中国人最容易“脾虚”了，即便没有明确的疾病，但“脾虚”仍旧是很多国人的生命状态。之所以如此，首先，中国人用心多于用身；其二，中国人有从“温饱不足”到“小康”的巨变；其三，中国人肌肉力量相对弱。
想改变这种“脾虚”的宿命，必须选择适宜的饮食和锻炼。中医说的“脾”，不是腹腔中那个长条的器官，不是西医的脾脏。
一、中医的脾 中医的“脾”指的是身体器官的功能。所以，“脾虚”的时候，多个系统都会出问题，其中包括消化系统，造血系统，甚至生殖系统，以及身体的运动机能。
“脾虚”的时候，就是这些系统的功能可以分别甚至整体不足，而器官功能的变化，往往是疾病开始的前期，甚至是从亚健康向疾病过度时期。
中医讲，“思虑伤脾”，思虑是中医“心”所管的，属于火，而脾属于土。按照五行学说，火生土，火是土之母，心思过重的人自然胃口不好，容易生病。如果从现代医学角度分析，是精神压力所致，大脑皮层对下层的指挥失灵了或者出昏招了，中国人更擅长用脑子，甚至用心术，这就增加了“脾气”受损的几率。
中医说的脾，是主肌肉的，“手无缚鸡之力”的人多是脾虚，肌肉的过劳和过逸都会影响到脾。过去，中国人靠劳作为生，过劳是常事，自然消耗脾气；现在，中国从温饱不足变成小康了，体力活动锐减，结果又从过去的肌肉过劳，变成了现在的过逸，过逸就要用进废退，同样是对脾气的削弱。
另一点就是我们与生俱来的体质特点。中国男人少有肌肉壮硕者，白面书生，弱不禁风曾经是既往国民的常态，甚至符合传统审美，所以才有“四肢发达，头脑简单”的褒贬。中国女人高发的疾病之一是漏尿，一般在五十岁之后，因为咳嗽，大笑甚至奔跑而出现小便控制不住，这和生育多少没直接关系。
非洲的生育率比我们高很多，但那里的女性无此尴尬，就是因为我们不是肌肉有力的体质类型，这也是中国女性更容易出现垂臀平胸，更容易有“黄脸婆”的问题，而黄色，是脾气不足时必然显现的颜色。
不独运动用到的肌肉，胃肠道的肌肉也同样，所以大便不成形，吃了硬质的食物消化不良等也是我们常见的问题。因此，喝粥是中国的民族习惯，而欧洲人却吃意大利面，后者的坚硬显然是被我们脾虚的体质本能就会拒绝的。
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鉴于此，让中国人民“全民补脾”也不为过。
具体说，选择容易消化的食物，适度地锻炼肌肉，放松心情，这三点应该是中国人的养生方法。
《黄帝内经》讲的“五谷为养"已经为国人选择了谷薯类，粮食类这种最清洁的生命能源，更能使人“灵肉合一”。修身养性的太极拳，也向来是养生大家乃至长寿者的多选。
二、脾虚的表现和调理方法
脾气受伤后有两种表现, 越来越胖或者越来越瘦。如果是思劳伤的脾, 脾气虚可能表现为越来越瘦; 如果不是因为心情, 而是因为懒, 因为久坐、不运动导致的伤脾, 体内垃圾毒素逐渐堆积, 人也就越来越胖, 而且是虚胖。
方法不靠谱, 当然越减越肥。
1过劳肥型 我们总能听到 “过劳死” 的新闻报道, 事实上, “过劳死”在生活中还是比较少见的。过劳引起的更多问题是“过劳肥”，就是越累越胖、越忙越肥，这是很多人的经验。为什么会如此？
就是因为过劳伤的首先是脾, 脾气虚了，代谢能力下降, 能量过多地存留在体内，人就变肥胖了。这种胖子肯定是脂肪多、肌肉少的。“十个胖子九个虚”，这里的“虚”指的就是脾虚。
对此, 金元时期的名医李东垣在他的《脾胃论》中早就清楚地提到了：“胃中元气盛，则能食而不伤，过时而不饥。脾胃俱旺, 能食而肥；脾胃俱虚，则不能食而瘦。或少食而肥，虽肥而四肢不举，盖脾实而邪气盛也。又有善食而瘦者，胃伏火邪于气分，则能食, 脾虚则肌肉削, 即食亦也。叔和云：多食亦肌虚，此之谓也。”
这段文字里包含了几种状态和体形：
