癫痫与生酮饮食 自然疗法,柏格医生dr berg

Summary

在这段视频中，讨论了生酮饮食与癫痫的关系。1923年，Dr. Russell Wilder在梅奥诊所工作时，发现禁食可以减少癫痫发作，因此他探索了一种模拟禁食的饮食方法。他发现低碳水化合物饮食可以显著减少癫痫发作，其中15%的患者甚至完全停止了发作。生酮饮食已经发展出不同的脂肪、蛋白质和碳水化合物的比例，以适应不同的患者需求。尽管生酮饮食的确切作用机制尚未完全明确，但有几种理论，包括提高神经元突触的稳定性、酮体的抗癫痫效应以及减少大脑炎症。生酮饮食可能导致一些副作用，如便秘、疲劳、口臭、胆固醇升高和肾结石。为了避免这些副作用，建议选择高质量的食材，如有机草饲、野生捕捞和放养的鸡蛋等，并推荐间歇性禁食、避免使用蔬菜油、增加绿叶蔬菜的摄入量，并使用橄榄油作为调味料。此外，还建议补充电解质和海盐，以及添加纯化胆汁盐以帮助消化脂肪。视频中还提到了作者写的几本关于健康和生酮饮食的书籍，提供了关于如何健康进行生酮饮食的详细信息和建议。

Takeaways

• 🍽️ 1923年，Dr. Russell Wilder在梅奥诊所观察到禁食可以减少癫痫发作，这启发了生酮饮食的研究。
• 📉 生酮饮食通过低碳水化合物摄入减少癫痫发作，有50%的减少效果，15%的群体完全消除了发作。
• 🔄 生酮饮食的比例从4:1到1:1不等，脂肪比例越高，越容易进入酮症状态。
• 🤔 目前尚不完全清楚生酮饮食为何能减少癫痫发作，但可能与提高神经元突触稳定性、酮体的抗癫痫效果和减少脑炎症有关。
• 🚫 经典生酮饮食可能因为忽视食材质量而导致一些副作用，如便秘、疲劳、口臭、胆固醇升高和肾结石。
• 🥗 推荐改良生酮饮食，增加有机、草饲、野生捕捞和牧场饲养的食材，以及更多的绿叶蔬菜。
• 🚫 避免使用大豆油和玉米油等可能引起炎症的植物油。
• 🥦 增加绿叶蔬菜的摄入量可以中和酮症带来的酸性，并帮助补充因酮症而流失的电解质。
• 🧂 推荐使用高质量的海盐，并补充钾和镁等电解质，以防止疲劳和潜在的肾结石风险。
• 🧘‍♂️ 推荐间歇性禁食，减少餐数，可能有助于提高生酮饮食的效果。
• 📚 Dr. Berg的书籍提供了关于生酮饮食和间歇性禁食的详细信息，包括健康生酮计划和快速入门指南。

Q & A

生酮饮食是如何在1923年由Russell Wilder博士提出的？

Russell Wilder博士在1923年在梅奥诊所工作时，注意到历史上有些人在禁食时不发作癫痫，因此他想找到一种方法来模仿禁食的效果。他发现，通过低碳水化合物饮食可以显著减少癫痫发作，这导致了经典生酮饮食的诞生。

生酮饮食中脂肪、蛋白质和碳水化合物的比例有哪些变化？

生酮饮食的比例可以是4:1、3:1、2:1或1:1，其中4:1的比例意味着脂肪是蛋白质和碳水化合物的四倍，而1:1则表示三者比例相等。比例越高，进入酮症状态的可能性越大。

为什么生酮饮食可能对癫痫发作有益处？

尽管确切机制尚不完全清楚，但有几种理论：一是它可能改善了神经元之间的突触稳定性；二是酮体具有抗癫痫效果；三是它可能减少大脑炎症。

生酮饮食可能导致哪些副作用？

生酮饮食可能导致便秘、疲劳、口臭、胆固醇升高和肾结石等副作用。

为什么生酮饮食可能会导致这些副作用？

这可能是因为经典生酮饮食主要关注宏观营养素的比例，而不太关注食物的质量，如使用大豆油、多糖糊精等可能不健康的成分，可能导致副作用。

为了更健康地进行生酮饮食，有哪些建议？

建议选择更高质量的食材，如有机草饲、野生捕捞、牧场饲养的鸡蛋等。同时，推荐间歇性禁食，避免使用植物油，增加绿叶蔬菜的摄入量，使用橄榄油，补充电解质和海盐，并考虑添加纯化胆汁盐以帮助消化脂肪。

