中(zhong)醫(yi)好還是西(xi)醫(yi)好 中(zhong)醫(yi)和(he)西(xi)醫(yi)的區別
看西醫還是看中醫應該怎樣選擇?
急病看西醫 慢病服中藥
例(li)如急(ji)性心(xin)衰、急(ji)性心(xin)肌梗死、心(xin)肺呼(hu)吸驟停、腦中風、重癥(zheng)哮喘、嚴重創傷合并內(nei)出(chu)血、宮外孕、絞窄(zhai)性腸梗阻、胃穿孔 以及可以手(shou)術切除的早期(qi)腫(zhong)瘤等,理(li)(li)當(dang)首(shou)選西醫西藥治(zhi)療。還有(you)多(duo)器(qi)官衰竭危癥(zheng)病人,例(li)如急(ji)性暴(bao)發型肝炎導致肝功衰竭和慢(man)性腎病已有(you)腎功能完全(quan)喪(sang)失者,亦應(ying)選擇西醫器(qi)官移植手(shou)術。因(yin)為(wei)在這些(xie)情況下需要對癥(zheng)處理(li)(li),爭分奪(duo)秒,西醫西藥起(qi)效(xiao)快,在很多(duo)情況下能夠使患者轉危為(wei)安,起(qi)死回(hui)生!
許多慢性疾病(bing)西醫(yi)很難獲得令人(ren)驚喜的(de)(de)結果(guo),去看有(you)經(jing)驗的(de)(de)中(zhong)(zhong)醫(yi)或中(zhong)(zhong)西結合醫(yi)師(shi),常能獲得非常好的(de)(de)治療(liao)效果(guo)。例(li)如(ru)(ru)早、中(zhong)(zhong)期的(de)(de)腎病(bing)綜合癥(zheng)和(he)肝炎(yan),辨證選用中(zhong)(zhong)藥(yao)湯劑治療(liao),幾個(ge)月的(de)(de)療(liao)程便(bian)可明顯見效。又如(ru)(ru)風(feng)濕性或類風(feng)濕性關節(jie)炎(yan),急性期可用西藥(yao)控制癥(zheng)狀,但(dan)要(yao)注意(yi)藥(yao)物的(de)(de)不良反應(ying)(ying)。在(zai)夏秋季節(jie)應(ying)(ying)用中(zhong)(zhong)藥(yao)抗(kang)風(feng)濕膠囊和(he)抗(kang)風(feng)濕藥(yao)酒(jiu)可使有(you)些病(bing)例(li)獲得臨床(chuang)治愈,有(you)些得到緩解。再如(ru)(ru)婦女月經(jing)不調,西醫(yi)基(ji)本沒有(you)辦(ban)法(fa)治療(liao),中(zhong)(zhong)醫(yi)調理(li)則有(you)幾百(bai)年的(de)(de)經(jing)驗積累。
首診最好看西醫
首(shou)(shou)診(zhen)(zhen)(zhen)(zhen)(zhen)主要(yao)是(shi)診(zhen)(zhen)(zhen)(zhen)(zhen)斷疾(ji)病(bing),在疾(ji)病(bing)的(de)(de)診(zhen)(zhen)(zhen)(zhen)(zhen)斷上最好先(xian)(xian)選(xuan)擇現(xian)代醫(yi)(yi)學。中醫(yi)(yi)的(de)(de)診(zhen)(zhen)(zhen)(zhen)(zhen)斷主要(yao)通過望(wang)、聞、問、切,綜合患者的(de)(de)生活(huo)習慣、生活(huo)環境,“四時五氣”,來辨別病(bing)人的(de)(de)虛(xu)(xu)實寒熱。盡(jin)(jin)管具(ju)有整(zheng)體思維的(de)(de)優點(dian)卻失于精確。你(ni)完(wan)全可以想象,一個肺(fei)癌的(de)(de)患者如果首(shou)(shou)先(xian)(xian)就診(zhen)(zhen)(zhen)(zhen)(zhen)于中醫(yi)(yi),得出肺(fei)陰虛(xu)(xu)的(de)(de)結(jie)論對其治療是(shi)怎樣的(de)(de)不利。現(xian)代醫(yi)(yi)學盡(jin)(jin)管被(bei)指(zhi)責工于還原論,被(bei)指(zhi)責離開了儀(yi)(yi)器就無法看(kan)病(bing),然而不可否認的(de)(de)是(shi)現(xian)代化(hua)的(de)(de)檢查(cha)設備,如X光、CT、MR(核磁)等極大延伸(shen)了診(zhen)(zhen)(zhen)(zhen)(zhen)斷觸(chu)角(jiao),至(zhi)少(shao)盡(jin)(jin)可能(neng)地避(bi)免了危(wei)重(zhong)(zhong)疾(ji)病(bing)的(de)(de)誤診(zhen)(zhen)(zhen)(zhen)(zhen)。