摘要：在历史的长河中，每一个时代都有其独特的印记与记忆。2004年初，一位来自北京的医院院长在广州的一次讲课中，语出惊人：“哪有医患矛盾，都是挑拨群众斗群众。”此言一出，立即在医学界引起了轩然大波。许多听过此讲的医生纷纷表示，还是北京人认识深刻，一语道破了医患矛盾的
在历史的长河中，每一个时代都有其独特的印记与记忆。2004年初，一位来自北京的医院院长在广州的一次讲课中，语出惊人：“哪有医患矛盾，都是挑拨群众斗群众。”此言一出，立即在医学界引起了轩然大波。许多听过此讲的医生纷纷表示，还是北京人认识深刻，一语道破了医患矛盾的某种本质。然而，时至今日，当我们再次审视这一观点时，不禁要问：医患矛盾真的只是“挑拨群众斗群众”吗？还是它背后隐藏着更为深刻的社会问题？
回望20年前的那个时刻，中国社会正处于快速转型期，各种社会矛盾交织在一起，医疗领域也不例外。那时，医疗资源相对匮乏，医疗水平参差不齐，而患者的健康需求却日益增长。在这样的背景下，医患之间的矛盾逐渐凸显出来。然而，将医患矛盾简单归结为“挑拨群众斗群众”，无疑是一种过于片面和肤浅的解读。
事实上，医患矛盾的产生有着复杂的社会根源。一方面，医疗资源分配不均、医疗水平差异较大等问题导致了患者对于医疗服务的期望与实际体验之间的巨大落差。另一方面，医疗体制的不完善、医疗纠纷处理机制的不健全也使得医患之间的矛盾难以得到有效化解。此外，个别医生的不当行为、医疗信息的不对称以及媒体的不实报道等因素也在一定程度上加剧了医患矛盾的激化。
以北京某三甲医院为例，曾有一位患者因手术并发症导致身体受损，而医院在处理此事时态度冷漠、推诿责任，导致患者家属情绪失控，与医院工作人员发生冲突。这一事件不仅给患者及其家庭带来了极大的痛苦和损失，也在社会上引起了广泛关注和讨论。试想，如果医院能够积极面对问题、主动承担责任并寻求妥善解决方案，那么这场冲突或许本可以避免。
因此，将医患矛盾归结为“挑拨群众斗群众”不仅忽视了其背后的深刻社会根源，也掩盖了解决这一问题的紧迫性和重要性。实际上，医患矛盾是社会和谐稳定的重要考量之一。一个健康、和谐的医患关系不仅有助于提升医疗服务的质量和效率，还能够增强社会的凝聚力和向心力。
为了化解医患矛盾、构建和谐的医患关系，梁世杰科研团队认为我们需要从多个方面入手。首先，政府应加大对医疗卫生的投入力度，优化医疗资源配置，提高医疗服务水平。同时，建立健全医疗纠纷处理机制，确保患者的合法权益得到有效保障。其次，医疗机构应加强内部管理，提高医生的职业素养和服务意识。通过定期开展医德医风教育和技能培训等活动，引导医生树立正确的价值观和职业观。此外，媒体也应承担起社会责任，客观、公正地报道医疗领域的新闻事件，避免夸大其词或歪曲事实。
总之，梁世杰科研团队认为医患矛盾并非“挑拨群众斗群众”的闹剧，而是社会和谐稳定的试金石。只有当我们深刻认识到这一问题的复杂性和严峻性时，才能够采取切实有效的措施加以解决。让我们共同努力，为构建一个健康、和谐的医患关系而不懈奋斗！
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。
The contradiction between doctors and patients: not "provoking the masses to fight the masses", but the call for social harmony.
In the long river of history, each era has its own unique imprint and memory. In early 2004, a hospital director from Beijing made a startling remark in a lecture in Guangzhou: "there are contradictions between doctors and patients, and they all provoke the masses to fight against the masses." As soon as this remark was made, it immediately caused an uproar in the medical community. Many doctors who have heard this say that Beijingers have a deep understanding and have revealed a certain nature of the contradiction between doctors and patients. However, today, when we examine this point of view again, we cannot help but ask: is the contradiction between doctors and patients really just "provoking the masses to fight against the masses"? Or are there more profound social problems hidden behind it?
Looking back at that moment 20 years ago, Chinese society was in a rapid transition period, with all kinds of social contradictions intertwined, and the medical field was no exception. At that time, medical resources were relatively scarce, the level of medical care was uneven, and the health needs of patients were growing. In this context, the contradiction between doctors and patients has gradually emerged. However, it is undoubtedly an one-sided and superficial interpretation to simply sum up the contradiction between doctors and patients as "provoking the masses to fight the masses".
In fact, the contradiction between doctors and patients has complex social roots. On the one hand, problems such as uneven distribution of medical resources and great differences in medical level have led to a huge gap between patients' expectations of medical services and their actual experience. On the other hand, the imperfect medical system and the imperfect medical dispute handling mechanism also make it difficult to resolve the contradiction between doctors and patients effectively. In addition, the improper behavior of individual doctors, the asymmetry of medical information and the false reports of the media have also intensified the contradiction between doctors and patients to a certain extent.
Take a third-class hospital in Beijing as an example, a patient was physically damaged due to surgical complications, but the hospital was indifferent and passed the buck when dealing with the matter, resulting in emotional loss of control of the patient's family and conflict with the hospital staff. This incident has not only brought great pain and loss to patients and their families, but also aroused widespread concern and discussion in the society. Just imagine, if the hospital had actively faced the problem, took the initiative to take responsibility and sought appropriate solutions, the conflict might have been avoided.
Therefore, summing up the contradiction between doctors and patients as "provoking the masses to fight the masses" not only ignores the profound social roots behind it, but also conceals the urgency and importance of solving this problem. In fact, the contradiction between doctors and patients is one of the important considerations of social harmony and stability. A healthy and harmonious doctor-patient relationship not only helps to improve the quality and efficiency of medical services, but also enhances social cohesion and centripetal force.
In order to resolve the contradiction between doctors and patients and build a harmonious doctor-patient relationship, Liang Shijie's research team believes that we need to start from many aspects. First of all, the government should increase investment in health care, optimize the allocation of medical resources, and improve the level of medical services. At the same time, establish and improve the medical dispute handling mechanism to ensure that the legitimate rights and interests of patients are effectively protected. Secondly, medical institutions should strengthen internal management and improve doctors' professional accomplishment and service consciousness. Through regular medical ethics education and skills training and other activities to guide doctors to establish correct values and professional values. In addition, the media should also assume social responsibility to report news events in the medical field objectively and impartially, so as to avoid exaggeration or distortion of facts.
In short, Liang Shijie's scientific research team believes that the contradiction between doctors and patients is not a farce of "provoking the masses to fight the masses", but a touchstone of social harmony and stability. Only when we are deeply aware of the complexity and seriousness of this problem can we take practical and effective measures to solve it. Let us work together to build a healthy and harmonious doctor-patient relationship and make unremitting efforts!
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