摘要：在浩瀚的医学海洋中，中医如同一艘古老而神秘的航船，承载着中华民族数千年的智慧与经验。然而，在当今这个快节奏、高效率的时代，中医却似乎陷入了“养老不养小”的尴尬境地。老一代中医以其深厚的功底和丰富的经验备受尊敬，而年轻一代中医则面临着就业难、信任危机等多重困境。
在浩瀚的医学海洋中，中医如同一艘古老而神秘的航船，承载着中华民族数千年的智慧与经验。然而，在当今这个快节奏、高效率的时代，中医却似乎陷入了“养老不养小”的尴尬境地。老一代中医以其深厚的功底和丰富的经验备受尊敬，而年轻一代中医则面临着就业难、信任危机等多重困境。这不禁让人深思：中医，这一瑰宝般的存在，究竟如何在困境中寻求振兴之路？
一、中医教育的反思与重构
谈及中医的困境，教育问题首当其冲。中医院校毕业的学生，是否真的学到了中医的精髓？他们所学的，是否只是被西医理论“阉割”过的中医知识？答案恐怕不容乐观。
在当下的中医教育中，经方理论被肢解，四大经典被浅尝辄止，学生们往往只能学到皮毛，而无法深入骨髓。这导致了许多中医毕业生在临床上束手无策，甚至不会诊断、不会开方。试问，这样的中医，又怎能赢得患者的信任？
因此，中医教育的重构迫在眉睫。我们需要回归经典，深入研读《黄帝内经》《伤寒杂病论》等中医典籍，领悟其中的智慧与奥秘。同时，我们也要注重实践，通过跟师学习、临床实习等方式，积累宝贵的临床经验。只有这样，才能培养出真正懂中医、会中医的年轻一代。
二、市场困境与出路探索
中医市场的狭小与西医的挤压，是中医面临的又一重大困境。在老百姓的眼中，西医往往意味着快速、有效，而中医则被视为“慢慢调理”的代名词。这种认知偏差，导致了许多患者在选择医疗方式时，更倾向于西医。
然而，中医并非没有市场。在三四线城市和农村，中医依然拥有广泛的群众基础。这些地方的人们更加注重传统和养生，对中医的认可度也更高。因此，中医可以下沉市场，扎根基层，为更多需要的人提供医疗服务。
此外，中医还可以跨界求生，将中医智慧融入养生、药膳、健身等领域，打造多元化的服务模式。通过养生博主、药膳研发、太极塑形课等方式，让中医成为流量密码，吸引更多人的关注和喜爱。
三、信任危机的破解与重塑
信任危机，是中医面临的又一严峻挑战。江湖骗子打着“老中医”的旗号招摇撞骗，导致正规中医毕业生反被误解和质疑。这种信任危机，不仅损害了中医的形象，也阻碍了中医的发展。
要破解信任危机，首先需要加强监管，严厉打击非法行医和假药销售行为。同时，中医界也要加强自律，提高服务质量和技术水平，用实际行动赢得患者的信任。
此外，我们还可以通过科普宣传、媒体传播等方式，提高公众对中医的认知度和认可度。让更多人了解中医的理念、方法和优势，从而消除误解和偏见。
四、海外市场的开拓与机遇
在海外市场，中医却备受追捧。欧美等地的针灸师时薪高昂，中医养生理念也深受欢迎。这为中医的海外突围提供了广阔的空间和机遇。
中医可以抓住这一机遇，积极开拓海外市场。通过输出中医人才、推广中医技术、建立中医机构等方式，让中医在国际舞台上绽放光彩。这不仅有助于提升中医的国际影响力，也能为中医的国内发展注入新的动力和活力。
五、结语：振兴中医，任重而道远
“养老不养小”的中医，在困境中寻求振兴之路并非易事。但只要我们坚定信念、勇于创新、扎实工作，就一定能够走出一条符合中医特色的发展道路。
振兴中医，需要全社会的共同努力。政府要加强政策引导和扶持力度；教育部门要改革中医教育体系；医疗机构要提高中医服务质量和技术水平；中医从业者要加强自律和学习；广大患者也要给予中医更多的信任和支持。
让我们携手共进，为振兴中医贡献自己的力量！让这一瑰宝般的医学智慧，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。
How can traditional Chinese medicine, which "does not raise children in old age," be revived in difficult circumstances?
In the vast sea of medicine, Chinese medicine is like an ancient and mysterious ship that carries the wisdom and experience of the Chinese nation for thousands of years. However, in today's fast-paced and high-efficiency era, traditional Chinese medicine seems to be in the awkward situation of "aging without raising children." The older generation of Chinese medicine is well respected for its deep foundation and rich experience, while the younger generation faces multiple difficulties such as difficulty in employment and a crisis of trust. This makes people think deeply: How on earth can traditional Chinese medicine, a jewel-like existence, seek the path of revitalization in the midst of difficulties?
