嘮嘮中醫這“表裏如一”的絕活兒

各位老少爺們兒，今兒個咱不扯那家長裏短的閒篇兒，也不嘮那明星八卦的熱鬧事兒，咱來聊聊咱老祖宗傳下來的寶貝——中醫裏頭那“表裏如一”的絕活兒！您可別小瞧了這四個字，這裏頭的門道，那可比那孫悟空的七十二變還深呢！

《內經》有言，形名一體

咱老祖宗的《內經》裏頭有句話，叫“氣合而有形，因變以正名”。這話啥意思呢？就好比說，您去菜市場買水果，那梨和蘋果，您瞅一眼外形，就能知道它們不是一路貨。爲啥呢？因爲它們“形與名是統一的，而不是分裂的”。這就跟人似的，您看一個人，從他的穿着打扮、言行舉止，大致就能猜出他是個啥性格、啥身份的人。這中醫看病啊，也是這麼個理兒。抓住了外在的“形”，就等於抓住了內在的實質。您買水果，買回來的可不止是那水果的皮兒，也不是光那果肉，而是整個兒的一個整體。就好比您買西瓜，您敲一敲，聽聽那聲音，看看那瓜皮的顏色，就能知道這瓜甜不甜、熟沒熟，這就是通過外在的“形”來判斷內在的品質。

梨與蘋果，形異則內不同

咱再拿梨和蘋果舉個例子。您瞧那梨，長得那叫一個水靈，皮兒薄肉厚，咬一口，汁水直往外冒，清甜可口。再瞅瞅那蘋果，圓滾滾的，紅撲撲的臉蛋兒，咬起來嘎嘣脆，酸甜適中。爲啥它們味道不一樣呢？就是因爲它們外表不一樣啊！這中醫裏頭講究的“表裏如一”，就跟這梨和蘋果似的。您身體有啥毛病，從外表上就能看出點端倪來。比如說，您臉色蠟黃，沒精打采的，那說不定就是您脾胃不太好。爲啥呢？因爲內在臟腑與外在的色脈、五官九竅、四肢肌膚是有密切聯繫的。這脾胃啊，就像是咱身體裏的“後勤部長”，負責把喫進去的東西消化吸收，轉化爲營養，輸送到全身各處。要是這“後勤部長”鬧罷工了，那您臉色能好看嗎？身體能舒服嗎？

臟腑正常，外在表現才正常

這內在臟腑的正常功能，決定了外在顏色、脈搏、證候的正常表現。就好比一臺機器，各個零件都正常運轉，那機器才能高效工作，生產出合格的產品。要是哪個零件出了問題，那機器就得鬧毛病，生產出來的產品也得是次品。咱身體也是一樣，要是心臟不好，那您的心跳可能就不規律，臉色也可能發白或者發紫；要是肝臟不好，那您的眼睛可能就會發黃，情緒也容易煩躁。據不完全統計啊，現在因爲生活壓力大、飲食不規律等原因，好多人都有不同程度的臟腑功能失調問題。您看，這可不是我瞎說，數據擺在這兒呢！所以啊，咱平時可得注意保養自己的身體，別等出了問題才後悔莫及。

中醫“表裏如一”，實用又靠譜

這中醫的“表裏如一”學說，那可不是空口說白話，它是經過咱老祖宗幾千年的實踐檢驗的，實用又靠譜。您想想，要是沒有這“表裏如一”的理論基礎，那中醫的髒象學說可就成了無源之水、無本之木了。這髒象學說啊，就像是中醫看病的一把金鑰匙，通過觀察外在的表現，就能推斷出內在臟腑的情況，從而對症下藥，藥到病除。就好比一個神探，通過現場留下的蛛絲馬跡，就能破獲一起復雜的案件。

咱再舉個例子，有個小夥子，最近老是覺得渾身沒勁兒，還老是感冒。他去看西醫，做了好多檢查，也沒查出啥大問題。後來他去看中醫，中醫大夫一看他的臉色，再給他把把脈，就告訴他，他這是脾胃虛弱，導致身體抵抗力下降了。然後給他開了幾副中藥，讓他回去好好調理。這小夥子喫了幾副藥之後，果然感覺好多了，渾身也有勁兒了，也不那麼容易感冒了。您看，這就是中醫“表裏如一”的神奇之處。

珍惜老祖宗的智慧，守護健康

各位老少爺們兒，咱老祖宗留下來的中醫智慧，那可是無價之寶啊！這“表裏如一”的學說，只是中醫寶庫中的一顆璀璨明珠。咱可得好好珍惜這老祖宗留下來的寶貝，別讓它在咱這一代失傳了。咱平時啊，要多瞭解一些中醫知識，注意自己的身體健康，養成良好的生活習慣。別老是熬夜、喫那些垃圾食品，把自己的身體搞垮了。要知道，健康纔是最大的財富，沒了健康，啥都是白搭。

所以啊，咱以後要是身體有啥不舒服的地方，不妨去看看中醫，讓中醫大夫用他們那“表裏如一”的學問，給咱把把脈、看看病。說不定啊，就能把咱身體裏的小毛病給扼殺在搖籃裏，讓咱健健康康、快快樂樂地過好每一天！

得嘞，今兒個咱就嘮到這兒吧。希望各位老少爺們兒都能重視自己的身體健康，讓中醫這“表裏如一”的智慧，爲咱的健康保駕護航！

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。

Narrative Chinese medicine, a unique skill of "being the same inside and out"

Ladies and gentlemen, today we won''t talk about the short idle articles in the parents, nor will we talk about the lively things of celebrity gossip, let''s talk about the treasure passed down by our ancestors - the unique skill of "the same on the outside and inside out" in traditional Chinese medicine! Don''t underestimate these four words, the doorway here is deeper than the seventy-two changes of Sun Wukong!

