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感冒: 又一個說真話的西醫..

(2009-12-17 17:52:18) 下一个

感冒: 又一個真話的西醫..

不只是感冒,很多病症,都不適合用吃西藥來處理;人體的自癒能力,才是「永保安康」的關鍵。

西藥的速效,廣受肯定,但是,大家被弄混的是,這效果是針對「病源」還是「病症」?病症被解決了,但是「病源」還在,甚至產生更大的抗藥性,這是合理的醫療方式嗎?

還有,翻開西藥的藥典,所有的西藥有個共通性,就是「都有副作用」

短期、小量服藥,副作用比較不明顯;長期、大量服藥,則傷肝/傷腎的案例多如牛毛。台灣洗腎的人口比率世界第一,就是這種「吃藥文化」的產物。

因為有健保,每個病患都可以隨隨便便拿到一大包藥,尤其是老年的慢性病患者,天天吃、月月吃,吃完再拿,只要付出少少的醫藥費。而醫院,也樂意大量開藥,反正患者的掛號、醫藥、住院費賺一次,健保給付賺第二次,藥價的價差賺第三次。

等病人長期吃藥吃到身體壞掉了,更成了醫院的「忠實顧客」,可以賺更多,例如終生洗腎,獲利驚人。

這樣的醫療制度,讓醫院、醫生可以賺到easy money,但病人的健康和幸福,就因此被犧牲了。這簡直是一頭吃人的醫療怪獸呀。

這個林燦城醫師說了真話,可是擋人財路,所以,原文被刪除了。希望台灣醫界沒對他使出其它小手段。

醫師的部落格裡,還有許多篇發人深省的文章,直接挑戰台灣西醫吃人不吐骨頭的怪現狀,有興趣的朋友,可以去看看:

http://blog.udn.com/lintc253

參考資料:原來台灣的名醫是這樣形成的    by 林燦城醫師

http://lintc.2pc.com.tw/WebMaster/?module=news&func=_detail&id=18

高雄醫學院醫學系畢業後,我一直從事西醫基層醫療,依健保局統計,民眾就醫以看感冒最多(70%),而對西醫治療感冒的模式,我一直很懷疑。在歐美所有被詳酁楦忻暗募膊♂t師幾乎是不開藥的,只會叫你回去休息。衛生署在感冒流行時期也只會呼籲:「請多喝水,多休息,少去公共場所」。從來沒說過要民眾吃藥這一回事。但是,民眾到西醫的运?/span>(或醫院)看病,雖然是感冒,醫師幾乎都會開出一堆的「感冒藥」,吃了之後,病情卻也減輕了。  

        衛生署告訴我們:感冒要多喝水、多休息,從沒叫我們吃藥。奇怪的是,我們吃了醫師開的感冒藥可以讓感冒病情減輕, 二者有沒有矛盾?  

       衛生署的「說法」與臨床醫師的「作法」顯然存在著差異,如果醫師開藥是對的(有效),那麼衛生署就是在愚弄老百姓囉!但是,感冒的對策,衛生署從來沒改口過,顯然醫師習慣開的感冒藥是有問題的,應該說大多數的民眾吃感冒藥,其實是在毒害自己還不自知。  

        在美國、加拿大等歐美地區,醫師對感冒的病患通常不會開藥的,民眾與醫師都清楚的知道:感冒沒有特效藥,吃藥只是把症狀掩蓋,實質上會更糟糕。但是西醫傳到台灣卻變了質,開感冒藥成了醫師最容易賺錢的方式,開得越重,賺得越多。醫師很樂於用很強的感冒藥去掩蓋感冒症狀,民眾以為是「藥到病除」,實際上卻是在削弱自己的免疫力。通常大人會忍耐,感冒了忍幾天不吃藥(這種作法還算對),而對小孩的感冒就會急著找醫生,(大部份反而在害小孩),因為台灣大部分的醫生為了拉攏病人,對不該開藥的感冒,習慣都會開藥來讓症狀減輕,而且藥開得越重,症狀減輕的越多,病人會越信賴,排隊來缘牟∪司驮蕉唷?栏駚碇v,這樣醫生所賺到的錢都是「黑心錢」  

