梁世傑：治病忌嘴之道，醫患共守的健康密碼
“治病不忌嘴，跑斷醫生腿”，這句在民間流傳已久的俗語，就像一把鋒利的手術刀，精準地切中了疾病治療過程中的要害。在醫療這場沒有硝煙的戰爭裏，忌嘴與否，往往決定着患者是能順利康復，還是在病痛中反覆掙扎，讓醫生也跟着心力交瘁。
胃病忌嘴：守護腸胃的“溫柔防線”
胃，這個人體內的“食物加工廠”，就像一位勤勞卻又嬌弱的工匠，需要精心呵護才能正常運轉。一旦患上胃病，忌嘴就成了守護腸胃健康的“溫柔防線”。
玉米、紅薯這類粗糧，看似健康，實則對於胃病患者來說，就像是一顆顆難以消化的“小炸彈”。它們富含的膳食纖維，在健康人的腸胃裏能促進蠕動，可到了胃病患者這裏，卻成了加重腸胃負擔的“罪魁禍首”。有數據顯示，約60%的胃病患者食用粗糧後，會出現腹脹、胃痛等不適症狀。
菠菜、韭菜、生蘿蔔這些蔬菜，生性偏涼且含有較多的粗纖維，就像一把把粗糙的刷子，在脆弱的胃黏膜上反覆摩擦，容易引發胃痛、胃脹。而江米、山藥、豆腐、豆漿、海鮮、純奶、大棗等食物，有的質地偏粘，有的不易消化，對於胃病患者而言，也是需要謹慎對待的“危險分子”。
生冷食物，如各種水果和冷飲，就像一陣刺骨的寒風，直接吹進溫暖的胃部，讓胃部的血管收縮，影響消化液的分泌，導致消化不良。油膩的肉食，則像是給胃部這個“小工廠”塞進了過多的原材料，讓它不堪重負。辛辣偏粘偏硬的雜糧、粗糧食物，更是胃部的大敵，它們會刺激胃黏膜，引發炎症。
我有個朋友，患了胃病還不忌嘴，看到烤紅薯香噴噴的，忍不住喫了一個。結果當天晚上就胃痛難忍，翻來覆去睡不着覺，第二天只好又跑去醫院找醫生。醫生無奈地說：“你這病啊，就是喫出來的，不忌嘴，我這腿可要跑斷了。”所以，胃病患者一定要管住自己的嘴，飲食八成飽，給胃部留出足夠的休息空間。
糖尿病忌嘴：控制血糖的“精準天平”
糖尿病，就像一個隱藏在身體裏的“甜蜜殺手”，時刻威脅着患者的健康。對於糖尿病患者來說，忌嘴就是控制血糖的“精準天平”，稍有不慎，血糖就會像脫繮的野馬，失去控制。
各種肉食，含有豐富的脂肪和蛋白質，過量食用會導致體重增加，進而影響血糖的控制。甜食，更是糖尿病患者的“禁忌之物”，它們就像一顆顆甜蜜的“定時炸彈”，會讓血糖迅速飆升。有研究表明，糖尿病患者食用甜食後，血糖在短時間內可能會升高數倍。
玉米，雖然是一種常見的粗糧，但對於糖尿病患者來說，也不能多喫。它的澱粉含量較高，在體內會轉化爲葡萄糖，導致血糖升高。乾果，如花生米、瓜子等，看似小巧，卻含有大量的油脂和熱量，也是糖尿病患者需要遠離的“熱量陷阱”。
辛辣食物會刺激腸胃，影響消化功能，進而影響血糖的穩定。膨化食品，含有大量的添加劑和反式脂肪酸，對身體健康有害無益。大米稀飯，經過長時間熬煮後，澱粉糊化程度高，容易被人體吸收，也會導致血糖快速上升。
我認識一位糖尿病患者，平時不注意忌嘴，看到蛋糕就走不動道。有一次，他偷偷喫了一塊蛋糕，結果當天測血糖，數值高得嚇人，差點引發了併發症。從此以後，他再也不敢隨意喫甜食了。糖尿病患者一定要嚴格控制飲食，七成飽即可，這樣才能讓血糖保持在穩定的範圍內。
痛風病忌嘴：緩解疼痛的“關鍵鑰匙”
痛風，就像一場突如其來的“風暴”，讓患者關節疼痛難忍，苦不堪言。而忌嘴，就是緩解痛風疼痛的“關鍵鑰匙”。
各種肉食和海鮮，含有大量的嘌呤物質，嘌呤在體內代謝後會生成尿酸。當尿酸水平過高時，就會形成尿酸鹽結晶，沉積在關節處，引發痛風發作。有數據表明，約80%的痛風患者是因爲食用高嘌呤食物而誘發疾病的。
