GIM AU TNG QUT.

Vi DC-KLP th vic gim au khng kh, hu ht trng hp ch cn day,ln,co, hay g,bng vo sinh huyt phn chiu (hoc ng ng) ni ang b au khong 2 pht l m hay gim nhiu. Nhng thc t khng t ln chng ta gp mt cn au ngoan c n mc day,co.vv mi tay, thm ch ni cu lm tht mnh n try da rm mu h n phng da m cn au vn tr tr nh ,vng nh ng..vntr gan cng tu nguyt..!!!??? Cc bn cn bit iu ny: nu tm ra sinh huyt (SH), lm kiu,dng cc k thut ca DC m khng gim au c th 1. ng l tm ng SH nhng khng ng vng cn tc ng. 2. Ci au ny c mt cng cao qu ngng iu chnh ca DC. Vy, bn cn thay i : 1. Vi trng hp 1, bn tm vng cn tc ng theo bi Lm sao t T c, sau d SH trong vng ny theo k thut thch hp. 2. Nu lm theo nh trn 2-3 pht m vn khng hiu qu, bn nn ung thuc gim au, i thuc ngm ( 30 pht), bn lp li thao tc nu trn. Hiu qu gim au s cao v nhanh hn ch c thuc. nu vn khng thnh cng, bn nn nhp vin.......... tm cho ra nguyn nhn gy ra cn au qui c .... Trong mi trng hp, bn nn day cc huyt sau y trc khi tc ng vo SH : 124 + -, 34+ -, 106, 26. y l b huyt an thn gim au tng qut cho ton thn. c ng bi T Minh vo lc 04:08 0 nhn xt Gi email bi ng nyBlogThis!Chia s ln TwitterChia s ln Facebook Th nm, ngy 14 thng t nm 2011 THNG BO Blog chnh ca ti l http://vn.360plus.yahoo.com/taminhdc. Mi cc bn sang bn , c nhiu bi vit hn v thng xuyn b sung hn. c ng bi T Minh vo lc 04:26 0 nhn xt Gi email bi ng nyBlogThis!Chia s ln TwitterChia s ln Facebook Th su, ngy 08 thng t nm 2011

PHNG HNG IU TR CC DI CHNG LIT.

ng ngy: 04:53 08-04-2011 Th mc: Chuyn DC-KLP Lit do Tai Bin Mch Mu No (TBMMN,l tn gi chung ca xut huyt no v nghn mch mu no m trc y thng gi l nhn no), lit do Chn Thng S No (CTSN) v lit do Vim No (VN) u c cn nguyn t vic tn thng hoc b tc trong no. Tng t ta c lit do Chn Thng Ty Sng, lit do Vim Ty Ct Ngang; hai trng hp sau cng u do thng tn hoc chn p mt on ty sng gy lit. Tuy nguyn nhn khc nhau nhng cc trng hp nu trn u gy thng tn v chn p b tc cho no hay ty sng l h thn kinh (gm nhiu dy thn kinh chng cht). Ta bit,h thn kinh hot ng theo c ch ging nh c ch ca cc my dng in nng. H thng ny hot ng tt hay km l do cht lng my, cht lng dy dn; v do in p ca h thng hay thiu. Xt h thng qut my vn hnh nh in. Ta nhn bit h thng ny vn hnh c (thy cnh qut quay) nh cc thng s: in nng n, ng c, vt liu dn in, mch in thng sut,cnh qut. in p yu hay h thng ng c v dy dn km cht lng th qut quay yu; in p , ng c v dy dn tt th qut quay mnh; nu qu km th qut khng quay ni d in vn vo. Cnh qut quay hay khng l do nhng yu t trc n hi mc cn thit hay yu km. Tng t nh vy. Ta nhn bit c bp hot ng c hay b lit l thuc vo cc thng s: nng lng cung cp t mu; cht lng h thng thn kinh t no b n ty sng n cc dy thn kinh ngoi bin, cht lng cc khp TK (sinap). Cc thng s cn thit ny hi mt cch hon ho th h thn kinh ch huy cc c vn ng c nh ; mt hoc nhiu trong cc thng s ny khim khuyt th cc c vn ng yu hoc ra d tn hiu thn kinh vn n. Qut my khng quay ni khi in nng thiu, nu khng bit ta c cho in vo th mt thi gian sau h thng b chy. Tng t (nhng hi khp khing), khi mu n khng , h thn kinh khng ch huy ni cc c bp d cc t bo TK vn cn thoi thp sng. Nu thiu mu lu, vng t bo TK ny c th b cht hn v vic phc hi vn ng cho c do chng ch huy l khng cn hi vng. V th,vic phc hi sinh lc cho h thn kinh l bin php ch o ca vic iu tr cc th bnh bi lit. Trc y, Ty y dng cc loi thuc chng xut huyt, tan mu bm; na cui thp nin 90 Trung Quc xng v thc hin vic m s no ht mu cho bnh nhn b xut huyt no cng t nguyn l ny. T vic cu sng cho bnh nhn xut huyt no nng khng cn kh khn. Hiu qu iu tr di chng lit sau TBMMN cng tin b vt bc. Nhng trn thc t ta thy cn khng t BN vn phi chu di chng nng. V sao? Th v ch l thc t cho thy vic ci thin di chng cho cc bnh nhn tn thng noty c kt qu tt hn vn thuc lnh vc dng huyt d thuc bt c trng phi no. V sao? Nm 1988, ti xy dng c b Tan Mu Bm c cng dng ph tan mu rt mnh v c dng ph bin trong gii DC. B huyt ny hin nay c ti trin khai thm v t li tn mi TIU VIM KH v nhn thy tc dng ca n rng hn vic lm tan mu bm. B huyt ny lun c s dng gii quyt cc di chng ca chn thng, trong hu phu v u thnh cng tt p. Nhng mi n khong nm 1997-98 ti mi p dng vo vic cha lit do TBMMN sau khi

cha thnh cng lit do chn thng ty v chn thng s no; v sau khi bit thng tin TQ tch hp s ht mu trong xut huyt no. Kt qu khng ng l hiu qu nhanh v cao hn cc phc trc p dng t 1987. Ti cng b rng ri khm ph mi ny trong K Yu 20 nm DC-KLP do Thy Chu ch bin. Mt th v bt ng khc na l vn c th can thip tt cc trng hp nghn mch mu no gy tai bin m trc y thng c gi l nhn no. K c trng hp nghn mch do mng x va . Khi p dng b TIU VIM KH vo vic cha di chng lit do cc nguyn nhn TBMMN,CTSN thnh cng, ti vn lun thc mc v sao Ty y ht mu , dng thuc tan mu m BN vn cn lit, nht l vi CTSN. Ch khi ti tr th chc nng vn ng c mi tin trin nhanh mt cch r rt ? Khng c phng tin tm hiu, ti nh t nu cc vn sau: C phi bin php ht mu bng phu thut ch gii quyt c cc vng mu ln thy c, CT hay MRI cng ch thy c cn mu ln nn kim tra thy rng thng. Cn nhng ht hng cu li ti kt u trong cc vi mch m CT v MRI khng thy c vn c th gy thiu mu cho cc t bo thn kinh ca n ph trch. V thiu mu nn cc t bo TK ny khng nng lng ch huy cc c lin quan, mc d t bo TK ny cha cht hn. C phi thuc khng nh tan ht c cc ht hng cu lit ti cn li trong cc vi mch mu ? C phi di chng lit vn cn v mu hay l v mt yu t khc khin cho cc t bo TK khng lm c vic? Hay l do c 2 yu t: huyt li ti v ci g khc mu cn tn ng trong h thng thn kinh khin h thng hot ng km hn. Nu th nu nhng gii p c cho r rng v chnh xc th ti chu thua v ngoi kh nng k thut. Khng gii p c nhng trn lm sng, ti lun thnh cng hn cc gii php khc. Bi c nhiu BN b vi nm tng c iu tr bng cc gii php khc, bi nhng thy thuc khc v khng ch mt thy thuc m vi thy thuc trc ti. Tuy nhin trong nhng trng hp ny, hiu qu ci thin khng cao hn nhiu, nhng vn c tin b thm sau khi ti iu tr. Cn nhng trng hp mi b, sau khi n nh c huyt p xut vin hoc sau khi m s no do chn thng xut vin m c ti tr ngay th khng ai l khng i ng c, tuy rng mc hi phc c khc nhau. T nhng kt qu ti tin l mnh ang ng hng v ng nht t trc n gi. Bi nguyn l rt ph hp vi Ty y c k thut cn lm sng c th. Ni ln iu ny l mt iu khng hay xt v kha cnh khim tn theo ng phng. NHNG.. hn 20 nm ln ln vi ngh, lang thang trong bi ng v ma nng khp hang cng ng hm ca Si Gn-Ch Ln v cc vng ln cn nh Bnh Dng, Bin Ha, Th c, Bnh Chnh, Nh B v hin nay l H Ni,chng kin bit bao cnh i au kh ca bnh nhn v gia nh h ti khng th im lng ch c hai ting khim tn!! Tin v dng kinh nghim nh nhoi ny ca ti hay khng l ty qu v nhng ngha v ca ti l phi ni ln s tht. Nu khng, ti c li vi nhng BN qua ca ti v vi nhng BN c th s mc phi trng hp au thng ny. Knh mong qu ng nghip v qu bc trng bi cm thng v lng th. By gi, ti xin trnh by ton b chi tit kinh nghim ca ti, tuy c ni n trong K Thut Chn Tr Bnh Bng DC-KLP Kt Hp ng Ty Y nhng hi ngn gn nn cc anh ch em cn yu v DC khng dng c v khng hiu hoc khng tin v thy qu n gin:

Cc bn c ti liu hun luyn ca ti cn cp nht theo bi di y tuy rng c chung ta v ln ny ti s vit chi tit hn: IU TR LIT DO TAI BIN MCH MU NO V CHN THNG S NO. ---O--Lng- y T Minh. Tai bin mch mu no(TBMMN) v chn thng s no(CTSN) thng a n lit vn ng, i khi lit c cm gic v ri lon nng lc tinh thn. Ch c mt s t trng hp phc hi hon ton theo c ch t khi v c ch b, tuy nhin phi thy rng y l nh tn thng qu nh. C 2 c ch b: b ti no l vng no lnh lm thay chc nng cho vng no b thng; c ch b ti c l nhng c lnh lm thay vic cho c b tn thng. Cha ht, vo u thp nin 00 ca th k 21, ngi M pht hin ra rng cc t bo TK c th ti to nhng phi mt khong hn 3 nm. Chnh nh cc c ch ny m mt s BN ngho khng sc theo ui vic iu tr vn phc hi c mt s chc nng vn ng sau mt thi gian kh di.Tuy nhin, trn thc t khng phi ai cng may mn nh th. V cng c mt s BN b lit vi nm n ti cha mi bt u phc hi. Mt s t bnh nhn thot khi tnh trng lit ny mt cch ton din do may mn b tn thng tng i nh v c iu tr NG CCH NGAY T U. a s l li cho bnh nhn vi di tt v th xc hoc tinh thn khi b hi nng hoc c iu tr khng ng cch kp thi ngay t u. Trong di chng lit do TBMMN v CTSN th iu tr ng cn phi kt hp c ba gii php ng b mt cch kho lo : THUC MEN, TP LUYN, HUYT O. Vic dng thuc th ty, Ty hay ng cng c. Nhng theo kinh nghim ca ti - trong TBMMN - thi gian u nn dng thuc ty (c BS ch nh v theo di) cho n khi HA n nh tht s, v tuy xut vin HA ca BN vn c th li bt n v tai bin tip l iu rt d xy ra. Vic n nh HA kh phc tp, d phng php chng ta c th lm c nhng i hi phi vn dng y l rt nhiu v Ty ln ng y nn khng th trnh by trong bi vit ny, cc phc v huyt p hin nay thng mang tnh ct cn hn l iu tr . Cho nn cc anh ch em nn kt hp vi bc s chuyn khoa tim mch khng ch HA cho bnh nhn , trnh tai bin rt d xy ra tip theo khi HA cn dao ng. Tp luyn c hai phn : th ng v ch ng. Tp th ng l k thut vin hay ngi nh tp cho bnh nhn, lun lun rt cn khi b lit cng. Tp ch ng l bnh nhn t luyn tp theo s hng dn km cp ca K thut vin (trong thi gian u hoc t ngh ra cc t th trong sinh hot thng ngy trong giai on sau), ch cn t khi bnh nhn bt u vn ng c d cn rt yu t. Vic ny i hi bnh nhn phi c ch quyt thng bnh tt. Tuy nhin khng nn qu c sc s gy phn tc dng. Tt nht nn nh KTV trong thi gian u. V huyt o, ng hn l v DC-KLP , L CH CHNH CA BI NY. Ti xin cng hin cc kinh nghim sau y sau mi my nm chuyn nghin cu v iu tr loi bnh ny. C th ni rng y l phc iu tr c hiu cho bi lit do TBMMN v CTSN. Phc iu tr: Giai on mt: 156 - + , 38 - +, 7 - + , 50, 37, 61 - +, 3 - +, 290 - +, 16 - + , 26, 240, 347, phn chiu u theo hnh m, Dng v Trc din pha i bn b lit. Giai on hai: khi bnh nhn bt u t vn ng c cc c phn b lit d cn yu t, chng ta bt u tc ng thm phn chiu hoc cc b c phn b lit, pha cng bn b

lit. Gm phn chiu na lng, tay chn bn lit. Tuy nhin ch tc ng bnh thng ch khng nn qu nhiu. ng thi khuyn bnh nhn nn bt u luyn tp ch ng mt cch va sc. S qu ti trong luyn tp s gy phn tc dng. Nn iu chnh tng trng cho bnh nhn theo bi Phc Hi Chnh Kh t hiu qu cao hn v hon chnh hn. Vi ti ch ta tc ng vo gy, lng, tay chn bn b lit. Trng hp dng b Tiu Vim Kh nu trn 3 tun m BN vn cha t ng, cha tp i c th cn ch vic iu chnh tng trng cho BN. V thng do huyt kh km qu nn c bp khng sc nng c th. Khi lc chn ca BN mnh, t ng kh lu khng ng nhng h bc i th li ng l do c tn thng vng tiu no, ta cn tc ng phn chiu tiu no l vng sn cn n ng, vng u mi v mi, cm (theo H phn chiu no b). Nu kt qu CT hay MRI cho bit c tn thng tiu no th ta cn can thip ngay vng ny t u mi c kt qu cao c. K thut : day n hoc rung cc huyt v dng co nh co phn chiu u hoc c phn b lit theo cc hnh nu trn. Nu bn lit lnh mt hn bn lnh th nn tc ng huyt v vng phn chiu c bi du cao, sau khi nhit 2 bn nh nhau th khng dng du na. Nu nhit 2 bn nh nhau th khng cn dng du. Bin lun: TBMMN v CTSN u lm tn thng no. Hu qu ca s tn thng ny l gy lit cho cc c phn vn ng lin quan di no nh mt, tay chn .v..v. V vy gc bnh l no , cc c phn ch l ngn. Do cu ly no b l vic u tin phi lm trong hai loi bnh chng ny. Nh vy khi no b c phc hi th tay chn lp tc phc hi. Ch nhng trng hp lu ngy cn c b teo rt th ta cn tc ng mnh trc tip vo cc vng t chi tm cch hi phc cc cn c ny. B huyt nu trn c tc dng tan mu bm, chng vim, lc no v ci thin s lu thng mu no. Ch : -Cn king c khng n ung cc thc chua,lnh v cc thc gy vim (xem bi hng dn v king c. Trnh tt c cc xc ng, cc thay i t ngt v nhit , v ng tc. -Vic ln thm tuy cn thit nhng ln qu nhiu tay chn (vi ba trm lt mi ni) khi no cha iu khin chng c ch khin cho cc c b nho thm v gy kh khn trong iu tr v sau m thi !! Tuy nhin trong lit cng th ln l bin php tt trong mi giai on nhng cng nn va phi. -Vic xung in vo tay chn cng khng nn dng qu sm v rt d gy phn tc dng khi t bo TK cn yu khng chu ng ni kch thch ca ging in c thi lng v cng cao hn ngng ca n lc by gi. M lc ny lm sao bit c sinh lc ca t bo TK l bao nhiu nu khng c o c bng my mc hin i ? Nu chng ta da vo cm gic ca bnh nhn chn cng v tn s xung, th xung bao lu l va ? iu ny khng th xc nh bng cm gic ch quan ca bnh nhn cng nh ca chng ta c. V vy cn thn trng trong vic xung in. -Trong CTSN chng ta s thng gp kin ca BS cho rng khng c chm cu m ch cn tp VLTL . Tuy nhin DC-KLP khng phi l chm cu v chng ta khng ng n vt thng u m ch dng huyt xa vng b thng . iu quan trng l khng nn dng nhng k thut mnh tay gy au n cho bnh nhn ang trong tnh trng suy yu v hot ng ca h thng TK . D sao c iu tr thm bng huyt vn mau phc hi hn l ch luyn tp sung, iu ny c xc nh trn thc t lm sng trong qu trnh lm vic ca ti. Nay ph bin cho cc anh ch em cng dng. Chc tt c anh ch em thnh cng trong vic p dng bi vit ny iu tr nhng bnh

nhn b bi lit do hai nguyn nhn trn. Trong bi ny, ti ly v d l BN b lit bn tri minh ha hnh v vng phn chiu u cc hnh m, Dng, Trc din.

CCH DAY HUYT V CO TRONG IU TR DI CHNG LIT Bn dng u que d vch qua li cc huyt tht nh, Co cng vy, co tht nh, cng nh cng tt.NH NH GI THONG TRN DA. Mi huyt hay vng ch cn ti lui,qua li 30 lt, Ti v lui, qua v li c tnh l MT LT, c ngha l mi huyt c tip xc khong 60 ln. Khong ti lui ca u que d cng ngn cng tt, c ngha ch cn 1mm trc v sau huyt. V huyt DC trn mt rt nhiu, a s huyt cch nhau ch 2 n 3 mm. Nu khong ti lui ca u que d di qu, bn s tc ng mt lc 2-3 huyt. Nh vy, s khin cho tc dng mong mun s long i, s ri i v lc ny l s phi hp ca 2-3 huyt ch khng cn l khai thc tnh cht ca huyt ang day. Co cng vy, bn cn c gng co chnh xc v gn gng vng cn co, khng lan rng qu din tch hnh bn ang tc ng. Bi v khi co rng hn gii hn din tch hnh l bn ang tc ng vo phn chiu ca mt hnh khc ri. V d nh khi co phn chiu u ca hnh Dng v m. Bn co ring tng hnh, khng c li bing co mt lc hai hnh v thy chng gn nhau. V nu lm vy, v tnh bn tc ng cha cc c lng (hai vng ny hp li th phn chiu lng ch khng phi phn chiu hai mt trc v sau ca u BN. V nh th cc tn hiu cn truyn ti s chy v lng ch khng i n u ca BN. Do , thao tc ca bn khng t hiu qu mong mun. Vic tc ng rng ch nn dng khi thao tc ti ch. Thao tc ti ch c tc dng khc vi thao tc theo hnh. y l c im ca Din Chn-iu Khin Liu Php. Tc ng ti ch c tnh cht nh mt-xa nn cn rng hn vng c bnh tng cng lu thng mu ni c bnh. Cn tc ng theo hnh th li mang tnh dn truyn ca phn x thn

kinh. Mi mt u dy thn kinh (huyt) ch n mt im trong c th theo hnh ang s dng nn khi tc ng theo phn chiu cn chnh xc. Cc bn cn lu iu ny pht huy ht tim nng ca huyt DC, khng ph sc, tn th gi v ch m li km tc dng. c ng bi T Minh vo lc 00:43 0 nhn xt Gi email bi ng nyBlogThis!Chia s ln TwitterChia s ln Facebook Th by, ngy 12 thng hai nm 2011 GII QUYT VN CA TINH THN i ngi gm mt chui thnh-bi,vui-bun.khoi-kh,sng-cc... t hay nhiu cng li du n trong tm tr. Nhng du n ny cng khai hay m thm, rm r hay lng thng, ngay tc khc hay ng yn ri ht nhin bng tnh. hot ng trong tinh thn chng ta.

i ngi, ai cng c t nht mt tai nn. Khng tai nn v vt cht cng tai nn v tinh thn. Khng trc tip cng gin tip, Khng nng n cng long thong. C khi ri cng qua i, c khi li khim khuyt khng sa cha c khng ch vt cht m c v tinh thn na. Loi ngi tn khng t cng phu tm cch gii quyt nhng di chng ny.V vt cht c th c gii phu hc, gene hc. V tinh thn c phn tm hc v tm l-y hc, cc gio iu tn giovv.Nhng coi b.khng thnh cng g lm. Vn cn lm ngi phi chu thiu mt ci g trn thn th. Vn cn phi gt chn ln trn trn tr mi m, gm nhm ni lng khng yn.

V tinh thn,nhiu iu khng vui ta mun dp b qua mt bn m khng c bi nhng tri buc ca thi quen, ca c tnh, ca tnh cm, ca o l, ca n np gia phong, ca nhn thc hnh thnh do tp qun dn tc, ca tn gio, c khi l do nh hng ca c loi ngivv.. Ha ra, con ngi chnh l n l ca nhng iu . Nhng iu do bm sinh v c nhng iu do hc hi t lc cn trong bng m (y hc ni vy).

Nhiu khi con tim bo nn nh th ny, l tr li biu nn nh th kialoay hoay mi g khng ra nh mt ng ch ri. Phn tch chi li vn ny khng d, xin cho chuyn vin v ngnh tm l lm vic cng bn.

Ti xin trnh by mt vi suy ngh ca ti: i sng con ngi tht l tro ngoe. - Bnh thng con ngi khng lm ch c phn vt cht c th ca mnh. Mc d mun a tay ln l a,mun i l i. Nhng kh lng nhn i kht, nhn tiu tiu. Mun tim p hay ngng theo mnh khng c. Thm ch c lc mun ng m khng th, mun n m nut khng tri qua c hng.

- Xt cho cng con ngi ch c th lm ch c phn v hnh ca mnh: tinh thn. V sao ti ni vy ? Bi,v tnh hay c , t nht trong i bn tng dng li mt mun no khng th thc hin c. Ri cm gic kh s v bt nh cng qua i. l lc bn lm ch c n vy. c kinh nghim, sao khng pht huy thm nh? Sao bn khng rn luyn nhng trng thi khng vui ra i nhanh hn, mi ngy mt nhanh hn. Cho n khi ch cn 30 giy l xong? - Tri nng nh la, bn rt bc mnh nhng vn phi ra ng. Bn phi chu ng ci nng l iu khng th trnh n, nhng sao bn khng qung ci cc bc tc ng tri i nh? Qung n i, bn ch cn hi nng, nh c ngi. - B thng v tai nn. Thn xc au n cha hay sao m bn li cn cho lng mnh au theo khi nguyn ra vn xui? - Bn b mc ti, tin mt, cm hn k v li. , tin mt th mt ri. Ti g mt thm s thanh thn ch ? - Tng t nh vy khi bn b ngi yu phn bi; ngi yu ra i, nu ko c c u? Bn hy lo nu ko s bnh an tm hn mnh th hay hn nhiu .

Nhiu lm, ngy no bn cn sng l cn phi i mt vi nhng iu lm bn mt vui, au kh, n cm m nh n sn, ging tri nm m nh ging tri gai ca Cu Tin khi cha git c Ph Sai (cu chuyn ny c thc, c k trong ng Chu Lit Quc). Bn khng thng mnh sao? Chc chn l bn phi thng mnh, nhng bn khng bit cch thng khi c mi m p s bc dc v mun m khng c, c m ni on ght v khng thch m phi chu, c gi lng hn th v cha tr th tng xng c. Khin cho i bn ton l mu en cho d bn ang m mt ng tin vi ngi thn vy quanh. iu gy nh hng n h nu h cng nh bn: cha chu vt b nhng ni bun.

Hy loi b ni bun, gi li nim vui. , ci ng ny ni nghe d lm. Phi, khng d nhng khng phi l khng c. Ch cn bn nui c mun thanh thn trong mi tnh hung cuc i ln hn hay t ra cng bng vi c mun thnh cng trong s nghip hay ni chung l trong mi vn khc ca cuc sng. Ti xin trnh by kinh nghim loi b ni bun,gi li nim vui ca ti xem bn c dng c hay khng nha.. Vi khao kht chy bng , bn tp th su. Ht vo tht y ngc ri bng, theo di lung khng kh t mi, vo ngc ri trn xung bng. Cho n khi khng cn ht vo c na.Bn th ra, theo di lung hi thot ra cho n ht. C th, bt c lc no c th. Theo kinh nghim ca ti, khng cn quan tm n vic th nh hay mnh. C th , c th bn s t iu chnh. Hi th bn bt u lc no cng mnh v nhanh, nhng s nh v chm dn khi bn th c vi ln nh vy. Ri sau ny khi quen bn, khng cn th cng

ngc bng na m ch cn th bnh thng, nhng cn duy tr s ch vo hi th vo v ra ang n u m thi.

Thi gian u, bn ch th su theo kiu khi mt mnh ngi hay nm rnh ri. Cn nhng lc khc bn cha lm c. Khng sao, sau khi quen vi kiu th ny,bn hy bt u th khi i b bt c l do g. i t ging ng qua phng v sinh sau gic ng. i t phng v sinh qua bp, t bp qua bn n, t bn n vo phng thay qun o, trong khi thay qun o, khi i t nh ra xe..ri t xe vo phng lm vic.iu ny khng kh v cc ng tc va k c th thc hin c theo phn x, ch cn li th l c s tp trung c ch thi. C l chng mt tun l l bn quen vi vic va th su va thc hin nhng ng tc thng thng ny.

K tip Khi quen th nh trn, bn tp b nhng g n gin n trong u bn. Nh c nh mt n hoa p, mt cu ni ca ai lm tm hn bn xao ng in t, lp tc bn hy tp trung tinh thn vo vic th su nh trn. Ch vo vic th, no bn s t ng qun dn cm gic ang c Chng s ra i khng li du vt. Bn s tng cng v cc chuyn vui ln dn. Cho n khi ch cn chng 3-5 hi th l mt cm gic vui thch. Lm c iu ny l bn bt u c kh nng vt b nhng u t phin mun quy nhiu bn c ri. Bn bt u tp xa ni bun. T , bn c th v nn c nh li mt s kin khng vui no ca bn. Nu bn thy n dy ln trong bn s xao ng. Bn bt u th su, ch v ch ch n hi th ravo. Ch ch vo hi th, khng cho bt c iu g hin ra trong no bn. Nu c ci g khc vi hi th xut hin bn li ch vo hi th v ch hi th m thi. Bn kg cn c gng vt b ci ang lm bn xao ng, v khi c gng vt n ra, l v tnh bn ang nh ti n. Nh ti n l bn s qun ch vo hi th. Do , ch ch vo hi th vo-ra th no bn t ng qun ci kia. Bn s thy vn ca bn bin mt hi no khng hay. Bn s thy tim mnh ha hon, khng cn p nhanh mnh na, khng cn nh b ai bp cht na,hi th iu ha v quan trng nht l lng mnh nh hn.

Tuy vy bn hy tip tc luyn th vi cp cao hn: va th va lm ci g cn bn tm mt cht nh lt rau, ra chn bt, lau nh, ra xe.vv.. Ri sau khi quen, bn li nng cao hn na nh khi li xe, d nhin l chy vi tc trung bnh thi hay chm mt cht cng tt khi cha quen. Nu bn lm c iu ny th bn s vt ni bun kh trong vng vi pht thi. V ng th chng 10 lt th vo ra l bn ti cng thin ng ri.hihi.

Thc cht ca cch th ny l t k m th, l bt no hot ng hay ngng ngh theo mun, l khng cho no lm nhng vic v ch hay c hi cho no (m thm xy ra thng xuyn),l tit kim nng lng cho no. T bn c th iu khin no lm nhng vic cn lm (hc bi,lm bi,tinh ton chi tiu, tnh ton cng vic trong s lm .) v ngh ngi khi khng cn cn lm vic na. Mi khi s dng tr c nhiu, cm thy mi mt, bn nn ngh v th nh th vi pht, nng lc tr c bn s phc hi.

Lc ny bn c th iu khin no hay tinh thn bn nh iu khin mt bng n: bt On (m) hay bt OFF (tt) rt d dng.

Bn nn nh rng,nhng nghin cu gn y ca khoa hc cho bit khi bn c cm xc xu (bun,gin,ght,cm th) l no bn s tit ra c cht gy hi cho c th. iu ny ng y bit lu: Gin hi Can, S hi Thnvv. Vy th cch th ny khng ch gip bn an bnh tm hn m cn gin tip gip bn gi sc khe th xc. Ti sao khi lm vic tay chn mi mt bn c ngh mt m bn khng cho no ngh mt nh?

