Chi Prelude TCM Wellness

02/07/2024

20 Years of Big data: Does Multivitamins works for healthy people?
20 年的大数据 ： 复合维生素对我们有用吗？

最近发表在JAMA的一项研究确定了美国成年人定期补充多种维生素(MV)与死亡风险之间的关系。

A recent study published in JAMA Network Open determined the relationship between regular multivitamin (MV) supplementation and mortality risk among United States adults.

2022年美国预防服务工作队(USPSTF)审查了随机对照试验中关于多种维生素使用和死亡风险的数据，并得出结论认为，由于随访时间短，没有足够的证据来确定风险-效益比。

The 2022 United States Preventive Services Task Force (USPSTF) examined data on multivitamin use and death risk from randomized controlled trials and concluded that owing to short follow-up duration, there is inadequate evidence to determine risk-benefit ratios.

观察性研究提供了相互矛盾的结果，多种维生素含量的差异或混杂因素可能解释了它们不同的结果。

Observational studies provide contradictory results, and differences in multivitamin content or confounding factors may explain their varied outcomes.

在目前的研究中，研究人员研究了定期服用多种维生素是否能降低成年人的死亡风险。

In the present study, researchers investigated whether regular multivitamin usage can lower death risk in the adult US population.

该研究纳入了参加前列腺癌、肺癌、结直肠癌和卵巢癌筛查(PLCO, 42,732人)试验的无慢性病史和癌症史的成年人;农业健康研究(AHS, 19660人)或美国国立卫生研究院AARP饮食与健康研究(NIH-AARP, 327732人)。

The study included adults with no previous histories of chronic medical conditions and cancer who enrolled in the Prostate, Lung, Colorectal, and Ovarian Cancer Screening (PLCO, 42,732 individuals) trial; the Agricultural Health Study (AHS, 19,660 individuals) or the National Institutes of Health-AARP Diet and Health Study (NIH-AARP, 327,732 individuals).

参与者完成了基线调查问卷，以提供多种维生素的服用数据。

Participants completed baseline questionnaires to provide multivitamin usage data.

时变分析分别纳入了AHS、PLCO和NIH-AARP研究开始后5年、3年和9年的随访饮食问卷数据。

The time-varying analyses incorporated follow-up dietary questionnaire data five years, three years, and nine years after initiating the AHS, PLCO, and NIH-AARP studies, respectively.

该研究包括390,124人:327,732人来自NIH-AARP, 42,732人来自PLCO, 19,660人来自AHS。

The study included 390,124 individuals: 327,732 from NIH-AARP, 42,732 from PLCO, and 19,660 from AHS.

参与者的中位年龄为62岁，55%为男性。

The median participant age was 62 years, and 55% were male.

研究人员在随访期间共发现164,762人死亡;在164,762例死亡中，49,836例死于癌症，35,060例死于心血管疾病，9,275例死于脑血管疾病。

In total, the researchers noted 164,762 demises in the follow-up period; Of the 164,762 deaths, 49,836 resulted from cancer, 35,060 from cardiovascular diseases, and 9,275 from cerebrovascular diseases.

他们估计了随访前半期和后半期(即随访期1 [FP1]和随访期2 [FP2])的相对风险，

they estimated relative risks in the first and second halves of follow-up (ie, follow-up period 1 [FP1] and follow-up period 2 [FP2],

在前半期中，55岁以下的个体，定期服用多种维生素者任何原因死亡的风险更高(HR, 1.2)。

In the initial follow-up analysis (FP1), HR values for regular multivitamin usage and any-cause death were higher for individuals aged below 55 years (HR, 1.2).

荟萃分析纳入了来自所有队列的随时间变化的估计，表明与不使用相比，定期使用多种维生素与前半期的任何原因死亡风险增加4.0%相关，而与后半期无关。

The meta-analysis, incorporating time-varying estimates from all cohorts, showed that regular multivitamin usage, compared to non-usage, was related to a 4.0% higher risk of any-cause death in FP1 but not in FP2.

研究结果并没有提供经常服用多种维生素的人寿命延长的证据。

The study findings do not provide evidence of increased longevity among regular multivitamin users.

然而，不能排除定期服用复合维生素对其他与衰老相关的健康结果的可能影响。

However, one cannot rule out the possible effects of regular multivitamin usage on other aging-related health outcomes.