甜食和乾果，雖然嘌呤含量不高，但它們會導致體重增加，影響尿酸的排泄。生冷食物，如各種水果和冷飲，會刺激關節，加重痛風症狀。辛辣食物也會刺激身體，引發炎症反應。
我有個同事，患了痛風還不忌嘴，經常和朋友去喫海鮮大餐。每次喫完，關節就疼得厲害，走路都一瘸一拐的。後來，在醫生的強烈建議下，他開始嚴格控制飲食，避免了高嘌呤食物的攝入，痛風發作的次數明顯減少了。
心腦血管疾病及發物忌嘴：守護身體的“堅固盾牌”
高血壓、冠心病等心腦血管系統疾病，就像一顆隱藏在身體裏的“定時炸彈”，隨時可能引發嚴重的後果。對於這類患者來說，減少油膩肉類食物和鹽的攝入，以及植物油（各種乾果）的攝入，就是守護身體的“堅固盾牌”。
油膩的肉類食物含有大量的飽和脂肪酸，會導致血液黏稠度增加，容易形成血栓，引發心腦血管疾病。鹽的攝入過多，會導致血壓升高，加重心臟負擔。而乾果，雖然營養豐富，但含有較高的油脂，過量食用也不利於心腦血管健康。
呼吸道感染，如咽痛、扁桃腺炎、咽炎，以及皮膚病紅腫熱痛、蕁麻疹、溼疹等疾病，都需要忌喫發物。發物，指各種肉食、辛辣刺激食物、蔥薑蒜、香椿等。這些食物就像一羣“煽風點火”的傢伙，會加重身體的炎症反應，讓病情反覆發作。
我鄰居家的孩子，患了溼疹，醫生叮囑要忌喫發物。可孩子奶奶心疼孩子，偷偷給孩子喫了點羊肉。結果，孩子的溼疹更加嚴重了，全身都是紅疙瘩，癢得孩子直哭。這就是不忌嘴帶來的嚴重後果。
中藥湯劑服法：發揮藥效的“神祕密碼”
除了疾病忌嘴，中藥湯劑的服法也有講究，這就像是開啓藥效的“神祕密碼”。中藥湯劑一般早晚各一次，飯後半小時以後喝，這樣可以讓藥物在腸胃中更好地吸收，減少對腸胃的刺激。
不能用微波爐加熱中藥湯劑，因爲微波爐加熱會破壞藥物的有效成分，影響藥效。就像把一杯精心釀製的美酒放在微波爐里加熱，酒的香氣和口感都會大打折扣。
服用中藥湯劑時，不喫綠豆、紅豆，因爲它們容易解藥。綠豆、紅豆就像兩個調皮的“小搗蛋”，會和藥物中的有效成分發生反應，降低藥物的療效。
“治病不忌嘴，跑斷醫生腿”，這句俗語蘊含着深刻的健康智慧。無論是胃病、糖尿病、痛風病，還是心腦血管疾病，忌嘴都是治療過程中不可或缺的重要環節。讓我們牢記忌嘴之道，與醫生攜手共進，守護好自己的健康，讓生活充滿陽光和活力。
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。
Liang Shijie: How to cure diseases without talking, a common health code shared by doctors and patients
The proverb, which has long been popular in the Chinese people, is like a sharp surgical knife, which accurately cuts the critical point in the treatment of diseases. In the war of medicine without smoke, lip service often determines whether patients can recover smoothly or struggle repeatedly in pain, leaving doctors exhausted.