I. Reflection and restructuring of traditional Chinese medicine education
When it comes to the plight of traditional Chinese medicine, education bears the brunt. Do students who graduate from traditional Chinese medicine schools really learn the essence of traditional Chinese Medicine? Are they learning only traditional Chinese medicine that has been "castrated" by Western medical theory? I'm afraid the answer isn't encouraging.
In current traditional Chinese medicine education, the theory of traditional medicine has been dismembered, the four classics have been tasted a little, and students often can only learn the fur, not the bone marrow. This has led to many graduates of Chinese medicine being helpless in the clinic, not even diagnosing or prescribing a prescription. How can such traditional Chinese medicine win the trust of patients?
Therefore, the restructuring of traditional Chinese medicine education is urgent. We need to return to the classics and study in-depth Chinese medicine texts such as Huangdi's Inner Theory and the Annals of Typhoid and other diseases to understand the wisdom and mysteries in them. At the same time, we should also pay attention to practice, and accumulate valuable clinical experience through peer learning and clinical internship. Only in this way can we cultivate a young generation that truly understands and knows Chinese medicine.
II. Market dilemma and exploration of a way out
The narrow market of traditional Chinese medicine and the squeeze of Western medicine are another major dilemma facing traditional Chinese Medicine. In the eyes of the common people, Western medicine often means fast and effective, while traditional Chinese medicine is seen as synonymous with "slow treatment." This cognitive bias has led many patients to prefer Western medicine when choosing a medical treatment.
However, traditional Chinese medicine is not without a market. In third- and fourth-tier cities and rural areas, traditional Chinese medicine still has a broad popular base. People in these places pay more attention to traditional and healthy living, and the recognition of traditional Chinese medicine is also higher. Therefore, traditional Chinese medicine can sink down the market and take root at the grassroots level to provide medical services to more people who need them.
In addition, traditional Chinese medicine can also seek survival across borders, integrating traditional Chinese wisdom into areas such as nursing, medicinal diet, and fitness, creating a diversified service model. Through health bloggers, herbal medicine research and development, tai chi plastic classes, and other means, let traditional Chinese medicine become a traffic code, attracting more people's attention and affection.
III. Cracking and Restoring Confidence Crisis
The crisis of trust is another serious challenge facing Chinese medicine. Lujiazhuang scammers swindle under the banner of "old Chinese medicine," causing regular Chinese medicine graduates to be misunderstood and questioned. This crisis of trust not only damages the image of traditional Chinese medicine, but also hinders the development of traditional medicine.
To overcome the crisis of trust, we need to strengthen supervision and crack down on the illegal practice of medicine and the sale of counterfeit drugs. At the same time, the TCM profession should also strengthen self-discipline, improve the quality of service and technical level.
In addition, we can also improve public awareness and recognition of traditional Chinese medicine through popular science promotion and media dissemination. To make more people aware of the concepts, methods and advantages of traditional Chinese medicine, thereby eliminating misconceptions and prejudices.
IV. Opening up and opportunities in overseas markets
In overseas markets, Chinese medicine is highly sought after. Acupuncturists in Europe, the United States and other places have high hourly salaries, and the traditional Chinese philosophy of nursing is also popular. This provides vast space and opportunities for traditional Chinese medicine to break out overseas.
TCM can seize this opportunity and actively explore overseas markets. By exporting traditional Chinese medicine talents, promoting traditional Chinese medical technology, and establishing traditional medicine institutions, we can make traditional Chinese Medicine shine on the international stage. This not only helps to enhance the international influence of traditional Chinese medicine, but also injects new impetus and vitality into the domestic development of traditional medicine.
V. CONCLUSIONS: There is still a long way to go to revitalize Chinese medicine
The Chinese medicine practitioner, who "does not raise children in old age," has not sought the road to revitalization in difficult circumstances. But as long as we firmly believe in our convictions, courageously innovate and work solidly, we will certainly be able to find a development path that meets the characteristics of traditional Chinese medicine.
Reviving traditional Chinese medicine requires the joint efforts of the whole society. The government should strengthen policy guidance and support. The education sector should reform the traditional Chinese medicine education system; Medical institutions to improve the quality of service and technical level of TCM; Practitioners of traditional Chinese medicine should strengthen self-discipline and study; Patients should also give more trust and support to traditional Chinese medicine.
Let us work together to contribute our own strength to the revitalization of traditional Chinese medicine! Let this treasured medical wisdom 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
