摘要：在浩瀚的医学长河中，中医，这一承载着千年智慧与文化的瑰宝，始终以其独特的魅力与深邃的内涵，屹立于世界医学之林。然而，随着时代的变迁与科技的进步，关于中医的正统纯正与疗效之间的争论，却如同太极图中的阴阳两极，既相互依存，又彼此对立，引人深思。
在浩瀚的医学长河中，中医，这一承载着千年智慧与文化的瑰宝，始终以其独特的魅力与深邃的内涵，屹立于世界医学之林。然而，随着时代的变迁与科技的进步，关于中医的正统纯正与疗效之间的争论，却如同太极图中的阴阳两极，既相互依存，又彼此对立，引人深思。
在一些人眼中，中医的正统纯正似乎是其存在的基石。他们自诩为纯中医或正统中医，对现代科学的融合持抵触态度，认为那是对古中医的亵渎。他们口中的古中医，是那样纯净无瑕，如同太极图中的阳极，代表着至高无上的纯粹与神圣。然而，这种对正统的执着追求，是否真的符合中医发展的历史逻辑与现实需求呢？
回望历史，中医的确有着辉煌的过去。从《黄帝内经》的博大精深，到张仲景的《伤寒杂病论》的精湛医术，中医以其独特的理论体系与治疗方法，为中华民族的繁衍昌盛做出了不可磨灭的贡献。然而，时代在变，疾病谱在变，人们对健康的需求也在变。如果中医一味坚守传统，拒绝与现代科学相融合，那么它终将如同被冰封的太极图，失去应有的活力与生机。
事实上，中医与西医并非水火不容。两者在治疗和预防疾病上各有千秋，也各有局限。中医擅长于整体调理与个体化治疗，而西医则在急救、手术等方面具有明显优势。正如八卦中的离坎二卦，一阴一阳，相互对立又相互依存。如果将两者割裂开来，无疑是对医学资源的极大浪费。
有人或许会说，中医的正统在于其独特的理论体系与思维方式，而非简单的疗效。然而，试问一个没有疗效的医学体系，又怎能赢得患者的信任与尊重呢？正如太极图中的阴阳平衡，如果只有阳而没有阴，或者只有阴而没有阳，那么太极图将失去其存在的意义。同样，中医如果只注重理论而忽视疗效，那么它也将失去其存在的根基。
在现实中，我们不难发现一些中医专家以正统自居，却在实际治疗中效果不佳。相反，一些看似“不正宗”的中医方法，却因为其显著的疗效而深受患者欢迎。比如，针灸、拔罐、推拿等中医传统疗法，在现代社会中依然焕发着勃勃生机。这充分说明，疗效才是检验中医真伪的唯一标准。
当然，我们并不否认中医理论体系的重要性。它是中医的精髓所在，也是中医区别于西医的显著特征。但是，理论必须与实践相结合，必须与时代相适应。否则，再完美的理论也只能是空中楼阁，无法真正造福于人类。
因此，我们呼吁中医界同仁能够摒弃门户之见，以开放的心态接纳现代科学，将中医的精髓与现代科技相结合，创造出更加高效、便捷、安全的中医治疗方法。同时，我们也希望广大患者能够理性看待中医与西医的差异与优势，选择最适合自己的治疗方式，让健康成为我们共同追求的目标。
在这个充满挑战与机遇的时代里，让我们携手共进，推动中医事业的蓬勃发展，让古老的中医智慧在新时代绽放出更加璀璨的光芒！
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。
The debate in traditional Chinese medicine: who is the master of orthodoxy, purity, and efficacy?
In the vast river of medicine, Chinese medicine, a treasure carrying thousands of years of wisdom and culture, has always stood out in the world of medicine with its unique charm and profound connotation. However, with the changes of the times and the progress of science and technology, the debate about the orthodoxy and efficacy of traditional Chinese medicine is like the two poles of yin and yang in the Taiji diagram, both interdependent and opposing each other, prompting people to think deeply.
In the eyes of some people, the orthodox purity of traditional Chinese medicine seems to be the cornerstone of its existence. They claim to be pure traditional Chinese medicine or orthodox traditional Chinese medicine, and are opposed to the integration of modern science, believing that it is a desecration of ancient traditional Chinese medicine. The ancient traditional Chinese medicine they speak of is so pure and flawless, like the positive pole in the Taiji diagram, representing the supreme purity and sanctity. However, does this obsessive pursuit of orthodoxy really conform to the historical logic and practical needs of the development of traditional Chinese medicine?
Looking back at history, traditional Chinese medicine indeed has a glorious past. From the profound knowledge of the Huangdi Neijing to the exquisite medical skills of Zhang Zhongjing's Treatise on Febrile and Miscellaneous Diseases, traditional Chinese medicine has made indelible contributions to the prosperity of the Chinese nation with its unique theoretical system and treatment methods. However, the times are changing, the spectrum of diseases is changing, and people's needs for health are changing. If traditional Chinese medicine stubbornly adheres to tradition and refuses to integrate with modern science, it will eventually become like a frozen Taiji diagram, losing its vitality and vitality.
In fact, traditional Chinese medicine and Western medicine are not mutually exclusive. Both have their own strengths and limitations in treating and preventing diseases. Traditional Chinese medicine excels in holistic adjustment and individualized treatment, while Western medicine has obvious advantages in emergency care and surgery. Just like the two hexagrams of Li and Kan in the Bagua, one yin and one yang, they are mutually contradictory and interdependent. If they are separated, it would be a great waste of medical resources.
Some people may say that the orthodoxy of traditional Chinese medicine lies in its unique theoretical system and thinking mode, rather than simple efficacy. However, how can a medical system without efficacy win the trust and respect of patients? Just as the balance of yin and yang in the Taiji diagram, if there is only yang without yin, or only yin without yang, then the Taiji diagram will lose its meaning. Similarly, if traditional Chinese medicine only focuses on theory and ignores efficacy, it will also lose its foundation.
In reality, we can find that some traditional Chinese medicine experts who consider themselves orthodox have poor results in actual treatment. On the contrary, some seemingly "unorthodox" traditional Chinese medicine methods are very popular with patients because of their remarkable efficacy. For example, acupuncture, cupping, massage, and other traditional Chinese medicine therapies are still thriving in modern society. This fully demonstrates that efficacy is the only standard to test the authenticity of traditional Chinese medicine.
Of course, we do not deny the importance of the theoretical system of traditional Chinese medicine. It is the essence of traditional Chinese medicine and the distinguishing feature of traditional Chinese medicine from Western medicine. However, theory must be combined with practice and must be adapted to the times. Otherwise, no matter how perfect the theory is, it can only be a castle in the air and cannot truly benefit humanity.
Therefore, we call on colleagues in the field of traditional Chinese medicine to abandon their parochial views, accept modern science with an open mind, combine the essence of traditional Chinese medicine with modern technology, and create more efficient, convenient, and safe traditional Chinese medicine treatment methods. At the same time, we also hope that patients will rationally view the differences and advantages of traditional Chinese medicine and Western medicine, choose the most suitable treatment method for themselves, and make health our common goal.
In this era full of challenges and opportunities, let's work together to promote the vigorous development of traditional Chinese medicine and let the ancient wisdom of traditional Chinese 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：老梁谈养生
