![[補吓你個身] 中醫如何看待「內傷」? 續 ─ - 作者 關大夫由外傷引致內傷的機理與常見傷勢一. 力的傳導- 跌倒時手掌先落地，但是肩部受傷。是因為力沿骨骼方向傳遞，由手部傳遞至肩部。- 跌倒時背部落地，但是胸骨痛，同樣是因為力沿肋骨傳...](https://img4.findhealthclinics.com/149/553/811089331495530.jpg)
10/09/2025
[補吓你個身] 中醫如何看待「內傷」? 續 ─ - 作者 關大夫
由外傷引致內傷的機理與常見傷勢
一. 力的傳導
- 跌倒時手掌先落地，但是肩部受傷。是因為力沿骨骼方向傳遞，由手部傳遞至肩部。
- 跌倒時背部落地，但是胸骨痛，同樣是因為力沿肋骨傳至胸骨，造成胸軟骨炎。
二. 震盪傳導
- 力的傳遞過程會形成震盪波，如水波樣在肌肉震盪，這個過程若過接近軀幹，就會衝擊臟腑，令到血管破裂出血，軟組織纖維紊亂，形成氣滯血瘀，影響臟腑功能。
三. 經絡傳導
- 中醫經絡系統是當今醫學獨有，主要作用有三，1. 臟腑與肢體的聯繫，2. 運行氣血、營養全身，3. 抵抗外邪、保障身體。當身體受傷，經絡功能會受到影響，有機會影響臟腑功能。
所以外傷會透過力的傳導、震盪傳導、經絡傳導，影響深層的臟腑功能，從而產生「內傷」。
以下是幾種常見的外傷引發內傷的傷勢：
1. 跌打損傷：從高處跌落、被重物撞擊等，其衝擊力可能導致「臟腑震盪」，例如，胸部撞擊可能出現胸悶、呼吸不暢等；腹部受創則可能出現腹脹、食慾不振等。
2. 扭挫傷：例如關節扭傷或肌肉挫傷，若處理不當，瘀血日久，會阻礙經絡氣血運行，導致傷處反覆痠痛，影響與經絡相連的臟腑功能。
3. 勞損傷：長期重複性動作或姿勢不良造成的慢性損傷。例如，久坐導致的腰椎勞損，會影響腎氣，出現腰膝痠軟、小便頻數等腎虛的症狀。這類長期的「微創傷」累積，最終也會演變為內傷。
主要治療方法
一. 正骨
- 醫師會根據實際情況決定是否需要正骨來減輕傷勢，協助復原。
二. 針灸
- 醫師一般會根據傷處、傷勢判斷經絡的選取，穴位的配合，可能會出現腳痛針手，肩痛針臀，腰痛針頭，左邊痛針右邊的情況，必要時可能會放血治療。
三. 內服中藥
醫師會根據新傷、舊傷，傷勢，症狀，決定內服藥，其核心是新傷「理氣活血，通絡止痛」，舊傷「調養氣血，補虛瀉實」。
This topic is: How Does Chinese Medicine view “Internal Injury”? – Continued
The mechanism of external injury leading to internal injury
1.Transmission of force
* When a person falls and the palm touches the ground first, the shoulder may still be injured. This is because force travels along the bones, from the hand up to the shoulder.
* If the back hits the ground but the chest feels pain, this is because the impact passes along the ribs to the sternum, causing Costochondritis.
2. Shock wave transmission
* During an impact, force may create waves that spread through the muscles, like ripples in water. If this vibration is near the trunk, it may affect the internal organs, causing bleeding, soft tissue damage, and leading to qi stagnation and blood stasis, which weaken organ function.
3. Meridian transmission
* The meridian system is unique in Chinese medicine. It has three main roles: (1) linking the organs with the body, (2) circulating qi and blood for nourishment, (3) defending against external harm. Injury may disturb the meridians and also influence the organs.
Therefore, external injury can affect organ function through force, shock, and meridian transmission, resulting in “internal injury.”
Common types of trauma causing internal injury
1. Bruises and falls:
Falling from height or being hit by a object may shake the organs. For example, a chest blow may cause chest tightness and short breath; abdominal injury may cause bloating or poor appetite.
2. Sprains and contusions:
If a joint sprain or muscle bruise is not treated properly, old blood stasis may block qi and blood in the meridians, leading to chronic pain and organ imbalance.
3. Strain injuries:
Long-term repetitive movements or bad posture, such as long sitting, may harm the lumbar spine and weaken kidney qi, causing sore back, weak knees, or frequent urination. Those minor injury accumulated over time may also develop into internal damage.
Main treatment methods
1. Bone setting:
TCM Doctors may adjust bones to reduce symptoms and aid recovery.
2. Acupuncture:
Choice of meridians and points depends on the injury. Sometimes pain in one area is treated by needling another, and bloodletting may be used.
3. Internal herbal medicine:
For new injuries, herbs aim to treats blood stasis and restores circulation, and relieve pain. For old injuries, the focus is on nourishing qi and blood, and relieve pain.
By Kuan
#青木堂醫師日常 #曼城青木堂 #英國青木堂 #補吓你個身 #關大夫
![[補吓你個身] 疫癘與疼痛 - 作者 昇大夫周身痠楚疼痛又關天氣事？當中經常談及「非其時有氣」指出天氣失常，會影響人體健康。黃帝內經中「虛邪賊風，避之有時」反映當外在環境出現反常的氣候變化或致病因素時，人們需要採取預防措施來避免健康受損...](https://img4.findhealthclinics.com/871/832/805528078718322.jpg)
![[補吓你個身] 中醫眼診的秘密：五輪學說 - 作者 趙大夫講到「眼睛的力量」，好多動漫迷第一時間會諗起《火影忍者》入面嘅「寫輪眼」——擁有洞察真相、看穿幻術嘅神秘瞳術。不過，你知唔知喺現實世界，中醫亦早就有一套「觀眼知全身的法術」？呢套就係...](https://img5.findhealthclinics.com/260/031/800041482600315.jpg)
