中医养生

作者: 人可工作室 分类: 和治友德,更新… 发布时间: 2023-05-06 10:53

 

中医博大精深,整体观念,辨证施治,运用之妙,叹为观止!

调理养生就是必须从中医基础理论开始步入正轨,切莫讲我们的机器有多神奇,包治百病、夸大宣传就会吓跑别人,也不要昡富晒单,甚至说什么一夜暴富、不劳而获,纵观这些年但凡直销出问题、或被别人看不起等这么多负面都是因为经销商理论基础不扎实,学习不够,只会道听途说,自话自说,才会偏离直销的本源。不是直销难做,是我们把直销做难了。要回归直销本源就必须打牢基本功,从过入门关开始就老老实实走进会场,认认真真学习,踏踏实实做事,本本分分做人,修心修为,学以致用。
《黄帝内经》认为人类的天然寿命应该有100岁。也就是说,《黄帝内经》开篇就是要回答:上古之人为什么能活一百多岁?黄帝观察到,上古的人都能度过100岁而形体运动一点都不衰退,还是跟年轻时候一样;现在的人却到50岁的时候,动作就开始衰退了,而且很难活到100岁。这是什么原因呢?

“知道” —尽终其天年的起点

养生的第一大总原则,就是“道”——知“道”、体“道”、合于“道”。

首先,是上古之人“知道”,所以活到一百多岁。这个“知道”不是今天所说的“知道不知道”的“知道”,在古代“知道”是两个词“知”和“道”。“知”在这里是动词,意思是了解、懂得、通晓、明白、掌握;“道”这里是名词。“道”,这里指“养生之道”,即养生的总原则。

光“知道”是不够的,还要“做到”。“知道”和“做到”相差十万八千里。只有“知道”并且“做到”,才可以“尽终其天年”。

那么,这个“道”(养生的总原则)是什么呢?《上古天真论篇》给出的解释就是八个字:“法于阴阳,和于术数”。意思就是“效法阴阳的大规律,与术数相和谐”。这里有两个主题词,一个是“阴阳”,一个是“术数”。

法于阴阳 尽终天年的前提

“阴阳”是《黄帝内经》的总纲领,“阴阳”的观念来源于《易经》,虽然《易经》的原文没有提到“阴阳”两个字,但《易经》通过两个符号“阳爻”和“阴爻”,表达了阴阳思维,即以连续的横线段为阳爻,代表阳,以中间断开的横线段为阴爻,代表阴。《黄帝内经》说,要想养生,首先要搞清楚“阴阳”。

现在谈到养生,说法各种各样,层出不穷。其中有一些甚至是荒谬的、误人的,比如不分具体情况的喝绿豆汤等。这类稀奇古怪的“伪养生”说法都犯了一个基本错误,那就是没有分别阴阳。

人的体质是分阴阳的,人的健康情况、疾病情况等都是分阴阳的,食物、药物也都是分阴阳的,不同的人不可能都吃同一种食物或药物就能有利于健康。而且人的日常生活一定要和天地日月的阴阳变化相符合,比如人的作息、起居、饮食、运动都要效法一天的昼夜旦夕、一个月的晦朔弦望、一年的春夏秋冬等,这些阴阳变化规律不能违背,一旦违背,必定生病。

和于术数—尽终天年的技术

术数的“术”是技术,“数”也不是今天通常意义的数字,而是指“方术”。在古代,这些方法、技术都可以用数字来表示。“和于术数”,就是养生的各种方法、技术都要与阴阳大规律相吻合、相和谐。

其实,“术数”就是阴阳的具体体现。以数字为例,中国古代有十个数字。这十个数字不是零到九,而是一到十。其中五个阳数、五个阴数,一三五七九为阳数,二四六八十为阴数,所以,数字就是阴阳的体现。因此,当“和于术数”时,养生的总原则就不再是抽象的、虚空的,它就实实在在地表现在每一个人普普通通的日常生活当中了。具体而言,就是每一个人天天都在经历的四个方面:

