秋涼，酒糟與敏感性肌膚的發作季節 宋奉宜醫師: 治療，應當因應自然規律

「春耕、夏耘、秋收、冬藏」不僅僅是農業
為了「人是自然的一部份，會隨著自然、季節活動」這個發現，我到中國去學了中醫—不敢說因此可以開處方，但是認真一年多，加上自己的臨床領悟，大約二年前我們就採取了「因應季節，調整治療」的作法—老朋友們都知道，我們觀察到每年三月「驚蜇」之後皮膚活化會開始明顯。這個明顯隨著「清明」直到「端午」是最高點，逐漸維持到「秋分」才逐漸下降，到了「冬至」，一年中的活化就差不多到了尾聲。
（這是台北的觀點。高雄與屏東幾乎一整年都是活化的）
隨著「活化-高峰-減緩-休眠」這樣的觀察，我們發現更多傳統西方皮膚醫學不曾注意的細節：
1.      當皮膚活化逐漸出現的時候，皮膚健康的人會開始覺得相對保濕，不健康的人會開始冒痘。「冒不出痘的極度堵塞族群」則會出現敏感症狀。
2.      上述情況到了「清明」會逐漸和緩；第一波衝擊之後，健康人可以曬黑，但是「28天白回來」。冒痘的朋友症狀逐漸減緩，小小的此起彼落卻從不停止。敏感、酒糟或脂漏性皮膚炎的朋友，剛剛度過第一次的辛苦，皮膚稍微和緩一些；但是相對於冬天的「鎮靜」，皮膚永遠處於「稍微熱熱燙燙」的狀態下。
3.      「夏至」過後，氣溫上升很快，皮膚代謝急劇增加。無論是冒痘或敏感/酒糟案例，皮膚的熱熱燙燙稍微嚴重一些，多半還可忍受。痘痘一族的粉刺愈來愈多，月經/熬夜的囊腫發炎到達一年高峰期。
4.      「秋分」之後，。「冬至」之前，痘痘與敏感會再度和緩。這是一年中最舒服的期間。
5.      到了「冬至」、寒流；痘痘朋友的囊腫發炎雖不能完全消失，卻相對減少。乾燥、顆粒粉刺感覺再度明顯，卻不容易發炎。敏感/酒糟/脂漏性皮膚炎的朋友，迎來一年中最乾燥的季節。臉部的發紅雖因氣溫下降而略少，卻因為乾燥、刺癢而再度困擾。今冬比去年更乾，去年比前年更乾；一年一年的保濕乳液，其實是「飲鴆止渴」。毛孔堵塞愈來愈厲害，乾燥逐漸成為常態。
治療，應當因應自然規律
從這樣的觀察下手，我們建立了「秋冬暖火，春夏燎原」的季節概念—秋冬時的治療主軸是「維持細胞的基本溫度」，以及「安全保濕，不再增加毛孔負擔」。春夏的生命活性大增時，我們才鼓勵這些朋友「努力地運動、流汗；補充讓細胞活化的因子」。藉由這樣順應自然規律的方式，我們可以用最少的預算，達到最大的目的。
人體生於天地之間，必然與天地、氣候有些相關。「順勢而為、效果很好、省很多錢」是這個案例要表現的意思。詳細的情況就不囉唆了，請各位自行參看影音文件…

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