在古老而深邃的中医智慧中，《黄帝内经》犹如一盏明灯，照亮了世代医者对生命奥秘的探索之路。其中，“少火生气，壮火食气”的论断，不仅是对人体生理病理的精辟阐述，更是对现代人养生误区的一记警钟。梁世杰主对此有着独到的见解和深刻的体悟。
“少火生气”，如同春日里温柔的阳光，温暖而不燥烈，能够激发人体的生机与活力，促进气血的顺畅运行。而“壮火食气”，则如同夏日炎炎的烈日，炽热难耐，不仅消耗着人体的正气，还可能导致一系列气虚症状的出现，如乏力、气短、疲惫等。这些症状看似简单，实则暗藏玄机，稍有不慎，便可能陷入误区，导致病情加剧。
梁世杰主任指出，面对这些气虚症状，许多人往往急于求成，盲目投身于补气大军之中，人参归脾丸、人参健脾丸、补中益气丸等补气药物成了他们的“救命稻草”。然而，这种做法无异于火上浇油，尤其是对于“壮火食气”引起的气虚而言，更是雪上加霜。因为此时的人体，需要的是清火养血、解郁散热，而非一味的补气。
举个例子，有位患者李先生，长期饮食无度，偏爱辛辣油腻，加之工作压力巨大，导致内火旺盛，时常感到疲惫不堪。他误以为自己是气虚，于是自行购买了多种补气药物服用。结果，不仅症状没有缓解，反而出现了口干舌燥、便秘加重等上火症状。经梁世杰主任诊断，李先生的问题正是“壮火食气”所致。经过清火养血、解郁散热的治疗，李先生的症状逐渐消失，整个人也重新焕发了生机。
梁世杰主任强调，面对气虚症状，我们必须保持清醒的头脑，仔细辨析其背后的真正原因。是“壮火食气”还是真正的气虚？这需要医生的专业判断，而非患者自行其是。因为盲目的补气，不仅可能加重病情，还可能导致“三高”（高血压、高血糖、高血脂）等慢性疾病的逐渐加重。
“壮火食气”，本质上是一种内火久郁成疾的表现。它消耗着人体的正气，使得人体处于一种亚健康状态。因此，解决这一问题，关键在于清火养血、解郁散热。这不仅要调整饮食习惯，减少辛辣油腻食物的摄入，增加清淡易消化、富含纤维的食物；还要注重情绪管理，保持心情愉悦，避免过度焦虑和压力。同时，适当的运动也是必不可少的，它能够促进气血运行，加速新陈代谢，帮助人体排出多余的热量和毒素。
总之，“少火生气，壮火食气”，这不仅是对人体生理病理的精辟概括，更是对我们现代人养生之道的深刻启示。在面对气虚症状时，我们必须保持冷静和理性，仔细辨析其背后的真正原因。只有这样，我们才能避免陷入误区，走出一条真正适合自己的健康之路。梁世杰主任的智慧和经验告诉我们：健康之道在于明辨是非，在于顺应自然，在于内心的平和与宁静。
作者简介：梁世杰 中医高年资主治医师，本科学历，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。事迹入选《当代科学家》杂志、《中华英才》杂志。
Liang Shijie: Identify "depression" from "hypoxia" and blindly replenish the air has serious consequences
In the ancient and deep wisdom of traditional Chinese medicine, the Inner Book of Huangdi is like a bright light that has illuminated the path of the exploration of the mystery of life for generations of healers. Among them, the assertion that "less fire to grow angry, more fire to eat angry" is not only a brilliant exposition of human physiological pathology, but also a wake-up call to modern people's nursing misconceptions. Lord Liang Zeijiu has unique insight and deep understanding of this.
"Being angry with less fire" is like the gentle sunshine in spring, warm and not harsh, which can stimulate the human body's vitality and vitality, and promote the smooth operation of qi and blood. "Eating with fire" is like the hot summer sun, and the heat is unbearable, not only consumes the body's positive qi, but also may lead to a series of hypoxia symptoms, such as fatigue, shortness of breath, and exhaustion. These symptoms may seem simple, but they are secretive, and if you are careless, you may fall into a misunderstanding and cause the condition to worsen.
Director Liang Shijie pointed out that in the face of these qi deficiency symptoms, many people are often eager for success, blindly join in the army of qi, renshen jianpi pills, renshen jianpi pills, buzhong yiqi pills and other qi tonic drugs became their "life-saving straw." However, this practice is tantamount to adding fuel to the fire, especially for the hypoxia caused by "strong fire eating." Because at this time, the human body needs to clear the fire to rejuvenate the blood, calm the depression and dissipate the heat, rather than just rejuvenate.
For example, a patient, Mr. Li, has a long-term unbalanced diet, a preference for spicy and greasy oils, and a heavy workload, which leads to internal fires and often feels exhausted. He mistakenly thought he was dehydrated, so he bought a variety of medications to take on his own. As a result, not only did the symptoms not relieve, but there were symptoms of fever such as dry mouth and increased constipation. Director Liang Shijie diagnosed that Mr. Li's problems were due to "intensifying fire and eating gas." After the treatment of clearing the fire, nourishing the blood, and relieving the depression and heat, Mr. Li's symptoms gradually disappeared, and his whole body was rejuvenated.
Director Liang Shijie stressed that in the face of hypoxia symptoms, we must maintain a clear mind and carefully discern the real cause behind it. Is it "burning fire to eat" or is it true hypoxia? This requires the doctor's professional judgment, not the patient's discretion. Because blind gasification may not only aggravate the condition, but also cause the gradual aggravation of chronic diseases such as "high blood pressure, high blood sugar, and high blood lipids."
"Eating with fire" is essentially a symptom of the chronic decay of internal fire. It consumes the body's Qi, making the human body in a sub-state of health. Therefore, the key to solving this problem lies in clearing the fire, nourishing the blood, and alleviating the depression and heat. This requires not only adjusting dietary habits, reducing the intake of spicy and greasy foods, but also increasing light, easy-to-digest, fiber-rich foods. You should also pay attention to emotional management to keep your mood happy and avoid excessive anxiety and stress. At the same time, proper exercise is also essential, which can promote the operation of the air and blood, speed up the metabolism, and help the body expel excess heat and toxins.
In short, "burn less fire to grow angry, and eat more fire to eat angry," which is not only an exhaustive summary of human physiological pathologies, but also a profound revelation for our modern human regimen. When faced with depressive symptoms, we must remain calm and rational, and carefully examine the real cause behind them. Only in this way can we avoid getting caught up in a misunderstanding and set out on a path to health that truly suits us. Director Liang Shijie's wisdom and experience have taught us that the way to health is to know right from wrong, to conform to nature, and to have peace and serenity in the heart.
Author Bio: Liang Shijie is a senior medical practitioner in traditional Chinese medicine with an undergraduate degree. 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 a researcher at the Shude Tang TCM Research Institute in Beijing, a fellow at the new 3 + 3 project of traditional Chinese medicine flame inheritance in Beijing - a scholar at the inheritance workstation 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. His work was featured in the journal Current Scientist and the journal Chinese Talent.
