梁世杰医生谈2025年水肿高发：湿气作祟，老年人需警惕

在古老的中医五运六气理论中，甲己合化土，象征多湿之象，带来意想不到的健康挑战。2025年，己巳蛇年，便是这样一个特殊的年份。梁世杰医生，发现今年水肿患者明显增多，尤其是身体偏胖的老年人，多以下肢水肿为主。偶有头面、上半身肿这一现象，与2025年的气候特点息息相关。

甲己合化土，2025年，却似乎成了湿气肆虐的催化剂。这一年，中运金运不及，肺气偏弱，使得脾土易受湿困。司天厥阴风木，肝气亢盛，风邪扰动湿浊，让本就潮湿的环境更加难以忍受。而在泉少阳相火，春夏之交湿热交织，形成了“风、湿、热”三者夹杂的复杂气候。这样的环境，无疑为水肿的发生提供了温床。

湿气重，不仅让人感到沉闷不适，更可能成为水肿的罪魁祸首。梁世杰医生指出，湿气重可引起水肿，主要与脾肾阳虚、湿邪困脾、气滞血瘀有关。当脾肾阳虚时，运化水湿和代谢水液的功能就会下降，导致水湿内停，从而引发水肿。而长期居住在潮湿环境、饮食生冷油腻甜食等习惯，更是加剧了湿邪的侵袭。

面对这一严峻的健康挑战，我们该如何预防和调理呢？梁世杰医生给出了详细的建议。在饮食方面，应避免食用过多生冷、油腻、甜食，转而多吃一些健脾利湿的食物，如薏米、山药、芡实、丝瓜等。这些食物不仅能够帮助身体排出湿气，还能增强脾胃的运化功能。

运动也是祛湿的好方法。适量运动可以促进身体代谢，加速湿气的排出。无论是散步、慢跑还是瑜伽等轻度运动，都能让身体在轻松愉悦中摆脱湿气的困扰。

当然，中医调理更是不可或缺的一环。通过中药调理、艾灸、拔罐等方法，可以有效地祛湿散寒、疏通经络。这些方法不仅安全可靠，而且效果显著，深受患者的喜爱。

然而，预防和治疗水肿并非一朝一夕之功。梁世杰医生强调，除了以上措施外，还需要注意生活习惯的调整。保持生活环境的清洁干燥，避免长时间处于潮湿环境中；同时，也要遵循医嘱进行针灸、中药等调理身体。只有这样，才能从根本上解决水肿问题，让身体恢复健康。

值得一提的是，虽然水肿在老年人中较为常见，但并非不可战胜。只要我们掌握了正确的预防和治疗方法，就能够有效地降低水肿的发生率。而梁世杰医生用自己的专业知识和丰富经验，为我们揭示了水肿背后的真相，也为我们提供了切实可行的解决方案。

在2025年这个特殊的年份里，让我们一起战胜湿气、远离水肿的困扰吧！这不仅是对自己身体的负责，更是对生活品质的追求。让我们共同努力，迎接一个健康、美好的未来！

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。

Dr. Liang Shijie discusses the high incidence of edema in 2025: it is caused by dampness, and the elderly should be vigilant.

According to the ancient theory of the Five Elements and Six Seasons in traditional Chinese medicine, the combination of Jia and Ji generates the element of Earth, which symbolizes an abundance of moisture and can pose unexpected health challenges. The year 2025, when it is the Year of the Serpent, is particularly noteworthy in this regard. Dr. Liang Shijie has observed a marked increase in cases of edema, especially among older adults who are already overweight, with edema predominantly affecting the lower extremities. Occasionally, there have also been instances of swelling in the head and upper body, which are closely linked to the climatic characteristics of 2025.

In 2025, the combination of Jia and Ji seems to have catalyzed the rampant spread of dampness. During this year, with the deficiency of the middle operation and the weakened lung energy, the spleen is more susceptible to dampness. The presiding element of the year, Jueyin Fengmu, with exuberant liver energy, allows wind to disturb dampness and impurity, making the already humid environment even more unbearable. Meanwhile, the presiding element of the source, Xiaoyang Xianghuo, during the transition period between spring and summer, brings about a complex climate where "wind, dampness, and heat" coexist. Such an environment undoubtedly provides a fertile ground for the occurrence of edema.

Excessive dampness not only makes people feel stuffy and uncomfortable but can also be the culprit behind edema. Dr. Liang Shijie pointed out that excessive dampness can cause edema, which is mainly related to deficiency of yang energy in the spleen and kidneys, dampness obstructing the spleen, and stagnation of qi and blood. When the yang energy in the spleen and kidney is deficient, the functions of transforming and metabolizing water and dampness will decline, leading to stagnation of water and dampness within the body, thereby causing edema. Furthermore, the habit of living in a humid environment and consuming cold, greasy, fatty, and sweet foods can exacerbate the invasion of dampness.

How can we prevent and treat this serious health issue? Dr. Liang Shijie provides detailed recommendations. In terms of diet, it is advisable to avoid excessive intake of cold, greasy, and sugary foods, and instead consume more foods that tonify the spleen and resolve dampness, such as mung beans, goji root, chestnut seeds, and gourd. These foods not only help the body expel dampness but also enhance the spleen's transportation function.

Exercise is also a good way to eliminate dampness. Moderate exercise can boost metabolism and accelerate the elimination of dampness. Whether it's a walk, a jog, or yoga, these light exercises can help your body get rid of dampness in a relaxed and enjoyable manner.

Of course, TCM therapy is also an indispensable part of the treatment process. Methods such as Chinese medicine therapy, moxibustion, and cupping can effectively dispel dampness and cold, and unblock meridians. These methods are not only safe and reliable but also highly effective, which has won the favor of patients.

However, preventing and treating edema is not a quick process; Dr. Liang emphasized that in addition to the measures mentioned above, it is also important to pay attention to lifestyle adjustments, such as maintaining a clean and dry living environment and avoiding prolonged exposure to damp conditions, as well as following the doctor's advice regarding acupuncture, herbal medicine, and other treatments to regulate the body's condition.

Only in this way can the root cause of edema be addressed, and the body can be restored to good health.

It is worth mentioning that although edema is more common in the elderly, it is not an insurmountable problem. As long as we master the correct methods of prevention and treatment, we can effectively reduce the incidence of edema. Dr. Liang Shijie, with his professional knowledge and extensive experience, has revealed the truth behind edema and provided us with practical solutions.

In this special year of 2025, let's work together to overcome dampness and free ourselves from the troubles of edema! This is not only about taking responsibility for our own health, but also about striving for a better quality of life. Together, we can create a healthier and brighter future!

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.