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노동자가 정치하고, 19세기의 막스가 관에서 나와 설치는 세상이 되었다.
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박 대통령 탄핵 방송할 때는 유언비어를 마구 퍼뜨리더니, 이제 와서 너희들이 언론인이라는 건가? 어차피 필요없는 방송이라면 지금이라도 사라져야 한다!
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[148] 김정은, 한반도 '공산화 통일' 올인/
Kim Jong Un Is 'All-In', What’s Next for Korea?
김필재
https://youtu.be/Eq3ZsVDHXdo
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추미애가 "평화협정 체결돼도 주한미군 필요하다"고 말했다. 하지만 주민 100여 명이 반대한다고 사드를 배치하지 못했듯이, 주한미군 역시 선동을 통해 학생들을 동원하고, 이들을 통해 얼마든지 한국에서 내보낼 수 있다.
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모사드, 테헤란 창고 급습해 '핵무기 자료' 입수
파리=손진석 특파원
입력 : 2018.05.02 03:00
[모사드, 2년간 감시하다 한밤 급습… 작전성공 뒤
트럼프 찾아가 보고]
네타냐후 총리 "이란 거짓말했다" CD 183장·문서 500㎏ TV로 공개
트럼프 "내 말 100% 옳았다 입증"
이란은 "양치기 소년이 또 거짓말"
--->이에 비하면 한국의 정보기관은 너무 무능력하다.
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평생의 노력을 빼앗아가는 상속증여세(정규재 칼럼, 11월 6일)
작년 것인데 보았어도 다시 볼 가치가 있다.
https://youtu.be/ThZIQoi0u2k
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하는 짓은 그리 탐탁지 않지만, 옳은 말이다.
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사람들에게 질문을 해서는 그들이 정말 무엇을 생각하는지 알 수 없다. 핵심은, 사람들이 무엇인가에 대해 어떻게 생각하느냐가 아니라, 그들이 상품에 대해 무엇을 지불하느냐는 것이다.
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탁현민에게 놀아나는 대한민국(김진의 정치전망대; 5월2일)
https://youtu.be/XR-PVZda8SE
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노동조합의 기독교적 관점
독점 가격의 경제학은 모든 현대 노동조합의 기초이다.
노조가 외부의 경쟁자들을 물리치는 방법 중의 하나는 폭력이다.
두 번째는 의원들을 설득해 비노조 노동자들을 배제하는 입법을 추진하는 것이다.
세 번째는 노조의 독점 가격을 확보하는 것으로, 최저 임금 입법이 있다.
“노동의 권리 법안”이란 말은 성경(聖經)의 교리에 맞지 않다. 노동은 인간의 권리가 아니다. 노동은 그의 의무이다. 노동의 법적인 권리는 자신이 원하는 직업을 얻기 위한 경쟁의 권리이거나, 자신이 원하는 노동 서비스를 선택할 권리이다.
현대의 의무 노동조합은 노동자가 직업을 소유하고 있다는 완전히 비도덕적 전제에 바탕을 두고 있다.
A Christian View of Labor Unions
•Gary North
Within certain segments of the Christian community, primarily the Christian Reformed tradition imported from the Netherlands, there is considerable support for the creation of Christian labor unions as an alternative to the secular unions of today. Outside of the Christian Reformed circles, there is almost no discussion of this program within churches. One or two denominations, most notably the Seventh Day Adventists, discourage members from belonging to labor unions. On the whole, the trade union issue is not discussed by churches in any official capacity.
Labor unions are not the major part of the total American labor force, contrary to popular opinion. They are important in the large industries such as autos, steel, and entertainment, but only about 25% of the American labor force belongs to any union, and many of these are weak, rather insignificant organizations. As l hope to demonstrate, it is almost impossible for trade unionism ever to control over half of a nation's labor force in a democratic country, and where unions control more than this, labor mobility will be reduced markedly.
Do Unions Raise Wages? (Whose? How?)
Unquestionably they do. Do monopolies in business raise prices? Unquestionably they do. Labor unions raise wages in exactly the same way that a business monopoly raises prices: by artificially restricting the supply of a particular resource. Over the long run, with rare exceptions, no monopolist can keep prices raised in this fashion apart from direct government interference into the market. If the government keeps out competitors, then it is possible for monopolists to keep prices above what they would have been in a free market for years or even decades. In the case of diamonds, the DeBeers oligopoly has kept diamond prices up throughout the twentieth century, but it takes the collusion of the South African government to maintain this monopoly (or at least it took such collusion originally).