第一个是食饮有节,上古的人懂得养生之道,饮食是有规律的,是有节制的。

第二个是起居有常,起居不仅仅是起床、睡觉,还包括日常的活动。起居要有常规、常度,不能乱来瞎搞。

第三个是不妄作劳,就是指劳动、运动是不过度的,“劳“(劳形、劳神)要守常规,要适度,不要太过,也不要不及。

第四个是形与神俱,即形体和精神是合在一起的。前面三条主要讲的是形,这里主要讲神,讲形神合一,神离不开形,形也离不开神。形是神的依托,神是形的主导。

这四个方面包括一个人日常生活方方面面。养生,说到底就是在这四方面作文章、下功夫。只要这四个方面都能做到,就能像上古之人一样,都能度过一百岁。

阴阳中和—尽终天年的核心

“法于阴阳,和于术数”八个字再进一步精炼,就提炼出养生的一大基本原则,即“阴阳中和”。中华民族的核心价值就是“阴阳中和”,从儒释道三家来看,都在讲“中”、讲“和”,儒家讲“中庸之道”,道家讲“中道”,佛家讲“中观”,儒家讲“仁和”,道家讲“柔和”,佛家讲“圆和”。而中医更是讲调和致中。

所以,中医养生,其实就是中国文化在日常生活中的应用,中医养生的原则,其实就是中国文化核心价值的体现。

一个人要想身体健康,要想快乐,要想长寿,最重要的就是要“阴阳中和”。

阴阳中和的“和”,就是指和谐,具体又可以分为三个层面:

要与大自然和谐,即天人合一。天和人的关系中,天是阳,人是阴。阳主阴从,大自然为阳,是起主导作用的,人为阴,是处于从属地位的。所以,中国人认为人要服从大自然。人不能破坏自然、违逆自然规律,天地自然我们赖以生存的基础。一旦人不尊重自然,破坏自然,结果怎样?生态失衡、环境恶化、雾霾肆虐,导致各种健康问题接踵而至。这在中医学看来,都是天人不和的后果。

要与社会和谐、与其他人和谐,这叫人我合一。在人与我这一对关系里,谁起主导作用?当然是自己,自己和别人的矛盾是谁造成的?是自己。人生最大的敌人就是自己,战胜了自己,就战胜了世界。所以,人我和谐的落脚点在“修己”——修炼自己、提升自己,然后才能修己安人,人我和谐。

自己的身和心要和谐,也就是形体与精神要和谐,这叫形神合一。在形体与精神这一对关系中,按照《黄帝内经》观点看,精神是阳,身体、形体是阴。道家和中医学,尤其是《道德经》《黄帝内经》都认为人一生下来神气充足,后来长大了,神气慢慢衰退,神气全部衰尽的时候,人就死了。所以说,养生说到底就是养神。精神好、心态好、神气足,人就不会得病。

阴阳中和的“中”,就是指要做到不偏不倚,既不太过、也无不及。但“中”不要简单看成就是度量衡意义上的“中间”、“中心”等,“中”主要是适中、恰到好处的意思。

“中”就是“唯变所适,惟义所在”,唯变所适即随机应变,以适应各种不同环境。“惟义所在”的“义”就是适宜、合适,意思是只要合适了就行,不要拘泥于各种各样的条条框框。

养生正是如此,要根据不同的人采用不同的养生方法。养生就是养成一种适合自己的、健康快乐的生活方式。

刘延东副总理曾提出:中医药作为我国独特的卫生资源、潜力巨大的经济资源、具有原创优势的科技资源、优秀的文化资源和重要的生态资源,在经济社会发展中发挥着重要作用。中医药健康养生文化历史悠久,随着我国新型工业化、信息化、城镇化、农业现代化深入发展,人口老龄化进程加快,健康服务业蓬勃发展,人民群众对中医药养生服务的需求日益旺盛,迫切需要继承、发展、利用好中医药健康养生文化,发挥其在促进卫生、经济、科技、文化和生态文明发展中的独特作用,通过创造性转化创新性发展(以下简称“两创”)加快推进健康中国建设,为全面建成小康社会服务。

