晚间人造光暴露与现代健康危机:基于科学协议的健康生活指南 The Diary Of A CEO 2026-09-03

晚间人造光暴露与现代健康危机

Stephen Bartlett: 这里有一个非常可怕的现实:如果你在夜间暴露于明亮光线下,过早死亡的风险会大幅上升。针对晚上6点后使用电子设备、接受人造LED光暴露的人群,已经有了大量的研究。他们的寿命更短,癌症发病率上升,在新陈代谢层面也非常不健康。但真正令人担忧的是,我们现在整整有一代孩子正处于代谢不良的病态之中。他们时刻抱着iPad,离不开各种电子设备。问题在于,现在的大多数产品设计,本质上都在促使人们减少去做那些真正对健康有益的事情。对于这一点,我们探讨得远远不够。Andrew,你是当今健康领域最受信任的声音之一。大家等待了许多年,终于等到了这套方案——一本关于人体使用说明的操作手册。

Original English

Stephen Bartlett: Here's the diabolical thing. The risk of dying early if you have bright nights goes up immensely. There have been a lot of studies on people after 6 p.m. on devices getting artificial LED exposure. They live shorter lives. Cancer rates go up. They're metabolically unhealthy. But here's the really scary thing. We have a generation of kids that are metabolically sick. They cling to their iPads. They're on devices. But the problem is most things are designed to make people do less of what's good for them. And we don't talk about this enough. And Andrew, you're one of the most trusted voices in health today. And we've waited many, many years for this protocols, an operating manual for the human body.

Andrew Huberman: 这十项日常协议是经过充分科学验证的。在改善一个人的心理健康、生理健康以及综合表现方面,它们是最能起到决定性作用的核心习惯。

Original English

Andrew Huberman: These 10 protocols are well established. They're the ones that are going to move the needle the most in terms of one's mental health, physical health, and performance.

精选核心健康协议概览

Stephen Bartlett: 好的,那我们深入展开聊聊。

Original English

Stephen Bartlett: Okay, so let's get into it.

Andrew Huberman: 首先是第一项协议:你需要接受阳光照射。因为每天皮肤接触阳光,能提升男性和女性体内的睾酮与雌激素水平,这对维持性欲也至关重要。第二项协议非常关键,那就是迅速缓解压力,我稍后会详细解释具体该如何操作。第三项协议:进行45分钟的力量训练,并将组数推至接近力竭的状态。这会让你的皮质醇水平提升三到四倍。很多人被灌输了一种观念,认为绝对不能让皮质醇飙升,觉得它是压力荷尔蒙。但实际上,它是一种“准备荷尔蒙”(preparation hormone)。它让你做好准备去应对逆境,同时也让你准备好去迎接生活中的高光时刻。

Original English

Andrew Huberman: So protocol number one, you want to get sunlight because exposure each day to the skin, increases testosterone and estrogen in both women and men, and is important for libido. And then the second, and this is really key, is to reduce stress fast. And I'll explain how to do that in a moment. And then number three, working out with weights for 45 minutes, taking your sets near to failure. It will triple or quadruple your cortisol levels. But a lot of people have been told, don't spike your cortisol. It's the stress hormone, but it's a preparation hormone. You're preparing for adversity, but also great things.

Andrew Huberman: 接下来的这一项,是全书中最有价值的技能之一。如果你每天坚持做5分钟,你的身心健康就会获得显著提升。另外还有侧卧睡眠,这对于预防和延缓认知障碍(痴呆症)以及消除眼袋都极为重要。但Stephen,你最需要知道的头号关键是:从我开始践行这一套协议的那一刻起,我的整个人生都得到了极大改善,我真正目睹了只能用“奇迹”来形容的转变。

Original English

Andrew Huberman: The next thing, and this is one of the most valuable skills. If you do it for 5 minutes per day, you will experience a significant improvement in mental and physical health. And then sleeping on your side, very important for offsetting dementia, getting rid of bags under your eyes. But Stephen, the number one thing that you need to know about is the moment I started, my life got so much better and I really started to see what I could only describe as miracles.

Stephen Bartlett: Andrew,我这里有一个必须向你请教的关键问题:你似乎很少非常深入地单聊各种补剂?

Original English

Stephen Bartlett: Andrew, I have this outstanding question that I have to ask you. You don't really talk in depth about supplements.

Andrew Huberman: 噢,我其实讲得很多,我在这方面可以说是全力以赴。

Original English

Andrew Huberman: I Oh, I do. I go ham.

Stephen Bartlett: 那么,如果让你余生只能选择五种补剂,你会选哪五种?

Original English

Stephen Bartlett: So, you can only do five for the rest of your life.

Andrew Huberman: 天呐……我强烈建议一定要准备……

Original English

Andrew Huberman: Oh gosh. I highly recommend getting a

主持人订阅呼吁与正式开场

Stephen Bartlett: 这对我来说真的非常耐人寻味。我的团队刚刚递给我一份数据报告,展示了观看我们节目的观众中有多少人点击了订阅。根据数据显示,你们当中的一部分人甚至在不知情的情况下被平台随机取消了订阅。因此,我想拜托大家帮个忙:如果你是我们节目的常客,并且认可我们所做的一切,能否请你现在花一秒钟检查一下是否已经点击了订阅按钮?我们的节目即将迎来一个非常重要的订阅人数里程碑。如果你能做一件既简单、完全免费又能实实在在支持我们团队的事,帮助我们把节目一直免费做下去,并促使我们在未来每周、每年都持续提升内容质量,那就是顺手点击订阅并确认一下。这是我唯一向大家提出的请求,我们成交好吗?只要你动动手指,我向你保证:在未来的每一周、每一个月,我们都会更加全力以赴地去为大家邀请你们最想听到的重磅嘉宾,带来最有深度的对话。从《CEO日记》创办的第一天起,我就始终坚守着这个承诺,绝不会让大家失望。非常感谢大家的支持。现在,让我们正式进入本期节目。

Original English

Stephen Bartlett: This is super interesting to me. My team given me this report to show me how many of you that watch this show subscribe. And some of you have told us according to this that you are unsubscribed from the channel randomly. So favor to ask all of you, please could you check right now if you've hit the subscribe button if you are a regular viewer of the show and you like what we do here. We're approaching quite a significant landmark on this show in terms of a subscriber number. So if there was one simple free thing that you could do to help us, my team, everyone here to keep this show free, to keep it improving year over year and week over week, it is just to hit that subscribe button and to double check if you've hit it. Only thing I'll ever ask of you, do we have a deal? If you do it, I'll tell you what I'll do. I'll make sure every single week, every single month, we fight harder and harder and harder and harder to bring you the guests and conversations that you want to hear. I've stayed true to that promise since the very beginning of the Dio, and I will not let you down. Please help us. Really appreciate it. Let's get on with the show.

《人体协议》的核心理念与协同效应

Stephen Bartlett: Andrew Huberman,我们期盼了许多年,现在这本著作终于面世了。这就是你备受瞩目的新书——《人体协议:一套人体运行操作手册》(Protocols: An Operating Manual for the Human Body)。在这本书中,我粗略统计了一下,你一共列出了大约50种不同的协议,分布在七大核心领域:睡眠、运动、压力控制、营养、光照、专注力与动机,以及学习与个人成长。在今天节目中,你专门挑选出了10项最想重点分享的核心协议。我想请教一下,你为什么偏偏挑出了这10项?

Original English

Stephen Bartlett: Andrew Huberman, um, we've waited many, many years for this and now it has arrived. This is your long-awaited book called Protocols, an operating manual for the human body. And inside this book, I counted roughly 50 different protocols split across seven different areas. Um, sleep, exercise, stress control, nutrition, light, focus, motivation, and learning, and personal growth. You've written 10 of the protocols you want to focus on sharing today. Can I ask why did you choose those 10?

Andrew Huberman: 因为在改善身心健康以及全面提升日常表现方面,这10项协议所能带来的杠杆效应最大。只要你将它们付诸实践,你的生活质量将会得到质的飞跃。

Original English

Andrew Huberman: They're the ones that are going to move the needle the most in terms of one's mental health, physical health, and quote unquote performance. Your life will be so much better if you do them.

Stephen Bartlett: 那么,执行你挑选的这10项协议需要花费很多金钱吗?

Original English

Stephen Bartlett: And do they cost a lot of money to do the 10 that you've picked?

Andrew Huberman: 完全不需要。它们要么可以完全零成本实施,要么完全可以在你现有的日常预算内完成。

Original English

Andrew Huberman: No, they could be done either at completely zero cost or on a existing budget.

Stephen Bartlett: 你自己每天都会践行这10件事吗?

Original English

Stephen Bartlett: And do you do these 10 things every day?

Andrew Huberman: 每一天都在做。其中只有一项我不会每天都做,我每周会抽离休息一天,但其余各项每天都雷打不动地执行。

Original English

Andrew Huberman: Every day. There's one on there that I don't do every single day. I take off one day per week, but every single day without fail.

Stephen Bartlett: 当你梳理这些协议时,是按照一天中的时间先后顺序来排列的吗?

Original English

Stephen Bartlett: And when you wrote them, did you write them in order of sequencing?

Andrew Huberman: 没错。它们贯穿全天,从清晨苏醒开始一直到夜晚结束。因为这里面涉及到另一个关键机制:各项协议之间具有强大的协同效应,它们就像齿轮一样相互咬合。你昨晚的睡眠质量直接决定了你此刻的精力与状态。这些行为是整个生命系统中的精密齿轮:一个齿轮转动,其他的齿轮也会跟着联动。虽然药物、补充剂以及外摄物质确有其用武之地,但归根结底,这些齿轮的运转主要取决于你自身的具体行为。

Original English

Andrew Huberman: Yeah. Throughout the day, from from start to finish throughout because this is the other thing. Protocols synergize. They ratchet together. How well you slept last night is dictating how well you feel now. These are gears in a larger system. One moves, the other ones move. And while there is a place for pharmarmacology and supplements and things that you take, ultimately these gears fit together based on what you do.

皮质醇唤醒反应与昼夜生理节律

Stephen Bartlett: 好的,那我们正式进入细节。你刚才画的那张图是什么意思?我看到那里有一幅草图。

Original English

Stephen Bartlett: Okay. So, let's get into it. What was the first uh thing that you drew? cuz I saw there was a picture there.

Andrew Huberman: 好的,虽然我画得不太优美,但作为一个生物学家,画成这样大家应该可以理解。这张图基本上描绘了从你早晨醒来直到夜晚入睡的完整生理轨迹。横轴并非具体的时间钟点,而是对应的不同行为协议,编号从1到10。这条实线代表的是健康的皮质醇分泌曲线。绝大多数人并不知道,你之所以能够在早晨自然醒来,正是因为体内皮质醇水平的上升。这在生理学上被称为“皮质醇唤醒反应”(Cortisol Awakening Response, CAR)。如果你曾有过在闹钟响前一分钟醒来的经历,那正是因为皮质醇唤醒反应具有极强的可训练性(entrainable),它可以与外界刺激精准同步。你所希望达到的状态,是在开启新一天的前60分钟内,让皮质醇的波峰尽可能冲到最高。很多人总觉得皮质醇越低越好,但实际情况是:在清晨时段拥有高水平的皮质醇,正是为你带来良好情绪、高度专注力、敏锐注意力以及高效学习能力的生理基石。而且,早晨的高峰恰恰也是确保下午和夜间皮质醇降至低谷的前提,而低水平的夜间皮质醇正是顺利入睡和维持深度睡眠的必要条件。

Original English

Andrew Huberman: Okay, so in my unelegant drawing, but I I am a you know biologist, so we're allowed to do this. I mean, this is essentially a plot of where you wake up in the morning and then where you go to sleep at night, you know, and these are not hours of the day. These are the different protocols. 1 2 3 4 5 6 7 8 9 10. Okay, so um this line represents the healthy cortisol curve. Most people don't realize that, but you wake up because of a rise in cortisol. It's literally called the cortisol awakening response. If you've ever woken up 1 minute before your alarm clock, it's because the cortisol awakening response is heavily entrainable, meaning it can be matched to external stimulant. You want this peak in cortisol as high as possible in the first 60 minutes of your day. Everyone thinks you want low cortisol, but here's the deal. High cortisol in the early part of your day is what provides for elevated mood, focus, attention, your ability to learn. It's also what establishes low cortisol in the afternoon and at night which is a requirement for falling and staying asleep.

Andrew Huberman: 所以,正是早晨的高峰塑造了夜晚的低谷。你需要在早晨维持高皮质醇,在夜间保持低皮质醇。图中的这条线代表褪黑素(Melatonin),也就是让人产生睡意的激素。众所周知,如果你前一晚睡眠充足,那么早晨体内的褪黑素水平基本上会处于低谷。而这条虚线代表腺苷(Adenosine),它是细胞消耗三磷酸腺苷(ATP)后产生的代谢副产物。你保持清醒的时间越长,进行的活动越多,脑力思考越密集,腺苷在体内的积累就越多。这就是为什么你到了晚上会感到困倦。

Original English

Andrew Huberman: So this peak sets up this trough. So you want high morning cortisol, low nighttime cortisol. These represent melatonin, the hormone of sleepiness. As we know, if you slept the night before, then melatonin essentially is low at morning. And the dash line is adenosine, which is a downstream product of of the use of ATP in your cells. The more you're awake, the more activities you do, the more you think, adenosine builds up. That's why you get sleepy.

Andrew Huberman: 非常有趣的是,当你在清晨成功促成皮质醇脉冲峰值时——我稍后会讲解具体的做法——而且是在起床后的头几个小时内完成这一过程,你便建立起了一种健康的应激缓冲模式:图中这些小突起代表日常的急性压力,比如收到一条令人焦虑的短信或遭遇突发事件,但它们引起的波动都非常短暂。外界总在宣扬皮质醇是有害的,但实际上,身体能够对压力产生明显的皮质醇快速上升反应、随后又能迅速回落到基线水平,这是一种极其健康、优秀的生理机能。反之,如果清晨的波峰不够高,导致皮质醇曲线呈现出中等甚至平缓的走势(即医学上所谓的“皮质醇曲线扁平化”),这往往伴随着预期寿命的缩短、各类疾病康复能力的下降。更严重的是,此时白天的每次压力波动都会持续非常长的时间,因为它们是建立在整体偏高的基线之上的。

Original English

Andrew Huberman: So, what's very interesting is that when you spike your morning cortisol, and I'll explain how to do that in a moment. And you do that within the first hours of your day, you also establish a case where these little blips are stress, stressful text, stressful event, but they're brief. We always hear that cortisol is bad, but our ability to have big inflections in cortisol, stress out, and then they come back down to normal is very very good. If this peak was high, if this peak is not as high, and this is kind of a like a medium or or flat what they call a flattening of the cortisol curve, you see shorter lifespan, less recovery from every kind of illness, and and these stress bouts last a very long time because they're riding on a higher baseline.

Stephen Bartlett: 也就是说,如果早晨的皮质醇水平过低或过于平缓……

Original English

Stephen Bartlett: So if your morning cortisol level is lower or flat,

Andrew Huberman: 没错。

Original English

Andrew Huberman: right,

Stephen Bartlett: 那么在白天一旦收到令人焦虑的信息,皮质醇激增的持续时间就会显著拉长,承受的压力也会更大。

Original English

Stephen Bartlett: then if I get that stressful text during the day, it will be a longer cortisol spike. More stress,

Andrew Huberman: 峰值会更剧烈,持续时间也更长。

Original English

Andrew Huberman: bigger and longer.

Stephen Bartlett: 哇,原来是这样。

Original English

Stephen Bartlett: Oh wow.

皮质醇与褪黑素的相互作用及常见认知误区

Andrew Huberman: 不仅如此,皮质醇与褪黑素之间还存在着一种虽然间接但极其关键的相互作用。如果昼夜节律被打乱,你的睡意激素(褪黑素)就无法正常分泌并发挥其应有的功能,从而导致整体睡眠受到极其严重的干扰破坏。所以,很多人错误地以为“我绝对不能让早晨的皮质醇过高”。尤其是很多女性常常被告诫:“千万别让皮质醇升高,否则会导致内脏脂肪堆积、满月脸等各种问题。”现实中确实存在一种名为库欣综合征(Cushing's Syndrome)的疾病,它是皮质醇大量过量分泌导致的,但那是一种非常罕见的病理状态。虽然它确实存在,但绝大多数普通人面对的根本不是这个问题。现代人真正普遍面临的困境是:早晨的皮质醇水平太低,而下午和夜晚的皮质醇水平却居高不下。

Original English

Andrew Huberman: And not only that, but there's an indirect but very important interaction between cortisol and melatonin. Your sleepiness hormone doesn't come on and function as well. And so sleep gets very disrupted. So a lot of people think, "Oh, I don't want my morning cortisol high." And a lot of women in particular have been told, "Don't spike your cortisol. that's going to lead to excess visceral fat, moon face, etc. There's this a condition called Cushing syndrome, which is a massive overp production of cortisol. Very rare condition. I mean, it happens, but most people are not dealing with that, right? Most people's morning cortisol is too low and their afternoon and nighttime cortisol is too high.

Stephen Bartlett: 那普通人该如何知道自己的具体状况呢?

Original English

Stephen Bartlett: How do they know this stuff?

皮质醇健康曲线的测量与第一项方案:晨间补水

提问者:比如,他们是如何测试这个的?

Original English

Questioner: Like, how do they test this?

专家:这种所谓的“健康曲线”,是通过在24小时周期内持续进行血液抽样检测出来的。随后,研究人员还观察了它对各种刺激的反应,从咖啡因、冷水浸泡,到运动以及光照。

所以,第一项方案就是补水。当你的身体水分充足时,你的大脑思维会敏锐得多。而且它实际上有助于提升你早晨的皮质醇水平。

Original English

Expert: This healthy curve, as it's called, was measured through just consistent blood draws around the 24-hour cycle. And then it's been looked at in response to everything from caffeine to cold plunges to exercise to sunlight.

So protocol number one is hydrate. Your mind is exceedingly more sharp when you're well hydrated. And it actually helps boost your morning cortisol.

专家:在排空膀胱(通常人们醒来后会上洗手间排尿)与随后补水之间,存在着一种非常有趣的相互作用。我之后会提到几次,但沿着迷走神经有一条上行通路,其作用是唤醒大脑。这在一定程度上与清晨第一件事进行补水有关。你在半夜醒来排尿,正是由于水分以及膀胱充盈所引起的一种觉醒现象。

Original English

Expert: There's a very interesting interaction between when the bladder being emptied—as usually after people wake up, they use the restroom, they urinate—and then hydrating. And there's an—I'll talk about this a few times, but there's an ascending pathway along the vagus nerve that serves to wake up the brain. And part of that has to do with hydration first thing in the morning. You awake from bed to urinate in the middle of the night because of an arousal phenomenon of hydration and the bladder being full.

提问者:你说补水时,是指补充电解质还是只喝普通水?

Original English

Questioner: When you say hydrate, do you mean electrolytes or just water?

专家:喝16到32盎司优质干净的水就很好。如果你想加入电解质,那当然极好。

Original English

Expert: 16 to 32 ounces of good clean water is fine. If you want to add electrolytes, great.

提问者:那是多少量?相当于一杯还是多大?

Original English

Questioner: How much is that? Is that a cup or is that?

专家:大概这么大,这是16盎司,也可能是18盎司。

Original English

Expert: Um, this is 16 ounces. Maybe 18 ounces.

提问者:好的,就像一个大马克杯。

Original English

Questioner: Okay. So, like a big, a big mug.

专家:你一整天大约需要摄入80盎司的水。虽然量不少,但基本上你在一天早些时候要做的事情,到了傍晚和夜间就要减少去做。

Original English

Expert: You want to consume about 80 ounces of water throughout your day. It's a lot, but you don't want to—basically everything you want to do in the early part of the day, you want to do less in the evening part of your day.

第二项方案:早晨获取自然光照与视网膜生物钟机制

专家:接下来这件事非常关键,它本来可以排在第一位:你需要在早晨接受阳光或10,000勒克斯的人造光照射。关于这点我可以讲上3个小时,但我会尽量简明扼要。

当你注视阳光时,会发生一种美妙的生理现象。它会激活视网膜上含有视黑素的内源光敏性神经节细胞(ipRGCs)。这是我多年来核心的研究重点,所以我就克制不再多展开了。这些细胞字面意义上会延伸出物理连接线——也就是我们所说的轴突——直接进入你的下丘脑。你的主昼夜节律生物钟就驻留在那里,我们称之为视交叉上核(SCN)。

Original English

Expert: The next thing, and this is really key, it could have gone first, but you want to view sunlight or 10,000 lux artificial light. I could spend 3 hours talking about this, but I'll keep it really brief. When you view sunlight, there's this beautiful phenomenon. It activates these melanopsin intrinsically photosensitive ganglion cells. You know, the major focus of my work for many, many years. So I'll resist saying more. They literally extend physical wires that we call axons into your hypothalamus. Your master circadian clock resides there. We call that your suprachiasmatic nucleus.

专家:当你观看低太阳高度角的阳光——即太阳在天空中位置较低时——虽然也有紫外线(UV),但当太阳位置较低时紫外线含量相对较低。实际上,相比头顶正午的太阳,你可以更轻松地直视清晨的太阳。为什么?因为清晨的太阳看起来更偏黄色、橙色甚至带有一些红色调……

Original English

Expert: And when you view low solar angle sunlight, sun low in the sky, there's an abundance of, yes UV, but it's lower when it's low in the sky. You actually can look at the morning sun more easily than you can the overhead sun. Why? The morning sun looks more yellow, orange, or even some red tones

提问者:……相比头顶高照的天空而言。

Original English

Questioner: compared to the overhead sky.

专家:虽然从天空照射下来的光本身本质上是一样的,对吧?但在太阳处于低角度时所发射出的特定光波长,正是刺激这些含视黑素内源光敏细胞的最佳信号,从而告诉你的中枢生物钟:该醒来了,新的一天已经开始。

Original English

Expert: Well, the light coming from the sky is the same, right? But the specific wavelengths of light, as we call them, that are coming from the sun when it's low in the sky are the optimal stimulus for these melanopsin intrinsically photosensitive cells that tell your central clock it's time to wake up. The day is beginning.

双重神经通路与早晨皮质醇高峰的益处

专家:如果在醒来的最初30分钟(最理想),或者甚至在最初60分钟内让眼睛接收到明亮光线,还会发生一件不可思议的事情。

大脑的生物钟通过两条通路来唤醒你:第一条是通过释放肽类物质和神经电信号来激活所谓的HPA轴(下丘脑-垂体-肾上腺轴,垂体挂在大脑外部下方,随后促使肾上腺释放肾上腺素);而在醒来后大约一小时内,存在一个特殊的生理窗口期,你的视交叉上核生物钟可以通过另一条完全不同的备用通路——字面意义上直接沿着你的脊髓向下传导——触发肾上腺释放额外的皮质醇。

Original English

Expert: Okay. There's also something incredible that happens if you get bright light in your eyes in that first ideally 30 minutes but even 60 minutes of your day. There are two pathways by which your brain circadian clock wakes you up. One is it sends signals through peptides it releases and neural signals, but it's able to activate what we call the HPA axis—hypothalamus, pituitary gland (which is sort of hangs outside the brain), and then adrenals, you release adrenaline. There's a unique window that passes after about an hour following waking where your suprachiasmatic clock can trigger an alternate pathway that literally goes down your spinal column and triggers your adrenals to release additional cortisol.

专家:事实上,在一天刚醒来的第一个小时内接受阳光照射,能够形成这个皮质醇高峰。如果醒来后的第一个小时没有接触亮光,曲线就会变成这样偏低且延后的状态,这是非常糟糕的,因为这样会导致你后续一整天的压力反应变得更剧烈、持续时间更长。

这种皮质醇的规律上升是由接受光照所驱动的。

Original English

Expert: In fact, viewing sunlight in the first hour of your day takes this peak. Here's what it would look like if you didn't view bright light in the first hour of your day: it would be here, which is bad. And your stress responses then would be bigger and longer. This increase in cortisol is driven by viewing sunlight.

阴天、人造光源与昼夜明暗对比

专家:现在,当我提到阳光时,人们往往会说——尤其是在英国的人们会说:“我住的地方根本没有太阳啊。”

好的,这完全可以表述为“自然白昼光(daylight)”。为什么?因为户外始终是有自然白昼光的。如果你看一下哪怕是在12月中旬英国早晨8点的阴天户外有多亮,对比前一天午夜时的暗度,差异是非常巨大的。

Original English

Expert: Now, when I say sunlight, people say, especially in the UK, they'll say there's no sun where I live. Okay, this could easily say daylight. Why? Because there's always daylight out. If you look at how bright it is on an overcast day in the middle of December, even in the UK at 8:00 a.m. versus midnight the night before, it's different.

提问者:嗯,确实。

Original English

Questioner: Mhm.

专家:显而易见,阴天时穿透云层的长波长光线(如橙光和红光)较少,但你依然需要在清晨的几个小时内让自然白昼光进入眼睛。如果条件有限,就走到阳台上去;如果你在车里,请摇下车窗。试图隔着窗户或汽车挡风玻璃来获取光照是达不到效果的。

大量数据表明,通过这种方式提升早晨的皮质醇高峰,能够确保你在夜间维持低皮质醇水平并升高助眠激素(可以这么称呼它们),这非常有益于缓冲压力;不仅如此,它还能启动你的免疫系统,保护你免受白天可能遇到的细菌和病毒感染;它对你的新陈代谢、情绪以及学习能力等各方面都大有裨益。在我的书中,如果大家感兴趣的话,我详细解释了这个波峰与夜间低谷之间的多种关联机制。

如果你确实无法接触到阳光或自然日光,使用10,000勒克斯的人造光灯箱会非常有帮助。这种10,000勒克斯的光照已被证明能显著缓解季节性情绪失调(SAD)等症状。

Original English

Expert: You know, it's obvious when there's overcast skies, less of the long wavelength light, the oranges and reds, are coming through. But you want daylight in your eyes in the first hours of your day. Go out on your balcony if that's all you can do. If you're in a car, roll down the window. It's not good to try and do this through a window or windshield.

There's so much data showing that spiking your morning cortisol this way establishes low cortisol and high sleepiness hormones, let's call them, at night, which is great, buffers stress, and moreover kickstarts your immune system to protect you against bacteria and viruses you can encounter during the day. It is great for your metabolism, mood, ability to learn, and on and on. And in the book, I explain a number of different ways how this peak relates to this trough if people are interested.

But if you don't have access to sunlight or daylight light, using a 10,000 lux artificial light can be very beneficial. These 10,000 lux lights have been shown to significantly offset the symptoms of seasonal affective disorder, etc.

专家:但从英国生物样本库(UK Biobank)的一项大型研究中我们发现:你需要明亮的白天,同时需要黑暗的夜晚,两者的效应是叠加累积的。

白天拥有充足光照,会在诸多指标上极大改善你的心理和身体健康。但夜晚保持黑暗同样关键——哪怕你白天处于昏暗光线中,只要晚上做到环境黑暗,人们也会更健康。如果你在夜间暴露在明亮光线下,过早死亡的风险会显著上升。对于这一点我们平时的讨论还远远不够。

如果你无法获得足够的自然光,比如你在太阳升起前2小时就起床了,我强烈建议购置一台10,000勒克斯的人造光源。

Original English

Expert: But what we're finding from this huge study from the UK Biobank is that you want bright days and you want dark nights and they're additive. So having bright days is great for your mental health and physical health along a huge number of parameters. Significantly improves them.

But having dark, even if you were in dim light all day, making it dark at night, people are healthier. The risk of dying early, if you have bright nights, goes up immensely. And we don't talk about this enough. If you don't have access to enough daylight, like you wake up before the sun comes out and you're up for 2 hours, let's say, before the sun comes out, I highly recommend getting a 10,000 lux artificial light.

光照累加效应与瑞利散射原理

提问者:上次我们交流后,你带我去了室外,当时你手机上装了一个应用程序……

Original English

Questioner: And last time we spoke, you took me outside after the conversation and you had an app on your phone,

专家:对吧?照度计(Light Meter)应用。我和这个软件没有任何利益关系,但我经常使用它,它能告诉你当前环境下你接收到了多少勒克斯的光照。

Original English

Expert: right? Light meter. I have no relation to the app, but I use it. And that is able to tell you how much lux of light you're getting at the moment.

专家:而且光照效果是具有累加性的。所以需要注意的一点是,假设你某天错过了光照,第二天到户外接受光照的时间可以延长一倍。

那么在一个日出、天空晴朗的清晨,你应该在户外待多久?顺便说一句,你不需要非得看着太阳越过地平线的那一刻,完全可以等它升起一点、但依然处于天空低角度时再去。

那些担心紫外线损伤的人应当知道:当太阳在天空中处于低角度时,紫外线指数要低得多。这其中的科学原理是一种被称为瑞利散射(Rayleigh scattering)的物理现象。

Original English

Expert: But it's additive. So one thing that's important to note is let's say you miss a day, right? The next day get outside for twice as long. How long should you do it on a very clear morning with the sun rising? And by the way, you don't need to see the sun cross the horizon. You can just wait till it's elevated, but it's low in the sky. People who are concerned about UV damage should know that when the sun is low in the sky, the UV index is much lower. And there's a reason for that: it's a phenomenon called Rayleigh scattering.

专家:日出和日落非常美丽且色彩丰富。当太阳直射头顶时,光线非常刺眼让人难以直视,就像一个巨大的强光球。之所以如此刺眼,是因为你接收到了所有波长的光——从紫外线一直到红外线——并且它们几乎以均等的强度直射而来。

当太阳处于低角度时,紫外线虽然没有被完全散射掉,但到达眼睛的量已经大幅减少。此时晒伤的风险要低得多,损伤眼睛的风险也小得多,诸如此类。

Original English

Expert: Sunrises and sunsets are very beautiful and colorful. When the sun's overhead, it's hard to look at. It's this big ball of light. It's so bright because you're getting all the wavelengths, the UV all the way out to the infrared, coming at you in more or less equal intensities. When the sun is low in the sky, the UV is—it's not completely scattered, but not as much of that is reaching your eyes. Much lower risk of sunburn, much lower risk of eye damage, and so on.

屏幕蓝光的陷阱与身体皮肤受光效应

专家:所以,这里存在一个非常棘手(甚至可以说是具有误导性)的现象:你日常使用的电子屏幕亮度远远不足以在早晨触发皮质醇的正常上升;然而,在夜间,屏幕光却极易促使你的皮质醇水平飙升。这是因为夜间生理上原本处于低水平的皮质醇,会使你对皮质醇的异常上升变得极其敏感脆弱。这是我在书中解释的一个细节。

Original English

Expert: So, here's the diabolical thing. Your screens are not nearly bright enough to kickstart this increase in cortisol in the morning, but they are very capable of increasing your cortisol levels at night because this low level of cortisol makes you vulnerable to big increases in cortisol. It's a little bit of a detail that I explain in the book, but

提问者:关于这一点我想问,仅仅是让眼睛暴露在光线下就可以,还是身体皮肤也需要接受光照?

Original English

Questioner: I was going to say on this point, is it just exposing my eyes to the light or does my body need to be exposed to it?

专家:问得非常好。书里的另一项方案(虽然不在我刚才列出的十项核心方案之中)就是:在符合社会礼仪的前提下,让尽可能多的身体皮肤接触到阳光。

伦敦大学学院(University College London)格伦·杰弗里(Glen Jeffery)实验室开展了非常出色的研究工作。说实话,这项研究的发现令人惊叹:他们进行了一项葡萄糖耐量测试——让受试者禁食,然后喝下葡萄糖饮料,测量他们血糖上升的速度。结果发现,如果给受试者照射红光(长波长光,红光属于长波长光线)……

Original English

Expert: Great point. And one of the protocols in there, it's not one of the 10 I listed, is about the importance of getting sunlight on as much of your skin as possible as is socially appropriate. Beautiful work from Glen Jeffery's lab at University College London. You know, I can believe this. They do a glucose tolerance test. So they fast people, they have them drink a glucose drink. They measure how fast blood sugar rises. And if they shine red light—so long wavelength, red is long wavelength light

提问者:就像这种光?像这样?

Original English

Questioner: like that. Like that.

专家:对。像这种偏黄色的应该算中等波长的光,红光波长会更长一些……这大概在500到600纳米波长之间,而红光波长可能处于……

Original English

Expert: Yeah. Like this would be medium wavelength because it's yellow. A red would be—um so this is probably, I'm guessing somewhere between 500 and 600 nanometers of light, and red would be probably somewhere between

长波长红光与红外光对血糖及线粒体的调节机制

主讲人:580纳米到700纳米之间,然后再往外延伸就是红外光,你知道的,会进入800多纳米以及1000多纳米的波段。太阳会发出所有这些波段的光。好的,所以这些属于长波长光线。在这项研究中,研究人员将长波长光照在受试者的背部,然后进行口服葡萄糖耐量试验,结果观察到受试者的血糖峰值降低了超过25%。他们同时还观察了血糖上升的速率。这种光照缓冲了血糖的上升幅度,我们都知道血糖平稳是一件极好的事情。

Original English

Guest: 580 and 700 and then infrared goes out further you know into the 800s and thousand. The sun emits all of those. Okay, so this is long wavelength light. Okay. So, they shine a long wavelength light on people's backs and they do the glucose tolerance test and they observe a more than 25% reduction in the peak and they also look at the rate of rise of blood glucose. It's buffering blood glucose rise which we know is a good thing.

主持人:简单概括一下,他们就是在受试者摄入葡萄糖溶液的同时,用红光照射其背部,然后受试者的血糖飙升幅度就变低了。

Original English

Host: Just to summarize, they shine red light on someone's back while they have a glucose shot and their glucose spike is lower.

主讲人:完全正确。而且这种照射可以直接照射在裸露的皮肤上,也可以隔着一件T恤进行。结果显示,这些受试者的新陈代谢显著提升了。为什么会这样?机制是什么?其实,长波长的光线实际上能够穿透并进入你的身体内部。它会被组织吸收,并且能够深入体内大约8厘米。红光波段以及红外光甚至能够直接穿透整个人体。他们在这项研究中非常优美地证实了这一点。你可能会问,这难道不会有害吗?不,这简直太棒了,因为光线在穿透的过程中,会使你细胞内线粒体处理电子的方式发生构象改变。

基本上,这种来自太阳的长波长红外光——也就是你从阳光中或长波长光照设备中感受到的热量——作用非常惊人。它实际上能让你的线粒体运转得更有效率、更高效。当然,这并不是说短波长的光线(比如蓝光、绿光和紫外线)就是有害的。我们需要紫外线,我们的皮肤需要紫外线来合成维生素D。你真正需要的是全光谱的平衡光线,只是不要接触过多的紫外线以至于被晒伤。同时,你也不希望在缺乏长波长光线的情况下单独接触大量的短波长光线。

获得这种平衡最好的方法,就是在清晨和傍晚等一天中较早或较晚的时段去晒太阳,因为那时候的紫外线指数(UV index)很低,而你却能获得完整的全光谱光照。

相比之下,像我们现在头顶这种室内LED灯,我们所有人平时都会在它下面待很长时间。现在来自格伦·杰弗里(Glen Jeffery)实验室以及其他研究团队的证据表明,这种室内照明实际上可能会对线粒体造成损伤。我们之前谈到过由松果体分泌的褪黑素,它会在夜间让你产生睡意。但其实你体内绝大多数细胞内部也存在褪黑素。在这些细胞中,褪黑素并不会让你犯困,而是充当一种抗氧化剂。但它在细胞内处于被捕获束缚的状态,而释放它的途径正是通过长波长的光线。因此,长波长光线会启动你体内的一套保护机制,保护你免受细胞氧化应激和氧化损伤,从而带来诸多积极益处。

Original English

Guest: That's right. And you can do this onto bare skin or you can do it through a t-shirt. Turns out that these people's metabolism rose significantly. Why? How? Well, long wavelength light can actually go into and through your body. It gets absorbed and it can go about 8 centimeters into the body. Red light wavelength light of infrared can pass all the way through the body. They show that beautifully in this study. So that's not good. No, it's fantastic because along the way it makes confirmational changes in the way that your mitochondria handle the electrons. Basically this long wavelength infrared light that comes from the sun. It's the heat that you feel from the sun or from a long wavelength light device allows is so amazing. It actually allows your mitochondria to to function more effectively, more efficiently. Now, it's not to say that short wavelength light, blues and greens and ultraviolet light are bad. We need ultraviolet light. We need it on our skin to make vitamin D. What you want is full spectrum balanced light, but not so much UV that you get a sunburn. And you don't want a lot of short wavelength light in the absence of long wavelength light. Best way to do that, sunlight in the early and later part of the day because the UV index is low. You're getting the full spectrum. Indoor LED lights like this, which we all spend a lot of time under. There's now evidence from from Glen Jeffy's lab and others that it actually may damage the mitochondria. We talked about melatonin coming from the pineal gland that makes you sleepy at night. You also have melatonin in most all of the cells of your body. And there it doesn't make you sleepy. serves as an antioxidant but it's sort of captured and the way to liberate it is through long wavelength light. So you have a protective mechanism that's kicked on with long wavelength light that protects you protects you against the oxidative stress and damage to cells

红光对40岁以上人群视力的改善与时间窗口

主讲人:格伦的实验室做过一些实验,他们就是拿出一盏类似这样的红光灯,让受试者像这样看着它,每周进行几次,每次持续一到三分钟。他们观察了不同年龄段、有着不同眼部健康状况的人群。格伦是一位非常严谨严肃的视觉科学家,对吧?他不是那种博眼球的生物黑客,他也对商业化产品毫无兴趣——尽管有时候我真希望他能做些产品出来。研究发现,40岁以上经历年龄相关性视力下降的人群(我们所有人随着年龄增长视力都会有所衰退),在进行了这种简单的红光照射干预后,视力都得到了明显改善。

为什么会产生这种效果?事实证明,你的感光细胞(负责吸收光线并将其转化为电信号从而让你看见外部世界)是全身上下线粒体最丰富、代谢最活跃的细胞。生物学家们总喜欢争论谁的代谢最活跃,有人会说“舌头是代谢最活跃的部位”,另一些人则跳出来反驳“不对,是这里或那里”。每个人都想抢占这个头衔。但朋友们,感光细胞才是你全身代谢最活跃的细胞。因此,它们拥有海量的线粒体,并且必须保护自己免受由ATP代谢生成的一系列下游产物所带来的氧化损伤。长波长光线正是保护我们免受这种损伤的关键。

因此,你可以看到,每周注视几次长波长光线的人,视力会出现显著的改善。但这项效应存在两个关键前提:第一,这种改善仅出现在40岁以上的人群中;第二,更不可思议的是,只有在每天醒来后的前3个小时内进行光照的人身上,才能观察到这种改善效果。

Original English

Guest: and this has many many positive effects. So Glenn's lab has done experiments where they literally take in a light like this and they have people look at it like this for one to three minutes a couple times a week. They look at people different ages, different eye conditions. He's a serious vision scientist, right? He's not he's not a biohacker. He's not he's has no interest in commercial products actually, although sometimes I wish he did. People over 40 who experience age related vision loss, we all do a little bit, experience improvements in vision when they do this simple thing. And why would that be? Well, it turns out that your photoreceptors, which absorb light and convert it into electrical signals that allow you to see, are the most mitochondrial rich and metabolically active cells in your entire body. Now, biologists love to play this game where they go, "Your tongue is the most metabolically active." Then they go, "No, you're you." Everyone makes a claim on this. The photoreceptors, my friends, are the most metabolically active cells in your entire body. So, they have a ton of mitochondria, and they need to protect themselves against the oxidative damage that comes with generating a bunch of downstream products from ATP. So, long wavelength light is what protects us in this. So you can see significant improvements in vision for people that view long wavelength light couple times a week. But only in people older than 40. And get this, only in people that do that in the first 3 hours of their day.

