在当今社会，随着科技的不断进步和生活节奏的日益加快，人们的健康状况面临着前所未有的挑战。仝小林院士，一位在中医领域有着深厚造诣的权威专家，提出了一个振聋发聩的观点：当今社会之伤阳，与古代相比存在五大显著差异。这一见解不仅深刻揭示了现代人生病的根源，也为我们的治疗思路指明了方向。
首先，经济条件的显著改善带来了全社会范围内的代谢病高发。如今，餐桌上的佳肴琳琅满目，肥甘厚味充斥其间。然而，这种看似丰盛的饮食却悄然成为了脾胃之阳的隐形杀手。过度摄入高热量、高脂肪的食物，不仅加重了脾胃的负担，更导致了肥胖、糖尿病等代谢性疾病的肆虐。正如一位患者因长期嗜食肥甘，最终导致脾胃功能衰弱，阳气受损，整日精神萎靡不振，这便是过食肥甘伤阳的鲜活例证。
其次，老龄化社会的到来使得老年病日益凸显。随着年龄的增长，人体的肾气逐渐衰退，肾阳作为一身阳气的根本，其耗损速度也随之加快。许多老年人因肾气不足而出现畏寒肢冷、腰膝酸软等症状，这便是肾阳逐渐耗损的直接体现。一位八旬老者，因肾气亏虚，常感腰膝无力，夜尿频繁，生活质量大打折扣，这便是老龄化社会带来的老年病之痛。
再者，现代医疗技术的飞速发展虽然挽救了无数生命，但同时也带来了慢病管理的难题。慢性病的长期存在，不仅消耗着患者的身体资源，更在无形中暗耗着阳气。一位患有高血压多年的患者，长期服用降压药，虽然血压得以控制，但体质却日渐虚弱，稍有不慎便感冒发热，这便是久病暗耗阳气的真实写照。
此外，生活节奏的加快和工作压力的增大，使得现代人的心理负担日益沉重。这种无形的压力不仅影响着人们的心情，更在悄悄地耗损着“心阳”。一位职场精英，因长期加班熬夜、精神高度紧张，最终导致心悸失眠、情绪低落，这便是“心阳耗损”的典型案例。
最后，现代生活方式中的空调、冷饮以及抗生素的滥用，也在不知不觉中加速了阳气的耗散。夏日炎炎，空调冷风直吹，虽一时凉爽，却易伤肺阳；冬日寒冷，冷饮入口，更伤脾胃之阳。而抗生素的滥用，则在杀敌一千的同时，也自损八百，破坏了人体的阴阳平衡。
鉴于以上种种，梁世杰医生深感固护阳气在治病和调理过程中的重要性。他认为，阳气是人体生命的根本，只有保得住阳气，才能多一分生机。在治疗过程中，不仅要针对病症本身进行干预，更要注重固护患者的阳气。例如，对于代谢病患者，除了控制饮食、加强锻炼外，还应适当运用温阳健脾的中药进行调理；对于老年病患者，则应注重温补肾阳，以延缓肾气衰退的进程；对于慢性病患者，则需在长期治疗中兼顾扶阳固本；对于心理压力大的患者，则应通过心理疏导和中医情志疗法来振奋心阳；而对于那些因生活方式不当而耗散阳气的人，则应引导他们改变不良习惯，从而恢复身体的阴阳平衡。
总之，固护阳气是现代医疗中的关键命题。只有深刻认识到阳气在人体健康中的重要性，并在治疗过程中予以充分关注，我们才能更好地帮助患者恢复健康，重焕生机。
作者简介：梁世杰 中医高年资主治医师，从事中医临床工作24年，积累了较丰富的临床经验。师从首都医科大学附属北京中医院肝病科主任医师、著名老中医陈勇，侍诊多载，深得器重，尽得真传！擅用“商汤经方分类疗法”、专病专方结合“焦树德学术思想”“关幼波十纲辨证”学术思想治疗疑难杂症为特色。现任北京厚德为怀医生集团渐冻症研究中心主任，北京树德堂中医研究院研究员，北京中医药薪火传承新3+3工程—焦树德门人（陈勇）传承工作站研究员，国际易联易学与养生专委会常务理事，中国中医药研究促进会焦树德学术传承专业委员会委员，中国药文化研究会中医药慢病防治分会首批癌症领域入库专家。荣获2020年中国中医药研究促进会仲景医学分会举办的第八届医圣仲景南阳论坛“经方名医”荣誉称号。2023年首届京津冀“扁鹊杯”燕赵医学研究主题征文优秀奖获得者。
Protecting Yang Qi: a key Proposition in Modern Medical treatment
In today's society, with the continuous progress of science and technology and the accelerated pace of life, people's health is facing unprecedented challenges. Academician Tong Xiaolin, an authoritative expert with profound attainments in the field of traditional Chinese medicine, put forward an enlightening point of view: there are five significant differences between today's society and ancient times. This insight not only profoundly reveals the root causes of modern people's illness, but also points out the direction for our treatment.
