摘要：在浩瀚的医学海洋中，中医犹如一艘承载着千年智慧的古老航船，缓缓驶过历史的长河。它以其独特的理论体系、丰富的诊疗经验和深厚的文化底蕴，吸引了无数人的目光，其中不乏对中医秘方充满好奇与向往的“中医粉”。然而，在追寻中医奥秘的过程中，我们是否真正理解了中医的精髓？是
在浩瀚的医学海洋中，中医犹如一艘承载着千年智慧的古老航船，缓缓驶过历史的长河。它以其独特的理论体系、丰富的诊疗经验和深厚的文化底蕴，吸引了无数人的目光，其中不乏对中医秘方充满好奇与向往的“中医粉”。然而，在追寻中医奥秘的过程中，我们是否真正理解了中医的精髓？是否懂得如何正确运用中医的智慧来维护健康？
中医的核心在于“辨证施治”，这是一条古老而深刻的医学原则。它告诉我们，每个病人都是独一无二的个体，其病情、体质、心理状态等各不相同。因此，治疗时必须因人而异，做到“一人一方，千人千方”。所谓的秘方、经方、验方、常用方，乃至专病专方，都是前人经验的总结，它们在某些情况下能够奏效，但绝不能死搬硬套，否则便可能南辕北辙，适得其反。
记得有一位老中医曾讲述过一个故事：他曾接诊过一位长期失眠的患者，患者四处求医问药，尝试过各种偏方秘方，但均无济于事。老中医在详细询问了患者的病史、症状、生活习惯后，结合四诊（望、闻、问、切）所得，开出了一剂看似平常却暗含玄机的药方。患者服用后，失眠症状逐渐缓解，最终得以痊愈。老中医解释说，这并非什么秘方，而是根据患者的实际情况，灵活运用中医理论进行辨证施治的结果。
然而，在现实生活中，我们却常常看到一些人盲目追求秘方、经方，甚至不惜重金购买所谓的“祖传秘方”。他们往往忽略了中医的辨证施治原则，以为只要有了秘方，就能药到病除。殊不知，这种做法不仅可能无效，还可能因药物不当而加重病情。
有人可能会问，为什么中医的秘方不能像西医的专利那样，到期后全世界共享呢？这其实涉及到中医的特殊性和复杂性。中医的秘方往往蕴含着医者多年的临床经验和智慧结晶，它们往往难以用简单的语言或公式来概括。此外，中医的秘方还涉及到药材的选用、配伍、炮制等多个环节，稍有不慎就可能影响药效。因此，对于真正有价值的中医秘方，我们应该予以尊重和保护，而不是盲目追求公开和共享。
当然，我们也不能否认，在中医界确实存在一些医德欠佳、故弄玄虚之人。他们打着秘方的幌子，骗取患者的钱财和信任。这种行为不仅损害了中医的声誉，也误导了患者，延误了病情。对于这类人，我们应该坚决予以谴责和打击。
那么，作为中医的粉丝，我们应该如何看待中医的秘方呢？我认为，我们应该保持一颗理性的心，既要尊重中医的传统和智慧，又要学会用慧眼去识别真伪。当我们去找中医看病时，一定要问清楚医生给我们开的药方是否起过效，是否有成功案例作为支撑。如果药方是经过实践检验、确实有效的，那么我们应该坚决接受；如果药方缺乏实践依据、缺乏说服力，那么我们就应该慎重选择。
此外，我们还应该认识到，中医的智慧不仅仅体现在秘方上，更体现在其独特的理论体系、诊疗方法和养生理念上。我们应该深入学习中医的知识，了解中医的原理和方法，从而更好地运用中医的智慧来维护自己的健康。
最后，我想用一句话来总结这篇文章的主题：中医之秘，在于慧眼识方；辨证施治，方能药到病除。愿我们都能成为中医的智者，用慧眼去洞察中医的奥秘，用智慧去维护自己的健康。
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 secret of traditional Chinese medicine: discerning a prescription with keen eyes and treating according to the syndrome
In the vast ocean of medicine, traditional Chinese medicine is like an ancient ship carrying the wisdom of thousands of years, slowly sailing through the long river of history. With its unique theoretical system, rich clinical experience, and profound cultural heritage, it has attracted the attention of countless people, including "traditional Chinese medicine fans" who are full of curiosity and longing for traditional Chinese medicine formulas. However, in the process of seeking the secrets of traditional Chinese medicine, have we truly understood the essence of traditional Chinese medicine? Do we know how to correctly use the wisdom of traditional Chinese medicine to maintain health?