主持人:什么?竟然还有时间限制?

Original English

Host: What?

主讲人:是的。你的眼睛、身体和大脑在一天中的前三分之一时段、中间三分之一时段、后三分之一时段以及夜间,其生物学状态是完全不同的。它们真的截然不同。日落之后,你对强光导致负面效应的敏感度会显著增加;这种敏感度虽然不是在日落那一瞬间陡增,但会逐步上升。而在一天中的早些时候,你的眼睛对强光的需求是巨大的。你需要这种光线,你的身体渴望这种光线。如果你某一天错过了,那就第二天走出去多接收一些光照。

你之前问过,把光照射在身体的其他部位有效吗?如果是为了启动整个昼夜节律中枢系统,照射身体其他部位是没有用的;但是在紫外线指数较低的时候,每周到户外两到三次让皮肤接受光照,是一个极好的做法。你只需要在手机上查一下当前的紫外线指数即可。一般来说,选择一天中较早或较晚的时段,此时紫外线指数较低,去户外让皮肤接触一些自然光线。你不需要全身赤裸或者穿着泳衣——当然如果你愿意并且环境适宜的话也很好——但你哪怕只穿一件普通的T恤也可以,因为长波长的光线会完全穿透衣服进入身体。

格伦·杰弗里以及内科医生罗杰·塞休特(Roger Seheult)都曾深入阐述过让皮肤接触阳光的巨大益处,包括帮助身体从疾病中康复、增强免疫系统功能等等。

Original English

Guest: Yes. Your eyes and your body and brain are not the same at this first third of your day versus this middle third of your day versus the last third of your day and at night. They're not. Your sensitivity to bright light causing bad effects on you after sundown increases. Not immediately, but it increases gradually. Your need for bright light in your eyes in the early part of the of the day is immense. You need this. You you want this. And if you miss a day, get out the next day and view some more light. You asked, will light to other parts of the body work? Not for setting this system in motion, but it's a great idea to get out two to three times per week when the UV index is low. you can just look on your phone what's the UV index and in general be the early or the or the later half of your day when the UV index is lower and to get out and get some light onto your skin. You don't have to be naked or in a swimsuit. Great if you are and that's appropriate, but you can also just wear a t-shirt because the long wavelength light will go all the way through. So Glenn Jeffrey and Robert Roger Schwelt, he's a physician who talks about the immense benefits of getting sunlight onto the skin for getting over disease for state for enhancing immune system function and on and on.

自然阳光、植被反射与户外暴露的整体效益

主持人:你能再详细讲讲吗?因为现在肯定会有很多听众听完就想立刻去下单买一盏红光治疗灯。

Original English

Host: Can you because there's going to be a lot of people right now that are going to go buy a red light lamp.

主讲人:完全没有必要。

Original English

Guest: Not necessary.

主持人:没有必要买。

Original English

Host: Not necessary.

主讲人:不需要。自然阳光就足够了。就像平克·弗洛伊德(Pink Floyd)那张著名的专辑封面一样。

Original English

Guest: No. Sunlight. Pink Floyd. Pink Floyd album.

主讲人:让阳光穿过三棱镜,光线发生折射,你就能看到彩虹:红、橙、黄、绿、蓝、靛、紫。但在阳光中不仅包含这些可见光,还包含紫外线。每天让皮肤接受一定量的中波紫外线(UVB)照射,可以提升男性和女性体内的睾酮与雌激素水平,这对于维持性欲至关重要。而且除了性互动和吸引力等因素之外,它还能从其他层面强化伴侣之间的浪漫关系,这些效应非常强劲。所以说,阳光中蕴含了一切你所需要的成分。

你唯一要避免的,是在紫外线过强的时段外出从而导致皮肤被晒伤。同时,你也不要陷入误区,以为红光就是你唯一需要的光线。你需要的是来自太阳的那种温暖全光谱光照。

而且还不止于此,听起来我好像在像推销员一样夸赞,但我推销的是大自然。当你走到户外,置身于大片绿植树木之中时,绿色植被会反射长波长的红光和红外光。如果你戴上一副红外夜视镜(虽然你平时不会这么做),你透过眼镜看过去,所有那些绿植在镜片里都会发出亮白色的光芒。绿色植物会将红外光反射下来。你怎么证明绿植会反射红外热辐射呢?我借用罗杰医生的话来说:在炎热的夏天,最凉爽的地方是哪里?是在树荫下。为什么会这样?就是因为树木反射了热量和红外光。

但是当你置身于绿植环境中时,你实际上接收到了所有这些被反射的长波长光线,它们在环境中来回漫反射并穿透你的身体。所以,多去大自然中走走,去户外散步。如果你在城市里工作和生活,走到户外去,把带帽檐的帽子摘下来,因为你需要阳光切实照在你的面部。现在人们太害怕紫外线加速衰老了,但我们说的并不是让你整天在强烈的紫外线下暴晒。合理接受光照对健康的益处是极其巨大的。

瑞典有一项研究实际表明,人们接触阳光越多,寿命就越长。事实上,在该研究中,经常晒太阳的吸烟者(虽然这算不上我最推崇的研究,但我们必须承认这项数据确实存在)的寿命甚至比日照不足的非吸烟者还要长。当然,还有运动等其他因素的影响。结论是:不要吸烟,但一定要多接触阳光。现在肯定有很多夜班工作者在收听我们的节目。

Original English

Guest: Pass sunlight through a prism. It bends the light and you see the rainbow. Red, orange, yellow, green, blue, indigo, violet. But also in that sunlight is ultraviolet light, some UVB exposure each day to the skin, increases testosterone and estrogen in both women and men and is important for libido. It actually reinforces romantic relationships for reasons other than uh sexual interactions, um attractiveness, etc. Strong effects. So sunlight has it all. What you don't want is to go outside when there's so much UV that you get a sunburn. And you don't want to think that, you know, red light's the only light you need. You want that warmth from from the sun. And it gets better because and notice I'm I'm sort of like it gets better like a salesman. I'm selling nature. Okay, I'm telling you when you go outside and there's a lot of greenery. Greenery reflects long wavelength red and infrared light. Throw on some infrared goggles and you're not going to do this, but you look and they all that stuff would be glowing white in those goggles. Greenery reflects down infrared light. How do you know it reflects light? I'm stealing Roger's words as I say this, but where's the coolest place to be on a hot day? Under a tree. Why is that? Because it's reflecting the heat, the infrared light. But when you're out in greenery, you're getting all that long wavelength light, and it bounces around and it goes through you. So, get out into nature, walk outside. If you work and live in a city, get outside, take off a brimmed hat because you do want the the sun getting down onto your onto your face. People are so terrified about accelerating aging based on UV, but we're not talking about baking yourself in UV light all day. The the health benefits of this are immense. There's a Swedish study that actually showed that the more sunlight people got, the longer they lived, in fact, smokers who got a lot of sunlight, this isn't my favorite study, but um but we have to admit it's there, lived longers than non-smokers who didn't get enough sunlight. There and there are other things too like exercise, etc., but don't smoke, but get sunlight. There'll be a lot of night shift workers listening.

夜班工作与晚间屏幕暴露的健康挑战

主讲人:我专门有一章内容是针对夜班工作者的,因为有两点最令人担忧的事实:第一,夜班工作者的平均寿命更短,癌症发生率显著上升,在代谢层面上非常不健康;第二,这种不良影响极难通过常规手段去完全抵消。不过我还是针对夜班工作者以及长途旅行倒时差的人群提供了一些专门的应对工具。

而这里真正令人不寒而栗的事情在于:其实你和我,在某种程度上都符合夜班工作者的定义。因为关于夜班工作的绝大多数研究(除了一些极端轮班的特例外),大部分所衡量的核心指标,恰恰是看有多少人在晚上6点之后依然持续盯着电子屏幕接收人造光线……

Original English

Guest: I have a section specifically for night shift workers because here are the two scariest things. Night shift workers live shorter lives. Cancer rates go up. They're metabolically unhealthy. And it's very hard to mitigate. But I provide some tools specifically for night shift workers and for jet lag, by the way, because people travel. Here's the really scary thing. you and I qualify as night shift workers because the studies on night shift work, barring some of the more extreme ones, was most of them were on how many people after 6:00 p.m., right, are on devices getting

夜间人造光对代谢与皮质醇节律的破坏

Speaker A: ……暴露在人造LED光线下,或者在床上做除了吃东西、与家人社交之外的其他活动。如果你晚上在家里工作,你依然算是一名夜班工作者。你并不需要通宵达旦地工作才被定义为夜班工作者。因此,我们现在有整整一代年轻人在代谢层面上都处于不健康的状态。我并不想成为那种制造恐慌的人,但这里有一个非常绝妙的机制。既然我们已经聊到了这里,我就直接跳到第六点。

Original English

Speaker A: ...artificial LED exposure or doing activities besides eating and socializing with their family or in bed. If you work at night at home, you're still a night shift worker. You don't have to work all night to be a night shift worker. So, we have a generation of kids that are metabolically sick. And I don't like to be one of these like fearmonger people, but here's the cool thing. I'm going to skip because we're on to this. I'm going to skip to number six.

Speaker B: 好的。

Original English

Speaker B: Okay.

傍晚自然光缓冲机制:“Netflix疫苗”

Speaker A: 好的。在太阳落山的时候,你并不一定要刻意去观赏日落。当然,看日落确实很棒,每个人都喜欢日落。但是,尽量在傍晚或晚间让一些自然光线照进你的眼睛。如果你在午餐后一直到天黑都要在室内工作,尽量靠近窗户,尽最大努力去做。去阳台上待一会儿,或者绕着建筑快速散个步,尽你所能让眼睛在不戴太阳镜的情况下接触到阳光。当你在一天中的后半段——比如说一天的最后三分之一时间里——让阳光进入眼睛时(这里的具体钟表时间并不重要,因为我们每个人的起床和入睡时间各不相同),你实际上是在为你眼中的感光细胞建立一层保护缓冲,抵御夜间人造光线带来的负面影响。我把它称为你的“Netflix疫苗(Netflix inoculation)”。这样一来,你即使在晚上9点或10点使用电脑,它对你褪黑素水平的破坏也不会那么严重,也不会那么剧烈地打乱你的血糖水平和睡眠质量——只要你在一天较晚的时候让明亮的光线进入过眼睛。

Original English

Speaker A: Okay. As the sun is going down, you don't have to watch the sunset. That would be cool to watch the sun. Everyone loves sunsets, but try and get some daylight in your eyes in the late afternoon or evening. If you're going to be working indoors from like after lunch until nightfall, try and get near a window. Do your best. Go out on a balcony, take a quick walk around the building, do what you can to get some sunlight in your eyes without sunglasses. When you get some sunlight in your eyes in the late part of your day, let's just say in the last third of your day, and the clock times don't matter here cuz we all get up and go to sleep at different times. You buffer those cells in your eye against the negative effects of artificial light at night. This is your Netflix inoculation, as I call it. Like you can be on your computer at 9:00 or 10:00 at night without it damaging your melatonin levels quite as much, without it disrupting your blood glucose levels and your sleep if you get some bright light in your eyes in the later part of your day.

Speaker A: 但有一类特定的人群,这种保护机制似乎对他们不起作用,那就是青少年群体。你无法通过这种方式为他们建立缓冲,以抵御夜间屏幕光线的负面影响。如果在夜间使用屏幕光线会发生什么呢?皮质醇会出现大幅激增。很多人会说:“哎呀,我在看完了iPad或手机屏幕之后,照样睡得很好啊。” 确实,有些人对夜间蓝光的敏感度可能没有那么高,主观上受到的负面影响较小;但真正的隐患在于它对血糖水平的影响,以及对次日清晨皮质醇分泌的干扰。还记得我之前说过的吗?过高的皮质醇会导致随后的皮质醇过低。

Original English

Speaker A: But there's one population of people for whom this doesn't work and it seems to be adolescence. You can't buffer them against the negative effects of screen light at night. What happens if you use screen light at night? You get big bumps in cortisol and people say, "Well, I can fall asleep just fine after being on my iPad or screen." True, some people don't have as much of a negative effect from blue light at night, but the blood glucose effects and the next morning cortisol effects are the problem. Remember I said high cortisol sets you up for low cortisol.

Speaker B: 是的。

Original English

Speaker B: Yeah.

Speaker A: 而皮质醇过低又会引发随后的皮质醇反弹升高。因此,现在有这样一群青少年,他们在傍晚和夜间的皮质醇水平略高且显著异常,原因就在于他们一直在使用电子设备;到了第二天早晨,他们的皮质醇水平却很难正常升起来。

Original English

Speaker A: Low cortisol sets you up for high cortisol. So you've got a population of people, kids who have their cortisol is slightly but significantly higher in the evening and at night because they're on devices and the next morning their cortisol levels are struggling to get up.

Speaker A: 你知道,这也是个棘手的问题,因为青少年都是通过这种方式进行社交的,你总不能把他们的手机直接没收;他们死死攥着iPad不放,就像我的新斗牛犬Strummer咬住咀嚼玩具不撒嘴一样。你知道,你确实可以硬抢过来,但他们会因此怨恨你。所以我才强调要去看白天的自然光,因为你不可能总能看到大晴天的太阳,但即便是阴天,只要外出走上几分钟、散散步,你的睡眠就会得到改善。

Original English

Speaker A: You know this is a tough one because teens socialize that way and you don't want to take their phones away and they cling to their iPads like, you know, like my new bulldog Strummer clings to a chew toy. You know it's like you can take it away from them, but like they hate you for it. So I said view daylight cuz you can't always see the sun, but even if it's overcast, just get out for a few minutes and take a walk, your sleep will be better.

Speaker A: 我感觉自己像是在课堂上做讲座一样。

Original English

Speaker A: I feel like I'm giving a lecture in class.

Speaker B: 这太棒了,这正是我想要的。

Original English

Speaker B: That's amazing. That's what I want.

早间运动与全面训练体系

Speaker A: 所以我们前面提到了补充水分和接触阳光。接着是第三点,我知道大家都听过这个说法,但如果你能在一天的前3到4个小时内进行锻炼,效果会非常显著。当然,你在下午锻炼也没有任何问题,但在一天的前3个小时内进行心血管有氧或抗阻力量训练,具有巨大的生理优势。

Original English

Speaker A: So we said hydrate, sunlight. And then number three, I know everyone's heard it, but if you can exercise in the first 3 to 4 hours of your day, you could do it in the afternoon without problem, but there's a huge advantage to doing cardiovascular resistance training in the first 3 hours of your day.

Speaker B: 是心血管有氧还是力量抗阻训练?

Original English

Speaker B: Cardiovascular or resistance training.

Speaker A: 两个都可以。在我的书里,我专门用了整整一章(第二章)来详细讲解运动。我阐述了在我个人看来最理想的运动方案架构,适合那些并不追求练成肌肉巨无霸、但希望拥有清晰肌肉线条与力量的人,也适合那些不需要去跑马拉松刷纪录、但希望具备良好耐力的人,以及那些希望拥有不错冲刺速度、同时兼具中长跑能力的人。这套方案的结构基本是这样的:你可以在交替的日子里分别进行抗阻力量训练或有氧运动,每周总共安排三天的力量训练。先进行充分的热身,正式训练组的容量保持在相对较低的水平,每个动作做两到三个正式组,重点放在复合动作上。不要把时间花在牧师凳弯举或者肱三头肌后屈伸这种单关节孤立动作上。那些孤立动作当然也可以,但如果你做引体向上、划船、双杠臂屈伸这类动作,训练的投入产出比要高得多。

Original English

Speaker A: Yeah. And in the book, I devote an entire chapter, chapter 2, to exercise. And I explain what I think personally is the best way to structure an exercise program for somebody who doesn't want to be the most jacked, but wants muscle and definition and strength. Somebody that doesn't need to run a marathon for a record time, but wants endurance. Somebody who wants to be able to sprint reasonably fast and has middle distance ability, too. And it's basically structured. You either lift or do cardio on alternating days, three days total of lifting. Warm up, reasonably low volume of work sets, two to three work sets per exercise, emphasizing compound movements. So, not like a preacher curl or a tricep kickback. Those are fine, but you're going to get a lot more bang for your buck if you're doing pull-ups, rows, dips...

Speaker B: 同时调动多块肌肉。

Original English

Speaker B: Multiple muscles at once.

Speaker A: 多个关节同时联动的复合动作。另外还要包含一些髋关节铰链动作,比如深蹲、哈克深蹲以及硬拉等。我在书中也讨论了如何通过这些训练达到特定的体型美感效果。当然,我绝不是运动生理学家,但我从16岁起就一直在进行抗阻力量训练。我现在50岁了,再过一个月就51岁了,我的身体状态依然非常棒。

Original English

Speaker A: Multiple joints moving at once as compound. Um, some hip hinge movement. So, could be squat, hack squat, some deadlifts, and I talk about how to get specific aesthetic effects in there, too. I mean, I'm by no means an exercise physiologist, but I've been resistance training since I was 16. I'm now 50. I'll be 51 in a month, so I feel great.

Speaker B: 如果做抗阻训练的话,是在开始前先做有氧热身,还是完全分开?

Original English

Speaker B: Cardio at the start if you're doing resistance training or not at all?

Speaker A: 我会先做5分钟的有氧热身,然后再进行力量抗阻训练;不过我把主要的有氧运动放在交替的日子进行,每周总共安排三天有氧。其中一天的有氧是大约一小时的长距离慢速有氧(LISS);另一天的有氧是大约30分钟的中等强度训练;还有一天是短时间的高强度训练,就像我今天早上做的那样:跳上风阻单车,先轻松骑行一分钟,然后全力冲刺30秒、轻松骑10秒、冲刺30秒、轻松10秒、冲刺30秒、轻松10秒、冲刺30秒、轻松10秒,然后直接结束下车。这基本上就是极限心率训练。

Original English

Speaker A: I warm up for 5 minutes of cardio and then resistance train, but I do the cardio on alternate days. Three days total of cardio. One day of cardio is long and slow for about an hour. One is about 30 minutes at moderate intensity. One is a short one like I did this morning. Jumped on the air bike, pedal easy for a minute, then go all out for 30 seconds, easy for 10, 30, 10, 30, 10, 30, 10, and then you're off the bike. Basically max heart rate training. Yeah.

Speaker B: 练腿日的第二天,如果你练到位了,就应该安排休息日。

Original English

Speaker B: And the day after leg day, if you do your legs right, take a rest day.

冷暴露与皮质醇的真相:儿茶酚胺 vs 压力反应

Speaker A: 没错。但关于运动,这里有一个非常有趣的现象。你可能注意到了,我并没有提到刻意冷暴露(deliberate cold exposure)。

Original English

Speaker A: Yeah. But here's the interesting thing about exercise. You notice I didn't say deliberate cold exposure.

Speaker A: 想听点颠覆认知的干货吗?我可以跟网内网外的任何人公开辩论这一点:刻意冷暴露并不会升高皮质醇。完全不会。让我感到不可思议的是,正是那些推荐中高强度运动的人,却在声称刻意冷暴露会升高皮质醇。这完全不符合事实。无论是对女性还是男性,这一结论都不成立。很多人问我:“你的书是同时写给女性和男性的吗?”当有明确数据显示男女存在生理差异时,我会区分说明;当缺乏针对女性的研究数据时,我也会坦诚指出。但在这件事上,针对男性和女性的研究数据都极其确凿:刻意冷暴露只会引起皮质醇微不足道的微小变化,却能带来肾上腺素、去甲肾上腺素和多巴胺的极其显著的大幅飙升。而这些所谓的儿茶酚胺类物质,非常适合在开启一天时释放到体内,它们是维持警觉度、专注力与驱动力的关键神经化学物质。对于皮质醇而言,真正合适的压力源——也就是你所期望促发的那种生理压力源——其实是中枢/身体性的应激刺激,这是我们十分明确的机制。

Original English

Speaker A: You want to blow some minds? I will go toe-to-toe with anybody on the internet or off the internet. Deliberate cold exposure does not raise cortisol. This much. It's amazing to me that the same people that are suggesting moderate to high-intensity exercise are saying that deliberate cold exposure raises cortisol. It is simply not true. Not true for women cuz a lot of people said, "Is your book going to be for women and men?" I distinguish between data when there are data showing that it's different for women and men. I acknowledge when there's no data in women and the data are very clear in women and men, trivial increases in cortisol, magnificent huge increases in adrenaline, norepinephrine, and dopamine from deliberate cold exposure. And that those so-called catecholamines are great to have rolling into your day. They're the things of alertness and focus. The appropriate stressor for cortisol, appropriate meaning the one that you want, is a psychological stressor. We know that.

Speaker A: 比如进行45分钟的负重抗阻训练,让训练组接近力竭,或者去跑步30分钟。所以核心要点在于,如果你在一天的前3个小时内完成这类锻炼,你的皮质醇会出现一个大幅度的正常跃升峰值。再次强调,这正是你所需要的健康生理反应。当然,有些人无法在一大早锻炼,要么是主观上不想,要么是时间表不允许。如果你只能在一天较晚的时候锻炼,那也没关系,你的皮质醇随后依然会降下来。你可以做一些长呼气呼吸练习来降低心率,安迪·加尔平(Andy Galpin)就经常探讨这一点。洗个热水澡也可以,热水澡会反常地帮助降低你的核心体温,进而助你入睡。当你加热身体表面时……

Original English

Speaker A: Working out with weights for 45 minutes, taking your sets near to failure, going for a run for 30 minutes. So, the point being, if you do this exercise in the first three hours of your day, you're getting a big inflection in cortisol. Again, this is what you want. Now, some people can't exercise first thing in the day. They either don't want to or they can't by way of schedule. And if you go into exercise in the later part of your day, that's fine. Your cortisol will come back down. You can do some long exhale breathing to slow your heart rate. Andy Galpin talks about that. Take a hot shower, which paradoxically lowers your core body temperature. And then helps you sleep. When you heat up the surface of your body...

体温调节与皮质醇生物钟同步

Speaker B: 你大脑中有一个名为视前内侧区(medial preoptic area)的体温调节中枢,它会感知到:“哦,我的体表温度很高,我应该把核心体温降下来了。” 这样你就能更好地入睡。这就像是穿袜子睡觉效应,或者是泡热水澡效应,对吧?我猜做个按摩之类的应该也是类似的原理。

Original English

Speaker B: ...you have a thermostat in your brain called the medial preoptic area, and it goes, "Oh, the surface of my body is warm. I should probably cool my core body temperature down." And you fall asleep better. You know, this is like the the putting socks on effect or the hot bath effect, right? I assume a massage or something like that also.

Speaker A: 太棒了,如果你在一天的最后一个小时里能享受到按摩的话。看来我们需要多了解一下你的奢华生活了。(笑声)

Original English

Speaker A: Great. You have access to that in the last hour of your day. Like we need to learn more about your life. [laughter]

Speaker B: 我未婚妻曾经做了很多年的专业按摩师。

Original English

Speaker B: My fiance used to be a masseuse for many years. So she...

Speaker A: 太厉害了。所以,当你连续几天在一天的前3个小时内进行锻炼——假设你连续进行了两次——到了接下来的早晨,你醒来时就会发现自己锻炼的意愿变得更强了。这是你的意志力改变了吗?在某种层面上说是的,但本质上发生改变的是你体内皮质醇的生物节律夹带机制(cortisol entrainment mechanisms)。你的视交叉上核(suprachiasmatic nucleus)整天都在记录并校准你的行为活动。举个例子,假设你每天在9点、12点进餐,在下午3点吃零食,然后在6点半吃晚餐,你的身体就会建立起一个食物预期信号。胃饥饿素(ghrelin)会在这些时间点分泌,让你产生饥饿感。我们本质上就是由一个个生物钟组成的,而这些生物钟的相互同步极其重要。当你在一天中相对固定的时间(即清晨较早时段)进行锻炼时,在开始锻炼前的15分钟左右,你就会提前拥有更充沛的精力去运动。你会发现自己不由自主地开始活跃起来。是的,其中一部分属于认知层面的习惯,但很大一部分……

Original English

Speaker A: Awesome. So when you exercise for a few days early in the first three hours of your day, let's say you do that two times. The next morning you wake up feeling a little bit more willing to exercise. Did your willpower change? Well, in some sense, yes. But what happened was your cortisol entrainment mechanisms changed. Your suprachiasmatic nucleus all day is clocking what you're doing. Let's say you eat like 9:00, 12:00, snack at 3:00 and 6:30. You have a food anticipatory signal. You have ghrelin is secreted makes you hungry. We are clocks and the synchronization of those clocks is very very important. When you exercise at roughly the same time of day, early in the day, you will have more energy to exercise in the first 15 minutes before that. You'll notice you kind of start stirring around. Yes, part of it is cognitive, but a lot of...

前中扣带皮层:大脑中的“坚韧中枢”

Andrew Huberman: ……事实上是大脑在预判接下来要进行的运动。太酷了,这就是为什么我教神经解剖学,这真的很有趣。

Original English

Andrew Huberman: ...it actually is your brain is anticipating exercise is coming. Oh, cool. That's why I teach neuroanatomy, so this is fun.

Host: 我面前正好放着一个大脑模型。它可以打开,如果你想打开看的话。不过你刚才提醒了我一件事。

Original English

Host: I have a brain here in front of me. It does open up in case you want to open it up. But you just reminded me of something.

Host: 你让我想起了我之前看你讲过的一个结构,那就是前中扣带皮层(anterior mid-cingulate cortex, aMCC)。

Original English

Host: You reminded me of something that I saw you talk about, which was the anterior mid-cingulate cortex.

Host: 我记得你曾把它描述为神经科学中最有趣的发现之一。

Original English

Host: And I think you described this as being one of the most interesting discoveries of neuroscience.

Andrew Huberman: 扣带皮层——虽然它没有直接暴露在脑表面,但前中扣带皮层大概就位于这里的内部区域。这是一个非常神奇的脑结构。

简单给大众解释一下:当我们感受到某种压力时,无论是令我们反感的社交压力还是身体压力,而我们选择迎难而上——比如“我要去竞争”或者“我要冲破这股内在或外在的阻力”——此时,前中扣带皮层中的神经元就会疯狂放电。

如果刺激这个区域——我在斯坦福的同事、神经外科医生乔·帕维齐(Josef Parvizi)的研究证实了这一点——受试者会说:“我感觉前方有一项挑战即将来临,而我准备全力以赴迎战。”

这就是掌管“坚韧(tenacity)”的大脑区域。

Original English

Andrew Huberman: So cingulate cortex, I mean it's not directly exposed here, but the anterior midcingulate cortex would sit somewhere like there. This is an amazing structure, right?

I mean just to remind people, like when we feel some sort of pressure, social pressure, physical pressure that we hate, and we decide "I'm going to lean into this, like I'm going to compete or I'm going to push through this internal or external resistance," neurons in the anterior midcingulate cortex are just firing away.

And if that area is stimulated—my colleague Josef Parvizi at Stanford showed this, he's a neurosurgeon—people say "I feel like a challenge is coming on and I'm going to lean into it."

This is the brain area of tenacity.

Andrew Huberman: 令人惊叹的是,它与大脑各处的奖赏系统等广泛相连。因此它在不断收集信息:何时被激活、外界发生了什么让你感到压力、你何时想要抗争、何时想要退缩。

但最棒的一点在于,它具有高度的可塑性(plasticity)。

那些成功节食减肥的人,他们的前中扣带皮层体积会变大,活跃度也会提高。那些开始执行全新锻炼计划、增加某项运动的人也是如此。对我来说,是做柔韧性与活动度训练,因为这些年我的关节肌肉变得有些僵硬了。

因此,当你做一些你原本不想做、并非出于本能反应去做的事情时,你的前中扣带皮层就会增大,让你在未来更愿意去面对和投入具有挑战性的事情。

Original English

Andrew Huberman: And the amazing thing is it has connections all over the brain with reward systems, etc. So it's collecting information about when it gets activated, what's going on in the world that makes you feel pressure, when you feel like pushing back, when you don't.

But the best part is it is highly subject to plasticity.

People who diet successfully, their anterior midcingulate cortex gets bigger and more active. People who embark on a new exercise program adding some component of exercise. For me, it's mobility work because I've got a little stiff over the years. I know.

So when you do something that you don't want to do, that you don't reflexively do, your anterior midcingulate cortex gets bigger and more willing to engage in challenging things going forward.

Host: 是的。所以关键就在于,它能让你在未来拥有承担更多艰难挑战的能力。

Original English

Host: Yeah. So that's the key point, which is that sets you up to be able to do more challenging things in the future.

刻意冷暴露与应激系统的重塑

Andrew Huberman: 没错。为什么我们要去做刻意冷暴露(deliberate cold exposure)?我来告诉你原因。

因为在你的身体系统被肾上腺素和去甲肾上腺素淹没时,你能够保持镇定(哪怕只是相对镇定);而通过冷水(比如冷水淋浴或冰水浴)可以安全地触发这种状态。只要水温不是极端过低、只要你事先没有故意过度换气,这种刺激就是安全的。

这种在冷水中保持镇定的能力,会直接迁移到你面对生活中其他引发肾上腺素激增的事件时保持清醒头脑的能力。人体并没有10套不同的应激系统,我们只有一套。应激的表现就是肾上腺素飙升,然后缓慢回落——这是应激的典型特征。皮质醇也会升高再回落。对吧?

Original English

Andrew Huberman: That's right. Why would you do deliberate cold exposure? I'll tell you why. Because your ability to sit calmly or even not so calmly when your system is flooded with adrenaline and norepinephrine, and to be able to trigger that with cold water safely—like cold shower, getting into a cold ice bath, it's safe as long as it's not so cold, as long as you're not hyperventilating beforehand on purpose—that carries over to your ability to keep your head straight when other things trigger adrenaline.

You don't get 10 stress systems, you get one. And stress looks like your adrenaline goes up and it comes down slowly. This is a hallmark of stress. Cortisol goes up, goes down. Right?

Andrew Huberman: 哦,我的朋友,你准备得真充分!天呐,你应该去当大学教授。想来斯坦福和我一起教书吗?

所以,我提出了一个唤醒水平(arousal)的模型。人们一听到“唤醒(arousal)”,就会想:“哦,那一定是浪漫/性唤起。”确实可以是,但在生理学上,唤醒本质上只是指你处于多清醒警觉或多困倦的状态。

你可以极度困倦(比如处于昏迷状态),也可以陷入极度的全面恐慌,没人想要那样。

这里用“跷跷板”来打比方最为恰当,因为我们拥有自主神经系统(autonomic nervous system)。

Original English

Andrew Huberman: Oh, you are prepared, my friend. My goodness, you should be a university professor. You want to teach with me at Stanford?

So I came up with a model for arousal, right? People hear arousal and they think, "Oh, it's got to be romantic arousal." It can be, but arousal is really just how alert or sleepy you are.

So you can be really sleepy, like in a coma, or you can be in full-blown panic. Nobody wants that. But a seesaw is the right analogy here because we have this thing called the autonomic nervous system.

Andrew Huberman: 自主神经系统由两部分组成:副交感神经系统和交感神经系统。它们分布在身体的不同部位,并且几乎与每一个器官相连。

大体而言,当你放松时,反映出副交感神经张力在上升;当你处于压力之下时,反映出交感神经张力在上升。

当你感到困倦时,副交感神经系统开始占据主导;当你极度困倦乃至早晨刚醒来时,它的主导程度更深。接着,如果你做了正确的事情——比如补水、晒太阳和进行适量运动——你的皮质醇水平就会上升,你就会变得更加清醒警觉。

应对各种压力的能力,取决于你控制我所说的这个“铰链松紧度”的能力。

当你训练自己在系统被肾上腺素淹没时依然能够思考、呼吸并保持平静,那么日后在发生非自愿的应激事件(即发生了你极不希望看到的事情)时,你的大脑会立刻切换到对这种生理状态的认知与掌控中,你就能保持理性思考。

你知道该闭嘴不言——这往往是你能做的最好的应对;你也知道该做出反应还是保持克制。

Original English

Andrew Huberman: And the autonomic nervous system is made up of two parts: parasympathetic and the sympathetic nervous system. They're in different parts of the body. They both connect to most every organ.

But in general, when you are relaxed, that's what we call the reflection of parasympathetic tone going up. When you're stressed, it's the reflection of sympathetic tone going up.

But as you get sleepy, your parasympathetic nervous system starts to dominate a bit. And as you get really sleepy, it dominates more when you wake up in the morning. And then if you do the right things like hydrate, get sunlight and some exercise, well then your cortisol goes up and you're going to be more alert.

The ability to navigate stress of all kinds depends on your ability to do what I call is control the tightness of this hinge. When you train your ability to think, breathe, stay calm when your system is flooded with adrenaline, and that happens later in a way that was nonvoluntary—something happened that you didn't want to happen—your brain immediately flits to the understanding of that place and you are able to maintain thoughtfulness.

You can know to not speak. That's often the best thing you can do. You know to react or not react.

前额叶皮层与“由上至下的抑制控制”

Andrew Huberman: 事实上,当你进入冷水浸泡时,寒冷刺激的一个奇妙之处在于:在最初的20到30秒内,你负责制定策略、赋予事件意义的前额叶皮层,其神经活动会受到极大的抑制。

请牢记这一点:在任何极度压力的环境下,最初的20到30秒内,你的大脑功能基本是受损的。你处于一种类似于“脑损伤”的状态。你处于那种可能直接做出本能身体反应的模式中。

有时这种即时反应能救你的命(比如躲避飞驰的汽车、逃离攻击者等),但在绝大多数情况下,你最好的选择是——一个字都不要说。

随后,你的前额叶皮层会慢慢重新上线。接着你的理性就会回归,因为你之前可能陷入了应激的反刍思维中。

Original English

Andrew Huberman: In fact, when you get into a cold plunge, one of the beautiful things about cold is that your prefrontal cortex that's involved in strategy setting and making meaning out of what's going on, its activity is greatly suppressed for the first 20 to 30 seconds.

Know this about every stressful circumstance. In the first 20 to 30 seconds, you are brain damaged. You are brain damaged. You are in that mode of like you could react physically.

Sometimes that can save your life, but most times you just don't want to do anything. Step out of the way of the car, get away from the aggressor, whatever. But most times you're best off not saying a darn thing.

And then your prefrontal cortex slowly starts coming back online. And then you're back again cuz you're ruminating, you know?

