tag:blogger.com,1999:blog-69470343955787509472024-03-15T00:15:43.811+08:00中醫眼科 Blog希望讓更多人認識中醫眼科這寶貴知識,及讓更多患者獲得益處。黃醫師http://www.blogger.com/profile/02383841515937588204noreply@blogger.comBlogger82125tag:blogger.com,1999:blog-6947034395578750947.post-81167402324492806972019-08-29T10:19:00.000+08:002019-08-29T10:19:00.156+08:00中醫眼科病例 — 中心性漿液性脈絡膜視網膜病變 (黃斑積水) (Central Serous Chorioretinopathy) <span style="background-color: white; color: #666666; font-family: "arial" , "tahoma" , "helvetica" , "freesans" , sans-serif;"><span style="font-size: large;">中心性漿液性脉絡膜視網膜病變 (俗稱:黃斑積水)是一種好發於青壯年人的眼疾,主要症狀為視力下降、視物變形或變色。患者因視力明顯受阻,故工作或視物時受到嚴重影響。</span></span><br />
<span style="background-color: white; color: #666666; font-family: "arial" , "tahoma" , "helvetica" , "freesans" , sans-serif;"><span style="font-size: large;"><br /></span></span>
<span style="background-color: white; color: #666666; font-family: "arial" , "tahoma" , "helvetica" , "freesans" , sans-serif;"><span style="font-size: large;">患者: 40多歲,男性</span></span><br />
<span style="background-color: white; color: #666666; font-family: "arial" , "tahoma" , "helvetica" , "freesans" , sans-serif;"><span style="font-size: large;"><br /></span></span>
<span style="font-size: large;"><span style="background-color: white; color: #666666; font-family: "arial" , "tahoma" , "helvetica" , "freesans" , sans-serif;">患者4年前曾患上右眼</span><span style="background-color: white; color: #666666; font-family: "arial" , "tahoma" , "helvetica" , "freesans" , sans-serif;">中心性漿液性脉絡膜視網膜病變,經2個多月中醫眼科治療復原。本次求診2週</span></span><span style="background-color: white; color: #666666; font-family: "arial" , "tahoma" , "helvetica" , "freesans" , sans-serif; font-size: large;">前</span><span style="background-color: white; color: #666666; font-family: "arial" , "tahoma" , "helvetica" , "freesans" , sans-serif; font-size: large;">曾患感冒,其後復發本病,當時病者自述右眼</span><span style="color: #666666; font-family: "arial" , "tahoma" , "helvetica" , "freesans" , sans-serif; font-size: large;">視物有黃色陰影及變形,用眼後有眼</span><span style="color: #666666; font-family: "arial" , "tahoma" , "helvetica" , "freesans" , sans-serif; font-size: large;">微</span><span style="color: #666666; font-family: "arial" , "tahoma" , "helvetica" , "freesans" , sans-serif; font-size: large;">脹伴異物感,視朦範圍持續變大。</span><br />
<span style="background-color: white; color: #666666; font-family: "arial" , "tahoma" , "helvetica" , "freesans" , sans-serif;"><span style="font-size: large;"><br /></span></span>
<span style="background-color: white; color: #666666; font-family: "arial" , "tahoma" , "helvetica" , "freesans" , sans-serif;"><span style="font-size: large;">以下為病者眼底照片,箭頭圍繞部份為黃斑區積水範圍。</span></span><br />
<br />
<br />
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEivF9ghP35tQmBfNt-AjZ3cpckv8oEnASCQaL_Dusaj_EeeYTzyuWu8vqjS09WN7KnRCnE51CwywKjcE3oCVeVDk3e-aCWiJQetfNZNWgI4zr9HGcW8FYRyrXmYQvRvETs8jvUcgPoRAAvX/s1600/5932_20190410.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1067" data-original-width="1600" height="425" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEivF9ghP35tQmBfNt-AjZ3cpckv8oEnASCQaL_Dusaj_EeeYTzyuWu8vqjS09WN7KnRCnE51CwywKjcE3oCVeVDk3e-aCWiJQetfNZNWgI4zr9HGcW8FYRyrXmYQvRvETs8jvUcgPoRAAvX/s640/5932_20190410.jpg" width="640" /></a></div>
<div class="separator" style="clear: both; text-align: center;">
<br /></div>
<div class="separator" style="clear: both; text-align: center;">
<br /></div>
<div class="separator" style="clear: both; text-align: center;">
<br /></div>
<div class="separator" style="clear: both; text-align: left;">
<span style="color: #666666; font-size: large;">在診治此病時,除眼底檢查外,還可利用視網膜光學相干斷層掃描(Optical Coherence Tomography, OCT)方法檢查及監察黃斑結構變化。</span></div>
<div class="separator" style="clear: both; text-align: left;">
<span style="color: #666666; font-size: large;"><br /></span></div>
<div class="separator" style="clear: both; text-align: left;">
<span style="color: #666666; font-size: large;">下圖為患者治療前後</span><span style="color: #666666; font-size: large;">檢查結果(從左至右),可見黃斑積水情況經純中醫眼科治療3個月後續漸康復,黃斑中央厚度由613微米降至240</span><span style="color: #666666; font-size: large;">微米正常水平,同時其他</span><span style="background-color: white; color: #666666; font-family: "arial" , "tahoma" , "helvetica" , "freesans" , sans-serif; font-size: large;">視物變形或變色等</span><span style="color: #666666; font-size: large;">症狀亦消失</span><span style="color: #666666; font-size: large;">。</span></div>
<div class="separator" style="clear: both; text-align: left;">
<br /></div>
<div class="separator" style="clear: both; text-align: left;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgU35hR3mDH9rCyRInfA0VCUR4iP-Hc3TM-ZnpUedr_buZo0FmJL0mKjWQnD4LxlQ6zp2W5JZBAEki6fLCclLiZG3nBZAxkNubW8HmZalsKj0ClpoqBw_BoU3evF5wT_76On8l3grkUfzo5/s1600/csc_oct_5932.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em; text-align: center;"><img border="0" data-original-height="712" data-original-width="1164" height="390" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgU35hR3mDH9rCyRInfA0VCUR4iP-Hc3TM-ZnpUedr_buZo0FmJL0mKjWQnD4LxlQ6zp2W5JZBAEki6fLCclLiZG3nBZAxkNubW8HmZalsKj0ClpoqBw_BoU3evF5wT_76On8l3grkUfzo5/s640/csc_oct_5932.jpg" width="640" /></a></div>
<br />
<br />
<span style="color: #666666; font-size: large;">此病除接受常規中醫治療外,患者還需要注意有足夠休息</span><span style="background-color: white; color: #666666; font-family: "arial" , "tahoma" , "helvetica" , "freesans" , sans-serif; font-size: large;">、飲食清淡</span><span style="background-color: white; color: #666666; font-family: "arial" , "tahoma" , "helvetica" , "freesans" , sans-serif; font-size: large;">、</span><span style="background-color: white; color: #666666; font-family: "arial" , "tahoma" , "helvetica" , "freesans" , sans-serif; font-size: large;">避免過勞及</span><span style="background-color: white; color: #666666; font-family: "arial" , "tahoma" , "helvetica" , "freesans" , sans-serif; font-size: large;">過度情緒</span><span style="background-color: white; color: #666666; font-family: "arial" , "tahoma" , "helvetica" , "freesans" , sans-serif; font-size: large;">等。這些事項都對減緩病情</span><span style="background-color: white; color: #666666; font-family: "arial" , "tahoma" , "helvetica" , "freesans" , sans-serif; font-size: large;">有所幫助</span><span style="background-color: white; color: #666666; font-family: "arial" , "tahoma" , "helvetica" , "freesans" , sans-serif; font-size: large;">。</span><br />
<br />
<br />黃醫師http://www.blogger.com/profile/02383841515937588204noreply@blogger.com0tag:blogger.com,1999:blog-6947034395578750947.post-57750443013932883902019-08-07T12:00:00.000+08:002019-08-07T12:00:03.198+08:00視網膜中央動脈阻塞病例.二<div class="separator" style="clear: both;">
<span style="background-color: white; color: #222222; font-family: "arial" , "tahoma" , "helvetica" , "freesans" , sans-serif; font-size: 15.4px;">「視網膜中央動脈阻塞」是一個突發無痛性視力急劇喪失的眼疾。由於該動脈主要供應血液至視網膜內層,此動脈阻塞導致視網膜神經細胞缺血而致視力急劇下降。動物實驗顯示視網膜細胞於阻塞後90-100分鐘後視力有永久不可逆損傷。臨床上,大多患者視覺都難以明顯恢復。</span></div>
<div class="separator" style="clear: both;">
<br /></div>
<div class="separator" style="clear: both;">
本例患者為50多歲女性。</div>
<div class="separator" style="clear: both;">
<br /></div>
<div class="separator" style="clear: both;">
首次初診5天前因右眼視力突然下降伴有頭痛入院,診斷為右眼視網膜中央動脈阻塞,同時發現膽固醇過高,西醫處方阿斯匹靈。</div>
<div class="separator" style="clear: both;">
<br /></div>
<div class="separator" style="clear: both;">
患者初診時主訴右眼上方漆黑一片。以下為初診眼底照(第1天),可見視網膜中央動脈阻塞導致視網膜血液供應中斷,黃斑區下方視網膜缺血明顯,以致患者視野上方明顯缺損。當時右眼視力只有約 0.6。嚴重程度相對其他同類患者已較輕,可參閱另一<a href="https://sseccm.blogspot.com/2017/02/central-retinal-artery-occlusion-crao.html" target="_blank">病例</a>。</div>
<div class="separator" style="clear: both;">
<br /></div>
<div class="separator" style="clear: both;">
經內服中藥及針灸3個多月後,視力由 0.6 提升至 1.0 正常視力,同時眼底照可見血液供應隨治療後有所改善(見以下"第1天" 至 "第9週" 照片)。治療後期替患者作視野檢查(見最後的視野圖),右眼視野功能雖嚴重受損,但相對其他患者視覺都難以恢復甚致失明,病者中央視力恢復正常水平已算非常不錯的康復。</div>
<div class="separator" style="clear: both;">
<br /></div>
<div class="separator" style="clear: both;">
<br /></div>
<div class="separator" style="clear: both; text-align: center;">
<br /></div>
<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjPgw4aDXcbqpo75FLugfhnwLTptmuCzo9Tsed7TGt3LzgMR2mHEm3rLKmGvUfpp0XGXP7X4C6WAQdCkS6RgYhzaUeS87K1kfsObr0nUXxWV6nwA5oFf7mGr2cRc1K1uHlSEEAkZGsMyQVw/s1600/crao_20160917120034027601001001.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" data-original-height="1067" data-original-width="1600" height="426" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjPgw4aDXcbqpo75FLugfhnwLTptmuCzo9Tsed7TGt3LzgMR2mHEm3rLKmGvUfpp0XGXP7X4C6WAQdCkS6RgYhzaUeS87K1kfsObr0nUXxWV6nwA5oFf7mGr2cRc1K1uHlSEEAkZGsMyQVw/s640/crao_20160917120034027601001001.jpg" width="640" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">第1天</td></tr>
</tbody></table>
<br />
<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEje5EUtBnUkIqZT6NWi4I3yeT3F0qLWJDSDUIS-nou7qz1v4gjtheaFvtNiFc7RJ1ED-9nyTd3kvZFc39KaD2U7nJMm050MsKR688KyuxV-zXeJVfvb2xYejVEcpJNfV7g70AV9DtepZrQH/s1600/crao_20160926180001029501001001.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" data-original-height="1067" data-original-width="1600" height="426" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEje5EUtBnUkIqZT6NWi4I3yeT3F0qLWJDSDUIS-nou7qz1v4gjtheaFvtNiFc7RJ1ED-9nyTd3kvZFc39KaD2U7nJMm050MsKR688KyuxV-zXeJVfvb2xYejVEcpJNfV7g70AV9DtepZrQH/s640/crao_20160926180001029501001001.jpg" width="640" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">第9天</td></tr>
</tbody></table>
<br />
<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgZTeTF6w1ADWESrVfrJlzTetTukRgIQZnvmcKCtdrpGs2AqNAVIxyMl2s6X0Gs0_jt6_Q-WuuatZXvFL35lnaPJHYcG-x-j5CnoQebrTWHPRu_ceK4KndnbRX5NAc4GXOeZFJcXI8w9nZT/s1600/crao_20161029161331034301001001.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" data-original-height="1067" data-original-width="1600" height="426" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgZTeTF6w1ADWESrVfrJlzTetTukRgIQZnvmcKCtdrpGs2AqNAVIxyMl2s6X0Gs0_jt6_Q-WuuatZXvFL35lnaPJHYcG-x-j5CnoQebrTWHPRu_ceK4KndnbRX5NAc4GXOeZFJcXI8w9nZT/s640/crao_20161029161331034301001001.jpg" width="640" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">第6週</td></tr>
</tbody></table>
<br />
<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiAHtVeybVNlqnFTEh0j3ccemtJ_doLS0jfmb9oiDi4JaJo5II-fF2BVMgx1r-Vc_ztJVGksla7ii521qqE0k7KmyaH7Vyh7lnNINKhb6XHgFsrNLd4USru4dO-pMy_ylFoVo0lb499pq1p/s1600/crao_20161119110647038101002001.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" data-original-height="1067" data-original-width="1600" height="425" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiAHtVeybVNlqnFTEh0j3ccemtJ_doLS0jfmb9oiDi4JaJo5II-fF2BVMgx1r-Vc_ztJVGksla7ii521qqE0k7KmyaH7Vyh7lnNINKhb6XHgFsrNLd4USru4dO-pMy_ylFoVo0lb499pq1p/s640/crao_20161119110647038101002001.jpg" width="640" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">第9週</td></tr>
</tbody></table>
<div class="separator" style="clear: both; text-align: center;">
<br /></div>
<div class="separator" style="clear: both; text-align: center;">
</div>
<br />
<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjjB7VLpNvQ0YP7dye54XNR1fymX81CjgCkWHIbtS5VUSJeYZM2TpMRPBoZ_IadkfH8_NPrUX3Rs5Codetk-x1VvcitJO_vzI2JCD1S9Fn02uzd2VrGOpoFQufhP9x2DvsGr_13nwJ66spV/s1600/crao_vf_od.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" data-original-height="789" data-original-width="579" height="640" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjjB7VLpNvQ0YP7dye54XNR1fymX81CjgCkWHIbtS5VUSJeYZM2TpMRPBoZ_IadkfH8_NPrUX3Rs5Codetk-x1VvcitJO_vzI2JCD1S9Fn02uzd2VrGOpoFQufhP9x2DvsGr_13nwJ66spV/s640/crao_vf_od.jpg" width="468" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">治療後期視野檢查</td></tr>
</tbody></table>
<div class="separator" style="clear: both; text-align: center;">
<br /></div>
<div class="separator" style="clear: both; text-align: center;">
<br /></div>
<div class="separator" style="clear: both; text-align: center;">
<br /></div>
<div class="separator" style="clear: both; text-align: center;">
<br /></div>
<br />黃醫師http://www.blogger.com/profile/02383841515937588204noreply@blogger.com0tag:blogger.com,1999:blog-6947034395578750947.post-56483455573866893632019-07-24T16:16:00.000+08:002019-07-24T16:16:04.509+08:00糖尿病視網膜病變出血病例<span style="font-size: large;">患者20多歲,女性<br /><br />患者自小被診斷患上2型糖尿病15年,過去未有嚴格控制血糖水平。求診1個月前因雙眼視物不清,診斷為雙眼糖尿病視網膜病變。求診中醫眼科約兩週前曾進行雙眼全視網膜光凝術,術後發生右眼底出血。以下相片(第1天)在初診時拍攝,可見視網膜前出血病灶遮蓋部份後極部部份視網膜。</span><br />
<div>
<span style="font-size: large;"><br /></span></div>
<div>
<span style="font-size: large;">經</span><span style="font-size: large;">中醫眼科治療後一個多月,</span><span style="font-size: large;">視網膜出血逐步</span><span style="font-size: large;">改善</span><span style="font-size: large;">(請參照下列眼底照片(</span><span style="font-size: large;">順序第1、10、22、38天),</span><span style="font-size: large;">出血情況基本已痊癒。可見中醫眼科治療對此例起着明顯效用。</span></div>
<div>
<div>
<br />
<br />
<br />
<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhgt3D5qDkJnKU4Dvm_F6h2d8pe8AtgRpsHPMyH7fWCCiAtuoHhw2xauY9OeHETgGodLrjrk7_nkXzarT4TNJWsqKkKPGHB0rjCAukEkpz4UoKLEGthmBQ7rmEGA5ab-KI6Xo1txMKQPwLS/s1600/DR_20190601r.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" data-original-height="1600" data-original-width="1600" height="400" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhgt3D5qDkJnKU4Dvm_F6h2d8pe8AtgRpsHPMyH7fWCCiAtuoHhw2xauY9OeHETgGodLrjrk7_nkXzarT4TNJWsqKkKPGHB0rjCAukEkpz4UoKLEGthmBQ7rmEGA5ab-KI6Xo1txMKQPwLS/s400/DR_20190601r.jpg" width="400" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">第1天</td></tr>
</tbody></table>
<br />
<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhodCrAVRjVjDJ_yu5odwQnp9aqm6U4nMRIzqBDNj1uSplcTtEgqakClGXXRzT6Ci5lme8gPzS3838qvp7c7FFDY_JvbIaB1cq8bCy-zNuZqf8x5HpFXDsMOgUq8LhBfjazGvJulAcD_Oag/s1600/DR_20190610r.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" data-original-height="1600" data-original-width="1600" height="400" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhodCrAVRjVjDJ_yu5odwQnp9aqm6U4nMRIzqBDNj1uSplcTtEgqakClGXXRzT6Ci5lme8gPzS3838qvp7c7FFDY_JvbIaB1cq8bCy-zNuZqf8x5HpFXDsMOgUq8LhBfjazGvJulAcD_Oag/s400/DR_20190610r.jpg" width="400" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">第10天</td></tr>
</tbody></table>
<br />
<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj78A2-yJ0h13NknojraGKf8Y7wtWyJNexld1Z8TvkrDZFDZ8WB04UsRml42ncQRmt3kIqeJ1_GrPsc6xy1emxj1AdXRu3yEbpjY2tgPgulC2E3TEu_y4C3-VsBywcO2-VaPKqKFwUiyOyN/s1600/DR_20190622r.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" data-original-height="1600" data-original-width="1600" height="400" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj78A2-yJ0h13NknojraGKf8Y7wtWyJNexld1Z8TvkrDZFDZ8WB04UsRml42ncQRmt3kIqeJ1_GrPsc6xy1emxj1AdXRu3yEbpjY2tgPgulC2E3TEu_y4C3-VsBywcO2-VaPKqKFwUiyOyN/s400/DR_20190622r.jpg" width="400" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">第22天</td></tr>
</tbody></table>
<br />
<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhMPfNNPMzjCmNu0wiADBYNGJf6HGnHOgO4G9MJQOxJZA05Y7P7gxw8KqUSowkSMg7GxzDPZyJb_tYQsdfiQ6BOXeV7zBvSUERonomNOCmdshLQk7X14WTuNf0U7oNKOxIiZ_9CiurBfOLV/s1600/DR_20190708r.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" data-original-height="1600" data-original-width="1600" height="400" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhMPfNNPMzjCmNu0wiADBYNGJf6HGnHOgO4G9MJQOxJZA05Y7P7gxw8KqUSowkSMg7GxzDPZyJb_tYQsdfiQ6BOXeV7zBvSUERonomNOCmdshLQk7X14WTuNf0U7oNKOxIiZ_9CiurBfOLV/s400/DR_20190708r.jpg" width="400" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">第38天</td></tr>
</tbody></table>
<br /></div>
</div>
黃醫師http://www.blogger.com/profile/02383841515937588204noreply@blogger.com0tag:blogger.com,1999:blog-6947034395578750947.post-42407950733421914072019-05-26T14:57:00.000+08:002019-05-26T14:57:01.721+08:00從師點滴 (十五) — 拜師禮<div>
早在十多、二十年前已開始跟隨廖老師學習,直至今年五月十三日終可向這位國醫大師行過拜師禮!今次與五位同門一同參與這儀式,實在榮幸!因每位都是跟隨老師學習最長時間的弟子,而各人在不同領域上都已有相當成績。</div>
<div>
<br />
<br />
<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj4wXXSyiTMyo7hhIcOUWv0NN2CeWvbl396tuoEcA3wJXKaCqIMqvdMCVHe9AeLkMsW9azdjSN9EHQZZE6dAtDi63iwQFK7E4zo5H2nS808V6eVbRCKPbKUesccNxIE_NHmHQT4Q1jk-5FW/s1600/mmexport1557751366391.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" data-original-height="1060" data-original-width="1600" height="263" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj4wXXSyiTMyo7hhIcOUWv0NN2CeWvbl396tuoEcA3wJXKaCqIMqvdMCVHe9AeLkMsW9azdjSN9EHQZZE6dAtDi63iwQFK7E4zo5H2nS808V6eVbRCKPbKUesccNxIE_NHmHQT4Q1jk-5FW/s400/mmexport1557751366391.jpg" width="400" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">左一起:蹇文淵,黃偉傑,路雪婧,廖品正國醫大師,李翔,吳青蘭,張富文</td></tr>
</tbody></table>
<br />
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhk7qFcKjRNTTLN7_FG250wGOjHISK-22Jg_Flm0T5zHGT4wuuuvwaY47RhK9pK47ZunRIhoAJpOfbHsCv0cJsNatP6DIuPDXdp4Jf24TzGxNmOPZtSoQVHSjJgNyE5KqtxY6mmTF417Dsf/s1600/mmexport1558056798334.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1060" data-original-width="1600" height="263" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhk7qFcKjRNTTLN7_FG250wGOjHISK-22Jg_Flm0T5zHGT4wuuuvwaY47RhK9pK47ZunRIhoAJpOfbHsCv0cJsNatP6DIuPDXdp4Jf24TzGxNmOPZtSoQVHSjJgNyE5KqtxY6mmTF417Dsf/s400/mmexport1558056798334.jpg" width="400" /></a></div>
<br /></div>
<div>
<br />
行過禮後,心裡想如何才是一位真正弟子呢?</div>
<div>
<br />
過去從老師身上不單只學到醫學知識、醫術外,還學到了她待人處事方式、品德、行為、情操等等。<br />
<br />
要成為一位真正弟子,我想應該就是要尊師重道。如何?<br />
<br />
最基本應該是認真留心聆聽、細心觀察及學習老師教導及示範,嘗試實踐老師教導並勇於改善自己不足,掌握後就要好好運用於日常生活及工作上,再進一步就是把學到的深化並提升層次。<br />
<br />
若能夠把握從老師所學到的一切、鑽研及發揮並提升所學、好好善用,就應該是最好<span style="background-color: white; color: #222222; font-family: 微軟正黑體, sans-serif; font-size: 15.4px;">「</span>尊師重道<span style="background-color: white; color: #222222; font-family: 微軟正黑體, sans-serif; font-size: 15.4px;">」</span>方式,並成為真正的弟子。</div>
黃醫師http://www.blogger.com/profile/02383841515937588204noreply@blogger.com0tag:blogger.com,1999:blog-6947034395578750947.post-10429910299218511032019-05-22T15:51:00.000+08:002019-05-22T15:51:06.651+08:00乾眼症病例<span style="font-family: 微軟正黑體, sans-serif;">「乾眼症」常對應中醫眼科「白澀症」及「神水將枯」兩病。</span><br />
<div class="MsoNormal">
<span lang="ZH-TW" style="font-family: "微軟正黑體" , sans-serif;">「白澀症」病名首見於《審視瑤函》,以白睛(眼白)不赤不腫而自覺眼乾澀不舒,瞬目頻頻,或畏光,灼熱微癢,不耐久視為特徵。</span><span style="font-family: "微軟正黑體" , sans-serif;"><o:p></o:p></span></div>
<div class="MsoNormal">
<span lang="ZH-TW" style="font-family: "微軟正黑體" , sans-serif;">「神水將枯」一病首見於《證治準繩》,主要以眼珠外淚水不足﹅乾澀而不潤為特徵。</span><span style="font-family: "微軟正黑體" , sans-serif;"><o:p></o:p></span></div>
<div class="MsoNormal">
<span lang="ZH-TW" style="font-family: "微軟正黑體" , sans-serif;"><br /></span>
<span lang="ZH-TW" style="font-family: "微軟正黑體" , sans-serif;">中醫考慮此病可以有多樣病因,以局部與整體結合辨證進行治療。</span><span style="font-family: "微軟正黑體" , sans-serif;"><o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="ZH-TW" style="font-family: "微軟正黑體" , sans-serif;">此病可以表現為各項眼睛檢查無異常,但病者自覺眼乾症狀非常明顯,並不對應檢查結果。臨床上亦可見到不少病者自述因此病致嚴重情緒問題,以下為其中一例。</span><span style="font-family: "微軟正黑體" , sans-serif;"><o:p></o:p></span></div>
<div class="MsoNormal">
<span lang="ZH-TW" style="font-family: "微軟正黑體" , sans-serif;"><br /></span>
<span lang="EN-US" style="font-family: "微軟正黑體" , sans-serif; mso-ansi-language: EN-US;">病者為20多歲,</span><span lang="ZH-TW" style="font-family: "微軟正黑體" , sans-serif;">女性</span><span style="font-family: "微軟正黑體" , sans-serif;"><o:p></o:p></span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "微軟正黑體" , sans-serif; mso-ansi-language: EN-US;">1</span><span lang="ZH-TW" style="font-family: "微軟正黑體" , sans-serif;">年前因遇事情緒不佳,從外地回港工作後出現乾眼症狀。自覺雙眼灼熱乾澀,有壓迫感,未能配戴隱形眼鏡。曾接受中西醫治療未效。自身免疫檢查未發現異常</span><span style="font-family: "微軟正黑體" , sans-serif;"><o:p></o:p></span></div>
<div class="MsoNormal">
<span lang="ZH-TW" style="font-family: "微軟正黑體" , sans-serif;">精神科醫生診斷抑鬱症,已接受血清素治療</span><span lang="EN-US" style="font-family: "微軟正黑體" , sans-serif; mso-ansi-language: EN-US;">3</span><span lang="ZH-TW" style="font-family: "微軟正黑體" , sans-serif;">個月</span><span style="font-family: "微軟正黑體" , sans-serif;"><o:p></o:p></span></div>
<div class="MsoNormal">
<span lang="ZH-TW" style="font-family: "微軟正黑體" , sans-serif;">病者透露因眼乾而有自殺念頭</span><span style="font-family: "微軟正黑體" , sans-serif;"><o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="ZH-TW" style="font-family: "微軟正黑體" , sans-serif;">見症:</span><span style="font-family: "微軟正黑體" , sans-serif;"><o:p></o:p></span></div>
<div class="MsoNormal">
<span lang="ZH-TW" style="font-family: "微軟正黑體" , sans-serif;">口微乾,眼乾,眼有壓逼感;晨起眼有異物感</span><span style="font-family: "微軟正黑體" , sans-serif;"><o:p></o:p></span></div>
<div class="MsoNormal">
<span lang="ZH-TW" style="font-family: "微軟正黑體" , sans-serif;">心慌,頭重墜,易緊張</span><span style="font-family: "微軟正黑體" , sans-serif;"><o:p></o:p></span></div>
<div class="MsoNormal">
<span lang="ZH-TW" style="font-family: "微軟正黑體" , sans-serif;">納可,多惡夢,二便常</span><span style="font-family: "微軟正黑體" , sans-serif;"><o:p></o:p></span></div>
<div class="MsoNormal">
<span lang="ZH-TW" style="font-family: "微軟正黑體" , sans-serif;">經前後黃白帶,週期正常</span><span style="font-family: "微軟正黑體" , sans-serif;"><o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="ZH-TW" style="font-family: "微軟正黑體" , sans-serif;">檢查:雙眼前段未見異常</span><span style="font-family: "微軟正黑體" , sans-serif;"><o:p></o:p></span></div>
<div class="MsoNormal">
<span lang="ZH-TW" style="font-family: "微軟正黑體" , sans-serif;">舌診:淡紅苔黃白</span><span style="font-family: "微軟正黑體" , sans-serif;"><o:p></o:p></span></div>
<div class="MsoNormal">
<span lang="ZH-TW" style="font-family: "微軟正黑體" , sans-serif;">脈診:濡細,關弦</span><span style="font-family: "微軟正黑體" , sans-serif;"><o:p></o:p></span></div>
<div class="MsoNormal">
<span lang="ZH-TW" style="font-family: "微軟正黑體" , sans-serif;"><br /></span>
<span lang="ZH-TW" style="font-family: "微軟正黑體" , sans-serif;">診斷及治療:</span><span style="font-family: "微軟正黑體" , sans-serif;"><o:p></o:p></span></div>
<div class="MsoNormal">
<span lang="ZH-TW" style="font-family: "微軟正黑體" , sans-serif;">中醫診斷:白澀症,郁證</span><span style="font-family: "微軟正黑體" , sans-serif;"><o:p></o:p></span></div>
<div class="MsoNormal">
<span lang="ZH-TW" style="font-family: "微軟正黑體" , sans-serif;">證型:肝郁氣滯痰凝</span><span style="font-family: "微軟正黑體" , sans-serif;"><o:p></o:p></span></div>
<div class="MsoNormal">
<span lang="ZH-TW" style="font-family: "微軟正黑體" , sans-serif;">治法:疏肝理氣,化痰養心</span><span style="font-family: "微軟正黑體" , sans-serif;"><o:p></o:p></span></div>
<div class="MsoNormal">
<span lang="ZH-TW" style="font-family: "微軟正黑體" , sans-serif;">內服中藥治療</span><br />
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "微軟正黑體" , sans-serif; mso-ansi-language: EN-US;">第10</span><span lang="ZH-TW" style="font-family: "微軟正黑體" , sans-serif;">天時覆診:</span></div>
<div class="MsoNormal">
<span lang="ZH-TW" style="font-family: "微軟正黑體" , sans-serif;">病者自述灼熱乾澀略好,眼壓逼感減輕,</span><span style="font-family: 微軟正黑體, sans-serif;">咽乾有痰</span></div>
<div class="MsoNormal">
<span lang="ZH-TW" style="font-family: "微軟正黑體" , sans-serif;">心慌,面鼻緊,頭重墜</span><span style="font-family: "微軟正黑體" , sans-serif;"><o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: 微軟正黑體, sans-serif;">繼續內服中藥治療</span><br />
<span style="font-family: 微軟正黑體, sans-serif;"><br /></span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "微軟正黑體" , sans-serif; mso-ansi-language: EN-US;">7</span><span lang="ZH-TW" style="font-family: "微軟正黑體" , sans-serif;">週後覆診</span></div>
<div class="MsoNormal">
<span lang="ZH-TW" style="font-family: "微軟正黑體" , sans-serif;">雙眼乾澀減輕,心情尚可</span></div>
<div class="MsoNormal">
<span lang="ZH-TW" style="font-family: "微軟正黑體" , sans-serif;"><br /></span>
<span lang="ZH-TW" style="font-family: "微軟正黑體" , sans-serif;">11週治療後只餘下輕微乾澀</span><span style="font-family: 微軟正黑體, sans-serif;">症狀</span><span style="font-family: 微軟正黑體, sans-serif;">,已可戴隱形眼鏡,情緒穩定</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "微軟正黑體" , sans-serif; mso-ansi-language: EN-US;"><br /></span>
<span lang="EN-US" style="font-family: "微軟正黑體" , sans-serif; mso-ansi-language: EN-US;">15週後</span><span lang="ZH-TW" style="font-family: "微軟正黑體" , sans-serif;">停服中藥未有復發</span><span style="font-family: "微軟正黑體" , sans-serif;"><o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="ZH-TW" style="font-family: "微軟正黑體" , sans-serif;">摘要:</span><span style="font-family: "微軟正黑體" , sans-serif;"><o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: 微軟正黑體, sans-serif;">病人因有嚴重眼乾症狀求診,檢查時又未能找出對應程度體徵。</span><span style="font-family: 微軟正黑體, sans-serif;">情緒問題比眼問題更突出,更自稱曾因眼乾而有自殺念頭。</span></div>
<div class="MsoNormal">
<span lang="ZH-TW" style="font-family: "微軟正黑體" , sans-serif;">中醫診治離不開整體觀念,此症</span><span lang="ZH-TW" style="font-family: "微軟正黑體" , sans-serif;">以宏觀角度去診治病者,並不侷限於乾眼症疾患而取得全面療效。</span><span style="font-family: "微軟正黑體" , sans-serif;"><o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<br />黃醫師http://www.blogger.com/profile/02383841515937588204noreply@blogger.com0tag:blogger.com,1999:blog-6947034395578750947.post-58004044068133252542019-04-27T21:41:00.000+08:002019-04-27T21:41:45.919+08:00中醫難點,也是特點早前講了一堂課介紹中醫眼科。當中嘗試提出了中醫幾個難點,這些難點往往使人認為中醫不科學,也沒甚麼了不起的療效。<br />
<br />
但這些難點其實是中醫學特點的其中一個方面,視乎人們對她有多了解及能否用較全面角度去認識<span style="background-color: white; color: #222222; font-family: "arial" , "tahoma" , "helvetica" , "freesans" , sans-serif; font-size: 15.4px;">﹅</span>探索及評價。<br />
<br />
<br />
難點 1:無硬性既定治療法則<br />
<br />
從中醫角度看單純一個感冒,在不同季節或地域都可以有不同表現,中醫會按情況以不同治療法則進行治療。風熱證,用疏風清熱法;風寒證:祛風散寒法;表寒裡熱:祛風散寒清熱法等等。同時亦會按病情發展變化而調整治療方向。<br />
<br />
若以感冒這疾病為出立足點,一般看法就應該用治療感冒已既定的單一法則進行治療,但中醫並不是這樣。中醫會先判別病者在感冒中屬那種證型(病者當時身體狀況的概括)為出發點,去針對病者身體狀況定立治法(如上所述例子)。所以治療一個疾患並不會有既定單一治療法則(但可有基本原則及思路),而是按病者身體處於不同狀態定出不同治療原則。<br />
<br />
這是中醫學<span style="background-color: white; color: #222222; font-family: "pmingliu" , serif; font-size: 15.4px;">「</span>隨證治之<span style="background-color: white; color: #222222; font-family: "pmingliu" , serif; font-size: 15.4px;">」及</span><span style="background-color: white; color: #222222; font-family: "pmingliu" , serif; font-size: 15.4px;">「</span>因人<span style="background-color: white; color: #222222; font-family: "arial" , "tahoma" , "helvetica" , "freesans" , sans-serif; font-size: 15.4px;">﹅</span>因時<span style="background-color: white; color: #222222; font-family: "arial" , "tahoma" , "helvetica" , "freesans" , sans-serif; font-size: 15.4px;">﹅</span>因地<span style="background-color: white; color: #222222; font-family: "pmingliu" , serif; font-size: 15.4px;">」</span>制定治療法則的特式。<br />
