【過敏人生】皮膚痕發作必有原因
⭐每人對發物反應不同
⭐宜做個人飲食記錄
#星期四食材
慎防蔬菜類發物
但凡患有濕疹、瘡、疥、癬等皮膚病,長輩們都會苦口婆心叮囑不要吃牛、鵝、鴨、蝦、蟹、無鱗魚等食物,以免加重病情,這些食物中醫稱之為「發物」,發物有助邪的意思,是指能引起舊患復發、將新病加重的食物,患有暗瘡、濕疹、風疹、皮膚病或容易過敏人士要避免食用。以為多吃蔬菜就萬無一失?!其實蔬菜類亦有不少動風、助火及生痰滯氣發物,容易誘發皮膚瘡瘍腫毒,要小心留意,避免皮膚病發作。
常見蔬菜類發物:
茄子 — 為動風發物,性涼,有清熱活血,寬腸通便的功效,適合三高及有痔瘡人士食用。正因其性涼,脾胃虛寒易腹瀉,有皮膚病如濕疹或皮膚過敏、哮喘、癌症、紅斑狼瘡症患者不宜。
竹筍 — 為動風發物,性涼,具清熱化痰、利二便功效,由於筍含豐富纖維,所以具通便效果。惟注意竹筍容易透發或加重皮膚瘡瘍腫毒症狀,皮膚敏感、濕疹患者或容易出風癩者不宜吃。
菇菌 — 為動風食品,一般性平或偏涼,生長在潮濕陰暗處,屬於濕氣重的食物。
南瓜 — 為生痰滯氣發物,性溫,有補中益氣、解毒消腫、潤肺益氣、平喘化痰的功效,對久病後氣虛、乏力、便溏及脾胃虛弱尤其適合。由於屬性溫熱,本身有胃熱、濕熱、氣滯,及易有胃脹的人就要少吃。
芋頭 — 為生痰滯氣發物,性平,能健脾胃及化痰散結,適合淋巴腫大、婦女乳腺增生者服用。脾胃氣虛及有習慣性便秘等人士都適合。
洋蔥 — 為助火發物,性溫,具祛風發汗、行氣化痰、降血壓、降血脂功效,特別適合風寒感冒患者食用。便秘、發熱口渴、皮膚瘡癢、濕疹患者等不宜進食。
韭菜 — 為助火發物,性熱,具健胃暖中、溫腎助陽、散瘀活血功效,適合偏寒體質、陽虛怕冷、腰膝酸軟、男士陽事衰弱、尿頻人士;女士陽氣不足以致行經小腹冷痛食用。由於性熱,陰虛火旺者不宜食用。
薑 — 為助火發物,薑性溫,有發汗散寒、溫中止嘔的功效,對於虛寒體質如陽虛的人士尤其適合,可紓緩因風寒感冒而引起的怕冷頭痛、胃寒引起的胃痛,以及虛寒型經痛等症狀。
蔥 — 為助火發物,性溫,有發汗解表、健胃殺菌、通陽氣散陰寒的作用,能紓緩初起的風寒感冒、鼻敏感、頭痛、胃寒等症狀。體質偏熱、陰虛火旺人士不宜多吃。
蒜 — 為助火發物,性溫,具暖脾胃、行滯氣、降血脂、殺菌功效,適合感冒病人食用,能舒緩初起的風寒感冒、食滯等症狀。由於屬性溫熱,陰虛火旺、身體有偏熱症狀如口瘡、暗瘡、喉嚨痛者不宜食用。
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Beware of vegetables that are stimulating
The elders will often advise young people not to eat beef, goose, duck, prawn, crab, and fish without scales if they suffer from skin diseases like eczema, scab, scabies, and ringworm. Eating these foods, they believe, can exacerbate the problems.
According to Chinese physicians, these foods can trigger pathogenic factors to react, causing a relapse of a pre-existing condition and, to a certain extent, might worsen the problem. Individuals with acne, eczema, rubella, and sensitive skin or any skin diseases should avoid eating them.
