摘要：在人类探索健康的征途中，西医与中医如同两条并行的河流，各自承载着独特的智慧与力量。西医以其严谨的标准化流程，从认识疾病、诊断疾病到治疗疾病，每一步都如同精密的机械，确保了医疗过程的高效与准确。而中医，则像是一幅流动的画卷，以其独特的个性化治疗，诠释了人与自然和
在人类探索健康的征途中，西医与中医如同两条并行的河流，各自承载着独特的智慧与力量。西医以其严谨的标准化流程，从认识疾病、诊断疾病到治疗疾病，每一步都如同精密的机械，确保了医疗过程的高效与准确。而中医，则像是一幅流动的画卷，以其独特的个性化治疗，诠释了人与自然和谐共生的哲学。然而，在全球化的大潮中，中医正面临着标准化与个性化的双重考验。中医是否应该标准化？如果有，应该是什么样的标准化？还是应坚守其个性化特色？这些问题，如同迷雾中的灯塔，引领我们深入探索中医的未来之路。
西医标准化的启示
西医的标准化，无疑为现代医疗体系树立了标杆。从病历记录的规范性，到诊断标准的统一，再到治疗方案的标准化，每一步都经过了严格的科学验证与临床验证。这种标准化，不仅提高了医疗效率，更确保了医疗质量与安全。例如，在癌症治疗中，西医通过制定标准化的治疗方案，如化疗药物的剂量与周期，使得全球范围内的癌症患者都能接受到相对一致的治疗，大大提高了生存率。
中医标准化的挑战与机遇
然而，中医的标准化之路，却充满了挑战与争议。中医强调“辨证论治”，即根据患者的体质、病情、环境等多方面的因素，制定个性化的治疗方案。这种个性化，正是中医的魅力所在，也是其难以标准化的根源。但随着全球化的推进，中医的国际化进程也在加速。为了在国际舞台上获得更多的话语权，中医标准化显得尤为迫切。
中医标准化的核心，并非抹杀其个性化特色，而是在尊重个体差异的基础上，建立一套相对统一的标准体系。这包括中药材的质量标准、中医诊断的标准化流程、中医治疗的规范化方案等。例如，中药材的质量标准，可以通过建立中药材DNA条形码数据库，确保中药材的来源纯正、质量可控；中医诊断的标准化流程，可以通过制定统一的诊断指南，提高诊断的准确性与一致性；中医治疗的规范化方案，可以在总结临床经验的基础上，制定相对统一的治疗方案，供医生参考。
中医个性化的坚守与传承
然而，标准化并不意味着完全摒弃个性化。中医的个性化治疗，是其独特的优势，也是其生命力所在。在标准化的基础上，中医应更加注重个体化的治疗，根据患者的具体情况，灵活调整治疗方案。例如，在针灸治疗中，医生可以根据患者的体质、病情及反应，灵活选择穴位、针刺手法及刺激强度，以达到最佳的治疗效果。
举例说明：中医标准化的实践
以中医药国际标准化为例，中国正积极推动中医药的国际标准化进程。例如，世界中医药学会联合会已经制定了多项中医药国际标准，包括中药材质量标准、中医诊断指南、中医治疗规范等。这些标准的制定，不仅有助于推动中医药的国际化进程，更有助于提升中医药在全球范围内的认可度与影响力。
结语：传承与创新之间的微妙平衡
中医标准化，是一场传承与创新之间的较量。标准化，是中医国际化的必经之路，也是提升中医医疗质量与安全的重要手段。但标准化并不意味着完全摒弃个性化，而是在尊重个体差异的基础上，建立一套相对统一的标准体系。中医的个性化治疗，是其独特的优势，也是其生命力所在。在标准化的基础上，中医应更加注重个体化的治疗，根据患者的具体情况，灵活调整治疗方案。只有这样，中医才能在传承与创新之间找到微妙的平衡，为人类健康事业贡献更多的智慧与力量。
让我们携手并进，在中医标准化的道路上，不断探索、不断前行，让中医的智慧之光，照亮人类健康的未来之路。
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。
Standardization of TCM: A Delicate Balance Between Tradition and Innovation
In mankind's quest for health, Western medicine and Chinese medicine are like two parallel rivers, each bearing unique wisdom and strength. With its rigorous standardized process, Western medicine ensures the efficiency and accuracy of the medical process, from the recognition of diseases, diagnosis of diseases to the treatment of diseases. TCM, on the other hand, is like a flowing canvas, interpreting the philosophy of human beings living in harmony with nature with its unique personalized treatment. However, in the tide of globalization, traditional Chinese medicine is facing the double test of standardization and individualization. Should Chinese medicine be standardized? If so, what kind of standardization should it be? Or should we stick to its individual character? These questions, like lighthouses in the fog, lead us to explore the future of traditional Chinese medicine.
