扁鵲：紮根基層的大咖，給咱現代醫療提了個醒兒！

咱都知道，這世上行行出狀元，可要說古代醫療界的全能大神，那非扁鵲莫屬！這位紮根基層的中醫，那簡直就是古代全科醫生的典範，讀萬卷書，行萬里路，就跟那江湖大俠似的，走南闖北，遇到什麼病就看什麼病，這境界，暗合佛家那“恆順衆生”的度世思想，就跟那菩薩下凡，普度衆生來了！

司馬遷老先生在《史記》裏都誇扁鵲“隨俗爲變”，啥意思呢？就是說扁鵲行醫啊，就像那變色龍似的，到哪兒就按哪兒的規矩來。他行醫到了趙國邯鄲，嘿，這地兒尊崇婦女，那扁鵲就一頭扎進婦女病的研究裏，成了治療婦女帶下病等婦科疾病的最早專科醫生。這就好比您去飯店喫飯，人家飯店主打川菜，您就順着川菜的口味點，喫得那叫一個舒坦。扁鵲到了邯鄲，就順着當地尊重婦女的風俗，專攻婦科，這腦袋瓜子，靈光得很吶！

接着，扁鵲又來到了洛陽。這洛陽是周人的地盤，周人尊敬老人，那扁鵲就主動研究起老年人常犯的毛病，像耳鳴、耳聾、眼花、四肢關節疼痛、關節活動不便這些病。您瞧瞧，這扁鵲就像個貼心小棉襖，老人需要啥，他就研究啥，成了第一位老年病醫生。這就好比您去養老院當志願者，知道老人們喜歡啥活動，就專門組織啥活動，把老人們哄得那叫一個開心。

扁鵲又馬不停蹄地到了咸陽，這秦人愛小兒，扁鵲就又開始研究兒童的生理、病理特點，成了著名的兒科醫生。這就好比您去幼兒園當老師，知道孩子們喜歡啥玩具，就多準備些啥玩具，孩子們玩得那叫一個樂呵。扁鵲這一路走來，就像個全能選手，在不同的賽道上都能拿冠軍，這本事，不服不行！

咱再看看現在，各個醫院裏都坐着專家。這些專家那可都是“單家”，一生就看一類疾病，就像那隻會做一道菜的廚師，雖然這道菜做得那叫一個精妙絕倫，可您要是想喫別的菜，那就得換地方了。患者們呢，就像那沒頭蒼蠅似的，在各位專家的門診之間轉來轉去，暈頭轉向，都不知道該找誰好了。

就說有個老張頭吧，身體不太好，各種毛病都找上門來了。他先去看心臟專家，專家給他開了一堆治心臟的藥；又去看消化專家，消化專家又給他開了一堆治腸胃的藥；再去看看骨科專家，骨科專家又給他開了一堆治關節的藥。這老張頭拿着這一堆藥，心裏直犯嘀咕：“這藥喫了會不會有衝突啊？我這經濟條件也不咋好，這麼多藥，喫得我錢包都癟癟的了。”您瞧瞧，這就是現在專家“單家”模式帶來的問題。

有數據統計啊，現在去醫院看病的患者中，有超過40%的患者患有兩種及以上的慢性疾病。這些患者就像那被各種繩子捆住的小鳥，想飛都飛不起來。他們得在不同的專家門診之間奔波，喫着一堆堆的藥，不僅身體遭罪，錢包也跟着遭殃。

這時候，人們就開始呼喚全科醫生了。這全科醫生就像那萬能鑰匙，啥鎖都能開。他們能全面瞭解患者的身體狀況，綜合各種疾病，給出一個合理的治療方案，讓患者不用再東奔西走，也不用喫那麼多藥。這就好比您去一個綜合超市，啥東西都能買到，不用再跑好幾個地方，方便又省事。

扁鵲在那種交通不便、信息不發達的困難條件下，都能通過自己的不懈努力，成爲全科醫生的先例。他就像那黑暗中的一盞明燈，給現代醫療指明瞭一條“以人爲本”的道路。他告訴我們，醫療不能只追求精深，還要考慮患者的實際需求，要全面、綜合地爲患者服務。

所以啊，咱現代醫療得好好學學扁鵲這精神，多培養些全科醫生，讓患者看病不再那麼麻煩，讓醫療真正成爲爲人民服務的好事業。咱也希望以後去醫院看病，能像去朋友家做客一樣輕鬆愉快，而不是像打仗似的，累得夠嗆！

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。

Pilluo: The experts who took root at the grassroots level woke us up to modern medicine!

