摘要：在浩瀚的医学典籍中，古人的智慧如同璀璨星辰，照亮着后人探索生命的道路。梁世杰之言“气血不足，神机废也。五脏藏神，无神机，人则废。百体不用，重则成为植物人”，深刻揭示了人体生命活动的奥秘与危机。而《黄帝内经素问·汤液醪醴论》与张景岳《景岳全书》中的论述，更是将“
在浩瀚的医学典籍中，古人的智慧如同璀璨星辰，照亮着后人探索生命的道路。梁世杰之言“气血不足，神机废也。五脏藏神，无神机，人则废。百体不用，重则成为植物人”，深刻揭示了人体生命活动的奥秘与危机。而《黄帝内经素问·汤液醪醴论》与张景岳《景岳全书》中的论述，更是将“神”与“形”的关系推向了哲学与医学的交汇点，让我们不得不重新审视生命的本质与健康的真谛。
“形弊血尽而功不应者何？”黄帝的这一问，道出了无数医者面对垂危病人时的困惑与无奈。岐伯的回答“神不使也”，则如一记重锤，敲响了生命警钟。这里的“神”，并非虚无缥缈的幻影，而是指五脏所藏之元神，是生命活动的中枢与动力。当气血不足，无法滋养五脏，元神便失去了其应有的活力与指挥能力，人体便如同失去了灵魂的躯壳，虽形存而神灭，生命之火渐渐熄灭。
张景岳在《景岳全书》中进一步阐述：“脏气元神尽去，无可得而使也。”这句话如同一幅凄凉的画面，描绘出生命走向尽头时的无奈与绝望。五脏之气，乃生命之源，元神之根。当它们耗尽，人的生命便如同熄灭的灯火，再也无法点亮。这不仅是对生命脆弱性的深刻反思，也是对医者责任的警醒——在生命的最后时刻，我们能做些什么？
《黄帝内经》中的“得神者昌，失神者亡”，更是将“神”的地位提升到了生命存亡的高度。这里的“神”，既是生命的象征，也是健康的标志。得神者，精神饱满，生命力旺盛；失神者，精神萎靡，生命力衰退。这一论述，不仅是对生命状态的精准描述，更是对医者治疗方向的指引——在救治病人的过程中，不仅要关注身体的病变，更要关注精神的状态，因为二者相辅相成，缺一不可。
那么，面对气血不足、神机废弛的生命危机，我们该如何应对？首先，要认识到“神”与“形”的不可分割性。在中医看来，人的健康是身心合一的结果，治疗疾病不仅要调理身体，更要滋养心神。例如，对于因长期劳累、精神压力导致的气血不足、神经衰弱等问题，中医会采用补气养血、安神定志的方剂，如八珍汤、归脾汤等，以滋养五脏、恢复元神。
其次，要注重个体差异与整体调节。每个人的体质、病情、心理状态都不同，因此在治疗时要因人而异、因病施治。同时，要关注身体的整体平衡与协调，通过针灸、推拿、气功等方法，调整气血运行、疏通经络、调和阴阳，以达到身心和谐、健康长寿的目的。
最后，要强调预防与治疗并重。中医强调“治未病”，即在疾病发生之前进行预防。通过调整饮食、作息、情绪等生活方式，增强体质、提高免疫力，从而避免或减少疾病的发生。同时，对于已经患病的人，要积极治疗、精心护理，以最大限度地恢复健康、延长生命。
在生命的旅途中，我们每个人都是探索者、实践者。面对气血不足、神机废弛的生命危机，我们不仅要依靠医学的智慧与力量，更要依靠内心的勇气与信念。让我们携手并进，在探索生命奥秘的道路上不断前行，为每一个生命点亮希望之光！
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。
Lack of blood, lack of genius: discovering the extinguishing and rekindling of life's light
In the vast medical texts, the wisdom of the ancients is like a bright star that illuminates the way of life for future generations. The words of Liang Shijie“Without enough blood and energy, a brilliant strategy would be ruined. The five hearts harbor gods, have no magic, and man is a waste. Anyone who doesn't use a hundred bodies becomes a vegetative person.”It profoundly revealed the mysteries and crises of human life activities. The discussions in Huangdi's Advice on the Materia Medicare and Zhang Jingyu's Complete Book have pushed the relationship between "god" and "form" to the intersection of philosophy and medicine, which forces us to re-examine the nature of life and the true meaning of health.
"What is the wrongdoer who loses his blood and doesn't deserve it?" This question by the Huang Dynasty revealed the confusion and frustration of countless healers in the face of dying patients. Qib's answer, "God will not do it," was like a heavy hammer that sounded life's alarm bells. The "god" here is not an illusory illusion, but refers to the spirit hidden in the five organs, which is the central and driving force of life activities. When the qi and blood are insufficient to nourish the five organs, the spirit loses its proper vitality and command ability, and the human body is like the shell of the soul, despite its existence and destruction, and the fire of life gradually extinguishes.
Zhang Jingyue further elaborates in Jingyue's Complete Book: "The impurity is gone, and there is nothing that can be done." These words are like a bleak picture of the helplessness and despair of life as it comes to an end. The breath of the five bodies is the source of life and the root of the supernatural. When they are exhausted, human life is like an extinguished light that can no longer be lighted. This is not only a profound reflection on the fragility of life, but also a sobering reminder of the responsibility of doctors - what can we do in the final moments of life?
In the Huangdi scripture, "Anyone who gains God shall prosper, and anyone who loses God shall die," which elevates the status of "God" to the height of life and death. The "god" here is both a symbol of life and a sign of health. Those who receive God are full of spirit and full of vitality; A demented person is mentally depressed and has a decreased vitality. This argument is not only a precise description of the state of life, but also a guideline for the direction of treatment - in treating patients, we must pay attention not only to the physical condition, but also to the mental state, because the two complement each other and are mutually reinforcing.
So, in the face of a life crisis of lack of energy and lack of opportunity, how can we cope? First, we must recognize the indivisibility of "God" and "form." In the view of traditional Chinese medicine, human health is the result of the unity of mind and body, and treating diseases not only needs to regulate the body, but also needs to nourish the heart and spirit. For example, for problems such as shortness of breath and blood and nerve weakness caused by long-term exhaustion and mental stress, traditional Chinese medicine will use prescriptions for breathing, hydration, and maintenance of spirits and spirits, such as eight treasure soup and guanxi soup, to nourish the five organs and restore the spirit.
Second, we should focus on individual differences and overall regulation. Each person's physical condition, condition and psychological state are different, so the treatment varies from person to person and is treated according to the disease. At the same time, we should pay attention to the overall balance and coordination of the body, adjust the circulation of qi and blood, clear the meridians, and reconcile yin and yang to achieve the goal of physical and mental harmony, health and long life.
Finally, it is important to emphasize that prevention and treatment are equally important. Traditional Chinese medicine emphasizes preventive treatment of disease, that is, before the disease occurs. By adjusting diet, routine, mood and other lifestyles, strengthen the body and improve the immunity, thereby avoiding or reducing the occurrence of diseases. At the same time, for people who are already sick, active treatment and care are needed to maximize the restoration of health and prolong life.
In the journey of life, each of us is an explorer, a practitioner. Faced with a life crisis of inadequate blood and exhaustion, we must rely not only on medical wisdom and strength, but also on inner courage and conviction. Let us join hands to continue to explore the mysteries of life and to light the light of hope for every life!
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