{"id":5019,"date":"2017-01-02T00:00:00","date_gmt":"2017-01-01T16:00:00","guid":{"rendered":"\/\/www.afterroberto.com\/?guid=5187e98b91f7b1b0e45d9bf08b147a24"},"modified":"2019-06-27T13:20:02","modified_gmt":"2019-06-27T05:20:02","slug":"%e3%80%90%e4%b8%ad%e9%86%ab%e6%b2%bb%e7%99%82%e3%80%91%e9%86%ab%e5%be%b9%e4%b8%ad%e8%a5%bf%ef%bc%9a%e3%80%8c%e8%88%87%e7%99%8c%e5%85%b1%e5%ad%98%e3%80%8d-%e5%81%9c%e5%8c%96%e7%99%82%e7%94%a8%e6%b0%a3","status":"publish","type":"post","link":"\/\/www.afterroberto.com\/%e3%80%90%e4%b8%ad%e9%86%ab%e6%b2%bb%e7%99%82%e3%80%91%e9%86%ab%e5%be%b9%e4%b8%ad%e8%a5%bf%ef%bc%9a%e3%80%8c%e8%88%87%e7%99%8c%e5%85%b1%e5%ad%98%e3%80%8d-%e5%81%9c%e5%8c%96%e7%99%82%e7%94%a8%e6%b0%a3\/","title":{"rendered":"\u3010\u4e2d\u91ab\u6cbb\u7642\u3011\u91ab\u5fb9\u4e2d\u897f\uff1a\u300c\u8207\u764c\u5171\u5b58\u300d \u505c\u5316\u7642\u7528\u6c23\u529f\uff1f"},"content":{"rendered":"

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【明報專訊】常說西醫「微觀」，中醫「宏觀」，只是點出中醫和西醫在疾病診斷方面一些不同。西醫除了診斷檢測技術不斷細化，治療也由機理發展往細胞生化進一步細化着手。西醫診斷生病與否，先依賴臨牀檢查，如未能斷症則深入檢測化驗。西醫視身體如Lego積木，由不同部分堆砌而成，健康就是使每個部位健康；而治療策略也是根據不同部位治療，更加利用藥物跟隨生化驗點擊中治療部位。<\/p>\n

中醫注重「宏觀」的整體治療，重視整體處理人體對環境反應的調控，認定個人健康除了依身體各部的健康外，更靠外在環境因應融合的能耐。對身體，中醫比擬為一國家，身體部分看為不同崗位／功能，需互相配合無間。例如說「五臟六腑，心為之主，耳為之聽，目為之候，肺為之相，肝為之將，脾為之衛，腎為之主外」。中醫藉提升身體各部整體的能力，以及增進不同功能的配合去對抗疾病。<\/p>\n

中西醫聯手 穩固「堤壩」<\/p>\n

其實中西醫是治療策略不同，結合中西醫治療往往可給予病人更全面的治療。曾有一病人患上骨髓癌，西醫化療已打了二十針，病人血液內高量癌細胞已減至微量。病人查詢得知再打化療針，只是減低癌細胞數量，但仍會有小量癌細胞存於血液，繼續打化療針仍有可能復發。病人這時開始常暈眩不適，認為既已清除癌細胞至一個很少的數字，何不減少化療及其不適，「與癌共存」。<\/p>\n

病人問我應否轉用中醫或氣功等療法，可否停止或減少化療，如由每星期一次轉為二至三星期一次。她的想法等於說地板已掃乾淨，只有小量癌細胞已很不錯。我糾正她的想法，自身防禦系統好比建造中的水壩，癌病不只是濁泥卻是病如洪水。雖病情已好了很多，但洪水其實未平伏，可隨時再來，減慢清除惡力會讓惡力侵入，繼而堤壩不穩，又再崩堤。故建議病人要完成西醫化療，清除剩餘的癌細胞至最好的狀態，同時以中醫療法加強堤壩，即整個身體的自我防禦能力。這種比擬法中醫西醫皆可靈活運用，制訂治療策略時可增加效益。<\/p>\n

「宏觀」醫學主要通過多層次、多角度、多方位的整體調控治療疾病，藉現代方法開始發展成一種醫學理論體系。中醫、西醫各有特色，將醫學中的宏觀生命與微觀生化體打通，就是中西醫結合一環。<\/p>\n

文：香港醫學專科學院院士、香港浸會大學中醫藥學院榮譽教授余秋良<\/p>\n

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