手機肘，未必要開刀

作者: Polly

科技始終來自於人性　也可以一不小心就帶來不幸

繼網球肘(Tennis Elbow)、高爾夫球肘(Golfer’s Elbow)、任天堂姆指(Nintendo Thumb) 之後，現代醫學又創造了一個新的症狀名詞，那就是“手機肘”(Cell phone Elbow)。

“手機肘(Cell Phone Elbow)“這個名詞尚未被收錄在任何醫學字典或醫學名詞當中，但患者的症狀，主要是感覺到手痛、手麻，特別是無名指與小指，部分患者甚至明確的指出其麻感可以沿者手臂後側，向上至肘或者是肩胛或肩頸等。這樣的症狀，在醫學上的專有名詞稱做”肘隧道綜合症“(Cubital Tunnel Syndrome)，是一種尺神經在手肘部受到壓迫或是外傷，而引起的單一神經病變(Mononeuropathy)，分別稱為尺神經壓迫症(Ulnar nerve Compression)或是尺神經炎(Ulnar Nerve Neuritis)。此暱稱的出現，頻繁使用手機是最近出現肘隧道綜合症患者主要的原因之一。

真的需要手術治療嗎?

許多的醫學相關評論，不是呼籲患者儘早在手肘上打針，要不然就是開刀。其實不全然如此。當人體被手術刀刃劃破的同時，我們的經絡就被損傷了。中醫有一句至理名言：「痛則不通，通則不痛」。也就是體內的氣血運行，受到其他原因例如疾病、外傷、藥物副作用等等的中斷或阻滯，而導致運行不暢，輕者癢或酸，重者出現麻或疼的現象。

尺神經壓迫症在臨床上，筆者常見許多是因為頭頸部或手部姿勢不良或過長時間維持同一姿勢、或者單純情緒不佳、亦或是婦女經期將至，以及外傷等原因，使得氣血受到阻滯，這些全部都可以出現肘隧道綜合症的症狀。在發現症狀的初期，若僅僅是因為使用手機或電腦太久而引起的神經壓迫，在適度的休息或者甩動手臂，加強血液的循環，都可以緩解症狀。或者試著先按摩尺神經，並隨時提醒自己不定時改變姿勢。較嚴重的患者可進一步出現力量變小、手指彎曲的現象。消炎止痛並不是解決根本問題辦法，反而徒增肝腎的負擔。中醫針灸其實是最快速有效又無負擔的治療方法。

中醫針灸早在二千多年前成書的「黃帝內經－靈樞篇」中就有提到：《靈樞·經脈第十》謂三焦手少陽之脈，“是動則病耳聾渾渾焞焞，嗌腫，喉痹。是主氣所生病者，汗出，目銳眥痛，頰痛，耳后、肩、臑、肘、臂外皆痛，小指次指不用。”(小指次指，就是我們所說的小指與無名指。)

為什麼病人有時候不僅手麻　還會指著耳下頸部區說痠緊？

首先我們要認識手少陽三焦經的循行：起於無名指尺側端（關沖穴），向上出於手背第四、五掌骨之間，沿著腕背，出於前臂伸側尺、橈骨之間，向上通過肘尖，上臂外側三角肌後緣，上達肩部，交出於足少陽膽經的後面，向前進入缺盆，分布於胸中，聯絡心包，向下通過橫膈，從胸至腹，屬於上、中、下三焦。胸中支脈：從胸上出缺盆，上直項部，沿耳後直上，出於耳上到額角，在屈而下行至面頰，到達目眶下。

難道，二千多年前有手機嗎？我們不得不佩服與感謝老祖宗的智慧以及恩典，將寶貴的知識與經驗記載下來。

在所有遇到的臨床案例中，七成五的患者在第一次治療後，當場可以感覺原有手臂的酸麻感已減輕七成以上，甚至表示僅剩手掌部位仍有麻感。但其中一例表示，指頭麻痺與無力的感覺起初在末二指，漸漸有擴展到中指食指的趨勢，尤其是睡眠過後更加明顯。而在經過中醫正骨治療之後，麻痺的感覺當場消失。該病例則屬於外傷所引起，使得前臂輕微脫臼，而造成尺神經甚至是正中神經的壓迫症狀的出現。