Host: 这对处理人际关系来说是个极好的建议。

Original English

Host: And this is good relationship advice.

Andrew Huberman: 非常好的人际关系建议。[笑] 真希望我很久以前就学到了这一点。

其实就在昨晚,我看了推特,看到了一些让我既困惑又有点沮丧的内容。我准备睡觉时心想:“我知道该怎么应对。”于是我做了一些长呼气呼吸法,这能降低心率——我们稍后会详细讲这个。

等我今天早上醒来,事实证明那完全是一场误会,事情完全反转了。但在昨晚那一刻,我曾动过发短信质问的念头;但我转念一想:深夜时分,前额叶皮层的功能本就处于低下状态。这就是为什么在深夜面对压力时,往往会觉得难以承受。

Original English

Andrew Huberman: Very good relationship advice. [laughter] I wish I had learned it long ago. Right.

Actually, last night I looked on Twitter and I saw something that was both perplexing and a little bit upsetting to me. And I went to sleep like, I know how to deal with this. Some long exhale breathing, which will slow your heart rate, and we'll talk about that.

But I woke up this morning, turns out it was a complete misunderstanding and everything was reversed. But last night I thought about sending a text, but I thought later at night the prefrontal cortex is already diminished. This is why stress feels so much harder to deal with at night...

Host: ……还有前额叶皮层。我们应该解释一下它掌管逻辑等功能的机制。

Original English

Host: ...and prefrontal cortex. We should describe that logic and stuff.

Andrew Huberman: 额叶皮层,在这里掌管着逻辑功能。在大脑前部有额叶和运动区。而前额叶皮层基本上就是你额头后方的一大片脑区;与其他哺乳动物相比,人类的前额叶皮层发生了极大的扩张。我不太喜欢把其他动物称为“低等”,但它们的前额叶皮层确实较小,因此它们更容易受冲动驱使。

每个孩子和成年人都需要培养的最不可思议的能力之一,就是所谓的“自上而下的抑制(top-down inhibition)”。你感受到了某种冲动,但你能抵制住这种冲动。

Original English

Andrew Huberman: So frontal cortex, so here it's logical. You have the frontal and motor areas here. And your prefrontal cortex is basically a big patch of real estate behind your forehead that in humans is greatly expanded compared to in other mammals.

I don't like calling them lower, but they have less prefrontal cortex. So, they're more driven by their impulses.

One of the most incredible things that every child and adult needs to develop is what's called top-down inhibition. You feel an impulse, but you resist the impulse.

Andrew Huberman: 事实上,我训练我的狗 Strummer 的主要方法就是基于这个原理,而且非常有效:在它9周大时,我把一块食物放在地上,它出于本能自然会冲上去吃,因为它非常喜欢食物;然后你训练它“等待”,它就乖乖坐在那里,你教它看着你的眼睛。

现在,即使它正朝着一块食物走过去,只要我说一声“等等”,哪怕它的鼻子距离食物只有这么近,它也会立刻停下来。它拥有极佳的自上而下抑制能力。

这是为了争夺食物吗?不是。我是为了折磨它吗?当然不是。这是为了让它在听到“等待”指令时,能够自主抑制自己的唤醒冲动。

Original English

Andrew Huberman: In fact the way I've mostly trained my dog Strummer because it works is I taught him at 9 weeks of age: put down a piece of food, of course he goes for it, he loves food, and you teach him "wait" and he sits there and you teach him to look at you.

And then now I can have him moving toward a piece of food and I say "wait", and his nose can be this far and he'll just stop. He has great top-down inhibition.

Is it about food? No. Am I trying to torture him? Of course not. It's so that if I say "wait," he can suppress his arousal.

Host: 这是人类最宝贵的核心技能之一。

Original English

Host: This is one of the most valuable skills.

Andrew Huberman: 额叶受损的人会丧失这种抑制能力,这就是为什么他们有时会表现出暴力倾向,或者口不择言说出不合时宜的话。

当人们处于疲惫、压力过大或醉酒状态时,前额叶皮层的活性就会被严重抑制。去洗个冷水澡,前20到30秒其实挺有意思的——你会清晰地意识到,自己此刻的大脑功能远不如进浴室前健全。而过了30秒之后,你就会想:“我能掌控这个。”

Original English

Andrew Huberman: And people with frontal damage show an inability to do that, which is why sometimes they're violent or they say inappropriate things.

People who are tired, stressed, drunk, prefrontal cortex activity is suppressed.

Get in a cold shower. First 20, 30 seconds, it's kind of fun. You're like, here I am with less of a brain than I had getting in. And then 30 seconds later you're like, I can do this.

Host: 这正好解释了为什么人在疲倦时容易做出糟糕的决定。

Original English

Host: This explains why you do things tired.

Andrew Huberman: 疲劳时切忌行事,疲劳时切忌言语。因为此时你的冲动控制能力会大幅下降。

Original English

Andrew Huberman: Don't do things tired. Don't say things tired. Impulse control is way worse.

主动直面艰难:对神经系统的长远投资

Host: 所以,当我听你谈到前中扣带皮层,得知大脑中存在这样一个类似于“意志力”或你所形容的“坚韧肌肉”的区域时,它彻底改变了我对待困难事物的态度。

因为它让我在认知层面上意识到:我所克服的每一件难事,都在为我赋能——就像在健身房做负重弯举一样,是在为明天应对更艰难的挑战储备力量。

Original English

Host: So when I heard you talk about the anterior mid-cingulate cortex and that there was this part of the brain that was kind of like the willpower or you described it then as the tenacity muscle, it completely changed my relationship with hard things because it made me realize at some sort of conceptual level that every hard thing I overcome is better equipping me—like when I curl weights in the gym—to do harder things tomorrow.

Andrew Huberman: 确实如此。

Original English

Andrew Huberman: Yes.

Host: 当我意识到“这是一项神经层面的投资,我是在为自己的未来做神经投资”时,认知就完全不同了。你当时提到去主动做一些自发的困难事情,比如冷水浸泡之类的……

Original English

Host: When I heard "oh there's like a neurological... I'm making a neurological investment in my future," and then you talked there about doing voluntary difficult things like the cold plunge whatever...

Andrew Huberman: ……或者是学习一门新语言。它完全可以是认知层面的挑战。

Original English

Andrew Huberman: ...or learning a new language. It can be cognitive in nature. It...

舒适度的权衡与努力的意义

Speaker A: 如果跳舞对你来说会产生压力,那也可以是去学跳舞。任何能让你产生某种阻力、内心阻力的事情都可以,只要属于这一类。这是一个非常精妙的结构,因为它不仅与认知能力以及我们构建这些能力的方式紧密相连,也与应对情绪挑战的机制深度绑定。

Original English

Speaker A: ...can be learning to dance if that's stressful for you. And it can be anything that creates some resistance for you, internal resistance, anything of that sort. This is a beautiful structure because it's wired into cognitive capacities and our ability to build them, and challenges with that to emotional challenges.

Speaker B: 但我们现在的生活似乎都在朝着追求舒适的方向去优化,不是吗?大家好像都觉得更舒服的生活方式就是一种制胜法则。

Original English

Speaker B: We're kind of optimizing our lives towards comfort though, aren't we? That's like a winning formula is more comfortable things.

Speaker A: 我觉得杰克·多西(Jack Dorsey)说得最透彻。网上有段他非常精彩的视频,那是他做的一场小型演讲。他在演讲中提到,每当我们用自己本身、我们的金钱或时间去换取便利时,我们几乎总是在放弃一些在神经学层面对我们根本有益的东西。当然,这么做并没有错。我也会在 DoorDash 上点外卖,因为上面有很棒的美食,而我又没有太多时间做饭,我希望能把时间投入到其他事情上,所以我用它来换取便利。但如果你能清楚地意识到这种权衡取舍,你的处境就会好得多。真正的关键在于,你打算用省下来的这些额外时间去做什么。

虽然我反对过度优化——那种把你从真实生活中剥离出来、削弱生活体验的过度优化——但我非常支持以一种能让你更有精力投入其余生活的方式去奋斗和“优化”。我认为亚瑟·布鲁克斯(Arthur Brooks)说得最好:我们生来如此,生命的意义往往来自于奋斗与追求;在奋斗之中必然伴随着某种挣扎与困难,而在挣扎之后获得的解脱与释放,也是极其令人满足的。

在我看来,过度优化的问题简而言之就是:有些人每天只要花上 5 分钟去做我前面提到的两件事,他们的身心健康就会出现极其显著的改善;但也有一些人就像“垃圾场里的看门狗”一样皮实,他们吃什么、怎么过都能活得好好的,精力异常充沛,他们甚至会觉得:“切,我喝点水、晒晒太阳根本没感觉到有多大区别啊。”好吧,我完全理解,你就是那种可以在屏幕前直接睡着、醒来后仅凭一块含糖松饼就能继续连轴转的人,这很厉害。

Original English

Speaker A: I think Jack Dorsey said it best. There's this great video of him online. It was a small lecture that he was giving where he said anytime we exchange ourselves, our money, our time for convenience, we are almost always giving up something that's fundamentally useful for us neurologically. And it's okay to do. I order food on DoorDash because there's great food and I don't have a lot of time to cook. I'd like to devote my time to other things. I'm trading for convenience. But if you're aware of the trade-off, you're much better off. And the real question is what you're going to do with that additional time.

While I'm against overoptimization to the point that it pulls you out of life—like it diminishes life—I am all for striving and "optimization" in ways that allow you to lean into the rest of your life with more vigor. I think Arthur Brooks says it best. We are wired and meaning comes from striving, and within striving is some struggle, and within struggle is also the release from struggle, and that's also very satisfying.

Here's the overoptimization thing to me in a nutshell: there are people for whom doing two of the things I described for 5 minutes each per day will experience a significant improvement in their mental and physical health. There are people for whom they're sort of like junkyard dogs. They can live on anything. They have a ton of vigor and they're going to be like, "Yeah, I didn't feel that much from drinking some water and getting sunlight." Cool. I got you. You're one of those people who can fall asleep in front of the screen, get up, and just keep going on a sugary muffin and something like that. Great.

Speaker B: 但是每个人其实都可以审视一下自己当下的生活状态,尝试通过采取某些具体行动,让自己的活力、健康、幸福感和内心的平静更进一步。

Original English

Speaker B: But everyone can afford to take a look at what they're doing now and try and move the needle toward more vigor, well-being, happiness, peace by doing certain things.

营养结构与优质蛋白质比率

Speaker B: 当你停止去做某件事时,你会对那件事变得更加敏感吗?

Original English

Speaker B: Do you become more sensitive to the thing when you stop doing the thing?

Speaker A: 这取决于具体是什么事。举例来说,就像我在里面讨论的营养学内容,这也是其中的一个卡片主题。我实际上全面涵盖了从全肉饮食到纯素饮食等各种模式,深入梳理了科学文献,以便大家做出选择。

但实际上,如果你去看绝大多数人能从中获益的做法——无论采用纯素还是素食饮食都可以做到这一点,虽然可能会稍微困难一些——最理想的饮食结构应该是这样的:摄入适量的热量,既不要过量,也不要不足。这是因人而异的,你可以自行计算,做起来其实很简单,我也提供了一种计算方法。

你需要摄入我所说的“高完全蛋白与热量比”(high complete protein to calorie ratio)的蛋白质。这是我提出的一个概念,因为如果查阅文献就会发现,人体确实需要必需氨基酸,这就是所谓的完全蛋白质。虽然你可以通过米饭配豆子来获取完全蛋白质,但要通过米饭和豆子获得 30 克完全蛋白质,你所摄入的热量大约会是从一块鸡胸肉中获取同等蛋白质的四到五倍。

Original English

Speaker A: Depends on the thing. So, for instance, if people like—I talk about nutrition in there and it's one of the cards. I actually cover everything from the all-meat diet to vegan diets. I really go into the literature so people can choose.

But really, if you look at what most people could benefit from doing—and you could do this with vegan or vegetarian, it's a little harder—the best diet is going to be the following: right, not too many calories, not too few. That's individual, you can calculate that. It's an easy thing to do, but I provide a way to do that.

You need to get what are high complete protein to calorie ratio proteins. This is a concept I came up with because if you look at the literature, yes, we need the essential amino acids. So that's a complete protein. But you can get that from beans and rice, but to get 30 g of complete protein from beans and rice, you're going to consume about four to five times as many calories as is required if you get it from a chicken breast.

Speaker B: 所以这是一个显而易见、却鲜有人公开探讨的关键因素。我们需要吃一些高完全蛋白热量比的食物,比如鸡蛋、瘦肉、鱼肉。然后大家都知道还需要膳食纤维,对吧?也就是蔬菜和水果。

Original English

Speaker B: So this is the factor that's kind of obvious, but no one ever talks about. So you want to eat some high complete protein to calorie ratio protein. So you know, eggs, lean meat, fish. And then everyone knows you need fiber, right? So vegetables and fruits.

发酵食品、油脂争议与科学研究的局限

Speaker A: 不过我想指出的是,很多彻底戒掉淀粉的人……

Original English

Speaker A: But what I will say is that many people who remove starches entirely...

Speaker B: 嗯。(清嗓子)

Original English

Speaker B: Mhm. [clears throat]

Speaker A: ……或者完全不吃蔬菜的人,会发现他们的自身免疫性疾病得到了缓解。这背后是有科学原因的,我们必须正视这一点。但对大多数人来说,还是应该为了摄入微量营养素和膳食纤维而吃一些蔬菜与水果。

此外就是低糖发酵食品。斯坦福大学贾斯汀·索嫩伯格(Justin Sonnenberg)的研究非常明确地证实,发酵食品可以降低炎症组指标(inflammatome)。事实上,当他们让受试者单纯多吃纤维时,许多人的炎症指标反而上升了。没人喜欢谈论这一点,尤其是纯素食主义者,但过量的纤维对某些人来说确实会造成刺激并引发促炎反应。因此,低糖发酵食品——比如德国酸菜(sauerkraut)、泡菜(kimchi)、甜菜根格瓦斯(beet kvass)——非常美味。唯一的问题是它们往往比较贵,但你完全可以在家自己做,网上有很多自制食谱。

我不想陷入关于种子油(seed oils)的无休止争论。直接用橄榄油就好了。它很美味,而且如今买到真正的橄榄油也相对便宜;适量吃一点黄油也没问题。我们到底为什么要为了种子油争论不休?这太愚蠢了。在我看来,关于种子油的争端简直是扼杀脑细胞最快的方式,实在是太蠢了。因为现有的相关研究质量普遍不高:你要么是在拿含有种子油的超加工食品饮食与其他饮食对比,要么是在拿纯净的种子油与富含加工肉类的高肉饮食对比,整个研究领域一片混乱。作为一名科学家,你只要看一眼这些文献就会感叹:这个领域的研究水平实在太糟糕了。

如果有人想在科学界成就一段辉煌的事业,不妨进入营养学领域去做一些真正严谨扎实的研究,因为现存的研究大多漏洞百出。其中 90% 的研究只要稍微看一看——你甚至不需要受过专业的营养学训练就能发现——这里有五个不同的变量,那里又有四个未受控的变量,这根本就是糟糕实验的典型代表。

Original English

Speaker A: ...or remove vegetables entirely will find that their autoimmune issues resolve. And there are reasons for that and we have to acknowledge that. But most people should be eating some vegetables and fruit for micronutrients and fiber.

Low sugar fermented food. Very clear, Justin Sonnenberg's work from Stanford, very clear, lowers the inflammatome. In fact, when they had people eat more fiber, for many people inflammatory markers went up. No one likes to talk about that, especially not the vegans, but too much fiber can be noxious for some people and pro-inflammatory. So low sugar fermented foods like sauerkraut, kimchi, beet kvass is delicious. Problem is they tend to be expensive, but you can make your own and there's recipes online to do these things.

I don't want to get into the seed oil debate. Just use olive oil. It's delicious. It's relatively inexpensive nowadays to get real olive oil. Small amounts of butter, okay. Like why are we even debating seed oils? It's so dumb. The seed oil debate is like the fastest way to kill neurons that I'm aware of. You know, it's so dumb because the studies are not well done. You're comparing a processed food diet that includes seed oils versus—or you're talking clean seed oils versus a high meat diet with processed meat. It's a mess. As a scientist, you just look at this and you go like, this field sucks.

Like if someone wants to have a magnificent career in science, go into the field of nutrition and do some really good studies, because the studies are a little lousy. 90% of them, you can look at it—you don't even have to be trained in nutrition. You go, there are five different variables here and four over here. This is like what you would call a bad experiment.

淀粉对皮质醇与睡眠的调节机制

Speaker A: 关于橄榄油的数据则非常确凿,令人印象深刻。

另外,淀粉对于为肌肉、糖原以及大脑提供能量是非常棒的,但你不能摄入过量。人们摄入淀粉过量往往是因为将淀粉与大量的脂肪结合在一起食用。比如酸面包非常棒;但在我看来,酸面包抹上黄油就更棒了;可要是酸面包抹上等量的黄油,那麻烦就随之而来了。人们很难单吃淀粉就吃过量,除非里面混入了大量的脂肪或者糖分。

Original English

Speaker A: So olive oil, the data are great. It's impressive. And then starches are great for fueling muscles and glycogen and brain, but you don't want to overdo them. And the way that people tend to overdo starches is by eating starches combined with a lot of fats. So sourdough bread is great. Sourdough bread with butter is even better if you ask me. Sourdough bread with equal amounts of butter and bread, you're starting to get into problems. It's very hard for people to overeat starches unless they have a lot of fats with them or sugar with them.

Speaker B: 关于淀粉,我记得听你提过深夜吃什么对睡眠会有影响,这两者之间有关系吗?

Original English

Speaker B: On starches, is there an impact? I think I've heard you talk about an impact on your sleep with what you eat late at night.

Speaker A: 许多淀粉摄入不足的人会发现自己经常面临睡眠问题。这背后是有生理原因的,虽然我们平时总谈论所谓的“安慰食品”(comfort foods)。

Original English

Speaker A: Many people who don't eat enough starches find that they have sleep issues. And there are reasons for this because we talk about comfort foods.

Speaker B: 人们想到安慰食品时,通常想到的都是垃圾食品。

Original English

Speaker B: Typically, people think junk foods when they think comfort foods...

Speaker A: 但能够提高血糖的食物其实会降低皮质醇。听起来很神奇对吧?淀粉可以降低皮质醇。而在夜间,你恰恰需要体内的皮质醇保持在低水平,这有助于你顺利入睡并维持深度睡眠。当然,你既不希望在太临近睡觉前吃东西,也不希望在睡觉时感到饥肠辘辘,这一点我们之前已经讨论过了。

但这里有一个非常有趣的现象:到底什么是皮质醇?我刚才真应该早点提到这一点。皮质醇究竟是什么?它是一种“压力荷尔蒙”吗?并不是。它只是在面临压力时释放的一种激素,但皮质醇的本职工作并非去处理压力本身,而是在体内调动能量。当皮质醇升高时,体内的葡萄糖以及其他燃料就会被调动起来。因此,当你摄入淀粉时,就能缓冲并降低皮质醇水平。

这之间存在着非常明确的对应关系。所以,那些此前淀粉摄入不足的人,如果在当天的最后一餐中允许自己吃一碗米饭或一碗意面,或者在午餐和晚餐各吃一点,甚至在早餐吃一碗燕麦片,他们在心理上往往会感觉更加平稳平衡,身体能量也更充沛。有时候,有慢性压力问题的人会发现自己不再手抖了;有自身免疫问题的人有时病情也会好转,这正是因为体内的皮质醇得到了有效缓冲。

Original English

Speaker A: ...but foods that increase glucose lower cortisol. Huh, that's weird. Starches lower cortisol. And you want your cortisol low at night. Helps you fall and stay asleep. Now, you don't want to eat too close to bedtime. You also don't want to have gnawing hunger at bedtime. We talked about that.

But here's the interesting thing. What is cortisol? I should have mentioned this earlier. What is cortisol? Is it a stress hormone? No. It's a hormone that's released during stress. But cortisol's job is not to deal with stress. Cortisol's job is to mobilize energy in the body. When cortisol goes up, glucose is mobilized and other fuels, too. So when you eat starches, you buffer cortisol.

There's a very clear relationship here. So people who are not eating enough starches who then allow themselves that bowl of rice or a bowl of pasta in their final meal of the day, or a little bit at lunch and at dinner, maybe even a bowl of oatmeal breakfast, they feel more even psychologically. They have more physical energy. Sometimes people with chronic stress issues notice they stop shaking. People with autoimmune issues sometimes resolve those because your cortisol is buffered. Mhm.

Speaker B: 因为此时你的血糖水平得到了提升,身体就不必再启动生存防御系统来强制调动葡萄糖了。

Original English

Speaker B: Because your blood glucose is elevated and so your body isn't tapping into the survival system to try and mobilize glucose.

早晨皮质醇高峰与压力来源

Speaker B: 我还有一个一直悬而未决的问题必须要问你。这要回到你之前画的那张图表上。图表在哪儿来着?你提到过,早晨皮质醇水平处于高位是一件好事。

Original English

Speaker B: So I have this outstanding question that I have to ask you. It goes back to the picture that you drew of the graph. Where is that one? You said high cortisol in the morning is a good thing.

Speaker A: 没错。

Original English

Speaker A: Yep.

Speaker B: 那么,如果我早晨起床第一件事就是拿起手机,去查看那些最让我头疼糟糕的邮件……

Original English

Speaker B: So what if I pick up my phone first thing in the morning and I look at my worst emails...

Speaker A: 从拉升皮质醇峰值的角度来看,在某种意义上……这算是一件好事?但你能一边在户外晒太阳一边做这件事吗?

Original English

Speaker A: ...in some sense from the perspective of spiking your cortisol? Like it's a good thing. But can you do it outside while getting sunlight?

Speaker B: 我一直在琢磨,皮质醇是通过什么方式激发出来的究竟重不重要?因为要是我一大早纯粹是通过给自己施加心理压力来提升皮质醇呢?我……

Original English

Speaker B: I was wondering if it matters like how the cortisol comes because what if I stress myself out in the morning? I...

压力反刍与皮质醇的真正生理功能

Guest: 其实这并不重要。真正的问题在于伴随压力而来的反刍思维(rumination)。由我们主动控制的身体压力源(比如一次高强度锻炼或冷水浸泡)有个很好的特性,那就是它们有明确的开始和结束节点。诚然,它们启动的速度往往比消退的速度要快,对吧?你感受到了压力,这种感觉会延续一段时间,你可能会去琢磨它。但是,心理压力源往往会在我们的大脑中反复回荡,尤其是在深夜,而且它们总是反反复复地出现。不过我想说的是,我认为到 2027 年,我们将彻底终结“皮质醇是坏东西”这种过时的观念。

Original English

Guest: ...really doesn't matter. The problem is the rumination that comes with stress, right? So, you know, the nice thing about physical stressors that we control like a workout or a cold plunge is that they have an onset and an offset. And yes, they start faster than they end, right? You have stress and it kind of carries over. You ruminate. But psychological stressors tend to bang around in our brain a lot and late at night and they tend to come back. I will say this, I think 2027 is going to be the year that we close the coffin on this "cortisol is bad" thing.

Host: 那么,我究竟应该如何看待皮质醇呢?因为就目前而言,我仍然把它看作是一种“压力荷尔蒙”。

Original English

Host: So, how should I think about cortisol? Because right now, I think of it as the stress hormone.

Guest: 它的核心作用是调动身体的能量,明白吗?这样你才能去利用这些能量。如果你准备在夜间入睡,你自然不需要调动能量去消耗它,你需要的是让身体休息并重置。皮质醇是一种促进能量供应的激素。

Original English

Guest: It's to mobilize energy, okay? So, you can use it, okay? And if you're going to sleep at night, you don't need to mobilize energy so you can use it. You need to rest and reset your body. Okay? Cortisol is an energy-promoting hormone.

Host: 也就是说,如果我准备走上演讲舞台,在面对台下庞大观众群之前的那一刻,我的皮质醇水平就会升高,对吧?

Original English

Host: So if I walk up on stage, my cortisol level, like before I go up on stage and there's a big audience, whatever, my cortisol level is going to go up then.

Guest: 是的。如果你对此感到紧张焦虑,它可能还会升得更高一些。但本质上,它是一种“准备激素”(preparation hormone)。你在为应对逆境做准备,但同时也是在为迎接重大表现做准备。

詹姆斯·麦高(James McGaugh)和拉里·卡希尔(Larry Cahill)做过一系列非常精彩的研究,你知道吗?如果你想让某人牢固地学会某样东西,你知道该怎么做吗?只要在学习之前、期间或紧接着学习之后,让他们的皮质醇水平出现一个尖峰即可。这为什么能起作用?因为创伤性事件正是通过这种机制让人终生难忘的——在创伤发生时皮质醇和肾上腺素暴增,大脑就会永久铭刻那段记忆;而人们事后所做的,不过是努力消除那段创伤记忆所附带的情绪负荷罢了。

Original English

Guest: Yeah. If you're stressed about it, maybe a little bit more, but it's a preparation hormone. You're preparing for adversity, but also great things. There are these beautiful studies from a guy named James McGaugh and Larry Cahill, which showed do you know that if you want somebody to learn something, you know what you do? You spike their cortisol before, during, or after that thing should work. Why not? Trauma does that and you never forget. All you do is work on trying to remove the emotional load of that traumatic thing.

唤醒度、认知表现与运动对大脑的真实影响

Host: 等等,这是否意味着,现在正在健身房边锻炼边听这期播客的人,比起躺在床上听这期播客的人,对我们讨论内容的记忆提取和掌握能力会更好?

Original English

Host: Wait, so does that mean that someone who's listening to this podcast right now in the gym is going to have better knowledge recall of what we talked about than someone who's listening in bed?

Guest: 问得好!我书中有一章专门讲述学习、动机与神经可塑性。我们平时都听过“运动让你的大脑更聪明”这种说法,但究竟是怎么起作用的?背后的原因是什么?理解这一点至关重要。

运动提升大脑功能至少有两种途径:第一种是它能提高你的中枢唤醒水平(arousal levels)。运动本身并不能直接让你变得更聪明,运动的作用在于让你在运动结束后处于更高的警觉状态(alertness),从而让你能够更有效地学习新知识,因为事实证明,你必须处于警觉专注的状态才能学进东西。具体而言,你需要体内的肾上腺素和皮质醇处于一定程度的升高状态。

所以当人们说“举重对大脑有益”、“有氧运动对大脑有益”时,事实是:那种长时间、慢节奏的低强度稳态有氧运动——我知道我那些练耐力的朋友们可能不太喜欢听这个——其实对大脑的提升并没有那么显著。它对大脑无害,但确实没有那么神奇的效果。相反,一次高强度的力量训练或者一次高强度间歇训练(HIIT),在随后的 4 个小时内,会让你完全进入最适合学习和吸收知识的预备状态。为什么?因为此时你的体内充满了兴奋性神经刺激分子,你的专注力会大幅提升。

Original English

Guest: Great question. So I have a chapter that's all about learning, motivation, and plasticity. And we've all heard exercise makes your brain better. How? Why? Turns out it's very important to understand. There are two ways it does it, or at least two. One is it raises your levels of arousal. Exercise doesn't make you smarter. Exercise makes you more alert coming out of the exercise so you can go learn things because it turns out you have to be alert to learn things. In particular, you need adrenaline and cortisol elevated to learn things. So when people say, you know, weightlifting is good for your brain, cardio is good for your brain... Turns out long slow cardio—my endurance friends aren't going to like this—not that great for your brain. It's not bad for your brain, but it's not that great for your brain. Turns out an intense weightlifting session or high-intensity interval training session, in the 4 hours after that you are primed for learning. Why? You got a lot of stimulatory molecules in your body and you can focus better.

Host: 那如果我是一名播客主持人,我希望在节目录制现场能够提出高质量的问题,能够自如地调动语言组织与大脑思维——在这种情境下,不仅仅是学习吸收,而是针对我即时的认知表现,情况又是怎样的呢?

Original English

Host: What about if I'm a podcaster and I want to be able to ask good questions and use my mouth and my brain in that context, not necessarily just learning, but performance of my sort of cognition?

Guest: 认知表现与唤醒度之间基本呈现为一条倒 U 形曲线(inverted-U curve)。如果你不够警觉清醒,你就无法做好你需要做的事情;但如果你处于过度警觉、过度亢奋的状态,你同样无法执行操作或完成学习。因此,你必须让自己保持在那个倒 U 形曲线的最顶端。

学习的核心机制很大一部分在于此,大脑前扣带回及相关皮层回路(intermediate cortex)的许多调节功能,也是为了把我们从“我不想做这事”的低迷状态提升到这条倒 U 曲线的最佳顶点。而一旦达到了顶点,接下来的核心挑战通常就是如何避免自己滑向过度紧张和过度压力。

关于这一点,我学到了两个最棒的实用技巧。事实上,这也直接引出了我们的第五个工具:在一天中的任何时刻都可以使用的、利用“生理性叹气”(physiological sighs)实现即刻快速减压的方法。

Original English

Guest: So the performance curve basically is inverted U. If you're not alert enough, you can't do what you need to do. If you're too alert, you can't do what you need to do or learn. So, you want to be at the top of that inverted U. And a lot of what learning is about, and a lot of what the intermediate cortex is about, is getting from "I don't want to do it" up to the top of that U. Then it's usually about not getting too stressed. Now, I learned the best trick for this, like the two best tricks. And in fact, that will take us to number five. You can use any time of day, which is use physiological sighs to reduce stress fast.

即时压力管理与神经外科的极度冷静

Guest: 我在书里专门写了一章关于缓解压力(stress mitigation)的内容,它基本上包含两大核心板块:其一就是如何在压力发生的当下即时抑制和控制它。

Original English

Guest: Okay. So, I have a chapter on stress mitigation and it's got essentially two components. One is how to limit stress in the moment.

Host: 好的。为什么掌握当下即时控制压力的能力会如此重要呢?

Original English

Host: Okay. Why is it so important?

Guest: 哎呀,因为冥想、一夜优质的睡眠、全身按摩、良好和谐的社交关系、充足的营养以及水分补给,这些固然都能帮助你构建抵御压力的缓冲防线;然而,当突发状况骤然降临,你的心率飙得过高,或者你的身体开始颤抖,你的思维完全无法按预期清晰组织时,前面的那些方法在那个瞬间全都无济于事。你已经越过了临界线,在警觉唤醒的光谱上走得太远了。

大约在 2016 年的时候,我意识到我必须把自己实验室的相当一部分力量投入到攻克这个问题上:我想要找到能够实现实时、即刻缓解压力的工具。于是,我开始接触并深入了解特种作战部队的人群,他们经常在极寒的水域中受训(顺便提一句,海豹突击队在日常训练中其实并不坐冰浴桶,而是在集训期间长时间浸泡在冰冷的海水中)。同时我也开始与高压操作领域的顶尖专业人士交流,尤其是神经外科医生——他们必须年复一年地在直面生死的极端高压环境下工作,却始终能保持极度的冷静与镇定。

我最要好的儿时挚友之一就是这样的人,你真应该邀请他来上这期播客。他叫埃迪·常医生(Dr. Eddie Chang),是加州大学旧金山分校(UCSF)的神经外科主任。他曾利用脑机接口和人工智能技术,让完全性闭锁综合征(locked-in syndrome)患者重新实现语言表达。他同时也是一名出色的生物工程学家。我们从 7 岁起就是好朋友,如今每周仍会通三次电话探讨科学。我曾亲自走访他的实验室,亲眼目睹他在患者保持清醒的状态下,精准切除其前脑部位一颗高尔夫球大小的肿瘤。

Original English

Guest: Oh gosh. Because meditation, great night's sleep, massage, social relations, being well-fed, hydrated, all of that helps you buffer stress. But when something happens and your heart rate is too high or you're shaking and you can't organize your thoughts in the way you want, none of that helps. You've gone over the line. You're too far on the arousal spectrum towards alert. And it was about 2016 that I realized I'm going to take a significant portion of my lab and work on this problem. I want to find real-time tools for mitigating stress. So I started hanging around with people from special operations who sit in ice baths and cold water. And they don't actually do ice baths, by the way, in the SEAL teams. They spend a lot of time in cold water during their training. And I started talking to people in performance fields, in particular neurosurgeons, people who deal with life or death circumstances for many, many years and maintain immense calm. One of my closest childhood friends—you should have him on this podcast—his name is Dr. Eddie Chang and he's a neurosurgeon at UCSF. He's the chair of neurosurgery and he's brought people out of locked-in syndrome to speak through AI. He's also a bioengineer. He's also been my friend since we were 7 years old. And we talk three times a week these days about science. And I actually visited his laboratory and got to see him take a golf ball-sized tumor out of a guy's forebrain while the guy was awake.

Host: 哇。

Original English

Host: Wow.

Guest: 埃迪是你所能见到的最沉着冷静的人。为什么?因为对他来说,手术刀在操作方向上哪怕出现不到一毫米的微小偏差,都可能直接夺走患者的生命。顶尖表现者在实践中摸索出了一套能够实时自我镇定的方法。

于是,我与我的同事大卫·斯皮格尔(David Spiegel)展开了合作。大卫当时是我们斯坦福大学精神病学系的副主任,他专注于催眠研究,特别是利用临床催眠来进行戒烟干预、疼痛管理和缓解焦虑。这里我必须特别说明,这项研究主要由我实验室的梅利斯·耶尔兹·巴尔班(Melis Yilmaz Balban)主导完成。她搭建了这个配备虚拟现实(VR)与压力诱发系统的应激实验室(这是另一套非常深入的体系),随后我们开展了一项严谨的实验研究。

我们招募了大约 100 名受试者,给他们佩戴了监测心率、心率变异性(HRV)以及睡眠状况的专业追踪设备。受试者被随机分配到四个组别中进行每日练习:一组每天进行 5 分钟的正念冥想;另一组每天进行 5 分钟的“箱式呼吸法”(Box Breathing),即吸气、屏息、呼气、屏息各维持相同节奏。

Original English

Guest: Eddie is the calmest guy you'll ever meet. Why? Because a movement of less than a millimeter in the wrong direction for him could cost a patient's life. People have ways to calm down in real time. So I teamed up with a colleague, his name is David Spiegel. He's our—at that time he was our associate chair of psychiatry and he studies hypnosis, but clinical hypnosis for smoking cessation, pain management, and anxiety. And I should say mainly Melis Yilmaz Balban in my lab did the study. She built this stress lab with VR and stress, and that's a whole other thing. And then we did this study where about a hundred or so subjects were fixed with trackers that measured heart rate and heart rate variability and sleep, and people were in one of four groups. They either meditated for 5 minutes a day, or they did box breathing: inhale, hold, exhale, hold for 5 minutes, okay?

呼吸调节神经机制:循环超通气与生理性叹气

Host: 比如吸气、屏息、呼气、屏息各保持 4 秒钟左右?

Original English

Host: Like 4 seconds each or something.

Guest: 评估你呼吸耐受力的一种方式是“二氧化碳耐受度测试”(carbon dioxide tolerance test)。你在多大程度上能够稳定自主地控制缓慢呼气,直接反映了你当前的压力负荷水平。处于急性压力状态下时,人体往往会非常迅速地排出二氧化碳;而在压力较低、神经系统相对放松时,进行平缓而绵长的呼气会变得容易得多。

在实验中,第三个组别采用的是“循环过度通气法”(cyclic hyperventilation)。有些人把这种方法称为温霍夫呼吸法(Wim Hof breathing)、拙火呼吸法(Tummo breathing)或普拉纳调息法(Pranayama breathing)。它的操作方式是深大吸气,随后进行被动的自然呼气,如此反复循环持续 5 分钟。

这种大幅度深吸快呼的模式会迅速激增体内的肾上腺素水平——这并不是坏事,因为这种生理唤醒是在你自主控制之下的;顺便说一下,这种呼吸模式并不会显著升高皮质醇水平。而且在进行这种呼吸时,你通过呼气快速排出了大量的二氧化碳,从而迅速重塑体内的生理内稳态,使人立刻进入高度警觉、精力充沛的状态。

而实验中的第四组,采用的则是“双吸一长呼”的重复呼吸法,也就是所谓的“生理性叹气”(physiological sigh)。早在 20 世纪 30 年代,加州大学洛杉矶分校(UCLA)的杰克·费尔德曼(Jack Feldman)教授以及其他一些早期研究人员就观察到,当动物和人类处于深度放松或准备入睡的状态时,会自发出现一种非常独特的呼吸模式:先是连续两次快速深吸气,随后伴随一次漫长而彻底的呼气。

杰克·费尔德曼的实验室随后发现,我们的大脑中存在一个被称为“面神经旁核”(parafacial nucleus)的特定神经区域,其专门负责在动物和人类体内产生这种“双吸一长呼”的特殊呼吸节律。大自然的演化绝非偶然:我们的大脑中其实有两个核心呼吸中枢,其中一个是以前奥地利一家葡萄酒庄命名的“前博辛格复合体”(pre-Bötzinger complex),负责产生基础的自主节律性吸气与呼气交替;而另一个我们全人类都拥有的结构——面神经旁核,则专门在我们进行连续叠加吸气、连续叠加呼气,或者在说话、唱歌、进食等复杂呼吸调控过程中发挥作用。

正是这个神经核团触发了生理性叹气。事实表明,当机体处于氧气不足的恶劣环境,或者当你感受到强烈压力累积时……

Original English

Guest: There's a way you can measure it, which is the carbon dioxide tolerance test. Like how well you can control an exhale will tell you a little bit about how stressed you are. When you're stressed, you tend to blow off carbon dioxide very quickly. And when you're less stressed, it tends to shift towards long exhales become easier. So one of the groups—and then I'll say what the mechanism is—did cyclic hyperventilation. Some people call this Wim Hof breathing, Tummo breathing, Pranayama breathing. It's big inhales, passive exhales. Repeat it for 5 minutes. [snorts, sighs] Massively spikes adrenaline, which isn't a bad thing. You're controlling it anyway. Does not spike cortisol very much, incidentally. And when you do those exhales, you're blowing off a lot of carbon dioxide, so it shifts your internal state and tends to make people very alert. Or they did—there was a fourth condition where they did a double inhale, long exhale, repeat: the so-called physiological sigh. So Jack Feldman at UCLA and some other folks in the 1930s had observed that animals and people when they're very relaxed would do this kind of strange pattern of breathing where they would go [sighs, gasps]—it's a double inhale, long exhale. Jack's lab discovers there's a brain area called the parafacial nucleus which is specifically there to generate this double inhale-exhale pattern in animals and in humans. Wild! Nature doesn't make mistakes like that, okay? Turns out there are two breathing centers: one is called the pre-Bötzinger complex, named after a bottle of wine [gasps], a pattern of breathing where you inhale, exhale, that you alternate; this other structure, the parafacial nucleus, which we all have, is involved in anytime you double up the inhales or exhales. And it's involved in breathing while you speak or sing or eat. And it generates these physiological sighs which, it turns out, get triggered in environments where there's not enough oxygen or when you get...

