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【影音版】小碎步、吞嚥困難…巴金森氏症警訊!吃藥膳蒸蛋
日期 | 2021-10-21
撰文 | 華人健康網 記者黃曼瑩/台北報導
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巴金森氏症是常見的神經退化性疾病,患者主要症狀是四肢發抖、走路小碎步、吞嚥困難、不常眨眼等。中醫師康涵菁表示,中醫認為巴金森氏症多與肝腎不足、體內痰瘀相關,可以採取針灸治療的頭皮針、體針刺激活化腦部,以及推荐食用藥膳蒸蛋、水果穀物優酪乳調理。

 

研究發現,巴金森氏症的患者是大腦黑質組織的多巴胺細胞退化或是死亡,使得腦內多巴胺的分泌減少。由於多巴胺與乙醯膽鹼拮抗之下,可協調身體的動作,故一旦多巴胺減少,肌肉運動的控制就會受到影響。

 

中醫治療巴金森氏症,多選用補益肝腎、去痰化瘀的藥物
中醫師康涵菁表示,中醫將巴金森氏症歸類於「顫證」、「振掉」,也和「痹症」的許多症狀描述十分相像,大抵認為與肝腎不足相關,並且常挾帶著風、火、痰、瘀。用藥多選用補益肝腎、息風降火、去痰化瘀的藥物,像是補陽還五湯和半夏天麻白朮湯,去做藥物加減。

中醫頭皮針及體針並用 活絡腦部、刺激多巴胺的分泌
另外,針灸治療則多以頭皮針及體針並用,頭皮針主要目的是要活絡腦部、刺激多巴胺的分泌及降低肢體抖動的程度。穴位部分可選用運動區、舞蹈震顫控制區,以及足運感區等位置來進行針刺。體針方面除了可對於僵硬的肢體去做放鬆以外,也可以針刺補益肝腎的穴位,例如:肝俞、腎俞,以及祛風化痰的穴位例如:風池、豐隆。建議巴金森氏症的病人一周至少要針灸2-3次,這樣做不僅能夠改善生活品質,也能有助於舒緩憂鬱焦慮的情緒。

巴金森氏症飲食要訣:少量多餐、選擇高纖食物
由於巴金森氏症後期會出現吞嚥困難的情況,病人會變得不喜進食、日漸消瘦,加上腸胃蠕動速度下降,便會導致便祕產生。經過統計,有50-70%的巴金森氏症的病人會為便祕所苦,因此建議病人可採取少量多餐的方式,選擇高纖食物,避開黏性或是過硬的物質,以免噎到。備餐時可將食物煮的較軟爛,或是搗成泥,反而不建議打成汁,一方面是可能會增加嗆咳的風險,另一方面則是希望病人仍要透過咀嚼來訓練肌肉功能。

中醫師康涵菁推薦以下兩道料理,一道適合巴金森氏症的病人正餐食用,另一道則適合當作早餐或是餐間點心:

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文章關鍵字
巴金森氏症
針灸
吞嚥困難
蒸蛋
中醫
康涵菁
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