舒筋通絡散瘀活血 可按壓委中穴

老年人出現腰背痠痛時，中醫師張美華建議可以按壓膝膕中央的委中穴，幫助舒筋通絡，散瘀活血。


中醫師張美華在一場講座中說，按壓、針灸委中穴對腰、脊，背痛，髖關節屈伸不佳、膝痛足軟、下肢活動不利，均有改善作用。同時由於委中穴位在膝膕的中間，民眾可以輕鬆找到該穴，隨時按壓。


一旦腰痛，醫師建議早就醫檢查，需要瞬間用力或長期久坐、久站，搬重物的工作或娛樂都不利於椎體的健康，臨床上有人在運動、甚打噴嚏後，症狀急性發作；患者中坐辦公室與勞力工作者約各半。腰部筋膜、肌肉、韌帶，椎間小關節、關節囊等部位的扭挫損傷，大部分症狀是用力過度，姿勢長期不正確及突然外力衝擊所引起，除造成劇烈腰痛外，活動也會受到限制，開予中藥助改善循環，減少痛感。


張美華表示，腰部肌肉勞損患者，可考慮針灸、按壓治療。臨床上可在委中等穴治療。醫師門診中常見的腰背疼痛患者以慢性勞損與意外傷害最多，針灸多可改善；腫瘤或其他較嚴重病因引起的最少。


醫師表示，要改善不適，必須結合病因與症狀治療，找出疾病的病因是徹底治癒的前提；若發現疾病必須透過開刀才能根治病因，此時就得先評估健康是否合適開刀，無法開刀就只能以緩解疼痛的症狀療法為目標。中醫則以簡單的肌肉拿捏推按，配合針灸為主，必要時才服藥；對於腰肌、腰背勞損或意外，醫師表示，患側的承山、委中、崑崙、阿是穴等都是中醫常針灸的穴位。


【記者萬博超／台北報導】手腕疼痛、無力，有些民眾連扭毛巾都出現困難。中醫師陳月琴指出，手腕勞損、出現無力症狀時按壓陽溪、陽谷、陽池、外關、內關等穴有助改善。


中醫師陳月琴在一場衛教講座中表示，陽溪是處理手腕痠痛的重要穴位，位於大拇指後，腕骨兩筋中間，直對合谷穴，經過適度按壓、針灸後，病患手腕的力氣通常會進步，足以扭毛巾；陽谷則在腕背橫紋尺側端，當尺骨小端前方凹陷處。


出現手腕痠痛無法屈伸時，傷科醫師建議，必須同時檢查患側的肩背部肌肉，病症常不單純侷限在手腕局部。醫師指出，手腕周圍漸進的疼痛，多為肌肉緊繃發炎發出訊息，常進一步引起小關節面錯位。肌肉長期緊繃或過度使用，易引起手臂骨頭小關節面錯位，引發代償性肌肉使用，以致疼痛痠軟無力感從手腕逐漸延伸向上，引起手肘、肩關節及肩背部痠痛。


對於手腕痠痛無法屈伸的患者，醫師建議留意上臂、手肘周圍、腋下前後側，等位置是否也有勞損現象。

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