« 11/18 医学メモ | メイン | Dr浅岡俊之の漢方 東洋医学の成り立ち・診察方法 »

Dr浅岡俊之の漢方 東洋医学の考え方

Dr浅岡俊之の漢方 東洋医学の考え方

●漢方が何故難しいのか?
ほとんどの医師は基礎がないから
東洋医学の論理(ソフト)が必要

●東洋医学の特徴

・必要なポイント
漢方の視点
 ハード(コンピューター、薬)が違えばソフト(OS、論理)が違う

・西洋医学
パーツに分析 →診断「病名」
パーツの治療を積み重ねる

・東洋医学
全体を診る →診断「証」 …状態 例「悪寒→咳→下痢 → etc」
その状態をbest(中庸)に持っていこうと治療する

例:肝炎

西洋医学: HAV、HBV、HCV、etc
 …一昔前、肝炎全てに小柴胡湯をしたり、西洋医学ではやってしまう
  responder と nonresponder がいる。
  そして3万件に1件の間質性肺炎があったからと、
  「小柴胡湯は間質性肺炎の原因となる」としてしまったりする

●東洋医学・漢方薬は、 「てこ」ではなく「ベクトル」
   必要なのは診断名 ではなく 病態・状態・病期を見抜く

東洋医学は個体差を考える
西洋医学は画一的な投与方法で確率論で勝負

東洋医学は 全てを見抜いて単剤で勝負
  (病期・病態、病期の進行・軽快にあわせて変える)
西洋医学は 症状を分析して症状を抑える薬を

●関節痛
熱 → エッピカジュツトウ
寒 → ケイシカジュツブトウ

●下痢
熱 → サイレイトウ
寒 → 真武湯

●陽
老人性ソウヨウ症
 湿り気が足りなくなって痒くなる → 陰虚

小柴胡湯
 裏熱 虚証 に効果ある

●同病異治
・16歳女性  小児期よりアトピー性皮膚炎、華奢で皮膚は乾燥し、四肢に冷えあり。ストレスで下痢をしやすい
「寒虚燥症、脾虚」
 → 「オウギケンチュウトウ」

・32歳男性 熱感と赤みの強いアトピー性皮膚炎。浸出液も多い。がっちり体型で冷たいものをよく飲む
「熱実湿症」
 → 「オウレンゲドクトウ」

●異病同治
・23歳女性、色白で華奢な体格。月経不順と月経痛が主訴。下腹部に圧痛。時にむくみと冷え
「寒虚湿証 オ血」

・56歳女性 若い頃から冷え性と肩こりに悩んでいる。舌は厚く歯痕あり、時にめまい。体力はあまりない
「寒虚湿証 オ血」
→ 当帰芍薬散

●気血水
【気】
・気の上衝、気逆

イライラ、怒りっぽい、冷えのぼせ
動悸発作、臍の動悸、発作性の嘔吐(嘔気なし)

 → 上に上った気を下げてやる

・気鬱
 〜憂鬱になると心窩部が重くなったりする

喉の閉塞感(実は、ひどいストレスに晒されるとよくなる)、鬱傾向、情緒不安
心窩ヒコウ、胸腹部膨満感


・気虚
 〜大病の後に気力が消えてしまう

脱力、気力でない、食欲でない、下痢、弱脈、風邪ひきやすい
声に力出ない、日中の眠気、

【血】
・お血
 〜血のめぐりが悪い

生殖器で巡らなくて下腹部が痛くなったり
頭で巡らなくなって頭痛くなったり

目の下に隈があったり、
唇の周りが紫色だったり
紅斑・紫斑できやすかったり
痔、生理痛、冷え、下腹部が痛い、
頭痛、のぼせ、

・血虚
 〜血による栄養補給不足
  「隅々まで栄養がいきわたっていない状態」

集中力低下、脱毛、眼精疲労、皮膚の乾燥、つやがない
爪のヒハク化、指先のあかぎれ、生理異常

典型: 長年人工透析を受けている患者さん
 独特のくすんだ皮膚の色

 『貧血 ≒ 血虚』

【水】
・水毒
 〜水の偏在
   上下、表裏、全身 など

例: 「二日酔いの朝」
 …顔や手がぱんぱんにむくんでいるが、喉が渇く
  「サードスペースに水がたまっているが血管内脱水」
→あまっているところから少ないところに導いてやればいい
 → ゴレイサン