Bn c th c nghi vn: Vy ri mnh s nh khc cy mc, nh cc sao?

Khng, sau khi rn luyn thnh cng bin php ny,bn ch dng n khi c ci g lm cho tim bn b tht li, lm cho hi th bn hn lon, lm cho ngc bn nh ng cng, lm cho u bn b nng ln, lm cho mu bn b si lntm li l nhng g lm cho bn au lng,tc gin... m thi. Hoc khi bn mi mt tinh thn sau thi gian lm vic,hc hnh.

Cn li th.ti g li vt b cm gic hnh phc khi nh n n ci ca ng b,cha m,con, chu, ca ngi yu(nu bn ang yu),ca ngi bn tm giao, ca mt hnh ng p bn chng kin trn ng phvv.

h tr cho mc ch thanh thn trong mi tnh hung ny, bn c th suy ngm thm nh. - Hnh nh ai cng c ni kh ring, khng ring g mnh. - Hnh nh khng ai thot c bnh hon, tai nn v ci cht. - Hay khng bng hn. - Hnh nh ngi giu cng khc.Hnh nh ngi n xin cng c nhng ting ci khoi tr.

- Thch Ca cn b kit l, Jesus cn b ng inh, Khng T th bn ba c i khng yn thn.mnh u c bng my ng ??!! - Hihihi. Lng y T Minh,Hc Mn,24-12-2009. c ng bi T Minh vo lc 17:05 0 nhn xt Gi email bi ng nyBlogThis!Chia s ln TwitterChia s ln Facebook Th su, ngy 04 thng hai nm 2011 HY O HUYT P HAI TAY V GII QUYT NGAY KHI C CHNH LCH. Huyt p l s liu quan trng nht trong cc s liu sc khe v n biu th sc khe ca h thng tim v mch mu. Cc loi bnh khc cho d kh tr i na cng cn cho thi gian y hc tm cch khc phc.Tim mch m c vn th i khi n nh gc mt c th khe mnh tr trung ch trong vi pht ng h v y hc khng kp tr tay. Mt trong nhng nguyn nhn khin cho nhiu ngi b tai bin d c khm sc khe nh k u n l tnh trng chnh lch huyt p hai tay. Vit Nam hin nay, thi quen o huyt p ch mt tay kh ph bin. Ty theo v tr c sp xp c nh ca ngi o v ngi c o trong cc c s y t m bnh nhn ch c o huyt p bn tay tri hoc phi m thi. Nu i ni khc th li c th c o HA tay bn kia. V vy BN thng hay pht biu rng ch ny ni l HA cao bt ung thuc, ch kia li ni l HA bnh thng.. Thc cht l sao? Sao li c s bt ng gia hai ni nh vy? Vn bit rng o HA bi 2 ngi khc nhau, bng 2 my khc nhau, thi im o khc nhau th tr s HA c th khc nhau. Nhng kh c th chp nhn s chnh lch xa n mc bc s phi a ra hai ch nh mu thun nhau n th. l v c nhiu trng hp BN b tr ngi mt bn vng ng mch cnh tay-u. Khi mt bn b tr ngi th no bn b thiu mu, lp tc n gi tn hiu v tim yu cu tim tng cng mu cho n. Tim nhn lnh, th l co bp mnh hn bn no b thiu c mu hot ng. Th l cnh tay bn kia v tnh b nng cao p lc mu to ra s chnh lch HA hai tay. Chnh xc hn na l chnh lch huyt p hai bn cu no. Th l h ung thuc HA th bn ny bnh thng m bn kia li b h thp,ng nhin vic t iu chnh li xy ra; c th HA khng th n nh c. V r rng vn khng c gii quyt ng. Th l BS i thuc hoc BN i BS. C thcho n khi BN chn nn hoc l l vi hin trng HA ca mnh. Nu ch o HA mt tay, tnh hnh ny s khng c pht hin. Th l, mt ngy no BN b tai bin, tht l oan ung!! Lm th no ngn nga tnh trng ny? l phi o HA cho c hai tay tri v phi. Nu thy hai tay chnh lch nhau hn 10 s th cn o li mi bn 2 ln. V c khi BN hi hp

khin HA th hin khng ng. o tay ny ri tay kia, lp li quy trnh 2 ln nh th th BN s gim hi hp v HA c th hin tng i ng vi th trng ca h. C khi o xong lt th nh th HA hai tay gn nh nhau. Nhng nu tr s HA 2 tay chnh nhau hn 10 s th lm sao? Bn hy lm nh sau: Day vi du b TIU VIM KH (156 -+, 38 -+, 7 -+, 50, 37, 3 -+, 61 -+, 290 -+, 16 -+, 26), sau dng cy co nh co vng sn cn, vng n ng cng bn tay c HA thp hn (vng gia 2 mt v gia hai u lng my). Nu khng c cy co mini th bn c th dng u que d qut hai ni ny nhiu ln cho n khi thy da vng ny mm mi hn). n y, o li HA bn s thy tr s 2 tay s bng nhau hoc s chnh lch gim r rt. Nu tnh hnh khng c ci thin l bn gp mt trng hp phc tp ri . Hy chuyn BN n c s y t h gii quyt nu bn cha kinh nghim gii quyt. y, ti a ra v d HA tay tri l 120/70, HA tay phi l 150/70 (chnh nhau 30 s). Phn b huyt l c nh, ch thay i vng sn cn v n ng cho ph hp vi bn c tr s HA thp m thi.

c ng bi T Minh vo lc 20:59 0 nhn xt Gi email bi ng nyBlogThis!Chia s ln TwitterChia s ln Facebook Th t, ngy 02 thng hai nm 2011 CHN BNH BNG MY O HUYT P.

Khi khm bnh v cha bnh cho mt bnh nhn. Nu nm vng s o huyt p v tnh hnh tim mch ca h, chng ta s rt an tm.

Bi vit ny trinh by nhng kinh nghim ca ti sau thi gian di nghin cu:

Huyt p cao l mt bnh chng phc tp v thng gy nguy him cho ngi bnh. Ti rt th v khi nghe BS Bi Xun Vnh pht biu trong chng trnh Sc khe cho mi ngi ca HTV rng: huyt p cao l mt bnh nguy him v nham him. Nguy him v c th gy t t, nham him v n thng hay gi v sng chung ha bnh vi bnh nhn ri nh mnh t ngt khin ngnh y i khi cng i ph khng kp, cha k n c th im lng khng bo hiu g c cho n khi bnh nhn b gc ng. Huyt p nh th no ch c th xc nh bng my o huyt p. Bt mch ca ng y tuy c th phng on nhng khng th chnh xc c. V th, ti lun o huyt p cho bnh nhn t ngy. bit cch o HA. Qua thi gian, ti c mt s kinh nghim dng my o HA chn on pht hin sm mt s bnh l v tim mch cho bnh nhn. Nht l vi cc bnh nhn lao ng, khng my hiu bit v cng khng my quan tm n sc khe nu bnh tnh khng hnh h h (ti vn theo ui cha bnh t thin hn 24 nm nay, hu ht l bnh nhn ngho). Nhn thy pht hin ny tuy nh nhoi nhng qu gi cho mi ngi nn ti mnh dn a ln y. Ai thch th dng hu gp phn bo v sc khe cho bnh nhn v gim thiu tai nn ngh nghip cho nhng ai l m ngh cha bnh nh tui(!!!!).hihihi.

Trn nguyn tc, huyt p k (HAK) ch o huyt p l p lc mu tc ng ln thnh mch mu. Mu l mt hn hp gm lng l huyt tng v c gm cc huyt cu (hng cu, tiu cu, bch cu). Tr s huyt p,l p sut ca ging mu c hnh thnh bi: Sc co bp v gin n ca tim (trng lc tim). Co bp to thnh tm thu, gin n to thnh tm trng. nht ca mu: gm long hay nhy nht ca huyt tng (lng cht bo c trong huyt tng, cc cht khc ha tan trong huyt tng), v t l c/lng ca mu (s lng ca cc huyt cu/huyt tng). S trn tru hay sn si ca lng ng mch. sn chc ca c bp v cng (khc vi n hi ca thnh mch) ca ng mch cnh tay trn. Hai yu t ny nh hng rt t nhng c gp phn trong tr s ca huyt p. L thuc c a mi ngi. y chnh l cc hin tng thy ng lc ca ging mu trong c th. Mi thng s va nu u th hin ln trng thi hot ng ca cy kim my o huyt p.

Ngoi ra trng thi hot ng kim ng h ca HAK cn th hin vi ngha khc ca tim v ng mch: tnh hnh van 2 l tht tri, van ng mch ch,tnh hnh ca thn kinh tim (nhp p, tc tim co, bin tim co-gin). Da vo quy lut ca thy ng lc hc v c cu ch to ca HAK ti c cc nhn nh sau: Khi ti hi cng phng (nguyn tc l kim HAK phi tr s 200 n 220) ln c bp cnh tay trn ri ng mch khin mch mu xp lp, khng cho mu i qua. Khi x hi; lc u p sut ti hi thng p sut mu, cy kim khng b tc ng nn tut dn u xung tr s thp. Trong khi , tim vn co bp v gin n theo nhp ca n. Khi ti hi b x kh, p sut h dn n mc ngang bng vi p sut ging mu th cy kim bt u b tc ng. N khng li mt cht xu ri mi tut tip. Nhp tim k tip th v ti hi vn tip tc x kh nn nhp co bp ny, p sut ti hi bt u thp hn p sut mu, do trc khi tip tc tut xung kim b tc ng lui li (hnh thnh tr s huyt p tm thu) mt khong cch tng ng vi s trng n ca ng mch v bin tim co, mu bt u i qua n ng mch quay c tay. C th cho n khi kh trong ti hi khng cn ln ng mch (thng qua lp c bp) ta thy kim khng cn b git lui m tc tut cng chm hn, hnh thnh tr s huyt p tm trng. Lc ny ging mu i qua t do khng gp lc cn tr no na. Trn nguyn tc, khi o huyt p phi dng ng nghe nghe ting ng ca p sut mu p vo ti hi. Nhng trn thc t, v o nhiu ngi lin tc khin tai mnh b au, cc y t kinh nghim khng eo ng nghe m bt mch c tay theo di. Ti cng khng eo ng nghe nhng khng bt mch m ch theo di s hot ng ca kim ng h HAK. Thot u cng ch v s au tai thi. Mt thi gian sau ti nhn thy s hot ng ca kim HAK trn cc bnh nhn u khc nhau. Ch kho st mt thi gian di, kt hp vi cc chn on cn lm sng nh in tm (ECG), Siu m mu (Doppler) ti c cc kt lun sau: 1- Kim khng li 5 nhp tr ln trc khi git lui: a s l bnh nhn c b thiu nng mch vnh tim. Khi kt hp vi xem li ca ng y, nu thy li bu (thn li to b ra chon gn ht ming) v cht li nht, ng thi kim khng 7 nhp tr ln th a s l thiu mu c tim. Ti khng dm khng nh kt lun ny ng 100% (v c lp nghin cu v khng dm chc l mnh c th gp ht tt c cc kiu ca loi bnh ny) nhng hu ht l ng, nht l sau ny c phng tin siu m mu 3 chiu (Doppler). Trong mt ti liu v tim mch, GS Alain Carpentier c nu 0,5% bnh nhn thiu mu c tim khng c triu chng lm sng (nng ngc kh th,au tht ngc lan ln c u v ra cnh tay) v cng khng th hin trn ECG m ch th hin trn siu m mu m thi. Cho nn tuy kt qu ECG bnh thng m c hin tng ca HAK nu trn ta cng nn khuyn bnh nhn i siu m mu tim loi tr hoc xc nh c ang mc cn bnh nguy him ny hay khng. 2- Kim git lui c hai giai on khc nhau: giai on u ngn, giai on sau di hn l c h van 2 l. Kinh nghim cho bit t l ngn/di = l van h . Nu BN km thm hin tng thnh thong phi th di cho d chu th thng c h cc val bn tim phi : val Tnh mch ch, val ng mch phi hoc val 3 l. Mun bit chnh xc val no th cn siu m mu tim.

3- Khong git lui ca kim ngn t 3mmHg (thy ngn) tr li, a s l bnh nhn thuc th Dng suy. Ti t tn l Huyt p m Chng.Mt nc nh trn mt ng h HAK c gi tr bng 2mmHg. 4- Khong git lui ca kim di t 4mmHg tr ln, a s l BN thuc th m suy.Ti t tn l Huyt p Dng chng. 5- Khong git lui ca kim nm trong mc t 3mmHg n 4mmHg, a s l BN cn bng v m Dng. 6- Kim git lui lc nhanh lc chm, lc ngn lc di, c lc b nhp l thn kinh tim ca BN c vn .

Tuy khng dm khng nh chnh xc 100% cc nghin cu ny, nhng nh ni cc kt lun ny gip ch khng t cho chng ta. Mong tt c qu v khng b qua. c ng bi T Minh vo lc 08:58 0 nhn xt Gi email bi ng nyBlogThis!Chia s ln TwitterChia s ln Facebook Th nm, ngy 13 thng mt nm 2011 GIO N DC-KLP 2010

VI LI TM S.

Cng cc bn. Ti n vi Din Chn iu Khin Liu Php mt cch rt tnh c. Tnh n nay l 16 nm l 1 thng (7 7 1986). Ti vo sau mt s anh ch em v trc mt s khc. iu c l khng quan trng cho lm. Quan trng l.ti yu thch DC mt cch nng nn v dai

dng. C l v liu php ny qu hay, qu tuyt. Sut thi gian qua gn nh ti khng dng thuc trong iu tr cho bnh nhn . D rng vi mt vi loi bnh c tnh nguy him, ti c ng cho bnh nhn kt hp vi thuc nhng rt him. T mt ngi khng bit g v y hc, ti vo mn phi. Qua thi gian, ti nghim dn dn nhng yu l ca mn DC. Qua nghin cu l thuyt (DC-KLP v y l ng Ty y) v thc hnh DC ti xy dng v thnh cng nhng phng thc iu tr nhiu loi bnh tng chng kh chm ti. Ti cn nh ln u tin ti dng DC l cho chnh bn thn ti. Sau ba ngy c sch v ngi xem thy Chu cha bnh . Sng ch nht n ti b nhc u sau khi i chi v. nh ly thuc ra ung nhng cht nh ang hc DC. Th xem ra sao. Th l ly ngay salonpas, ct dn vi huyt. Chng 30 pht sau, u ti nh hn. T thnh cng ban u ny, ti trin khai cha bnh cho tt c ngi thn, bn b. Thi gian u hu ht l thnh cng !!!! n mc ti tng rng cha bnh khng kh !!?? V c nhng ca bnh ko di my nm, iu tr nhng thy thuc m khi nghe tn h ti hong hn v h thnh danh t lc ti cn h mi cha sch, vy m dng DC cha c vi ln bnh khi hn ?? n mc ti tng rng DC l v ch thin h !! Sau ny mi bit vn khng nh vy !!! Ti c thy Chu cho xung ni sau 4 thng hc v t thc hnh nh. Vo cng tc ti Trung Tm DC, ti mi bt u thy kh. Bnh trm ngn kiu cch, bnh nhn cng chng ai ging ai. p dng kinh nghim bnh nhn ny cho bnh nhn khc c lc thnh cng c lc thua m m chng hiu ti sao !!?? Tn bnh khng rnh, c ch bnh nguyn nhn bnh li cng m tt !! Mc d vn c nhng thnh cng ngon mc nh va ni, nhng rt nhiu lc thua trng tay, m khng hiu ti sao !! Thy Chu ch dy DC cn th.ng l i nu khng mun ni l ng d ng vi tt c cc mn phi khc (giai on ) n ti v mt s anh ch khc phi ln i hc thm v Chm cu v ng y !! Hc xong mi cho ng hay. Tuy nhin hc g th hc ti vn lm DC. Ch c khc l vn dng nhng y l ng v Ty vo DC iu tr cho bnh nhn ch khng hn ch dng thun ty theo sinh huyt hnh hay ng ng...vv.. Nu c phi hp huyt Th chm th cng theo nguyn tc sinh huyt. C ngha l vn dng nguyn l ca Din Chn vo cc phng php iu tr khc. Ti tham gia t hun luyn t nm 1987 v nhn vai tr t trng T Gio V t . Son gio trnh, t chc lp theo ch o ca thy Chu. Nm 1988, ti bt u thy s cn thit trong vic ph bin kin thc y l cho hc vin nhng khng c thy Chu ng h. L do nh vy th chng trnh hun luyn ko di qu, khng bo m vic ph bin rng phng php cho mi ngi. Mt hm, 1993, sau khi ti i Nga v ti c thy Chu gi vo v gi cho php dy ring cho nhng hc vin no c nhu cu.Ti bt u ph bin kinh nghim theo cch ring ca ti : kt hp y l ng Ty y vo Din Chn . Lc u , ti ch nhn dy nhng hc vin theo hc lp c bn Trung Tm, ti ch dy phn ring ca ti m thi. Chng trnh ny ko di hn ba thng (khong 80 tit hc). Nhng cng ch c nhng iu c bn nht ca ng Ty y v chuyn su v Din Chn m thi. Tht ra, chng trnh ny cha chn tr tt cho mi trng hp bnh l, nhng tm hn ch sai lm trong chn on v iu tr .

n nay, chng trnh ny c thc hin gn 10 nm. Ti dy khng nhiu v bn vic iu tr qu nhiu nhng c iu an i l nhng anh ch em do ti hun luyn u vng vng , thnh cng v hu ht u ang theo ngh Din Chn lin tc t n nay. Bi ging ny c ti bin son li, c cp nht nhng kinh nghim ring mi nht. L tm huyt ca ti trong hn 16 nm hc v lm Din Chn . Cha tha mn lm v chng trnh ny, nhng thi gian c hn v yu cu cp bch, ti tm thi c kt c ti liu hng dn cc bn. Mong cc bn thng cm cho nhng g m cc bn cho rng thiu st.

Lng y T Minh. Thng 11-2002.

Thng 8-2010, nhn li mi ca L.y. ng Vn Ton, ti n Hi Phng bi dng v DC cho cc thnh vin CLB/DC y. Sau li n H Ni, Bc Ninh, Thi Bnh. Nhn thy cn b sung, chi tit ha hn ni dung tp sch ny, nn ti bin tp li v b sung cc bi vit mi cp nht cc kinh nghim mi v l thuyt cng nh thc hnh. Do c n bn ny mong gip ch thm cho cc bn. H Ni, 15-11-2010.

CCH S DNG TI LIU

Vi iu cn nh khi c tp sch ny: - Ti liu ny l kinh nghim ring nn vn cn dng km vi cc ti liu c do Thy CHU xut bn. C th cn nht: DC-KLP, Bi ging DC-KLP, Tuyn tp Hnh, Hnh huyt chnh din v trc din. - c k mt ln cho n ht bit i cng ti liu ny trnh by nhng g.

- Cc phc (cng thc) iu tr trong ti liu ny lun lun mang tnh tng qut. Do khng my khi dng ht tt c cc huyt trong mi phc . Nn d sinh huyt da theo phc nu, ch dng cc huyt c bo bnh, nhng huyt cn li khng cn dng. Qua cch ny dn d cc bn s quen vi c ch bnh l v tm thy nhiu th v qua nhng trng hp cng tn bnh m chng ai ging ai. T , bn s t rt ra c nhng kinh nghim bn thn. l vn ling qu nht cho mi ngi m khng ai c th truyn dy c v bn s nh mi khng qun. - Nhng b huyt ny khng ch c s dng mt m c th s dng cc b phn phn chiu khc nh bn tay, bn chn, lng, bng. Vn l bit xc nh huyt cc ni ny. - Vi nhng anh ch em c y l vng, qua cc bi ny ti hy vng s gip hiu su hn v say m hn mn DC-KLP, d rng ti khng gii thch l php phng huyt. Vic l gii xin hn dp khc. - iu quan trng nht trong chn on l phi tm cho ra bnh thuc m-dng, kh huyt, hn-nhit, h thc, trong Bt Cng.

Ti khng c tham vng gip cc bn tr thnh thy thuc gii nhng mong rng qua tp sch mng ny cc bn vng bng hn v hn ch sai lm khi iu tr cho mnh v cho gia nh T Minh Mobile: 091.8388718 E-mail: taminhdc@yahoo.com, minhta2002@hotmail.com

DIN CHN-IU KHIN LIU PHP YU QUYT

T Minh.

Mun gii Din chn iu khin Liu php cc bn cn thc hin cc iu sau y: 1- Thuc lu tt c hnh cn bn, cc h thng phn chiu ph (l cc hnh cha c v ra). 2- Thuc v hiu cc thuyt DC v thuyt KLP mt cch tng tn ch khng ch hiu ngha ca cu vn. iu ny cn thc hnh nhiu th mi thm su c. 3- Nm vng tc dng v k thut s dng , thao tc nhun nhuyn tt c cc dng c cha bnh. 4- Bit nhng im i cng c bn v gii phu c th, sinh l v bnh l ni khoa ty y. 5- Nm vng l thuyt c bn (nh m Dng, ng hnh, tng tng, bt cng, bt php ), bnh l ni khoa ng y. 6- Hc thm cc phng php chm cu, bm huyt khc nu gii cng tt. Tm cho ra s ging nhau v s khc nhau gia chng vi nhau cng nh gia chng vi DC. 7- Bn cn nh LINH NG khng c ngha l ba bi, v vy cn tn trng cc nguyn tc chn on, iu tr khng gy phn ng xu cho bnh nhn .

DC-KLP d sao cng ch l phng tin chn on v iu tr trong y hc dn tc nh cc phng tin khc (Th-Nh-u-Th-Tc chm, Chch l, Thp ch o.vv..) , y l gm c th hc, sinh l hc v bnh l hc mi l nn tng . Nn tng vng chc th mi pht huy tc dng ca phng tin c, bng khng rt d gy ri rm khi cha bnh m khng chn on, khng bit y l, khng c nguyn tc. iu ny khng ring g cho DC-KLP m cho mi phng php y hc.

Tnh i chng ca DC-KLP l khng th ph nhn, nhng cn bn y l li khng th khng hc. Nu khng, s c lc ta hi bnh nhn m khng h hay bit. cng l mt ci ti trong ngnh y vy. Mong c s ng cm ca cc anh ch em say m Din Chn. TP H Ch Minh 21-12-1998.

MT S KHI NIM THNG GP

Trong ng y, thng gp nhng cp khi nim m tuy gii thch kh chi tit nhng hnh nh vn t ra kh hiu vi ngi sinh sau mun nh chng ta nh chnh kh- t kh, ch kh khch kh v.vBi vit ny trnh by nhng ci hiu ca ring ti theo ngn ng ca hin i v b sung nhng nhn thc ca ring ti trn lm sng nhm gip cc bn hiu phn no cc ngha . Mong rng khi c sch ng y cc bn s thy d hiu hn. Ch Khch : ch l c th, khch l yu t bn ngoi tc ng n c th. Thi tit v Thc phm l khch thng gp ca c th. Khi ta n vo, thc n vo b my tiu ha nhng vn cn l khch. Ch khi no tt c thc n c tiu ha, hp thu ri bin thnh dng cht d tr trong tng lai to thnh cc loi t bo, l mt thnh phn ca c th, th chng mi bin thnh ch. V th l ch th khng bao gi gy bnh. Ch c khch mi c th gy bnh, nhng khng phi khch no cng gy bnh. Ch nhng khch khng ha hp c vi c th hay c th khng chu ng ni khng ha gii ni mi gy bnh (tm b qu mc c th khng sc bin i thnh dng cht), thng c gi l T Khch (khch t) .

Chnh - T : Chnh kh l kh cn bn ca c th cn gi l nguyn kh. T kh l kh ca khch khng ha hp vi Chnh kh. Trn nguyn tc l ch khi no Chnh kh suy yu th t kh mi xm nhp v gy bnh c. Nhng trong thc t khi T kh qu mnh th d Chnh kh khng suy c th vn c th b nhim bnh c. Nh ta thy nu bng nhin a mt ngi t x nhit i sang a cc m khng c o qun chng lnh th d ang khe mnh th no i na h cng phi b cm lnh.

Biu L : Biu l bn ngoi. L l bn trong. Mi tng quan ny cng nn hiu mt cch tng i rng ch khng ch l mi lin h tng ph vi nhau. Nh ta thy nu da l biu th c l l. Tng l l th ph l biu. Kinh l biu th ph tng l l. Lc l biu th kinh l l. Vi DC-KLP th gn nh biu v l l mt. V ta bit khi bnh nhn b au d dy ( l ) hay au theo kinh V ( biu ) hay au cnh ngoi i ( biu ) th cng u cn huyt 39 trong chn on v iu tr . Cc huyt cn li - trong mt phc iu tr no - c dng cha theo c ch m thi. Tiu Bn : Tiu l ngn bnh, Bn l gc bnh. y l mt cp nim kh l th v rc ri. V. cng rt tng i. Vi nhng bnh n gin mi mc th thng gc ngn l mt v thng l bnh thc. Nh thng thc gc hay ngn g cng V, ho khi b cm th gc hay ngn g cng Ph . Nhng vi nhng bnh mc phi lu th c th ngn v gc cch nhau.xa lc xa l. Thm ch c nhng trng hp bnh mi pht cng c GC v NGN cch xa nhau. Ngoi ra tnh tng i cn th hin ch mt GC ny c th l NGN ca mt GC khc. Th d nh trong bnh Thn kinh ta. Ngn ca bnh l au chn, gc ca n l mt thng tn ca vng tht lng cng. Nhng bnh l tht lng cng c th l ngn ca mt trong nhng gc : vim khp, vi ha, long xng, chn thng, hn thp kt t, nhit thp kt t..v.v.. Trong chng nhc u (ngn) th gc c th l huyt p cao hay kinh mch b tc v nhiu gc khc na, nhng HA cao cng ch l ngn ca mt trong cc gc : hp mch mu thn, ri lon lipid mu, thiu mu c timvv. Cn kinh mch b tc th

c th c gc do Dng h, m h, Hn t thc b, nhit t thc b hay cng c khi do tn thng kinh mch v chn thng c th hay tinh thn . Tuy nhin cc bn cn bit rng ng v Ty y c ci nhn kh khc nhau v gc v ngn ca bnh. Cn thn ko c s nhm ln khng ng c. Nhng theo kin ca ring ti th ch c hai GC: TIN THIN BT TC v HU THIN BT CHNH. TIN THIN BT TC l di truyn bm sinh ca mi ngi tip thu t cha m. HU THIN BT CHNH l nhng hot ng sai lm ca th xc v tinh thn. Sinh hot th xc nh lao ng, vui chi, n ung sai lm vi cng cao hay ko di khin c th h hao lch lc m sinh bnh. Do sinh hot tinh thn khng ng nh cho nhng nim khng tt (nng gin,hn th, lo lng) kch ng c th thng xuyn khin tinh thn b bnh hoc c th b nh hng sinh bnh . V th, GC bnh su xa nht l y. Mt c th b khim khuyt v gene th c l ch c mai sau khi liu php gene hon chnh may ra mi cha tt c. R rng mt cu th khng th ht chn thng gi khi cn mi ra sn thi u, mt bnh nhn b ri lon tiu ha khng th khi bnh khi mi n ung thc sng - lnh. Mt bnh nhn b d ng khng th khi bnh nu c mi tip xc vi khng nguyn. Nh vy tr bnh l tr vo c th bnh nhn (gene) v sa i cc sinh hot khng ng cho bnh nhn th mi gi l c TR GC c . H Thc : H v Thc l hai hin tng lun cn chn on ng trong ng y. Chn on H-Thc c ng th vic iu tr mi thnh cng an ton v rt ro c. Cc sch thng nh ngha H l suy yu thiu ht, Thc l d tha. Ta thng gp cc nim : H l chnh kh h, Thc l t kh thc c ngha v chnh kh suy yu nn pht bnh (thuc h chng), v t kh mnh gy ra bnh (thuc thc chng), y l nguyn tc phn nh h thc . Bnh lu thuc h, bnh mi pht thuc thc c ngha bnh lu m khng tr dt th bnh bin chuyn phc tp hn, pht trin ra ngoi c quan th bnh ban u v lm c th suy yu dn nn chnh kh b h, bnh mi pht l do khch t qu mnh xm nhp c th m chnh kh cha h nn ch c t kh thc. Nhng theo ti th nim ny ch l mt kinh nghim tham kho ch khng phi l nguyn tc, v trn lm sng c nhiu trng hp khng ng . Hon Cp : Hon l thong th, Cp l gp rt . Trong ngn ng hin i chnh l bnh mn tnh v bnh cp tnh. Mt ngha khc l bnh khng nguy him v bnh nguy him tc thi. Mt ngha khc na l bnh iu tr bnh thng v bnh thuc din cp cu. Ta thng gp nim hon tr bn, cp tr tiu (bnh ha hon th tr gc , bnh cp bch th tr ngn), y l mt hng dn chnh xc v tuyt vi cho chng ta trong ng y. Kh khn ch l cn phn nh Gc v Ngn cho ng cha tr kp thi cho nhng bnh thuc loi cp.

