老年病的治則之光：梁世傑醫生的“扶正爲本”之道

在人生的長河中，老年是一段充滿智慧與沉澱的時光，卻也常常伴隨着身體機能的逐漸衰退和疾病的悄然侵襲。老年病，這一羣體特有的健康挑戰，如同一道陰影，悄然籠罩在許多老年人的生活之上。然而，在這條看似艱難的健康之路上，有一位醫者，以他獨到的見解和深厚的醫術，爲老年人點亮了一盞明燈，他就是梁世傑醫生。他提出的“扶正爲本，祛邪爲輔，平和調理，春秋鞏固”的老年病治則綱要，如同一股清泉，滋潤着老年人的心田，爲他們的健康保駕護航。

一、扶正爲本：固本培元，強健體魄

“扶正爲本”，是梁世傑醫生治療老年病的核心理念。他認爲，老年人之所以易病，根本原因在於正氣不足，身體機能衰退。因此，治療老年病的首要任務，就是固本培元，增強老年人的體質。

以李大爺爲例，他年逾七旬，長期患有慢性支氣管炎，每逢季節變換便咳嗽不止，苦不堪言。梁醫生在詳細詢問病史和查體後，並未急於使用大量的抗生素和止咳藥，而是根據“扶正爲本”的原則，爲李大爺量身定製了一套以中藥調理爲主的治療方案。通過服用具有益氣固表、健脾養肺功效的中藥，李大爺的體質逐漸增強，咳嗽症狀明顯減輕，生活質量得到了顯著提升。

二、祛邪爲輔：精準施治，驅邪外出

然而，僅僅扶正是不夠的，老年病往往伴隨着各種邪氣（如風寒、溼熱、痰濁等）的侵襲。因此，梁世傑醫生強調，“祛邪爲輔”是治療老年病的又一重要原則。在扶正的基礎上，根據患者的具體病情，精準施治，驅邪外出。

王奶奶患有風溼性關節炎多年，每逢陰雨天氣便關節疼痛難忍。梁醫生在爲她治療時，既注重溫補肝腎、強筋壯骨以扶正，又靈活運用祛風除溼、通絡止痛的中藥以祛邪。經過一段時間的治療，王奶奶的關節疼痛明顯緩解，生活質量得到了極大的改善。

三、平和調理：潤物無聲，調和陰陽

老年病的治療，還需注重平和調理。梁世傑醫生認爲，老年人的身體機能已經衰退，治療時應避免過於峻猛的藥物，以免損傷正氣。相反，應採用平和的藥物和治療方法，潤物無聲地調和陰陽，使身體逐漸恢復平衡。

趙伯伯患有高血壓和糖尿病多年，長期服用西藥控制病情。然而，隨着年齡的增長，他的身體逐漸出現了一系列副作用。梁醫生在爲他治療時，採用了中西醫結合的方法，既保留了必要的西藥治療，又加入了具有降壓降糖、滋陰潤燥功效的中藥進行平和調理。經過一段時間的治療，趙伯伯的病情得到了有效控制，生活質量也有了顯著提高。

四、春秋鞏固：順應自然，未病先防

“春秋鞏固”，是梁世傑醫生治療老年病的又一重要策略。他認爲，老年人應順應自然規律，在春秋兩季等疾病高發期前進行鞏固治療，未病先防，以減少疾病的發生和復發。

張阿姨在梁醫生的指導下，每年春秋兩季都會提前進行中藥調理和鍼灸治療。通過這種方法，她的身體機能得到了顯著提升，不僅減少了感冒、咳嗽等常見疾病的發生，還使她的整體健康狀況得到了顯著改善。

結語：醫者仁心，照亮晚年

梁世傑醫生以他獨到的見解和深厚的醫術，爲老年人帶來了健康和希望。他的“扶正爲本，祛邪爲輔，平和調理，春秋鞏固”的老年病治則綱要，如同一盞明燈，照亮了老年人健康之路的每一個角落。在他的治療下，無數老年人重拾了生活的信心和樂趣。讓我們向這位醫者致敬，願他的醫術和仁心能夠繼續照亮更多老年人的晚年生活！

作者簡介：梁世傑 中醫高年資主治醫師，從事中醫臨牀工作24年，積累了較豐富的臨牀經驗。師從首都醫科大學附屬北京中醫院肝病科主任醫師、著名老中醫陳勇，侍診多載，深得器重，盡得真傳！擅用“商湯經方分類療法”、專病專方結合“焦樹德學術思想”“關幼波十綱辨證”學術思想治療疑難雜症爲特色。現任北京厚德爲懷醫生集團漸凍症研究中心主任，北京樹德堂中醫研究院研究員，北京中醫藥薪火傳承新3+3工程—焦樹德門人（陳勇）傳承工作站研究員，國際易聯易學與養生專委會常務理事，中國中醫藥研究促進會焦樹德學術傳承專業委員會委員，中國藥文化研究會中醫藥慢病防治分會首批癌症領域入庫專家。榮獲2020年中國中醫藥研究促進會仲景醫學分會舉辦的第八屆醫聖仲景南陽論壇“經方名醫”榮譽稱號。2023年首屆京津冀“扁鵲杯”燕趙醫學研究主題徵文優秀獎獲得者。事蹟榮登2024年第四季刊《當代科學家》雜誌。

