）<\/li>\n
  5. 妇科（针对卵巢囊肿、子宫囊肿、经前综合症以及阴道念珠菌感染）<\/li>\n
  6. 耳鼻喉科（针对耳部感染）<\/li>\n
  7. 睡眠科（针对失眠和夜间磨牙等睡眠相关问题）<\/li>\n
  8. 骨科或康复科（针对背部疼痛和扭伤等骨骼肌肉问题）<\/li>\n<\/ol>\n

    同时去八个专科看病显然是荒谬的，而似乎太多人的脑子里面已经习惯这么去看病了。<\/p>\n

    那么，我们来看我从中医角度怎么治。<\/p>\n

    首先，最重要的是通过对她的大量中医诊断信息进行综合分析，进而勾勒出她的全部中医病机。她的中医病机也是相对复杂的：<\/p>\n

    肝肾阴阳两虚 + 血瘀血虚 + 痰湿 + 肝郁 + 表证 + 脾虚<\/p>\n

    在这样的基础上，我选用经方的合方治疗：<\/p>\n

    肾气丸 + 温经汤 + 甘草**汤 + 逍*散，再佐以解表祛湿的药，一共用了26味药。仅仅治疗一周，她就反馈各方面都有明显改善。<\/p>\n

    这就是我的口头禅所表达的：“我调整的是你的整体，不治疗你一个个的西医病名。”<\/p>\n

    这句话再更深一步看，就是所谓的“中医整体调理”<\/strong>是通过中医四诊（望闻问切）深刻洞察患者的中医病机，并精确化裁传统古方来进行来全面治疗的，它所调整改善的是患者身体的整体气机<\/strong>。当中医的病机改善之后，外在的西医所看到的各类不同分科的疾病自然会改善。<\/p>\n

    以这个患者为例，如果真的同时去看8个专科真的能解决问题吗？事实上，由于缺乏对患者体质的整体认识，不同西医科之间的治疗，在这个患者身上是会产生矛盾的。比如，如果要治疗感染问题，必然要用到的抗生素，这种寒凉药物入体必然会恶化她的肠胃和消化问题，加重她的肾虚。这就是“按下葫芦浮起瓢”的治疗方法。<\/p>\n

    太多时候，我们可能在西医治疗无果后才想到中医，但提前选择中医进行整体调理，或许就是你健康之路的转折点。<\/p>\n","protected":false},"excerpt":{"rendered":"

    最近网诊了一位西班牙 […]<\/p>\n","protected":false},"author":1,"featured_media":13413,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_uag_custom_page_level_css":"","footnotes":""},"categories":[74],"tags":[],"class_list":["post-13409","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-74"],"acf":[],"uagb_featured_image_src":{"full":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2025\/02\/\u4e2d\u533b\u6574\u4f53\u8c03\u7406-2.jpg",2560,1706,false],"thumbnail":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2025\/02\/\u4e2d\u533b\u6574\u4f53\u8c03\u7406-2-150x150.jpg",150,150,true],"medium":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2025\/02\/\u4e2d\u533b\u6574\u4f53\u8c03\u7406-2-300x200.jpg",300,200,true],"medium_large":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2025\/02\/\u4e2d\u533b\u6574\u4f53\u8c03\u7406-2-768x512.jpg",768,512,true],"large":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2025\/02\/\u4e2d\u533b\u6574\u4f53\u8c03\u7406-2-1024x682.jpg",1024,682,true],"1536x1536":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2025\/02\/\u4e2d\u533b\u6574\u4f53\u8c03\u7406-2-1536x1024.jpg",1536,1024,true],"2048x2048":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2025\/02\/\u4e2d\u533b\u6574\u4f53\u8c03\u7406-2-2048x1365.jpg",2048,1365,true],"blog-large":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2025\/02\/\u4e2d\u533b\u6574\u4f53\u8c03\u7406-2-669x272.jpg",669,272,true],"blog-medium":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2025\/02\/\u4e2d\u533b\u6574\u4f53\u8c03\u7406-2-320x202.jpg",320,202,true],"recent-posts":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2025\/02\/\u4e2d\u533b\u6574\u4f53\u8c03\u7406-2-700x441.jpg",700,441,true],"recent-works-thumbnail":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2025\/02\/\u4e2d\u533b\u6574\u4f53\u8c03\u7406-2-66x66.jpg",66,66,true],"fusion-200":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2025\/02\/\u4e2d\u533b\u6574\u4f53\u8c03\u7406-2-200x133.jpg",200,133,true],"fusion-400":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2025\/02\/\u4e2d\u533b\u6574\u4f53\u8c03\u7406-2-400x267.jpg",400,267,true],"fusion-600":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2025\/02\/\u4e2d\u533b\u6574\u4f53\u8c03\u7406-2-600x400.jpg",600,400,true],"fusion-800":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2025\/02\/\u4e2d\u533b\u6574\u4f53\u8c03\u7406-2-800x533.jpg",800,533,true],"fusion-1200":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2025\/02\/\u4e2d\u533b\u6574\u4f53\u8c03\u7406-2-1200x800.jpg",1200,800,true],"portfolio-full":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2025\/02\/\u4e2d\u533b\u6574\u4f53\u8c03\u7406-2-940x400.jpg",940,400,true],"portfolio-one":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2025\/02\/\u4e2d\u533b\u6574\u4f53\u8c03\u7406-2-540x272.jpg",540,272,true],"portfolio-two":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2025\/02\/\u4e2d\u533b\u6574\u4f53\u8c03\u7406-2-460x295.jpg",460,295,true],"portfolio-three":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2025\/02\/\u4e2d\u533b\u6574\u4f53\u8c03\u7406-2-300x214.jpg",300,214,true],"portfolio-five":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2025\/02\/\u4e2d\u533b\u6574\u4f53\u8c03\u7406-2-177x142.jpg",177,142,true],"woocommerce_thumbnail":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2025\/02\/\u4e2d\u533b\u6574\u4f53\u8c03\u7406-2-500x333.jpg",500,333,true],"woocommerce_single":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2025\/02\/\u4e2d\u533b\u6574\u4f53\u8c03\u7406-2-700x466.jpg",700,466,true],"woocommerce_gallery_thumbnail":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2025\/02\/\u4e2d\u533b\u6574\u4f53\u8c03\u7406-2-100x100.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":"最近网诊了一位…","_links":{"self":[{"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/posts\/13409","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=13409"}],"version-history":[{"count":9,"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/posts\/13409\/revisions"}],"predecessor-version":[{"id":13488,"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/posts\/13409\/revisions\/13488"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/media\/13413"}],"wp:attachment":[{"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/media?parent=13409"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/categories?post=13409"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/tags?post=13409"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}