Lng y T Minh.

NGUYN TC CHN ON

Quan im chung: Tn dng mi phng php chn on hin nay ca y hc . Sinh l hc Ty y, Bt-cng v Tng-tng ca ng y l cn bn nghin cu bnh l, l ch tiu chn on v theo di din bin iu tr .

Cc phng php chn on :

I -/ Ty y: o huyt p, s ,nn, nghe, hi v bnh, xem cc kt qu cn lm sng. II -/ ng y: 1. Vng: dng mt quan st cc biu hin sinh l bnh l ca bnh nhn . ng tc: chnh xc, dt khot, lanh l l bnh thng. Qu mc l Dng chng, yu km l m chng. nh mt : linh hot, c thn l bnh thng . Long lanh pht ra nh l l dng, l v nh l m. Da d: ti nhun, u mu, mu sc hp l l bnh thng. Mu sc qu bng l dng. Xn mu l m (d vng hay ). Nim mc : hng u (nn xem nim mc ca tr khe mnh t 7 n 15 tui bit tiu chun). Xem thm bi Chn on v Huyt Kh. 2. Vn : dng tai nghe kho st: Cch din t tng r rng mch lc chng mc (ty trnh ca mi ngi ) l bnh thng. Din t nhanh, nhy on l dng. Din t chm, tng trng lp l m. m lng va phi ph hp vi bi cnh xung quanh l bnh thng. Ni ln, ni nhanh l dng. Ni nh, b lng cu ni l m. Tuy nhin, kha cnh ny cn ty thuc n np ring ca mi ngi. Hi th u n nh nhng l bnh thng. Th nhanh mnh l dng. Th chm qu nh l m. Nu ngi c tp kh cng th cch chn on ny khng ng. 3. Thit : dng xc gic kho st bnh l bng cch s nn, xem mch. Da tht c gn sn chc ph hp vi th trng l bnh thng. Co cng l thc, lng nho l h . Nhit : bnh thng da ton thn c nhit tng i u. Khi c chnh lch khc l l c bnh. Ni bt thng nht l ni c ri lon: nng l nhit, lnh l hn. Cch ny chn on tng qut ton thn. i vi ni ang b au (cc b) th c thm ngha khc :

ngoi yu t hn nhit ra cn c ngha nng l do kh b huyt , lnh l do kh thiu, huyt km . Mch : xem thm v sch mch l . Cn lu nguyn l v mch cng thng nhc nh : x mch tng chng. V vy mch cng ch l mt yu t tham kho ch khng l yu t quyt nh. D nhin vi ngi gii mch th vic sai lm t khi xy ra, nhng nu khng ch kt hp vi Vng, Vn, Vn th khi sai lm s rt nghim trng. 4. Vn : theo ti, y l khu quan trng nht v cn linh ng kho lo vn dng kin thc tng qut (ngoi kin thc y hc) v suy lun trn thc t. Cn quan tm n cc tnh hnh sau : Ngh nghip: ngh nghip rt nh hng n sc khe. Nht l t th lm vic v tinh thn khi lm vic. Ni c tr thng xuyn lu di (mi trng sng). Thi quen sinh hot : cng lm vic ngh ngi, nhng th vui chi, thi quen tm ra. Tnh hnh n ung. Cnh gic vi cu tr li n ung bnh thng. Phi hi cn k n mt ngy my ln, mi ln n bao nhiu, c ngon ming hay khng, c bit i bng hay khng? Ung mt ngy my ln, mi ln bao nhiu. Tnh c phn thc n lng nh canh, h tiu vv. Trung bnh mi ngi cn 1,5 n 2 lt nc mi ngy. Nhng cng cn ch n thi tit, vic ra m hi v vic tiu tin. Hi v tiu tin: s ln i tiu ngy v m, lng nc tiu (khong 1,5 lt / 24 gi). Nc tiu hi vng, trong tro, mi khai nh m i l bnh thng.Trng l hn. c l c thp. au xt, d hay kh cc hin tng ny l triu chng chung ca nhiu bnh khc nhau, s cp n trong bnh thuc h Tit Niu. Hi v i tin: my ngy mt ln. C mt s ngi hai ngy mi i mt ln u n nh th th y cng l bnh thng v h c i trng hi di. Tnh trng ca phn: cng kh hay nho ri, to hay nh, vng hay c mu khc. Cc hin tng ny s c cp trong bnh h Tiu Ho. Ng: d hay kh vo gic, thng gic hay b tr gic, lc thc dy tnh to hay l . Nm u ng , ng kh thc dy l kh suy. t ng, ng d thc nhng ng li khng kh l kh thnh. Kh ng d thc v kh ng li l m-huyt suy. Xem thm bi Mt ng. Vi ph n nn hi thm v kinh nguyt. Chu k u hay khng, chu k di (34 ngy) hay ngn (23 25). S ngy hnh kinh, hnh thc mu sc ca kinh. Hi v thi im bnh tng gim, ma no gi no trong ngy bnh tng hay gim. Tng trong ma nng hay bui tra l nhit chng dng chng. Tng trong ma lnh hay chiu ti l hn chng m chng. Ni chung l yu t dng (nhit - to) hoc m (hn - thp) s lm tng thm bnh ng tnh vi n. Hi cm gic: - nhit: au , nga, mi , nng.

- hn: nhc, t, nng n, lnh. Ring trong bnh thoi ha cc khp tay chn, a m ct sng, cc t sng th cc triu chng ny khng c ngha hn m tuyt i. Cn xt thm bnh tng khi gp yu t m hn c xy ra hay khng mi c th kt lun c hn hay khng. V lun lun cc bnh ny lm bnh nhn c cc cm gic nu trn. Tnh chu k kh lc (xem bi chu k kh lc v chu k 6 thin kh) nu bnh c quy lut v thi gian.

V Vn chn s c cp chi tit hn trong m t triu chng cc bnh. III. D huyt : L phng php chn on bng cch n cc huyt d tm cn nguyn ca bnh. Thc cht cch ny thuc Thit chn. Nhng trn lm sng n t ra kh c lp nu chng ta nm vng cc nguyn tc v nhun nhuyn k thut ca phng php. Ngoi DC-KLP ta nn vn dng thm kin thc ca tt c cc phng php (mn phi , trng phi) hin c nh Th chm, Nh chm, Th Tc chmvv. Khi d huyt bng que d cn bit cc c im sau: khi vng huyt b cm cng l thc. Vng huyt b mm lm xung l h. Huyt b au mt cch bnh thng biu hin bnh nhit nhng cng c th l hn nh. au mt cch c bit khng chu ni l nhit. Khng au d dng sc rt mnh l hn nhiu (cn thn trng vi bnh nhn Tiu ng). Xem thm bi Chn on hn nhit bng huyt DC. Khi d huyt bng ngi cu cn ch : huyt ht nng nhanh l huyt quan trng hn huyt ht nng chm. Va nng va but l hn nhiu. Va nng va nga l c nhit ln vo. Nn nh chn on ng th iu tr mi ng v t c tai bin. M chn on bao gi cng kh hn iu tr. Do cn k lng trong khi chn on hn ch sai st. Vbao gi cng t hi rng hay l mnh sai ?, khi kt qu iu tr khng t nh mong mun. Khng nn p t rng do li ca bnh nhn vi phm v sinh hot hay n ung.vv mc d khng b qua yu t ny. Lun cn quan tm v tin cy bnh nhn sau khi by t quan im cn bit s tht v bnh chng din tin bnh. Khi chng ta tn trng v khng lm h s th bnh nhn s tn trng v thnh tht vi ta. Nu chng ta nghi ng li khai ca bnh nhn thiu chnh xc (v h ngoi ngnh Y nn i khi khng bit cch din t) th nn kho lo kim chng bng phng php d tm sinh huyt hoc c cu hi khc li nhng cng xc minh, khng nn la ry. Nn n cn vi cc bnh nhn thuc gii bnh dn trnh vn ha thp. Gii ny thng n s thy thuc hoc c tm trng ngi ngng nn khai bnh hay sai,st.

Lng y T Minh 1993.

CHN ON M DNG, HN NHIT V H - THC.

Lng y T Minh.

A/- Hn Nhit: Nhng triu chng ca hn nhit kh phong ph . Ty theo bnh m c cc chng khc nhau. Nhng mu cht vn l s a hoc s - nng v lnh, tng hay gim bnh khi c iu kin hn nhit tc ng . Cho nn rt gn li ta ch cn lu cc hin tng sau y: 1. Nhng hin tng bnh chng thuc hn: vi ton thn ta c s lnh, thch m, bnh tng ln khi gp yu t lnh. i vi cc b ta s vo vng c bnh thy lnh hn cc ni khc. 2. Nhng hin tng thuc bnh nhit: vi ton thn ta c s nng, a mt, bnh tng ln khi gp yu t nng. Vi cc b ta s vo vng c bnh thy nng hn cc ni khc. 3. Ni cch khc ta c mt bnh nhn c th tng trng hn hoc nhit v mc bnh chng hn hay nhit. Tng trng v bnh khng bt buc phi cng th loi. Khng nn t cc cu hi c tnh p ch nh : h tri nng th bnh nng hn phi khng ? . V lc ny bnh nhn s d b m nh v hay tr li xui theo cu hi Phi, h nng l au hn M nn hi : Bnh tng khi tri nng hay tri lnh ? . Vi cu hi ny bnh nhn bt buc phi suy ngh v nh li mi tr li, th cu tr li s khch quan hn. Nu bnh nhn phn vn , ta nn khuyn khch bnh nhn v xem xt li v tr li sau. Khng nn hi thc, bnh nhn d b ri tr v tr li sai. Ta thy, trong bnh Dng h, lun lun bnh nhn s lnh, da lnh. Trong bnh m h, bnh nhn lun s nng, da nng. m Dng u h th nng lnh u ght. Bin chu nng v lnh ca h rt hp. Cha ai thy nng hay lnh h ku nng hoc lnh. Trn lm sng hi chng ton thn v triu chng cc b (ni c bnh) c khi thng nht c khi li khng thng nht nhau. V th cn chn on hai ln : ton thn v cc b. 1. Khi ton thn v cc b thng nht th ton thn s ci g th cc b tng triu chng theo khi gp ci . Th d: trong au khp, bnh nhn s lnh v khi tri lnh th khp au hn. Hoc bnh nhn s nng v khp cng au hn khi tri nng. 2. Khi ton thn v cc b khng thng nht th yu t nng v lnh ch nh hng ti mt kha cnh m thi. Hoc c khi nh hng tri ngc nhau. y s kh phc tp. V

khp l loi bnh chng thng gp nht nn c nu lm v d in hnh, cc bnh khc cng suy lun tng t . Ton thn m hay nng m khp lnh: thun ty l do khp b nhim lnh (khp rt lnh , y l bnh thuc thc xem phn h-thc di y) hoc do ton thn thiu mu hoc ch do khp b thiu mu (ti khp khng lnh lm nh trng hp trc , y l bnh do h xem phn h-thc di). Tuy nhin trn thc t cc loi ny hay trng hp nhau. y th khi tri lnh, khp s au hn. Khi tri nng khp li au t. Ton thn mt hay lnh m khp nng: khp b nhim nng hoc nhim trng nh (nu nhim trng nng th c th bt buc phi st). Khi khp nhim nng th s gim bnh (au) khi gp yu t lnh. Nu l nhim trng th khp khng gim au m c khi cn au hn khi gp lnh !! Trn thc t i lc chng ta s lng tng khi gp cc triu chng hn v nhit cng xut hin n ni kh phn nh l bnh thuc hn hay nhit. Hy bnh tnh xem xt. Ch n th trng bnh nhn v th trng l ngun gc ca mi vn . Mt th trng (chnh kh) vng mnh rt kh nhim bnh. Xem xt trong c th ni no lnh hay nng nht. Ni l ni ngoi t xm nhp gy b tc cho ton thn. iu chnh ni ny cho bnh thng li v iu chnh tng trng cho cn bng li th s ri rm nu trn s mt v cc triu chng s hin r hn. Trn lm sng nhiu khi ti ch iu chnh tng trng xong th bnh chng cng t bin mt. B/- H Thc : H l trng rng, suy yu, thiu thn. L bnh c nguyn nhn do suy yu hay thiu thn. Th d : suy nhc c th, suy nhc thn kinh, can dng h, thn m hV th khi ni n bnh thuc h l ni n tng trng ca bnh nhn hay mt tng ph no b suy yu hng hc. Nguyn nhn lm cho h th ty, c lc do bn cht t h , c khi do nguyn nhn bn ngoi tc ng. Thc l y l d tha. L bnh do s d tha gy ra. Th d : cm lnh l do c th hp thu nhiu kh lnh nn b d tha kh lnh. Cm nng l do c th hp th qu nhiu hi nng sinh bnh. C th ni bnh thuc thc l do nguyn nhn bn ngoi tc ng vo khin c th khng chu ng ni m pht bnh . iu kh nht l chn on ng v H - Thc v dng chng c th do dng vng c th do m h. m chng c th do m vng c th do dng h. Cn nh rng chng c th l chng ca tng trng c th l chng ca ring cn bnh m thi. Phi bit phn bit u l ca ton thn u l ca ring cn bnh. Trn thc t, kinh nghim cho bit bnh thuc thc th triu chng mnh m, d di, n o, r rt. Bnh thuc h th triu chng nh nhng, du dng, phn pht, kn o. Kn o n mc i khi bnh nhn khng cm nhn c. Tuy vic chn mch s cho bit tng i r v bnh h thc nhng vic hc chn mch khng d. Cn s truyn th trc tip gia thy v tr. ng thi cn kinh nghim nhiu trong vic xem mch. V th trong thi gian qua, sau khi tm hiu v theo di ti tm ra hin tng nu trn. iu cn li l khi thy triu chng thc hay h th phi tm cho c v u m c triu chng ny. Ch cn bit cch t cu hi cho ph hp, kt hp vi c suy lun phn on, khm k theo tt c cc k thut khm bnh bit th vic chn on bnh thuc h hay thc tr nn d dng hn.

Cn xem thm cc bi Chn on hn nhit bng huyt DC v Lm sao t t c ca ti. C/- m Dng: Trong ng y, m Dng l tng cng ca 6 cng lnh kia (hn , nhit, h, thc, biu, l). Ba cng thuc Dng l nhit (nng), thc(d tha), biu(bn ngoi). Ba cng thuc m l hn (lnh), h (suy yu), l (bn trong). C th ni khi mt bnh nhn xut hin triu chng ca ba cng thuc m hoc dng l c th kt lun bnh thuc m hay bnh thuc Dng. Trong cc y n, khi ngi ta ni dng chng c ngha l triu chng thuc Dng (chng nhit, chng thc, chng biu) - tng t cho t ng m chng. Nhng c lc ch c hai trong ba kha cnh thi, ngi ta cng ni l Dng chng hay m chng. iu ny do thi quen v khng nh hng g n kt qu chn on v thng l bnh n gin mi ni nh vy. Tuy nhin trong thc t th him khi triu chng li thun nht n nh vy m thng pha trn vi triu chng thuc m vi triu chng thuc dng. Nu bnh phc tp th bt buc ngi ta s ni k hn nh mt s t thng gp: h nhit (nng do h), h hn (lnh do h), biu nhit l hn (ngoi nng trong lnh), biu hn l nhit (ngoi lnh trong nng), biu h l thc (ngoi h, trong thc)..v.vHoc cn thn hn ngi ta s lit k y cc triu chng thuc m v thuc dng trc khi kt lun . Tm li, Dng hay m ch l tng kt triu chng ca ba cng lnh th cp ca chng trong Bt Cng m thi. Tuy nhin ni nh vy l cng cha y v M v DNG cn l 2 thnh phn c bn ca c th. iu ny kh phc tp , xin c cp dp khc. KT LUN: Nh vy, khi chn on bnh ta lun cn chn on bnh thuc hn hay nhit, h hay thc cng lc c kt lun tng i v ng . Trong ng y th cn cn bit thm v biu (bn ngoi) v l (bn trong), nhng vi DC th hai yu t ny khng cn thit nn ti lc b. Xin xem thm bi Mt s khi nim thng gp. CH THCH: Dng chng: chng thuc dng gm c chng nhit, chng thc, chng xut hin bn ngoi. m chng: chng thuc m gm chng lnh, chng h, chng thuc bn trong. Biu chng: chng xut hin bn ngoi c th c th thy, s c nh cc bnh ngoi da, bnh vim khp L chng: chng thuc bn trong l cc bnh chng ca tng ph nh vim gan, vim d dy, suy thn. Chnh kh: sc lc tng th ca bnh nhn, sc mnh ni ti, sc khng. Cn c gi l nguyn kh. T kh: yu t gy bnh nh vi khun, thi tit khc nghit, mi trng nhim, thc n khng hp...nn thng gi l ngoi t.

Bt cng: l 8 cng lnh (ging mi) dng trong chn on ca ng y, gm c m, Dng, H, Thc, Hn, Nhit, Biu , L. Rt n gin nhng bao trm phng php lun chn on ca ng y. Rt hiu nghim nu nm vng k thut chn on ny khi cng phi hp vi Tng tng.

Bi vit ny cha phi l bi ging v Bt Cng m ch nu ln nhng mu cht ca bt cng mong gip cc bn sau ny c c hi c sch ng y s d lnh hi hn m thi.

TP. H Ch Minh 1993. CHN ON NHANH HN NHIT.

Chn on bnh thuc hn hay nhit l vic cn lm trc khi iu tr trnh sai lm. Vic ny va d dng va rc ri. D khi bnh mi pht hay bnh n gin. Rc ri khi bnh lu hoc bnh phc tp. Nhng nu cc bn nm vng nguyn tc sau ay th vn cng khng n ni kh. l cn tch ra hai phn ring bit: tng th v cc b. i vi ton thn, ton thn s ci g l c th ang mc th bnh . C th ang b nhit th s cm thy s nhng yu t nng. C th ang b hn th s cm thy s nhng yu t lnh. Cc yu t nng hay lnh gm thi tit (nng ma gi bo), mi trng sinh hot (ngoi tri, trong nh, phng my lnh, nh bp), thc n ung (nhiu hay t nng lng). i vi cc b ni c bnh c th (vim xoang, au thn kinh ta, vim d dyvv.) cng tng t. Nhng cng c khng t trng hp ngoi l, cn thn trng. Xin xem thm bi Chn on theo Bt Cng, Chn on hn nhit bng huyt DC. Trong bi ny, ti cng hin thm cho cc bn mt phng php chn on hn nhit thun ty theo DC-KLP m ti tm ra sau nhiu nm thc hnh, c th ni rt chnh xc trong chn on cc b ni c bnh.m li d thc hnh v kt qu nhanh chng tc th. Dng cy ln inh ln trn mt, vo vng phn chiu ni c bnh. Nu c hin tng au nh kim chm chch l bnh thuc nhit; bn s dng cy ln inh tr. Nu ni ln khng au th bnh thuc hn, phn chiu s bo nng vi ngi cu; bn s dng ngi cu tr. Nu ni ln bng ln inh khng au m ch au bng que d th hn nh, c th ch day hay co c xoa du tr bnh ch khng cn h ngi; trng hp ny h ngi cng c nhng hi mnh hn mc cn thit, rt d b qu liu gy phn ng ph khng tt. Th d: bnh nhn au mng tri, ta dng ln inh ln cnh mi tri (phn chiu mng tri). Nu cnh mi tri au khi ln bng ln inh th mng tri ca bnh nhn b au do nhit. Nu cnh mi tri ca BN khng au, ta dng ngi cu d vng cnh mi tri ng k thut, vng ny s ht nng. Mi cc bn dng th k thut n gin ny chn on v hn nhit. Lng y T Minh.1993.

CHN ON V HUYT V KH. Lng y T Minh.

CHN ON V HUYT

Chn on v huyt cn tng hp cc kha cnh sau:

1. Mu sc ca nim mc mt v li (cht li): hng u l tt. Nim mc mt v mi quan trng hn v c khi cht li biu hin bnh l ca tim. Cn xem xt nim mc ca tr khong t 5 17 tui khe mnh m ta bit ly chun. V mi th xem pha trong mi ni tip xc vi rng li (nu). V mt th chia lm hai phn trong v ngoi ca mt trong m mt. Mu hng phi tri u. Nu c n mu vng l c thp, n mu nu l thiu oxy, c tia mu l c huyt . Nht hay trng l huyt suy. Trong nht ngoi hng l ch thiu mu. Trong nht ngoi l thiu mu c h nhit. ton b th hoc thc nhit (bn chn m) hoc thng nhit h hn (BC lnh). Vi trng hp ny sau khi gii quyt hin trng bnh xong (do thc nhit hoc do thng nhit h hn) ta cn xt li m mt bit tnh trng tht ca huyt. 2. Mu sc ca da, ti nhun ca da, mu sc cc mng tay chn. Mu sc cc ni ny cn hng nhun ti bng v thun mu. 3. o huyt p xem tr s v quan st khong lui kim, tc lui kim: thiu mu khi HA tm thu t 100 tr xung km theo hin tng lui kim t hn 2 mmHg (1 nc trn mt ng h) nhng cng c khi km thm kh km (chc nng km) hay dng km (s lnh,thiu sc bn). C phi hp vi cc yu t k trn. Cn xem thm bi Cch o huyt p trong Cc bnh thng gp. 4. Xem mch: mch v lc. 5. Xem xt v hin trng Th dch. Vic ny cn tham kho cc xt nghim Cn lm sng.

Tng hp cc yu t trn xong, phn tch quyt on v huyt tnh trng no: tng lng mu, thnh phn mu, c tp cht hay khng, cc ni tit t (cn xt nghim).

CHN ON V KH

ng y m t Kh kh phc tp v l thnh phn v hnh, ch nhn bit m khng thy c. Ch Kh ca ng y bao gm kh tri, kh ca thc n v kh trong c th. Chng thng c cp mt cch hn nhin nn i khi gy hoang mang kh hiu cho ngi mi hc.Tuy nhin theo ti, nu ni v Kh trong c th th Kh l chc nng cc hot ng ca cc c quan. Cn kh thin nhin do c th hp thu v s dng th cn quy v thnh phn ca Thin kh. Ni theo cch Ty y th Kh l h thn kinh ca bnh nhn. Th d: Ph kh suy l chc nng h hp km, V kh dng suy l chc nng co bp v V kh m suy l chc nng tit dch v ca d dy km, i trng kh suy l chc nng truyn tng km (nhu ng rut) lm cho bn.v..v..Tng t ta c kh ton thn suy tng qut l Nguyn Kh (Chn kh) suy l chc nng hot ng thn kinh ca ton thn km lm c th li nht, u oi, thiu linh hot. iu ny th hin qua trng thi hot ng ton thn v v linh hot ca mt v mt; trng hp ny thng c Ty y chn on l suy nhc thn kinh, l trm cm. i vi cc tng ph th xem xt da theo sinh l ca chng nh gi . Vi ngi gii mch th vic chn on v kh khng kh. Nhng nu khng bit xem mch th vi vic pht huy cch t cu hi kho lo cng vi s quan st bng mt, c suy lun , da trn hin tng khc vi sinh l bnh thng ca tng ph ta vn c th chn on v kh cng khng my kh khn (bnh l chnh l s khc thng ca sinh l). im khc bit gia Dng suy v Kh suy l: Dng h lun c s lnh, thiu sc bn mc d vn sing nng tch cc. Cn Kh suy th khng s lnh, ch li u oi nhng khi b p buc th sc lm vic vn bn b. Mun phn bit Dng v Kh th cn t cu hi theo hng ny. Tm li, d hiu theo ngn ng hin i, theo ti th kh l thn kinh, huyt l th dch ca c th. Bi vit ny l kinh nghim thc t v khng theo hn ng y m c i chiu vi Ty y. Do s hi khc vi cc ti liu ng y c. TP. H Ch Minh 1993.

CHN ON M THP THY

Thp l m thp, l m ca vt cht. Trong y hc c 2 loi thp: ngoi thp v ni thp. Ngoi thp l thp t mi trng bn ngoi xm nhp vo c th. Ni thp l thp do c th t sinh ra. Thy l nc. Nc l thnh phn cn thit cho c th, nhng c t l nht nh i vi th trng c th. Thiu hay tha nc u gy bnh. Nc tha b thn nhit lm nng s c ng li thnh thp, lu hn s c ng hn na v thnh m. Cho nn thy v thp d tr hn m.Ch c ngoi thp v thy mi gy bnh trc tip ngay tc th

cho c th. Cn ni thp v m vn do c th sinh ra nn khng gy bnh ngay m ch gy tr ngi sinh l cho c th nu cn t. Khi c bnh r rng l thp v m kh nhiu khin sinh l c th kh hot ng m sinh bnh.

Triu chng bnh do m thp thy kh phong ph v phc tp. Thm ch c mt s tc gi ng y cho l qui bnh (bnh k qui). Nhiu trng hp bnh nhn cm thy kh chu khng thoi mi, cm thy mnh c bnh nhng thy thuc tm khng ra bnh, nht l khi dng Ty y chn on.

Thp, m vn khng hn khng nhit. Nhng rt d kt hp vi hn nhit to ra thphn, thp-nhit,m-hn, m-nhit. Do cn kt hp vi triu chng ca hn nhit chn on v iu tr chnh xc. Mt s triu chng thng gp do thy, thp, m gy ra: - Ngi lun u oi mi mt khng c l do. - Gic ng m mt m khng khe khi thc gic. - Ng d hay kh th cng thc gic kh khn. Khng tnh to ngay khi thc gic d ng khng thiu. - T chi cm thy nng n hoc mi v c, nht l lng v chi di. - Lun cm thy li bing. - u c khng minh mn d khng thiu ng hay vn dng tr c qu nhiu. M trc y khng c hin tng ny, cng khng b stress, c ngha khng h c vn g v tinh thn. Cng khng b thiu nng tun hon no. - Thay i mu sc da, nim mc. Hoc da mt ti nhun - theo la tui. - Ph thng (n vo vng nhiu tht c chn bn chn b lm xung m khi th ra khng li ln ngay). - Bo ph v c, n t n thiu cht m vn mp. Tuy nhin vi triu chng ny cn xem xt thm loi tr bnh tuyn Yn. - Nhng bnh thuc loi x ha, sng ha u thuc dng m. Lng y T Minh. 1988.

CHU K 12 KINH KH.

Lng y T Minh C th c 12 tng ph, kh ca chng lin lc ra bn ngoi bng 12 kinh. Mi kinh c gi ch o ring. n gi ch no, kinh kh vng nht. Thng qua hin tng ny, ngi xa dng n t hay b cho chng. Nay, ti li dng n vo vic chn on truy tm bnh gc thuc kinh kh no v iu chnh kinh kh iu tr . Ch khi no bnh thuc lnh vc kh ca kinh th bin php ny mi c tc dng. i khi bnh ch do kinh kh gy ra, c khi bnh do c tng v kinh kh. Do , hiu qu iu tr cho ta bit bnh thuc kha cnh no. Trn nguyn tc, khi kinh kh c bnh th c n gi ch o ca n th triu chng bnh tng ln. C hai trng hp thc v h. Thc l kinh kh qu mnh. H l kinh kh suy yu. Thc th lm gim kh lc ca n. H th tng kh lc n ln, nu khng hiu qu th ta gim kh lc ca kinh kh i lp ca n, c tnh theo gi i lp. Th d: mt bnh nhn khi ng h c ti gn 2 gi sng l thc gic, qua 3 gi mi ng li c, y l gi Su l gi ca Can kh. Nu l chng thc ta day hay p lnh 50,70, nu l chng h ta h nh hay dn cao hay xc du 50,70. V h nh ,dn cao, hay xc du l b, day hay p lnh l t. Nu khng thnh cng ta chn kinh kh c gi i lp l gi Mi, gi ca Tiu trng. Tng t cho cc loi bnh chng khc. Bi th vn tt din t gi ch o ca 12 kinh kh:

Ph Dn, i Mo, V Thn cung, T T, Tm Ng, Tiu Mi trung. Bng Thn, Thn Du, Tm bo Tut, Hi Tiu, T m, Su Can thng. TP. H Ch Minh 1993

CHU K LC KH

Trong c th c 6 kh (chia ra 12 kinh kh) tng ng vi 6 kh trong thin nhin: Thi dng, Thiu dng, Dng minh, Thi m, Thiu m, Quyt m. Trong mt ngy 24 gi, 6 kh lun chuyn theo tng 4 ting ng h ni tip nhau. Trong gi ca kh no , kh vng nht. Kh suy nht khi thuc gi i ca n (TD : 9g i vi 21g) p dng trong chn on ta c bnh tng hay gim vo gi thin kh vng hay suy. Suy ra : Nu gi thin kh vng m bnh tng l kinh kh hay tng ph tng ng b thc. Hoc kinh kh tng ph i xng ca n b suy. Th d: bnh tng t 9 gi n 13 gi, sau gim nh l gi thuc thin kh Thi dng. Suy ra kinh kh Thi dng thc hay kinh kh Thi m suy. Vic cn li l tm xem Th hay Tc kinh b bnh m x l thch hp. Nu gi thin kh vng m bnh gim th kinh kh hay tng ph tng ng ca n b suy. Ta ch b chnh n.

