Piriformis Syndrome & Sciatica in TCM

Definition

Piriformis syndrome it means '' Yaotuitong '', Pain in the waist & leg, in relation with ''Wei syndrome'' (flaccidity /atrophy of lower limbs with motor impairment

• Sciatica Symptoms is called “BiZheng 痹症” in Traditional Chinese Medicine (TCM).
• The Huang Di Nei Jin in 475-221 B.C. (The Yellow Emperor’s Internal Classic) discussed the syndrome of pain in the low back and leg.

Patients who present lumbago or sciatica symptoms in a TCM clinic are usually diagnosed as suffering from a type or a combination of the following Bi syndromes: 

• Wandering Bi(Wind) moving pain, aching in the limbs thin-white coating, superficial / tight pulse  
• Painful Bi(Cold) severe stabbing & fixed pain, limitation of movement , thin-white coating ,wiry / tight pulse  
• Fixed Bi(Dampness) numbness & heavy sensation, fixed pain & soreness , white sticky coating, soft moderate pulse 
• Febrile Bi(Heat) redness, swelling , pain & difficult movement , red body with yellow & sticky coating ,wiry / rapid pulse

TCM Aetiology & Pathology

*External traumatic history of hip or impairment of spinal cord by fracture /dislocation of vertebra
*Over strain history, Injury & inflammation of pisiform muscles
*Stimulation & compression of sciatic nerve
*Symmetric dysfunction of sensation motion & disturbance of peripheral nervous system, also have Wei syndrome (but is not from central nervous    system

1. Obstruction of Wind-cold-damp
2. Qi stagnation and Blood stasis obstructing the collaterals
3. Kidney essence & Jing deficiency
4. Qi and Blood deficiency

Syndrome Differentiations

1) Obstruction of wind-cold-damp

As a Bi syndrome, it is fixed, severe and cold pain in the lumbar region and legs. Movement is limited when bending forward and backward as well as turning. It is aggravated on cloudy, rainy and cold days.

Tongue: White, greasy coating

Pulse: Wiry and floating

2) Qi stagnation and Blood stasis obstructing the collaterals  

History of injury, Lower back pain occurs right after the injury, worse with movement, gradually radiating pain in lower limb, severe fixed prickling pain in the lumbar region and leg, aversion to pressure.

Tongue: Dark purplish, sometimes with purple spots.

Pulse: Deep, chopping, uneven 

 

3) Kidney essence & Jing deficiency

Lingering soreness and weakness of the loins and knees, lassitude and listlessness.

Tongue: Pale with white coating.

Pulse: Deep, thin, weak pulse.

4) Qi and Blood deficiency

Aging , Chronic pain on low back or leg , The pain worsen in the morning , Cold and wind or damp can made pain worsen

Tongue: white or light red

Pulse: weak and deep

Treatment Principle:

• Expel wind ,Warm cold & remove dampness , to release pain
• Dredge the channel , Activate the collateral's ,promote blood flow, remove stasis to release pain
• Tonify kidney, generate blood ,essence to strengthen tendons & nourish muscles
• Tonify qi and blood to Promote circulation of qi & blood , to strengthen tendons & nourish muscles

Acupuncture and Technique Prescription:

If the pain comes from wind-cold-damp, or blood stasis, then the points are reduced. If due to Kidney Jing Def., they receive even stimulation.

Lumbar level Hua Too Jia Ji points: These are local points located just above where the posterior branch of the spinal nerves exits the vertebrae.

·         GB 30 Huan Tiao: An extremely important point if the leg pain occurs along the GB channel. This point should be needled at least 2 cun deep, with the patient lying in a lateral recumbent position, the affected side facing up. The preferred needling sensation should radiate all the way down to the ankle.

·         BL 36 Cheng Fu: Activates the Channel, Relaxes the Tendons, With UB 36 and 37, the needling sensation should radiate down the leg.

·         BL 37 Yin Men: Moves Lumbar Region Qi and Blood Stagnation

·         BL 40 Wishing: He Sea Point, Tonifies Kidney Qi, Dispels Wind Damp

·         BL 57 Cheng Shan: Relaxes The Tendons Benefits The Leg Muscle

·         BL 60: Kun Lun: Jing River Point, Benefits The Lumbar Spine Relaxes The Tendons

·         GB 34 Yanglingquan: The Hui-converging point of tendons & muscles. The sciatica nerve is said to belong to the tendons.

