摘要：在中医那浩如烟海、源远流长的历史长河中，中医学家与中医艺人宛如两颗璀璨却又风格迥异的星辰，各自散发着独特的光芒。有人不禁要问：这二者之间，究竟有多远的距离？对于基层中医而言，又为何首先要做好一个中医艺人呢？这其中的门道，就像一层被岁月轻纱遮掩的神秘面纱，等待着
在中医那浩如烟海、源远流长的历史长河中，中医学家与中医艺人宛如两颗璀璨却又风格迥异的星辰，各自散发着独特的光芒。有人不禁要问：这二者之间，究竟有多远的距离？对于基层中医而言，又为何首先要做好一个中医艺人呢？这其中的门道，就像一层被岁月轻纱遮掩的神秘面纱，等待着我们去揭开。
鸿沟之辨：中医学家与中医艺人的差异天地
中医学家，那可是中医领域里学富五车、才高八斗的“学霸”。他们如同在学术山峰上攀登的勇者，不断探索中医的未知领域，深入研究中医的理论体系、病因病机、诊断治疗等方方面面。他们精通经典，对《黄帝内经》《伤寒杂病论》等古籍倒背如流，能从中挖掘出深邃的医学智慧。他们搞科研、写论文，用严谨的科学方法验证中医的疗效，为中医的发展提供坚实的理论支撑。据不完全统计，近年来在国家级核心医学期刊上发表中医相关论文的中医学家数量呈逐年上升趋势，2023年就达到了数千篇之多，这足以证明他们在学术领域的深耕细作。
而中医艺人呢，他们更像是中医舞台上的“表演家”。他们擅长将中医的知识和技能以一种生动有趣、通俗易懂的方式展现出来。他们可能没有中医学家那样深厚的学术造诣，但他们有一张能说会道的嘴和一双善于观察的眼。他们能通过讲故事、打比方、用俗语等方式，把复杂的中医理论变得像家常便饭一样简单。比如，把人体的经络比作城市的交通要道，气血就是行驶在道路上的车辆，一旦道路堵塞，车辆就会拥堵，人体就会出现疾病。这样的解释，让老百姓一听就懂，一学就会。
从表面上看，中医学家和中医艺人似乎有着天壤之别，一个在学术的高空翱翔，一个在民间的土壤扎根。他们之间的距离，就像一条宽阔的河流，看似难以跨越。
基层之困：为何基层中医要先做“艺人”
然而，对于基层中医来说，情况却并非如此。基层中医，就像是中医大厦的基石，他们直接面对广大的人民群众，是中医与百姓接触的“第一线”。在基层，老百姓的文化水平参差不齐，对中医的了解也各不相同。如果基层中医一上来就摆出中医学家的架子，满口之乎者也，讲一堆高深的理论，老百姓只会听得一头雾水，像听天书一样。
我曾经听说过这样一个故事。有一位基层中医，医术其实很高明，但他总是喜欢在患者面前炫耀自己的学术成果，讲一些连他自己都未必能完全解释清楚的中医理论。有一次，一位患者来看病，说自己最近总是头晕乏力。这位中医就开始滔滔不绝地讲起“肝阳上亢”“气血亏虚”等理论，患者听得云里雾里，最后无奈地说：“医生，你就直接告诉我该怎么治吧，我听不懂你说的这些。”这位中医这才意识到自己的问题所在。
相反，那些善于做中医艺人的基层中医，却能在基层大放异彩。他们用通俗易懂的语言和生动形象的比喻，让患者轻松理解自己的病情和治疗方案。比如，有一位基层中医在给患者解释针灸的原理时，说：“针灸就像给身体里的‘小开关’做调整，哪里不通了，就用针扎一下，把‘开关’打开，让气血流通起来，病就好了。”患者听了，恍然大悟，对针灸治疗也充满了信心。
据一项针对基层中医服务满意度的调查显示，那些善于与患者沟通、能用通俗语言解释病情的中医，患者满意度高达90%以上，而那些只讲理论、不注重沟通的中医，患者满意度则不足60%。这组数据充分说明，在基层，做好一个中医艺人是多么重要。
融合之道：中医学家与中医艺人的相得益彰
其实，中医学家和中医艺人并不是完全对立的，他们完全可以相互融合、相得益彰。中医学家可以为中医艺人提供坚实的理论支持，让他们的表演更有内涵、更有深度。而中医艺人则可以将中医学家的研究成果以一种生动有趣的方式传播出去，让更多的人了解和接受中医。
对于基层中医来说，他们既要学习中医学家的严谨治学态度，不断提升自己的医术水平，又要掌握中医艺人的沟通技巧，用通俗易懂的语言和患者交流。就像一位既能弹奏高雅乐曲，又能演唱通俗歌曲的音乐家，在不同的场合都能展现出自己的魅力。
比如，有一位基层中医，他不仅医术精湛，对中医经典有着深入的研究，还非常善于与患者沟通。他在给患者看病时，会先用通俗的语言解释病情，让患者明白自己为什么会生病，然后再根据中医学的理论制定治疗方案。他还经常举办一些中医健康讲座，用生动有趣的方式向老百姓普及中医知识。在他的影响下，越来越多的人开始信任中医、选择中医。
传承之责：基层中医的艺术使命
中医是中华民族的瑰宝，是几千年来无数中医人智慧和心血的结晶。在当今社会，中医面临着诸多挑战和机遇。基层中医作为中医传承的主力军，肩负着重要的责任和使命。他们不仅要治病救人，还要传播中医文化，让更多的人了解中医、热爱中医。
而要做好这一切，基层中医就必须首先做好一个中医艺人。他们要用自己的语言和行动，将中医的魅力展现得淋漓尽致。就像一位技艺高超的魔术师，能将看似平凡的东西变得神奇无比。他们要让中医走进千家万户，成为老百姓健康生活的守护者。
中医学家与中医艺人之间的距离，看似遥远，实则可以通过基层中医的努力而拉近。基层中医就像一座桥梁，连接着中医学家的高深理论与老百姓的实际需求。让我们期待更多的基层中医能够成为优秀的中医艺人，在中医的舞台上绽放出更加绚烂的光彩，为中医的传承和发展贡献自己的力量！
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。
Chinese Medicine Scientists and TCM Artists: The Way of Primary Chinese Medicine within Distance
