摘要：在中医理论的浩瀚宇宙中，“脾为后天之本，气血生化之源”与“肾主骨，生髓，通于脑”这两句经典论断，犹如两颗璀璨的星辰，指引着我们对老年退行性疾病的深入探索与防治。随着岁月的流逝，人体机能逐渐衰退，脾虚、肾虚之症悄然浮现，成为诸多老年疾病如骨质疏松症、关节炎、阿尔
在中医理论的浩瀚宇宙中，“脾为后天之本，气血生化之源”与“肾主骨，生髓，通于脑”这两句经典论断，犹如两颗璀璨的星辰，指引着我们对老年退行性疾病的深入探索与防治。随着岁月的流逝，人体机能逐渐衰退，脾虚、肾虚之症悄然浮现，成为诸多老年疾病如骨质疏松症、关节炎、阿尔茨海默病等的重要根源。而梁世杰主任提出的健脾养血、补肾填精法，则为这一难题提供了一条独具特色的中医防治之路。
脾虚：气血衰微的根源
脾，作为后天之本，承担着将食物转化为气血的重任。然而，在老年人的世界里，脾虚似乎成了常态。脾虚不仅意味着气血生化之源的枯竭，更导致了全身机能的下降。想象一下，一位年迈的老者，面黄肌瘦，食欲不振，这便是脾虚的直观写照。脾虚导致的气血不足，进一步加剧了肌肉的萎缩与四肢的酸痛。正如《黄帝内经》所言：“脾主肌肉”，脾虚则肌肉无力，四肢不举，严重影响了老年人的生活质量。
肾虚：骨骼与脑髓的衰退
如果说脾虚是气血衰微的根源，那么肾虚则是骨骼与脑髓衰退的罪魁祸首。肾主骨，生髓，通于脑，这意味着肾脏的健康直接关系到骨骼的强健与脑功能的正常。在老年退行性疾病中，骨质疏松症与阿尔茨海默病尤为突出。骨质疏松症，让老年人的骨骼变得脆弱易折，每一次跌倒都可能成为生命的转折点。而阿尔茨海默病，则像一把无形的刀，悄无声息地侵蚀着老年人的记忆与智慧。头晕、失眠、健忘、耳鸣、记忆力减退，这些症状如同噩梦般困扰着无数老年人及其家庭。
梁世杰主任的中医智慧：健脾养血，补肾填精
面对这一严峻挑战，梁世杰主任以其深厚的中医功底与丰富的临床经验，提出了健脾养血、补肾填精的中医防治策略。他认为，只有从根本上恢复脾肾的功能，才能有效防治老年退行性疾病。
在健脾养血方面，梁主任强调饮食调养的重要性。他推荐老年人多吃山药、红枣、黄芪等益气健脾的食物，这些食物不仅能够增强脾胃功能，还能促进气血的生成。同时，适当的运动也是健脾养血不可或缺的一环。通过散步、太极拳等温和的运动方式，可以促进脾胃的蠕动，加速气血的循环。
在补肾填精方面，梁主任则更注重药物的运用。他主张使用枸杞子、淫羊藿、杜仲等具有补肾益精功效的中药，这些药物能够滋养肾脏，促进骨髓的生成与脑髓的充盈。此外，他还强调了睡眠的重要性。良好的睡眠不仅能够恢复体力，还能滋养肾精，为第二天的活力打下基础。
生动案例：中医药的神奇疗效
让我们以一个生动的案例来感受中医药的神奇疗效。张奶奶是一位80岁的老人，长期受骨质疏松症的困扰。她的腰部经常疼痛难忍，连基本的行走都变得困难。在尝试了多种治疗方法后，她来到了梁世杰主任的诊所。梁主任根据她的病情，为她量身定制了一套健脾养血、补肾填精的中医治疗方案。经过几个月的调理，张奶奶的腰痛明显减轻，行走能力也得到了显著恢复。她逢人便夸中医药的神奇疗效，感激之情溢于言表。
结语：中医智慧，照亮晚年之路
脾肾为本，健脾养血、补肾填精的中医防治策略，不仅为老年退行性疾病的防治提供了有力的武器，更彰显了中医智慧的博大精深。在老龄化日益严重的今天，让我们携手中医，共同为老年人的健康保驾护航。让中医药的光芒照亮每一位老年人的晚年之路，让他们在岁月的长河中绽放出更加绚烂的光彩。
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: TCM wisdom for prevention and treatment of degenerative diseases in old age based on spleen and kidney
In the vast universe of traditional Chinese medicine, the classical assertions that "the spleen is the natural basis, the biochemical source of qi and blood" and "the kidney is the main bone, the raw marrow, and the brain" are like two bright stars that guide our in-depth exploration and prevention of degenerative diseases in old age. With the passage of years, the human body's function gradually declines, and spleen and kidney diseases quietly emerge, becoming important sources of many diseases of old age such as osteoporosis, arthritis, and Alzheimer's disease. The methods proposed by Director Liang Shijie to strengthen the spleen, raise blood, supplement the kidney and fill the essence provide a unique path of traditional Chinese medicine to prevent and treat this difficulty.