·         GB 41 Zu Lin Qi: Shu stream point for heaviness and pain, especially useful for pain along the GB channel.

Evenly supplement technique, needle retaining 20 minutes, with moxibustion or heating lamp.

For Wind-cold-damp Bi, add:

·         Du14 Dazhui: (even) The crossing point of all the Yang channels, for dispelling Wind-cold-damp.

• Sp9 YinLingQuan: (reduce) He sea point. Belonging to the element of water, it is used to dispel damp.

For Blood stasis obstructing the collaterals, add:

·         Ashi points: (reduce) For Kidney Essence & Jing deficiency, add:

·         BL 17 Ge Shu: (reduce) The Hui-converging point of blood, removes blood stasis.

·    BL 23 ShenShu:(reinforce) Strengthens Essence Nourishes Kidney Yin, Strengthens The Lumbar Region

·         KI 3 Tai Xi: (reinforce) Tonifies Kidney Jing

·     KI 4 Da Zhong (reinforce) Luo point of the Kidney channel. tonifies the Kidneys and invigorates the channel

with cold compress 10 minutes apply aid if blood stasis cause pain and swelling, cold can stop pain prevent swelling aggravated then hot compress (it can regulate circulation to relieve blood stasis) for 20 minutes.

For deficiency of qi and blood, add:

• DU 20 Baihui: Meeting Point on the Du Vessel with the six yang channels. Raises Yang
• RN 6 Qihai : Mu Point for Sea of Qi, Strengthens Original Qi, Fortifies Yang, Harmonizes Blood
• RN 12 Zhongwan: Front Mu Point of the Stomach ,Regulates Qi
• SP 10 Xuehai : Invigorates Blood ,Dispels Stasis
• ST 36 Zusanli : Nourishes Blood ,Nourishes Yin ,Strengthens Original Qi
• BL  20 Pishu : backshu point,Tonifies Spleen Yang, Raises Spleen Qi

Evenly supplement technique, needle retaining 30 minutes, with moxibustion or heating lamp.

 

2. Electro-acupuncture

Prescription: Lumbar Jiaji (EX-B 2), Yanglingquan (GB 34) and Weizhong (BL 40).

Performance: After needling sensation is felt, impulse current is attached to the needles for 10 - 15 minutes; The frequency is
selected by mixed frequency-100/2; once a day to activate qi, A combination of electro-acupuncture and Tuina is the key to treat sciatica due to musculoskeletal conditions (Piriformis syndrome)

 

3. Ear Acupuncture

For additional assistance in treating the pain associated with sciatica. After the acupuncture treatment, seeds are taped into the ears to supply an on-going stimulation to these points. These seeds or even magnets are worn for a few days at a time. Ear acupuncture is an effective adjunct to acupuncture for treating sciatica pain.

   Ear point : waist, leg, kidney, sacral vertebrae, shenmen, liver ,sub cortex

4.Cupping
 The cupping therapy apply for promoting the circulation of Qi & blood , remove stasis dredge 

  the channels and collaterals to relieve pain
 using warm needle and cupping was more effective than the acupuncture alone

Others treatment added

Qi Gong (Chi Kung)

        These exercises direct the qi in the body toward the area of the body where the qi energy is either deficient or stagnant.
        Qi gong exercises are used in between acupuncture treatments.

Chinese Massage or “Tui Na”

       The massage therapy is given for twenty minutes, once per day. promoting circulation of qi 

       and blood, to reduce pain,
       Rolling, pressing/kneading and pushing were performed to relax muscles and open the    meridians.   Stretching the SI joint and hip joint

       follows the Tuina treatment duration per secession is 15 minutes.

Cautions and Contraindications

Piriformis syndrome

      * At the acute stage, Excess symptoms as follows

• severe pain in the buttock radiating to the lower limb
• difficult in walking

     
don’t use heavy manipulation (TuiNa) and traction, but you can do acupuncture and herbs.       

   

Herniated lumbar disc symptoms:

• severe low back pain
• pain radiating to buttocks, legs, and feet
• pain made worse with coughing , straining, or laughing
• tingling or numbness in legs or feet
• muscles weakness or atrophy in lateral stages
• muscle spasm

Surgery for herniated lumbar disc, if one of the following happens:

①If symptoms are very severe, if symptoms occur repeatedly for years, or if alternative treatment is not working.