The "Neijing" has a saying, form and name are one

There is a saying in the "Neijing" of our ancestors, called "Qi is combined and tangible, and the name is corrected due to change". What does this mean? For example, if you go to the vegetable market to buy fruit, the pears and apples, you can see that they are not all the way. Why? Because they are "unified in form and name, not divided". This is like a person, you can roughly guess what kind of personality and identity he is from his dress, words and deeds. This is the same principle for this traditional Chinese medicine doctor. Grasping the external "form" is equivalent to grasping the inner essence. When you buy fruit, what you buy back is not only the skin of the fruit, nor the pulp alone, but the whole thing. Just like when you buy a watermelon, you knock on it, listen to the sound, look at the color of the melon skin, you can know whether the melon is sweet or not, whether it is ripe or not, which is to judge the inner quality through the external "shape".

Pears and apples have different shapes and different interiors

Let''s take pears and apples as examples. Look at the pear, it looks like a water spirit, the skin is thin and the flesh is thick, and when you bite into it, the juice comes out straight out, sweet and delicious. Look at the apple again, the round and red face is crunchy when bitten, and the sweet and sour taste is moderate. Why do they taste different? It''s because they look different! The "consistency on the outside and inside the outside" in this traditional Chinese medicine is just like this pear and apple. What''s wrong with your body can be seen from the appearance. For example, if your face is sallow and listless, it may mean that your spleen and stomach are not very good. Why? Because the internal organs are closely related to the external color veins, facial features, nine orifices, and limbs and skin. This spleen and stomach are like the "logistics minister" in our body, responsible for digesting and absorbing what we eat, converting it into nutrients, and transporting it to all parts of the body. If this "logistics minister" goes on strike, can you look good? Can you feel comfortable?

When the internal organs are normal, the external manifestations are normal

The normal function of this internal organ determines the normal performance of external color, pulse, and symptoms. Just like a machine, all parts are working normally, so that the machine can work efficiently and produce qualified products. If there is a problem with any part, the machine will have to go wrong, and the product produced will also be defective. The same is true for our body, if the heart is not good, then your heartbeat may be irregular, and your face may be pale or purple; If your liver is not good, your eyes may turn yellow and you may be irritable. According to incomplete statistics, many people now have varying degrees of visceral dysfunction due to stressful life and irregular diet. You see, this is not my nonsense, the data is here! Therefore, we usually have to pay attention to maintaining our bodies, and don''t wait for something to go wrong before regretting it.

Traditional Chinese medicine is "the same on the outside", practical and reliable

This theory of "the inside and outside" of traditional Chinese medicine is not empty words, it has been tested by our ancestors for thousands of years, practical and reliable. If you think about it, if there is no theoretical basis of "consistency on the outside and inside out", then the theory of visceral images in traditional Chinese medicine will become a source of water and a tree without roots. By observing the external manifestations, we can infer the condition of the internal organs, so as to prescribe the right medicine and cure the disease. It''s like a detective who can solve a complex case through the clues left at the scene.

Let''s take another example, there is a young man who has been feeling weak lately and has always caught a cold. He went to see a Western doctor and did a lot of tests, but no major problems were found. Later, he went to see a Chinese medicine doctor, and when the doctor saw his face, he took his pulse and told him that he had a weak spleen and stomach, which led to a decrease in his body''s resistance. Then he was prescribed a few pairs of Chinese medicine and asked him to go back and take good care of it. After taking a few pairs of medicine, the young man really felt better, his whole body was strong, and he was not so easy to catch a cold. You see, this is the magic of "consistency on the outside" of traditional Chinese medicine.

Cherish the wisdom of our ancestors and protect our health

Ladies and gentlemen, the wisdom of traditional Chinese medicine left by our ancestors is a priceless treasure! This doctrine of "the same on the outside and inside is just a shining pearl in the treasure house of traditional Chinese medicine." We have to cherish the treasure left by our ancestors and don''t let it be lost in our generation. We should learn more about traditional Chinese medicine, pay attention to our health, and develop good living habits. Don''t stay up late, eat junk food, and break your body. You know, health is the greatest wealth, without health, everything is in vain.

So, if we have any discomfort in the body in the future, we might as well go to see traditional Chinese medicine, and let the Chinese medicine doctors use their "consistent" knowledge to take our pulse and see the disease. Maybe, we can stifle the small problems in our bodies in the cradle, so that we can live every day healthily and happily!

Come on, let''s talk here today. I hope that all young and old people can pay attention to their own health, so that the wisdom of traditional Chinese medicine can escort our health!

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.