摘要：在中医这片广袤无垠、神秘深邃的江湖里，学院派与民间派中医的“对决”，恰似华山论剑，各有各的招式，各有各的拥趸。常常能听到有人感慨：为啥在某些地方，学院派中医竟干不过民间派中医呢？这事儿啊，就像一场精彩的武林大会，背后藏着诸多门道。
在中医这片广袤无垠、神秘深邃的江湖里，学院派与民间派中医的“对决”，恰似华山论剑，各有各的招式，各有各的拥趸。常常能听到有人感慨：为啥在某些地方，学院派中医竟干不过民间派中医呢？这事儿啊，就像一场精彩的武林大会，背后藏着诸多门道。
学院派：专业“高冷派”，云中雾里失人心
学院派中医，那可是科班出身，就像武林中的名门正派，有着深厚的理论功底和系统的知识体系。他们就像一群站在学术巅峰的智者，满脑子都是阴阳五行、经络气血、方剂配伍这些高深的理论。专业的老师，那更是有着专业的“病”，也就是咱俗称的职业病。
这些老师在课堂上，抬手举足间，指点江山，那架势，仿佛掌控着整个中医宇宙。可一开口，就像在云中雾里讲经，把那些深奥的中医理论讲得是天花乱坠，可群众却听得一头雾水。就好比一位武林高手，在擂台上展示着一套绝世武功，动作优美，气势磅礴，可台下的人却根本看不懂这招式的厉害之处，只觉得云里雾里，摸不着头脑。
我曾听过一位学院派中医专家讲课，讲到“肝主疏泄”这个概念时，他从肝脏的生理功能讲到气血的运行，又从气血的运行讲到情志的调节，再从情志的调节讲到五脏六腑的相互关系，最后还引用了大量的古文经典。台下的听众，大部分都是普通老百姓，他们瞪大了眼睛，张大了嘴巴，却根本不知道这位专家到底在说什么。这就好比给一个从来没学过外语的人讲一门高深的外语课程，再怎么精彩，人家也听不懂啊。
有数据显示，在一些基层的中医义诊活动中，学院派中医的咨询人数往往比民间派中医少很多。就拿某次社区义诊来说，学院派中医的摊位前冷冷清清，一个小时只有寥寥几个人来咨询；而民间派中医的摊位前却排起了长队，一个小时能有几十个人来问诊。这鲜明的对比，就像一场比赛中的比分，让人一目了然。
民间派：接地气“草根侠”，土里土气有真章
民间派中医呢，就像武林中的隐世高手，虽然没有学院派那么耀眼的光环，但却有着深厚的民间底蕴和丰富的实践经验。他们就像一群扎根在土地里的庄稼汉，实实在在，接地气。
民间派中医大多来自民间，他们从小就跟着长辈学习中医，在实践中不断摸索和总结。他们没有那些高深的理论，但却有着一套独特的诊断和治疗方法。他们看病就像老农种地一样，凭借着多年的经验和直觉，一眼就能看出病人的问题所在。
我有个朋友，曾经得了一种奇怪的病，去了好几家大医院，看了不少学院派中医，吃了不少药，却始终不见好转。后来，经人介绍，他找到了一位民间派中医。这位中医只给他把了把脉，看了看舌苔，就准确地说出了他的病因，还给他开了一副简单的中药方子。我朋友半信半疑地吃了药，没想到没过几天，病就好了。这就好比一个迷路的人，在学院派那里得到的是一张复杂的地图，却怎么也找不到方向；而在民间派那里，却得到了一句简单的指路话，一下子就找到了出路。
民间派中医的接地气还体现在他们的收费上。学院派中医往往在正规的医院或诊所坐诊，收费相对较高；而民间派中医大多在民间行医，收费比较亲民。就像去饭店吃饭，学院派中医的“餐厅”是高档酒店，菜品精致，价格昂贵；而民间派中医的“餐厅”是小饭馆，菜品家常，价格实惠。对于普通老百姓来说，当然更愿意选择性价比高的民间派中医。
破局之法：学院派当学“接地气”神功
学院派中医干不过民间派中医，这并不是说学院派中医就一无是处。学院派中医有着扎实的理论基础和严谨的科学态度，这是他们的优势。但要想在中医的江湖中立于不败之地，他们就得学学民间派中医的“接地气”神功。
学院派中医可以走出校园，走进民间，多和老百姓接触，了解他们的需求和困惑。就像一位武林高手，不能只满足于在山上修炼，还要下山去闯荡江湖，积累实战经验。他们可以把那些高深的理论用通俗易懂的语言表达出来，让老百姓听得懂、用得上。
同时，学院派中医也可以借鉴民间派中医的实践经验，将理论与实践相结合。就像一位厨师，不能只懂得烹饪的理论，还要学会实际的烹饪技巧，才能做出美味可口的菜肴。学院派中医可以通过和民间派中医的交流与合作，不断丰富自己的诊疗手段，提高自己的临床水平。
中医传承：共筑“医林盛世”之梦
无论是学院派中医还是民间派中医，都是中医传承的重要力量。他们就像中医这条大河的两岸，相互依存，相互促进。学院派中医为中医的发展提供了理论支持和人才保障，民间派中医为中医的传承保留了实践经验和民间智慧。
在当今这个时代，中医面临着前所未有的机遇和挑战。我们既需要学院派中医用科学的思维和方法来研究中医、发展中医，也需要民间派中医用他们的实践经验来丰富中医、传承中医。只有学院派和民间派携手共进，才能让中医这颗璀璨的明珠在新时代焕发出更加耀眼的光芒。
就像一场精彩的武林盛会，学院派和民间派都是主角，他们各自施展着自己的绝技，共同演绎着一场中医的传奇。让我们期待着，在未来的日子里，学院派和民间派能够摒弃成见，相互学习，共同创造一个中医的“医林盛世”！让中医的智慧惠及更多的人，让中医的文化在世界舞台上绽放光彩！这，才是我们每一个中医人共同的梦想和使命！
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。
The battle between academics and folk traditional Chinese medicine: Who is the true "master of medicine"?
In this vast and mysterious field of traditional Chinese medicine, the "showdown" between academics and folks is like a sword battle in a mountains, each with their own tactics and their own fans. I often hear people saying: why is it that in some places, academic Chinese medicine cannot be compared to folk medicine? This is like a wonderful martial arts convention, and there are many ways behind it.