②If there is central herniation, with compression to caudal equina nerves that causes sphincter dysfunction.

③If there is Nerve root compression with numbness and foot drop.

Life style Advice

1. Avoid living in humid area - save from external pathogenic factors(cold, dampness) invades into the body
2. Regular exercise - do proper physical motion such as Taichi, which activates the patient circulation of qi and blood
3. Completed and balance nutrition to sustain the functional vital organ to prevent rigidity and flaccidity of limbs
4. Be careful with daily care to keep warm for those with acute full paralysis and regular massage or others treatment
5. Balance emotion to Harmonize the spirit and stress or strain

 Case Analysis

Chief complains: Waist & Leg Pain

Asking:

She suffered from pain in the low back, the groin, into the hip, the buttocks down the back of the leg and down to the heel for 3 years , dull pain on the buttocks and radiated downward through the lateral side of leg when walk or stand up , Achilles tendinitis is a soreness and stiffness that comes on gradually ,sharp pain on the right dorsal foot ,dislike to pressure and worsen in midnight for 3 weeks ,she takes painkillers when pain coming ,Sore back , appetite is normal, prefer cold drinks if thirsty ,scanty urination , defecation still OK , no chill & fever , no headache, no trauma or injury ,She had Diabetes (type 2) under medication for 5 years history, pale tongue with thin white coating , corpulent , weak and thready pulse.

Past History: Diabetes for 5 years

Palpation: Dull pain on the buttocks and radiated downward through the lateral right side of leg and dorsal foot

Diagnosis: Piriformis syndrome

Syndrome Differentiation: Qi and blood stagnation underline spleen & kidney deficiency

Explanation:

She had Diabetes (type 2) under medication for 5 years, lower back pain for 3 years due to deficiency of the Kidney function; bones will be lack supplement and become weaker. Lumbar region is the house of kidney ,radiating pain downward to lateral side of foot due to deficiency of the Liver function, ligaments and tendons can't be maintained and will be lose strength according to the same source of Kidney and Liver in TCM theory, deficiency of  KI-essence which caused very old ages leads to KI function decline ,it fail to generate blood, she had chronic diseases it leads to deficiency of qi and blood , finally worse condition it will cause stagnation of qi and blood leads to waist and leg pain ,teeth mark , corpulent tongue body with thin white coating , week and thready pulse due to deficiency of the spleen function it fail to transport and transform blood and yin fluid.

                                                  

Treatment Principles:

• tonify KI , nourish yin , strengthen SP function
• dredge the meridians and collaterals
• promote circulation of Qi and Blood to stop pain

Select Acu-points and Manipulation:

1. reinforcing : yanglingquan, zusanli, taixi, pishu, shenshu 
2. reducing: huantiao, weizhong, chengshan

Points Explanation:

• yanglingquan: He-sea point(GB) reinforce the muscle and tendon
• huantiao: activate channel, promote circulation of qi and blood
• chengshan: Relaxes the tendons benefits the leg muscle
• taixi: yuan/shu point of KI channel to tonify Kidney Jing(essence)
• weizhong: release stasis & stagnation to stop the lumbar pain
• pishu: backshu point, Tonifies Spleen Yang, Raises Spleen Qi
• shenshu:Back Shu point of KI channel to strengthen KI and restore KI qi
• zusanli: to strengthen circulation of qi and blood, to relieve pain

Conclusion

Piriformis syndrome involves pain in the low back, the groin, into the hip, the buttocks down the back of the leg and down to the heel.

• Pain in the buttock that radiates down the leg is commonly called sciatica. The most common cause for sciatica is irritation of the spinal nerves in or near the lumbar spine. Sometimes the nerve irritation is not in the spine but further down the leg.  
• One possible cause of sciatica is Piriformis syndrome. Piriformis syndrome can be painful, but it is seldom dangerous and rarely leads to the need for surgery.

Effects of Acupuncture and TuiNa
    * Balance body energy.
    * Adjustment hormones.
    * Relieve pressure (decompression).
    * Reduce pain.
    * Increase blood circulation in particular areas.
    * Activate the acupuncture channels (meridians).
    * Alleviate muscle spasm, relax muscles.
    * Repair damaged soft tissue.
    * Adjust joints.

