醫林“風雲”：同行相輕古來事
在咱這悠悠歷史長河裏，各行各業都似一片片獨特的江湖，而醫林這片江湖，更是風起雲湧，暗藏諸多不爲人知的“刀光劍影”。那句“唯有同行之間不服不忿，古已有之”，就像一把鑰匙，輕輕一轉，便打開了醫林那些被歲月塵封的恩怨情仇之門。
醫林雙雄：薛雪與葉天士的“龍虎鬥”
話說清代那會兒，江蘇蘇州和吳縣之地，出了兩位醫林大俠——薛雪和葉天士。這就好比金庸筆下的東邪西毒，各懷絕技，卻又互不相讓。
薛雪，字生白，號一瓢，那可是個因母多病而一頭扎進醫學海洋的主兒。他博覽羣書，醫術精湛得如同武林高手練就了絕世神功。葉天士呢，字天士，號香巖，世醫出身，三十歲就在大江南北闖出了偌大的名頭，長於治療溫熱病，還首倡衛氣營血辨證，那醫術，就好比獨孤求敗的劍法，獨步天下。
這兩人，年齡上薛雪比葉天士小十餘歲，可名氣上卻是不相上下，並駕齊驅。這就好比兩個武林高手，站在了同一座山峯的頂端，都想着成爲那唯一的霸主。於是，一場沒有硝煙的戰爭便悄然拉開了帷幕。
葉天士也是個有個性的主兒，他把自己的書屋命名爲“踏雪齋”。這名字一出來，就像在醫林江湖裏投下了一顆石子，激起了層層漣漪。薛雪何等聰明，一聽這名字，立馬就明白了其中的“挑釁”之意。這就好比有人在你家門口豎了個牌子，寫着要打敗你，你能不生氣嗎？薛雪一咬牙，一跺腳，直接把自己的居室起名爲“掃葉山莊”。這名字一出來，那火藥味可就濃了，就像兩軍對壘，各自亮出了自己的旗幟。
這兩位醫林大俠的互相抨擊，就像兩位武林高手過招，你來我往，互不相讓。他們或許在學術上有着不同的見解，就如同華山論劍時，東邪的奇門五術和西毒的蛤蟆功各有千秋，誰也不服誰。這種同行之間的不服不忿，看似是一場爭鬥，實則也是醫學發展的一種推動力。就像兩個武林高手比武，在切磋中不斷精進自己的武藝，這兩位醫家也在互相的“碰撞”中，不斷探索和完善着醫學的理論和實踐。
醫林隱士：薛雪的“不屑”與《溼熱條辨》
薛雪這人，和華佗一樣，不屑以醫名世。這就好比一位隱居在深山裏的高人，明明有着絕世的武功，卻不願意在江湖上拋頭露面。袁枚在《與薛壽魚書》裏就提到了薛雪的這種“超脫”。
薛雪長於辨治溫熱病，他的醫術就像一把精準的手術刀，能夠準確地找到疾病的根源並加以治療。然而，他卻很少著書立說。這就好比一位武林高手，有着豐富的戰鬥經驗，卻不願意把這些經驗寫成祕籍流傳下來。不過，一般認爲《溼熱條辨》一書爲薛氏之作。這本書就像是薛雪在醫林江湖裏留下的一把“寶劍”，雖然他平時低調，但這把“寶劍”卻閃耀着獨特的光芒，爲後世醫家治療溫熱病提供了寶貴的參考。
從數據上來看，在清代那個醫學發展相對緩慢的時代，像《溼熱條辨》這樣專門針對溫熱病進行系統論述的著作並不多見。這就好比在一片荒蕪的土地上，突然長出了一棵參天大樹，顯得格外引人注目。薛雪的這種“不屑”，或許是他對醫學有着更高的追求，他認爲醫學不僅僅是爲了名利，更是爲了拯救蒼生。他就像一位默默耕耘的農夫，只專注於自己的土地，不在乎外界的喧囂和評價。
醫林傳奇：葉天士的“弟子軍團”與著作傳承
葉天士這邊呢，也是個傳奇人物。他世醫出身，三十歲就聞名大江南北，這就像一顆新星在醫林江湖裏迅速崛起，照亮了整個夜空。他長於治療溫熱病，首倡衛氣營血辨證，這就像是他在醫林裏開闢了一條新的道路，讓後人能夠沿着這條道路不斷前行。
葉天士的代表著作爲《溫熱論》（又名《外感溫熱篇》）、《三時伏氣外感篇》、《臨證指南醫案》。這些著作，大多是他晚年講述的醫學理論與經驗，而後由其弟子門人整理而成。這就好比一位武林宗師，在晚年把自己的畢生所學傳授給了弟子們，讓這些寶貴的經驗能夠代代相傳。