一、中医药健康养生文化“两创”的内涵

准确理解、科学定位中医药健康养生文化“两创”的概念,对于推动建立具体化、实用化、产业化和科学化的实践体系有重要参考。

1. 何谓“中医药健康养生文化”

当前,存在中医药文化、养生文化、中医药养生文化、中医药健康养生文化等多个概念并存的现象,中医药学术界也没有很清晰权威的界定。能够明确的是,广义而言,中医药文化包括中医药健康养生文化。

文化是指一个国家或民族的历史、地理、风土人情、传统习俗、生活方式、文学艺术、行为规范、思维方式、价值观念等。经典定义是人类在社会历史发展过程中所创造的物质财富和精神财富的总和。中医药文化是在中华民族传统文化的基础上,以现代文化为主导,将中医药学和其他学科文化融合为一体,相互交流、渗透所衍生的一种特殊的行业文化,也就是指有关中医药的思维方式、传统习俗、行为规范、生活方式、文学艺术, 甚至一些影响深远的事件等。

中医药文化就是在这样宽泛的概念环境中培育和发展起来的。修身养性,追求长寿健康,这是人类自古以来一直的美好愿望。养生文化是中医文化的重要组成部分,同时也是中国传统文化不可缺少的一部分。“养生”一词最早出现于《庄子·内篇》。所谓生,就是生命、生存、生长的意思所谓养,即保养、培养、补养的意思。总之, 养生就是根据自身的发展规律达到保养生命、增进健康的意思。《中国大百科全书》将养生的概念的定义为:“以调阴阳、和气血、保精神为原则, 运用调神、导引吐纳、四时调摄、食养、药养、节欲、辟谷等手段,以期达到健康长寿的方法。”“养生” 在中国古代又称之为“摄生”,所谓“摄”,包含了“保养”的方式,《道德经》中就有“善摄 生者”的论述。有关养生的理论和方法称之为“养生术”“养生之道”。

国医大师、著名中医文化学者孙光荣在《读懂习总书记讲话中的中医观:中医药学是打开中华文明宝库的钥匙——关于中医药学在中华文化复兴和国际交流合作中的重要地位、意义和作用》一文中指出,中医药学“是历史上中华民族的主流医药学,是当代中国特色医药学重要组成部分,是世界传统医药学的杰出代表,是中华民族医药学者在认识自然、认识生命、防治疾病与卫生保健活动中原创、应用、传承、发展的医药学体系”。对于中医健康养生理念,将其界定为“以中 医养生理论与历代养生家实践经验为基础,结合日常生活方式所形成的天人相应,顺应自然,神形合养,注重从心、食、性调养精、气、神的实用、有效、科学的养生、防病、延年的健康理念”。

考察学术界关于养生文化的研究,也都将养生文化融入中国传统文化的体系框架中分析。主要分为三个方面:一为以儒释道为核心的传统哲学思想指导下的养生;二为以“流水不腐,户枢不蠹”理念为指导的中国传统保健体育养生;三 为以《黄帝内经素问》“五谷为养,五果为助, 五畜为益,五菜为充,气味合而服之,以补精益气” 为理论指导的食疗药膳养生。

综上所述,可以将中医药健康养生文化归纳为: 起源于中华优秀传统文化,以中医药学为理论基础, 以中医健康养生理念为指导,有助于促进人们身心健康的理论、规律、方法、习俗和技术的总和。

2. 如何理解“两创”