The light of the cure for old age diseases: Dr. Liang Shijie''s "correcting as a foundation" approach

In the long course of life, old age is a time of wisdom and sedimentation, but it is often accompanied by the gradual decline of physical function and the quiet invasion of disease. Geriatric diseases, a health challenge unique to this group, are a shadow that looms over the lives of many older people. However, on this seemingly difficult road to health, there is a healer who, with his unique insights and deep medical expertise, lights a bright light for the elderly. He is Dr. Liang Shijie. His guidelines for the treatment of ageing diseases, which include "rectification as the mainstay, removal of evil as a complement, peacefully conditioning, and consolidation in spring and autumn," are like a clear water that feeds the hearts of the elderly and safeguards their health.

I. Promoting correctness as a foundation: consolidating the roots and strengthening the body

"Correcting is essential" is the core concept of Dr. Leung Shijie''s treatment of geriatric diseases. He believes that the root cause of the vulnerability of the elderly to disease lies in the lack of good vigor and the decline of physical function. Therefore, the first task in treating old age disease is to consolidate the roots and strengthen the physical condition of the elderly.

Take Mr. Li, for example. He is over 70 years old. He has long suffered from chronic bronchitis. Every time the season changes, he coughs and suffers. After detailed medical history and physical examination, Dr. Liang did not rush to use a large number of antibiotics and cough medicines, but instead tailored a treatment plan for Mr. Li based on the principle of "fixing correctness as the essence." By taking traditional Chinese medicine, which has the effect of enhancing the health of the breath, strengthening the spleen and maintaining the lungs, Mr. Li''s physical condition has gradually improved, his cough symptoms have been significantly reduced, and his quality of life has been significantally improved.

II. Removing evil as a complement: Applying precise treatment to remove evil from the world

However, just helping is not enough, and old age diseases are often accompanied by various evil spirits (such as wind chill, wet heat, sputum, etc.). Therefore, Dr. Liang Shijie emphasized that "healing evil as a complement" is another important principle for the treatment of geriatric diseases. On the basis of corrective treatment, according to the specific condition of the patient, precise treatment is applied to drive the evil out of the country.

Grandma Wang had been suffering from rheumatoid arthritis for many years, and her joint pain was unbearable when it was rainy. When treating her, Doctor Liang not only paid attention to warming and tonifying liver and kidney, strengthening tendon and bone, but also flexibly used the traditional Chinese medicine of dispelling wind and dampness, dredging collaterals and relieving pain to dispel pathogenic factors. After a period of treatment, Grandma Wang''s joint pain has significantly eased and her quality of life has been greatly improved.

III. Peace and conditioning: moisturize without sound, reconcile yin and yang

The treatment of old age diseases also needs to focus on peace and treatment. Dr. Liang Shijie believes that the physical function of the elderly has deteriorated and that too strong drugs should be avoided during treatment to avoid damaging the vigor. Instead, peaceful medicines and treatments should be used, and moisturizers silently reconcile yin and yang, so that the body gradually returns to balance.

Uncle Zhao has been suffering from high blood pressure and diabetes mellitus for many years. However, as he grew older, he developed a series of side effects. In treating him, Dr. Liang adopted a combination of Chinese and Western medicine, not only retaining the necessary Western medicine for treatment, but also incorporating Chinese medicine, which has the effect of reducing blood pressure, reducing sugar, and nourishing and lubrication, for peaceful treatment. After a period of treatment, Uncle Zhao''s condition has been effectively controlled and his quality of life has also improved significantly.

IV. Spring and Autumn Consolidation: Follow nature and guard against illness before it occurs

"Spring and autumn consolidation" is another important strategy for Dr. Liang Shijie''s treatment of geriatric disease. He believes that the elderly should follow natural laws and carry out consolidated treatment before the high incidence of diseases such as spring and autumn, and prevent diseases before they occur, to reduce the occurrence and recurrence of diseases.

Under the guidance of Dr. Liang, Auntie Zhang performs traditional Chinese medicine and acupuncture treatment ahead of time every spring and autumn. Through this method, her physical functioning has been significantly improved, not only reducing the occurrence of common diseases such as colds and coughs, but also significantly improving her overall health.

Conclusion: a patient''s heart shines a light on old age

Dr. Liang Shijie brings health and hope to the elderly with his unique insights and deep medical expertise. His guidelines for the treatment of ageing diseases, which include "rectification as the mainstay, removal of evil as a complement, peacefully conditioning, and consolidation in spring and autumn," are like a bright light that illuminates every corner of the road to health for the elderly. Under his treatment, countless elderly people have regained the confidence and joy of life. Let us pay tribute to this healer, and may his healing and compassion continue to illuminate the lives of many elderly people in their later years!

Author Bio: Liang Shijie is a senior medical practitioner in traditional Chinese medicine. 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 the director of the Center for Diffusion Research of Dr. Houde Wei Group in Beijing, a researcher at the Shude Tang Institute of Chinese Medicine, and a fellow at the new 3 + 3 project of traditional Chinese medicine flame inheritance in Beijing - a scholar at the inheritance work station 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. The story was featured in the fourth edition of Current Scientist in 2024.