08/08/2025
[補吓你個身]「生蛇」- 作者 趙大夫
「生蛇」原來比你想像中普遍，據估計40歲以上嘅人士，每3個人就有一個會罹帶狀皰疹。由於現代社會生活節奏急促及工作壓力等因素，生蛇更有年輕化嘅趨勢。
「生蛇」係醫學上叫名為帶狀皰疹，由水痘病毒（VZV） 引起。如果細細個出過水痘嘅朋友，病毒會潛伏於神經節，一旦身體免疫力低、壓力大、唔夠瞓，佢就會沿住神經路線爆發，變成一條「火蛇」攻擊你。
📍 生蛇常見位置：
• 胸口、腰側（最常見）
• 頸、背、手腳
• 臉部、眼周、耳背（最危險！）
若病毒侵入眼部三叉神經，有機會引發 角膜炎、視神經炎，嚴重者甚至會永久性視力受損。如果你發現眼角、額頭附近有紅疹水泡，再加眼痛或視力模糊，請不要坐視不理，應立刻就診求醫！
🇬🇧 英國 NHS 點攪
• 通常會開抗病毒藥（如 Acyclovir）：需於發病72小時內開始服藥，可以減輕症狀、預防後遺神經痛。
• 止痛藥：包括 Paracetamol、Ibuprofen等
• 若病情影響眼／耳／面神經，會即時轉介眼科或耳鼻喉科急症。
💉 NHS 亦有免費提供 疫苗，畀長者預防生蛇發作。
🌿 中醫點睇？
中醫認為生蛇多與 肝火旺、濕熱、氣滯血瘀 有關。治療方面會：
✔️ 內服中藥（如龍膽瀉肝湯、血府逐瘀湯等）
✔️如位置許可，可以以艾灸堵截「蛇頭蛇尾」，以限制病毒沿神經擴散。
✔️ 中藥草外洗患處（金銀花、蒲公英、苦參等）消炎止癢
✔️同時建議保持患處乾爽、唔好刮破水泡，並避免接觸孕婦、小朋友同免疫力低者。
中醫重視整體調理，特別適合發病後期仍有神經痛，或體虛、容易復發嘅人士。
最後，提提大家，生蛇並非不治之症，及早發現並把握黃金治療期72小時內就診求醫，預後通常良好。
當然防範於未然最緊要：減壓、足夠睡眠、唔好捱夜，飲食清淡，保持抵抗力、正氣充足先係根本。
This topic is: (Herpes Zoster)
Shingles (Herpes Zoster) is more common than you think — 1 in 3 people over 40 may develop it. Caused by the varicella-zoster virus (VZV), it stays dormant in nerve cells after childhood chickenpox. When immunity drops due to stress, lack of sleep or illness, it can reactivate along nerve pathways, forming painful rash or blisters.
📍 Common areas:
* Chest, waist (most common)
* Neck, back, limbs
* Face, around eyes or ears (can be dangerous)
🇬🇧 NHS treatment:
* Antivirals (e.g., Acyclovir) within 72 hours
* Pain relief (Paracetamol, Ibuprofen)
* Urgent referral if eyes, ears, or face are affected
* Free shingles vaccine for older adults
If near the eyes, it may lead to serious complications like vision loss — seek medical help immediately if blisters appear near the eyes with pain or blurred vision.
🌿 Traditional Chinese Medicine (TCM) views shingles as related to excessive internal heat, dampness, and blocked energy flow. Treatment includes:
✔️ Herbal formulas (e.g. Long Dan Xie Gan Tang, Xue Fu Zhu Yu Tang) to clear heat and move blood
✔️ Moxibustion to “cut off” the path of the rash — stopping the spread of the “snake head and tail” along nerves
✔️ Herbal washes (e.g. honeysuckle, dandelion, sophora root) to ease itching and inflammation
✔️ Focus on body balance and immunity — ideal for post-shingles nerve pain or frequent recurrence
🕒 Early action within 72 hours brings the best results. Prevention is key: rest well, manage stress, eat light, and stay healthy.
By RyanEC
#青木堂醫師日常 #曼城青木堂 #英國青木堂 #趙大夫