为什么在生酮饮食中增加绿叶蔬菜是有益的？

绿叶蔬菜中的碳水化合物和卡路里含量很低，含有丰富的纤维，可以帮助中和酮症状态带来的酸性，同时补充因酮症而流失的电解质，减少并发症。

为什么推荐在生酮饮食中使用橄榄油而不是其他油？

橄榄油是一种更健康的脂肪来源，即使在较大量使用时，也比其他油更有益于健康。

在生酮饮食中补充电解质和海盐有什么作用？

补充电解质和海盐可以帮助补充因酮症而流失的水分和电解质，减少疲劳感，并预防可能的矿物质缺乏问题。

为什么在生酮饮食中添加纯化胆汁盐是有益的？

纯化胆汁盐可以帮助消化大量的脂肪，减少恶心和腹胀的副作用，同时帮助调节胆固醇和分解脂肪。

Dr. Berg提到了哪些关于生酮饮食的书籍？

Dr. Berg提到了几本关于生酮饮食的书籍，包括《Dr. Berg's Body Shapes》、《The Seven Principles of Fat Burning》、《The New Body Type Guide》（后更名为《The Healthy Keto Plan》），以及《Healthy Keto and Intermittent Fasting》作为快速指南。

Dr. Berg的书籍《The Healthy Keto Plan》提供了哪些信息？

《The Healthy Keto Plan》详细介绍了生酮饮食的各个方面，包括脂肪燃烧的七个原则、激素、身体类型、基础生酮饮食计划、间歇性禁食、脂肪燃烧的触发因素和阻碍因素、脂肪燃烧策略，以及如何应对影响减肥的身体问题，如睡眠问题、压力问题、炎症、更年期等。

Outlines

00:00

🔍 历史与原理：生酮饮食与癫痫治疗

1923年，Dr. Russell Wilder在梅奥诊所工作时，注意到历史上人们在禁食期间不发作癫痫，这激发了他寻找一种能够模仿禁食的饮食方法。他发现，通过低碳水化合物饮食可以显著减少癫痫发作，甚至15%的人可以完全消除发作。这种经典的生酮饮食（Keto Diet）已经发展为不同的脂肪、蛋白质和碳水化合物比例，如4:1、3:1、2:1或1:1。生酮饮食的工作原理尚未完全明确，但可能包括提高神经突触稳定性、抗癫痫效果和减少大脑炎症。然而，这种饮食可能导致便秘、疲劳、口臭、高胆固醇和肾结石等副作用。作者认为，这些副作用可能源于生酮饮食中对食材质量的忽视，因此建议调整食材，选择更健康的有机、草饲、野生或放养的食材，并推荐间歇性禁食、避免蔬菜油、增加绿叶蔬菜摄入，以及使用橄榄油。

05:01

🍽️ 健康生酮饮食的调整与建议

为了解决生酮饮食可能带来的酸性问题，建议通过摄入蔬菜和沙拉来中和。生酮饮食中由于高脂肪摄入，可能会导致体内电解质流失，因此需要补充电解质，如钾和镁，以及海盐，以防止疲劳。此外，作者建议使用纯化的胆汁盐帮助消化脂肪，减少恶心、腹胀和高胆固醇的风险。对于想要进行健康生酮饮食的人，作者推荐全食物维生素而非合成维生素，并提供了一些健康生酮饮食的餐食示例。作者还提到了自己写的几本书，包括《Dr. Berg's Body Shapes》、《The Seven Principles of Fat Burning》和《The Healthy Keto Plan》，后者是关于生酮饮食的全面指南，包括脂肪燃烧原则、激素、间歇性禁食、燃烧触发器和阻断器，以及食谱。还有一本名为《Healthy Keto Intermittent Fasting》的快速指南，旨在帮助读者在45分钟内掌握生酮和间歇性禁食的要点。

10:02

📚 书籍介绍与特别优惠

作者介绍了两本书的区别，其中一本是更新版，包含了更准确的健康生酮饮食信息。如果读者没有前一本书，作者建议购买最新版本以获取正确的信息。作者还提供了一个特别优惠，购买《The Healthy Keto Plan》时可以免费获得《Healthy Keto Intermittent Fasting》这本书。这两本书可以在亚马逊上单独购买。