TP. H Ch Minh. 1993. Lng y T Minh

NGUYN TC IU TR . Lng y T Minh

NHNG TRNG HP BNH CP CU: Nhng trng hp sau y thuc loi cp cu ti bnh vin: - au d di ti mt ni no trong c th thuc vng ngc, bng hay u, km st cao (trn 38 C). - Huyt p s trn bng hay cao hn 170. Huyt p s di bng hay hn 110.Trong trng hp tng huyt p. - Huyt p s trn thp hn 90. Huyt p s di thp hn 50. Trong trng hp tut huyt p.

Vi nhng trng hp ny ta ch tm thi can thip khi xa bnh vin hay trn ng a bnh nhn n bnh vin m thi.

NGUYN TC IU TR . 1. i vi bnh mi pht hoc bnh c triu chng d di, nu khng thuc loi cp cu nu trn th ta nn iu tr vo triu chng trc ri iu chnh tng th sau. 2. i vi bnh mn tnh hay bnh c triu chng tng i nh m bnh nhn chu ng c th ta nn iu chnh tng trng trc ri cha triu chng sau. 3. iu chnh tng trng th theo cc yu t chn on ca tng trng . iu tr triu chng cc b ni c bnh th theo cc yu t chn on ca cc b.

Vi cc nguyn tc sau: - Hn (lnh) th lm cho m: bng cc k thut h, dn cao, xc du. Nhit (nng) th lm cho mt: bng cc k thut p lnh, g mai hoa, day vaseline, ln gai. Hai yu t ny bao trm cc k thut tc ng cho tt c cc c ch iu tr cn li di y. - Dng h th b Dng bng B Thng c lm m bng h hay dn cao hay xoa du. m h th b m bng b B m huyt day bng vaseline. Kh h th b kh bng b Thng nhng khng gy m huyt. Huyt h th b huyt bng b b m huyt nhng k thut th ty h hn hay h nhit m chn k thut tng ng. - Vim th tiu vim. - Huyt th kh huyt bng b Tan mu bm. - C m thp thy th tr m thp thy. - Nhim trng th tiu vim bng day n vaseline, phi hp vi khng sinh.

- Xut tit th cm li (thu lim) bng b tan mu bm (cn c tn l b Thu lim), b B trung hay b Thng. Tuy nhin y cn chn on tm nguyn nhn do m hay dng h gy xut tit. y l mt vn hi kh, cn kinh nghim bin lun. - Kh th lm cho ti nhun bng b B m huyt. - Hng phn th c ch li bng b Ging. - Trm cm th lm hng phn ln bng b Thng. .v..v. KINH NGHIM LM SNG. 1. Phi gim bng hay hn 30% ngay ti ch cc triu chng th mi ng. Nu km l cn thiu st. 2. Ngay ti ch gim m hm sau tng li nh c l trng ngn m cha trng gc. 3. Qua hm sau tuy c tng li nhng t hn ngy hm trc l trng c gc ln ngn. C th tip tc. 4. ang iu tr hoc iu tr ln u tin c gim nhng sau vi gi triu chng tng ln hn lc cha iu tr , th c th: Chn on v iu tr sai: triu chng ko di. Chn on ng nhng iu tr cha liu lng: triu chng tng ri gim dn. Bnh nhn khng gi gn king c v sinh hot, n ung. 5. Triu chng ang gim m dng li khng gim thm, l bnh chuyn sang giai on mi. Cn thay i phng thc iu tr bng cch chn on li v ra phng n iu tr mi cho ph hp. Thng l tt v bnh gim nh , nhng khng c ngha l n gin hn v d tr hn giai on trc v n y l vo gn hn n phn ct li ca bnh.

KT LUN. Tuy khm k ri mi c kt lun chn on nhng khng phi lc no cng c th trng 100% ngay trong ln khm u tin vi bin php lm sng (chnh v vy m Y hc hin i phi c cng xy dng cc phng tin khm cn lm sng hn ch sai lm trong chn on bnh). Ta ch chn on ng khi bnh n gin. Vi nhng bnh phc tp th c khi iu tr th vi ln mi ra vn . Mong cc bn khng ch quan to sai st trong vic chn tr. Lun lun t li vn khi iu tr thy khng c kt qu nh mong mun. TP. H Ch Minh 15 07 2002.

HNG DN V KING C. Lng y T Minh.

King c thc ra ch l trnh n nhng nguyn nhn gy bnh do bn ngoi a ti nh thc n ung, kh hu thi tit, sinh hot hng ngy. Mi mt ngy khi thc gic, c th chng ta bt u n nhn nhng yu t mi tc ng vo nh nng- ma-gi-bo-bi bm-mi hi-kh thivv..Khi bt u n sng l ta a mt s cht mi vo. Chua c ,cay c, ng- mn- ngt c ; ci no hp ci no khng hp vi ta ? iu tr bnh m khng king c th hiu qu iu tr rt km, nu khng mun ni l s khng c kt qu. Chng ta thy hin nay xu hng ca Ty y cng bt u ch n vic khuyn bnh nhn king c trong khi tr bnh . Trc y vi mi nm, h hi n king c l y nh rng bnh nhn s b bc s c n cho mt hi. No l phi n cho dinh dng, no l bnh m cn c n th lm sao khe m tr bnh cvv..!!! Qu tht th ng y bt bnh nhn c n hi nhiu. C ni thy bng dn d king c n ung ca bnh nhn c n vi chc mn. C l vic ny xy ra l do bnh nhn ung thuc ng y, lun c s tng tc qua li gia thuc v thc n. V thc cht thuc ng y u c ngun gc thc vt hay ng vt, l mt dng thc n hi c bit vy thi. Nu ch dng huyt tr bnh th chng ta khng s nhng tng tc nh ni m ch cn king c nhng tc nhn gy bnh m thi. l mt trong nhng u im ca phng php tr bnh khng dng thuc. Va an ton va n gin. Trong qu trnh hnh ngh v nghin cu chn lc ti nhn thy ch cn king c theo cc nguyn tc: 1. iu kin mi trng khng thch hp : nng - lnh, m - kh , trong sch hay bi bm. 2. iu kin lm vic: thay i cng vic hay t ra cng ci thin thi quen trong lm vic i vi cc bnh do ngh nghip gy ra.

3. Thc n, ung : nu king c nh ng y lu nay tun theo ta s c mt danh sch rt di, thm ch hu nh khng cn g n ngoi m cc (go,la m) !! Bnh nhn s d ri vo tnh trng suy dinh dng. Do ti ch ch trng vo nhng mn trc tip gy bnh mt cch mnh m cho c th m thi. Gm cc nhm chnh. - Nhm gy lnh cho c th trong nhng bnh do lnh : thc n ung p lnh, cc mn c v ng mnh nh kh qua, rau m, tim sen, rau ng, rau ng.Cc mn qu mt nh cam, da, thanh long, rau ay, b ngt.. - Nhm gy nng ro cho c th : cc mn n chin, cc thc c v cay nng nh tiu, t, ti, gng..Cc mn cung cp nng lng nhiu nh chocolate, cacao, cc loi ko bnh c dng ng - Nhm gy co cn - c : cc cht c v chua m nh chanh,cam, thm (da), cc cht lm lnh c th . - Nhm gy tr tr : hu ht cc mn c cht nhn u gy tr tr ng cho c th nh u bp, rau ay, mng ti, khoai mV cc cht lm h nhit. - Nhm gy vim : hin nay ti ch pht hin ra hai mn gy vim rt mnh (trn c th vn b vim): tht g v cc loi mm nh mm tm, mm ruc, mm sc, mm thi(nc mm th v hi, c l v mn cao v qu trnh ln men hon chnh nn khng c c hay t c ?? ). - Nhm c cht ha hc pht sinh : tt c cc mn tri qua qu trnh ln men sinh hc (khc vi ln men cng nghip nh x du, magie ): nh chao, tng, bnh m, ru, bia..Lu : cc loi ny i khi nu chn vn khng phn ha c cc ha cht trong n nn vn gy bnh cho c th khi dng.

Ni chung khi bnh c lin quan ti gan (Can) v ty (T) th cn king c kh nhiu , nghing v hng cht gy vim v cht c ha cht l, v gan v ty l b my chnh trong x l ha cht ca c th (Can ch s tit, mu l T ch ha), d nhin t bo cng c nhng quy trnh x l ha cht nh ring. Vi Gan ta cn cn king c thm tht b, c bin c nh c ng, c chun, c nhm, c nc..cn cc loi c hin th dng c nh c chim, c thu, c bc m.Vi Ty ta cn cn king c thm cc cht gy lnh. Cn cc loi bnh chng lin quan ta c theo bng hng dn nu trn m khuyn bnh nhn king c . Theo triu chng ta c: - Chng au nhc : c nhm gy lnh, gy co cn c. - Chng vim (sng + nng + + au), chn thng : c nhm gy vim v nhm gy co cn c, nhm gy lnh (nu bnh thuc hn , nu l bnh thuc nhit th ngc li cn c nhm gy nng). - Chng tr, sng n (khng nng ): c nhm gy tr tr, nhm gy co cn c, nhm gy lnh (v lnh cng l mt nguyn nhn gy tr tr cho c th).

- Chng c nhim trng hay vim do nhit : vim do nhim trng hay do nhit u gy ra triu chng au nhc. Tht ra trong ng y th phn chia kh r : au th do nhit, nhc l do hn , nhng hu ht bnh nhn khng th phn bit c hai triu chng ny m h thng gp chung hoc ni ln ln. Loi ny cn c cc mn gy nng ro, nhm gy vim. - Cc chng c tnh d ng, cc loi bnh ngoi da: nhm c ha cht pht sinh.

Nh vy ta c mt ng li king c kh linh ng v theo gc bnh ch khng theo tn bnh. o d nh dn d bnh nhn .

TP. H Ch Minh 12 6 2002.

LM SAO T T C

T Minh. Mc T Khoa, 1992.

D tm sinh huyt ri tc ng vo sinh huyt l vic chng ta bit v tng lm. Nhng d tm sinh huyt u, tc ng nh th no, bao nhiu lu c th t c T C (c thi, c v, c php, c ) ? Bi khun mt l kh d, ri li cn bn tay, bn chn, lng, bng, u, vnh tai !!! Lm sao m d cho ni phi khng cc bn ? Nay, ti xin ng gp mt tm c sau mt thi gian di nghin cu v th nghim thy rt tt. Mong rng nhng kinh nghim ny s gip cc bn vng tm v vng tay hn trong vic s dng DC-KLP. Nguyn, u nm 1992 ti sang Matxcva lm vic theo li mi ca h v theo c ca thy Chu. Lc y ang l ma ng, li l x lnh, hu ht cc trng hp u phi dng ngi cu iu tr, hiu qu tt. Nhng c mt s trng hp h mt khng c kt qu, thm ch c lc li xu hn, mc d v chn on r rng l thc hn . Ti rt ngc nhin. Trc , Vit Nam thnh thong cng c gp, nhng rt t khi v cha tm ra gii php tt. Mt phn do p lc bnh nhn qu ng khng rnh nghin cu cho ra vn . Mt khc phng php ch mi bt u trin khai ra ton thn, li khng c ging nm cho

bnh nhn . Cho nn vic p dng cc h thng phn chiu ngoi b mt cha c trit nh hin nay. Matxcva, iu kin, nn ti quyt tm nghin cu hin tng ny. Ti pht hin ra nhit cc vng c th ca trn cng mt bnh nhn khng ging nhau. T nhn xt ny, ti chuyn tm tm nhng vng c nhit bt hp l nht trn c th bnh nhn lm ni chn on v iu tr . T hiu qu iu tr c nng cao hn v nhanh hn v chnh xc hn trc. Ngoi tr cc trng hp st cao lm ri lon sinh l huyt nh trnh by. Hoc mt s trng hp lnh ton thn v mt cn au kch pht. Th l vn nn lm sao t t c c gii. Vn c v, c thi : Hai yu t u tin l C THI, C V s n cng lc khi ta tm c vng chn tr c sinh huyt nm trong . l ni lnh nht hay nng nht trong c th bnh nhn trong khi cc ni khc c nhit bnh thng . Th d: Cc ni u m ring bn chn li lnh th bn chn l ni khm v tr bng ngi cu. Cc ni u mt m mt li nng th mt l ni d v tr bnh bng que d.

Vn c php ? Ta cng bit, h bnh nhn nng th gii nhit, bnh nhn lnh th lm cho m, h au tay th cha tay nhng nu au tay do thiu mu c tim th cha bnh cho tim ch khng phi cha cho tay; nhc u th cha u nhng nhc u do to bn th li cha vo i trng ch khng cha cho u v.v chnh l c php, ch khng phi ch chn dng c l c php. D nhin khi nh c php ri th vic chn dng c k thut thch hp l vic phi lm pht huy ti a s C PHP.

Vn c ?

Bnh c nng c nh, c n gin c phc tp. Th trng bnh nhn c kho c yu, c nhy cm c chm p ng. Mi trng hp, mi thi im u chng ging nhau. Cc k thut vi cc mc ra nh h nng 3 ln, day ln vi pht v.v d sao cng ch gi bnh qun. Mun t c yu t C chng ta phi ch tht k cc triu chng, din bin trn thc t lm sng ngay trong lc ang thao tc iu tr .ng thi vn tip tc kho st cc din bin k tip. Mun vy chng ta cn ghi chp bnh n y . T chng ta mi c th suy ra v phn on mc tc ng thch hp cho mi ln iu tr . Nu khng rt d lm qu l hoc khng . Mun t c cao hai yu t PHP v chng ta khng th khng nghin cu sinh l bnh l ng v Ty y lm nn tng trong phn on bnh chng. Ring yu t C th cn kinh nghim ring c c sau mt thi gian thc hnh nhiu, iu ny kh truyn t.

Ti va trnh by xong phng cch t T C. Tuy khng c g b him nhng mun lm c chng ta cn rn luyn nh mi vn khc. Mong cc bn thnh cng.

CHN ON HN NHIT BNG HUYT DIN CHN

T-Minh. TP.H Ch Minh, 21-12-1993. Bnh nu khng thuc hn th thuc nhit hoc hn nhit ln ln. Trung y c cch chn on hn nhit. Cn DC th sao ? y l u t ca ti t khi hc v lm DC. Thi gian u gn nh ti phi da hon ton vo t chn ca Trung y. Sau , qua lm sng da vo huyt tnh v sinh huyt, ti tm cch xy dng k thut chn on ring cho DC. Trc, tha mn s tm ti ca mnh; sau l p ng nhu cu ca hc vin cha bit Trung y. May mn thay ti lm c iu ny, c th cha c hon chnh nhng n gp phn khng nh cho nhng ai cha bit hay bit Y v trong lm sng c mt s trng hp nh n m s nh bnh r rng hn. Xin th xem v vui th vi pht hin ny. Trc ht, ta cn nh cc chng hn nhit va c ton thn va c cc b v s tng quan gia chng khng c quy lut. C ngha l c khi ton thn l hn m cc b li nhit, c khi ton thn nhit m cc b li hn. C khi ton thn ln cc b u hn hay nhit. V th, khi chn on hn nhit ta lun cn xem xt c hai kha cnh ton thn v cc b hn ch sai st.

A- Chn on hn nhit ton thn :

Hai dng c chnh c s dng y l que d v ngi cu. Cn thun thc v k thut, nu khng ta s b bo hiu sai v kt qu chn on s sai theo. a- Dng que d: - au 26 l nhit biu. - au 143 l nhit l. - au 1 hoc 43 l hn nh l. - au 19 l hn nh biu. b- Dng ngi cu: ngi cu c dng khi khm bng que d khng c sinh huyt: - nng 1 hoc 43 l hn nng l. Khi 43 nng l mt kh nng tng tr Dng kh. Khi 1 nng l mt kh nng khai pht Dng kh. - nng 19 l hn nng biu. - nng 143 l tinh huyt suy, mt kh nng tng tr m huyt. Kh tr hn cc trng hp khc. - nng 26 l mt kh nng hp thu dng kh. Lu : phi d c 4 huyt xong ri mi kt lun sau khi tng hp. Nu vi c hai phng tin m khng thy sinh huyt th c th kt lun ton thn bnh nhn bnh ha, khng hn khng nhit. Ch cn cn khm hn nhit cc b m thi.

B- Chn on hn nhit cc b :

Nh cp, khi mt cc b c vn ( c quan b bnh ), ta vn cn khm ton thn tm s lin h nu c gia ton thn v cc b . Nu ton thn khng c g, ta ch cn khm cc b bit bnh thuc hn hay nhit.

a- Dng que d: tm sinh huyt da theo hnh phn chiu ni b bnh - ch yu trn mt. Nu bo au l bnh nhit. Nu l vng phn chiu nh c cnh tay, hay phng chiu xoang, ta dng ln inh nh ln vo ni ny, nu au l bnh nhit. b- Dng ngi cu: khi bnh chng r rng m khm bng que d khng thy c huyt au l bnh hn. Dng ngi cu d s thy nng. c- Khi huyt khng bo au m cng khng bo nng l tm cha ng, thay i h thng phn chiu . d- Khi huyt bo nng ln bo au l hn nhit ln ln, hoc hn nh. Cn bnh tnh xem xt k.

Tuy vy, theo kinh nghim, d bnh hn nhit cc b bng huyt kh phc tp v huyt chu chi phi bi nhiu quy lut-nh i xng, giao thoa, phn hin v.v.... cn c nhiu kinh nghim h tr mi t sai lm. Do , nn phi hp vi s ti ch xt hn nhit - xem bi LM SAO T T C . ng thi nn hi triu chng tng vo ma no trong nm, gi no trong ngy tm hiu quy lut ri suy ra./.

CC B HUYT CN BN IU CHNH TNG TRNG (PHC HI CHNH KH)

B THNG T Minh.

Thng v ging l hai th php thng gp trong y hc c truyn. Ch THNG y l ni gn cho d nh, ni y l THNG B DNG KH. Hn nhin n khng thay th cho tt c cc liu php tng t c trong y khoa (cng mc ch), cng nh gii quyt c tt c cc trng hp h suy dng-kh. Nhng n s gp phn khng nh trong vic tr bnh bng Din chn-KLP. Qua qu trnh tm ti th nghim v thnh cng trn thc t trong thi gian qua, nay ti xin trnh by nh sau.

A- PHC K THUT TC NG : 127 , 50 , 19 , 37 , 1 , 73 - + , 189 , 103 , 300 - +, 0 - +. Nguyn tc chung: theo th t t di ln v t tri sang phi. Sc mnh ca phc c sp xp theo th t nh sau: 1- H ri xoa du ri dn cao. 2- H, dn cao. 3- H, xoa du. 4- H thun ty. 5- Chm kim nu cn, tuy nhin k thut ny d gy vng chm. Hin nay chng ta khng cn dng kim m thay th kim chm bng k thut rung huyt. 6- Day n bng du. 7- Day n, dn cao. 8- Dn cao hoc xoa du.

9- Rung huyt hoc day n bng vaseline hoc bt c mt loi du no khc khng hi da nh du n, du da, kem dng da ca ph n , nhm mc ch trnh try da khi day qut. 10- Ln , g. ( Xem thm bi Hng dn k thut s dng dng ctrong sch Bi Ging. )

B- TC DNG : B Thng c nhng tc dng chnh sau y : - Thng Kh, b kh, thng Dng, b Dng. Ty theo m chn k thut thch hp. - Hnh kh hnh huyt nhng hnh kh mnh hn r nt hn. - Tng sc khng v thi kh cho c th. - Lm m ngi ton thn. Xua tan hn kh nhim vo ngi. - Lm hng phn thn kinh.

C- CH TR : B THNG c tc dng hu ht trong nhng bnh chng c gc hn, r nt nht l do hn t thc. C th nu mt s bnh chng thng gp nh cm lnh, trng gi lnh, mc ma, vim ph qun do lnh (khng c tc nhn ha l), sa ni tng nh, t hn v.v Nhng iu tr lu di cn nhn nh ng cn bnh linh ng. ng dng ca b THNG rt rng, tuy nhin mun dng tt cn c mt vn y l c bn ng y phn bit hn nhit h thc.

D- CHNG CH NH : B THNG rt mnh khi dng trn b, nht l vi k thut h nng dn cao, xoa du hoc chm kim. Khng nn dng b THNG trong cc trng hp sau: - Bnh nhn c th trng m h huyt km, ngi gy kh. - Huyt p cao dng chng. Nht l vi cc dng huyt p cao c cholesteron, c x m ng mch. - Cc bnh c nhit l nh : tiu kht (tiu ng), h lao (suy nhc c th nng) - Cc bnh c nhim trng v d gy bi nhim. - Cc bnh vim lot v d gy xut huyt.

Ba trng hp sau c th dng vi k thut day vaseline khi c km bnh cp do nhit. Nhng cn xem xt theo di k trnh sai lm.

E- KINH NGHIM LM SNG : 1- Trng hp ngi bnh va km v huyt va suy v kh, nu dng trn b THNG s gy thin lch v kh huyt v n ch thng b kh. Trng hp ny nn dng b B TRUNG thch hp hn (xem b B TRUNG). 2- Ct cn tng huyt p m chng c cc triu chng nh sau:HA tng t ngt m trong lc bnh thng c th thuc loi thp, ton thn hay t chi hay ch bn chn lnh, c bit HA rt kh o v kim git rt nh ting p ng nghe rt nh; dng que d khm thy au hai huyt 1 v l9 m 26 v 143 khng au; c khi c 4 huyt ny u khng au (xem bi chn on hn nhit bng huyt Din chn). iu tr: Dng ngi cu h v xoa du mi huyt 3 ln. Lu : phi hi cc triu chng k trn, nu khng ta s sai lm ln khi l mt cn cao HA Dng chng. Nu t chi lnh ngt m c 4 huyt u au th y l c a Dng chng m trng lnh bt ng lm tng thm HA, trng hp ny kh, khng nn can thip nu khng kinh nghim, nn cho i bnh vin. Vic iu tr chng cao HA v lu di cn hiu sinh bnh l tm ra cn bnh. Bin php nu trn ch l tm thi ct cn m thi, khng phi l gii php iu tr. 3- Nhc khp: au nhc m khng nng , tri li s tay vo khp thy lnh hn cc ni khc. Nu bnh nhn khng b thiu mu qu ta c th dng b THNG. Kt qu nhanh v khng tn cng dng thm cc huyt phn chiu b v khi c nhiu khp au. Tuy nhin, khi khp b thoi ha th liu php ny khng kt qu, ch mang tnh ct cn m thi. Khng nn dng lu di c hi cho khp.

4- Nhc u mn tnh: c lc hon ton thoi mi, c lc nhc d di. l lc c lnh xm nhp. Dng B THNG ct cn, iu tr lu di cn tm hiu tng th ca bnh nhn iu chnh li cho qun bnh.

F- VN N UNG, SINH HOT : Khi s dng b THNG cn king c : - n ung: khng dng cc th qu mt lnh nh nc , kem, yaourt lnh, nc p lnh, cam, nc da, bia, kh qua, u en, u xanh, rau m, thanh long, cc th c v chua. - Sinh hot: c tm m, dm ma, dng qut my, phng lnh, nm nn nh khng c nm, i chn trn trong nh, khi ng nn mang v gi m chn.

G- KT LUN : Tc dng ca b THNG rt rng v rt mnh. Khi p dng mt cch my mc d gy thin lch v m dng kh huyt . Chn on k v m dng, kh huyt, hn nhit, h thc l vic cn lm trc khi bt tay vo iu tr . c lng tnh hnh, theo di st sao din bin lm sng ngay ti ch v v sau c gii php, cng iu tr thch hp . Lun lun d sinh huyt kim chng trc v trong khi iu tr phng sai lm. TP H Ch Minh, 08-12-1998.

B GING

T-Minh.

Khi qut th b Ging c tnh cht ngc li vi b Thng. Tm ng dng khng rng ri nh b Thng v thuc kha cnh gn nh i lp.

A- PHC K THUT : 124 + - , 106, 34+ - , 26, 61+ - , 3+ - , 143, 39, 14+ -,222+ - , 85+ - ,156+ -, 87. Khng phi lc no cng dng trn tt c cc huyt nu trn. Phi d sinh huyt dng cho thch ng vi tnh hnh bnh. C khi phi ty theo tng trng ca bnh nhn m chn lc li, ch dng mt s trong s cc sinh huyt c tm thy ch khng dng tt c cc sinh huyt. D v tc ng huyt theo th t nu trn. i vi cc huyt kp th tc ng huyt bn phi trc, bn tri sau (ca ngi bnh).

K thut an ton v thch hp nht l dng k thut rung huyt, hoc dng ln v que d n day hoc qut vo huyt bng vaseline hoc cc loi du nhn v hi nh du n hoc kem dng da. Cng c th day tht nh phn pht khng cn vaseline vo mt da nhng ngi tr tui, da khng qu kh. Nu st cao nn dng nc p vo huyt, mi huyt mt pht ct cn st.

B- TC DNG : Cc tc dng chnh : Ging kh: tc dng cao trong trng hp thc nhit. H nhit: tnh h nhit kh mnh khi dng trn b. An thn: tnh an thn r nt. Tiu vim: ch c tnh h tr, v tnh tiu vim ca n khng mnh bng mt s phc khc.

C- CH TR : B GING l phc ch lc tr cc bnh thuc THC NHIT. Trong lnh vc h nhit th ch c dng khi cn i ph tm thi vi triu chng (kh dng v cn vng y l ng y v phi k lng), khng dng trong iu tr lu di. Nn dng cho cc trng hp sau: Cc chng st do nhim phi kh nng u cn dng B GING. Trc ht n h st cho bnh nhn, phng chng kinh git do st cao sau s tm nguyn nhn gy bnh iu tr tn gc. Mt s bnh thng gp: trng nng, st do nhim trng d nhin ch gim st cn dit trng th nn dng khng sinh, st khng r nguyn nhn (vi iu kin chn khng lnh). Qua tnh an thn, ging kh, h nhit, b GING c dng ct cn tng Huyt p DNG CHNG, vi cc triu chng sau: mch vng Thi dng (mng tang) ni cm, mch c tay thuc dng Kin, Hot, Thc, chn khng lnh, mt mt c th ; o HA thy kim ng h git mnh, ting ng nghe p ln, hai huyt 26 v 15 c th 143 rt au. Trng hp ny nn day huyt 15 trc khi dng B GING. Ngoi ra c th dng trong nhng trng hp suyn thc nhit. Trng hp ut nhit bn trong tng ph nh V, T, Can v.v.. Nhng trng hp mt ng do hng phn, lo lng suy ngh nhiu lm mt ng (ch c gi tr khi th trng bnh nhn cha suy yu). Nhng trng hp thn kinh chc nng ca mt c quan hng phn gy xo trn sinh l c quan, tng ph. Lnh vc ng dng ca B GING kh rng nhng tt nht vn l dng tr cc bnh THC NHIT.

D- CHNG CH NH : Thc t cho thy B GING ch c tnh t ch khng c tnh b. Do khng dng b Ging trong cc chng h nhit (nhng triu chng nng m , nng sau bui tra ngi bnh suy nhc) nhng ngi bnh mt ng lu ngy, n ung km, gy yu xanh xao.

