摘要：在浩瀚的中医养生智慧中，“温度决生死，气血定终生”这一论断犹如一颗璀璨的明珠，熠熠生辉，引领我们探索人体健康的奥秘。这不仅仅是一句口号，更是中医对人体生命活动的深刻理解和精准概括。
在浩瀚的中医养生智慧中，“温度决生死，气血定终生”这一论断犹如一颗璀璨的明珠，熠熠生辉，引领我们探索人体健康的奥秘。这不仅仅是一句口号，更是中医对人体生命活动的深刻理解和精准概括。
一、理论之光：温度与气血的奥秘
中医视体温为阳气的外显，阳气如同天空中的太阳，是人体生命活动的根本动力。《黄帝内经（https://baike.baidu.com/item/黄帝内经/97915）》有云：“阳气者，若天与日，失其所则折寿而不彰。”临床实践中，当人体体温低于36℃时，酵素活性下降30%，免疫细胞功能降低40%，这无疑是对“温度决生死”的生动诠释。现代医学同样证实，体温的微妙变化直接影响着人体的基础代谢率和微循环血流量，体温每下降1℃，基础代谢率下降12%，末梢微循环血流量减少约500ml/分钟，这正是“寒凝血瘀”的现代科学解读。
气血，作为中医理论中的核心要素，其动态平衡关乎人体健康。李东垣在《脾胃论》中强调“元气之充足，皆由脾胃之气无所伤”，脾胃功能的强健与否直接关系到气机的升降失常。而王清任（https://baike.baidu.com/item/王清任/2421009）在《医林改错（https://baike.baidu.com/item/医林改错/8454992）》中提出的“补阳还五汤”，则是改善血瘀的经典方剂，现代血流变学研究也证实其可降低全血粘度，提高红细胞变形能力，进一步验证了气血理论的科学性。
二、实践之路：养生智慧的实践应用
在中医养生智慧的指导下，一系列行之有效的养生方法应运而生。运动增温，通过每天快走等有氧运动，不仅可以提升基础体温，还能改善微循环流速；饮食温阳，肉桂、干姜等食材中的活性成分能够激活代谢受体，促进热量消耗。此外，子午流注养生法、动静结合的八段锦练习等，都是调养气血、增强体质的绝佳方法。这些方法不仅简单易行，而且效果显著，让人们在日常生活中就能轻松实现养生目标。
三、现代验证：科学视角下的中医智慧
现代医学研究为中医养生智慧提供了有力的科学支撑。低温与慢病的研究表明，持续低体温人群患代谢综合征和肿瘤的风险显著增加；而气血与衰老的研究则发现，中医气血双补方能够提升端粒酶活性，延缓细胞衰老。这些研究成果不仅验证了中医理论的正确性，更为中医养生智慧在现代社会的广泛应用奠定了坚实基础。
四、养生方案：342养生法的实践推广
基于中医养生智慧，我们提出了“342”养生方案。每日三次体温监测，帮助我们及时了解身体状况，调整养生策略；四种补气食物（山药、黄芪、红枣、牛肉）的摄入，能够增强脾胃功能，提升气血水平；两套导引术（晨练五禽戏，晚做涌泉按摩）的练习，则能促进气血流通，增强体质。通过三个月的系统调理，人们的基础体温将稳定在健康范围，血红蛋白水平也将显著提升，实现《素问》中“气脉常通，肾气有余”的健康状态。
“温度决生死，气血定终生”，这句蕴含中医养生智慧的表达，不仅是对人体生命活动的深刻洞察，更是指导我们养生的宝贵财富。让我们在中医智慧的引领下，走出一条健康、长寿的道路！
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。
Temperature and Blood: The Wisdom of Chinese Medicine
In the vast Chinese traditional Chinese healing wisdom, the assertion that "temperature will live and die, and qi and blood will live forever" is like a shining pearl, leading us to explore the mysteries of human health. This is not only a slogan, but also a profound understanding and precise summary of human life activities in traditional Chinese medicine.