生理学叹息与二氧化碳排出

Speaker A: 当你感到幽闭恐惧,或者压力非常大时,体内的二氧化碳水平就会升高。你的大脑感知到这一点,就会触发吸气/换气反射。这种双吸气(double inhale)能最大程度地让肺部数以亿计的微小肺泡充分膨胀。随后当你呼气时,就能排出最大量的二氧化碳。所以如果你只是普通地呼气,是无法排出那么多二氧化碳的。但如果你做一次深吸气,紧接着再做一次快速的短吸气——第二次短吸气会重新打开肺部那些像派对气球一样萎缩的小气囊。这些肺泡内部有一层液体薄膜,存在一定的表面张力,导致它们相互粘连在一起。因此,正是这第二下吸气将它们彻底撑开,随后你便能充分排出二氧化碳。

Original English

Speaker A: ...claustrophobic or when you get very stressed, carbon dioxide goes up. Your brain senses that and it triggers the gas reflex. That double inhale maximally inflates the millions, hundreds of millions of little sacks in the lungs. And then when you exhale, you offload the greatest amount of carbon dioxide. So if you just go [exhales], you're not offloading as much carbon dioxide. But if you [snorts, sighs and gasps]—that second short inhale takes these little sacks in your lungs, which are like balloons at a kids' party, and they're empty, but they're fluid-lined so there's some surface tension inside them, they're sticking together. So, it's the double inhale that opens those up and then you offload the carbon dioxide.

呼吸性窦性心律不齐与迷走神经

Speaker A: 这固然很棒,但刻意延长呼气真正的奇妙之处在于,它能通过一种叫做“呼吸性窦性心律不齐”(respiratory sinus arrhythmia)的生理机制来减慢心率。对于任何关注压力、运动、睡眠和整体健康的人来说,这几乎是最重要的一件事。因为奇妙的是,我们体内有迷走神经(vagus nerve)。大家都喜欢谈论迷走神经。它是一束极其庞大的神经纤维,负责收集来自身体各器官的感觉信息和化学信号,并将其上传至大脑。这很酷,而且它通常被归类为具有镇静作用的副交感神经系统。但有趣的是,神经科学家在神经外科等实验中如果想让受试者清醒过来,他们就会刺激迷走神经;治疗抑郁症的一种方法也是刺激迷走神经——猜猜看这会带来什么效果?它会让人变得更加警觉。所以,迷走神经是一根混合神经。但迷走神经真正妙不可言的地方在于,它并不全是由下至上的传入神经。

Original English

Speaker A: Now, that's great. But the real magic of deliberate long exhales is that they slow your heart rate down through a process called respiratory sinus arrhythmia. This is like the most important thing for anyone interested in stress, exercise, sleep, and wellness because the wild thing is we have this vagus nerve. Everyone likes to talk about the vagus nerve. It's a massive nerve bundle that collects sensory information and chemical information from the organs of the body and sends it up to the brain. Cool. And it's classified as parasympathetic, calming. But you know what's funny? Neuroscientists when they want to wake up a person during an experiment, like a neurosurgery experiment, they stimulate the vagus. A treatment for depression is to stimulate the vagus. Guess what that does? It makes people more alert. So, it's a mixed nerve. But the really cool part about the vagus is that it's not all ascending.

实时调控心率与提升心率变异性(HRV)

Speaker A: 虽然迷走神经中约85%的信息是从身体向上输送到大脑的,但它还有另一条通路向下延伸,一直通往你的心脏。当你呼气时,正是这条通路控制着心率的减缓。所谓的心率变异性(HRV),本质上就是你呼气时心率减慢的程度。如果你想提高自己的HRV,白天做几次刻意的深长呼气就可以了。很多人会问:“我该怎么提高HRV?”当然,你可以做最大摄氧量(VO2 max)训练、最大心率训练、高强度间歇训练(HIIT)等等。但如果你真想在睡眠和清醒时提升HRV,只需在白天进行一些刻意的呼气即可,因为这正是迷走神经的副交感降温机制在主动降低你的心率。

Original English

Speaker A: 85% of the information is going up from the body through the vagus. But there's another pathway too and it goes down, and it goes down to your heart and it controls the slowing of the heart rate when you exhale. Heart rate variability is the slowing of your heart rate when you exhale. You want to increase your HRV, do a few deliberate exhales during the day. People go, "How do I get my HRV up?" Well, yeah, you do some VO2 max training, right? Obviously you do some max heart rate training, some HIIT workouts, etc. You really want to increase your HRV in sleep and while waking, just do some deliberate exhales during the day because that's the parasympathetic, the calming arm of the vagus pushing down on your heart rate.

Speaker A: 在我之前描述的所有实验组中,受试者都看到了改善,但收益最大的正是那些进行“生理学叹息”(physiological sighs)的人。于是我开始探索:通过生理学叹息降低心率的速度究竟有多快?事实证明,你根本不需要持续做5分钟,哪怕只做一次就能见效。也就是说,当你感到压力重重、准备登台演讲、焦急等待医学诊断结果,或者无论出于好坏原因感到过度警觉与兴奋(比如即将步入婚礼殿堂),无论遇到什么状况——

Original English

Speaker A: And all of the groups I described saw benefits, but it was the people who did these physiological sighs that benefited the most. So then I started exploring, well, how fast does heart rate slow down with physiological sighs? And it turns out you don't need to do it for 5 minutes. Do it once. You just go, "Okay, you're feeling stressed. You're going on stage. You're waiting for a diagnosis. You feel too alert relative to how you want to feel for whatever reason, good or bad. You're about to get married, right? Whatever..."

Speaker A: 你只需深吸一口气再补吸一口,然后缓缓呼气直到肺部完全排空,效果立竿见影。这对我来说是非常令人欣慰的。发表论文固然很有趣——我们发表了成果,刊登在《Cell Reports》上,Melissa获得了应得的大部分荣誉,论文还有其他合作者,但她在数据分析上付出了巨大的心血。我之所以如此欣慰,是因为我们终于有了一种方法:即使我没睡好,或者遇到了极具压力的事情,我都能随时随地迅速让自己平静下来。

Original English

Speaker A: ...You just [sighs and gasps] until your lungs are empty and it's immediate. And for me that was immensely gratifying. Yes, because it's fun to publish papers. We published it in Cell Reports and Melissa gets the lion's share of the credit for that—there were other people on the paper, but she did so much hard work from that and analysis—I was so gratified because I'm like, finally, if I didn't sleep well or if something stressful happens even though I slept well, I can calm myself down like that.

提升压力阈值与感知力

Speaker B: 我觉得这种实时的压力应对工具正是我们大家所需要的。有趣的是,你也可以通过训练来提高自己的压力耐受阈值。书中关于缓解压力的章节有很大一部分也是在讨论如何做到这一点:我们需要主动训练对不适感的耐受力,这样日常的微小琐事才不会显得那么沉重。

Original English

Speaker B: I thought real-time tools for stress are what we all need. The interesting thing is that you can also raise your stress threshold and a lot of the stress mitigation chapter is also about how to do that. We need to train for discomfort so that the little things don't feel so big.

Speaker A: 没错,这在生存情境中同样至关重要,对吧?你需要能够极其冷静清晰地思考该按什么顺序采取行动、朝哪个方向逃生脱险。这绝不是为了让自己去忍受更多的痛苦或虐待,恰恰相反,这是为了保障安全与自我保护。而且,这还能帮助我们在保持警觉却又沉着冷静时,敏锐察觉到周围人身上的微妙变化——谁需要我们的关注,或者看清那些我们其实并不喜欢但过去从未真正意识到的人。你能洞察到所有这些细节。

Original English

Speaker A: Yeah, this is also important in survival situations, right? You need to be able to think very clearly about what order of operations to take, what direction to escape through. This is not about setting yourself to tolerate more pain and abuse. This is about the exact opposite. So, this is about safety. This is about self-protection. And this is about noticing when we're alert but calm. We can notice the subtle ripples in people around us—who needs our attention, who we really don't like but we never really realized it. You can notice that stuff.

夜间醒来的重入睡技巧:小脑与本体感觉

Speaker B: 很多人经常在凌晨两三点左右醒来。

Original English

Speaker B: A lot of people, they wake up at like 2:00 or 3:00 a.m. in the morning...

Speaker A: 是的。

Original English

Speaker A: Yeah.

Speaker B: 他们在半夜醒来,却根本不知道原因何在,也不知道该如何重新入睡。他们脑子里开始胡思乱想,陷入担忧和反复反刍(rumination)之中。

Original English

Speaker B: In the middle of the night and they don't really know why. They don't know how to get back to bed. They start worrying and ruminating.

Speaker A: 非常非常普遍。

Original English

Speaker A: Very, very common.

Speaker B: 是啊,那么他们在那个当下是否可以把这个当作工具来用?

Original English

Speaker B: Yeah. So can they use this as a tool in that moment?

Speaker A: 当然可以,做10次缓慢且刻意的深长呼气。此外,我在书中还介绍了一个非常神奇的技巧,它有着间接的科学支持。你想知道重新入睡的最佳方法吗?听听这个疯狂的技巧,它简直太绝了。要入睡或重新入睡,你必须停止感知自己的身体姿势。事实证明,虽然经过了几个中继步骤,但你的眼睛、眼球运动与小脑(cerebellum)之间存在一条专门的神经回路。小脑参与本体感觉(proprioception)、身体平衡以及其他诸多功能。我们常把小脑称为“迷你大脑”,也就是后脑勺这个部位。如果要用极度极客的术语来说,就是位于脑后这些布满叶褶(hyperfoliated lobes)的结构。“Foliators”指的就是褶皱,纯粹是学术黑话用来形容凹凸起伏的褶皱结构。它参与平衡控制,也参与运动学习。实际上,在根据“你想做的事”与“你实际做出的动作”之间的误差信号产生反应并进行调整时,小脑起着关键作用。事实证明,正是这种通过真实尝试所产生的误差信号,构成了促发神经学习的最核心要素之一。而你的小脑对此至关重要。小脑还参与时间节律感知。因此,想要入睡,你实际上需要关闭大脑对自身四肢位置的识别感知。

Original English

Speaker A: Definitely. 10 long deliberate exhales. There's also this really crazy trick that I put in the book, has indirect scientific support. You want like the best way to fall back asleep? You want to hear this crazy... this is so nuts. To fall asleep or to fall back asleep, you need to stop thinking about your body position. Turns out there's a direct relationship through a few steps, but there's a dedicated circuit I should say, between your eyes, their movements, and your cerebellum, which is involved in proprioception and balance and a number of other things. We call the cerebellum the mini brain, but it's this guy back here. We really get nerdy—these hyperfoliated lobes back here. Foliators are just folds, it's just nerd speak for foldy, bumpy. It's involved in balance. It's involved in learning. It's actually very important for generating and responding to the error signals between what you're trying to do and what you can do. That error signal turns out to be one of the most important things for generating learning, to make errors through genuine attempts. And your cerebellum is critical for that. It's also involved in timing. So, you need to kind of turn off your recognition of your own limbs to fall asleep.

视流、眼动与入睡眼操

Speaker A: 该怎么做到这一点呢?你知道哄婴儿入睡的有效方法是什么吗?抱着孩子以特定的节奏来回走动。这在一项日本的研究中得到了明确阐述:人们一边走动一边轻轻地来回摇晃婴儿,婴儿很快就会入睡。猜猜看怎么着?父母们通过不断试错,凭本能就能摸索出误差极小的精准摇晃节律,从而把孩子哄睡着。这就像是一场自然的科学实验,而且已经在实验室中得到了验证。事实证明,当你来回摇晃时,你的眼球是在运动的。这是一个非常古老的系统,存在于包括人类在内的所有有颌脊椎动物体内:当我们在空间中移动(无论是行走、跑步还是游泳)时,周围世界在眼前掠过,产生所谓的“视流”(optic flow)。按理说你看世界应该是模糊的,但由于眼睛与脑干特定区域(具体名称现在不重要)以及小脑之间的神经连接,会产生视觉滑动误差(visual slip error),你的眼球会自动做出补偿性运动来抵消这种误差。因此,当我转头晃动时,眼前的世界依然看起来是稳定的。

Original English

Speaker A: How do you do that? You know what works with babies? Walk back and forth at a particular pace. And this was defined in this Japanese study. And have people swing the baby back and forth just gently as they do it. And the baby falls asleep. Guess what? Parents figure out the exact cadence with a very small margin of error through trial and error to figure out how to get their kid to sleep. It's like a natural experiment. It's been looked at in the lab. Turns out when you rock back and forth, your eyes move. This is a very, very ancient system that exists in all jawed animals, including us, that as we move through space—walking, running, swimming, whatever—the world is gliding by, what we call optic flow. You would see the world blurry. But you have a compensatory eye movement that, unbeknownst to you because of a connection between your eyes and these brain stem areas whose names aren't important right now and your cerebellum, creates a visual slip error and your eyes automatically offset that error. So when I go like this, the world seems stable.

Speaker A: 事实证明,存在一种特定的眼球运动模式,能够关闭小脑中的本体感觉回路,让你忘掉自己四肢的具体位置,从而极大地加快重新入睡的速度。具体操作是:首先闭上双眼。很好。在眼睑下方,将双眼慢慢转向一侧,然后再转向另一侧。接着向上看,再向下看。现在,让双眼逆时针方向缓慢转圈,然后再顺时针方向转圈。最后,在依然保持闭眼的状态下,将视线微微朝向鼻尖(不要斗鸡眼),同时做一次深长呼气。很好。把这套动作重复做两到三次,通常人们第二天早晨醒来时都会惊呼太神奇了。究竟发生了什么?其实就是你的本体感觉回路被成功关闭了。尝试这个方法很有意思,而且完全零成本,通常非常管用。当然,如果某些人处于极度焦虑和高压之下,它可能偶尔失效;但这正是我自己在半夜醒来时的标准做法:我通常先去趟洗手间,回到床上后开始做深长呼气,并配合这套眼动练习,接着一觉睡到天亮。它的效果出奇地好。事实上,正因为效果显著,有两个麻省理工学院(MIT)的科学家还基于这项原理创立了一家公司:他们研发了一款睡眠眼罩,通过耳后的小电极来诱导产生这种眼球运动模式。

Original English

Speaker A: And it turns out there's a pattern of eye movement that can shut down the proprioceptive circuits in the cerebellum, make you forget your limb position, and it greatly facilitates the speed at which you fall back asleep. Okay. You're going to close your eyes. Great. You're going to move your eyes slowly to one side underneath your eyelids, then to the other side. Then up, then down. Now you're going to move them counterclockwise in a circleish and then clockwise in a circleish. And now, still with your eyes closed, you're going to kind of point them towards your nostrils. You're not going to cross your eyes, and you're going to do a long exhale. Great. That done two or three times generally has people waking up the next morning and like, wild. What happened? What happened is your proprioceptive circuits are shut down. Now, that's kind of fun to do and you'll see and it costs nothing and it generally works. Some people, if they're really, really stressed, it might not work, but this is what I do if I wake up in the middle of the night. I usually go to the bathroom, get back in bed, do long exhale breathing, and I do that and I wake up the next morning. It really works well. So well, in fact, that there's a company based on work done from two MIT scientists. They have a sleep mask that generates this pattern of eye movements through a little electrode behind the ear. It...

眼动控制与精准睡眠周期的未来

Speaker A: ……就像那样,它能够以恰到好处的模式刺激眼外肌。我自己亲自试过了,戴上后很快就能直接入睡。

Original English

Speaker A: just like and it stimulates the extraocular muscles in just the right patterns. And I tried it and you fall right asleep.

Speaker B: 你在开玩笑吧。

Original English

Speaker B: You're joking.

Speaker A: 没有,是真的。

Original English

Speaker A: No.

Speaker B: 而且它还能监测快速眼动睡眠(REM)?

Original English

Speaker B: And it monitors REM.

Speaker A: 不仅如此。要知道,我们平时通过像 Eight Sleep、Whoop 或者其他设备来监测 REM,都是通过心率和呼吸的变化间接推算的。而这款设备是对 REM 睡眠进行直接监测,这太不可思议了。而且它甚至可以通过控制你的眼球运动,在你需要更多 REM 睡眠时主动诱导更多的 REM。在不久的将来——比如接下来的 12 到 14 个月内,得益于他们以及其他团队正在研发的这类设备,你将能够自主设定:“今晚在总共 6 个小时的睡眠里,我想要 2 个小时的深度睡眠和 2 个小时的 REM 睡眠,因为我的时间不够睡满标准的 8 个小时。”它会在你睡眠期间主动引导并产生那些眼球运动,目的是协助——并非强迫,而是协助并促进——达成这些理想的睡眠模式。

Original English

Speaker A: No, you know, we monitor REM through like an eight sleep or a Whoop or some other device through changes in heart rate and breathing. This is direct monitoring of REM. It's wild. And it can control your eye movements to induce more REM if you want more REM. There will be a time very soon like within the next 12 to 14 months when because of devices like the one they and others are making when you're going to be able to say, you know what, I want 2 hours of deep sleep. I want 2 hours of REM across a 6-hour night because I can't afford to sleep my ration of eight. And you will be generating those eye movements during sleep in order to facilitate, not force, but facilitate those patterns of sleep.

中场广告:B2B 营销与全身健康检测

Speaker B: 在过去的十年里,我一直在创立和投资公司。很多时候,关于营销预算的讨论总是遵循完全相同的模式:预算得到了批准,但随后却看不到成效。大多数情况下,创意文案和产品优惠本身没有任何问题,问题出在目标受众上。广告触达了那些永远不会购买、不会转介绍,也根本没有任何签字审批权的人群。这就是为什么那么多预算被白白浪费了。作为本期播客的赞助商,LinkedIn Ads 能够让你精准定位:按职位名称、资历级别、公司规模、行业、个人技能等等来进行定向。你不再只是寄希望于广告能碰巧被对的人看到,而是能够确切地界定由谁来看到它。在所有主流广告网络中,LinkedIn Ads 带来了最高的 B2B 广告投资回报率。欢迎访问 linkedin.com/diary 尝试一下。如果你在首个推广活动中消费 250 美元,只要通过 linkedin.com/diary 即可获得 250 美元的抵用金用于下一次投放。记得低调使用,适用相关条款与条件。

我想对正在收听和收看节目的企业主们说几句。我非常清楚对每一个决策负全责是什么感觉。我在 21 岁时创立了自己的第一家公司,坦白说,那种压力有时是极其巨大的。这种心理负担往往在暗中对身体造成潜移默化的影响。最近我通过我们的赞助商 Function 做了一些检测,这让我开始反思这种看不见的影响。我发现自己体内的 Omega-3 水平偏低,维生素 D 水平也处于缺乏状态——大概是因为我整天都坐在这个昏暗的房间里。这彻底改变了我今后的日程安排方式:早上起床后,我做的第一件事就是走到户外、在阳光下散步,一方面是为了帮助提升体内的维生素 D 水平,另一方面也是为了重置我的昼夜节律。借助 Function,你可以全面检测你的大脑健康、衰老状况、压力水平等等。他们提供超过 160 项实验室检测,平均每天仅需相当于一美元的费用,同时还享有进阶影像学检查的会员专享价。欢迎前往 functionhealth.com/doac 加入,并使用优惠码 DOAC25 获得 25 美元的抵用金。

Original English

Speaker B: I've spent the last decade building and investing in companies. And so often the conversation around marketing budgets follows the exact same pattern. The budget gets approved, but then the results don't come back. And most of the time, the creative pitch and the offer is fine. The problem lies with the audience. Ads reach people who will never buy or refer, nor do they have the power to sign off anything at all. And this is why so much budget gets wasted. LinkedIn Ads, who are sponsor of this podcast, lets you reach them specifically by job title, seniority, company size, industry, the skills that they have, and much more. You're no longer hoping your ad reaches the right person. Instead, you're defining exactly who sees it. And LinkedIn Ads drives the highest B2B return on ad spend across all major ad networks. Give them a try at linkedin.com/diary. And if you spend $250 on your first campaign, you'll get a $250 credit for your next one just by going to linkedin.com/diary. Keep this to yourself. Terms and conditions apply.

I want to speak to the business owners listening and watching right now. I know what it's like to be personally responsible for every decision. I founded my first company at 21 years old and honestly the pressure can be immense. It's the kind of mental load that takes its toll below the surface. I recently did some tests through our sponsor function which got me thinking about that invisible impact. I found that I had low levels of omega-3s. I had deficient levels of vitamin D probably because I sit inside this dark room all day. And that has totally changed how I construct my day going forward. I get up in the morning and the first thing I now do is I go for a walk outside in the sunshine. in part to help my vitamin D levels increase, but also because it helps to reset my circadian rhythm. With Function, you can check your brain health, your aging, your stress, and so much more. They provide over 160 lab tests for what is equal to a dollar a day and member pricing on advanced imaging. Head to functionhealth.com/doac to join and use code DOAC25 for a $25 credit.

松果体肽与多肽好奇心

Speaker B: 我刚才好像听你说,有一种多肽(peptide)可以改善快速眼动(REM)睡眠?

Original English

Speaker B: Did I hear you say that there's a peptide that can help your REM sleep?

Speaker A: 是的,我和它没有任何利益关联,它叫做松果体肽(pinealon)。我必须说,在我的书里我并没有探讨激素疗法、多肽或迷幻剂。那本书讲的全都是我百分之百确信的内容。而激素、多肽疗法和迷幻剂目前正处于科学的最前沿。我一直非常积极地关注相关研究,并与正在从事这些领域探索的人进行交流。是的,我也涉足并尝试过这些东西,我对它们非常感兴趣。我会在自己身上做实验,作为一个成年人我有权这么做。松果体肽非常引人注目,因为我发现如果每隔两晚服用极微小的剂量——我把这个实验持续了大约一个月——不仅在服用的当晚获得了极其充沛的 REM 睡眠,而且在随后的几个晚上也是如此。我之前在我的播客里采访了阿布德·巴克里医生(Dr. Abud Bakri),在我看来,他是多肽领域知识最渊博的医生。

Original English

Speaker A: Yes, I have no affiliation to to it because um it's called pinealon. I I will tell you in the book I do not talk about hormone therapies, peptides or psychedelics. The book is about what I know for sure. Hormones, peptide therapies and psychedelics are at the front edge right now. I'm very much involved in looking at the research, talking to the people that are doing these things. And yes, I I dabble in these things, right? I'm very interested. I experiment on myself and I'm an adult. I can do that. So, pinealon is very interesting because I found that if I took an itty bitty bit every third night, I tried this experiment for about a month. I got massive amounts of REM sleep that night, but also on subsequent nights. I hosted a Dr. Abud Bakri on my podcast who's in my view is the most knowledgeable physician on the topic of peptides.

Speaker B: 哦,我看过那期节目,内容棒极了。

Original English

Speaker B: Oh, I saw that episode. It's amazing.

Speaker A: 他确实非常厉害。坦白讲,我觉得你们两位要是聊一聊,对话一定会更精彩。但无论如何,他告诉我松果体肽可能具有潜在的作用机制。有一些数据支持使用它来促进松果体本身的健康,也就是松果体器官的实际健康状态。

Original English

Speaker A: He's amazing. And I think you guys would have an even better conversation, frankly. But in any event, he tells me that pinealon is potentially involved. There are some data supporting its use for encouraging pinealy health. So the actual health of the pineal pineal gland.

Speaker B: 对,松果体负责分泌褪黑素,同时它还有其他很多功能。所以我觉得松果体肽是一个非常适合偶尔使用的工具,我并不会经常规律地去用它。既然我们在聊多肽,我确实觉得——我的意思是,我自己算是“多肽好奇者”(peptide curious),你知道的,来自湾区的人总喜欢称自己为“多肽好奇者”[笑声]。我自己还没有尝试过任何 GLP 类药物,但我对极低剂量的替尔泊肽(tirzepatide)或瑞他鲁肽(retatrutide)越来越感到好奇了。

Original English

Speaker B: Yeah. The pineal gland which makes melatonin and it does other things too. So I think pinealon is a great tool to use sporadically. I don't use it regularly. You know as long as we're talking about peptides I do think that there's I mean I'm peptide curious is you know I'm from the Bay Area called peptide [laughter] curious. I have not tried any GLPS yet, but I'm getting curious about very very low dose tepatide or reatrite.

Speaker A: 我也是对多肽很好奇,但我心里挺害怕的。

Original English

Speaker A: I'm peptide curious, but I'm scared.

Speaker B: 是啊。

Original English

Speaker B: Yeah,

Speaker A: 我之所以害怕,是因为……它们绝大多数都需要注射,对吧?

Original English

Speaker A: I'm scared because I don't You've got to inject most of them, right?

Speaker B: 针头其实非常微小细细的一根。嗯……

Original English

Speaker B: It's a tiny little thing, you know. Um,

多肽的基石定位与前沿减肥药

Speaker A: 你对多肽这个大类到底怎么看?这是一个非常庞大的品类,对吧?如今好像天底下所有东西都能被称为多肽了。

Original English

Speaker A: what's your take on peptides as like a c It's a big category, isn't it? Bloody everything seems to be a peptide these days.

Speaker B: 这是我的看法,可能会受到一部分人的赞同,也会遭到另一部分人的反对。但显而易见的是,正如激素疗法、其他任何干预手段或补充剂一样,睡眠、水分补充、阳光照射、规律运动、营养摄入等所有这些底层要素,你一个都不能少。行为层面的工具才是真正的基石。

Original English

Speaker B: Here's my opinion. It will be popular with some people, unpopular with others, but obviously as with hormone therapies or anything else or supplements like sleep, hydration, sunlight, exercises, nutrition, like you need all that stuff. The behavioral tools are the foundation.

Speaker A: 当你建立在扎实的基石之上时,奇迹才会发生。如果缺乏基石,或许也能取得一些成效,但绝不可能持久。然而,若能将这两者结合起来,效果会非常惊人,特别是对那些有经济条件且有探索意愿的人来说。那么关于 GLP 类药物……

Original English

Speaker A: Great things can happen when you build on a foundation. Okay, things can happen when you build on non-foundation, but it doesn't last long. But the combination of the two can be pretty awesome, especially if somebody has the means and the interest. So the GLPS

Speaker B: 嗯。

Original English

Speaker B: Mhm.

Speaker A: 也就是现在那些风靡的减肥药。

Original English

Speaker A: which are the weight loss drugs.

Speaker B: 确实是减重药物。我认为瑞他鲁肽(Retatrutide)非常神奇,它不仅仅作用于 GLP 单一通路,还同时激活胰高血糖素(Glucagon)和 GIP 通路。这就是礼来公司(Eli Lilly)投入数亿美元甚至更多资金进行研发的那款药物,它目前已经完成了三期临床试验。受试者在大约一年左右的时间里平均减掉了约三分之一的体重。

Original English

Speaker B: The weight loss drugs. I think Redat True Tide is amazing. It's not just a GLP. It also hits the glucagon and GIP pathway. This is the one that Lily invested. Eli Lily invested hundreds of millions of dollars if not more into researching and it's went through phase three. People lost onethird approximately of their body weight in about a year or so.

Speaker A: 这对每个人来说都会是一件好事吗?

Original English

Speaker A: Is that a is that a good thing for everybody?

微剂量应用与多肽机制溯源

Speaker B: 并不适合所有人。现在正在发生的情况是……这么说吧,迷幻剂圈子之前经常讨论“微剂量”(microdosing)的概念……

Original English

Speaker B: No. So what's happening is people are Okay. So the psychedelic community talked about micro doing

Speaker A: “微剂量”这个词现在也被引入到了 GLP 领域,人们意识到通过微剂量使用 GLP,他们既可以避开大部分副作用,又能大幅降低用药成本。我必须明确指出,这些目前多为个案奇闻轶事,我在这里并不是在推销或贩卖多肽,我只是坦率地陈述现象。我有一个朋友,她对任何没有完全获得 FDA 批准的东西都持极端怀疑态度,常常说“我根本不想听你那些生物黑客的鬼话”,诸如此类。但她患有慢性疲劳综合征,她曾向我咨询过:“我到底该怎么办?”她看遍了名医,请注意,那些可都是斯坦福大学和加州大学旧金山分校(UCSF)的顶尖医生。她是一个极其聪明且富有思辨能力的人,但她的病情始终卡在那里无法突破。于是她开始每隔 10 天尝试注射一次极低剂量的替尔泊肽。

Original English

Speaker A: that micro doing phrase has been now incorporated into GLPs and people realized they could bypass a lot of the side effects and the cost by micro doing GLPs. These are anecdotes so I want to be clear and I'm not pushing peptides or selling peptides. I say quite comfortably. I have a friend who's very very skeptical about anything that's not fully FDA approved. I don't want to hear about your biohacking nonsense. this kind of thing, but she has chronic fatigue syndrome. And she talked to me about like what can I do? She's seen all these physicians. Mind you, these are physicians at Stanford. These are physicians at UCSF. Like she's and she's a very smart, nuanced person, but she has a wall there. She's started taking a very low, very low dose of tratide once every 10 days.

Speaker B: 替尔泊肽具体是指……

Original English

Speaker B: And trite is

Speaker A: 它是 GLP 类药物的一种。我们也可以讨论司美格鲁肽(Ozempic/Mounjaro),但司美格鲁肽它并不……

Original English

Speaker A: it's one of the GLP drugs. So we could talk about Mjarompic, but it's it's not

Speaker B: 它并不触及 GIP 或胰高血糖素通路。它主要只是提高体内的胰高血糖素样肽(GLP)水平,这种物质既能抑制饥饿感和食欲,同时似乎还能减轻体内炎症。确实,对于那些眼部存在某些特定结构异常的人群来说,存在视力受损的担忧;如果过量服用,也确实存在让人产生情感淡漠(apathy)的担忧。同时大家都知道,对于喜欢饮酒的人来说,它似乎能显著降低对酒精的渴望……

Original English

Speaker B: it's not touching GIP or glucagon. It's mainly just increasing levels of of glucagon like peptide which is this thing that suppresses hunger and appetite but also seems to lower inflammation. Yes, there are concerns about vision loss in people who have certain structural abnormalities of the eye. Yes, there are concerns about apathy if people take too much of them. You know, it seems to reduce alcohol craving for people that like alcohol

Speaker A: 以及更广泛地降低对糖分的渴望。而且如果你摄入的剂量足够大,它甚至能削弱你对几乎所有事物的欲望。

Original English

Speaker A: and sugar craving more generally. And it can reduce craving for everything if you take enough of it.

Speaker B: 是的。请牢记,这些药物将体内的 GLP 水平直接拉升了一千倍甚至更高。整整上千倍以上!在整个人类演化历史上,人体从未见识过如此极高浓度的胰高血糖素样肽。我们要记住,整套药物机制的发现,源于一位聪明的生物学家对希拉毒蜥(Gila monsters)的研究——我认为这种爬行动物奇丑无比,但他大概觉得它们非常美丽——这些毒蜥一年只需要进食几次。这是因为它们体内能产生一种名为 Exendin 的多肽,后来被证实与人类体内的胰高血糖素样肽-1(GLP-1)高度同源。这些爬行动物之所以不需要经常进食,是因为它们体内始终处于饱腹状态。为什么?因为它们血液中循环着极高水平的胰高血糖素样肽,而我们人类体内平时并没有。它的作用机制主要通过两个途径:首先是向大脑中主管饱腹感的中枢发出信号,大幅提升其兴奋活动,从而让你的大脑……

Original English

Speaker B: Yeah. Keep in mind these drugs are ramping up levels of GLP a thousandfold or more. Thousandfold or more. The body has never seen this level of of glucagon like peptide in the history of humans. And remember this whole thing was discovered because a smart biologist was studying why helila monsters, these reptiles that I think are ugly, he probably thinks they're beautiful, only have to eat a couple times a year. It's because they make a peptide called extendin which turns out to be homologous to glucagon like peptide one in humans. The reason these reptiles don't have to eat very often is because they always feel satiated. Why? Because they have very high levels of glucagon like peptide circulating. We don't. And it works through two mechanisms. Tells the brain mechanisms for satiety to ramp up their activity. And so your brain is

多肽微剂量与生长激素促泌剂的体验

Speaker A: ……告诉你,“我其实不太想吃东西”。而且它还会让人产生饱腹感,这也是引发恶心等部分副作用的根源所在。所以她会跟你说:“天哪,我的精力恢复了,我的炎症指标大幅下降了。我虽然没有完全痊愈,但我感觉好多了。”如果你是患者本人,这种切身体验是极难去否认或反驳的。当然,我们也可以探讨安全性、原料来源等等问题。

但不管怎样,人们开始意识到自己可以对这些物质进行微剂量给药(micro-dosing),但你不会看到有随机对照试验去推动这种理念,因为你很清楚,这对商业运作和药企盈利来说是极其不利的,对吧?

Original English

Speaker A: ...telling you, "I don't really want food." And it also makes people feel full, which is the basis of some of the side effects of nausea and other things. So she will tell you, "Oh my god, my energy's back. My inflammation markers are way lower. I'm not cured, but I feel so much better." Very, very hard to dispute that kind of experience if you're the patient. We could talk about safety and sourcing and, you know, etc.

But anyway, so people are starting to realize they can micro-dose stuff, but you won't see randomized control trials that are going to push this kind of notion. You can tell it's terrible for business, right?

Speaker A: 然后还有像用于改善睡眠的松果体素多肽(Pinealon),或者可能用于 DNA 修复的埃皮塔隆(Epitalon)——这个我目前还没尝试过。接着就是所谓的生长激素促泌剂(Growth Hormone Secretagogues)。我们这里谈论的是替莫瑞林(Tesamorelin)、伊帕瑞林(Ipamorelin)、CJC-1295 等等。这些多肽能够促进更多生长激素的释放并改善睡眠。它们会产生负反馈效应,即抑制你自身体内的一部分激素分泌;人们会变得更精瘦一些,声称自己的深度睡眠变好了,而且它们还能提升胰岛素敏感性。

说实话,我尝试过舍莫瑞林(Sermorelin),也试过其中的其他几种。它们彻底摧毁了我的快速眼动睡眠(REM sleep),但给了我大量的深度睡眠。我并不喜欢它们。我试过 Pinealon,偶尔还会用一下,但现在没有在用。

Original English

Speaker A: So then there are things like Pinealon for sleep, Epitalon perhaps for DNA repair — I haven't dabbled with that one yet. And then there are the so-called growth hormone secretagogues. So we're talking about Tesamorelin, Ipamorelin, CJC-1295. These will promote more growth hormone release and sleep. They will have a negative feedback effect where they're going to shut down some of your own production, and people get a bit leaner, and they claim their deep sleep is better, and it can increase insulin sensitivity.

I'll tell you, I've tried Sermorelin. I've tried a few of these other ones. They nuke my REM sleep. They give me a ton of deep sleep. I don't like them. I've tried Pinealon and I'll take it now and again. I don't do it right now.