<br />
<br />
難點 2:不同病者患上同一種病,相同的療法卻有不同的療效<br />
<br />
如上所述中醫按身體狀況而作出相對應治療。不同患者雖患上同一種疾患,因身體狀態並不相同,需要使用不同法則治療。所以用同一個治法未必可治癒每一位患者。<br />
<br />
這是中醫學<span style="background-color: white; color: #222222; font-family: "pmingliu" , serif; font-size: 15.4px;">「</span>辨證論治<span style="background-color: white; color: #222222; font-family: "pmingliu" , serif; font-size: 15.4px;">」的一大特點。</span><br />
<br />
<br />
難點 3:不易掌握及不易理解<br />
<br />
對於部份不熟悉中醫學的人士,可能會認為單單開個處方或加些針在身上難以治病。或可試試換個角度看,單單開一個處方或加數針就能處理不同疾患,那是否又很厲害呢?<br />
<br />
在剛開始行醫時,在治病時經常會遇到一些不知如何入手的疾患。雖完成了數年的中醫訓練又通過考核,但實際處理病患時也會常碰上這類情況。<br />
<br />
這也是中醫特色的另一面,因她治病不單講求治療方法,而更重要的是治病思路。這個需要不斷學習<span style="background-color: white; color: #222222; font-family: "arial" , "tahoma" , "helvetica" , "freesans" , sans-serif; font-size: 15.4px;">﹅</span>鑽研<span style="background-color: white; color: #222222; font-family: "arial" , "tahoma" , "helvetica" , "freesans" , sans-serif; font-size: 15.4px;">﹅</span>發掘鍛鍊出來的。<br />
<br />
所以在理解中醫時,可以試試以不同角度去欣賞這寶貴而又實用的醫學。黃醫師http://www.blogger.com/profile/02383841515937588204noreply@blogger.com0tag:blogger.com,1999:blog-6947034395578750947.post-53599759994487274942019-01-01T17:34:00.001+08:002019-01-01T17:34:29.187+08:00從師點滴 (十四) — 老師恩情涉足中醫眼科已將快要二十年,剛過去的2018年開始了我期待已久的新任務,就是邀請到一位跟我一樣有視光學背景的新晋醫師(許佩珍醫師)加入我們診所,本人肩負其在職時訓練讓她好好學習掌握中醫眼科,這也是廖老對本人的期望。<br />
<br />
因為許醫師在中醫學各方面的基礎紥實,比自己當日的強得多,所以在任務未開始之先,計劃在短至數月時間內將她訓練成為一位可獨立應診的中醫眼科醫師。或許我倆對自己要求不低,暫仍未達目標。但值得欣慰的是,我們都清楚要為病人提供有水平治療,不因個人計劃或喜好置於病人之上。這共同價值觀令我對未來的合作有更大更高期望!<br />
<br />
<span style="background-color: white; color: #222222; font-family: pmingliu, serif; font-size: 15.4px;">回想自己初執業時已有相當大信心可以處理常見眼疾,過去以為這是一件順理成章</span><span style="background-color: white; color: #222222; font-family: pmingliu, serif; font-size: 15.4px;">的</span><span style="background-color: white; color: #222222; font-family: pmingliu, serif; font-size: 15.4px;">事情。發現原來早已忘掉自己在學時已跟廖老一起</span>實踐中醫眼科有<span style="background-color: white; color: #222222; font-family: pmingliu, serif; font-size: 15.4px;">五</span><span style="background-color: white; color: #222222; font-family: pmingliu, serif; font-size: 15.4px;">年之久,</span><span style="background-color: white; color: #222222; font-family: pmingliu, serif; font-size: 15.4px;">也忘</span><span style="background-color: white; color: #222222; font-family: pmingliu, serif; font-size: 15.4px;">了</span><span style="background-color: white; color: #222222; font-family: pmingliu, serif; font-size: 15.4px;">在診室外自修所</span><span style="background-color: white; color: #222222; font-family: pmingliu, serif; font-size: 15.4px;">花的時間及所費功夫。</span><span style="background-color: white; color: #222222; font-family: pmingliu, serif; font-size: 15.4px;">對我來說,這些時日</span><span style="background-color: white; color: #222222; font-family: pmingliu, serif; font-size: 15.4px;">可能是樂趣多於艱苦的時刻。</span><br />
<span style="background-color: white; color: #222222; font-family: pmingliu, serif; font-size: 15.4px;"><br /></span>
<span style="color: #222222; font-family: pmingliu, serif;"><span style="background-color: white; font-size: 15.4px;">平時自己看病時,</span></span><span style="background-color: white; color: #222222; font-family: pmingliu, serif; font-size: 15.4px;">在腦中的知識理論及方法一般都可以直接運用出來,</span><span style="color: #222222; font-family: pmingliu, serif;"><span style="background-color: white; font-size: 15.4px;">看一個覆診病者只需花十至十五分鐘,但跟受訓醫師一起時就要多花時間,要</span></span><span style="background-color: white; color: #222222; font-family: pmingliu, serif; font-size: 15.4px;">思考如何</span><span style="background-color: white; color: #222222; font-family: pmingliu, serif; font-size: 15.4px;">解釋理論及辨證等事宜,有序地解構疾患</span><span style="background-color: white; color: #222222; font-family: pmingliu, serif; font-size: 15.4px;">、</span><span style="background-color: white; color: #222222; font-family: pmingliu, serif; font-size: 15.4px;">講解思路</span><span style="background-color: white; color: #222222; font-family: pmingliu, serif; font-size: 15.4px;">、治療法則等等,</span><span style="background-color: white; color: #222222; font-family: pmingliu, serif; font-size: 15.4px;">要多花心思整理鋪排,讓學生都能清楚明白。發現當中實在要耗費不少心力按學生能力及進度調整節奏,並同時要作出合適指導及引領等。</span><br />
<span style="background-color: white; color: #222222; font-family: pmingliu, serif; font-size: 15.4px;"><br /></span>
<span style="background-color: white; color: #222222; font-family: pmingliu, serif; font-size: 15.4px;">現在終於開始感受到當日廖老對我這張毫無基礎的白紙所耗費</span><span style="background-color: white; color: #222222; font-family: pmingliu, serif; font-size: 15.4px;">的</span><span style="background-color: white; color: #222222; font-family: pmingliu, serif; font-size: 15.4px;">心力及悉心</span><span style="background-color: white; color: #222222; font-family: pmingliu, serif; font-size: 15.4px;">的</span><span style="background-color: white; color: #222222; font-family: pmingliu, serif; font-size: 15.4px;">栽培。謝謝廖老!在這新一年,期望可以在這方面做得更好,讓</span><span style="background-color: white; color: #222222; font-family: pmingliu, serif; font-size: 15.4px;">廖</span><span style="background-color: white; color: #222222; font-family: pmingliu, serif; font-size: 15.4px;">老所</span><span style="background-color: white; color: #222222; font-family: pmingliu, serif; font-size: 15.4px;">撒</span><span style="background-color: white; color: #222222; font-family: pmingliu, serif; font-size: 15.4px;">的</span><span style="background-color: white; color: #222222; font-family: pmingliu, serif; font-size: 15.4px;">種可以茁壯成長,以報答老師恩情。</span>黃醫師http://www.blogger.com/profile/02383841515937588204noreply@blogger.com0tag:blogger.com,1999:blog-6947034395578750947.post-64718793037761413712018-08-21T23:20:00.001+08:002021-03-25T14:00:41.822+08:00從師點滴 (十三) - 「從師所見」<br />
<div class="MsoNormal">
<span style="font-family: inherit;">這文章是剛參加「首屆廖品正國醫大師學術思想研討會」發言講稿,題目為「從師所見」。這類學術思想研討會,大多講者都著重於闡釋某些診治疾患方法或理論,並配以數據或資料講解;而這次則嘗試以跟隨老師多年間所見所聞,讓聽眾了解這大師的特質、優點等,期望可以從中對聽眾有些啟發。</span></div>
<div class="MsoNormal">
<span style="font-family: inherit;"><br /></span></div>
<h2>
<span style="font-family: inherit;">自我介紹</span></h2><div class="MsoNormal">
<span style="font-family: inherit;">大家好! 我是來自香港的黃偉傑。感謝大會和大家給我這機會。</span></div>
<div class="MsoNormal">
<span style="font-family: inherit;"><br /></span></div>
<div class="MsoNormal">
<span style="font-family: inherit;">先簡單介紹自己,本人1994年畢業於香港理工學院視光學系,1998年開設了自己的視光學診所, 1999年因為興趣學習中醫,2007年考獲中醫執照後,將原有視光學診所轉型為澄明堂中醫眼科中心。</span></div>
<div class="MsoNormal">
<span style="font-family: inherit;"><br /></span></div>
<h2>
<span style="font-family: inherit;">生命傳承</span></h2>
<div class="MsoNormal">
<span style="font-family: inherit;">如果能夠遇上一位好老師,學生所學到的東西是終生受用。這不限於學術知識,更有美好的品德﹅行為和情操。這些寶貴的東西都可延續下去,是生命影響生命的一個過程。所以定了今天題目為「從師所見」,是想跟大家分享國醫大師廖品正教授的一些事情。希望對我們後輩有些啟發。</span></div>
<div class="MsoNormal">
<span style="font-family: inherit;"><br /></span></div>
<div class="MsoNormal">
<span style="font-family: inherit;"></span></div>
<h2>
<span style="font-family: inherit;"><span>初</span><span>認識</span></span></h2>
<div class="MsoNormal">
<span style="font-family: inherit;">認識廖老是在 2000 年代初,是剛開始學習中醫眼科的時侯。當年她已沒有教本科生課,但她仍每年遠赴香港來教我們這些初學中醫的學生。當時我並沒有想過中醫眼科有甚麼特別,更沒想過要當一位中醫眼科醫師。</span></div>
<div class="MsoNormal">
<span style="font-family: inherit;"><br /></span></div>
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgP0R3stEY-ZzjogfQ91Ww75y5R-Vts-8qQo0RGBQLR82zXg3WdQ7oNW0fORCdUwaVbN7I52qA9yg1QIF5WAvDiB_E_PDCN1_znN8tj4FRRqd0-xIGvt050Dk42vie3ODY9NkmP1CSbNpjU/s1600/%25EF%25BC%2591.jpg" style="margin-left: 1em; margin-right: 1em;"><span style="font-family: inherit;"><img border="0" data-original-height="764" data-original-width="1020" height="239" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgP0R3stEY-ZzjogfQ91Ww75y5R-Vts-8qQo0RGBQLR82zXg3WdQ7oNW0fORCdUwaVbN7I52qA9yg1QIF5WAvDiB_E_PDCN1_znN8tj4FRRqd0-xIGvt050Dk42vie3ODY9NkmP1CSbNpjU/s320/%25EF%25BC%2591.jpg" width="320" /></span></a></div>
<div class="MsoNormal">
<span style="font-family: inherit;"><br /></span></div>
<span style="font-family: inherit;"><br />
<br />
</span><h2>
<span style="font-family: inherit;">開竅</span></h2>
<div class="MsoTitle"><span style="font-family: inherit;"><span>最初跟廖老見習的時侯,來了一位</span><span>「</span><span>乾性年齡相關性黃斑病變</span><span>」</span><span>病人,當時其患眼視力大概是 0.8-0.9 (正常為1.0),服過廖老處方一星期多後回來覆診,患眼視力就在這短短時間之內提升了兩行,視力比正常視力還要好。這跟我過去的認知完全不一樣(因一般認為此病視力不能改善),所以對當時的我很震撼,但也令我很興奮。</span></span></div>
<div class="MsoTitle">
<span style="font-family: inherit;"><br /></span></div>
<div class="MsoTitle">
<span style="font-family: inherit;">自此我就覺得中醫眼科很有趣,就懇求廖老讓我繼續跟她學習。以後,廖老每年到香港教學的幾個月期間,我就到大學裡跟廖老臨床實踐。畢業之後也維持了好幾年。</span></div>
<div class="MsoTitle">
<span style="font-family: inherit;"><br /></span></div>
<h2>
<span style="font-family: inherit;">學習環境</span></h2>
<div class="MsoTitle">
<span style="font-family: inherit;">香港醫療法規跟國內不一樣,香港的中醫師只能作純中醫的診治。除非有其他相關執照或訓練,否則不可使用西醫方法。雖然有它的限制,但純以中醫藥治療,可讓學生清楚見到中醫療效和它的特色。親眼見到中醫的療效,讓初學者對中醫學有更大信心,對學習中醫時有更大的推動力。</span></div>
<div class="MsoTitle">
<span style="font-family: inherit;"><br /></span></div>
<span style="font-family: inherit;"><br />
</span><div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgbpe9IFLpCwmLiidcoBSOibuWsRfeeqUn-1g7IrA7dCSfYTsZOAmYpeuCMvRm2p6AFwWqkLb07lorIemTPl37PQ1tFEMVImbd5JLKuPDgV0qZXnoMwpZbSvtBLLgDGo2ZtwUxqZrdiqPSq/s1600/%25EF%25BC%2592.jpg" style="margin-left: 1em; margin-right: 1em;"><span style="font-family: inherit;"><img border="0" data-original-height="679" data-original-width="1019" height="213" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgbpe9IFLpCwmLiidcoBSOibuWsRfeeqUn-1g7IrA7dCSfYTsZOAmYpeuCMvRm2p6AFwWqkLb07lorIemTPl37PQ1tFEMVImbd5JLKuPDgV0qZXnoMwpZbSvtBLLgDGo2ZtwUxqZrdiqPSq/s320/%25EF%25BC%2592.jpg" width="320" /></span></a></div>
<span style="font-family: inherit;"><br />
</span><h2><span style="font-family: inherit;">
跟診初期</span></h2>
<div class="MsoNormal">
<span style="font-family: inherit;"><span lang="EN-US" style="mso-hansi-font-family: "Times New Roman"; mso-no-proof: yes;"><!--[if gte vml 1]><v:shape id="圖片_x0020_6" o:spid="_x0000_i1028"
type="#_x0000_t75" style='width:333.6pt;height:222.6pt;visibility:visible;
mso-wrap-style:square'>
<v:imagedata src="file:///C:/Users/ewong/AppData/Local/Temp/msohtmlclip1/01/clip_image003.jpg"
o:title=""/>
</v:shape><![endif]--><!--[if !vml]--><!--[endif]--></span><span lang="ZH-CN" style="mso-ansi-language: ZH-CN; mso-hansi-font-family: "Times New Roman";"><o:p></o:p></span></span></div>
<div class="MsoNormal"><span style="font-family: inherit;">
初期跟診,我還未完成本科課程,根基薄弱。當時廖老就在每位病者身上示範如何看病,從問症、檢查、完成四診;她仔細講解中西醫診斷鑑別;它們的發展、轉歸、預後;逐點提醒要注意和容易犯錯的地方。還清楚解構中西醫病因、病機,辨證思路,如何制定治則﹅治法﹅遣方用藥。她更把每一味藥的性、味﹅歸經﹅配伍﹅現代藥理研究等都說得一清二楚。她就是這樣鉅細無遺,務求讓我這初學者都清楚明白。</span></div>
<div class="MsoNormal">
<span style="font-family: inherit;"><br /></span></div>
<h2>
<span style="font-family: inherit; mso-ascii-font-family: "Calibri Light"; mso-ascii-theme-font: major-latin; mso-fareast-theme-font: major-fareast; mso-hansi-font-family: "Calibri Light"; mso-hansi-theme-font: major-latin;">測驗</span></h2>
<div class="MsoNormal">
<span style="font-family: inherit;"><span lang="EN-US" style="mso-no-proof: yes;"><!--[if gte vml 1]><v:shape
id="內容版面配置區_x0020_5" o:spid="_x0000_i1027" type="#_x0000_t75" alt="一張含有 牆, 個人, 室內 的圖片 描述是以非常高的可信度產生"
style='width:340.2pt;height:255pt;visibility:visible;mso-wrap-style:square'>
<v:imagedata src="file:///C:/Users/ewong/AppData/Local/Temp/msohtmlclip1/01/clip_image005.jpg"
o:title="一張含有 牆, 個人, 室內 的圖片 描述是以非常高的可信度產生"/>
</v:shape><![endif]--><!--[if !vml]--><!--[endif]--></span><span lang="EN-US"><o:p></o:p></span></span></div>
<div class="MsoNormal">
<span style="font-family: inherit;">跟師一段時間,大概差不多畢業時吧!當時開始掌握了一些廖老師基本思路和方法。有一天,廖老就提議給我一個測試,兩人一起完成四診後,就各自開處方給病人,看看學習成果如何?</span></div>
<div class="MsoNormal">
<span style="font-family: inherit;"><br /></span></div>
<div class="MsoNormal">
<span style="font-family: inherit;"><span>我們一同完成四診後,就終止交流,各自遮蔽自己的處方,清楚記得大家都很緊張。當時我說</span><span>:「</span><span>我很緊張,但教授你為何也這麼緊張呢?</span><span>」</span></span></div>
<div class="MsoNormal">
<span style="font-family: inherit;"><br /></span></div>
<div class="MsoNormal">
<span style="font-family: inherit;"><span>她這樣說:「我</span><span>緊張是因為你考得不好是我的責任,是</span><span>我</span><span>教得不好。</span><span>」</span></span></div>
<div class="MsoNormal">
<span style="font-family: inherit;"><br /></span></div>
<div class="MsoNormal">
<span style="font-family: inherit;">這就是她的回應。真的很感謝,讓我可以遇上這位老師!</span></div>
<div class="MsoNormal">
<span style="font-family: inherit;"><br /></span></div>
<div class="MsoNormal">
<span style="font-family: inherit;">最後,大家擬好處方後,就拿出來核對。我們的處方大概也是十三、四味的藥物,當中只有兩味藥物不一樣但功能相近,其它全都一樣。立時大家都鬆一口氣!</span></div>
<div class="MsoNormal">
<span style="font-family: inherit;"><br /></span></div>
<div class="MsoNormal">
<span style="font-family: inherit;"><span>還記得廖老師當時這樣總結:「有些人認為中醫不科</span><span>學不能重複,但其實可以看見中醫思路是可以重複的。」</span></span></div>
<div class="MsoNormal">
<span style="font-family: inherit;"><br /></span></div>
<h2>
<span style="font-family: inherit;">內科臨床學習</span></h2>
<div class="MsoNormal">
<span style="font-family: inherit;"><span lang="EN-US" style="mso-hansi-font-family: "Times New Roman"; mso-no-proof: yes;"><!--[if gte vml 1]><v:shape id="內容版面配置區_x0020_4" o:spid="_x0000_i1026"
type="#_x0000_t75" alt="一張含有 個人, 室內, 牆, 桌 的圖片 描述是以非常高的可信度產生" style='width:340.2pt;
height:255pt;visibility:visible;mso-wrap-style:square'>
<v:imagedata src="file:///C:/Users/ewong/AppData/Local/Temp/msohtmlclip1/01/clip_image007.jpg"
o:title="一張含有 個人, 室內, 牆, 桌 的圖片 描述是以非常高的可信度產生"/>
</v:shape><![endif]--><!--[if !vml]--><!--[endif]--></span><span style="mso-ansi-language: ZH-TW; mso-hansi-font-family: "Times New Roman";"><o:p></o:p></span></span></div>
<div class="MsoNormal">
<span style="font-family: inherit;">也因為我當時的內科基礎不足,廖老就鼓勵我要多學內科臨床,她就讓我到成都跟鄧明仲老師學習,鄧老師是廖老師的丈夫。雖然跟鄧老師學習時間不長,但我已獲益良多、大開眼界。</span></div>
<div class="separator" style="clear: both; text-align: center;">
<span style="font-family: inherit;"><br /></span></div>
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiuf7OthLmeuuugD_Rw3JWlvt-S-wM4nnpBod8snKqgIIa2yih2HCS3DDQym8FAtZ4EpAMpSt2HNY-4VnpHIciix_cNpN76QCGnS7N3Z6S7sp_SZYThyphenhyphencG_HoHHTNetdhXBkfETxHEnCduz/s1600/4.jpg" style="margin-left: 1em; margin-right: 1em;"><span style="font-family: inherit;"><img border="0" data-original-height="779" data-original-width="1039" height="239" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiuf7OthLmeuuugD_Rw3JWlvt-S-wM4nnpBod8snKqgIIa2yih2HCS3DDQym8FAtZ4EpAMpSt2HNY-4VnpHIciix_cNpN76QCGnS7N3Z6S7sp_SZYThyphenhyphencG_HoHHTNetdhXBkfETxHEnCduz/s320/4.jpg" width="320" /></span></a></div>
<div class="MsoNormal">
<span style="font-family: inherit;"><br /></span></div>
<h2>
<span style="font-family: inherit;">兩位老師共通點</span></h2>
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjuaR3HLnCPrRto_2J3Q8RUz8X61hCIgV-lOFcygrDKDSFc1vderluFPX1KCsGwsb7aVDYWws-GSBwaBmwYHaS4Pd3lB1APLB5HjLpUgOPDhyiAEaDtGSMJqkEXfMgdYXEegYdBar7-Md36/s1600/5.jpg" style="margin-left: 1em; margin-right: 1em;"><span style="font-family: inherit;"><img border="0" data-original-height="779" data-original-width="1039" height="239" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjuaR3HLnCPrRto_2J3Q8RUz8X61hCIgV-lOFcygrDKDSFc1vderluFPX1KCsGwsb7aVDYWws-GSBwaBmwYHaS4Pd3lB1APLB5HjLpUgOPDhyiAEaDtGSMJqkEXfMgdYXEegYdBar7-Md36/s320/5.jpg" width="320" /></span></a></div>
<div class="MsoNormal">
<span style="font-family: inherit;"><span lang="EN-US" style="mso-hansi-font-family: "Times New Roman"; mso-no-proof: yes;"><!--[if gte vml 1]><v:shape id="圖片_x0020_7" o:spid="_x0000_i1025"
type="#_x0000_t75" alt="一張含有 個人, 男人, 建築物, 直立的 的圖片 描述是以非常高的可信度產生"
style='width:340.2pt;height:255pt;visibility:visible;mso-wrap-style:square'>
<v:imagedata src="file:///C:/Users/ewong/AppData/Local/Temp/msohtmlclip1/01/clip_image009.png"
o:title="一張含有 個人, 男人, 建築物, 直立的 的圖片 描述是以非常高的可信度產生"/>
</v:shape><![endif]--><!--[if !vml]--><!--[endif]--></span><span style="mso-ansi-language: ZH-TW; mso-hansi-font-family: "Times New Roman";"><o:p></o:p></span></span></div>
<div class="MsoNormal">
<span face=""arial" , sans-serif" style="font-family: inherit;"><br /></span></div>
<div class="MsoNormal">
<span face=""arial" , sans-serif" style="font-family: inherit;">兩位老師在教學上有一個共通點,就是「只要學生願意認真去學,他們都毫無保留去教。」真的是傾囊相授,他們真的是好老師!</span></div>
<div class="MsoNormal">
<span face=""arial" , sans-serif" style="font-family: inherit;"><br /></span></div>
<div class="MsoNormal">
<span face=""arial" , sans-serif" style="font-family: inherit;"><br /></span></div>
<h2>
<span face=""arial" , sans-serif" style="font-family: inherit;">家</span></h2>
<div class="MsoNormal">
<span face=""arial" , sans-serif" style="font-family: inherit;">到成都學習那些年間,每次都很喜歡待在老師家中。原因是那裡很有家的感覺。當時有機會跟他們一家相處,他們一家都生活得融洽和睦。每一個成員也很愛護這個家。可以看見廖老雖公務繁重,但家裡打理得井井有條,把家人的關係維繫得很親密。</span></div>
<div class="MsoNormal">
<span style="font-family: inherit;"><br /></span></div>
<h2>
<span face=""arial" , sans-serif" style="font-family: inherit;">關心病者</span></h2>
<div class="MsoNormal">
<span face=""arial" , sans-serif" style="font-family: inherit;">病人方面,找廖老的病人,病情通常是比較後期也比較嚴重,他們經常擔心視覺衰退致盲,心理負擔很重。廖老特別願意花時間在這些病人身上,她向病人清楚解釋病況,減免他們不必要的疑慮。她又耐心地去開導他們,讓病者情緒得以舒緩。</span></div>
<div class="MsoNormal">
<span style="font-family: inherit;"><br /></span></div>
<div class="MsoNormal">
<span face=""arial" , sans-serif" style="font-family: inherit;">這是廖老在香港最後一年的其中一個病例。患者本有情緒問題,左眼只有數指的視力;現在右眼又因黃斑反覆出血,1 年內玻璃體腔注射 Avastin 十多次並曾作激光治療,但視力沒有改善,令患者更加擔心焦慮。當時右眼視力只有 0.2。</span></div>
<div class="MsoNormal">
<span face=""arial" , sans-serif" style="font-family: inherit;"><br /></span></div>
<div class="MsoNormal">
<span style="font-family: inherit;"><span face=""arial" , sans-serif">廖老除處方中藥給這病者</span><span face=""arial" , sans-serif">外,還花了不少時間去跟患者傾談溝通,誘導患者思想朝向正面,妥善處理患者心理狀況。</span><span face=""arial" , sans-serif">經過了一個多月治療,右眼視力提升至差不多 0.5, 左眼亦有 0.1。黃斑出血開始受控,亦開始減少玻璃體腔注射,精神及情緒好轉,病者心理狀況明顯改善。</span></span></div>
<div class="MsoNormal">
<span style="font-family: inherit;"><br /></span></div>
<div class="MsoNormal">
<span style="font-family: inherit;"><span face=""arial" , sans-serif">老師離開香港時,叮囑我要好好照顧這病人。</span><span face=""arial" , sans-serif">經過一年多中醫治療後,黃斑已沒有出血也無需再次玻璃體腔注射。這病人至今視力仍穩定。現在她已變成了一位思想正面積極的長者。可見廖教授不單醫治她的眼睛,也醫治了她整個人。體現了中醫整體觀念。</span></span></div>
<div class="MsoNormal">
<span style="font-family: inherit;"><br /></span></div>
<h2>
<span face=""arial" , sans-serif" style="font-family: inherit;">對學生教導</span></h2>
<div class="MsoNormal">
<span face=""arial" , sans-serif" style="font-family: inherit;">廖老常教導, 要以患者益處為依歸,經常提醒我們看病要周密、用藥要精練、還要顧及病人需要。</span></div>
<div class="MsoNormal">
<span face=""arial" , sans-serif" style="font-family: inherit;"><br /></span></div>
<h2>
<span face=""arial" , sans-serif" style="font-family: inherit;">所看到的……</span></h2>
<div class="MsoNormal">
<span face=""arial" , sans-serif" style="font-family: inherit;">經過這些年跟隨廖老,我看到並歸納了以下幾點:</span></div>
<div class="MsoNormal">
</div>
<ul>
<li><span style="font-family: inherit;">中醫是活潑的,並不是一套死板醫學。</span></li>
<li><span style="font-family: inherit;">學習時要掌握教授的思路,更要學習老師待人處事的態度</span></li>
<li><span style="font-family: inherit;">在診室中,要用心聆聽病者的苦楚,費盡心思為他們醫治,更要以愛心相待。</span></li>
<li><span style="font-family: inherit;">關懷愛護身邊各人</span></li>
<li><span style="font-family: inherit;">要踏踏實實去辦事,態度要嚴謹</span></li>
</ul>
<span style="font-family: inherit;"><br />
</span><h2>
<span face=""arial" , sans-serif" style="font-family: inherit;">結語</span></h2>
<div class="MsoNormal">
<span face=""arial" , sans-serif" style="font-family: inherit;">廖老過去四處奔走講學,目的就是播種,讓中醫種子在各地萌芽﹅成長,讓病人得著成果!快要八十歲的她,現在還是每刻不辭勞苦地為中醫作出貢獻,為使命鞠躬盡瘁。她不單是一位好醫生﹅好老師,更是我們的模範。</span></div>
<div class="MsoNormal">
<span style="font-family: inherit;"><br /></span></div>
<div class="MsoNormal">
<span face=""arial" , sans-serif" style="font-family: inherit;">謝謝廖老師一直的付出!祝你幸福愉快!</span></div>
<div class="MsoNormal">
<span face=""arial" , sans-serif" style="font-family: inherit;">謝謝大家!</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<br />黃醫師http://www.blogger.com/profile/02383841515937588204noreply@blogger.com1tag:blogger.com,1999:blog-6947034395578750947.post-55546587095080863322018-05-18T10:00:00.000+08:002018-05-18T11:25:13.535+08:00腦下垂體腫瘤合併視神經病變之中醫眼科治療病例<br />
<div class="MsoNormal">
<span style="font-size: large;">患者 (50多歲,女性)於 2016/10/12 就診,自述<span style="font-family: , serif;">右眼視神經壞死失明多年。</span><span lang="EN-US">2016</span><span style="font-family: , serif;">年</span><span lang="EN-US">8</span><span style="font-family: , serif;">月因視物不清到西醫檢查(視野檢查請參閱下圖,</span>2016年8月25日左眼視野檢查<span style="font-family: , serif;">),當時診斷左眼青光眼</span><span lang="EN-US">,並</span><span style="font-family: , serif;">滴用降眼壓藥水。同年</span><span lang="EN-US">9</span><span style="font-family: , serif;">月中</span><span style="font-family: , serif;">診斷</span><span style="font-family: , serif;">腦下垂體腫瘤合併瘤內出血</span><span style="font-family: , serif;">壓迫視交叉</span><span lang="EN-US">,隨後</span><span style="font-family: , serif;">切除腫瘤</span><span style="font-family: , serif;">。</span></span></div>
<div class="MsoNormal">
<span style="font-size: large;">既往有<span style="font-family: , serif;">高膽固醇及高血壓病史,西藥控制良好。</span><span style="font-family: , serif;">停經</span><span lang="EN-US">10</span><span style="font-family: , serif;">年</span></span></div>
<div class="MsoNormal">
<span style="font-size: large;">中醫治療期間 (2016年12月)曾接受放射性治<span style="font-family: , serif;">療。</span></span></div>
<br />
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiyHnL8ZN_5M6UzqfY7MzuD1X8uJPRLrH6UGZgMNRsZggEZ_H0QL3nxCwLlFIYjTuABdJRv6hARGQUfsOJHkjuEU120ZBXqrVYVK4qvdLHoptxtpnL4l02k4EUg3dT_PUe8WaZI3kYd8c3u/s1600/vf+20160825.JPG" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" data-original-height="1600" data-original-width="1132" height="640" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiyHnL8ZN_5M6UzqfY7MzuD1X8uJPRLrH6UGZgMNRsZggEZ_H0QL3nxCwLlFIYjTuABdJRv6hARGQUfsOJHkjuEU120ZBXqrVYVK4qvdLHoptxtpnL4l02k4EUg3dT_PUe8WaZI3kYd8c3u/s640/vf+20160825.JPG" width="451" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">2016年8月25日左眼視野檢查</td></tr>
</tbody></table>
<div class="MsoNormal">
<span lang="EN-US"><o:p><br /></o:p></span></div>
<div class="MsoNormal">
<span style="font-size: large;">以上為<span style="font-family: , serif;">腦下垂體腫瘤切除</span>手術<span style="font-family: , serif;">前之視野,兩項指標 VFI (</span><span style="text-align: center;">71%</span><span style="font-family: , serif;">)及MD </span><span style="font-family: , serif;">(</span><span style="text-align: center;">-12.77dB</span><span style="font-family: , serif;">)</span><span style="font-family: , serif;">均遠低於正常。病者於 2016/10/12 起服用中藥,以下為其後視野檢查指標列表及相關視野檢查結果。可見摘除腫瘤及服用中藥後,視野指標有明顯改善。</span></span></div>
<div class="MsoNormal">
<span style="font-size: large;"><br /></span></div>
<div class="MsoNormal">
<span style="font-family: , serif; font-size: large;">過去視野檢查結果:</span></div>
<div align="center">
<table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: none; mso-border-alt: solid windowtext .5pt; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr>
<td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 138.25pt;" valign="top" width="184"><div align="center" class="MsoNormal" style="text-align: center;">
<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;">檢查日期</span><span lang="EN-US"><o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 138.25pt;" valign="top" width="184"><div align="center" class="MsoNormal" style="text-align: center;">
<span lang="EN-US">VFI<o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 138.3pt;" valign="top" width="184"><div align="center" class="MsoNormal" style="text-align: center;">
<span lang="EN-US">MD<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 138.25pt;" valign="top" width="184"><div align="center" class="MsoNormal" style="text-align: center;">
<span lang="EN-US">2016/8/25<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 138.25pt;" valign="top" width="184"><div align="center" class="MsoNormal" style="text-align: center;">
<span lang="EN-US">71%<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 138.3pt;" valign="top" width="184"><div align="center" class="MsoNormal" style="text-align: center;">
<span lang="EN-US">-12.77dB<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 138.25pt;" valign="top" width="184"><div align="center" class="MsoNormal" style="text-align: center;">
<span lang="EN-US">2017/1/23<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 138.25pt;" valign="top" width="184"><div align="center" class="MsoNormal" style="text-align: center;">
<span lang="EN-US">90%<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 138.3pt;" valign="top" width="184"><div align="center" class="MsoNormal" style="text-align: center;">
<span lang="EN-US">-4.78dB<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 138.25pt;" valign="top" width="184"><div align="center" class="MsoNormal" style="text-align: center;">
<span lang="EN-US">2017/4/8<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 138.25pt;" valign="top" width="184"><div align="center" class="MsoNormal" style="text-align: center;">
<span lang="EN-US">93%<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 138.3pt;" valign="top" width="184"><div align="center" class="MsoNormal" style="text-align: center;">
<span lang="EN-US">-3.76dB<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 138.25pt;" valign="top" width="184"><div align="center" class="MsoNormal" style="text-align: center;">
