[學術討論]是咁的，有位連登中醫Post左篇野

平時係連登hea果陣真係咩台都會上
呢排上開健康台就見到一位user 係咁搵一D有濕疹ge巴絲打入去傾
睇左佢幾個post 發現佢係一位中醫
拿
有病就睇醫生, 唔理係中醫定西醫. 上網連醫生都見唔到你啊, 又點樣幫你睇病啊大佬

咁我就發現呢位中醫最近係instagram出左貼文, 我就想幫各位分析一下篇野又有幾大問題



見到果位係連登sell中醫好落力果位出左篇咁ge文
篇野factual ge 問題之後再講

year1 都會學到點解寫文要加reference

其中你個tertiary source 就係好多份papers combine埋一齊 (好似textbook 同 monograph.)
而係呢篇文最重要ge係
1. 佢所講ge information 係咪一個事實
2. 究竟個source 入面講D乜
3. 佢cite 果份野係咪同你講ge野一樣 (e.g. 鑽石能力水係有research support, 不過份野講ge唔係部機囉.)

第二份

https://nationaleczema.org/food-and-environmental-allergies-cause-eczema/



一篇由醫生寫ge, 而且個org. 仲係national. 咁篇野到寫D乜?

"...Food allergies do exist and although in some the symptoms can be severe and even life threatening, in others the symptoms may be more mild and include worsening of eczema..."

tl;dr 我都冇睇曬 不過個醫生點睇?

In summary, while food and environmental allergies really can play a role in eczema, they don’t generally cause the condition. And diagnosing allergies, particularly food allergies, can be problematic. You need to take a multifaceted approach to eczema. It takes work to control this condition.

第三份

https://www.dietvsdisease.org/diet-eczema-treatment/

由一team nutritionists (佢地自己claim係) 寫的

"...Studies suggest the connection between childhood food allergy and eczema is 33 to 63%. Adult onset eczema is less likely linked with food allergy at a rate of 10%. However, this does not mean that food allergies cause eczema (10, 11)...."

而CD 我打算講完ref.之後再講

"Celiac Disease and Eczema
Those with celiac disease (CD) are 3 times more likely to suffer from eczema (17).

Even relatives of those with CD are twice as likely to have eczema. This connection is based on the possible role of autoimmunity causing eczema (18)."

第4份 WebMD





我係google大學畢業。

第五份

https://www.foodallergy.org/about-fare/blog/new-research-on-food-allergies-and-atopic-dermatitis

份野又quote左幾份studies

"...Exposure to a food allergen via ingestion can cause both IgE-mediated (or immediate) reactions and non-IgE-mediated (or delayed type) reactions, such as an exacerbation of eczema that typically occurs 6 to 48 hours after ingestion...."

而到篇文後面又講到

"...early introduction and regular consumption of peanuts decreased the development of peanut allergy among atopic children...."

咁我又好好奇想知佢呢份野係嗡乜

https://www.nejm.org/doi/full/10.1056/NEJMoa1414850

"Conclusion
The early introduction of peanuts significantly decreased the frequency of the development of peanut allergy among children at high risk for this allergy and modulated immune responses to peanuts. "

tl dr, 我亦都唔打算去assess 篇野ge quality

不過重點係
篇野係想知early introduction 去decreased the development of peanut allergy

第六份 係ncbi搵返黎

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5122280/



自己睇我唔撚講

返黎睇一睇呢篇文, 呢位中醫提出左幾樣野

1. 濕疹關戒口事
2. 濕疹關食物過敏事
3. subject 係adult ge study 少
4. Allergy test ge reliability

同最後5. 我唔撚明佢最講句嗡乜
"...同埋無證實到atopic dermatitis (AD)同eczema 有直接關係..."
不過我想講

Item 4

我唔係immunologist, 亦都唔打算去搵, 再逐個比較之間ge sensitivity/specificity

但係上面D 文都講到個pathogenesis 係咁 complex, 點解唔直接去搵一個醫生問呢?

item 3

我絕對唔認為 subject 係細路ge research 會多過成年人

一樣用PubMed 去搵文
Keywords : (diet OR food) AND (atopic dermatitis OR eczema OR AD)

然後淨係睇review



有必要再睇落去咩

Item 2

上面佢claim 話自己用過ge reference 全部都有講 food allergy 係同eczma 之間有association

認真post冇人睇

講埋戒口啦
我唔敢講有冇食物會有autoimmune ge反應
不過最經典ge例子係CD 同 dermatitis herpiform

update

關於漂白水沖涼, 我轉左個keyword
bleach and (atopic dermatitis or eczema or AD)

Search results
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good luck

佢篇野冇句岩, 幫人係好事, 但係冇料最後只會好心做壞事

👉 中醫

古裝片睇上腦

一早知中醫垃圾

D人仲好意思提中西合璧 笑死唔笑死

連登健康台先有個垃圾
基本生理知識都學唔好學人醫人

講真個句, 你估個個都係 House 咩
有病唔睇醫生都算, 仲要上網搵中醫
攞命搏

條友仲係到醫人

連登仔真係易呃