首先是“能吃且胖型”。这种胖很明显是吃出来的, 是胖而不是肥, 而且常见于年纪轻、正处于发育期、胃口特好的人。他们的胖是比较结实的，主因就是饮食过量。这应该不能算病，只需要控制食欲、加强运动就可以了。
其次是能吃且瘦型, 或者是虽然吃得少, 人却很胖。这两种情况显然都是病态。先说“能吃却瘦型”。很多人怎么吃都不胖, 通俗地讲, 就是吸收功能不好，“酒肉穿肠过”了，这就是脾气虚的问题。我见过一个很秀气的女孩子，特别能吃，而且特别喜欢吃肉, 但是，到了晚上肯定一次腹泻光，所以她放开了吃也不会有长胖的风险。她身边的女孩子都羡慕她的这个“优点”。其实，这种“优点”早晚要变成缺点的, 因为脾气虚不可能仅仅是因为身体不吸收，肯定还有不能代谢或者代谢能力减弱的问题。
只不过前面提到的这个女孩年纪轻，代谢问题因为年轻、生命力旺盛而暂时不明显。到40岁以后，整体的代谢能力下降, 脾气虚导致的代谢无能的问题就会加重, 那个时候的她，很可能就成了一个大胖子。即便到了那时，她仍旧还会有腹泻的问题。
2少食而肥型 另外，还有一种是李东垣说的 "少食而肥型" ，就是我们说的“喝凉水都长肉”的那种人。这是典型的脾气虚, 也很可能是那个吃牛排而不胖的女孩子的未来。
这种人除了“少食而肥”之外，还有一个特点就是肌肉无力。所谓“肥而四肢不举”，就是虽然胖，但不是肌肉多, 而是脂肪多, 所以运动起来仍旧无力，他们的脾虚和肥胖都是过劳所致。这种过劳主要是因为心力交瘁, 是思虑过劳。中医五行中, 火生土, 而火对应的是心, 土对应的是脾。心被消耗太过，自然无力生土，脾气随之虚弱。这也是为什么过去的文人、现在的知识分子多给人“手无缚鸡之力”的脾虚印象，他们的脾虚就是因为用脑过度、心思太重导致的劳心所致。
脾气虚、代谢能力弱，脂肪之类应该消耗出去的“脏东西”就要停在身体里，李东垣称其为“邪气盛”。这种停留在人体内的“脏东西”，中医叫“痰湿”，所以吃得少但也胖的人, 一般体内都有痰湿，需要通过补脾祛除痰湿的办法来减肥。<img class="rich_pages __bg_gif img_loading" data-ratio="0.25555555555555554" data-s="300,640" data-src="/DownloadImg//11/2717/176605646_1_1127051801160" data-type="gif" data-w="900" _width="677px" src="data:image/gif;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAABCAYAAAAfFcSJAAAADUlEQVQImWNgYGBgAAAABQABh6FO1AAAAABJRU5ErkJggg==" data-order="4" style="margin: 0px; padding: 0px; max-width: 100%; background-color: rgb(238, 237, 235); border-width: 1px; border-style: solid; border-color: rgb(238, 237, 235); background-size: 22px; background-position: center center; background-repeat: no-repeat; background-image: url(" data:image="" gif;base64,r0lgodlhpaa8apyaajexl56enp+fn6cgokghoakioqojo6skpkwlpaampqenp6ioqkmpqaqqqqurq6ysrk2tra6urq+vr7cwslgxsbkysrozs7s0tlw1tba2tre3t7i4ulm5ubq6uru7u7y8vl29vb6+vr+="" v8dawmhbwclcwspdw8texmxfxcbgxsfhx8jiymnjycrkysvly8zmzm3nzc7ozs="" 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这种脾气虚导致的“过劳肥”，是当今最常见的。在忙碌的情况下，一般人是无暇管住自己的嘴的，抓到什么吃什么，凑合填饱肚子而已，自然不能斟酌饮食的热量, 也顾不上节制, 这就加重了肥胖的程度。