        感冒,大多數是因病毒感染所致,目前西醫對病毒仍然沒有特效藥。幸好人體本身有自我防衛的能力,這些自我防衛就是利用鼻塞、流鼻涕、打噴嚏、咳嗽甚至發燒等機轉來達成。西醫所發明的感冒藥,不但不能對抗感冒病毒,反而都在打擊這些自我防衛:「抗組織氨、假麻黃素」讓鼻塞打開,鼻涕減少、不打噴嚏;「氣管擴張劑、類固醇」讓氣管門戶大開,讓痰的分泌減少,表面上症狀改善了,事實上,卻是「門戶洞開,引狼入室」。  

        在台灣過敏性鼻炎與氣喘的發生率隨著运?脑狡占胺炊?絹碓礁撸??蚝卧冢亢苌偃巳ハ氲剑夯?驹?蚴歉忻八幊蕴?嗔耍瑢⒚庖吡?o破壞,身體的防線由第一道的鼻腔,退到最後一道的肺泡所致。 

原來一直吃感冒藥不但不能「治病」 ,反而會「製病」。  

         小孩第一次罹患感冒,通常約5-7天抗體產生後,就會自然痊癒(而且也沒有任何西藥可治感冒)。但是父母不放心,媒體又推波助瀾,急著帶去給醫師看,大部分的醫師會開出症狀治療藥(其實是消滅免疫力、傷害小孩的藥),父母遵從醫囑,規規矩矩照三餐給小孩灌藥,果然小孩症狀很快消失,但從此也走上不歸路,以後小孩抵抗力越來越差,感冒次數越來越多,感冒症狀越來越嚴重,感冒藥越用越重,惡性循環結果,終致演變成過敏性鼻炎、氣喘。 

        在美國,這種醫師會被列入黑心醫師,醫學界會介入調查,但在台灣,這種醫師反而因門庭若市,很容易變成名醫。 

        很多醫師常感慨:「開業所用到的,和學校所學、醫院訓練的都不一樣」很多人的健康被這樣的醫師開藥給傷害了,卻還很感謝醫生,真是可憐。真不知道台灣的醫學界與衛生單位在監督什麼? 