E- NG BIN LM SNG : 1- Ct cn st bng nc p vo huyt. y ch cn dng cc huyt sau y theo th t: 26, 3, 143 hay 173, 87. Vi cc cc nc chng bng u ngn tay ci, p mi huyt chng mt pht ri i sang huyt khc cho n khi ht st. 2- Mt s trng hp bnh tm thn mi pht thuc chng cung trong ng y, cc chng trng nng. Nn ng bin nh sau : ch dng cc huyt sau y theo th t 124 -, 106 , 34 , 26, 61 - , 3- , 143, 39, 14 - , 222 - , 85 - , 87. C th ty nghi s dng cc k thut p lnh, day bng vaseline hoc chm kim. Bin php ny cng dng c trong trng hp st cao do vim nhim cp (vi iu kin chn khng lnh).

G- KT LUN : B GING hu hiu trong cc chng nhit d biu hay l. Nhng ch c tnh T CH KHNG B. Cn thn trong khi s dng khng hi nguyn kh ca bnh nhn .

TP. H Ch Minh, 9-12-1998.

B B TRUNG

T-Minh

1-/ PHC . - 127, 50, 19, 37, 1, 7 - +, 0 - +.

2-/ K THUT. Day vaseline, g, day du hoc dn cao hoc h nng xc du. Ty tnh hnh tng trng ca bnh nhn m chn k thut thch hp.

3-/ TC DNG CH TR. B trung tiu, b nguyn kh cp nh, tr tiu ha, tng sc khng, tng lc nh n va phi. H tr trong vic tr mi bnh chng c h suy. C th dng bi b cho cc trng hp suy nhc c th nh cha nh hng n phn m huyt (y l b huyt tin cho b B M HUYT sau ny).

4-/ KINH NGHIM LM SNG. C mt s trng hp bnh nhn b kh huyt lng suy, hoc m dng lng suy ta khng th dng b THNG v c th lm lch qun bnh. Trng hp ny nn dng b B

TRUNG bn chn,phi hp vi B M HUYT mt b dng kh v huyt chm chm v lc ny sc chu ng ca bnh nhn rt km, khng th b nhanh c.B huyt ny cng thuc loi an ton nu ch dng day vaseline, nhng khng nn dng trong trng hp c huyt p cao dng chng. -----ooOOOoo----B THIU DNG

T Minh

PHC :

- 324, 131, 41(437), 235, 290, 184, 34, 156. K THUT :

Trc ht cn chn on bnh thuc hn hay nhit ri iu tr mi c kt qu (xem li bi CHN ON HN NHIT BNG HUYT DIN CHN). Bnh thuc hn: day du theo th t trn, mi huyt 30 ci, dn cao salonpas nu c. Nu khng t hiu qu cao (gim au t 3/10 tr ln ngay ti ch) th nn dng ngi cu h nng mi huyt 3 ln c bi du. Bnh thuc nhit: hiu qu cao nht l p lnh (kh lm nu cha kinh nghim). Chm bng kim cng rt mnh. Nu khng bit chm hoc bnh nhn khng thch chm c th day n bng vaseline mi huyt 30 ci, ba vng cho mt ln iu tr, gii php ny hiu qu km hn. C th rung mi huyt 10 giy.

TC DNG, CH TR :

B THIU DNG ny chuyn ha gii kinh kh Thiu Dng. C th dng trong cc bnh: nhc na u (migrain, thin u thng); tng nhn p (glaucome, cm nc), hn nhit vng lai (lc nng lc lnh); st rt (ch gip h cn, khng phi iu tr) ; ut c tm l (tc gin nhng khng pht tit c, mt dng stress); mt s ri lon chc nng gan mt.

KINH NGHIM LM SNG :

- Trng hp hiu qu km trong nhc u c th thm 12, 240, 107. - Nu c tng nhn p thm 16, 199. Tuy nhin y l mt bnh nguy him v c th gy m la khi khng cha c nn nu khng vng vng th khng nn tr. Bnh ny s c trnh by chi tit trong mc bnh mt cui sch. - Trng hp stress, nu hiu qu km c th thm 124, 34, 106, 173 hoc 143, 3 - Ri lon gan mt cn xc nh sinh huyt vng gan mt. - Nu nhc u do d dng mch mu no, bit c qua chp CT hoc MRI, ch gim au ch khng tr khi c. Khuyn bnh nhn theo ch nh ca bnh vin gii phu khi cn. V y cng l mt loi bnh chng nguy him cho sc khe ca bnh nhn .

- Ch : v tr huyt 131 chnh xc gia tuyn L v khe mt ngoi, n chnh l huyt Ng V trong Th Chm, nay c thay bng huyt 24 trong hnh huyt n bn 2003 ca thy Chu. Huyt 199 gia huyt 197 v 421.

B IU HA

T Minh

C th nh mt c quan, x nghip. Mt c quan c y cc nhn vin phng ban, nhng nu h khng ha thun m bt hp tc th c quan ny khng thc hin c chc nng, cng vic nh tr. C th cng vy, nhiu khi bnh nhn thy c bnh m cc h thng c quan khng h c vn g. Trng hp ny nu c cha, i khi li gy thm bnh cho bnh nhn. Trong c quan mun mi vic tri chy, cn ha gii mi ngi vi nhau, khng cn khin trch hay i thay nhn s no. C th cng vy, khng th trch c quan b phn no m ch nn to s lin kt gia chng vi nhau l c. Ti xin gii thiu B IU HA c th thc hin nh ny.

A- PHC , K THUT : -34, 290, 156, 39, 19, 50, 3, 36. -106, 1, 127, 39, 19, 50, 3, 36. D huyt theo tng phc , phc no c nhiu huyt bo au hn th dng phc , day bng vaseline chng 30 ci nh nh mi huyt theo th t. Cng c th dn cao, ty trng hp m dng.

B- CH NH : Thng thng nhng trng hp sau y nn dng b H : - C th mt qun bnh nh, ri lon chc nng nh, bnh nhn cm thy khng thoi mi nhng khng c hin tng bnh r rng. Nh n ng lc c lc khng, ngi lc mt lc khe - Thn nhit bnh nhn khng iu ha nh: trn di-trc sau-trong ngoi, nng lnh khng u nh. Tng t chng tm thn bt giao nhng rt nh. - Mt s trng hp tng huyt p nht l HA v cn. Triu chng c rt nhiu, khng th k ht. Ch cn nh bnh m hnh nh khng phi bnh, bnh lc c lc khng, bnh gi l c.

C- KT LUN : u im ca b huyt ny l rt an ton. Hu nh khng gy sc cho bt c ai. Nn dng khi gp nhng trng hp phc tp khng chn on ra bnh thuc kha cnh no trong Bt cng. Sau khi dng mt thi gian, triu chng s nh hnh dn lc y ta chn on li v nh hng iu tr li cho ph hp. Yu im ca b huyt ny l rt km khi iu tr nhng bnh r rng trong lnh vc Bt cng, hoc nhng bnh c au nhc. Tp H Ch Minh, 7-1-1989.

TIU VIM.

T Minh

PHC

- 106, 26, 37, 50, 61, 38, 156, phn chiu ni b vim.

K THUT

Mi ngy iu tr mt ln. Ty hn chng hay nhit chng nng hay nh m chn k thut thch hp:

Hn chng - Dn cao salonpas, lu khong 2 ti 3 gi. - Day du 30 lt mi huyt. Gi kh vng huyt tc ng trong 2 gi. - H: xc du v h nng mt n 3 ln mi huyt. Nhit chng - Chm: lu kim 20 pht. - Day vaseline , mi huyt chng 30 ci. - Xung in: ty tn s nhanh chm m quyt nh thi gian. - n: 30 giy mi huyt .Phi m theo ng h mi chnh xc. - G: 20-30 ci mi huyt. - Rung huyt: mi huyt chng 10 giy ng h.

PHM VI S DNG

B huyt ny c tc dng khng vim rt tt. c bit nhng trng hp vim do chc nng. Nhng trng hp ny khng cn phi hp vi thuc vn t hiu qu cao.

Km tc dng trong nhng trng hp vim do vi trng, nn phi hp vi thuc ty. V vy cn chn on ng trc khi iu tr. Hoc n gin hn khi tr thy khng c hiu qu r rng th ngng tr ngay chuyn hn cho Ty y hoc phi hp nu thun tin.

KINH NGHIM

Hiu qu rt cao cho nhng u nht, mn bc , mt lo (chp mt) khi dn cao salonpas. Nu u nht cha c m th mt t tiu, nu mt c m trng th c th v m trc ri mi xp sau, c yn tm iu tr tip cho n khi khi hn.

Khi kt hp vi khng sinh hiu qu nhanh hn hn so vi ch dng thun khng sinh. Khi vim cp c st cao nn dng nc phi hp vi b GING tn cng bnh cng nhanh cng tt (khi ht st th ngng dng nc ).

Cng c th dng trong cc trng hp vim ni tng, p-xe ni tng.

c bit hiu qu cao trong vim ph qun i vi tr em, d nhin cn phi hp vi phn chiu ph qun. Ngoi ra cn c dng trong iu tr vim xoang rt tt (cn thm huyt 300). Cc vn ny s c trnh by chi tit cc bi khc.

B huyt ny cng gip nhun trng khi thm 365.

TIU VIM KH

T Minh.

y l b TAN MU BM c ti thit lp t 1988, nay trin khai hon chnh hn.

PHC - 156 - +, 38 - +, 7 - +, 50, 37, 3 - +, 61 - +, 290 - +, 16 - +, 26. Phn chiu b v.

K THUT

- Chm kim: lu kim 20 pht. Kt qu cao nht. - G ba cao su nh, hoc day qut: 30 ci mi huyt. - Xung in: 30 nhp mi huyt. - Rung huyt: mi huyt chng 10 giy ng h. Phi tc ng ng th t nu trn mi pht huy ht tc dng .

TC DNG Tan mu bm v tan sng do va chm. Tan sng bm do bong gn (nu si khp th phi nn sa khp trc v b huyt ny khng sa khp c). Tiu cc u bu, cc tch chc nng hoc thc th. KINH NGHIM B huyt ny hiu qu cng cao khi iu tr cng sm ngay trong ngy b chn thng, c th ch sau 3 4 ln chm cch khong 3 4 gi mt ln l tan bin khng cn du vt, khng cn au n g. Nu dng cc k thut khc th hiu qu km hn nhng cng vn nhanh hn dng cc bin php khc nh p mui, bp ru thuc Nu qu ngy mi iu tr th kt qu cng yu nhng vn tt d c khi b vi thng hay vi nm. Nu mi b va chm, tr ngay m khng thy c hiu qu g v mt gim au hay gim sng th phi ngh ngay n trt khp hay c tn thng n phn xng nh nt, gy. Phi n bnh vin chp X quang v b bt ngay. Bnh nhn thng mt cnh gic nhng xng nh nh xng bn hay xng ngn tay chn lm cho b tt v sau.B huyt ny ti cn thit trong cc trng hp bi lit do chn thng s no,tai bin mch mu no c xut huyt.

Ti tng iu tr cho mt bnh nhn chn thng b m s no 2 ln mi thot cht, xut vin Ch Ry trong tnh trng lit na ngi. Sau 2 thng chm c kt hp tp vt l tr liu. Bnh nhn i ng sinh hot bnh thng, ch cn lit nh vng bn tay vn ng bnh thng nhng lc yu (v mt gc nh no b hoi t phi ct b theo li thn nhn bnh nhn). Mt trng hp khc b dp ty c (kt qu MRI: mt cu trc cht trng-xm ni ty nng nht ngang C3-C4), lit t chi, xut vin hn 2 thng nhng vn cha t tiu tiu c, t chi nhc nhch c nhng rt hn ch. Ti chm mt tun (6 ln), bnh nhn iu khin tiu tiu nh , rt ng thng tiu v khng cn bm thuc khi i cu. Sau hai tun chn c sc v bt u tp i. Sau mt thng i c, c ngi du. Lc by gi bnh nhn xin ngh n BV tp VLTL. V bi lit do di chng xut huyt no th c nhiu.Kt qu rt tt nu c iu tr sm ngay khi xut vin.

Lu : Khng c dng qu 3 tun l. C th k thai.

TR M THP THY

T-Minh.

m, thp, v thy l ba tc nhn gy bnh thng c mt trong nhiu loi bnh chng khc nhau. Chng thng quy ri c th bnh nhn v gy tr ngi cho vic tr bnh chnh cho bnh nhn . B huyt TR M THP THY ny c hnh thnh vo u nm 1990. Qua 3 nm th nghim, truyn b, b huyt ny t r hiu nng ca n, k c vi nhng hc vin cha nhiu kinh nghim hoc cha c hc v ng y. Tnh An Giang v th x Long Xuyn l ni c ph bin u tin, sau khi ti t c mt s kt qu lm sng ti TT/DC-KLP 19B Phm Ngc Thch, qun 3, TP.HCM, nhn mt dp i hun luyn ti . ng bng sng Cu Long vn nhiu sng nc, vic nhim thy thp l iu ng nhin, nht l vi cc b con nng dn, cng ph bin hn n gii (thng tm m ao, rch sng ngi).

A- PHC , K THUT TC NG:

C 3 phc dng cho 3 mc bnh khc nhau t nh ti nng. Lc thp l dng cho trng hp thp nh, tr thp c dng cho mc thp trung bnh, trc thp l trng hp thp nng . Lc thp : 107, 240, 12, 184, 290, 7, 347 . Tr thp: 521, 87, 22 B, 235, 127, 347, 236, 85, 29 (222), 53, 7 , 63, 64, 287, 19, 39, 1, 290, 240, 26,103. Trc thp: tc ng trn cm; b mi di; b mi trn v cnh mi (gii hn bi php lnh), ton b mi ko di ln vng huyt 103-175. Phc ny c dng khi cn trc m thp thy tht mnh. V mc bnh Thp Thy cn iu tr nhiu mi c kinh nghim phn on. Nu cha kinh nghim cc bn c th dng phc lc thp trc, nu khng hiu qu mi tng dn theo cc phc sau. Ch : - Cn chn on v hn nhit trc khi iu tr . - Rt t khi phi dng trn b huyt nu trn. - D sinh huyt trc khi tc ng. - S dng que d c du cao trc, nu khng c tc dng mi s dng ngi cu trong nhng trng hp bnh thuc hn . - Nu s dng que d th day mi huyt chng 30 ci vi vaseline khi bnh thuc nhit, vi du cao khi bnh thuc hn. - Dn cao khi bnh thuc thp-thy nng (thng thuc hn chng). - Nu s dng ngi cu th h nng mi huyt 3 ln ri xoa du cao vo huyt, khi bnh thuc hn nng. - Mi ln iu tr cn xem xt li trc khi dng, phng s qu liu rt d xy ra.

B- KINH NGHIM LM SNG :

Mt hay cc hin tng sau y s xy ra khi chn on ng v iu tr ng mc : - Bnh chng thuyn gim r rt. - Bnh nhn c th t ngt i tiu lng, st hoc c m nht ln trong phn. C th au bng hoc khng, nhng khng qu 5 ln trong mt ngy m, cng i tiu cng thy ngi thoi mi ch khng mt nh cc trng hp i tiu lng khc.

- Bnh nhn c th kht nc hn, nn ung ngay nc m hay un si ngui (khng nn ung nc p lnh hay nc ) v ung t t ch khng ung nhanh. Khi cm thy ht kht th ngng ngay ch khng ung cho ht nc rt ra ly. Tnh trng ny c khi do tc ng qu liu, do cn hi k ngng kp thi, trnh tc dng xu. - Bnh nhn c th thy chong vng mt lc ri t ht, sau khi iu tr v. y l hin tng tt. - Bnh nhn c th thy c bp ton thn rn rn nh c ci g chy nh nh; r nht vng bng di v hai chn. C th hai chn bng t rn, mi nh hoc yu sc hoc au nhc (trc y khng c hoc qu nh);nht l khi bnh nhn ang c bnh thuc vng bng di tht lng hay vng chn. - Bnh nhn c th bng b ni mn nga (ging nh b d ng), c yn tm v khong ba ngy n hai tun sau s t ht ty nh hay nng. y l s gii c. LU : khi bnh nhn c mt trong cc hin tng sau y l ta chn tr sai hoc tc ng qu liu v huyt hay v k thut . - Bnh nhn bng cm thy chn n hn trc. - Bnh nhn b nng ngi, kh ngi, kht nc, ung nc thy ngon ung tht nhiu mi thy ht kht, ngi thy mt (khng phi mi), hi hp tim , kh ng. Nn dng nc da, da hu, hoc thanh long km vi b huyt B M HUYT in li huyt dch cho bnh nhn .

C- TC DNG:

Loi tr m, thp v nc ng trong c th bnh nhn.

D- CH TR:

Gii quyt tt c cc bnh do m m gy ra; dt im hoc h tr cho cc phng hng iu tr khc. Tuy nhin, gi gn v phc hi chnh kh ca bnh nhn l vic cn ch trc v sau khi dng n.

C th dng iu tr cc bnh thng gp nh: ho m, thy thng, thp khp, trng nc nng (khi B THNG t ra km hiu qu), huyt trng khng c yu t nhim trng, bo ph bnh l (mp nc), i tin phn nho thng xuyn, n km lu ngy m cc loi thuc b khng c tc dng (v m thp ng cn tr s hp thu ca c th).

E- CHNG CH NH:

Cng nh cc phng n iu tr c tnh tn cng khc, khng nn dng b huyt ny cho cc bnh nhn suy nhc, suy tim, to tim. Tuy nhin khi m thp thy l nguyn nhn gy bnh th r rng phi tr gp lp li s lu li cho cc tuyn sinh l c th, nu khng s rt kh gii quyt cc bnh chng lin quan(trng hp ny phi rt cn thn khi dng). F- CH SINH HOT, N UNG: Trnh ti nhim thy m sut thi gian iu tr v sau khi iu tr xong khong ba thng. 1- V sinh hot, king c cc hot ng sau y: tm ban m, tm nc nng m lu (nn tm nhanh), ung nc nhanh (nn ng t tn), tip xc vi nc nhiu, nm ng di t, tip xc vi sc nng nhiu v lu. 2- V n ung: c dng cc th qu mt hoc lnh, cc th c cht nht nh u bp, mng ti, rau ay, khoai m, sa c, lng trng trng Cc loi c, mng v cc thc chua k c cc loi mt lm t thc chua nh mt me, mt du..vv. Cc mn ny c v nghch l vi Ty y nhng kinh nghim thc t cho thy l phi c !!??

G- KT LUN: C th l do n ung sai php dng sinh m to ra bt ng. Nhng thng thng m Thp Thy l nhng sn phm c to ra khi c mt trc trc sinh l no .Tuy vy bnh nhn khng ch v qu trnh to lp thng chm chp tng cht mt cho n khi cng th mi gy tc hi.V vy t ai cnh gic m c khi cn cho l s t nhin ca c th ! Do h khng k ra khi khai bnh. Tuy l mt sn phm c v bnh thng (di mt bnh nhn) nhng chnh chng l tc nhn gy bnh v cn tr vic iu tr bnh chnh. Vic iu b chnh n sinh l c th cho bnh nhn l mc tiu ti hu, nhng nu khng tr chng i trc th c khi cng kh t mc tiu tt p ny. V l mt phng php tn cng nn khi dng b huyt ny chng ta cn theo di k lng din tin lm sng linh hot iu chnh mc iu tr cho thch hp; tn cng ng lc, dng li ng lc v bi b (bng b B M HUYT hoc B TRUNG) ng lc hu t hiu qu tt. Mun th xin qu v lu phn A v B ca bi ny. TP H CH MINH, ngy 5-1-1994. B M HUYT

T-Minh

m huyt km l nguyn nhn ca rt nhiu bnh chng. Vic chn on m huyt km khng kh. Kh l bi b cho t yu cu. C nhng trng hp bnh nhn ung thuc b ng dc hoc Ty dc hng my thng vn khng h chuyn bin ! Tht l kh hiu v bt hp l. Trn lm sng khng t ln chng ta b tc khi gp trng hp ny. Bnh v m huyt suy m khng b c th khng th tr dt bnh m ch lm gim chng. Th th c phi gp nhau hoi, lm bnh nhn nn lng m thy thuc nn hn, i khi cng tr theo chng li cng lm m huyt suy thm. Cho nn khi xy dng c b huyt B M HUYT ny, ti v cng mng r v qua thc t s dng thy kt qu rt tt ngoi mun ban u. Xin trnh by chng ta cng dng, gip cho bnh nhn.

A- PHC : - 22, 127, 63M+ -, 17+ -, 113+ -, 7+ -, 63, 50, 19, 39, 37, 1, 290+ -, 0+ -. Khng phi lc no cng s dng ht cc huyt trn, m ch dng nhng huyt c bo bnh. B- K THUT : Trn lm sng thng c hai th khc nhau: hn v nhit. - Hn chng th ngi mt cho ti lnh, cm gic tng i s lnh hn s nng. - Nhit chng th ngi m n nng, cm gic tng i s nng hn s lnh. Khi m huyt km th nng lnh u s. Thin h cha nng mnh nng, cha lnh th mnh lnh nn ti dng ch tng i. 1- Hn chng : dng ngi cu h mi huyt nng mt ln khng xoa du, theo th t trn. 2- Nhit chng : dng que d chm vaseline day mi huyt 30 ci nh nh theo th t nh trn (khng cn day mnh cho tht au - vaseline y ch nhm bi trn ch khng c tc dng g).

C- TC DNG V CH TR : Qua thc t p dng t nm 1991 n nay, ti nhn thy b huyt ny c cc tc dng nh sau : - Gip bit i khi ti gi n, n ngon ming, tiu ha tt, hp thu tt, bin dng tt. - Sinh tn dch, sinh c nhc, to hng cu. - iu ha thnh phn mu.

Qua , n tr c cc bnh do huyt h suy, thiu tn dch nh : suy nhc c th do n km hoc n tt nhng khng hp thu nn vn gy k c cc trng hp ung nhiu thuc b ng Ty y; thiu hng cu; thiu huyt sc t trong mu, thiu huyt tng; tiu ng; cholesteron trong mu cao; giai on u ca cc bnh thuc v s thoi ha (nh thoi ha vng mc, thoi ha thn kinh th gic ); to bn kinh nin dng m h (phn d)

D- NG BIN LM SNG

Thng thng, ch sau ba ln iu tr l bnh nhn bt u chuyn bin nh thy i bng, n ngon ming hn nhng kt qu cui cng ln cn th khng nhanh c m phi c thi gian. Nu sau ba ln dng b huyt ny m khng thy hiu ng g th thng do c th ng thy thp qu nhiu, cn tr thp trc ri b m huyt sau (xem bi TR M THP THY BNG DC-KLP). Trong bnh tiu ng v cholesteron trong mu cao ta cn thm huyt 347. Nu thiu hng cu hoc huyt sc t ta phi dng trn tam gic T 37, 40, 481. E- KT LUN :

B B M HUYT ny hiu qu rt tt trong nhim v bi b c th n thun. Ring khi dng cha bnh th cn kt hp linh ng vi cc phc khc mt cch kho lo mi mong t hiu qu cao. Tuy nhin vi bnh nhn trn 70 tui th vn kh khn hn.

Tp H Ch Minh 1-1-1999.

TIU VIM GII C

PHC : 106, 26, 61, 3, 37, 50, 41, 437, 38 , 104 + -, 156 , 235, 87, 173 ( 143).

K THUT:

Chn on hn nhit, chn k thut thch hp. Tt nht l chm kim. Tuy nhin trong tnh trng c th nh vy, rt d b vng chm (ngt xu trong khi chm). Day du trong bnh hn, rung huyt hoc day bng vaseline trong bnh nhit.

TC DNG CH TR: Gii c mu, lc mu. Khu phong c. Chng d ng do n ung (nu cn c th thm b B Trung). Gii c cho c th v lm tan vim do nhim c. D nhin cng cn thm vi huyt trong b Lc thp nh 240, 290, 7, 347. Nn dng trong nhng trng hp: c nhim c nh cn trng cn, phng ha cht (thm phn chiu ni b cn, b phng). nhim c thc phm nu mi b nn thm phn chiu ng tiu ha; nu b vi ngy ri th khng nn v s hn ch vng tc dng trong khi cht c pht tn ton thn, ch dng sau khi bnh nhn tnh hn nhng cn au bng. Nhim c y thuc kha cnh ha cht, khng phi nhim trng, cc triu chng ging nhau (au bng, st,tiu chy) ch thm c biu hin v thn kinh nh chong vng, tai, m mt, nhc u. Nhng bnh do mu b nhim m ra nh gh nht, chm lc, d ng thc n. Trng hp ny cn iu chnh tng trng h tr. C th dng vi ln u (3 n 5 ln) trong nhng cas vim xoang mn tnh.

T Minh, 2006 PHC HI CHNH KH. Lng y T Minh. Trong ng y, cn bng m Dng v iu b Kh Huyt l nguyn l ca vic cha bnh. V phc hi s cn bng m Dng v iu b cho kh huyt y l phc hi c chnh kh. Trn nguyn tc, chnh kh vng mnh th t kh t lui. Thng thng nu chnh kh cha b suy yu th vic cha bnh kh n gin: chn on bnh thuc hn hay nhit, tm Sinh huyt theo hnh phn chiu hay theo lut ng ng ri tc ng vi k thut thch hp l thnh cng. Phc tp hn mt cht na l bnh c c ch khc, khng ch l hn hay nhit. V cng phc tp hn khi chnh kh suy yu. Lc ny hu ht bn ch lm gim c triu chng ngay ti ch m thi. Ti may mn tm c cch phc hi chnh kh bng Din Chn-iu Khin Liu Php thun ty, m trc y ti thng gi l iu chnh tng th iu chnh tng trng. thc hin trn lm sng t nm 1995 u c nhng thnh cng tt p. Hn 15 nm thc nghim, rt ta kinh nghim. Nay xin ph bin chnh thc nhng ai yu thch DC cng dng c rt ngn thi gian, nng cao v duy tr hiu qu iu tr.

Trc ht, cc bn cn bit o huyt p theo kiu ca ti, trnh by trong bi k thut o huyt p v trong a video chn on bng huyt p k. Cng nh trong Blog 360plus ca ti (vo 360plus ca Yahoo Vit Nam, g taminhdc, cc bn s tm thy trang Blog ny). Sau khi c kt lun huyt p ca bnh nhn thuc Dng chng hay m chng, k tip l chn vng thch hp (vng c nhit c bit, theo bi Lm Sao t T c) l chng ta c th bt tay vo vic cn bng m Dng v iu b Kh Huyt. Vic thc hin phc hi chnh kh nu trn theo hai v Dng-Kh v m-Huyt nh sau. PHC HI DNG, KH: khi thy huyt p thuc m chng th ta bit Dng hoc Kh bnh nhn b suy. Nu bnh nhn s lnh hoc lm vic khng bn sc d sing nng l Dng suy. Nu bnh nhn khng s lnh tuy u oi li bing m khi cn th lm vic bn sc l Kh suy. Nu cc hin tng trn u c l Dng v Kh u suy. Chn vng thch hp, chn k thut thch hp, dng B Thng. Nu Dng suy, ta lm m huyt bng mt trong cc k thut sau y (c cng iu tr t nh n mnh): day c du, dn cao salonpas, h, h c du, day du ri dn cao, day du ri h v dn cao. Vic chn cng cn kinh nghim c lng, nu cha kinh nghim bn c th chn cng nh trc ri tng dn khi thy khng hiu qu. Trng hp ny, vng thch hp thng l vng lnh nht v thng xut hin bn chn; Nu l Kh suy, bn ch day B Thng. Thng s l vng m nht trn c th.

PHC HI M, HUYT: khi thy huyt p thuc dng chng th ta bit m hoc Huyt bnh nhn b suy, hoc c hai kha cnh m v Huyt u suy. Trng hp ny khng cn chn on thm nh trn m ch cn dng b B m Huyt m thi. B B m Huyt s t ng b m hay b Huyt hay b c hai cho c th. Nu bn chn lnh, bn cn h, khng c bi du vo huyt. Nu bn chn mt, bn day c du. Nu bn chn bnh thng hay m bn day khng du. KINH NGHIM LM SNG. 1- Trong cc ln iu tr sau bn lun cn khm nhanh li trc khi iu tr: s mt, bn tay, bn chn, mi mt xem c s bin i no. Nu c bin i, bn cn bm theo bin i thay i vng tc ng, phc v k thut cho thch ng vi tnh hnh mi. C nh vy bn mi thc hin tt vic phc hi chnh kh cho bnh nhn. 2- Nu huyt p m chng m nim mc mt c lp trong nht hay trng l Dng hay Kh suy km m hay Huyt km hoc c hai u km. Bn li phi dng b B m Huyt-Thng nh sau: 22, 127, 63M+-, 17+-,113+-,7+-,50,19,39,37,40,481,1,73-+,189,103,300-+,0+-. Phn cn li trong iu tr; bn chn phc , chn phn chiu, chn k thut thch hp tr theo c ch bnh chng bnh nhn ang mc phi.

y chnh l quy trnh cn bn iu tr cn thit vy. Trn thc t, c rt nhiu hin tng pha tp chi tit kh lng trnh by cho ht. Bn c m ly cn bn ny m lm, cc vic cn li c th s t iu chnh. TP. Thi Bnh,1 gi 22 pht, ngy 11-11-2010.