Keywords

💡生酮饮食

生酮饮食是一种高脂肪、适量蛋白质和低碳水化合物的饮食方式，目的是使身体进入生酮状态，即主要通过燃烧脂肪而非碳水化合物来获取能量。在视频中，生酮饮食被讨论为治疗癫痫的一种方法，通过减少碳水化合物的摄入，可以显著减少癫痫发作的频率。

💡癫痫

癫痫是一种慢性神经系统疾病，其特征是大脑活动异常，导致反复发作的癫痫发作。视频中提到，通过生酮饮食，可以减少癫痫患者的发作次数，甚至有些患者可以完全控制发作。

💡Russell Wilder

Dr. Russell Wilder是一位医生，他在1923年在梅奥诊所工作时，对生酮饮食进行了研究，发现低碳水化合物饮食可以减少癫痫患者的发作。他的名字与生酮饮食的历史和研究紧密相关。

💡酮症

酮症是一种代谢状态，当身体燃烧脂肪而非碳水化合物作为主要能源时，会产生酮体。视频中提到，生酮饮食通过增加脂肪摄入比例，促使身体进入酮症状态，这可能对控制癫痫发作有积极作用。

💡饮食比例

生酮饮食中脂肪、蛋白质和碳水化合物的摄入比例是关键因素，常见的比例有4:1、3:1、2:1等。视频中提到，不同的比例会影响身体进入酮症的程度，以及患者的遵从性和治疗效果。

💡间歇性禁食

间歇性禁食是一种饮食模式，它涉及在特定时间内不进食，以促进身体燃烧脂肪。视频中建议，将间歇性禁食与生酮饮食结合使用，可以提高治疗效果并减少副作用。

💡健康食材

视频中强调，生酮饮食中使用的食材质量很重要。推荐使用有机、草饲、野生捕捞和放养的食材，以提高饮食的营养价值和减少副作用。

💡电解质

电解质是身体功能正常运作所必需的矿物质，如钾、钠和镁。视频中提到，在生酮饮食中，由于水分和电解质的流失，补充电解质对于预防副作用（如疲劳和肾结石）至关重要。

💡蔬菜油

蔬菜油如大豆油和玉米油在生酮饮食中通常被避免，因为它们可能引起炎症和消化问题。视频中建议避免使用这些油，并推荐使用橄榄油作为更健康的替代品。

💡绿色蔬菜

绿色蔬菜如沙拉在生酮饮食中被推荐，因为它们含有高纤维和低糖，可以帮助中和酮症带来的酸性，并提供必要的营养。视频中提到，即使在严格的生酮饮食中，绿色蔬菜的碳水化合物含量也很低，适合食用。