Academy: Professional "high-school" and unpopular in the cloud
Academic traditional Chinese medicine, but it is a professional background, like martial arts in the noble straight, has a deep theoretical foundation and the body of knowledge. They were like a group of wise men standing at the top of academic circles, filled with high-level theories of yin and yang, meridians, blood, and prescriptions. Professional teachers, it is a professional "disease," which is commonly known as the occupational disease.
In the classroom, these teachers raised their hands to their feet and pointed out to Jiangshan, and the gesture seemed to control the entire Chinese medicine universe. But when he opened his mouth, it was like teaching a traditional Chinese medicine theory in a foggy cloud, and the public was confused. Like a martial arts master, on the podium, he displayed a world-class martial arts exercise with beautiful movements and great power, but the people below did not understand the strength of the exercise, but felt in a cloud and could not grasp the truth.
I once heard a lecture given by an academic TCM specialist, in which he talked about the notion of "liver controlling conveyance and dispersion." He spoke about the physiological function of the liver to the operation of the qi and blood, from the operation of qi and blood to the regulation of mood, from the regulation to the interrelationship between the internal and external organs, and finally cited a large number of ancient texts. The audience, mostly ordinary people, stared and opened their mouths without knowing what the expert was really talking about. It's like giving a high-level foreign language course to someone who has never learned a foreign language, but no matter how wonderful it is, they can't understand it.
Statistics show that in some grassroots traditional Chinese medicine clinical practices, the number of consultations by college Chinese medicine practitioners tends to be much lower than that by folk medicine practitioner. Take one community clinic, for example. The stall where the college sent Chinese medicine was empty, and only a few people came for consultation an hour. Long lines formed in front of traditional Chinese medicine stalls, and dozens of people could come for consultations an hour. This contrast, like the score in a game, is immediately apparent.
