摘要：在历史的长河中，中医药如同一股不息的溪流，滋养着华夏儿女的身心健康。然而，时至今日，这股溪流却面临着前所未有的挑战与困境。曹东义教授，一位深耕中医药领域的学者，以其独到的见解和深刻的洞察力，为我们剖析了中医药的现状，并指出了一条复兴之路。
在历史的长河中，中医药如同一股不息的溪流，滋养着华夏儿女的身心健康。然而，时至今日，这股溪流却面临着前所未有的挑战与困境。曹东义教授，一位深耕中医药领域的学者，以其独到的见解和深刻的洞察力，为我们剖析了中医药的现状，并指出了一条复兴之路。
一、中医现状：四大弊病，积重难返
走进中医药的世界，曹东义教授首先为我们把脉了当前的四大弊病：理论不自信、疗效不自强、传承不自觉、体系不自立。这些弊病如同一道道枷锁，束缚着中医药的发展。
理论不自信，源于对中医药理论体系的认知不足。在现代医学的冲击下，一些中医人开始怀疑自己的理论根基，甚至产生了“中医不科学”的论调。然而，曹东义教授指出，中医药理论是基于数千年实践经验总结的智慧结晶，其独特的阴阳五行、脏腑经络等理论，正是中医认识生命、治疗疾病的关键所在。
疗效不自强，则是因为中医药在疗效评价上的困境。现代医学以“双盲实验”等科学方法为金标准，而中医药则更侧重于个体化治疗，难以用单一的标准来衡量疗效。这导致中医药在疗效上常常受到质疑，甚至被误解为“无效”。
传承不自觉，体现在中医药的传承与发展上缺乏系统性和自觉性。许多宝贵的中医技艺和验方因缺乏有效传承而失传，中医药的精髓难以得到完整保留。
体系不自立，则是中医药在现代医学体系中的地位尴尬。尽管国家大力提倡中西医结合，但在实际医疗体系中，中医药往往处于“勉强并存，远非并重”的境地。
二、复兴之路：认清形势，突破阻碍
面对中医药的现状，曹东义教授认为，复兴中医任重道远，但并非不可能。关键在于认清形势，突破阻碍。
首先，要增强理论自信。曹东义教授强调，中医药理论是中华文明的瑰宝，具有深厚的文化底蕴和科学的合理性。只有深入研究和理解中医药理论，才能真正认识到其独特价值。
其次，要提高疗效自强。这需要中医药工作者不断探索和创新，结合现代医学技术，提高中医药的疗效和安全性。例如，通过临床研究和数据挖掘等技术手段，挖掘中医药在治疗慢性病、亚健康状态等方面的独特优势。
再次，要加强传承自觉。曹东义教授呼吁中医人要加强传承意识，通过师徒传承、学术交流等方式，将中医药的精髓代代相传。同时，也要注重培养新一代中医人才，为中医药的持续发展注入新的活力。
最后，要推动体系自立。这需要国家层面的支持和推动，建立更加完善的中医药体系和政策环境，让中医药在现代医疗体系中发挥更大的作用。
三、中医优势：重新认识，焕发新生
曹东义教授指出，中医药之所以能够在历史长河中屹立不倒，关键在于其独特的优势和特质。这些优势和特质正是中医药复兴的关键所在。
首先，中医药强调“以无为本”，重视“有无相生”。这与现代医学的“结构决定功能”的构成论医学形成了鲜明对比。中医药认为，生命不仅由明物质构成，还受到暗物质的影响。这种对生命本质的认识，为中医药提供了独特的治疗思路和方法。
其次，中医药治疗手段崇尚自然“杂合以治”“心身同调”。这意味着中医药在治疗疾病时，不仅关注身体的症状，还注重调节患者的心理状态和生活方式。这种全面、综合的治疗方法，更符合现代人对健康的需求。
以糖尿病为例，现代医学往往通过药物控制血糖水平，但副作用和依赖性却让患者苦不堪言。而中医药则通过调节患者的饮食、作息、情绪等方面，达到控制血糖、改善生活质量的目的。这种治疗方法不仅有效，而且更加人性化。
四、包容发展：中西合璧，共创未来
在谈到中医药的复兴之路时，曹东义教授特别强调了包容发展的重要性。他认为，中西医并非非此即彼的对立关系，而是可以相互借鉴、相互融合的关系。
现代医学在诊断和治疗方面具有优势，而中医药则在预防和康复方面具有独特优势。两者相结合，可以形成优势互补、协同发展的格局。例如，在癌症治疗中，现代医学的放疗、化疗等手段可以迅速杀死癌细胞，但副作用较大；而中医药则可以通过调节患者身体状态、减轻副作用等方式，提高患者的生活质量和生存率。
此外，曹东义教授还指出，市场医疗的局限性也为我们提供了发展中医药的契机。随着人们健康意识的提高和对传统医学的重新认识，中医药的市场需求将不断扩大。这将为中医药的发展提供新的动力和机遇。
结语：破茧成蝶，重塑辉煌
在曹东义教授的讲述中，我们看到了中医药复兴的希望和路径。尽管当前中医药面临着诸多挑战和困境，但只要我们认清形势、突破阻碍、发挥优势、包容发展，就一定能够迎来中医药的复兴之路。
正如破茧成蝶的蜕变过程一样，中医药也需要经历一番痛苦和挣扎，才能焕发出新的生机和活力。让我们携手共进，为中医药的复兴贡献自己的力量！
作者简介：梁世杰 中医高年资主治医师，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。现任北京厚德为怀医生集团渐冻症研究中心主任，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。
Professor Cao Dongyi talked about the revival of Chinese medicine: Breaking the cocoon into a butterfly, reinventing glory
In the long history, traditional Chinese medicine has been like an endless stream that nourished the physical and mental health of the children of China. Today, however, the stream faces unprecedented challenges and difficulties. Professor Cao Dongyi, a scholar who has deeply studied the field of traditional Chinese medicine, has provided us with unique insights and deep insights into the current state of traditional medicine and pointed out a road to revival.
I. The current state of traditional Chinese medicine: Four major diseases, which cannot be returned