滲出性中耳炎、めまい、歯痕舌、腹部振水音、下痢の傾向、排尿異常、むくみ、関節水腫


トラックバック

このエントリーのトラックバックURL:
http://dream-hosp.net/cgi/mt/mt-tb.cgi/2703

コメント

Your home is valueble for me. Thanks!窶ヲ

What a lovely day for a 3520340! SCK was here

What a lovely day for a 631601! SCK was here

What a lovely day for a 235778! SCK was here

What a lovely day for a 2166739! SCK was here

I'm extremely impressed with your writing skills and also with the layout on your weblog. Is this a paid theme or did you customize it yourself? Either way keep up the excellent quality writing, it is rare to see a great blog like this one nowadays..

What a lovely day for a 2644806! SCK was here

I enjoy what you guys are up too. This type of clever work and reporting! Keep up the terrific works guys I've you guys to my personal blogroll.

These tips are so true

Good 窶 I should definitely pronounce, impressed with your site. I had no trouble navigating through all tabs as well as related information ended up being truly easy to do to access. I recently found what I hoped for before you know it at all. Quite unusual. Is likely to appreciate it for those who add forums or something, web site theme . a tones way for your customer to communicate. Nice task..

Grテシテ Gott! Sie betreiben hier einen groテ歛rtigen Weblog! Mich erfreut speziell das Layout sowie die Farben! Weiterhin alles Gute! PS: Eventuell willst Du auch mal auf meiner Page rund um Yohimbine & Yohimbe vorbeischauen? Yohimbin HCL maximiert den Abbau von Kテカrperfett und gehテカrt zu den beliebtesten Fatburner Kapseln! Besten Gruテ, Siegfried v. Ferdner

I can't figure out how to subscribe to the comments via RSS . I want to keep abrest of this, how do I do that?

Many friends of mine talk about your blog anytime, and now I am here. After read a couple of your post, I must say that it's really great

Bless you a great deal for submitting this!

Wow! Thank you! I permanently wanted to write on my blog something like that. Can I take a fragment of your post to my blog?

I and also my friends were analyzing the good solutions on the blog and then all of a sudden I had an awful feeling I never thanked the web site owner for those strategies. These young boys appeared to be totally glad to read them and have certainly been having fun with those things. We appreciate you turning out to be quite considerate and for pick out this form of marvelous themes most people are really eager to know about. My personal honest apologies for not saying thanks to you sooner.

Wow, amazing blog layout! How long have you been blogging for? you make blogging look easy. The overall look of your website is magnificent, as well as the content!

Pretty good post. I just stumbled upon your blog and desired to say that we have genuinely enjoyed reading your site posts. Any way I窶冤l be registering to your feed and that i we do hope you post again in the near future

Hello I ran beyond this abounding website while analytic abounding altered techniques abbreviation weight, I窶况e got to acquaint you your internet website is actual advantageous and i accede the design. We wont acquire a actual baiter amount of activity in adjustment to appraise your absolute blogposts about Concerning book apparent it too seeing that autonomous in for the Rss or atom rss feeds. I shall be aback a few months. acclaim for any accomplished web page.

You lost me, buddy. I mean, I suppose I get what youre expressing. I realize what you're saying, but you just seem to have forgotten about that you will find some other folks within the world who view this issue for what it genuinely is and may possibly not agree with you. You may well be turning away a lot of people who might have been lovers of your website.

Fantastic, I enjoyed %BLOGTITLE%. It was good. View my blog sometime, it all about Winter Springs, FL Real Estate.

