摘要：在繁忙的都市生活中，年轻人如同初升的太阳，本应充满活力与朝气。然而，在中医的视角下，许多年轻人却面临着一种特殊的体质问题——“阳明湿热”。梁世杰主任对此有着独到的见解和深刻的体悟。他指出，现代年轻人中，“阳明湿热”体质者屡见不鲜，这一现象不仅令人担忧，更值得我

在繁忙的都市生活中，年轻人如同初升的太阳，本应充满活力与朝气。然而，在中医的视角下，许多年轻人却面临着一种特殊的体质问题——“阳明湿热”。梁世杰主任对此有着独到的见解和深刻的体悟。他指出，现代年轻人中，“阳明湿热”体质者屡见不鲜，这一现象不仅令人担忧，更值得我们深思。

“阳明湿热”，这一中医术语，听起来或许有些陌生，但其外在特征却在我们身边屡见不鲜。面红唇赤、痤疮紫硬带脓、体毛浓密、头胸丰满而下肢偏瘦……这些看似无关紧要的细节，实则都是“阳明湿热”体质的外在表现。这些年轻人，如同被烈火炙烤的树木，外表光鲜，内里却充满了燥热与不安。

梁世杰主任进一步解释道，“阳明湿热”的内在病机，在于气血壅滞化热，湿热上冲头面，下焦肾精不足。这种体质的形成，与现代人的生活方式密切相关。营养过剩、饮食无度、缺乏运动……这些不良习惯，使得年轻人体内湿热之气不断积聚，气血运行受阻，最终导致了一系列健康问题。

实热，是“阳明湿热”体质的罪魁祸首。它不仅导致雄激素升高，使得年轻人脸上痤疮频发，更可能引发卵巢包膜增厚，卵泡发育受阻等妇科问题。这些问题，不仅影响了年轻人的外在形象，更对他们的身心健康造成了极大的威胁。

举个例子，小张，一个年仅25岁的年轻白领，就是“阳明湿热”体质的典型代表。他面红唇赤，痤疮满脸，体毛浓密，看起来颇为壮硕。然而，他的下肢却偏瘦，时常感到乏力。更糟糕的是，他的脾气暴躁，情绪波动大，时常因为小事而大发雷霆。经过梁世杰主任的诊断，小张被确诊为“阳明湿热”体质。经过一段时间的中药调理和生活方式的改变，小张的症状逐渐缓解，整个人也变得平和了许多。

梁世杰主任强调，“阳明湿热”体质的形成，并非一朝一夕之事。它与我们的生活方式、饮食习惯、情绪管理等密切相关。因此，要想改变这种体质，就必须从源头入手，调整生活方式，改善饮食习惯，加强运动锻炼，保持心情愉悦。只有这样，我们才能从根本上解决“阳明湿热”带来的健康问题。

然而，现实却往往令人担忧。在这个快节奏、高压力的社会中，许多年轻人为了追求所谓的“成功”和“幸福”，不惜牺牲自己的健康。他们沉迷于工作、娱乐和社交之中，忽视了身体的需求和感受。这种生活方式，不仅加剧了“阳明湿热”体质的形成，更让许多年轻人陷入了亚健康状态。

面对这一现象，梁世杰主任呼吁广大年轻人要珍惜自己的身体和健康。他强调，健康是生命之本，没有了健康，一切都将化为乌有。因此，我们应该从现在做起，从点滴做起，改变自己的生活方式和习惯，让身体回归自然、和谐的状态。只有这样，我们才能真正拥有健康、快乐和幸福的生活。

总之，“阳明湿热”体质是现代年轻人面临的一个严峻问题。它不仅影响了我们的外在形象和身心健康，更反映了我们生活方式和习惯的问题。因此，我们应该正视这一问题，积极寻求解决之道。在梁世杰主任等中医专家的指导下，让我们共同努力，让身体回归自然、和谐的状态，迎接更加美好的未来！

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 on "Yang Ming wet fever": a health alarm for modern young people

In the busy urban life, young people are like the rising sun, and should be full of energy and freshness. However, in the perspective of traditional Chinese medicine, many young people are facing a special physical problem - "yangming wet and hot." Director Liang Shijie has unique insights and deep understanding of this. He pointed out that among modern young people, "warm and hot" bodies are common, and this phenomenon is not only worrisome, but also worthy of our deep reflection.

The term "yangming wet and hot" in Chinese medicine may sound strange, but its external characteristics are not uncommon around us. Red face, red lips, purple acne, thick body hair, plump head and chest and thin lower limbs. These seemingly insignificant details are, in fact, the outward manifestations of a "warm and humid" physique. These young people, like trees burned by fire, are splendid on the outside, but full of heat and unease inside.

Director Liang Shijie further explained that the internal pathogenesis of "Yangming damp-heat" lies in the stagnation of qi and blood and the insufficiency of kidney essence. The formation of this body is closely related to the modern lifestyle. Overnutrition, excessive diet, lack of exercise... These bad habits have caused the body of young people to accumulate hot and humid gases, and the blood and blood circulation has been blocked, eventually causing a series of health problems.

Real heat is the main culprit of "warm and hot" physical conditions in the sun. Not only does it cause an increase in androgens, which causes frequent acne on the face of young people, but it is also more likely to cause gynecologic problems such as thickening of the ovarian lining and obstruction of follicle development. These problems not only affect the external image of young people, but also pose a great threat to their physical and mental health.

For example, Xiao Zhang, a young white-collar worker who is only 25 years old, is the typical representative of the "warm and humid" body. He had red face and red lips, acne all over his face and thick body hair, and he looked very stout. However, his lower limbs were thin and he often felt weak. To make matters worse, he had a fierce temper and a lot of mood swings, often bursting into rage over minor incidents. After the diagnosis by Director Liang Shijie, Xiao Zhang was diagnosed with "warm and wet" physical condition. After a period of traditional Chinese medicine treatment and lifestyle changes, Xiao Zhang's symptoms gradually eased, and the whole person became much more peaceful.

Director Liang Shijie emphasized that the formation of the "warm and wet" physique of the yangi was not a matter of a passing day. It is closely related to our lifestyle, eating habits, emotional management, etc. Therefore, to change this physical condition, we must start at the source, adjust our lifestyle, improve our eating habits, strengthen our exercise, and keep our mood happy. Only in this way can we fundamentally address the health problems caused by "sun humidity."

Yet the reality is often worrisome. In this fast-paced, high-pressure society, many young people sacrifice their health in pursuit of so-called "success" and "happiness." They are addicted to work, play, and socialize, neglecting the needs and feelings of their bodies. This way of life, not only exacerbated the formation of "Yangming hot and humid" constitution, but also let many young people into a sub-state of health.

In the face of this phenomenon, Director Liang Shijie called on the general population of young people to cherish their bodies and health. He stressed that health is the foundation of life, and without it everything will be gone. Therefore, we should start now, with a small amount of effort, to change our lifestyle and habits so that the body can return to a natural, harmonious state. Only then can we truly have a healthy, happy and happy life.

In short, the "warm and humid" physique is a serious problem faced by modern young people. It not only affects our external image and physical and mental health, but also reflects problems with our lifestyle and habits. Therefore, we should face the problem squarely and actively seek a solution. Under the guidance of Director Liang Shijie and other traditional Chinese medicine experts, let us work together to return the body to its natural, harmonious state and usher in a better future!

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：老梁谈养生