呂宇軒中醫師: 12月 2022 WFU

2022年12月31日 星期六

轉骨

 小明喜歡跟爸爸打籃球,他最喜歡看NBA了,也常常上網去尋找有關運球和投籃的影片。這天天氣風和日麗,他跟爸爸便前往籃球場開始一對一鬥牛。

小明順暢的運球、變向一氣呵成,當他甩開他爸的防守,縱身躍起投籃,以為要進球得分的時候,「啪」的ㄧ聲正面吃了一記爸爸的麻辣鍋。

「想得分,還早呢!」

「哼!總有一天一定要贏過你!」

「那你至少要再長高一點啊!」

「我該怎麼做呢?」


斯露德是雷神索爾的女兒,她喜歡坐在爸爸的背上跟著爸爸的飛天錘子翱翔天際。

「斯露德啊,妳以後想做什麼呀?」

「我想要當米德加爾德最厲害的女武神!」

這句童言童語把她爸爸逗得咯咯笑。

畢竟,這個小女孩現在個頭不到他的一半,要說以後夠不夠格當女武神,他也說不準。

小小的斯露德心裡也很清楚,自己的身高非常有可能成為自己當女武神路上,一個難以忽視的硬傷,畢竟雖然女武神沒有身高錄取限制,但總不能矮到讓別人誤會她是矮人吧!

「我該怎麼做呢?」


於是兩位小朋友都被帶進中醫診間,希望能得到長高的方法





呂醫師的話


1. 小朋友們的青春期,是即將成為成人前的一段生理及心理的變化時期,是人體器官(包括身高)生長發育的高峰,男孩平均在12歲開始,女孩則在10歲左右,小女生的成長發育會略早於小男生。


2. 要說父母的身高完全不影響小孩身高,那是不可能的。身高來自父母基因的影響約有70%,那是已經預先被設定好的先天局勢,所以如果父母都是打籃球的國手人高馬大,小孩十之八九也不會長得太矮。父母身高普通的小孩也不用灰心,因為後天飲食、睡眠、運動和情緒的影響佔30%,所謂7分天注定,3分靠打拼,還是有可以努力的空間的!


3. 轉骨的水藥中有補肝腎的,有調理經期的,有改善腸胃吸收的成份,當小朋友的第二性徵出現的時候,便可以開始定期服用。所謂第二性徵是指女孩胸部發育、第一次月經來潮;男孩則是出現睪丸變大、喉結出現並變聲。從第二性徵出現,直到成年約20歲生長板閉合為止,可以每週服用4-5帖的轉骨藥方,並每三個月量測身高檢測效果。


4. 飲食方面均衡攝取牛奶、蔬果豆類和肉類藉此獲得蛋白質、鈣和鋅等生長所需之營養。另可多補充牡蠣、帶殼海鮮以獲取豐富的鋅;多補充豆漿、小魚乾、海帶、芥菜等獲取豐富的鈣。避免過量的糖份攝取,它會抑制生長激素的分泌;避免過量的茶和咖啡,它們會影響鈣和鐵的吸收。





5. 養成規律運動的習慣,推薦跳繩、排球和籃球等需要垂直跳躍的運動來刺激生長板,立定跳也不錯,跳繩也行,每天可以跳個400-800下。運動還有一個好處,就是能緩解壓力,小朋友課業上的壓力會影響消化和內分泌系統,影響長高發育,規律的運動便是解決之道。


6. 充足有效的睡眠極為重要:晚上早點上床睡覺,睡眠時間充足,大腦分泌的生長激素才夠。盡量在22:30前就寢,不要晚於23:00,睡眠時間應大於6小時。睡前應避免使用3C產品,避免其輻射光線干擾睡眠,降低睡眠品質,更不要徹夜不睡覺打手遊,開心一時,不高一世。



掛號請按此~



2022年12月22日 星期四

Weight Losing 2: Goal setting

Mary’s school is going to hold a beauty contest in 6 months. In order to prevail, Mary carries out her ambitious fitting project. She wakes up everyday at 6 to run 5 kilometers before school, rain or shine, even on holidays. Then she would take an egg and  a sugar-free soy milk as breakfast. After class she would go to the gym to do some weight trainings: biceps, triceps, latissimus dorsi, quadriceps, abdominals…etc, sweating all over and carving the shapes of her muscles. For dinner she would take banana and sugar-free soy milk again.

“ Gosh I am beat. Run the 5k in the morning then the tricep-drill in the afternoon. How am I still standing!?”

