中老年人隱性健康危機：真精衰竭的預警與防治

在繁忙的生活節奏中，我們往往容易忽視那些看似微不足道的身體變化。尤其是對於中老年人羣體，一些日常中的小症狀，如腰腿乏力、怕涼、偶爾疼痛，或是頭腦不清、記憶力減退、反應遲鈍等，很可能被誤認爲是年齡增長的自然現象，而未能引起足夠的重視。然而，這些看似平常的症狀，卻可能是身體深層健康問題的預警信號。

中醫古籍《黃帝內經》有云：“腎主骨，生髓，髓通於腦。”腎爲先天之本，藏精主骨，腎精的充盈與否，直接關係到人體的健康與衰老。當中老年人出現上述症狀，且一摸脈，兩尺脈沉細無力甚至摸不到時，這往往預示着患者真精衰竭，身體真陰真陽已顯枯竭之象。此等狀況，預後多爲不良，且隨着年歲的增長，疾病也會如暗流湧動，逐漸加重。

真精衰竭，並非一日之寒。它往往是長期生活習慣不良、過度勞累、精神壓力過重等多種因素累積的結果。在現代社會，中老年人承擔着家庭與社會的雙重責任，長期處於高壓狀態，加之年齡增長帶來的生理機能衰退，使得真精耗損日益嚴重。而真精一旦衰竭，不僅影響身體的正常運轉，更可能引發一系列嚴重疾病，如骨質疏鬆、心腦血管疾病、神經系統退行性病變等。

統計數據顯示，隨着年齡的增長，中老年人患上述疾病的概率顯著增加。以骨質疏鬆爲例，我國50歲以上人羣中，骨質疏鬆症的發病率高達19.2%，且女性發病率遠高於男性。而心腦血管疾病更是中老年人健康的第一殺手，每年因心腦血管疾病死亡的人數佔總死亡人數的近一半。這些數據背後，隱藏着真精衰竭這一深層健康危機。

面對如此嚴峻的健康挑戰，我們豈能坐視不管？中醫經典方劑地黃飲子、金匱腎氣丸等，正是針對真精衰竭、真陰真陽衰竭而設。地黃飲子以滋陰補腎、開竅化痰爲旨，金匱腎氣丸則以溫補腎陽、化氣行水爲功。兩藥合用，既補真陰，又溫真陽，對於預防和治療真精衰竭具有顯著效果。

以一位60歲的張阿姨爲例，她長期受腰腿乏力、怕涼、記憶力減退等症狀困擾，脈診顯示兩尺脈沉細無力。在醫生的建議下，她開始服用地黃飲子和金匱腎氣丸進行調理。經過數月的治療，張阿姨的症狀明顯改善，腰腿有力，記憶力也有所恢復。這一實例生動地說明了中醫經典方劑在防治真精衰竭方面的獨特優勢。

然而，藥物只是治療的一部分，更重要的是改變生活習慣，注重養生保健。中老年人應保持良好的作息習慣，適量運動，均衡飲食，避免過度勞累和精神壓力。同時，定期體檢，及時發現並處理潛在的健康問題，也是預防真精衰竭的關鍵。

真精衰竭，是中老年人健康的一大隱患。它無聲無息地侵蝕着我們的身體，卻往往在疾病爆發時才引起我們的注意。因此，我們必須提高警惕，正視這些看似平常的症狀，及時採取措施進行預防和治療。讓中醫的智慧照亮我們的健康之路，讓地黃飲子、金匱腎氣丸等經典方劑成爲我們守護健康的得力助手。讓我們共同努力，爲中老年人的健康保駕護航，讓夕陽之光更加燦爛輝煌！

作者簡介：梁世傑 中醫高年資主治醫師，本科學歷，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。事蹟入選《當代科學家》雜誌、《中華英才》雜誌。

Latent health crisis in middle-aged and old people: prewarning, prevention and treatment of asthenia gravis

In the busy pace of life, it is often easy for us to ignore physical changes that seem trivial. Especially for the middle-aged and elderly, some small daily symptoms, such as weakness in the lower back, chills, occasional pain, or poor thinking, memory loss, and slow reactions, may well be mistaken for the natural phenomenon of ageing and not receive enough attention. However, these seemingly ordinary symptoms can be an early warning sign of a deep health problem in your body.

The ancient Chinese medicine text, The Inner Book of Huangdi, states: "The kidney serves as the bone and produces the marrow, and the marrow passes through the brain." The kidney is the innate basis of the sperm main bone, and the fullness of the kidney sperm is directly related to the health and aging of the human body. When elderly people develop these symptoms, and when the pulse is thin and weak at the first touch or two feet, it often indicates that the patient''s real semen is exhausted, and the body''s real yin and yang are already exhausted. In these conditions, the prognosis is mostly poor, and as age increases, the disease will gradually worsen like an undercurrent.

Real semen failure is not a cold day. It is often the result of a combination of many factors such as poor long-term lifestyle habits, overwork, and excessive mental stress. In modern society, middle-aged and elderly people bear the dual responsibilities of family and society, are in a state of high pressure for a long time, and the physical decline brought about by age increases the depletion of real sperm. Once the true essence fails, it will not only affect the normal operation of the body, but also may cause a series of serious diseases, such as osteoporosis, cardiovascular and cerebrovascular diseases, nervous system degeneration.

Statistics show that the probability of developing the above-mentioned diseases in middle-aged and elderly people increases significantly with age. Take osteoporosis as an example, the incidence of a disease is as high as 19.2% among people over the age of 50 in China, and the incidence of a disease in women is much higher than that in men. Cardiovascular disease is the number one killer of the health of middle-aged and elderly people, accounting for nearly half of all deaths each year. Behind the data is a deep health crisis of true essence failure.

In the face of such a serious health challenge, can we sit idly by? The classic prescriptions of traditional Chinese medicine, dietary yellow drinks, renal qi pills, etc., are specifically designed for real semen failure, real yin and real yang failure. Yellow drinks are aimed at nourishing the kidneys and healing the phlegm, while the Jinhongjiang renal qi pill is aimed at warming the kidney and healing gas and water. The two medicines are used together, both to complement the yin and yang, and have a significant effect on the prevention and treatment of erythrotic failure.

Take a 60-year-old Auntie Zhang, for example. She has long suffered from symptoms such as weakness in her waist and legs, fear of cold, and memory loss, and her pulse examination showed a thin and weak two-foot pulse. On the advice of her doctor, she began taking turmeric drinks and a kidney tonic pill to regulate her condition. After several months of treatment, Auntie Zhang''s symptoms have improved significantly, her waist and legs are strong, and her memory has also been restored. This example vividly illustrates the unique advantages of classic Chinese medicine in preventing and treating real semen failure.

However, medication is only part of the treatment, and it is more important to change your lifestyle habits and pay attention to health care. Middle-aged and elderly people should maintain good habits, exercise in moderation, eat a balanced diet, and avoid overwork and mental stress. At the same time, regular medical check-ups and timely detection and treatment of potential health problems are also key to preventing true sperm failure.

Real semen failure is a major health risk for middle-aged and elderly people. It invades our bodies without a sound, but often only comes to our attention when a disease erupts. Therefore, we must be vigilant, face up to these seemingly ordinary symptoms and take timely measures for prevention and treatment. Let the wisdom of traditional Chinese medicine illuminate our path to health, and let classic remedies such as ground yellow drinks and golden renal qi pills become the right assistants for protecting our health. Let us work together to safeguard the health of middle-aged and elderly people and make the sunset even brighter!

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.