The economics of monopoly pricing is the foundation of all modern trade unionism. This is either not understood by the supporters of trade unions, or else it is rejected as irrelevant. You will search your days in vain trying to find a supporter of trade unions who is also a supporter of business monopolies, yet the economics of each is identical. The labor union achieves higher wages for its members by excluding non-members from access to the competition for the available jobs. In other words, those who are excluded must seek employment in occupations that they regard as second-best. They bear the primary burden in the marketplace; they are the ones who pay the heaviest price for the higher than market wages enjoyed by those inside the union.
How can unions exclude outsiders from the bidding process? There are many ways, all used effectively by unions over the decades. First, there is raw power. They beat up their competitors. They throw paint bombs (paper bags filled with paint) at the homes of their competitors. They threaten the children of their competitors. Their children exclude the children of the competitors from social activities at school, meaning public (government) school. They shout "scab" from their picket lines at strikebreakers. (Strange, isn't it, that those who defend labor unions never shout "scab" at Ford salesmen who are challenging the so-called monopoly of General Motors?)
Second, and most effective, trade unionists have been able to convince legislators to enact legislation that excludes non-union workers whenever 50% plus one worker vote to choose a particular labor union as the sole bargaining agent in a plant or industry or profession. Professional associations first got such state legislation passed, most notably lawyers, physicians, and dentists. Then, in 1935, the Wagner Act was passed at the national level. It established the National Labor Relations Board (NLRB), a consistently pro-union bureaucratic Federal agency. As far as the favored unions are concerned, 75% of all workers are potential "scabs," and the NLRB keeps most of them in their second-choice jobs.
There is a third less evident, means of insuring labor union monopoly pricing. This is minimum wage legislation. This legislation is always supported by trade union officials, whose members are always earning wages higher than the proposed minimum wage. This legislation sees to it that regions that have less developed unions, such as the South -- in fact, primarily the South -- cannot attract industry so easily from the more heavily unionized Northeast. The minimum wage was the primary means of warfare by unions against non-union workers after World War II until very recently. It still may be the primary weapon. The primary loser is, of course, the urban teenage male black, who cannot get into the northern union, or migrate easily to the South, or offer services to employers that are worth the minimum wage.
Employers pay higher wages than the market would have dictated when their labor force is unionized. Of course, employers outside union domination pay lower wages, since they are not compelled by competitive market forces to bid labor away from unionized firms. Since 75% or more of all workers are not in a union, they cannot gain legal access to the labor markets where 25% of the workers are employed. They have to work elsewhere. Thus, nun-unionized employers are granted a subsidy from the government: lower priced workers.
When was the last time you heard a supporter of labor unions argue that the reason why unions are wonderful is because they grant a subsidy to the employers who employ 75% of the American labor force? Yet this is precisely the economic effect of compulsory, government-enforced trade unionism.
The Law of Market Competition
"Buyers compete against other buyers. Sellers compete against other sellers." Not that difficult a concept, right? Apparently, it is an extremely difficult concept in economics, if we are to judge by the arguments people use in favor of increased government intervention into the free market.
Buyers of labor services compete against other buyers and potential buyers of similar (substitutable) labor services. This means that employers are in constant competition against other employers in the labor markets. They are forced to bid up the price of labor until the point that they can no longer afford to hire any more laborers, or, in the case of the most successful bidder, until all the competition has dropped out of the field. This is the explanation for the curious phenomenon that labor unions subsidize non-unionized industries that are buying labor services from those excluded by law from competing for jobs in unionized industries. The buyers of labor in unionized industries have been compelled by law to depart from the "labor auction" in which 75% of American workers are offering their services to the highest bidder.
On the other hand, sellers compete against sellers. This means that workers who are harmed by trade unionism are those excluded from union membership. They are denied the right to compete for jobs in certain segments of the economy. They have been denied their right to bid, just as the employers in the unionized markets have been denied their right to bid.
The Biblical View of Work
The biblical view of man is work-oriented. It affirms that man is made in the image of God (Gen. 1:26). It affirms that man was placed on the earth to subdue it to the glory of God (Gen. 1:28; 9:1-7). Man is to define himself in terms of his theocentric labor. Unquestionably, the compulsory labor union denies two groups the right to fulfill this cultural mandate: buyers of labor services whose firms are unionized and sellers of labor services who cannot gain admission into trade unions. Coercion has been applied by union members or the civil government which eliminates their right to bid.
When the phrase "right to work laws" was coined in the early 1940's, the anti-unionism forces gained an effective weapon. Yet in terms of biblical economics, it is an illegitimate concept. It is not each man's right to work. It is his duty to work. What is his lawful right is his right to compete for the job he wants, or his right to compete for the labor services he wishes to purchase. Admittedly, a "right to compete law" lacks the same political appeal. The "right to bid" sounds even less effective. Yet it is this right which we must defend as free men. No one has a right to my job, including me. Anyone should have the right to compete for my job, including me, and l have the right to compete for his.