“ Sugar-free soy milk tastes like shxt  with that awful stinky smell. I feel so hungry and dizzy eating only eggs and bananas during classes. Sometimes I can feel my heart beating so fast.”

“ I would have some desserts before at night but now I can’t have them to stay fit. It really gives me a sense of deprivation!

Despite all those discomforts and disappointments, she carries out her drills for the next two months, however….




One day the weather is so cold and rainy, she doesn’t want to go jogging thinking that she would do weightlifting in the afternoon anyway.
The mid-term during noon is so hard that she can only complete half of it. On the edge of failing this subject, she doesn’t have the mood to go weightlifting, thinking that she would go jogging tomorrow morning.
At night she still feels bad, she then turns on the N channel to watch some dramas. She feels a bit odd enjoying dramas without food and drinks. She decides to indulge herself and get a pack of fried chickens.
That one day of indulgence develops into a 3-month-out-of-control.

Without a doubt she lost the competition.


Bob wants to gain female attractions by building good body shapes. He has a friend, Mike, who has been weightlifting for years. Mike then takes Bob to train along with him.
Mike is way stronger than Bob, that makes Bob a little bit envy. Bob wants to catch up with Mike quickly, to be as strong as Mike.
One day Mike is occupied so Bob goes to the gym alone. Without his friend‘s supervision, he takes the dumbbells three times heavier than usual, in the hope to gain strength more quickly. Within 5 minutes Bob is sweating all over with severe pain passing through his biceps, deltoids, pectoralis, yet he continues his drill, immersed in the illusion of adrenaline and thirst of strength.
“Snap”
There goes down his biceps, torn apart.




We can get some inspirations from the two stories above:

1. Eating less, moving more is essential, however the goal should be set alongside humanity. We’re not Superman and we don’t have to be.

2. Add some flexibility to your training project. Take one day off every week and eat whatever you like for 1~2 meals. This will help ease your stress.

3. Try not to bind your diet with your own frustrations or satisfactions. Emotional eating can result in enormous calories.

4. Your will is like a 600mL bottle of water. It’s a good metaphor that points out the importance of forming good habits. Forcing your will to carry out the project is hard. Following the habits you established is way easier.

5. Protein is low in calories yet high in satiety, and you can easily obtain eggs or soy milk in convenience stores. However when you cut down on your consumption, sometimes you would encounter hypoglycemia, which is a state of low blood sugar, including symptoms like dizziness, palpitation, sweating. If the condition is severe make sure to go to the doctors. If it’s mild, be sure to eat some energy bars or chocolates. They will raise your blood sugar and ease the symptoms.

6. Don’t bite off more than you can chew. For weightlifting amateurs, your stance and postures are way more important than the weight you are carrying. Muscles grow gradually when they are used to movements of the drill, then they are able to carry more weights to be more strengthened.

2022年12月17日 星期六

禿頭

奧提斯牽著他的小狗狗準備開車去兜風。坐上駕駛座,把英雄放到副駕駛座後奧提斯拿起手機準備播放音樂,不小心點開相機的自拍功能,映入眼簾的是自己日漸退守的髮際線,他情不自禁的嘆了一口氣。
想當年,他可是何等風流倜儻,頂著一頭飄逸的長髮,總是派對的目光焦點,配上一口潔白的牙齒,成功的追求到校花茉莉兒。

然而步入中年後,頂上頭毛一根接著一根和他說再見。年輕時為了追求標新立異的造型,奧提斯每隔一段時間就去美容院或燙或染,現在彷彿頭皮在跟他討債似的,不僅頭皮變得容易出油而且常常癢得很難受,輕輕抓一下又變紅更不舒服。偏偏近來工作壓力大,時常要加班趕案子,上司跟客戶又常常咄咄逼人,搞得奧提斯是焦頭爛額,煩躁火氣大不說,三不五時下意識的抓頭皮讓他頭髮的狀況更是每況愈下,已經到了近乎寸草不生的狀態了。




奇遇和布魯斯蘿莉是感情很要好的運動搭檔,他們從大學的時候便開始接觸重訓,也會在重訓之間安排有氧運動一起慢跑。剛開始還很弱雞的他們隨著時間過去慢慢成長茁壯,從一開始連空槓都握得很吃力到如今槓片是一片接著一片掛上,身形瘦弱的他們也如吹氣球一般形成壯碩、虎背熊腰的體格。這天,兩人發現彼此的頭頂好像有些不太對勁。