The implications of Western medical standardization
The standardization of Western medicine has undoubtedly set a benchmark for the modern medical system. From the standardization of medical records, to the harmonization of diagnostic standards, to the standardization in treatment regimens, each step has undergone rigorous scientific and clinical verification. This standardization not only improves medical efficiency, but also ensures medical quality and safety. For example, in cancer treatment, Western medicine has established standardized treatment protocols, such as doses and cycles of chemotherapy drugs, enabling cancer patients worldwide to receive relatively consistent treatment, which greatly improves survival rates.
Challenges and opportunities for standardization of Chinese medicine
However, the road to standardization of traditional Chinese medicine is fraught with challenges and controversies. TCM emphasizes "dialectical treatment," i.e., formulating a personalized treatment plan based on the patient's physical condition, condition, environment and other factors. This individualization is where the charm of traditional Chinese medicine lies, and it is the root cause of its difficulty in standardizing. However, with the advancement of globalization, the internationalization of Chinese medicine is also accelerating. In order to gain more of a voice on the international stage, standardization of traditional Chinese medicine is especially urgent.
The core of standardization of traditional Chinese medicine is not to erase its individual characteristics, but to establish a relatively unified standard system on the basis of respecting individual differences. This includes the quality standards of Chinese herbal medicines, the standardized process of traditional Chinese medicine diagnosis, the standardization scheme of traditional traditional Chinese treatment, and so on. For example, the quality standards of Chinese herbal medicines can be established by the establishment of DNA barcode database of Chinese herbal medicines to ensure that the source of Chinese herbal medicines is pure and the quality is controllable. The standardization process of TCM diagnosis can improve the accuracy and consistency of diagnosis by formulating unified diagnostic guidelines. The standardized treatment plan of TCM can formulate a relatively unified treatment plan on the basis of accumulating clinical experience for physicians' reference.
Personal commitment and inheritance of Chinese medicine
However, standardization does not mean a complete abandonment of personalization. The individualized treatment of traditional Chinese medicine is its unique advantage and its vitality. On the basis of standardization, traditional Chinese medicine should pay more attention to individualized treatment, and flexibly adjust the treatment plan according to the specific conditions of the patient. For example, in acupuncture, doctors can flexibly select acupuncture points, acupuncture techniques and stimulation intensity according to the patient's physical condition, condition and response to achieve the best therapeutic effect.
Examples: The Practice of Standardizing Chinese Medicine
Take the international standardization of Chinese medicine as an example, and China is actively promoting the international standardisation of Chinese medicine. For example, the Federation of Pharmaceutical Societies of the World has developed a number of international standards for traditional Chinese medicine, including quality standards for herbal medicine ingredients, diagnostic guidelines for traditional medicine, and traditional medicine treatment norms. The formulation of these standards not only helps to promote the internationalization of traditional Chinese medicine, but also helps to improve the recognition and influence of traditional China medicine on a global scale.
Conclusion: The delicate balance between inheritance and innovation
The standardization of Chinese medicine is a contest between inheritance and innovation. Standardization is the necessary way to internationalize traditional Chinese medicine and an important means to improve the quality and safety of traditional Chinese medical care. But standardization does not mean abandoning individuality altogether, but establishing a relatively uniform system of standards based on respect for individual differences. The individualized treatment of traditional Chinese medicine is its unique advantage and its vitality. On the basis of standardization, traditional Chinese medicine should pay more attention to individualized treatment, and flexibly adjust the treatment plan according to the specific conditions of the patient. Only in this way can traditional Chinese medicine find a delicate balance between inheritance and innovation, contributing more wisdom and strength to the cause of human health.
Let us join hands to continue to explore and move forward on the road of standardization of traditional Chinese medicine, so that the light of traditional medicine's wisdom can illuminate the future road of human health.
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