Nice post. I learn one thing more difficult on completely different blogs everyday. It can always be stimulating to learn content from other writers and follow just a little one thing from their store. I窶囘 choose to make use of some with the content material on my weblog whether or not you don窶冲 mind. Natually I窶冤l offer you a hyperlink in your internet blog. Thanks for sharing.

Hi there, just became alert to your blog through Google, and found that it's truly informative. I am going to watch out for brussels. I窶冤l appreciate if you continue this in future. A lot of people will be benefited from your writing. Cheers!

Valuable information. Lucky me I found your website by accident, and I'm shocked why this accident didn't happened earlier! I bookmarked it.

What a lovely day for a 1656671! SCK was here

Thank you so much for giving everyone such a brilliant possiblity to read critical reviews from this web site. It's usually so pleasing and also stuffed with amusement for me personally and my office mates to visit your web site really three times per week to read through the new guides you have. Not to mention, I'm so at all times motivated with the stunning things you serve. Selected 2 tips in this posting are ultimately the best I have had.

This is the fitting weblog for anyone who wants to seek out out about this topic. You notice a lot its almost arduous to argue with you (not that I really would need窶ヲHaHa). You undoubtedly put a brand new spin on a topic thats been written about for years. Nice stuff, just great!

I as well as my buddies happened to be reviewing the best suggestions located on the blog then quickly got a horrible feeling I never expressed respect to the blog owner for those secrets. All of the men were for this reason happy to read through them and already have definitely been loving them. We appreciate you being considerably considerate and also for finding some incredibly good tips most people are really wanting to discover. Our own sincere apologies for not saying thanks to you sooner.

I am just writing to let you be aware of of the outstanding encounter my daughter had reading through your web site. She came to find some things, most notably what it is like to possess a marvelous helping heart to get many others really easily gain knowledge of selected tricky subject matter. You truly surpassed our own expected results. Thank you for rendering those good, dependable, explanatory not to mention unique thoughts on this topic to Mary.

Need to lose fat? Finally a diet supplement that works and it's a TOP RATED PRODUCT by LANCE ARMSTRONG'S FOUNDATION LIVESTRONG! Boost metabolism, increase energy levels, supress appetite, aid digestion, fight free radicals, and maximize your ability to burn calories with FUSION 5. CLICK HERE and get your sample bottle today!

Thanks so much for giving everyone such a remarkable opportunity to read critical reviews from here. It really is very good and as well , packed with fun for me and my office colleagues to visit your blog at least thrice per week to see the new secrets you will have. And definitely, we are always amazed with the astonishing suggestions you give. Selected 2 ideas in this article are undeniably the simplest we have ever had.

Need to drop fat? Finally a diet supplement that works and it's a TOP RATED PRODUCT by LANCE ARMSTRONG'S FOUNDATION LIVESTRONG! Boost metabolism, increase energy levels, supress appetite, aid digestion, fight free radicals, and maximize your ability to burn calories with FUSION 5. CLICK HERE and get your sample bottle today!

unmapped, he is supposed to be able to expend the different human action against party not tumble within island jurisdiction, alphabetic character aforementioned.

Thank you very much for this info. Looking forward to next one.

Hey There. I found your blog using msn. This is an extremely well written article. I窶冤l be sure to bookmark it and return to read more of your useful information. Thanks for the post. I窶冤l definitely comeback.

All the time, I read observations much like the one particular earlier mentioned. Even though that perspective isn't necessarily my cup of tea, some good details tend to be described.

I like the first point you made there, but I am not sure I could reasonably apply that in a productive way.

Your house is valueble for me. Thanks!窶ヲ

I like that you've touched on this subject, it's somewhat of a rariety.

Heya i窶冦 for that first time here. I found this board and I come across It really useful & it helped me out much. I desire to present something again and help others like you helped me.

The money back guarantee agencies should really educate its buyers from the duties based on repay factors for instance Edited yield on the topic of missed credit reporting an amount of income or maybe markdowns, require for time and also detection from the quantity of primary go back signed up, the actual impression of the curiosity premiums relating to element refunds completing, in addition to the beneficial in addition to poor part from going through many refunds.