<span lang="EN-US">2017/7/15<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 138.25pt;" valign="top" width="184"><div align="center" class="MsoNormal" style="text-align: center;">
<span lang="EN-US">96%<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 138.3pt;" valign="top" width="184"><div align="center" class="MsoNormal" style="text-align: center;">
<span lang="EN-US">-2.53dB<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 138.25pt;" valign="top" width="184"><div align="center" class="MsoNormal" style="text-align: center;">
<span lang="EN-US">2017/8/1<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 138.25pt;" valign="top" width="184"><div align="center" class="MsoNormal" style="text-align: center;">
<span lang="EN-US">97%<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 138.3pt;" valign="top" width="184"><div align="center" class="MsoNormal" style="text-align: center;">
<span lang="EN-US">-1.52dB<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 138.25pt;" valign="top" width="184"><div align="center" class="MsoNormal" style="text-align: center;">
<span lang="EN-US">2017/12/9<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 138.25pt;" valign="top" width="184"><div align="center" class="MsoNormal" style="text-align: center;">
<span lang="EN-US">96%<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 138.3pt;" valign="top" width="184"><div align="center" class="MsoNormal" style="text-align: center;">
<span lang="EN-US">-1.85dB<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 138.25pt;" valign="top" width="184"><div align="center" class="MsoNormal" style="text-align: center;">
<span lang="EN-US">2018/3/10<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 138.25pt;" valign="top" width="184"><div align="center" class="MsoNormal" style="text-align: center;">
<span lang="EN-US">96%<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 138.3pt;" valign="top" width="184"><div align="center" class="MsoNormal" style="text-align: center;">
<span lang="EN-US">-1.50dB<o:p></o:p></span></div>
</td>
</tr>
</tbody></table>
</div>
<div>
<br /></div>
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi5XgKDcBEo9Y7w7afrrOBP5zBUdTguvVgzAgeBINUaQaERGiHxQUtydJJKaGK8jM9KIMdgoFM7K4K0tPgGojywg_RtOg7tPojbFstd3EGMUSk7G5Wru_wOsfxDSc4zdbW_yRMPNWFyQTyL/s1600/vf+os+combined.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1600" data-original-width="963" height="640" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi5XgKDcBEo9Y7w7afrrOBP5zBUdTguvVgzAgeBINUaQaERGiHxQUtydJJKaGK8jM9KIMdgoFM7K4K0tPgGojywg_RtOg7tPojbFstd3EGMUSk7G5Wru_wOsfxDSc4zdbW_yRMPNWFyQTyL/s640/vf+os+combined.jpg" width="384" /></a></div>
<div>
<br /></div>
<div>
<br /></div>
<div>
<br /></div>
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhTwihmQ6-jOIcrFV9JcqvFPAP2Yh_BuedjRXxCyG2d6fjjD10Edc2Dp1cPrU90ZUKbzXX58MRejlQRtbw8pR_OSBifq2WgcpiZqMveqkn31Wl-2e2GEizKeg2SEX8gH4bvQ5MscDTqec0l/s1600/vfi+os+gpa.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="364" data-original-width="1081" height="212" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhTwihmQ6-jOIcrFV9JcqvFPAP2Yh_BuedjRXxCyG2d6fjjD10Edc2Dp1cPrU90ZUKbzXX58MRejlQRtbw8pR_OSBifq2WgcpiZqMveqkn31Wl-2e2GEizKeg2SEX8gH4bvQ5MscDTqec0l/s640/vfi+os+gpa.jpg" width="640" /></a></div>
<div class="separator" style="clear: both; text-align: center;">
<br /></div>
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgUT7x9TTLEGV30Uext3L5JSnb76WlsWtU24jclPhcxeQH9ds4CWFnomM5voNNEcE-Rex6E2E6Vtapr2hCP5I_a-TsV1HNjbjd0xZKaug8mcmPRGL6MzsCApw7gsd24bz6_-1s-NXF17_5G/s1600/md+os+gpa.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="483" data-original-width="1424" height="216" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgUT7x9TTLEGV30Uext3L5JSnb76WlsWtU24jclPhcxeQH9ds4CWFnomM5voNNEcE-Rex6E2E6Vtapr2hCP5I_a-TsV1HNjbjd0xZKaug8mcmPRGL6MzsCApw7gsd24bz6_-1s-NXF17_5G/s640/md+os+gpa.jpg" width="640" /></a></div>
<div class="separator" style="clear: both; text-align: center;">
<br /></div>
<div class="separator" style="clear: both; text-align: left;">
<span style="font-size: large;">患者右眼早已失明,左眼因腫瘤出血壓迫視神經及青光眼而導致視神經受損,引致大範圍視野缺損,</span><span style="font-size: large;">明顯影響</span><span style="font-size: large;">患者日常生活。患者經過一年多中醫眼科治療,視野檢查結果顯示左眼視覺功能持續改善,患者工作及生活亦已基本恢復正常。</span></div>
<div class="separator" style="clear: both; text-align: left;">
<span style="font-size: large;"><br /></span></div>
<div class="separator" style="clear: both; text-align: left;">
<span style="font-size: large;">一般認為視神經受損引致視功能喪失不易恢復,但此例可見在摘除腫瘤後經中醫治療視覺功能有明顯改善,可見中醫藥對此例視功能康復有其突出作用。</span></div>
<br />黃醫師http://www.blogger.com/profile/02383841515937588204noreply@blogger.com0tag:blogger.com,1999:blog-6947034395578750947.post-52872287595169715302017-11-14T13:50:00.001+08:002017-11-14T14:36:44.306+08:00糖尿病視網膜病變<div class="MsoBodyText3">
<span style="font-family: inherit;"><span style="font-size: 14.0pt; line-height: 150%;"> 「糖尿病視網膜病變」一般亦稱為「糖尿上眼」,</span><span style="font-size: 14.0pt; line-height: 150%;">是</span><span style="font-size: 14.0pt; line-height: 150%;">糖尿病</span><span style="font-size: 14.0pt; line-height: 150%;">併發症之一,亦即中醫</span><span style="font-size: 14.0pt; line-height: 150%;">之</span><span style="font-size: 14.0pt; line-height: 150%;">「消渴目病」。早期症狀主要為視力下降及視物變形。若視網膜少量出血</span><span style="font-size: 14.0pt; line-height: 150%;">進</span><span style="font-size: 14.0pt; line-height: 150%;">入玻璃體</span><span style="font-size: 14.0pt; line-height: 150%;">腔</span><span style="font-size: 14.0pt; line-height: 150%;">,則</span><span style="font-size: 14.0pt; line-height: 150%;">病者</span><span style="font-size: 14.0pt; line-height: 150%;">自覺黑影飄動</span><span style="font-size: 14.0pt; line-height: 150%;">或視物模糊</span><span style="font-size: 14.0pt; line-height: 150%;">。當</span><span style="font-size: 14.0pt; line-height: 150%;">視網膜</span><span style="font-size: 14.0pt; line-height: 150%;">大量出血進入玻璃體腔,則視力嚴重</span><span style="font-size: 14.0pt; line-height: 150%;">下降</span><span style="font-size: 14.0pt; line-height: 150%;">,甚</span><span style="font-size: 14.0pt; line-height: 150%;">至</span><span style="font-size: 14.0pt; line-height: 150%;">僅存光感。</span><span style="font-size: 14.0pt; line-height: 150%;"><o:p></o:p></span></span></div>
<div class="MsoBodyText3">
<span style="font-family: inherit; font-size: 14.0pt; line-height: 150%;"><br /></span></div>
<div class="MsoBodyText3">
<span style="font-family: inherit;"><span style="font-size: 14.0pt; line-height: 150%;"> </span><span style="font-size: 14.0pt; line-height: 150%;">糖尿病</span><span style="font-size: 14.0pt; line-height: 150%;">亦可引致其</span><span style="font-size: 14.0pt; line-height: 150%;">他</span><span style="font-size: 14.0pt; line-height: 150%;">嚴重</span><span style="font-size: 14.0pt; line-height: 150%;">眼科併發症</span><span style="font-size: 14.0pt; line-height: 150%;">,如</span><span style="font-size: 14.0pt; line-height: 150%;">視網膜脫離、繼發性青光眼,</span><span style="font-size: 14.0pt; line-height: 150%;">兩者均會</span><span style="font-size: 14.0pt; line-height: 150%;">導致視力明顯下降及視野缺損,甚或失明。</span></span></div>
<div class="MsoBodyText3">
<span style="font-family: inherit; font-size: 14.0pt; line-height: 150%;"><br /></span></div>
<div class="MsoBodyText3" style="text-indent: 0px;">
<span style="font-family: inherit;"><span style="font-size: 14pt; text-indent: 24pt;"><span style="color: #666633;"> </span>由於此病眼局部病變是多種多樣,故透過眼底檢查、螢光造影、</span><span lang="EN-US" style="font-size: 14pt; text-indent: 24pt;">OCT</span><span lang="ZH-HK" style="font-size: 14pt; text-indent: 24pt;">等檢查</span><span style="font-size: 14pt; text-indent: 24pt;">方法</span><span lang="ZH-HK" style="font-size: 14pt; text-indent: 24pt;">對中醫眼科治療是有</span><span style="font-size: 14pt; text-indent: 24pt;">不少</span><span lang="ZH-HK" style="font-size: 14pt; text-indent: 24pt;">幫助,在治療中可歸納</span><span style="font-size: 14pt; text-indent: 24pt;">它們</span><span lang="ZH-HK" style="font-size: 14pt; text-indent: 24pt;">為中醫望診內容。此病</span><span style="font-size: 14pt; text-indent: 24pt;">常見</span><span lang="ZH-HK" style="font-size: 14pt; text-indent: 24pt;">病變為視網膜出血、水腫、滲出、新生血管等</span><span style="font-size: 14pt; text-indent: 24pt;">。</span><span style="font-size: 14pt; text-indent: 24pt;">中醫眼科會針對上述不同情況而選用不同藥物,以提高療效及改善視力</span><span lang="ZH-HK" style="font-size: 14pt; text-indent: 24pt;">,這是中醫</span><span style="font-size: 14pt; text-indent: 24pt;">眼科</span><span lang="ZH-HK" style="font-size: 14pt; text-indent: 24pt;">治療</span><span style="font-size: 14pt; text-indent: 24pt;">此</span><span lang="ZH-HK" style="font-size: 14pt; text-indent: 24pt;">病</span><span style="font-size: 14pt; text-indent: 24pt;">其中一個獨特之處</span><span lang="ZH-HK" style="font-size: 14pt; text-indent: 24pt;">。</span></span></div>
<div class="MsoNormal" style="mso-pagination: none; text-indent: 24.0pt;">
<span lang="ZH-HK" style="font-family: "微軟正黑體" , sans-serif; font-size: 14.0pt;"><br /></span></div>
<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhkmxqqoGOP28iQX7vQLcEGgIJkcn16BuDtzdxkXVwqu4Fy0YJhWQXS-T_G6eJgZtKDDGWQbgBfmTevCN-YK8x8p1X7Ei62nOAatey_OlLBCyvkrN84P5Si3RLKc4D0Pvqrpx5q_ZVMhbD5/s1600/%25E6%25AD%25A3%25E5%25B8%25B8_0004.JPG" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" data-original-height="1067" data-original-width="1600" height="213" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhkmxqqoGOP28iQX7vQLcEGgIJkcn16BuDtzdxkXVwqu4Fy0YJhWQXS-T_G6eJgZtKDDGWQbgBfmTevCN-YK8x8p1X7Ei62nOAatey_OlLBCyvkrN84P5Si3RLKc4D0Pvqrpx5q_ZVMhbD5/s320/%25E6%25AD%25A3%25E5%25B8%25B8_0004.JPG" width="320" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">圖一 正常眼底</td></tr>
</tbody></table>
<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgQeEB9DW7AD4rWPdJ99kiUH0zjsRQG-B7qFipBnVTyRowA1p2swzwkm6eMF1EIdUqB18uXG80MkZaMxNIOSPNc2f4CK1Jfo6aqg40AXY8gWaEjqSvJ0pEQcoDc0RiQdS7hiRQTvQ8KP9gM/s1600/%25E9%259D%259E%25E5%25A2%259E%25E6%25AE%2596%25E5%259E%258B%25E7%25B3%2596%25E5%25B0%25BF%25E7%2597%2585%25E6%2580%25A7%25E8%25A6%2596%25E7%25B6%25B2%25E8%2586%259C%25E7%2597%2585%25E8%25AE%258A_2228.JPG" imageanchor="1" style="font-size: medium; margin-left: auto; margin-right: auto;"><img border="0" data-original-height="1067" data-original-width="1600" height="213" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgQeEB9DW7AD4rWPdJ99kiUH0zjsRQG-B7qFipBnVTyRowA1p2swzwkm6eMF1EIdUqB18uXG80MkZaMxNIOSPNc2f4CK1Jfo6aqg40AXY8gWaEjqSvJ0pEQcoDc0RiQdS7hiRQTvQ8KP9gM/s320/%25E9%259D%259E%25E5%25A2%259E%25E6%25AE%2596%25E5%259E%258B%25E7%25B3%2596%25E5%25B0%25BF%25E7%2597%2585%25E6%2580%25A7%25E8%25A6%2596%25E7%25B6%25B2%25E8%2586%259C%25E7%2597%2585%25E8%25AE%258A_2228.JPG" width="320" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">圖二 視網膜黃斑區出血及滲出</td></tr>
</tbody></table>
<div class="MsoNormal" style="mso-pagination: none; text-indent: 24.0pt;">
<br />
<span lang="ZH-HK" style="font-family: "微軟正黑體" , sans-serif; font-size: 14.0pt;"></span></div>
<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjcsQQoiJNs5bBLKuHqkLYWgwzlXYIGe5sfyd7M4HoB8uAVJgEVEBpcfF-CMJUj7ZlNChsOfaRLnZcJ9S-0WJxfBhpXe6Hg51BvygI5JxVYSte55QjFJTwNYQqWtwD9KMeFit239WRSchH-/s1600/%25E5%25A2%259E%25E6%25AE%2596%25E5%259E%258B%25E7%25B3%2596%25E5%25B0%25BF%25E7%2597%2585%25E6%2580%25A7%25E8%25A6%2596%25E7%25B6%25B2%25E8%2586%259C%25E7%2597%2585%25E8%25AE%258A_0052.JPG" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" data-original-height="1067" data-original-width="1600" height="213" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjcsQQoiJNs5bBLKuHqkLYWgwzlXYIGe5sfyd7M4HoB8uAVJgEVEBpcfF-CMJUj7ZlNChsOfaRLnZcJ9S-0WJxfBhpXe6Hg51BvygI5JxVYSte55QjFJTwNYQqWtwD9KMeFit239WRSchH-/s320/%25E5%25A2%259E%25E6%25AE%2596%25E5%259E%258B%25E7%25B3%2596%25E5%25B0%25BF%25E7%2597%2585%25E6%2580%25A7%25E8%25A6%2596%25E7%25B6%25B2%25E8%2586%259C%25E7%2597%2585%25E8%25AE%258A_0052.JPG" width="320" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">圖三 視網膜出血及棉絮斑</td></tr>
</tbody></table>
<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgzjLZyWyy25ikBNd9KIyCtl2S6JrDWWQskm_FuJIosftHfhUsBHSa38UX0zG_Kgmv7nHT_U9qS4sSApWff0V8ZGSzSnRnT0IEv-N1TvAeW80joF0nFNSrA1IB-GhESGrX2gbp5S8Ao9LUE/s1600/drhaem.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" data-original-height="1067" data-original-width="1600" height="213" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgzjLZyWyy25ikBNd9KIyCtl2S6JrDWWQskm_FuJIosftHfhUsBHSa38UX0zG_Kgmv7nHT_U9qS4sSApWff0V8ZGSzSnRnT0IEv-N1TvAeW80joF0nFNSrA1IB-GhESGrX2gbp5S8Ao9LUE/s320/drhaem.jpg" width="320" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">圖四 玻璃體膜下出血</td></tr>
</tbody></table>
<div class="separator" style="clear: both; text-align: center;">
<br /></div>
<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhlGxJbQ-vbLyJ_J8CfqJl_7-zHoCeYEVslwFCZScENfypsZUcMNG8bsIPiG7Q789t5X_GeSyXLj0pGXQgQDHtqtUuWJ0qwC9ZaQDwGAgp1Cl1n2V6Avw-LK4loiWT-N1Jnw3Kkd0xHaW8e/s1600/meoct.jpeg" imageanchor="1" style="font-size: medium; margin-left: auto; margin-right: auto;"><img border="0" data-original-height="703" data-original-width="1055" height="213" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhlGxJbQ-vbLyJ_J8CfqJl_7-zHoCeYEVslwFCZScENfypsZUcMNG8bsIPiG7Q789t5X_GeSyXLj0pGXQgQDHtqtUuWJ0qwC9ZaQDwGAgp1Cl1n2V6Avw-LK4loiWT-N1Jnw3Kkd0xHaW8e/s320/meoct.jpeg" width="320" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">圖五 黃斑水腫(OCT 掃瞄檢查)</td></tr>
</tbody></table>
<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjZxuMlMaBKaEOJL9sv7skbb92lcniBCiB-Oa8PQqs0D2ypOkiQzvOOwzMWm3eNn-HnkX5kyPZ0jcLanD3luoLEMu2QoKgLkrxx4Fipgd6CLnSK4ll5Rk9X9Ao-GDGg_Ga6fCwvrllvDUXS/s1600/%25E7%258E%25BB%25E7%2592%2583%25E9%25AB%2594%25E5%2587%25BA%25E8%25A1%2580.JPG" imageanchor="1" style="margin-left: auto; margin-right: auto; text-align: center;"><img border="0" data-original-height="1067" data-original-width="1600" height="213" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjZxuMlMaBKaEOJL9sv7skbb92lcniBCiB-Oa8PQqs0D2ypOkiQzvOOwzMWm3eNn-HnkX5kyPZ0jcLanD3luoLEMu2QoKgLkrxx4Fipgd6CLnSK4ll5Rk9X9Ao-GDGg_Ga6fCwvrllvDUXS/s320/%25E7%258E%25BB%25E7%2592%2583%25E9%25AB%2594%25E5%2587%25BA%25E8%25A1%2580.JPG" width="320" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">圖六 玻璃體積血</td></tr>
</tbody></table>
<br />
<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgaf_dw1eprVynskGLE866-PYMBK4YwB_KEq3lqYbJL_t10HAIEcEE4KPdcRWbL8gPDU6BSNphgCeKyAZ4MwGmdd7_KiUM_wNI4WhwlJr3YCzGb7hLp2LFioobwp9Q8ZTfNZJNSCXgMM5f0/s1600/vithaem.JPG" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" data-original-height="1067" data-original-width="1600" height="213" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgaf_dw1eprVynskGLE866-PYMBK4YwB_KEq3lqYbJL_t10HAIEcEE4KPdcRWbL8gPDU6BSNphgCeKyAZ4MwGmdd7_KiUM_wNI4WhwlJr3YCzGb7hLp2LFioobwp9Q8ZTfNZJNSCXgMM5f0/s320/vithaem.JPG" width="320" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">圖七 視網膜出血滲入玻璃體致積血,此眼仍隱約可見眼底部份結構</td></tr>
</tbody></table>
<br />
<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj_n2_Cc1KaJetOp-MpypBBesY3Ty3RWkpTdS5HEpf0Cp_58eQFW7_lo4dzjF7kiGUrwnJaSP_CdI_6jDBzXsE_49MyNKtRmfSquckYnFWw1QhenOE1OaRaQ9GHu3zee-2E4sMBjMe-Uigi/s1600/%25E5%258F%258D%25E8%25A6%2586%25E5%2587%25BA%25E8%25A1%2580%25E5%25B0%258E%25E7%258E%25AB%25E9%25BB%2583%25E6%2596%2591%25E7%2596%25A4%25E7%2597%2595.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" data-original-height="1067" data-original-width="1600" height="213" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj_n2_Cc1KaJetOp-MpypBBesY3Ty3RWkpTdS5HEpf0Cp_58eQFW7_lo4dzjF7kiGUrwnJaSP_CdI_6jDBzXsE_49MyNKtRmfSquckYnFWw1QhenOE1OaRaQ9GHu3zee-2E4sMBjMe-Uigi/s320/%25E5%258F%258D%25E8%25A6%2586%25E5%2587%25BA%25E8%25A1%2580%25E5%25B0%258E%25E7%258E%25AB%25E9%25BB%2583%25E6%2596%2591%25E7%2596%25A4%25E7%2597%2595.jpg" width="320" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">圖八 反覆出血導致黃斑部疤痕,嚴重影響視力</td></tr>
</tbody></table>
<div class="separator" style="clear: both; text-align: center;">
</div>
<br />
<div style="text-indent: 0px;">
<span style="text-indent: 24pt;"> </span><span style="font-family: , sans-serif; font-size: 14pt; text-indent: 24pt;">中醫按病程各階段作相對應治療,於急性出血時更可配合針灸,務求病情穩定下來。</span><span style="font-family: , sans-serif; font-size: 14pt; text-indent: 24pt;"> </span></div>
<div style="text-indent: 0px;">
<br /></div>
<div class="MsoNormal" style="mso-pagination: none; text-indent: 24.0pt;">
<span style="font-family: inherit; font-size: 14.0pt;">中醫眼科於此病早期已可積極介入治療,減慢病程進一步轉壞及提高視覺功能;若已到病情後期,儘量減輕患者視覺功能衰退,並減低其他更嚴重併發症出現之機會。</span><span style="font-family: "微軟正黑體" , sans-serif; font-size: 14.0pt;"><o:p></o:p></span></div>
黃醫師http://www.blogger.com/profile/02383841515937588204noreply@blogger.com0tag:blogger.com,1999:blog-6947034395578750947.post-4335054731650917252017-10-09T17:31:00.001+08:002017-10-13T17:48:24.080+08:00「眼瘡」、「針眼」<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjlWqZBkfksopRzPow1NLjyCVihiTVe6XHOZXEvQmJ2RDiEYx-OhIGURlpgZt32Qw3Q9794uNdtO_-pSzOROoUnMHQl0TaVnycCeWrVWHeheo9_Tkn3S-Kqn5WsKlMniPePysR2XJ_Nx6-F/s1600/stye2.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><span style="font-size: large;"><img border="0" data-original-height="470" data-original-width="785" height="191" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjlWqZBkfksopRzPow1NLjyCVihiTVe6XHOZXEvQmJ2RDiEYx-OhIGURlpgZt32Qw3Q9794uNdtO_-pSzOROoUnMHQl0TaVnycCeWrVWHeheo9_Tkn3S-Kqn5WsKlMniPePysR2XJ_Nx6-F/s320/stye2.jpg" width="320" /></span></a></div>
<div class="separator" style="clear: both; text-align: center;">
</div>
<span style="font-size: large;"><br /></span>
<span style="font-size: large;"><br /></span>
<span style="font-size: large;">「眼瘡」俗稱「眼挑針」,西醫病名為「麥粒腫」,是一種常見眼瞼疾患。主要因眼瞼邊緣皮脂腺體受感染而導致瞼緣紅腫,並伴有疼痛等症狀。西醫一般以眼藥水及眼藥膏並輔以熱敷治療。如未能奏效則可能要切開排膿。</span><br />
<span style="font-size: large;"><br /></span>
<div class="separator" style="clear: both; text-align: center;">
</div>
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEguF1_GyNtr8ZIXQ7E-ffRr2MIsjr7lY3iEFIcyAuQU4JqNXAfXc7CHSUiknCY6zNu7khL0aaM9iQKnEwDJkXGGP0nrMeQjjZUzdCczey4gM2wlTcgGDOIoIpBE9FCsWt3trbNYjFGSV73R/s1600/stye.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><span style="font-size: large;"><img border="0" data-original-height="763" data-original-width="1275" height="191" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEguF1_GyNtr8ZIXQ7E-ffRr2MIsjr7lY3iEFIcyAuQU4JqNXAfXc7CHSUiknCY6zNu7khL0aaM9iQKnEwDJkXGGP0nrMeQjjZUzdCczey4gM2wlTcgGDOIoIpBE9FCsWt3trbNYjFGSV73R/s320/stye.jpg" width="320" /></span></a></div>
<div class="separator" style="clear: both; text-align: center;">
</div>
<span style="font-size: large;"><br /></span>
<span style="font-size: large;">在我們的診所處,不少患者都是因反覆發作而來求診,大多是小孩,可能跟他們未能處理好個人衞生有關。由於小孩需要全身麻醉才能動這類排膿手術,所以父母均寄望不再動手術。</span><br />
<span style="font-size: large;"><br /></span>
<span style="font-size: large;">此病中醫病名為「針眼」,亦名「偷針」。其名由來是從治療方法針刺而得名。《證治準繩》引用了《薜氏醫案》,謂:「世傳眼眦初生小疱,視其背上即有細紅點如癤,以針刺破,眼時即瘥,故名偷針。」</span><br />
<span style="font-size: large;"><br /></span>
<span style="font-size: large;">中醫治療講求辨證施治,沒有特定治療藥物,只有常見證型及常用治療法則。常見有風熱型,另外脾胃積熱也屬常見。</span><br />
<span style="font-size: large;"><br /></span>
<span style="font-size: large;">治療患者時除考慮其病史及體質,也要觀察病灶形態<span style="background-color: white; color: #222222; font-family: "arial" , "tahoma" , "helvetica" , "freesans" , sans-serif;">、</span>顏色<span style="background-color: white; color: #222222; font-family: "arial" , "tahoma" , "helvetica" , "freesans" , sans-serif;">、</span>觸感<span style="background-color: white; color: #222222; font-family: "arial" , "tahoma" , "helvetica" , "freesans" , sans-serif;">、</span>成膿或潰膿等。這些都是我們四診需要收集的內容,也是利用它們作為辨證論治依據。</span><br />
<span style="font-size: large;"><br /></span>
<span style="font-size: large;">一般未成膿只需要一週治療時間,如已成膿或反覆發作則需時較長,如急性炎症後餘有腫物則配以中醫散結等方法治療。患者同時亦需注意眼睛衞生及忌食辛辣燥熱等食物,經治療後一般都能痊癒。</span><br />
<br />黃醫師http://www.blogger.com/profile/02383841515937588204noreply@blogger.com0tag:blogger.com,1999:blog-6947034395578750947.post-47667886990546380632017-08-23T15:44:00.003+08:002017-08-23T15:44:53.745+08:00「有實無名」的徒弟最近有位健談長者病人看過了這裡的文章,問了些問題,其中一個是為何是鄧老(廖老的丈夫)收我作徒,而非廖老?他真的看得很仔細!我跟他解釋是因為廖老在國內有所屬單位,在國內他們這些老中醫收徒是按規章收錄,而徒弟亦要符合相關資格,例如要博士或教授級或以上資歷等等。雖然跟廖老臨床時間最長,可惜我不符條件。<br /><br />記得多年前(大概跟廖老七、八年後)有一次到成都跟鄧老門診的兩星期中,有天晚上鄧老在一家人晚飯中跟大家說收我作徒,還打趣說廖老師是「鄧廖氏」一切都跟隨鄧老自己,他還說:「廖老師很滿意你,也希望你好好學習,讓我也滿意!」可見這是他們悉心安排,實在感謝這兩位老師。<br /><br />近年國家積極推動中醫師徒傳承,今年中廖老獲選為國醫大師(全國中醫眼科大師應只有兩人)後,廖老所屬單位亦為她安排收新一批徒弟,當然不少學生都積極爭取。但廖老對院長要求要等待到明年才進行拜師儀式,原因是讓我這學生先準備好各項文件及證明到明年才一起收徒,因我是跟她最長臨床的學生,還跟他們說我是她「有實無名」的徒弟。😄。<br /><br />在到成都探望廖老的當天,她遞過國醫大師徒弟申報資格給我看時,被我發現原來我也沒有資格了,因剛超齡!😅<br />雖然暫時未能在國家機制下成為她名下徒弟,但最值得高興是有兩位這麼重視及關心自己大師!已經不用多求!<div>
<div>
<br /></div>
</div>
黃醫師http://www.blogger.com/profile/02383841515937588204noreply@blogger.com0tag:blogger.com,1999:blog-6947034395578750947.post-34435804254237737792017-06-25T17:21:00.000+08:002017-06-26T14:36:07.596+08:00新科技 與 中醫眼科現今醫療科技一日千里,十八世紀西方發明了不同技術檢查眼睛可診斷出不同的眼疾,包括了眼底燈、眼壓計、裂隙燈、視野檢查等。我認為眼底燈是最有趣的發明,因為利用它可透過瞳孔直接觀看到視網膜上各個組織(圖1)包括視盤、黃斑區、玻璃體等,最特別的是可以看到視網膜上的血管及它們的搏動,整個身體只有在這裡才可直接觀察血管的形態。<br />
<br />
<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj2KA6WuR0yaBehPJxvl-yw8-mlTq0DKD1lUgXCQ7Qp7t6yVw4xIO9FgyKRxBSqrEwia-40ubNShvclERO5NvnXT8Vq5dRmOrNRdJHG_RVx2c7kpQSv2zZ8D-lpPQRsJcoVsdgiFqKFH4uC/s1600/NORMAL.JPG" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" data-original-height="1067" data-original-width="1600" height="213" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj2KA6WuR0yaBehPJxvl-yw8-mlTq0DKD1lUgXCQ7Qp7t6yVw4xIO9FgyKRxBSqrEwia-40ubNShvclERO5NvnXT8Vq5dRmOrNRdJHG_RVx2c7kpQSv2zZ8D-lpPQRsJcoVsdgiFqKFH4uC/s320/NORMAL.JPG" width="320" /></a></td></tr>
<tr><td class="tr-caption">圖1</td></tr>
</tbody></table>
<br />
<span style="color: #222222; font-family: "pmingliu" , serif;"><span style="background-color: white;"><br /></span></span>
<br />
<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgnkrPK68900d3PNeM9d-M2fW5CGwCXzWLmLEPQRrtJMq6VYrwpDPV3UlBP_18QeWvgk_CSfup1r9LGN2XrS4tYPVfqc9OvCCzKEZQXfvsqLlOL_1d3mKuXF_Kxjx0mRB2SrGkkYxb5O6iu/s1600/oct_2147.JPG" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" data-original-height="1600" data-original-width="1600" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgnkrPK68900d3PNeM9d-M2fW5CGwCXzWLmLEPQRrtJMq6VYrwpDPV3UlBP_18QeWvgk_CSfup1r9LGN2XrS4tYPVfqc9OvCCzKEZQXfvsqLlOL_1d3mKuXF_Kxjx0mRB2SrGkkYxb5O6iu/s320/oct_2147.JPG" width="320" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">圖2</td></tr>
</tbody></table>
<span style="color: #222222; font-family: "pmingliu" , serif;"><span style="background-color: white;"><br /></span></span>
<span style="color: #222222; font-family: "pmingliu" , serif;"><span style="background-color: white;">而近十多年因技術及電腦運算速度提升,更先進技術如 OCT (Optical coherence tomography,<span style="color: black; font-family: "times new roman"; font-size: 17.6px; text-align: center;">圖2</span>) 已被眼科界廣泛應用,它可進行角膜</span></span><span style="background-color: white; color: #222222; font-family: "pmingliu" , serif;">、前房</span><span style="background-color: white; color: #222222; font-family: "pmingliu" , serif;">、視網膜等掃瞄</span><span style="background-color: white; color: #222222; font-family: "pmingliu" , serif;">。利用傳統眼底檢查只可直接觀察視網膜表面上的結構,而這技術可以無創傷下將視網膜內每一層及其鄰近組織結構呈現於眼前(例子:黃斑裂孔,以下視頻),讓醫者對過往未能知悉眼疾及病理有更深入了解。它除了可將結果跟正常數據相比協助診斷外,更可</span><span style="background-color: white; color: #222222; font-family: "pmingliu" , serif;">配合不同軟件計算</span><span style="background-color: white; color: #222222; font-family: "pmingliu" , serif;">持續觀察治療進度(</span><span style="font-size: 17.6px; text-align: center;">圖3)</span><span style="background-color: white; color: #222222; font-family: "pmingliu" , serif;">。</span><br />
<span style="color: #222222; font-family: "pmingliu" , serif;"><span style="background-color: white;"><br /></span></span>
<br />
<div class="separator" style="clear: both; text-align: center;">
<br /></div>
<div class="separator" style="clear: both; text-align: center;">
<br /></div>
<div style="text-align: center;">
<iframe allowfullscreen="" class="YOUTUBE-iframe-video" data-thumbnail-src="https://i.ytimg.com/vi/k59pP_h0PSM/0.jpg" frameborder="0" height="266" src="https://www.youtube.com/embed/k59pP_h0PSM?feature=player_embedded" width="320"></iframe></div>
<span style="color: #222222; font-family: "pmingliu" , serif;"><span style="background-color: white;"><br /></span></span>
<span style="color: #222222; font-family: "pmingliu" , serif;"><span style="background-color: white;"><br /></span></span><br />
<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgyp8higVQPETo4Aq5YI73CKq9WFQ3Bp5OqrkUUCZLGzzQ5TY5KsFq-bgi9ODE1NS70C87ybgykFbM1dsLetvhXXbj2pxgU_4eIQ1B34lduRqqMO3djRGWmI1ou3LIeR3fo7S5032iwrGPe/s1600/report.png" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" data-original-height="794" data-original-width="1123" height="282" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgyp8higVQPETo4Aq5YI73CKq9WFQ3Bp5OqrkUUCZLGzzQ5TY5KsFq-bgi9ODE1NS70C87ybgykFbM1dsLetvhXXbj2pxgU_4eIQ1B34lduRqqMO3djRGWmI1ou3LIeR3fo7S5032iwrGPe/s400/report.png" width="400" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">圖3</td></tr>
</tbody></table>
<span style="color: #222222; font-family: "pmingliu" , serif;"><span style="background-color: white;"><br /></span></span>
<span style="color: #222222; font-family: "pmingliu" , serif;"><span style="background-color: white;">這技術在西醫眼科學已帶來了不少突破及創新,而</span></span><span style="color: #222222; font-family: "pmingliu" , serif;"><span style="background-color: white;">這些先進技術究竟在中醫當中可扮演甚麼角色?</span></span><br />
<span style="color: #222222; font-family: "pmingliu" , serif;"><span style="background-color: white;"><br /></span></span>
<span style="color: #222222; font-family: "pmingliu" , serif;"><span style="background-color: white;">個人認為它在中醫眼科裡,跟西醫眼科一樣,這技術的最基本功能就是讓我們可以有更清晰診斷,同時又可利用它去觀察病情進展及變化。</span></span><span style="color: #222222; font-family: "pmingliu" , serif;"><span style="background-color: white;">再進一步就是把</span></span><span style="background-color: white; color: #222222; font-family: "pmingliu" , serif;">我們過去未曾接觸過的病位及病理有一個更清晰理解。</span><br />