Rehabilitation and Prevention

   * During recovery from lumbar disc herniation, focus on muscle exercise of abdominal and 

      lower back that  can balance the vertebral column and prevent herniation.
   * Avoid carrying heavy things.
   * Periodic treatment (acupuncture or TuiNa or massage) for lower back.
   * Calcium oral supplement to prevent osteoporosis

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寶貝你的烏髮

中醫認為「腎藏精，其華在髮」，而且「肝藏血，髮為血之餘」，所以頭髮能反映我們「肝」、「腎」的健康狀態，也就是「腎精」、「肝血」是否充沛。

中醫養生養腎——如何做到心腎相交？

• 上午11 點到下午1 點重點就是養陰

在日常養生中，一定要注意讓心腎相交，心腎功能協調、相互平衡。上午11 點到下午1 點這段時間，是心經當令之時，這也是上下午更替、陽氣與陰氣的轉換點。此時的養生重點就是養陰，且盡量不要去干擾這個天地自然的陰陽交界過程。此時可靜坐一刻鐘，閉目養神，則心氣強。

• 11 點到次日1 點重點就是入睡

子 時是夜裡11 點到次日1 點這段時間，是一天中最黑暗的時候，這時人體中的陰氣最盛，陽氣初生，力量很弱小。 “陰氣盛制寐”，所以在這個時候最容易入睡，而且睡眠質量最好。睡眠充足了，體內的陽氣才能生髮起來，如果你不睡覺，而是繼續學習或者工作，它就生髮不起 來，進而影響一天的精神狀態。

中 醫認為，心居上焦，屬火，主藏神，為陽中之陽臟；腎居下焦，屬水，主藏精，為陽中之陰臟。心陽下交腎水上濟，所以又稱為“水火既濟”或“心腎相交”。心腎 之間陰陽、水火、氣血、津液皆氣化相交，以維持人體生命活動的動態平衡。因此，在日常養生中，一定要注意讓心腎相交，心腎功能協調、相互平衡。

蓮子百合瘦肉湯
功效：益氣調中，補虛損，交心腎，安神，益智，清心。　
適應症：神經衰弱，心悸失眠，病後體弱等。　
蓮子性味甘、澀、平，入心、脾、腎經，能養心、益腎、補脾、澀腸；百合性味甘、微苦、平，入心、肺經，有潤肺止咳、養陰清熱、清心安神、益氣調中等功效。
蓮子50克，百合50克，豬瘦肉250克切塊，加水煲湯。　

中醫養生養肝
《黃帝內經》提到：「人臥則血歸於肝。」因此，充足睡眠，肝臟才能良好修復。並且，最好晚上11點以前就寢。
晚上11點到淩晨3點血液流經肝、膽，此時最該做的是睡覺，給肝創造一個良好的工作環境。肝臟最弱的時間是下午1點至5點，所以最好把辛苦工作盡量堆在上午，到了下午，每工作1小時讓身體休息5分鐘，以減少肝臟損耗。

中 醫講：“肝主青色，青色如肝經。”青色的食物可以起到養肝的作用，而辛辣、刺激、大魚大肉、油炸的食物會增加肝的負 擔，人幹的活多了，就會被累倒，肝也是一樣，也會出問題。同時，清淡的食物也可以減少腸胃負擔，增加食物中有效成分的利用率。養肝血的食品首選的食物為谷 類，其次為紅棗、桂圓、核桃、栗子；蔬菜有菠菜、黃豆芽、綠豆芽、香菜、春筍、萵筍、香椿、芹菜等。

現代人過勞,壓力大, 心情鬱悶易「傷肝」，造成肝氣鬱結，頭髮就容易掉。臨床上較常見女性因為壓力問題，肝血虧虛的話，沒有足夠養分可送達末梢的頭皮，就比較容易掉髮。

除了「肝」、「腎」直接和頭髮健康有關之外，中醫認為要養出一頭秀髮，還需要良好的脾、胃功能。脾胃氣虛的人消化吸收及運送養分的能力不好，連帶也會影響頭髮健康。

脾 胃為後天之本，氣血生化之源，更是人體氣機升降的樞紐，要維持人體健康機能，全靠脾胃消化吸收，及輸佈飲食中的營養，如果脾胃健旺，其他臟腑才能正常運 作，因此不論要養腎或養肝，都應先補養脾胃，尤其有脾胃問題的人，更需先強健脾胃功能，提升消化吸收能力，否則再怎麼補肝腎，效果也不會好。