縱使中醫針灸有神功妙用，也千萬別輕視手臂麻痹與肌肉無力，若拖延過久，肌肉無力感超過四個月，很快肌肉便開始萎縮，進一步連神經也萎縮，此時就算靠手術也難以恢復正常。

References:
http://www.medterms.com/script/main/art.asp?articlekey=39989

請尊重智慧財權，未經許可請勿任意轉貼．歡迎連結、轉載請註明出處。

誤診錯割乳房 長庚醫判賠百萬

醫療糾紛，新北市一名林姓婦人，十年前發現左邊乳房有硬塊，就到林口長庚醫院去看病，沒想到醫師葉俊男沒有詳細檢查就判定是乳癌，還開刀切除左乳，事後才發現只是良性腺瘤

­，害婦人白挨一刀，高等法院判決，醫師和長庚醫院必須賠償一百萬元。

憤怒的聲音隔著鐵門傳出來，這名林姓婦人一想到10年前的烏龍診斷，讓她失去了左邊乳房，心情到現在還是無法平復。說到不想說，乾脆直接關上大門，因為台北林口長庚醫院，­誤診的葉姓醫師當初沒有詳細檢查就判定她得了乳癌，迅速切除他的乳房，沒想到切片檢查卻發現，原來只是良性泌乳管腺瘤，操刀的就是畫面上的葉姓醫師，事發之後沒有向婦人致­歉，還意有所指的說，婦人想趁機要錢。

就在去年林姓婦人的事件爆發，小女兒也說媽媽身體真的好痛，無法挽回的傷害，讓林姓婦人始終走不出傷痛，夫妻生活也受到影響，現在高等法院判決，葉姓醫師和林口長庚醫院必­須賠償婦人重建義乳的費用以及精神損害，大約一百萬元。只是再多的金錢真的挽回不了婦人失去乳房，也失去尊嚴的痛。

來源：中華電視公司

西醫加針灸 中風男下床走路

【聯合晚報╱記者林進修/台北報導】

台北市立聯合醫院仁愛院區和台灣科技大學聯手研究發現，針灸可改善血液的微循環，有助於緩解中風病患的臨床症狀，甚至可讓原本昏迷在床患者再度清醒、下床走路，帶給中風病患及家屬一些希望。
這項領先全球、首先採用體表血流量測技術的研究，取代傳統穿顱侵入方式，評估中風病患兩側血流阻力狀態差異，論文3月刊登在微循環生理領域最頂尖的國際醫學期刊「微循環研究」 (Microvascular Research）。
參與研究的仁愛院區中醫科主任陳朝宗表示，中風是國人重大死因之一，就算救活了，患者的後續照護也耗費相當大的人力及物力，中醫界近年來積極研發針灸治療模式，就是要找出另一條治療之路。
仁愛院區和台科大醫學工程研究所助理教授許昕合作，以18名中風病患為對象，發現病患接受施加於患側為主的針灸治療後，患側血流供應與血流阻力狀態都得到 顯著改善。陳朝宗認為，血流狀態改善，可能有助於中風患側生理功能復原，也對中風針灸療效，提供有力的客觀證據與生理探討基礎。
他舉一名18歲年輕男性病患為例，這名患者因為車禍，造成創傷性蜘蛛網膜下腔及腦室出血昏迷，神經外科醫師緊急施以腦室引流管與顱內壓監視器置入手術，術後治療1個多月，狀況雖有改善，但仍意識不清，不但不認得家人，且左側偏癱無力無法活動。
在中西醫團隊合作下，陳朝宗另外施以頭皮針及體針的針灸治療，以手足陽明經穴為主，輔以太陽經及少陽經等穴。經中西結合治療後，這名年輕病患的病程縮短，病情明顯改善，不但意識清楚還可下床走路，只是左側肢體仍顯無力。
陳朝宗認為，這名年輕患者接受西醫腦傷治療後，病情可能已有進展，只是欠缺臨門一腳，針灸剛好有助於改善他的血液微循環，才讓他迅速康復。
台北市立萬芳醫院中醫科主任黃中瑀表示，中風病患通常氣血兩虛，針灸可補益氣血，溝通心腎，加強刺激腦細胞活動，增進肌肉協調能力，確有助於改善病情。他就針灸過一名車禍昏迷的30幾歲男病患，一個多月後可比出「OK」及「讚」的手勢，看得家屬興奮不已。

