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Treating diseases before they occur in TCM starts with "regulating the spleen and stomach"

Chinese medicine pays attention to "not treating the disease before it", which is from Huangdi Neijing and still has great significance for our modern life. Why do you say that? Because the disease doesn't happen overnight, in a word that everyone knows, "Rome wasn't built in a day." It's all caused by not paying attention at ordinary times or knowing clearly that some behavior habits are harmful to the body and continuing to do it without repentance. Are sick people pitiful? Poor, tortured by illness, of course poor. But the so-called "poor people must have something hateful", in the words of Lu Xun, is "to mourn their misfortune and anger them." This is the result of not knowing how to keep in good health.

in April, 221, I received a patient in the outpatient clinic. He was a 48-year-old middle-aged man. He had just had a physical examination and found no problems. However, he told me that he felt that his physical fitness had obviously declined in recent days, so he asked me to help him adjust his body through traditional Chinese medicine. This patient has a deep influence on me, because in the outpatient clinic for so many years, there are not many people who come to recuperate. It can be seen that Chinese people's awareness of health care is still insufficient or incorrect.

On the surface, this man is in good health, so he should be very strong. Most people will also think that he is a very healthy person, and there is nothing wrong with the instrument. At present, most people don't have the concept of treating a disease before it happens. As long as they don't feel particularly uncomfortable, they think it's okay. But they don't know that many people are already a volcano, and big problems may occur at any time.

The man's face is dark, his tongue coating is yellow and greasy, his urine is yellow, his stool is rotten and oily, his lips are purple and his pulse is rapid. Poor sleep makes you wake up easily. Judging from his appearance, he is not a very cheerful person. He said that there is nothing particularly uncomfortable, but I feel that I should come to recuperate my body. Ordinary people see things differently from doctors. I was diagnosed as damp-heat and blood stasis in the liver meridian.

Prescription: Longdan Xiegan Pill, in addition to swallowing powder: Rhizoma Coptidis, Radix Salviae Miltiorrhizae and Radix Notoginseng each 3g/day.

ten days later, the man came back for a follow-up visit, saying that although he didn't feel much, he was much relaxed and his sleep improved. I don't think his face is so dark. Because his blood stasis is serious. On the basis of the original prescription, I opened Xuefu Zhuyu Decoction to promote blood circulation and remove blood stasis.

In fact, if this seemingly healthy person continues to develop, he may suddenly be knocked down by cardiovascular disease or gout or even cancer.

Because it is a process from quantitative change to qualitative change, and from gradual change to mutation, and the initial stage of this process is the most effective period of "preventing diseases". People should pay attention to maintaining health, cultivating healthy qi, improving the anti-evil ability of the body, and preventing diseases before they occur.

Neijing says, "False evil steals wind, so avoid it sometimes. Nothing is indifferent, and the true qi follows it. The spirit is internal, and the illness is always safe. " Its core is "prevention before illness", that is, preparing for a rainy day, preventing a slight delay, and preventing problems before they happen.

so how can we nip in the bud? Then it is necessary to "protect the spleen and stomach and protect the righteousness." Paying attention to the maintenance of spleen and stomach is a major feature of TCM's thought of preventing diseases. Zhang Zhongjing, a medical sage, once put forward the view that "the spleen is prosperous in the four seasons and is not affected by evil". In other words, as long as people's spleen and stomach functions remain vigorous all the year round, internal and external diseases and evils will not invade the human body.

Chinese medicine believes that the stomach belongs to the fu-organs and the spleen belongs to the zang-organs. Stomach governs reception and spleen governs transport and transformation. The digestive process starts from the stomach, and Shui Gu's essence is transformed into qi, blood, body fluid, etc. through the intestine, and then it is used by all tissues and organs in the whole body. Among them, the role of spleen is very important. Spleen not only transports subtlety and dampness, but also has the function of nourishing the muscles of limbs. Therefore, according to the theory of traditional Chinese medicine, the spleen and stomach are the sea of water and the source of qi and blood biochemistry. The growth and development of the human body, as well as all the substances that sustain life, depend on the spleen and stomach, so there is a saying that the spleen and stomach are the foundation of the day after tomorrow.

how to maintain the spleen and stomach in daily life?

First of all, keep a good mood. Bad emotions can lead to loss of appetite, abdominal fullness, belching and indigestion, while good emotions are beneficial to the normal operation of the spleen and stomach.

Secondly, you should eat regularly. Including the time of eating should be regular, that is, three meals should be timed; The amount of food eaten per meal should also be regular, and overeating should not be allowed. At the same time, the variety of food should also follow the requirements of nutrition, mainly vegetarian, with a small amount of meat dishes. Eat more fruits and less irritating and indigestible foods.

Third, avoid catching cold. As the saying goes: "Ten stomach diseases and nine cold." Attention should be paid to the cold weather and food. When the climate changes frequently in spring and autumn, we should pay attention to keeping the stomach warm; Try to eat as little cold food as possible. If you feel cold in the epigastric region, you can take ginger tea in time.

