2024年01月02日 11:07 發布
編輯：Editor
食療（六）
吳宇琛
SUM WU
Sum Wu
Registered Chinese Medicine Practitioner
Bachelor of Health Science in Traditional Chinese Medicine (UTS)
Bachelor of Science Majoring in Psychology (UOW)
Specialising in pain management and mental wellbeing through Tradition Chinese medicine in combination with modern science in mental health, dieting and nutrition.
吳宇琛，澳洲政府註冊中醫師、針灸師，五龍崗大學心理學學士、悉尼科技大學中醫系學士，擅長用傳統針灸理傷手法和中藥治療各種新舊損傷痛症，特別採用中醫中藥和現代心理學、營養學相結合調理治療各種慢性病和亞健康。
Food Therapy 6
– Si Shen Tang or Four Spirits Soup
(This article is a continuation of the topic on weight loss from a few weeks ago but as it is an integral part of the Food therapy series, I have title it Food Therapy 6 for easier viewing)
Early on when I first started to talk about TCM and food therapy, some of my regulars expressed a lot of interest in learning about the benefits that food therapy combined with TCM theory has on weight loss and I devoted one of my previous episodes talking about it.
Today is a continuation of that topic but this time I would like to introduce some fairly delicious and simple to prepare recipes for weight management through the lens of TCM.
（本內容延續幾周前的減肥話題，也屬於食療系列，故命名為食療之六）
之前在我們第一次開始討論中醫和食療的時候，一些經常來找我們問診的病人就表示很想了解食療結合中醫理論對減肥的好處，我們在之前的一集中也專門討論過這個方向。今天我們繼續沿著減肥這個話題聊一聊，但這次我想從中醫的角度介紹一些比較好吃又簡單的體重管理食譜。
Just to recap what we already know; obesity and weight gain from a western medicine perspective is the accumulation of fatty tissue that may be due to illness, lifestyle and diet. When we think of weight gain, one of the first factors we blame tend to be how a person has a sedentary lifestyle and doesn’t like to exercise or they eat too much junk foods. While these are some of the commonly known causes of weight gain, they are not the sole culprit.
Someone may be suffering from an underlying disease that affects their ability to move or causes changes in there hormones which may cause them to easily put on weight such as PCOS or polycystic ovary syndrome. Another cause may be taking medication that causes weight gain such as prednisone for lupus.
先回顧一下我們之前討論過的內容；從西醫的角度來看，肥胖和體重增加是由於疾病、生活方式和飲食造成的脂肪組織的積累。當我們想到體重增加時，我們首先歸咎的因素之一往往是一個人久坐的生活方式，不喜歡運動，或者吃太多垃圾食品。雖然這些是體重增加的一些眾所周知的原因，但它們並不是唯一的罪魁禍首。
有些人可能患有潛在的疾病，影響他們的活動能力或還有一些導致激素變化的因素，從而導致他們很容易體重增加，例如多囊卵巢綜合癥。另一個原因可能是服用導致體重增加的藥物，例如治療紅斑狼瘡的潑尼松。
And from a TCM perspective we discussed about the accumulation of phlegm-damp in the body caused by harm to the spleen which impairs the transformation and transportation of Qi around the body and we also talked about the 4 main patterns for phlegm-damp which are
我們從中醫的角度討論過了脾臟損傷，導致氣機運化受損，導致痰濕在體內積聚，並討論了痰濕的四種主要模式：
From a general perspective, the main culprit is usually impairment with Spleen function either directly or indirectly such as Liver Qi stagnation and invade the Spleen and you would find that most herbal formulas that aim to combat weight gain uses herbs that act on the Spleen by tonifying it and also invigoration the flow of Qi as well as resolve dampness in the body. In terms of food therapy the idea is the same, if there is excess internal phlegm damp then we can fight it by using ingredients that promote the movement of fluids and dampness as well as tonify spleen and kidney. In this episode I want to introduce a soup that does just that.
Let’s start off with a savoury dish this time.
從一般角度來看，首要原因通常是直接或間接的脾功能受損，例如肝氣郁結，侵犯脾臟，你會發現大多數旨在對抗體重增加的中藥配方都使用通過補益作用於脾臟的草藥，它還能行氣化濕，食療的道理也是一樣，如果內有痰濕過多，可以用行水利濕、補脾腎的中藥來治療。所以在這一集中，我想介紹一種能做到這一點的湯，這次我們先從這道美味的菜肴開始吧。
Si Shen Tang – Four Spirits Soup
四神湯
Si Shen Tang is a soup that is easy to prepare and is suitable for most people in any season and it is used for boosting energy, improve digestion, mental clarity, strengthens the spleen and fortifies the Lungs and most importantly eliminates dampness.
四神湯是一道製作簡單的湯品，適合大多數人，任何季節都適合，它的功效是補氣、消食、明目、健脾補肺，最重要的功效是祛濕。
The name of the soup has 2 meanings. First it is named after the 4 herb ingredients which are Fox nuts (Qian Shi), Lotus seeds (Lian Zhi), Chinese yam (San Yao) and Poria Cocos (Fu Ling) and secondly it also has the function of calming the spirit or the Shen.