 來源: 聯合新聞網

長期使用含類固醇眼藥水 42歲竟有白內障

2009-6-14 文／張朝凱 「我本身有400多度近視，剛開始覺得視力模糊時，還以為是度數加深，等到醫師告訴我是因為大量使用類固醇，導致白內障，那一刻真的是非常難以接受！」42歲從事保險工作的張小姐患有過敏性結膜炎多年，常自行到藥局購買含類固醇的藥水治療，最近因為眼睛出現視力模糊、色調改變、畏光等問題，而到診所求診。 一般來說，白內障的成因除了最普遍的老年性白內障之外，還有許多可能導致白內障的因素，如先天性、外傷、代謝不正常、併發症，以及藥物引起等原因，藥物性白內障就是因為長期服用或點類固醇藥水所致。 類固醇學名為「副腎上腺皮質激素」，具有消炎及免疫抑制的作用。人體每天都會分泌一定量的類固醇來維持體內正常的生理運作，而因其具有很強的消炎及免疫抑制的作用，也因此在臨床上更被廣泛應用，包括癌症、腦水腫、氣喘症、腦膜炎等疑難雜症，故有「仙丹」之名。 然而，水能載舟，亦能覆舟。過量使用類固醇也會造成諸多副作用，如水腫、肥胖、糖尿病、生長延緩等，其中最讓人恐懼的就是白內障。 白內障是因為水晶體開始硬化、混濁，以至於產生視力模糊、色調改變、畏光等症狀，晚期情況加重，則可能併發青光眼或虹彩炎，甚至導致失明。 目前尚無任何眼藥水、藥品能夠確切預防或治療白內障，也因此只要感覺視力衰退，並影響到日常生活，建議應早期接受治療，以免病情更趨惡化。 此外，若因為疾病關係需要長期使用類固醇藥物，應遵從醫師指示，定期到眼科追蹤檢查，切忌自行購買來路不明的眼藥水，以免加重病症。 （作者為台北市諾貝爾眼科診所院長） 來源: http://www.libertytimes.com.tw/2009/new/jun/14/today-health4.htm

Acupuncture Helps Children with Autism - New Research

Source: HealthCMI

New research demonstrates that a session of 12 acupuncture visits using electro-acupuncture improves functions in children with autism. Electro-acupuncture caused improvements in language comprehension and self-care ability for the children in this randomized, double-blind, sham-controlled, clinical trial of acupuncture for the treatment of autism spectrum disorder (ASD).

Electro-acupuncture also caused significant improvements in social initiation, receptive language, motor skills, coordination, and attention span. Improvements in motor coordination include better writing ability. Participants were better able to write words within set lines and squares. One participant had significant improvements in swimming ability and improvements in paper cutting were also noted. Interesting motor improvements include better walking posture, speed of walking, and ability to ascend and descend stairs.

Over 70% of the children with ASD were compliant and adapted easily to the acupuncture therapy while 8% were not compliant. This was the first study ever conducted using electro-acupuncture for ASD using a double-blind, randomized, controlled trial. Subjects from ages 3-18 participated in the study and children who had been taking anti-epileptic drugs or who had recently had acupuncture were excluded from the study.

Classic acupuncture points for the treatment of autism were chosen for the study. Sishencong (EX-HN1), YinTang (EX-NH3), Ear naodian (AT3), and Ear shenmen (TF4) were chosen as the primary acupuncture points. Neiguan (P6), Shenmen (H7), TaiChong (Lv3), and Sanyinjiao (Sp6) were selected as complementary acupuncture points. Children were in either in a supine or sitting position for the 30 minute acupuncture treatment. Sterile disposable .3 X 4cm (30 gauge) acupuncture needles were used and points were connected with a portable electro-acupuncture device. The investigational sham acupuncture points were chosen at a 3-5mm distance from the real acupuncture points. The treatment principle was to “to make the heart ‘unobstructed,’ regulate the liver, correct derangements or imbalances, enforce the emotion, dredge stasis, invigorate the spleen and kidney, and facilitate the source of vital function.”


References:

Altern Med Rev. 2010 Jul;15(2):136-46. Randomized controlled trial of electro-acupuncture for autism spectrum disorder. Wong VC, Chen WX. Department of Paediatrics and Adolescent Medicine, Queen Mary Hospital, The University of Hong Kong, Hong Kong, China.

American Psychiatric Association. Diagnostic Manual of Mental Disorders. 4th ed. Washington, DC: American Psychiatric Publishing, Inc.; 1994.

Wong V. Can acupuncture of the tongue help autism? Autism-Asperger’s Digest Sept-Oct 2002;18-19:25,29.

Haley SM, Coster WJ, Ludlow LH, et al. Pediatric Evaluation of Disability Inventory: Development, Standardization, and Administration Manual, Version 1.0. Boston MA: PEDI Research Group; 1992.

Uniform Data System for Medical Rehabilitation (UDSMR). WeeFIM System SM. Clinical Guide: Version 5.01. Buffalo, NY: University at Buffalo; 2000.

Schopler E, Reichler RJ, Renner BR. The Childhood Autism Rating Scale (CARS): For Diagnostic Screening and Classification in Autism. New York, NY: Irvington; 1986.