2. 美國FDA要求明文禁止「6歲以下幼童」吃感冒藥
         美國FDA(相當於台灣的衛生署)的一個委員會於1019作出決議,要求明文禁止「6歲以下幼童」吃感冒藥。國內各大媒体在1021都以相當的篇幅報導,以下這一段是摘自1021TVBS電視台的文字旁白:
        醫師說,感冒即使不吃藥,35天,身體自己也會康復,吃感冒藥沒有效,但還是建議要看醫師做詳啵?驗榕戮团聲?衼惆l症,或根本不是感冒,都有奪命的危機。 (:2007/10/21 14:22:35)
        吃感冒藥不但無效而且傷身,我早在816發行的第一期通訊就報告過。醫學院所受的教育裡,病毒性的感冒是:「沒有藥物可治療的」,要靠自己的免疫力來對抗。感冒藥會降低身體抵抗病毒的能力,不但對六歲以下的小孩有傷害,對大人的健康也沒有好處(衛生署只建議:「多休息,多喝水」)。只是大人因為要工作,只好吃藥來減輕不舒服感。所以,感冒藥的正確用法應該是:「有症狀、不舒服時才用」。但是很多家長誤以為要吃感冒藥,感冒才會快好,這是醫界沒有盡到衛教的責任。
        當記者拿這件新聞去問衛生署時,衛生署似乎並沒有要做任何因應,看來民眾的健康還得自求多福。禁止感冒藥的販售,當然會衝擊到許多藥廠的利益與利潤,但到底是藥廠的利潤重要呢?還是民眾的生命重要?
       美國與台灣國情不同的是:在美國,醫師不會隨便開感冒藥,在台灣則是:找醫師看感冒,大多數都會開感冒藥(而且,某些醫師開的感冒藥還特別有效)。在台灣的開業醫師如果規規矩矩教病患「多休息、多喝水」的幾乎都不容易生存。問題的癥結在於:如果第一個醫師按照教科書教民眾「多休息、多喝水」,病患很快會再找第二個醫師,第二個醫師察顏觀色,立刻開出「特效藥」,感冒症狀很快解除,這時候病患不但不會去懷疑第二個醫師,還會臭罵第一個醫師「醫術不好」。
        就我所知,台東某大醫院的小兒科就有位醫師一直堅持感冒不隨便開藥,發燒也不必急著退,他還常常演講說明感冒隨便退燒的壞處,但是相信他的民眾終究還是少數,多數的家長寧願選擇「開藥,感冒症狀很快解除」的醫師。        感冒藥吃多了,小孩子的抵抗力會越來越差,看病的頻數也越來越多。其中的道理,我在第一、二期的通訊裡都分別論述過了。感冒藥把第一道防線破壞,讓病邪很容易入侵,久而久之,就演變成鼻過敏,再繼續用氣管擴張劑,就演變成氣喘。依據「台灣氣喘衛教學會」的資料,台灣的氣喘盛行率由民國63年的1.3%,到民國91成長到19%30年來增加了15倍,运?狡占埃?歪t越方便,氣喘盛行率反而越高,這是甚麼道理?難道大家都沒有懷疑:『你吃了太多不該吃、也不必吃的藥!』?        小朋友生病,一定要吃感冒藥嗎?美國研究發現,小朋友吃感冒藥,根本沒效,美國藥物食品管理局FDA還要求明文禁止「6歲以下幼童」吃感冒藥,原因是已經有1500個小朋友吃類似的感冒藥產生副作用,123個人死亡。國內小兒科醫師把話說得更白,感冒藥本來效果就不大,還要小心幼童心臟不舒服,本來就有致死危機。         小朋友感冒生病,該怎麼辦?家長:「先來看醫師啊,主要是吃藥為主。」
如果告訴你,小朋友吃的感冒藥根本沒用,甚至會傷身,這才讓人頭皮發麻。         美國聯邦食品藥物管理局更呼籲,直接禁止6歲以下小朋友服用咳嗽藥和感冒藥,講白了,就是這些藥根本無效。台安醫院副院長卓瑩祥:「兩個人都感冒,一樣的症狀一個人有吃,一個人沒有吃(藥),最後你會發現好的時間就一樣,有的小朋友可能吃了,可能發生一些心臟的問題,心律不整,或有的人引起神經方面的副作用。」         小兒科醫師看法與美國一致,以往開藥,就已經減少非常多的劑量,主要是感冒藥裡,治療鼻塞和過敏的藥物,有抗充血和抗組織胺的成分,有可能衝擊小朋友心臟。美國的調查發現,至少有15百個小朋友,吃藥引發併發症,有123個人死亡。卓瑩祥:「死亡案例一定會發生啦,因為他有(可能)心臟發生心律不整,是可能發生,但比例不是很高,但總是有可能發生(死亡)。」 

ps:

鼻子過敏與感冒一樣,都會有打噴嚏、流鼻水、鼻塞……的反應,其實這些反應都是人體保命所必要的。感冒時,入侵的病毒毒力較強,所以反應比較激烈,會有酸痛、倦怠、頭痛、發燒等症狀。鼻過敏時打噴嚏、流鼻水、鼻塞則是對一些並無傷害的刺激起過度反應。感冒與鼻過敏的本質都是身體「虛」,因為「虛」才容易被感冒病毒侵犯;因為「虛」,所以連無傷害的刺激也需要用激烈的動作來回應,這就是過敏。

感冒時,虛弱的肺部怕被病毒入侵,所以祭出鼻塞、流鼻涕、打喷嚏的方式來防衛,但是所謂的感冒藥卻都在破壞這些防線,讓病毒得以深入,氣管擴張劑讓病毒更易深入到達肺泡,這時終末細支氣管平滑肌全面收縮就演變成氣喘。長期吃感冒藥,演變成氣喘絕對是指日可待。

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yesterday01 回复 悄悄话 Q. What should parents do if infants and children under 2 years of age experience cough and cold symptoms?