BPC-157 的组织修复机制与潜在风险

Speaker A: 而 BPC 则是引发所有人热烈讨论的一款多肽,因为身体保护化合物 157(Body Protection Compound-157,简称 BPC-157)本身就是在肠道中产生的。人们声称——而且我认为他们的说法是准确的——他们感觉,请注意我这里的用词,是他们“感觉”自己从损伤中的恢复速度加快了。

我相信他们的说法,因为我花了很多时间研究动物实验数据,无论是跟腱横断伤、神经再生,还是肌腱、韧带再生以及血管生成。是的,从各方面来看,它确实似乎能够加速组织愈合。但潜在的担忧在于,它可能会促使肿瘤血管化(vascularize tumors)。

那么,我现在会去服用它吗?不会,我现在没有任何损伤,没有任何理由去用它。因此,我认为人们不应该泛泛地问“我该不该用多肽”,而是应该问:你究竟试图在生活中达到什么样的改善效果?这样一来,或许 BPC-157 对你是有意义的,或许没有意义。你不会找到太多关于它的临床试验。它的半数致死量(LD50)非常非常高,甚至可以说是无限大,这意味着目前还没有人真正弄清楚多大剂量会致死。但仅仅依据这一点来指导生活并不是一种好方法。你知道,它的属性介于药物和补充剂之间。

Original English

Speaker A: And BPC is the one that gets everybody talking because Body Protection Compound-157 is made in the gut. People claim, and I do think their claims are accurate, that they feel — notice what I said right there — is they feel as if their recovery from injury was accelerated.

And I believe them because I've spent a lot of time with the animal data, whether it's an Achilles tendon transection or nerve regrowth or tendon or ligament regrowth and vascular. Yes, it does seem to accelerate healing across the board. But the concern is you could vascularize tumors.

Now would I take it? No, I don't have an injury right now. I don't have any reason to take it. So I don't think people should say "Should I take peptides?" You should ask what effect in your life are you trying to achieve? Right? And then maybe BPC makes sense, maybe it doesn't. You're not going to find many clinical trials on it. It has a very, very high, maybe infinite, you know, LD50, meaning no one has really figured out how much can kill you. But that's not a good kind of way to run your life. And you know, it's somewhere between a drug and a supplement.

GLP-1 药物的长期安全性与视力争议

Speaker B: 我觉得目前围绕 GLP-1 药物最受关注的担忧或讨论之一就是:它们出现的时间还不够长,以至于我们无法完全了解其在极长生命周期下的长期副作用谱系。这种说法有事实依据吗?

Original English

Speaker B: I think this is one of the concerns or one of the conversations I often hear around GLPs at the moment is that they've just not been around long enough for us to know the side effect profile over a long period of time. Is there any truth to that?

Speaker A: 这么说吧,你是想置身于实验之外,还是参与其中?你是想留在对照组,还是进入实验组?对于患有严重肥胖症的人群而言,替尔泊肽(Tirzepatide)、Mounjaro、Ozempic 以及瑞他鲁肽(Retatrutide)等药物有可能挽救他们的生命。

好的,视力受损确实是一个严重的考量因素。不过我要明确声明,你知道,视觉神经领域是我的本行,我就直话直说。我绝不会含糊其辞,也无意引发任何争端,我和 David 可以就此直接沟通。David Sinclair 最近上了 Joe Rogan 的播客,声称 GLP-1 药物导致的失明案例翻倍了,这让所有人都感到恐慌。

Original English

Speaker A: Well, do you want to be in the experiment or out of the... you want to be in the control group or you want to be in the experimental group? Well, for somebody who has like serious obesity issues, the Tirzepatides and Mounjaros and Ozempics and Retatrutide could potentially save their life.

Okay. Vision loss is a serious consideration. Although, I'll go on record, you know, vision is my home and I'll just be direct. I don't tap dance at all and I'm not trying to start any battles and David and I can talk about it directly. David Sinclair recently went on Rogan and said, you know, the amount of blindness caused by GLPs has doubled, which scared everybody.

Speaker B: 我听过那期播客。

Original English

Speaker B: I heard that.

视神经解剖结构与眼压检查的重要性

Speaker A: 但实际 [BODY_START]

多肽微剂量与生长激素促泌剂的体验

Speaker A: ……告诉你,“我其实不太想吃东西”。而且它还会让人产生饱腹感,这也是引发恶心等部分副作用的根源所在。所以她会跟你说:“天哪,我的精力恢复了,我的炎症指标大幅下降了。我虽然没有完全痊愈,但我感觉好多了。”如果你是患者本人,这种切身体验是极难去否认或反驳的。当然,我们也可以探讨安全性、原料来源等等问题。

但不管怎样,人们开始意识到自己可以对这些物质进行微剂量给药(micro-dosing),但你不会看到有随机对照试验去推动这种理念,因为你很清楚,这对商业运作和药企盈利来说是极其不利的,对吧?

Original English

Speaker A: ...telling you, "I don't really want food." And it also makes people feel full, which is the basis of some of the side effects of nausea and other things. So she will tell you, "Oh my god, my energy's back. My inflammation markers are way lower. I'm not cured, but I feel so much better." Very, very hard to dispute that kind of experience if you're the patient. We could talk about safety and sourcing and, you know, etc.

But anyway, so people are starting to realize they can micro-dose stuff, but you won't see randomized control trials that are going to push this kind of notion. You can tell it's terrible for business, right?

Speaker A: 然后还有像用于改善睡眠的松果体素多肽(Pinealon),或者可能用于 DNA 修复的埃皮塔隆(Epitalon)——这个我目前还没尝试过。接着就是所谓的生长激素促泌剂(Growth Hormone Secretagogues)。我们这里谈论的是替莫瑞林(Tesamorelin)、伊帕瑞林(Ipamorelin)、CJC-1295 等等。这些多肽能够促进更多生长激素的释放并改善睡眠。它们会产生负反馈效应,即抑制你自身体内的一部分激素分泌;人们会变得更精瘦一些,声称自己的深度睡眠变好了,而且它们还能提升胰岛素敏感性。

说实话,我尝试过舍莫瑞林(Sermorelin),也试过其中的其他几种。它们彻底摧毁了我的快速眼动睡眠(REM sleep),但给了我大量的深度睡眠。我并不喜欢它们。我试过 Pinealon,偶尔还会用一下,但现在没有在用。

Original English

Speaker A: So then there are things like Pinealon for sleep, Epitalon perhaps for DNA repair — I haven't dabbled with that one yet. And then there are the so-called growth hormone secretagogues. So we're talking about Tesamorelin, Ipamorelin, CJC-1295. These will promote more growth hormone release and sleep. They will have a negative feedback effect where they're going to shut down some of your own production, and people get a bit leaner, and they claim their deep sleep is better, and it can increase insulin sensitivity.

I'll tell you, I've tried Sermorelin. I've tried a few of these other ones. They nuke my REM sleep. They give me a ton of deep sleep. I don't like them. I've tried Pinealon and I'll take it now and again. I don't do it right now.

BPC-157 的组织修复机制与潜在风险

Speaker A: 而 BPC 则是引发所有人热烈讨论的一款多肽,因为身体保护化合物 157(Body Protection Compound-157,简称 BPC-157)本身就是在肠道中产生的。人们声称——而且我认为他们的说法是准确的——他们感觉,请注意我这里的用词,是他们“感觉”自己从损伤中的恢复速度加快了。

我相信他们的说法,因为我花了很多时间研究动物实验数据,无论是跟腱横断伤、神经再生,还是肌腱、韧带再生以及血管生成。是的,从各方面来看,它确实似乎能够加速组织愈合。但潜在的担忧在于,它可能会促使肿瘤血管化(vascularize tumors)。

那么,我现在会去服用它吗?不会,我现在没有任何损伤,没有任何理由去用它。因此,我认为人们不应该泛泛地问“我该不该用多肽”,而是应该问:你究竟试图在生活中达到什么样的改善效果?这样一来,或许 BPC-157 对你是有意义的,或许没有意义。你不会找到太多关于它的临床试验。它的半数致死量(LD50)非常非常高,甚至可以说是无限大,这意味着目前还没有人真正弄清楚多大剂量会致死。但仅仅依据这一点来指导生活并不是一种好方法。你知道,它的属性介于药物和补充剂之间。

Original English

Speaker A: And BPC is the one that gets everybody talking because Body Protection Compound-157 is made in the gut. People claim, and I do think their claims are accurate, that they feel — notice what I said right there — is they feel as if their recovery from injury was accelerated.

And I believe them because I've spent a lot of time with the animal data, whether it's an Achilles tendon transection or nerve regrowth or tendon or ligament regrowth and vascular. Yes, it does seem to accelerate healing across the board. But the concern is you could vascularize tumors.

Now would I take it? No, I don't have an injury right now. I don't have any reason to take it. So I don't think people should say "Should I take peptides?" You should ask what effect in your life are you trying to achieve? Right? And then maybe BPC makes sense, maybe it doesn't. You're not going to find many clinical trials on it. It has a very, very high, maybe infinite, you know, LD50, meaning no one has really figured out how much can kill you. But that's not a good kind of way to run your life. And you know, it's somewhere between a drug and a supplement.

GLP-1 药物的长期安全性与视力争议

Speaker B: 我觉得目前围绕 GLP-1 药物最受关注的担忧或讨论之一就是:它们出现的时间还不够长,以至于我们无法完全了解其在极长生命周期下的长期副作用谱系。这种说法有事实依据吗?

Original English

Speaker B: I think this is one of the concerns or one of the conversations I often hear around GLPs at the moment is that they've just not been around long enough for us to know the side effect profile over a long period of time. Is there any truth to that?

Speaker A: 这么说吧,你是想置身于实验之外,还是参与其中?你是想留在对照组,还是进入实验组?对于患有严重肥胖症的人群而言,替尔泊肽(Tirzepatide)、Mounjaro、Ozempic 以及瑞他鲁肽(Retatrutide)等药物有可能挽救他们的生命。

好的,视力受损确实是一个严重的考量因素。不过我要明确声明,你知道,视觉神经领域是我的本行,我就直话直说。我绝不会含糊其辞,也无意引发任何争端,我和 David 可以就此直接沟通。David Sinclair 最近上了 Joe Rogan 的播客,声称 GLP-1 药物导致的失明案例翻倍了,这让所有人都感到恐慌。

Original English

Speaker A: Well, do you want to be in the experiment or out of the... you want to be in the control group or you want to be in the experimental group? Well, for somebody who has like serious obesity issues, the Tirzepatides and Mounjaros and Ozempics and Retatrutide could potentially save their life.

Okay. Vision loss is a serious consideration. Although, I'll go on record, you know, vision is my home and I'll just be direct. I don't tap dance at all and I'm not trying to start any battles and David and I can talk about it directly. David Sinclair recently went on Rogan and said, you know, the amount of blindness caused by GLPs has doubled, which scared everybody.

Speaker B: 我听过那期播客。

Original English

Speaker B: I heard that.

视神经解剖结构与眼压检查的重要性

Speaker A: 但事实上,只有在特定一部分眼睛存在结构性异常的人群中,这种情况才会发生。因此,去做眼部扫描是一个非常好的主意。是的,随着这个模型拆解开来……

Original English

Speaker A: But there's a structural abnormality in the eye of a subset of people for whom that's true. And it's a great idea to get your eyes scanned. But yeah, so as the... comes apart.

Speaker B: 好的。

Original English

Speaker B: Yeah.

Speaker A: 天哪,这太有意思了。幸好我只是偶尔来做一次客,因为我每天都在做这方面的研究。光线进入眼睛,外层是角膜,晶状体将光线聚焦到视网膜上——视网膜就像一层衬在眼球后部的派皮状结构。这是一个令人惊叹的结构,大约只有三个细胞层厚,用于捕捉和吸收光线。感光细胞通过光转导过程将光线转化为电信号,这非常奇妙。

接着,这些电信号被向前传递给排列在视网膜内侧的一组细胞,我们称之为视网膜神经节细胞(Retinal Ganglion Cells)。然后它们将自身的轴突(相当于生物电线)通过视神经输出到大脑中。它们沿着大脑底部穿行并进入大脑,包括进入你的昼夜节律生物钟。你由此获得了视觉、获得了睡眠-觉醒节律、获得了受光线调节的激素控制。这简直不可思议。

这些神经轴突离开眼球的位置被称为视神经乳头(Optic Nerve Head)。如果视神经乳头的管道形状和大小恰到好处,轴突能顺利穿出,那很好;如果太大,那不太好;但如果通道太紧,那同样很糟糕,因为那些神经轴突纤维会被挤压夹断。青光眼这种疾病的部分机制正是如此——眼压升高,导致这些轴突坏死,这些细胞凋亡,而青光眼正是全球第二大致盲原因。

因此,在某些存在这种结构性特征或异常的人群中(即神经纤维离开眼球的视神经乳头区域通道狭窄),GLP-1 类药物似乎确实会增加轴突受挤压的风险,并且确实出现过失明病例。但 David 那样说并不合适的地方在于:他目前正在开发一些非常有潜力的前沿工具,用于挽救青光眼患者的视力等等;但与此同时,GLP-1 药物并没有让很多人真正失明。明白吗?说 GLP-1 让人失明,其实就跟说自慰会导致失明一样缺乏事实依据。我并不是在鼓励你去做这两件事中的任何一件,那是你的个人选择。但关键在于,他把大家吓得魂飞魄散(双关语,确实是指视力受损),告诉人们这些药物会致盲。不过,每个人确实都应该去给这个眼部区域做个成像检查。而且这其实非常简单,你可以去找眼科医生(Ophthalmologist)或验光师(Optometrist),要求做一次眼压测试。通常医保会报销,即使自费也绝对物有所值。

Original English

Speaker A: Oh man, this is fun. It's a good thing I only come on here every once in a while because I do this all day every day. So you know, light obviously comes in. You got that cornea on the outside of the eye and the lens focuses the light onto your retina which is this pie crust like structure that lines the back of your eyes. It's an amazing structure you know three cell layers thick catches light absorbs light. The photo receptors turn that into electricity through photo transduction. Amazing.

Then that electricity is cast forward to a set of cells that line the inner part of the retina that we call retinal ganglion cells. And then they send their wires, their so-called axons out the optic nerve into your brain. They course along the bottom of the brain and they enter your brain, including your circadian clock. You get vision, you get sleep-wake rhythms, you get hormone regulation by light. It's just incredible.

Well, where they exit the eye is called the optic nerve head. And if the optic nerve head is a nicely shaped and sized tube for them to exit, great. Too big, that's not good. But too tight's not good either because those wires get pinched off. This is part of what happens in the disease glaucoma which is the eye pressure goes up and those axons die away. These cells die away and it's the second leading cause of blindness in the world.

So in some people who have a structural abnormality, a structural feature of the optic nerve head here where these wires leave the eye, it does seem that the GLPs put them at greater risk for causing some cinching off of those cells and there have been cases of blindness. But the thing that wasn't really cool, David, is this. He is developing some very potentially impressive tools to rescue vision in glaucoma, etc. But meanwhile, GLPs are not making many people go blind. Okay? You know, that's about as true as masturbation is making people go blind. I'm not saying you should do either one. That's your personal choice.

But the point here is that he scared the daylights out of people, pun intended, telling them that they can make you go blind. But everyone should get this area of their eye imaged. And it turns out it's very easy. You can go to your ophthalmologist or optometrist, ask for an eye pressure test. Usually insurance covers it, but definitely worth paying for.

迷幻剂体验、物质现实与主观感知的本质

Speaker B: 刚才聊的是第五个问题。

Original English

Speaker B: That was number five.

Speaker A: 第五个问题,

Original English

Speaker A: Number five.

Speaker B: 我们深入讨论了多肽。

Original English

Speaker B: We got into peptides. Yeah.

Speaker A: 是的,我们完成了一个问题的探讨。

Original English

Speaker A: Yeah. We've done a question.

Speaker A: 幸好我们没聊迷幻剂(Psychedelics)。我们改天再聊那个话题——或者说,我们以后不会公开聊了。我不会在公开场合讨论自己使用迷幻剂的经历。

Original English

Speaker A: Good thing we're not talking about psychedelics. We'll do that another time. We won't do them another time. I don't do psychedelics publicly.

Speaker B: 听我说,我的思想很开放。我体验过 DMT,我完全不介意谈论这个。

Original English

Speaker B: Listen, I'm open-minded. I did DMT. I don't care.

Speaker A: 但肯定不如我们真要是使用迷幻剂时那么思想开放。不,开玩笑的。

Original English

Speaker A: Not as open-minded as you'd be if we do psychedelics. No.

Speaker B: 确实如此。

Original English

Speaker B: True.

Speaker A: 你尝试过 DMT?

Original English

Speaker A: You took DMT?

Speaker B: 是在一个非常遥远且完全合法的国度尝试的。因为你知道,我坐在这里讨论这些事物和迷幻剂,而且我实际上在一间迷幻剂研发公司工作了大约一年时间。那段经历极其令人着迷。

而我之所以被它深深吸引,是因为它在心理健康治疗方面的显著功效,以及伦敦开展的针对裸盖菇素(Psilocybin)、伊博格碱(Ibogaine)和 DMT 疗法的多项研究。我当时就觉得,天哪,那些临床数据真是令人难以置信,我很想了解更多。所以我尝试了裸盖菇素,随后又体验了 DMT,那真的仅仅是……

Original English

Speaker B: ...in a faraway land where it was very legal cuz you know, I sit here and talk about these things and psychedelics. And I actually did work in a psychedelics company for about a year. But it was deeply, deeply fascinating. And the reason I was compelled by it is the efficacy as it relates to mental health and the studies being done out of London around things like, you know, psilocybin and ibogaine and DMT treatments. And I just thought, wow, you know, it's unbelievable some of the clinical data. I'd love to learn more. So I did a psilocybin and then I did DMT and it was really just...

Speaker A: 我从来没用过 DMT。

Original English

Speaker A: I've not done DMT.

Speaker B: 你从来没尝试过 DMT?

Original English

Speaker B: You've never done DMT?

Speaker A: 没有,从来没有。我接受过临床环境下的 MDMA 和裸盖菇素治疗。我觉得我已经不需要再做了。并不是因为我有过什么糟糕的体验,而是我已经从中获得了我想要的启发,而且我觉得它对我产生了巨大的益处。

Original English

Speaker A: No. No. I've done clinical MDMA and psilocybin. I think I'm done with that. Not because I had a negative experience, but I got what I wanted out of it and I found it to be immensely beneficial.

Speaker B: 配合全程的心理治疗——进入前的疗愈准备、体验过程中的引导、以及随后的心理整合治疗,结合 MDMA 与裸盖菇素。

Original English

Speaker B: The combination of therapy going in, therapy during, and therapy coming out of combination MDMA, psilocybin.

Speaker B: 你知道是什么让我对宗教产生了大量的思考吗?

Original English

Speaker B: Do you know what it... it's one of the things that made me think a lot about religion?

Speaker A: 嗯哼。

Original English

Speaker A: Mhm.

Speaker B: 正是经历 DMT 的体验——在那种状态下,我的所见所感就其生动程度和真实感而言,与眼前的这个现实世界完全无法区分。这让我陷入了沉思:仅仅吸入一小口烟雾气体,就能够彻底颠覆并重塑我的物质现实感知。

因此我得出结论:我们所谓的物质现实,从字面意义上讲,其实就是微量化学分子未受干扰时的稳定状态。如果我的逻辑有漏洞,请指正我——现实难道不就是由未受干扰的化学信号所维系的吗?这在逻辑上讲得通吗?

Original English

Speaker B: ...was having a DMT experience where what I experienced felt indistinguishable from this reality in terms of the vividness and the realness of it, and me just pondering this concept that a tiny little inhale of smoke could completely change my material reality. So therefore I concluded that my material reality is literally — but I mean tell me if my logic's wrong — is a small amount of chemicals being uninterrupted. Does that make logical sense?

Speaker A: 没错。其实我对这个问题的思考也极其深入。看来我们今天确实要好好聊聊迷幻剂、现实与宗教了。(笑声)

关于这一点,我想先作几点简短的陈述。你对此很着迷,我也非常愿意听你多谈谈你的感受。但我个人倾向于以一种非轻视、严谨的方式从以下几个维度来理解它:绝大部分的生物学本质其实就是……

Original English

Speaker A: Yeah. So I think about this way too much. I guess we are going to talk about psychedelics, [laughter] reality, and religion. Couple short statements about this. You're... I fascinated by this. I'd love to hear you talk more about it. But here are a couple ways that I think about it in a non-dismissive way. Most all of biology is just...

大脑的化学机制与理性的边界

Andrew Huberman: 这归根结底都是被高度区隔化的化学反应。因此,无论是否是神经回路中流淌的电信号在驱动诸如坚毅的品质或是学习过程,你实际上都只是在以特定的方式引导这些化学反应。我这么说并不是要贬低其重要性,而是一种理解它的思维视角。改变大脑功能、行为以及化学状态的方式主要有两种:一种是机械性的——我可以改变呼吸方式,可以去做按摩,对吧?我甚至可以用刀戳自己一下。也就是说,存在着能够改变我们生理状态的机械性外力。

Original English

Andrew Huberman: Compartmentalized chemistry. So whether or not it's the flow of electricity along neural circuits to generate tenacity, for instance, or learning, you're just guiding chemistry in particular ways. Okay, that's not a way to trivialize it. It's kind of a way to think about it. There are two ways that you can change brain function, behavior, and chemistry. One is mechanical. I can breathe differently. I can get a massage, right? I could poke myself with a knife. Okay? So, there are mechanical forces that change our physiology.

Andrew Huberman: 另一种则是化学层面的作用力,包括药理学手段、我们摄入的食物,以及我们体内自身存在的化学物质,例如血清素等。归根结底其实就只有这些,并没有其他途径。从很多角度来看,你说的完全没错:它就是被区隔化的化学反应,而机械力与其他化学物质正是调控这些化学反应的杠杆。我认为有时以这种方式来梳理思路是很有帮助的,因为你会意识到,所谓的应激反应,本质上也就是特定部位发生的一连串化学反应而已。

Original English

Andrew Huberman: And then there are chemical forces, pharmacology, things we eat, and chemicals within us, serotonin, etc. That's really it. There's no other thing. In many ways, you're absolutely right. It's compartmentalized chemistry and mechanics and other chemicals are what control that chemistry. And I think organizing one's thoughts sometimes in that way can be helpful because you realize the stress response is really just a bunch of chemicals happening in certain places and so on.

Andrew Huberman: 不过就我个人而言,那些超出人类生物学生理认知范畴的事物令我深感着迷。也许像 DMT 这样的物质能让我们触及它们,也许仅仅通过祈祷或信仰就能让我们与之相连。这种体会源于我作为一名神经科学家的专业认知,也源于我作为一个已经活了五十多年的人的人生阅历:我们的生理机制与心理机制——不妨把它们视作一体——在完成某些特定任务时确实极其出色,但同样存在某些事物是彻底超出我们身心能力的边界之外的。如果我们强求用自己的心理和生理系统去满足那些它们根本无法承载的东西,我们就会错失生命中大量潜在的意义。

Original English

Andrew Huberman: I personally am intrigued about the idea of things outside of our conscious understanding in biology that maybe things like DMT give us access to or maybe just prayer gives us access to or faith gives us access to. And it comes from my recognition both as a neuroscientist and just a human who's been alive for 50 years and some change that our biology and psychology, let's mold those together, are extraordinarily good at accomplishing certain things. But there are certain things that are outside the abilities of our psychology and biology. And if we are asking our psychology and biology to satisfy something that our psychology and biology simply cannot satisfy, we're going to miss out on a lot of potential meaning in life.

信仰、谦卑与掌控欲的解脱

Andrew Huberman: 直白地说,当我真正决定敞开心扉接纳信仰、接纳上帝存在的这一概念时——也就是承认存在着超出人类理解力却又极具指引力量的外在存在——一切都开始变得更好了。它彻底卸下了我试图在内外掌控一切的沉重包袱。这不仅让我好奇,更让我由衷折服:一种存在于我们自身之外的力量——有人称之为上帝,有人称之为宇宙,有人可能认为是耶稣,也有人认为是别的什么——可能确实在我们如何行事、如何变好之中蕴含着某种力量。如果在我们体内、或者某些人心中早已被植入了这样一种对未知之物的探寻,而一旦我们接纳它就能让我们作为一个物种走向更美好的境地,这难道不是很奇妙吗?为什么我们会认为像 AI 这样的技术能做到这一点?AI 确实非常强大,但我们为什么会理所当然地认为拯救会来自计算机?那不过是我们自己制造的产物,对吧?我们凭什么认为答案会来自仅凭人类自身就能完成的事情?对我而言,接纳上帝的概念并抱持信仰——顺便说一句,信仰本质上也包含着困惑与怀疑,但依然去坚持践行、坚持祈祷——不仅在理解上帝与宇宙的层面,而且在理解人类大脑本身上,都是我所经历过最令人释怀、最具启迪性的事情。

Original English

Andrew Huberman: And what I to be very direct about it like at the point where I decide to really embrace the idea of faith of a god, right? That there are powers outside of human understanding that can be very useful, everything got better. It relieved me of the pressure to control everything internally and externally. And I find it not just intriguing, but absolutely captivating that a force outside of us, some people call it God, the universe, right? Some people might think it's Jesus. Some people might think it's something else might actually hold some power in how we could potentially behave, be better. Wouldn't it be wonderful if there's this thing planted in us or some of us, which is a question about things outside of us that if we were to embrace could allow us to get to a better place as a species? Why would we think that a technology like AI would do that? AI is wonderful, but why would we think that it would come from computers? That's of us, right? Why would we think it would come from anything that humans and only humans could do? To me, embracing the notion of a God and having faith, which by the way is about having doubt, but still doing the things, the practices, prayer is like to me one of the most liberating and educating thing not just about stuff of God in the universe, but about the human brain.

Speaker B: 好,我有几个问题想问。

Original English

Speaker B: Okay, I've got some questions.

Andrew Huberman: 是的,我的意思是我们本来就不该独自解决所有问题。

Original English

Andrew Huberman: Yeah, I mean it's like we're not meant to solve this on our own.

Speaker B: 你相信上帝吗?

Original English

Speaker B: Do you believe in God?

Andrew Huberman: 毫不怀疑。

Original English

Andrew Huberman: Absolutely.

Speaker B: 上帝是什么时候进入你的生活的?

Original English

Speaker B: When did God come into your life?

从脑外科手术到量子力学的隐喻

Andrew Huberman: 很早的时候,但我以前非常擅长压抑这种真实感。比如我过去只敢在私下里默默祈祷,把这一切隐藏起来,而且并不只是在遇到困难时才祈祷。后来,我想是因为我经历得足够多,见证了足够多的苦难。我们在之前的播客中聊过一部分,我在书里也写过一点,但我不仅在自己的生活中目睹这些,也在外界看到了太多。我逐渐意识到——尤其是当你亲手接触过足够多的大脑之后。当你看到我的好友埃迪·张(Eddie Chang)在病人处于清醒状态下进行脑部信号记录,成功切除肿瘤并拯救那条生命;同时你也意识到不同脑区确实在控制着各种机能,因为当它们受到电刺激时,病人的感受和反应会呈现出特定模式。这时你会明白,我们的大脑绝不仅仅是一团由蛋白质构成的血肉组织,背后还有别的东西在运作。但我并不确定这一切是否全来自于我们自身,这有点难以用语言解释清楚。

Original English

Andrew Huberman: Very early, but I was very good at suppressing the notion that it was real. Like I would pray in private. I would hide it and not just in bad times. And then I think I lived enough and observed enough hardship. We've talked about some of this on a previous podcast. I talk a little bit about that in the book, but I observed it out there, too, not just in my own life that I started to realize, especially if you stick your hands in enough brains. And you see my good friend Eddie Chang record from the brain of a awake human and remove a tumor and save that person's life. And you also realize that brain areas are controlling things because when they're stimulated, that person feels and responds in a certain way. You realize that we're not all meat and potatoes in there. There's something else. But I'm not sure that it all comes from us. It's sort of hard to explain.

Andrew Huberman: 我能找到的最佳表达方式来自于我曾邀请我父亲上播客的那次交流。我和父亲多年来关系一直有些磕绊,但现在我们的关系非常好。他今年 83 岁,依然精力充沛,热爱思考,潜心研究量子计算。他本身就是一位理论物理学家,对吧?当时我请他解释一下量子力学,我说:“爸,向我的听众讲讲相对论是如何运作的吧。”他曾做过混沌理论的研究,于是我又说:“给我们讲讲混沌理论吧。”他说:“我可以讲,但你必须明白,理解量子力学最重要的一点在于,你很早就被告知并学会接受:人类大脑无法单纯凭借逻辑和常规的人类认知去彻底理解量子力学,你必须依赖数学。”他还说,任何大谈量子场却拿不出数学公式、做不出证明的人,都是在说谎。每当听到有人把“量子这个、量子那个”挂在嘴边——这种情况在冥想社群中尤为常见,其他圈子里也屡见不鲜——他都很无奈。他说:“人们随口乱用这个词,但实际上极少有人真正理解量子生物学。他们的推论看似有逻辑,但逻辑中存在断层,因为数学上根本站不住脚。”

Original English

Andrew Huberman: The best way I kind of wriggle out of this is that I brought my dad on my podcast. My dad and I for many years had a choppy relationship. We have a great relationship now. He's 83 years old. He's super vigorous. He loves ideas. He's into quantum, you know, quantum computing. And he he's a theoretical physicist, right? And I asked him to explain quantum mechanics. I go, "Okay, like tell my audience how relativity works." He worked on chaos theory. Okay, tell us how chaos works. And he said, "I'll do that, but you have to understand that one of the most important things about understanding quantum mechanics is that early on you are told and you learn that the human brain can't wrap its head around quantum mechanics with logic, with human understanding. You have to rely on the math." And he says anyone who talks about the quantum field who can't show you the math, can't show you the proofs, is lying. He loves it when people are like, "Oh, the quantum this and the quantum that is often is in like the meditative communities, but others too." And he goes, "People throw this word around because very few people actually understand quantum biology. There's gaps in there's some logic, but there's gaps in their logic that the math doesn't line up with."

Speaker B: 因为数学是不会说谎的。

Original English

Speaker B: And the math doesn't lie.

祈祷的实践与感知的神经可塑性

Andrew Huberman: 所以正如他所言,当我们探讨上帝时,他说如果你想要信仰某种更高的力量或上帝,在某个节点上你就必须放弃那种试图通过线性逻辑从 A 推导到 B 再到 C 的思维定式;在量子力学中也是同理。但在量子力学的基础上,你却可以在现实世界中建造出实实在在的工程产物,比如红绿灯或者火箭。

Original English

Andrew Huberman: So what he was saying and we were having a discussion about God and he said yeah at some point if you're going to have faith in a higher power God you have to depart this notion that your logical brain can go from A to B to C and boom you're there but in quantum mechanics it's the same thing but on the basis of quantum mechanics you can build stuff you can engineer stuff in the real world like that red light or a rocket.

Speaker B: 你的意思是你并不能洞悉所有这些奥秘?

Original English

Speaker B: Are you saying but you don't know all of this?

Andrew Huberman: 没有任何数学公式可以用来证明我所说的上帝的存在。确实没有数学证明,而且为这件事情苦苦纠结也毫无意义。我认为真正值得全力以赴、并且蕴含着无尽之美的事情,是全身心地投入到祈祷的实践中去,去直面内心的叩问,试着把自己的信念之窗哪怕只敞开片刻,对自己说:“也许我可以先尝试相信上帝 10 秒钟。”

Original English

Andrew Huberman: There's no math to prove this thing that I call my the existence of God. There's no math and it's not worth torturing yourself over. What I believe is worth torturing yourself over, and there's also great beauty in there, is embracing the practice of prayer, embracing the questions and like opening the aperture of your beliefs just for a moment going maybe I'm going to just believe in God for 10 seconds.

Andrew Huberman: 去体验一下那究竟是怎样的感受。随后,我便开始感受到了美好,体会到了那种不再试图去掌控那些显然超出我控制范围之事时的内心平和——无论是我内在的情绪,还是外界他人身上的事情。我也真正开始见证那些我只能称之为“奇迹”的经历。所谓奇迹,是指当我对某件方向不明的事情祈祷、寻求指引时,两三天后总会发生一些看似完全不相干的事情,而答案恰恰就蕴藏其中。自那之后,我便彻底坚定了这一习惯。我对自己说:听着,只要我真心想做,我就是一个极具自律性的人。我决定每晚睡前都要祈祷;如果中途睡着了,只要半夜醒来,我也会下床把祈祷补上。近三年来,我从未间断过任何一个夜晚。

Original English

Andrew Huberman: See what that's like. And I started to experience beauty and experience peace around not trying to control things that obviously were not under my control, not just within me, but in other people. And I really started to see what I could only describe as miracles. And by miracles, I mean I would pray for some indication of what the right path might be on something where it wasn't clear to me. And then two or three days later something would happen which would like seem almost completely unrelated and the answer would come in that thing. And then I just locked in. I'm like listen I'm a disciplined guy when I really want to be. I'm going to pray every night before I go to sleep. If I fall asleep I'll get out of bed and pray when I if I wake up in the middle of the night. I've not missed a night in nearly 3 years.

Andrew Huberman: 最近我受邀前往斯坦福大学,与亚瑟·布鲁克斯(Arthur Brooks)共同做了一场演讲。他是一位终身天主教徒,每天早晨都会去做弥撒。你看,我和他在对上帝和宗教的体验上有着截然不同的背景——我成长于一个多元宗教背景的家庭。我坐在台上坦诚地告诉大家:“听着,我可以肯定地告诉你们,在这个房间里,我对神学的知识与造诣绝对是最浅薄的。但我能与你们分享的,是我在祈祷中的切身体验;我能告诉你们的,是当我向信仰敞开胸怀时,在自己身上观察到的真实变化。”我之所以去做那场演讲,是因为斯坦福大学的前神经科学系主任曾写信建议我:“我认为你应该考虑去和这个群体交流一下。”这位前系主任在神经科学史上曾完成过一系列至关重要的开创性实验,成功将神经元活动与主观感知直接联系在一起。他切实证明了:只要刺激特定的脑区,无论外界物理世界正在发生什么,人们都会产生完全确定的某种主观感知。

Original English

Andrew Huberman: I was recently invited up to Stanford to give a talk with Arthur Brooks who's a lifetime Catholic. He's in mass every morning. You know, he and I have very different experiences of God and religion. My family was mixed religion. I got to sit up there and just say, "Listen, I'm gonna tell you that I for sure am the person who's least knowledgeable, least versed in this room. But what I can tell you is my experience with prayer. What I can tell you is what I've observed in myself when I open the aperture for faith." The reason I did that talk is because our former director of neurosciences at Stanford had written to me and said, "I think you should consider talking to this group." And he did some of the most important experiments in the history of neuroscience linking neuronal activity to perception. He really showed that if you stimulate certain brain areas, people perceive things a certain way regardless of what's happening out in the world.

Speaker B: 嗯。

Original English

Speaker B: Mhm.

Andrew Huberman: 举个例子,我此刻就能通过激活特定的大脑区域,然后给你们播放一段无数光点正在向上移动的影片,在场的每一个人都会坚信……

Original English

Andrew Huberman: Like there's a brain area I could trigger right now and I could show you a movie of a bunch of dots moving up and everyone here would be like, "They're

大脑中的现实建构与感官局限

Andrew Huberman: ……在向上移动。”如果我刺激你大脑中特定的神经元,你就会说:“它们在向下移动。”这真的很不可思议。然后我把刺激关掉,你又会说:“哦,是的,它们当然是在向上移动。”

你对世界的理解,本质上是在颅骨内部发生的一种抽象建构。它是建立在各种物理信号的基础之上的:穿过眼睛的光子、撞击耳朵的声波、接触皮肤的机械力,以及进入鼻孔和口腔的化学物质。然后,你在大脑内部创造并抽象出这个现实。

现在,物理学定律决定了这些物理媒介的属性——比如光子具有某些特性,声波具有某些特性。这些物理刺激被转换并转化为了神经信号。随后,你以足够精确的程度对世界进行抽象,使我能够伸手拿起这支笔……

Original English

Andrew Huberman: ...moving up." And if I tickled the right neuron in your brain, you'd say, "They're going down." And like that's wild. Then I turn it off and you say, "Oh yeah, of course they're going up."

Your understanding of the world is an abstraction that occurs inside your skull on the basis of photons that come in through your eyes, sound waves that hit your ears, mechanical forces that hit your skin, and chemicals that go in your nostrils and in your mouth. And then you create your abstract reality in here.

Now, the laws of physics dictate how those things like photons have properties, sound waves have properties, and those are converted, they're transformed into signals. But then you abstract the world with enough accuracies that I can pick up this pen...

Stephen Bartlett: 好。

Original English

Stephen Bartlett: >> Okay,

Andrew Huberman: ……并且不会抓空,至少目前是这样。

所以,如果你以这种方式理解神经科学,然后你会意识到:我们在这个房间里看不到红外线,是因为我们没有对应的传感器……

Original English

Andrew Huberman: ...and not miss it, at least for now. So if you understand neuroscience that way, and then you go, we don't see infrared in this room because we don't have the sensors,

Stephen Bartlett: 但蝮蛇却拥有这种传感器。

Original English

Stephen Bartlett: >> But a pit viper does.

