| 摘要: | 背景與目的：關節疼痛在中醫古籍歸屬於「痹症」，中醫歷代累積許多關於痹症的理論探索與療治經驗，認為痹症的產生有多方面的因素，飲食不節是其中因素之一。每日的飲食營養攝取，對健康有著重要影響，傳統醫學在古早就注意到食物療法的觀念與實踐。痹症會隨著環境、氣候、情緒對身體產生關節變化的問題，若能掌握引發的體質、外感、情志等因素，食療不失為良好的對應方法。本研究希望透過文獻整理了解傳統中醫對「痹症」的論述，與現代醫學對關節疼痛的處置方案，以期在常規治療之外，提供簡便、實用、而不生副作用的自然療法，如飲食調整或運動來消除或減輕關節所產生的不適之感。 材料方法：以《中華醫典》資料庫為研究工具，搜尋有關痹症及食療的中醫典籍，了解古代醫籍對於痹症所提出的病理說明與治療方法。另以現代相關中文期刊及書籍，統整出痹症在食療跟運動（五禽戲、太極拳、氣功）及現代另類輔助療法的相關資料。 研究結果：痹症主要與外感風寒濕熱之邪和人體正氣不足有關，風寒濕等邪氣，在人體衛氣虛弱時容易侵入人體而致病，例如汗出當風、坐臥濕地、涉水冒雨等，均可使風寒濕等邪氣侵入機體經絡，留於關節，導致經脈氣血閉阻不通，筋脈關節失於濡養產生本病症。現代西醫學中的風濕性關節炎、骨關節炎、類風濕性關節炎…等，均可歸屬於本證，但不能等同中醫所講訴的病名。當代中醫對痹症的治則仍遵循古代的治療法則，強調體質的重要性及食物性味的功效。本論文統整相關資料依據承啟版中醫教材分類主要包括風寒濕痹、風濕熱痹、痰瘀痹阻、肝腎虧虛歷代名醫家的分類，則散見於歷代書籍資料。在食療方面主要以清熱、祛濕、化瘀及調理氣血為主，採行氣、化瘀、活血、散寒、清熱或補益氣血的治則，注重飲食宜忌，重視日常保健運動才能預防痹症的發生。
Background and Purpose: Joint disorders which feature many different acute or chronical inflammation and pain have been generalized as ＂Arthromyodynia＂ or ＂Bi-Syndrome＂ in Traditional Chinese Medicine (TCM). Arthralgia, one of the most common symptoms in Bi-Syndromes is a joint pain that occurs due to external factors such as drastic changes in the environment and weather and internal factors such as emotion, nutrition, and overall health of the immune system. Through literature reviews, we studied the effective therapies in TCM and Western medicine's healing approach for Bi-Syndrome. In addition to the clinical diagnosis and treatment, it is also the objective of this study to provide simple, practical and natural remedies without side effects to eliminate or reduce discomfort caused by Bi-Syndrome. Materials and Methods: Base on the database of ＂ Ancient Chinese Medical Text＂ for TCM related to Bi-Syndrome and dietary therapy. In addition, modern Chinese Medicine periodicals and books are also used to compile information on the correlation between Bi-Syndrome, dietary therapy, ancient regimental exercises such as Qi-Gong, Tai-Chi and Wu-Chin-Xi and other alternated remedies. Results and Conclusion: In this study, the relevant information is summarized, and the types of Bi-Syndrome are further divided into wind, cold, dampness, rheumatism, heat, phlegm, blood stasis, heart, liver and kidney deficiency. The regiment for each patient is customized and prescribed according to their syndrome differentiation. A specific nutrition and diet regimen that helps in heat clearing, cold dissipation, dampness removal, blood stasis reduction and Qi and blood conditioning is an integral part of the complete treatment plan. The proposed natural remedies also emphasize the importance of daily exercises to promote Qi/blood circulation, enhance immune system and restore the balance in the body. Externally, we should establish an ideal living environment which is full of sun, less wind, cold and dampness. A healthy lifestyle is beneficial for prolong life as well as preventing and treating diseases including Bi-Syndrome. |
