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骨痛热症病后调理

by jenius
December 19, 2019
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中医有办法

《我要健康MY HEALTH》上一期分享了消灭骨痛热症的创新方案,这一期,我们从中医和草药的角度探讨骨痛热症的病后调理及防蚊方法。

骨痛热症是一种疫病,意即一种传染病,经过一轮发烧、血小板下降等搏斗过程,有不少患者在病愈后面对体质变差,头晕、胃口不开、精神不振,体力不支、脱发等等状况。一旦血小板回升,患者出院后,西医通常不强调病后调理,反之中医却十分重视调理环节,以确保身体状况恢复至患病前的水平。

《我要健康MY HEALTH》特意拜访著名中医师黄胜谦,了解各中医学对骨痛热症的看法及各种调理方法,造福骨痛热症患者。

骨痛热症是一种急性传染病,在中医看来属于温疫范畴。古代医书《素问•刺法论》指出:“五疫之至,皆向染易,无问大小,病状相似……不相染者,正气存内,邪不可干,避其毒气。”

由此可看出,这病发病急,易传染,发病症状相识,还有一个重要特点就是“毒气”。普通的外感传染病,按照中医辩证,会按卫气营血来区分辨别疾病的程度。外感初起一般病在卫分,过后加重的话就算进入气分、血分。

但是疫病如骨痛热症发展迅速,一般初起就是气分的阶段,而且随时恶化进入营血分阶段(骨痛热症见皮下出血就已经到了血分)。这种发病快、迅速恶化的疫气侵犯人体,第一损伤的就是人体的正气(抵抗力),所以疾病痊愈后,人体的气和津液都会严重受伤(就像海啸过后留下的灾难现场)。

另一个特点就是疫气的毒。毒的意思就像钉子钉进木头里,虽然病愈了,遗留的毒气就像钉子留下的洞,依然需要吃药清除或者期待正气恢复把洞修补,不过遗毒日久,依旧会对人体造成伤害。

一般如果是轻微的话,患者可能会觉得劳累疲倦、体力下降,几个星期过后慢慢恢复。有些则可能出现皮疹瘙痒,都是血毒未清的关系。重者,有些是因为感染病毒过后,出现不同器官的并发症,严重程度依据并发症的轻重而定。一些常见的是并发脑炎/肝脏损伤。

中医学如何看待骨痛热症?

骨痛热症后遗症通常有哪些?

有没有出现后遗症,一是根据感染疫气的强弱而定,如果刚好是感染比较强的疫气,后遗症就比较多。疫气的强弱在西医来看,可能是依据不同种类的病毒引起而症状有所轻重,不过中医看来,跟发病时候的年份、气温、地点都有关系。

另一个可能没有后遗症的原因,就是中医所谓的“正气存内,邪不可干”,患者本身如果够强壮,发病后治疗可以迅速得到治疗,在体内正气还没被破坏完之前就恢复,那么也可以没有后遗症。

a. 脱发

脱发,一般就是病后血虚引起的,可能还会伴有失眠症状。不过如果不严重,不建议患者自行去买八珍汤白凤丸之类的药来补血以免溫燥药物伤阴血。最好还是咨询合格的中医师调治。

b. 一直冒冷汗

病后冒汗算是比较轻的,是气阴受损导致。一般可以吃点西洋参、太子参、玉竹、麦冬、天冬之类的中药。

c. 食欲不振

由于刚痊愈,经过吊点滴之类的程序,患者出院后通常胃口不振,饮食以清淡为主,粥水之类,慢慢增加食量,不宜提供煎炸辛辣等刺激的食物。

为何有些患者病后完全没有任何后遗症?

中医会建议进行什么样的调理?有几种不同的调理方法?

病后不鼓励激烈运动,流汗过多消耗体力,对身体恢复并没有帮助。最好还是静养数周,饮食方面以清淡为主,避免暴饮暴食,煎炸辛辣刺激的食物。维生素C/B群都可以吃,不过还是建议从自然饮食中摄取营养。

任何疾病,都可能带来后遗症,仅限于轻重,骨痛热症被视为疫病,对身体的伤害尤为严重,所以即使病情轻微,或者未察觉任何后遗症,但是对身体的伤害可能是肉眼所看不出的,进行任何调理是有其必要,也有益无害。

DENGUE后患无穷

骨痛热症,轻者只是发烧;重者可能出现并发症,器官衰竭,乃至丧命,不可谓是令人闻风丧胆的疫病。实际上,即使病愈,疫病对身体的伤害很大,健康后遗症无数。《我要健康MY HEALTH》走访2名患者,让读者更深入了解骨痛热症的祸害!

许雪君:3个月才回复正常体力与生活

我家在大山脚的甘榜区,已被宣布为黑区!

一起居住的小叔、我和儿子都相继发烧,被确认都患上了骨痛热症。住院的几天期间,我的血小板连日下跌,除了头疼和重复发烧,身体是没有任何红疹或者肌肉骨头酸痛的症状。儿子的病情也一样。

我那头疼不是普通的痛,整个头闷着的宛如要爆开的那种疼痛。人会很快疲倦,疲倦时眼皮会很自动地盖下,随时都需要半个钟的沉睡补眠。

由于我们俩对药物敏感,儿子入院后只能做观察,不能用药,包括退烧药。这头疼和疲倦,除了休息,于事无补。

三个星期后,我血小板指数回升,才被确认是康复者。虽然没有发生并发症,却也带给我一些后遗症——体力下跌。除了每晚需要8个小时无干扰的充足睡眠。白天,每隔四至五个小时就需要沉睡补眠。所幸得到上司和同事的谅解。此外,我的消化能力变得不好,为了提高免疫力,我除了喝木瓜叶汤,也喝了不少补充蛋白质的保健产品。通过调理,我大约3个月后才恢复体力和生活。

蔡长源:死里逃生的恐怖经历

发现自己高烧不退,有骨痛症状后,我决定去看医生,并在医生的劝告下入院。血小板从200下降至4,处于昏迷状态,马上把我转送到附近的政府医院深切治疗部(ICU)。

患病期间,整个人失去正常意识,不知道自己身在何处,一直发噩梦,最可怕的是,好不容易以为自己醒来了,后来才发现却还在另一个梦中,一直逃脱不了。在我一直昏睡期间,我出现肺部感染、肝感染,甚至肾感染。医生团队给予无数昂贵的抗生素,都宣告无效,束手无策对太太说,“对不起,我们尽力了,你试试帮他祈祷吧。”

也许是命不该绝,最后阶段,医院找到了一个非常强效的抗生素,我依然记得,透过点滴管输入血管内还能感到那股热度。终于病情开始逐步有起色,血小板逐渐回升。患病期间,我几乎全身被包着铝纸,有几天全身皮肤发黑,期间一直昏迷不醒,意识不清,双手臂插着输液管,只能灌牛奶。

病后,我必需接受很多护理治疗。由于肾感染,医生必需确定肾操作良好,无需洗肾。糟糕的事还包括,由于突然消瘦近30公斤,肌肉流失,长期卧床,我无法行走和操作工具,包括开车。因此,我必需接受物理治疗,1个星期至少3次。

每次进行物理护理都很痛,就像学步儿学走路一样,但孩子学走路不痛,病好的大人却非常痛。在非一般的毅力下,我坚持复健,终于在1个半月后可以自己重新开车了。回顾这段死里逃生的患病经历,好处是我懂得珍惜健康与生命了,从今不再熬夜!

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