Strikes
The strike is absolutely immoral, given modern law. The striker argues that he has the right not to work, but his employer does not have the right to hire someone to replace him. Modern compulsory trade unionism is based on the wholly immoral premise that the worker owns his job (can exclude others from the position) even though he refuses to work for his employer. To add insult to immorality, most trade unionists also want government food stamps, unemployment benefits (tax- free), and other forms of taxpayer-financed benefits while they are striking, The consumer is supposed to finance his own funeral, and the coercion of civil law increases further.
Obviously, nobody inside the union could reap monopoly wages if everyone were in the union who wanted to compete for the available jobs. The union would then become economically superfluous. It is only because of the artificial barriers set up against other workers that the union members reap their monopoly gains. This is the reason why, economically speaking, the trade union movement in its present, coercive form will never be more than a minority movement. The union needs the majority of workers outside the union movement. Since the union membership has to have victims among the working class in order to reap their monopoly returns.
Voluntary Unions
Once a man's contract has expired, he should have the right to walk off the job if he wants to. He should not have the right to keep his employer from hiring a replacement. Similarly, any employer should have the right to fire a worker, once the contract has expired. But he should not have the right to exclude that worker from competing in other labor markets. Trade unions interfere with these rights. They prohibit men from working out their salvation with fear and trembling. They deny the right of others to fulfill the cultural mandate (Gen. 1:28; 9:1-7) before God and before men.