Walking into the world of traditional Chinese medicine, Professor Cao Dongyi first outlined the current four diseases: lack of self-confidence in theory, lack of efficacy, inheritance without self-control, and system failure. These diseases are like chains that bind the development of Chinese medicine.
The theoretical unconfidence stems from a lack of understanding of the theoretical system of Chinese medicine. Under the shock of modern medicine, some Chinese medicine practitioners began to doubt their theoretical foundations, and even developed the argument that "Chinese medicine is not scientific." However, Professor Cao Dongyi pointed out that the theory of Chinese medicine is a crystallization of wisdom based on thousands of years of practical experience, and its unique theory of the five branches of yin and yang, inner and inner meridians, etc. is the key to understanding life and treating diseases in Chinese medicine.
The efficacy is not self-evident, because of the difficulty of evaluation of efficacy in traditional Chinese medicine. Modern medicine takes "double blind experiment" as the golden criterion, while traditional Chinese medicine focuses on the individual treatment, which is difficult to measure the curative effect with a single criterion. This has led to the often questioning of the efficacy of traditional Chinese medicine, even being misinterpreted as "ineffective."
Succession is not self-conscious, and it is reflected in the lack of systematic and conscious nature of the inheritance and development of Chinese medicine. Many valuable Chinese medicine techniques and prescriptions have been lost due to the lack of effective transmission, and the essence of Chinese medicine is difficult to maintain intact.
The system does not stand on its own, which is an awkward place for traditional Chinese medicine in the modern medical system. Although the state strongly advocates the combination of Chinese and Western medicine, in the actual medical system, traditional Chinese medicine is often "barely coexisting, far from being equally important."
II. The road to recovery: recognize the situation and break through obstacles
Facing the current state of traditional Chinese medicine, Professor Cao Dongyi believes that the revival of traditional medicine is a long way off, but it is not impossible. The key is to understand the situation and break through the obstacles.
First, we must increase our theoretical confidence. Professor Cao Dongyi emphasized that traditional Chinese medicine theory is a treasure of Chinese civilization, with deep cultural heritage and scientific rationality. Only by studying and understanding the theory of Chinese medicine in depth can we truly realize its unique value.
