中医如何日常自检健康状况
就刚才一位同学提及：“你会治病，但是怎么诊出来？我们如何做到未病先防”。
结合先师经验及我个人的感悟，总结出健康四大标准，提出以下标准供大家自我体检：
- 睡眠：正常状态一觉睡到天亮，如果夜里固定时间难眠，就要引起注意，根据时间判断十二经流注可以确定脏腑。
- 大小便：早上起床就去大便，如果不是最好纠正下时间，晨起排便，符合大肠经（卯时）气血最为旺盛的自然规律，有助于排出体内毒素和废物。同时，也可以初步判断肠胃的健康状况。例如，便溏可能表示脾胃虚寒，恶臭可能与湿热内蕴有关。
小便：次数（五到七次）尿量适中、淡黄清亮，表明体内水液代谢正常，无过多湿热或寒邪留滞。
- 手脚保持温热：这个与季节无关，要保持常态是气血充足、循环良好的表现。
手关系与心脏功能偏弱相关，脚联系小肠吸收功能不佳或肾阳不足有关。
但需排除因穿着不当或环境过冷引起的寒冷感。
- 饮食：适量进食后有饱腹感，同时有饥饿感。
有口渴，喝了会知止，说明体内津液代谢平衡，无明显的阴虚或阳虚症状。
通过关注这些日常生活中的细节变化，并采取相应的调整措施，可以有效预防疾病的发生，实现“上工治未病”的目标。同时，也应注意个体差异和整体观念，在调整时根据自身实际情况灵活变通。最后，祝大家健康。
A fellow student mentioned: “You can treat diseases, but how do you diagnose them? How can we prevent diseases before they occur?”
Drawing from the experience of our teachers and my own insights, I have summarized four main standards for self-health assessment. Here are the standards for your self-examination:
1. Sleep
In a normal state, one should sleep through the night until morning. If you have difficulty falling asleep at a fixed time at night, it requires attention. Based on the time, you can determine which meridian is flowing and which organ is involved.
2. Bowel Movements and Urination
- Bowel Movements: It’s best to have a bowel movement in the morning after waking up. If not, it’s better to correct the timing. Morning bowel movements align with the natural rhythm of the Large Intestine meridian (3-5 AM), when Qi and blood are most vigorous, and help expel toxins and waste from the body. It can also provide a preliminary assessment of gastrointestinal health. For example, loose stools may indicate spleen and stomach deficiency-cold, and foul odor may be related to internal damp-heat.
- Urination: The frequency should be moderate (5-7 times), with moderate volume and pale yellow clear urine, indicating normal water metabolism in the body, without excessive damp-heat or cold evil retention.
3. Warm Hands and Feet
This is unrelated to the season and should maintain a normal state, indicating sufficient Qi and blood, and good circulation.
The hands are related to the heart function, and cold hands may indicate a weak heart. The feet are associated with small intestine absorption function or kidney yang deficiency. However, exclude cases where cold sensations are caused by improper clothing or an excessively cold environment.
4. Diet
After eating an appropriate amount, there should be a feeling of fullness, as well as hunger. There should be thirst, and drinking will lead to satiety, indicating a balanced water metabolism in the body, without obvious symptoms of yin deficiency or yang deficiency.
By paying attention to these details in daily life and taking appropriate adjustment measures, you can effectively prevent the occurrence of diseases and achieve the goal of “treating diseases before they occur.” At the same time, individual differences and holistic concepts should also be noted, and adjustments should be flexible based on one’s actual situation. Finally, I wish everyone good health.