Voluntary unionism is legitimate, so long as the civil government does not do more than enforce the contracts agreed to by employers and laborers. A union can help to spread information about the availability elsewhere of better wages or better jobs, thereby helping its members to keep alert to the true value of the services they are offering for sale. Unions can be self-help societies. But when compulsory, under coercive civil law, they are immoral. They must be recognized as such by orthodox Christians.
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경방은 병을 보고 약을 짓지 않고, 病因病机를 보고 辨证해서 약을 짓는다.
是的,经方派中医在社会上产生不俗反响的同时,想不给点个赞都不行。
就目前说来我是个“乡下人”,显明还是个少数伤寒派,一般不大会得到大多患者所许可,也是不好证明什么的。因为社会变化太大,不可免遇到许多困难,有来自外部的,也有出于本身的。不言而喻,这是一道极难的考题,双向问题。许多旧日同行,善友,都认为回答是:不可解的。而究其主因,不过是科学年代的纷扰喧嚣之下,容不下复古的中医给身体带来的那份宁静、自然、王道为多。
是的,经方派中医在社会上产生不俗反响的同时,想不给点个赞都不行。
新年新气象,受到众多患友的青睐,深以为幸也。有越来越多的患者找到我,希望我能给予一些帮助。除此之外,还有一些达人,兄长、叔叔、阿姨、前辈们也会通过一些渠道了解到我,然后给我来电咨询,或到我处探望一二。这批人士,如今似乎集体进入到获得健康的节奏之中。这使我真正意识到中医经方这张名片的影响力,也让我看到了患友对中医知识的渴望。其实,草根大夫在这样的社会大背景下,还多少能感受到一些真实和直率,真好,很提气。
在我打开善意之门的同时,患者找我就诊,他们关心的并非我是什么派,而是要真正的解决疾病的问题。常常在咨询中提到,“病,怎么治好?”。甚至只要是一吃中药,就一定要见效快,一定要去根,一定会廉价。要求尽快出效果,大多一味追求的目的是疗效。
提起“中医治病”,在很多人心目中是一个颇具神秘感的概念,和无处不在的疑惑?受世俗偏见,而都忽视了治病本身的一些规律。如患者们不从根本认识,意识上进行转变,这样的就诊又只是昙花一现。明明有机会治愈,近在咫尺,但结果却远在天涯,也是我不得不考虑的。
且就这一问题举几个小例,就可证明。患者们认为正确地,或者说就符合临床?结果不仅验证古人所言不虚,自己的纠结及压力也就随之释放了。
从我个人观点看,中风偏瘫不是不可康复,高血压、糖尿病未必终身服降压药和依赖胰岛素,肿瘤难道非得挖去?癌就必须手术摘除?只有放化疗的穷途末路?西医内科里那些病因,真的是很微观的细菌、病毒、基因层次。原因多端,到底是细菌?还是乱说供血不足?积水?淤塞?等等一大通。详细分析,更不是。如此治病的疗效也必然不佳。从表面上看是没有复发,实质上是更严重的,对人体更为不利的。
如果现在的中医,若按照腰痛用某药,头痛用某药的思路,祛风解表止痛犹如扬汤止沸,可缓解一时。皮肤病止痒加抗过敏,犹如掩耳盗铃,将邪气向内层层逼入。这种“以方套病、废医存药”的做法,显然是不公正、不合理的。如今从种种迹象看,更不像一种合情合理的选择。如此治疗,何有尽时?那还叫中医吗?中医对于病邪采取给邪出路的政策,只加以疏导、排除,使正气内存的治疗疾病之道。中医不但能治此病,而且对许多内科疾病的治疗效果比西医有过之而无不及。
西医重点在病,是治人的病。中医重点在人,是治病的人。
2012年,某女,66岁。主诉:反复发作性头晕多年,直感觉到天旋地转,颈部难受,耳鸣得厉害。偶有头晕眼花,手麻肌肉跳动,后脑勺酸痛,双眼发胀。发作时走路不稳,然后就是一变换体位就会感到在旋转摇晃。睡眠梦多,饮食勉强尚可。大便不成形小便频数,脉沉,舌滑苔薄白。体型稍胖,口粘痰多,头晕多处治疗,时好时坏,问起以前药方,说吃了一次没什么感觉就不吃了。心悸,气短,到医院检查了血压正常,心脏无异常,叫我开方。综合分析觉得属于水气上冲,忆往,起则头眩,苓桂术甘汤主之 茯苓30 桂枝20 白术30 甘草15 当归20 川芎20 泽泻40
