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What's Up TopDoc?

Introducing the 1st medical blog
Reliable health information & tips, brought to you by HK doctors.
導致肩痛的激痛點到底在哪裡?
Posted by Dr. zengfu peng on June 10, 2019
肩周炎,是指肩關節周圍軟組織的炎症。軟組織有很多種,包括肌肉、韌帶等。肩關節是人體中活動度最大的關節,而運動是依靠肌肉的收縮來完成的。因此,肩關節周圍的肌肉有很多。其中直接連接到肩關節的有18塊肌肉。分別是岡上肌、岡下肌、大圓肌、小圓肌、肩胛下肌、背闊肌、前鋸肌、胸大肌、胸小肌、大菱形肌、小菱形肌、三角肌、肱二頭肌、肱三頭肌、斜方肌、喙肱肌、肩胛提肌、肩胛舌骨肌。這些肌肉損傷後形成的激痛點引起的肩痛,有一個共同的特徵,這就是疼痛會影響肩關節的活動,也就是說,疼痛會因為肩關節的某個活動或某些活動而加重。當然,不同肌肉的激痛點,甚至同一肌肉不同部位的激痛點,所引起的疼痛特徵也會不僅相同。 另外,多塊塊肌肉經過肩關節附近,其肌肉勞損也有可能產生肩部疼痛。這些肌肉勞損形成激痛點後,也會引起肩痛,但是,這些激痛點引起的肩痛的一個共同特徵就是,疼痛與肩關節活動基本無關。這些肌肉包括斜角肌、上後鋸肌、胸髂肋肌、鎖骨下肌、胸骨肌,甚至肋間肌等。注意,全身性疼痛如痛風、風濕、類風濕、肝膽疾病,胃腸疾病及心臟疾病的反射性肩痛也與肩關節活動無關。因此,需要與這些肩痛想到區別。 如果治療者,尤其是骨傷針灸醫師需要熟練掌握引起肩痛的這些激痛點可能存在的肌肉,並且能很好地區別不同肌肉激痛點引起的肩痛的特徵,這樣才能做到治療時有的放矢,事半功倍的效果。 正因為肩痛原因複雜,因此,如果醫生對這些不熟悉,就很難徹底醫好肩痛。
中醫診治“玫瑰痤瘡”療效顯著
Posted by Dr. Jing Yang on January 31, 2019
玫瑰痤瘡,即對應中醫“酒渣鼻”。又稱為赤鼻,發生于顏面中心,多見瀰漫性潮紅、丘疹、膿皰以及毛細血管擴張或鼻尖部皮脂腺增生的結締組織增生為特征的一種瀰漫性皮膚病。 本病病因不明,嗜酒、嗜辛辣厚味、溫度刺激、腸胃功能不佳、皮膚屏障受損、過度美容、內分泌失調、長期情緒不佳等均可誘發本病。《景岳全書》認為酒渣鼻由肺經血熱內蒸,遇風寒外束,血瘀凝滯而成。 中醫治療重視整體觀,臨床上中醫對玫瑰痤瘡治療療效顯著,黃霏莉中醫師研習古代治法根據現代醫學分型將玫瑰痤瘡分為肺經熱盛型、熱毒蘊藉型、氣滯血瘀型,單純中藥已經收到良好反饋,針藥結合更是事半功倍。
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