老年病的治则之光：梁世杰医生的“扶正为本”之道

在人生的长河中，老年是一段充满智慧与沉淀的时光，却也常常伴随着身体机能的逐渐衰退和疾病的悄然侵袭。老年病，这一群体特有的健康挑战，如同一道阴影，悄然笼罩在许多老年人的生活之上。然而，在这条看似艰难的健康之路上，有一位医者，以他独到的见解和深厚的医术，为老年人点亮了一盏明灯，他就是梁世杰医生。他提出的“扶正为本，祛邪为辅，平和调理，春秋巩固”的老年病治则纲要，如同一股清泉，滋润着老年人的心田，为他们的健康保驾护航。

一、扶正为本：固本培元，强健体魄

“扶正为本”，是梁世杰医生治疗老年病的核心理念。他认为，老年人之所以易病，根本原因在于正气不足，身体机能衰退。因此，治疗老年病的首要任务，就是固本培元，增强老年人的体质。

以李大爷为例，他年逾七旬，长期患有慢性支气管炎，每逢季节变换便咳嗽不止，苦不堪言。梁医生在详细询问病史和查体后，并未急于使用大量的抗生素和止咳药，而是根据“扶正为本”的原则，为李大爷量身定制了一套以中药调理为主的治疗方案。通过服用具有益气固表、健脾养肺功效的中药，李大爷的体质逐渐增强，咳嗽症状明显减轻，生活质量得到了显著提升。

二、祛邪为辅：精准施治，驱邪外出

然而，仅仅扶正是不够的，老年病往往伴随着各种邪气（如风寒、湿热、痰浊等）的侵袭。因此，梁世杰医生强调，“祛邪为辅”是治疗老年病的又一重要原则。在扶正的基础上，根据患者的具体病情，精准施治，驱邪外出。

王奶奶患有风湿性关节炎多年，每逢阴雨天气便关节疼痛难忍。梁医生在为她治疗时，既注重温补肝肾、强筋壮骨以扶正，又灵活运用祛风除湿、通络止痛的中药以祛邪。经过一段时间的治疗，王奶奶的关节疼痛明显缓解，生活质量得到了极大的改善。

三、平和调理：润物无声，调和阴阳

老年病的治疗，还需注重平和调理。梁世杰医生认为，老年人的身体机能已经衰退，治疗时应避免过于峻猛的药物，以免损伤正气。相反，应采用平和的药物和治疗方法，润物无声地调和阴阳，使身体逐渐恢复平衡。

赵伯伯患有高血压和糖尿病多年，长期服用西药控制病情。然而，随着年龄的增长，他的身体逐渐出现了一系列副作用。梁医生在为他治疗时，采用了中西医结合的方法，既保留了必要的西药治疗，又加入了具有降压降糖、滋阴润燥功效的中药进行平和调理。经过一段时间的治疗，赵伯伯的病情得到了有效控制，生活质量也有了显著提高。

四、春秋巩固：顺应自然，未病先防

“春秋巩固”，是梁世杰医生治疗老年病的又一重要策略。他认为，老年人应顺应自然规律，在春秋两季等疾病高发期前进行巩固治疗，未病先防，以减少疾病的发生和复发。

张阿姨在梁医生的指导下，每年春秋两季都会提前进行中药调理和针灸治疗。通过这种方法，她的身体机能得到了显著提升，不仅减少了感冒、咳嗽等常见疾病的发生，还使她的整体健康状况得到了显著改善。

结语：医者仁心，照亮晚年

梁世杰医生以他独到的见解和深厚的医术，为老年人带来了健康和希望。他的“扶正为本，祛邪为辅，平和调理，春秋巩固”的老年病治则纲要，如同一盏明灯，照亮了老年人健康之路的每一个角落。在他的治疗下，无数老年人重拾了生活的信心和乐趣。让我们向这位医者致敬，愿他的医术和仁心能够继续照亮更多老年人的晚年生活！

作者简介：梁世杰 中医高年资主治医师，从事中医临床工作24年，积累了较丰富的临床经验。师从首都医科大学附属北京中医院肝病科主任医师、著名老中医陈勇，侍诊多载，深得器重，尽得真传！擅用“商汤经方分类疗法”、专病专方结合“焦树德学术思想”“关幼波十纲辨证”学术思想治疗疑难杂症为特色。现任北京厚德为怀医生集团渐冻症研究中心主任，北京树德堂中医研究院研究员，北京中医药薪火传承新3+3工程—焦树德门人（陈勇）传承工作站研究员，国际易联易学与养生专委会常务理事，中国中医药研究促进会焦树德学术传承专业委员会委员，中国药文化研究会中医药慢病防治分会首批癌症领域入库专家。荣获2020年中国中医药研究促进会仲景医学分会举办的第八届医圣仲景南阳论坛“经方名医”荣誉称号。2023年首届京津冀“扁鹊杯”燕赵医学研究主题征文优秀奖获得者。事迹荣登2024年第四季刊《当代科学家》杂志。

The light of the cure for old age diseases: Dr. Liang Shijie's "correcting as a foundation" approach

In the long course of life, old age is a time of wisdom and sedimentation, but it is often accompanied by the gradual decline of physical function and the quiet invasion of disease. Geriatric diseases, a health challenge unique to this group, are a shadow that looms over the lives of many older people. However, on this seemingly difficult road to health, there is a healer who, with his unique insights and deep medical expertise, lights a bright light for the elderly. He is Dr. Liang Shijie. His guidelines for the treatment of ageing diseases, which include "rectification as the mainstay, removal of evil as a complement, peacefully conditioning, and consolidation in spring and autumn," are like a clear water that feeds the hearts of the elderly and safeguards their health.