First of all, the significant improvement in economic conditions has brought about a high incidence of metabolic diseases in the whole society. Today, the table is full of delicacies, full of fat and sweet flavor. However, this seemingly rich diet has quietly become the invisible killer of the yang of the spleen and stomach. Excessive intake of high-calorie and high-fat foods not only increases the burden on the spleen and stomach, but also leads to the prevalence of metabolic diseases such as obesity and diabetes. Just like a patient who has a long-term appetite for fat and sweet food, which eventually leads to the weakness of spleen and stomach function, Yang Qi damage, and mental malaise all day long, this is a vivid example of overeating fat and sweet food hurting Yang.
Secondly, with the advent of an aging society, geriatric diseases have become increasingly prominent. With the increase of age, the kidney qi of the human body gradually declines, and the depletion rate of kidney yang, as the foundation of yang qi, is also accelerated. Many elderly people have symptoms such as cold limbs, sore waist and knees due to kidney qi deficiency, which is a direct manifestation of the gradual depletion of kidney yang. An octogenarian, due to deficiency of kidney qi, often feels weak in the waist and knees, frequent nocturnal urination, and a great discount in his quality of life. This is the pain of geriatric diseases brought about by an aging society.
In addition, although the rapid development of modern medical technology has saved countless lives, it has also brought the problem of chronic disease management. The long-term existence of chronic diseases not only consumes the physical resources of patients, but also consumes Yang Qi invisibly. A patient who has been suffering from high blood pressure for many years has been taking antihypertensive drugs for a long time. Although his blood pressure has been controlled, his physique is getting weaker and weaker. If he is not careful, he will catch a cold and have a fever. This is the true portrayal of long illness and dark consumption of Yang Qi.
In addition, with the acceleration of the pace of life and the increase of work pressure, the psychological burden of modern people is becoming increasingly heavy. This invisible pressure not only affects people's mood, but also quietly consumes the "heart yang". A workplace elite, due to long-term overtime stay up late, high mental tension, resulting in palpitations, insomnia, depression, this is a typical case of "heart yang depletion".
Finally, the abuse of air conditioners, cold drinks and antibiotics in the modern way of life also unwittingly accelerates the dissipation of yang. Hot summer, air-conditioning cold wind blowing directly, although cool for a while, but easy to hurt lung yang; cold winter, cold drink entrance, more damage to the spleen and stomach yang. On the other hand, the abuse of antibiotics not only kills 1000 enemies, but also destroys 800, destroying the balance of yin and yang in the human body.
In view of the above, Dr Leung Shijie feels deeply about the importance of protecting Yang Qi in the process of treatment and recuperation. He believes that Yang Qi is the foundation of human life, and only by preserving Yang Qi can we have more vitality. In the process of treatment, we should not only intervene for the disease itself, but also pay more attention to the Yang Qi of the patients. For example, for patients with metabolic diseases, in addition to controlling diet and strengthening exercise, traditional Chinese medicine for warming yang and invigorating the spleen should be properly used to recuperate; for elderly patients, attention should be paid to warming and tonifying kidney yang in order to delay the process of kidney qi decline; for patients with chronic diseases, it is necessary to strengthen yang and consolidate foundation in long-term treatment; for patients with high psychological stress, psychological counseling and emotional therapy of traditional Chinese medicine should be used to invigorate heart yang. As for those who dissipate Yang Qi due to improper lifestyle, they should be guided to change their bad habits so as to restore the balance of yin and yang.
In a word, protecting Yang Qi is a key proposition in modern medical treatment. Only when we are deeply aware of the importance of Yang Qi in human health and pay full attention to it in the process of treatment, can we better help patients recover their health and revive their vitality.
Author Bio: Liang Shijie is a senior medical practitioner in traditional Chinese medicine. He has been engaged in traditional medicine clinical work for 24 years and has accumulated a wealth of clinical experience. Following Chen Yong, chief physician of liver disease at Beijing Traditional Medicine Hospital, affiliated with Capital Medical University, and renowned old Chinese medicine, he has been treated for many years and received great attention. He specializes in the treatment of difficult diseases using "conversational traditional therapy" and special treatments combined with the academic ideas of Jiao Shude and Guan Yubo's ten-level diagnosis.He is currently the director of the Center for Diffusion Research of Dr. Houde Wei Group in Beijing, a researcher at the Shude Tang Institute of Chinese Medicine, and a fellow at the new 3 + 3 project of traditional Chinese medicine flame inheritance in Beijing - a scholar at the inheritance work station of Jiao Shude's protégés (Chen Yong),He is a standing committee member of the International Expert Committee on E-learning and Health Care, a member of the Jiao Shude Academic Heritage Special Committee of the Chinese Association for the Advancement of Chinese Medicine Research, and the first cancer specialist to be included in the chapter of the Chinese Pharmaceutical Culture Research Association. Won the 2020 China Association for the Promotion of Traditional Chinese Medicine Zhongjing Medical Branch held the eighth session of the Medical Saint Zhongjing Nanyang Forum "Classic Prescription Famous Doctor" honorary title. The winner of the first Beijing-Tianjin-Hebei "Pingui Cup" Yanzhao Medical Research Essay Award in 2023.