How about vegetables? In fact, there are certain vegetables that can also induce phlegm, stagnate the qi, and lead to heat accumulation in the body, triggering old wounds to relapse. To prevent skin diseases from occurring, we have to be extra mindful.
Common stimulating vegetables:
Eggplant – wind activated stimulant. Cool in nature, can clear heat and promote blood circulation, loosen the bowels to relieve constipation. Suitable for those with hyperglycemia, hyperlipidemia, hypertension, haemorrhoids. Because of its cold nature, those with asthenic and cold spleen and stomach, those prone to diarrhea, skin diseases such as eczema or skin allergies, and those with asthma, cancer, and lupus should not eat.
Bamboo shoots - wind activated stimulant. Cool in nature, can clear heat and relieve phlegm and is healthy for urine and bowel movement. The high fibre content can relieve constipation. Please note bamboo shoot is a wind activated stimulant and can trigger skin sores issues so those skin allergy, eczema, and those prone to hives should avoid.
Mushroom - wind activated stimulant. Generally mild or cool in nature. It grows in a humid and dark place, and it has heavy dampness.
Pumpkin - food that induces phlegm and qi stagnation. Warm in nature, can replenish vital energy and strengthen qi, detoxify and relieve swelling, and moisten the lungs. It has healing effects to relieve asthma and decrease phlegm. It is especially suitable for those recovering from chronic illness with qi deficiency, those with loose stool and asthenic spleen and stomach. Although it is full of benefits and nutrients, pumpkins are warm in nature, so those with heat in stomach, damp heat, qi stagnation, or prone to abdominal bloating should avoid pumpkins.
Taro - food that induces phlegm and qi stagnation. Mild in nature, can strengthen the spleen and stomach and reduce phlegm. It is suitable for those with lymphatic swelling and eccyclomastoma. Those with asthenic spleen and stomach or chronic constipation can also have taro.
Onion - fire activated stimulant. Warm in nature, can dispel wind and promote perspiration, promote qi circulation and relieve phlegm, lower blood pressure and blood Iipids. It is especially suitable for those with cold-wind flu. Those with constipation, heat and thirst, itchy skin, sores on skin and eczema should avoid.
Chives - fire activated stimulant. Hot in nature, can warm the stomach, warm the kidneys and nourish yang, relieve bruising and promote blood circulation. Suitable for those with cold body types, yang deficiency, aversion to cold, weak and sore lower back and knees, men with frequent urination, insufficient yang qi that leads to abdominal pain. Due to its hot nature, those with asthenic yin should avoid.
Ginger - fire activated stimulant. Warm in nature, has the effects to promote perspiration and dispel cold, warm the body and relieve vomiting. It is especially suitable for those with asthenic cold body types such as yang deficiency, as it can relieve aversion to cold and headache caused by cold wind flu, stomach pain caused by cold stomach, and asthenic cold type menstrual pain.
Spring onion - fire activated stimulant. Warm in nature. Induces sweating, activates yang qi to dispel yin chill. Relieves early symptoms of wind-chill flu, nasal allergies, headaches, and cold stomach. Not suitable for those with heat-related symptoms, with yin deficiency and excessive internal heat.
Garlic - fire activated stimulant. Warm in nature, can warm both the spleen and the stomach, improve qi stagnation, and help relieve cold and flu at the initial stage. Nevertheless, individuals with heat related symptoms should not consume garlic, such as canker sores, acne and sore throat.