I. Theoretical Light: The Mystery of Temperature and Blood
TCM regards body temperature as the manifestation of yang qi, which is like the sun in the sky and is the fundamental driving force of human life activities. The Inner Book of Huangdi ( https://baike.baidu.com/item/黄帝内经/97915 There is a saying: "If the heavens and the sun are lost to them, they will lose their place, and they will not live well."In clinical practice, when the human body temperature is below 36 ° C, the enzyme activity decreases by 30% and the function of immune cells decreases 40%, which undoubtedly represents a vivid interpretation of "temperature determines life and death." Modern medicine also confirms that subtle changes in body temperature directly affect the body's basal metabolic rate and microcirculation. For every 1 °C drop in body temperature, the basal metabolic rate decreases by 12%, and the peripheral microcirculation decreases by about 500ml / min. This is the modern scientific interpretation of "cold coagulation and blood stasis."
Qi and blood, as a core element in TCM theory, have a dynamic balance that is related to human health. Li Dongjian emphasized in "Stomach Theory" that "the adequacy of the qi is nothing to be injured by the qi of the spleen," and the strength of the sphincter function is directly related to the abnormality of the aspiration engine. And Wang Qingren ( https://baike.baidu.com/item/王清任/2421009 ) In The Making of Mistakes in Medicine ( https://baike.baidu.com/item/医林改错/8454992 The "five soups" proposed in the article are classical remedies for improving blood bruising, and modern hemolytic research has also confirmed that it can reduce the viscosity of whole blood and improve the ability of red blood cells to deform, further validating the scientific nature of qi blood theory.
II. The Road to Practice: Practical Application of Health Wisdom
Under the guidance of the wisdom of traditional Chinese medicine, a series of effective healing methods have emerged. Exercise increases temperature, through aerobic exercise such as brisk walking every day, it can not only increase the basal body temperature, but also improve the microcirculation flow rate; A warm and sunny diet, and the active ingredients in ingredients such as cinnamon and dried ginger can activate metabolic receptors and promote calorie consumption. In addition, the meridian hydration regimen and the eight rhythm exercise combined with motion are excellent ways to promote the qi and blood and strengthen the body. Not only are these methods simple and easy to use, but they also have a significant effect, making it easy for people to achieve their health goals in their daily lives.
III. Modern verification: the wisdom of traditional Chinese medicine from a scientific perspective
Modern medical research provides strong scientific support for traditional Chinese healing wisdom. Studies of hypothermia and chronic disease have shown that people with persistently low body temperature have a significantly increased risk of metabolic syndrome and tumors. The study of qi and blood and aging found that qi and blood supplementation in traditional Chinese medicine can increase telomerase activity and delay cell aging. These research results not only validate the correctness of traditional Chinese medicine theory, but also lay a solid foundation for the widespread application of traditional healing wisdom in modern society.
IV. Health regimens: 342 Extension of the practice of health regimens
Based on the wisdom of traditional Chinese medicine, we have proposed a "342" regimen. Three times a day, body temperature monitoring helps us to understand our physical condition in a timely manner and adjust our health care strategy. The intake of four supplementary foods ( yam, buckwheat, red date, beef) can enhance the function of the spleen and stomach and raise the blood pressure level. The exercise of two sets of guided therapies (five bird play in the morning and spring massage in the evening) can promote the flow of qi and blood and strengthen the body.The basic body temperature will be stable in the healthy range, and the level of haemoglobin will be significantly improved, which will achieve the state of health mentioned in .
"Temperature determines life and death, and qi and blood determines life," this expression containing the wisdom of traditional Chinese medicine, is not only a profound insight into human life activities, but also a valuable asset to guide our healing. Let us, under the guidance of the wisdom of traditional Chinese medicine, set out on a path of healthy and long life!
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