Secondly, we must improve the efficacy of treatment. This requires traditional Chinese medicine practitioners to continuously explore and innovate, combine modern medical technology, and improve the efficacy and safety of traditional Chinese Medicine. For example, through clinical studies and data mining and other technical means, mining the unique advantages of TCM in the treatment of chronic diseases, sub-state of health and so on.
Thirdly, we need to strengthen a sense of inheritance. Professor Cao Dongyi called on traditional Chinese medicine practitioners to strengthen the awareness of inheritance, transmitting the essence of traditional Chinese Medicine from generation to generation through teacher-to-student transmission and academic exchange. At the same time, we must also focus on cultivating a new generation of traditional Chinese medicine talents to inject new vitality into the continued development of traditional medicine.
Finally, we need to promote the self-reliance of the system. This requires support and promotion at the national level to establish a more complete traditional Chinese medicine system and policy environment, so that traditional Chinese Medicine can play a greater role in the modern medical system.
III. The advantages of traditional Chinese medicine: Recognition and renewal
Professor Cao Dongyi pointed out that the key to the ability of traditional Chinese medicine to stand firm in the long history lies in its unique advantages and characteristics. These strengths and attributes are the key to the revival of Chinese medicine.
First, traditional Chinese medicine emphasizes "building upon nothing" and emphasized "whether or not there is a relationship." This is in stark contrast to modern medicine's compositional medicine, where "structure determines function." According to traditional Chinese medicine, life is not only composed of clear matter, but also affected by dark matter. This knowledge of the nature of life provides unique therapeutic ideas and methods for traditional Chinese medicine.
Secondly, traditional Chinese medicine therapeutic methods revere nature for "harmony to cure" and "harmony of mind and body." This means that when treating diseases, traditional Chinese medicine focuses not only on physical symptoms, but also on regulating the psychological state and lifestyle of the patient. This comprehensive and integrated treatment approach is more in line with modern people's health needs.
Take diabetes mellitus as an example. Modern medicine often uses drugs to control blood sugar levels, but the side effects and dependence make sufferers miserable. Traditional Chinese medicine, on the other hand, aims to control blood sugar and improve the quality of life by regulating the diet, routine, mood and other aspects of the patient. This treatment is not only effective but also more humane.
IV. Inclusive development: China and the West work together to create a future
Speaking about the road to a revival of traditional Chinese medicine, Professor Cao Dongyi stressed in particular the importance of inclusive development. He believes that Chinese and Western medicine is not an opposing relationship between the other and the other, but a relationship that can be learned from and integrated with each other.
Modern medicine has advantages in diagnosis and treatment, while Chinese medicine has unique advantages when it comes to prevention and rehabilitation. Combining the two can create a pattern of complementary advantages and synergistic development. For example, in the treatment of cancer, modern medical radiotherapy, chemotherapy and other means can quickly kill cancer, but the side effects; The traditional Chinese medicine can improve the quality of life and survival of the sufferer by regulating the physical condition and reducing the side effects.
In addition, Professor Cao Dongyi also pointed out that the limitations of market medicine also provide us with an opportunity to develop traditional Chinese medicine. With the improvement of people's health awareness and the re-awareness of traditional medicine, the market demand for Chinese medicine will continue to expand. This will provide new impetus and opportunities for the development of Chinese medicine.
Conclusion: Breaking the cocoon into a butterfly, restoring glory
In Professor Cao Dongyi's telling, we see the hope and path of a revival of Chinese medicine. Although there are many challenges and difficulties facing traditional Chinese medicine at present, as long as we recognize the situation, break through obstacles, utilize our strengths and develop inclusively, we will certainly be able to usher in the renaissance of traditional Chinese Medicine.
Just like the process of transforming a butterfly, Chinese medicine also needs to go through a lot of pain and struggle to renew its vitality and vitality. Let us join hands to contribute our efforts to the revival of Chinese medicine!
Author Bio: Liang Shijie is a senior medical practitioner in traditional Chinese medicine. 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 the director of the Center for Diffusion Research of Dr. Houde Wei Group in Beijing, a researcher at the Shude Tang Institute of Chinese Medicine, and a fellow at the new 3 + 3 project of traditional Chinese medicine flame inheritance in Beijing - a scholar at the inheritance work station 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.
来源：首都专家梁世杰