六君子瘦豬肉湯 :
【配方和服法】
人蔘、白 术 、陳皮、半夏各 10 克 ，茯苓 15 克 ，生薑 3 片，豬瘦肉 200 克 。將上述材料洗淨，加入清水適量，大火煮開後，改文火熬煮 30-45 分鐘即成。調味食用，喝湯吃肉。
【功效】
該 方適用於脾胃功能不好的女性。方中人蔘甘溫，入脾肺，大補 元氣為 君藥。白 术、法夏， 健脾燥濕化痰，助運化為臣藥。佐以茯苓甘淡滲濕，健脾和胃，陳皮行氣化痰。生薑可溫中健脾。豬肉味甘、鹹，性微寒，具有滋養臟腑、補中益氣的功效。以上諸 物合用，可使脾胃氣旺，運化復常，則生化之源充足。乳房屬脾胃，故健脾胃可起豐胸作用。綜上所述，本方功效為：健脾豐胸。

《本草綱目》中說枸杞子“久服堅筋骨，輕身不老，耐寒暑。補精氣不足，養顏，肌膚變白，明目安神，令人長壽” 。中醫常用枸杞子治療肝腎陰虧、腰膝酸軟、頭暈、健忘、遺精等證，在增強性功能方面的作用更是獨特，所以深受腎虛、性功能不好的人歡迎。


枸杞子是一年四季都可以服用的，可以單獨服用，也可以和其他東西配伍使它達到最佳效果。
比如，

• 春天需要生髮陽氣，就可以把枸杞和黃芪等性溫味甘之品同時服用，助人陽氣生髮；

• 夏季炎熱，就可以用枸杞和菊花、金銀花、綠茶等一起泡水喝，清火祛暑的效果最好；      

     

• 秋天干燥，這個季節吃枸杞子需要配滋潤食品，比如雪梨、川貝、百合、玉竹等，效果更好，當然，也可以配用一些酸性的食品，如山楂等，以達“酸甘化陰”之效；

            雪梨生吃熟吃的功效是不同的。生吃比較清火，熟吃比較滋陰潤肺。

                  

  

 

  

• 冬季寒冷，用枸杞子配伍羊肉、肉蓯蓉、巴戟天、金匱腎氣丸等一起用，有助於人體陽氣生長，抵抗自然界嚴寒。

      

美髮、烏髮藥膳方

首烏雞　

　　原料：雞肉500克，何首烏50克，筍丁50克，料酒、精鹽、味精、醬油、澱粉、花生油各適量。　
　 　製作：1．將首烏放沙鍋內，加適量水煮好，潷出煎汁備用；將雞肉洗淨，切丁放入碗中，加入料酒、味精、精鹽、澱 粉上好漿備用。2．炒鍋加花生油燒熱，將漿好的雞丁下油鍋內氽炸，熟後倒入漏勺備用。3．鍋中留少許底油，加入雞丁、料酒、精鹽、醬油、筍丁、首烏汁，快 速顛炒，入味後用濕澱粉勾芡，加味精，出鍋裝盤即成。
　　特點：雞肉熟爛，味鮮香，稍有首烏味。　
　　說明：雞肉有溫中、益氣、補虛的作用。它還含有豐富的維生素，有潤膚作用。何首烏可滋補肝腎、烏鬚髮、悅顔色、延壽命。此菜是理想的健美菜肴。女性常食可以使頭髮烏黑油亮，容顔白裏透紅，顯得漂亮年輕。　

　　養顔生髮湯　

　　原料：核桃仁50克，茯苓50克，白芨30克，黃豆30克，芡實20克，豬瘦肉60克。
　　做法：將上料洗淨，豬瘦肉切小塊，同放人沙鍋內，加清水適量，煎至豬瘦肉熟爛爲止。飲湯，吃豬瘦肉。每天1料。　　功效：補益脾腎、美顔健體。用於脾腎虧虛及年老體虛、容顔憔悴。