<span style="background-color: white; color: #222222; font-family: "pmingliu" , serif;"><br /></span>
<span style="background-color: white; color: #222222; font-family: "pmingliu" , serif;">過去中醫眼科有如視網膜屬肝腎</span><span style="background-color: white; color: #222222; font-family: "pmingliu" , serif;">、脈絡膜屬心</span><span style="background-color: white; color: #222222; font-family: "pmingliu" , serif;">、黃斑屬脾</span><span style="background-color: white; color: #222222; font-family: "pmingliu" , serif;">等</span><span style="background-color: white; color: #222222; font-family: "pmingliu" , serif;">說法。舉例如黃斑病變雖屬脾,但又是否一定治脾?這不是必然,因它也是視網膜的一部份,也可以從肝腎入手;又或因氣血不調而致出血,可能又要調氣血。又如黃斑區有水腫,可以在視網膜內不同組織層,也可在視網膜下,那它們</span><span style="background-color: white; color: #222222; font-family: "pmingliu" , serif;">在不同部位從中醫理論考慮又會否有不同屬性?</span><br />
<span style="background-color: white; color: #222222; font-family: "pmingliu" , serif;"><br /></span>
<span style="background-color: white; color: #222222; font-family: "pmingliu" , serif;">中醫治療經常會同病</span><span style="background-color: white; color: #222222; font-family: "pmingliu" , serif;">異</span><span style="background-color: white; color: #222222; font-family: "pmingliu" , serif;">治,按辨證論治方法治癒疾病。而這些新技術讓我們有更可靠診斷,還可</span><span style="background-color: white; color: #222222; font-family: "pmingliu" , serif;">印證</span><span style="background-color: white; color: #222222; font-family: "pmingliu" , serif;">中醫眼科理論及療效,也有機會更實質地將</span><span style="background-color: white; color: #222222; font-family: "pmingliu" , serif;">中醫眼科理論具體化</span><span style="background-color: white; color: #222222; font-family: "pmingliu" , serif;">。</span>黃醫師http://www.blogger.com/profile/02383841515937588204noreply@blogger.com0tag:blogger.com,1999:blog-6947034395578750947.post-26329684062002987612017-05-03T21:51:00.000+08:002017-05-03T21:51:02.270+08:00又一個十年<div class="MsoNormal">
<span style="font-family: "pmingliu" , serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: PMingLiU; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">在中醫眼科裡已待了兩個十年,第一個是跟隨廖老臨床學習</span><span style="font-family: "pmingliu" , serif; mso-ascii-theme-font: minor-fareast; mso-fareast-font-family: PMingLiU; mso-fareast-theme-font: minor-fareast; mso-hansi-theme-font: minor-fareast;">、</span><span style="font-family: "pmingliu" , serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: PMingLiU; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">跟診</span><span style="font-family: "pmingliu" , serif; mso-ascii-theme-font: minor-fareast; mso-fareast-font-family: PMingLiU; mso-fareast-theme-font: minor-fareast; mso-hansi-theme-font: minor-fareast;">、實踐的十年;第二個就是放棄視光師職務而全身投入中醫眼科臨床的十年。<span lang="EN-US"><o:p></o:p></span></span><br />
<br />
<span style="font-family: "pmingliu" , serif; mso-ascii-theme-font: minor-fareast; mso-fareast-font-family: PMingLiU; mso-fareast-theme-font: minor-fareast; mso-hansi-theme-font: minor-fareast;">第一個十年有趣而又新鮮,能夠跟隨廖老實在是人生一大樂事,她的東西學之不盡,無論在中醫臨床</span><span style="font-family: "pmingliu" , serif;">、醫師德行</span><span style="font-family: "pmingliu" , serif;">、在診室內外待人處事</span><span style="font-family: "pmingliu" , serif;">、在家裡與家人</span><span style="font-family: "pmingliu" , serif;">關係等都成為了我的模範。</span><br />
<span style="font-family: "pmingliu" , serif; mso-ascii-theme-font: minor-fareast; mso-fareast-font-family: PMingLiU; mso-fareast-theme-font: minor-fareast; mso-hansi-theme-font: minor-fareast;"><br /></span>
<span style="font-family: "pmingliu" , serif;">第二個是充滿未知的十年,過去沒人曾成功辦到一個以中醫專治</span><span style="font-family: "pmingliu" , serif;">眼疾的</span><span style="font-family: "pmingliu" , serif;">診所。當初只憑著從廖老所傳的醫術及對中醫眼科治療眼疾優勢之信心,在沒有多少人認識中醫眼科之大環境下</span><span style="font-family: "pmingliu" , serif;">探索前行。這十年</span><span style="font-family: "pmingliu" , serif;">以推廣中醫眼科為目標,</span><span style="font-family: "pmingliu" , serif;">取到了一些成績。多了朋友</span><span style="font-family: "pmingliu" , serif;">、病者</span><span style="font-family: "pmingliu" , serif;">、</span><span style="font-family: "pmingliu" , serif;">西醫眼科醫生等對</span><span style="font-family: "pmingliu" , serif;">中醫眼科多了</span><span style="font-family: pmingliu, serif;">認識</span><span style="font-family: "pmingliu" , serif;">。期間亦讓我體驗到中醫不單是治病,更透過中醫整體觀念使患者在各方面及裡外都得到醫治。</span><br />
<span style="font-family: "pmingliu" , serif;"><br /></span>
<span style="font-family: "pmingliu" , serif; mso-ascii-theme-font: minor-fareast; mso-fareast-font-family: PMingLiU; mso-fareast-theme-font: minor-fareast; mso-hansi-theme-font: minor-fareast;">在想第三個十年裡應該如何執行"澄明堂"使命</span><span style="font-family: "pmingliu" , serif;">(</span><span style="font-family: pmingliu, serif;">"澄明"</span><span style="font-family: pmingliu, serif;">即</span><span style="font-family: pmingliu, serif;">讓人看見。</span><span style="font-family: pmingliu, serif;">除使眼睛看見外,亦嘗試讓人看見生命)</span><span style="font-family: "pmingliu" , serif; mso-ascii-theme-font: minor-fareast; mso-fareast-font-family: PMingLiU; mso-fareast-theme-font: minor-fareast; mso-hansi-theme-font: minor-fareast;">。在治療方面,診所</span><span style="font-family: "pmingliu" , serif;">現</span><span style="font-family: "pmingliu" , serif; mso-ascii-theme-font: minor-fareast; mso-fareast-font-family: PMingLiU; mso-fareast-theme-font: minor-fareast; mso-hansi-theme-font: minor-fareast;">已配置了不同眼科檢查儀器,</span><span lang="ZH-HK" style="font-family: "pmingliu" , serif; mso-ascii-theme-font: minor-fareast; mso-fareast-font-family: PMingLiU; mso-fareast-language: ZH-HK; mso-fareast-theme-font: minor-fareast; mso-hansi-theme-font: minor-fareast;">如眼壓計、眼底攝影機</span><span style="font-family: "pmingliu" , serif;">、</span><span lang="ZH-HK" style="font-family: "pmingliu" , serif; mso-ascii-theme-font: minor-fareast; mso-fareast-font-family: PMingLiU; mso-fareast-language: ZH-HK; mso-fareast-theme-font: minor-fareast; mso-hansi-theme-font: minor-fareast;">視野分析儀等。在踏入第三個十年,我們亦已訂購了光學相干斷層素描儀(</span><span lang="EN-US" style="font-family: "pmingliu" , serif; mso-ascii-theme-font: minor-fareast; mso-fareast-font-family: PMingLiU; mso-fareast-theme-font: minor-fareast; mso-hansi-theme-font: minor-fareast;">O</span><span lang="EN-US" style="font-family: "pmingliu" , serif; mso-ascii-theme-font: minor-fareast; mso-fareast-font-family: PMingLiU; mso-fareast-language: ZH-HK; mso-fareast-theme-font: minor-fareast; mso-hansi-theme-font: minor-fareast;">ptical Coherence Tomography, OCT</span><span lang="ZH-HK" style="font-family: "pmingliu" , serif; mso-ascii-theme-font: minor-fareast; mso-fareast-font-family: PMingLiU; mso-fareast-language: ZH-HK; mso-fareast-theme-font: minor-fareast; mso-hansi-theme-font: minor-fareast;">),對一家中醫診所來說這些儀器價值實在不菲,單</span><span lang="ZH-HK" style="font-family: "pmingliu" , serif; mso-ascii-theme-font: minor-fareast; mso-fareast-font-family: PMingLiU; mso-fareast-language: ZH-HK; mso-fareast-theme-font: minor-fareast; mso-hansi-theme-font: minor-fareast;">這個OCT價格已可以開到一家中醫診所。但配置它的目的並不是為了增加盈利,而是為了方便病人也方便醫師。我們提供病人以較廉宜價格進行這些檢查,讓</span><span style="font-family: pmingliu, serif;">病況</span><span lang="ZH-HK" style="font-family: "pmingliu" , serif; mso-ascii-theme-font: minor-fareast; mso-fareast-font-family: PMingLiU; mso-fareast-language: ZH-HK; mso-fareast-theme-font: minor-fareast; mso-hansi-theme-font: minor-fareast;">受到</span><span lang="ZH-HK" style="font-family: "pmingliu" , serif; mso-ascii-theme-font: minor-fareast; mso-fareast-font-family: PMingLiU; mso-fareast-language: ZH-HK; mso-fareast-theme-font: minor-fareast; mso-hansi-theme-font: minor-fareast;">更密切觀察;對醫師就可利用它作出更準確診斷同時又可緊密</span><span style="font-family: pmingliu, serif;">監察</span><span lang="ZH-HK" style="font-family: "pmingliu" , serif; mso-ascii-theme-font: minor-fareast; mso-fareast-font-family: PMingLiU; mso-fareast-language: ZH-HK; mso-fareast-theme-font: minor-fareast; mso-hansi-theme-font: minor-fareast;">病情,隨症調整治療方案,提高療效。醫師利用這些先進技術深化中醫眼科裡的望診內容;再進一步,可探討這些檢查如何對應中醫概念中之</span><span style="font-family: "pmingliu" , serif;">五臟六腑</span><span style="font-family: "pmingliu" , serif;">、</span><span lang="ZH-HK" style="font-family: "pmingliu" , serif; mso-ascii-theme-font: minor-fareast; mso-fareast-font-family: PMingLiU; mso-fareast-language: ZH-HK; mso-fareast-theme-font: minor-fareast; mso-hansi-theme-font: minor-fareast;">氣</span><span style="font-family: "pmingliu" , serif;">、</span><span style="font-family: "pmingliu" , serif;">血</span><span style="font-family: "pmingliu" , serif;">、</span><span style="font-family: "pmingliu" , serif;">津液</span><span style="font-family: "pmingliu" , serif;">、陰陽等;更可</span><span style="font-family: pmingliu, serif;">將所得到的客觀數據證明中醫眼科在治療眼疾的優勢。</span><br />
<br />
<span style="font-family: "pmingliu" , serif;">期望第三個十年是一個精彩而又有意義的十年,讓每個人都可從中得著益處!</span><br />
<span style="font-family: "pmingliu" , serif;"><br /></span></div>
<br />
<div class="MsoNormal">
<br /></div>
黃醫師http://www.blogger.com/profile/02383841515937588204noreply@blogger.com0tag:blogger.com,1999:blog-6947034395578750947.post-81218533268966888582017-02-21T11:58:00.000+08:002017-02-21T12:01:48.745+08:00視網膜中央動脈阻塞 (Central retinal artery occlusion, CRAO) 病例「視網膜中央動脈阻塞」是一個突發無痛性視力急劇喪失的眼疾。由於該動脈主要供應血液至視網膜內層,此動脈阻塞導致視網膜神經細胞缺血而致視力急劇下降。動物實驗顯示視網膜細胞於阻塞後90-100分鐘後視力有永久不可逆損傷。臨床上,大多患者視力都難以明顯恢復。<br />
<br />
<h2>
病例:</h2>
患者 (63歲,男性) 於2016/10/29首診,患者過往有二尖瓣挾窄心房顫動病史,平素服用華法林。6個星期前因患者咳血,服用西藥止血,其後凝血指數波動。中醫治療6天前因右眼突然視物不清,入院診斷為「右眼血管栓塞」,其後服用西藥亞士匹靈,自覺眼症稍有好轉。<br />
<br />
曾接受頭顱磁力共振檢查未見異常。高血壓及高膽固醇病史服用西藥控制。<br />
<br />
患者首診時自述有咳嗽黃痰、矢氣、畏風、動則汗出;納可、難入睡易醒、夜尿0次、大便溏薄,1-2次/日。 <br />
<br />
<br />
檢查:<br />
戴鏡視力:<br />
右:手動/2米 左:1.0<br />
右眼瞳孔反射變弱<br />
雙眼晶體混濁、玻璃體液化混濁<br />
<br />
眼底檢查:右眼視乳頭水腫邊界不清伴火焰狀出血,右眼有樱桃红斑,視網膜呈現灰白色,眼底動脈變細;左眼黃斑反光消失。<br />
<br />
診斷:右眼視網膜中央動脈阻塞<br />
<br />
中醫診斷:右眼暴盲<br />
<br />
證型:氣虛血滯<br />
<br />
治法:益氣活血,熄風通絡<br />
<br />
治療:因患者服用華法林西藥需要限制病者維他命K攝取份量,為避免有潛在不良沖突,故此例只進行針灸治療未有處方任何中藥。<br />
<div>
<br /></div>
<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiOfx9OpisMAR0U00TR0imE1XbnDdJJWvrWi6QTZly7RZBFyA1cE_s1LVHIC1Y27s_13gvbptDxt2x3XBjz4He1PlYhe5Bo5bzKyM3J6KhYO1RvURrIMKRIDmXG2BMqsVV2x7uFHPgOnTP8/s1600/20161029162343034401002001.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiOfx9OpisMAR0U00TR0imE1XbnDdJJWvrWi6QTZly7RZBFyA1cE_s1LVHIC1Y27s_13gvbptDxt2x3XBjz4He1PlYhe5Bo5bzKyM3J6KhYO1RvURrIMKRIDmXG2BMqsVV2x7uFHPgOnTP8/s320/20161029162343034401002001.jpg" width="320" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">右眼底照片2016/10/29</td></tr>
</tbody></table>
<br />
<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjwcXswPalggBh7_J-D_syej7Ly9MTPiizfoqsxs0G1zGMMCphQ4DTkqOAjBTQ0fA5iw4UlDyDnMwJHh_yVUFJ0dOaRGUgVHXCoT3JOKSIs5O7SB0NIoMci5reLiOga8EXS_AWmMXI7tQ7O/s1600/20161101105943034601001001.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjwcXswPalggBh7_J-D_syej7Ly9MTPiizfoqsxs0G1zGMMCphQ4DTkqOAjBTQ0fA5iw4UlDyDnMwJHh_yVUFJ0dOaRGUgVHXCoT3JOKSIs5O7SB0NIoMci5reLiOga8EXS_AWmMXI7tQ7O/s320/20161101105943034601001001.jpg" width="320" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">右眼底照片 2016/11/1</td></tr>
</tbody></table>
<br />
<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiymIb26J3eFNjAZfYN9ANq8Jo6tlsHnAPU72XHVJ4BjZyLCCjISUifoAkI9wWJoyKu4CGmu2HoYqBygqELtTs-hH-eJ20VevIgUFjMBi6J1F6oxxIRV4WhlyyEc9idBbih2EVGa6mGUv6p/s1600/20161107104024035901001001.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiymIb26J3eFNjAZfYN9ANq8Jo6tlsHnAPU72XHVJ4BjZyLCCjISUifoAkI9wWJoyKu4CGmu2HoYqBygqELtTs-hH-eJ20VevIgUFjMBi6J1F6oxxIRV4WhlyyEc9idBbih2EVGa6mGUv6p/s320/20161107104024035901001001.jpg" width="320" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">右眼底照片 2016/11/7</td></tr>
</tbody></table>
<br />
<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj_QjN4av6FcbSevCYBbqthQMu71VG7Rf95HDgknrev4iQR54WXIko_J-g_RPehxNiGHyziAhM7Diz1IXzN6lIhW36gX3UvWpGuOoJ1PLtJ-u_vLeyFZHKiqoHiGM1yhn-NvwtJZErmxjrw/s1600/20161111154041036501001001.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj_QjN4av6FcbSevCYBbqthQMu71VG7Rf95HDgknrev4iQR54WXIko_J-g_RPehxNiGHyziAhM7Diz1IXzN6lIhW36gX3UvWpGuOoJ1PLtJ-u_vLeyFZHKiqoHiGM1yhn-NvwtJZErmxjrw/s320/20161111154041036501001001.jpg" width="320" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">右眼底照片 2016/11/11</td></tr>
</tbody></table>
<br />
<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjt2FE_44nb4nAeHMLJdYKM-a9uy5L0MZtFKG8jdmbXmFrj1of1WDK9ateRULrOp1BNZjjBySZY9O-6zVjsw-wQJ1O5lSV_meO5f4EtQlQtOUjRcH-JeUfgytnIlGrW7I666xP22he_rb24/s1600/20170104110657045301001001.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjt2FE_44nb4nAeHMLJdYKM-a9uy5L0MZtFKG8jdmbXmFrj1of1WDK9ateRULrOp1BNZjjBySZY9O-6zVjsw-wQJ1O5lSV_meO5f4EtQlQtOUjRcH-JeUfgytnIlGrW7I666xP22he_rb24/s320/20170104110657045301001001.jpg" width="320" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">右眼底照片 2017/1/4</td></tr>
</tbody></table>
<div>
<br /></div>
<div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: none; mso-border-alt: solid windowtext .5pt; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-table-layout-alt: fixed; mso-yfti-tbllook: 1184; width: 452px;">
<tbody>
<tr>
<td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 69.2pt;" valign="top" width="92"><div class="MsoNoSpacing" style="text-align: center;">
<span style="line-height: 115%;">日期<span lang="EN-US"><o:p></o:p></span></span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 42.55pt;" valign="top" width="57"><div class="MsoNoSpacing" style="text-align: center;">
<span style="line-height: 115%;">右眼<span lang="EN-US"><o:p></o:p></span></span></div>
<div class="MsoNoSpacing" style="text-align: center;">
<span style="line-height: 115%;">視力<span lang="EN-US"><o:p></o:p></span></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 69.2pt;" valign="top" width="92"><div class="MsoNoSpacing" style="text-align: center;">
<span lang="EN-US" style="line-height: 115%;">2016/10/29<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 42.55pt;" valign="top" width="57"><div class="MsoNoSpacing" style="text-align: center;">
<span style="line-height: 115%;">手動<span lang="EN-US">/2m<o:p></o:p></span></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 69.2pt;" valign="top" width="92"><div class="MsoNoSpacing" style="text-align: center;">
<span lang="EN-US" style="line-height: 115%;">2016/11/1<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 42.55pt;" valign="top" width="57"><div class="MsoNoSpacing" style="text-align: center;">
<span style="line-height: 115%;">數指<span lang="EN-US">/15cm</span></span><span lang="EN-US" style="line-height: 115%;"><o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 69.2pt;" valign="top" width="92"><div class="MsoNoSpacing" style="text-align: center;">
<span lang="EN-US" style="line-height: 115%;">2016/11/7<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 42.55pt;" valign="top" width="57"><div class="MsoNoSpacing" style="text-align: center;">
<span lang="EN-US" style="line-height: 115%;">0.03<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 69.2pt;" valign="top" width="92"><div class="MsoNoSpacing" style="text-align: center;">
<span lang="EN-US" style="line-height: 115%;">2016/11/11<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 42.55pt;" valign="top" width="57"><div class="MsoNoSpacing" style="text-align: center;">
<span lang="EN-US" style="line-height: 115%;">0.05<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 69.2pt;" valign="top" width="92"><div class="MsoNoSpacing" style="text-align: center;">
<span lang="EN-US" style="line-height: 115%;">2016/11/25<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 42.55pt;" valign="top" width="57"><div class="MsoNoSpacing" style="text-align: center;">
<span lang="EN-US" style="line-height: 115%;">0.1<sup>-1</sup><o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 69.2pt;" valign="top" width="92"><div class="MsoNoSpacing" style="text-align: center;">
<span lang="EN-US" style="line-height: 115%;">2017/1/4<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 42.55pt;" valign="top" width="57"><div class="MsoNoSpacing" style="text-align: center;">
<span lang="EN-US" style="line-height: 115%;">0.1<o:p></o:p></span></div>
</td>
</tr>
</tbody></table>
</div>
<div>
<br /></div>
<div>
<div class="MsoNoSpacing">
討論:<span lang="EN-US"><o:p></o:p></span></div>
<br />
此病屬眼科急症,一般患眼視力會長期及嚴重受損,並認為發病一天後視力就難有機會改善,所以常建議針藥並用以爭取最大康復機會。由於此患者服用華法林西藥,故未有採用口服中藥治療,只單純以針灸治療。 <br />
<br />
此例患者發病後6天才到來求診,首天(2016/10/29)患眼視力只能見到兩米外手動,右眼眼底檢查(2016/10/29)可見視乳頭水腫邊界不清伴出血,同時可見有樱桃红斑,視網膜呈現灰白色,眼底動脈變細。 <br />
<br />
針灸治療兩天後視力開始有初步改善,治療兩個月期間視力慢慢改善,同時視網膜缺血及出血等表現亦已明顯改善。雖然患眼視力只恢復至0.1,但以此缺血性疾患有進展已是難能可貴。因患者主觀症狀仍有改善,故此例仍在繼續治療以爭取最佳效果。</div>
黃醫師http://www.blogger.com/profile/02383841515937588204noreply@blogger.com0tag:blogger.com,1999:blog-6947034395578750947.post-91710459677067385962016-11-04T16:08:00.003+08:002016-11-04T16:08:53.849+08:00從師點滴 (十二) - 成都中醫眼科會議 2016今年(2016年)全國中醫眼科<span style="background-color: white; color: #222222; font-family: arial, tahoma, helvetica, freesans, sans-serif;">學術</span>會議於四川成都舉行,參與了這個兩天會議。成都是廖老的家,也乘著機會可探望老師。<br />
<br />
今次接受同門的路教授邀請嘗試參與在大會中發言,題目是<span style="background-color: white; color: #222222; font-family: , sans-serif; text-indent: 32px;">「中醫眼科治療 AZOOR 病例探究</span><span style="background-color: white; color: #222222; font-family: , sans-serif; text-indent: 32px;">」。</span><br />
<br />
<span style="background-color: white; color: #222222; font-family: "arial" , "tahoma" , "helvetica" , "freesans" , sans-serif;">初時準備內容時都非常輕鬆,因抱著的心態是去見識一下也</span><span style="background-color: white; color: #222222; font-family: "arial" , "tahoma" , "helvetica" , "freesans" , sans-serif;">試試在這大型學術會議中發言。但在會前兩週得知廖老也是該環節的點評嘉賓,從心裡就緊張起來。因為廖老對事認真嚴謹,不希望老師失望,所以花了更多時間準備,更要操練好我的</span><span style="background-color: white; color: #222222; font-family: , sans-serif; text-indent: 32px;">「</span><span style="background-color: white; color: #222222; font-family: "arial" , "tahoma" , "helvetica" , "freesans" , sans-serif;">港味</span><span style="background-color: white; color: #222222; font-family: "arial" , "tahoma" , "helvetica" , "freesans" , sans-serif;">普通話</span><span style="background-color: white; color: #222222; font-family: , sans-serif; text-indent: 32px;">」</span><span style="background-color: white; color: #222222; font-family: "arial" , "tahoma" , "helvetica" , "freesans" , sans-serif;">。</span><br />
<span style="background-color: white; color: #222222; font-family: "arial" , "tahoma" , "helvetica" , "freesans" , sans-serif;"><br /></span>
<br />
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjtaZkSZChGTMhfek-W57lyJ_gvCkN3KYHRJ440TjIVTF7bdzJ1WFLjNSqCd_xWg-fb-4GNAekK4YOH_Dk7Pv3k5gu9FNeoN7zetlgeOYJONJsg4Z5X_mHK7_8iaRq-jkPBkmblmQvMIOSn/s1600/mmexport1477451188087.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="240" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjtaZkSZChGTMhfek-W57lyJ_gvCkN3KYHRJ440TjIVTF7bdzJ1WFLjNSqCd_xWg-fb-4GNAekK4YOH_Dk7Pv3k5gu9FNeoN7zetlgeOYJONJsg4Z5X_mHK7_8iaRq-jkPBkmblmQvMIOSn/s320/mmexport1477451188087.jpg" width="320" /></a></div>
<span style="background-color: white; color: #222222; font-family: "arial" , "tahoma" , "helvetica" , "freesans" , sans-serif;"><br /></span><span style="background-color: white; color: #222222; font-family: "arial" , "tahoma" , "helvetica" , "freesans" , sans-serif;"><span style="color: black; font-family: "Times New Roman";">當天有三位點評嘉賓,全都是老中醫,包括了中國中醫研究院庄曾淵教授</span><span style="background-color: white; color: #222222; font-family: "arial" , "tahoma" , "helvetica" , "freesans" , sans-serif;">、成都中醫藥大學鄧亞平教授</span><span style="background-color: white; color: #222222; font-family: "arial" , "tahoma" , "helvetica" , "freesans" , sans-serif;">、及</span><span style="background-color: white; color: #222222; font-family: "arial" , "tahoma" , "helvetica" , "freesans" , sans-serif;">我老師廖品正教授(</span><span style="background-color: white; color: #222222; font-family: "arial" , "tahoma" , "helvetica" , "freesans" , sans-serif;">同樣來自</span><span style="background-color: white; color: #222222; font-family: "arial" , "tahoma" , "helvetica" , "freesans" , sans-serif;">成都中醫藥大學)</span><span style="background-color: white; color: #222222; font-family: "arial" , "tahoma" , "helvetica" , "freesans" , sans-serif;">。</span></span><br />
<span style="background-color: white; color: #222222; font-family: "arial" , "tahoma" , "helvetica" , "freesans" , sans-serif;"><br /></span>
<span style="background-color: white; color: #222222; font-family: "arial" , "tahoma" , "helvetica" , "freesans" , sans-serif;">雖然當天在這麼大的會議廳講台上講普通話,表現尚算不俗,沒有怯場</span><span style="background-color: white; color: #222222; font-family: arial, tahoma, helvetica, freesans, sans-serif;">、</span><span style="background-color: white; color: #222222; font-family: arial, tahoma, helvetica, freesans, sans-serif;">沒有出醜。</span><br />
<span style="background-color: white; color: #222222; font-family: "arial" , "tahoma" , "helvetica" , "freesans" , sans-serif;"><br /></span>
<span style="background-color: white; color: #222222; font-family: "arial" , "tahoma" , "helvetica" , "freesans" , sans-serif;">當所有講員們完成過後,點評嘉賓開始給予意見。令我印象最深刻的是鄧亞平教授,她絕對值得我們後輩學習。她是一位有八十歲的女教授,她表現出她對醫學知識那份強烈的追求。她很高興而又興奮地說:</span><span style="background-color: white; color: #222222; text-indent: 32px;">「我</span><span style="background-color: white; color: #222222; font-family: "arial" , "tahoma" , "helvetica" , "freesans" , sans-serif;">沒想過以</span>點評嘉賓身份<span style="background-color: white; color: #222222; font-family: "arial" , "tahoma" , "helvetica" , "freesans" , sans-serif;">出席這環節,還可以有新的東西學習得到!</span><span style="background-color: white; color: #222222; text-indent: 32px;">」</span><span style="background-color: white; color: #222222; font-family: arial, tahoma, helvetica, freesans, sans-serif;">,她所指的新東西是我所講述的 AZOOR 疾病。因這病是較新而且較為少見,國內醫學雜誌還未有太多這方面的資訊。</span><br />
<span style="background-color: white; color: #222222; font-family: "arial" , "tahoma" , "helvetica" , "freesans" , sans-serif;"><br /></span>
<span style="background-color: white; color: #222222; font-family: "arial" , "tahoma" , "helvetica" , "freesans" , sans-serif;">後來</span><span style="background-color: white; color: #222222; font-family: arial, tahoma, helvetica, freesans, sans-serif;">廖老告知我,庄老在看我講解治療方藥時,主動對廖老說這位醫生開的方子還不錯!廖老回答他:</span><span style="background-color: white; color: #222222; text-indent: 32px;">「他</span><span style="background-color: white; color: #222222; font-family: arial, tahoma, helvetica, freesans, sans-serif;">跟了我十多年,也是跟她</span><span style="background-color: white; color: #222222; font-family: arial, tahoma, helvetica, freesans, sans-serif;">臨床時間</span><span style="background-color: white; color: #222222; font-family: arial, tahoma, helvetica, freesans, sans-serif;">最長的學生。</span><span style="background-color: white; color: #222222; text-indent: 32px;">」</span><br />
<span style="background-color: white; color: #222222; font-family: "arial" , "tahoma" , "helvetica" , "freesans" , sans-serif;"><br /></span>
<span style="background-color: white; color: #222222; font-family: arial, tahoma, helvetica, freesans, sans-serif;">為何選上 AZOOR 作題目?</span><br />
<span style="background-color: white; color: #222222; font-family: arial, tahoma, helvetica, freesans, sans-serif;">因為這病</span><span style="background-color: white; color: #222222; font-family: arial, tahoma, helvetica, freesans, sans-serif;">嚴重影響視覺,而</span><span style="background-color: white; color: #222222; font-family: arial, tahoma, helvetica, freesans, sans-serif;">醫學界還未清楚它的成因,也未有確切方法治療此眼疾。在治療這兩病例時,沒有前人也沒有文章曾利用中醫方法治療此病,亦即無既有方法可循!所以只能靠著過去從廖老所學到的中醫眼科辨證思維方法為基礎,再加上過去累積的臨床治病經驗,行出治療這病思路。希望從這兩例可顯露出學生從老師所學到的成果,作為對老師的一種獻呈。</span><br />
<span style="background-color: white; color: #222222; font-family: "arial" , "tahoma" , "helvetica" , "freesans" , sans-serif;"><br /></span>
<br />
<br />黃醫師http://www.blogger.com/profile/02383841515937588204noreply@blogger.com0tag:blogger.com,1999:blog-6947034395578750947.post-8329451431385477392016-03-09T13:02:00.001+08:002016-10-28T15:50:02.697+08:00Case study of Acute zonal occult outer retinopathy (AZOOR) treated with Chinese Medicine (TCM)Acute zonal occult outer retinopathy (AZOOR) is a less common eye disease. At its onset, the major symptom is the affected eye seeing flashes with obvious visual field defect, and yet fundus examination fails to reveal any corresponding retinal abnormality. Initially, it is mostly unilateral but later the other eye may also be affected. The disease is more commonly found in women. <br />
<br />
Visual field test and ERG can detect the abnormality. Currently, it is however yet to have a proven cure of the disease (including using steroids or undergoing immunity modulation therapy). Some statistics indicated that with this disease, it takes six months for the patient to have a more stable vision. <br />
<br />
The following case study seek to demonstrate the characteristics of Chinese Ophthalmology in treating this disease. <br />
<br />
Case Study 1: <br />
<br />
Patient (aged 45, female) came for consultation on 2011/8/4. She reported both eyes seeing flashes for two weeks; and two days before the left eye nasal inferior visual field was obstructed, the condition of which the Western Medicine practitioner diagnosed as AZOOR. <br />
<br />
The patient had a history of stiff neck, which had received massage therapy for the past year, with the last one took place on 2011/7/31 (five days before the first consultation). Two days later at night, she experienced numbness in and could not move her upper arms, accompanied by tinnitus. <br />
<br />
She reported fair appetite, fitful sleep, frequent urination, and difficult defaecation once every 2-3 days. In the most recent two months, she had a menstrual cycle of two weeks with the period lasted for 4-5 days. <br />
<br />
Examination: <br />
<br />
Obvious tenderness at some left side cervical transverses <br />
<br />
Aided VA: <br />
R: +6.00 / -0.50x170 VA: 0.8+2 <br />