據統計，葉天士的弟子門人遍佈大江南北，他們就像一支龐大的“弟子軍團”，在醫林江湖裏傳播着葉天士的醫術和醫德。這些弟子們在整理葉天士的著作時，也是一絲不苟，力求把老師的精華完整地傳承下來。這就好比一羣工匠，精心雕琢着一件珍貴的藝術品，讓後人能夠欣賞到葉天士醫學思想的魅力。
葉天士的這種傳承方式，就像一顆火種，在醫林江湖裏不斷傳遞，點燃了一代又一代醫家的熱情。他的醫學理論和經驗，就像一座取之不盡、用之不竭的寶藏，爲後世醫家提供了豐富的營養。
醫林啓示：同行相輕與共同進步
回到最初那句話“唯有同行之間不服不忿，古已有之”，我們從薛雪和葉天士的故事裏可以看到，同行之間的不服不忿並不一定是一件壞事。它就像一把雙刃劍，既有爭鬥的一面，也有促進發展的一面。
在當今的醫林江湖裏，我們也應該正確看待同行之間的關係。同行之間的競爭是不可避免的，但這種競爭應該是良性的，就像一場精彩的體育比賽，大家在比賽中互相學習，互相提高。我們不能因爲同行之間的不服不忿而互相詆譭，互相排斥，而應該像薛雪和葉天士一樣，在爭鬥中尋找共同進步的機會。
同時，我們也應該學習薛雪的“不屑”和葉天士的傳承精神。薛雪不屑以醫名世，專注於醫學的本質，這種對醫學的純粹追求值得我們學習。葉天士把自己的醫學經驗傳承給弟子，讓醫學能夠不斷髮展，這種傳承精神也是醫林江湖裏寶貴的財富。
醫林江湖，風雲變幻，同行之間的故事就像一部部精彩的武俠小說，充滿了懸念和驚喜。讓我們從這些古老的故事中汲取智慧，在當今的醫林裏書寫屬於我們自己的傳奇。
作者簡介：梁世傑 中醫高年資主治醫師，本科學歷，從事中醫臨牀工作24年，積累了較豐富的臨牀經驗。師從首都醫科大學附屬北京中醫院肝病科主任醫師、著名老中醫陳勇，侍診多載，深得器重，盡得真傳！擅用“商湯經方分類療法”、專病專方結合“焦樹德學術思想”“關幼波十綱辨證”學術思想治療疑難雜症爲特色。現任北京樹德堂中醫研究院研究員，北京中醫藥薪火傳承新3+3工程—焦樹德門人（陳勇）傳承工作站研究員，國際易聯易學與養生專委會常務理事，中國中醫藥研究促進會焦樹德學術傳承專業委員會委員，中國藥文化研究會中醫藥慢病防治分會首批癌症領域入庫專家。榮獲2020年中國中醫藥研究促進會仲景醫學分會舉辦的第八屆醫聖仲景南陽論壇“經方名醫”榮譽稱號。2023年首屆京津冀“扁鵲杯”燕趙醫學研究主題徵文優秀獎獲得者。事蹟入選《當代科學家》雜誌、《中華英才》雜誌。
Medical Forest "Weather": Working alongside each other is an ancient story
In our long history, various industries seem to be unique places, and the medical field in Healing is a place where the winds rise and hide many unknown "swords and shadows." The phrase, "Only disobedience between peers, as ancient times have done," was like a key that, with a slight turn, opened the doors of sorority in the medical field that had been sealed by the years.
