冬令進補：“清”“化”“通”，咱得好好掰扯掰扯

列位看官吶，今兒個咱就嘮嘮這冬令進補的事兒。您瞧瞧現在這日子，那真是芝麻開花節節高，大多數人吶，營養那是充足得很，甚至都過剩啦！就跟那水庫裏的水，都快溢出來咯。這時候就有人問了，都這樣了，冬令還進補個啥呀？嘿，您先彆着急下結論，聽我慢慢給您道來。

咱先說說這現代人營養過剩和冬令進補爲啥不矛盾。您想啊，過去那日子苦，物質匱乏，人們肚子裏沒啥油水，到了冬天，那不得好好補補，就跟給快沒電的手機充電似的，得把能量給補足咯。可現在不一樣啦，咱天天大魚大肉，營養那是槓槓的。但這就意味着咱身體就一點毛病沒有啦？非也非也！這就好比一座漂亮的大房子，外表看着光鮮亮麗，可裏面呢，下水道堵了，電路也有點小毛病。咱身體也是一樣，營養過剩了，體內就容易積攢一些代謝產物，就像房子裏的垃圾和灰塵，得及時清理清理。

現在對“進補”這事兒啊，咱得有個新認識。它不再是過去那種單純地往身體裏塞滋補品，跟填鴨似的。而是強調調理體質，把身體裏那些不該有的東西給清除掉。這就好比一條河道，要是淤堵了，您光往裏面注水，那水不得漫出來啊，還得把淤泥清理掉，把河道疏通了，水才能順順當當地流。咱身體也是這個道理，得把那些代謝產物、痰溼啥的給清理掉，讓氣血能順暢地運行。

傳統進補和現代調補理念那是一拍即合，都是爲了讓咱身體的氣機調暢，陰陽調和，氣血平和。您想想，要是身體裏的氣血跟一鍋亂麻似的，那能舒服嗎？肯定得鬧毛病啊。所以啊，冬令進補還是有必要的，但可不是讓您瞎補一通。

對於營養過剩的人羣，我給您支幾招。這第一招啊，就是“清”。啥意思呢？就是清熱降火，把體內多餘的熱邪給平衡平衡。您想想，現在好多人動不動就上火，嘴上起泡，臉上長痘，這就是體內熱邪在作怪。就好比房子裏溫度太高了，得開開窗戶透透氣，降降溫。據不完全統計啊，有超過六成的人在冬天都有不同程度的上火症狀，所以這清熱降火可不能忽視。

第二招是“化”，也就是化痰祛溼。您知道嗎，現在好多人身體裏都有痰溼，這痰溼就像房子裏的溼氣，時間長了，傢俱都得發黴。痰溼積聚在身體裏，就容易讓人感覺渾身沒勁兒，腦袋昏昏沉沉的。我有個朋友，就是痰溼體質，整天無精打采的，後來在專業醫師的指導下，調理了一段時間，現在精神頭可足了。所以啊，化痰祛溼很重要。

第三招是“通”，就是活血化瘀、疏通經絡。咱身體裏的經絡就像城市裏的交通要道，要是堵車了，那整個城市都得癱瘓。身體裏的經絡不通，氣血運行就不順暢，就容易這兒疼那兒疼的。就好比一條水管，要是裏面有了水垢，水流就不暢了。所以啊，得把經絡疏通開，讓氣血能暢快地流動。

不過啊，列位看官，這冬令進補可不是您自己在家隨便弄弄就行的事兒。您得在專業醫師的指導下進行合理調補，就跟開車得有駕照一樣，沒個專業指導，那不得開溝裏去啊。專業醫師就像那導航，能根據您的身體狀況，給您制定出最適合您的進補方案。

所以啊，現代人雖然營養過剩了，但冬令進補還是有必要的。咱得用新的理念去認識進補，從清、化、通這幾個方面着手，在專業醫師的指導下，把身體調理得棒棒的。讓咱在冬天也能精神抖擻，健健康康地迎接新的一年！您說是不是這個理兒？

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。

Winter remedies: "cleanse," "clarify" and "contaminate," we''ll have to work on it.