L: +6.00 / -0.50x20 VA: 0.8-2 <br />
<br />
Tonometry: R: 11 mmHg L: 11 mmHg <br />
<br />
Fundus examination : <br />
C/D ratios: 0.2-0.3 (OU), narrowing of retinal vessels<br />
<br />
<br />
<br />
<br />
Visual field examination:<br />
<div style="text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhdxJUeNqXaML1cwe4XL3fgkhCZm1PCheNaclNDiCfgmOTN0_et2HTCyc3IxNhy3TqKyr5yY_lHnWGfFTAssS0rIUWPl2DCdxqWL5bLnoeUs7ZVEE9vRaVj7c9Laqo1jekAB9csJ3-1E9CV/s1600/azoor+20110802_00001.jpg"><img border="0" height="640" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhdxJUeNqXaML1cwe4XL3fgkhCZm1PCheNaclNDiCfgmOTN0_et2HTCyc3IxNhy3TqKyr5yY_lHnWGfFTAssS0rIUWPl2DCdxqWL5bLnoeUs7ZVEE9vRaVj7c9Laqo1jekAB9csJ3-1E9CV/s640/azoor+20110802_00001.jpg" width="460" /></a></div>
<div style="text-align: center;">
Figure 1 Right eye visual field test results (2011/8/2)</div>
<div>
<br />
<div style="text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgCgCeukX9sl3pdhdixP4RL7v_WiE3sriPDCAnuY7B4JPNnVkSJQjFEnVQzYyopogQya0QAS-4nDNBLvZn2GkPeBTk85GT_LszhKqqYGEERl0fmBTVysCodn_kZhR3XoYg9UegkRp2OTbBn/s1600/azoor+20110802_00000.jpg"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgCgCeukX9sl3pdhdixP4RL7v_WiE3sriPDCAnuY7B4JPNnVkSJQjFEnVQzYyopogQya0QAS-4nDNBLvZn2GkPeBTk85GT_LszhKqqYGEERl0fmBTVysCodn_kZhR3XoYg9UegkRp2OTbBn/s640/azoor+20110802_00000.jpg" /></a></div>
<div style="text-align: center;">
Figure 2 Left eye visual field test results (2011/8/2)</div>
<br />
<br />
<div style="text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiwpMKMqBm43twsa7MzgqaD6EXAEyIGNOaPbQg-oqlMKxGX9ZHvzb0NHX9x6Mx31Bd5ADSPf19Icf5DeP3PgWccmgtXL3oSSnueI3ATasatoE7zHBffHn1xVEHCYaN1bWPnhlBORyNTKeSF/s1600/azoor+20110803_0000.jpg"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiwpMKMqBm43twsa7MzgqaD6EXAEyIGNOaPbQg-oqlMKxGX9ZHvzb0NHX9x6Mx31Bd5ADSPf19Icf5DeP3PgWccmgtXL3oSSnueI3ATasatoE7zHBffHn1xVEHCYaN1bWPnhlBORyNTKeSF/s640/azoor+20110803_0000.jpg" /></a></div>
<div style="text-align: center;">
Figure 3 Left eye visual field test results (2011/8/3)</div>
<br />
Tongue inspection: red tongue with petechiae and thin white coating <br />
<br />
Pulse manifestation: deep, thready and rapid <br />
<br />
Diagnosis: left eye AZOOR <br />
<br />
TCM diagnosis: left eye hemianopia <br />
<br />
Syndrome: yin deficiency and stirring wind, qi stagnation and blood stasis <br />
<br />
Therapeutic principles: extinguishing wind and nourishing yin, activating blood and dredging collaterals <br />
<br />
Treatments by oral Chinese medicine: Rhizoma Gastrodiae (天麻), Ramulus Uncariae cum Uncis (鈎藤), Fructus Liquidambaris (路路通), Lumbricus (地龍), Salviae Miltiorrhizae (丹參), Radix Astragali seu Hedysari (黃蓍), Puerariae Radix (葛根), Fructus Lycii (枸杞子), Fructus Mori (桑椹子), Radix Polygoni Multiflori (制首烏), etc.<br />
<br />
<br />
<br />
<div style="text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgpd8PS_Pjhjt6za5XeeWQ3S-tjDZTH0IbZt3mMBSs9AiW-1UgzSclgokPNzjmH6bir6wbdgMVJJo3mY_e6Qzo1dy-uzkwgzfTnqiOXmZzH4Xiw1QSUZva4uO4bjE6Imvj5gSjI_wW_4wOn/s1600/azoor+20110912.jpg"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgpd8PS_Pjhjt6za5XeeWQ3S-tjDZTH0IbZt3mMBSs9AiW-1UgzSclgokPNzjmH6bir6wbdgMVJJo3mY_e6Qzo1dy-uzkwgzfTnqiOXmZzH4Xiw1QSUZva4uO4bjE6Imvj5gSjI_wW_4wOn/s640/azoor+20110912.jpg" /></a></div>
<div style="text-align: center;">
Figure 4 Left eye visual field test results (2011/9/12)</div>
<br />
<br />
<br />
<div style="text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhlo5jpfMGtzqyOfmEA_2aCxdy_MmlARrEuuOMAiX3W_jZ_lOgGgADy0YkiWW8xcB0oMrIjK7EE88jwjJOW8AhnpPxziJKuRg8Dt5w86AtuIqXr52DDpahQ_fl5QwClIx7mIcd11q-UuAG7/s1600/azoor+20111120.jpg"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhlo5jpfMGtzqyOfmEA_2aCxdy_MmlARrEuuOMAiX3W_jZ_lOgGgADy0YkiWW8xcB0oMrIjK7EE88jwjJOW8AhnpPxziJKuRg8Dt5w86AtuIqXr52DDpahQ_fl5QwClIx7mIcd11q-UuAG7/s640/azoor+20111120.jpg" /></a></div>
<div style="text-align: center;">
Figure 5 Left eye visual field test results (2011/11/10)</div>
<br />
<br />
<br />
<div style="text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj3tLQQaUhiaYiO09GmPVe88ROdr-5COt5h7RBKSGxcn9mUVbec3z2xUCQv3rSetY75Fh0JMfGrdNHTAudeKQ_PX5W0ZbdlcWD13FUr_ANPJ5MbhXa6CfcN1D9mKgB-wcqveG5l0aSs_DjN/s1600/azoor+20120329_00001.jpg"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj3tLQQaUhiaYiO09GmPVe88ROdr-5COt5h7RBKSGxcn9mUVbec3z2xUCQv3rSetY75Fh0JMfGrdNHTAudeKQ_PX5W0ZbdlcWD13FUr_ANPJ5MbhXa6CfcN1D9mKgB-wcqveG5l0aSs_DjN/s640/azoor+20120329_00001.jpg" /></a></div>
<div style="text-align: center;">
Figure 6 Right eye visual field test results (2012/3/29)</div>
<br />
<br />
<br />
<div style="text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjrUoB_9dNysuEmvOpKXOHi0TTrXQyaz-nywsOXRNEoGI98527Z7SYFFGIgOPd6ihPdQfPnJdkvXII8FvXhWG16fTKw6CBcu3JVq2rE0_K8bkXOZrlRAGsTMmFbAaFH3MlcnK0sGGOHMLG8/s1600/azoor+20120329_00002.jpg"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjrUoB_9dNysuEmvOpKXOHi0TTrXQyaz-nywsOXRNEoGI98527Z7SYFFGIgOPd6ihPdQfPnJdkvXII8FvXhWG16fTKw6CBcu3JVq2rE0_K8bkXOZrlRAGsTMmFbAaFH3MlcnK0sGGOHMLG8/s640/azoor+20120329_00002.jpg" /></a></div>
<div style="text-align: center;">
Figure 7 Left eye visual field test results (2012/3/29)</div>
<br />
<br />
<br />
<div style="text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEitXJRF2ht89T85_gllkrSpN8m8W16xMQpqbXK0ixLrv4BVUHJIpGEdIA_c64FSVWPmtj2-bZqfe61l9n3DU3tJ-upBbslUuUY_kdsQAqlZEB4gBbfXGcN5T-zzfdjwfDbyLGguzc9zm21R/s1600/azoor+20120425_00000.jpg"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEitXJRF2ht89T85_gllkrSpN8m8W16xMQpqbXK0ixLrv4BVUHJIpGEdIA_c64FSVWPmtj2-bZqfe61l9n3DU3tJ-upBbslUuUY_kdsQAqlZEB4gBbfXGcN5T-zzfdjwfDbyLGguzc9zm21R/s640/azoor+20120425_00000.jpg" /></a></div>
<div style="text-align: center;">
Figure 8 Right eye visual field test results (2012/4/25)</div>
<div style="text-align: center;">
<br /></div>
<div style="text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhGAQ9i0U49P7gNUPS4J0ywACf3SfIq23IZDqpqcjLUqDSPZkbOEWPcAiEmB5iaR2jRS9pjqdPKoiL-wY2PEII77wSktE0LV-jeTHNgQrVzX3tH2UaO64sODpE9UevIAzp-ClrXSZYDy_fE/s1600/azoor+20120425_00001.jpg"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhGAQ9i0U49P7gNUPS4J0ywACf3SfIq23IZDqpqcjLUqDSPZkbOEWPcAiEmB5iaR2jRS9pjqdPKoiL-wY2PEII77wSktE0LV-jeTHNgQrVzX3tH2UaO64sODpE9UevIAzp-ClrXSZYDy_fE/s640/azoor+20120425_00001.jpg" /></a></div>
<div style="text-align: center;">
Figure 9 Left eye visual field test results (2012/4/25)</div>
<br />
<br />
<div style="text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjURZhtQpEwneeCp1NdPvARp0waiUW5czSXEKDcoXkF2zMXMlY8xgIkfQlRu8x0DrSWfRLsCUD021zQv_uLoHtA33oxCbCLI7rlipZGUdirDpF8M8Q8y9ESZG8kt54zhYluSPOP7FdUgLY8/s1600/azoor+20120628_00000.jpg"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjURZhtQpEwneeCp1NdPvARp0waiUW5czSXEKDcoXkF2zMXMlY8xgIkfQlRu8x0DrSWfRLsCUD021zQv_uLoHtA33oxCbCLI7rlipZGUdirDpF8M8Q8y9ESZG8kt54zhYluSPOP7FdUgLY8/s640/azoor+20120628_00000.jpg" /></a></div>
<div style="text-align: center;">
Figure 10 Left eye visual field test results (2012/6/28)</div>
<br />
<br />
<div style="text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiEMZIjkZHL93hVoggDCvQ2BUR2bRbTroT0Ld4HKKFdOjmfpDktcwqs5pa8hFVamXx5IyS_6ZfPKx-NcMTZjuADDKZcMhbOZggqPahYCmfvX_mLrZnJQx9qvHa5nRFMkcA2Bd1dTPrQWsF3/s1600/azoor+20121018_00000.jpg"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiEMZIjkZHL93hVoggDCvQ2BUR2bRbTroT0Ld4HKKFdOjmfpDktcwqs5pa8hFVamXx5IyS_6ZfPKx-NcMTZjuADDKZcMhbOZggqPahYCmfvX_mLrZnJQx9qvHa5nRFMkcA2Bd1dTPrQWsF3/s640/azoor+20121018_00000.jpg" /></a></div>
<div style="text-align: center;">
Figure 11 Left eye visual field test results (2012/10/18)</div>
<br />
<br />
<div class="MsoCaption" style="page-break-after: avoid;">
<span lang="EN-US">Table </span><!--[if supportFields]><span style='mso-bookmark:
_Ref444598732'></span><span style='mso-element:field-begin'></span><span
style='mso-bookmark:_Ref444598732'><span lang=EN-US><span
style='mso-spacerun:yes'> </span>SEQ Table \* ARABIC <span style='mso-element:
field-separator'></span></span></span><![endif]--><span lang="EN-US">1</span><!--[if supportFields]><span
style='mso-bookmark:_Ref444598732'></span><span style='mso-element:field-end'></span><![endif]--><span lang="EN-US"> AZOOR case study 1
visual field test results summary<o:p></o:p></span></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: none; mso-border-alt: solid windowtext .5pt; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-table-layout-alt: fixed; mso-yfti-tbllook: 1184;">
<tbody>
<tr>
<td rowspan="2" style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 61.1pt;" valign="top" width="81"><div class="MsoNormal" style="line-height: 115%;">
<span lang="EN-US" style="font-family: "微軟正黑體" , sans-serif; mso-fareast-language: ZH-HK;">Date</span><span lang="EN-US" style="font-family: "微軟正黑體" , sans-serif;"><o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 82.15pt;" valign="top" width="110"><div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;">
<span lang="EN-US" style="font-family: "微軟正黑體" , sans-serif; mso-fareast-language: ZH-HK;">Strategy
</span><span lang="EN-US" style="font-family: "微軟正黑體" , sans-serif;">30-2<o:p></o:p></span></div>
</td>
<td colspan="2" style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 196.45pt;" valign="top" width="262"><div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;">
<span lang="EN-US" style="font-family: "微軟正黑體" , sans-serif; mso-fareast-language: ZH-HK;">Strategy
</span><span lang="EN-US" style="font-family: "微軟正黑體" , sans-serif;">24-2<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 82.15pt;" valign="top" width="110"><div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;">
<span lang="EN-US" style="font-family: "微軟正黑體" , sans-serif;">L<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 91.65pt;" valign="top" width="122"><div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;">
<span lang="EN-US" style="font-family: "微軟正黑體" , sans-serif; mso-fareast-language: ZH-HK;">R<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 104.8pt;" valign="top" width="140"><div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;">
<span lang="EN-US" style="font-family: "微軟正黑體" , sans-serif; mso-fareast-language: ZH-HK;">L<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 61.1pt;" valign="top" width="81"><div class="MsoNoSpacing" style="line-height: 115%; margin-bottom: 10.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 5.0pt;">
<span lang="EN-US">2011/8/2<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 82.15pt;" valign="top" width="110"><div class="MsoNoSpacing" style="line-height: 115%; margin-bottom: 10.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 5.0pt;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 91.65pt;" valign="top" width="122"><div class="MsoNoSpacing" style="line-height: 115%; margin-bottom: 10.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 5.0pt;">
<span lang="EN-US">VFI:99%<o:p></o:p></span></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-bottom: 10.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 5.0pt;">
<span lang="EN-US">MD:-1.52dB<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 104.8pt;" valign="top" width="140"><div class="MsoNoSpacing" style="line-height: 115%; margin-bottom: 10.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 5.0pt;">
<span lang="EN-US">VFI:86%<o:p></o:p></span></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-bottom: 10.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 5.0pt;">
<span lang="EN-US">MD:-6.76</span><span lang="EN-US">dB</span><span lang="EN-US"><o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 61.1pt;" valign="top" width="81"><div class="MsoNoSpacing" style="line-height: 115%; margin-bottom: 10.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 5.0pt;">
<span lang="EN-US">2011/8/3<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 82.15pt;" valign="top" width="110"><div class="MsoNoSpacing" style="line-height: 115%; margin-bottom: 10.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 5.0pt;">
<span lang="EN-US">VFI:88%<o:p></o:p></span></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-bottom: 10.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 5.0pt;">
<span lang="EN-US">MD:-5.41dB<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 91.65pt;" valign="top" width="122"><div class="MsoNoSpacing" style="line-height: 115%; margin-bottom: 10.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 5.0pt;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 104.8pt;" valign="top" width="140"><div class="MsoNoSpacing" style="line-height: 115%; margin-bottom: 10.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 5.0pt;">
<br /></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 61.1pt;" valign="top" width="81"><div class="MsoNoSpacing" style="line-height: 115%; margin-bottom: 10.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 5.0pt;">
<span lang="EN-US">2011/9/12<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 82.15pt;" valign="top" width="110"><div class="MsoNoSpacing" style="line-height: 115%; margin-bottom: 10.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 5.0pt;">
<span lang="EN-US">VFI:97%,<o:p></o:p></span></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-bottom: 10.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 5.0pt;">
<span lang="EN-US">MD:-1.14dB<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 91.65pt;" valign="top" width="122"><div class="MsoNoSpacing" style="line-height: 115%; margin-bottom: 10.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 5.0pt;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 104.8pt;" valign="top" width="140"><div class="MsoNoSpacing" style="line-height: 115%; margin-bottom: 10.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 5.0pt;">
<br /></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 61.1pt;" valign="top" width="81"><div class="MsoNoSpacing" style="line-height: 115%; margin-bottom: 10.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 5.0pt;">
<span lang="EN-US">2011/11/10<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 82.15pt;" valign="top" width="110"><div class="MsoNoSpacing" style="line-height: 115%; margin-bottom: 10.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 5.0pt;">
<span lang="EN-US">VFI:97%<o:p></o:p></span></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-bottom: 10.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 5.0pt;">
<span lang="EN-US">MD:-1.28dB<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 91.65pt;" valign="top" width="122"><div class="MsoNoSpacing" style="line-height: 115%; margin-bottom: 10.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 5.0pt;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 104.8pt;" valign="top" width="140"><div class="MsoNoSpacing" style="line-height: 115%; margin-bottom: 10.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 5.0pt;">
<br /></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 61.1pt;" valign="top" width="81"><div class="MsoNoSpacing" style="line-height: 115%; margin-bottom: 10.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 5.0pt;">
<span lang="EN-US">2011/12/29<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 82.15pt;" valign="top" width="110"><div class="MsoNoSpacing" style="line-height: 115%; margin-bottom: 10.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 5.0pt;">
<span lang="EN-US">VFI:99%<o:p></o:p></span></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-bottom: 10.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 5.0pt;">
<span lang="EN-US">MD:-0.88dB<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 91.65pt;" valign="top" width="122"><div class="MsoNoSpacing" style="line-height: 115%; margin-bottom: 10.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 5.0pt;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 104.8pt;" valign="top" width="140"><div class="MsoNoSpacing" style="line-height: 115%; margin-bottom: 10.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 5.0pt;">
<br /></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 61.1pt;" valign="top" width="81"><div class="MsoNoSpacing" style="line-height: 115%; margin-bottom: 10.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 5.0pt;">
<span lang="EN-US">2012/3/29<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 82.15pt;" valign="top" width="110"><div class="MsoNoSpacing" style="line-height: 115%; margin-bottom: 10.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 5.0pt;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 91.65pt;" valign="top" width="122"><div class="MsoNoSpacing" style="line-height: 115%; margin-bottom: 10.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 5.0pt;">
<span lang="EN-US">VFI:96%<o:p></o:p></span></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-bottom: 10.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 5.0pt;">
<span lang="EN-US">MD:-2.25dB<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 104.8pt;" valign="top" width="140"><div class="MsoNoSpacing" style="line-height: 115%; margin-bottom: 10.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 5.0pt;">
<span lang="EN-US">VFI:99%<o:p></o:p></span></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-bottom: 10.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 5.0pt;">
<span lang="EN-US">MD:-0.23dB<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 61.1pt;" valign="top" width="81"><div class="MsoNoSpacing" style="line-height: 115%; margin-bottom: 10.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 5.0pt;">
<span lang="EN-US">2012/4/25<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 82.15pt;" valign="top" width="110"><div class="MsoNoSpacing" style="line-height: 115%; margin-bottom: 10.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 5.0pt;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 91.65pt;" valign="top" width="122"><div class="MsoNoSpacing" style="line-height: 115%; margin-bottom: 10.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 5.0pt;">
<span lang="EN-US">VFI:99%<o:p></o:p></span></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-bottom: 10.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 5.0pt;">
<span lang="EN-US">MD:-0.47dB<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 104.8pt;" valign="top" width="140"><div class="MsoNoSpacing" style="line-height: 115%; margin-bottom: 10.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 5.0pt;">
<span lang="EN-US">VFI:100%<o:p></o:p></span></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-bottom: 10.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 5.0pt;">
<span lang="EN-US">MD:+0.44dB<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 61.1pt;" valign="top" width="81"><div class="MsoNoSpacing" style="line-height: 115%; margin-bottom: 10.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 5.0pt;">
<span lang="EN-US">2012/6/28<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 82.15pt;" valign="top" width="110"><div class="MsoNoSpacing" style="line-height: 115%; margin-bottom: 10.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 5.0pt;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 91.65pt;" valign="top" width="122"><div class="MsoNoSpacing" style="line-height: 115%; margin-bottom: 10.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 5.0pt;">
<span lang="EN-US">VFI:100%<o:p></o:p></span></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-bottom: 10.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 5.0pt;">
<span lang="EN-US">MD:-0.46dB<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 104.8pt;" valign="top" width="140"><div class="MsoNoSpacing" style="line-height: 115%; margin-bottom: 10.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 5.0pt;">
<span lang="EN-US">VFI:98%<o:p></o:p></span></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-bottom: 10.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 5.0pt;">
<span lang="EN-US">MD:-1.46dB<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 61.1pt;" valign="top" width="81"><div class="MsoNoSpacing" style="line-height: 115%; margin-bottom: 10.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 5.0pt;">
<span lang="EN-US">2012/10/18<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 82.15pt;" valign="top" width="110"><div class="MsoNoSpacing" style="line-height: 115%; margin-bottom: 10.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 5.0pt;">
<span lang="EN-US">VFI:100%<o:p></o:p></span></div>
<div class="MsoNoSpacing" style="line-height: 115%; margin-bottom: 10.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 5.0pt;">
<span lang="EN-US">MD:-1.44dB<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 91.65pt;" valign="top" width="122"><div class="MsoNoSpacing" style="line-height: 115%; margin-bottom: 10.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 5.0pt;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 104.8pt;" valign="top" width="140"><div class="MsoNoSpacing" style="line-height: 115%; margin-bottom: 10.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 5.0pt;">
<br /></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal">
<br /></div>
<div class="MsoCaption" style="page-break-after: avoid;">
<span lang="EN-US">Table </span><!--[if supportFields]><span
lang=EN-US><span style='mso-element:field-begin'></span><span
style='mso-spacerun:yes'> </span>SEQ Table \* ARABIC <span style='mso-element:
field-separator'></span></span><![endif]--><span lang="EN-US">2</span><!--[if supportFields]><span
lang=EN-US style='mso-no-proof:yes'><span style='mso-element:field-end'></span></span><![endif]--><span lang="EN-US"> AZOOR case study 1 vision changes<o:p></o:p></span></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; mso-border-alt: solid windowtext .5pt; mso-border-insideh: .5pt solid windowtext; mso-border-insidev: .5pt solid windowtext; mso-padding-alt: 0cm 0cm 0cm 0cm; mso-yfti-tbllook: 1536; width: 307px;">
<tbody>
<tr style="height: 14.15pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid windowtext 1.0pt; height: 14.15pt; mso-border-alt: solid windowtext .5pt; padding: .9pt 3.55pt .9pt 3.55pt; width: 74.7pt;" width="100"><div align="center" class="MsoNormal" style="layout-grid-mode: char; line-height: 115%; text-align: center;">
<span lang="EN-US" style="font-family: "微軟正黑體" , sans-serif; mso-fareast-font-family: "Arial Unicode MS"; mso-fareast-language: ZH-HK;">Date<o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; height: 14.15pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: .9pt 3.55pt .9pt 3.55pt; width: 77.7pt;" width="104"><div align="center" class="MsoNormal" style="layout-grid-mode: char; line-height: 115%; text-align: center;">
<span lang="EN-US" style="font-family: "微軟正黑體" , sans-serif; mso-fareast-font-family: "Arial Unicode MS"; mso-fareast-language: ZH-HK;">VA</span><span lang="EN-US" style="font-family: "微軟正黑體" , sans-serif; mso-fareast-font-family: "Arial Unicode MS";">(R)<o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; height: 14.15pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: .9pt 3.55pt .9pt 3.55pt; width: 77.95pt;" width="104"><div align="center" class="MsoNormal" style="layout-grid-mode: char; line-height: 115%; text-align: center;">
<span lang="EN-US" style="font-family: "微軟正黑體" , sans-serif; mso-fareast-font-family: "Arial Unicode MS";">VA(L)<o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 9.4pt; mso-yfti-irow: 1;">
<td style="border-top: none; border: solid windowtext 1.0pt; height: 9.4pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: .9pt 3.55pt .9pt 3.55pt; width: 74.7pt;" valign="top" width="100"><div align="center" class="MsoNormal" style="layout-grid-mode: char; line-height: 115%; text-align: center;">
<span lang="EN-US" style="font-family: "微軟正黑體" , sans-serif; mso-fareast-font-family: "Arial Unicode MS";">2011/8/4<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 9.4pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: .9pt 3.55pt .9pt 3.55pt; width: 77.7pt;" valign="top" width="104"><div align="center" class="MsoNormal" style="layout-grid-mode: char; line-height: 115%; text-align: center;">
<span lang="EN-US" style="font-family: "微軟正黑體" , sans-serif; mso-fareast-font-family: "Arial Unicode MS";">0.8<sup>+2</sup><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 9.4pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: .9pt 3.55pt .9pt 3.55pt; width: 77.95pt;" valign="top" width="104"><div align="center" class="MsoNormal" style="layout-grid-mode: char; line-height: 115%; text-align: center;">
<span lang="EN-US" style="font-family: "微軟正黑體" , sans-serif; mso-fareast-font-family: "Arial Unicode MS";">0.8<sup>-2</sup><o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 10.55pt; mso-yfti-irow: 2;">
<td style="border-top: none; border: solid windowtext 1.0pt; height: 10.55pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: .9pt 3.55pt .9pt 3.55pt; width: 74.7pt;" valign="top" width="100"><div align="center" class="MsoNormal" style="layout-grid-mode: char; line-height: 115%; text-align: center;">
<span lang="EN-US" style="font-family: "微軟正黑體" , sans-serif; mso-fareast-font-family: "Arial Unicode MS";">2011/12/29<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 10.55pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: .9pt 3.55pt .9pt 3.55pt; width: 77.7pt;" valign="top" width="104"><div align="center" class="MsoNormal" style="layout-grid-mode: char; line-height: 115%; text-align: center;">
<span lang="EN-US" style="font-family: "微軟正黑體" , sans-serif; mso-fareast-font-family: "Arial Unicode MS";">0.8<sup>+2</sup><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 10.55pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: .9pt 3.55pt .9pt 3.55pt; width: 77.95pt;" valign="top" width="104"><div align="center" class="MsoNormal" style="layout-grid-mode: char; line-height: 115%; text-align: center;">
