中醫怎麼治抑鬱?2017-9-14 林小珊博士
林小珊醫師的【懸壺手記】中醫專欄隔周四刊登於信報,歡迎查閱
👯![抑鬱 的圖片結果](data:image/jpeg;base64,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)
中醫怎麼治抑鬱?林小珊博士
林小珊醫師的【懸壺手記】中醫專欄隔周四刊登於信報,歡迎查閱
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中醫怎麼治抑鬱?林小珊博士
最近很激勵人心的印度電影“Dangal打死不離3父女”上映,看得筆者熱血沸騰,其中為人津津樂道的情節是女主角在成功奪冠的成長路上有三位舉足輕重的教練,分別是父親、國家隊教練和自己。父親非常了解和熟悉女兒性格的優缺點,技術和體能上的強弱項,細心用心分析利弊,指導她有驚無險的完成一場又一場的艱苦賽事,國家隊教練則教會她專業技巧和審時度勢的要領,而在最後的冠軍戰,女主角將父親和國家教練所教內化成自己的東西,靠自己的思考和力量贏得冠軍寶座。
這裡有3個重點彰示:一、人生要得到自己目標夢想中的成功,堅持的執念必不可少;二、作為老師、教練、顧問或指導者,包括我們身為醫師給予病人關於身體健康的專業指導也算是,要細心,同理心,易地而處給予合適意見,恰如韓愈《師說》中說「師者,所以傳道授業解惑也」;三、任何困難都必須靠自己,不要一心只依賴他人,而自己不作努力。治療抑鬱也是針對以上三點三管齊下。
筆者在臨床行醫中經常碰到病人說:“林醫師,我最近心情好差,我諗我應該患左抑鬱症,點算好呀?”每每聽到類似說話,我都會笑笑口的跟他們說:“生活在香港,10個有8個都覺得自己有“抑鬱”,這是大環境造成,任誰也避免不了呀,所以你覺得有壓力不開心並不是特別的一個,不用懷疑自己。”筆者手頭上很多人“抑鬱”的病人,包括純粹遇事困擾或真正在接受心理治療或者服用精神科藥物的,在聊天過程中,都會發覺他們有對某事或某人放不下的“執念”。這種“執念”,用在好的地方,比如電影里男女主角身上,會成為推動完成夢想或成功的動力,但用錯地方,就很容易變成鑽牛角尖,痛苦萬分,切記留意。
做為醫者,又如何運用我們的專業醫學知識貼地氣的去幫助他們,以及中醫里又是如何看待抑鬱的呢?我們說肝主情志,因為緊張焦慮,想太多,壓力壓抑過大等等這些負面情緒影響肝主疏泄的功能,導致氣郁氣滯,出現急躁易怒、夜寐不安、無胃口吃不下飯,甚至有些人覺得咽喉間有異物的感覺等症狀。如果氣郁氣滯的情況不能及時疏通,有機會化熱化火,心情煩躁隨時就想發脾氣,看誰都不順眼,像吃了炸藥般一點就爆;肝郁波及脾胃或心肺,則會經常歎氣打嗝,便秘或腹瀉,沒有人招惹時心情也不好;形成瘀血,則容易出現月經不調、乳腺增生或腫瘤等。
針灸是幫助抑鬱患者其中一個很有療效的方法。筆者特別喜歡針刺頭頂的百會和四神聰。百會“百會”,百脈之會,在頭顱頂點,有開竅寧神的作用;四神聰在百會穴前后左右各1寸處,有调神健腦之功,他們均是治疗神志病和脑病的要穴。用藥的話以疏肝解郁,理氣安神為主,逍遙散逍遙自在,乃治抑鬱良藥。
最後,解鈴還須繫鈴人,自己有能力和責任讓自己快樂起來,祝大家天天快樂!
作者為註冊中醫師
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這裡有3個重點彰示:一、人生要得到自己目標夢想中的成功,堅持的執念必不可少;二、作為老師、教練、顧問或指導者,包括我們身為醫師給予病人關於身體健康的專業指導也算是,要細心,同理心,易地而處給予合適意見,恰如韓愈《師說》中說「師者,所以傳道授業解惑也」;三、任何困難都必須靠自己,不要一心只依賴他人,而自己不作努力。治療抑鬱也是針對以上三點三管齊下。
筆者在臨床行醫中經常碰到病人說:“林醫師,我最近心情好差,我諗我應該患左抑鬱症,點算好呀?”每每聽到類似說話,我都會笑笑口的跟他們說:“生活在香港,10個有8個都覺得自己有“抑鬱”,這是大環境造成,任誰也避免不了呀,所以你覺得有壓力不開心並不是特別的一個,不用懷疑自己。”筆者手頭上很多人“抑鬱”的病人,包括純粹遇事困擾或真正在接受心理治療或者服用精神科藥物的,在聊天過程中,都會發覺他們有對某事或某人放不下的“執念”。這種“執念”,用在好的地方,比如電影里男女主角身上,會成為推動完成夢想或成功的動力,但用錯地方,就很容易變成鑽牛角尖,痛苦萬分,切記留意。
做為醫者,又如何運用我們的專業醫學知識貼地氣的去幫助他們,以及中醫里又是如何看待抑鬱的呢?我們說肝主情志,因為緊張焦慮,想太多,壓力壓抑過大等等這些負面情緒影響肝主疏泄的功能,導致氣郁氣滯,出現急躁易怒、夜寐不安、無胃口吃不下飯,甚至有些人覺得咽喉間有異物的感覺等症狀。如果氣郁氣滯的情況不能及時疏通,有機會化熱化火,心情煩躁隨時就想發脾氣,看誰都不順眼,像吃了炸藥般一點就爆;肝郁波及脾胃或心肺,則會經常歎氣打嗝,便秘或腹瀉,沒有人招惹時心情也不好;形成瘀血,則容易出現月經不調、乳腺增生或腫瘤等。
針灸是幫助抑鬱患者其中一個很有療效的方法。筆者特別喜歡針刺頭頂的百會和四神聰。百會“百會”,百脈之會,在頭顱頂點,有開竅寧神的作用;四神聰在百會穴前后左右各1寸處,有调神健腦之功,他們均是治疗神志病和脑病的要穴。用藥的話以疏肝解郁,理氣安神為主,逍遙散逍遙自在,乃治抑鬱良藥。
最後,解鈴還須繫鈴人,自己有能力和責任讓自己快樂起來,祝大家天天快樂!
作者為註冊中醫師
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