Glorious data here. This interesting post made me smile. Possibly should you throw in a few pictures it would make the entire thing extra interesting. Anyway, in my language, there usually are not much good supply like this.

I found out your website page from google and it truly is pretty informative. Thank you for writing this kind of an informative blog post.

That was interesting . I love your style that you put into your work. Please do continue with more similar to this.

I'm really impressed with your writing skills and also with the layout on your blog. Is this a paid theme or did you customize it yourself? Anyway keep up the excellent quality writing, it is rare to see a nice blog like this one nowadays..

Wow that was odd. I just wrote an incredibly long comment but after I clicked submit my comment didn't show up. Grrrr... well I'm not writing all that over again. Anyway, just wanted to say excellent blog!

You lost me, friend. Get real, I imagine I buy what youre saying. I am aware what you窶决e saying, but the truth is just seem to have forgotten that you will find some other folks into the world who view this problem for what it can be and may perhaps not concur with you. You could be turning away a whole lot of those who appeared to be lovers of this website.

These are yours alright! . We at least ought to get these individuals stealing photos to start blogging! They likely just did a picture search and grabbed them. They search great though!

This is my first time i visit here. I found so many entertaining stuff in your blog, especially its discussion. From the tons of comments on your articles, I guess I am not the only one having all the enjoyment here!

It窶冱 not common these days to find this type of information. I窶冦 glad I stumbled upon your website. Keep up the good work!

Thank you for making the trustworthy attempt to speak about this. I believe very sturdy about it and want to read more. If it's OK, as you gain more extensive knowledge, may you mind including extra articles similar to this one with additional information? It could be extremely helpful and helpful for me and my friends.

I窶冦 not sure where you are getting your info, but great topic. I needs to spend some time learning much more or understanding more. Thanks for wonderful info I was looking for this info for my mission.

I must show some thanks to you for rescuing me from such a problem. As a result of browsing through the search engines and getting basics which were not helpful, I thought my entire life was gone. Being alive minus the answers to the issues you have sorted out by way of your good report is a serious case, and the ones which may have in a negative way damaged my career if I hadn't come across your blog post. Your actual understanding and kindness in maneuvering all the things was excellent. I don't know what I would've done if I had not encountered such a point like this. It's possible to at this time relish my future. Thank you so much for the reliable and result oriented guide. I won't hesitate to suggest your web site to any individual who needs to have recommendations about this matter.

I think your site has one of the cleanest theme I窶况e came across. It really helps make reading your blog a lot easier.

This site is nice and very useful. I liked it.

Hello. impressive job. I did not imagine this. This is a remarkable story. Thanks!

What i don't realize is actually how you are not actually much more well-liked than you may be right now. You're so intelligent. You realize therefore significantly relating to this subject, produced me personally consider it from so many varied angles. Its like women and men aren't fascinated unless it is one thing to do with Lady gaga! Your own stuffs great. Always maintain it up!

I've recently been wondering about the identical factor myself lately. Happy to see an individual on the same wavelength! Nice article.

Your positions usually possess a decent amount of really up to date info. Where do you come up with this? Just stating you are very creative. Thanks again

You could definitely see your enthusiasm in the work you write. The world hopes for even more passionate writers like you who are not afraid to say how they believe. Always follow your heart.

One of the more impressive blogs Ive seen. Thanks so much for keeping the internet classy for a change. Youve got style, class, bravado. I mean it. Please keep it up because without the internet is definitely lacking in intelligence.

You lost me, friend. I mean, I imagine I get what youre indicating. I recognize what you are saying, but you just appear to have forgotten that you'll find some other persons inside the world who look at this issue for what it actually is and may possibly not agree with you. You may possibly be turning away a lot of men and women who might have been fans of your site.

I gotta say your post can be extraordinary that leave my home mastered a large amount of information reports. I got a good amount of option in my mind at present. Thank you for this excellent. I hope you can continue to keep getting coupled with bear share original critical information i can't say for sure but still.

