{"id":9189,"date":"2024-06-06T01:50:57","date_gmt":"2024-06-06T01:50:57","guid":{"rendered":"https:\/\/tcmdrma.com\/%e3%80%90%e5%8c%bb%e6%a1%88%e3%80%91%e7%bb%8f%e6%96%b9%e6%b2%bb%e7%96%97%e8%a7%86%e8%a7%89%e5%bc%82%e5%b8%b8\/"},"modified":"2025-05-09T11:06:33","modified_gmt":"2025-05-09T01:06:33","slug":"%e3%80%90%e5%8c%bb%e6%a1%88%e3%80%91%e7%bb%8f%e6%96%b9%e6%b2%bb%e7%96%97%e8%a7%86%e8%a7%89%e5%bc%82%e5%b8%b8","status":"publish","type":"post","link":"https:\/\/tcmdrma.com\/zh-hans\/%e3%80%90%e5%8c%bb%e6%a1%88%e3%80%91%e7%bb%8f%e6%96%b9%e6%b2%bb%e7%96%97%e8%a7%86%e8%a7%89%e5%bc%82%e5%b8%b8\/","title":{"rendered":"\u3010\u533b\u6848\u3011\u7ecf\u65b9\u6cbb\u7597\u89c6\u89c9\u5f02\u5e38"},"content":{"rendered":"

某女，30岁左右，欧裔，主诉为视觉异常，视物模糊抖动，好像物品在移动，头晕，身重，恶心，食欲不佳，口渴，尿频，情绪焦虑，恐惧，多疑，舌淡苔微薄，舌面略滑，左脐下压痛，脉迟涩缓。诊断为水湿内停以及肝虚血瘀，予经方7剂，两周后复诊，言视物移动问题已解决。之后看诊，又述及劳累时眼睛可以看到红色或粉色的小点，一周出现过三次。其他情绪问题已经好转，只有焦虑的情绪还在，其认为是压力所致。此时脉弦涩偏有力，两寸溢脉，诊断为血瘀及少阳枢机不利。再予经方7剂善后。<\/p>\n

患者的症状看似是视觉异常，但实则属于精神类疾病，且表现了焦虑，恐惧，多疑等特点。从中医的角度，多从肝胆（少阳厥阴）论治。此案取得了较好的效果，但我也告知患者，精神类疾病治愈困难，如果不下决心坚持治疗一段时间，很容易反反复复。我也一直建议患者只要病情缓解，就要去找GP协商停抗抑郁药，因为副作用大且无法从根本上解决问题。但是当前社会现状就是这样，新西兰吃西药是免费的，所以抗抑郁药可以一直吃下去，治疗成本低，但是吃中药就是要自己支付费用。但是对身体的代价呢？这个时候更需要患者有自我判断的智慧。此中权衡，只能交给患者。<\/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

\n

医案编号：065<\/p>\n","protected":false},"excerpt":{"rendered":"

某女，30岁左右，欧 […]<\/p>\n","protected":false},"author":1,"featured_media":9190,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_uag_custom_page_level_css":"","footnotes":""},"categories":[76],"tags":[],"class_list":["post-9189","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-76"],"acf":[],"uagb_featured_image_src":{"full":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/blur-vision.jpg",1600,1068,false],"thumbnail":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/blur-vision-150x150.jpg",150,150,true],"medium":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/blur-vision-300x200.jpg",300,200,true],"medium_large":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/blur-vision-768x513.jpg",768,513,true],"large":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/blur-vision-1024x684.jpg",1024,684,true],"1536x1536":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/blur-vision-1536x1025.jpg",1536,1025,true],"2048x2048":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/blur-vision.jpg",1600,1068,false],"blog-large":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/blur-vision-669x447.jpg",407,272,true],"blog-medium":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/blur-vision-320x214.jpg",302,202,true],"recent-posts":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/blur-vision-700x467.jpg",661,441,true],"recent-works-thumbnail":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/blur-vision-66x44.jpg",66,44,true],"fusion-200":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/blur-vision-200x134.jpg",200,134,true],"fusion-400":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/blur-vision-400x267.jpg",400,267,true],"fusion-600":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/blur-vision-600x401.jpg",600,401,true],"fusion-800":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/blur-vision-800x534.jpg",800,534,true],"fusion-1200":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/blur-vision-1200x801.jpg",1200,801,true],"portfolio-full":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/blur-vision-940x627.jpg",600,400,true],"portfolio-one":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/blur-vision-540x360.jpg",408,272,true],"portfolio-two":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/blur-vision-460x307.jpg",442,295,true],"portfolio-three":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/blur-vision-300x200.jpg",300,200,true],"portfolio-five":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/blur-vision-177x118.jpg",177,118,true],"woocommerce_thumbnail":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/blur-vision-500x334.jpg",500,334,true],"woocommerce_single":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/blur-vision-700x467.jpg",700,467,true],"woocommerce_gallery_thumbnail":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/blur-vision-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":"某女，30岁左右ʌ…","_links":{"self":[{"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/posts\/9189","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=9189"}],"version-history":[{"count":1,"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/posts\/9189\/revisions"}],"predecessor-version":[{"id":13892,"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/posts\/9189\/revisions\/13892"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/media\/9190"}],"wp:attachment":[{"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/media?parent=9189"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/categories?post=9189"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/tags?post=9189"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}