肝鬱氣滯易致肝脾不和 引發腸胃道病
<p style="margin: 0cm 0cm 0pt;" class="MsoNormal"><font size="3"><span style="FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 新細明體; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin">【記者萬博超／台北報導】</span><span lang="EN-US"><font face="Calibri"> <br></font></span></font></p><p style="MARGIN: 0cm 0cm 0pt" class="MsoNormal"><br><font size="3"><span lang="EN-US"><font face="Calibri"><o:p></o:p></font></span></font></p><span style="FONT-FAMILY: '新細明體','serif'; FONT-SIZE: 12pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin; mso-bidi-font-family: 'Times New Roman'; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-ansi-language: EN-US; mso-fareast-language: ZH-TW; mso-bidi-language: AR-SA">十二指腸炎引發上腹疼痛，中醫師李志謙在一場研討會中指出，中醫治療常以四逆散為主方，視病況調整用藥。</span><span style="FONT-FAMILY: 'Calibri','sans-serif'; FONT-SIZE: 12pt; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 新細明體; mso-fareast-theme-font: minor-fareast; mso-hansi-theme-font: minor-latin; mso-bidi-font-family: 'Times New Roman'; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-ansi-language: EN-US; mso-fareast-language: ZH-TW; mso-bidi-language: AR-SA" lang="EN-US"><br><br></span><span style="FONT-FAMILY: '新細明體','serif'; FONT-SIZE: 12pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin; mso-bidi-font-family: 'Times New Roman'; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-ansi-language: EN-US; mso-fareast-language: ZH-TW; mso-bidi-language: AR-SA">李志謙提到，中醫對十二指腸炎病人分類以肝鬱氣滯者偏多。情緒、憂愁所引發的腸胃問題，中醫常稱為肝脾不和。這類患者只要遇到憂愁惱怒，腸胃病症就會加重；患者以舌質紅，舌苔白居多。</span><span style="FONT-FAMILY: 'Calibri','sans-serif'; FONT-SIZE: 12pt; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 新細明體; mso-fareast-theme-font: minor-fareast; mso-hansi-theme-font: minor-latin; mso-bidi-font-family: 'Times New Roman'; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-ansi-language: EN-US; mso-fareast-language: ZH-TW; mso-bidi-language: AR-SA" lang="EN-US"><br><br></span><span style="FONT-FAMILY: '新細明體','serif'; FONT-SIZE: 12pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin; mso-bidi-font-family: 'Times New Roman'; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-ansi-language: EN-US; mso-fareast-language: ZH-TW; mso-bidi-language: AR-SA">醫師指出，中醫說的胃脘痛即上腹痛，包含現代的急慢性胃炎、消化道潰瘍、十二指腸潰瘍、上消化道出血、胃下垂、胃神經官能症，膽結石、胰腺癌、胃癌等多種疾病所造成的疼痛。所以一旦上腹痛或有異物感、膨脹感時，仍必須找醫師進行鑑別診斷。</span><span style="FONT-FAMILY: 'Calibri','sans-serif'; FONT-SIZE: 12pt; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 新細明體; mso-fareast-theme-font: minor-fareast; mso-hansi-theme-font: minor-latin; mso-bidi-font-family: 'Times New Roman'; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-ansi-language: EN-US; mso-fareast-language: ZH-TW; mso-bidi-language: AR-SA" lang="EN-US"><br><br></span><span style="FONT-FAMILY: '新細明體','serif'; FONT-SIZE: 12pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin; mso-bidi-font-family: 'Times New Roman'; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-ansi-language: EN-US; mso-fareast-language: ZH-TW; mso-bidi-language: AR-SA">現代人工作忙碌，回到家仍延續忙碌時的緊張，以致無法消除疲倦。中醫師指出，中醫所稱的肝火也被視為神經亢奮緊長的表現，而脾在中醫的定義下，包含消化功能；所以情緒、憂愁所引發的腸胃問題常被認為是「肝脾不和」，治療上常用四逆散、逍遙散與柴胡疏肝湯等處方。</span><span style="FONT-FAMILY: 'Calibri','sans-serif'; FONT-SIZE: 12pt; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 新細明體; mso-fareast-theme-font: minor-fareast; mso-hansi-theme-font: minor-latin; mso-bidi-font-family: 'Times New Roman'; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-ansi-language: EN-US; mso-fareast-language: ZH-TW; mso-bidi-language: AR-SA" lang="EN-US"><br><br></span><span style="FONT-FAMILY: '新細明體','serif'; FONT-SIZE: 12pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin; mso-bidi-font-family: 'Times New Roman'; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-ansi-language: EN-US; mso-fareast-language: ZH-TW; mso-bidi-language: AR-SA">單味藥材中如柴胡、白芍、甘草、枳實有助於改善無法放鬆的情形，中醫所稱的清肝、養肝方有助放鬆。實際運用上，小柴胡湯、四逆散、柴胡疏肝湯等傳統方有助於消除緊張感。</span><span style="FONT-FAMILY: 'Calibri','sans-serif'; FONT-SIZE: 12pt; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 新細明體; mso-fareast-theme-font: minor-fareast; mso-hansi-theme-font: minor-latin; mso-bidi-font-family: 'Times New Roman'; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-ansi-language: EN-US; mso-fareast-language: ZH-TW; mso-bidi-language: AR-SA"> </span>