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“宫寒”的女性手脚冰凉、生孩子不健康?说法不科学

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发表于 2017-1-8 10:25:01 | 显示全部楼层 |阅读模式
【编者按】最近,某卫视一档相亲节目甫一播出,就引发人们讨论。节目中一位相亲男生的妈妈和主持人关于“宫寒”的对话被网友截图后在社交媒体上传播,她说手脚冰凉的女生是“宫寒”,“宫寒”的女孩子生男孩会得小肠疝气,生女孩会营养不良。“宫寒”在妇科中被提及的频率越来越高,到底什么是“宫寒”,它在现代医学上有没有依据,节目中这位营养师的说法靠不靠谱?我们邀请了著名妇产科医生王玉玲为我们进行科普。

某相亲节目中的男方妈妈在谈论“宫寒”


较真鉴定:不科学

1、“宫寒”是一种写意式的诊断用语,泛指所有的妇科疾病,是忽悠女性的名词,现代医学中并没有这个概念。

2、子宫一般会保持恒定的温度,吃冷食不会影响子宫温度,所谓的“宫寒”也不会引起手脚冰凉。

3、不能用艾灸的方式治疗“宫寒”,应该根据具体的妇科病因对症治疗,也不要购买任何号称能治疗“宫寒”的产品。

查证者:王玉玲(妇产科医生)

“宫寒”是忽悠女性的名词

宫颈糜烂、宫寒是让我崩溃的两个咨询名词。宫颈糜烂是西医忽悠女性朋友的词,宫寒是中医忽悠女性的词。用宫颈糜烂忽悠人,好歹还需要门槛,至少你要那专门的器具做个妇科体检吧,宫寒可就一点门槛都没有,只要你说什么不舒服,立刻会有人说宫寒。宫寒不仅仅是中医忽悠人,连各种传销三无保健品、药品的都拿宫寒说事。
那么宫寒的说法到底从何而来?这就要提到中国的写意文化。中国的水墨山水、花鸟鱼虫不求工细形似,只求以精练之笔勾勒景物的神态。这种文化,不仅仅在绘画上,也表现在围棋和诗词上。我们的中医文化也是。
西医的疾病是炎症、肿瘤、外伤、感染等词汇,中医的疾病是火、热、寒、凉、虚、实等用语诊断。中医这些疾病的诊断名词就是一种比喻,一种写意式的描述。宫寒也不外乎如此
中医的热、寒和体温有关吗?

我们的体温37℃,但实际上,身体的各个部位温度是不一致的,我们的肝脏作为代谢合成器官,是能量产生的场所,温度是比较高的,而大脑作为血液供应丰富的器官温度也高。内脏器官深藏在腹腔、胸腔内,温度比较稳定。而四肢、末梢、皮肤由于暴露在外,温度会低一些,也更容易受环境影响。可能会与内脏温度相差0.5-1℃。
我们的子宫在盆腔内部,女性的小腹部有比较多的脂肪堆积,内部还有富含油脂的肠系膜、大网膜,就有如子宫外穿了几层小棉袄,如果你没有发热、没有被冻伤,那么子宫卵巢的温度还是属于核心脏器的温度,受环境影响很小。从这个角度来看,子宫卵巢的温度不会过分低,宫寒的说法不成立。
吃冷食会不会影响子宫温度?

有人问吃冷食会不会导致子宫温度下降?我们吃一般的冷藏食物是5℃左右,吃冷冻的冰激凌等大约-10℃,我们都是一小口一小口吃下去,进入口腔后,冷冻的食物会融化,基本上达到了0℃,0-5℃的食物经过食道。经过食道后进一步加温,进入胃部。纯液体的饮料,在你空腹时在胃内滞留几分钟,如果是含有奶的冰激凌,在胃内滞留时间十几分钟,如果你刚刚吃过其它固体食物,那么这些冷饮在胃内会滞留更久,少量的冷饮在胃内搅拌和胃液、其它食物混合很快就加温。然后进入肠道后至人体的温度——37℃。吃过冷饮后胃内的温度会降低,但胃在上腹部,靠近产热的器官肝脏,子宫在下腹部盆腔。胃内的温度不会影响子宫的温度。

吃冷饮不会影响子宫温度,不必担心


“宫寒”会引起手脚冰凉吗?