7付。复诊反应,说此方服用至第二副时,已经没有头晕感觉。后来她打电话给我,服药14付,数年头晕一扫而去。
2014、2月。患者女,70岁,患头晕。头部阵发性抖动伴头晕十余年,多方求医中西药复遍,头晕不减。近来又出现同样症状,再次去医院看无效,经人介绍,来诊。病人自述想晕倒,微恶寒,曾经西医诊断为甲低、颈椎病神经压迫证,给以药物治疗具体不详,一直吃到现在。发作时头部阵发性抖动连及上身,连续抖动会感觉心里堵,一定要打嗝,要不停的打嗝才能缓解。每次抖时其家人要头部按摩,才会舒服一点。四肢乏力、肩背疼痛酸、犯困,睡觉口干。患者中等身材,偏虚胖,肤色偏白,便溏日2-3次,小便不利夜3次。舌体胖大,舌苔水滑,脉沉迟。分析一下,此不正是“头眩,身润动,振振欲辟地。”给予真武汤,制附子30克,生姜50克,茯苓30克,白芍20克,白术30克,泽泻40,葛根60
三剂,水煎服。三日后复诊,头晕大减。继服12剂头晕诸证消。此前查出高血脂、糖尿病也均已一并停药。
中医不是单纯治病,而是找病因。例如,凡颈椎病头晕者,体质壮实,血压正常,饮食二便正常。查有颈椎病史,照片发现颈椎轻微的骨质增生,脑血流图也没啥。易外感恶寒打喷嚏,连着肩周这块也痛,后脑勺也晕。经常性晕车,头晕、脖子也痛,记忆力减退,眠差多梦头昏,整天感觉迷迷糊糊的。该怎么办?是否是颈椎问题引起的?如何治疗?像这类人会有用葛根汤的机会,实则解表散寒疏通血脉之故也。芍药甘草汤一并可以试用。中医所说的“病因”是根据受风、受寒、受凉为病因所引起的头痛、腰背痛、全身关节痛、肌肉酸、麻、疼痛、畏寒怕冷等诸多病症。按经方,“把人和病同等看待”,“用方证知识和症候相印证”,就特别具有启示意义。中医就是运用这些“模型”的概念和逻辑为指导,诊断分析病人具体的病、证情况及推断其病情发展演变趋势。接下来,把精力、刀刃用在“辨证论治”上,集中精力考究临床的处方思路。
中医认为,整体变化源于局部的变化,局部可显整体。这蕴涵着“见微知著”其实就是一个人的全部状态,就是这个人。比如说皮肤病一般都比较顽固,好多可能好了半年后,又会复发的。我想最重要的就是要询问病因,所以不能见皮治皮,要整体挖掘病因。当医生信誓旦旦证据确凿地告诉你“病因”的时候,从而慢慢地进行自我调节。
14年6月,女,30,湿疹患者。四肢泛发慢性湿疹10年,头晕耳鸣如蝉,身体乏力,小腿常酸软抖动。伴胃部不适恶心感,总感觉有气闷胀,有呕吐的感觉。眠差易醒,大便稀薄,小便不利量少,喜饮温开水,喝水少则尿黄明显。舌有齿痕苔白腻,脉沉细。五苓散加甘草泻心汤治疗
7付。复诊:病情好转很多了,头晕耳鸣胃部不适、恶心感也不再出现。吃了那次药之后就痒止,觉得浑身舒畅了,也有点出乎我的意料。三诊就发短信告诉我,没有湿疹了,肚子也不胀了,食欲增加了。由于感觉好,并且表达了谢意。惜持续服药时间不长,自行放弃治疗。顽固性湿疹的话,我觉得起码至少要三个月,坚持治疗三个月,有兴趣的可以参考。
症状所反映的,是表达的病变之“果”,是由若干的临床表现及其相关因素组成的。比如,急性咽喉干痒红肿痛,口唇舌干燥,宜上病下取,大黄20-30克沸水冲泡,作茶饮。建议体质弱的人可以试着用,服药后泻下腥臭大便十数次,好痛快啊,根本不需要挂水消炎。从行为本身而言,其实根在自身的自愈潜力被激发,药物刺激下机体渐渐的开始焕发了活力,推陈致新,身体的各处机能也慢慢的开始运转而尤效。
各种“证”所概括和反映的人体异常、病变之“果”,就成为“审证求因”时“由果溯因”分辩的切入点的依据。所谓,有是证则用是方、用其方则见其效。感冒,流涕第一方桂枝汤。小青龙汤治外寒内饮的渗液性疾病。吴茱萸汤治顽固性头痛。温阳法附子理中汤治疗便秘通大便。当归芍药散合桂枝茯苓丸治疗腹痛、痛经等等。古今伤寒派学家,在中医经方的研究上都每每有独到发现,甚至日本经方学人凭之做出的成绩亦蔚为大观,令我望尘兴叹。当然,现代中医经方学者相关研究同样硕果累累,对我实有莫大助益。
因此,伤寒没有不效的方,就看你会不会用。对很多年纪轻轻就被胃炎、结肠炎、胆囊炎、胰腺炎、颈椎病、腰椎病、失眠、抑郁症、焦虑症、高血压、脂肪肝、肿瘤等杂病缠身、心力交瘁的人,给予不循何病,据证用方而调理诊治,基本上都能三下五除二地解决问题,这都拜经方的力道所赐啊。
