提醒大家2012安全第一
黄文川博士
新西兰先驱报的消息，1月7日上午在 Carterton 附近发生一起热气球坠毁事故，热气球上5对夫妇和一名飞行员共11人全部遇难。
另一消息，事故发生在一月三号，一行五人，46岁的南岛农场主BARRY，23岁的儿子SHAUN，BARRY先生的59岁的好友LINDSAY，以及另外两位四十多岁的女性。他们一同乘座一艘双体船出海钓鱼。遇巨浪袭击，船舱进水，并迅速沉没在14度的冰冷白岛外海中。BARRY和另外两位女性，最终获救。但SHAUN和LINDSAY最终遇难。
新西兰中文网消息，圣诞节当天，一朋友亲眼目睹此事，大概是下午5点左右，当时他在海里，上岸时朋友告诉他有个人淹水，刚被拖上来，几个kiwi直接把四驱车开过去了，他也过去看要不要帮忙。窒息者是个中国的大叔，脸色煞白。kiwi正拼命的轮流给他做心肺复苏，他的妻女在一边焦急的哭泣。
这些都是很不幸的灾难。一个人看着很顽强，不知不觉活了几十年，但有时我们人类也很脆弱，一口水，一口烟，一块石，就要了人的命。对于天灾人祸，我们每个人都无能为力，如地震、洪水、空难、海难，但对于我们个体能防范的意外，还是要时刻提醒自己，安全第一。
在家里，注意煤气、电、水等安全。每天睡觉前，看看煮饭的炉子是否还在燃烧，使用的电炉子、电烤灯是否关闭，以防煤气泄漏，失火。家中有小孩子，要严加看管小孩玩水，洗澡间和厕所时刻关锁，曾发生小孩在水桶淹死的事情。有小孩的家庭，院子的围栏时刻修理，大门时刻关锁。在家中倒车、开车出门，一定知道小孩子不在院子里，或小孩子有人看管。煤气罐请不要放在房子里，放到室外的储藏间。小孩子玩滑板、骑自行车、滑车，一定带安全帽，并有家人看护。
出行开车注意安全。每年都有很多人丧命于车祸，有的车祸是可以避免的，一些侥幸心理，总认为车祸不可能发生在自己身上。每年的车检一定要严格，有问题的车一定不开。喝酒不开车，开车不喝酒。开车自己系好安全带，还要提醒乘车人系好，特别要提醒大陆来的朋友。宁愿做事、上班迟到，也不要超速。长途开车一个小时，应下车休息，或换人驾驶。不坐没有全驾照人得车，没有全驾照也不要带人。没有开过的特殊路段，如山路、雪路，一定不要尝试。
水如猛虎。家里的游泳池严防儿童单独玩水，管理好周围护栏，以防小儿误入。儿童在公共游泳池玩耍，要有大人看管。不会游泳坚决不下海，就是海边浅水处也不例外。海边钓鱼要穿救生衣，出海钓鱼，或游玩要准备好一切救生设备，尽量不出海钓鱼，更不要盲目乘朋友小船或小游艇出海。
不参与有危险因素的活动。不会游泳就不要下水，不会滑雪就不要逞能，没有爬高山的经历，就不要去尝试，不要从高处跳水。外出旅游，不要做自己感到危险的活动，如滑水、蹦极、潜水等。如果你是一个冒险者、探险家，也请三思。
人总有一死，但不要死在意外中。也许一个小小的失误，一次侥幸，一次粗心，一次冒险将断送个人的美好前程，也将连累整个家庭，甚至社会。当饮酒开车时，想想亲人的笑脸，一定会放弃自己驾车；当出海钓鱼，分享喜悦和刺激的时候，想到亲人朋友的担心，一定会做好防备措施。当外出旅游，享受不同的美景和冒险刺激的活动，想到家里亲人盼望你平安归来，一定会做事谨慎。
2012年仍是世界经济低迷的一年，美国金融危机，欧洲国债危机，中国楼市危机都会影响到生活在新西兰的我们。经济低迷，人心不稳，情绪低落，不开心的事情就多，做事容易走神，容易做错事。2012 小心再小心，勿忘安全第一！最后祝愿大家龙年吉祥，安全幸福！（阅读黄文川博士的更多文章，请浏览 www.drwin.co.nz 黄博士中医诊所 09 5296185）

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Interstitial cystitis

source: http://www.mayoclinic.com/health/interstitial-cystitis/DS00497

Definition

Interstitial cystitis (in-tur-STISH-ul sis-TI-tis) is a chronic condition characterized by a combination of uncomfortable bladder pressure, bladder pain and sometimes pain in your pelvis, which can range from mild burning or discomfort to severe pain.