Always care for the spleen and stomach when treating diseases

Pay attention to the maintenance of the spleen and stomach, not only in daily life, but also during and after illness. Zhang Zhongjing is well versed in the saying that the spleen and stomach are the hinge of the kidney. Almost every treatment rule in Treatise on Exogenous Febrile Diseases contains the method of protecting stomach qi, and every side has the product of nourishing stomach.

When treating on the basis of syndrome differentiation, Zhang Zhongjing often adopts the principle of "attacking but not passing, and stopping the middle disease" to protect stomach qi. For example, when taking antiperspirant drugs such as Guizhi decoction, it was suggested that if you sweat after taking one dose of medicine, you can stop taking the latter drugs and don't have to eat all the drugs; When taking Daqinglong decoction, I also warned that "those who take sweat should take it after stopping". Because it is easy to damage the qi of the spleen and stomach while developing the principle of phlegm, relieving muscle and eliminating evil. If we can "stop the disease in the middle" and pay attention to protecting stomach fluid, we can maintain the normal function of the spleen and stomach. Another example is that after taking laxatives such as Dachengqi Decoction, Xiaochengqi Decoction and Daxianzhong Decoction, Zhang Zhongjing also warned that if you have defecated after taking it, don't take the rest of the medicine. Zhang Zhongjing also said that after vomiting, don't take the rest of the medicine. The attack agent is the most likely to damage the spleen and stomach. If the spleen and stomach are injured and the vital energy is not supported, then the disease will be difficult to cure, so the attack agent should be stopped. Once taken in excess, it will hurt the yang and spoil the stomach.

Zhang Zhongjing also pointed out that when using drugs such as rhubarb and peony, the dosage should be reduced. This is because people's stomach qi is very weak and easily damaged. The purpose of proper use is to prevent damage to the spleen and stomach, which in turn leads to damage to healthy qi and eventually leads to other diseases.

After recovering from his illness, Zhang Zhongjing also emphasized the maintenance of stomach qi through diet. If the illness has been relieved, but the symptoms of slight annoyance appear at night, it is because the disease has just recovered and I have eaten a lot of meals. Just recovered patients, his spleen and stomach qi is still very weak, and he can't digest too much food, so there will be symptoms of slight irritability, that is, "food recovery". At this time, you should reduce your diet and recuperate your spleen and stomach. After the spleen and stomach function is restored, the symptoms will be relieved. The above methods fully illustrate the importance of caring for stomach qi.

Diet Nursing

There are nearly 1 methods of food nursing in Treatise on Febrile Diseases, involving a wide range of foods, such as barley, wheat, japonica rice, red beans, etc. There are livestock and poultry, such as gallus gallus domesticus brisson, chicken egg white, mutton, etc. There are fructose, such as jujube, maltose, honey, etc. There are vegetables, such as scallion, ginger, etc. There are alcoholic beverages, such as sake, white wine, bitter wine (i.e. rice vinegar) and French vinegar (i.e. edible vinegar), which are common foods on the daily table of the people.

Daily health preservation can't be separated from the reasonable collocation of food and drink. Zhang Zhongjing knows this well, and once created the first prescription of expelling cold through the ages-Danggui Ginger Mutton Soup. This prescription is contained in the book synopsis of the golden chamber. Danggui Ginger Mutton Soup consists of mutton, ginger and Danggui. Among them, Angelica sinensis is a blood tonic commonly used in traditional Chinese medicine, which is mild in nature and has the effects of promoting blood circulation, nourishing blood and enriching blood; Ginger can warm the middle and dispel cold, sweat and relieve exterior syndrome; Mutton is warm in nature and can warm the middle and tonify the deficiency. Mutton, ginger and angelica have the functions of warming the middle warmer, enriching blood, dispelling cold and relieving pain, and are good food supplements for both medicine and food.

From the point of view of treatment, angelica and ginger mutton soup has a wide range of indications, which can be used for cold hernia, abdominal pain, hypochondriac pain and other symptoms, as well as postpartum conditioning, abdominal cold pain, blood deficiency and scanty milk, lochia and so on caused by women's weakness of qi and blood and loss of temperature due to yang deficiency. As a medicated diet, Danggui Ginger Mutton Soup is especially suitable for people with deficiency and cold constitution. For anemia patients who are afraid of cold, elderly patients with chronic bronchitis and malnutrition caused by chronic diarrhea, this soup can be used as a medicated diet for auxiliary conditioning. In winter, especially in the north, the weather is cold, and the human body is weak and cold. Therefore, eating some mutton soup with angelica and ginger from time to time is conducive to improving the body's immunity and avoiding the occurrence of diseases such as colds.

In life, if each of us can realize the importance of the spleen and stomach, we can "treat the disease before it happens" at ordinary times and prevent it as early as possible, so that we can avoid the incidence of acute and severe diseases to a great extent, and gain not only our own health, but also greatly save the medical expenses of the country, which can be said to be beneficial to the country and the people.

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