Doctors and Wizards: Xue Xue and Ye Tianshi''s "fight in the middle"
During the Qing Dynasty, two great medical professionals - Xue Xue and Ye Tianshi - were born in Suzhou and Wu County, Jiangsu Province. It''s like the East and West characters of Jin Youn, who have great skills but are not willing to give in to each other.
Xue Xue, born in white and known as Xiao Tao, was a man who had plunged into the sea of medicine because of her mother''s multiple illnesses. He read a lot of books and was as skilled as a martial artist who had mastered the world''s healing arts. Ye Tianshi, known as Tianshi and known as Xiangyan, was born as a doctor in the world. At the age of thirty, he had developed a great reputation in all parts of the country. He was good at treating feverish diseases, and he pioneered the identification of blood from the Wei Qi camp. His surgical skill was like the sword that sought defeat alone, and he walked the world alone.
The two men, Xue Xue was more than ten years younger than Ye Tianshi in age, but they were equally famous and equally close. It''s like two martial arts masters standing at the top of the same mountain, and both want to become the only hegemon. Then a war without smoke quietly began.
Ye Tianshi was also a man of character, and he named his book house the "Snow Garden." Once the name came out, it was like dropping a stone in a healing lake and stirring up layers of ripples. What a clever Xue Xue. Once she heard the name, she immediately understood the meaning of "provocation." It''s like someone has put up a sign on your doorstep saying they want to beat you. Can you not get angry? Xue Xue bit her teeth and stamped her feet, and immediately named her own living room "Shuangye Heights." Once the name came out, the smell of gunpowder became thicker, like two armies fighting each other and each lighting their own flags.
The two doctors slammed each other like two martial arts masters, fighting each other and refusing to give in to each other. They may have different opinions in academics, as in Huashan''s debate on sword, the Eastern evil''s Five-Steps and Western evil''''s Toad Gong each had their own merits, and neither obeyed either. This disobedience between peers, which may seem like a fight, is actually a driving force in the development of medicine. Just as two martial arts masters competed and continued to refine their martial arts skills during the competition, the two medical doctors also continued to explore and perfect the theory and practice of medicine in the "collision" with each other.
The Healing Hermit: Xue Xue''s "dismissal" and the "Dialect of Wet and Hot"
Xue Xue, like Hu Mao, dismissed the world as a medical doctor. It''s like a tall man who lives in a mountain, but who doesn''t want to appear in the streets, even though he has the world-class martial arts skills. Yuan Mei mentioned Xue Xue''s "transcendent" in his book with Xue Xuer.
Xue Xue excelled at diagnosing fever and fever diseases, and his expertise was like an accurate surgical knife, able to accurately find the root cause of diseases and treat them. However, he seldom wrote or spoke. It is like a martial arts master who has a lot of combat experience, but is not willing to write these experiences down as secrets. However, it is generally believed that The Book of Wet and Hot is the work of Xue. This book is like a "sword" left by Xue Xue in the medical field. Although he usually kept a low profile, this "sword" shines with unique light, providing valuable reference for future medical practitioners to treat fever and fever diseases.
From a statistical point of view, in the Qing Dynasty, when medical development was relatively slow, there were few books such as The Book of Wet Heat that systematically addressed feverish diseases. It''s like when a huge tree suddenly grows on a deserted land and looks very noticeable. Xue Xue''s "disdain" may be because he has a higher pursuit of medicine, believing that medicine is not only for fame and fortune, but also to save lives. He was like a farmer who worked in silence, focused on his land and didn''t care about the noise and judgment of the outside world.
The Legend of Healing: Ye Tianshi''s "Team of Followers" and the Legacy of His Writings
Yetians, on the other hand, is also a legend. He was born as a medical doctor, and at the age of 30, he became famous across the country, which was like a new star rapidly rising in the medical landscape, illuminating the entire night sky.His expertise in treating fevers and his advocacy of blood identification at the Hôpital was like a new path for future generations to follow.