CC BNH THNG GP

Cc bi vit sau y gii thiu cng cc bn cch thc nhn din v gii quyt mt s bnh thng gp m ti thnh cng tng i l chc tay. Ga tr ca phc tng i n nh. Trong mn phi DC-KLP c th c nhiu phc gn hn, hay hn nhng bt buc cc bn phi nh nhiu phc cho mt bnh v phi m mm tm phc thch hp. l iu ha ra l kh ch khng phi d. y, ti xy dng kiu iu tr theo c ch bnh, mi u c v kh nhng khi quen th li rt d v ch cn thuc cc phc iu chnh theo c ch nh b m dng kh huyt, tiu vim, tr thpv.vsau l phn chiu hay ng ng l xong. Cc bnh c phn loi theo cc h thng bnh ca Ty y. V bnh danh (tn bnh) a s cng c dng theo Ty y. iu ny gip cho cc bn c th p dng c khi bit tn ca chng bnh mnh ang can thip.Vic cn li l cn chn on hn - nhit (lnh nng) cho ng na l xong. Chc cc bn thnh cng.Mi thc mc nu c, hy lin lc v :

Lng y T Minh.

-Mobile ( TD ): 091.8388718. E mail: taminhdc@yahoo.com, minhta2002@hotmail.com. Blog: vn.360plus.yahoo.com/taminhdc.

CCH CHN ON BNH DO LNH HAY DO NNG GY RA:

- Bnh do lnh: au tng v m hay sng sm, tri tr lnh, vo phng lnh, tri ma hoc n ung lnh t nhit lng vo chng 30 pht sau th au tng. Ti gi l CC YU T LNH. - Bnh do nng: au tng vo bui tra, tri tr nng, nng gt, n gn la hoc n ung cay nng nhiu nhit lng chng 30 pht sau th au tng. Ti gi l CC YU T NNG.

CCH IU TR: S dng cc cng thc iu tr bnh theo mt trong hai cch di y sau khi bit bnh do lnh hay do nng gy ra. - Bnh do lnh: nu bnh nng (lnh nhiu) th h xc du, bnh va va hoc nh cc bn dng du day vo huyt hoc qut hoc co cc phn chiu. Trng hp bnh do nhim m thp bn dng salonpas ct nh v dn ln huyt hoc vng phn chiu, nh vy trong 2 - 4 ting ng h. - Bnh do nng: nu bnh nng (nng nhiu) dng nc p vo cc huyt 2 pht mi huyt ri i sang huyt khc theo th t trong cng thc. Nu bnh va va bn dng que d ln gai hay ln inh. Nu bnh nh bn dng cch rung huyt, day n bng que d hoc co vi vaseline.

H H HP.

VIM HNG.

Nhng bnh chng thuc vim hng gm c: vim amidan, vim hng ht, vim vm khu ci, vim thanh qun , vim VA. Trong cc b phn ny th VA l b phn c v tr cao nht, thanh qun c v tr thp nht. Vim hng lun au hng c th c ho, c th c m. Nghe phi thy bnh thng. 1- Vim Amidal: ni v nut u au v c cm gic nghn nght hai bn c hng. iu tr : tiu vim, 12 n 240, 275, 14, 277. 2- Vim hng ht: ni v nut u au, nut au hn. iu tr: tiu vim, pha sau di tai, t huyt 56 n 15, ko di xung ngang khong 308. 3- Vim vm khu ci: ni au hn nut, khng nght, vng gia v trn hng (ch nght khi vim cp tnh v nng). iu tr: tiu vim v ng ng (da h khu bn tay, c hai mt). 4- Vim VA: au vng trn hng, ch tng nh khi nut, khng nght khi nut nhng c th c cm gic nght khi th .iu tr : Tiu vim, phn chiu VA (vng trc huyt 57, vng 108 26). 5- Vim thanh qun: au vng di hng v nght khi ni ln nut nhng ni au hn. iu tr:tiu vim, phn chiu (vng t 14 ko thng xung gc xng hm di), ng ng (vng u mi). 6- Vim thanh i: R hoc mt ting, thng sau mt trn cm. iu tr: 127,50,19,37,1,0 + , tiu vim,vng t 19 n 173.

C th thm B Trung trc b Tiu Vim. Phi chn on hn nhit c k thut tng ng. C khi hn nhit ln ln th cn tr theo hn trc ri nhit sau, cn phng trng hp vim do nhim trng. Cch nhn bit vim do nhim trng: au, c st i khi st cao, cha bng DC khng c hiu qu hay hiu qu km v tr bnh li ngay sau chng 30 pht ./.

VIM MI.

Vim mi kh phc tp, c 4 nguyn nhn in hnh: vim mi do hn, vim mi do nhit, vim mi do hn nhit ln ln, vim mi do mi bi (khng nguyn). Vim mi thng c 2 kiu: dng khng nght v dng c nght. Tuy nhin trn thc t may mn lm ta mi gp mt bnh nhn vim mi ch c mt nguyn nhn, m thng l do 2 nguyn nhn tr ln v kiu vim th tng hp. 1- Vim mi do hn: ht hi khi gp yu t lnh nh sng sm, chiu ti, ma hay gi lnh. C th s mi nhng c im l nc mi long nh nc khng nhy nht. iu tr: dn b thng, lu dn 2 gi.

2- Vim mi do nhit: triu chng xy ra khi gp yu t nng (ngc li vi trn). Nc mi c cht nhy nht. iu tr: day vaseline hoc rung huyt b Ging hoc b Tiu vim, co hoc ln gai nh phn chiu mi. Lu v vim nhim trng. 3- Vim mi do hn nhit ln ln : ht hi s mi khi thay i yu t nhit hoc mi trng, nhit thi tit. Nu nng c th ch cn t ni nng vo ni bng mt hoc t bng mt ra ni c nng cng u ht hi v s mi. iu tr : chia lm 2 giai on, giai on u dng b B Trung bng du v phn chiu mi, giai on sau dng day vaseline b Tiu vim v phn chiu mi . 4- Vim mi do khng nguyn (do mi hoc bi) : ht hi s mi khi gp khng nguyn. Khng nguyn c th l bi ng, bi khi xe, bi mc c trong vt dng c, bi trong nh, lng th vt, phn hoa, mi ha cht . iu tr : cng chia lm 2 giai on: giai on u iu tr nh vim mi dng hn, giai on sau dng b Ging phi hp b Tiu vim v co phn chiu mi.

Nu trn l dng khng nght. Vim mi dng nght: triu chng ch yu l nght mi, c th km s mi. y l dng kh tr nht v c polyp trong mi (dn gian thng gi l tht d trong mi, ng Y gi l T Tr), va c tnh vim ph n va vim xung huyt, va mang tnh d ng vi khng nguyn rt a dng, thm ch c khi c nh hng ca yu t thn kinh. Nu ch vim ph n th tng i d cha, cn tiu vim lc thp phn chiu polyp bng du. Vim xung huyt th dai dng hn cng tiu vim phn chiu polyp nhng khng dng du, kt qu rt hn ch. y l dng phc tp nht nn hiu qu km v cn lun thay i phc k thut i ph vi din bin hng ngy. King c: lnh th c lnh, nhit th c nng, do khng nguyn v c polyp th trnh cc khng nguyn v lnh chua- g - mm- np -tm cua -rau mung. Kt lun :Trn lm sng t khi gp trng hp in hnh nh nu m thng c s pha tp nhau. Cn theo di triu chng mi ngy v bin i theo triu chng da vo cc nguyn tc nu trn i ph triu chng km vi iu tr gc bnh./.

PHC TNG QUT IU TR VIM MI: Gia nm 2007, ti li nghin cu ra mt phc cha mi th loi vim mi, hiu qu kh cao. Nay b sung vo bi ny cc bn dng: 108, 312, 1, 64, 3, 34, 129, 26, 61, 37, 50, 38,156, co tam gic Ph nh, phn chiu mi theo H m, H Ngoi vi V No (hai bn mang tai).

VIM XOANG

Xoang l nhng mnh xng vng mt c cu to khng c m y l hang,c cc dy thn kinh v c bit l mu ra vo rt nhiu. Xoang b vim khi nhim trng hoc mu li v hoi t trong n. DC-KLP iu tr bnh ny rt tt v ngoi tnh khng vim cn tnh khai thng tun hon huyt y. C hai loi xoang: xoang cn (xoang hm trn, xoang trn, xoang sn trc) v xoang su (xoang sn sau, xoang bm), tng cng c 5 xoang. Ngoi ra trn thc t ta thy thnh thong c bnh nhn b vim c xng sng mi, tuy nhin y khng c coi l xoang. Trn thc t ngi ta hay dng t VIM XOANG MI. Khi vim hai xoang tr ln th gi l vim a xoang. a s bnh nhn b vim a xoang. iu tr vim xoang mn: hn chng th day c du b Tiu Vim Kh , 300, b v phng chiu cc vng xoang. Nhit chng: day b huyt nu trn khng c du, ln inh hay ln gai cc vng xoang. iu tr vim xoang cp: Khi vim xoang mn thnh thong xoang b vim cp th bnh nhn c st. Cn chn on hn nhit dng k thut thch hp. Nu hn chng th cn h nng v xoa du theo phc nu trn 3 ln mi huyt v v tr cc xoang; khi ht st th ngng h v iu tr tip theo vim mn do hn. Nu nhit chng th y l c nhim trng, dng nc p lnh hoc ln inh v kt hp vi khng sinh hoc vch theo 6 vng phn chiu bch huyt cho nhanh. Sau khi bnh nhn ht st th ta li iu tr theo cch tr vim xoang mn. Khng nn h hay p lnh thm, c th gy hu qu khng tt cho bnh nhn sau ny. LU : trong xoang ang b vim thng c m, cc l thot ra khng nhiu v rt nh, khi dng ngi cu h, m c th b c c li v kh cng, khng th thot ra cng nh rt kh tiu i. Tuy cch h c hiu qu cao trong cc bnh do hn, nhng li khng an ton trong vim xoang. Do , bn no tng cha vim xoang hn c lc tht bi m khng bit do u. V bnh nhn thng bin mt sau vi ln iu tr !!!

King c: king tuyt i cc thc n ung sau: cc thc t t lnh,cc thc chua, g, mm, np. Trung bnh t 3 n 7 ln iu tr l bnh nhn ht nhc u. Nhng cc xoang cha khi vim hn, cn iu tr tip cho n ht sinh huyt cc vng xoang. c nh vy, bnh nhn mi kh ti pht bnh. Tuy nhin cn king c thc lnh lu di vi thng sau . Khi iu tr xong, bnh nhn c th n ung bnh thng nhng khng nn lm dng cc thc lnh v cc thc gy vim nh nu trn. V c th bnh nhn km chu ng cc loi thc n ung ny.

VIM PH QUN V HEN PH QUN.

Phi ni l vim ph-kh qun mi y . Trn thc t hai b phn ny ring bit nhau v c lc vim ring l nhng a s h vim kh qun th km vim ph qun v ngc li. Ho l triu chng ban u, sau vi ngy khng gim c th s gy au hng. C th c m hoc khng. Phi c ting rt hay ran hoc c hai . St nu vim cp, khng st trong trng hp vim mn tnh, nhng khi vim mn th thng d b nhng t vim cp xen k. Cn ch hin tng ny c gii php ng kp thi. Vim ph qun mn tnh rt d chuyn thnh hen ph qun ( ngy nay ngi ta dng thut ng hi chng thuyn tc phi, hi chng ho-kh th phi, hi chng tc nghn phi, hi chng tc nghn h hp phi ch tt c triu chng kh th do phi v ph kh qun ). iu ny ring c nhn ti thy rng nh ngha ngy xa ng hn v suyn th khng c m m hen th bt buc phi c m d c th rt t, i khi t n mc bnh nhn khng cm thy c m, nghe phi cng khng r nt lm, nht l khi th trng BN suy kit. V trong thc t nguyn nhn v cch iu tr hen v suyn hon ton khc nhau (nht l iu tr bng phng php DC) d rng hin tng bnh u th hin phi, trnh by trong bi Hen Suyn. Vim Ph qun:ho,thng thng l c m, nu ho nhiu th km au hng. Dng b Tiu vim, phn chiu kh ph qun, hn th lm m nng bng du hay ngi cu , nhit th lm day bng vaseline v ln gai. Nu m nhiu th nn dn cao. Lu dn 2 gi mi ngy. Nu vim cp th c st . Hn chng th phi dng ngi cu h xc du ri dn cao phc nh trn. Nhit chng l c th c nhim trng, nn phi hp vi khng sinh, v thuc ty nn khuyn bnh nhn theo kin BS v thuc ty khng thuc lnh vc ca chng ta (chng ta khng rnh thuc ty bng BS). Nhng nu bnh nhn gy mn, m h kh khan th c th khng thy c m, thm ch nghe phi ch nghe rt ch khng c ting ran. Trng hp ny iu tr kh khn v bnh nhn suy kit lu. Cn va b m huyt va day tiu vim v phn chiu kh ph qun. K thut th ty nghi m ng bin cho ph hp. C mt s trng hp bnh nhn ch ho vi cn trong ngy, tr bng nhiu phng thc khng khi. Trc khi ho l nga hng d di, ho khan mt lc lu cho n khi khc ra c mt t nht hay mt ht m chng bng ht go mi ngng ho. Nghe phi thy bnh thng. y cng l vim Ph Qun nhng vng vim rt nh m li su. Dn Tiu vim, d tm sinh huyt vng b vim. Lu dn 2 gi. C tuyt i lnh, chua, g, mm, np. Hen ph qun: khi vim ph qun lu ngy m khng iu tr dt c, bnh c th chuyn sang th hen gi l hen ph qun. Triu chng gm c ho - t hay nhiu ty trng hp, sau l nght th. Cch iu tr nh vim ph qun -v bn cht l mt- ch khc nhau cp . Khi ph qun bt vim th cng gim nght th. Nu trn l hai trng hp cn c th cha c. Ngoi ra cn c cc bnh chng cng t vim ph qun m ra nhng rt nng, chng ta khng tr c v ngay c bnh vin tr cng rt kh khn : dn ph qun, tm ph mn. V ho ngp lu ngy gy suy tim. Nhng nu mi b nh hng vo tim ta cng c th cha c, ch cn kin tr v kho lo, xem thm v H Tim Mch.

HEN SUYN

Thng thng ngi ta hay gi chung ngp th l hen suyn. Trc y khong vi chc nm thp nin 60, y hc chia lm hai loi vi hai triu chng khc nhau kh r l: HEN th va kh th va c m ko kh kh. SUYN th ch kh th m khng c m. Khng hiu v l do g m gn y ngi ta li gp chung hen v suyn li thnh HI CHNG TC NGHN PH QUN PHI v khng cn phn bit c m hay khng c m na. Theo nhn nh ring ca ti th nh ngha trc y l chnh xc. V thc t cho thy nu cn c theo ng y th hen v suyn c nhng triu chng v nguyn nhn gy bnh kh khc nhau cng nh cch iu tr rt khc. Ni bt nht l nu iu tr theo cc phng php s dng huyt th phng huyt khc xa nhau (th hin rt r khi dng DC-KLP). Cng theo kinh nghim ring ca ti th HEN l mt tin trin nng ca vim ph qun mn tnh m gc v ngn u phi (Ph), d nhin cc tng ph khc c nh hng n nhng ch l gin tip thng qua th trng chung trnh by trong bi Vim Ph Qun . Cn suyn l mt bnh c ngn phi nhng gc c th xa nh can, tm,thn, t, tiu trng, v vvc im l khi ln cn kh th khng c m (nghe phi ch c ting rt thun ty), ln cn thng c quy lut v km vi mt triu chng thuc ni tng khc . Chn on v iu tr SUYN th hon ton theo bin chng ng y. Trong khi HEN ph qun th li chn on v iu tr theo bin chng Ty y. y l mt iu rt th v vi ti khi nghin cu v tm ra gii php chn tr hai bnh chng ging m khc nhau ny. y ch cp n Suyn cn Hen c gp vi bi Vim Ph Qun trn.

SUYN

Suyn theo Ty y l mt bnh thuc loi d ng c nguyn nhn l sc khng km, theo ng y l do chnh kh h. Thc cht l cng . Vi Ty y th iu tr triu chng l ch yu. Tuy nhin ng y li cha tr tt hn v ci nhn v tng th bao qut hn. Trong khi nim v m Dng l c sc ring. V vy bi ny ch trnh by phng hng iu tr bnh ny theo ng y m thi. Theo ng y tm chia suyn ra lm 4 th : thc nhit, thc hn, h nhit, h hn. Tuy nhin bn cht ca suyn lun thuc h. S d c chng thc v gp yu t bt li cho c th, tng t nh Ty y nhn xt l trn nn bnh mn tnh c nhng t cp tnh. - Thc nhit: triu chng d di, bnh tng khi gp yu t nng. Yu t thuc nng nh thi tit nng, m thp (hanh kh), mn n nng (nhiu nng lng) nh chocolat, cc loi tri cy c v ngt m. iu tr: t nhit mnh bng b Ging, phn chiu h h hp, v k thut th ty mc bnh ty th trng bnh nhn m chn cho thch hp. King c: cc yu t nng. - Thc hn: triu chng d di, bnh tng khi gp yu t lnh. Yu t lnh nh thi tit lnh, m cao (m t), mn n t nhit lng nh cc loi rau, qu khng ngt li nhiu

nc nh cc loi da..iu tr: t hn mnh bng b Thng, phn chiu h h hp. V k thut th ty chn cho thch hp. King c: cc yu t lnh, cc yu t m t. - H nhit: triu chng nh nhng, bnh tng khi gp yu t nng, yu t gy mt sc. iu tr: lng b tng ph gc bnh bng b b m huyt nu huyt h, bng b B Trung nu kh h. Nu cn th thm phn chiu h h hp. K thut ty chn. King c cc yu t gy tng bnh. - H hn: triu chng nh nhng, bnh tng khi gp yu t lnh, khi gp yu t gy mt sc. n b tng ph gc bnh bng b B m huyt nu huyt h , bng b B Trung nu kh h. Nu cn th thm phn chiu h h hp. K thut ty chn. King c cc yu t gy tng bnh. Nhng cch phn loi ny ch p dng cho bnh l gy ra do nh hng ca tng th ln h h hp (sc khng km- theo Ty y) ch khng do mt tng ph no b lch lc gy ra. Do trn lm sng ta t gp suyn thc, nu gp cng cha kh d dng v thng l bnh mi pht hoc pht lu nhng tng trng bnh nhn cha h. Ch khi cha khng c, lu ngy tng trng b suy yu th bnh chuyn sang th h v kh cha hn. Rt kh khi th trng suy nng. Bn th bnh ny khng c quy lut theo gi gic trong ngy, ma trong nm hay theo mn n ring bit m ch theo quy lut nng v lnh hay mt sc m thi.

Nu do cc tng ph b lch lc gy ra th ta li c cc yu t lin quan n tng tng hay chu k kinh kh. Phn bit thc v h bng triu chng bnh ca ng tng,ng hnh chnh v v xung khc. Tuy nhin cn lu v kha cnh m dng, kh huyt. TH D: - Ln cn khi gp gi, khi tc gin, khi n v chua v cay (Can hp vi T gy bnh), vo ma Xun, ma Thu, vo gi Su, gi Miv.v.. L lin quan n Can. - Ln cn khi gp nng hay lnh, khi vui mng, khi n v kht - v mn (Tm T hp bnh), vo ma H, ma ng, vo gi Ng, gi T. L lin quan n Tm. - Ln cn khi gp m t hay kh hanh, khi lo ngh, sau khi n xong, vo ma Trng h hay vo ma ma, vo ma Xun, vo gi T, gi Hiv.v.. L thuc T. - Ln cn khi gp mi l, khi bun ru, khi n v cay v kht (Ph T hp bnh), vo ma Thu, ma H, vo gi Dn, gi Thn. L lin quan ti Ph.

y ti ch cp n cc tng, cn ph th sao ? Vi ph th cng tng t nh vy ch khc gi ln cn m thi. Nh vi cc triu chng ca Can Mc nhng gi ln cn l gi T Ng th ta phi ngh n ph m ch khng phi tng Can. Nhng ng qun Can m l biu l.Tng t cho cc ph khc.

Vy, i vi bnh suyn ta cn phn bit hn nhit h thc v tng ph no b trc trc iu chnh li cho cn bng da theo nguyn tc H TH B, THC TH T. Bnh hn th dng n, bnh nhit th dng lng. V nh vy khng th c phc c hiu cho bnh Suyn m ch c phng n iu tr cho bnh Suyn m thi, v c th bnh nhn v cn nguyn bnh khng ai ging ai.

Th d: 1- Bnh thuc Can khi bnh nhn ln cn mi khi tc gin, hoc n cht chua hoc khi tri tr gi nhiu. Thng ln cn gi Su (Can thc) hoc gi Mi (Can h) . 2- Bnh thuc Thn khi tri lnh hoc khi s hi hoc n mn v thng ln cn gi Du (thc) hay gi Mo (h).

Tng t cho cc tng ph khc. V th khng c phc m ch c nguyn tc iu tr: da theo triu chng ca ng y m chn on tng ph gc b bnh h hay thc, iu chnh tng ph l chnh, ph l ph. Th d: Nu do Can thc th t Can: 124, 34, 106, 26, 61, 156, 50. Nu do Can kh h th b Can kh: 127, 7 - +, 50, 19, 39, 37, 1, 0 - +, 41, 233, 50. Nu do Can huyt h th dng b B m huyt, 50, 70.

Tng t cho cc tng ph khc./.

H NIU V SINH DC.

RI LON TIU TIN

RLTT gm c cc triu chng tiu t, tiu gt, tiu lt nht, tiu kh, tiu gp, tiu nhiu, tiu m, tiu vng sm, tiu , b tiu v v niu. Trung bnh mt ngy m mi ngi i tiu chng 3 n 5 ln. Nh th nu tiu t ln th mi ln phi tng lng ln, nu tiu lng t th s ln phi tng ln .Tng lng nc tiu khong 1,5 lt mu hi vng nht hn mu bia mt cht. Tuy nhin s lng v ln i tiu thay i theo thi tit , hot ng v n ung ca mi ngi. V l do thi tit hay hot ng lm ra nhiu m hi hay ang b tiu chy th nc tiu s gim xung v mu sc m hn. Ch xem l bnh l khi triu chng RLTT khng thay i theo cc yu t gy nh hng nu trn. 1/- TIU T: Tiu t gm c s lng t hay s ln i tiu t. Nu BN ra nhiu m hi th gc bnh ch MH ra nhiu ch khng phi ng tiu (cn iu tr lm gim MH). Nu BN

i tiu lng v nhiu ln trong ngy th gc ng i tin (cn iu tr tiu chy). Nu tnh hnh MH v i tin ca BN bnh thng th y mi l bnh l h niu.Gc bnh do Tam tiu khng thng, t chu nh hng ca hn nhit. Ch cn tc ng khai thng tam tiu v phn chiu thn. 2/- TIU GT: Tiu gt l hin tng tiu t km theo kh i tiu v c cm gic kh chu vng b phn sinh dc khi i tiu. Trng hp ny a s l do nhit ut vng h tiu v Tam tiu khng thng. iu tr nh trn nhng cn thm gii php h nhit. 3/- TIU LT NHT: l hin tng i tiu vi s lng t nhng nhiu ln trong ngy. y l mt triu chng rt thng gp do nhiu nguyn nhn khc nhau : thiu mu (khm k v huyt ca bnh nhn), c vng bng quang yu (tiu th d m nn tiu th kh), bng quang b chn p bi mt khi u trong hay ngoi n hay sa bng quang, c khi l phu tch bng quang (lun thy nng n vng ny, c th cn siu m chn on phn bit), vim bng quang mn tnh (km hin tng tiu vng,tiu c, kh chu vng BQ). iu tr : theo c ch. 4/- TIU KH: l mc tiu nhng khi i tiu th kh khn, tiu chm chp, ng lu mi tiu c, thng xn thm nc tiu sau khi tiu xong. Nu do si bng quang (si trn khng gy au si c cnh bn th gy au ) th c lc i rt d dng thng sut, xem phn si niu. Nu do ph i tin lit tuyn th i tiu lun lun kh khn. y l bnh l kh iu tr , kt qu chm nu u x, kt qu nhanh nu ph n. Chn on cn da vo kt qu siu m. iu tr : vim ph n th tiu vim lc thp, phn chiu TLT. U x th b Am huyt, tiu vim, phn chiu. phng ung th TLT., cn chn on thm theo cn lm sng ca Ty y. 5/- TIU GP: l mc tiu th phi i tiu ngay khng nn c. S lng nc tiu bnh thng ch khng t. Theo Ty y th cha r c ch. Nhng vi ng y th do dng kh h hm h tiu. Cn dng b Thng, cn chn on hn nhit chn k thut thch hp. 6/- TIU NHIU: l nhiu v s ln i tiu ln s lng nc tiu. Cn cnh gic vi bnh tiu ng. Theo Ty y c th do c RL tuyn tng, tuyn yn. Vi ng y th do thn dng suy. Cn khm k v Am Dng. Thng dng b Thng. Bin php n m. 7/- TIU M: Vi tr em th thng l tiu m, tiu dm cn n nh thn kinh. Vi ngi ln th thng do thn dng suy b Thng lm ch lc. Vi ngi gi th cn lu v tuyn Tin Lit. 8/- TIU VNG SM: do nhit vng h tiu hoc c th tiu trng. Thanh nhit tiu vim, phn chiu. 9/- TIU : l tiu c mu. y l mt bnh vim nhim ng niu, thuc din cp cu nu mi pht, nn u tin cho bnh nhn i theo bc s iu tr . Nu iu tr theo ty y m khng khi th mi nn nhn iu tr v n chuyn sang vim mn. Chn on hn nhit dng bin php chng vim thch hp. Tiu vim,phn chiu ni b vim trong h niu da theo kt qu chn on ca Ty y. 10/- B TIU: l mc tiu nhng khng tiu c. Bng di ca bnh nhn cng cng ln. y l trng hp cp cu, ch tm can thip trong khi ch nhp vin. C th do: si niu, co tht c vng bng quang ( cn chn on hn nhit). Lu : i khi chng ta can thip

ngay c nhng coi chng nu do si bng quang th rt d ti pht. Do siu m chn on l bin php nn lm d iu tr c. 11/- V NIU: l khng c nc tiu trong Bng quang. i khi bnh nhn c cm gic mc tiu nhng khng tiu c, nu khng chn on k ta s lm l b tiu ! Cch chn on v niu l dng tay n t t vo bng di khu vc ca bng quang. Ta thy khng c lc i khng, hay ni cch khc ta s cm thy vng ny trng rng ( xp lp ). y l mt bnh chng do Thn mt kh nng lc nc tiu do khng c nc tiu. L mt loi bnh kh, c nhiu nguyn nhn , ti cha th kt lun c g mc d c thnh cng !

RI LON KINH NGUYT.

RLKN xt cho cng l ri lon tng th theo c hai kha cnh ng v Ty y. Vi Ty y th cn quan tm v tuyn ni tit v thn kinh cng nh thnh phn mu l chnh. Vi ng y th do ri lon v kh huyt m dng. Nhng ni chung vn khng ngoi cc chng suy yu m dng kh huyt gy b tc hoc khng huyt hnh kinh . Ngoi ra, i vi chm cu th s b tc kinh mch cng l mt nguyn nhn thng gp. Cn phn bit hn nhit. Hn th c thc hn v h hn, nhit th hu nh ch do h nhit ( c gc t m huyt h ), rt t khi do thc nhit. V vy, iu chnh RLKN chnh l iu chnh m dng kh huyt. Ni mt cch c th chnh l iu chnh tng th . Ngy no tng th cn bng th ngy kinh nguyt c iu chnh xong. Do , khng c phc c hiu. Nhng vi nghin cu c th ca Ty y , ngy nay chng ta thy khi bnh nhn c u bu trong t cung th thng gy rong huyt hoc ngy hnh kinh ko di. Do cn lu khi iu tr khng c hiu qu r rt. Tt nht l cho bnh nhn siu m loi tr bnh cn ny trc khi nhn iu tr . V mt u bu thng b xut huyt rt d bin chng thnh ung th. SI NIU

Si niu l c si h thng bi tit nc tiu gm thn, niu qun v bng quang. Si c cu to bng nhiu cht v bng nhiu phng thc khc nhau. C loi rt d tan r c loi khng tan c , nhng siu m hay X quang khng th phn bit c l loi no ( hin nay, cn tng lai thch nhng tin b ca Ty y)! Chn on hn nhit tng th v cc b h niu. iu tr : iu chnh tng th , vi cc b ta c cc phn chiu thng gp sau : 1. H niu thuc H phn chiu ni tng mt. 2. H niu thuc H phn chiu ni tng trn trn. 3. H niu nm trong phn chiu H Dng ( vng huyt 43 xung n 143 , lan ra tuyn B hai bn).