我在前面随手举的几个例子,只在说明,不循何病,审证求因,依“病因病机辨证”才是分析、判断、治愈疾病的根本方法。中医提倡的防病治病精神以及治疗方式同样永不过时,后来者当细心领会,隔绝了一切的干扰,容不得半点的马虎。并奋力践行经方派。
爬出这个格子出来,事实上大致多出于个人主观愿望,期盼满足患友客观需要。我力争把实情和道理讲出来,是让大家了解一下,可以对照自己分析一下,估计会颇有收获解决很多的问题。究竟是不是会犯错误?然而,我真的用心了,希望患友们喜欢
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피부병 치료 경험
皮肤病不危重,要不了命。但患者痛苦缠绵,常常瘙痒难忍。医者也焦头烂额,确是医学一大难题。常言道“医生不治皮,治癣丢了脸”。小弟身在基层,面对各种求治者,皮肤病,特别是顽固性皮肤病也遇过不少。为患者解除患者疾苦,逼自己走上了皮科难症攻关之路。
初期,见皮治皮,皮肤病,以外用方涂抹擦敷为主,加用西药抗过敏,钙剂,激素,维生速c四大法宝,止痒消炎解除燃眉之急,也小有成果。但大多愈后复发,不能断根。
皮肤病虽病皮在皮表,却根在内脏,气血阴阳失调相关。“邪之所凑,其气必虚”,然后风、寒、湿等外邪趁虚袭人而致病。则治皮之法,首当着眼整体,从气血阴阳脏腑功能人手。见皮治皮,很难根治。遂创麻黄加术汤,用治多种皮肤顽症,竟获奇效。方剂组成如下:
麻黄10克,苦杏仁15克,桂枝12克 炙甘草8克,白术30克,白藓皮、乌蛇肉各20克,蝉蜕6克,炙草10克,鲜生姜5片,枣6枚为主方。
根据病人情况加减,血热血燥,加生地(酒浸)、当归各20克,白芍15克,川芎、桃仁各10克,丹皮、紫草各15克。
中焦虚寒,寒湿内生,加附子10克,玉桂4克(后下),党参25克,干姜12克,茯苓25克,厚朴10克,木香5克(后下);
中焦湿热,加黄芩,黄连,大黄清热利湿,老人脾虚血虚,血燥生风,加理中汤健脾祛湿,生地易熟地,制何首乌,蒺藜养血润燥。
皮肤病形成条件有两条,一是,皮肤功能失调,二是,内脏功能失调,或是血热生风,或是血虚生燥,或是,脾虚生湿,或是过吃燥热食物,造成湿热内蕴。
麻黄加术汤能恢复皮肤的功能,使皮肤排汗,开阖,润肤功能恢复,能够把湿,代谢废物排出皮肤,开阖功能正常,寒邪不易侵入。
四物汤养血润燥,活血调营。首乌、蒺藜滋养肝肾养血驱风;丹皮、紫草凉血解毒;白藓皮蝉蜕皮肤科专用药。白术健脾燥湿,神农本草经说其能润肤疗死肌,土能生金。服之,可使溃烂、坏死、角化之皮肤,脱落而愈。乌蛇肉,味甘咸,入肺脾二经,功能祛风、通络、养颜。诸药相合,可增强体质,旺盛血行,使病变局部气血充盈,肌肤四末得养,则病愈。
兹举验案数则如下:
一、鹅掌风
.将先生,男,22岁,深圳市人,我儿子同学。将先生,在新加坡留学时因头发易出汗多油而去看中医,新加坡的中医说他是中焦虚寒,建议他多吃温热的食品,如羊肉,牛肉。将先生笃信中医,于是2年来,几乎天天吃羊排,牛排,一年后在吃一次海鲜之后,全身出现皮疹,脸部为甚,双手掌反复出水泡,脱皮,皮疹瘙痒异常,抓破后流水。在澳大利亚多个大医院治疗一年,皮疹彼此起伏,澳洲医生告诉将先生,对于他的病情,目前西医无什么特效方法,长期用激素,对身体有很大的副作用。
将先生和我儿子是同学,一起在澳洲留学,看到将先生被疾病折磨的样子,建议他回国内看中医,病告诉他我会治各种顽固性皮肤病,可以上我博客看看有关皮肤病治疗的博文。将先生,开始不信,经过新加坡的中医一事,已对中医产生了怀疑。又经过几个月的澳洲西医治疗,病情毫无起色,有一天看了我的博客文章,真实的临床录音,使他又相信中医可以治好他的皮肤病。于是,将先生连研究生也不读了,决定回国找我看病。结果回国后一个多月没来找我看病,我正在纳闷时,蒋先生说, 他是相信我的,准备找我看病,可他爸爸妈妈不相信中医。她妈是卫生局的,认识深圳市皮肤研究所的专家,结果到皮研所找那位专家治了一个多月,病情未好转,问我意见,我很婉转的告诉他,专家水平高,那你就找专家治疗吧。那么简单的道理,一些人就是不明白,澳洲的西医治了一年都治不好,中国的西医就能治好?,难道中国的西医比澳洲的西医厉害。又过了半个月,将先生打电话说,决定找我看病了,我说,对不起,我有师训,不可给不相信中医的人看病。要找我看病,首先要做通爸爸妈妈的工作,否则不看.....。