A. A cold is a respiratory illness that is usually self-limited and lasts about a week. Cold symptoms typically include sneezing, coughing, runny or stuffy nose, and sore throat. Children may also experience a fever. Most of the time, a cold will go away by itself. If you are concerned about making your child feel more comfortable, talk with your doctor about what approaches to take. Your doctor may recommend drinking plenty of fluids to help loosen mucus and keep children hydrated, and using saline nasal drops and gently suctioning mucus from the nose with a bulb syringe. Your doctor may also recommend fever reducers such as acetaminophen or ibuprofen. If your child’s cold symptoms do not improve or get worse, contact your doctor. A persistent cough may signal a more serious condition such as bronchitis or asthma.

Q. Are particular products being recalled?

A. No. This public health advisory does not mean that products are being recalled. In October 2007, the Consumer Healthcare Products Association (CHPA), on behalf of leading manufacturers of OTC cough and cold medicines, announced voluntary market withdrawals of OTC products for infants and children under 2 years of age. FDA strongly supports the actions taken by many manufacturers to voluntarily withdraw cough and cold medicines that were being marketed for infants.

Q. Is FDA making a recommendation about whether cough and cold products should be used in age groups other than infants and children under 2 years of age at this time?

A. No. This public health advisory does not include FDA’s final recommendation about use of cough and cold medicines in children ages 2 through 11 years. FDA's review of the data for these age groups is continuing. The agency is committed to making a timely and comprehensive review of the safety of OTC cough and cold medicines in children. FDA plans to issue its recommendations on use of the products in children ages 2 to 11 as soon as the review is complete.

yesterday01 回复 悄悄话 Q. How did FDA arrive at its decision to issue these recommendations?

A. FDA’s recommendation is based on the review of reports the agency has received about serious side effects, as well as a review of information presented at a joint Nonprescription Drugs and Pediatric Advisory Committee meeting on Oct.18-19, 2007. FDA has determined that OTC cough and cold medicines, which treat symptoms and not the underlying condition, have not been shown to be safe or effective in infants and children under 2.

Q. Not effective? Does that mean they don’t work?

A. FDA does not have any data to support that these products work in children less than 2 years of age.

yesterday01 回复 悄悄话 Q. What is FDA recommending about use of over-the-counter cough and cold products for infants and children under 2 years of age?

A. FDA strongly recommends that over-the-counter (OTC) cough and cold products should not be used for infants and children under 2 years of age because serious and potentially life-threatening side effects could occur.

yesterday01 回复 悄悄话 The drug industry says these OTC Cough and Cold Productsare used 3.8 billion times a year in treating children’s cough and cold symptoms and are safe for those over 2.

Health groups acknowledge that while low doses of cold medicine don’t usually endanger an individual child, the bigger risk is unintentional overdose. For example, the same decongestants, cough suppressants and antihistamines are in multiple products, so using more than one to address different symptoms — or having multiple caregivers administer doses — can quickly add up. Also, children’s medicines are supposed to be measured with the dropper or measuring cap that comes with each product, not an inaccurate kitchen teaspoon.

Why is this an issue now? Child versions of cold remedies were allowed on the market decades ago, when scientists thought that what worked in adults would automatically work in children. Scientists today know that is not always the case.

(Jan.18 2008) an internal FDA working group hasn’t yet reached a consensus about children 2 to 11 years old, but has been given a February deadline to forward recommendations to agency leaders.The goal is a 2009 spring announcement.

In the meantime, the FDA’s advisory recommends for older children:

1. Carefully follow the label’s directions.
2. Be very careful if you give more than one product to a child. If you give two medicines that have the same or similar ingredients, a child could overdose.
3. Understand that these drugs only treat symptoms. Colds are viruses, and the drugs will not make them go away any faster.
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