梁世傑醫生談2025年水腫高發：溼氣作祟，老年人需警惕

在古老的中醫五運六氣理論中，甲己合化土，象徵多溼之象，帶來意想不到的健康挑戰。2025年，己巳蛇年，便是這樣一個特殊的年份。梁世傑醫生，發現今年水腫患者明顯增多，尤其是身體偏胖的老年人，多以下肢水腫爲主。偶有頭面、上半身腫這一現象，與2025年的氣候特點息息相關。

甲己合化土，2025年，卻似乎成了溼氣肆虐的催化劑。這一年，中運金運不及，肺氣偏弱，使得脾土易受溼困。司天厥陰風木，肝氣亢盛，風邪擾動溼濁，讓本就潮溼的環境更加難以忍受。而在泉少陽相火，春夏之交溼熱交織，形成了“風、溼、熱”三者夾雜的複雜氣候。這樣的環境，無疑爲水腫的發生提供了溫牀。

溼氣重，不僅讓人感到沉悶不適，更可能成爲水腫的罪魁禍首。梁世傑醫生指出，溼氣重可引起水腫，主要與脾腎陽虛、溼邪困脾、氣滯血瘀有關。當脾腎陽虛時，運化水溼和代謝水液的功能就會下降，導致水溼內停，從而引發水腫。而長期居住在潮溼環境、飲食生冷油膩甜食等習慣，更是加劇了溼邪的侵襲。

面對這一嚴峻的健康挑戰，我們該如何預防和調理呢？梁世傑醫生給出了詳細的建議。在飲食方面，應避免食用過多生冷、油膩、甜食，轉而多喫一些健脾利溼的食物，如薏米、山藥、芡實、絲瓜等。這些食物不僅能夠幫助身體排出溼氣，還能增強脾胃的運化功能。

運動也是祛溼的好方法。適量運動可以促進身體代謝，加速溼氣的排出。無論是散步、慢跑還是瑜伽等輕度運動，都能讓身體在輕鬆愉悅中擺脫溼氣的困擾。

當然，中醫調理更是不可或缺的一環。通過中藥調理、艾灸、拔罐等方法，可以有效地祛溼散寒、疏通經絡。這些方法不僅安全可靠，而且效果顯著，深受患者的喜愛。

然而，預防和治療水腫並非一朝一夕之功。梁世傑醫生強調，除了以上措施外，還需要注意生活習慣的調整。保持生活環境的清潔乾燥，避免長時間處於潮溼環境中；同時，也要遵循醫囑進行鍼灸、中藥等調理身體。只有這樣，才能從根本上解決水腫問題，讓身體恢復健康。

值得一提的是，雖然水腫在老年人中較爲常見，但並非不可戰勝。只要我們掌握了正確的預防和治療方法，就能夠有效地降低水腫的發生率。而梁世傑醫生用自己的專業知識和豐富經驗，爲我們揭示了水腫背後的真相，也爲我們提供了切實可行的解決方案。

在2025年這個特殊的年份裏，讓我們一起戰勝溼氣、遠離水腫的困擾吧！這不僅是對自己身體的負責，更是對生活品質的追求。讓我們共同努力，迎接一個健康、美好的未來！

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。

Dr. Liang Shijie discusses the high incidence of edema in 2025: it is caused by dampness, and the elderly should be vigilant.

According to the ancient theory of the Five Elements and Six Seasons in traditional Chinese medicine, the combination of Jia and Ji generates the element of Earth, which symbolizes an abundance of moisture and can pose unexpected health challenges. The year 2025, when it is the Year of the Serpent, is particularly noteworthy in this regard. Dr. Liang Shijie has observed a marked increase in cases of edema, especially among older adults who are already overweight, with edema predominantly affecting the lower extremities. Occasionally, there have also been instances of swelling in the head and upper body, which are closely linked to the climatic characteristics of 2025.

In 2025, the combination of Jia and Ji seems to have catalyzed the rampant spread of dampness. During this year, with the deficiency of the middle operation and the weakened lung energy, the spleen is more susceptible to dampness. The presiding element of the year, Jueyin Fengmu, with exuberant liver energy, allows wind to disturb dampness and impurity, making the already humid environment even more unbearable. Meanwhile, the presiding element of the source, Xiaoyang Xianghuo, during the transition period between spring and summer, brings about a complex climate where "wind, dampness, and heat" coexist. Such an environment undoubtedly provides a fertile ground for the occurrence of edema.

Excessive dampness not only makes people feel stuffy and uncomfortable but can also be the culprit behind edema. Dr. Liang Shijie pointed out that excessive dampness can cause edema, which is mainly related to deficiency of yang energy in the spleen and kidneys, dampness obstructing the spleen, and stagnation of qi and blood. When the yang energy in the spleen and kidney is deficient, the functions of transforming and metabolizing water and dampness will decline, leading to stagnation of water and dampness within the body, thereby causing edema. Furthermore, the habit of living in a humid environment and consuming cold, greasy, fatty, and sweet foods can exacerbate the invasion of dampness.

How can we prevent and treat this serious health issue? Dr. Liang Shijie provides detailed recommendations. In terms of diet, it is advisable to avoid excessive intake of cold, greasy, and sugary foods, and instead consume more foods that tonify the spleen and resolve dampness, such as mung beans, goji root, chestnut seeds, and gourd. These foods not only help the body expel dampness but also enhance the spleen''s transportation function.

Exercise is also a good way to eliminate dampness. Moderate exercise can boost metabolism and accelerate the elimination of dampness. Whether it''s a walk, a jog, or yoga, these light exercises can help your body get rid of dampness in a relaxed and enjoyable manner.

Of course, TCM therapy is also an indispensable part of the treatment process. Methods such as Chinese medicine therapy, moxibustion, and cupping can effectively dispel dampness and cold, and unblock meridians. These methods are not only safe and reliable but also highly effective, which has won the favor of patients.

However, preventing and treating edema is not a quick process; Dr. Liang emphasized that in addition to the measures mentioned above, it is also important to pay attention to lifestyle adjustments, such as maintaining a clean and dry living environment and avoiding prolonged exposure to damp conditions, as well as following the doctor''s advice regarding acupuncture, herbal medicine, and other treatments to regulate the body''s condition.

Only in this way can the root cause of edema be addressed, and the body can be restored to good health.

It is worth mentioning that although edema is more common in the elderly, it is not an insurmountable problem. As long as we master the correct methods of prevention and treatment, we can effectively reduce the incidence of edema. Dr. Liang Shijie, with his professional knowledge and extensive experience, has revealed the truth behind edema and provided us with practical solutions.

In this special year of 2025, let''s work together to overcome dampness and free ourselves from the troubles of edema! This is not only about taking responsibility for our own health, but also about striving for a better quality of life. Together, we can create a healthier and brighter 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.