"Nourishing yang in spring and summer, nourishing yin in autumn and winter" comes from Su Wen's theory of four qi regulating spirit. This paper mainly discusses the way of health preservation and advocates the idea of disease prevention. "Nourishing yang in spring and summer, nourishing yin in autumn and winter" is regarded as an important principle of four-season health preservation by doctors in past dynasties, and the principle of guiding acupuncture treatment has been developed accordingly. For example, "seventy difficult classics" said: "spring and summer stab shallow, autumn and winter stab deep." What is this? However, in spring and summer, the sun is the spirit, and the popularity will follow, so we should not take it lightly. In autumn and winter, when the sun is the spirit, the popularity will also follow, so it should be taken deeply. "
The same is true of diseases in internal medicine, such as "treating winter diseases in summer" which is very fashionable at present.
"Yang in spring and summer, Yin in autumn and winter" is an abstract concept. Let me explain what "Yang" means first. The "nurturing" here is not health preservation, but adaptation. Observe what? It is in line with Yang. What is Yang? Yang is Yang. In other words, spring and summer are the seasons for the growth and development of yang. Under this natural condition, we should conform to the growth and development characteristics of spring and summer, rather than go against it. The same is true of "nourishing yin in autumn and winter".
Let's take spring health preservation as an example. When the weather gets warmer in spring, people obviously feel the rise of yang. "Four Qi Tunes in Huangdi's Internal Classic" said: "In March, this is called the birth of Chen, the birth of heaven and earth, the glory of all things, lying at night and getting up early, striding to court, being slowed down, so as to make life, giving without killing, giving without taking, rewarding without punishment, which is the response of spring and the way of health preservation. On the contrary, it hurts the liver, and it is cold in summer and has few elders. "
In spring, qi wakes up from the hidden dangers in winter, the qi of heaven and earth rises, and life begins to sprout. People should also follow this rising trend, go to bed late and get up early. Get up in the morning, let your hair fall freely and walk slowly in the yard. Psychologically, don't suppress your emotions. Treat people with things, you should give rather than fight for them. For subordinates, rewards should be given instead of punishment, so that human qi can be smooth and healthy; On the contrary, it will hurt the qi of the liver, and it is easy to produce yin and cold diseases in summer, which is not conducive to health preservation.
This is the law of ordinary people's health, but it is also a principle. However, if you really want to stay up late often, it will definitely be bad for your health; If you really go for a walk with long hair, people will say that you have a problem.
The principle of TCM health care treatment lies in adapting to the time, place and person, and the essence lies in syndrome differentiation and treatment. If the doctor follows the book mechanically, no matter what the patient's condition is, something will definitely happen.
For example, "winter disease treated in summer", if you are a fever patient, or a person who is always proud of the spring breeze, winter disease treated in summer may not be appropriate. Only for people with deficiency and cold constitution can winter diseases be treated in summer to achieve the expected goal.
For example, clinically, people with liver and kidney yin deficiency are very common. If the kidney water is insufficient, the qi of liver and wood will rise in spring, and the kidney water can't be conserved, which often leads to the syndrome of deficiency fire rising and going over. At this time, the principle of diet should be light and nourishing yin. How can I overeat food that produces hair? This is the truth mentioned in Huangdi Neijing that "if you don't hide essence in winter, you will get sick in spring".
As for the statement that yang is raised in spring and summer, it is purely out of context. The essence of "nurturing" here is conformity. "Winter typhoid fever, spring is bound to get sick." Some people literally translate that the human body will get sick next spring when it is attacked by cold evil in winter. This doesn't really understand the meaning. Excuse me, does cold evil attack people, must it happen immediately or immediately? How can it be that the cold pathogen stays in the body for several months and is still fine, and it doesn't get sick until spring? Therefore, to understand the essence of "typhoid fever in winter" is the dirty of typhoid water, and the dirty of cold water is the kidney. The way to preserve one's health in winter lies in "winter essence".
As far as the prevention and treatment of exogenous diseases are concerned, I don't think we should take exogenous diseases seriously. As long as we pay a little attention at ordinary times, there will be no problem. However, we can't see the wind, cold and hot, wet and dry, so how should we pay attention? I think if we understand the true meaning of the sentence "Yang in spring and summer, Yin in autumn and winter", we should experience it in life.