{"id":14041,"date":"2024-06-06T01:54:07","date_gmt":"2024-06-05T15:54:07","guid":{"rendered":"https:\/\/tcmdrma.com\/q-can-i-take-nutritional-supplements-during-the-treatment\/"},"modified":"2025-05-14T13:55:30","modified_gmt":"2025-05-14T03:55:30","slug":"%e6%88%91%e5%8f%af%e4%bb%a5%e5%9c%a8%e6%b2%bb%e7%96%97%e6%9c%9f%e9%97%b4%e6%9c%8d%e7%94%a8%e8%90%a5%e5%85%bb%e8%a1%a5%e5%85%85%e5%89%82%e5%90%97%ef%bc%9f","status":"publish","type":"post","link":"https:\/\/tcmdrma.com\/zh-hans\/%e6%88%91%e5%8f%af%e4%bb%a5%e5%9c%a8%e6%b2%bb%e7%96%97%e6%9c%9f%e9%97%b4%e6%9c%8d%e7%94%a8%e8%90%a5%e5%85%bb%e8%a1%a5%e5%85%85%e5%89%82%e5%90%97%ef%bc%9f\/","title":{"rendered":"\u6211\u53ef\u4ee5\u5728\u6cbb\u7597\u671f\u95f4\u670d\u7528\u8425\u517b\u8865\u5145\u5242\u5417\uff1f"},"content":{"rendered":"

我的患者当中，服用营养补充剂的比例非常高。劝患者不要或减少服用营养补充剂，是一件非常吃力不讨好的事情。因为它在某种程度上，已经成为一种根深蒂固的健康观念，就跟每日八杯水一样。<\/p>\n

首先，我不是要把营养补充剂的作用一棒子打死。一定在特定情况下的特定人群会从中受益，这是毋庸置疑的。但是，很明显绝大部分人都犯了很多观念性的错误，这方面是值得请患者进行反思和注意的。<\/p>\n

其一，我们是生活在一个营养过剩的时代，我们普通人不缺乏任何营养。只要你补充进去了身体不需要的东西，它对身体就是负担。只要它对身体是负担，长期服用必然会造成对身体的伤害。这里面是非常简单易懂的逻辑。<\/p>\n

其二，千万不要把大量服用营养补充剂变成一种对健康渴望的安慰剂。很多人会被健康补充剂的宣传所迷惑，感觉吃了下去，身体就会发生对应的改善。我必须说，这是非常非常小概率事件的。尤其是当人的身体状况很弱的时候，常常病急乱投医，总想着用健康补充剂解决自己的健康问题。无论你看到多少健康补充剂非常有效的案例，我可以非常肯定地说，轮到你身上的时候，它就是个安慰剂。这世界上哪有那么容易的健康啊？<\/p>\n

其三，非常典型的一个心理依赖就是，只要让他不吃营养补充剂，他就开始不舒服了，必然要继续吃回去。为什么我能肯定这是种心理依赖呢？因为我作为医生，我知道他的身体出问题的核心在哪里，我需要调兵遣将，用一整套的严密布局的中医方剂来治疗他的问题。这怎么可能是某个鱼油或褪黑素能解决的呢？<\/p>\n

其四，现在的各种营养补充剂太多了。有些号称（也的确）可以调节和增强免疫力，但从中医的角度它是寒性的，那么就不适合寒性的能量低下的患者服用。还有些患者肝肾的功能已经很低了，还大量服用营养补充剂，这无疑给自己的肝肾造成巨大的负担。还有些新的成分，我们从中医的角度无法判断它的寒热，因此也无法判断是否适合患者的体质。这就是我希望患者在服用中药期间，尽量减少或不用营养补充剂的原因。<\/p>\n

所以，对于一个健康人来说，你维持自己的身体正常代谢是不需要营养补充剂的。对于一个有健康担忧的患者来说，营养补充剂一定不是最佳的首选方案，你要冲破这个心理依赖，不找easy solution，才能看到你身体的真正需要。对于一个疾病中的人而言，不干扰医生的用药才是自己身体的利益最大化。最后，你要找真正能洞察你身体出了什么状况的人，去探讨你是否需要以及应该怎么服用营养补充剂的问题，而这个人往往真的不一定是所谓的营养专家。<\/p>\n

总之，作为一名临床中医大夫，我不反对营养补充剂的使用，无论有效或无效，它的确满足了现代人的一部分心理需要。我只是要求我的患者在治疗期间，尽量减少它的使用，以便于让身体可以集中能量在疾病治疗上，而不会“分心”去处理不必要的事情。<\/p>\n","protected":false},"excerpt":{"rendered":"

我的患者当中，服用营 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