💡合成维生素

合成维生素在视频中被批评为不如全食物来源的维生素健康。建议使用全食物维生素和补充电解质，以提高生酮饮食的营养价值和减少潜在的健康风险。

Highlights

1923年，Dr. Russell Wilder在梅奥诊所工作时，通过历史文献了解到禁食可以减少癫痫发作，这激发了他寻找一种能够模仿禁食效果的饮食方法。

低碳水化合物饮食可以显著减少癫痫发作，其中50%的患者发作减少，15%的患者完全不再发作。

生酮饮食的经典比例是4:1，即脂肪与蛋白质和碳水化合物的比例为4:1，但可以根据患者情况调整为3:1、2:1或1:1。

生酮饮食的目的是让身体进入生酮状态，通过燃烧脂肪而非葡萄糖来提供能量。

生酮饮食可能通过提高神经元突触的稳定性、抗癫痫效果和减少大脑炎症来发挥作用。

生酮饮食可能导致便秘、疲劳、口臭、胆固醇升高和肾结石等副作用。

生酮饮食的副作用可能源于对食物质量的忽视，如使用大豆油和多聚葡萄糖等成分。

推荐使用有机、草饲、野生捕捞和牧场饲养的鸡蛋等更健康的食材来调整生酮饮食。

建议在生酮饮食中加入间歇性禁食，以提高效果。

避免使用大豆油和玉米油等可能引起炎症的植物油。

增加绿叶蔬菜的摄入量，以平衡生酮状态带来的酸性，并补充因生酮饮食而可能丢失的电解质。

使用橄榄油作为主要的烹饪和调味油，因为它比其他油更健康。

生酮饮食中应补充电解质，如钾和镁，以防止肾结石和疲劳。

建议使用高质量的海盐，以补充因生酮饮食而丢失的钠。

如果生酮饮食中脂肪摄入量高，建议添加纯化胆汁盐以帮助消化和降低胆固醇。

推荐使用全食物来源的维生素代替合成维生素，以提高饮食质量。

Dr. Berg提供了一个链接，供下载更健康的生酮饮食餐单示例。

Dr. Berg的书籍《Dr. Berg's Body Shapes》是关于体型和饮食的初步探讨。

《The Seven Principles of Fat Burning》是Dr. Berg关于脂肪燃烧原则的深入研究，但现已过时。

《The New Body Type Guide》是Dr. Berg关于体型、脂肪燃烧策略和健康生酮饮食的全面更新。

《Healthy Keto in a Nutshell》是Dr. Berg为读者提供的快速指南，以便在45分钟内掌握生酮饮食和间歇性禁食的要点。

Transcripts

let's talk about epilepsy in the

ketogenic diet in

1923 Dr Russell Wilder or it could be

wilder I'm not sure uh was working in

the mail clinic and he observed or read

about people in history not having

seizures when they fasted so he was

curious about that and he wanted to find

a way that he could mimic fasting

because eventually a person's going to

have to eat and when they start eating

the seizures could come back so what he

found is when you put someone on a low

carb diet you can actually reduce their

seizures by 50% okay which is pretty

significant and 15% of that group

completely got rid of their seizures

100% so that began the classic keto diet

for epilepsy and it's definitely evolved

into various ratios of fat to protein

and carb so you could do a 4:1 ratio

where you have four times as much fat to

protein and carb

or 3:1 or 2:1 or even 1: one now the

more ratio of fat to protein and carb

the more you're going to get into

ketosis and the less ratio the less

you're going to get into ketosis and so

one of the reasons why they have uh

different ratios is because as you um

lessen the fat increasing protein and

carb it makes it easier for the patient

there's better compliance and they also

use the modified Ain diet which you're

not Cal counting you're not being that

strict when you go to a restaurant and

it allows for more protein um you're not

measuring anything it just makes it a

little bit easier now they're not

actually sure why the ketogenic diet

works for seizures but there is some

theories one is that it improves the

stability of your synapses between your

neurons number two ketones have

anti-convulsant effects number three it

decreases brain inflammation it could be

a combination of all three of these

things I do know that the brain prefers

ketones over glucose because it runs

more efficiently now some of the

problems that uh a patient could

experience going on this diet is that

they can develop a lot of constipation

issues um some pretty severe keto

fatigue uh bad breath higher cholesterol

kidney stones which is actually not that

common but it potentially can occur now

my opinion on why those side effects

occur

is that the classic keto doesn't

necessarily focus on the quality of

ingredients okay and so they're mainly

focused on the macros they have a

powdered drink that is literally you

know soy oil

multidex casine uh to me that is

definitely not healthy and if someone

were to consume that it might taste okay

but to put that in your body you might

notice quite a few side effects and they

generally recommend like synthetic

vitamins and things like that what I

would recommend if someone has epilepsy

and they're going to do keto and they

want to do the classic keto diet or any

of these right here I would highly

recommend tweaking the ingredients to

make them healthier I would definitely

shoot for like organic grass-fed wild

caught pasture raised eggs things like

that but there's some other things that

I would recommend too I would highly

recommend that they add intermittent

fasting because currently they don't and

so instead of three meals a day I would

do minimally two meals a day now if

there's a small Tri that could be a

problem and you might have to have

larger meals but the fact that you're

adding fasting with this ketogenic plan

but I think that's going to take your

results to a whole new level I would

also avoid vegetable oils because if you

look at the classic ketogenic diet

they're they're allowing um soy oil corn

oil um which is inflammatory so it's

going to create digestive issues

eventually and it could majorly inhibit

your results the other thing I would

recommend is I would majorly increase

the amount of greens like green salads

now the thing that you have to realize

that the carbs from salad are very very

small the calories from salad are almost

insignificant there's so much fiber and

there's so little sugar that that would

be perfect on the classic ketogenic plan

and even probably work within this 4:1

ratio right here and of course I would

definitely recommend the olive oil being

the best oil even in larger amounts

versus any other oil that You' get on

salad dressing that's pretty low level