Journal references:

Loftfield E, O’Connell CP, Abnet CC, et al., Multivitamin Use and Mortality Risk in 3 Prospective US Cohorts. JAMA Netw Open. 2024;7(6):e2418729.

DOI: 10.1001/jamanetworkopen.2024.18729 https://jama.jamanetwork.com/article.aspx?doi=10.1001/jamanetworkopen.2024.18729

04/02/2024

祝大家立春大吉

27/11/2023

Interesting trend happening in US

https://www.webmd.com/children/news/20231027/more-parents-turning-to-acupuncture-for-kids-pain-anxiety

24/10/2023

Stroke may strike during sleep and why

When stroke strikes, it is often painless, so if it happens while someone is asleep it usually does not wake them up. The person only realises that something is wrong when they experience the symptoms of stroke when getting up, such as weakness on one side of the body as they get out of bed, noticing one side of their face drooping while looking in the mirror, or speech difficulties when they talk to someone

Fast emergency care increases the chance of a good recovery, as some treatments need to be given within a certain amount of time from when stroke symptoms first start.

When the stroke happens during sleep, there are no witnesses to advise medical staff on when symptoms started, but brain scans can help doctors determine how long ago the stroke happened and sometimes treatment can still be given to dissolve or remove the blood clot that caused the stroke.

Patients with wake-up stroke who receive such treatment have less long-term disability compared to those who are not able to have the treatment because they arrive at hospital too late. That is why it is so important to seek emergency care immediately when symptoms of stroke are first seen – do not go back to bed to try to sleep off the symptoms!

A stroke can happen to anyone at any time. We spend about 6 to 8 hours asleep every night – this is a significant proportion of our time and explains why a stroke sometimes occurs during sleep.

In addition, obstructive sleep apnoea (OSA) can increase stroke risk during sleep. OSA causes breathing to be reduced or stop temporarily. This results in less oxygen in the blood, increasing the possibility of stroke. Snoring and daytime sleepiness are common signs of OSA

OSA can also trigger an irregular heart rhythm pattern called atrial fibrillation which is a risk factor for stroke. Atrial fibrillation causes blood to pool in the heart chambers making it easier for blood clots to form.

Both atrial fibrillation and OSA can be treated with medication, medical devices and / or lifestyle changes, lowering your risk of stroke and other health complications.

06/06/2023

今天是二十四節氣中的「 #芒種」

芒種是農歷二十四節氣中的第九個節氣，也是夏季的第三個節氣，表示仲夏時節的正式開始。

芒種，「芒」指的是一些有芒的作物，如稻、黍、稷等；而「種」分別代表種子的「種」和播種的「種」。「芒種」之名含義就是有芒之穀類作物可種，過了即失效，因此民俗說「芒種不種，再種無用」，也表現了芒種節氣是種植農作物時機的分界點。

俗話說：「芒種夏至天，走路要人牽；牽的要人拉，拉的要人推」，表示這個時節容易疲勞的狀態，且容易引起皮膚和腸胃問題，因此在這個時節養生主要清熱化濕、養心。

飲食上可補充健脾的紅薯、滋陰潤燥的菠菜、荔枝、白木耳、蘆薈、秋葵、蓮藕、青梅、黃瓜、檸檬、蘿蔔、茄子、西瓜、苦瓜、番茄，夏天更合適吃些含鉀較多的食物，如玉米、毛豆、大豆、香蕉、香菜、芹菜等。

祝福大家在芒種時期，即使忙仍心不茫，記得多喝水喔！

#24節氣

30/05/2023

Finally completed this training. Learnt lots of evidence based medical knowledge - medical , lifestyle to stress management. This will complement my existing TCM knowledge.

18/05/2023

大家注意哦， 希望能帮助您家的老人：

癸卯贺新春，玉兔迎丰年，
太乙徙中宫，八风今日观，
年长少走动，居家避三虚，
内经藏大法，四月初一见。

（根据内经九宫八风哲理，癸卯年正月初一为太乙五步迁徙中宫日，又逢今日月亏，故老年人应居家避贼风，今年尚有四月初一日需避三虚（阳历5月19日），仅供参考）

14/05/2023

To all mummies, happy mother's day. Thank you for making the differences to future mankind :)

18/04/2023

我很少分享YouTube 视频。

“大医精诚” 是我们当医师的主要核心。 不分贵贱种族，宗教，好坏， 在我面前就是患者， 我只负责救或治人 和他的心。 以百姓为出发点， 但要维持自己的生活， 目前在新加坡当医师，真的有一定的难度。我还是秉持这个理念， 尽量为老百姓服务。

永远感谢我恩师提点仁心仁术。

有时间， 慢慢看。

《典籍里的中国》聚焦中华优秀文化典籍，从中甄选最值得讲述的优秀传统文化作品，以“文化节目+戏剧+影视化”的方式，讲述典籍的成书、核心思想以及流转中的闪亮故事，让书写在典籍里的文字“活”起来，展现典籍里蕴....