Hello this is a excellent article. I'm going to e-mail this to my pals. I came on this while exploring on google I'll be sure to come back. thanks for sharing.

The tips you provided here's extremely precious. It proved a really pleasurable surprise to obtain that looking forward to me as i awakened today. They're constantly to the stage and straightforward to be aware of. Thanks plenty for any valuable ideas youa竄ャ?ve got shared here.

Ha ha... I was just browsing around and took a glimpse at these responses. I can't believe that there's still this much attention. Thanks for writing about this.

It's a shame you don't have a donate button! I'd certainly donate to this brilliant blog! I suppose for now i'll settle for bookmarking and adding your RSS feed to my Google account. I look forward to fresh updates and will share this site with my Facebook group. Chat soon!

Congratulations on having one of the most sophisticated blogs Ive come across in some time! Its just incredible how much you can take away from something simply because of how visually beautiful it is. Youve put together a great blog space --great graphics, videos, layout. This is definitely a must-see blog!

Good work, are you looking for real estate in Winter Park, FL? Learn where the deals are, get foreclosure lists and find homes for sale in Altamonte Springs.

I was wondering if you ever considered changing the layout of your blog? Its very well written; I love what youve got to say. But maybe you could a little more in the way of content so people could connect with it better. Youve got an awful lot of text for only having one or two images. Maybe you could space it out better?

Thanks for sharing such useful information.

I think this is probably the most vital information in my situation. And i am glad reading your article. But should remark on few general things, The site style is ideal, the articles is actually excellent : D. Good job, cheers

My partner and i must believe the commentary is actually good which make i am learnt a great deal of stuff information. I lots of option in my mind at this point. Thanks for this amazing. Do you is able to keep intended and always keep publish brand-new resources that we are not familiar with though.

Excellent publish, I simply saved your website as well as Iテ「竄ャ邃「ll certainly end up being back again later on. -Scott Region Fireplace Sections

After study a couple of of the blog posts in your website now, and I really like your method of blogging. I bookmarked it to my bookmark web site list and will likely be checking back soon. Pls try my web site as properly and let me know what you think.

Good points?I would note that as any person who really doesn't write on blogs much (in truth, this can be my first post), I don't suppose the term 'lurker' is very becoming to a non-posting reader. It's no longer your fault in the slightest degree , but perhaps the blogosphere may just get a hold of a greater, non-creepy identify for the ninety% people that experience studying the content material .

Hi i attempt to spread out your blog within safari and it is appears funny, we tink that the issue is from your hosting ,or maybe from me but still you have a nice setup for that ads, we writing in this article since you will see this when you are validating remarks, Continue the good work Andrei through Romania.

I really announce the piece is really unpaid that leave my lifestyle self taught themselves countless matters news flash. I became a great deal of tactic in my mind these days. Thank you that. I think you will is able to keep going and therefore keep express fresh new guidance i always thought even so.

you're soooo gifted on paper. God is really utilizing a person within tremendous ways. You are carrying out a superb job! It was a wonderful weblog!

It is an incredibly amazing powerful resource that you窶决e offering and you simply provide it away cost-free!! I quite like discovering websites ones comprehend the particular worth of giving you fantastic learning resource for zero cost. We truly dearly loved examining these pages. Have fun here!

Your blog is GREAT! I always read new topics.

I have been absent for a while, but now I remember why I used to love this site. Thank you, I窶冤l try and check back more often. How frequently you update your site?

Congratulations on having Hands down the most sophisticated blogs Ive come throughout in certain time! Its just incredible what you can eliminate from a specific thing simply because of how visually beautiful it窶冱. Youve put collectively an excellent blog space -great graphics, videos, layout. It is undoubtedly a must-see weblog!

You lost me, buddy. I mean, I suppose I get what youre expressing. I realize what you're saying, but you just appear to have forgotten about that there are some other individuals within the world who view this issue for what it actually is and may well not agree with you. You may be turning away many of men and women who may have been followers of your weblog.

コメントを投稿