now the salad and the vegetables are

going to offset the acidity from the

ketones because if you're doing 4 to1

you're eating the fat you're going to

majorly induce a state of ketosis and so

the lower the carbs the lowerer the

protein the higher the fat the more the

ketones but you're going to also get a

lot of acidity so you're going to need

to offset that with vegetables and salad

so I would recommend doing a good

portion uh that will not throw you out

of ketosis and I think it would would

really solve a lot of the complications

um especially even the mineral problem

that people have because when you

actually start ketosis you lose a lot of

water and you lose electrolytes so you'd

want to add in electrolytes for sure

potassium citrate which will counter any

potential risk for kidney stones and

then the electrolytes would give you the

magnesium and so with the salad as well

and don't forget uh sea salt one to one

and a half teaspoons a day now if you're

doing this diet for a small child maybe

you do less than one teaspoon but the

sea salt is important a good high

quality sea salt Himalayan sea salt is

good or some other red salts that will

help because what's going to happen is

as you induce ketosis you're going to

lose a lot of fluid and with that comes

a loss of sodium and that can actually

even make the person feel fatigued right

off the bat so this is a real simple

alternative to solve that problem number

four if you're doing a lot of fats

especially this racial right here I

would recommend adding in purified bile

salts to handle some of that fat it's

going to help you digest it you're going

to lessen the side effect of nausea and

bloating and even high cholesterol

because bile which is produced by the

liver stored in the gallbladder helps to

regulate cholesterol it helps to break

down fats so if you're doing that much

fat it might really help to do this

right here number four instead of

synthetic vitamins do a whole food uh

brand vitamin something that's higher

quality not the synthetic ones I already

mentioned the electrolytes as well as

the sea salt now for those of you that

have epilepsy or you have a child that

has epilepsy and you want a healthier

version of the classic keto I put a link

down below so you can download some

examples of some good meals that you can

use to help get you in ketosis but to do

it in a healthy

way hey before you leave I just wanted

to give you a little quick history on

some of the books that I wrote this was

one of the first books it's called

drberg body shapes it was my attempt at

um writing about body types uh what was

very interesting about this book is

because I actually did all the images

myself uh don't ask me why um they look

actually not quite as professional as

some of the uh images that I have in the

new book but anyway this is my first

attempt right here called Dr Berg's body

shaped diets uh and then I wrote a book

um more extensive called the seven

principles of fat burning I don't even

have a copy anymore actually um because

it's outdated uh the next book uh I put

about a thousand hours into this right

here called the new body type guide

major updates on the body types uh I put

a lot of energy into this uh it has

professional images Graphics all sorts

of things now the problem with this book

is it doesn't really describe what this

is really about body types are only a

small portion of what's in this book and

that's why I changed the name to the

healthy Keto Plan okay if you happen to

have this book you don't really need

this book because there's some only very

very minor updates but if you don't have

this you need to get this one right here

um this book goes into every single

detail that you would ever want to know

about it goes into the seven principles

of fat burning it goes into hormones uh

the body types the basic Keto Plan it

goes into intermittent fasting I talk

about the 10 fat burning triggers and

blockers and fat burning strategies with

a lot of details in every single chapter

I go into body issues that interfere

with losing weight um there's very few

people that just have a weight problem

they have a lot of body issues whether

it's sleeping problems uh stress

problems

inflammation menopause I cover that

extensively in this book then I talk

about how to get rid of stress and I

show you a technique uh then I get into

exercising and then I have a lot of

really good recipes in this book as well

so uh this is a good reference guide um

on my website if you get this book you

get this one free it's called healthy

keto in inent fasting this is the

shortcut uh quick guide to this book and

uh the reason I created this book is to

have you within 45 minutes learn how to

do keto okay in in minute fasting

exactly what you need to do then you can

fill in the blanks with this book right

here so right now I'm doing a special if

you get this book you get this one

totally free or you can go to Amazon and

get these individually so I just want to

clarify the difference between this book

and this updated one right here if you

don't have this you need to get this

right here that way you can get the

exact correct information to do it

healthily