更年期：以呵護之名，赴生命靜美之約

在時光的長河中，每年10月18日宛如一顆獨特的星辰，閃耀着“世界更年期關懷日”的溫暖光芒。它提醒着我們，在這個紛繁複雜的世界裏，有一種特殊的階段，它不是需要我們揮舞利刃去對抗的敵人，而是需要我們伸出溫柔雙手去呵護、用細膩心思去調理的生命歷程，尤其是對於廣大的女性患者而言。

常言道，“女人四十九，天癸要歇工”。在中醫的智慧裏，“七七四十九歲，天癸竭，地道不通”，此時的女性，就像那經歷了春夏繁華的樹木，開始步入生命的秋季，各種身體的不適如同秋日的落葉，紛紛飄落，逐漸明顯起來。這是自然的生理規律，是生命衰老不可避免的表現，就如同太陽東昇西落，四季更迭變換，誰也無法阻擋。據相關統計，約有75%的女性在更年期會出現不同程度的身體和心理症狀，如潮熱、盜汗、失眠、情緒波動等，這些症狀就像一羣不速之客，打擾着女性原本平靜的生活。

我有一個鄰居，張大姐，她今年剛好四十九歲。原本性格開朗、活力四射的她，最近卻像變了一個人。她常常跟我說，自己動不動就出一身汗，晚上睡覺也不踏實，翻來覆去像烙餅似的，脾氣還變得特別暴躁，一點小事就能讓她火冒三丈。有一次，她因爲孩子回家晚了一點，就大發雷霆，把孩子嚇得躲在房間裏不敢出來。其實，這就是更年期在作祟，它就像一個調皮的小精靈，悄悄地鑽進了張大姐的生活，攪得她不得安寧。

然而，在面對更年期這個問題上，我們往往陷入了一個誤區，那就是把它當成一種疾病去對抗。我們總是試圖用各種藥物去壓制那些不適的症狀，就像用大錘去敲打小鼓，雖然能暫時止住聲音，但卻無法從根本上解決問題。其實，《黃帝內經》早就給我們指明瞭方向：“陰平陽祕，精神乃治。”更年期不是一種需要我們去對抗的疾病，而是我們身心重獲平衡的契機。它就像一場暴風雨，雖然會帶來短暫的混亂和不適，但風雨過後，往往會出現更加清新、美麗的天空。

中醫之道，講究的是調和陰陽，滋養氣血。這就好比給一盆枯萎的花澆水施肥，讓它重新煥發生機。在更年期這個特殊的階段，中醫可以通過鍼灸、推拿、中藥等方法，幫助女性調節身體的陰陽平衡，讓氣血在體內順暢地流動。比如，鍼灸可以通過刺激特定的穴位，調節身體的內分泌系統，緩解潮熱、盜汗等症狀；中藥則可以根據女性的體質特點，進行個性化的調理，滋養氣血，改善睡眠質量，穩定情緒。

我認識一位老中醫，他治療更年期綜合徵很有經驗。有一位患者，李女士，五十歲左右，更年期的症狀非常嚴重，已經影響到了她的正常生活和工作。她找到了這位老中醫，老中醫通過仔細的辨證論治，給她開了一副中藥方劑，同時配合鍼灸治療。經過一段時間的調理，李女士的症狀明顯改善了，她又能像以前一樣，精神飽滿地投入到工作和生活中去。她感慨地說：“以前我總覺得更年期是一場噩夢，現在才知道，它也可以是一場美麗的蛻變。”

更年期，是女性生命中的一個重要轉折點。它就像一座橋，連接着女性的青春與成熟。在這個階段，我們不應該害怕，不應該逃避，而應該以一顆平和、豁達的心去迎接它。我們要像呵護一朵嬌嫩的花朵一樣，呵護自己的身體和心靈。我們可以多參加一些戶外活動，呼吸新鮮的空氣，感受大自然的美好；可以和朋友聊聊天，分享彼此的喜怒哀樂，釋放內心的壓力；也可以學習一些新的知識和技能，讓自己的生活更加豐富多彩。

讓我們在這個“世界更年期關懷日”裏，以中醫之道爲指引，用呵護與調理去擁抱更年期。讓每一位女性都能在這個特殊的階段，安然過渡，迎來生命的靜美秋日。就像那金黃的菊花，在秋風中綻放出屬於自己的絢爛光彩，散發出獨特的魅力。因爲，更年期不是生命的終點，而是新生命的起點，是我們走向更加成熟、更加智慧的開始。

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。

Climacteric period: in the name of care, go to the life of quiet beauty about

In the long river of time, October 18th is like a unique star, shining with the warm light of "World Climacteric Care Day." It reminds us that in this complex world, There is a special phase that requires us not to wield a blade against an enemy, but rather a life journey that requires our gentle hands to care for and care for with care, especially for the vast majority of women.

