梁世傑：強調個性化治療，也不忘技術的可複製性
在中醫的浩瀚宇宙裏，個性化治療宛如一顆璀璨的啓明星，指引着醫者探尋人體奧祕的方向。我們總愛扯着嗓子強調，中醫講究辨證論治，就像給每個人量身定製一件獨一無二的錦袍，因爲每個人的體質都像是被老天爺用不同顏料塗抹的畫卷，各有千秋。可咱也得冷靜下來，好好琢磨琢磨，在這片個性飛揚的天地裏，中醫那令人驚歎的技術療效，其實也是能像複印機一樣，一份一份精準複製出來的。
個性如繁星，各具光芒
中醫把每個人看得那叫一個細緻，體質差異被當成寶貝一樣重視。就好比走進了一個大花園，每一朵花都有自己的顏色、形狀和香氣。有的人體質像那熊熊燃燒的火焰，容易上火，動不動就滿臉通紅、口舌生瘡；有的人體質則像那寒冷的冰窖，畏寒怕冷，手腳冰涼得像塊石頭。
曾經有個患者，大夏天的還裹着厚厚的外套，別人喫個冰淇淋舒舒服服，他喫一口就得拉肚子。中醫大夫一瞧，這是典型的陽虛體質啊，就像身體裏的小太陽不夠亮堂。於是，根據他的情況，開出了溫陽的方子，就像給那小太陽添了把柴火。經過一段時間的調理，這患者漸漸能在夏天穿短袖了，也不再對冷食那麼敏感。這就是中醫個性化治療的神奇之處，因人而異，精準打擊疾病。
療效可複製，如星河浩瀚
可別以爲中醫就只會在個性化的圈子裏打轉。中醫的技術療效，那可是有着實實在在的“複製密碼”，它的載體就是那些流傳千年的驗方、祕方、專病專方，還有那成千上萬的中成藥和製劑。據統計，中醫古籍裏的經方、時方總數不下10萬個，這可不是個小數目啊！要是這些方子都不能複製療效，那它們不就成了躺在書架上的“花瓶”，中看不中用了嗎？
就拿六味地黃丸來說吧，這可是中醫界的“明星藥”。它就像一個萬能的小助手，專門對付腎陰虛引起的各種問題。很多患者，不管是年輕人因爲熬夜、壓力大導致的腎陰虛，還是老年人隨着年齡增長出現的腎陰虛症狀，喫了六味地黃丸後，都感覺身體有了明顯的改善。頭暈耳鳴減輕了，腰膝痠軟也不那麼厲害了。這說明什麼？說明六味地黃丸的療效是可以複製的，不管你是哪個年齡段，不管你是因爲什麼原因導致的腎陰虛，它都能發揮一定的作用。
再看看那些治療感冒的中成藥，像板藍根顆粒、感冒清熱顆粒等。每年一到感冒高發季，這些藥就像英勇的戰士，衝在抗擊感冒的第一線。無數人喫了它們後，感冒症狀得到了緩解，病程也縮短了。這不就是療效可複製的最好證明嗎？如果藥品療效不能複製，那西藥製劑的存在價值又何在呢？西藥靠的就是大規模的臨牀試驗和標準化的生產，來保證療效的一致性。中醫其實也有着類似的能力，通過驗方、祕方和中成藥，把有效的治療方法推廣開來。
個性與共性，共舞的旋律
我們既不能只盯着疾病的個性化，就像只看到花園裏每一朵花的獨特，卻忽略了它們都屬於花這個大類別；也不能只強調療效的可複製性，而把每個人的個體差異拋到九霄雲外。疾病有其大衆性，就像流感每年都會在人羣中肆虐一番，很多人都會中招。這時候，就需要有可推廣的技術手段，把有效的治療方法迅速傳播出去。
比如在治療一些常見病時，中醫可以根據大部分患者的共同特點，制定出一些通用的方劑和中成藥。同時，對於一些病情複雜、體質特殊的患者，再進行個性化的調整。這就好比做衣服，先有一個基本的款式，適合大多數人穿，然後再根據每個人的身材特點進行修改，讓衣服更合身。
在中醫的發展道路上，我們要像一位聰明的舞者，在個性與共性的舞臺上翩翩起舞。既要考慮到疾病和人體的個性化，爲每一個患者量身打造治療方案；也要考慮到療效的可複製性，讓有效的治療方法像星星之火一樣，燎原整個醫療領域。因爲，只有這樣，中醫這顆古老的醫學明珠，才能在新時代綻放出更加耀眼的光芒，爲人類的健康事業譜寫出一曲更加壯麗的交響曲。讓我們攜手共進，在中醫的個性與共性之間，找到那把開啓健康之門的金鑰匙。
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。
Shijie Leung: Emphasises personalized therapy, but also does not forget the reproducibility of technology
In the vast universe of traditional Chinese medicine, personalized treatment is like a shining revelation star, guiding the practitioner in the direction of the search for the mysteries of the human body. We always emphasize with a loud voice that traditional Chinese medicine is about dialectical treatment, like customizing a unique robe for each person, because each person''s body is like a painting painted with different colors by God, and each has its own characteristics. But we also have to calm down and think about it. In this world of flying personality, the amazing technical therapeutic effects of traditional Chinese medicine can actually be precisely replicated one by one like a photocopier.
