摘要：在浩瀚的生命科学领域中，机体修复这一复杂而精妙的工程，始终吸引着无数医者与科学家的目光。仝小林院士以其深厚的医学造诣和独到的见解，提出了“体内自有大药”的核心理念，为我们揭示了机体自我修复的内在机制与无限潜力。
在浩瀚的生命科学领域中，机体修复这一复杂而精妙的工程，始终吸引着无数医者与科学家的目光。仝小林院士以其深厚的医学造诣和独到的见解，提出了“体内自有大药”的核心理念，为我们揭示了机体自我修复的内在机制与无限潜力。
机体，这个由无数细胞、组织、器官构成的庞大系统，其修复能力之强，令人叹为观止。普通感冒七日自愈、伤口自行愈合，这些看似平常的现象，实则蕴含着机体强大的自我修复机制。然而，当疾病来袭，为何有时会愈演愈烈，陷入恶性循环？关键在于我们是否能够有效打破这一循环，为机体提供必要的助力。
仝小林院士指出，药物并非修复的直接工具，而是机体自我修复过程中的助力者。在失衡的天平上，药物只是一个加码的砝码，真正的修复力量源自机体内部。这一观点，在中医治疗中体现得尤为淋漓尽致。中医治疗病毒性疾病，不着眼于直接杀灭病毒，而是通过调动自身的免疫能力，清除病毒。当机体受到“邪气”侵袭，免疫功能受到抑制或削弱时，中药的作用便在于改善体内环境，为机体免疫功能的发挥创造条件。
以感冒为例，中医通过发汗、解表等方法，帮助机体排除病邪，恢复平衡。这一过程，看似简单，实则蕴含着深刻的医学智慧。它告诉我们，治疗疾病，并非简单地对抗和消灭，而是要通过调整机体的内环境，让机体自身去修复和恢复。
机体内环境的平衡，是健康的基础。疾病，本质上就是失衡。因此，治病的过程，就是调衡的过程。中医根据辨证施治的原则，采用汗、吐、下、和、温、清、消、补等多种方法，其目的都是为了调整机体的偏态，恢复平衡。这一过程，既是对机体自我修复能力的信任，也是对中医智慧的深刻体现。
然而，并非所有疾病都能依靠“体内大药”自行修复。当机体自我修复能力达到极限时，就需要借助外力。例如，对于气血亏虚、体质孱弱的患者，得了结核病等疾病，就需要找到真正有效的辨病方和病因药，在辨证的基础上恰当应用，以提高疗效。
在治疗过程中，医生的智慧和能力至关重要。面对复杂疾病，执简驭繁，是医生智慧的体现；而把握治疗的“度”，则是医生经验和水平的体现。病重药轻，杯水车薪；病轻药重，徒伤正气。因此，在治疗过程中，既要充分发挥机体的自我修复能力，又要恰当运用外力，做到恰到好处。
中医治疗的方向，大体可分为祛邪和扶正两种。祛邪，即直接针对疾病或病源；扶正，则是充填或协助启用“体内大药”。在中药复方药理作用的研究中，我们不仅要关注“祛邪”的指标，更要重视“扶正”的作用。因为很多时候，起效的物质基础并非中药本身成分或代谢产物，而是机体自身的修复能力。
以梁世杰主任的观点为例，当身体气血不足、阴阳失衡或亏虚时，体内“大药”不能行使其自愈和迫邪外出的能力。此时，就需要用中药等方式方法促使身体的药恢复运转，这个过程就是扶正的过程。许多病通过扶正，使身体大药运转起来，邪气反而自行消退，根本无需走到驱邪的第二步。而有些病缠绵难愈，虽然身体大药能运转，但不能迫邪外出，这时就需要通过中药等各种方法促进邪气外出，即祛邪或扶正祛邪。
综上所述，“体内自有大药”这一理念，不仅揭示了机体自我修复的奥秘与智慧，也为我们提供了治疗疾病的新思路和新方法。在治疗过程中，我们应充分信任机体的自我修复能力，同时恰当运用外力，做到内外结合、标本兼治。只有这样，我们才能更好地守护健康，享受生命的美好。
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。
Tong Xiaoping: The body has a great medicine
In the vast field of life sciences, the complex and sophisticated engineering of body repair has always attracted the attention of numerous doctors and scientists. With his deep medical knowledge and unique insights, academician Tong Xiaoping proposed the core concept of "big medicine in the body," revealing to us the inner mechanism and limitless potential of the body's self-repair.