當然,現(xian)在你(ni)走進(jin)(jin)任何一家中醫(yi)(yi)醫(yi)(yi)院,你(ni)也(ye)可以發現(xian)這(zhe)些檢查(cha)儀(yi)(yi)器,而且大多數西(xi)醫(yi)(yi)醫(yi)(yi)院有的(de)(de)檢查(cha)儀(yi)(yi)器,中醫(yi)(yi)醫(yi)(yi)院都(dou)有;你(ni)也(ye)會發現(xian)中醫(yi)(yi)醫(yi)(yi)師給你(ni)的(de)(de)診(zhen)(zhen)(zhen)(zhen)(zhen)斷也(ye)是(shi)用(yong)現(xian)代醫(yi)(yi)學的(de)(de)診(zhen)(zhen)(zhen)(zhen)(zhen)斷方法,這(zhe)是(shi)傳統(tong)醫(yi)(yi)學的(de)(de)進(jin)(jin)步而不應該飽受“中醫(yi)(yi)西(xi)化(hua)”的(de)(de)罵名。在身患疾(ji)病(bing)時首(shou)(shou)先(xian)(xian)選(xuan)擇現(xian)代醫(yi)(yi)學,最好能(neng)明(ming)確診(zhen)(zhen)(zhen)(zhen)(zhen)斷,或(huo)至(zhi)少(shao)排除可能(neng)的(de)(de)危(wei)重(zhong)(zhong)疾(ji)病(bing),初診(zhen)(zhen)(zhen)(zhen)(zhen)患者不能(neng)滿(man)足于“某(mou)某(mou)虛(xu)(xu)”、“某(mou)某(mou)實”的(de)(de)診(zhen)(zhen)(zhen)(zhen)(zhen)斷,這(zhe)些“虛(xu)(xu)”“實”的(de)(de)診(zhen)(zhen)(zhen)(zhen)(zhen)斷下可能(neng)掩蓋的(de)(de)是(shi)一切致命急病(bing)或(huo)重(zhong)(zhong)病(bing)。
中(zhong)醫(yi)(yi)(yi)與(yu)(yu)西醫(yi)(yi)(yi)的(de)(de)(de)不(bu)同(tong)(tong)(tong)(tong)(tong)(tong)(tong),很多人(ren)(ren)(ren)都知道西醫(yi)(yi)(yi)治(zhi)(zhi)(zhi)(zhi)標、中(zhong)醫(yi)(yi)(yi)治(zhi)(zhi)(zhi)(zhi)本(ben)(ben)。但你知道什么是(shi)標、什么是(shi)本(ben)(ben)嗎?人(ren)(ren)(ren)為本(ben)(ben),病(bing)(bing)(bing)為標;局(ju)部是(shi)標,整體(ti)(ti)是(shi)本(ben)(ben)。中(zhong)醫(yi)(yi)(yi)治(zhi)(zhi)(zhi)(zhi)病(bing)(bing)(bing)考慮(lv)的(de)(de)(de)是(shi)病(bing)(bing)(bing)人(ren)(ren)(ren)身體(ti)(ti)的(de)(de)(de)全部以及(ji)與(yu)(yu)其相關(guan)的(de)(de)(de)整體(ti)(ti)環境,而西醫(yi)(yi)(yi)治(zhi)(zhi)(zhi)(zhi)病(bing)(bing)(bing)則專(zhuan)注(zhu)于(yu)發病(bing)(bing)(bing)的(de)(de)(de)那個或(huo)那些(xie)組(zu)織器官(guan)。因此(ci),從(cong)某種角度我們可(ke)以這樣(yang)理解,西醫(yi)(yi)(yi)是(shi)治(zhi)(zhi)(zhi)(zhi)療(liao)(liao)人(ren)(ren)(ren)得的(de)(de)(de)病(bing)(bing)(bing),中(zhong)醫(yi)(yi)(yi)是(shi)治(zhi)(zhi)(zhi)(zhi)療(liao)(liao)得病(bing)(bing)(bing)的(de)(de)(de)人(ren)(ren)(ren)。 中(zhong)醫(yi)(yi)(yi)注(zhu)重形(xing)(xing)與(yu)(yu)神的(de)(de)(de)統(tong)一(yi)(yi)(yi)(yi)(yi)(yi),形(xing)(xing)是(shi)器官(guan)組(zu)織.神是(shi)功能和精神,兩者相互(hu)依(yi)存、相互(hu)關(guan)聯,一(yi)(yi)(yi)(yi)(yi)(yi)健俱(ju)健,一(yi)(yi)(yi)(yi)(yi)(yi)損俱(ju)損,治(zhi)(zhi)(zhi)(zhi)療(liao)(liao)上要兩者并(bing)重,形(xing)(xing)神并(bing)調;西醫(yi)(yi)(yi)強調組(zu)織器官(guan)的(de)(de)(de)重要性(xing),形(xing)(xing)態上無(wu)異(yi)即(ji)無(wu)病(bing)(bing)(bing),所(suo)以治(zhi)(zhi)(zhi)(zhi)療(liao)(liao)上調形(xing)(xing)不(bu)調神。