　　素炒黃豆芽　

　　原料：黃豆芽500克，精鹽、醬油、白糖、薑片、花生油各適量。　
　　製作：1．將黃豆芽去皮，去根毛，洗淨。2．將鍋燒熱，加入花生油，將油燒熱，倒入黃豆芽，煸炒至半熟，加醬油、精鹽、薑片及適量水，繼續煸炒，加入白糖再燒一段時間即可出鍋裝盤。
　　特點：食之清脆，不膩爽口。　
　　說明：黃豆芽性味甘寒，內含有蛋白質、脂肪和較高的維生素C、胡蘿蔔素、礦物質等物質。豆芽含有較多的纖維素，有利減肥。因此，黃豆芽能改善頭髮組織，使人保持頭髮烏黑發亮。女性多吃黃豆芽可以得到烏髮、潤膚、減肥三方面的美容效果。　

　　玻璃核桃仁　

　　原料：核桃仁250克，白糖、花生油各適量。　
　 　製作：1．將核桃仁放開水中泡至內皮發軟時，剝去，再放入沸水鍋中焯一下，撈出瀝水。2．炒鍋放花生油，燒至四 成熱時，放入核桃仁炸至漂起時撈出，控油。3．鍋內留少許底油，燒至五成熱時放入白糖攪炒，待糖溶化起小泡時，倒入核桃仁，顛翻拌勻，使糖勻布於核桃仁 上，隨即倒入盤中用筷子逐個撥開，晾涼即可食用。　
　　特點：核桃仁酥脆適口，甜潤香醇，可佐餐，也可作零食吃。　
　　提示：掌握火候，不可炸糊。　
　 　說明：核桃仁含脂肪40%～50%，主要爲亞油酸甘油脂。還含有蛋白質、碳水化合物、鈣、磷、鐵、胡蘿蔔素、維 生素E等。《開寶本草》說：“常食核桃，令人肥健，潤肌、黑鬚髮。”唐代醫學家孟洗說核桃仁能“通經脈，潤血脈，黑鬚髮”。核桃仁是很好的烏髮健美、強身 的食品。　

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幽門螺旋桿菌？和胃潰瘍、十二指腸潰瘍有什麼關係呢？

幽門螺旋桿菌並非人體自然存在的細菌，它也是經由感染而存在胃腸道中。幽門螺旋桿菌是於1982年被澳洲學者在胃中發現的，由於幽門螺旋桿菌具有分泌酵素破壞胃腸道黏膜表皮細胞的特性，因此常容易造成胃炎。但更值得注意的是醫學界已證實幽門螺旋桿菌的感染和潰瘍一再復發或無法痊癒有密切的關係，而且從流行病學上的調查發現，有消化性潰瘍的病人90%以上都可在胃腸道發現幽門螺旋桿菌的感染。

 

發炎細胞存在「誘發型的一氧化氮合成脢」。當細菌感染導致菌血症 , 細菌毒素刺激發炎細胞或內皮細胞釋放大量「誘發型的一氧化氮」幫助身體摧毀病原菌。「誘發型的一氧化氮」的過量對身體反而有害 ,  引起組織傷害與低血壓 , 嚴重時造成死亡。「誘發型的一氧化氮」可被類固醇抑制。

慢性發炎者通常體質偏酸 , 控制飲食內容 , 第一要務就是把酸性體質調整為健康弱鹼性體質。1973 年 , 國際免疫學權威海尼和巴潘博士也發現 , 免疫系統中的淋巴球或巨噬細胞要對抗癌細胞時 , 必須在血液保持弱鹼性且存在鈣離子的情況下才能發揮功能。

「胃潰瘍」，指的是食道、胃、十二指腸等處的黏膜受到胃液侵蝕，造成黏膜受損，受損的情形比破皮、糜爛的程度再深一點，就是潰瘍。若潰瘍發生的地點在胃部，則稱為胃潰瘍；若發生在小腸前端十二指腸處，則稱為十二指腸潰瘍。

幽門螺旋桿菌由於具有鞭毛，能迅速由強酸性的胃內腔，穿透胃上皮細胞上面的黏液層，到達上上皮細胞表面的中性環境

 

再加上幽門螺旋桿菌具有豐富的尿素酶（Urease）可以分解胃上皮細胞滲透出來的尿素使尿素變成氨來中和胃酸，不但可保護細菌本身，並破壞胃表皮細胞，使幽門螺旋狀桿菌有它的致病性。(如上圖)