信仰:感知未知维度的“红外眼镜”

Andrew Huberman: 这是否意味着上帝存在?不,并不必然如此。单凭这一点并不能证明上帝的存在。但它确实证明了:我们只能接触到世界上那些我们体内具备相应过滤器去提取的物理事件。这其实是一种委婉的说法,意思就是“你看不见它,仅仅是因为你缺乏看见它的能力”。

Original English

Andrew Huberman: Does that mean that there's a God? No, not necessarily. That alone doesn't prove that. But what it does prove is that we only have access to the physical events in the world that we have the filters within us to extract, which is a kind of mealymouthed way of saying you can't see it cuz you can't see it.

Stephen Bartlett: 因为你没有对应的传感器。你可以戴上红外夜视镜,然后你就能看到了。但那是技术层面的东西。我认为人类永远不会拥有所谓的“上帝夜视镜”。如果说有某种情感层面的透镜,那它来自于我们称之为“信仰”的东西。

信仰就像是人类理解自身为何存在于此的“红外眼镜”。对很多人来说,挑战在于我感觉人群大致可以分为三类——或者至少有这三类:

第一类人是曾经被以一种糟糕的方式强行灌输宗教,因此他们对其深恶痛绝。 第二类人是他们从未以一种能温柔吸引他们的方式接触过信仰,更像是有人强行敲他们家的门,让他们觉得是一种骚扰。如果传教是以友善且细腻的方式进行,我并不反对传教。 第三类人则是绝对确信信仰不可能存在,我把这看作是一种精神上的“厌食症”。

Original English

Stephen Bartlett: >> You don't have the sensors. You can throw on infrared goggles and then you can see it. But that's a technology there. I don't think there will ever be the God goggles. The emotional goggles so to speak come from this thing that we call faith.

Faith is the infrared goggles of human understanding about why we're here. And the challenge for people is I feel like people come in three categories, they either, at least three:

They either had religion forced on them in a bad way so they hate it. They never had access to it in a way that made them gently pulled toward it, or you know, it was like people knocking on their door, it felt like a disturbance. And I'm not against proselytizing if it's done kindly and delicately. Or they are absolutely convinced that it can't be, which I look at as sort of a spiritual anorexia.

渴求与真实:神经回路背后的神圣体验

Andrew Huberman: 你知道,大脑中存在某些区域,当受到电刺激时,人们会产生体验到上帝的感觉——不是感觉自己变成了上帝,而是感受到了上帝的存在。你之前也提到过这个概念。于是有人就会说:“噢,看吧,大脑里存在一个所谓的‘上帝区域’,那仅仅是一个大脑区域而已,全都是脑神经回路的作用,所以上帝不可能存在。”

但我们大脑中本来就存在各种功能的特定区域。阿瑟(Arthur)对此的阐述比我能说的要雄辩得多:大脑中存在负责产生口渴感(thirst)的区域,从哲学的角度来看——再次说明,这是他的观点而非我原创——这恰恰证明了“水”的存在。口渴的存在证明了水是真实存在的。

同样地,我体内也存在一种渴求的回路,去寻求对生命以及生命之后可能存在之物的理解。在那种渴求之中,我决定向这样一种可能性敞开视野:那个源头、那个刺激物、那杯“水”、那些“光子”,是我无法单纯通过逻辑思考、肉眼或耳朵直接提取的。

就像我的父亲无法仅靠苦思冥想去完全理解量子力学一样——你必须去进行严谨的数学推导。我在这里的论证确实存在跳跃和漏洞,这并不是一个完美的严格一一对应推论,但是,老兄,拥有信仰之后生活真的变得美好了太多。

我认为焦虑在我们体内停留不了多久。如果我们感到焦虑,就去祈祷:“上帝啊,请帮我消除这份焦虑。”这并不是在要求“请替我把事情做了”,而是在祈祷“请赐予我力量,让我今天能去做正确的事;请赐予我精力,让我能去服务他人”。

Original English

Andrew Huberman: You know, there are regions of the brain that when stimulated, people get the experience of God—not as themselves, but they feel it. You had this idea. And so people have said, "Oh, well then there's a God region of the brain, and it's just a brain region. That can't be."

But we have brain regions. Arthur says this much more eloquently than I could: There are brain regions for thirst, which in the philosophical way—again, this is coming from him, not me—would say, well, that proves the existence of water. The thirst proves the existence of water, right?

So I have a thirst circuit for gaining understanding of this thing that we call life and whatever comes after it. And in that thirst, I decided to open the aperture to the idea that the thing, the stimulus, the water, the photons, I'm not able to extract that through thought, through my eyes, through my ears.

Just like my dad couldn't come to understand quantum mechanics by thinking really hard about it—you have to do the math. And there are gaps in my reasoning here. Like it's not a perfect one-to-one, but also life's just so much better, man.

I don't think anxiety sticks in us very long. If we're feeling anxious, we pray: "God, please help me remove this." It's not "do this for me." It's "help put energy in me to do the right things today. Put energy in me to serve people."

放下自我与敬畏神秘

Andrew Huberman: 我在走进这个录播室之前就做了祈祷。

Original English

Andrew Huberman: I prayed before I came in here.

Stephen Bartlett: 我在每一位播客嘉宾或主持人到来之前,都会跪下来祈祷。

Original English

Stephen Bartlett: >> I get on my knees before every podcast guest or host and I pray.

Andrew Huberman: 我做了祈祷。我祈祷的内容只是说:“请帮助我把我的自我(ego)移出这个房间。”我们每个人都有自我。“请帮助我放下自我。我由衷希望听众能够学到有用的信息,希望这些信息能切实帮助到他们,并希望他们能将这些有益的知识传播开来。请务必让我保持谦逊,帮助我努力追求表达的清晰。”

我当时还祈祷说:“请帮助史蒂芬和我共同做出一些我们未曾预料到会发生的事情,但那是您希望发生、而我们尚且无法参透的事情。”也许此时此刻这段对话正是那未曾预料的部分,对吧?[笑声]

你看,我并不知道全貌。而重点恰恰就在于——我们并不需要全知全能。作为一名热爱生物机制、细胞、神经回路和神经调控因子的科学家,拥有生命中这样一部分能够纯粹去探索的未知,是非常充实而丰盈的。我喜欢未解之谜。科学的核心在于探索奥秘、破解奥秘,但科学同时也在于对奥秘本身怀抱敬畏之心。

老兄,我是全心投入(all-in)的。我是说,我的这种“全心投入”与其他人口中所谈论的全然投入可能有所不同。我不会在道德层面上对他人指手画脚、指教别人该怎么做。我真的只是在努力探索并走好我自己的道路。但这确实是发生在我身上最美好的事情之一。它让人感到无比释怀和自由。生活依然充满了诸多艰难,但我由衷热爱它。

Original English

Andrew Huberman: I prayed. I just said, "Please help me move my ego out of the room." We all have an ego. "Help me move my ego out of the room. I would hope that people could learn useful information that might help them and that they would propagate that information. Please make sure that I maintain humility, help me strive for clarity." And I also said, "And help Stephen and I do something that we're not predicting that would happen, but you want us to happen that we don't understand." And maybe that's this part of the conversation, [laughter] right?

Like, you know, I don't know. And the point is not to know. It's also fun as a scientist who loves mechanisms and cells and circuits and neuromodulators, and it's enriching to have a part of life that I can just explore in. I like mysteries. Science is about mysteries and it's about solving mysteries, but it's also about being in awe of the mystery.

And I'm all-in, man. I mean, I'm different all-in than other people talk about being all-in, and I don't tell people what to do morally. I'm really just trying to navigate my own path. But it is like one of the best things that ever happened to me. It's so liberating, and life is still plenty hard. But I love it.

从孤岛走向超越:人类对更高意义的锚定

Stephen Bartlett: 这似乎成了很多人现在都在寻求的一种解药,尤其是基于我们在过去几十年里构建生活方式的途径:某种极端的个人主义、普遍的孤独感,还有我说不清的虚无主义,那种凡事“以我为中心”、过度追求物质成功的倾向,甚至可以说是沉迷社交媒体、竭力获取尽可能多关注者的低级自恋。我们渐渐都活成了一座座孤岛。

我最近一直在深入思考关于上帝和生命意义的这一议题。因为在我看来,人类生来就注定需要被锚定在某些事物之上:首先是我们自己和我们的家庭,然后是我们的社区,接着可能是我们的城市,再然后是我们的国家,进而延伸到整个地球,最后则是超越这一切之上的某种更高维度的存在。

Original English

Stephen Bartlett: >> It seems to be an antidote that a lot of people are reaching for now based on the way that we've kind of designed our lives over the last couple of decades. The sort of individualism, the loneliness, the—I don't know—nihilism, the "me me", the material success, the, you could say like low-level narcissism of being on social media and trying to get as many followers as you can. And we've become islands.

And I've been thinking a lot about this idea of like God and meaning because it does appear to me that we are meant to be like anchored to, you know, ourselves and our family, and then like, I don't know, our community, and then maybe our city, and then maybe our country, and then maybe the planet, and then something above.

Andrew Huberman: 我的意思是,你是一个很有抱负的人。不妨把格局放得更大一些,老兄。我不是在试图向你强推……

Original English

Andrew Huberman: >> I mean, you're an ambitious guy. Go bigger, man. I'm not trying to push you like...

Stephen Bartlett: 不,不,请继续讲。

Original English

Stephen Bartlett: No, no, please.

动物本能与崇高升华:敬畏感的神经科学

Andrew Huberman: 格局更大一些。最宏大的存在在于:宇宙中存在着一种超越人类的非人力量,这种力量渴望良善与美好,能够彰显极致的完美。而你和我——如果允许我这么说的话——正是凭借着身而为人的本质,凭借着我们体内具备的神经回路而得以与之连接。

我的意思是,那些著名的脑科学研究表明,当人们有机会刺激自己大脑的不同区域时——你知道人们最喜欢频繁刺激的区域是哪里吗?是产生挫败感和愤怒情绪的兴奋区域。当我看到那个实验结果时,心想:“天哪,这真令人失望。为什么他们不选择刺激带来美感、愉悦感甚至微醺感的区域呢?”虽然研究人员也发现了那些快乐区域,但受试者对那些区域的兴趣反而没那么大。

这是否意味着我们本质上是坏的?不,我们并不坏。我们的大脑天生就被植入了动物性的原始部分,同时也配备了具有意识和深思熟虑的高级脑区。

要实现作为人的升华(ascend),需要付出大量的努力。我知道“升华”这个词在现在的颜值塑造(looksmaxing)圈子里被滥用了,但作为一个人,要升华到一种你能以自控、深思熟虑且平静祥和的方式对待自己及人生追求的境界,并努力向世界注入良善、关怀他人,并且带着更少的内耗去实现这一切——根据我的亲身经验,这种境界恰恰源于不再试图去掌控每件事、每个过程的方方面面。不知为何,一旦你学会放下掌控,一切运转反而会变得顺畅得多。

所以,有些人可能会说:“噢,他肯定是彻底被洗脑了。”对此我只能说:我不知道别人怎么看,但在我看来,这种对更高维度的感知其实从一开始就在我的血管里流淌。是的,我曾研究过许多科学课题——压力、视觉等等;但我也花了很长时间研究神经发育学。你看,精子与卵子结合,细胞开始分裂,最终孕育出一个鲜活的人类。

是的,我们确实理解生物学中的诱导因子。我也讲授发育机器人学、细胞迁移、轴突导向、中胚层和外胚层分化等等。这很棒,高度精细的区室化化学反应确实能够构建出一个人类。但在我们的科学认知中依然存在着巨大的空白,在这一极其精密的生命编排之中,存在着某种超越现有科学所能开始理解的魔法。这简直称得上是叹为观止的奇迹。

而且,谁不希望自己的生活中拥有更多的敬畏感呢?就像伯克利的达塞尔·凯尔特纳博士(Dr. Dacher Keltner)所说,他是研究“敬畏”领域的顶尖权威。他说过,敬畏感发生在你的注意力视角从极小光圈切换到极大光圈、或者从极大光圈切换到极小光圈的瞬间。这种视角的剧烈转换会引发强烈的敬畏感。在声音环境中你也能体会到这种感觉。

比如,当你从喧嚣的街道走进来,走进斯坦福大学那座令人难以置信的宏伟教堂——纪念教堂(Memorial Church)美得令人屏息,里面陈设着巨大的管风琴。当你踏入其中的那一刻,整个人都会发生改变。这不仅仅是因为……

Original English

Andrew Huberman: >> Bigger. The biggest thing is that there is a nonhuman force in the universe that wants goodness and can exemplify perfection. And you and I, if I may, by virtue of being human, by virtue of having circuits that—I mean, the famous studies like people get to stimulate different areas of their brain, you know the area that people like to stimulate a lot? The area that generates frustration and anger, that arousal. I saw that result and I was like, oh man, that's disappointing. Why not beauty, giddiness, or even feelings of being drunk? Though they found that too, but they were not as interested in that.

You know, are we bad? No, we're not bad. We are wired with an animal part of our brain, and we are wired with a conscious, thoughtful part of our brain.

And it's a lot of work to ascend. I know that word is like in the looksmaxing thing now, but to ascend as a human to a place where you're living in a controlled and thoughtful and peaceful way with yourself and with your pursuits, and you're striving to put goodness in the world and take care of people, and to do that with a little less friction. I know from experience that comes from trying not to control every aspect of every process, and somehow everything just goes much better.

So, you know, people will be like, "Oh, he really drank the Kool-Aid." Like, I don't know. I actually think that this was pumping in my veins from go. Yes, I worked on a lot of topics—stress, vision, etc. But I studied neural development for a long time, and you know, sperm meets egg and cells start dividing and you get a human. And yes, we understand induction factors. I teach developmental robotics, cell migration, axon guidance, mesoderm, ectoderm, etc. Great. Compartmentalized chemistry can give you a human, but there are gaps in our understanding, and there's magic in that orchestration that goes beyond what the science can even begin to understand. And it's nothing short of spectacular.

Also, who doesn't want more awe in their life? It's like Dr. Keltner is like the awe guy at Berkeley, like he said: Awe is when you go from small aperture to big aperture, and from big aperture to small aperture. That transition induces awe, and you can hear it in sound too.

Like when you walk in off the street and you go into—like Stanford has this incredible church. Memorial Church is unbelievably beautiful with this giant organ, and you walk in there and people change. Not just because...

超越人类自身的精神追求与信仰反思

Steven Bartlett: 你走进那种高挑宏伟的穹顶建筑,会由衷感叹:“哇,这太不可思议了。”当然,我心里清楚这是人类建造的,我又不是傻子。但这是一种从日常视角到神圣视角的转换。其实你也可以通过其他途径获得这种感受,我并不是说只有这一种方式。但我很喜欢这样一种理念:当我们把视野极度拉远时……

Original English

Steven Bartlett: There's this high ceiling and you're like, "Wow, this is incredible." Of course, I know humans made it. Like I'm not an idiot, but day aperture to holy aperture. And you can get this other ways, right? I'm not saying you can't get this other ways, but I like the idea that if we dial out really far...

Andrew Huberman: 就会意识到存在着某种远比我们更伟大的存在。我不知道它究竟采取什么具体形式、拥有什么样貌,或者上帝究竟以何种方式影响我们的心智。但……

Original English

Andrew Huberman: ...that there's something much greater than us. And I don't know what form it takes, or exactly what shape it takes, or exactly what ways that God would exert influence over our minds. But...

Steven Bartlett: 你其实根本不需要知道。

Original English

Steven Bartlett: You don't need to. You don't need to.

Steven Bartlett: 这正是我必须去坦然接纳的事情。我常常会想:“好吧,这确实非常有趣,它能给我的生活带来许多意义和益处。”如果我们仅仅从实际益处的角度来看,对吧?然后我就会纠结:“那我到底该去相信哪一本圣经呢?”于是我开始翻看各种经文,心想:“好吧,诺亚方舟……”

Original English

Steven Bartlett: This is the thing that I think I have to come to terms with is I go, "Okay, this is really interesting. There's lots of meaning and benefits to my life." If we're just thinking about benefits, right? And then I go, "Okay, so which Bible have I got to believe?" And then I start looking at the Bibles and I'm like, "Okay, Noah's Ark."

Andrew Huberman: 多看几种。我觉得总有一本会比其他的更能触动你。听着,对某些人来说,最终的归宿可能就是无神论。但我之前提到“精神厌食症”(spiritual anorexia)时,你要知道,厌食症是所有精神疾病中致死率最高的,它的致命性极高。它发生在神经回路上:真正的厌食症患者会从“避免进食”中获得某种奖赏感,或者说强化感,而这种强化感竟然胜过了“进食”带来的奖赏。这完全违背了我们作为物种的进化规律,也有损健康。

正如阿瑟·布鲁克斯(Arthur Brooks)所言:对食物的渴望本身就证明了食物的存在,口渴证明了水的存在。有些无神论者会坦然表示:“是的,我不需要宗教,这不适合我。”但还有一些无神论者则陷入了一种精神厌食症——他们仿佛把“不相信上帝”本身当成了自己的精神寄托。我看着他们时会觉得:“你们其实走向了另一个极端。”

这就好比走向了极端的两头最终又交汇在了一起:极度虔诚的人和极端的无神论者在这里相遇了,他们拥有同一种机制,只是回路方向颠倒了。无论未来是否有人能彻底解开其中的神经科学机制,我自己都会坚持祈祷,因为这确实让我的生活变得好得多。

Original English

Andrew Huberman: Look at a bunch of them. I think one will call to you more than the others. Listen, it may end up being atheism for some people. But when I said spiritual anorexia earlier, anorexia is the most deadly of the psychiatric illnesses. It's incredibly deadly. And something happens to the neural circuits where people with true anorexia feel some sort of quote-unquote reinforcement is better than reward—reinforcement from avoiding food as opposed to eating it. So that runs against our evolution as a species, right? And our health.

But the desire for food, as Arthur would say, proves the existence of food, right? The desire of thirst proves the existence of water. And there are atheists who are like, "Yeah, I don't need it. Not for me." And then there are atheists who have a kind of spiritual anorexia. It's almost like their spirituality is not believing in a god. And I look at them and I go, "Well, you're kind of on the same extreme. It's almost like it wraps around so far that the truly religious people and the atheists kind of meet right here. They both have the same sort of thing, but there's kind of an inversion of the circuit right there." And so I don't know someone will work out the neuroscience or not. I'm going to keep praying because my life is that much better.

Steven Bartlett: 当我听到你谈论祈祷时,我也开始尝试做一点祈祷了。

Original English

Steven Bartlett: When I heard you talk about it, I started praying a little bit.

Andrew Huberman: 哦,太棒了!

Original English

Andrew Huberman: Oh, right on.

Steven Bartlett: 虽然不是一直都在祈祷,但有好几个瞬间我都觉得:“你知道吗?现在正是适合静下心来祈祷的时刻。”像你这样的人公开表明自己会祈祷,其实是给了很多其他人去尝试和亲自探索的许可。

因为如果你身处严谨科学派的阵营,或许会极其看重科学的严谨与精确;但如果你看到连你这样的人都能以开放包容的心态对待灵性、宗教以及这类探索,我就可以在保持自己原有认知身份的同时,也去探索这些新领域。所以听到你谈论祈祷对我影响很大,它在某种微妙的层面上赋予了我探索的许可。而且我得说,我的体会和你完全一样——

Original English

Steven Bartlett: Not all the time, but there's several moments where I thought, "Do you know what? Now would be a good time to just pray." And someone like you saying that you do it gives a lot of other people permission to try and to investigate for themselves. Because if I'm in the human camp, maybe I'm someone that really cares about scientific rigor and precision, and then if you change that camp to also be open-minded to spirituality and religion and these sort of other pursuits, I can still be sort of ideologically who I believe I am while also investigating these other things. So it was really impactful for me to hear you talk about prayer because it gave me permission, I should say, at some weird level to also investigate. And yeah, I report the same findings as you, that...

Andrew Huberman: 它确实管用。[笑]

Original English

Andrew Huberman: It helps. [laughter]

Steven Bartlett: 是的,确实很有帮助。

Original English

Steven Bartlett: Yeah, it helps.

Andrew Huberman: 我在斯坦福大学的前系主任兼神经科学研究所所长鼓励我去维里塔斯论坛(Veritas Forum)做分享,而我在那场演讲里主要讲的是自己在这些议题上有多么无知和幼稚。他是一位杰出的神经科学家,同时也是一位有坚定信仰的人。我非常尊敬他,也钦佩他的智慧与心智。

我脑海中刚刚浮现出一个很有意思的类比。这种现象发生在各个领域,比如听众与播客主播之间,或者像疫情期间在医疗卫生界发生的事情一样,我们至今仍在承受其长尾效应。

当你还是个孩子的时候,你会觉得父母无所不能、完美无缺,认为他们绝不会犯错。随后进入青春期阶段,你开始抓到他们偶尔也会撒谎、说话前后矛盾,或者做了某些违背他们自己说法的事。你突然就会觉得:“原来你们什么都不懂。”

随后,希望你能逐渐建立起自主性与自己的人生哲学,但你往往又会走到另一个阶段:觉得自己无所不知,虽然接受了父母并不懂全部事实,但坚信自己才是真正看清一切的人。

我认为作为成年人,我们最终都会走过这个阶段,进入下一个境界并意识到:“等等,答案并不在我自身之内,我必须向外探寻。”然后你会明白:“所有的成年人都经历过这一过程。”真正核心的转变在于意识到:“不,我不能从凡人身上去寻找某种根本不存在于人身上的东西。人都是有缺陷的,我们全都不完美。”

因此,相信在我们身外存在着某种“完美”,并且相信我们可以通过实践与修行去追求某些美好的特质——这不仅极具说服力,在我看来简直美妙绝伦。因为在拥抱上帝的同时,你也完全接纳了作为人类的苦难与美好。这是一种很奇妙的体验。所以,如果无神论者完全不需要这些也能过得很好,那很好,祝他们顺利。但与此同时,我会继续坚持我的信仰与祈祷。

Original English

Andrew Huberman: My former chair and director of neurosciences at Stanford, who encouraged me to do that talk at Veritas where I mostly talked about how ignorant and naive I am on these topics—he's a brilliant neuroscientist. He has faith, and I respect him and I respect his mind.

I also think there's maybe a kind of fun analogy here that just came to mind. It happens in every dimension, like audience and podcasters, or this happened during the pandemic with the health community and we're seeing the long tail of that now.

When you're a kid, you think your parents are everything. You think they can do no wrong. And then there's this thing called being an adolescent teenager and you catch them lying, or saying things occasionally, or doing things—you go, "Wait, you said that, and it's like this." And all of a sudden you're like, "You don't know anything."

Then you gain, hopefully, some agency and some philosophy in life, and you get to this point where you think you know everything and you accept that they don't, but you're really the one that understands.

I think that as adults, we eventually get to the place after that where we go, "Oh, wait. It's outside of me. I've got to look outside of me." And then you go, "No, all these adults went through it and we went through it." And the real realization is going, "Oh, wait. No, no. I'm looking at humans for something that doesn't—isn't going to come from human beings. We're all flawed. We're all imperfect."

And so the belief that perfection exists outside us, and that we can strive for certain things through works, through practices—that's not just compelling, that's downright fantastic to me, because you fully embrace the woes and the beauty of being human in embracing God. It's kind of a weird thing. So listen, more power to the atheists if they can pull it off without all that. Great. But meanwhile, I'm going to keep at it.

Steven Bartlett: 阿门。

Original English

Steven Bartlett: Amen.

微小习惯积累大目标与晚间睡眠环境优化

Steven Bartlett: 这是我为你准备的一份礼物。我知道《CEO日记》(DOAC)的听众们都有许多渴望去实现的远大目标。而我学到的重要一课就是:当你紧盯着宏大的终极目标时,内心往往会感到极度焦虑和不适,就像站在珠穆朗玛峰脚下仰望峰顶一样。

实现目标的正确方法,是将其拆解为一个个微小的步骤。在我们的团队中,我们把这称为“1%法则”。事实上,正是这种哲学铸就了我们今天的许多成功。为了让屏幕前的大家也能实现各自的宏大目标,我们制作了这些“1%日记本”。去年推出时很快就售罄了,因此我多次要求团队重新上线,并推出了新的配色,对细节进行了微调。现在我们有了更丰富的产品系列供大家选择。如果你心中有远大的目标,并且需要一套执行框架、流程和持续的动力,我强烈建议你在再次售罄前抢购一本。大家可以在 thediary.com 购买,链接就在下方简介栏中。

另外,下方应该有一个订阅按钮。如果显示“已订阅”,说明你已经是我们的订阅读者;如果显示“订阅”,说明你尚未关注。如果你还没订阅,能否顺手帮我们点击一下那个按钮?这对我们节目的支持远超你的想象。根据算法推荐,你经常观看我们的节目,但尚未点击订阅。非常感谢大家!

好了,我们还没讲到第7条,那第8条是什么呢?我们第8条也还没讲。

Original English

Steven Bartlett: This is something that I've made for you. I realize that the DOAC audience are striving toward goals that we want to accomplish. And one of the things I've learned is that when you aim at the big, big goal, it can feel incredibly psychologically uncomfortable because it's kind of like being stood at the foot of Mount Everest and looking upwards. The way to accomplish your goals is by breaking them down into tiny small steps. And we call this in our team the 1%. And actually this philosophy is highly responsible for much of our success here.

So what we've done so that you at home can accomplish any big goal that you have is we've made these 1% diaries. We released these last year and they all sold out. So I asked my team over and over again to bring the diaries back, but also to introduce some new colors and to make some minor tweaks to the diary. Now we have a better range for you. So if you have a big goal in mind and you need a framework and a process and some motivation, then I highly recommend you get one of these diaries before they all sell out once again. And you can get yours at thediary.com. And if you want the link, the link is in the description below.

There should be a button just down below here. And if it says "subscribed," you're already subscribed. If it says "subscribe," that means you're not yet. And if you're not subscribed, please could you do us a favor and hit that button? It helps the show more than you know. And according to the algorithm, you're someone that watches our show, but you haven't yet hit that button. Thank you so much.

Okay, so we haven't done number seven, and what's number eight then? We haven't done number eight.

Andrew Huberman: 是的。

Original English

Andrew Huberman: Yeah.

Steven Bartlett: 我们还没讨论……

Original English

Steven Bartlett: And we haven't done...

Andrew Huberman: 好的,其实我们之前提到过一点。夜晚入睡后,要尽量保持睡眠环境彻底黑暗。一副好的眼罩非常实用,有些人也喜欢用耳塞。

如果你在半夜醒来,可以做一些长呼气呼吸练习,或者做那个有点奇特的眼球运动——双眼向一侧看,然后向上看,再逆时针、顺时针转动眼球。

所以在夜晚要调暗灯光。为什么要这么做?因为强光会刺激皮质醇的分泌,而在夜间你希望皮质醇水平保持在低位。大家都常说:“是的,调暗灯光是因为强光会抑制褪黑素分泌。”这确实是对的……

Original English

Andrew Huberman: Well, we sort of did this. So, at night once you're asleep, try and keep your sleeping environment as dark as possible. A good eye mask is useful. Some people like earplugs, too. If you wake up in the middle of the night, do some long exhale breathing or do the wacky eyes to the side, eyes up, and then counterclockwise and clockwise.

So, at night, dim the lights. Why? Bright lights stimulate cortisol release. You want your cortisol low at night. Everyone says, "Yeah, dim the lights because it suppresses melatonin." That's true...

Andrew Huberman: 但这只说对了一半。另一个重要原因在于它会升高皮质醇,而夜间你需要皮质醇处于低位。

Original English

Andrew Huberman: ...but that's just half of the story. The other reason is it increases cortisol and you want your cortisol low at night.

Steven Bartlett: 那么关于睡前玩手机和屏幕蓝光的讨论呢?

Original English

Steven Bartlett: What about this whole conversation around phones at night?

Andrew Huberman: 没错,还有蓝光问题。

Original English

Andrew Huberman: Yeah. And blue light. Okay.

Steven Bartlett: 把手机屏幕调暗,或者设置按三下电源键切换为红屏模式。

Original English

Steven Bartlett: Dim your phone or triple-click program it to go to the red screen.

Andrew Huberman: 没错,照做就行。

Original English

Andrew Huberman: Oh yeah. Yeah. Just do that.

Steven Bartlett: 我觉得在合理的范围内:睡前最后30分钟,彻底远离屏幕;醒来后的最初30分钟,应该去晒太阳、锻炼、补充水分,做这些健康的事。

Original English

Steven Bartlett: I think in the last—let's be reasonable—the last 30 minutes before sleep: no screens. First 30 minutes after waking you should be looking at the sun and exercising, hydrating, and doing that kind of thing.

Andrew Huberman: 还要把伴侣踢下床。我已经经历过……

Original English

Andrew Huberman: And chuck the partner out of the bed. I've had...

睡眠习惯与体温调节

主持人:我也遇到过一些……

Original English

Host: I've had some

安德鲁·休伯曼:……真正睡着的情况。他们其实一直在开玩笑。

Original English

Andrew Huberman: >> really sleeping. They've been joking.

主持人:我正好相反,我喜欢搂着睡(spooner)。

Original English

Host: >> I'm the opposite. I'm I'm a spooner.

安德鲁·休伯曼:我也是。我读过一些相关研究。

Original English

Andrew Huberman: >> So am I. I read some studies.

主持人:我当“大勺子”(在背后搂着对方)时睡得最好。是的,我别无选择,我根本没得选,确实是这样。

Original English

Host: >> I sleep best as big spoon. Yeah, I have no choice. I don't get Yeah.

安德鲁·休伯曼:没错。[笑] 不过我确实听说过一项研究,指出这样确实会对睡眠质量产生一定影响,但谁在乎呢?

Original English

Andrew Huberman: >> Yeah. [laughter] No, but I I did hear a study that, you know, it does impact sleep, but who cares?

主持人:我不知道。我的意思是,床垫降温系统非常有帮助,因为我身体本身就偏热。所以如果床上还有另一个人,就会感觉特别热,简直就像是在和一个……一起睡。

Original English

Host: >> I don't know. I mean, uh the the bed cooling thing is very helpful because I tend to run warm. So, having another person in there is like really warm. Like it it's like sleeping with a

安德鲁·休伯曼:太搞笑了。

Original English

Andrew Huberman: >> That's so funny.

主持人:我不想把她贬低成一个大号热水袋,但她的体温确实非常高。所以,有一个能降温的床垫真的很有帮助。

Original English

Host: >> I don't want to diminish into a giant hot water bottle, but she runs really warm. So, having the cooling mattress helps.

深度专注、手机干扰与神经可塑性的触发机制

安德鲁·休伯曼:不过好了,你真的很需要把这两件事做好,它们实际上结合得非常完美。你需要进行一段持续 90 分钟到两小时的高强度专注工作。你必须去努力、去尝试学习新东西。每天都要在心智层面做一些有难度的事情,这对于提升你的专注力至关重要。

顺便说一下,你刚才问到了手机的影响。最近发表了一项极棒的研究:研究人员让受试者把手机关机,要么倒扣在桌面上,要么放在椅子下方的包里,要么放在隔壁完全独立的房间里。研究发现,在这三种情况下,人们都能正常集中注意力。但是,只要手机处于同一个房间内的任何地方,他们对自己正在专注的内容所具备的认知灵活性(cognitive flexibility)就会下降。换句话说,集中注意力需要耗费更多的脑力能量。即便他们没有收到任何电话或通知,大脑中似乎也始终在后台运行着一个隐秘进程,在预期并等待着“这个设备可能会来找我、会呼叫我”。因此,即使手机没有真正响铃,它在潜意识里也在“呼叫”着你,这非常有意思。所以,提高专注力和认知容量的方法,实际上就是把手机彻底移出房间。这是非常关键的一环。

此外,视野范围(visual field)也非常重要。你知道,就像学校里那些戴着连帽衫帽子但并没有睡着的孩子一样,那种遮挡视野的方式实际上是有助于专注的。我谈到过专注力工具的发展历史,不仅包括药物药理学,还包括各种物理设备。过去人们曾为那些有专注困难的孩子设计头盔,试图借此帮他们聚焦。但现在的问题在于,有了手机之后,你把整个世界直接搬到了眼前。因此,仅仅把视线聚焦在眼前这一小块区域是起不到同样效果的。正确的做法是把手机移出房间,进行一段需要付出艰苦努力的学习阶段,而且这个过程应该让你感觉像是一场搏斗。

请记住,你在试图学习某样东西时感受到的阻滞与摩擦感(friction),其实就是肾上腺素。还记得我们如何阻断学习过程吗?我们通过普萘洛尔(心得安)阻断肾上腺素及其下游效应来阻断学习。保持警觉但平静,或者带着一点适度压力,并通过刻意的尝试去犯错——不是随意糊弄产生的错误,而是认真尝试后的错误——这才是你实现学习的机制。为什么?如果我伸手去拿这支笔,我的大脑并不会发生任何改变。公共教育中关于神经科学最大的谎言之一,就是声称“每一次经历都会改变你的大脑,等我说完这句话,你的大脑就已经不同了”。不,那绝对不是真的,纯属胡扯。

我研究神经可塑性,也教授神经可塑性。我来告诉你,究竟是什么在诱发神经可塑性:要么是一个正在努力学习的婴儿,要么是一个强迫自己努力学习却做不到眼前任务的成年人——正是这种“错误(error)”在刺激神经可塑性的产生。根据计算模型的推演,最适宜的难度水平大约在 15% 的平均错误率左右。

这到底是什么意思呢?练习分为两种:一种是练习做那些我早已掌握的事情。在这种练习中,你的目标是 100% 的完美表现,对吧?你是在巩固自己已经知道如何去做的事情。你去和一位优秀的舞者交流,他们会告诉你,他们会针对早已掌握的动作进行一遍又一遍的反复枯燥操练(drill)。但是,当你试图学习一门新语言、一种新的情绪技能、一项新的身体技能,或者一种新的认知情绪技能时,你必须进行真诚的尝试,并且必须经历一定比例的失败。正是这些失败的信号被传递到你的小脑,而小脑再通过整个神经网络向大脑广播信号:“做出改变”。

Original English

Andrew Huberman: >> But, okay. You really want to do these two things. These actually go very well together. You need to do a bout of work of 90 minutes to two hours. You like you got to strive and try and learn something. Do something hard every day mentally. This is critical for your ability to focus. And by the way, you you asked about phones. Awesome study came out. They had people with their phone off upside down on the table or in their bag underneath their chair or in the opposite room, a separate room. And what they found is people can focus just fine in all three conditions. But if the phone is anywhere in the room, the amount of cognitive flexibility they have with the material they're focusing on is diminished. In other words, requires more energy to focus. Even if they're not getting calls and notifications, there's a subscript running in the brain apparently that's anticipating that this thing is going to reach for me. It's going to call me. So, it's calling you even if it's not calling you, which is pretty cool. And so the way to increase focus and cognitive capacity is actually to just get the phone out of the room. That's a big part of it. And actually visual field matter matters a lot too. You know like the the kid in school with the hoodie who's not asleep like that actually is helpful. I talk about some of the the history of tools for focus pharmarmacology but also physical devices. You know they used to design helmets for kids to like try and focus the kids that had troubles f problem is now with the with the phone you've moved the whole world right in front of you. So focusing just here doesn't work but get the phone out of the room and do some effortful learning bout and it should feel like a fight. Keep in mind the friction you feel trying to learn something that's adrenaline. The remember how do we block learning? We block adrenaline and its downstream effects with propranolol. being alert but calm or a little stressed and making errors through deliberate attempts to do something, not just throwaway errors. That's how you learn. Why? If I can reach out and grab this pen, my brain doesn't change. One of the biggest lies in public education about neuroscience is that every experience changes your brain. By the time I'm done saying this, your brain will be different. No, that's absolutely not true. That's a bunch of hoie. I studied neuroplasticity. I teach neuroplasticity. I'll tell you, you know what induces neuroplasticity? being a baby who's trying to learn or being an adult who's forcing yourself to try and learn and you can't do the thing the error is what stimulates the plasticity. So if you and the the appropriate level of difficulty say the computational modeling is somewhere around 15% on average. Now what does that mean? There's two kinds of practice. One is practicing doing things I already know how to do. There you're aiming for 100% performance, right? You're reinforcing what you already know how to do. talk to a great dancer and they'll tell you they drill drill drill drill the things they already know how to do. But when you're trying to learn the new language, the new emotional skill, the new physical skill, the new cognitive emotional skill, you need to make genuine attempts and you need to fail some of the time. And those failure signals are relayed to your cerebellum and your cerebellum propagates through networks that say change.