While interstitial cystitis — also called painful bladder syndrome — can affect children and men, most of those affected are women. Interstitial cystitis can have a long-lasting adverse effect on your quality of life.

Symptoms

The signs and symptoms of interstitial cystitis vary from person to person. If you have interstitial cystitis, your symptoms may also vary over time, periodically flaring in response to common triggers, such as menstruation, sitting for a long time, stress, exercise and sexual activity.

Interstitial cystitis symptoms include:

• Pain in your pelvis (suprapubic) or between the vagina and anus in women or between the scrotum and anus in men (perineal).
• Chronic pelvic pain.
• A persistent, urgent need to urinate.
• Frequent urination, often of small amounts, throughout the day and night. People with severe interstitial cystitis may urinate as often as 60 times a day.
• Pain during sexual intercourse.

Some people affected by interstitial cystitis experience only pain, and some experience pressure or discomfort along with frequent, urgent urination. Most affected people, however, experience both pain and frequent, urgent urination.

Although signs and symptoms of interstitial cystitis may resemble those of a chronic urinary tract infection, urine cultures are usually free of bacteria. However, a worsening of symptoms may occur if a person with interstitial cystitis gets a urinary tract infection.

When to see a doctor
If you’re experiencing chronic bladder pain or urinary urgency and frequency, contact your doctor.

Causes

Your bladder is a hollow, muscular, balloon-shaped organ that stores urine until you’re ready to empty it. In adults, the bladder expands until it’s full and then signals the brain that it’s time to urinate, by communicating through the pelvic nerves. This creates the urge to urinate in most people. With interstitial cystitis, these signals somehow get mixed up, and you feel the need to urinate more often and with smaller volumes of urine than most people.

It’s likely that many people with interstitial cystitis also have a defect in the protective lining (epithelium) of their bladder. A leak in the epithelium, for example, may allow toxic substances in urine to irritate your bladder wall.

Suggested but unproven factors that may contribute to interstitial cystitis include an autoimmune reaction, heredity, infection or allergy.

Tests and diagnosis

The following may be helpful in diagnosing interstitial cystitis:

• Medical history and bladder diary.
• Complete pelvic exam.
• Urine test. A sample of your urine will be analyzed for evidence of a urinary tract infection.
• Potassium sensitivity test. In this test, your doctor places two solutions — water and potassium chloride — into your bladder, one at a time. You’re asked to rate on a scale of 0 to 5 the pain and urgency you feel after each solution is instilled. If you feel noticeably more pain or urgency with the potassium solution than with the water, your doctor may diagnose interstitial cystitis. People with normal bladders can’t tell the difference between the two solutions.
• Cystoscopy. Doctors sometimes use this test to rule out other causes of bladder pain. Cystoscopy involves an examination of your bladder through a thin tube with a tiny camera (cystoscope) inserted through the urethra. Cystoscopy allows your doctor to see the lining of your bladder. In conjunction with cystocopy, your doctor may instill a liquid into your bladder to help measure your bladder capacity. This procedure, called hydrodistention, is generally performed with anesthetics to reduce discomfort.
• Biopsy. During cystoscopy under anesthesia, your doctor may remove a sample of tissue (biopsy) from the bladder and the urethra for examination under a microscope. This is to check for bladder cancer and other rare causes of bladder pain.

Researchers are trying to develop tests that will help confirm the diagnosis of interstitial cystitis without an invasive procedure.

Treatments and drugs

No simple treatment exists to eliminate the signs and symptoms of interstitial cystitis, and no one treatment works for everyone. You may need to try various treatments or combinations of treatments before you find an approach that relieves your symptoms.