还有人说冬季手脚发凉,这是宫寒引起的。对不起,子宫只负责生育,管不了手脚的体温。控制体温的中枢在下丘脑,参与体温调节的有下丘脑、心血管系统、内分泌系统,唯独没有子宫。环境温度低时或者休克时,四肢、耳朵、鼻尖这些部位,首先血管收缩,防止过度散热。就会表现手脚凉,环境温度高,或者感染时,血管扩张,增加散热,手脚、面部皮肤就会发红发热。这是一种保护机制。还有人患有雷诺氏综合征,肢体血管不正常的痉挛,也会出现手脚发凉的状态。这些,和子宫毫无关系。
中医描述的火,不是物理学意义的燃烧;热,也不是物理学意义的高温;寒,也不是物理学意义的低温。宫寒,自然不是物理学意义的子宫内温度低。
“宫寒”到底是什么意思?

我不是中医,也从不诊断宫寒。我也简单的查阅了一下。所谓宫寒,字面的意思是子宫寒冷,但是我也解释过,子宫的温度与其它内脏温度一致,只有你发热时和体温一样升高,冻伤或者休克时才会出现和体温一致的体温。中医文献和教科书中无宫寒一说,但这个词有越来越热、越来越普遍应用的趋势。在女性中成为一种约定成俗的一个中医诊断词汇,主要包含不孕、月经失调、闭经、痛经、白带增多等症状。
月经失调、闭经、痛经、等症状都和不孕有关,如果有这些症状,或者已经发生不孕,比较容易让人联想到子宫不适合怀孕。过于寒冷的环境肯定并不适合生存,比如南极和北极等物种比较少,更没有人类生存,因此用宫寒比喻不孕倒也很贴切。
但是中医讲对症施治,不孕症有很多原因,子宫性、卵巢性、输卵管性以及男性原因导致的等等,那么单单用宫寒就不能很清楚的描述原因了。
不能用所谓的暖宫方法来治疗“宫寒”

宫寒是一种比喻,是一种写意式的对女性生殖疾病、对不孕症的诊断。既然不是真正的温度降低,当然也不能用所谓暖宫的方法来治疗。很多人用艾灸来治疗宫寒,以为在身体的某处,点一把火,子宫温度就上升了。这就把写意的寒当成写实的寒了。我见过很多人,因为长期艾灸,导致腿部皮肤的烫伤、长期不愈的皮肤溃疡。如果真的点火能治疗宫寒,那应该直接艾灸子宫部位、阴道部位,岂不加热作用更直接,不应该灸在腿部。
辩症施治就是现代医生来帮助找到不孕的原因。不排卵的促排卵、输卵管不通的经过腹腔镜输卵管整形,子宫内膜异位症的去除病灶等等,引起不孕的具体的写实的原因太多了,要明确原因,从根本解决问题。
哪个女性都多多少少会有点女性健康的问题,痛:经、月经失调、白带增多、偶尔腹痛等,因此,这也是骗子屡屡得手的原因。先说你宫寒,你一联想自己的症状,确实自己有点这些问题,果然他诊断的没错,然后让你买什么什么产品,吹的天花乱缀,你就是上当了。

用艾灸的方式治疗所谓的“宫寒”并不靠谱


结论:

宫寒是一种写意式的诊断,相当于说你有病、说你有妇科病,说你有不孕症。这样的诊断等于没有诊断,对于治疗毫无意义。
医学不断的进步,诊断技术不断的进步,当我们生病的时候,我们需要的是明确的诊断。明确疾病具体的部位、疾病的类型、发病原因、可能的不良结果和严重程度。这只有现代医学能够做到。


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发表于 2017-3-11 21:42:16 | 显示全部楼层

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发表于 2017-3-12 23:13:47 | 显示全部楼层

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发表于 2017-3-14 07:50:07 | 显示全部楼层

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发表于 2017-3-15 09:18:10 | 显示全部楼层

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发表于 2017-3-15 10:44:57 | 显示全部楼层

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