后来,将先生找我看病了,我和我小孩被他的摸样下了一跳,脸肿如脸盆,皮肤充血,有皮疹,两手掌龟裂掌部粗糙如树皮,中间有小水泡,我2年前见到他时,可是一位英俊男生。脸肿脸红是由于皮研所的那位专家过量用皮质激素所致。皮肤科诊断为掌角化症,慢性湿疹。治疗顽固性皮肤病,不从内脏气血去调理,仅靠激素抗过敏钙剂常规方法,那不大可能治愈。
将先生舌红苔黄腻,口气很重,尿黄,便烂臭。粘滞不爽。脉滑大有力,结合将先生长期过吃燥热食品,病前头易出汗头发出油,患者平素湿重。中医辨证为湿阻皮下,中焦湿热。湿热内蕴,血热而瘀,不荣肌肤。给予麻黄10克,苦杏仁15克,桂枝12克
炙甘草8克,白术30克,白藓皮、乌蛇肉各20克,蝉蜕6克,炙草10克,鲜生姜5片,枣6枚,加生地(酒浸)、当归各20克,白芍15克,川芎、桃仁各10克,丹皮、紫草各15,土茯苓100克,鸡屎藤50克(鲜品)另黄连10克,黄芩15克,大黄12克泡开水频频饮服。患者从市区过来不容易,给予针灸治疗以增强疗效,针皮肤病五针,合谷,曲池,三阴交,筑宾,血海,手掌病变严重,故合谷透后溪,委中,尺泽放血。经用上方加针灸三次,调理一个月而痊愈。
二、顽固性湿疹
文伯,65岁,我院职工家属,2012年7月7日初诊:患过顽固性湿疹一年。初病全身起红疹,瘙痒极重,搔破后流黄水,浸淫成片。日轻夜重,奇痒不能入睡。皮肤干燥,运动也不出汗。在市人民医院,中医院,看过皮肤科,中医科,中药西药,内服外用,激素,抗过敏药物,钙剂都用,有效,但好后不久有复发,彼此起伏,不得宁日。近一周,皮疹又起,奇痒无比,经我院皮肤科医生介绍看我中西医结合专家门诊。
患者面色萎黄,皮肤干燥粗糙,皮疹泛发性,新旧皮疹布满少腹、背部腹股沟及大腿根部。脉细弱而紧,舌淡白,苔薄黄。细问病史,因过吃鱿鱼而发病,现在稍吃海鲜,燥热的食物,即加重皮疹。证为脾虚中焦寒湿,血燥生风。给予基本方加苡仁45克,苍术15克,附子10克,玉桂4克(后下),熟地20克,当归12克白芍12克,川芎10克党参25克,干姜12克,茯苓25克,厚朴10克,木香5克(后下),牡丹皮12克,紫草15克水煎服,7剂,一周后复诊,新皮疹已消,皮痒已止,皮肤有汗出,药已对症,用上方调理2个月而愈。(可上我博客看有个案例)(大剂量土茯苓对重症湿疹,确有覆杯而愈之效)
三、小儿湿疹
黄小朋友,女,11岁,我院原妇产科朱主任的女儿,因反复皮疹一年多,中西医治疗无效,经我院皮肤科医生介绍看中西医结合专家门诊。患者去年5月首次出现皮疹,在深圳市中医院,用中医治疗一个月而近愈。今年8月皮疹又复发,全身泛发性皮疹,皮肤瘙痒难忍,心烦易怒,睡眠不安。又到中医院皮肤科治疗,效果不好,于是又转儿童医院皮肤科,人民医院皮肤科,多方治疗仍无效果。
经问诊得知,患者近三个月吃了很多冰冻酸奶而发病。望诊,面色萎黄,口唇白,舌质淡白,苔百滑,脉沉细弱。中医辨证湿阻皮下,脾虚胃冷,中焦寒湿。给予给予基本方加苡仁25克,苍术10克,附子6克,玉桂2克(后下),党参15克,干姜8克,茯苓15克,厚朴6克,木香2克(后下),牡丹皮10克,紫草15克,当归8克,白芍12克,水煎服,7剂,一周后复诊,新皮疹已消,皮痒已止,药已对症,用上方调理2个月而愈
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皮肤病不危重,要不了命。但患者痛苦缠绵,常常瘙痒难忍。医者也焦头烂额,确是医学一大难题。常言道“医生不治皮,治癣丢了脸”。小弟身在基层,面对各种求治者,皮肤病,特别是顽固性皮肤病也遇过不少。为患者解除患者疾苦,逼自己走上了皮科难症攻关之路。
初期,见皮治皮,皮肤病,以外用方涂抹擦敷为主,加用西药抗过敏,钙剂,激素,维生速c四大法宝,止痒消炎解除燃眉之急,也小有成果。但大多愈后复发,不能断根。
皮肤病虽病皮在皮表,却根在内脏,气血阴阳失调相关。“邪之所凑,其气必虚”,然后风、寒、湿等外邪趁虚袭人而致病。则治皮之法,首当着眼整体,从气血阴阳脏腑功能人手。见皮治皮,很难根治。遂创麻黄加术汤,用治多种皮肤顽症,竟获奇效。方剂组成如下:
麻黄10克,苦杏仁15克,桂枝12克
根据病人情况加减,血热血燥,加生地(酒浸)、当归各20克,白芍15克,川芎、桃仁各10克,丹皮、紫草各15克。
中焦虚寒,寒湿内生,加附子10克,玉桂4克(后下),党参25克,干姜12克,茯苓25克,厚朴10克,木香5克(后下);
中焦湿热,加黄芩,黄连,大黄清热利湿,老人脾虚血虚,血燥生风,加理中汤健脾祛湿,生地易熟地,制何首乌,蒺藜养血润燥。
皮肤病形成条件有两条,一是,皮肤功能失调,二是,内脏功能失调,或是血热生风,或是血虚生燥,或是,脾虚生湿,或是过吃燥热食物,造成湿热内蕴。