有的人虽然不胖，但体检时却发现得了脂肪肝, 大家开玩笑说他仅有的脂肪还长在了肝上。这种情况在经常熬夜、值夜班的人身上更多见，即便他们没有吃夜宵的习惯，即便吃的夜宵的热量很低，但仍旧难免会发胖或者得脂肪肝。
按照中医“子午流注”的理论, 是因为他们在肝经值守的“丑时”，也就是夜里的1—3点，没有让肝脏休息，导致了这种代谢紊乱。事实上，这种违背正常作息的生活方式，更是对脾气的消耗。“过劳肥”的人，减肥总是不成功, 因为“脾气虚”这个问题根本不可能通过单纯的节食、腹泻来改善。节食和腹泻甚至还会加重脾气虚的症状，所以他们的减肥总是刚开始有效，很快效果就不明显了，或者体重很容易又反弹回来。毕竟我们要消除脾气虚这一导致过劳肥的根本原因，不是一朝一夕的事儿。
还有一种与前面那个可以大吃肉，但仍旧很瘦的女孩子不同的人是“能吃且瘦型”，类似于糖尿病、甲状腺功能亢进症（简称“甲亢”），是虚性亢奋的结果，对此，中医归结为“胃火盛”。这种人不仅总是饿, 还很容易渴, 他们的瘦比起大吃牛排的女孩子来说，要明显地呈现出病态，人会显得很憔悴，皮肤也缺少水分，是需要马上治疗的。
只要你弄清了肥胖最终是不是因为脾气虚引起的, 你在减肥的时候, 还是可以求助于很多药物的。只是这些药物的说明书上都没有标明“减肥”这个功效，但是它们能从根本上改善脾气虚的症状，减肥就成了这些经典方剂的意外收获了。比如“补中益气丸”, 它是写《脾胃论》的李东垣创制的。这是一种可以长期吃的补脾药, 它的减肥效果是随着脾气的强健而实现的, 表面上是在减肥，实际上是在修补过劳给身体造成的影响。所以你用“补中益气丸”来减肥的话，肯定不是速效，但一旦起效，就不用担心反弹问题。
对于能吃但是很瘦型，以及食少而胖者，皆属于“脾气虚”，可服中成药：补中益气丸、参苓白术丸、五苓散。具体需要服用哪种中药，需咨询当地医师。
乏力明显者可以服用补中益气丸，因气短，心慌为主者可用归脾丸。腹胀，便溏者可以参苓白术散等。
三、少吃消炎药，慢性病一般脾气虚
即便你确实有炎症，有慢性感染，比如你的泌尿系统感染、盆腔炎，甚至慢性咽炎、慢性阑尾炎总是复发，你也不要仅仅盯着消炎药了，不妨增加一点儿补脾的中药，比如黄芪。
至少在服用消炎药的时候配合点儿，如黄芪15克、大枣5枚、甘草5克，每天煎1剂，早晚各吃1次，你肯定能感到很舒服，炎症也能快一点儿消退，因为黄芪这类补脾气的药是在帮你提高白细胞的战斗力。
既怕冷，也怕热，也是脾虚。
久坐伤脾，要适量运动。因为中医的脾是主肌肉的，久坐，就是缺乏运动，肌肉无力自然会反过来累及脾。
脾气受伤后有两种表现，越来越胖或者越来越瘦。如果这个人因为思虑过度，起因在于心情，他的脾气虚可能表现为越来越瘦。如果不是因为心情，而是因为懒，因为久坐、不运动导致的伤脾，体内的垃圾、毒素逐渐堆积，人也就越来越胖，而且是虚胖。后者在现在更多见，它的直接后患就是催生糖尿病等富贵病。
如果你遇到了脾胃被油腻、寒凉所伤的状况时，最好的办法就是让脾胃休息。而让脾胃休息的最好食物就是热粥，大米、小米熬的粥都可以，严重虚弱的甚至可以从喝米汤开始。医史上记载过很多被判不治的危重病例，严重到连药都吃不进去，后来遇到名医，就是从米汤开始喂起，一点点地扶养脾气，等待脾气的慢慢恢复，从而最终康复。