「布魯斯!你的頭髮好像越來越少欸!剛剛跟你打招呼還差點被你的頭皮閃到。」
「奇遇你也是呀,我看你的頭帶越戴越後面,剛剛看你在硬舉低頭的時候,我還以為我看到地中海咧。」
忐忑不安的兩人這時去google了關鍵字:肌肉 禿頭

雷霸龍詹姆斯,日漸退後的髮帶
吉諾布里,鬼之切入,和禿頭惡魔簽約,切入成功一次少一根頭髮
傑森史塔森林,世界跳水冠軍,有著如希臘雕刻般的背肌和大理石般光亮的頭皮
巨布強森,以極為自律的飲食和極為艱鉅的重訓菜單聞名,眉毛非常有戲
「欸奇遇你看,這裡有巨布強森之前有頭髮的影片欸!」
「對欸布魯斯,真是難以想像他不是光頭的樣子。」




呂醫師的話
1. 追求造型無可厚非,但請斟酌自己身體狀況量力而為,有些人的頭髮就是生長快速而濃密,經得起許多化學染劑的摧殘而昂然而立,但有些人只要做個幾次頭髮,頭皮的狀況就再起不能了。
2. 有位金大哥曾經說過世界越快我越慢,而那位金大哥目前頭髮還算挺濃密的。情緒上的起伏也會影響頂上頭毛的多寡。中醫古籍有言:肝藏血,髮為血之餘,血盛則髮潤,血衰則髮衰;腎藏精,其華在髮。

首先,生氣或是煩躁這些情緒本身就會讓肝火燒起來,所謂大動肝火就是這麼一回事,如果本身又屬於燥熱體質,那可真是火上加油,大大的打亂肝藏血的機能,從而導致血衰髮衰的結果,臨床上諸如龍膽瀉肝湯、山梔子等清瀉肝火的功效不錯。

再者腎虛的人們常常會出現腰部、膝蓋、下肢酸軟無力的情形,偶爾出現頻尿、夜尿等狀況,連帶影響到髮量的多寡,這時候用左歸丸、熟地黃、杜仲之類的藥物補一補腎能收到不錯的效果。

3. 常言道有一好沒兩好或是所謂等價交換,男性擁有卓越力氣的代價便是頭上的毛髮,這不是動漫情節。肌肉量大的男性,體內雄性激素(睪固酮)的濃度非常高,睪固酮能促進肌肉的生長發育,也和生殖功能有密切關連,但是卻會讓頭髮稀疏。古往今來無數卓越的運動員、健美專家、戰士、演員力大無窮卻頂上無毛便是如此。

西醫推薦大眾使用的落健含有Minoxidil,可以刺激毛囊生長;中藥方面除了上述補肝腎去肝火的藥物之外,鼎鼎有名的何首烏的養血補肝,滋潤頭髮的效果也十分不錯!

最後再補充一點關於物理性防禦的部份,曬太陽是好事,但過度的紫外線對頭皮來說卻不是很友善,會傷害它並增加落髮量,建議如果是豔陽高照的天氣可以考慮戴一頂帽子,好看又保護頭髮。


2022年12月10日 星期六

Weight Losing 1 : Foods and drinks

We all seek fitness. Fitness brings us better postures, better first impression, better stamina, better concentration, etc.


However, nowadays we are surrounded by high-calorie goods: convenience stores scattered all around our neighborhoods supplying us chocolates, potato chips, and sodas at a low price twenty four-seven all year long attacking our taste buds. Not to mention all the fast food restaurants bombarding us with greasy, oily, sweet-to-the-bone meals. It seems that there’s no escape from all those overwhelming nutrition.   

 


In fact, we don’t need that much calories to keep our body functioning. The excessive calories that we don’t use up will be transformed into fat and stored mainly on our bellies. In ancient times our ancestors had a hard time gaining calories, way more difficult and dangerous than us. Literally, they had to fight with their lunches or dinners, probably holding spears and rocks to fight against the enormous mammoths or the fierce saber-toothed tigers. Casualties were inevitable; sometimes people became their dinner’s dinner. If the hunting failed, people would suffer from starvation, at that time human bodies developed the preserving system of fat, transforming excessive calories to help people withstand the starvation.   

One gram of carbohydrates or protein can generate 4Kcal (Kcal=one thousand calories), while fat generating a nearly doubled sum of 9 Kcal. In addition, the alcohol which shows up in all kinds of social gatherings can generate 7Kcal/gram. According to the calculation, we should avoid fat and alcohol and consume only carbohydrates and proteins, right? Well, it’s easy said than done. The taste of the foods can strongly affect our judgments. For example, too many tasty foods have something to do with fat: gratins, cheese burgers, juicy steaks, juicy pork, etc. 