Oral medications
Oral medications that may improve the signs and symptoms of interstitial cystitis include:

• Ibuprofen (Advil, Motrin, others), naproxen (Aleve, Anaprox) and other nonsteroidal anti-inflammatory drugs, to relieve pain.
• Tricyclic antidepressants, such as amitriptyline or imipramine (Tofranil), to help relax your bladder and block pain.
• Antihistamines, such as diphenhydramine (Benadryl, others) and loratadine (Claritin, others), which may reduce urinary urgency and frequency and relieve other symptoms.
• Pentosan (Elmiron), is the only oral drug approved by the Food and Drug Administration specifically for interstitial cystitis. How it works is unknown, but it may restore the inner surface of the bladder, which protects the bladder wall from substances in urine that could irritate it. It may take two to four months before you begin to feel pain relief and up to six months to experience a decrease in urinary frequency. Side effects include minor gastrointestinal disturbances and possible hair loss, which reverses when you stop taking the drug. Make sure your doctor knows if you’re pregnant or planning to become pregnant before taking pentosan, because this medication hasn’t been studied in pregnant women. You may also need to have your liver function tested while you’re taking this medication.

Nerve stimulation
Transcutaneous electrical nerve stimulation (TENS) uses mild electrical pulses to relieve pelvic pain and, in some cases, reduce urinary frequency. Electrical wires are placed on your lower back or just above your pubic area, and pulses are administered for minutes or hours, two or more times a day, depending on the length and frequency of therapy that works best for you. In some cases a TENS device may be inserted into a woman’s vagina or a man’s rectum.

Scientists believe that TENS may relieve pain and urinary frequency associated with interstitial cystitis by increasing blood flow to the bladder, strengthening the muscles that help control the bladder or triggering the release of substances that block pain.

Another possible nerve stimulation treatment is sacral nerve stimulation. Modulation of your sacral nerves — a primary link between the spinal cord and nerves in your bladder — may reduce feelings of urinary urgency that accompany interstitial cystitis. With sacral nerve stimulation, a thin wire placed near the sacral nerves delivers electrical impulses to your bladder, similar to what a pacemaker does for the heart. If the procedure successfully lessens your symptoms, a permanent device may be surgically implanted.

Bladder distention
Some people notice a temporary improvement in symptoms after undergoing cystoscopy with bladder distention. Bladder distention is the stretching of the bladder with water or gas. The procedure may be repeated as a treatment if the response is long lasting.

Medications instilled into the bladder
In bladder instillation, the prescription medication dimethyl sulfoxide, or DMSO, (Rimso-50) is placed into your bladder through a thin, flexible tube (catheter) inserted through the urethra. The solution sometimes is mixed with other medications, such as a local anesthetic. After remaining in your bladder for 15 minutes, the solution is expelled through urination. Delivering DMSO directly to your bladder may reduce inflammation and possibly prevent muscle contractions that cause frequency, urgency and pain.

Your doctor may initially perform DMSO treatment weekly for six to eight weeks, and then perform maintenance treatments as needed — often, every couple of weeks — for up to one year.

A garlic-like taste and odor may last up to 7 hours after treatment. DMSO can affect your liver, so your doctor may monitor your liver function with blood tests. For some people, this procedure may be painful or it may worsen symptoms. Talk with your doctor about other treatment options if this happens to you.

A newer approach to bladder instillation includes using a solution that contains a trio of medications: lidocaine, sodium bicarbonate and either pentosan or heparin to relieve urinary pain and urgency. Researchers are also testing a number of other solutions that may help relieve the symptoms of interstitial cystitis, including hyaluronan, chondroitin sulfate and oxybutynin.

Surgery
Doctors rarely use surgery as interstitial cystitis treatment because removal of part or all of the bladder doesn’t relieve pain and can lead to other complications. People with severe pain and people whose bladders can hold only very small volumes of urine are possible candidates for surgery, but even then surgery is usually considered only after other treatments have failed. Surgical options include:

• Bladder augmentation. In this procedure, surgeons remove the damaged portion of the bladder and replace it with a piece of the colon, but the pain still remains and some people need to empty their bladders with a catheter multiple times a day.
• Fulguration. This minimally invasive method involves insertion of instruments through the urethra to burn off ulcers that may be present with interstitial cystitis.
• Resection. This is another minimally invasive method that involves insertion of instruments through the urethra to cut around any ulcers.

