摘要：在浩瀚的医学海洋中，中医以其独特的理论体系、丰富的治疗方法和深厚的文化底蕴，成为了一门令人瞩目的学问。然而，在中医的传承与发展过程中，关于“杂合以治”与“一招制敌”的争论，却如同海浪中的暗流，时隐时现，引人深思。

在浩瀚的医学海洋中，中医以其独特的理论体系、丰富的治疗方法和深厚的文化底蕴，成为了一门令人瞩目的学问。然而，在中医的传承与发展过程中，关于“杂合以治”与“一招制敌”的争论，却如同海浪中的暗流，时隐时现，引人深思。

“杂合以治”，这是古代中医智慧的结晶。在《黄帝内经》等经典著作中，我们不难发现，古人对于疾病的治疗，往往采取多种方法相结合的策略。针灸、草药、推拿、拔罐、食疗……这些看似纷繁复杂的治疗方法，实则蕴含着中医对于人体生理病理的深刻洞察和精妙运用。古人认为，疾病是多种因素相互作用的结果，因此，治疗也应从多个角度入手，以达到“调和阴阳、疏通经络、扶正祛邪”的目的。

然而，在现代社会，随着人们生活节奏的加快和医疗技术的飞速发展，“一招制敌”的治疗方法似乎更受人们的青睐。患者往往希望医生能够迅速准确地找到病因，并给予简单有效的治疗。在这种背景下，“杂合以治”似乎显得有些繁琐和复杂，甚至被一些人视为“蒙古大夫乱枪打鸟”。

那么，“杂合以治”与“一招制敌”之间，到底谁才是正统的中医呢？谁又更能体现中医的疗效呢？

其实，这个问题并没有绝对的答案。因为中医的精髓在于“辨证论治”，即根据患者的具体病情、体质、环境等因素，制定个性化的治疗方案。有时候，一种方法可能就能解决问题；有时候，则需要多种方法相结合，才能取得最佳疗效。

举个例子来说，对于一个感冒患者，如果症状较轻，可能只需要服用一些中成药或草药就能康复。但是，如果症状较重，出现了高热、咳嗽、咳痰等症状，那么就需要综合运用针灸、推拿、拔罐等多种治疗方法，以达到快速缓解症状、提高免疫力的目的。

同样地，对于一些慢性病或疑难杂症，如糖尿病、高血压、肿瘤等，更需要采取“杂合以治”的策略。因为这些疾病往往病因复杂、病程漫长，单一的治疗方法往往难以取得显著疗效。而综合运用中药、针灸、推拿、心理调适等多种手段，则能够更全面地调节患者的身心状态，提高生活质量。

当然，我们也不能否认“一招制敌”在某些情况下的重要性。比如，在急救场合下，迅速准确地找到病因并给予有效治疗，往往能够挽救患者的生命。但是，这并不意味着我们应该忽视“杂合以治”的价值。因为在实际操作中，“一招制敌”往往需要建立在深厚的医学功底和丰富的临床经验之上，否则就可能造成误诊误治。

因此，对于中医来说，“杂合以治”与“一招制敌”并不是对立的，而是相辅相成的。它们共同构成了中医丰富多彩的治疗体系，为患者提供了更多的选择和更好的疗效。

最后，我想说的是，无论是“杂合以治”还是“一招制敌”，最重要的是要坚持以患者为中心的原则。医生应该根据患者的具体情况和需求，制定个性化的治疗方案，并注重与患者的沟通和交流。只有这样，才能真正实现中医的“辨证论治”和“个体化治疗”，让中医的智慧和疗效惠及更多的患者。

在这个充满挑战和机遇的时代里，让我们共同努力，推动中医事业的繁荣发展，让古老的中医智慧在新时代焕发出更加璀璨的光芒！

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。

"Combination for Healing" and "One Strategy for Combating Enemies": Debate over Traditional Chinese Medicine's orthodoxy and efficacy

In the vast ocean of medicine, traditional Chinese medicine has become a remarkable science with its unique theoretical system, rich treatment methods and deep cultural heritage. However, in the inheritance and development of Chinese medicine, the debate about "combine to cure" and "eliminate the enemy by one means" is like an undercurrent in the waves, which sometimes appears and draws deep thought.

"Confusion to cure" is the crystallization of ancient Chinese medicine wisdom. In classical texts such as the Analects of Huangdi, it is not difficult to find that the ancient people often adopted a combination of methods for the treatment of diseases. Acupuncture, herbs, massage, canning, cooking... These seemingly complex treatment methods, in fact, contain the profound insight and meticulous application of traditional Chinese medicine to the physiology of the human body. The ancient people believed that diseases were the result of the interaction of multiple factors, so treatment should also be approached from multiple perspectives to achieve the purpose of "reconciling yin and yang, draining the meridians, and helping to correct and eliminate evil."

However, in modern society, with the accelerated pace of people's lives and the rapid development of medical technology, "fighting the enemy" treatment seems to be more popular. Patients often want their doctors to be able to quickly and accurately find the cause and give them simple and effective treatment. In this context, "consolidation and cure" seems to be somewhat cumbersome and complicated, and is even seen by some as "Mongolian doctors shooting birds."

So, between "conflict to cure" and "eliminate the enemy with one stroke," who is the orthodox Chinese medicine? Who better reflects the efficacy of traditional Chinese medicine?

In fact, there is no absolute answer to this question. Because the essence of traditional Chinese medicine lies in "dialectical treatment," i.e., formulating a personalized treatment plan according to the specific condition, physical condition, environment and other factors of the patient. Sometimes one solution may solve the problem. Sometimes, a combination of approaches is needed to achieve the best possible outcome.

For example, for a cold patient, if the symptoms are mild, may only need to take some Traditional Chinese Medicine Patent Prescription or herbal medicine can recover. However, if the symptoms are severe and there are symptoms such as high fever, cough, coughing, etc., then a comprehensive application of acupuncture, massage, canning and other treatment methods is needed to achieve the goal of rapidly relieving the symptoms and improving the immunity.

Similarly, for some chronic or complicated diseases, such as diabetes mellitus, hypertension, cancer, etc., it is more necessary to adopt the "hybrid treatment" strategy. Because these diseases often have complex causes and long durations, it is often difficult for a single treatment to achieve significant results. Comprehensive use of traditional Chinese medicine, acupuncture, massage, and psychological adjustment can more comprehensively regulate the physical and mental state of the patient and improve the quality of life.

Of course, we cannot deny the importance of fighting the enemy one at a time in some situations. For example, in emergency situations, quickly and accurately find the cause and give effective treatment, often can save the lives of patients. This does not mean, however, that we should lose sight of the value of "healing through a combination." Because in practice, "fighting the enemy one at a time" often needs to be based on deep medical foundation and rich clinical experience, otherwise it may cause misdiagnosis and treatment.

Therefore, for traditional Chinese medicine, "conflict to cure" and "eliminate enemies by one means" are not opposing, but complementary. Together, they constitute the rich and colorful therapeutic system of traditional Chinese medicine, providing patients with more choices and better efficacy.

In conclusion, I would like to say that whether it is "healing through combinations" or "fighting the enemy with one stroke," the most important thing is to stick to the patient-centered principle. The doctor should develop a personalized treatment plan based on the specific conditions and needs of the patient and focus on communication and communication with the patient. Only in this way can we truly realize the "dialectical treatment" and "individualized treatment" of traditional Chinese medicine, so that the wisdom and efficacy of traditional medicine can benefit more patients.

In this era of challenges and opportunities, let us work together to promote the prosperity of traditional Chinese medicine and let the ancient wisdom of traditional medicine shine even brighter in the new era!

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