Ladies and gentlemen, let''s talk about winter maintenance today. Look at this day. It''s a very high bloom of sesame seeds. Most people have enough nutrition, even surplus. Like the water in that reservoir, it''s about to overflow. Then someone asked, ''All this is going to happen. What else can winter weather do?'' Hey, don''t jump to conclusions first, listen to me tell you this slowly.

Let me start by saying why modern people''s overnutrition is not incompatible with winter remedies. You think, in the past, the days were hard and materially abundant, and people didn''t have much oil or water in their stomachs. In winter, that had to be properly replenished, like charging a battery-drained cell phone, and the energy had to be replenished. But nowadays it''s different. We eat lots of fish and meat every day, and the nutrition is very good. But that means there''s nothing wrong with our health? No, no, no! It''s like a beautiful big house. The outside looks gorgeous, but inside, the sewers are blocked and the electrical circuitry is a little faulty. The same is true of our body. With excess nutrients, it is easy to accumulate some metabolic products in the body, like garbage and dust in the house, which must be cleaned in time.

Now we need a new understanding of "fixing." It is no longer the kind of stuffing of nutrients into the body that used to be like stuffing ducks. Instead, emphasis is placed on conditioning the body and removing what is not supposed to be in the body. It is like a river. If a river is blocked, you just fill it with water, the water must not flood out. You must clear the silt and clear the river so that the water can flow properly. The same is true of our body, which must clean out all the metabolic products, phlegm, etc. so that the blood and air can operate smoothly.

Traditional tonifying and modern tonifying are both for the sake of harmonizing qi and blood, harmonizing yin and yang. Think about how comfortable it would be if the blood in your body were like a pot of stale weed? There must be something wrong. So, winter remedies are still necessary, but they are not for you to make a fool of them.

For people who are overnourished, I''ll give you a few tricks. The first thing is "clear." What''s the point? It is to clear the heat and reduce the fire, and balance the excess heat evil in the body. Think about it. Nowadays, many people catch fire at all times, have bubbles on their mouths, and have pimples on their faces. This is the problem of internal heat. It''s like the temperature in the house is too high, and you have to open the windows to breathe and cool down. According to incomplete statistics, more than 60% of people have different degrees of fire symptoms in winter, so this cold fever cannot be ignored.

The second method is "chemation," which is to chemical the phlegm to remove the damp. Do you know that many people nowadays have phlegm in their bodies. This phlegm is like moisture in a house. Over time, the furniture must become moldy. When phlegm accumulates in the body, it makes people feel tired and their head slumped. I have a friend who is sluggish and tired all day. After a few days of conditioning under the guidance of a professional doctor, he is now mentally adequate. So uh, it''s important to hydrate the phlegm.

The third trick is "through," which is to relieve bruising and clear the meridians. The connections in our body are like the traffic arteries in a city. If there is a traffic jam, the whole city will be paralyzed. If the meridians in the body are not connected, the blood and blood circulation is not smooth, and it is easy to suffer pain here and there. It is like a water pipe. If there is dirt in it, the water will not flow smoothly. So, we need to clear the meridians so that the blood and blood can flow smoothly.

But, officers, this winter maintenance is not something you can do at home alone. You need to make reasonable repairs under the guidance of a professional doctor, just like you need to have a driver''s license. Without professional guidance, you can''t go into a ditch. A professional physician is like a navigational navigator, able to give you a plan of supplements that is best for you based on your medical condition.

So, although modern people are overnourished, winter supplements are still necessary. We must use a new concept to understand remedies, start with cleansing, healing and healing, and treat the body well under the guidance of a professional physician. Let us also get strong in winter and welcome the new year in good health. Are you saying that''s the point?

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.