Ye Tianshi is known for his work as "The Theory of Heat" (also known as "The Field of External Warmth"), "The Field Of Three-Tenths of Adenitis," and "The Case of the Medical Guide." Most of these works are medical theories and experiences which he described in his later years and which were subsequently compiled by his disciples. It is like a martial arts master who passes on his life''s learning to his disciples in his later years, so that these valuable experiences can be passed on from generation to generation.
According to statistics, Ye Tian Shi''s disciples spread all over the land and the north of the country. They were like a large "corps of disciples" who spread Ye Tian Shi''s healing skills and ethics throughout the medical landscape. These disciples were also meticulous in the preparation of Ye Tianshi''s writings, striving to pass on the essence of the teacher intact. It is like a group of craftsmen who carefully carve a precious piece of art so that future generations can appreciate the charm of Ye Tian Shi''s medical ideas.
Ye Tianshi''s inheritance style, like a fire, was constantly passed on throughout the medical landscape, igniting the passion of generations of medical practitioners. His medical theories and experiences, like an inexhaustible treasure, have provided a wealth of nutrition for future medical practitioners.
Medical sciences reveal that peers should be gentle and progress together
Back to the original sentence, "Only disobedience between peers, as it has been in ancient times." We can see from the story of Xue Xue and Ye Tianshi that disobedience from peers is not necessarily a bad thing. It is like a double-edged sword, with both a combative side and a developmental side.
In today''s medical landscape, we should also view the relationship between peers correctly. Competition between peers is inevitable, but it should be benign, like a wonderful sporting game in which everyone learns from each other and improves on each other. We cannot denigrate and ostracize each other because of the discontent between our peers, but should, like Xue Xue and Ye Tianshi, seek opportunities for common progress in the struggle.
At the same time, we should also learn Xue Xue''s "disdain" and Ye Tianshi''s inheritance spirit. Xue Xue dismissed the name of medicine and focused on the nature of medicine, and this pursuit of medicine is worth learning. Ye Tian Shi passed on his medical experience to his disciples so that medicine could continue to develop, and this inheritance spirit is also a valuable asset in the medical profession.
The landscape of medicine is changing, and the stories between the peers are like a wonderful martial arts novel, full of suspense and surprise. Let us draw wisdom from these ancient stories and write our own legends in today''s healing forest.
Author Bio: Liang Shijie is a senior medical practitioner in traditional Chinese medicine with an undergraduate degree. He has been engaged in traditional medicine clinical work for 24 years and has accumulated a wealth of clinical experience. Following Chen Yong, chief physician of liver disease at Beijing Traditional Medicine Hospital, affiliated with Capital Medical University, and renowned old Chinese medicine, he has been treated for many years and received great attention. He specializes in the treatment of difficult diseases using "conversational traditional therapy" and special treatments combined with the academic ideas of Jiao Shude and Guan Yubo''s ten-level diagnosis.He is currently a researcher at the Shude Tang TCM Research Institute in Beijing, a fellow at the new 3 + 3 project of traditional Chinese medicine flame inheritance in Beijing - a scholar at the inheritance workstation of Jiao Shude''s protégés (Chen Yong),He is a standing committee member of the International Expert Committee on E-learning and Health Care, a member of the Jiao Shude Academic Heritage Special Committee of the Chinese Association for the Advancement of Chinese Medicine Research, and the first cancer specialist to be included in the chapter of the Chinese Pharmaceutical Culture Research Association. Won the 2020 China Association for the Promotion of Traditional Chinese Medicine Zhongjing Medical Branch held the eighth session of the Medical Saint Zhongjing Nanyang Forum "Classic Prescription Famous Doctor" honorary title. The winner of the first Beijing-Tianjin-Hebei "Pingui Cup" Yanzhao Medical Research Essay Award in 2023. His work was featured in the journal Current Scientist and the journal Chinese Talent.