07/04/2023

TCM treat the mind using heart, spleen and kidneys functions. Want to make a guess which which organ is related to which "Mind"?

06/04/2023

[Health tip] How to correctly use a pillow when you sleep?

30/03/2023

How does acupuncture work? Watch a 3-minute video explaining how acupuncture works from a scientific perspective. For a full-length article, visit: https://c...

20/03/2023

Signs and Symptoms of Stroke

Weakness

You may experience weakness in one or both sides of the body. This weakness varies in severity.

Weakness of the face muscle may result in facial drooping, drooling and speech difficulty.

Incoordination of Movements

You may experience difficulty in standing, walking or performing delicate tasks.

Numbness

You may experience reduced or loss of sensation over one side or specific parts of your body.

You may experience abnormal extra feeling over one side of your body such as tingling or electric sensation.

Visual Impairment

You may experience double vision or loss of vision in one side or area of your visual field.

Slurring of Speech (“Dysarthria”)

You may experience difficulty in articulating words. This may cause your speech to be unclear, slow or soft.

Language Impairment (“Dysphasia”)

You may experience inability to understand or express words, phrases and sentences, in both verbal and written form.

Difficulty with Swallowing


Difficulty with Swallowing (“Dysphagia”)

You may experience difficulty with drinking and eating. It can cause coughing and choking leading to an increase risk of lung infection.

------------------------------------------------------------------------

It is important to understand that every patient is affected by stroke differently.

The signs and symptoms of stroke depend on the area of damage in the brain.

20/03/2023

春分

3月21日，是二十四节气中春分，在阳历3月21日上午5时24分14秒交节气。春分的到来表示太阳在这一天直射赤道，从此以后天气会渐渐变热。
以阴阳五行的角度来看，24节气之中的春分和秋分，是阴阳的分界线，这两天都是日夜均等的一天，意即阴阳二气均分。

天地间阴阳二气的消长，自然会影响到万物的阴阳波动，人的运势也自然会发生变化，所以这个时间点是调整运气的好时机。

想要创造未来的好运气，就要从一年中的每一个节气与节庆的宇宙蜕变气息的掌握开始。

17/02/2023

肺病，（属金）是恼人得来的。 什么是恼？ 嫉妒人 记仇 什么事都记在心里
容易得：气喘 咳嗽 吐血 肺炎 肺结核 等

心脏疾病（属火）
心脏病，是从恨上来的。 恨人就会伤心
容易得：心慌 心热 失眠多怪梦 咳嗽吐血 癫狂 是语言重了就是精神病 等

脾 胃疾病（属土）
胃病是从怨上来的，怨人就伤脾，这种人无论发生什么事情，从来不找自己毛病，只一味的怨恨他人。把胃伤了，膨胀 胀饱 噎嗝 上吐下泻 就得上胃病了。
容易得： 胃炎 胃溃疡 胃黏膜脱落 十二指肠 最后就是胃癌 等

肝 胆部疾病（属木）
肝病就是生闷气生的，怒气伤肝。
容易得：牙疼 耳聋 头昏眼花 嘴歪眼斜 中风不已 半身不遂 肝胆有病 等

肾病（属水）
爱烦人会伤肾，爱生回头气，毒气存于骨，味咸
容易得：肾虚 肾炎 腰疼 腿疼 胖肿 腰椎结核 腰间盘突出 妇科病

那么你的情绪是怎么样的呢？

05/02/2023

ⒽⒶⓅⓅⓎ ⓃⒺⓌ ⓎⒺⒶⓇ
🍊今天正月十五🍊
～～～㊗️福大家～～～
事事圆满 好运连连
♡福慧圆满♡

感谢大家在过去的岁月里一直支持 Chi Prelude TCM Wellness
以下代表我们对大家深深的感谢🙏
🍊感恩您对我们的包容
🍊感恩您对我们的体谅
🍊感恩您对我们的喜爱
🍊感恩您对我们的信任
🍊感恩您对我们的协助
🍊感恩您对我们的付出
🍊感恩您对我们的鼓励
🍊感恩您对我们的赞美
🍊感恩您对我们的贴心
🍊感恩您对我们的关怀
🍊感恩您对我们的关注
🍊感恩您对我们的守护
🍊感恩您让我们提升
🍊感恩您让我们感动
🍊感恩您让我们突破