直至目前為止，醫學界還無法確定幽門螺旋桿菌的傳染方式是如何。但一般學者相信接觸傳染是主要的方式，包括飲水、食物或牙齒、唾液都可以成為傳染途徑，而且個人衛生習慣及周遭衛生環境也與感染的可能性有很大的關聯。

最重要的是一旦被幽門螺旋桿菌感染後，如果不服用抗生素加以治療，則大部分的病人終身都會受到各種胃腸道不適的困擾。

由中醫整體觀論「腸道造血」說

中醫理論認為，腸、胃、脾、肝、腎、膽、心肺均與造血機能有關，所以嚴格說起來，每一個臟腑都參與血液製造的過程；傳承數千年的中醫學認為，血液是從水榖精 微化生而來，所以脾胃才是生血之處，而腸道既然是消化吸收的重鎮，故乃為生化氣血之源。脾胃為後天之本，若中焦脾胃虛弱，不能運化水榖精微，化源能力不 足，就可能導致血虛，如曾胃出血或重症患者，常合併有貧血的現象。

中醫是一種整體醫學，認為五臟六腑、四肢百骸的氣血相互貫通如環相扣，血 液的生成與運行與心、肝、肺、脾、腎、胃、腸都有密切關聯，但歸結到最後，認為「腸肝循環」的功能才是關鍵；必須腸道的吸收能力佳，水榖精微才能化生血 液，以供各臟腑所需；確認「血液在腸道製造，造血材料就是食物，經腸壁細胞再轉化成紅血球母細胞而產生紅血球」，也就是說消化吸收作用等於造血功能。

血液清濁的重要性
靈樞．營衛生會篇：「中焦亦並胃中，出上焦之後，此所受氣者，泌糟泊，蒸津液，化其精微，上注於脈，脈乃化而為血，以奉生身，莫貴於此。」

素問．五臟生成論：「肝受血而能視，足受血而能步，掌受血而能握，指受血而能攝。」
人 的臟腑、九竅、四肢、百骸，無一不靠血液的濡養之後，才能發揮生理功能。血液也是生命的象徵之一，失去它，器官會衰竭壞死，而血液不乾淨或含有毒素，更會 影響健康，甚至危及生命。預防疾病的基礎，不可否認的，應該從淨化血液著手，而淨化腸道，使營養吸收正常，優質造血，或可解開疾病密碼，找到慢性文明病預 防保健之鑰，此即論述「腸道造血」的奧義所在！

造血的材料，就是吃下的食物，腸黏膜內細胞從食物中吸收營養素，再利用「原子轉換理論」將食物轉換成身體的必要元素，以 供生存之需；如貧血只要補充足夠的葉綠素，就可以增強造血機能，使症狀得到改善；並非吃肉才能長肉，這也間接證明，食物在腸黏膜吸收後，真的能轉換成血 液。

所以身體健康與否的關鍵，在於是否攝取優質食物，來製造乾淨的血液；而血液有無受到污染的關鍵，則在於腸道，如肉食動物腸道短，可以很 快將肉類毒素排出體外，而草食動物腸道長，則有利慢慢消化吸收（人類屬之，亦可由牙齒結構窺知），

所以我們若肉食過量或排便不暢，食物腐敗腸中就會產生毒 素，使血液產生酸化，嚴重者會發生自體中毒現象，這也是慢性文明病及癌症的先趨原因。所以追根究底，其根本原因還是來自不良的飲食習慣和食物呀！

酸、鹼食物一覽表

強鹼        牛奶、胡瓜、紅蘿蔔、柑子、蘿蔔、蕃茄、菠菜、葡萄、葡萄乾、黑胡麻、昆布、茶葉、芋、無花果
弱鹼        馬鈴薯、高麗菜、養樂多、豌豆、南瓜、蓮藕、豆腐、蘋果、香蕉、鳳梨、櫻桃、菇類、菜燕、青蔥、梨、桃
弱酸        火腿、蛤蜊、鮑魚、茄子、巧克力、奶油、雞蛋、章魚、蔥白、溪魚、油炸物、蝦、白菜、鯛
強酸        牛肉、豬肉、香腸、蚵仔、清酒、扁魚、乳酪、砂糖、餅乾、竹筍、花生米、鮪魚、椰子汁

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