As we all know, there are all kinds of immortals in this world, but if there is to say that the almighty goddess of ancient medicine, it is the lentil. This grassroots Chinese medicine is a classic example of ancient general practitioners, Reading thousands of books and traveling thousands upon thousands, he is like a gentleman who travels north and south, and sees whatever illness he encounters. This state of affairs is consistent with the Buddhist idea of "tranquillity with all sentient beings," and he is like the Buddha who has come down to earth to provide for all sentient people!

In the history of history, Mr. Sima Qiang said that the Pingui "changed with custom." What does he mean? That is to say, the lentils practice medicine, like the chameleons, and follow their rules wherever they go. He practices medicine to Zhao State Handan, hey, this place respect women, that Bian Que head into the study of women''s disease, became the treatment of women with morbid vaginal discharge of gynecological diseases such as the earliest specialist. It''s like going to a restaurant for dinner, where the restaurant serves Sichuanese food, and you order according to the taste of Sichuanese, and eat it deliciously. When the lentil arrived in Handan, he followed the local custom of respecting women and specialized in gynecology. This head was very bright.

Then the lentils came to Luoyang. Luoyang was the territory of the Zhou people, who respected the elderly, and the lentils took the initiative to study the ailments often suffered by the elder, such as tinnitus, deafness, eye catching, pain in the limbs and joints, and inability to move joints. You see, this lentil is like a kind little quilt. When the old man needs something, he studies it, and he became the first doctor of geriatrics. It''s like volunteering at a nursing home, knowing what activities the elderly enjoy, organizing specific activities to make the elderlies happy.

Once again, Panjiu went to Xianyang without interruption. The Qin people loved children, and Panjiu began to study the physiology and pathology of children, becoming a famous pediatrician. It''s like when you go to kindergarten as a teacher and know what toys the kids like, you prepare more toys, and the kids have fun playing with them. The flatuo has come to be like an all-round racer, and he can win the championship on different circuits. He cannot resist this feat!

Let''s take a look now. Experts are sitting in every hospital. These specialists are "single family," spending their lives looking at one type of illness, like a chef who can only cook one dish, which is brilliantly cooked, but if you want to eat another dish, you have to go somewhere else. The patients, like flies without a head, wandered around the doctors'' clinics, confused, and didn''t know who to turn to.

Just say there''s an old man, who''s not very well, and all kinds of ailments are coming to him. He first went to a cardiologist, who prescribed him a bunch of medications for his heart. He went to a digestive specialist, who gave him another set of pills for his stomach and intestines. Go to the orthopaedic specialist, who gave him another pile of joint medicines. The old man held this pile of medicine and thought to himself:“Is there going to be a conflict when this drug is taken? I''m not very well off financially. I''ve eaten so many drugs that my wallet is stuck.”You see, this is the problem posed by the current "single-person" model of experts.

Statistics show that more than 40 percent of patients who go to the hospital now have two or more chronic diseases. These patients are like birds that are bound by various ropes and cannot fly. They had to travel between specialist clinics and take piles of drugs, suffering not only their bodies but also their wallets.

That''s when people started calling for GPs. This GP is like a universal key. You can open any lock. They can fully understand the patient''s physical condition, synthesize various diseases, and give a reasonable treatment plan so that the patient does not have to travel around and without taking so many drugs. It''s like going to a comprehensive supermarket, where you can buy everything without having to go several places, which is convenient and easy.

The lentils can become a physician''s precedent through their unremitting efforts in difficult conditions such as inaccessible transportation and underdeveloped information. He was like a bright light in that darkness, giving modern medicine a path that puts people first. He told us that medical care cannot only pursue deep learning, but also consider the actual needs of patients, and serve patients in a comprehensive and integrated manner.

Therefore, we must learn the spirit of the lentil in modern medical care, train more general practitioners, make medical care less hasslesome for patients, and make medical care truly a good cause for the people. We also hope that in the future, when we visit the hospital, we will be as relaxed and enjoyable as visiting a friend''s house, not as tired as being at war!

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.