❤️❤️❤️ 爱您哦 💕💕💕
✡️✡️✡️✡️✡️✡️✡️🤌

04/02/2023

“一年之计在于春”是大家耳熟能详的谚语，这里的“春”，指的就是立春。《史记·天官书》曰：“立春，四时之始也。”提出立春是四季的开始。

今年为火不及之年，阳明燥金司天，大自然的物候对应在人身上，从人体发病脏腑来说，以心肾虚寒、脾胃湿盛之病比较多见，如胸中痛，肩胛、两臂内侧、腰背疼痛，肌肉关节麻木疼痛，不欲饮食、腹满腹泻等症；从证候性质来说，以寒证多见。当前处于初之气，太阴湿土加临的厥阴风木，阳气初生，接续上年的阳气不藏，所以这个时间段，我们治疗疾病时，应该注重的固密阳气。临床中表现为：失眠、汗出、头晕乏力、胸闷气短、肩背腰腿疼痛、消化不良及腹胀腹泻等症状。而我们可以通过中医药、经络的调理来补肾，补肺，疏肝健脾均可取得很好的疗效。

另外，膳食养生、起居环境、情志调养方面，给予指导。中医认为，肝在五行中属木，而春季在五行中也与木相对应，所以肝应春气。春季阳气升发，万物复苏，此时应当注重肝气的顺畅条达，顺应自然规律，增强人的体质，正所谓“正气存内，邪不可干”。具体对应在饮食上应当少酸多甘，唐代名医孙思邈说：“春日宜省酸，增甘，以养脾气。”中医讲五味入五脏，其中酸味入肝、甘味入脾，因此要增加甘味来顾护脾胃，环太湖周边的食谱可供参考。

《黄帝内经》认为“春夏养阳，秋冬养阴”，对应在生活起居上就是要注意保暖，《素问》言“春三月……广步于庭，被发缓形，以使志生”，是说春季衣着应当宽松舒适，并适当锻炼，使春气升发有序，阳气增长有时。在情志方面，人体阳气潜藏一冬，至春日开始升发之势，此时当顺应肝喜调达而恶抑郁的特性，舒缓精神，做到心平气和，可防肝气郁结，脾胃不舒。

24/01/2023

经过老师允许后， 这是我对脉法出浅的理解。

从脉法本质研究内经、难经、伤寒论首先要理解《脉经》序言，王叔和说：“弦紧浮芤，展转相类。谓沉为伏，则方治永乖；以缓为迟，则危殆立至。况有数候俱见，异病同脉者乎”。脉经中这段序言提出脉法的关键之处，其一、“弦”与“紧”有“转”方面的区别，“浮”与“芤”有“展”方面的区别，其二、“沉”与“伏”阴阳的病机反向，其三、“缓”不是“迟”，搞不懂会死人，其四、“数脉”有不同“候法”比如“寸口脉沉而迟，关上小紧数，瓜蒌薤白白酒汤主之”。“迟”与“数”在同一“寸口”可以互见，关键要理解“动”为“数”之别称。
内经脉法的争论“仁者见仁 智者见智”，并不影响学术研究。比如：邪结于阳为“脉促”，葛根芩连汤主之，邪结于阴为“脉结”，扺当汤主之。“结促”同见为“结斜”，必有“石水”。判断“石水”脉法有二：“脉自沉”，或者“脉结斜”。阳明“脉促”为消渴，必有燥屎，太阳“脉促”为病在膈，必有“心下痞”。脉“濡”为太阴湿热；脉“软”为无胃气的“真脏脉”；脉“细”属于气血两亏；脉“浮而细”则病在太阳，脉“沉细”则病在太阴。脉“代”病在四季脾，瘀在络脉。
百花齐放，百家争鸣是大势所趋，这是中医界的春天，苏轼的诗词说的好：“大江东去，浪淘尽，千古风流人物，…………。乱石穿空，惊涛拍岸，卷起千堆雪。江山如画，一时多少豪杰。…………”。