<span lang="EN-US" style="font-family: "微軟正黑體" , sans-serif; mso-fareast-font-family: "Arial Unicode MS";">0.8<sup>-1</sup><o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 11.05pt; mso-yfti-irow: 3;">
<td style="border-top: none; border: solid windowtext 1.0pt; height: 11.05pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: .9pt 3.55pt .9pt 3.55pt; width: 74.7pt;" valign="top" width="100"><div align="center" class="MsoNormal" style="layout-grid-mode: char; line-height: 115%; text-align: center;">
<span lang="EN-US" style="font-family: "微軟正黑體" , sans-serif; mso-fareast-font-family: "Arial Unicode MS";">2012/1/27<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 11.05pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: .9pt 3.55pt .9pt 3.55pt; width: 77.7pt;" valign="top" width="104"><div align="center" class="MsoNormal" style="layout-grid-mode: char; line-height: 115%; text-align: center;">
<span lang="EN-US" style="font-family: "微軟正黑體" , sans-serif; mso-fareast-font-family: "Arial Unicode MS";">1.2<sup>-1</sup><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 11.05pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: .9pt 3.55pt .9pt 3.55pt; width: 77.95pt;" valign="top" width="104"><div align="center" class="MsoNormal" style="layout-grid-mode: char; line-height: 115%; text-align: center;">
<span lang="EN-US" style="font-family: "微軟正黑體" , sans-serif; mso-fareast-font-family: "Arial Unicode MS";">1.0<sup>-3</sup><o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 19.35pt; mso-yfti-irow: 4;">
<td style="border-top: none; border: solid windowtext 1.0pt; height: 19.35pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: .9pt 3.55pt .9pt 3.55pt; width: 74.7pt;" valign="top" width="100"><div align="center" class="MsoNormal" style="layout-grid-mode: char; line-height: 115%; text-align: center;">
<span lang="EN-US" style="font-family: "微軟正黑體" , sans-serif; mso-fareast-font-family: "Arial Unicode MS";">2012/2/15<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 19.35pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: .9pt 3.55pt .9pt 3.55pt; width: 77.7pt;" valign="top" width="104"><div align="center" class="MsoNormal" style="layout-grid-mode: char; line-height: 115%; text-align: center;">
<span lang="EN-US" style="font-family: "微軟正黑體" , sans-serif; mso-fareast-font-family: "Arial Unicode MS";">1.2<sup>-1</sup><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 19.35pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: .9pt 3.55pt .9pt 3.55pt; width: 77.95pt;" valign="top" width="104"><div align="center" class="MsoNormal" style="layout-grid-mode: char; line-height: 115%; text-align: center;">
<span lang="EN-US" style="font-family: "微軟正黑體" , sans-serif; mso-fareast-font-family: "Arial Unicode MS";">1.0<sup>-2</sup><o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 9.75pt; mso-yfti-irow: 5;">
<td style="border-top: none; border: solid windowtext 1.0pt; height: 9.75pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: .9pt 3.55pt .9pt 3.55pt; width: 74.7pt;" valign="top" width="100"><div align="center" class="MsoNormal" style="layout-grid-mode: char; line-height: 115%; text-align: center;">
<span lang="EN-US" style="font-family: "微軟正黑體" , sans-serif; mso-fareast-font-family: "Arial Unicode MS";">2012/3/15<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 9.75pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: .9pt 3.55pt .9pt 3.55pt; width: 77.7pt;" valign="top" width="104"><div align="center" class="MsoNormal" style="layout-grid-mode: char; line-height: 115%; text-align: center;">
<span lang="EN-US" style="font-family: "微軟正黑體" , sans-serif; mso-fareast-font-family: "Arial Unicode MS";">1.2<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 9.75pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: .9pt 3.55pt .9pt 3.55pt; width: 77.95pt;" valign="top" width="104"><div align="center" class="MsoNormal" style="layout-grid-mode: char; line-height: 115%; text-align: center;">
<span lang="EN-US" style="font-family: "微軟正黑體" , sans-serif; mso-fareast-font-family: "Arial Unicode MS";">1.0<sup>-3</sup><o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 13.95pt; mso-yfti-irow: 6;">
<td style="border-top: none; border: solid windowtext 1.0pt; height: 13.95pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: .9pt 3.55pt .9pt 3.55pt; width: 74.7pt;" valign="top" width="100"><div align="center" class="MsoNormal" style="layout-grid-mode: char; line-height: 115%; text-align: center;">
<span lang="EN-US" style="font-family: "微軟正黑體" , sans-serif; mso-fareast-font-family: "Arial Unicode MS";">2012/6/19<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 13.95pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: .9pt 3.55pt .9pt 3.55pt; width: 77.7pt;" valign="top" width="104"><div align="center" class="MsoNormal" style="layout-grid-mode: char; line-height: 115%; text-align: center;">
<span lang="EN-US" style="font-family: "微軟正黑體" , sans-serif; mso-fareast-font-family: "Arial Unicode MS";">1.2<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 13.95pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: .9pt 3.55pt .9pt 3.55pt; width: 77.95pt;" valign="top" width="104"><div align="center" class="MsoNormal" style="layout-grid-mode: char; line-height: 115%; text-align: center;">
<span lang="EN-US" style="font-family: "微軟正黑體" , sans-serif; mso-fareast-font-family: "Arial Unicode MS";">1.0<sup>-3</sup><o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 10.45pt; mso-yfti-irow: 7;">
<td style="border-top: none; border: solid windowtext 1.0pt; height: 10.45pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: .9pt 3.55pt .9pt 3.55pt; width: 74.7pt;" valign="top" width="100"><div align="center" class="MsoNormal" style="layout-grid-mode: char; line-height: 115%; text-align: center;">
<span lang="EN-US" style="font-family: "微軟正黑體" , sans-serif; mso-fareast-font-family: "Arial Unicode MS";">2012/9/11<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 10.45pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: .9pt 3.55pt .9pt 3.55pt; width: 77.7pt;" valign="top" width="104"><div align="center" class="MsoNormal" style="layout-grid-mode: char; line-height: 115%; text-align: center;">
<span lang="EN-US" style="font-family: "微軟正黑體" , sans-serif; mso-fareast-font-family: "Arial Unicode MS";">1.2<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 10.45pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: .9pt 3.55pt .9pt 3.55pt; width: 77.95pt;" valign="top" width="104"><div align="center" class="MsoNormal" style="layout-grid-mode: char; line-height: 115%; text-align: center;">
<span lang="EN-US" style="font-family: "微軟正黑體" , sans-serif; mso-fareast-font-family: "Arial Unicode MS";">1.0<o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 23.45pt; mso-yfti-irow: 8;">
<td style="border-top: none; border: solid windowtext 1.0pt; height: 23.45pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: .9pt 3.55pt .9pt 3.55pt; width: 74.7pt;" valign="top" width="100"><div align="center" class="MsoNormal" style="layout-grid-mode: char; line-height: 115%; text-align: center;">
<span lang="EN-US" style="font-family: "微軟正黑體" , sans-serif; mso-fareast-font-family: "Arial Unicode MS";">2013/3/28<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 23.45pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: .9pt 3.55pt .9pt 3.55pt; width: 77.7pt;" valign="top" width="104"><div align="center" class="MsoNormal" style="layout-grid-mode: char; line-height: 115%; text-align: center;">
<span lang="EN-US" style="font-family: "微軟正黑體" , sans-serif; mso-fareast-font-family: "Arial Unicode MS";">1.2<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 23.45pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: .9pt 3.55pt .9pt 3.55pt; width: 77.95pt;" valign="top" width="104"><div align="center" class="MsoNormal" style="layout-grid-mode: char; line-height: 115%; text-align: center;">
<span lang="EN-US" style="font-family: "微軟正黑體" , sans-serif; mso-fareast-font-family: "Arial Unicode MS";">1.0<sup>-2</sup><o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 11.05pt; mso-yfti-irow: 9;">
<td style="border-top: none; border: solid windowtext 1.0pt; height: 11.05pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: .9pt 3.55pt .9pt 3.55pt; width: 74.7pt;" valign="top" width="100"><div align="center" class="MsoNormal" style="layout-grid-mode: char; line-height: 115%; text-align: center;">
<span lang="EN-US" style="font-family: "微軟正黑體" , sans-serif; mso-fareast-font-family: "Arial Unicode MS";">2013/7/6<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 11.05pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: .9pt 3.55pt .9pt 3.55pt; width: 77.7pt;" valign="top" width="104"><div align="center" class="MsoNormal" style="layout-grid-mode: char; line-height: 115%; text-align: center;">
<span lang="EN-US" style="font-family: "微軟正黑體" , sans-serif; mso-fareast-font-family: "Arial Unicode MS";">1.0<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 11.05pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: .9pt 3.55pt .9pt 3.55pt; width: 77.95pt;" valign="top" width="104"><div align="center" class="MsoNormal" style="layout-grid-mode: char; line-height: 115%; text-align: center;">
<span lang="EN-US" style="font-family: "微軟正黑體" , sans-serif; mso-fareast-font-family: "Arial Unicode MS";">1.0<sup>-1</sup><o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 2.6pt; mso-yfti-irow: 10; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid windowtext 1.0pt; height: 2.6pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: .9pt 3.55pt .9pt 3.55pt; width: 74.7pt;" valign="top" width="100"><div align="center" class="MsoNormal" style="layout-grid-mode: char; line-height: 115%; text-align: center;">
<span lang="EN-US" style="font-family: "微軟正黑體" , sans-serif; mso-fareast-font-family: "Arial Unicode MS";">2013/11/21<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 2.6pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: .9pt 3.55pt .9pt 3.55pt; width: 77.7pt;" valign="top" width="104"><div align="center" class="MsoNormal" style="layout-grid-mode: char; line-height: 115%; text-align: center;">
<span lang="EN-US" style="font-family: "微軟正黑體" , sans-serif; mso-fareast-font-family: "Arial Unicode MS";">1.2<sup>-1</sup><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 2.6pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: .9pt 3.55pt .9pt 3.55pt; width: 77.95pt;" valign="top" width="104"><div align="center" class="MsoNormal" style="layout-grid-mode: char; line-height: 115%; text-align: center;">
<span lang="EN-US" style="font-family: "微軟正黑體" , sans-serif; mso-fareast-font-family: "Arial Unicode MS";">1.0<sup>-2</sup><o:p></o:p></span></div>
</td>
</tr>
</tbody></table>
<br />
<br />
Case Study 1 summary:<br />
<br />
In this case study, the chief complaint was left eye visual field loss. At the initial consultation, the patient’s bilateral central vision was slightly below normal, while the left eye visual field test also showed significant nasal visual field impairment. When the patient had follow-up consultation on the 14th day of treatment (2011/8/18), she felt the left eye nasal inferior visual field obstruction had reduced, other symptoms had also gradually alleviated. Despite research statistics demonstrated that with this disease the visual field deterioration tended to continue in the first six months with no subsequent significant improvement; in this case study, the patient had noticeable improvement in just a month or so after receiving TCM treatment.<br />
<br />
Given the patient had experienced different visual field test scenarios, the results are listed in Table 1. On 2011/8/3 (the day before the first consultation), the left eye visual field (30-2) results were: VFI (Visual Field Index): 88%, MD (Mean Deviation): -5.41dB while those for the 2011/9/12 vision field test (30-2) were: VFI: 97%, MD: -1.14dB.<br />
<br />
In this case study, the patient, after receiving treatment, took only 40 days to achieve considerable visual field improvement. Up to 2011/12/29, the left eye visual field function had raised to VFI: 99%, MD: -0.88dB. Thereafter, when the patient took the medication slightly below the recommended dosage, some fluctuation in the visual field function resulted. It nevertheless returned more or less to the normal range when the recommended dosage was later resumed. <br />
<br />
Besides, the patient underwent an OCT on 2011/12/29 with no abnormality observed. The patient did no ERG as recommended when she found her vision had significantly improved. </div>
黃醫師http://www.blogger.com/profile/02383841515937588204noreply@blogger.com0tag:blogger.com,1999:blog-6947034395578750947.post-58038583618107238912016-01-02T23:25:00.002+08:002016-01-02T23:25:25.314+08:002016 新年祝福2015年最後一天再為一位八十多歲長者覆診,他是一位患有後期濕性年齡相關性黃斑病變病人,專誠乘飛機從外地來港看病。<br />
<br />
求診初時,他的眼睛需反覆注射西藥控制病情,兩年來每1至1.5個月注射一次。記得這位長者於初時對注射該類藥物相當反感。因我判斷他的病況不能單靠中藥控制妥當,而且他身在遠方,所以我只好每次都詳細地解釋他的情況是要中西並用,目標就是減少西藥注射次數及儘可能穩住病情。幸好在鼓勵下他回國後仍有繼續服用中藥及西醫的治療,而保住他的眼睛。<br />
<br />
最初半年,他的其中一隻眼睛視力由四成提升至七成,另一隻眼睛因已太嚴重而只能夠穩住它,同時把注射西藥間距時間延長。成效已算很不錯,而且也超出了預期目標。<br />
<br />
跟其他同類病人一樣,當改善後還會要求多一點。其後的兩年覆診,他每次也問我相同的問題:「是否可不用再注射這些西藥?」 我也不厭其煩跟過往一樣地解釋。<br />
<br />
2016年1月1日收到其女兒電郵祝賀新年,及感謝我在除夕當天病人眾多時還對他爸爸耐心解釋及安慰。更祝願在這新一年有更多患者能得到像他爸爸一樣的治療。<br />
<br />
其後回覆我有幸為這位值得尊重的長者診治,又感謝他給我機會服侍我的神!也謝謝他提醒了我,病人數量雖有增長,診症忙得不可開交時,還是不要忘記初衷。除醫治病者身體疾患外,還要由心去關心病人及醫治他們的心。黃醫師http://www.blogger.com/profile/02383841515937588204noreply@blogger.com0tag:blogger.com,1999:blog-6947034395578750947.post-14466792992791292322015-12-17T16:13:00.001+08:002015-12-17T16:21:14.809+08:00眼與精、氣、血、津液及神之關係<div class="MsoNormal" style="text-indent: 24.0pt;">
<span style="font-family: "微軟正黑體" , sans-serif;">眼睛能正常運作除跟早前所提到<a href="http://sseccm.blogspot.hk/2015/08/blog-post_26.html" target="_blank">五臟關係</a>密切外,還有賴於精、氣、血、津液濡養及神的統管。<span lang="EN-US"><o:p></o:p></span></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="text-indent: 24.0pt;">
<span style="font-family: "微軟正黑體" , sans-serif;">《審視瑤函》中提到後者在視覺及眼睛的功用,謂:「五輪之中,四輪不能視物,惟瞳神乃照物者,風輪則有包衛含養之功,故凡風輪有損,瞳神不久留矣,此即唇亡齒寒,輔車相依之意也,或曰:瞳神水乎,氣乎,血乎,膏乎,曰非血,非氣,非水,非膏,乃先天之氣所生,後天之氣所成,陰陽之妙蘊,水火之精華,血養水,水養膏,膏護瞳神,氣為運用,神則維持,喻以日月,其理相同,而午前則小,午後則大,亦隨天地陰陽之運用也。」<span lang="EN-US"><o:p></o:p></span></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="font-family: "微軟正黑體" , sans-serif;">以下簡單介紹精、氣、血、津液及神跟眼睛視覺之關係:<span lang="EN-US"><o:p></o:p></span></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="font-family: "微軟正黑體" , sans-serif;"><b>精</b><span lang="EN-US"><o:p></o:p></span></span></div>
<div class="MsoNormal" style="text-indent: 24.0pt;">
<span style="font-family: "微軟正黑體" , sans-serif;">精為神之宅,又為氣之母,能與氣、血、津液相互滋生及轉化。精是維持視覺的基本物質中最重要之基礎。<span lang="EN-US"><o:p></o:p></span></span></div>
<div class="MsoNormal" style="text-indent: 24.0pt;">
<span style="font-family: "微軟正黑體" , sans-serif;"><br /></span></div>
<div class="MsoNormal" style="text-indent: 24.0pt;">
<span style="font-family: "微軟正黑體" , sans-serif;">《靈樞・大惑論》:「歧伯對曰:五藏六腑之精氣,皆上注於目而為之精。精之窠為眼,骨之精為瞳子,筋之精為黑眼,血之精為絡,其窠氣之精為白眼,肌肉之精為約束,裹擷筋骨血氣之精而與脈並為系,上屬於腦,後出於項中。」<span lang="EN-US"><o:p></o:p></span></span></div>
<div class="MsoNormal">
<br />
<br /></div>
<div class="MsoNormal">
<span style="font-family: "微軟正黑體" , sans-serif;"><b>氣</b><span lang="EN-US"><o:p></o:p></span></span></div>
<div class="MsoNormal" style="text-indent: 24.0pt;">
<span style="font-family: "微軟正黑體" , sans-serif;">溫養作用:眼受五臟六腑上輸之精氣溫煦和濡養,方能維持眼正常功能。<span lang="EN-US"><o:p></o:p></span></span><br />
<span style="font-family: "微軟正黑體" , sans-serif;"><br /></span></div>
<div class="MsoNormal" style="text-indent: 24.0pt;">
<span style="font-family: "微軟正黑體" , sans-serif;">推動作用:氣的正常升降出入運動不息,才能推動精、血、津液不斷地運行上頭濡養目竅。<span lang="EN-US"><o:p></o:p></span></span><br />
<span style="font-family: "微軟正黑體" , sans-serif;"><br /></span></div>
<div class="MsoNormal" style="text-indent: 24.0pt;">
<span style="font-family: "微軟正黑體" , sans-serif;">固攝作用:真氣充足,固攝脈中之血不得外溢;目內津液亦不致乾枯。控制瞳神的聚散。<span lang="EN-US"><o:p></o:p></span></span></div>
<div class="MsoNormal">
<br />
<br /></div>
<div class="MsoNormal">
<span style="font-family: "微軟正黑體" , sans-serif;"><b>血</b><span lang="EN-US"><o:p></o:p></span></span></div>
<div class="MsoNormal" style="text-indent: 24.0pt;">
<span style="font-family: "微軟正黑體" , sans-serif;">血對全身組織有營養及滋潤作用,是人體賴以生存之重要物質。血能載氣,氣、血、津液同行於脈中,除提供血至眼部外,還使眼得到氣和津的供應。《審視瑤函》:「即肝中升運於目,輕清之血,乃滋目經絡之血也,此血非比肌肉間混濁易行之血,因其輕清上升於高而難得,故謂之真也。」<span lang="EN-US"><o:p></o:p></span></span><br />
<span style="font-family: "微軟正黑體" , sans-serif;"><br /></span>
<span style="font-family: "微軟正黑體" , sans-serif;"></span><br />
<div class="MsoNormal" style="text-indent: 24.0pt;">
<span style="font-family: "微軟正黑體" , sans-serif;">另《審視瑤函》中描述血對眼之功能及其引致疾患之比喻如下:「夫目之有血,為養目之源,充和則有發生長養之功,而目不病,少有虧滯,目病生矣」,「猶水為生物之澤,雨露中和,則滋生之得宜,而草木秀,亢旱淫潦,則草木壞矣,皆一氣之失中使然也,是故天之正氣不和,則陰陽偏盛,旱潦乘之,水之盈虧不一,物之秀槁不齊,雨暘失時,而為物之害也,譬之山崩水湧,滂沛妄行,不循河道而流,不得已而疏塞決隄,以泄其氾濫,使無渰溢害物之患。」</span></div>
</div>
<div class="MsoNormal">
<br />
<div class="MsoNormal" style="text-indent: 24.0pt;">
<span style="font-family: "微軟正黑體" , sans-serif;"><span lang="EN-US"><o:p></o:p></span></span></div>
<div class="MsoNormal" style="text-indent: 24.0pt;">
<span style="font-family: "微軟正黑體" , sans-serif;"><span lang="EN-US"><o:p></o:p></span></span></div>
</div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="font-family: "微軟正黑體" , sans-serif;"><b>津液</b><span lang="EN-US"><o:p></o:p></span></span></div>
<div class="MsoNormal" style="text-indent: 24.0pt;">
<span style="font-family: "微軟正黑體" , sans-serif;">津液是體內正常之水液,散佈全身,有滋潤及濡養之作用。津液上滲於目,在外為淚液,在內則主要為神膏及神水。眼睛能夠視物有賴身體臟腑無間斷地上滲津液滋潤及濡養,以維持陰陽平衡。<span lang="EN-US"><o:p></o:p></span></span></div>
<div class="MsoNormal" style="text-indent: 24.0pt;">
<span style="font-family: "微軟正黑體" , sans-serif;"><br /></span></div>
<div class="MsoNormal" style="text-indent: 24.0pt;">
<span style="font-family: "微軟正黑體" , sans-serif;">《靈樞・口問》:「液者,所以灌精儒空竅者也,故上液之道開則泣,泣不止則液竭,液竭則精不灌,精不灌則目無所見。」<span lang="EN-US"><o:p></o:p></span></span></div>
<div class="MsoNormal" style="text-indent: 24.0pt;">
<span style="font-family: "微軟正黑體" , sans-serif;"><br /></span></div>
<div class="MsoNormal" style="text-indent: 24.0pt;">
<span style="font-family: "微軟正黑體" , sans-serif;">《審視瑤函》:「大概目圓而長,外有堅殼數重,中則清脆,內包黑稠神膏一函,膏外則白稠神水,水以滋膏,水外則皆血,血以滋水,膏中一點黑瑩,乃是腎膽所聚之精華,惟此一點燭照鑒視,空闊無窮者,是曰瞳神,此水輪也,其妙有三,膽汁腎氣心神也,五輪之中,四輪不能視物,惟瞳神乃照物者。」<span lang="EN-US"><o:p></o:p></span></span></div>
<div class="MsoNormal" style="text-indent: 24.0pt;">
<span style="font-family: "微軟正黑體" , sans-serif;"><br /></span></div>
<div class="MsoNormal" style="text-indent: 24.0pt;">
<span style="font-family: "微軟正黑體" , sans-serif;">《審視瑤函》:「神水者,由三焦而發源,先天真一之氣所化,在目之內,雖不可見,若被物觸損傷,則見黑膏之外,有似稠痰出者是也,即目上潤澤之水,水衰則有火盛燥暴之患,水竭則有目輪大小之疾,耗澀則有昏眇之危,虧者多,盈者少,是以世無全精之目。」<span lang="EN-US"><o:p></o:p></span></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="font-family: "微軟正黑體" , sans-serif;"><b>神</b><span lang="EN-US"><o:p></o:p></span></span></div>
<div class="MsoNormal" style="text-indent: 24.0pt;">
<div class="MsoNormal" style="text-indent: 24.0pt;">
<span style="font-family: "微軟正黑體" , sans-serif;">眼賴神生:形為神之體,神為形之用,神氣生於精氣、營衞,舍於血脈,又能統馭精氣和營衞;血舍魂,氣舍魄,魂魄亦皆神。<span lang="EN-US"><o:p></o:p></span></span></div>
<div class="MsoNormal" style="text-indent: 24.0pt;">
<span style="font-family: "微軟正黑體" , sans-serif;">《靈樞・大惑論》:「目者五臟六腑之精也,營衛魂魄之所常營也,神氣之所生也。故神勞則魂魄散,志意亂。是故瞳子黑眼法於陰,白眼赤脈法於陽也,故陰陽合傳,而精明也。目者,心使也。心者,神之舍也。故神精亂而不轉,卒然見非常處,精神魂魄,散不相得,故曰惑也。」<span lang="EN-US"><o:p></o:p></span></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="text-indent: 24.0pt;">
<span style="font-family: "微軟正黑體" , sans-serif;">眼因神識:《外台秘要》:「眼之黑白分明,肝管無滯,外托三光,內因神識,故有所見。」《審視瑤函》:「神光者,謂目中自然能視之精華也,夫神光原於命門,通於膽,發於心,皆火之用事,神之在人也大矣,在足能行,在手能握,在舌能言,在鼻能嗅,在耳能聽,在目能見」<span lang="EN-US"><o:p></o:p></span></span></div>
<div class="MsoNormal" style="margin-left: 24.0pt;">
<br /></div>
<div class="MsoNormal" style="text-indent: 24.0pt;">
<span style="font-family: "微軟正黑體" , sans-serif;">望目察神:從眼睛是望診中望神的一個重要渠道。精氣是神的物質基礎,五臟六腑精氣皆上注於目。精氣充沛目光精彩,靈活有神;精氣衰竭則目暗精迷,漠然失神。<span lang="EN-US"><o:p></o:p></span></span></div>
</div>
<div class="MsoNormal" style="text-indent: 24.0pt;">
<br /></div>
<div class="MsoNormal" style="text-indent: 24.0pt;">
<span lang="EN-US" style="font-family: "微軟正黑體" , sans-serif;"><br /></span></div>
<div class="MsoNormal" style="text-indent: 24.0pt;">
<span style="font-family: "微軟正黑體" , sans-serif;">可見中醫眼科診治眼疾時,除了以五臟六腑與眼睛之關係審證求因外,還不會忽略精、氣、血、津液及神等之生理病理關係,整體及全面地進行辨證施治。<span lang="EN-US"><o:p></o:p></span></span></div>
<br />
<div class="MsoNormal">
<br /></div>
黃醫師http://www.blogger.com/profile/02383841515937588204noreply@blogger.com0tag:blogger.com,1999:blog-6947034395578750947.post-35786495531885959102015-09-29T13:58:00.000+08:002015-09-29T13:58:00.613+08:00年齡相關性黃斑病變中醫治療 Q&A<div class="MsoNormalCxSpFirst" style="margin-left: 36.0pt; mso-add-space: auto; mso-list: l5 level1 lfo2; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: 微軟正黑體;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;"> </span></span><span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">什麼是黃斑?它病發的位置處於哪裡?</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">黃斑位於眼球內視網膜上,視網膜功能接收影像訊息,並通過神經傳送到大腦而能夠視物。黃斑位處視網膜的中央,區內有極高密度感光細胞,專門用來觀看細小事物和辨別顏色。</span><span lang="EN-US" style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span><br />
<span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;"><br /></span></div>
<div class="MsoNormal" style="margin-left: 72.0pt;">
<br /></div>
<div class="MsoNormalCxSpMiddle" style="margin-left: 36.0pt; mso-add-space: auto; mso-list: l0 level1 lfo6; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: 微軟正黑體;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">什麼是年齡相關性黃斑病變?</span><span lang="EN-US" style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">年齡相關性黃斑病變是一個較常見於<span lang="EN-US">50</span>歲以上人仕的退行性眼疾,因黃斑區受損而導致視力減退</span><span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: "Arial Unicode MS";">。</span><span lang="EN-US" style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">初時中心視野出現模糊範圍</span><span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: "Arial Unicode MS";">,範圍</span><span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">隨時間而變大、變暗、變黑,中央視野受損。此病雖不影響週邊視野</span><span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: "Arial Unicode MS";">,不會導致完全失明,但對於患者的生活引起極大困難,如不能駕車、</span><span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">閱讀、書寫、煮食等工作。</span><span lang="EN-US" style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<br /></div>
<div class="MsoNormalCxSpMiddle" style="margin-left: 36.0pt; mso-add-space: auto; mso-list: l0 level1 lfo6; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: 微軟正黑體;">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">年齡相關性黃斑病變是怎樣發生的<span lang="EN-US">?</span></span><span lang="EN-US" style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">一般認為此病的發生是因老化及環境因素而導致黃斑區自由基增加,這些不穩定自由基如不及時被中和就會引發黃斑區組織局部炎症損害,損害持續擴大,而導致中央視力受損。</span><span lang="EN-US" style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormalCxSpMiddle" style="margin-left: 36.0pt; mso-add-space: auto; mso-list: l0 level1 lfo6; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: 微軟正黑體;">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">只有老年人才會患黃斑病變嗎?青年是否也會患黃斑病變</span><span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: "Arial Unicode MS";">?</span><span lang="EN-US" style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: "Arial Unicode MS";">「</span><span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">年齡相關性黃斑病變」主要發生於中年以上的人士,但它只是黃斑病變的其中一種。青年也可患上其他黃斑病變,如<a href="http://silverseaeyecentre.com/csr.html" target="_blank">黃斑積水</a>(中心性漿液性脈絡膜視網膜病變,中漿)、黃斑前膜、黃斑裂孔、高度近視黃斑病變、<a href="http://silverseaeyecentre.com/dr.html" target="_blank">糖尿病視網膜病變等</a>。</span><span lang="EN-US" style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span><br />
<span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;"><br /></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<br /></div>
<div class="MsoNormalCxSpMiddle" style="margin-left: 36.0pt; mso-add-space: auto; mso-list: l2 level1 lfo3; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: 微軟正黑體;">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">生活中出現了哪些症狀我們就該警惕是年齡相關性黃斑病變的前兆?</span><span lang="EN-US" style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">初時可能出現視物不清</span><span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: "Arial Unicode MS";">、</span><span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">輕微變形</span><span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: "Arial Unicode MS";">、看書看報紙時</span><span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">看漏一些字,也有部份患者只是感覺看不久就眼睛疲勞</span><span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: "Arial Unicode MS";">。</span><span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">但這些早期症狀可能被誤以為只</span>是眼鏡度數變異。<br />
<br /></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">此外,我們有一雙眼睛</span><span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: "Arial Unicode MS";">,它們能</span><span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">互相補足</span><span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: "Arial Unicode MS";">,而不被病人察覺這些早期症狀,直至</span><span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">眼科檢查或病情加重才被發現。</span><span lang="EN-US" style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span><br />
<span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;"><br /></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<br /></div>