中医药学在实践层面强调养生“治未病”,并在长期发展中积累了丰富的养生理念和方法, 形成了独具特色的健康养生文化,深深融入中国人的日常生活。比如,强调人与自然、社会和谐相处,认为“人与天地相参也,与日月相应也”; 强调生活方式与健康密切相关,讲究“食饮有节, 起居有常,不妄作劳”;强调养德养生,“仁者寿”“善养生者,当以德行为主,而以调养为佐”;强调“身心合一”,注重养形、养气、养神的统一等等。

如何理解中医药健康养生文化的“两创”;可以从以下两个方面来探析:

一方面,使中医药健康养生文化与现代社会生产生活相协调,将其以人们喜闻乐见、具有广泛参与性的形式转化为人民群众的健康行为和生活方式。

另一方面,使中医药健康养生文化与现代健康理念相融相通, 让中国人民乃至世界人民享受中医药健康养生的益处。

能够在实践过程中,达到以上两个方面的要求,也即实现了中医药健康养生文化的“两创”, 真正达到外化于行、内化于心的效果,并能够促进经济、社会、教育、文化等事业的发展。

二、关于中医药健康养生文化“两创”的思考

当前,之所以强调中医药健康养生文化的“两创”,主要着眼于以下四个方面考虑:

1.立足国家战略高度

《中医药发展战略规划纲要(2016-2030 年)》提出:“通过加快发展中医养生保健服务体系、 提升中医养生保健服务能力、发展中医药健康养老服务、发展中医药健康旅游服务,促进公民中医健康文化素养大幅度提升。”习近平总书记在全国卫生与健康大会强调:“要着力推动中医药振兴发展……努力实现中医药健康养生文化的创造性转化、创新性发展。”

《“健康中国 2030”规划纲要》提到:“大力传播中医药知识和易于掌握的养生保健技术方法,加强中医药非物质文化遗产的保护和传承运用,实现中医药健康养生文化创造性转化、创新性发展。”《中国的中医药》白皮书指出:“切实把中医药继承好、发展好、利用好,努力实现中医药健康养生文化的创造性转化、创新性发展。”

《中华人民共和国中医药法》于 2017 年 7 月正式实施,中医药发展有了国法保障。在一系列国家战略规划指导下,国家中医药管理局也及时制定了发展规划,如:《中医药发展“十三五”规划》、《中医药文化建设“十三五”规划》和《中医中药中国行——中医药健康文化推进行动实施方案(2016-2020 年)》等。

以上文件都提到了与中医药健康相关的文化、产业,对建立和发展中医药健康养生文化“两创” 实践体系提供了指导。新形势和新任务要求广大中医药工作者加强中医药健康养生文化“两创” 工作,使之与现代健康理念相融相通,服务人民健康,服务国家中医药发展战略。

2. 融入国民健康事业

由于工业化、城镇化、人口老龄化,以及疾病谱、生态环境、生活方式的不断变化,我国仍然面临多重疾病威胁并存、多种健康影响因素交织的复杂局面,我们既面对着发达国家面临的卫生与健康问题,也面对着发展中国家面临的卫生与健康问题。如果这些问题不能得到有效解决, 必然会严重影响人民健康,制约经济发展,影响社会和谐稳定。据统计,当前国人健康形势严峻, 高血压人口超过 2.5 亿,糖尿病患者达到9700 万,超重或肥胖患者有 7000 万。由生活方式导致的慢性病发病率快速上升,有健康问题的人群日趋年轻化。此外,人口老年化严重,60 岁以上人口已达2.3 亿,2030 年将达 3.7 亿,2050 年将达4.87 亿。

中国社会科学院的2015 年的《人才发展报告》指出, 七成人有过劳死的危险,2013 ~ 2014 年,在全球35 ~ 46 岁死于心脑血管病的人中,中国占 22%。