Stomach diseases avoid mouth: a "gentle line of defense" to protect the intestines
The stomach, the body''s "food processing plant," is like a hardworking but delicate craftsman who needs care to function properly. Once you have stomach problems, mouth avoidance becomes a "gentle line of defense" to protect your gastrointestinal health.
Coarse grains such as corn and sweet potatoes, which appear to be healthy, are actually like "little bombs" that are difficult to digest for people with stomach problems. They are rich in dietary fiber, which can promote stomach movements in healthy people, but in patients with stomach problems, it is the "biggest culprit" that increases the burden on the stomach. According to data, about 60% of patients with stomach problems will experience discomfort symptoms such as bloating and stomach pain after consuming coarse grains.
Spinach, Chinese chive, and raw radish are vegetables that are cold and contain a lot of coarse fiber, like rough brushes that rub repeatedly on the fragile stomach mucosa, easily causing stomach pain and bloating. Rice, yam, tofu, soy milk, seafood, pure milk, dates and other foods are some of the sticky texture and some are not easy to digest, and they are also "dangerous molecules" that need to be treated with caution for patients with stomach problems.
Raw cold food, such as various fruits and cold drinks, is like a bone-chilling wind that blows directly into the warm stomach, causing the blood vessels in the stomach to contract, affecting the secretion of digestive fluids, leading to indigestion. greasy meat is like adding too much raw material to the "small factory" of the stomach, making it overwhelmed. Spicy, sticky and hard grains are also the enemy of the stomach, and they can irritate the sponge lining and trigger inflammation.
I have a friend who has a stomach problem and doesn''t shy away from eating. When I saw baked sweet potatoes that were so delicious, I couldn''t help but eat one. As a result, the stomach ached that night, and I could not sleep over and over, and the next day I had to run to the hospital to see a doctor. The doctor said reluctantly, "You''ve got this illness from eating. You don''t shy away from talking. I''m going to break my leg." Therefore, patients with stomach problems must control their mouths, eat 80% full food, and leave enough rest room for the stomach.
Diet in diabetes mellitus: the "precise balance" of blood sugar
Diabetes mellitus, just like a "sweet killer" hidden in the body, threatens the patient''s health all the time. For people with diabetes mellitus, the mouth is to control blood sugar "precision balance," the slightest mistake, blood sugar will be like a runaway horse, out of control.
Various meat foods are rich in fat and protein, and excessive consumption can lead to weight gain, which in turn affects blood sugar control. Sweets, especially for people with diabetes mellitus, are the "contraindications," they are like a sweet "time bomb," which will make blood sugar soar rapidly. Studies have shown that people with diabetes mellitus after eating sweets, blood sugar may rise several times in a short period.
Maize, although it is a common coarse grain, but for people with diabetes mellitus, can not eat more. It has a high starch content, which is converted into glucose in the body, leading to an increase in blood sugar. Dried fruits, such as peanuts, melon seeds and so on, seem small, but contain a lot of fat and calories. It is also the "calorie trap" that people with diabetes mellitus should avoid.
Spicy foods can irritate the stomach and affect digestion function, which in turn affects the stability of blood sugar. Puffed food, containing a lot of additives and trans fatty acids, harmful to health. Rice thin rice, after cooking for a long time, has a high degree of starchification, is easily absorbed by the human body, and will also cause blood sugar to rise rapidly.
I know a person with diabetes mellitus, usually do not pay attention to food taboos, see the cake can not walk. Once, he ate a cake in secret, and his blood sugar was tested that day, which was so high that he nearly caused complications. From then on, he never dared to indulge in sweets. People with diabetes mellitus must strictly control their food and drink, so as to keep blood sugar in a stable range.
