更年期：以呵护之名，赴生命静美之约

在时光的长河中，每年10月18日宛如一颗独特的星辰，闪耀着“世界更年期关怀日”的温暖光芒。它提醒着我们，在这个纷繁复杂的世界里，有一种特殊的阶段，它不是需要我们挥舞利刃去对抗的敌人，而是需要我们伸出温柔双手去呵护、用细腻心思去调理的生命历程，尤其是对于广大的女性患者而言。

常言道，“女人四十九，天癸要歇工”。在中医的智慧里，“七七四十九岁，天癸竭，地道不通”，此时的女性，就像那经历了春夏繁华的树木，开始步入生命的秋季，各种身体的不适如同秋日的落叶，纷纷飘落，逐渐明显起来。这是自然的生理规律，是生命衰老不可避免的表现，就如同太阳东升西落，四季更迭变换，谁也无法阻挡。据相关统计，约有75%的女性在更年期会出现不同程度的身体和心理症状，如潮热、盗汗、失眠、情绪波动等，这些症状就像一群不速之客，打扰着女性原本平静的生活。

我有一个邻居，张大姐，她今年刚好四十九岁。原本性格开朗、活力四射的她，最近却像变了一个人。她常常跟我说，自己动不动就出一身汗，晚上睡觉也不踏实，翻来覆去像烙饼似的，脾气还变得特别暴躁，一点小事就能让她火冒三丈。有一次，她因为孩子回家晚了一点，就大发雷霆，把孩子吓得躲在房间里不敢出来。其实，这就是更年期在作祟，它就像一个调皮的小精灵，悄悄地钻进了张大姐的生活，搅得她不得安宁。

然而，在面对更年期这个问题上，我们往往陷入了一个误区，那就是把它当成一种疾病去对抗。我们总是试图用各种药物去压制那些不适的症状，就像用大锤去敲打小鼓，虽然能暂时止住声音，但却无法从根本上解决问题。其实，《黄帝内经》早就给我们指明了方向：“阴平阳秘，精神乃治。”更年期不是一种需要我们去对抗的疾病，而是我们身心重获平衡的契机。它就像一场暴风雨，虽然会带来短暂的混乱和不适，但风雨过后，往往会出现更加清新、美丽的天空。

中医之道，讲究的是调和阴阳，滋养气血。这就好比给一盆枯萎的花浇水施肥，让它重新焕发生机。在更年期这个特殊的阶段，中医可以通过针灸、推拿、中药等方法，帮助女性调节身体的阴阳平衡，让气血在体内顺畅地流动。比如，针灸可以通过刺激特定的穴位，调节身体的内分泌系统，缓解潮热、盗汗等症状；中药则可以根据女性的体质特点，进行个性化的调理，滋养气血，改善睡眠质量，稳定情绪。

我认识一位老中医，他治疗更年期综合征很有经验。有一位患者，李女士，五十岁左右，更年期的症状非常严重，已经影响到了她的正常生活和工作。她找到了这位老中医，老中医通过仔细的辨证论治，给她开了一副中药方剂，同时配合针灸治疗。经过一段时间的调理，李女士的症状明显改善了，她又能像以前一样，精神饱满地投入到工作和生活中去。她感慨地说：“以前我总觉得更年期是一场噩梦，现在才知道，它也可以是一场美丽的蜕变。”

更年期，是女性生命中的一个重要转折点。它就像一座桥，连接着女性的青春与成熟。在这个阶段，我们不应该害怕，不应该逃避，而应该以一颗平和、豁达的心去迎接它。我们要像呵护一朵娇嫩的花朵一样，呵护自己的身体和心灵。我们可以多参加一些户外活动，呼吸新鲜的空气，感受大自然的美好；可以和朋友聊聊天，分享彼此的喜怒哀乐，释放内心的压力；也可以学习一些新的知识和技能，让自己的生活更加丰富多彩。

让我们在这个“世界更年期关怀日”里，以中医之道为指引，用呵护与调理去拥抱更年期。让每一位女性都能在这个特殊的阶段，安然过渡，迎来生命的静美秋日。就像那金黄的菊花，在秋风中绽放出属于自己的绚烂光彩，散发出独特的魅力。因为，更年期不是生命的终点，而是新生命的起点，是我们走向更加成熟、更加智慧的开始。

作者简介：梁世杰 中医高年资主治医师，本科学历，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。事迹入选《当代科学家》杂志、《中华英才》杂志。

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.