自我测试与 AI 辅助学习

安德鲁·休伯曼:因此,在关于可塑性的章节中设定了一系列条件,指出你首先需要保持清醒警觉。我在书中详述了所有提升警觉度的方法,包括药理学、补充剂以及行为工具。其次,你需要保持专注。我讨论了所有用于提升专注力的工具,这些工具不仅适用于学习,也适用于任何事务。接下来,我阐述了触发神经可塑性的必要条件:你必须体会到这种阻滞感与犯错的过程,然后你必须停下来;隔一两天后再回来重复进行,接着确保巩固你所学到的内容。

在这里,AI 正在成为也将继续成为一种极其出色的工具。最有效的学习方式就是“不遗忘”——也就是说,如果你在脑海中进行自我测试,或者你可以使用任何一个大语言模型(LLM)。比如我会打开 ChatGPT,直接对它说:“请生成一份简短测试题,针对神经可塑性提出斯坦福大学研究生难度的考题。”然后我去回答,发现原来某一点我还记得,而唯独某一个概念我想不起来了。这就是你随着时间推移保持并构建知识体系的方法:自我测试。很多人一听到“测试”这个词,想到的都是由外部考官来测试自己;但在自我测试中,你自己就是受试者。

Original English

Andrew Huberman: >> So there's a set of conditions in the chapter on plasticity that say you need to be alert. So I talk about all the ways you can get alert including pharmarmacology supplements and behavioral tools. Then you need to be focused. I talk about all the tools for focus which you can devote to anything not just learning. And then I talk about the conditions for plasticity and you need to get this friction and these errors and then you need to stop. You need to come back a day or two later do it again and then you need to make sure that you reinforce what you learned. The beet here's where AI is going to be a wonderful tool already is a wonderful tool. The best way to learn is to not forget meaning if you test yourself mentally or you could use any one of the LLMs but I'll go into chat GBT and I'll just say um generate a short test of a graduate student at Stanford level questions about neuroplasticity and I and I and I go and I remember this this is there's this one thing I don't remember. That's how you maintain and build knowledge over time. Self- testing. Self- testing. People hear the word test, they think of external tester. You're the test taker. Self- testing.

主持人:这对我们这期播客节目来说是个非常棒的想法,我们绝对应该落地执行。团队的各位,

Original English

Host: >> That's a really interesting idea for this podcast episode, which we should definitely run. Team,

主持人:我们要不要生成一份测验题?

Original English

Host: >> should we generate a quiz?

主持人:对,我们可以把逐字稿拿过来,转换成一套测试卷。

Original English

Host: >> Yeah. So, we can take the transcript and we can turn it into a a test.

安德鲁·休伯曼:太酷了。

Original English

Andrew Huberman: >> Cool.

主持人:涵盖你讲过的全部 10 项行为方案(protocols),如果听众想参加测试,我们会在下方放上链接。

Original English

Host: >> Of the 10 protocols that you've talked through and we'll link it below if you want to take the test.

安德鲁·休伯曼:太棒了。

Original English

Andrew Huberman: >> Awesome.

安德鲁·休伯曼:ChatGPT 非常擅长做这件事。你可以调节难度,甚至可以直接对它说:“我是一名神经科学教授,我希望平均错误率控制在 15% 左右。”[笑] 这真的很酷。

你知道,我非常喜欢的一项有力支持这一观点的研究是:有大量关于学习机制的实验,让学生把同一篇文章阅读一次、两次、三次或四次,并结合划重点高亮或记笔记;而另一组学生则只读一遍,随后进行自我测试。研究人员在 6 个月和 2 年后对两组进行了追踪对比。结果表明,只读一遍、不记笔记、不高亮划线,而是在大约一周后进行自我测试,并专门去查漏补缺那些记不住或答错的内容,在长期内带来了稳固得多的学习效果。太令人惊叹了。

当然,这种方法在体育或身体技能训练上效果没有那么明显,因为对于身体运动,你必须亲自进行身体实践,你得在身体层面进行自我测验。但我非常推崇那组实验,因为它告诉了我们日常应该采取的一切行动。所以,我觉得在实践这一点时,对我而言可以是一本书。最近我一直在做播客并录制我的有声书。你出过书吗?

Original English

Andrew Huberman: >> JBT is great at doing this. you can change the difficulty and you can actually say I'm a professor of neuroscience and I want a 15% error rate on average [laughter] and it so it's pretty cool you know the the study I love that really backs this up is that there have been a lot of studies of learning where they have students read the same passage one two three or four times and then they also have them highlight or take notes or they just have them read it once and self test and they look 6 months and two years later reading it once no notes notes, no highlighting and self- testing, you know, about a week later and looking up what you got couldn't remember or got wrong led to much more stable learning over time. Awesome. Now, this doesn't work so well for physical endeavors cuz there you have to like actually do the physical thing. You have to test yourself physically. But I love that set of experiments um because tells us everything we should be doing. So, I think in doing this for me, it could be a book. It could be. Lately, I've been podcasting and recording my audio book. Have you done a a book?

新书出版、前扣带回皮层与心智滋养

主持人:写过。我也录了有声书,录制过程简直是一场折磨。

Original English

Host: >> Yes. And I did the audio book, which was horrific.

安德鲁·休伯曼:那你快出下一本了吗?

Original English

Andrew Huberman: >> Are you due for another one?

主持人:是的。实际上我已经写完了。我去年就写完了,不过我……

Original English

Host: >> I am. I've I've actually written it already. I wrote it. I finished writing it last year, but I

安德鲁·休伯曼:天哪,那本书讲的是什么?

Original English

Andrew Huberman: >> Oh, man. What's it about?

主持人:书名叫《只管去做》(Just Do It)。我多次征求过读者的意见,给他们展示了几百种不同的封面设计,问他们最想要哪一种。

Original English

Host: >> It's called Just Do It. I asked the audience multiple times what I showed them multiple covers of books, hundreds of them, and asked them what they wanted,

主持人:结果绝大多数人都想买这一版。所以,这本书本质上就是对“如何把事情付诸实践”的拆解分析。而且实际上,我在关于前扣带回皮层中前部(anterior midcingulate cortex, aMCC)的那一章中还引用了你,提到了你对它的论述。

Original English

Host: >> and that was the one that most of them tried to buy. And so, it's really just a it's really a breakdown of how to do the thing. And actually I referenced you in that in the chapter about the anterior mids singular cortex and what you said about it. And

安德鲁·休伯曼:所以……

Original English

Andrew Huberman: >> so

安德鲁·休伯曼:先说明一下,我并不是那个大脑结构的发现者,但我非常乐意详细阐述它所有不可思议的功能。

Original English

Andrew Huberman: >> well to be clear I didn't discover that structure but I'm happy to u to expound on all its incredible abilities.

主持人:我只是引用了在你播客里听到的观点,不过等会儿我会把写好的内容拿给你看。

Original English

Host: >> I just quote what I heard you say about it in your podcast but I'll show you what I what I wrote. Um

安德鲁·休伯曼:太棒了,我一定会去拜读一本。显然我落后于潮流了。[笑]

我认为,这种学习过程对于一个人的塑造具有滋养作用。这本身并不只是为了所谓的效率优化,而是关乎如何成为一个真正的人:经历学习、付出努力,并随后收获认知成长与奖赏。特别是去接触那些可能不会立即带来现实利益的事物,单纯为了丰富你的心智,这本身就非常酷。比如,如果你对医学史感兴趣,不妨读一本关于盖伦的硬核著作《医学王子》(The Prince of Medicine);如果你对光线感兴趣,现在除了我之外,还有很多其他人出版了关于阳光的精彩书籍,探讨阳光有多么神奇。市面上确实有非常多棒极了的好书。

Original English

Andrew Huberman: >> cool. I'll get a copy. I'm late to the train obviously. [laughter] >> So I think it's it's it's enriching as a person. It's not about optimization per se. A it's it's about being a human being and learning and effort that's followed by learning and reward especially for things that you might well including things that may not immediately benefit you but just to enrich your mind is is cool like if you're interested in the history of medicine read a hard book the prince of medicine about Galen. If you're interested in light, there are a bunch of cool books about sunlight coming out now from people other than me about how cool sunlight is. And there's just like cool books out there.

主持人:但这也与大脑……

Original English

Host: >> But this is this is linked to brain

认知储备与失智症的神经可塑性

Andrew Huberman:健康和失智症等等这类问题。在某种程度上,是的。关于失智症的数据表明,那些在精神和身体上保持活跃、并且拥有丰富社交生活的人,情况要好得多。事实上,牛津大学杰出的神经学家马苏德·侯赛因(Masud Husain)就曾谈到过一些患者,他们寿命很长,体内有大量的斑块和神经纤维缠结——这是阿尔茨海默病(Alzheimer's dementia)标志性的解剖学病理特征——但他们却没有表现出失智的症状。

Original English

Andrew Huberman: ...health and dementia, these kind of things. No, to some extent. Yeah. I mean, the data on dementia say that people who stay mentally and physically active and are socially enriched do very, do much better. In fact, Masud Husain, who is this brilliant neurologist from Oxford, has been talking about patients who it turns out live a very long time, have lots of plaques and tangles, the signature anatomical features of Alzheimer's dementia, but no dementia.

Host: 是啊。

Original English

Host: Oh yeah.

Andrew Huberman:这些人坚持锻炼身体,而且非常积极地投身于学习。所以,现实中有很多人虽然从病理上看有所谓的阿尔茨海默病,但依然能够正常生活。他们具备阿尔茨海默病的所有诊断性病理特征,唯独没有记忆力减退和认知衰退。这说明在某种程度上,阿尔茨海默病的生理病变与其对神经元功能造成的影响,是可以部分分离的。

我们必须客观来看。他还告诉我,有些帕金森病患者平时无法产生平滑流畅的肢体动作,但如果他们必须从一栋着火的大楼中逃生时,他们却能行动自如。这很有意思,但也让人稍感沮丧,因为这种信息可能会传递一种错误的暗示,好像他们平时只是不够有动力一样。但它其实揭示了一个事实:当动机系统的激活水平足够高时,大脑中可能存在备用的行动与动机系统。这就像患有极严重注意缺陷多动障碍(ADHD)的孩子,如果你给他们一款他们热爱的电子游戏,他们就会全神贯注,在长达两个小时里完全进入一种超聚焦隧道状态。这说明他们是能够集中注意力的,只是无法将注意力放在自己并不真正感兴趣的事情上。而生活中的很大一部分,恰恰就在于强迫自己对那些你其实并不想做的事情提起兴趣。

Original English

Andrew Huberman: And these people are exercisers and they are people who stay very avidly engaged in learning. So there are a lot more people with quote-unquote Alzheimer's walking around. They have all the diagnostic features of Alzheimer's except the memory loss and dementia. So this says that to some extent the physical ramifications of Alzheimer's and the consequence of those changes in neurons are somewhat separable. We want to be fair. I mean he also told me that there are patients who have Parkinson's who can't generate smooth movement, but if they have to escape a burning building they can, which is interesting, a little frustrating as a message because it could potentially send the wrong message like they're just not motivated enough. But it points to the fact that if motivational systems are high enough, that there may be alternate motivational systems, in the same way that kids with very severe ADHD, if you give them a video game they love, they are locked and loaded. They're in a focus tunnel like this for two hours, which tells you they can focus, but not on things they're not really interested in. And a lot of life is about forcing yourself to be interested in things you don't really want to do.

个人发展的两面:社会角色与核心自我

Host:那么这是第4点。我们还剩最后1点,第10条对吧?

Original English

Host: So that's number four. We got one left. Number 10 is it?

Andrew Huberman:对。你之前说过它们是相互关联的。

Original English

Andrew Huberman: Yeah. You said they were linked.

Host:第10条,请为我们做一下铺垫。

Original English

Host: Number 10, to frame this a little bit.

Andrew Huberman:我书里的最后一章是关于个人发展的。我当时想了很多,比如我是否要把最后一章写成人际关系?后来觉得不行。并不是因为我没有经历过人际关系,也不是因为我没有过美好的关系经历,而是因为我认为那些将人际关系作为学术研究主业的人,才最应该去写那个主题。不过话说回来,我确实也写了一章关于营养和运动的内容。但无论如何,我最终决定探讨与自我的关系。

接着我想,不,个人发展是我们所有人都在努力去做的事情。在这一章的开头,我提出了一个核心问题框架。我谈到了悲伤(grief),悲伤的科学机制是什么,以及如何度过悲伤。

但在那一章的早期部分,我是这样展开的:当我审视网络上、书籍中、论文里所有关于个人、心理和人际关系发展的资料时,发现它们大致可以分为两个阵营。一个阵营是关于如何找到对你而言重要的事物,做对你最好的选择,成为你注定要为世界、或许也为你自己而成为的那个人。而另一个阵营则提醒我们,在追求目标和履行社会角色时必须非常谨慎,因为我们很容易偏离自己的核心本质——正如玛莎·贝克(Martha Beck)所说的“本质自我”(essential self)。我是她作品的忠实读者,很大程度上是因为她在书中探讨了这一点,那些书对我产生了极大的影响。同时,她拥有哈佛大学的三个学位,所以她绝不是那种无法把事情做好的人;她也是一位母亲,应对过复杂的现实生活。

所以我当时觉得:“好吧,事情大致就是这样。”

Original English

Andrew Huberman: The last chapter of my book is on personal development. I thought a lot like am I going to write the last chapter on like relationships? That seemed like a no. Not because I haven't had them or not because I haven't had some great ones, but because I think people who work on that as their academics fundamentally should do that. Then again, I had a chapter on nutrition and exercise. But in any event, I decided to write about relationship to self. And then I thought, no, personal development is something we're all trying to do. And here's the key question set up at the beginning. I talk about grief and what the science of grief is and how to navigate grief. But early on in that chapter on personal development, I sort of set it up the following way. I look out on the landscape of all the personal, psychological, and relationship development stuff out there online, in books, in papers, etc. And it looks like there's sort of two bins. One is how to find what's important to you, do what's best for you, and be the person you're supposed to be for the world and maybe for you also. And then there's this other bin which is that we need to be very careful about pursuing things and fulfilling roles because we can get very far off track from our core, like what Martha Beck would call our essential self. And I'm a huge fan of her work, in no small part because she talked about that in her books, which were very, very impactful for me. But she also has three degrees from Harvard. So this isn't somebody who can't get stuff done, and she's a mom and she's navigated complicated life landscapes. So I was like, "Okay, this is kind of it."

荣格学派的人生三法则:闭嘴、准备、就位

Andrew Huberman:后来,我邀请了84岁的荣格派心理分析师詹姆斯·霍利斯(James Hollis)来上我的播客节目。他的见解彻底震撼了我们所有人。他基本上说了这样一段话,指出了什么才算是真正充实的人生。要知道,这位学者写过探讨亲密关系的《伊甸园工程》(The Eden Project),也写过关于男性疗愈与心理创伤的《在土星的阴影下》(Under Saturn's Shadow),他是一位极其卓越的思想家。

他说:“听着,每天有三件事是你必须做到的。”他鼓励他的来访者把这三条写在冰箱上,或者随身携带。

他说:“第一,闭上嘴巴(shut up)。”我当时心想:“什么?我原本以为他会像个温文尔雅的年轻心理分析师那样说话呢。”结果他直接说:“闭嘴。世界上总有人承受着比你更多的痛苦。你必须心怀感恩,必须建立感恩的日常习惯。”因此,我在书中花了一些篇幅讨论真正的感恩实践是怎样的,因为关于感恩既有严谨的科学机制,也有大众层面的普遍理解。它不仅仅关乎在心中默默列出生活中所有美好的事物,更核心的是关于给予感恩与接收感恩。我对这部分进行了阐述,并给出了落实的方法。

接着他说出了第二点。我当时想,好吧,这下他该柔和一点了吧。结果他说:“穿好装备,做好准备(suit up)。除非你做好充分准备,否则你在人生的任何事情上都不可能表现出色。早上按时起床,照顾好自己的身体健康,做好该做的事——洗澡、刷牙、把事情安排得井井有条。”这听起来有点像乔丹·彼得森(Jordan Peterson)所说的“清理你的房间”,但语气甚至比那更加锋芒毕露。他的意思其实是:如果你连作业都不认真做,你究竟怎么可能在考试、亲密关系、体育运动或职场工作中取得优异的表现呢?我当时就感叹:天哪,这位老人所传授的真是硬核而扎实的人生智慧。

然后他接着说:“第三,出场就位(show up)。”他说:“快乐的人会为这个世界去承担和履行外在的角色。他们认真履行自己的角色:父亲、母亲、姐姐、哥哥。他们看待自己时——尽管这并非人生的全部——会把自己视作需要去履行角色的人:教师、机械师、工程师、播客主播等等。你必须闭嘴、准备、就位。你必须去履行角色。没有任何一个人可以不对这个世界付出与贡献,你不能只想着坐享其成。”

Original English

Andrew Huberman: And then I hosted James Hollis, this 84-year-old Jungian analyst on my podcast. And he just wowed the heck out of all of us. And he basically said this, here's a really good life. Mind you, this guy's written books like The Eden Project on relationships. He's written books like Under Saturn's Shadow on the healing and trauma of men. He's a brilliant thinker. And he said, "Look, there's three things you got to do every day." And he encourages his patients to write this on their refrigerator or carry it around with them. He says, "First, shut up." I'm like, "What? I thought it was going to be like this nice young analyst." He goes, "Shut up. There's always somebody suffering more than you. You have to have gratitude. You have to have a gratitude practice." So, I spent some time talking about what that really looks like because there's a science of gratitude and then there's the common understanding about what that is. It's really about receiving gratitude or yes having a gratitude practice of all the things that are good in your life, but really it's about giving gratitude and receiving gratitude. And I talk about that and how to accomplish that. The second thing he said, so I go, okay, now he'll kind of soften up, and he says, "Suit up. You're not going to be able to do well in anything in life unless you prepare. Get up in the morning, take care of your health, do what you need to to shower, brush your teeth, get organized." This sounds a little bit like Jordan Peterson's Clean Your Room, but it was even like edgier than that. It was like, how in the world could you perform well on an exam or in a relationship or in a sport or at work if you don't actually do your homework? I was like, oh man, this guy's like some boomer knowledge right here. And then he says, "And show up." He said, "Happy people fulfill outward roles for the world. They fulfill roles. Father, mother, sister, brother. They look at themselves—and this is not the totality of it—but they look at themselves as somebody who needs to fulfill roles. Teacher, mechanic, whatever, engineer, podcaster, but you have to shut up, suit up, and show up. You need to fulfill roles. There is no human being that doesn't have to do stuff for the world. You can't freeload."

退出应激反应模式:倾听内心的真实渴望

Andrew Huberman:但随后他又指出了另一个面向:如果你就这样日复一日地坚持10年、20年、30年,你可能会变得相当成功,但在大多数情况下,如果人们仅仅做到这些,他们最终往往会感到相当痛苦。

Original English

Andrew Huberman: But then he said there's this other bin which is if you carry on like that for 10, 20, 30 years you can end up quite happy, but most of the time if people just do those things they end up pretty miserable.

Host:我当时也是这种反应,“天啊,原来是这样”。

Original English

Host: And I was like oh man like...

Andrew Huberman:他说,另一块至关重要的拼图是:每天你都需要有一次从角色的履行中抽离出来。你需要暂时放下准备就绪的状态,放下努力去表达感恩的心态。虽然你依然需要做这些事,但你必须从中抽离出来,进入他所说的“退出刺激-反应模式”(exiting the stimulus-response mode of being)。这可以是在静坐冥想中安静地坐着,可以是画画,也可以是听音乐。在这些时刻,你不需要去达成任何目标,你只是让潜意识向你传递信息,去感知他所谓的“内心深处最真挚的渴望”(deepest heart's desires)。

我当时听到这里立刻说:“对啊,这就是我们去露营的原因!”

他说:“是的,你可以去度长假,可以去野外徒步,可以去跑步。你可以做这些。你可以通过很多种方式来实现它。但每天至少有一次,为自己留出一点空间,真正与自我连接。不过,如果你坐在那里硬去琢磨:‘好吧,我长大后到底想成为什么样的人?这必须得想出来。’那是行不通的。你的潜意识是通过情绪、通过类比来与你对话的。它为你提供指引,让你重新回到生活中时能够发现事物之间的关联,并开始以全新而有趣的方式去生活——以一种完全契合你内心渴望的方式,明确你真正喜欢什么、不喜欢什么,并且确信这些选择是出于良善,并且忠于真实的自我。

我无法告诉你你内心深处的真实渴望是什么,只有你自己能找到那份清晰。但你必须通过一种实践来达到这一点,在这种状态下,你不再试图去扮演足球教练、母亲或是最出色的某种角色。你需要倾听自己内心的声音,但同时你也必须继续去履行现实中的那些社会角色。因为我和他都一致认同——我也多次提到过这一点,因为经常有人问我:‘我该如何找到自己的使命与天职(calling)?’——你是在全力以赴做好手头其他事情的过程中,才找到自己的使命的。这就是方法,而不是干坐在那里空想:‘那才是我的天职。’”

Original English

Andrew Huberman: And he said the other piece is once a day you need to get out of role fulfillment. You need to get out of preparation suit up and you need to get out of trying to be more grateful. You still need to do that, but you need to get out of that and you need to go into what he called exiting the stimulus response mode of being, which could be sitting quietly in meditation. It could be drawing, listening to music. You're not trying to accomplish anything. And you're just letting your unconscious mind feed you information about what he called your deepest heart's desires. And I was like, "Yes, this is why we go camping." He said, "Yes, you can take longer extended breaks. You can go backpacking. You can run. You can do that. You can allow this to happen in any number of ways. But once a day, take some space for yourself and just touch in with self. Now, if you're sitting there going, 'Okay, what do I want to be when I grow up? It should happen.' It's not the way it works. Your unconscious mind speaks to you in emotions, in analogies, and it sets you up to go back into life to be able to see connections and start navigating in new and interesting ways, ways that are unique to your heart's desires about what you like and what you don't like, and to know that those choices are in goodness and in keeping with who you are. I can't tell you what your deepest heart's desires are. Only you can come to that clarity, but you need to do it through a practice where you're not trying to be the football coach, the mom, the best this. You need to listen to yourself, but you also need to keep fulfilling those roles because he and I both agree, and I mentioned this several times because I get asked all the time, how do I find my calling? You find it while working your butt off doing something else. That's how you don't sit around going that's my calling.

Host:你拼命做着手头的其他事情,尽管你可能讨厌它;然后你转去尝试另一件你稍微没那么讨厌的事情;接着再去尝试一件你厌恶感更少的事情;最终,你会被牵引着不断向前,走向那个代表你核心本质的事物。

Original English

Host: You work your butt off doing that something else and you hate it. So you do something that you hate a little less and you do something you hate a little less maybe and eventually you get pulled forward to this thing that is your key self.

Andrew Huberman:而且还有……

Original English

Andrew Huberman: And there's...

热情与人生规划的五年周期

Andrew Huberman:……不一定只有单一的一件事。因为人们在谈论“寻找热情”(find your passion)时,“热情”这个词恰好是个单数形式,这在某种程度上可能会产生误导。

Original English

Andrew Huberman: ...not necessarily a single thing, because people often, when they talk about finding your passion, "passion" is a word that happens to be singular, which can be somewhat distorting.

Stephen Bartlett:是的。因为那样你就会觉得它像个复活节彩蛋一样——我必须到处去寻找它,而且在某个地方肯定藏着属于我的那一个。

Original English

Stephen Bartlett: Yeah. Because then you think almost like an Easter egg, "I have to go search for it, and there's going to be one of them somewhere."

Andrew Huberman:我通常是以五年为一个周期来把握生活的。这或许反映了我多年来不断攻读学位的经历:花三到五年完成这个阶段,再花三到五年去完成博士后、研究生院等阶段。我现在正在经历 50 岁到 55 岁这个区间。这是我目前所了解的。我清楚自己会把哪些习惯继续坚持下去:规律锻炼、信念追求、充足水分。我知道自己会延续哪些生活基石,但我不知道未来还会迎来什么。毕竟我以前从未体验过 60 岁的生活。

Original English

Andrew Huberman: I can handle five-year chunks. Maybe this just reflects my years and years of getting degrees where it's like 3 to 5 years for this, then 3 to 5 years for that—postdoc, graduate school, etc. I'm navigating from 50 to 55 now. That's what I know. I know what I'm going to carry forward: exercise, faith, hydration. I know what I'm going to carry forward, but I don't know what's coming next. I've never been 60 before.

睡眠姿势与脑部淋巴排毒机制

Stephen Bartlett:所以在节目的尾声,根据一些相关研究,我有两个问题想请教你。第一个问题可以说是比较偏技术层面的,那就是侧卧睡眠。我听说根据夜间睡眠姿势的不同,对大脑健康会产生截然不同的影响。

Original English

Stephen Bartlett: So, at the end of the day, there were two questions that I had for you here based on some of the research. The first is, I'll say it's a technical one, but sleeping on your side. I heard there's different outcomes for your brain based on how you sleep at night.

Andrew Huberman:人在睡眠时,大脑会经历一次代谢废物的冲洗与清除过程。

Original English

Andrew Huberman: When you sleep, you have a washout of waste products from the brain.

Stephen Bartlett:这对于延缓和预防认知障碍(失智症)极其关键。

Original English

Stephen Bartlett: Very important for offsetting dementia.

Andrew Huberman:对于让人感觉精力充沛也极为重要。如果这些还不够有吸引力,它对于消除眼袋也有极大的帮助。你知道吗,早晨醒来时,你有没有见过自己经历一整夜糟糕睡眠后的样子?

Original English

Andrew Huberman: Very important for feeling rested. And if that's not enough incentive, very important for getting rid of bags under your eyes. You know, in the morning... Have you ever seen yourself after one night's shitty sleep?

Stephen Bartlett:天哪,简直惨不忍睹。

Original English

Stephen Bartlett: Oh my gosh.

Andrew Huberman:没错吧。但只要连续睡好两个晚上,你再看看镜子里的自己?

Original English

Andrew Huberman: Right. Sleep two nights well. You see yourself?

Stephen Bartlett:是的,完全不同,状态立刻就回来了。

Original English

Stephen Bartlett: Yeah. Yeah. What the hell?

Andrew Huberman:是的,你又变回帅气的你了,Stephen。

Original English

Andrew Huberman: Yeah. You're handsome self again, Stephen.

Stephen Bartlett:所以那到底是什么原理?

Original English

Stephen Bartlett: You know, so what is that?

Andrew Huberman:那是淋巴液、其他组织液以及代谢废物在眼周堆积的结果。

Original English

Andrew Huberman: That's accumulation of lymph and other fluids and waste products here.

Stephen Bartlett:睡得好就能把它们彻底冲刷排出?

Original English

Stephen Bartlett: This one flushed out.

Andrew Huberman:是的。

Original English

Andrew Huberman: Yeah.

Stephen Bartlett:真的吗?

Original English

Stephen Bartlett: Really?

Andrew Huberman:所以在睡眠期间,身体会进行这种淋巴/类淋巴清除机制。而且研究表明,通过侧卧且头部略微抬高的睡姿,可以小幅但显著地提升这种清除效率。我们过去曾以为是略微倒置或平躺,但现在的认知是头部略微垫高更好。

在早晨起床时,我个人其实非常推崇倒立活动。我自己有一台倒立机——虽然大多数人可能不会配备这种器械——人躺上去然后翻转倒挂。整个人倒挂起来,这对我的背部和脊椎感觉特别舒服。不过有些人会使用震动板(shaker),有些人会选择跳绳。你也可以只是单纯地站起来抖抖身体、活动四肢,因为人体的淋巴系统构造确实不可思议。从你的双脚一路堆叠延伸到大脑,布满了单向瓣膜。

人们通常会联想到淋巴液和淋巴结在免疫检查点以及整个免疫系统中的作用。这当然完全正确,但淋巴系统同时还在不断收集组织液并将其回流输送进血液循环中。当你长时间躺着不动时,体液就会滞留积聚——比如下肢水肿(lymphedema)就是下肢组织液滞留肿胀。因此你需要运动,当你运动时,肌肉的收缩运动实际上就是在挤压这些单向瓣膜中的淋巴液,促使它们向上回流并重新注入全身大循环。

但你的大脑并没有这套由肌肉辅助挤压的常规机制。因此在神奇的睡眠过程中,大脑中的星形胶质细胞(astrocytes)等胶质细胞实际上会在神经组织之间制造出额外的细胞间隙,从而允许代谢废物——也就是我们所说的类淋巴系统(glymphatic system)中的体液——向上流动并排出到大脑表面,随后排出脑外,当然最终依然会进入身体并向下排出体外。

实际上,眼睛的浮肿、眼前房的滞留液体,甚至眼睛出现的一些浑浊感,都与这些排液系统密切相关,甚至有部分代谢排出物还会通过鼻腔排出,这听起来很不可思议。所以早晨醒来后要直立起身并多活动。坊间有各种各样的方法,比如拍打、抖动身体等。做这些动作时看起来可能有点滑稽、有点疯狂,显得你像是在加州待得太久了一样,但这些确实能帮助加速淋巴回流与排出。

不过核心在于,良好的睡眠天然就在执行这项工作——清除脑内类淋巴废物。

Original English

Andrew Huberman: So during sleep, there's this lymphatic clearance. And it does seem it can be slightly but significantly improved by sleeping on your side with your head slightly elevated. We used to think it was slightly inverted. Now we think it's slightly elevated.

When you get up in the morning, I'm actually a big fan—I've got one of these inversion tables, but most people won't, where you lie back and you go upside down. You hang upside down. This feels good on my back. But some people get the shaker. Some people do some jump rope. You can just kind of shake out and move because the lymphatic system is really incredible. It's one-way valves stacked up from your feet all the way up to your brain.

People think about the role of lymph and lymph nodes in immune checkpoints and the immune system. That's all true of course, but the lymph system is taking liquid and it's dumping it back into your blood circulation, and it can accumulate when you're lying or when you're... you know, this is lymphedema, which is swelling of the lower limbs, etc. So you need to move. When you move, you're essentially squeezing the lymph in these one-way valves up to dump back into the general circulation.

Your brain doesn't have that mechanism. So miraculously in sleep, you get the astrocytes, the glial cells, actually create a bit of extra space in the brain between neural tissue that allows the waste products—the glymph, as we call it, glymphatic fluid—to flow up and out towards the surface of the brain, and then it dumps out of the brain, still in the body of course, and down and out.

Actually the puffiness of the eyes, the anterior chamber of the eye, some of the cloudiness of the eye—these systems are shared, and actually some of it actually comes out through the nose, which is wild. But get upright, move around. There's a bunch of ways, like these tapping, shaking... it looks silly, it looks kind of crazy, looks like you've been in California too long if you do these things, but it can help move lymph out. But sleeping does that—clears glymph.

白天冥想与日间类淋巴系统清理

Andrew Huberman:另外还有一件事,《美国国家科学院院刊》(PNAS)最近发表了一项研究,我在新书中也有详细介绍:信不信由你,一段简短的冥想实际上能在白天增加脑部类淋巴系统的代谢清除率。

这极其耐人寻味,因为像你我这样的人总是想搞清楚:我们怎样才能用更少的睡眠时间,却依然感觉精力充沛,同时还不损害身体健康?事实证明,长期坚持规律冥想的人,每天进行 20 分钟冥想,或许就能减少大约一个小时的睡眠需求,因为他们在冥想过程中就已经获得了类淋巴系统的部分排毒与清理。

在睡眠方面,入睡的时机以及睡眠时长与体温变化密切相关;但同时,体内似乎也存在一种由类淋巴清除需求所驱动的机制,提示你需要睡得更久——这也是为什么当人生病时会睡得明显更多的原因之一(当然还有其他免疫因素)。

因此,我现在重新恢复了冥想习惯。虽然与许多资深禅修者相比,我的冥想练习非常简陋,但我通常的做法是:早晨醒来后,我做的第一件事就是进行 10 次深呼吸的专注冥想。我告诉自己,如果我连 10 次呼吸的时间都无法保持专注、思绪到处乱跑,那我这一天还能指望过成什么样?而且,如果一个人连 10 次呼吸都无法管束好自己的心智,那算怎么回事呢?

完成之后我起床,通常直接去洗手间排尿,接着补充水分,然后出门接受晨光照射,之后尝试进行一些身体活动。虽然最近这段时间因为要遛狗,我通常是先出门遛狗散步,回来后再喝点咖啡、开始日常锻炼……

Original English

Andrew Huberman: The other thing that's... there's a recent study published in Proceedings of the National Academy of Sciences that I do detail in the book, which is a short meditation, believe it or not, increases glymphatic clearance in the daytime.

Now, this is super interesting because folks like you and me always want to figure out how we can get by with less sleep and still feel awesome and not short-circuit our health. Turns out that the regular meditators are probably able to shave an hour off their sleep—20 minutes a day meditation—because they're getting the glymph clearance during their meditation.

And so in sleep, the timing of sleep and how long you sleep has a lot to do with body temperature, but also there seems to be a drive for glymph clearance that says you need to sleep longer, which is one of the reasons why when you're sick, you sleep a lot more. One of them; there are others as well.

So I'm now back to meditating. And my meditation practice is pretty feeble compared to many. But here's what I do: I wake up in the morning, and the first thing I do is 10 breaths of meditation. I tell myself if I can't concentrate for 10 breaths without my mind going elsewhere, what kind of day am I going to have? And also, what kind of human am I if I can't organize myself for 10 breaths?

Then I get out of bed, I usually go straight to the bathroom, pee, then I go hydrate, then I get sunlight, then I try and get some movement. Although these days, because of the dog, I get a walk in, then I come back, drink some caffeine, exercise...

Stephen Bartlett:然后这一套流程又重新开始循环。我们本身就是由这些生物节律构成的,没有任何人类能够逃脱皮质醇和褪黑素这些昼夜节律的影响。

Original English

Stephen Bartlett: ...and the routine starts, and it starts all over again. We are this rhythm. No human being has ever escaped these circadian influences in cortisol and melatonin.

核心补充剂推荐:镁、高纯度 EPA 与维生素 D

Stephen Bartlett:你会服用……你好像很少深入探讨或公开推荐具体的补充剂?

Original English

Stephen Bartlett: Do you take... you don't really talk in depth about supplements or recommend supplements?

Andrew Huberman:哦,我其实讲过的。总有人问我:“我应该吃些什么补充剂?”

我讨论过 Alpha-GPC、左旋酪氨酸(L-tyrosine),我谈过茶氨酸(L-theanine),以及茶氨酸搭配低剂量咖啡因使用来增强任务切换能力,这方面的研究文献非常有趣。我也讨论过改善睡眠的各种途径,从酸樱桃提取物(tart cherry)、芹菜素(apigenin),到 Quviviq(一种食欲素受体拮抗剂类的处方助眠药)等等……

Original English

Andrew Huberman: Oh, I do. I always get asked, "What should I take?" I talk about Alpha-GPC, L-tyrosine. I talk about theanine. I talk about theanine's use with low-dose caffeine for enhanced task switching, which is a very interesting literature. I talk about ways to improve sleep—everything from tart cherry to apigenin to Quviviq, which is one of the DORAs, one of these orexin drugs. I talk...

Stephen Bartlett:但你个人每天究竟会吃哪些?

Original English

Stephen Bartlett: But what do you take every day?

Andrew Huberman:如果要全讲完,你还得再留出三个小时,那确实是一长串清单。

Original English

Andrew Huberman: You got another 3 hours? Really, it is a lot.

Stephen Bartlett:不用全部列举。

Original English

Stephen Bartlett: Not really.

Stephen Bartlett:如果必须挑选五种——如果有人对你说,你余生只能保留五种补充剂,你会挑哪五种?

Original English

Stephen Bartlett: What are you... like if you had to pick five? If they said you can only do five for the rest of your life... what five supplements would it be?

Andrew Huberman:首先,如果某人的睡眠质量极其出色,我会建议在助眠方面什么都不用吃。但如果睡眠不够理想,我会建议尝试 L-苏糖酸镁(magnesium L-threonate)或双甘氨酸镁(magnesium bisglycinate),这两种在改善睡眠方面是可以互换的。好,这是第一种。

第二种,我非常笃信每天摄入至少 1 克 EPA 形式的 Omega-3 脂肪酸。

Original English

Andrew Huberman: Well, if somebody's sleeping terrifically well, I'd say nothing for sleep. If they're not sleeping terrifically well, I would suggest they try magnesium L-threonate or magnesium bisglycinate. They're interchangeable for sleep. Okay, that's one.

I'm a big believer in getting at least 1 gram per day of EPA omega-3.

Stephen Bartlett:好的。

Original English

Stephen Bartlett: Okay.

Andrew Huberman:我建议获取高纯度制剂,因为现在已经有了便宜的仿制处方药形式,比如 Lovaza(处方级高纯鱼油)。

Original English

Andrew Huberman: I suggest getting it because it's now available generic and cheap, but prescription form, Lovaza...

Stephen Bartlett:EPA 这种形式……

Original English

Stephen Bartlett: EPA, would...

Andrew Huberman:……这是对于大脑健康最具针对性的 Omega-3 形式,同时很可能对心血管健康和减轻全身炎症也大有裨益。

Original English

Andrew Huberman: That form of omega-3 is that you want for brain health, probably also for cardiovascular health and reduced inflammation.

Stephen Bartlett:我怎么知道自己手头的 Omega-3 是不是这种?

Original English

Stephen Bartlett: How do I know if that's the omega-3 that I have?

Andrew Huberman:你需要医生开具处方。是的,这种级别需要处方。

Original English

Andrew Huberman: You need a prescription. Oh, you need a prescription.