Spleen: the root cause of hypoxia
The spleen, as a natural source, bears the burden of converting food into qi and blood. In the world of the elderly, however, spleen seems to be the norm. Spleen not only means the depletion of the biochemical sources of qi and blood, but also leads to a decrease in the function of the whole body. Imagine an elderly man with a yellow face and thin muscles and a lack of appetite. This is an intuitive reflection of a weakness. Spleen causes a lack of blood and oxygen, which further exacerbates the atrophy of the muscles and soreness of the limbs. As the "Yellow Emperor's Canon of Internal Medicine" says: "spleen governing muscle," spleen weakness, limbs, seriously affected the quality of life of the elderly.
Hyponephria: the decline of the bones and brain marrow
If spleen is the root cause of weakness in the blood and blood, kidney deficiency is the main culprit in the decline of the bones and brain marrow. The main bone of the kidney, the marrow, passes to the brain, which means that the health of the kleen is directly related to the strength of the bones and the normal function of the brain. Among the degenerative diseases of old age, osteoporosis and Alzheimer's disease are particularly prominent. Osteoporosis, which makes the bones of the elderly vulnerable to fracture, can be a turning point in life every time a fall occurs. Alzheimer's disease, on the other hand, is like an invisible knife that silently eats away at the memory and wisdom of the elderly. Dizziness, insomnia, memory loss, tinnitus, ringing in the ears, memory loss - these symptoms have plagued countless elderly people and their families like nightmares.
Dr. Liang Shijie's Chinese medicine wisdom: strengthening spleen and raising blood, supplementing kidneys and filling eggs
In response to this serious challenge, Director Liang Shijie, with his deep traditional Chinese medicine background and extensive clinical experience, proposed traditional Chinese prevention and treatment strategies to strengthen the spleen, promote blood, and supplement the kidney and enhance the fertility. He believes that only by fundamentally restoring the function of spleen and kidney can we effectively prevent and treat degenerative diseases in old age.
In terms of healthy spleen and blood, Director Liang stressed the importance of dietary maintenance. He recommends that the elderly eat more foods such as yam, red dates, and buckwheat, which are good for the spleen and spleen, and these foods can not only enhance the function of the spleen, but also promote the production of qi and blood. At the same time, proper exercise is also an indispensable part of healthy spleen and blood. Through gentle exercises such as walking and tai chi, we can promote the stomach and spleen movements and speed up the circulation of qi and blood.
In the area of kidney replenishment, Director Liang pays more attention to the use of drugs. He advocated the use of barbary wolfberry fruit, epimedium, eucommia with the effect of tonifying kidney essence of traditional Chinese medicine, these drugs can nourish the kidney, promote the generation of bone marrow and brain filling. He also stressed the importance of sleep. A good night's sleep can not only restore physical strength, but also nourish the kidneys and lay the foundation for vitality the next day.
A vivid example of the magical effects of Chinese medicine
Let's take a vivid example of the magical effects of Chinese medicine. Grandma Zhang is an 80-year-old man who has long suffered from osteoporosis. Her waist often pained so much that even basic walking became difficult. After trying a variety of treatments, she came to Dr. Leung's clinic. Based on her condition, Director Liang tailored a set of traditional Chinese medicine treatment plans for her to strengthen her spleen, promote blood, and supplement her kidneys and enhance her fertility. After several months of conditioning, Grandma Zhang's low back pain has significantly reduced, and her ability to walk has also been significantly restored. She praised the magical effects of Chinese medicine whenever she saw anyone, and her gratitude was palpable.
Conclusion: Chinese Medicine Wisdom to Light the Way to Older Years
The prevention and treatment strategy of traditional Chinese medicine, which is based on spleen and blood, and kidney and enrichment, not only provides a powerful weapon for the prevention and control of degenerative diseases in old age, but also demonstrates the great depth of traditional medicine wisdom. In today's increasingly ageing world, let us join hands with traditional Chinese medicine to jointly protect the health of the elderly. Let the light of traditional Chinese medicine illuminate the path of old age for every elderly person, so that they shine brighter in the long years.
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.
来源：首都专家梁世杰一点号