Lifestyle and home remedies

Some people with interstitial cystitis find relief with self-care methods, such as:

• Dietary changes. Although there’s no scientific evidence that points to diet as the cause of interstitial cystitis, many people with the condition find that eliminating or reducing their intake of potential bladder irritants may help to relieve their discomfort.Some of the most irritating foods can be summarized as the “four Cs.” The four Cs include carbonated beverages, caffeine in all forms (including chocolate), citrus products and food containing high concentrations of vitamin C.

  If you find that your bladder is irritated by these things, you may also wish to avoid related foods, such as tomatoes, pickled foods, alcohol and spices. Artificial sweeteners may aggravate symptoms in some people, as well. If you think certain foods make you feel worse, try eliminating them from your diet. Reintroduce them one at a time to determine which, if any, affect your signs and symptoms.

• Bladder training. These techniques may help reduce urinary frequency. The training involves timed urination — going to the toilet according to the clock rather than waiting for the need to go. You start by urinating at set intervals, such as every half-hour — whether you have to go or not. Then you gradually wait longer between bathroom visits. Bladder training may involve learning to control the urge to urinate by using relaxation techniques, such as breathing slowly and deeply or distracting yourself with another activity.

These other self-care approaches may help you as well:

• Wear loose clothing. Avoid belts or clothes that put pressure on your abdomen.
• Reduce stress. Try methods such as visualization and biofeedback, and low-impact exercise.
• Try pelvic floor exercises. Gently stretching and strengthening the pelvic floor muscles, possibly with help from a physical therapist, may reduce muscle spasms. Sometimes this technique is combined with biofeedback.
• If you smoke, stop. Smoking may worsen any painful condition, and smoking contributes to bladder cancer.
• Exercise. Easy stretching exercises may help reduce your interstitial cystitis symptoms.

Alternative medicine

Two complementary and alternative therapies that have shown some promise in treating interstitial cystitis include:

• Guided imagery. This type of therapy employs visualization and direct suggestions using imagery to help you imagine healing, with the hope that the body will follow the mind’s suggestions.
• Acupuncture. During an acupuncture session, a practitioner places numerous thin needles in your skin at specific points on your body. According to traditional Chinese medicine, precisely placed acupuncture needles relieve pain and other symptoms by rebalancing the flow of life energy. Western medical practitioners tend to believe that acupuncture boosts the activity of your body’s natural painkillers.

These treatments have not been well-studied for interstitial cystitis, so be sure to discuss the use of these therapies with your doctor.

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Treated swelling and pain on ankle with herbs

By Dr Win Huang

A patient who has pain and swelling on left ankle for two yrs come to see me yesterday. she is 75 yrs old, except swelling and pain on left ankle, she also has insomia, dry on mouth and throat, distending pain on chest. Examination : swelling , tenderness on left ankle, dark red clour on left ankle and back of foot. Thin pulse, yellow coating, dark and red tougue. So give herbs to look the result. Herbs: chaihu 10g, zhijiao 10g, shengjiang10g, dazao10g, gancao10g, honghua10g, taoren10g, chishao10g, shengdi10g, danggui10g, chuanxionf10g, niuxi10g, jigeng10g, ect.

See the photo taked by me on 07/02,11

big different between left and right ankle, swelling and darkand red clour on left ankle

dark and red clour on inside of left ankle

normal right ankle

dark and red clour and swelling on left back of ankle

i will tell the treatment result after 5 doses herb.

If you would like to make an appointment please call us on (09) 5296185, or if you require more information you may e-mail us at hwenchuan@sina.com

DR WIN CLINIC
Shop5, 13 Kent ST Newmarket Auckland



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treating frequent urination with acupuncture

by dr win huang

choose some points on head

had a frequent urination at night,he wake up about 5–6times go to toilet.feeling very well after acupuncture one session,last night only wake up one time at 4 o’ clock,keeping acupuncture.

Mr ron satisfies my treatment,and recommend chinese medicine and me to people who have some problem.

If you would like to make an appointment please call us on (09) 5296185, or if you require more information you may e-mail us at hwenchuan@sina.com

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