摘要：在繁忙的诊室里，梁世杰主任总是左手为患者摸脉，右手持一支笔，神情专注地在纸上勾勒着什么。那并非简单的涂鸦，而是他为患者精心绘制的“疾病画像”。这一独特的诊疗方式，不仅展现了梁主任深厚的医学功底，更蕴含了他对患者深情的关怀与治疗哲学。

在繁忙的诊室里，梁世杰主任总是左手为患者摸脉，右手持一支笔，神情专注地在纸上勾勒着什么。那并非简单的涂鸦，而是他为患者精心绘制的“疾病画像”。这一独特的诊疗方式，不仅展现了梁主任深厚的医学功底，更蕴含了他对患者深情的关怀与治疗哲学。

熟悉梁主任的患者都知道，疾病画像，是梁主任在多年的临床实践中逐渐摸索出的一种诊疗方法。他深知，疾病并非孤立存在，而是与患者的体质、生活习惯、心理状态等多方面因素密切相关。因此，在摸脉问诊的过程中，他总是耐心地倾听患者的叙述，细致地观察患者的神态，然后拿起笔，把患者的症状都记在纸上，然后分析患者疾病的由来，气血的多少以及与脏腑的关系，并划出一步一步的治疗方案，有的患者临走时，梁主任还把纸上的涂鸦送给患者，供其参考留作纪念……

这些画像，或繁或简，但无一不透露着梁主任对疾病的深刻理解和精准把握。他会在画像中清晰地标注出病与病之间的关系，如哪些疾病是互为因果，哪些疾病是相互影响；他会分析出主要矛盾和次要矛盾，以及矛盾的主要方面和次要方面，从而确定治疗的重点和顺序；他还会勾勒出治疗的阶段步骤，让患者对自己的康复之路有一个清晰的认识。所以梁主任的患者依从性都特别好。

在梁主任的疾病画像中，身体的气血强弱状态、脏腑的强弱和疾病的关联被展现得淋漓尽致。他深知，气血是生命的根本，脏腑是气血运行的枢纽。因此，在画像中，他会特别关注气血的流通情况和脏腑的功能状态，从而判断疾病的本质和治疗的方向。

这种直观、形象的疾病画像，不仅让患者对自己的病情有了更清晰的认识，更增强了他们对梁主任的信任和依赖。许多患者表示，在看到梁主任为自己绘制的疾病“画像”后，他们对自己的病情和治疗方案有了更深入的了解，也更加积极地配合治疗。

例如，有一位长期受失眠困扰的患者，在多家医院求治无果后找到了梁世杰主任。梁主任通过摸脉问诊和疾病画像，发现患者的失眠与脾胃虚弱、气血不足有关。于是，他在画像中详细标注了脾胃的功能状态和气血的流通情况，并制定了以调理脾胃、补益气血为主的治疗方案。患者看到这幅画像后，对治疗充满了信心，严格按照梁主任的指导进行治疗，最终成功摆脱了失眠的困扰。

梁主任的疾病画像，不仅是他对疾病深刻理解和精准把握的体现，更是他对患者深情关怀和治疗哲学的生动诠释。他相信，只有让患者充分了解自己的病情和治疗方案，才能激发他们的治疗信心和积极性，从而达到最佳的治疗效果。

在梁主任的诊室里，每一幅草稿纸上的疾病画像都是一幅生命的画卷，记录着患者的病痛与希望，也见证着梁主任的医术与医德。他用笔尖轻触纸张，却为患者点亮了康复的明灯，让生命在疾病的阴霾中绽放出新的光彩。

正如仝小林院士所言：“疾病画像，是医生决定治疗方案的重要步骤，也是医患之间信任与合作的基础。”梁世杰主任以他的智慧和匠心，为每一位患者绘制出了通往健康的希望之路。

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。

Portrait of Disease: Director Seiji Leung's Philosophy of Medical Art and Healing

In the busy clinic, Dr. Liang Shijie always felt the patient's pulse with his left hand and held a pen in his right hand, focusing on drawing something on the paper. It was not a simple graffiti, but a carefully drawn "portrait of the disease" of his patients. This unique approach to diagnosis and treatment not only demonstrates Dr. Liang's deep medical expertise, but also reflects his deeply caring and therapeutic philosophy for patients.

Patients familiar with Dr. Liang know that disease profiling is a diagnostic and therapeutic method that Dr. liang gradually explored in his clinical practice over the years. He is well aware that the disease does not exist in isolation, but is closely related to many factors such as the patient's physical condition, lifestyle habits, and psychological state. Therefore, during the consultation process, he always listened patiently to the patient's narrative and carefully observed the patient''s manner. Then he picked up a pen and wrote down all the symptoms of the patient on paper. Then he analyzed the origin of the patient's disease, the amount of blood and air and the relationship with the insides, and drew up a step-by-step treatment plan. When some patients left, Director Liang also gave the patient a drawing on the paper for their reference as a memorial...

These portraits, either simple or simple, reveal Dr. Liang's deep understanding and precise grasp of the disease. He would clearly mark the relationships between diseases in his portraits, such as which diseases caused each other and which affected each others; He will analyze major and minor contradictions, as well as major and minor aspects of the contradictions, to determine the focus and sequence of treatment; He also outlines the stages of treatment, giving patients a clear picture of their path to recovery. Therefore, Dr. Liang's patients are very obedient.

In Dr. Liang's disease portrait, the association between the body's airways and blood levels, the strength and weakness of the lining of the stomach and diseases is revealed vividly. He knew well that the qi and blood are the foundation of life, and the stomach is the hub for the operation of qi and blood. Therefore, in the portrait, he will pay special attention to the circulation of qi and blood and the functional state of the stomach, so as to judge the nature of the disease and the direction of treatment.

This intuitive and graphic portrait of the disease not only allows patients to have a clearer understanding of their condition, but also enhances their trust and dependence on Director Liang. Many patients said that after seeing the "portrait" of their disease drawn by Dr. Liang, they have a deeper understanding of their condition and treatment options and are more actively cooperating with their treatment.

For example, a patient who suffered from insomnia for a long time approached Director Leung Shijie after seeking no results at several hospitals. Director Liang found that the lack of sleep was related to the deficiency of spleen and stomach and qi and blood. Therefore, he detailed the functional status of the spleen and the circulation of the qi and blood in the portrait, and formulated a treatment plan mainly to regulate the spleen, supplement the qi and the blood. After seeing this picture, the patient was full of confidence in the treatment, strictly following the guidance of Director Liang, and finally succeeded in getting rid of the trouble of insomnia.

Dr. Liang's portraits of diseases are not only a reflection of his deep understanding and precise grasp of diseases, but also a vivid interpretation of his deeply caring and therapeutic philosophy. He believes that only by giving patients a full understanding of their condition and treatment options can they inspire their confidence and motivation to achieve optimal treatment results.

In Dr. Liang's clinic, each snapshot of a disease on the draft paper is a portrait of life, documenting the patient's pain and hope, and witnessing Dr. liang's medical skill and ethics. He touched the paper with the tip of his pen, but lit a bright light for the patient to recover, letting life shine a new light in the shadow of disease.

As academician Tong Xiaoping said, "A disease portrait is an important step for doctors to decide on treatment options, and it is also the basis of trust and cooperation between doctors and patients." With his wisdom and craftsmanship, Director Leung Seiji has charted the path of hope to health for each patient.

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