They are just so luring. Most of us enjoy liquor with friends on holidays. It would be a bit of boring to drink without some side dishes, perhaps some chicken wings or some french-fries will do, double up the joy, and double up the calories as well. Not to mention mind blurred by the power of alcohol, dinking and eating and chatting all night along can end up stacking a huge amount of calories.        

 


Here are some clues: white powder, enticing, addiction. Anything rings a bell? Well, the answer is not cocaine, it’s a similar substance called sugar. In early ages, sugar were extracted from sugar canes and processed in complicated ways. Only the rich were afford to enjoy them. As the time went on to the industrial age, sugar could be synthesized, largely decreasing the production cost and time, lowering the price so the majority could enjoy them as well. When consuming sugar, it stimulates the rewarding core in brain, gives you the feeling of winning a champion or having sex. It does not destroy you like cocaine, but the cheerfulness acquired by sugar is like a tide going up and down. You feel great at first but depressed later and a sense of loss. That kind of bad mood propels you to consume more sugar, forming a bad circulation.         

 


Here are some tips for those who just start to get fit:

1.      Avoid fast foods.

2.      Don’t get distracted by all the snacks on your way buying beverages in a convenience store.

3.      Meat provides a good sense of satisfaction with lower calories.

4.      Drink some water before a social gathering. It prevents you from overeating.

5.      Drink some more water after taking liquor. Body needs water to digest alcohol.

6.      Avoid rewarding yourself with sweets too much. 


Where to find me <<<Click here 

2022年12月4日 星期日

懷孕兩三事(二)

事出必有因是我們日常生活中的常態,但是如果找不到原因該如何是好呢?有一種不孕叫做原因不明的不孕,這是一個正式名稱,說明患者經過一系列婦產科的常規檢查卻也找不出問題的端倪:月經都有按照規律的時間來、卵巢的機能健康無異狀、左右兩邊的輸卵管都沒有堵塞、患者目前骨盆腔也沒有處在發炎的狀況。另外,也一概排除子宮內膜異位、子宮肌腺、子宮息肉,AMH的數值介於2~6,落在正常範圍內。


這裡介紹介紹一下AMH,其中文全名為抗穆勒氏管賀爾蒙,大抵可以透過抽血檢驗AMH的數值來評估該患者的卵子殘存量,正常處於生育年齡的女性AMH大約介於2~4之間,如果AMH小於1,代表該患者的卵巢功能已趨近停歇;如果AMH大於6,則患者被認定患有多囊性卵巢症候群。過與不及,數值過大或過小皆會對懷孕過程產生阻礙。



西醫對於原因不明的不孕有以下推論:

1. 可能該患者目前子宮頸正在發炎,精子難以通行

2. 可能輸卵管的功能低落

3. 可能這一組的精子和卵子就是不對盤,看不順眼互相排斥

臨床上的處理便是用藥物和注射促進排卵,並提取先生的濃縮精液注射進太太的子宮,輔助以黃體素幫忙受精卵著床,約有百分之十五的成功率。


通盤介紹完原因不明的不孕的西醫的觀點和治療方式後,接下來換上中醫的濾鏡來端詳這個疾病,我們有所謂的八綱辨證,分別是陰陽、表裏、寒熱、虛實,再搭配五臟六腑,六淫邪氣,以及脈象和舌象去判斷這個患者出了什麼問題。


或許這位不孕患者常常腰背酸痛,月經來的時候更加嚴重,手心足心常常會發熱,尤其是在下午的時候,舌體紅舌苔少,脈象細澀,我們就會歸結成腎陰虛的證型,以補腎陰的生地黃、山茱萸、杜仲處理之。


或許這位不孕患者時常頭暈,白天上班工作的時候疲累嗜睡,講話有氣無力,月經持續的時間非常的久,量少但卻又點點滴滴排不乾淨,舌淡紅苔薄白,脈象沉細,我們歸結成氣血虛弱,以當歸、黃耆、人參補之。



有別於西醫能直接透過儀器進入患者體內詳細檢查,確認器官的正常運作與否,我們比較偏向所謂全人醫療,統整所有患者身上出現的現象,結合問診後給出診斷。我們比較難給出一個確切的生理數值像是AMH,但我們能用患者作為主體,得出其與自身相比當前的狀態是有餘或是不足。平衡是我們追尋的治療目標,因此用藥便是損有餘而補不足,一個截長補短的概念。


掛號請按此~