Flow chat for Teeth pain case
1 分享當下的狀態，内心的渴望
Find one or two cards to express your mood at present, a mood as normal situation and a car for your desired self:
2
Before a Progressive Relaxation Hypnosis, ask basic information
Name: Chinese and English Basic information about health and life style
Age:
BMI stomach fat
Fat liver?
Chronic diseases:
sleep habit
Eating habit
Exercises habit
Social life
Tooth pain grade: at present and normal conditions:
3
Progressive Relaxation Hypnosis, ask basic information
4
Briefing mindset setting on pain relief management
My stories:
ear pain released when i was doing a pain management process
headache, Migraine （ 'maigrei) , 類風濕，坐骨神經）
hypnosis skills for pain relief ，hand touch plus zero limits, detoxification and nutrition
Behind every physical pain, usually there is a psychological issue.
日常生活中，我們往往要面對不同的挑戰。這些挑戰可帶來不少的壓力；壓力一方面可成為推動力；亦可為我們帶來無窮的負荷！倘若我們未能適當地減輕這些負荷，甚至對挑戰總是應接不暇，潛意識會透過一些身體徵狀如：失眠、情緒不穩和疼痛，來告訴我們：「你的壓力指標已響起警號了！」 一般情況下，我們在排山倒海的工作中，總會遇上各種家庭和個人的突變，需要更多的精力去應付。那些頭痛、肩膊痛、腰痛等亦伴隨。或許女士們也曾體會到經痛，經痛本身除了是身體的機能反應外，壓力也使其加劇。同理，疼痛這種徵狀一直存於身體，不同的情緒和應對生活的態度，也影響著痛楚的程度。故此，痛由身生不是全無道理。 痛不但由「身」生，有時，也是由「心」生。我們常聽到一些耳熟能詳，卻又不諳其義的字眼如：身心痛症（Psychosomatic Pain）、潛藏獲益（Secondary Gain）、自我防衛機制（Self-defense Mechanism）等，它們也常與痛症結下不解緣。那些痛總是找不出原因，當面對挑戰帶來壓力時，我們的『痛』便會靜悄悄地竄出來。 要移除那些痛症，便要尋根治本。從治標的角度，當務之急在於緩減痛楚的感覺，使其變得可包容和可接納！透過運用自我催眠及視像徵狀消除法（Symbolic Removal of Symptoms）保持身心輕鬆的狀態，脫離被『痛楚』牽著鼻子走的生活。 而從治本的角度，則要找出痛之『源』。在治療師的協助下，讓當事人了解痛症背後隱藏著什麼故事。治療師協助當事人導入催眠意境，讓他們再次投入那些曾經讓他們痛得要命或隱隱作痛的經歷，以另一角度理解和感受當刻的狀況，並嘗試釋放那些『執緊多年的痛』及重新演繹背後的訊息。我們會發現『它』會漸漸消失！ 往後的生活，誰又敢斷言我們一生中只會經歷一次的『痛』？但我們肯定和堅信這些重新的經歷所帶來的體會與感受，使我們有更好的裝備，應付隨後生活的各種挑戰！ |
5 Time line therapy ( hypnosis and narrative therapy )
Causes from medical point of view
Flow chat
for Teeth pain case
Basic information
about health and life style
Age:
BMI stomach
fat
Fat liver?
Chronic
diseases:
Tooth pain causes:
https://health.clevelandclinic.org/common-tooth-pain-causes
Another
source of tooth pain could be a root fracture, a
crack on the root of your tooth. This type of dental injury can be difficult to
diagnose because it happens deep below the surface of your teeth and gums. Your
provider can’t see them just by looking inside your mouth.
“Even if we
take a two-dimensional X-ray in the office, it’s very rare that a root fracture
will show,” Dr. Ross notes. “If we suspect it, we will send you to an
endodontist, a root canal specialist who will do some tests on the tooth.”
A 3D scan
called a cone beam CT scan can show bone loss around your tooth, which often
indicates a root fracture. “If that’s the case, the tooth often does need to be
pulled,” Dr. Ross says.
蛀牙、臼齒甚至鼻竇感染都可能是牙齒疼痛的原因Cavities,
grinding or even a sinus infection could be behind your tooth pain
5. A sinus infection or allergies
Sinus infections can make you miserable in a whole slew of ways,
including headache, stuffy nose and cough. And you can add tooth pain to the
list, too.
“When your sinus passages are infected, they can get blocked or filled
up with fluid,” Dr. Clemons explains. “That can put
pressure on your cheeks and teeth and make your whole face hurt.”