严峻的形势促使大家对中医养生模式开始异常重视起来。犹如《黄帝内经》载:“圣人不治已病治未病,不治已乱治为乱……夫病已成而后药之,乱已成而后治之,譬犹渴而穿井,斗而铸锥, 不亦晚乎。”希望从养生、治未病的角度,提前防治, 减少疾病发生率。与此相应的是,中医健康养生观念也逐渐回归国人生活方式。尤其在当下,社会转型时期,焦虑和亚健康成为多数年轻人的共同难题。“养生”不再是仅有老年人才关心的话题, 更多人群对中医“养生”拥有期待。

中医健康养生观念的回归是大势所趋,顺应了疾病谱由传染性疾病向慢性非传染性疾病转变、人口老龄化速度加快的时代需求,有助于推动以治病为中心转变为以人民健康为中心,全方位、全周期保障人民健康;有助于满足百姓日常保健、防病治病的需求,让百姓学习成为心胸有量、动静有度、饮食有节、起居有常,用中医方法做自己健康的第一责任人。

中医养生既是一种观念,更是一种文化,有着深厚的历史积淀和群众基础,通过中医药健康养生文化“两创”,让老百姓从信中医、爱中医、用中医到自觉形成中医养生这一具有中国特色的健康生活方式,从而为促进国民健康做出贡献。

3. 创新发展中华优秀传统文化

习近平在墨尔本出席皇家墨尔本理工大学中医孔子学院授牌仪式上提到:“中医药学凝聚着深邃的哲学智慧和中华民族几千年的健康养生理念及其实践经验,是中国古代科学的瑰宝,也是打开中华文明宝库的钥匙。”2015 年 12 月,在致中国中医科学院成立 60 周年贺信中也提到:“中医药学是中国古代科学的瑰宝,也是打开中华文明宝库的钥匙。”习近平多次关于中医药学是“祖先留给我们的宝贵财富”,是“中华民族的瑰宝”,是“打开中华文明宝库的钥匙”“凝聚着深邃的哲学智慧和中华民族几千年的健康养生理念及其实践经验”等重要论述,凸显了中医药学在中华优秀传统文化中不可替代的重要地位。为推动中医药振兴发展指明了方向、提供了准绳。人类进入21世纪, 与中华优秀传统文化一样,中医药健康养生文化也面临着复兴和繁荣的机遇和挑战

文化是民族的血脉,是人民的精神家园。中华民族伟大复兴需要以中华文化发展繁荣为条件。2017 年1 月,中共中央办公厅、国务院办公厅印发《关于实施中华优秀传统文化传承发展工程的意见》,要求“将中华优秀传统文化全方位融入思想道德教育、文化知识教育、艺术体育教育、社会实践教育各环节,贯穿于启蒙教育、基础教育、职业教育、高等教育、继续教育各领域”,充分表达了党和国家对传承发展中华优秀传统文化的高度重视。

对中医药学而言,在理论层面强调“天人合一”“阴阳五行”,体现了中华文化道法自然、和合致中的哲学智慧;提倡“三因制宜”“辨证论治”,体现了中华民族因时而变、立象尽意的特有思维方式;倡导“大医精诚”“仁心仁术”,体现了中华民族生命至重、厚德载物的人文精神。不仅为中华优秀传统文化的形成和发展作出了卓越贡献,而且为中华民族认识和改造世界提供了有益启迪,成为中华民族的重要标识。从这个意义上讲,发展中医药就是传承和弘扬中华优秀传统文化,传承和弘扬中华优秀传统文化必须发展中医药。

中医药在长期发展过程中,积累了丰富的养生理念和方法,形成了独具特色的健康养生文化, 深深融入中国人的日常生活,成为中医药文化的重要组成部分。中医药健康养生文化的“两创”,同时也是中医药文化,以及中国传统文化的“两创”。切实做好“两创”,才能真正达到内化中华优秀传统文化价值于心,外化中医健康养生实践于行。“两创”需要紧紧围绕“五位一体”总体布局和“四个全面”战略布局,以“创新、协调、绿色、开放、共享”五大发展理念为引领,坚持社会主义先进文化前进方向,以满足人民精神文化和健康需求为出发点和落脚点,推动中医药文化创造性转化和创新性发展,为传承中华优秀传统文化,打造中国特色健康文化,提升国家文化软实力,树立文化自信,建设文化强国、健康中国做出应有的贡献。