I. Promoting correctness as a foundation: consolidating the roots and strengthening the body

"Correcting is essential" is the core concept of Dr. Leung Shijie's treatment of geriatric diseases. He believes that the root cause of the vulnerability of the elderly to disease lies in the lack of good vigor and the decline of physical function. Therefore, the first task in treating old age disease is to consolidate the roots and strengthen the physical condition of the elderly.

Take Mr. Li, for example. He is over 70 years old. He has long suffered from chronic bronchitis. Every time the season changes, he coughs and suffers. After detailed medical history and physical examination, Dr. Liang did not rush to use a large number of antibiotics and cough medicines, but instead tailored a treatment plan for Mr. Li based on the principle of "fixing correctness as the essence." By taking traditional Chinese medicine, which has the effect of enhancing the health of the breath, strengthening the spleen and maintaining the lungs, Mr. Li's physical condition has gradually improved, his cough symptoms have been significantly reduced, and his quality of life has been significantally improved.

II. Removing evil as a complement: Applying precise treatment to remove evil from the world

However, just helping is not enough, and old age diseases are often accompanied by various evil spirits (such as wind chill, wet heat, sputum, etc.). Therefore, Dr. Liang Shijie emphasized that "healing evil as a complement" is another important principle for the treatment of geriatric diseases. On the basis of corrective treatment, according to the specific condition of the patient, precise treatment is applied to drive the evil out of the country.

Grandma Wang had been suffering from rheumatoid arthritis for many years, and her joint pain was unbearable when it was rainy. When treating her, Doctor Liang not only paid attention to warming and tonifying liver and kidney, strengthening tendon and bone, but also flexibly used the traditional Chinese medicine of dispelling wind and dampness, dredging collaterals and relieving pain to dispel pathogenic factors. After a period of treatment, Grandma Wang's joint pain has significantly eased and her quality of life has been greatly improved.

III. Peace and conditioning: moisturize without sound, reconcile yin and yang

The treatment of old age diseases also needs to focus on peace and treatment. Dr. Liang Shijie believes that the physical function of the elderly has deteriorated and that too strong drugs should be avoided during treatment to avoid damaging the vigor. Instead, peaceful medicines and treatments should be used, and moisturizers silently reconcile yin and yang, so that the body gradually returns to balance.

Uncle Zhao has been suffering from high blood pressure and diabetes mellitus for many years. However, as he grew older, he developed a series of side effects. In treating him, Dr. Liang adopted a combination of Chinese and Western medicine, not only retaining the necessary Western medicine for treatment, but also incorporating Chinese medicine, which has the effect of reducing blood pressure, reducing sugar, and nourishing and lubrication, for peaceful treatment. After a period of treatment, Uncle Zhao's condition has been effectively controlled and his quality of life has also improved significantly.

IV. Spring and Autumn Consolidation: Follow nature and guard against illness before it occurs

"Spring and autumn consolidation" is another important strategy for Dr. Liang Shijie's treatment of geriatric disease. He believes that the elderly should follow natural laws and carry out consolidated treatment before the high incidence of diseases such as spring and autumn, and prevent diseases before they occur, to reduce the occurrence and recurrence of diseases.

Under the guidance of Dr. Liang, Auntie Zhang performs traditional Chinese medicine and acupuncture treatment ahead of time every spring and autumn. Through this method, her physical functioning has been significantly improved, not only reducing the occurrence of common diseases such as colds and coughs, but also significantly improving her overall health.

Conclusion: a patient's heart shines a light on old age

Dr. Liang Shijie brings health and hope to the elderly with his unique insights and deep medical expertise. His guidelines for the treatment of ageing diseases, which include "rectification as the mainstay, removal of evil as a complement, peacefully conditioning, and consolidation in spring and autumn," are like a bright light that illuminates every corner of the road to health for the elderly. Under his treatment, countless elderly people have regained the confidence and joy of life. Let us pay tribute to this healer, and may his healing and compassion continue to illuminate the lives of many elderly people in their later years!

Author Bio: Liang Shijie is a senior medical practitioner in traditional Chinese medicine. 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 the director of the Center for Diffusion Research of Dr. Houde Wei Group in Beijing, a researcher at the Shude Tang Institute of Chinese Medicine, and a fellow at the new 3 + 3 project of traditional Chinese medicine flame inheritance in Beijing - a scholar at the inheritance work station 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. The story was featured in the fourth edition of Current Scientist in 2024.