Andrew Huberman:但它之所以绝佳,是因为它的 EPA 浓度极高,并且彻底清除了所有重金属残留。

Original English

Andrew Huberman: But here's what's awesome about it: it's very high concentration EPA, and it's cleared of all heavy metals.

Stephen Bartlett:明白了。

Original English

Stephen Bartlett: Okay?

Andrew Huberman:而且它的价格非常便宜。难点仅在于说服医生为你开具处方。你可以直接告诉他们你想要 Lovaza,否则你可能就得去买一大堆非处方鱼油,搞不好还会面临重金属汞中毒的风险——这样他们通常就会理解了。

当然,不要去威胁医生,但你明白我的意思。所以这是为了心理认知健康和身体基础健康。我是补充 Omega-3 的坚定支持者。此外,我自己平时不怎么吃多脂鱼类,除非是吃寿司,否则我并不喜欢吃三文鱼,我总是不太习惯经常吃海鲜。

所以这是前两种。第三种是维生素 D。

Original English

Andrew Huberman: And it's very, very inexpensive. So the challenge is getting a doctor to prescribe it for you. Just tell them you want Lovaza or else you're going to take a bunch of stuff over the counter and you might get mercury poisoning. There you go.

Don't threaten your doctor, but you get the idea. So that's for mental health, physical health. Big believer in boosting omega-3s. Also, I don't eat fatty fish. I don't like salmon unless it's sushi, and I'm just not good at eating seafood.

So that's two. Vitamin D.

Stephen Bartlett:维生素 D。

Original English

Stephen Bartlett: Vitamin D.

Andrew Huberman:每天摄入 5,000 到 10,000 国际单位(IU)。有些人可能会跳出来说:“你怎么能这么定剂量?你需要先做血液检测,不能摄入过量导致中毒……”好吧,确实不要直接吃到 25,000 IU。但绝大多数人的维生素 D 摄入量其实都是严重不足的。

而且,我知道这样说可能会惹恼某些人,但我追求的从来不只是满足所谓的每日推荐摄入量(RDA)。

Original English

Andrew Huberman: 5,000 to 10,000 IUs per day. People be like, "Oh, you don't know that. You need to blood test. You don't want to over... Okay, don't take 25,000." But most people are underdosing vitamin D. And also, I know it pisses people off, but I'm not trying to like hit the RDA, okay? Just like I...

Stephen Bartlett:也就是官方建议的每日推荐最低标准。

Original English

Stephen Bartlett: The recommended daily allowance.

Andrew Huberman:是的。我不想仅仅停留在满足 RDA 标准以避免缺乏症的水平;当然我也绝不想因为盲目过量摄入而引发健康风险。我们应该理性客观看待这件事,对吧?我追求的是达到一个既能确保绝对安全、又能获得额外健康收益的最佳平衡点。

事实清楚地表明,每天补充 5,000 IU 的剂量所带来的额外益处,远远超出了常规讨论中所提及的维生素 D 基本功效——例如在激素调节与内分泌健康方面。我能切实在我的血液检测报告中看到,相较于低剂量,当我每天摄入 5,000 IU 时,各项血液健康指标都有了显著改善……

Original English

Andrew Huberman: Yeah. I'm not just trying to hit the RDA. I'm also not trying to blow a gasket by taking too much. Like, let's be rational here, right? I'm trying to get to a point where I can derive safety but additional benefits. And it's clear that dosing of 5,000 IU per day has some additional benefits that go way beyond conventional benefits of vitamin D that are discussed. For instance, hormone health. Like I can see my bloods getting better when I take 5,000 as opposed...

认知提升补剂与日常精力的权衡

Speaker A: ……增加到 3,000 国际单位(IU)的维生素 D。而且我没有改变其他任何生活习惯。所以就是维生素 D 加上我平时晒晒太阳。可能 10,000 IU 稍微偏高了一点,但我通常会摄入 5,000 到 10,000 IU。嗯,所以这是第三种补剂。

至于另外两种,则取决于你是否打算在一天较晚的时候进行高强度锻炼或高负荷工作,或者你是否非常渴望有一种能与咖啡因协同配合的兴奋剂。顺便提一句,全世界有 90% 的人每天都在摄入咖啡因,所以大家早已在服用咖啡因几乎是个不争的前提了。我个人非常推崇 Alpha-GPC(甘油磷酰胆碱)。

我自己会摄入 600 毫克或 900 毫克。它能提升体内的胆碱水平,进而增加乙酰胆碱。

Original English

Speaker A: ...to 3,000 IU of vitamin D. And I'm not changing anything else. So vitamin D and I get sunlight. Maybe 10,000 was a little high, but I take five to 10. Um, so that's three.

And then the other two would be if you're going to exercise or work intensely late in the day or if you're going to if you really want a stimulant to go with your caffeine. By the way, 90% of the world consumes caffeine every day. So that's a foregone conclusion that they're already taking it. I am a big fan of alpha GPC.

I am 600 milligrams or 900 milligrams of of of it. It increases choline which increases acetylcholine.

Speaker B: 哦,我感觉橱柜里就放着乙酰胆碱呢。

Original English

Speaker B: Oh, I feel like acetylcholine in the cupboard.

Speaker A: 是的。而乙酰胆碱能够切实提升你的专注力。对于非处方提升专注,我是坚定的支持者——当然并不是对所有人都适用,但相比于直接去使用处方类兴奋剂,它是一个更好的选择。

我来告诉你为什么。极少有补剂或成分能在提升专注力和能量的同时,完全不破坏你的睡眠质量。但更棒的是,Alpha-GPC 实际上还能增加你的快速眼动睡眠(REM 睡眠)。虽然可能没人爱听这些细枝末节,但这绝对是真实存在的。

不过,这里有一个非常重要的注意事项:它可能会增加体内一种叫做氧化三甲胺(TMAO)的物质,而 TMAO 可能会增加心血管疾病的风险。因此,缓解这一问题的简便方法就是同时服用 600 毫克的大蒜提取物胶囊,这种胶囊并没有大蒜的味道。所以我通常会把它和 Alpha-GPC 搭配在一起。而且只要在当天的任何时间随餐或随水服下即可。

Original English

Speaker A: Yeah. Which can increase your ability to focus. I'm a big believer in this in not for everyone, but rather than going straight to a a prescription stimulant.

And I'll tell you why. There are very very few things that can increase focus and energy that don't damage your sleep. But even better, alpha GPC gives you more REM sleep. Nobody wants to hear this, but it's absolutely true.

But the other thing, the important caveat is that it can increase something called TMAO, which can increase cardiovascular risk. So, a simple way to mitigate that is you take 600 milligrams of of of a garlic capsule, and it doesn't smell like garlic. So, I kind of tuck that in with it. And you can take it anytime, same day.

肌酸、咖啡因与五大核心补剂盘点

Speaker B: 这是第五种了吗?

Original English

Speaker B: Is that five?

Speaker A: 算上我顺带加进去的大蒜胶囊就算五种了。不对,因为我们前面列出的是:双甘氨酸镁或苏糖酸镁(第 1 种)、Omega-3 鱼油(第 2 种)、维生素 D(第 3 种),然后我们提到了 Alpha-GPC 会是我个人更推荐用来替代尼古丁或处方兴奋剂的选择。

咖啡因本身就非常棒,关于咖啡因的研究数据极其扎实。事实上,每天摄入 200 到 400 毫克的咖啡因已被证实与显著延缓和降低痴呆风险存在高度相关性——虽然这属于相关性而非直接因果关系,但书中也全面涵盖了这些数据。所以我自己肯定会继续喝我的马黛茶和咖啡。那么我想最后一种……

Original English

Speaker A: That's five cuz I threw garlic in there. No, because we said it was um magnesium bisglycinate or L-threonate. We said um omega-3. We said vitamin D and then we said alpha GPC would be my preferable thing to nicotine or prescription stimulants and I'm but caffeine is great great data on caffeine um in fact 200 to 400 milligrams of caffeine per day has been shown to offset dementia in meaningful ways meaningful ways it's not causal it's correlative but those data are covered in there as well so I'm I'm going to continue drinking my yerba mate and my coffee and then the so I suppose the last one...

Speaker B: 我这里有……

Original English

Speaker B: I have,

Speaker A: 你懂的,这有点像……噢,肌酸!

Original English

Speaker A: you know, that's kind of like you Oh, creatine.

Speaker B: 是的。

Original English

Speaker B: Yeah.

Speaker A: 是的。我原本想说根据个人情况任选(dealer's choice),但研究表明,当你处于睡眠不足或压力过大的状态时,肌酸对认知能力的提升效果似乎最为显著。

诸如此类的情况。我个人从 17、18 岁左右就开始服用肌酸了,每天大概 5 到 10 克。我之所以喜欢它,是因为我一直在努力维持并增强力量,而肌酸能增加肌肉细胞内的水分储留。它能切实让你变得更强壮,而拥有强健的力量感觉非常棒。当然你必须配合刻苦训练,但这就是我坚持服用肌酸的原因。

Original English

Speaker A: Yeah. So, I was going to say dealer's choice, but creatine seems to work best for cognitive enhancement when you're a bit sleep deprived or stressed. This kind of thing. I don't know. I've been taking creatine since I was 17 or 18, somewhere in there. 5 to 10 grams per day. I like it because it I mean, I'm trying to maintain or build strength and it puts water in your muscles. It makes you stronger and it feels good to be strong. and you got you got trained, but that's why I take it.

餐后散步与比目鱼肌对血糖调节的独特机制

Speaker B: 好的。最后我想向你请教的是,我之前看过一段视频,我觉得应该是你全网播放量最高的爆款片段之一。你在里面提到,饭后去散步对身体健康能产生极其巨大的积极影响。

Original English

Speaker B: Okay. The last thing I want to ask you about is um I saw a clip, I think it was one of your most viral clips um of all time where you just talked about how going for a walk after you eat can have a really big impact on your body.

Speaker A: 没错。

Original English

Speaker A: Yes.

Speaker B: 这是大多数人根本没有意识到的。

Original English

Speaker B: That most people don't realize.

Speaker A: 大多数人确实没有意识到这一点。我在书中专门写了一个章节来讨论它。我认为散步对于维持健康而言是必要条件,但并非充分条件。其实你不一定非得严格计算每天走满 10,000 步,但在我看来,把每天 7,000 到 8,000 步作为日常目标是非常合理的。

你完全可以把步数拆解到日常细节中。比如我在打电话时会不停来回踱步;我和我的团队录完一期播客后,大家都会一起出去散散步。

我也总是尽量选择走楼梯。出门旅行时,我走楼梯而不是坐扶梯。虽然你走到登机口时可能会微微出汗,但这本身就是在负重快走(rucking)搬运你的行李。

所以步行是一项非常不可思议的活动,因为这种低强度的持续肌肉收缩,能够强有力地帮助缓冲和稳定血糖,特别是在刚吃完饭之后。

而且有一项非常神奇的研究发现:我们小腿深层的比目鱼肌(soleus muscle)——也就是决定小腿侧面宽度的肌肉,比如你在做坐姿提踵时主要锻炼的那块位于腓肠肌下方的深层肌肉——虽然这块肌肉只占人体全身肌肉总量的 1% 左右,但它在葡萄糖利用与代谢方面却展现出了惊人且不成比例的超强能力。

在这项研究中(尽管实验设计本身不太适合作为日常模板),研究人员让受试者进行所谓的“比目鱼肌俯卧撑”(soleus push-ups),其实本质上就是坐在椅子上反复做无负重的坐姿提踵动作。研究人员观察了受试者体内的血糖调节情况,结果发现这种动作极其强力地调控了血糖的急剧上升,有效削平了血糖尖峰。而这一代谢机制与步行的原理完全相通。

Original English

Speaker A: Most people don't realize. There's a section I think walking is necessary but not sufficient for health. You know, I don't think you need to count 10,000 steps per day, but I I think 7,000 to 8,000 steps per day should be the goal.

You can do it. I'll pace while I'm on calls. I take every when I finish a podcast with my team, we take a walk. I'm always trying to take stairs. When I travel, I take stairs, not the escalator. You arrive a little sweatier to your plane, but you're also rucking your bags and this kind of thing.

So walking is is incredible because those low-level repeated muscle contractions really help buffer blood glucose especially after a meal.

But there's this wild study where the soleus muscle the one that gives the calf width width you know when you do seated calf raises right you're it's this muscle underneath the gastrocnemius right that muscle is about 1% of your total musculature but it has an outsized and significant glucose utilization interesting. So in this study which is not practical they had people do what they called soleus push-ups which are basically non-weighted seated calf raises while sitting and they had them do it repeatedly and they looked at blood glucose regulation and that powerfully regulated blood glucose increases. It buffered the peaks and it turns out that this is related to walking.

Speaker A: 所以我并不是建议大家整天都在那里抖腿——除非你正好困在飞机座位上,或者必须在办公室久坐;如果你平时习惯性抖腿,那恭喜你,你其实在无意中帮了自己一个大忙。

但这种低强度肌肉运动确实对血糖管理有着极大的促进作用。有些人可能会嘲讽说:“这也太可笑了,难道你们的意思是让人一整天都在抖腿吗?”是啊,某些人大概会这么曲解我们。绝非如此!我的真正意思是去散步,因为当你散步时,你的慢肌纤维就会发生这种低强度的重复性收缩。比目鱼肌是典型的慢肌纤维,它仿佛是一个意想不到的、专门高效燃烧和利用葡萄糖的“超强熔炉”。

Original English

Speaker A: So I'm not suggesting unless perhaps you're stuck on a plane or while while in the office that you you know if you're a knee bouncer rejoice. You know you're doing yourself good. Um but this movement really seems to help blood glucose management. Now some people say, "Oh yeah, this is so silly. They're talking about all day you're going to do this." Yeah, some people probably accuse us of this. No, what I'm saying is walk because when you walk, you're getting that low-level repeated muscle contraction. It's a slow twitch muscle and it seems to be I don't want to call it a sink, but it seems to be an unsuspected um furnace for glucose utilization.

控制血糖波动与非运动性热量消耗(NEAT)

Speaker B: 为什么控制血糖峰值如此重要呢?

Original English

Speaker B: And why does that matter?

Speaker A: 因为你绝不希望身体出现剧烈的血糖尖峰。虽然你可以应对它们——毕竟血糖骤升时身体会分泌更多胰岛素来进行代偿调节,这正是胰岛素存在的目的,确保血糖维持在正常范围。你既不希望血糖过高,但也绝对不想陷入低血糖状态,因为严重低血糖甚至可能是致命的。

但正常人在进食后,血糖水平都会自然上升。尽管身体可以处理这些波动,但如果你能主动缓冲它们——比如通过饭后进行 5 到 10 分钟的轻松散步来削平血糖峰值——你的身体就不会出现饭后能量断崖式暴跌(energy crashes)和困倦。从长远理论来看,你的代谢健康不仅能得到改善,至少也能避免恶化。

正如朗达·帕特里克博士(Dr. Rhonda Patrick)曾指出的那样,有一项对比研究发现:一组受试者在饭后进行约 30 分钟的散步,而另一组则是每隔 45 分钟左右站起来做 10 个自重深蹲(air squats)。结果发现两者的血糖改善效果旗鼓相当,甚至深蹲组的效果可能略胜一筹。

但我不知道你怎么看,我个人反正是绝对不可能在餐馆吃完饭后,或者在纽约街头直接停下来做自重深蹲的——比如上次我有幸和你以及詹姆斯(James)一起共进晚餐,吃完之后我总不可能当街做深蹲吧。我们肯定是选择一起走走。

所以我并非在贬低朗达博士的研究发现。我认为她揭示的是一种生理机制层面的事实,而不一定是要让大家照搬为死板的执行方案。但如果你确实被困在飞机狭窄的座位上,做几个自重深蹲或者抖抖小腿、做做提踵确实是可行的替代方案。

Original English

Speaker A: You don't want big peaks in glucose. You can manage them. I mean, you get more insulin will be secreted if you have a big peak in in glucose. That's why insulin's there to make sure that um glucose is managed. You don't want it too high. You don't want to be hypoglycemic. In fact, that can be deadly. You don't want to be hypoglycemic. But when people eat, they experience an increase in blood glucose.

And while the peaks are manageable, if you're buffering them, so you're you're you're sort of flattening out those peaks with, you know, 5 to 10 minutes of walking after a meal, you will have fewer energy crashes. In theory, over time, your metabolic health can be better or at least cannot get worse.

And you know there's Dr. Rhonda Patrick has has pointed out there's a sort of a comparison study where people either walked after meals were for 30 minutes or so on per day or they did you know 10 air squats every 45 minutes or so just stand up and do air and it looks like they were comparable. Maybe the air squats were better. I don't know about you but I'm not going to stand up and do air squats in a restaurant or when I get out into the street of New York if I have the great, you know, experience of having dinner with you and James Ston again. the last time you shared a meal like I'm not going to do air squats. Oh, we're going to walk.

So, I think I'm not being disparaging of of Rhonda. I think she was pointing out a a mechanistic feature, not not a not a a protocol, but necessarily, but if you're stuck on a plane, you could do some air squats. You could you could, you know, bounce your knee.

代谢衰退真相与长寿人群的身体特征

Speaker A: 此外,非运动性热量消耗(NEAT,Non-Exercise Activity Thermogenesis)本身就是一个极为庞大的热量消耗途径。那些平时身体动作多、小动作频繁的人,往往都非常精瘦。

关于这方面的研究,让我想起了我本科时研究代谢和生理学的时光。比如罗斯韦尔(Rothwell)和斯托克(Stock)等科学家就发现,有些人摄入的热量远远超出常人想象的生理需求,但他们却始终能保持极低的体脂。事实证明,正是因为他们在一天当中拥有大量的自发性身体活动,单靠这些琐碎的活动每天就能额外消耗多达 1,800 卡路里。当然这是比较极端的情况,但很多普通人只要在日常中多动一动,每天也能轻松多燃烧 1,000 卡路里。

《科学》(Science)期刊上发表过一篇极具影响力的重磅论文——《科学》是一本顶尖期刊,虽然《自然》(Nature)可能更胜一筹,但英国人在这方面的学术积累确实值得称道。尽管学术界总有争论,但事实确凿无疑:

我们以往普遍认为随着衰老必然会发生的“新陈代谢自然放缓”,事实证明根本不是真的!

研究表明,只要人们能够维持住自身的肌肉量,这种所谓的年龄相关性代谢断崖式下滑其实根本就不会发生。你可能会问:“好吧,那是不是意味着变老会导致肌肉流失,进而导致代谢下降?”实际上也不完全是。真正的原因在于,随着年龄增长,人们日常的活动量大幅减少了。

就像大家现在都对长寿(longevity)话题极度着迷一样,我也一直在观察身边的老年人群体,尤其是八十多岁的老人。你知道我在他们身上最常观察到的是什么吗?

那就是自发性肢体活动的显著减少,以及大量的静息状态张口呼吸。这种在静止休息时的张口喘息是非常糟糕的。我们都知道,静息状态下用嘴呼吸会导致大脑摄氧不足,这是极其有害的。你在高强度运动时或者做生理性叹息时当然可以用嘴呼气,但在静息、清醒或睡眠状态下,你绝对不应该成为一个习惯性用嘴呼吸的人。

而与此同时,当你看到像詹姆斯·霍利斯(James Hollis)或者特怀拉·萨普(Twyla Tharp)这样的人——我虽然不清楚她的确切年龄,但我记得她应该在八十岁出头——作为世界顶级的编舞家和顶尖舞者,她至今依然在坚持做大重量硬拉……

Original English

Speaker A: And, you know, non exercise um induced thermogenesis is a massive calorie burn. You know, people who move a lot tend to be rather thin. They tend to be lean. it the studies on those like I go back to my undergraduate days when we worked on metabolism and physiology like Rothwell and Stock and some other folks these scientists who figured out that there were people who could eat a lot more than you would think they needed but they always stayed lean turns out they're moving a lot during the day burning up to 1,800 calories a day. Now, that's extreme, but some people who just move a bit more at a thousand calories per day.

And there's this paper published in the journal Science, which is a great journal, not as great as Nature, but the Brits get the cake there. And people will argue, but it's true. That the decline in metabolism that we all associate with aging, like, oh, metabolism slows as you age. Turns out that's not true. Turns out that if people maintain muscle mass, that doesn't happen. And you say, okay, well, then aging is muscle mass loss is reduction in metabolism. Actually, no. people are moving less and I've been as everyone else has been absorbed with this longevity thing.

I look at older people and in particular people in their 80s and you know what I see a lot of a lot less spontaneous movement and a lot of mouth breathing [gasps] [panting and sighs] which at rest is not good. We know this that deprives the brain of oxygen. It's not good. You can mouth breathe during exercise, physiological size, etc. But you don't want to be a mouth breather in sleep or in wakefulness. And then you host people like James Hollis or Twyla Tharp who's I don't know her exact age. I think she's in her early 80s, but choreographer, world-class dancer who deadlifts

身体活动、能量毒性与线粒体健康

Andrew:……经常运动,每天清晨五点就锻炼两个小时,练习拳击、编舞。他们精神状态极其敏锐,身材也非常精炼。我还能随口列举出很多其他例子,让你不禁惊叹:“这到底是怎么做到的?”比如我在斯坦福大学的同事迈克·斯奈德(Mike Snyder),虽然他不算特别高龄,但也已经七十多岁了。你看着他们,心里会想:“这究竟是怎么回事?”关键在于他们时刻都在活动。他们一直在运动,保持着大脑活跃,体态也和你一样挺拔。当然,他们确实在规律锻炼,但更重要的是他们在日常中不断地活动、活动、活动。这种自发的身体活动不仅在消耗卡路里——这只是其中一方面——而且还在调节血糖。重点在于他们绝不会让自己长期处于停滞不动的状态。正如莱恩·诺顿(Layne Norton)非常精辟地指出的那样:热量过剩的真正问题到底是什么?好的,除了体脂率和外观身材层面的问题,抛开外表不谈,真正的危害在于你体内产生了“能量过剩的毒性”。世界顶级的线粒体专家贾里德·鲁尔(Jared Rutter)最近上了我的播客,他是线粒体生物化学和遗传学领域的权威领军人物。他会明确告诉你:当你让整个系统、进而让单个细胞被过多的热量所超载时,线粒体乃至整个系统都会生病。细胞的能量管理系统会陷入病态,而你所谓的“新陈代谢”,本质上正是由这数以万亿计的细胞共同构成的整体机能。因此,如果你向其中强行塞入过多的燃料,它们就无法正常运作了。

Original English

Andrew: ...a lot and works out for 2 hours a day at 5 in the morning, who boxes, who choreographs. They're so mentally sharp. They're physically lean. There are other examples I could rattle off and you go, "What is happening?" Mike Snyder, my colleague at Stanford, who's not that old, but he's in his 70s. You look at them, you go, "What's going on?" And they're moving all the time. They're moving. They're mentally active. They have posture like you. They're exercising, sure, but they are moving, moving, moving. The spontaneous movement is burning calories. That's one piece, but it's also the glucose regulation. It's the fact that they're not sitting stagnant in their own it, you know, there's Layne Norton has pointed out quite beautifully actually that what's the problem with caloric excess? Okay, there's the fat aesthetic piece, right? body fat aesthetic piece. But that aside, it's that you have a toxicity of energy. The world's expert in mitochondria came on my podcast recently, Jared Rutter. I mean, he's phenom in the biochemistry and the genetics of mitochondria, and he will tell you, he's like, when you overload a system and therefore a cell with calories, the mitochondria, the whole system gets sick. The energy management system of a cell gets sick and your metabolism, this thing that you call your metabolism is the collective makeup of all these trillions of cells. So you jam too much fuel in there, they don't work as well.

Stephen:所以适时的热量限制可能是有益的。而在某些时候维持热量平衡,有时稍微多一点,有时稍微少一点。这很有道理。因此必须不断活动、活动、活动,因为归根结底显然是热量摄入与消耗的平衡。

Original English

Stephen: And caloric restriction at times might be beneficial. Caloric maintenance maybe a little bit more, at times a little bit less. This is good. So movement, movement, movement because it's obviously calories in, calories out.

演播室环境:二氧化碳与认知表现

Stephen:你知道这是什么吧?

Original English

Stephen: You know what this is, right?

Andrew:你这是在提醒我该停下来结束了吗?

Original English

Andrew: You're telling me I need to stop.

Stephen:不,不,不,这不是时钟。这是一个二氧化碳(CO2)监测仪。

Original English

Stephen: No, no, no, no, no. This is not a clock. This is a CO2 monitor.

Andrew:我还以为是个照度计呢。好的,数值有多高……噢,我们这里的二氧化碳浓度相当高啊。

Original English

Andrew: I thought it was a lux meter. Okay. Okay. How high—Oh, we have a lot of CO2 in here.

Stephen:是的。这是我们演播室里一直常备的设备,因为随着时间推移我逐渐发现,这个数值升得越高,我就越容易感到某种疲倦。

Original English

Stephen: Yeah. It's something that we always have in the studio because I think I learned over time that the higher this got, the more sort of tired I felt.

Andrew:很显然是因为这个演播室里的通风不够好。我们刚开始录制时数值是 600 ppm,现在已经飙升到 1700 ppm 了。

Original English

Andrew: And obviously because there's not great ventilation in this studio here. We started at 600 and we're now at 1,700.

Stephen:而且我们还一直处于短波长灯光的照射下。不过在我们进演播室之前,我们做了什么?我们先去了外面,接受了全光谱……

Original English

Stephen: And we're under short wavelength light. But before we came in here, what did we do? We went outside and we had a blast of full spectrum

Andrew:阳光的洗礼。

Original English

Andrew: sunlight.

Stephen:阳光,没错。现在每当我要进行深度认知工作时,我都会经常思考这个问题。我读过一些相关研究,上面提到如果二氧化碳浓度超过 1000 ppm,人的认知表现就会开始下降。所以……

Original English

Stephen: Sunlight. Yeah. Yeah, I think about this a lot now when I'm trying to do good cognitive work. I read some studies that if this gets above a thousand parts per million, cognitive performance starts to go down. So,

Andrew:好吧,如果你的认知表现再变得更出色,那我们可都要彻底完蛋了,因为你……

Original English

Andrew: well, if your cognitive performance gets any better, we're all hosed cuz you're

新书赠予与真挚致谢

Stephen:你太客气了,Andrew。真的非常感谢你,出自诸多由衷的原因。能够向你请教和学习是莫大的荣幸。坦白讲,平时并没有什么书是我在苦苦期盼的。在我的生活中,我曾经翘首以盼过什么书吗?并没有。但这是多年来我生命中唯一一本一直在殷切等待的书。我之所以这么说,是因为我深信你的治学方法。我坚信你的方法体系、你的科学严谨性、你所呈现的细致入微的视角、你讲述的故事、你丰富的亲身经历,以及你那种令人叹为观止、近乎着魔般的记忆力与记名字的能力。在整场播客中,你没有引用过任何一项研究是不顺带准确提及该研究作者名字的。我以前从未见过有人能做到这样,我一直在想:他到底是怎么做到的?你究竟是怎么记住所有这些人的名字的?

Andrew:这是多年严谨训练的结果,我的导师们当年不断向我灌输:学术归属与引用出处至关重要。

Original English

Stephen: you're very kind, Andrew. Thank you so much for so many reasons. It's such an honor to get to learn from you. But I you know, there's I'll be honest, there's no books that I'm waiting for. There's no books that I've been waiting for. Is there any book in my life that I've been waiting for? No, there's not. This is the only book in my life that I've been waiting for for years now. And I say that to say because I believe in your approach. I believe in your approach, your scientific rigor, the nuance you apply, the stories that you tell, the experiences you've had, the unbelievable almost like mesmerizing ability you have to remember things, remember name. You didn't reference one study without referencing like the author of the study. And I've like never seen I was thinking how has he done that? Like how do you know all the names of all these people?

Andrew: years of years of training and advisers who drilled into me that attribution is important.

Stephen:这太令人惊叹了。市面上关于健康以及我们今天所探讨的一切话题有着海量的信息。但我一直在等待你的这本书,因为其实我并不擅长阅读纸质书,对吧?

Original English

Stephen: It's remarkable. There's so much information out there around health and all the things that we've graced today. But I was waiting for your book because I'm not very good at reading books, right?

Andrew:哈哈,如果你喜欢的话,也有有声书版本。[笑声] 那听起来可会是一段很长的路程。

Original English

Andrew: Well, there's an audio version too if you prefer. [laughter] It'll be a long run.

Stephen:不,我正努力锻炼我的前扣带皮层中段(aMCC)呢,Andrew。我下定决心要读完它。我以前总是对自己说,一旦他出版了那本该死的书,我一定要从头到尾把它彻彻底底读一遍。而且我相信,这应该是全世界印出来的第一本实体书。

Original English

Stephen: No, I'm trying to build the anterior mid-cingulate cortex, Andrew. I'm going to I always said to myself whenever he publishes that bloody book, I will read the whole thing from cover to cover and this is the first book in the world I believe that's been printed.

Andrew:是的。这正好给了我一个机会,说出我整场播客都一直想说的话:你手中拿的这本,是我拥有的、触摸过的、见过的第一本、也是绝无仅有的一本精装实体书。我要把它赠送给你。我非常想让你拥有这本书。说真的,我想把它送给你。如果你愿意的话我可以给你签名,不喜欢的话也可以不签。但对我而言,能够把书送给你是一件无比荣幸的事,因为我从你身上学到了太多太多的东西。你一直是一位杰出的同行、挚友和支持者,但更重要的是,你是一个非常出色的人。你是一个真正善良美好的人。无论在麦克风前还是在私下里,我都与你相处过很多时间。关于 Stephen,大家最需要知道的一点就是:他表里如一,完全就是他展现出来的样子。他是一个超级善良、充满求知欲、满怀爱心的人。虽然像我们所有人一样也并非完美无缺……

Original English

Andrew: Yeah. Can this is an opportunity to say what I've been waiting this entire podcast to say the copy you're holding in your hand is the first the very first and the only hardcover copy that I have or have touched or have seen. And I'm gifting it to you if and I'm gifting it to you. I want you to have the book. Seriously, I want you to have it. and um and I'll sign it if you want or not sign it if you don't. But um it would be an honor for me uh to be able to do that because I've learned so much from you. You've been an amazing colleague and friend and and supporter, but also just really a you're an amazing human being. You're a truly good human being. And I'm I've spent time with you on and off Mike and you know the number one thing that you need to know about Stephen is he is who he appears to be. He's a super kind, curious, loving person. Flawed like the rest of us,

Andrew:……尽管显然比我少得多缺陷,这一点显而易见。但你真的是一个极具人格魅力的人,你在努力为身边的每一个人、为整个世界创造美好的改变。因此,比起你所做的一切,这本书作为表达我由衷感激的心意,其分量还远远不及你所配得的,但我依然希望能把它亲手送给你。

Original English

Andrew: albeit less flawed than me. That's clear. Um, but you really are a a great human being and you're trying to do great things in the world, for everyone around you and for the world. So, um, it's a vastly lesser token of of my gratitude to you for all those things than than it it could be or should be, but I'd like to give it to you.

Stephen:哪里,这真的是莫大的荣幸!我刚才其实还在心里盘算着怎么把它“偷”走呢。[笑声] 现在能收到它我太高兴了。

Original English

Stephen: No, it's such an honor. I was like thinking of ways to steal it. So [laughter] so glad.

Andrew:哈哈,我是真心实意赠送给你的。把这本书送给你之后,我现在要回去读你的书了,同时也非常期待你的下一部著作。

Original English

Andrew: Well, I'm gifting it to you. I'm gifting it to you and and um and now I'm gonna go read your book and I look forward to your next book.

书籍美学、内容传播与播客桥梁

Stephen:太感谢你了。这真是一本极其精美的书。我也非常高兴它最终呈现出来的厚度和开本大小恰到好处。我认为这是最完美的尺寸。刚才你在讲话时,我一边翻阅一边浏览各个不同章节,我觉得你在内容的通俗易懂与可读性方面做得极其出色。因为你知道,在科学方面我并不是最聪明敏锐的人,但我却能毫无障碍地理解书中的一切内容,我认为这是一项非常了不起的成就。而且整本书的设计装帧也极为优美。

Original English

Stephen: Yeah. Yeah. Thank you so much. It's such a such a beautiful book and I I'm really glad that it netted out at the size that it did as well. It is I think the perfect size and I think you've you've done a wonderful job throughout as I was flicking through as you're speaking and jumping to different sections. I think you've done a wonderful job of making it really accessible because, you know, I'm not the smartest cookie as it relates to science, but I was able to understand everything and I think that's a really remarkable thing. It is also gorgeous.

Andrew:恕我直言——我可能还会因为这句话惹来争议——但我总觉得,有时候英国版本的书籍设计看起来非常赏心悦目,而美国版本我常常纳闷为什么往往会略显逊色一点。

Original English

Andrew: Um, I dare I say, and I'll probably get up for this, but I think uh sometimes the the British version of books is is good-looking and then the American versions, I always wonder why they're a little bit uglier.

Stephen:英国人在美学追求上确实很有讲究,比如……

Original English

Stephen: The the aesthetics in Britain, you know, um like

Andrew:英国人的着装品味非常棒。他们很注重仪表,非常注重细节,比如鞋子以及各种搭配,你们怎么称呼来着?“精明体面”(Smart)。他们穿得非常得体讲究,对吧?我本人就是本·谢尔曼(Ben Sherman)和弗莱德·佩里(Fred Perry)等品牌服饰的忠实拥趸,正是那些精湛的细节让这些设计显得格外酷炫。

Original English

Andrew: people dress really well in Britain. They take care. They like pay attention to these little details like in their shoes and things like what do you call it? Smart. Like they dress really smart, right? I'm a big fan of like Ben Sherman and Fred Perry clothes and things like that and like the the details are what make those look so cool.

Stephen:确实,这本书给人的感觉就像是一本极具欧洲设计风范的精美书籍。另外,你的播客也极其精彩。我必须坦言,之所以有那么多嘉宾来到我的节目做客,很大程度上是因为我一直在收听你的节目,并被你播客上的嘉宾彻底震撼了。然后我就会兴奋地对我的团队说:“天呐,这个人太不可思议了,他在节目里讲了这个观点。”每当我身边的亲友在生活中遇到某种困扰或难题时,我都会把你的播客分享给他们。我通常会在 YouTube 上搜索,然后碰巧刷到你的频道,找到你专门针对那个特定问题做的一期节目,并立刻转发给他们。因此,我强烈推荐所有订阅我频道的观众,也去订阅你的节目。我会把链接放在下方,方便大家点击关注。所以事实证明,在科学与健康领域的内容传播上,《Huberman Lab》播客简直就像是通往《CEO 日记》(Diary of a CEO)的“引路桥梁”。

Original English

Stephen: Well, this felt like a very sort of European designed beautiful book and uh and also your podcast is incredible. I, you know, I have to say so many of the guests that I've had on here are because I listen to your show and I get mind blown by the guests that you have on your show and then I'm like to my team, "Oh my god, this person is unbelievable. He said this one." And I'm sending your podcast all around whenever someone in my life is really struggling with something. I go out and search usually on YouTube and then I stumble across your channel and find an episode that you've done about that particular thing and I'm always sending them around. So I highly recommend anyone that subscribes to my channel to go and subscribe over on um your show as well. I'll link it below so everyone can get it. So, it turns out Huberman Lab is the sort of gateway drug to Diary of the [laughter] CEO for science and health content.

Stephen:毫不夸张地说,实事求是地讲确实如此。大家一定要去入手这本书,它终于正式面世了。书籍将于 9 月发售,而我们这期节目也会在 9 月播出,所以现在应该已经可以预购或正式购买了。大家一定要去买来看看,对我而言,这是关于这一领域最具权威性的必读经典之作。非常感谢你,Andrew。

Original English

Stephen: Literally, legally, it's worth being honest about it. Um, and you've got to get the book. It's finally here. Um, comes out September. So, this episode will will air in September. So, it should be out now for pre-order or order. You've got to go get it. It's it's the for me the definitive book on this subject. Thank you so much, Andrew.

Andrew:谢谢你,Stephen。

Original English

Andrew: Thank you, Stephen.

Stephen:非常喜欢今天的对话,期待不久的将来能与你再次畅谈。

Original English

Stephen: Love this conversation. I hope to have another conversation sometime soon.

Andrew:一定会的。

Original English

Andrew: Yes.

Stephen:谢谢大家,YouTube 观众我们下次见。

Original English

Stephen: Thank you. YouTube have this

AI 推荐算法

……全新的疯狂算法,他们能够基于人工智能和你的所有观看行为,精确知道你接下来想要看什么视频。算法显示,眼前这个视频对你来说是最完美的选择。现在每个观看的人所看到的推荐都是不同的。来看看这个视频吧,我敢打赌你一定会喜欢它。

Original English

...new crazy algorithm where they know exactly what video you would like to watch next based on AI and all of your viewing behavior. And the algorithm says that this video is the perfect video for you. It's different for everybody looking right now. Check this video out and I bet you might love it.

📌 文中提及的人物和组织

关键字: light-exposure-risk health-protocols sleep-optimization stress-management nutrition-supplement-review