The body, a huge system composed of countless cells, tissues and organs, has an amazing ability to repair itself. The common cold heals itself in seven days, and wounds heal on their own. These seemingly ordinary phenomena, however, contain powerful self-repair mechanisms of the body. However, when the disease hits, why does it sometimes get worse and fall into a vicious cycle? The key is whether we can effectively break this cycle and provide the body with the necessary power.
Professor Tong pointed out that drugs are not a direct tool for repair, but rather a facilitator in the body's self-repair process. In the balance of imbalance, drugs are only an added weight, and the real strength of repair comes from within the body. This view is especially vivid in TCM treatment. TCM treats viral diseases not with the intention of directly killing the virus, but by mobilizing its own immune capacity to clear the virus. When the body is invaded by "evil spirits," and the immune function is suppressed or weakened, the role of traditional Chinese medicine is to improve the internal environment and create conditions for the functioning of the body's immune function.
Take the cold as an example, traditional Chinese medicine helps the body to eliminate disease and restore balance by sweating and unwinding the balance. This process, while seemingly simple, contains profound medical wisdom. It tells us that treating disease is not simply to fight and eliminate, but to adjust the internal environment of the body so that the body itself can repair and recover.
The balance of the environment in the body is the foundation of health. Disease, in its essence, is an imbalance. Therefore, the process of treating the disease is the process of balancing the balance. Based on the principle of dialectical treatment, traditional Chinese medicine employs a variety of methods such as sweating, swallowing, lowering, and warming, clearing, suppressing, and supplementing, the purpose of which is to adjust the paranormalities of the body and restore balance. This process is not only a trust in the body's ability to repair itself, but also a profound manifestation of the wisdom of traditional Chinese medicine.
However, not all diseases can be fixed on their own by a "big medicine in the body." When the body's ability to repair itself reaches its limit, it needs to resort to external forces. For example, for patients with hypoxia and frailty who have diseases such as tuberculosis, it is necessary to find truly effective diagnosis and causative drugs and apply them appropriately on the basis of diagnosis to improve the effectiveness of treatment.
In the course of treatment, the wisdom and ability of the doctor is critical. In the face of complex diseases, keeping to a simple manner is the wisdom of doctors. The "degree" of treatment is a reflection of the physician's experience and level. Severe diseases are treated with a few pills, and a cup of water pays. The sickness was severe, and the medicine hurt only the good spirits. Therefore, in the treatment process, we must not only fully utilize the body's self-repair capabilities, but also appropriately use external forces to achieve the right results.
The direction of traditional Chinese medicine can generally be divided into two types of healing and healing. Remove evil, that is, directly target the disease or the source of the disease; Correction is to fill or assist in the use of the "big medicine in the body." In the study of the compounded pharmacological effects of Chinese medicine, we should not only pay attention to the indicators of "healing evil," but also pay attention to "rectifying correctness." Because many times, the material basis for effectiveness is not the ingredients or metabolic products of traditional Chinese medicine, but the body's own ability to repair.
In the view of Director Leung Shijie, for example, when the body is short of qi and blood, yin and yang, or weak, the "big medicine" in the body cannot exercise its ability to heal itself and force the evil out. At this time, it is necessary to use traditional Chinese medicine and other methods to promote the body's medicine to resume functioning, which is the process of correcting. Many diseases resolve on their own by correcting and making the body's great medicines work, without having to go to the second step of detoxifying the evil. However, some diseases are difficult to cure, and although the body's great medicine can work, it cannot force the evil spirit to leave, so it is necessary to promote the evil Spirit to leave through various methods such as Chinese medicine, that is, to remove the evil or correct the evil.
In summary, the concept of "big medicine in the body" not only reveals the mysteries and wisdom of the body's self-repair, but also provides us with new ideas and new methods for treating diseases. In the treatment process, we should fully trust the body's ability to repair itself, and appropriately use external forces to combine internal and external sources and treat both specimen and cause. Only in this way can we better protect our health and enjoy the beauty of life.
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
