摘要：在这个纷繁复杂的世界里，每个人都是自己生命故事的主角，而医生，则是那段旅程中不可或缺的引路人。然而，在求医问药的道路上，总有一些误解与偏差，让人不禁感叹：医生，绝非售货员，不能患者要什么就给什么！
在这个纷繁复杂的世界里，每个人都是自己生命故事的主角，而医生，则是那段旅程中不可或缺的引路人。然而，在求医问药的道路上，总有一些误解与偏差，让人不禁感叹：医生，绝非售货员，不能患者要什么就给什么！
想象一位患者，急匆匆踏入诊所，手指着喉咙，言辞急切：“医生，我只要治我的扁桃腺炎，其他的不用管！”这一幕，仿佛是现代医疗场景中的缩影，患者带着对疾病的焦虑，渴望速战速决，却往往忽视了医学的复杂性与个体差异性。而那位医生，面对这样的请求，内心或许五味杂陈。他知道，真正的治疗，从来都不是简单的“按需索取”，而是需要细致入微的诊断与全面考量。
中医的智慧，在于“望闻问切”，四诊合参，这不仅仅是技艺的传承，更是对生命奥秘的深刻洞察。它告诉我们，每一个生命体都是独一无二的，治疗时必须从整体出发，辨证施治。那位治疗扁桃腺炎的患者，虽看似病在咽喉，实则脾胃虚寒乃其根本。医生本想双管齐下，既治标又治本，却因患者的坚持，只得以银翘散暂缓其急。结果，咽痛虽解，胃痛却起，这便是忽略了整体观念、盲目“按需治疗”的代价。
再来看另一位失眠患者，他的故事，是对“头痛医头，脚痛医脚”观念的又一警醒。当医生发现其高血压这一潜在病因时，没有急于投其所好，开出安眠药方，而是从调节体质、稳定血压入手。这一决策，看似绕了个远路，实则直击要害。随着血压的平稳，失眠症状竟不治而愈，这便是中医“治病求本”理念的生动体现。
这两则案例，如同两面镜子，映照出医患关系中常见的误区与挑战。医生，作为专业的守护者，他们的责任在于运用专业知识，为患者把脉定向，而非简单地满足患者的即时需求。因为，真正的健康，从来都不是一时的症状缓解，而是长期的身心和谐与生命质量的提升。
在这个信息爆炸的时代，患者获取健康知识的渠道日益增多，但这也带来了另一个问题：信息过载导致的盲目自信与误解。部分患者，或许因一知半解，便自认为掌握了治疗的“真谛”，对医生的建议置若罔闻。殊不知，医学的海洋深邃而广阔，每一个决定背后，都凝聚着医生多年的学习与临床经验。
因此，作为患者，我们应当学会倾听，学会信任。在求医的路上，医生是那个手持明灯，引领我们穿越迷雾的人。他们的每一次诊断，每一次治疗建议，都是基于对生命的敬畏与尊重。而我们，作为这段旅程的同行者，应当给予医生足够的信任与支持，共同探索最适合自己的康复之路。
总之，医生与患者的关系，远非简单的买卖关系所能概括。它是一场心灵的对话，一次智慧的碰撞，更是一份对生命的共同承诺。让我们携手并进，在这条充满未知与挑战的道路上，用智慧与责任，书写属于自己的健康篇章。
作者简介：梁世杰 中医高年资主治医师，本科学历，从事中医临床工作24年，积累了较丰富的临床经验。师从首都医科大学附属北京中医院肝病科主任医师、著名老中医陈勇，侍诊多载，深得器重，尽得真传！擅用“商汤经方分类疗法”、专病专方结合“焦树德学术思想”“关幼波十纲辨证”学术思想治疗疑难杂症为特色。现任北京树德堂中医研究院研究员，北京中医药薪火传承新3+3工程—焦树德门人（陈勇）传承工作站研究员，国际易联易学与养生专委会常务理事，中国中医药研究促进会焦树德学术传承专业委员会委员，中国药文化研究会中医药慢病防治分会首批癌症领域入库专家。荣获2020年中国中医药研究促进会仲景医学分会举办的第八届医圣仲景南阳论坛“经方名医”荣誉称号。2023年首届京津冀“扁鹊杯”燕赵医学研究主题征文优秀奖获得者。事迹入选《当代科学家》杂志、《中华英才》杂志。
A Doctor is not a salesman--Wisdom and responsibility in doctor and patient cooperation;
In this complex world, each person is the protagonist of his or her own life story, and doctors are the indispensable guide on that journey. However, on the road to medical treatment, there are always some misconceptions and deviations, which make one feel like: doctors, never salespeople, cannot give what the patient wants!
Imagine a patient hurrying into the clinic, pointing at his throat and saying urgently, "Doctor, I just need to treat my tonsillitis, nothing else!" This scene is like the epitome of the modern medical scene, where patients are anxious about the disease and eager to fight it quickly, but often neglect the complexity and individual differences of medicine. The doctor may have had mixed feelings in the face of such a request. He knew that real treatment was never simply "on demand," but required a nuanced diagnosis and comprehensive consideration.
The wisdom of traditional Chinese medicine lies in "seeing, hearing and asking for answers" and combining four consultations. This is not only the inheritance of skills, but also a profound insight into the mysteries of life. It tells us that every living organism is unique, and that healing must be based on the whole and on a dialectical basis. The patient who was treated for tonsillitis seemed to have a sore throat, but a chilly stomach was the root cause. The doctors wanted to take two steps to treat both the symptoms and the root cause, but due to the patient's insistence, they only allowed silver diffusion to delay the emergency. As a result, although the sore throat resolved, the stomach pain started, which is the price of ignoring the overall concept and blindly "treatment on demand."
Let's look at another insomniac patient. His story is another reminder of the notion that a headache treats a head, a footache treats an ankle. When doctors discovered the underlying cause of high blood pressure, they did not rush to give them a prescription for sleeping, but started by regulating their physical condition and stabilizing their blood pressure. This decision, which appears to be a long way around, strikes at the heart of the problem. With the stabilization of blood pressure, insomnia symptoms can be cured without being cured, which is a vivid expression of the concept of "healing the disease and seeking the root cause" in traditional Chinese medicine.
These two cases are like two mirrors that reflect common misconceptions and challenges in the doctor-patient relationship. Physicians, as guardians of the profession, have a responsibility to use their expertise to steer a patient's pulse rather than simply meet their immediate needs. Because, true health is never a temporary relief of symptoms, but a long-term improvement of physical and mental harmony and quality of life.
In this era of information explosion, patients have more and more access to health knowledge, but this also brings another problem: information overload leads to blind confidence and misunderstanding. Some patients, perhaps because they know nothing, think they have the "true meaning" of treatment and ignore the doctor's advice. However, the ocean of medicine is deep and vast, and behind every decision, physicians have years of learning and clinical experience.
Therefore, as patients, we should learn to listen and to trust. On the way to the doctor's office, the doctor was the one holding a light and leading us through the fog. Each of their diagnoses, each of their treatment recommendations, is based on a sense of awe and respect for life. And we, as fellow travelers on this journey, should give physicians enough trust and support to work together to explore the path of rehabilitation that is best for us.
In short, the relationship between a doctor and a patient is far more than a simple business relationship. It is a dialogue of the mind, a collision of wisdom, and a shared commitment to life. Let us work together to write our own chapter of wellness with wisdom and responsibility on this path of unknowns and challenges.
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.
来源：首都专家梁世杰一点号