Folks: a groundbreaking "grass man," with real rules in the ground
The folk medicine school, like the Hermit master in Wulin, does not have the same aura as the academy, but has deep folk heritage and rich practical experience. They are like a bunch of farmers rooted in the land, real and grounded.
Most folk medicine practitioners come from the people of China. They learn Chinese medicine from a young age following their elders, and they constantly explore and summarize in practice. They don't have the advanced theories, but they have a unique set of diagnostics and treatments. They see a patient like an old farmer growing a field, and with years of experience and intuition, they can see at a glance what the patient's problem is.
A friend of mine once had a strange illness. He went to several major hospitals, saw a lot of academic Chinese medicine, and took a lot more medicine, but he never got better. Later, he was introduced to a folk practitioner of Chinese medicine. The Chinese medicine practitioner only gave him a pulse, looked at his tongue, and accurately explained the cause of his illness. He also gave him another simple Chinese medicine recipe. My friend took the pills half-convinced that within a few days he would be all right. It's like a lost man who gets a complicated map from an academy and can't find his way. With the folks, however, they were given a simple direction and immediately found the way out.
The credibility of folk medicine practitioners is also reflected in their fees. College Chinese medicine practitioners often sit in regular hospitals or clinics and pay relatively high fees. Most folk medicine practitioners practice medicine in the countryside, and the fees are relatively affordable. Like going to a restaurant to eat, the "restaurants" of the Academy of Chinese Medicine are high-end hotels with elaborate dishes and expensive prices. The "restaurants" of folk medicine are small restaurants with home-cooked dishes and affordable prices. For the ordinary people, it is certainly preferable to choose the cost-effective folk medicine.
The solution to a breakdown: College teachers learn "ground tight" kung fu
The academic practice of Chinese medicine cannot do the folk practice of Chinese Medicine. This is not to say that the academic practice is useless. The Academy of Chinese Medicine has a solid theoretical foundation and a rigorous scientific attitude, which is their advantage. But to succeed in the field of traditional Chinese medicine, they must learn the "ground-shaking" technique of folk medicine.
College practitioners of Chinese medicine can go out of campus and into the people's communities to make more contact with the people and understand their needs and confusion. Like a martial arts master, he cannot only be satisfied with practicing in the mountains, but he must also go down to wander the mountains and accumulate real-world experience. They can express those deep theories in plain language so that the people can understand them and use them.
At the same time, academic Chinese medicine can also draw on the practical experience of folk Chinese medicine to combine theory with practice. Like a chef, you cannot only understand the theory of cooking, but also learn the practical cooking skills to make delicious and delicious dishes. College traditional Chinese medicine can continuously enrich its own methods of diagnosis and treatment and improve its clinical level through communication and cooperation with folk traditional Chinese Medicine.
Traditional Chinese Medicine: Together to Build the Dream of a "Medical Forest to a Wonderful World"
Whether the traditional Chinese medicine is academic or folk medicine, it is an important force in the inheritance of Chinese medicine. They are like the two banks of the great river of Chinese medicine, interdependent and mutually reinforcing. College-based traditional Chinese medicine provides theoretical support and talent guarantee for the development of traditional Chinese Medicine, and folk-based ones retain practical experience and folk wisdom for the inheritance of traditional medicine.
In this day and age, traditional Chinese medicine faces unprecedented opportunities and challenges. We need both academic practitioners of Chinese medicine to use scientific thinking and methods to study and develop Chinese medicine, and folk practitioners to use their practical experience to enrich Chinese medicine and pass on Chinese medicine. Only academics and folks can work together to make the brilliant pearl of traditional Chinese medicine shine even brighter in the new era.
Like a wonderful martial arts event, academics and folks are the main characters, each performing their own tricks and jointly depicting the legend of Chinese medicine. Let us hope that in the days ahead, academics and folks can abandon stereotypes, learn from each other, and jointly create a "healing society" of traditional Chinese medicine. Let the wisdom of traditional Chinese medicine reach more people and let the culture of traditional medicine shine on the world stage! This is the common dream and mission of each and every one of us Chinese medicine practitioners!
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：首都专家梁世杰一点号