4. Loa tai l thn, mi v cm l bng quang, niu qun chy t 0 xo theo b di xng g m xung n vng huyt 38. K thut: vi tng th ta chn k thut thch hp, iu chnh xong. Vi cc b h niu ta chn li k thut ph hp, phn chiu th ch cn dng h no nhy cm nht m thi: C hn: dng ngi cu h c xoa du theo h niu . C nhit: dng ln gai ln mnh theo h niu. Ln inh hiu qu cao hn ln cu gai. C th kt hp vi kt qu cn lm sng: pH ca nc tiu thp ta cho bnh nhn dng thm cht km nh rau ng om, rau ng gai..i khi l cht cht. pH ca nc tiu cao ta cho bnh nhn dng thm cht chua, trng hp ny ch dng khi bnh nhn khng c tin cn hay ang b lot d dy t trng.

Lu : Ta nn khuyn bnh nhn dng mi ngy 4 - 5 ht Li i ( i, i i ) ngm nc n hon ton, b v v ht, ung phn cn li, c th pha ng cho d ung. V si hnh thnh c l do cc protein c trong nc tiu kt dnh cc tinh th li vi nhau, ht i c th lm tan cc protein ny gip phn lm r cc tinh th si. a s cc trng hp si thn ln u a n huyt p cao. Cn cn thn v c th gy tai bin tim mch cho bnh nhn . Ta thnh cng tng i d dng khi si nh 4 -5 mm tr li , nm vng b thn, niu qun hay bng quang.Nu si nm su trong nhu m thn th khng th trc xut mt cch d dng c. V th ta thy c nhiu trng hp thnh cng rc r nhng cng khng t trng hp tht bi . Cn dn bnh nhn : ang trong giai on iu tr m bng nhin au qun bng v vng lng tng ng ( cn au qun thn) th phi nhp vin ngay, phng trng hp khi si i ngang qua niu qun lm rch niu qun l mt trng hp thuc dng cp cu ti bnh vin, nu nm nh l khng an ton cho tnh mng bnh nhn .

TP. H Ch Minh 1993.

SUY NHC SINH DC.

SNSD gm c dng nuy , to tinh ( su tinh), lnh cm. C nhiu nguyn nhn : Do tng trng suy yu : kh nng sinh hot tnh dc gim dn . iu chnh tng trng . Do tm l : lc mnh lc yu, hoc n i vi ngi ny th tt ngi kia th khng tt. iu tr nh sau : dn cao 124, 34, 103, 106, 342, 340, 175, 107, 0 cho hn chng ( dng nuy) . Vi nhit chng ( to tinh ) th day vaseline 0+ -, 124, 34, 106, 60. Tuy nhin cng cn iu chnh thm v tng trng . Do b tc thn kinh vng tht lng v xng cng: tng gim thun theo triu chng au lng , khm thy c sinh huyt vng ny. Gii ta b tc vng ny.

HIM MUN.

Trc ht cn bit him mun l mt bnh khng lin quan n kh nng hot ng tnh dc. Mt ngi c nng lc tnh dc mnh vn c th v sinh hay him mun nh thng.Nhng nam nhn b to tinh vn c th gy th thai cho ph n bnh thng,nhng ph n lnh cm vn c th sinh n hng chc ln. Chng ta c th iu tr tng i d dng nhng trng hp him mun do c nng nh co tht ng dn tinh vi trng, tinh long, non so thiu nng, t cung lnh. Nu c bin i thc th nh u bu th kh khn hn, nhng vn c th iu tr nhng trng hp bu mm lnh tnh. Hu ht nguyn nhn gy him mun l vng h tiu - sinh thc kh ( vng c c quan sinh dc) b hn kh v thp kh nhim lu ngy. Kh lnh lm co tht cc c trn c vng v cc mch mu nui cc c quan vng ny. Do chng b thiu nng v sn sinh tinh trng hoc trng khng s lng hay cht lng. Cha k s co tht ng dn tinh hay vi trng lm nghn tc ng i ca tinh trng v trng. Vi t cung th v thiu mu lm gim kh nng nui dng trng d gy try thai sm. ( Ti tng thnh cng mt cas bnh nhn cn tr di 30 tui h thai 3 ln, BV i m v ct c t cung khi c thai ln th t, ti dng nguyn l ny lm m t cung trong khong 2 thng ( bng DC-KLP), sau v bn vic ring, ti tm ngng, KQ l bnh nhn sinh c mt chu trai vo thng th 7, tuy sinh non nhng vn khe mnh v pht trin bnh thng ( mt nm sau khi chu 1 tui ti mi gp li bnh nhn trn khi c dn bn n nh ti tr bnh ). Vi bnh ny, khng c phc m ch l nguyn tc iu chnh tng trng v lm m t cung, bung trng, vi trng, tinh hon, ng dn tinh. Vi vi trng v ng dn tinh th cn cn bin php chng co tht ( g phn chiu vi du ). Nu b chn p do u bu trong hay ngoi ng ng th cn phi tr cho tiu u bu ny ( loi ny khng d ). Ngoi phc chnh chnh tng th th nhng vng tc ng ph gm c phn chiu v phng chiu vng ny, vng thn kinh ct sng lin quan t L1 n mm ct.

Nu do b tc thn kinh vng ct sng tht lng ( au lng mn tnh ) th ch cn gii ta b tc vng ny .Ti cng thnh cng loi ny nam gii sau khi nhn thy anh ny him mun khng do thn suy ( theo ng y ) m do thn kinh vng ny b thiu nng, trng hp ny ch iu tr mt t 2 tun trc ngy rng trng ca v. Ngay ln v anh ta c thai.

H TIU HA.

CC BNH CHNG THNG GP THUC H TIU HA.

1- Nut nghn: nut vo kh khn, thm ch khng nut thc n thc ung xung c. y l c tr ngi vng t c hng n cui thc qun. Thng gp do c mt on thc qun b co tht ( do lnh, do kch xc thn kinh, do c tn thng , do thiu dinh dng cc b, c th do hn hp), cng c th do c khi u trong hay ngoi thc qun chn p. Cng c th do val Tm v khng m, nguyn nhn cng c nhiu. Khi chn on cn tm cho ra nguyn nhn c th, kt hp vi ni soi cng tt. iu tr : iu chnh tng trng, tr theo c ch, phn chiu ni c bnh ( cn d sinh huyt dc t 312 n 61 - . 2- An vo i ra: thng do hn t V, iu tr : lm m d dy. Cng c khi do d dy b vim lot, thc n c xt kch thch lm i, iu tr : theo c ch. Cn kt hp vi Ty y. Triu chng ny cng thng gp trong bnh vim hng tr em. Khc nhau ch vim hng th n vo l i ngay khng hon tt c ba n, cn nu do V hn th n xong mt lc sau mi i . 3- An khng tiu: c nhiu c ch: Do d dy khng co bp hay co bp yu: thc n b ln men chua nn s c chua, va au va tc vng thng v. iu tr : day du B Trung, phn chiu d dy. Do d dy khng tit dch v: au tc v xt xa bo bt trong d dy cng lc cng tng; iu tr : dng b B Am huyt v phn chiu d dy, hoc ung nc da ti mt cch

chm ri cho n khi thy ht xt xa th ngng, thng ch cn chng ly ln. Do dch v d dy khng thnh phn: ch au tc m khng xt xa bo bt; iu tr : dng b B Am huyt, phn chiu d dy. Do Tiu trng b lnh: d dy tc nhiu hn au, nhn n th gim tc, khng hoc hi. Cn hai trng hp trn th d nhn n vn khng gim au tc c khi cn tng ln. iu tr : lm m Tiu trng. Lu : nu dng cc gii php nu trn m khng hiu qu th c th c tn thng thc th nh vim lot, u bu. 4- au bao t: c hai dng chnh thng gp l vim v lot hoc vim ln lot. Phng php chn on chnh xc nht l ni soi. Da vo lm sng, c cc bnh sau: Vim bao t do lnh: thng ln cn au v m khong 23g n 3 gi, khi au hay a nc ming ( nc gii) lt hoc hi mn. H XD phn chiu d dy. C n ung lnh. Lot d dy: au tng khi i, cng c lc n xong au hn c th gy i. Ct cn au bng vaseline hay nc . Nn tr theo Ty y cng thc ca Uc. C chua tuyt i n sut i th mi khng ti pht. C chua tuyt i n sut i th mi khng ti pht, tuy nhin, thnh thong c th dng mt ln vi nng thp. Hoc tt nht l dng vitamin C loi tan trong rut b sung vit. C cho c th c th b thiu do c chua. Nhng theo ti Vit Nam v cc x nhit i rt di do rau qu nn kh thiu vitamin C khi ta n ung vi mt ch hp l : khng n ung thc g lu di m nn lun thay i mn n tng ngy, trnh trng lp. Vim d dy: Vim ph n: thng do lnh, au tng khi n ung thc p lnh hay cc thc n qu mt , thng c nhng cn au v m km vi hin tng a nc ming hi mn hay nht. iu tr : lm m d dy ( bng xoa du, dn cao hay h ngi cu phn chiu d dy, day du tiu vim, 290, 7, 347. Vim xung huyt: cn au khng c quy lut . Day vaseline B Am huyt,Tiu vim, ln gai phn chiu d dy. Sa d dy: n vo th cm thy nng n vng d dy v mt mi ton thn tay chn nh khng c sc, nm ngh mt lc th ht, ngi dy hoc i ng mt lc th nng n v mt mi li ( khi cn no bng ). iu tr: ln u nn h xoa du b Thng, phn chiu d dy v vng trn d dy. Cc ln sau c th day co bng du. Nng th c th h xoa du ti vng bng theo nguyn tc phng chiu. Lu : c mt s bnh nhn c thi quen ung tht nhiu nc vo sng sm, y l mt nguyn nhn thng gp trong bnh sa d dy. Ung nc nhiu vo sng sm mi thc dy l theo mt l thuyt xut pht t Nht nhm mc ch d i tin , tuy nhin c nhiu hu qu xu nh to tim,sa gin phc mc khin sa ni tng trong d dy d b nht, ph khng r nguyn nhn 5- Si rut: Tiu trng gim chc nng, c thy m trong rut, thng i cu phn nho hoc lng ln c . iu tr: lm m Tiu trng bng h xoa du hay dn cao, 290, 7, 347. 6- Tiu chy: Do nhim trng: au bng trc mt thi gian t 30 pht n 1 gi ri mi b i cu,khi i cu hu mn c cm gic b nng, phn rt hi thi, ln i cu u tin thng ch nho ch khng lng. Din bin t nh ti nng dn. n vng bng thy au: au vng quanh rn l vim Tiu trng, au vng hai bn hng l vim i trng. iu tr : Tiu vim, phn

chiu. Nn dng nc p lnh, nn kt hp vi Bc s dng khng sinh ngay, khng nn lu c hi cho nim mc rut bin thnh ri lon mn tnh kh tr v sau. Do nhit t: au bng ri tiu chy ngay mt cch t ngt. Hu mn nng, phn lng ngay t ln i cu u tin v hi thi. c im l va i cu va nh rm, c khi bn tung te nh phun vi sen !! iu tr: p lnh 124, 34, 106, 26, 143, phn chiu Tiu v i trng. Do hn t: au bng ri i cu t ngt, phn lng chy nh rt nc khng nh rm, khng hi m tanh, khng nng hu mn. iu tr : h xoa du sau dn cao b Thng. Do nhim c thc phm : triu chng khng r rt v mt hn hay nhit, c th xut hin thm nhng triu chng ca nhim c nh chng mt, nhc u bun nn, nn . c bit l khng p ng r rt vi nhng liu php iu tr nu trn. iu tr : b Tiu Vim Gii c. 7- i tiu ra mu: Phn en: tn thng vng d dy hoc Tiu trng. Ra mu bm: tn thng vng kt trng ln hoc kt trng ngang. Ra mu ti: c tn thng vng kt trng xung, xung n vng hu mn. C th do vim cp, do u nht b v ming, do lot, do tr. Phc chung: 26, 61 - +, 38 - +, 156 - +, 16 - +,0 - +. Phn chiu vng b tn thng. Cn chn on hn hay nhit chng. D sinh huyt, c th kt hp n vng bng tm ni au tc. Tr, thc cht l mt loi u nht trong trc trng. Dn gian thng gi l tr ni v khng thy, khng s c, nhng c mt s trng hp mn tr mc st b hu mn nn cng thy v s c. Nu l tr th ngn c th c nhit nhng gc lun l hn. Do ban u tr theo hn chng, giai on sau tr theo nhit chng. Hn chng th dng h xc du hoc day co vi du, nhit chng th dng day co vi vaseline ( khng dng nc , p lnh ch thch hp vi cc bnh cp tnh, tr l bnh mn tnh). Trong thc t c th phc tp hn l phi bin i hn nhit nh th my ln mi xong .ng qun iu chnh tng trng. 8- Sa trc trng ( ph: sa ni tng ): dn gian thng gi l tr ngoi v thy v s c. Ni chung v cc chng sa ni tng u cn B Thng. Ty th trng m h xc du hay ch day n, lun cn phn chiu ni tng b sa v h thng mc treo ni tng . C th tc ng theo h phng chiu. 9- Bn: Hoc vi ngy mi i cu mt ln hoc l i cu kh khn. Phn c th kh: bn to, phn c th nho: bn t. Phn c th to bnh thng hay phn cng c th nh chng bng ngn tay t. Cc tnh trng phn thng gp: u cng sau mm, phn to bnh thng : nhu ng rut km, c thp thy nh: day du B Trung, co dc theo phn chiu khung i trng. Cng t u n cui , phn to bnh thng :nhu ng rut km, khng c thp thy. iu tr nh trn nhng khng dng du m dng vaseline.

 T mm ti nho, hnh dng bnh thng: c thy m. Day du B Trung, 290 - +, 7 - +, 347 - +, 87. T mm ti nho, phn nh nh ngn tay t: c thy m v ph n nim mc i trng. Day du hoc h xc du B Trung, 290 - +, 7 - +, 347 - +, phn chiu khung i trng. Phn nh cng nh phn d: c co tht hoc khi u chn p vng kt trng ngang hoc xung hoc vng Sigma. Lm sng: au c nh ti mt im cc vng nu trn trc khi mt cu v i cu. Cn lm sng: phim cn quang hay ni soi. iu tr : day vaseline B Am Huyt, phn chiu nu do co tht. Tiu vim, phn chiu nu do khi u .Lu : Trng hp ny nu au nhiu hoc c mu v tr khng dt c th nn ngh n ung th . 10- Vim i trng mn : c hai loi vi hai triu chng khc nhau. Loi th nht: tiu chy thng xuyn khi n ung phi thc n mt nh rau qu ti sng hay nu chn hoc mt s loi thc n ung khng thch hp vi c th. iu tr : day du v dn B Trung, tiu vim, phn chiu khung i trng, Tiu trng. Loi th hai: xen k vi nhng ngy bn khng i cu l c t nht mt ngy tiu chy. Chn on hn nhit cc b vng bn phi, di v bn phi rn . Day tiu vim, vng huyt 104 +. Cn chn on hn nhit c k thut tng ng . 11- au vng bng: y l loi triu chng thng gp vi hin tng au c vng bng, i khi khng xc nh c ni au chnh xc c th. C khi im au chy lng vng , c khi au lan ta c vng bng, c khi lan ra ti lng hay t lng lan ra trc bng Nhng khng gy i cu lng, nu c th ch mt ln ri thi. c im ca n l lun c st, c th cao. y l mt triu chng ca mt c quan no trong vng bng b vim cp hoc b tc nh tc mt, si niu. i vi triu chng ny mun chn on tng i ng cn n vng bng tm im trung tm ca vng au. Khi tm c trung tm im au th da vo c th hc m on c quan c vn . C th kt hp vi nhng triu chng chi tit km theo th chn on gn vi chnh xc hn. Th d: khi vim c thng bng th khng th t ngi dy c v trong khi c ngi dy th cn au tng d di; khi vim ty hay ng mt th khng th n ung g v n vo l nn i ngay..vv..Triu chng rt phong ph, cn kinh nghim nhiu. iu tr: nn a ngay n bnh vin gn nht v y thuc loi cp cu, cn nhiu phng tin k thut ca BV. Cc bn cn ghi nh : an ton cho bnh nhn l trn ht. Cho nn khng c gi bnh trong nhng trng hp thuc loi cp cu.

NGUYN TC CHN ON V IU TR BNH THUC H VN NG.

Lng y T Minh.

H vn ng l h bnh thng gp nht. Bi v ai cng b au - nhc - mi c khp. Chn on bnh h vn ng lun cn chn on tng trng phi hp trong iu tr th mi c hiu qu cao. C ngha l song song vi iu tr ni b au ta cn iu chnh m dng kh huyt cho bnh nhn . Thm ch c khi ta ch cn iu chnh tng trng l cn au ca bnh nhn bin mt v kt qu rt bn, hay ni cch khc l cha tn gc cn bnh cho bnh nhn m khng cn iu tr cc b theo phn chiu hay phng chiu nh cc bn thng s dng trc y. Sau khi chn on tng trng xong ta mi chn on cc b ni b au, y ngoi trng thi bnh l (nh : chn thng, thp khp, vim ty, l lot, phng..vv..) ta cn phi chn on nguyn nhn gy bnh ( nh : vim tc mch, co tht mch, vim thn kinh, nhim trng.) , ng thi cng phi chn on hn nhit ti ch , c nh vy ta mi chn c phc iu tr v k thut tc ng thch hp nh day n c du hay khng c du, h nng, dn cao hay p lnh. Nu tng th v ti ch thun chiu v hn nhit th k thut khng thay i trong iu chnh tng th v iu tr ti ch. Nu tng th v ti ch nghch chiu v hn nhit th ta phi thay i k thut tc ng theo tng tnh cht ca n. Khi iu tr ta nn iu chnh tng th trc ( bng cc b Thng, Ging, iu ha, Tiu vim..vv..), iu chnh cc b sau ( bng cc phn chiu hay ng ng ca cc c quan c bnh ). Cc bn c th xem, s c lc va iu chnh tng th xong l bnh nhn ht bnh m khng cn tm phn chiu hay ti ch g c.

TP H Ch Minh 1993.

NGUYN TC CHUNG CHN TR CHNG AU NHC.

Lng y T Minh.

au nhc l mt triu chng rt thng gp. Vi Ty y, y l mt vn kh ln v phc tp n ni hin nay ngi ta phi lp ra chuyn khoa au nhc song song vi cc khoa khc c. Ni theo cch thng thng ta c nhiu nguyn nhn gy au: s nhim lnh gy co c hoc co mch, khi u chn p, cc mu ng hay mng x va mc kt li, s thiu mu cc b ti mt cn c no , mt chn thng. Tt c nhng th u c th gy au. Vi DC-KLP th vic gii quyt cc chng au nhc tng i tt. Ch yu cn phn on bnh do hn hay nhit, c nguyn nhn c nng hoc bin i thc th . Lun lun cn phn chiu hay ng ng ni b au , c khi cn phi dng n h kinh mch ca Th chm. 1. Do hn hay nhit: thng t ngt, tht thng, au tng khi gp yu t thun, gim khi gp yu t nghch. Hiu qu iu tr rt cao v trit . Thnh thong c nhng trng hp qu nng iu tr khng hiu qu th nn chuyn bnh, thng l phi dng thuc ty tht mnh chch thng vo ni au mi m !! Gn y c cy Hon - ngc ( cy con kh ) c tnh gim au kh mnh, c th dng 5 7 l ti cng hiu qu . iu tr : hn th lm m, nhit th lm cho mt. 2. Do vim nhim: au c nh, km st. au tng dn theo thi gian. B Tiu Vim lm ch lc. 3. Do tc mch: cng t ngt nhng triu chng hn nhit khng r rng, c im au trn cng v au dc theo ng di hoc ngoi trng im ny , c khi km theo t di yu sc . B Tan mu bm lm ch lc. 4. Do khi u : c nh, khi u kh m h nh ch m, t t au tng dn theo thi gian, khng st. Nhng cng c th t ngt khi gp u c tnh. B Tiu vim lm ch , phn chiu khi u , lc thp. Ta iu tr tt nhng trng hp u mm. Cc u thuc loi x cng th hiu qu khng cao v c hn ch. Mun bit chnh xc thuc loi no th phi nh cn lm sng . Theo ti trng hp u x nn u tin cho phu thut nu khng c g c bit. Hin nay ngnh phu thut c nhng tin b vt bc cn tn dng. Lu : Khng phi chng ta khng tr c bnh ny nhng kt qu hi tht thng v y l loi bnh c nhiu bt trc, li kh chn on bng lm sng. V vy hng dn bnh nhn theo Ty y chn on l iu nn lm. V mt khi u c th l lnh tnh m cng c th l ung th , ch c th xc nh bng cc bin php cn lm sng . 5. Do thiu mu cc b : triu chng y nh do lnh nhng nh nhng, thng xut hin vo sng sm khi va thc gic, gim dn trong ngy. Tng th thng b thiu mu. iu tr : dng b B Am huyt v phn chiu . Trng hp ny c khi do nghn mch nh v tr trn ni b au, cn cnh gic. 6. Do chn thng . iu tr : B Tan mu bm, Tiu vim, phn chiu , lc thp.

Trong vic tm phn chiu ni c bnh, thng thng dng h phn chiu trn mt. Ch khi trn mt khng c sinh huyt hoc c m khng hiu qu ta mi nn tm cc h phn chiu bn tay, bn chn, lng, bng. Nu vn khng nh , ta vn dng thuyt ng ng, Ln cn, i xng tm sinh huyt. Nguyn tc l nh th, nhng nu cc bn mun nhanh th p dng bi vit Lm sao t t c v Chn on hn nhit bng

huyt DC ca ti th vic tm sinh huyt phn chiu ni c bnh s nhanh gn hn v k thut tc ng s tt hn./.

TP.H Ch Minh 1993.

BNH CHNG THUC H VN NG

Lng y T Minh. 1. au gy vai. Gy vai thng au dt ngt sau mt gic ng. Nu l ln u tin hoc lu lu (vi nm)mi b mt ln th a s l do nhim lnh trong khi ng. Dng gii php lm m c th bng day du hay h c du b B Trung hay b Thng, phn chiu hoc ng ng gy vai. Thng thng ch tr mt ln l khi hn ngay ti ch. Nu khng khi hn ta iu tr tip nh sau: au khi ci u hoc quay u qua bn ny th au bn kia: h c du ng ng gy c tay v c chn. au khi nga u hoc quay u qua bn no th au bn : dn salonpas b Tiu vim, phn chiu gy theo H Dng. Nu l trng hp thng xuyn, nhiu ln trong nm th c th c thoi ha vng ct sng c v ct sng lng trn (on t D1 n D4-5). Xem phn thoi ha ct sng.

1. au khp vai, kt khp vai: khp vai b au n mc khng th a tay ln chi tc hay ngoc tay ra sau lng c. Ty y gi l vim chu vai ( vim quanh vai ). Ln u nn h xoa du b Thng, Tiu vim, phn chiu khp vai H Dng, Am, Trc din, V no. Sy c du ti khp vai v quanh khp. Cc ngy sau ch cn day du b Tiu vim, phn chiu khp, sy du ti khp. Tuy nhin vic duy tr b Thng v h ngi cu bao nhiu ngy l ty th trng bnh nhn m quyt nh cho ph hp, phng s qu liu v ngi cu. y l mt bnh cp nhng li mang tnh cht ca bnh mn tnh, do nn iu tr theo dng mn tnh. Bnh nhn cn tp quay tay vng trn quanh khp th mi mau khi bnh, khi quay cn thng tay ch khng cong. 2. au lng: Hu ht mi trng hp au lng nu khng do chn thng vim ty th u do c trc trc cc khp t sng hay chnh cc t sng. Vi bnh l ca chnh t sng

th ta c gy, v, xp l nhng bnh l khng th iu tr c ( cn phu thut thay t sng gi ). Cc bnh l ct sng c th iu tr : Trt t sng: au lng km t v yu chn khi ng v i lu, mt triu chng khi nm lu. Ch iu tr c khi rt nh, theo kinh nghim nhng ca bnh ti iu tr th khong 1/8 l cn tr c, t hn trt t sng 1 ca Ty y, cn chp X quang ni b au, thng xy ra vng L4-L5 v L5-S1. iu tr : chn on hn nhit, day B Trung vi k thut thch hp, phn chiu. Bt buc bnh nhn mang ai lng c nh ct sng. Hn ch i ng, tuyt i khng mang vc ci g. Vim khp t sng: au trong mi t th . Chn on hn nhit ri chn phng n thch hp. Hn th lm m, Tiu vim,phn chiu .Nhit th ch Tiu vim, phn chiu . King lnhchua-g-mm-np. Thoi ha a m ( x cng, xp, hp ) : x cng th au nhiu khi chuyn ng sau khi nm yn lu, nh thc gic sau khi ng dy ; hot ng mt lc th gim dn nhng khng ht hn. Xp hay hp ch au nhiu khi ngi ng, nm th au gim. au nhiu khi mang vc nng, cng lc cng tng. Day B Am huyt, phn chiu . Hn ch i ng nhiu, tuyt i khng mang vc bt c ci g. Nn nm nhiu hn ngi, ng. Nn tp cc ng tc lm do lng. Thot v a m : vi Ty y y cng thuc thoi ha a m. Triu chng c trng l khi au khi khng, khng c quy lut. Day du B Trung,phn chiu . King chua lnh, phi mang ai lng. Tuy nhin ch iu tr c nhng trng hp rt nh, cha nh gi c mc no l cn cha c v X quang khng chn on c. Vi CT hay MRI th cha s ca bnh kt lun. Thoi ha ct sng: l mt t ch chung nhng thay i thc th ca ct sng: vi ha t sng( gai ct sng), xp t sng. Ch iu tr c vi ha ct sng. au nhiu th day B Trung vi du, phn chiu . Sau khi gim au nhiu m khng khi hn th chuyn qua day vaseline b B m huyt, phn chiu . Bnh ny iu tr lu, kt qu chm chp v c khi khng khi hn m thnh cng c mc . Ch thch: c nhiu anh ch em iu tr thy bnh nhn ht au hn th cho rng tr khi, nhng tht ra l ch tr c s vim phn mm quanh gai m thi ch gai th khng gim t no. Tuy nhin c nhiu trng hp gai bin mt l do may mn c l v cht liu cu to gai mm d tan r , iu ny c thc nhng cha bit chc chn nh u m im vi ha mt hn - trng hp ny kh t i.

3. au thn kinh ta : au chn km c cm gic kh chu vng tht lng hay vng mng (y l im khc bit vi au chn do tc mch) v au thn kinh ta lun c gc bnh l vng ct sng, vng khp cng-chu hay vng khp chu-i. Khm ti ch vng tht lng, cng-chu, chu-i tm gc bnh , Do ch cn iu tr tp trung vo vng gc bnh, khng nn iu tr vo vng chn (d kt qu rt nhanh) v khi mt triu chng au chn bnh nhn s ngng iu tr, v sau s ti pht nhanh v vng gc ca bnh cha iu tr xong. Chn on hn nhit, chn k thut thch hp, dng b Tiu vim, phn chiu v tc ng thm ti ch. Lu : v l bnh l ca xng khp nn cn chn on thm au do nguyn nhn c ch no ( vim khp, thoi ha khp, long xng gy bin dng xng, thoi ha a m.) c tin lng v phng n thch hp .

4. Bong gn: Dng b Tan mu bm, phn chiu . Nn km theo b Tiu vim hiu qu s cao hn.

5. Lit mt c phn no : dng b huyt Lit do tai bin MMN v CTSN v y l do tn thng khu tr ti no do v mch hay tc mch. Nu bnh nhn b st cao trc hoc trong khi lit din tin th li do siu vi tn cng vo h thn kinh. Trng hp ny kh tm phn chiu , nn chn on hn nhit, chn k thut v phc iu chnh tng th tng ng, tiu vim, phn chiu no ty v ton th c phn lit. TD : lit mt cnh tay ( hoc bn tay hoc mt vi ngn tay) th phn chiu y s l vng u, ct sng c di n CS lng trn ( vng D1 D5), cnh tay bn tay k c cc ngn.