<div class="MsoNormalCxSpMiddle" style="margin-left: 36.0pt; mso-add-space: auto; mso-list: l3 level1 lfo1; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: 微軟正黑體;">6.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">年齡相關性黃斑病變的高危因素是什麼<span lang="EN-US">?</span></span><span lang="EN-US" style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span style="background: white; color: #222222; font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun; mso-highlight: white;">主要有:</span><span lang="EN-US" style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span style="background: white; color: #222222; font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun; mso-highlight: white;">吸煙、高脂飲食</span><span lang="EN-US" style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span style="background: white; color: #222222; font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun; mso-highlight: white;">肥胖、</span><span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">年齡</span><span style="background: white; color: #222222; font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: "Arial Unicode MS"; mso-highlight: white;">、家族史</span><span lang="EN-US" style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span style="background: white; color: #222222; font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun; mso-highlight: white;">高血壓、高膽固醇</span><span lang="EN-US" style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span style="background: white; color: #222222; font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun; mso-highlight: white;">經常無保護下接觸陽光</span><span lang="EN-US" style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<br /></div>
<div class="MsoNormalCxSpMiddle" style="margin-left: 36.0pt; mso-add-space: auto; mso-list: l3 level1 lfo1; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: 微軟正黑體;">7.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">年齡相關性黃斑病變有哪些類型<span lang="EN-US">?</span></span><span lang="EN-US" style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">這病一般分為乾性和濕性</span><span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: "Arial Unicode MS";">,大多數患者均屬乾性。乾性比濕性視力惡化較緩慢。它有細小</span><span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">堆積物<span lang="EN-US">(</span>玻璃膜疣<span lang="EN-US">)</span>會積聚於黃斑區視網膜下,隨時間引致視力減退及黃斑區萎縮</span><span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: "Arial Unicode MS";">。</span><span lang="EN-US" style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">濕性惡化得比較快,容易導致嚴重視力下降。它的視網膜下有新增血管生長並侵入黃斑區,而這些不正常血管容易破裂</span><span style="background: white; color: #222222; font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: "Arial Unicode MS"; mso-highlight: white;">、</span><span style="background: white; color: #222222; font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun; mso-highlight: white;">出血</span><span style="background: white; color: #222222; font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: "Arial Unicode MS"; mso-highlight: white;">、</span><span style="background: white; color: #222222; font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun; mso-highlight: white;">滲漏</span><span style="background: white; color: #222222; font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: "Arial Unicode MS"; mso-highlight: white;">,影響黃斑區功能及破壞黃斑區形成疤痕,導致視力嚴重減退。<span lang="EN-US"><o:p></o:p></span></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<br /></div>
<div class="MsoNormalCxSpMiddle" style="margin-left: 36.0pt; mso-add-space: auto; mso-list: l3 level1 lfo1; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: 微軟正黑體;">8.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">年齡相關性黃斑病變的症狀是什麼<span lang="EN-US">?</span></span><span lang="EN-US" style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;"><br /></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">主要症狀是視物不清</span><span style="background: white; color: #222222; font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: "Arial Unicode MS"; mso-highlight: white;">、變形彎曲等,後期有明顯視力障礙</span><span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: "Arial Unicode MS";">。</span><span lang="EN-US" style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal">
<br />
<br /></div>
<div class="MsoNormalCxSpMiddle" style="margin-left: 36.0pt; mso-add-space: auto; mso-list: l3 level1 lfo1; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: 微軟正黑體;">9.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">如果不及時治療會有哪些危害<span lang="EN-US">?</span></span><span lang="EN-US" style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">這是一個進行性疾病,隨時間病情容易惡化</span><span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: "Arial Unicode MS";">,可導致我們完全</span><span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">喪失中央視覺,即只能夠看見旁邊的光影</span><span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: "Arial Unicode MS";">。</span><span lang="EN-US" style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">這病後期</span><span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: "Arial Unicode MS";">,眼外觀並沒有甚麼異常,患者如想看著某人的面部時,他只能夠看到黑影代替了頭部,完全看不到面部輪廓。</span><span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">這病嚴重影響到我們的正常生活</span><span style="background: white; color: #222222; font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: "Arial Unicode MS"; mso-highlight: white;">、工</span><span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">作。</span><span lang="EN-US" style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormalCxSpMiddle" style="margin-left: 36.0pt; mso-add-space: auto; mso-list: l3 level1 lfo1; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: 微軟正黑體;">10.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">最佳治療時期是什麼時候<span lang="EN-US">?</span></span><span lang="EN-US" style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;"><br /></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">所有疾病均是及早醫治為上。這病初期開始接受治療,有較大機會減輕視力持續減退</span><span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: "Arial Unicode MS";">,也可增加</span><span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">改善視力的機會。</span><span lang="EN-US" style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">後期因黃斑區萎縮或瘢痕形成,視力恢復就相對困難</span><span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: "Arial Unicode MS";">。</span><span lang="EN-US" style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<br /></div>
<div class="MsoNormalCxSpMiddle" style="margin-left: 36.0pt; mso-add-space: auto; mso-list: l3 level1 lfo1; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: 微軟正黑體;">11.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">患上年齡相關性黃斑病變我們需要注意飲食嗎<span lang="EN-US">?</span></span><span lang="EN-US" style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;"><br /></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">這是需要的。</span><span lang="EN-US" style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;"><br /></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">從中醫來說,飲食清淡,減吃肥甘厚味食物</span><span style="font-family: "新細明體",serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">、</span><span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">生冷刺激辛辣等食物。</span><span lang="EN-US" style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">部份飲食習慣對減慢這病惡化速度有正面影響:</span><span lang="EN-US" style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormalCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l1 level1 lfo5; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: 微軟正黑體;"> ●<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">多吃蔬菓,尤其深綠色蔬菜</span><span lang="EN-US" style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormalCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l1 level1 lfo5; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: 微軟正黑體;"> ●<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">可多吃含<span lang="EN-US"> omega-3 </span>食物</span><span lang="EN-US" style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<br /></div>
<div class="MsoNormalCxSpMiddle" style="margin-left: 36.0pt; mso-add-space: auto; mso-list: l3 level1 lfo1; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: 微軟正黑體;">12.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">最近有報導說在黑暗中看手機容易導致年齡相關性黃斑病變,這是真的嗎<span lang="EN-US">?</span></span><span lang="EN-US" style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">暫時還沒有證據證明它們有直接關係。</span><span lang="EN-US" style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;"><br /></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">但近年有研究指某些特定藍光可能對黃斑健康有不良影響,而這些光線存在於部份燈光裝置</span><span style="background: white; color: #222222; font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: "Arial Unicode MS"; mso-highlight: white;">、</span><span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">手機</span><span style="background: white; color: #222222; font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: "Arial Unicode MS"; mso-highlight: white;">、平板、陽光</span><span style="background: white; color: #222222; font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun; mso-highlight: white;">等。</span><span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">所以我們不單止要聚焦在甚麼光線下看手機,而是要留意長時間使用它們及接觸這類光線可能帶來的潛在風險。</span><span lang="EN-US" style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;"><br /></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">總體來說,我們使用手機不宜使用太長時間,也可以考慮使用有阻隔這類光線的鏡片</span><span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: "Arial Unicode MS";">,在</span><span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">戶外時配戴太陽鏡等。</span><span lang="EN-US" style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<br />
<br /></div>
<div class="MsoNormalCxSpMiddle" style="margin-left: 36.0pt; mso-add-space: auto; mso-list: l3 level1 lfo1; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: 微軟正黑體;">13.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">年齡相關性黃斑病變可以預防嗎<span lang="EN-US">?</span></span><span lang="EN-US" style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;"><br /></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">我們只能夠減少它發生的機會</span><span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: "Arial Unicode MS";">。避免一些不利因素,如吸煙<span style="background: white; color: #222222; mso-highlight: white;">、高脂飲食、無防護下接觸陽光、高血壓、高膽固醇等疾患</span>,有助減低它發生或惡化的機會。</span><span lang="EN-US" style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;"><br /></span>
<span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">另外,定期眼睛檢查也是一個重要手段,因為可於早期發現早期治療</span><span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: "Arial Unicode MS";">。</span><span lang="EN-US" style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span><br />
<span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: "Arial Unicode MS";"><br /></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<br /></div>
<div class="MsoNormalCxSpMiddle" style="margin-left: 36.0pt; mso-add-space: auto; mso-list: l3 level1 lfo1; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: 微軟正黑體;">14.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">我們生活中有些什麼不良的習慣改正<span lang="EN-US">?</span></span><span lang="EN-US" style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;"><br /></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">除飲食方面外,還必須<span style="background: white; color: #222222; mso-highlight: white;">要戒煙。</span></span><span style="background: white; color: #222222; font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun; mso-highlight: white;">正常休息時間<span lang="EN-US">(</span>不捱夜</span><span lang="EN-US" style="background: white; color: #222222; font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: "Arial Unicode MS"; mso-highlight: white;">)</span><span style="background: white; color: #222222; font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: "Arial Unicode MS"; mso-highlight: white;">、合理</span><span style="background: white; color: #222222; font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun; mso-highlight: white;">用眼時間及習慣,都有正面幫助。</span><br />
<span style="background: white; color: #222222; font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun; mso-highlight: white;"><br /></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span style="color: #222222; font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">培養做運動習慣、保持良好情緒</span><span style="color: #222222; font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: "Arial Unicode MS";">、外出時配戴</span><span style="color: #222222; font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">太陽眼鏡等。</span><br />
<span style="color: #222222; font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;"><br /></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<br /></div>
<div class="MsoNormalCxSpMiddle" style="margin-left: 36.0pt; mso-add-space: auto; mso-list: l4 level1 lfo4; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="background: white; color: #222222; font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: 微軟正黑體; mso-highlight: white;">15.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="background: white; color: #222222; font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun; mso-highlight: white;">想問一下在中醫強調治標先治本,那麼年齡相關性黃斑病變的</span><span style="color: #222222; font-family: 細明體; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">「</span><span style="color: #222222; font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">本</span><span style="color: #222222; font-family: 細明體; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">」</span><span style="background: white; color: #222222; font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun; mso-highlight: white;">是指什麼?</span><span lang="EN-US" style="background: white; color: #222222; font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-highlight: white;"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span style="color: #222222; font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">所謂</span><span style="color: #222222; font-family: 細明體; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">「</span><span style="color: #222222; font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">本</span><span style="color: #222222; font-family: 細明體; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">」</span><span style="color: #222222; font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">,就是根本。也是產生疾病的根本原因。</span><span lang="EN-US" style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span style="color: #222222; font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">中醫治病方法就是要找出這些根本原因和把主要矛盾除去</span><span style="color: #222222; font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: "Arial Unicode MS";">,</span><span style="color: #222222; font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">而每個個體的</span><span style="color: #222222; font-family: 細明體; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">「</span><span style="color: #222222; font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">本</span><span style="color: #222222; font-family: 細明體; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">」</span><span style="color: #222222; font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">也不一樣。</span><span lang="EN-US" style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span style="color: #222222; font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">我們舉一個例子,有一位病人求診,他經常捱夜<span style="background: white; mso-highlight: white;">用眼過度,檢查時發現他患有濕性病變出血,經過中醫診斷,分析他</span>捱夜<span style="background: white; mso-highlight: white;">用眼過度,暗耗肝血,陰血不足</span></span><span style="background: white; color: #222222; font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: "Arial Unicode MS"; mso-highlight: white;">,虛火上炎,血不循經而致出血,阻礙視力,這個就是病的根本。也是我們中醫所說的病因</span><span style="background: white; color: #222222; font-family: "新細明體",serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: "Arial Unicode MS"; mso-highlight: white;">、</span><span style="background: white; color: #222222; font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: "Arial Unicode MS"; mso-highlight: white;">病機。</span><span lang="EN-US" style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span style="background: white; color: #222222; font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun; mso-highlight: white;">但必須要注意</span><span style="color: #222222; font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">捱夜及<span style="background: white; mso-highlight: white;">用眼過度,<u>不等於</u>一定會導致這類黃斑病變。</span></span><span lang="EN-US" style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;"> 16. </span><span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">在進行治療前要做哪些檢查?</span><span lang="EN-US" style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">瞭解病史後,就先進行眼科檢查:</span><span lang="EN-US" style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">檢查最佳視力</span><span style="background: white; color: #222222; font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: "Arial Unicode MS"; mso-highlight: white;">、</span><span lang="EN-US" style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%;">AMSLER GRID</span><span style="background: white; color: #222222; font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: "Arial Unicode MS"; mso-highlight: white;">、</span><span style="background: white; color: red; font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-highlight: white;">
</span><span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">眼底檢查,需要時可配合<span lang="EN-US">OCT (</span>光學斷層掃描<span lang="EN-US">)</span><span style="background: white; color: #222222; mso-highlight: white;">及</span>螢光造影等檢查。</span><span lang="EN-US" style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;"><br /></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">有了這些結果,我們把它們放進中醫四診中的望診,並完成四診:望</span><span style="background: white; color: #222222; font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: "Arial Unicode MS"; mso-highlight: white;">、</span><span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">聞</span><span style="background: white; color: #222222; font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: "Arial Unicode MS"; mso-highlight: white;">、問、切,當收集到所有的相關資訊,便綜合、歸納、分析,以中醫理論推論病因病機,再定立治療方案。</span><span lang="EN-US" style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<br />
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;"> 17. </span><span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">目前治療黃斑病變的中醫療法有哪些?</span><span lang="EN-US" style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;"><br /></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">主要還是內服中藥,需要時就加用針灸。這些方法看似很簡單,其實包含了不少前人的智慧。</span><span lang="EN-US" style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span><br />
<span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;"><br /></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%;"> 18.</span><span lang="EN-US" style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;"> </span><span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">和西醫相比治療過程有什麼不同?</span><span lang="EN-US" style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">西醫經過眼科檢查及診斷後,基本上就可直接進行常規治療。</span><span lang="EN-US" style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">而中醫眼科治病前會透過檢查</span><span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: "Arial Unicode MS";">,</span><span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">瞭解眼內情況後,再把它們融入於中醫辨證論治當中,推斷中醫的病因病機</span><span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: "Arial Unicode MS";">,和疾病的</span><span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">性質</span><span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: "Arial Unicode MS";">,再針對其發病機制及病況</span><span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">定立治療方案及法則</span><span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: "Arial Unicode MS";">,繼而再</span><span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">處方用藥或針灸治療</span><span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: "Arial Unicode MS";">。</span><br />
<span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;"><br /></span>
<span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">同時,隨病情變化,再調整治療策略與步伐</span><span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: "Arial Unicode MS";">。</span><span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">這個動態及個體化治療,是中醫一大特色。</span><span lang="EN-US" style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%;"> 19.</span><span lang="EN-US" style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;"> </span><span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">中醫較西醫而言在治療年齡相關性黃斑病變上有什麼優勢?</span><span lang="EN-US" style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">其實它們各有優勢。</span><span lang="EN-US" style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">中醫眼科於乾性病變初期已可積極介入,改善視力,減低持續惡化之機會。</span><span lang="EN-US" style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;"><br /></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">濕性方面,它容易嚴重影響視覺,黃斑區嚴重滲出或出血還是需要西醫治療控制病情;配合中醫治療,可減少反覆滲出及出血,以爭取最佳療效。</span><span lang="EN-US" style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%;"> 20.</span><span lang="EN-US" style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;"> </span><span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">中醫治療年齡相關性黃斑病變的原則是什麼?</span><span lang="EN-US" style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">治療基本原則是按病情如何提升視力及減輕病情惡化,最終目的是減輕對視覺之影響。</span><span lang="EN-US" style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">如乾性病變而未出現疤痕及萎縮</span><span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: "Arial Unicode MS";">,則可較進取地治療,務求提升視力。</span><span lang="EN-US" style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">如屬濕性</span><span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: "Arial Unicode MS";">,</span>治療時必須要考慮其滲出及出血特性,同時要考慮怎樣預防出血滲出之後遺症。</div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;"><br /></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%;"> 21</span><span lang="EN-US" style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">. </span><span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">中醫治療年齡相關性黃斑病變的理論基礎是什麼?</span><span lang="EN-US" style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">很多人都將眼病發生與中醫的「肝」連上關係。除了跟「肝」有關聯外,其實還與其餘四臟及中醫概念中之「氣、血、津液、精、神、經絡系統</span><span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: "Arial Unicode MS";">」等都有著密不可分之</span><span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">生理及與病理關係。</span><span lang="EN-US" style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">中醫認為眼睛正常視覺功能倚靠着各個全身器官協調運作。</span><span lang="EN-US" style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: "Arial Unicode MS";">「五輪學說」,這學說是中醫眼科其中一個重要理論,由明朝流傳至今仍被廣泛應用。</span><span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">它將眼睛劃分為五個部份-稱為五輪(風輪、血輪、肉輪、氣輪、水輪),各部位分屬五臟(肝、心、脾、肺、腎),藉此說明眼睛解剖</span><span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: "Arial Unicode MS";">、生理及病理,並用於臨床指導治療。</span><span lang="EN-US" style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">黃斑疾患病位於瞳孔後,屬中醫眼科中之水輪疾病,屬腎。肝腎同源,與肝也有密切關連,黃斑位於視網膜中央部份,脾為中土,故屬脾。所以黃斑疾患一般治療都考慮以肝、脾、腎為先。</span><span lang="EN-US" style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: 微軟正黑體, sans-serif; font-size: 12pt; line-height: 115%;"> 22</span><span lang="EN-US" style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">. </span><span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">中醫常說的辨證法是指什麼?</span><span lang="EN-US" style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">中醫辨證法是在長期臨床實踐經驗中形成的,以臟腑、氣血津液、經絡等理論為依據,通過望、聞、問、切四診收集到的資料進行綜合、歸納、分析,並推論其內在聯繫及矛盾</span><span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: "Arial Unicode MS";">,從而作出病情概括的方法。</span><span lang="EN-US" style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span><br />
<span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: "Arial Unicode MS";"><br /></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;"> 23. </span><span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">一般治療需要多長時間?</span><span lang="EN-US" style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">這個要視乎患病嚴重程度及其本質、病者體質、患者配合等。</span><span lang="EN-US" style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">一般屬初期而不嚴重的患者,通常需要兩至四個月治療。而較重的可能多於一年。</span><span lang="EN-US" style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span><br />
<span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;"><br /></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;"> 24. </span><span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">中醫治療效果如何,病人可以痊癒嗎?</span><span lang="EN-US" style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">黃斑未受嚴重破壞,較容易取得視力改善,亦有機會回復大部份視力。</span><span lang="EN-US" style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span><br />
<span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;"><br /></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">如果黃斑曾經出血、有疤痕或萎縮,主要以控制病情為首,但視力則較難完全恢復。</span><span lang="EN-US" style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span><br />
<span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;"><br /></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;"> 25. </span><span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">是否需要配合其他治療方式?</span><span lang="EN-US" style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">個人認為這病的任何階段均可應用中醫治療,如患者患上濕性的病變,出血量大,就需要西醫治療一起配合。務求儘快停止其出血,減少後遺症影響。</span><span lang="EN-US" style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">此外,患者需清楚瞭解眼睛情況,以減少病者不必要疑慮,並對疾病警惕重視,對病情有正面的影響。</span><span lang="EN-US" style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span><br />
<span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;"><br /></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;"> 26. </span><span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">民間有<span lang="EN-US">“</span>得了黃斑病變要多吃橘子<span lang="EN-US">”</span>的說法有依據嗎?</span><span lang="EN-US" style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;"><br /></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">可能考到它的抗氧化作用吧!一般蔬果是可以多吃點。</span><span lang="EN-US" style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span><br />