這就導致西醫(yi)(yi)(yi)往往對形(xing)(xing)態上無(wu)異(yi)常(chang)的(de)(de)(de)疾(ji)(ji)病(bing)(bing)(bing)無(wu)從(cong)下手。對于(yu)診(zhen)(zhen)斷,中(zhong)醫(yi)(yi)(yi)認為任何一(yi)(yi)(yi)(yi)(yi)(yi)種病(bing)(bing)(bing)都有不(bu)同(tong)(tong)(tong)(tong)(tong)(tong)(tong)的(de)(de)(de)證型,對同(tong)(tong)(tong)(tong)(tong)(tong)(tong)一(yi)(yi)(yi)(yi)(yi)(yi)個疾(ji)(ji)病(bing)(bing)(bing)的(de)(de)(de)不(bu)同(tong)(tong)(tong)(tong)(tong)(tong)(tong)證型要使用不(bu)同(tong)(tong)(tong)(tong)(tong)(tong)(tong)的(de)(de)(de)方藥(yao)(yao)。西醫(yi)(yi)(yi)注(zhu)重病(bing)(bing)(bing)名的(de)(de)(de)診(zhen)(zhen)斷,很少(shao)區分同(tong)(tong)(tong)(tong)(tong)(tong)(tong)一(yi)(yi)(yi)(yi)(yi)(yi)個疾(ji)(ji)病(bing)(bing)(bing)的(de)(de)(de)不(bu)同(tong)(tong)(tong)(tong)(tong)(tong)(tong)特點;相反,中(zhong)醫(yi)(yi)(yi)注(zhu)重的(de)(de)(de)是(shi)共同(tong)(tong)(tong)(tong)(tong)(tong)(tong)點。中(zhong)醫(yi)(yi)(yi)治(zhi)(zhi)(zhi)(zhi)病(bing)(bing)(bing)講究個體(ti)(ti)差異(yi),認為不(bu)同(tong)(tong)(tong)(tong)(tong)(tong)(tong)的(de)(de)(de)人(ren)(ren)(ren)患相同(tong)(tong)(tong)(tong)(tong)(tong)(tong)的(de)(de)(de)病(bing)(bing)(bing)治(zhi)(zhi)(zhi)(zhi)療(liao)(liao)方法(fa)和用藥(yao)(yao)可(ke)能是(shi)不(bu)一(yi)(yi)(yi)(yi)(yi)(yi)樣(yang)的(de)(de)(de),即(ji)所(suo)謂“同(tong)(tong)(tong)(tong)(tong)(tong)(tong)病(bing)(bing)(bing)異(yi)治(zhi)(zhi)(zhi)(zhi)”;同(tong)(tong)(tong)(tong)(tong)(tong)(tong)一(yi)(yi)(yi)(yi)(yi)(yi)個或(huo)不(bu)同(tong)(tong)(tong)(tong)(tong)(tong)(tong)的(de)(de)(de)人(ren)(ren)(ren)患不(bu)同(tong)(tong)(tong)(tong)(tong)(tong)(tong)的(de)(de)(de)病(bing)(bing)(bing)治(zhi)(zhi)(zhi)(zhi)療(liao)(liao)方法(fa)有可(ke)能是(shi)一(yi)(yi)(yi)(yi)(yi)(yi)樣(yang)的(de)(de)(de),即(ji)“異(yi)病(bing)(bing)(bing)同(tong)(tong)(tong)(tong)(tong)(tong)(tong)治(zhi)(zhi)(zhi)(zhi)”;西醫(yi)(yi)(yi)卻(que)通(tong)常(chang)不(bu)太(tai)考慮(lv)病(bing)(bing)(bing)人(ren)(ren)(ren)的(de)(de)(de)體(ti)(ti)質(zhi)、秉性(xing)、生活環境等的(de)(de)(de)差異(yi),只要一(yi)(yi)(yi)(yi)(yi)(yi)樣(yang)的(de)(de)(de)病(bing)(bing)(bing)一(yi)(yi)(yi)(yi)(yi)(yi)般就會(hui)用相同(tong)(tong)(tong)(tong)(tong)(tong)(tong)的(de)(de)(de)藥(yao)(yao),強調規(gui)范化、標準化、可(ke)重復性(xing)。