Acupuncture treats Crohn's Disease - New Research

Source: HealthCMI

A recent study shows that acupuncture is an effective treatment for Crohn’s disease. The study was conducted by researchers at the Shanghai University of Traditional Chinese Medicine and the Shanghai Research Institute of Acupuncture and Moxibustion and was published in the Journal of Acupuncture and Tuina Science. The objective of the study was to determine the effects of acupuncture on intestinal fibrosis in cases of Crohn’s disease. The researchers measured the effects of acupuncture on basic fibroblast growth factor (bFGF) and type I collagen (Col I) in the intestines of laboratory rats with Crohn’s disease. After the use of acupuncture, the expressions of Col I and bFGF reduced markedly in rats with Crohn’s disease. The research proved that acupuncture treatment reduces abnormally high levels of these substances. By reducing the abonormally high levels of Col I and bFGF, acupuncture prevents fibrosis in the intestines of those with Crohn’s disease.
Acupuncture Points
Acupuncture was applied at points St25 (Tianshu) and CV6 (Qihai). Electroacupuncture and moxibustion were applied in different groups. A separate control group did not receive acupuncture. The electroacupuncture and moxibustion groups showed marked improvement whereas the control group did not. The study shows that acupuncture and moxibustion reduce excessive deposition thereby treating fibrosis in patients with Crohn’s disease.
About Crohn's
Crohn’s disease (regional enteritis) is an inflammatory disease of the intestines. It can affect any area of the GI tract from the mouth to the anus. Common symptoms include diarrhea, abdominal bloating and pain, vomiting, weight loss, eye disorders, arthritis, dermatological disorders, and fatigue. Crohn’s disease is considered to be an autoimmune system disorder of the GI tract. Genetics may play a role in its etiology, however, there is significant evidence that environmental factors contribute to this pathology. Smokers are approximately twice as likely to develop Crohn’s disease. No western medicine cure exists for Crohn’s disease and therefore most MD’s focus on controlling the symptoms. Crohn’s disease may cause growth failure in children and increases the risk of cancer in the affected regions of the intestines.
Ulcerative Colitis
Crohn’s disease is often confused with ulcerative colitis. Crohn’s disease commonly affects the terminal ileum and the colon. Ulcerative colitis rarely affects the terminal ileum and always affects the colon. Crohn’s disease commonly affects the anus and ulcerative colitis rarely affects the anus. Crohn’s disease causes patchy or serpiginous (snake-like) ulcerations of the intestines whereas ulcerative colitis causes a continuous area of ulceration. Ulceration is shallow with ulcerative colitis but is deep with Crohn’s disease. As a result, Crohn’s disease may cause stenosis of the intestines. The study shows that acupuncture prevents fibrosis of the intestines thereby helping to prevent stenosis.



Reference:
Chen Zhao, Juying Ding, Jindan Ma, Linying Tan, Huangan Wu, Yingying Zhang and Linshan Zhang, Acupuncture on the basic fibroblast growth factor and type I collagen in colons of rats with Crohn’s disease, JOURNAL OF ACUPUNCTURE AND TUINA SCIENCE, Volume 9, Number 1, 1-6.

Driving Directions to Essence Acupuncture

Located in Costa Mesa, easy access from Irvine, Tustin, Laguna Beach, Huntinton BeachNewport Beach and through highway 73, 55 or 405.

From the North: Take Freeway 405 southbound

Exit at the Bristol Street South off ramp, and stay on the left lane.

Turn left on Paularino Avenue and stay on the right lane.

Pass Red Hill Avenue and turn right at the first entrance into the

Water Garden Suites.

Keep left along the white office buildings to Building K.

We are located in Suite #105, at the corner of the two story Building K.

 

From the South: Take Freeway 405 northbound

Exit at Bristol Street and turn left.

Turn left on Paularino Avenue and stay on the right lane.

Pass Red Hill Avenue and turn right at the first entrance into the

Water Garden Suites.

Keep left along the white office buildings to Building K.

We are located in Suite #105, at the corner of the two story Building K.

 

From Freeway 55 southbound, driving towards Newport Beach

Exit at #58 / Baker Street and stay on the left lane.

Turn left on Paularino Avenue and stay on the right lane.

Pass Red Hill Avenue and turn right at the first entrance into the

Water Garden Suites.

 

Keep left along the white office buildings to Building K. We are located in Suite #105, at the corner of the two story Building K.

 

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Dr. Kathy Lin Welcomes You to Essence Acupuncture & Herbal Medicine Clinic

Essence Acupuncture and Herbal Medicine Clinic in Costa Mesa is dedicated to maintaining wellness and promoting health. Many modern western health care aids do not fully cope with the complexity of health issues that arise. People now look to Chinese Medicine as a treatment option that is less costly, equally or more effective, and with little or no side effects.

By providing you with traditional Acupuncture, Chinese Medicine treatment modalities, and Herbal Medicine as alternative and/or complimentary treatment options for your health concerns and health care.

I speak English, 台語, and 中文. Call us today for more information. 
 Phone: +1 (949) 485-5813

任何疑問、預約，現在就撥 : +1 (949) 485-5813
或是寫信 E-Mail : essencedrlin@google.com