Each personality is like a star and each has a glow.
Traditional Chinese medicine treats everyone as a nuanced person, and physical differences are valued as precious. It''s like walking into a big garden where each flower has its own color, shape and aroma. Some human bodies are like those burning flames, easily catch fire, and whenever they move, their face becomes red and their mouth and tongue get sores. Some of the human body is like that cold ice cellar, afraid of the cold, and the hands and feet are as cold as a stone.
There was once a patient who wore a thick coat during the summer, and when someone ate an ice cream that was comfortable, he started to stomach up. When the traditional Chinese medicine doctor looked at it, this was a typical hypoxia, like the little sun in the body was not bright enough. So, according to his circumstances, he came up with a formula for a warm sun, like adding a firewood to the little sun. After a period of treatment, the patient gradually became able to wear short sleeves in the summer and was no longer as sensitive to cold food. This is the magic of personalized treatment in traditional Chinese medicine, which differs from person to person and strikes the disease with precision.
The effects can be replicated, like the rivers of heaven.
Don''t think that traditional Chinese medicine only goes around in a personalized circle. The technical curative effect of Traditional Chinese Medicine Patent Prescription has a real "copy code," which is the carrier of the thousands of proven formula, secret recipe, disease specific formula, and thousands of Chinese patent medicines and preparations. According to statistics, the ancient books of traditional Chinese medicine by the side, the total number of no less than 100 thousand, this is not a small number of ah! If none of these remedies can replicate the efficacy, then they will become "vaults" lying on the shelves, and won''t they work?
Take the six-flavored turmeric pill, which is the "star drug" in traditional Chinese medicine. It''s like a handy little helper that deals with all kinds of problems caused by kidney failure. Many patients, whether young people with kidney deficiency due to staying up late or stress, or elderly people with krenal deficiency symptoms as they age, feel a significant improvement in their body after eating six-flavored turmeric pills. The dizziness and tinnitus were reduced, and the soreness of the knee and lower back were less severe. What does this mean? Explanation: The efficacy of hexidine pills can be replicated, no matter what age you are, and no matter what reason you have kidney deficiency, it can play a certain role.
Then look at those who treat a cold Traditional Chinese Medicine Patent Prescription, such as Banlangen particles, cold heat particles. Every year when the cold season is high, these medicines are like heroic soldiers on the front line in the fight against the cold. After countless people ate them, the cold symptoms were relieved and the duration of the illness was shortened. Isn''t that the best proof of replicable efficacy? If the efficacy of medicines cannot be replicated, what is the value of the existence of Western medicines? Western medicine is relying on large-scale clinical trials and standardised production, to ensure the consistency of curative effect. Traditional Chinese Medicine (TCM) has a similar ability to promote effective treatments through proven formulas, secret recipes and Traditional Chinese Medicine Patent Prescriptions.
Personality and commonality, the melody of dancing together
We can neither focus on the individuality of the disease, just as we see the uniqueness of each flower in the garden, while ignoring that they all belong to the larger category of flowers. Nor can emphasis be placed solely on the replicability of therapeutic efficacy while putting aside the individual differences of each individual. The disease has its Volkswagen, like the flu every year in the crowd, a lot of people will be infected. At this point, there is a need for scalable technologies to enable the rapid dissemination of effective treatments.
For example, in the treatment of some common diseases, Traditional Chinese Medicine Patent Prescription can be developed according to the common characteristics of most patients. At the same time, for some patients with complex medical conditions and special physical conditions, individualized adjustments are made. It''s like making clothes, first have a basic style that is suitable for most people to wear, then modify the clothes to fit better according to each person''s body characteristics.
In the development of traditional Chinese medicine, we must be like a clever dancer, dancing on the stage of personality and commonality. Taking into account the individuality of the disease and the human body, we must develop a treatment plan tailored to each patient; Consideration should also be given to the replicability of treatments, so that effective treatments can spread the entire medical field like a fire of stars. Because only in this way can traditional Chinese medicine, the ancient pearl of medicine, shine brighter in the new era and write a more magnificent symphony for human health. Let us work together to find the golden key that opens the door to health between the personality and commonality of traditional Chinese medicine.
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.
