{"id":9291,"date":"2024-06-06T01:52:56","date_gmt":"2024-06-06T01:52:56","guid":{"rendered":"https:\/\/tcmdrma.com\/%e3%80%90%e5%8c%bb%e6%a1%88%e3%80%91%e9%80%9a%e8%bf%87%e4%b8%ad%e5%8c%bb%e6%b2%bb%e7%96%97%e5%90%8c%e6%97%b6%e6%94%b9%e5%96%84%e4%ba%86%e4%b8%80%e4%bd%8d%e4%ba%94%e5%8d%81%e5%b2%81%e6%82%a3%e8%80%85\/"},"modified":"2025-05-09T10:02:41","modified_gmt":"2025-05-09T00:02:41","slug":"%e3%80%90%e5%8c%bb%e6%a1%88%e3%80%91%e9%80%9a%e8%bf%87%e4%b8%ad%e5%8c%bb%e6%b2%bb%e7%96%97%e5%90%8c%e6%97%b6%e6%94%b9%e5%96%84%e4%ba%86%e4%b8%80%e4%bd%8d%e4%ba%94%e5%8d%81%e5%b2%81%e6%82%a3%e8%80%85","status":"publish","type":"post","link":"https:\/\/tcmdrma.com\/zh-hans\/%e3%80%90%e5%8c%bb%e6%a1%88%e3%80%91%e9%80%9a%e8%bf%87%e4%b8%ad%e5%8c%bb%e6%b2%bb%e7%96%97%e5%90%8c%e6%97%b6%e6%94%b9%e5%96%84%e4%ba%86%e4%b8%80%e4%bd%8d%e4%ba%94%e5%8d%81%e5%b2%81%e6%82%a3%e8%80%85\/","title":{"rendered":"\u3010\u533b\u6848\u3011\u901a\u8fc7\u4e2d\u533b\u6cbb\u7597\u540c\u65f6\u6539\u5584\u4e86\u4e00\u4f4d\u4e94\u5341\u5c81\u60a3\u8005\u7684\u516b\u79cd\u75be\u75c5"},"content":{"rendered":"

现代人看病都习惯于按西医的科室划分，得了什么病就去对应的科找专科大夫来看。那如果你同时得了八个科的病呢，该怎么看？<\/p>\n

不妨先看看下面这个医案。<\/p>\n

患者，男，50多岁，主诉为咳嗽。感觉从2年前感冒咳嗽后没好利索，呼吸伴随哮鸣音，咳嗽带脓痰咳不出来，嗓子有异物感，象沙粒，清嗓子清不干净。胸口非常紧，压着反而舒服些。咽干口燥，喜饮水。尿急，尿频，尿不尽。晚上睡眠不好，不觉得困，不想睡觉。消化系统不好，大便偏软，烧心，没有饥饿感。每年都有花粉症过敏，打喷嚏，流泪，鼻子痒。最近多梦，情绪不佳。另外，头部牛皮癣多年，瘙痒结痂。血压偏高（138mmHg）。<\/p>\n

这些问题如果按照西医的划分可以归入呼吸科（咳嗽，哮鸣音），耳鼻喉科（嗓子异物感），心血管科（胸闷，高血压），皮肤科（牛皮癣），变态反应科（花粉症），泌尿科（尿频，尿急）、精神科（睡眠异常，情绪不佳）和消化科（反酸，没食欲）。也就是说，要想解决这些问题，得先去找八个科室的医生。<\/p>\n

患者选择了跟我们进行中医调理，效果立竿见影。第一周用药后咳嗽和哮鸣音就明显减少，之后胸口紧的感觉逐渐消失，嗓子异物感减轻，用患者的话说“忽然感觉唱歌清亮了很多”。尿频显著改善，不再是来诊所的第一件事和最后一件事都是去厕所。牛皮癣明显好转，不再结痂。晚上从毫无睡意，到恢复正常睡眠。明显开始有饥饿感，患者说：终于有想吃饭的感觉了，而不再是为了吃饭而吃饭的感觉。每年都会定期犯的花粉症，今年没犯病。血压基本恢复正常。<\/p>\n

我的治疗思路：前期是以宽胸理气降痰为主，逐步转为调肝肾调瘀血为主。 主方也不过是经方的三四张方子根据患者体质加减化裁。<\/p>\n

达到这个治疗效果大概花了4个月的时间，改善的都是患者多年的慢性疾病，最近的咳嗽也都有2年以上。<\/p>\n

总结两点对患者的启发：<\/p>\n

其一，患者应该反思这种主流的“盲人摸象”式的治病方法。如果没有整体思维，抓不住核心病机，跑遍多少科室都没用。<\/p>\n

其二，治疗慢性病要有耐心，只要涉及到调整人的基础体质，身体就需要在药物的作用下有足够的时间进行改变和自我修复。有时候真的是一分坚持，一分收获。<\/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：087<\/p>\n","protected":false},"excerpt":{"rendered":"

现代人看病都习惯于按 […]<\/p>\n","protected":false},"author":1,"featured_media":0,"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-9291","post","type-post","status-publish","format-standard","hentry","category-76"],"acf":[],"uagb_featured_image_src":{"full":false,"thumbnail":false,"medium":false,"medium_large":false,"large":false,"1536x1536":false,"2048x2048":false,"blog-large":false,"blog-medium":false,"recent-posts":false,"recent-works-thumbnail":false,"fusion-200":false,"fusion-400":false,"fusion-600":false,"fusion-800":false,"fusion-1200":false,"portfolio-full":false,"portfolio-one":false,"portfolio-two":false,"portfolio-three":false,"portfolio-five":false,"woocommerce_thumbnail":false,"woocommerce_single":false,"woocommerce_gallery_thumbnail":false},"uagb_author_info":{"display_name":"Max Ma","author_link":"https:\/\/tcmdrma.com\/zh-hans\/author\/tcmdrma-com\/"},"uagb_comment_info":0,"uagb_excerpt":"现代人看病都习…","_links":{"self":[{"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/posts\/9291","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=9291"}],"version-history":[{"count":1,"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/posts\/9291\/revisions"}],"predecessor-version":[{"id":13843,"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/posts\/9291\/revisions\/13843"}],"wp:attachment":[{"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/media?parent=9291"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/categories?post=9291"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/tags?post=9291"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}