4. 建立和完善中医药健康养生文化“两创” 的实践体系

中医药健康养生文化的“两创”,既是一个研究课题,又是一个系统工程,更是一种人文的实践。要在国家战略的大背景下,使中医药健康养生文化达到“立足传统、服务当下、引领时尚;立足行业、惠及民众、促进健康;立足国内、面向海外、主导全球”的目标,必须要建立“两创”的实践体系。

当前,理论和实践领域,都还缺乏成熟中医药健康养生文化“两创”实践体系,“两创”实践过程中,还面临很多困境,存在一些不足之处。例如,全国各地在推动中医药健康养生文化实践体系过程中,能够注重发挥与体现“双创” 的作用与价值,但也存在少部分地区照搬照抄的倾向,比较典型的一个现象是,很多地区都出现“中医药养生小镇”的规划建设,模式较为单一,同质化现象严重。再如,2017 年,浙江成为全国第一个把中医药知识列入中小学地方必修课的省份,属于中医药健康养生文化一个“两创”典型, 此举引起热议。赞成方认为中医是国粹,能鼓励孩子们养成“顺应四时”的作息习惯、多做运动等是件好事。反对方认为中医晦涩难懂,成人都难以明白,小学生更加不懂,与之相比,急救、性教育才是更急需的课程。

可见,尽管“两创”的重要性有目共睹,但如何建立和完善一整套实践体系,仍需进一步努力。

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    中国高血压人口有1.6-1.7亿人

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    糖尿病患者达到9240万人

    超重或者肥胖症7000万-2亿人

    血脂异常的1.6亿人

    脂肪肝患者约1.2亿人

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    平均每30秒就有一个人罹患糖尿病

    平均每30秒,至少有一个人死于心脑血管疾病

    各类疾病出现年轻化趋势

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    七成人有过劳死的危险;

    白领亚健康比例高达76%;

    中青年女性易得妇科,心脑血管疾病;

    中青年男性面临猝死、过劳和癌症等问题;

    慢性病患病率已达20%,死亡数占总死亡数83% ;

    中国人的腰围增长速度将成为世界之最!!

    目前我国主流城市的白领亚健康比例高达76%,处于过劳状态的白领接近六成,真正意义上的健康人比例不足3%。

    中国人医疗大数据

    有三分之一的病人死于药物的不良反应。

    普通疾病的误诊率高达27%左右;重大疾病的误诊率高达40%左右。

    《千手观音》23位主要演员中19位都是因药物不良反应导致聋哑。

    英国研究证实:有85%的药品是无效的,对病人最好的措施就是尽量减少医疗干预。

    美国研究证实:高度发达的现代医学体系与人的健康没有太大关系。

    美国研究证实:有30%-40%的手术不需要做!

    美国研究证实:与美国人健康寿命相关的因素中,只有10%跟医疗相关!导致美国人健康寿命延长30年中,有25年与医学没有关系。

    数据监测显示,每隔30秒就有一个缺陷儿出生,相当于每小时30个,每天720个!

    这些残酷、冰冷的数字充分证明,中国人民的健康存在很大问题。要想改善这些问题,首先要做的是唤醒国人的健康保健意识。只有人人关注自身及家庭的健康,才会达到全面健康。

    所以,中国健康,从自我保健开始。

    “自我保健”的概念最早由世界自我药疗产业协会(WSMI)的首位华人主席郭振宇博士提出。

    郭振宇博士倡导“7月24日为国际自我保健日”,寓意“每周7天,每天24小时,时时刻刻关注自我保健”。

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