In the long history of traditional Chinese medicine as a sea of smoke, Chinese medicine practitioners and traditional Chinese arts practitioners are like two bright but very different stars, each radiating a unique light. One cannot help but ask: how far apart are these two? For primary-level Chinese medicine, why do you need to be a good Chinese medicine artist first? The portal is like a mysterious veil covered by a veil of years, waiting for us to unveil it.
Differences between Chinese Medicine Practitioners and Chinese Medicine Artists
The Chinese medicine scholar is a "great learner" in the field of Chinese medicine who has learned five thousand yuan and is highly qualified. Like brave men climbing on the academic mountain, they constantly explore the unknown areas of traditional Chinese medicine, deeply studying the theoretical system, causes, mechanisms, diagnosis and treatment of traditional medicine. They are well versed in the classics, and they are fluent in ancient texts such as The Yellow Book and The Annals of Typhoid and other diseases, and can extract profound medical wisdom from them. They conduct scientific research and write papers to verify the efficacy of traditional Chinese medicine using a rigorous scientific method, providing solid theoretical support for the development of traditional medicine. According to incomplete statistics, the number of Chinese medicine practitioners publishing papers related to TCM in national core medical journals has increased year by year in recent years, reaching thousands in 2023, which is proof of their deep academic endeavors.
TCM entertainers, on the other hand, are more like "performers" on the traditional Chinese medicine stage. They are adept at presenting the knowledge and skills of traditional Chinese medicine in a lively, interesting and easy to understand way. They may not have the same academic qualifications as Chinese medicine practitioners, but they have a speaking mouth and an observant eye. They can make complex traditional Chinese medicine theory as simple as a household chore by telling stories, making analogies, and using idioms. For example, compare the human body's meridians to the traffic arteries of a city, blood and air are the vehicles traveling on the road. Once the road is blocked, the vehicles will be congested, and the human body will develop diseases. Such an explanation allows the common people to understand it as soon as they hear it and learn it.
On the surface, there seems to be a world apart between Chinese medicine practitioners and Chinese medicine entertainers, one flying high in academic skies and one taking root in folk soil. The distance between them, like a wide river, seemed difficult to cross.