As the saying goes, "A woman is forty-nine years old, and she must stop working." In the wisdom of traditional Chinese medicine, "At the age of seventy-seven and forty-nine, the earth is exhausted, and the earth is not practical," at this time, women, like the trees that experienced the flourishing of spring and summer, begin to enter life in the fall, and all kinds of physical discomfort, like the fall leaves, drift down and gradually become apparent. This is a natural physiological law and an inevitable manifestation of life''s aging, just as the sun rises and sets, and the seasons change, which no one can stop. According to relevant statistics, about 75% of women in the climacteric period will appear varying degrees of physical and psychological symptoms, such as hot flashes, night sweats, insomnia, mood swings, etc., these symptoms like a group of uninvited guests, disturb women''s originally calm life.

I have a neighbor, Grandma Zhang, who is 49 years old this year. Once a cheerful and energetic woman, she seemed to have changed a lot lately. She often told me that she sweated all the time, slept unsteadily at night, turned over like a pancake, and became extremely cranky. Little things could make her angry. At one point, she was furious because her child was coming home a little late, making the child hide in the room and not dare to come out. In fact, this is the climacteric period in trouble, it is like a naughty elf, quietly into the life of Sister Zhang, stir her no peace.

However, in the face of climacteric period on this issue, we often fall into a misunderstanding, that is to treat it as a disease to fight. We always try to use various drugs to suppress those uncomfortable symptoms, like hammering a tambourine, which temporarily stops the sound, but doesn''t solve the problem at all. In fact, the Inner Book of Huangdi has already pointed us in the direction: "The yin and yang are secret, and the spirit is the cure." The climacteric period is not an illness to be fought, but an opportunity to rebalance our body and mind. It''s like a storm, and although it can bring a brief chaos and discomfort, after the storm, a fresher, more beautiful sky often emerges.

The Chinese medicine is concerned with reconciling yin and yang and nourishing qi and blood. It''s like watering and fertilizing a withered flower in a basin to get it back to life. During the climacteric period, traditional Chinese medicine can help women adjust the balance of yin and yang of the body, allowing the smooth flow of qi and blood in the body. For example, acupuncture can stimulate specific points, regulate the body''s endocrine system, relieve hot flashes, night sweats and other symptoms; Traditional Chinese medicine can conduct personalized massage according to the physical characteristics of women, nourish qi and blood, improve sleep quality, and stabilize mood.

I know an old herbalist doctor who is experienced in treating climacteric period syndrome. One patient, Ms Li, in her mid-50s, is suffering from severe symptoms of the climacteric period, which has affected her normal life and work. She found the old Chinese medicine practitioner, who, through careful examination, prescribed her a set of Chinese medicine prescriptions, along with acupuncture treatment. After a period of therapy, Ms. Li''s symptoms improved significantly, and she was able to thoroughly engage in her work and life as well as before. "I used to think that the climacteric period was a nightmare," she said with emotion. "Now I know that it can also be a beautiful transformation."

Climacteric period, it is an important turning point in female life. It is like a bridge between women''s youth and maturity. At this stage, we should not be afraid, we shouldn''t run from it, but we should meet it with a peaceful, open heart. We must take care of our own body and mind as we take care of a delicate flower. We can take part in more outdoor activities, breathe fresh air and feel the beauty of nature. You can talk to friends, share each other''s joys and sorrows, and release the stress of your heart. You can also learn some new knowledge and skills to make your life more colorful.

On this "World Menopause Care Day," let us embrace the climacteric period with care and conditioning guided by the Tao of Traditional Chinese Medicine. Let every woman be able to make a safe transition during this special phase and usher in a peaceful autumn of life. Just like the golden chrysanthemums, they bloom in the autumn wind with their own brilliant glow, giving off unique charm. Because the climacteric period is not the end of life, but the starting point of a new life, is the beginning of our more mature, more intelligent.

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.