<span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;"><br /></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;"> 27. </span><span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">病人需要特別注意進補什麼嗎?</span><span lang="EN-US" style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;"><br /></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">一般都沒有這個需要。因為處方中大都已有考慮病者所需要的藥物。當然對一些身體特別虛弱的患者,就可能要再補一補。</span><span lang="EN-US" style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span><br />
<span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;"><br /></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;"> 28. </span><span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">中醫治療黃斑病變如果痊癒了以後會復發嗎?</span><span lang="EN-US" style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;"><br /></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: SimSun;">年齡相關性黃斑病變是一個退化性疾患,隨年齡增長它是有機會復發。所以停止治療後,還須定時跟進。需要時,再恢復治療。</span><span lang="EN-US" style="font-family: "微軟正黑體",sans-serif; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></div>
黃醫師http://www.blogger.com/profile/02383841515937588204noreply@blogger.com1tag:blogger.com,1999:blog-6947034395578750947.post-78666757567431074542015-08-26T15:43:00.003+08:002015-08-26T15:43:39.486+08:00眼與中醫五臟生理關係<div class="MsoNormal" style="text-indent: 0cm;">
<span style="font-family: 微軟正黑體, sans-serif; line-height: 115%;">不少人都將眼病發生與中醫所謂之「肝」連上關係,相信主要是由於「肝開竅於目」這個中醫概念。但眼睛除與「肝」有密切關係外,還與其餘四臟<span lang="EN-US">(</span>參考下</span><!--[if supportFields]><span lang=EN-US
style='font-family:"微軟正黑體",sans-serif'><span style='mso-element:field-begin'></span></span><span
lang=EN-US style='font-family:"微軟正黑體",sans-serif;mso-fareast-language:ZH-TW'>
REF _Ref355192340 \h <span style='mso-spacerun:yes'> </span>\* MERGEFORMAT </span><span
lang=EN-US style='font-family:"微軟正黑體",sans-serif'><span style='mso-element:
field-separator'></span></span><![endif]--><span style="font-family: 微軟正黑體, sans-serif; line-height: 115%;">表</span><span lang="EN-US" style="font-family: 微軟正黑體, sans-serif; line-height: 115%;"><!--[if gte mso 9]><xml>
<w:data>08D0C9EA79F9BACE118C8200AA004BA90B02000000080000000E0000005F005200650066003300350035003100390032003300340030000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span lang=EN-US
style='font-family:"微軟正黑體",sans-serif'><span style='mso-element:field-end'></span></span><![endif]--><span lang="EN-US" style="font-family: 微軟正黑體, sans-serif; line-height: 115%;">)</span><span style="font-family: 微軟正黑體, sans-serif;"><span style="line-height: 115%;">及中醫概念中之「氣、血</span><span style="line-height: 25.2999992370605px;">、津液</span></span><span style="font-family: 微軟正黑體, sans-serif; line-height: 25.2999992370605px;">、</span><span style="font-family: 微軟正黑體, sans-serif; line-height: 25.2999992370605px; text-indent: 0cm;">神</span><span style="font-family: 微軟正黑體, sans-serif; line-height: 115%; text-indent: 0cm;">」都有着密不可分之生理及病理關係。</span></div>
<br />
<div class="MsoCaption" style="page-break-after: avoid; text-indent: 0cm;">
<span style="font-family: 微軟正黑體, sans-serif;">眼與中醫五臟之關係:</span></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: none; mso-border-alt: solid windowtext .5pt; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr>
<td style="background: #BFBFBF; border: solid windowtext 1.0pt; mso-background-themecolor: background1; mso-background-themeshade: 191; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.7pt;" width="36"><div align="center" class="MsoNormal" style="layout-grid-mode: char; text-align: center; text-indent: 0cm;">
<span style="font-family: "微軟正黑體",sans-serif; mso-bidi-font-family: 細明體; mso-bidi-language: AR-SA; mso-fareast-language: ZH-TW;">臟<span lang="EN-US"><o:p></o:p></span></span></div>
</td>
<td style="background: #BFBFBF; border-left: none; border: solid windowtext 1.0pt; mso-background-themecolor: background1; mso-background-themeshade: 191; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 377.05pt;" width="503"><div align="center" class="MsoNormal" style="layout-grid-mode: char; line-height: 115%; mso-margin-bottom-alt: auto; text-align: center; text-indent: 0cm;">
<span style="font-family: "微軟正黑體",sans-serif; mso-bidi-font-family: 細明體; mso-bidi-language: AR-SA; mso-fareast-language: ZH-TW;">眼與五臟生理功能之關係<span lang="EN-US"><o:p></o:p></span></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.7pt;" valign="top" width="36"><div align="center" class="MsoNormal" style="layout-grid-mode: char; text-align: center; text-indent: 0cm;">
<span style="font-family: "微軟正黑體",sans-serif; mso-bidi-font-family: 細明體; mso-bidi-language: AR-SA; mso-fareast-language: ZH-TW;">肝<span lang="EN-US"><o:p></o:p></span></span></div>
<div align="center" class="MsoNormal" style="layout-grid-mode: char; line-height: 115%; mso-margin-bottom-alt: auto; text-align: center; text-indent: 0cm;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 377.05pt;" valign="top" width="503"><div class="MsoListParagraphCxSpFirst" style="layout-grid-mode: char; margin-left: 24.0pt; mso-add-space: auto; mso-list: l0 level1 lfo1; text-indent: -24.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-bidi-language: AR-SA; mso-fareast-font-family: Wingdings; mso-fareast-language: ZH-TW;">²<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span style="font-family: "微軟正黑體",sans-serif; mso-bidi-font-family: 細明體; mso-bidi-language: AR-SA; mso-fareast-language: ZH-TW;">肝開竅於目<span lang="EN-US"><o:p></o:p></span></span></div>
<div class="MsoListParagraphCxSpLast" style="layout-grid-mode: char; margin-left: 24.0pt; mso-add-space: auto; mso-list: l0 level1 lfo1; text-indent: -24.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-bidi-language: AR-SA; mso-fareast-font-family: Wingdings; mso-fareast-language: ZH-TW;">²<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span style="font-family: "微軟正黑體",sans-serif; mso-bidi-font-family: 細明體; mso-bidi-language: AR-SA; mso-fareast-language: ZH-TW;">肝受血而能視
<span lang="EN-US"><o:p></o:p></span></span></div>
<div class="MsoNormal" style="layout-grid-mode: char; margin-left: 35.0pt; mso-para-margin-left: 3.18gd; text-indent: 0cm;">
<span style="font-family: "微軟正黑體",sans-serif; mso-bidi-font-family: 細明體; mso-bidi-language: AR-SA; mso-fareast-language: ZH-TW;">《審視瑤函.目為至寶論》指出:「肝中升運於目,輕清之血,乃滋目經絡之血也」
<span lang="EN-US"><o:p></o:p></span></span></div>
<div class="MsoNormal" style="layout-grid-mode: char; margin-left: 35.0pt; mso-para-margin-left: 3.18gd; text-indent: 0cm;">
<span style="font-family: "微軟正黑體",sans-serif; mso-bidi-font-family: 細明體; mso-bidi-language: AR-SA; mso-fareast-language: ZH-TW;">血養水<span lang="EN-US">(</span>神水<span lang="EN-US">)</span>、水養膏<span lang="EN-US">(</span>神膏<span lang="EN-US">)</span>、膏護瞳神<span lang="EN-US"><o:p></o:p></span></span></div>
<div class="MsoListParagraphCxSpFirst" style="layout-grid-mode: char; margin-left: 24.0pt; mso-add-space: auto; mso-list: l0 level1 lfo1; text-indent: -24.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-bidi-language: AR-SA; mso-fareast-font-family: Wingdings; mso-fareast-language: ZH-TW;">²<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span style="font-family: "微軟正黑體",sans-serif; mso-bidi-font-family: 細明體; mso-bidi-language: AR-SA; mso-fareast-language: ZH-TW;">肝氣通於目<span lang="EN-US"><o:p></o:p></span></span></div>
<div class="MsoListParagraphCxSpLast" style="layout-grid-mode: char; margin-left: 24.0pt; mso-add-space: auto; mso-list: l0 level1 lfo1; text-indent: -24.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-bidi-language: AR-SA; mso-fareast-font-family: Wingdings; mso-fareast-language: ZH-TW;">²<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span style="font-family: "微軟正黑體",sans-serif; mso-bidi-font-family: 細明體; mso-bidi-language: AR-SA; mso-fareast-language: ZH-TW;">肝主疏泄,調氣機,推動血與津液運行順暢。<span lang="EN-US"><o:p></o:p></span></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.7pt;" valign="top" width="36"><div align="center" class="MsoNormal" style="layout-grid-mode: char; line-height: 115%; mso-margin-bottom-alt: auto; text-align: center; text-indent: 0cm;">
<span style="font-family: "微軟正黑體",sans-serif; mso-bidi-font-family: 細明體; mso-bidi-language: AR-SA; mso-fareast-language: ZH-TW;">心<b><span lang="EN-US"><o:p></o:p></span></b></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 377.05pt;" valign="top" width="503"><div class="MsoListParagraphCxSpFirst" style="layout-grid-mode: char; margin-left: 24.0pt; mso-add-space: auto; mso-list: l4 level1 lfo2; text-indent: -24.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-bidi-language: AR-SA; mso-fareast-font-family: Wingdings; mso-fareast-language: ZH-TW;">²<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span style="font-family: "微軟正黑體",sans-serif; mso-bidi-font-family: 細明體; mso-bidi-language: AR-SA; mso-fareast-language: ZH-TW;">心主血脉,血受心氣推動,上輸於目,目受血養。<span lang="EN-US"><o:p></o:p></span></span></div>
<div class="MsoListParagraphCxSpLast" style="layout-grid-mode: char; margin-left: 24.0pt; mso-add-space: auto; mso-list: l4 level1 lfo2; text-indent: -24.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-bidi-language: AR-SA; mso-fareast-font-family: Wingdings; mso-fareast-language: ZH-TW;">²<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span style="font-family: "微軟正黑體",sans-serif; mso-bidi-font-family: 細明體; mso-bidi-language: AR-SA; mso-fareast-language: ZH-TW;">心藏神,目為心使<span lang="EN-US"><o:p></o:p></span></span></div>
<div class="MsoNormal" style="layout-grid-mode: char; margin-left: 33.0pt; mso-para-margin-left: 3.0gd; text-indent: 0cm;">
<span style="font-family: "微軟正黑體",sans-serif; mso-bidi-font-family: 細明體; mso-bidi-language: AR-SA; mso-fareast-language: ZH-TW;">《靈樞.大惑論》「目者心之使也,心者神之舍也」
<span lang="EN-US"><o:p></o:p></span></span></div>
<div class="MsoNormal" style="layout-grid-mode: char; margin-left: 33.0pt; mso-para-margin-left: 3.0gd; text-indent: 0cm;">
<span style="font-family: "微軟正黑體",sans-serif; mso-bidi-font-family: 細明體; mso-bidi-language: AR-SA; mso-fareast-language: ZH-TW;">《素問.解精微論》「夫心者,五臟之專精也,目者其竅也。」
<span lang="EN-US"><o:p></o:p></span></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.7pt;" valign="top" width="36"><div align="center" class="MsoNormal" style="layout-grid-mode: char; line-height: 115%; mso-margin-bottom-alt: auto; text-align: center; text-indent: 0cm;">
<span style="font-family: "微軟正黑體",sans-serif; mso-bidi-font-family: 細明體; mso-bidi-language: AR-SA; mso-fareast-language: ZH-TW;">脾<b><span lang="EN-US"><o:p></o:p></span></b></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 377.05pt;" valign="top" width="503"><div class="MsoListParagraph" style="layout-grid-mode: char; margin-left: 24.0pt; mso-add-space: auto; mso-list: l3 level1 lfo3; text-indent: -24.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-bidi-language: AR-SA; mso-fareast-font-family: Wingdings; mso-fareast-language: ZH-TW;">²<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span style="font-family: "微軟正黑體",sans-serif; mso-bidi-font-family: 細明體; mso-bidi-language: AR-SA; mso-fareast-language: ZH-TW;">脾輸精氣,上貫於目
<span lang="EN-US"><o:p></o:p></span></span></div>
<div class="MsoNormal" style="layout-grid-mode: char; margin-left: 36.95pt; mso-para-margin-left: 3.36gd; text-indent: 0cm;">
<span style="font-family: "微軟正黑體",sans-serif; mso-bidi-font-family: 細明體; mso-bidi-language: AR-SA; mso-fareast-language: ZH-TW;">《素問.玉機真臟論》—「其不及,則令人九竅不通」<span lang="EN-US"><o:p></o:p></span></span></div>
<div class="MsoNormal" style="layout-grid-mode: char; margin-left: 36.95pt; mso-para-margin-left: 3.36gd; text-indent: 0cm;">
<span style="font-family: "微軟正黑體",sans-serif; mso-bidi-font-family: 細明體; mso-bidi-language: AR-SA; mso-fareast-language: ZH-TW;">《曲室秘藏.眼耳鼻門》—「夫五臟六腑之精氣,皆禀受於脾,上貫於目<span lang="EN-US">……</span>故脾虛則五臟之精氣皆失所司,不能歸明於目矣。」<span lang="EN-US"><o:p></o:p></span></span></div>
<div class="MsoNormal" style="layout-grid-mode: char; margin-left: 36.95pt; mso-para-margin-left: 3.36gd; text-indent: 0cm;">
<span style="font-family: "微軟正黑體",sans-serif; mso-bidi-font-family: 細明體; mso-bidi-language: AR-SA; mso-fareast-language: ZH-TW;">升清作用<span lang="EN-US"><o:p></o:p></span></span></div>
<div class="MsoListParagraphCxSpFirst" style="layout-grid-mode: char; margin-left: 24.0pt; mso-add-space: auto; mso-list: l3 level1 lfo3; text-indent: -24.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-bidi-language: AR-SA; mso-fareast-font-family: Wingdings; mso-fareast-language: ZH-TW;">²<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span style="font-family: "微軟正黑體",sans-serif; mso-bidi-font-family: 細明體; mso-bidi-language: AR-SA; mso-fareast-language: ZH-TW;">脾統血,血養目竅
<span lang="EN-US"><o:p></o:p></span></span></div>
<div class="MsoListParagraphCxSpLast" style="layout-grid-mode: char; margin-left: 24.0pt; mso-add-space: auto; mso-list: l3 level1 lfo3; text-indent: -24.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-bidi-language: AR-SA; mso-fareast-font-family: Wingdings; mso-fareast-language: ZH-TW;">²<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span style="font-family: "微軟正黑體",sans-serif; mso-bidi-font-family: 細明體; mso-bidi-language: AR-SA; mso-fareast-language: ZH-TW;">脾主肌肉,瞼能開合<b><span lang="EN-US"><o:p></o:p></span></b></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.7pt;" valign="top" width="36"><div align="center" class="MsoNormal" style="layout-grid-mode: char; line-height: 115%; mso-margin-bottom-alt: auto; text-align: center; text-indent: 0cm;">
<span style="font-family: "微軟正黑體",sans-serif; mso-bidi-font-family: 細明體; mso-bidi-language: AR-SA; mso-fareast-language: ZH-TW;">肺<b><span lang="EN-US"><o:p></o:p></span></b></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 377.05pt;" valign="top" width="503"><div class="MsoListParagraphCxSpFirst" style="layout-grid-mode: char; margin-left: 24.1pt; mso-add-space: auto; mso-list: l2 level1 lfo4; text-indent: -24.1pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-bidi-language: AR-SA; mso-fareast-font-family: Wingdings; mso-fareast-language: ZH-TW;">²<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span style="font-family: "微軟正黑體",sans-serif; mso-bidi-font-family: 細明體; mso-bidi-language: AR-SA; mso-fareast-language: ZH-TW;">肺為氣之主,氣和目明
<span lang="EN-US"><o:p></o:p></span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="layout-grid-mode: char; margin-left: 24.1pt; mso-add-space: auto; mso-list: l2 level1 lfo4; text-indent: -24.1pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-bidi-language: AR-SA; mso-fareast-font-family: Wingdings; mso-fareast-language: ZH-TW;">²<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span style="font-family: "微軟正黑體",sans-serif; mso-bidi-font-family: 細明體; mso-bidi-language: AR-SA; mso-fareast-language: ZH-TW;">《靈樞.決氣》「氣脫者,目不明」
<span lang="EN-US"><o:p></o:p></span></span></div>
<div class="MsoListParagraphCxSpLast" style="layout-grid-mode: char; margin-left: 24.1pt; mso-add-space: auto; mso-list: l2 level1 lfo4; text-indent: -24.1pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-bidi-language: AR-SA; mso-fareast-font-family: Wingdings; mso-fareast-language: ZH-TW;">²<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span style="font-family: "微軟正黑體",sans-serif; mso-bidi-font-family: 細明體; mso-bidi-language: AR-SA; mso-fareast-language: ZH-TW;">肺主宣降,眼絡通暢<b><span lang="EN-US"><o:p></o:p></span></b></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.7pt;" valign="top" width="36"><div align="center" class="MsoNormal" style="layout-grid-mode: char; line-height: 115%; mso-margin-bottom-alt: auto; text-align: center; text-indent: 0cm;">
<span style="font-family: "微軟正黑體",sans-serif; mso-bidi-font-family: 細明體; mso-bidi-language: AR-SA; mso-fareast-language: ZH-TW;">腎<b><span lang="EN-US"><o:p></o:p></span></b></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 377.05pt;" valign="top" width="503"><div class="MsoListParagraph" style="layout-grid-mode: char; margin-left: 24.0pt; mso-add-space: auto; mso-list: l1 level1 lfo5; text-indent: -24.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-bidi-language: AR-SA; mso-fareast-font-family: Wingdings; mso-fareast-language: ZH-TW;">²<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span style="font-family: "微軟正黑體",sans-serif; mso-bidi-font-family: 細明體; mso-bidi-language: AR-SA; mso-fareast-language: ZH-TW;">腎精充足,目視精明
<span lang="EN-US"><o:p></o:p></span></span></div>
<div class="MsoNormal" style="layout-grid-mode: char; margin-left: 19.05pt; mso-para-margin-left: 1.73gd; text-indent: 0cm;">
<span style="font-family: "微軟正黑體",sans-serif; mso-bidi-font-family: 細明體; mso-bidi-language: AR-SA; mso-fareast-language: ZH-TW;">《素問.脉要精微論》—「夫精明者,所以視物,別黑白,審長短;以長為短,以白為黑,如是則精衰矣。」<span lang="EN-US"><o:p></o:p></span></span></div>
<div class="MsoListParagraphCxSpFirst" style="layout-grid-mode: char; margin-left: 24.0pt; mso-add-space: auto; mso-list: l1 level1 lfo5; text-indent: -24.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-bidi-language: AR-SA; mso-fareast-font-family: Wingdings; mso-fareast-language: ZH-TW;">²<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span style="font-family: "微軟正黑體",sans-serif; mso-bidi-font-family: 細明體; mso-bidi-language: AR-SA; mso-fareast-language: ZH-TW;">腎生腦髓,目系大腦
<b><span lang="EN-US"><o:p></o:p></span></b></span></div>
<div class="MsoListParagraphCxSpLast" style="layout-grid-mode: char; margin-left: 24.0pt; mso-add-space: auto; mso-list: l1 level1 lfo5; text-indent: -24.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-bidi-language: AR-SA; mso-fareast-font-family: Wingdings; mso-fareast-language: ZH-TW;">²<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span style="font-family: "微軟正黑體",sans-serif; mso-bidi-font-family: 細明體; mso-bidi-language: AR-SA; mso-fareast-language: ZH-TW;">腎主水,主津液,上潤目珠<b><span lang="EN-US"><o:p></o:p></span></b></span></div>
</td>
</tr>
</tbody></table>
<br />
<div>
<div class="MsoNormal" style="layout-grid-mode: char; line-height: 115%; mso-margin-bottom-alt: auto; text-indent: 0cm;">
<span style="font-family: 微軟正黑體, sans-serif; line-height: 25.2999992370605px;">除此,中醫經絡系統負責</span><span style="font-family: 微軟正黑體, sans-serif; line-height: 25.2999992370605px;">運</span><span style="font-family: 微軟正黑體, sans-serif; line-height: 25.2999992370605px;">行全身氣血,連絡臟</span><span style="font-family: 微軟正黑體, sans-serif; line-height: 25.2999992370605px;">腑</span><span style="font-family: 微軟正黑體, sans-serif; line-height: 25.2999992370605px;">器官。</span><span style="font-family: 微軟正黑體, sans-serif; line-height: 25.2999992370605px;">《靈樞・邪氣臟</span><span style="font-family: 微軟正黑體, sans-serif; line-height: 25.2999992370605px;">腑病形篇</span><span style="font-family: 微軟正黑體, sans-serif; line-height: 25.2999992370605px;">》</span><span style="font-family: 微軟正黑體, sans-serif; line-height: 25.2999992370605px;">「</span><span style="font-family: 微軟正黑體, sans-serif; line-height: 25.2999992370605px;">十二</span><span style="font-family: 微軟正黑體, sans-serif; line-height: 25.2999992370605px;">經脈</span><span style="font-family: 微軟正黑體, sans-serif; line-height: 25.2999992370605px;">,三百六十五絡</span><span style="font-family: 微軟正黑體, sans-serif; line-height: 25.2999992370605px;">,其血氣皆上於面而走空竅,其精陽氣上走於目而為</span><span style="font-family: 微軟正黑體, sans-serif; line-height: 25.2999992370605px;">之睛</span><span style="font-family: 微軟正黑體, sans-serif; line-height: 25.2999992370605px;">」</span><span style="font-family: 微軟正黑體, sans-serif; line-height: 25.2999992370605px;">。眼睛</span><span style="font-family: 微軟正黑體, sans-serif; line-height: 25.2999992370605px;">倚靠</span><span style="font-family: 微軟正黑體, sans-serif; line-height: 25.2999992370605px;">經絡無間斷地傳輸氣血,方能維</span><span style="font-family: 微軟正黑體, sans-serif; line-height: 25.2999992370605px;">持</span><span style="font-family: 微軟正黑體, sans-serif; line-height: 25.2999992370605px;">視覺</span><span style="font-family: 微軟正黑體, sans-serif; line-height: 25.2999992370605px;">功能正常運作</span><span style="font-family: 微軟正黑體, sans-serif; line-height: 25.2999992370605px;">。</span></div>
<div class="MsoNormal" style="layout-grid-mode: char; line-height: 115%; mso-margin-bottom-alt: auto; text-indent: 0cm;">
<span style="font-family: "微軟正黑體",sans-serif; mso-bidi-font-family: 細明體; mso-bidi-language: AR-SA; mso-fareast-language: ZH-TW;"><br /></span></div>
<div class="MsoNormal" style="text-indent: 0cm;">
<span style="font-family: 微軟正黑體, sans-serif; line-height: 115%;">基於這些眼與五臟</span><span style="font-family: 微軟正黑體, sans-serif;"><span style="line-height: 25.2999992370605px;">、經絡、以及</span></span><span style="text-indent: 0cm;"><span style="font-family: 微軟正黑體, sans-serif;"><span style="line-height: 25.2999992370605px;">精、氣、血、津液及神等</span></span></span><span style="font-family: 微軟正黑體, sans-serif; line-height: 25.2999992370605px;">關係</span><span style="text-indent: 0cm;"><span style="font-family: 微軟正黑體, sans-serif;"><span style="line-height: 115%;">概念,再配合中醫眼科診治方法</span></span></span><span style="text-indent: 0cm;"><span style="font-family: 微軟正黑體, sans-serif;"><span style="line-height: 115%;">可將眼部不同疾患推論其病因</span></span></span><span style="font-family: 微軟正黑體, sans-serif; line-height: 25.2999992370605px;">、</span><span style="text-indent: 0cm;"><span style="font-family: 微軟正黑體, sans-serif;"><span style="line-height: 115%;">發病機制,繼而為治療定立治療方針,並進行治療。</span></span></span></div>
<div class="MsoNormal" style="layout-grid-mode: char; line-height: 115%; mso-margin-bottom-alt: auto; text-indent: 0cm;">
<span style="font-family: "微軟正黑體",sans-serif; mso-bidi-font-family: 細明體; mso-bidi-language: AR-SA; mso-fareast-language: ZH-TW;"><br /></span></div>
<div class="MsoNormal" style="layout-grid-mode: char; line-height: 115%; mso-margin-bottom-alt: auto; text-indent: 0cm;">
<br /></div>
</div>
<div>
<br /></div>
黃醫師http://www.blogger.com/profile/02383841515937588204noreply@blogger.com0tag:blogger.com,1999:blog-6947034395578750947.post-31965228203232156692015-08-08T11:44:00.002+08:002015-08-08T11:44:52.358+08:00睇錯病人?昨天為一位雙眼患有高度近視視網膜病變、黃斑前膜、黃斑水腫、及右眼黃斑裂孔的患者作第二次覆診。連同首診,只是跟患者第三次見面。<br />
患者的右眼患有黃斑裂孔,初診時只能在 20cm 外看見手指(因視力較差未能看清視力表)。昨天的覆診再次檢查視力時,他的右眼視力已可看到視力表上的 0.2 (Decimal scale)。當時第一個念頭就是要再核對病者身份,因為黃斑裂孔視力不易改善,而且是一個很大的進步。幸好沒有睇錯病人!<br />
更高興他只接受了十多天的治療已有突破性視力改善,期望可透過日後的治療更進一步吧!黃醫師http://www.blogger.com/profile/02383841515937588204noreply@blogger.com0tag:blogger.com,1999:blog-6947034395578750947.post-64808525922757295442015-07-25T16:58:00.001+08:002015-07-25T17:18:40.235+08:00從師點滴 (十一) - 北京中醫眼科會議上週到了北京參與一個大型全國性中醫眼科會議,當然也趁機會可以跟廖老見面。這會議內容非常豐富,其中一個環節是介紹老中醫學術主張及經驗傳承,部份由他們的授徒或子孫總結老中醫的經驗。當然廖老也是其中一位,由她的博士後路雪婧教授負責。由於廖老關係,早已認識路教授。她是一位認真而能幹的年青教授,尤精於科研、教學,而且她亦有長期跟隨廖老臨床學習。<br />
<div>
<br />
當天大概有數位老中醫的經驗分享,給我最深印象的是龐贊襄老中醫的經驗,其後更有幸認識其大弟子張彬老師。雖然傾談時間短促,但實在獲益良多。</div>
<div>
<br /></div>
<div>
除這位名醫外,當然還有路教授演譯廖老的學術觀點,聽過後不禁向她衷心讚許,因為她將廖老學術觀點總結為「調臟腑、理氣血、通血脈、開玄府」(相信廖老應該也有給予一些意見吧)。前兩者反映出廖老重視中醫的整體觀及陰陽平衡觀點,而後兩者則反映出廖老針對眼睛局部發病機制;更進一步就是它們反映到廖老將全身與局部相結合的治病原則。</div>
<div>
<br />
自問跟隨廖老多年,也不能用這十二字展示其臨床學術主張,所以對路教授的演說非常讚賞:「你好厲害啊!我真的不能用文字總結出老師的治病觀點。」當然她亦謙虛地羡慕我有較多臨床機會去揣摩廖老的東西。</div>
<div>
<br /></div>
<div>
關於廖老重視中醫的整體觀及陰陽平衡、全身與局部相結合治療原則,一眼看下去好像簡單,但如何實際運用全身與局部相結合治療原則就是一個難點。治療時不能機械化地把它們一半一半地考慮定立治法。在甚麼時候以治療局部為主全身為副?又在甚麼情況以治療全身為主局部為副?</div>
<div>
<br /></div>
<div>
這些問題我還未能用文字好好回答,因為要看病人患上甚麼疾患、所屬階段及其病況才能具體道出。治療時除要掌握基礎治療法則外,還要掌握主次、先後等細節,這些都只能在跟師時透過長時間觀察及細心揣摩才能領悟出來。</div>
黃醫師http://www.blogger.com/profile/02383841515937588204noreply@blogger.com0tag:blogger.com,1999:blog-6947034395578750947.post-34259726611654230352015-07-07T16:36:00.002+08:002015-07-07T16:36:33.537+08:00黃斑病變中西醫配合治療體會早前在一個中西醫治療黃斑病變研討會上,一位為西醫眼科醫生的主持人問及:「我不懂中醫,想問中醫如何建議黃斑病變患者接受中醫治療或轉介往西醫治療?」<br />
<br />
這主持人提出這問題非常有見地,因為沒有太多人認識中醫眼科及其與西醫眼科配合之優點,而且亦是一個中西醫配合治療的一個重要前題。<br />
<br />
在座人仕都嘗試討論這個問題,我個人亦嘗試根據對這方面的知識及經驗發言如下:<br />
<br />
簡略舉了幾個屬黃斑病變例子:<br />
<br />
年齡相關性(老年性)黃斑病變<br />
<div style="text-align: justify;">
如屬乾性 ― 西醫眼科在這方面暫時還未有有效方法治療,中醫眼科可改善病者視力</div>
<div style="text-align: justify;">
如屬濕性伴有出血滲出 ― 需要西醫眼科抗血管內皮生長因子治療 (Anti-VEGF Therapy),同時配合中醫眼科治療,部份長期注射該類藥物病例可減少注射次數,甚至不用再次注射。</div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
中心性漿液性脈絡膜視網膜病變(黃斑積水)</div>
<div style="text-align: justify;">
西醫治療一般以觀察數月為主,其後再考慮利用光動力治療 (Photodynamic therapy)。而中醫治療可於早期介入,減輕積水以改善視力。<br />
<br /></div>
黃斑出血<div>
部份沒有新生血管性黃斑出血,均可用中醫眼科治療,用以止血及加速出血重吸收。</div>
<div>
<br /></div>
<div>
黃斑裂孔</div>
<div>
如黃斑裂孔屬第一、二期,因不屬手術治療適應症,則可於此階段嘗試中醫治療,有望恢復。如持續惡化發展成第三及四期時,則無可避免要考慮手術治療,一般建議手術後利用中醫治療善後以爭取最佳復原機會。</div>
<div>
<br /><div>
以上謹屬個人意見。如遇上相關問題,請徵詢你的醫生或中醫師意見。</div>
<div>
<br /></div>
</div>
黃醫師http://www.blogger.com/profile/02383841515937588204noreply@blogger.com0tag:blogger.com,1999:blog-6947034395578750947.post-76498801885129685632015-07-03T17:19:00.001+08:002015-07-04T10:51:28.037+08:00講座後感?早前參加了一個中西醫治療黃斑病變講座,開始前已坐在一角靜靜等待講者們會否擦出火花。兩位講者分別是不同大學的中醫眼科醫師及西醫眼科醫生,主持人亦為一位西醫眼科醫生。在座聽眾有中醫、西醫、同時擁有中西醫資格、西醫眼科等人仕。<br />
<br />
兩位講者先後發表完後。討論環節一開始,主持人(西醫眼科醫生)就率先發問:「我不懂中醫,想問中醫如何建議黃斑病變患者接受中醫治療或轉介往西醫治療?」<br />
<br />
當時中醫講者未作正面回答,其後主持人再次追問,仍是沒有獲得恰當回應。雖然自己心裡已有一些既定答案,但因自己一向都羞於在眾人前講話,而且還是期望該位講者能夠可以認真回答以釋除大家對中醫眼科的疑慮。見到席間的中醫師們都有點焦急,相信大家都知道中醫對治療眼疾有其獨特優點,但仍未見到合適回應,難免讓有點不是味兒。<br />
<br />
其他中醫師及大學教授等都開始發言嘗試解答該問題,但因大家對眼科並不熟悉,還是不到題,顯得力不從心。當時氣氛就是中醫同道們有點不甘丟人眼前(個人感覺)。最後因不願大家誤會中醫眼科是一門吹噓的學問,所以還是鼓起勇氣站起來嘗試解答這條問題。<br />
<br />
因這是一條西醫發問的問題,我就按西醫黃斑疾患舉例分開回應,包括了年齡相關性黃斑病變(乾性及濕性)、黃斑出血、黃斑穿孔不同分期、中心性漿液性脈絡膜視網膜病變(黃斑積水)等疾患的中西醫眼科治療兩方面的優勢及不足。主持人聽過後,表示非常滿意這答案,認為這就是一個 model answer。<br />
<br />
這次的經驗讓我看到以下幾點: <br />
<ol>
<li>中醫眼科在中醫界不太多人了解及認識,而且是一門很專的學問 </li>
<li>中醫師都希望能讓西醫們對中醫有更多認識及了解 </li>
<li>沒有共同語言去跟西醫互相溝通,就像「雞同鴨講」 </li>
</ol>
雖然中醫以中醫理論及辨證論治就能治好不少疾患,但個人認為這未必能夠讓中醫學在未來醫療界站得穩。所以我們除要提高中醫診治水平外,還要認真學習西醫學的知識,利用其他人能明白的言語去表述中醫(不等於要丟棄中醫理論),才能有效傳播中醫,讓更加多人認識這門醫學及其優點。<br />
<br />
<br />
(注意:初學者要小心不要混肴這兩個醫學概念,否則誤入歧途,變成外中內西的醫師,那就丟失了我們珍貴的寶藏。)黃醫師http://www.blogger.com/profile/02383841515937588204noreply@blogger.com0