6. Thp khp : au, sng, ti khp. Nng nhiu l nhit, m m l hn. Dng b Tiu vim lc thp - phn chiu ti ch ( kch thch quanh khp ) , k thut th theo hn nhit m chn. Vi h ngi cu ( hn chng ) th mi huyt ch nn h kch nng mt ln, khng nn h nhiu c hi v sau. Vi nhit chng th nn ln gai. Lu : cn cnh gic vi bnh Thp tim l mt th c bit ca thp khp, c nhim trng cho nn iu tr theo Ty y tt hn, ta ch nn h tr. Triu chng : thu nh hay b vim hng, sng -nng - -au ti khp, st t 38 C tr ln, nhp tim nhanh d st hay khng, c th c ri lon nhp tim. T khi d khng iu tr g c, khi khi khng li du vt g. Ti i ti li nhiu ln.

7. Thoi ha khp : triu chng c trng l cng vn ng cho khp th khp cng au. Ngh th gim. Lai ny ta ch cha triu chng gim au , khng th tr dt c v khp h hng. Dn d bnh nhn khng nn tp nng cho khp, khng mang vc bt c ci g. iu tr triu chng theo nguyn tc iu tr gim au.

y ch l nhng bnh in hnh thng gp v c phng cch iu tr hi c bit. Tt c nhng trng hp cn li u theo cch iu tr tng qut: chn on tng th, chn on nguyn nhn c ch bnh, phn chiu . iu tr p ng theo cc yu t va tm c.

TP. H Ch Minh 1993.

H THN KINH

Mt ng : l triu chng ca mt bnh no . V th cn chn on tng trng , lu n yu t tinh thn . V tinh thn th b An thn ( 124, 34, 106, 26 ) l ch lc. Nu thuc dng hng phn ta thm 3 + - , 222 + - , 156 + - , 87 . Nu thuc dng trm cm ( v suy nhc thn kinh ) ta thm : b Thng, 107, 175, 342, 340 . V th cht th iu chnh tng trng l chnh. i vi nhng trng hp mt ng c quy lut. Ta dng cc quy lut v Kinh kh v Thin kh bit iu chnh. c bit c mt loi mt ng khng iu tr c l mt ng lu nm nhng khng h nh hng r rt g ti tng trng c ???? Bnh nhn vn n ung sinh hot gn nh bnh thng, khng h gim cn gy mn g, kh nng lm vic tr c vn tt. Loi ny kh tr.

Suy nhc thn kinh : vng u c cm gic kh chu cho ti au khi phi vn dng tr c . Khi bnh nng c th gy mt ng . Giai on u dn b Thng, 124, 34, 340, 175, 107. Giai on sau c th day du.

Cung : l mt th bnh tm thn thuc loi hng phn, bnh nhn rt hung d. Nhng nu bnh nhn cn c th km ch khng hnh hung th c th tr c, y theo Ty y l rt nh, tuy nhin nu khng iu tr ng mc th c th nng thm v sau. B Ging lm ch lc trong giai on u. B B Am huyt trong giai on sau khi khi bnh .V hu ht bnh nhn mc bnh ny u c tnh trng Am h.

in : l th bnh tm thn trm cm, thuc loi hin lnh khng ni nng ng chm ti ai . B Thng lm ch lc. C th thm 106,107, 175, 342, 340 .

Vim thn kinh V: triu chng : au rt, nng mt vng hay ton b mt bn mt. au tng khi c s va chm vo da mt, kh th nh rng ra mt .C khi ch cn mt cn gi thong qua cng lm au tng ln. iu tr : p lnh tiu vim, phn chiu mt mu bn tay bn chn . Cn iu chnh tng trng khi gim triu chng bnh.

Lit mt : cn gi l Lit thn kinh VII. Bnh ny a s l mt dng tai bin nh nn cch iu tr cng l phc iu tr tai bin mch mu no ( ngay lc mi b bnh, na mt bn lit lun lun lnh hn bn lnh ). Cn tc ng thm c mt bn lit. Tuy nhin cng c trng hp lit mt do virus tn cng lm tn thng dy Thn kinh VII (na mt bn lit nng hn bn lnh ). Trng hp ny th nn dng b Tiu Vim , phn chiu dy TK VII. Loi ny kt qu rt hn ch v mt s dy TK b virus ph hng.

H TIM MCH

S LC V H TIM MCH

Lng y T Minh

Qu tim l c quan c chc nng to mt lu lng mu lu thng cho ton c th, l mt my bm mu i v ht mu v. Gm : tm nh phi: ht mu en t tnh mch ch v thng qua van tnh mch ch bng cch dn n ( tm trng). Co bp (tm thu) a mu en xung tm tht phi thng qua van 3 l. Tm tht phi: ht mu en t tm nh phi bng cch dn n ( tm trng) ri co bp (tm thu) tng mu en ln phi thng qua van ng mch phi. Tm nh tri: dn ht mu t phi v thng qua van tnh mch phi. Ri co bp tng mu xung tht tri thng qua van 2 l. Tm tht tri: n ht mu t nh tri v ri co tng mu ra ng mch ch thng qua van ng mch ch. Tim c nui dng bng mt h thng mch mu dnh ring cho n gi l mch vnh. Mch vnh tim tri c s lng nhiu gp bi ln bn tim phi.

Cc ng v tnh mch l cc ng dn mu lu thng. Mu t tim theo ng mch ch chy ra cc ng mch ri cc tiu ng mch v cc vi mch ( cn gi l mao mch ) n cc c quan, t bo. Mu en t cc t bo, c quan v cc vi tnh mch, dn v cc tiu tnh mch, v cc tnh mch ri dn v tnh mch ch, v tim. Gi chung l vng i tun hon.

 ng mch phi dn mu en t tm tht phi ln phi. Ti phi, mu nh carbonic v nhn oxy chuyn t en sang . Tnh mch phi dn mu t phi v tm nh tri. Gi chung l vng tiu tun hon.

PHNG PHP O HUYT P:

Theo nguyn tc, o HA lun cn ng nghe nghe ting mch p. Nhng trong thc t ti khng dng ng nghe m ch theo di trng thi hot ng ca kim m phc hin mt s chc nng khc ca huyt p k ngoi tr s tm thu v tm trng: Kim khng li 5 nhp trc khi git lui : t nht cng b thiu nng vnh, thng l thiu mu c tim nu cht li nht ti trng. Kim git lui ngn mt on ri git lui di hn : c h val 2 l, nhiu hay t ty mc chnh lch ca 2 trng thi ngn v di . Tr s tm trng 50 : h val ng mch ch. Kim git lui ngn 2 mmHg ( mt nc nh trn mt ng h HA k ) : trng lc tim yu. Dng h nu c s lnh. Nu khng s lnh l tm kh suy. Kim git lui di 4 mmHg ( 2 nc nh trn mt HA k ): trng lc tim mnh, mu long ( thnh phn c v lng ca mu khng ng t l : huyt tng nhiu hn huyt cu ). m h nu s nng, tm kh thnh nu khng s nng. Kiu git lui kim ny thng gp trong bnh ng huyt hay Lipid huyt, v cc trng hp c st cao. Kim git lui nhanh : mu long. Kim git lui chm : mu c ( huyt tng thiu, huyt cu d ), hoc c lipid huyt. Kim git lui lc nhanh lc chm hay lc di lc ngn hay c lc b nhp : ri lon thn kinh tim. Kim git lui khong 3 4 mmHg : trng lc tim bnh thng , m Dng tng i cn bng.

TP. H Ch Minh 1995.

BNH H TIM MCH.

Lng y T Minh

Bnh thuc h tim mch a s l loi bnh c mc gy nguy him cao cho sc khe v tnh mng . Sau y l nhng bnh thng gp m ti c thnh cng phn no trong h bnh ny. 1. Ri lon thn kinh tim. L tn gi chung ca cc triu chng ri lon nhp tim (tim b nhp, tim p lc nhanh lc chm lc mnh lc yu, tim p nhanh hay chm u nhng qu mc bnh thng): iu chnh tng trng , co phn chiu tim, phn chiu cc nt thn kinh tim v mng Purkinge. 2. Thiu nng mch vnh. Nu nng cn c tn gi l Thiu mu c tim: c nhng cn nng ngc kh th , au tht ngc c khi lan ln u c v ra tay . Triu chng thng ch xut hin vi pht ri t bin mt, thng xut hin khi gng sc,khi xc ng hay khi nhim lnh. Li rt nht.Nguyn nhn do mch vnh b co tht hoc bt hp v mu ng hay mng x va,cng c th do u bu. iu chnh tng trng , tiu vim, tan mu bm, phn chiu tim, phn chiu mch vnh ( c 6 tuyn phn chiu mch vnh : t 0 vng ln 130 vo 65, t 0 vo 73, t 0 vo 61, t 0 vo 7, t 0 xo xung 29, t 0 xo xung 347 ). 3. Nhi mu c tim. y l tnh trng nng t xut ca thiu mu c tim. au d di vng ngc, v m hi nng, huyt p cao t ngt (HA tm thu trn 170) Thuc din cp cu ti bnh vin. 4. Huyt p thp. L mt bnh chng cn nhiu b n v c ch v nguyn nhn gy bnh .Tuy cng c thnh cng nhng khng chc chn nh cc bnh khc. Vn ly iu chnh tng th lm ch. 5. Huyt p cao. L triu chng ca mt bnh no trong c th. Phi tm cho ra cn bnh gc ny. Cha bnh gc xong th HA t h v n nh lu di. Trong thi gian cha tm ra gc bnh HA lun dao ng cao, cho nn cn duy tr thuc h p cho n khi HA bt u h n nh 2 tun lin tip th gim liu thuc HA, c th cho n khi HA tr v mc bnh thng, lc ny th b thuc, nu n nh sut hai tun lin tip th c th b hn thuc HA. Tuy vy c nhiu cas khng th b thuc h p c m phi ung mt liu thp nht thch hp n sut i. Cc bn khng nn ch quan vi loi bnh ny nh ch trng ca mt s thy khc, v c th gy hi khng cu vn c cho bnh nhn . C hai trng hp tng qut v tng HA. Huyt p cao m chng v Dng chng. Trong ct cn tng HA, dng b Thng khi HA cao m chng, dng b Ging khi HA cao dng chng. Trong iu tr, iu chnh tng trng lm ch lc. Tm thm tng ph c bnh v iu chnh tng ph ny. Tm hiu c ch gy bnh cho tng ph nh vim tc mch x ha vi ha ( si )..v.v khin tng ph mt hay gim chc nng. i khi tng HA ch do tc mch mt ni no trong c th, thng xy ra vng c gy hay vng u (mch cnh hay mch nn s) , lc ny HA hai tay s chnh lch r rng, thng mch l xong. 6. Ri lon tun hon no: nng u km chong vng, tng t th ng, khng thay i t th nm khi tr mnh. HA bnh thng hoc thp. iu tr : day du hay h c du B Thng, phn chiu u ( hn chng : thiu nng tun hon no). Day vaseline b Ging, phn chiu u ( nhit chng: huyt vng u khng thng, cha phi l huyt ). Mun khi bnh lu di cn iu chnh tng trng.

7. Ri lon tin nh : chng mt , tng khi thay i t th nht l khi nm tr mnh. Huyt p bnh thng. iu tr : day du hoc h c du B Thng, phn chiu u. Nhn xt : thng qua vic iu tr hai bnh chng ny, ti cho rng RL tin nh l mt dng thiu nng tun hon no dng c bit ch xy ra vng Tin nh. ng y gi bnh th 6 v th 7 ny l Huyn vng. 8. H v hp val tim : bnh val tim c 2 loi : bnh chc nng ( do thn kinh hoc nhng nguyn nhn khc ) v bnh tn thng thc th ( x ha thng do thp tim gy di chng , bnh tim bm sinh nh thng nh)chng ta ch nn nhn iu tr nhng trng hp bnh l chc nng. Chn on hn nhit, phn chiu val tim. Val tnh mch ch : vng huyt 129 +. Val ng mch phi : vng 60 +. Val 3 l : vng 73 + v ton b na mt bn phi t tuyn VI tr xung. Val ng mch ch : vng 60 - . Val tnh mch phi : vng 129 - . Val 2 l : vng 73 v ton b mt bn tri t tuyn VI tr xung. 9. Tm dng h : h c du 19, nu khng hiu qu th h c du B Trung hay Thng, 189. 10. Tm kh h : day vaseline 19. Nu khng hiu qu th dng b Thng, 189.

King c : ni chung cn trnh nhng thay i t ngt v mi trng sng, thi tit, nhit , n ung. Khng nn b cm hay thng thc, nhng bc xc tnh cm vui ln bun cao . V king cc thc n theo c ch gy bnh trong LNH v CHUA l quan trng hng u v hai v ny lun lm co mch, co cn c.

TP. H Ch Minh 1997.

IU TR LIT DO TAI BIN MCH MU NO V CHN THNG S NO. ---O--Lng- y T Minh.

Tai bin mch mu no(TBMMN) v chn thng s no(CTSN) thng a n lit vn ng, i khi lit c cm gic v ri lon nng lc tinh thn. Ch c mt s t trng hp phc hi hon ton theo c ch t khi v c ch b, tuy nhin phi thy rng y l nh

tn thng qu nh. Mt s t bnh nhn thot khi tnh trng lit ny mt cch ton din do may mn b tn thng tng i nh v c iu tr NG CCH NGAY T U. a s l li cho bnh nhn vi di tt v th xc hoc tinh thn khi b hi nng hoc c iu tr khng ng cch kp thi ngay t u. Trong di chng lit do TBMMN v CTSN th iu tr ng cn phi kt hp c ba gii php ng b mt cch kho lo : THUC MEN, TP LUYN, HUYT O. Vic dng thuc th ty, Ty hay ng cng c. Nhng theo kinh nghim ca ti - trong TBMMN - thi gian u nn dng thuc ty ( c BS ch nh v theo di) cho n khi HA n nh tht s . Vic n nh HA kh phc tp, d phng php chng ta c th lm c nhng i hi phi vn dng y l rt nhiu v Ty ln ng y nn khng th trnh by trong bi vit ny, cc phc v huyt p hin nay thng mang tnh ct cn hn l iu tr . Cho nn cc anh ch em nn kt hp vi bc s chuyn khoa tim mch khng ch HA cho bnh nhn , trnh tai bin rt d xy ra tip theo khi HA cn dao ng. Tp luyn c hai phn : th ng v ch ng. Tp th ng l k thut vin hay ngi nh tp cho bnh nhn , lun lun rt cn khi b lit cng . Tp ch ng l bnh nhn t luyn tp theo s hng dn km cp ca K thut vin ( trong thi gian u hoc t ngh ra cc t th trong sinh hot thng ngy trong giai on sau ), ch cn t khi bnh nhn bt u vn ng c d cn rt yu t. Vic ny i hi bnh nhn phi c ch quyt thng bnh tt. Tuy nhin khng nn qu c sc s gy phn tc dng. Tt nht nn nh KTV trong thi gian u. V huyt o, ng hn l v DC-KLP , L CH CHNH CA BI NY. Ti xin cng hin cc kinh nghim sau y sau mi my nm chuyn nghin cu v iu tr loi bnh ny. C th ni rng y l phc iu tr c hiu cho bi lit do TBMMN v CTSN. Phc iu tr: Giai on u: 156 - + , 38 - +, 7 - + , 50, 37, 61 - +, 3 +, 290 +, 16 + , 26, 240, 347, phn chiu u theo hnh m, Dng v Trc din. Giai on sau: khi bnh nhn bt u t vn ng c cc c phn b lit d cn yu t, chng ta bt u tc ng thm phn chiu hoc cc b c phn b lit. Tuy nhin ch tc ng bnh thng ch khng nn qu nhiu. ng thi khuyn bnh nhn nn bt u luyn tp ch ng mt cch va sc. S qu ti trong luyn tp s gy phn tc dng. Nn iu chnh tng trng cho bnh nhn t hiu qu cao hn v hon chnh hn. K thut : day n ( hoc g hoc rung ) cc huyt v dng co nh co phn chiu u hoc c phn b lit theo cc hnh nu trn. Bin lun: TBMMN v CTSN u lm tn thng no. Hu qu ca s tn thng ny l gy lit cho cc c phn vn ng lin quan di no nh mt, tay chn .v..v. V vy gc bnh l no , cc c phn ch l ngn. Do cu ly no b l vic u tin phi lm trong hai loi bnh chng ny. Nh vy khi no b c phc hi th tay chn lp tc phc hi. Ch nhng trng hp lu ngy cn c b teo rt th ta cn tc ng mnh vo cc vng t chi tm cch hi phc cc cn c ny. B huyt nu trn c tc dng tan mu bm, chng vim, lc no v ci thin s lu thng mu no. Ch :

-Vic ln thm tuy cn thit nhng ln qu nhiu tay chn ( vi ba trm lt mi ni ) khi no cha iu khin chng c ch khin cho cc c b nho thm v gy kh khn trong iu tr v sau m thi !! Tuy nhin trong lit cng th ln l bin php tt trong mi giai on nhng cng nn va phi. -Vic xung in vo tay chn cng khng nn dng qu sm v rt d gy phn tc dng khi t bo TK cn yu khng chu ng ni kch thch ca ging in c thi lng v cng cao hn ngng ca n lc by gi. M lc ny lm sao bit c sinh lc ca t bo TK l bao nhiu nu khng c o c bng my mc hin i ? Nu chng ta da vo cm gic ca bnh nhn chn cng v tn s xung, th xung bao lu l va ? iu ny khng th xc nh bng cm gic ch quan ca bnh nhn cng nh ca chng ta c. V vy cn thn trng trong vic xung in. -Trong CTSN chng ta s thng gp kin ca BS cho rng khng c chm cu m ch cn tp VLTL . Tuy nhin DC-KLP khng phi l chm cu v chng ta khng ng n vt thng u m ch dng huyt xa vng b thng . iu quan trng l khng nn dng nhng k thut mnh tay gy au n cho bnh nhn ang trong tnh trng suy yu v hot ng ca h thng TK . D sao c iu tr thm bng huyt vn mau phc hi hn l ch luyn tp sung, iu ny c xc nh trn thc t lm sng trong qu trnh lm vic ca ti. Nay ph bin cho cc anh ch em cng dng. Chc tt c anh ch em thnh cng trong vic p dng bi vit ny iu tr nhng bnh nhn b bi lit do hai nguyn nhn trn.

26 3 2000. K nim 20 nm DC-KLP.

CH THCH : lit do TBMMN l mt bnh ca h thn kinh nhng li l hu qu ca nhng vn ca nhng ni tng bn di v h tun hon . Do mun iu tr tt loi bnh ny th ta cn iu tr tt cc bnh ca cc ni tng sau khi cc triu chng lit gim . C nh vy th mi c th t c mong mun gi kt qu iu tr n nh cho bnh nhn lu di, trnh v ngn nga ti pht cho bnh nhn c , v loi bnh ny rt d ti pht . V vy m ti xp loi bnh ny sau cc bnh h thng khc. Bi v khi hc n y cc bn phn no c hiu bit v bnh ca cc h thng kia .

BNH V MT

au mt cp tnh ( vim kt mc mt ): c hai th hn v nhit. Hn th day du hoc h hoc dn cao Tiu vim, phn chiu mt mt. Nhit th p lnh tiu vim, phn chiu mt mu bn tay v mu bn chn, mi. Thoi ha thn kinh th gic, thoi ha vng mc : hai bnh ny v c bn c cch cha ging nhau. L loi bnh thuc ni chng trong Nhn Khoa ca ng y. Nu thuc bch, thanh ( tht ra l mu lam ) hay hong chng th cn d tr . Nu thuc xch chng th rt kh tr. Nu thuc Hc chng th khng cn tr c. Xt theo triu chng th bnh nhn cm thy trc mt mnh nh c mt mn khi trng ( bch chng), khi lam (thanh chng ) , khi vng ( hong chng ), khi ( xch chng ) hay mt mn en ti mt (hc chng ). Hc chng bt tr v lc ny cc t bo thn kinh cht hn khng cn kh nng tip th nh sng na . C trng hp bnh nhn ch thy mn khi xut hin mt vi im hay vng hay mt gc no trong mt ( mt phn trong th trng ca bnh nhn ) . iu tr : day vaseline B B Am Huyt, co vaseline phn chiu mt ca hnh m (vng huyt 197, 421 ). Phc ny ch mi c ng dng thnh cng vi Bch chng v Thanh chng . Tng nhn p ( glaucome, cm nc ) : au u v nhc mt xut hin cng lc vi gim th lc. Khi b tng nhn p mt bn th triu chng y ht nh Thin u thng (migrain). Hy ngh ngay n tng nhn p khi xut hin bn triu chng cng lc: nhc u , nhc mt , bun nn ( i ), gim th lc. Tuy nhin mun chnh xc cn o nhn p chuyn khoa mt . Vi nhng bnh nhn ngho khng i o c ta c th d theo b huyt sau y. iu tr : chn on hn nhit xong, chn k thut thch hp. Phc : 324, 131, 41 ( 437 ), 235, 290, 184, 16, 34, 199. Lu : huyt 199 l trung im ca huyt 421 v 197, huyt 131 ny chnh l huyt Ng V ca Th Chm (hnh huyt hin nay v sai v tr ca 131 , v tr ca n b thay th bng huyt s 2 ???!!! y l mt trc trc trong vic iu hnh chuyn mn ca nhm nghin cu DC-KLP sau nm 1996!!). c thy tinh th ( c nhn mt, c pha l th , cm kh , cm ): loi bnh ny c c im l sau mi ln iu tr th bnh nhn cm thy mt sng hn ln - chng hai ting ng h . Khin chng ta ln bnh nhn h hi nhng tht ra kt qu cui cng l con s khng . Hin nay ti vn cn ang nghin cu thm v bnh ny . V trn nguyn tc ng ngn m cha ng gc . L mt : khng tr c nu l bnh bm sinh. Tr c do bnh, chn on hn nhit tng th v hn nhit cc b mt . Khm tm c iu khin mt b bnh. Hoc do bn ny yu (hay lit ) hoc do bn kia b co rt. iu tr theo c ch tm thy. Chy nc mt sng: c 2 trng hp , mt l do tuyn l hot ng qu mnh, hai l do tuyn thot l b tc . C hai u c nguyn nhn do ang vim hoc di chng ca vim.

Vim c th do nhim trng cng c th do chc nng . Chn on nguyn nhn gy vim c phng thc ph hp. iu tr : dng b Tiu Vim, phn chiu b phn b vim , tc. Cn th : loi bnh ny c c ch kh phc tp v kt qu iu tr khng chc chn . Cn cn nghin cu thm. Gim th lc : chn on v iu chnh tng trng , phn chiu mt . C kt qu tt vi iu kin khng do tui gi . Chp mt ( lo mt ) : dn b Tiu vim, phn chiu mt lo . Nu mt cha mng m th mt s tiu, nu mt mng m th s v m v tiu sau . Sp mi mt : day du B Trung, 1 n 26, h phn chiu mt H Am , c th h thm theo cc sinh huyt vng cung my. Ti a 3 ngy iu tr khng thy hiu qu th nn day thm b Tan Mu Bm. Tuy nhin y l mt bnh c kh nhiu nguyn nhn phc tp, Ti cha gp ht mi trng hp . Phc ny ch cha ngn m thi. Git mi mt : nu m git , git nhp tha ( my mt ) : day du B B Trung, tiu vim, phn chiu mt, cc huyt quanh mt. Nu b git mnh v nhp nhanh n mc nhm hn li th rt kh tr, ch gim sau mi t iu tr ch khng khi hn v do virus lm hng dy thn kinh iu khin mi mt .

CC BNH LINH TINH.

Cc bnh sau y tht ra c th xp vo cc h bnh theo Ty y. Nhng v hi chng cho v l loi cho nn ti tm xp chng vo bnh linh tinh. M hi tay chn: c 3 th . Th m h : h b m huyt bn chn. Th Dng h : h B Trung hoc b Thng bn chn. Th ri lon thn kinh thc vt : khng thuc mt trong hai th kia, day du hoc day vaseline ( theo hn hay nhit chng) Hoa Gip Tch. Nhng trong thc t hay c s pha trn gia ba th vi nhau nn cn linh ng . Khi u lnh tnh : chn on hn nhit chn k thut tng ng, Tiu vim, phn chiu khi u. Khi u lnh tnh v : iu tr nh trn. Ring phn chiu th dng mt, bng cch nh hng khi u theo mt ng h vi nm v l trc kim , hng ca khi u c tnh theo hng ca kim ch gi . TD : khi u thng ngay trn nm v l v tr 12 gi , i chiu ln mt vi con ngi l trc kim ng h th phn chiu khi u thng trn con ngi ; khi u bn phi ca nm v v tr 3 gi th phn chiu ca n bn phi ca con ngi v tr 3 gi ( bnh nhn phi nhm mt v nhn thng ). Di leo ( Zona ) :Ty y xem l bnh TK lin sn b virus tn cng ( vim TK lin sn ). Nn ch c bin php phng chng bi nhim, DC-KLP iu tr kh tt. Triu chng : ni

mn rp, au nng rt. iu tr : p lnh tiu vim ,phn chiu ( hay nht l hnh Dng v H trc din ). Cm : Cm gm c cm lnh ( bn chn lnh trong khi c th st nng ), cm nng (bn chn m nng), cm nc ( bn chn bnh thng, c th thy n lnh ch khng st r rt ). Cm lnh v cm nng lun c km theo cm gi ( phong hn, phong nhit ). Cm lnh th dng b Thng, ty theo mc bnh m chn k thut thch hp . Cm nng th dng b Ging , ty mc m chn k thut thch hp. Cm nc th dng ngi cu h b Tr m thp thy t di ln trn. Nn cho BN xng hi l gii php tt nht cho cm nc. Lu : nu chn on v iu tr ng m kt qu km, ch gim m khng dt hn, th y l c nguyn nhn suy nhc c th km theo, cn bi dng cho bnh nhn bng cc loi thuc b. Cm : triu chng nh cm, km theo l au nhc ton thn t xng,khp, c bp. Ln iu tr u tin dng ngi cu h b Thng ri dn cao, lu dn 2 gi. G cao cho huyt ngh 1 gi ri dn li. C th cho n cui ngy. C th lu dn khi i ng. Thng thng th sau 3 ngy l bnh lui hon ton, lc ny bnh nhn s thy c th nng bc thm tm, c th tm c v khi bnh hon ton . Cng cn lu n nguyn nhn suy nhc c th km theo. Ngt xu : C nhiu nguyn nhn khin bnh nhn ngt xu. Bin php sau y ch nhm cu tnh cho bnh nhn tm thi m thi. Bm mnh 19 bng mt ngn tay ci cho n khi thy bnh nhn c hi nhc nhch th nh ngn tay ci cn li vo 127, hai ngn tr vo hai huyt 60, hai ngn p t vo hai huyt s 0 cho n khi bnh nhn tnh hn. C trng hp bnh nhn tnh li ri, ta bung tay ra th bnh nhn li xu ngay th y l do bnh nhn ang i bng cn cho bnh nhn n bt c mt mn g c lm bng bt ng cc th bnh nhn s tnh lun c . Theo ng y Cc kh (kh ca ng cc ) hnh kh rt nhanh .

TP. H Ch Minh 1993. Lng y T Minh

KT LUN

Trn y l nhng kinh nghim tm huyt thc t trn lm sng ca ti sau nhiu nm p dng v nghin cu DC-KLP trong vic tr bnh thu c nhiu kt qu khng ng. Tuy c gng khch quan v thn trng trong nghin cu nhng nng lc c hn v li n c nn c th cn sai st. Cha k c nhiu loi bnh chng cha h gp. Nhng khng th ni nhng g m mnh cha h va chm hoc va chm cn t cha kt lun. Cho nn s lng bnh chng c cp khng nhiu, nhng tt c u t thc t iu tr m rt ra quy lut v xy dng thnh phc . Ti mong cc bn tip tc tm ti v xc nh thm phc iu tr cho nhng bnh chng cn li cha c ni n y v mong c trao i kinh nghim hu xy dng mn DC-KLP ngy cng hon thin hn.

Xin lin h:

Lng y T Minh in thoi di ng: 091.8388718. E-mail: taminhdc@yahoo.com, minhta2002@hotmail.com