麻黄加术汤能恢复皮肤的功能,使皮肤排汗,开阖,润肤功能恢复,能够把湿,代谢废物排出皮肤,开阖功能正常,寒邪不易侵入。
四物汤养血润燥,活血调营。首乌、蒺藜滋养肝肾养血驱风;丹皮、紫草凉血解毒;白藓皮蝉蜕皮肤科专用药。白术健脾燥湿,神农本草经说其能润肤疗死肌,土能生金。服之,可使溃烂、坏死、角化之皮肤,脱落而愈。乌蛇肉,味甘咸,入肺脾二经,功能祛风、通络、养颜。诸药相合,可增强体质,旺盛血行,使病变局部气血充盈,肌肤四末得养,则病愈。
兹举验案数则如下:
一、鹅掌风
.将先生,男,22岁,深圳市人,我儿子同学。将先生,在新加坡留学时因头发易出汗多油而去看中医,新加坡的中医说他是中焦虚寒,建议他多吃温热的食品,如羊肉,牛肉。将先生笃信中医,于是2年来,几乎天天吃羊排,牛排,一年后在吃一次海鲜之后,全身出现皮疹,脸部为甚,双手掌反复出水泡,脱皮,皮疹瘙痒异常,抓破后流水。在澳大利亚多个大医院治疗一年,皮疹彼此起伏,澳洲医生告诉将先生,对于他的病情,目前西医无什么特效方法,长期用激素,对身体有很大的副作用。
将先生和我儿子是同学,一起在澳洲留学,看到将先生被疾病折磨的样子,建议他回国内看中医,病告诉他我会治各种顽固性皮肤病,可以上我博客看看有关皮肤病治疗的博文。将先生,开始不信,经过新加坡的中医一事,已对中医产生了怀疑。又经过几个月的澳洲西医治疗,病情毫无起色,有一天看了我的博客文章,真实的临床录音,使他又相信中医可以治好他的皮肤病。于是,将先生连研究生也不读了,决定回国找我看病。结果回国后一个多月没来找我看病,我正在纳闷时,蒋先生说, 他是相信我的,准备找我看病,可他爸爸妈妈不相信中医。她妈是卫生局的,认识深圳市皮肤研究所的专家,结果到皮研所找那位专家治了一个多月,病情未好转,问我意见,我很婉转的告诉他,专家水平高,那你就找专家治疗吧。那么简单的道理,一些人就是不明白,澳洲的西医治了一年都治不好,中国的西医就能治好?,难道中国的西医比澳洲的西医厉害。又过了半个月,将先生打电话说,决定找我看病了,我说,对不起,我有师训,不可给不相信中医的人看病。要找我看病,首先要做通爸爸妈妈的工作,否则不看.....。
后来,将先生找我看病了,我和我小孩被他的摸样下了一跳,脸肿如脸盆,皮肤充血,有皮疹,两手掌龟裂掌部粗糙如树皮,中间有小水泡,我2年前见到他时,可是一位英俊男生。脸肿脸红是由于皮研所的那位专家过量用皮质激素所致。皮肤科诊断为掌角化症,慢性湿疹。治疗顽固性皮肤病,不从内脏气血去调理,仅靠激素抗过敏钙剂常规方法,那不大可能治愈。
将先生舌红苔黄腻,口气很重,尿黄,便烂臭。粘滞不爽。脉滑大有力,结合将先生长期过吃燥热食品,病前头易出汗头发出油,患者平素湿重。中医辨证为湿阻皮下,中焦湿热。湿热内蕴,血热而瘀,不荣肌肤。给予麻黄10克,苦杏仁15克,桂枝12克
二、顽固性湿疹
患者面色萎黄,皮肤干燥粗糙,皮疹泛发性,新旧皮疹布满少腹、背部腹股沟及大腿根部。脉细弱而紧,舌淡白,苔薄黄。细问病史,因过吃鱿鱼而发病,现在稍吃海鲜,燥热的食物,即加重皮疹。证为脾虚中焦寒湿,血燥生风。给予基本方加苡仁45克,苍术15克,附子10克,玉桂4克(后下),熟地20克,当归12克白芍12克,川芎10克党参25克,干姜12克,茯苓25克,厚朴10克,木香5克(后下),牡丹皮12克,紫草15克水煎服,7剂,一周后复诊,新皮疹已消,皮痒已止,皮肤有汗出,药已对症,用上方调理2个月而愈。(可上我博客看有个案例)(大剂量土茯苓对重症湿疹,确有覆杯而愈之效)
三、小儿湿疹
黄小朋友,女,11岁,我院原妇产科朱主任的女儿,因反复皮疹一年多,中西医治疗无效,经我院皮肤科医生介绍看中西医结合专家门诊。患者去年5月首次出现皮疹,在深圳市中医院,用中医治疗一个月而近愈。今年8月皮疹又复发,全身泛发性皮疹,皮肤瘙痒难忍,心烦易怒,睡眠不安。又到中医院皮肤科治疗,效果不好,于是又转儿童医院皮肤科,人民医院皮肤科,多方治疗仍无效果。
经问诊得知,患者近三个月吃了很多冰冻酸奶而发病。望诊,面色萎黄,口唇白,舌质淡白,苔百滑,脉沉细弱。中医辨证湿阻皮下,脾虚胃冷,中焦寒湿。给予给予基本方加苡仁25克,苍术10克,附子6克,玉桂2克(后下),党参15克,干姜8克,茯苓15克,厚朴6克,木香2克(后下),牡丹皮10克,紫草15克,当归8克,白芍12克,水煎服,7剂,一周后复诊,新皮疹已消,皮痒已止,药已对症,用上方调理2个月而愈
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