The core of traditional Chinese medicine lies in "differential diagnosis and treatment", which is an ancient and profound medical principle. It tells us that every patient is a unique individual, and their disease, constitution, psychological state, and other conditions are different. Therefore, treatment must be different for different people, achieving "one person, one prescription, one thousand people, one thousand prescriptions". The so-called secret recipes, classic prescriptions, experimental prescriptions, commonly used prescriptions, and even special prescriptions for special diseases are the summary of the experience of previous generations. They can be effective under certain circumstances, but they must not be rigidly applied. Otherwise, they may lead to the opposite of the intended effect.
I remember an old Chinese doctor once told a story: he once treated a patient who suffered from chronic insomnia. The patient had consulted many doctors and tried various remedies, but none of them worked. After carefully inquiring about the patient's medical history, symptoms, and living habits, the old Chinese doctor combined the results of the four diagnostic methods (looking, smelling, asking, and cutting) and prescribed a seemingly ordinary but secretly mysterious medicine. After taking the medicine, the patient's insomnia symptoms gradually eased and eventually recovered. The old Chinese doctor explained that this was not a secret formula, but the result of flexible application of Chinese medicine theory according to the patient's actual situation.
However, in real life, we often see that some people blindly pursue secret formulas, prescription formulas, and even spend a lot of money to buy so-called "ancestral secret formulas." They often ignore the principle of dialectical treatment of traditional Chinese medicine and think that as long as they have a secret formula, they can cure the disease. In fact, this approach may not only be ineffective, but also worsen the disease due to improper medication.
Some people may ask, why can't the secret formulas of traditional Chinese medicine be shared with the world after they expire like the patents of Western medicine? This actually involves the uniqueness and complexity of traditional Chinese medicine. The secret formulas of traditional Chinese medicine often contain the clinical experience and wisdom of doctors over many years, and they are often difficult to summarize with simple language or formulas. In addition, the secret formulas of traditional Chinese medicine also involve the selection, combination, and preparation of medicinal materials, and a slight mistake may affect the efficacy. Therefore, for the truly valuable secret formulas of traditional Chinese medicine, we should respect and protect them, rather than blindly pursue public disclosure and sharing.
Of course, we cannot deny that there are indeed some people in the field of traditional Chinese medicine who have poor medical ethics and play tricks. They use the pretense of secret formulas to cheat patients of their money and trust. This behavior not only damages the reputation of traditional Chinese medicine, but also misleads patients and delays their illness. We should resolutely condemn and crack down on such people.
So, as fans of traditional Chinese medicine, how should we view the secret formulas of traditional Chinese medicine? I believe that we should maintain a rational heart, respecting the tradition and wisdom of traditional Chinese medicine while learning to identify the authenticity with discerning eyes. When we go to see a traditional Chinese medicine doctor, we must ask clearly whether the doctor's prescription has ever worked and whether there are any successful cases to support it. If the prescription has been tested in practice and is indeed effective, we should resolutely accept it; if the prescription lacks practical evidence and persuasion, we should choose carefully.
In addition, we should also realize that the wisdom of traditional Chinese medicine is not only reflected in its formulas, but also in its unique theoretical system, diagnosis and treatment methods, and health-preserving concepts. We should delve into the knowledge of traditional Chinese medicine, understand its principles and methods, and thus better apply the wisdom of traditional Chinese medicine to maintain our own health.
In the end, I would like to summarize the theme of this article with one sentence: The secret of traditional Chinese medicine lies in discerning the right formula with keen eyes; only through dialectical treatment can the disease be cured. May we all become wise practitioners of traditional Chinese medicine, using our keen eyes to understand the mysteries of traditional Chinese medicine, and using our wisdom to maintain our own health.
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