Oh, and what’s one of the primary causes of sinus infections? You
guessed it: seasonal allergies. Even if your allergies don’t lead to a sinus
infection (fingers crossed), they can still put similar pressure on your sinus
cavities and, thus, on the rest of your face.
Canker sores.
Herpes simplex virus (oral cold sores).
Lichen planus, an inflammatory skin condition that can also show in your
mouth.
A much rarer possibility is trigeminal neuralgia, a
facial pain disorder that can mask as tooth pain. “That needs to be treated by
a neurologist or a pain
management specialist,” Dr. Ross states.
7. 其他健康狀況
區分不同類型的口腔疼痛並不總是那麼容易。
「有一些與牙齒無關的問題可能會導致疼痛，您可能會誤認為是牙痛，」羅斯博士說。
包括了：
潰瘍瘡。
單純皰疹病毒（口腔唇皰疹）。
扁平苔癬是一種發炎性皮膚病，也可能出現在口腔中。
更罕見的可能性是三叉神經痛，這是一種臉部疼痛疾病，可以掩蓋牙齒疼痛。
「這需要由神經科醫生或疼痛管理專家來治療，」羅斯博士說
據統計，近八成三叉神經痛的患者是因為【動脈壓迫】到三叉神經，造成三叉神經短路或異常放電，引發疼痛。少數患者是因為【腫瘤壓迫】，或是【帶狀泡疹病毒】攻擊神經所導致，但也有一部分患者的三叉神經痛是找不到原因的。
三叉神經指的是第5對腦神經，主管臉部、口腔的感覺，左右臉頰各一條，有三個分支分別通往眼部、上顎和下顎區域，就如同三條叉路，因此稱「三叉神經」。
Could it be gum disease?
Gum (periodontal) disease is an infection of your
gums, and it can get worse with time. But it doesn’t usually cause tooth pain.
“Perhaps ironically, gum disease rarely causes pain
in the mouth,” Dr. Ross says. “Even if it’s very, very severe, this is rarely a
cause of pain that leads patients to see their dentist or periodontist on an
emergent basis.”
There are other symptoms of gum disease, though,
like:
Bad breath.
Bleeding or swollen gums.
Sensitive teeth.
If you’re seeing your dentist twice a year, they
can often diagnose and treat early gum disease. But it’s also worth making an
annual appointment with a periodontist.
“The common treatment for periodontal disease is a
deep cleaning or scaling and root cleaning, where we numb you up and clean the
tarter beneath your gums,” Dr. Ross explains. Periodontists can also treat
complex gum disease.
會不會是牙齦疾病？
牙齦（牙周）疾病是牙齦感染，隨著時間的推移，情況會變得更糟。
但它通常不會引起牙齒疼痛。
「也許諷刺的是，牙齦疾病很少引起口腔疼痛，」羅斯博士說。
“即使非常非常嚴重，這也很少會導致患者緊急去看牙醫或牙周病醫生。”
不過，牙齦疾病還有其他症狀，例如：
口臭。
牙齦出血或腫脹。
牙齒敏感。
如果您每年看牙醫兩次，他們通常可以診斷和治療早期牙齦疾病。
但每年與牙周病醫師預約也是值得的。
「牙周病的常見治療方法是深層清潔或潔牙和牙根清潔，我們會讓您麻木並清潔牙齦下的牙垢
A much rarer possibility is trigeminal neuralgia, a
facial pain disorder that can mask as tooth pain. “That needs to be treated by
a neurologist or a pain
management specialist,” Dr. Ross states.
7. 其他健康狀況
區分不同類型的口腔疼痛並不總是那麼容易。
「有一些與牙齒無關的問題可能會導致疼痛，您可能會誤認為是牙痛，」羅斯博士說。
包括了：
潰瘍瘡。
單純皰疹病毒（口腔唇皰疹）。
扁平苔癬是一種發炎性皮膚病，也可能出現在口腔中。
更罕見的可能性是三叉神經痛，這是一種臉部疼痛疾病，可以掩蓋牙齒疼痛。
「這需要由神經科醫生或疼痛管理專家來治療，」羅斯博士說
據統計，近八成三叉神經痛的患者是因為【動脈壓迫】到三叉神經，造成三叉神經短路或異常放電，引發疼痛。少數患者是因為【腫瘤壓迫】，或是【帶狀泡疹病毒】攻擊神經所導致，但也有一部分患者的三叉神經痛是找不到原因的。
三叉神經指的是第5對腦神經，主管臉部、口腔的感覺，左右臉頰各一條，有三個分支分別通往眼部、上顎和下顎區域，就如同三條叉路，因此稱「三叉神經」。
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