治灰指甲宜抗癬、補養肝血

[MK]

http://tw.news.yahoo.com/article/url/d/ ... 1onqr.html
更新日期:2009/08/10 00:07 【記者李叔霖／台北報導】
灰指甲為黴菌感染所造成，大部分都是從指甲遠側或外側先入侵。中西醫師廖桂聲表示，灰指甲又稱甲癬，中醫稱油炸甲、鵝爪風、蟲蛀甲等，為手指甲或腳趾甲受到感染的疾病，其特徵為指（趾）甲變色，甲色呈灰白或汙黃、甲板破損變形、表面高低不平、增厚、易碎、沒有光澤、脫屑粗糙等。


治療灰指甲，西醫常使用廣效型抗黴菌劑，通常都要長期服用三個月才能看得到效果，但有些人並不適合使用，包括肝指數高的患者、肝功能異常者、懷孕婦女、發育中的兒童、體質濕熱者的身上，上述族群原則上都禁止服用。


廖桂聲醫師指出，傳統中醫認為，由於濕氣等因素，致使鵝掌風（即手癬）日久就蔓延到甲板，以致於濕毒內蘊，造成指（趾）甲失去營養。因肝其華於爪，指（趾）甲由肝所管理，所以治療上宜抗癬、補養肝血，方劑可用加味消遙散加減，並搭配外敷苦參子，其有清熱、燥濕、腐蝕贅疣等作用。


外敷苦參子的做法很簡單。廖醫師說，首先將病甲用銼刀輕輕削簿，以不出血為原則，然後把苦參子搗爛加醋後塗敷於患處，外甲可以用膠布固定住，一直到新甲長出來為止。不論是內服或外敷藥物，上述療法皆需經由醫師診斷後始可為之。


預防保健之道，若有香港腳等感染症狀時，建議患者應及時治療比較好，因為香港腳如果沒治好，拖久了之後，黴菌就很容易侵犯到腳趾甲而引起灰指甲。另外，糖尿病病患也常因為處理不當而有蜂窩性組織炎的潛在風險存在。

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