Grassroots dilemma: why grassroots Chinese medicine needs to be "artists" first
However, this is not the case for primary Chinese medicine. Grassroots Chinese medicine is like the cornerstone of the Chinese medicine edifice, they face the vast majority of the people directly, and are the "front line" of contact between Chinese medicine and the people. At the grassroots level, the cultural level of the ordinary people varies, and their knowledge of Chinese medicine is also different. If primary traditional Chinese medicine starts with a standing as a Chinese medicine practitioner and is full of skeptics, telling a bunch of high-level theories, the people will only be confused, like listening to a heavenly book.
I once heard such a story. There was a traditional Chinese medicine practitioner who was actually very wise, but he always liked to show off his academic achievements in front of his patients, telling some traditional Chinese theory that he could not fully explain. Once, a patient came to see him and said he had been having a lot of dizziness lately. The Chinese medicine practitioner began to talk about the theories of "elevated liver" and "hypoxiating blood" and so on. The patient was in a fog, and finally said, helplessly, "Doctor, just tell me how to cure me. I don't understand what you say." The traditional Chinese medicine practitioner realized his problem.
On the contrary, those primary-level Chinese medicine practitioners who are good at being Chinese medicine entertainers can shine brightly at the grassroots level. They use easy-to-understand language and vivid metaphors to make it easy for patients to understand their condition and treatment options. For example, when explaining the principle of acupuncture to patients, a primary Chinese medicine practitioner said, "Acupuncture is like adjusting the'small switch' in the body. Where it doesn't work, use a needle to turn the'switch' on, allowing the qi and blood to circulate, and the illness is gone." The patient listened, realized it, and felt confident in acupuncture treatment.
According to a survey of satisfaction with primary-level Chinese medicine services, those who are good at communicating with patients and can explain their conditions in popular language have more than 90% satisfaction, while those who speak only theory and do not focus on communication have less than 60% satisfaction. This set of data fully illustrates how important it is to be a good practitioner of Chinese medicine at the grassroots level.
The Way to Integration: Chinese Medicine Practitioners and TCM Artists Benefit from each other
In fact, Chinese medicine practitioners and Chinese medicine entertainers are not completely opposed to each other, and they can fully integrate and complement each other. Chinese medicine practitioners can provide solid theoretical support to traditional Chinese medicine entertainers so that their performances can have more meaning and depth. TCM entertainers can spread the research findings of Chinese medicine practitioners in a lively and interesting way, so that more people understand and accept TCM.
For primary-level Chinese medicine, they must not only learn the strict attitude of Chinese medicine practitioners to continuously improve their medical skills, but also master the communication skills of Chinese medicine entertainers to communicate with patients in easy-to-understand language. Just like a musician who can play both high-class music and popular songs, he can show his charm in different situations.
For example, there is a grassroots Chinese medicine practitioner who is not only skilled in medicine, has in-depth research on Chinese classics, but is also very good at communicating with patients. When he visits patients, he will first explain the condition in popular language so that the patient understands why he is sick, and then formulate a treatment plan based on the theory of Chinese medicine. He also often holds some traditional Chinese medicine health lectures, popularizing the knowledge of traditional Chinese Medicine to the general public in a lively and interesting way. Under his influence, more and more people began to trust and choose traditional Chinese medicine.
The responsibility of inheritance: the artistic mission of grassroots Chinese medicine
Chinese medicine is a treasure of the Chinese nation, the crystallization of the wisdom and hard work of countless Chinese medicine practitioners over thousands of years. In today's society, traditional Chinese medicine faces many challenges and opportunities. As the main force in the transmission of traditional Chinese medicine, grassroots Chinese medicine has an important responsibility and mission. They not only treat diseases and save people, but also spread traditional Chinese medicine culture so that more people know and love traditional Chinese Medicine.
To be good at all, primary Chinese medicine must first be good at being a Chinese medicine artist. They must use their own words and actions to show the charm of traditional Chinese medicine to the fullest. Like a highly skilled magician, he can turn seemingly mundane things into magic. They want to get traditional Chinese medicine into thousands of households and become the guardians of the healthy lives of the people.
The distance between traditional Chinese medicine practitioners and traditional Chinese arts practitioners may seem far away, but it can be brought closer through the efforts of traditional Chinese Medicine at the grassroots level. Grassroots traditional medicine is like a bridge between the deep theory of Chinese medicine practitioners and the practical needs of the people. Let us hope that more grassroots Chinese medicine practitioners can become excellent Chinese medicine entertainers, shine brighter on the stage of Chinese medicine, and contribute their own strength to the inheritance and development of Chinese medicine!
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
