摘要：在这个快节奏、高压力的现代生活中，你是否常常感到自己的身体仿佛被分成了两个截然不同的世界？上半身如同烈日炙烤，痘痘、闭口层出不穷，眼睛干涩红肿，仿佛有一团无形的火在熊熊燃烧；而下半身却如同坠入冰窖，双脚冰凉不易热，小腹冷痛，仿佛被寒霜紧紧包裹。这种上热下寒的症
在这个快节奏、高压力的现代生活中，你是否常常感到自己的身体仿佛被分成了两个截然不同的世界？上半身如同烈日炙烤，痘痘、闭口层出不穷，眼睛干涩红肿，仿佛有一团无形的火在熊熊燃烧；而下半身却如同坠入冰窖，双脚冰凉不易热，小腹冷痛，仿佛被寒霜紧紧包裹。这种上热下寒的症状，正逐渐成为许多人难以言说的隐痛。
上热：烈焰焚身的烦恼
当我们提到“上热”，脑海中首先浮现的可能是那张被痘痘和闭口占据的脸庞。它们如同顽固的钉子户，无论我们如何努力，都似乎难以将其彻底驱逐出境。不仅如此，眼睛干涩红肿，仿佛时刻都在提醒我们，体内的那股“火”正在熊熊燃烧。头发油腻、口干舌燥、喉咙干痒，甚至口腔溃疡、牙龈肿痛，都是上热症状的典型表现。这些看似不起眼的小问题，却常常让我们痛苦不堪，影响着我们的日常生活和心情。
下寒：寒冰封心的无奈
而下焦的寒冷，则像是一股无形的力量，悄悄侵蚀着我们的身体。宫寒、痛经、月经量少且伴有血块，这些看似是女性的专利问题，实则也是下寒症状的体现。腰膝怕冷，老寒腿让人步履维艰；双脚冰冷不易热，即便是炎炎夏日，也仿佛置身于寒冬之中。更令人无奈的是，下寒还可能引发一系列消化系统的问题，如吃冷食易腹泻、时而便秘时而大便糖稀，小腹冰凉更是让人难以忍受。
探究根源：生活方式的双重夹击
那么，究竟是什么导致了这种上热下寒的症状呢？答案或许就隐藏在我们的生活方式之中。现代生活的快节奏和高压力，让我们不得不长期处于紧张和焦虑的状态，这种心理状态往往会导致身体出现“上火”的症状。同时，长时间的久坐少动，饮食不规律，喜欢吃冷饮和寒凉食物，又会让我们的下焦逐渐变得寒冷。这种生活方式的双重夹击，使得上热下寒的症状愈发普遍。
应对之策：调和阴阳，平衡身心
面对上热下寒的困扰，我们并非束手无策。首先，我们需要调整自己的生活方式，保持规律的作息和饮食习惯，避免长时间久坐和过度劳累。其次，我们可以通过适当的运动来调和阴阳，如瑜伽、太极等温和的运动方式，既能促进身体的血液循环，又能缓解压力和焦虑。此外，还可以通过中医的调理方法，如针灸、拔罐、艾灸等，来改善上热下寒的症状。
更重要的是，我们需要学会倾听自己身体的声音，关注自己的身心状态。当身体出现不适时，不要盲目地寻求药物或秘方来解决，而是应该深入探究问题的根源，从根本上进行调理和改善。
结语：冰火交融，共创和谐
上热下寒，看似是身体的一种矛盾状态，实则也是我们生活方式和心态的反映。只有当我们学会调和阴阳、平衡身心，才能真正摆脱这种“冰火两重天”的困扰。让我们从现在开始，用一颗平和的心态去面对生活中的挑战和困难，用智慧和勇气去改善自己的生活方式和身心状态。相信在不久的将来，我们都能拥有一个健康、和谐、充满活力的身体。
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。
Liang Shijie: hot and cold, "two days of ice and fire" in modern life
In this fast-paced, stressful modern life, do you often feel as if your body is divided into two very different worlds? The upper body was burning like a blazing sun, with pimples and closed mouths, and the eyes were dry and red, as if there was an invisible fire burning. The lower part of the body was like falling into an ice cellar, the feet were cold and not easily hot, and the belly was cold and painful, as if it were tightly wrapped in cold frost. This symptom of hot and cold is becoming an untold pain for many people.
Getting hot: the annoyance of burning in flames
When we talk about "overheating," the first thing that comes to mind is probably the face occupied by acne and closed mouths. They are like stubborn nail dealers, and no matter how much we try, it seems difficult to deport them outright. Not only that, but the eyes are dry and red and swollen, as if they are constantly reminding us that the "fire" inside is burning. Greasy hair, dry mouth, dry throat, and even oral ulcers, swelling and aching of gum, are the typical manifestations of fever. These seemingly minor problems often make us miserable and affect our daily life and our mood.
It's cold: cold ice seals your heart.
The lower-coated cold is like an invisible force that is creeping into our bodies. Winter sickness, painful periods, and a low menstrual amount with blood clots - these may seem to be a patent problem for women, but they are also symptoms of hypothermia. The knee is afraid of cold, and the old cold legs make it difficult to walk. The feet are cold and not easily hot, and even on a hot summer day, they feel as if they are in a cold winter. More reluctantly, cold weather may also cause a series of digestive problems, such as eating cold food is prone to diarrhea, sometimes constipation and sometimes shallow stools, and cold belly is even more intolerable.
Exploring the Roots: The Double Squeeze of Lifestyle
So what causes the symptoms of hot and cold? The answer may lie in the way we live. The fast pace and high stress of modern life leave us in a state of tension and anxiety for a long time, and this mental state often leads to the symptoms of "fire" in the body. At the same time, long periods of sedentary activity, eating irregularly, and enjoying cold drinks and cold foods will gradually make our hypoxia cold. This double-dip lifestyle makes the symptoms of hot and cold more common.
Response: reconcile yin and yang, balance body and mind
Faced with the heat and cold, we are not helpless. First, we need to adjust our lifestyle, maintain a regular routine and eating habits, and avoid long periods of sedentary and overwork. Secondly, we can reconcile yin and yang through proper exercise, such as gentle exercises such as yoga and tai chi, which can both promote blood circulation in the body and relieve stress and anxiety.In addition, it is also possible to improve the symptoms of hot and cold through traditional Chinese healing methods, such as acupuncture, pulling cans, and 艾灸.
More importantly, we need to learn to listen to the voices of our own bodies and pay attention to our physical and mental state. When the body becomes unwell, don't blindly seek a drug or a secret recipe to solve it, but instead, delve deep into the root of the problem to correct and improve it at its root.
Conclusion: Ice and fire merge to create harmony
Hot and cold may seem like a contradictory state of the body, but it is also a reflection of our lifestyle and mindset. Only when we learn to reconcile yin and yang and balance the body and mind can we truly get rid of the trouble of "ice and fire." From now on, let us face the challenges and difficulties in life with a peaceful mindset, and use wisdom and courage to improve our lifestyle and physical and mental state. I believe that in the near future, we will all have a healthy, harmonious and vibrant body.
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.
来源：首都专家梁世杰一点号