Mouth Avoidance with Gout Disease: The "Key Key" to Pain Relief
Gout, like a sudden "storm," makes the patient''s joint pain unbearable and painful. Mouth avoidance is the "key key" to relieving gout pain.
All kinds of meat and seafood contain a lot of purines, which are metabolized in the body to produce uric acid. When uric acid levels are too high, crystals of uric Acid are formed and deposited in the joints, triggering a gout attack. There are data showing that about 80% of people with gout develop the disease because of the consumption of foods high in purines.
Sweet foods and dried fruits, although not high in purines, can lead to weight gain and affect the excretion of uric acid. Raw cold foods, such as various fruits and cold drinks, can irritate the joints and aggravate the symptoms of gout. Spicy foods also stimulate the body and trigger an inflammatory response.
I have a colleague who has gout and doesn''t shy away from talking. He often goes to a big seafood meal with his friends. Every time I finished eating, my joints ached so badly that I limped. Later, under the strong advice of his doctor, he started to strictly control his diet, avoiding foods high in purines, and the number of gout attacks decreased significantly.
Cardiovascular disease and hair avoidance: a strong shield to protect the body
Cardiovascular and cerebrovascular diseases, such as hypertension and coronary heart disease, are like a "time bomb" hidden in the body, which may cause serious consequences at any time. For these patients, reducing the intake of greasy meat and salt, as well as vegetable oils (various dried fruits), is a "strong shield" to protect the body.
Greasy meat contains a lot of saturated fatty acids, will lead to increased blood viscosity, easy to form blood clots, lead to cardiovascular and cerebrovascular disorders. Too much salt can cause an increase in blood pressure and increase the burden on the heart. Although dried fruits are rich in nutrients, they contain high levels of oil, and excessive consumption is also not conducive to cardiovascular health.
Respiratory infections such as sore throat, tonsillitis, and pharyngitis, as well as skin diseases such as red, swollen, hot, hives, and eczema, all need to be avoided from eating hair. Hair refers to various meat foods, spicy and irritating foods, green onion, ginger, garlic, turmeric, etc. These foods act like a bunch of "fire-starters" that can aggravate the body''s inflammatory response and keep the condition coming back.
My neighbor''s child, who has eczema, is told to avoid eating hair. But the child''s grandmother was very concerned about the child and secretly fed the child some mutton. As a result, the child''s eczema became more severe, with red bumps all over the body and itching so hard that the child cried. This is the serious consequences of not being a mouthful.
Chinese herbal soup preparation: the ''cryptic code'' of using medicinal herbs
In addition to the oral abstinence of diseases, there is also a great deal of care in the manner in which Chinese herbal soups are taken, which is like the "secret code" to unlock the effectiveness of the medicine. Chinese herbal soups are generally taken once a day and once each night, and drink half an hour after a meal, which can allow the drug to be better absorbed in the stomach and reduce the irritation of the swallow.
You cannot heat traditional Chinese medicine soups with a microwave because microwave heating will destroy the effective ingredients of the medicine and affect the effectiveness of the medicine. It''s like putting a well-brewed glass of fine wine in a microwave, and the aroma and texture of the wine will be greatly reduced.
When taking Chinese herbal remedies, don''t eat green beans or red beans, because they are easily antidotes. Green beans and red beans are like two mischievous "little tricks" that will react with the effective ingredients in the drug and reduce the effectiveness of the drug.
"You don''t shy away from talking to cure a sick person, and you run and break a doctor''s leg," a saying that contains profound health wisdom. Whether it is stomach disease, diabetes mellitus, gout, or cardiovascular and cerebrovascular disease, avoiding mouth is an indispensable part in the course of treatment. Let us remember the secret of mouth and work with doctors to protect our health and make life full of sunshine and vitality.
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.