湯的名字有兩個意思，一個是因為芡實、蓮子、山藥、茯苓四種藥材而得名，二是還具有鎮靜安神的作用。
In TCM there are 5 facets of Shen which are the Shen, Hun, Po, Yi and Zhi. Each of these facets are also tied to a specific organ. Heart – Shen, Liver – Hun, Lung – Po, Spleen – Yi and finally Kidney – Zhi and as with the 5 element theory when there is excess or deficiency with an organ channel then it will also affect these 5 facets of Shen. In regards to our topic for dampness induced weight gain we would chose ingredients that focus on the Spleen and Kidney.
中醫認為「神」有五個方面，即「神」、「魂」、「魄」、「意」、「志」。這些方面中的每一個方面都與特定的器官相關。心-神，肝-魂，肺-魄，脾-意，最後腎-志，正如五行理論一樣，當臟腑經絡有實或虛時，也會影響神的這五個方面。關於濕氣引起的體重增加的問題，我們會選擇針對脾腎的中藥成分。
If the spleen and kidney is impaired then our Yi意 and Zhi志 will also be impaired and as such the herbs in this soup will help brighten our mind and benefit the spirit.
如果脾腎受損，則意、志也會受損，所以此湯中的藥材可以起到明心益神的作用。
Let us move on and break down the 4 ingredients
讓我們繼續來分開解析這四種成分
Fox nut, Qian Shi, flavour is sweet, astringent and neutral, and is associated with the spleen and kidney channels. Its main functions are to tonify the spleen and stop diarrhea, to strengthen the kidneys and control the Essence (Jing); and to dispel dampness.
芡實，味甘、澀，性平，歸脾、腎經。它的主要功能是補脾止瀉、固腎固精並祛濕。
Lotus seeds, Lian Zhi, is sweet, astringent, neutral and enters the spleen, kidney and heart. It tonifies spleen to stop diarrhea, tonify kidney and secure essence, stop leukorrhagia, nourish heart and induce tranquilization. Lotus seed and fox nut is a common pairing used in soups as they have similar properties.
蓮子，味甘、澀，平，入脾、腎、心經。補脾止瀉，補腎固精，止帶，養心安神。蓮子和芡實是湯中常見的搭配，因為它們具有相似的特性。
Chinese yam, Shan Yao, is sweet and enters the Spleen, Lung and Kidneys and is used for reducing poor appetite, fatigue or diarrhea due to spleen deficiency and coughs due to lung deficiency. It has been used in cases of seminal emission, frequent urination or thick vaginal discharge. It is also beneficial for diabetes, menstrual and digestive cramps, rheumatoid arthritis, and pain from gallstones etc.
山藥性味甘，入脾、肺、腎經，用於脾虛納呆、倦怠腹瀉、肺虛咳嗽等。可以用於治療遺精、尿頻或白帶粘稠的情況。它還對糖尿病、月經和消化痙攣、類風濕性關節炎和膽結石疼痛等有益。
Poria Cocos ,Fu Ling, is sweet, bland and neutral. It enters the Heart, Spleen and Kidneys. It is often added as a mild diuretic, treats loss of memory, anxiety, restlessness, fatigue, tension, nervousness, dizziness, urination problems, fluid retention, insomnia and digestive issues such as diarrhoea.
茯苓，甘、性平。其入心、脾、腎經。它通常被添加為溫和的利尿劑，治療記憶力喪失、焦慮、煩躁、疲勞、緊張、頭暈、排尿問題、體液滯留、失眠和腹瀉等消化問題。
As you can see the 4 ingredients complement each other in their affects and the focus on improving the Spleen and Kidney ability to transform and eliminate dampness. While this soup isn’t just for assisting in resolving dampness related weight gain but also works wonders for improving general well-being.
可以看到四種成分的作用相輔相成，重點是提高脾腎的化濕能力。雖然這種湯不僅可以幫助解決與濕氣相關的體重增加問題，而且對於改善整體健康也非常有效。
As always with food and cooking the recipe is highly flexible and serves as a basis for modifying it to your own taste. For example if you want to strengthen or nourish the Lungs, you can put in some Yu Zhu or Bai He. To improve resolving dampness you can add in some Yi Yi Ren or if you it to be more savoury then add some pork. Alternatively if you want something sweet and refreshing you can put in some rock sugar and serve cold as a sweet soup.
與往常一樣，這種湯的食材運用非常靈活，可以作為根據您自己的口味進行修改的基礎。比如你想補肺，可以放一些玉竹或者白合。想要祛濕可以加點薏苡仁，如果想味道更鮮美的話可以加點豬肉。或者，如果你想要一些甜爽的東西，你可以加入一些冰糖，作為甜湯冷飲。
Ingredients:
原料:
These ingredients make 1 large pot suitable for 6-8 servings. The soup is relatively simple so there is not main steps to prepare it.
這些食材可以煮適合 6-8 人份的湯，湯比較簡單，所以沒有特定的準備步驟。
如有疑問想咨詢小吳醫師，可以在微信或whatsapp搜索0404836368，加小吳醫師微信或whatsapp，也可以發短信或致電0404836368作語音留言，小吳醫師有空就會回復。
（吳宇琛中醫師，澳洲政府註冊中醫師、針灸師，五龍崗大學心理學學士、悉尼科技大學中醫系學士，悉尼好思维松轩药行主治中医师，本文僅供參考，具體診療應諮詢專業人士。）
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