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#男 #女 #濕疹 #暗瘡
scabies症狀 在 鞋槓人森 Facebook 的最佳解答
讓人聽到就會發癢的疾病➡️疥瘡scabies
疥瘡是由疥蟲所引起,疥蟲會寄生在人類皮膚,透過接觸傳染,好發於擁擠環境及行動不便長期臥床者(所以在安養機構、護理之家常會出現患者)
⚠️疥蟲行動緩慢,與患者接觸時間至少5~10分鐘以上才可能遭到傳染
⚠️有潛伏期,感染疥蟲大約2~5週後會開始出現全身紅疹、搔癢等症狀(晚上睡覺時更嚴重)
⚠️感染患者的衣物建議在熱水中煮過,並再高溫烘乾(高溫可殺死疥蟲)
除了知道這讓人聽到就發癢的疥瘡,也一起認識治療用藥吧~
你有發現藥物們也都在抓癢嗎XD
#鞋槓人森 #藥師 #插畫 #疥瘡 #治療 #安養院 #護理之家 #發癢 #癢 #藥物
scabies症狀 在 調皮女醫皮膚專科林昀萱醫師 Facebook 的精選貼文
昨天有患者因為家人得疥瘡,擔心自己被傳染,所以來求診。雖然他們平常沒住在一起,只是抽空去探望一下,但突然被告知家人有疥瘡,整個身體就莫名地癢起來了!
Q : 有接觸到疥瘡病人大概要多久會得病呢?
A : 如果之前沒得過疥瘡的人,接觸到疥瘡患者,潛伏期需要4~6週 ; 如果之前得過疥瘡又再次接觸到疥瘡患者,大概1~4天就會出現症狀了。
Q : 只要有碰到疥瘡患者就一定會得疥瘡嗎?
A : 疥蟲爬行需要時間,要長時間接觸(至少5~10分鐘,也有文獻說15~20分鐘)的人比較容易得病。因此短暫地握手、擁抱是沒關係的,疥蟲沒爬這麼快,而且牠也要花20~30分鐘才能鑽進你皮膚的角質層。
Q : 什麼樣的人需要預防性投藥呢?
A : 當然就是跟患者有長時間接觸的人嘍!像是住在一起的家人、性伴侶跟照顧者,就算皮膚還沒出現症狀,也是要先治療的。
Q : 治療期間有什麼要特別注意的呢?
A :
1. 脖子以下全都要塗到藥!包含耳後、肚臍、指縫、指甲下、生殖器。
2. 擦藥期間需要戴手套,如果有去洗手記得也要補擦藥。
3. 如果是三歲以下的孩童、免疫力低下的人,及挪威疥的病人,由於疥瘡可能侵犯到頭部跟臉部,這三類族群患者,頭跟臉也是要擦藥。
4. 洗完澡等一個小時,體溫回復後再塗抹藥膏,不然洗完澡馬上擦藥怕藥物容易全身性吸收,得到副作用的機率上升。洗澡可以清除身上的皮屑,這樣擦藥膏的效果更好。
5. 記得要剪指甲!病人身體癢就會用手去抓,因此蟲跟卵就有可能堆積在指甲下。病人的指甲臨床上可能會變厚、變白、甲下脫屑,甚至指甲變形,跟灰指甲很像,但其實是疥瘡的感染。
6. 藥物作用的時間完畢後,記得去洗澡洗掉。
7. 一週後還要再進行疥瘡治療一次!第一週殺蟲,第二週殺蟲卵孵化後的幼蟲,這樣治療效果才會好。
Q : 我都有按照醫生的指示擦藥,而且療程都結束了,為什麼皮膚還是會癢呢?
A : 皮膚的搔癢感跟濕疹樣的病灶可能跟使用的外用藥物刺激性有關,即使治療成功後可能還是會再癢幾個星期,但是癢的程度會下降。
Ref :
1.Scabies. Dermatologic Therapy, Vol. 22, 2009, 279-292
2.Scabies: an ancient global disease with a need for new therapies. BMC Infect Dis 15, 250 (2015).
3.S1 guidelines on the diagnosis and treatment of scabies - short version. Dermatol Ges. 2016 Nov;14(11):1155-1167.
#疥瘡
#林政賢皮膚科
#從名畫看皮膚科
scabies症狀 在 疥瘡是由於疥蟲感染皮膚引起的一種皮膚病。人的疥瘡主要由人 ... 的推薦與評價
《疥瘡(Scabies)》 疥瘡是由人型疥蟎寄生於人體皮膚表層內引起的慢性傳染性皮膚 ... 當感染疥瘡之後,首先出現的症狀是皮膚刺癢,在瘙癢部位同時出現小皮疹,小水皰 ... ... <看更多>