摘要：在浩瀚的中华成语库中，“肝胆相照”不仅寓意着人与人之间深厚的情谊与相互扶持，更在不经意间揭示了人体内部一个至关重要的健康秘密。当我们将这一成语从人际关系的语境中抽离，转而投射到生理健康的领域时，它便成为了一把解锁血管健康之谜的钥匙。

在浩瀚的中华成语库中，“肝胆相照”不仅寓意着人与人之间深厚的情谊与相互扶持，更在不经意间揭示了人体内部一个至关重要的健康秘密。当我们将这一成语从人际关系的语境中抽离，转而投射到生理健康的领域时，它便成为了一把解锁血管健康之谜的钥匙。

梁世杰医生，首位以基层中医身份登上《当代科学家杂志》的中医师，他深刻指出：“养肝就是养血管。”这一观点如同一道闪电，划破了许多人对健康认知的迷雾。在他看来，尤其是对于那些无肉不欢的年轻人或是步入中年的朋友们，定期调养肝脏，保持低脂的饮食习惯，是维护血管健康、预防心脑血管疾病的不二法门。

肝脏，这个被誉为“人体化工厂”的器官，不仅负责解毒、代谢，还与胆囊紧密合作，共同承担着消化脂类物质的重任。胆汁，这一由肝脏分泌的绿色液体，在胆囊中储存并浓缩，一旦食物进入小肠，它便如潮水般涌出，与胰液中的酶一起，将食物中的油脂分解成可被小肠吸收的小分子。然而，当这一精密的生理过程遭遇阻碍，油脂无法被有效分解时，一场悄无声息的健康危机便悄然酝酿。

想象一下，一个装满37℃温水的杯子，当你向其中倒入大量油脂时，油脂自然会漂浮在水面上，形成一层厚厚的油膜。这正如高血脂患者的血管，当血液中的油脂含量超标时，它们会像油脂漂浮在水面上一样，阻塞血管，从上至下，逐渐影响全身各处的血液循环。脑梗，这一令人闻之色变的疾病，正是血脂过高导致的严重后果之一。

相比之下，血糖的异常则呈现出截然不同的景象。当糖分被摄入体内，胰岛素会迅速行动，将其转化为能量或储存起来。但如果血糖过高，糖分便会在血液中沉积，如同沉底的沙粒，从下往上，逐渐侵蚀着身体的每一个角落。糖尿病足，便是这一过程的直观体现。

然而，血脂与血糖的异常，虽路径不同，却都指向了一个共同的根源——不良的生活习惯与饮食习惯。当我们的肝脏不堪重负，无法有效处理血液中的油脂时，一系列连锁反应便随之发生。从轻度脂肪肝到重度脂肪肝，再到肝硬化乃至肝癌，每一步都充满了危机与挑战。

面对这一严峻的健康挑战，我们是否只能束手无策？答案显然是否定的。正如一辆因油管堵塞而出现故障的汽车，我们无需更换发动机或油管，只需清理油管内的垃圾，并加入干净的油，便能使其重获新生。同样地，对于我们的血管，排毒减肥、清理血液垃圾、调整饮食与生活习惯，才是恢复健康的正确方向。

天气转冷时，尤其要注意保暖，因为血寒会导致血液循环不畅，进而引发一系列健康问题。老年人更应遵循“早睡晚起”的原则，晚上用热水泡脚，加入艾灸、生姜、花椒等食材，以促进血液循环，缓解疲劳。

在这个快节奏的时代，让我们不妨放慢脚步，倾听身体的声音，用“肝胆相照”的智慧，守护我们的血管健康。记住，健康不是一种偶然，而是一种选择。当我们选择正确的生活方式，健康便会如影随形，成为我们生命中最宝贵的财富。

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。

The Healthy Code behind "Treating Each Other with Liver and Heart": Saving 250 million People from Vascular Crisis in the Name of Idiom

In the vast library of Chinese idioms, "liver and gut correspond" not only symbolizes deep friendship and mutual support between people, but also inadvertently reveals a vital health secret within the human body. When we remove this idiom from the context of human relationships and project it into the realm of physical health, it becomes a key to unlock the mystery of vascular health.

Dr. Liang Shijie, the first Chinese physician to appear in the Journal of Contemporary Scientist as a primary-level Chinese medicine practitioner, pointed out profoundly, "Feeding the liver is feeding the blood vessels." This view, like a bolt of lightning, has broken the fog of many people's perceptions of health. In his view, especially for young people who are meatless or friends who are entering middle age, regularly maintaining the liver and maintaining a low-fat diet are the only way to maintain blood vessel health and prevent cardiovascular disease.

The liver, known as the "chemical factory of the human body," is not only responsible for detoxification and metabolism, but also works closely with the gallbladder to jointly absorb lipids. Biliary, the green liquid secreted by the liver, is stored and concentrated in the gallbladder. Once food enters the small intestine, it floods out like a tide. Together with enzymes in the pancreatic fluid, it breaks down the fat from the food into small molecules that can be absorbed by the small intestines. However, when this precise physiological process encountered obstacles, oil can not be effectively broken down, a silent health crisis will be quietly brewing.

Imagine a cup filled with 37 ° C warm water. When you pour a lot of oil into it, the oil will naturally float on the surface of the water, creating a thick film of oil.This is like the blood vessels of people with high blood lipids. When the amount of oil in the blood is too high, they can block the blood cells like oil floating on the surface of water, gradually affecting blood circulation throughout the body. Cerebral infarction, a nasty disease, is one of the serious consequences of high blood lipids.

In contrast, abnormalities in blood sugar show a very different picture. When sugar is ingested into the body, insulin acts quickly to convert it into energy or store it. But if blood sugar is too high, the sugar will accumulate in the blood, like grains of sand on the bottom, gradually eroding every corner of the body from the bottom up. Diabetes mellitus foot is the direct embodiment of this course.

However, abnormalities in blood lipids and blood sugar, although the pathways are different, point to a common root cause - poor lifestyle and eating habits. When our liver is overwhelmed and unable to effectively handle the oils in our bloodstream, a chain reaction occurs. From mild fatty liver to severe fatty liver, then to cirrhosis of liver and even liver cancer, every step is full of crises and challenges.

Is there nothing we can do about this serious health challenge? The answer is obviously no. Just like a car that fails due to a blocked fuel pipe, we don't need to replace the engine or the fuel pipe. Simply clean the waste in the fuel piping and add clean oil to it to get it back to life. Similarly, for our blood vessels, detoxifying to lose weight, cleaning up blood waste, and adjusting our diet and lifestyle are the right directions to restore health.

When the weather turns cold, it is especially important to stay warm, because cold blood will cause poor blood circulation, which in turn will cause a series of health problems. Older people should follow the principle of "go to bed early and wake up later" and soak their feet in hot water at night, adding ingredients such as acupuncture, ginger, and pepper to promote blood circulation and relieve fatigue.

In this fast-paced age, let us slow down, listen to the voice of our body, and use the wisdom of "liver and gut mirroring" to protect the health of our blood vessels. Remember, health is not an accident, but a choice. When we choose the right lifestyle, health will follow suit and become the most valuable asset of our lives.

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.

来源：首都专家梁世杰