{"id":5452,"date":"2016-09-02T00:00:00","date_gmt":"2016-09-01T16:00:00","guid":{"rendered":"\/\/www.afterroberto.com\/?guid=f5eaa3abc14101f78f06d4904abc60fd"},"modified":"2018-08-22T14:57:17","modified_gmt":"2018-08-22T06:57:17","slug":"%e8%83%a1%e9%80%94%e4%b8%ad%e8%a5%bf%ef%bc%9a%e9%9b%99%e8%b4%8f","status":"publish","type":"post","link":"\/\/www.afterroberto.com\/%e8%83%a1%e9%80%94%e4%b8%ad%e8%a5%bf%ef%bc%9a%e9%9b%99%e8%b4%8f\/","title":{"rendered":"\u3010\u4e2d\u91ab\u6cbb\u7642\u3011\u80e1\u9014\u4e2d\u897f\uff1a\u96d9\u8d0f"},"content":{"rendered":"

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https:\/\/health2.mingpao.com\/ftp\/Health2\/20160902\/chimed\/_02VW005_.jpg\u300c\u6211\u7d42\u65bc\u53ef\u4ee5\u53bb\u8336\u6a13\u98f2\u8336\u5587\ufe57\u300d\u770b\u4f3c\u7c21\u55ae\u7684\u4e00\u53e5\uff0c\u8aaa\u660e\u75c5\u4eba\u91cd\u62fe\u80c3\u53e3\uff0c\u96d9\u8173\u56de\u5fa9\u529b\u91cf\uff0c\u64fa\u812b\u75be\u75c5\u675f\u7e1b\uff0c\u91cd\u7372\u826f\u597d\u751f\u6d3b\u8cea\u7d20\u7684\u559c\u6085\u3002\uff08\u8cc7\u6599\u5716\u7247\uff09;<\/inline><\/p>\n","protected":false},"excerpt":{"rendered":"

【明報專訊】學貫中西的梁頌名教授是我的良師益友，每當我遇到任何有關中醫的問題，他也是我的「頭號求救對象」。某天，我向他請教如何在臨牀上結合中西醫，他信手拈來一個平常例子：<\/p>\n

補氣藥緩解血壓藥副作用<\/p>\n

一位伯伯已經服用降血壓藥物十多年，病情控制尚算不過不失，不過藥物的副作用令這位伯伯欠缺食慾，雙腳乏力，連外出走動的興致也欠缺了，整天沒精打采地困在家裏過日子，輾轉之下，伯伯的家人找上了梁頌名教授。梁教授替伯伯望聞問切一番後，認為伯伯的證型屬於「陰虛陽亢型」，雖然中藥可治療這證型的高血壓，但療效未必及得上伯伯所服用的西藥，於是梁教授建議伯伯繼續服用西藥，與此同時給伯伯處方具補氣作用的中藥，着伯伯在每劑西藥之間服用，以緩解西藥的副作用。不久，伯伯的力氣及食慾慢慢得到改善，他的血壓也得到良好控制，最後竟還能夠減少服用的西藥劑量。梁教授猶記得，經過一段時間的治療後，伯伯的兒子分享他爸爸某一天興奮道：「我終於可以去茶樓飲茶喇﹗」這簡單的一句，不僅說明伯伯重拾胃口，雙腳回復力量，更清楚表達出他能夠真正擺脫疾病的束縛，重獲良好生活質素的喜悅。<\/p>\n

中西藥互補 切合病人需要<\/p>\n

梁頌名教授所舉的例子，不僅令我意識到以中西醫藥處理患者的不同需要，是中西醫結合治療其中一個可行模式，更令我明白到兩者要結合成功，中西醫雙方也必須擁有謙虛的心。西醫的降血壓療效確有可取之處，於是梁教授並沒有強行以中藥全盤取代，令伯伯不用冒病情惡化之險；而西醫也得承認，即使近代西藥的副作用已較以往大為減少，但仍有部分患者對藥物的耐受性較差，藥物副作用在他們身上較明顯，經過利弊權衡後，為了控制對生命威脅性更大的疾病，患者也得無奈地接受這些副作用對生活的影響。<\/p>\n

可是從病人的角度來看，藥物一方面雖然紓緩了一些病徵，另一方面卻同時帶來不適，治療還不算完全成功，身體依然被疾病所限制，只是換了個方式而言。倘若有中西醫結合的治療方法，在不大幅降低西藥藥效的情况下，能幫助患者改善生活質素，又何必故步自封，抱持拒抗態度呢？這種雙贏局面，相信是各人都樂於見到的。<\/p>\n

作者簡介：接受西方醫學教育的腸胃肝臟科專科醫生，因緣巧合，參與中西醫結合研究，尋覓醫療新路向。（隔周見報）<\/p>\n

文：香港中文大學醫學院香港中西醫結合醫學研究所主任胡志遠<\/p>\n

https:\/\/health2.mingpao.com\/ftp\/Health2\/20160902\/chimed\/_02VW005_.jpg「我終於可以去茶樓飲茶喇﹗」看似簡單的一句，說明病人重拾胃口，雙腳回復力量，擺脫疾病束縛，重獲良好生活質素的喜悅。（資料圖片）;<\/inline><\/p>\n","protected":false},"author":2,"featured_media":5451,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"rank_math_lock_modified_date":false,"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[4],"tags":[282,57,338],"class_list":["post-5452","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-4","tag-282","tag-57","tag-338"],"publishpress_future_action":{"enabled":false,"date":"2026-11-16 14:35:00","action":"change-status","newStatus":"draft","terms":[],"taxonomy":"category"},"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"_links":{"self":[{"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/posts\/5452"}],"collection":[{"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/comments?post=5452"}],"version-history":[{"count":0,"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/posts\/5452\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/media\/5451"}],"wp:attachment":[{"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/media?parent=5452"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/categories?post=5452"},{"taxonomy":"post_tag","embeddable":true,"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/tags?post=5452"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}