摘要：在咱这悠悠历史长河里，各行各业都似一片片独特的江湖，而医林这片江湖，更是风起云涌，暗藏诸多不为人知的“刀光剑影”。那句“唯有同行之间不服不忿，古已有之”，就像一把钥匙，轻轻一转，便打开了医林那些被岁月尘封的恩怨情仇之门。
在咱这悠悠历史长河里，各行各业都似一片片独特的江湖，而医林这片江湖，更是风起云涌，暗藏诸多不为人知的“刀光剑影”。那句“唯有同行之间不服不忿，古已有之”，就像一把钥匙，轻轻一转，便打开了医林那些被岁月尘封的恩怨情仇之门。
医林双雄：薛雪与叶天士的“龙虎斗”
话说清代那会儿，江苏苏州和吴县之地，出了两位医林大侠——薛雪和叶天士。这就好比金庸笔下的东邪西毒，各怀绝技，却又互不相让。
薛雪，字生白，号一瓢，那可是个因母多病而一头扎进医学海洋的主儿。他博览群书，医术精湛得如同武林高手练就了绝世神功。叶天士呢，字天士，号香岩，世医出身，三十岁就在大江南北闯出了偌大的名头，长于治疗温热病，还首倡卫气营血辨证，那医术，就好比独孤求败的剑法，独步天下。
这两人，年龄上薛雪比叶天士小十余岁，可名气上却是不相上下，并驾齐驱。这就好比两个武林高手，站在了同一座山峰的顶端，都想着成为那唯一的霸主。于是，一场没有硝烟的战争便悄然拉开了帷幕。
叶天士也是个有个性的主儿，他把自己的书屋命名为“踏雪斋”。这名字一出来，就像在医林江湖里投下了一颗石子，激起了层层涟漪。薛雪何等聪明，一听这名字，立马就明白了其中的“挑衅”之意。这就好比有人在你家门口竖了个牌子，写着要打败你，你能不生气吗？薛雪一咬牙，一跺脚，直接把自己的居室起名为“扫叶山庄”。这名字一出来，那火药味可就浓了，就像两军对垒，各自亮出了自己的旗帜。
这两位医林大侠的互相抨击，就像两位武林高手过招，你来我往，互不相让。他们或许在学术上有着不同的见解，就如同华山论剑时，东邪的奇门五术和西毒的蛤蟆功各有千秋，谁也不服谁。这种同行之间的不服不忿，看似是一场争斗，实则也是医学发展的一种推动力。就像两个武林高手比武，在切磋中不断精进自己的武艺，这两位医家也在互相的“碰撞”中，不断探索和完善着医学的理论和实践。
医林隐士：薛雪的“不屑”与《湿热条辨》
薛雪这人，和华佗一样，不屑以医名世。这就好比一位隐居在深山里的高人，明明有着绝世的武功，却不愿意在江湖上抛头露面。袁枚在《与薛寿鱼书》里就提到了薛雪的这种“超脱”。
薛雪长于辨治温热病，他的医术就像一把精准的手术刀，能够准确地找到疾病的根源并加以治疗。然而，他却很少著书立说。这就好比一位武林高手，有着丰富的战斗经验，却不愿意把这些经验写成秘籍流传下来。不过，一般认为《湿热条辨》一书为薛氏之作。这本书就像是薛雪在医林江湖里留下的一把“宝剑”，虽然他平时低调，但这把“宝剑”却闪耀着独特的光芒，为后世医家治疗温热病提供了宝贵的参考。
从数据上来看，在清代那个医学发展相对缓慢的时代，像《湿热条辨》这样专门针对温热病进行系统论述的著作并不多见。这就好比在一片荒芜的土地上，突然长出了一棵参天大树，显得格外引人注目。薛雪的这种“不屑”，或许是他对医学有着更高的追求，他认为医学不仅仅是为了名利，更是为了拯救苍生。他就像一位默默耕耘的农夫，只专注于自己的土地，不在乎外界的喧嚣和评价。
医林传奇：叶天士的“弟子军团”与著作传承
叶天士这边呢，也是个传奇人物。他世医出身，三十岁就闻名大江南北，这就像一颗新星在医林江湖里迅速崛起，照亮了整个夜空。他长于治疗温热病，首倡卫气营血辨证，这就像是他在医林里开辟了一条新的道路，让后人能够沿着这条道路不断前行。
叶天士的代表著作为《温热论》（又名《外感温热篇》）、《三时伏气外感篇》、《临证指南医案》。这些著作，大多是他晚年讲述的医学理论与经验，而后由其弟子门人整理而成。这就好比一位武林宗师，在晚年把自己的毕生所学传授给了弟子们，让这些宝贵的经验能够代代相传。
据统计，叶天士的弟子门人遍布大江南北，他们就像一支庞大的“弟子军团”，在医林江湖里传播着叶天士的医术和医德。这些弟子们在整理叶天士的著作时，也是一丝不苟，力求把老师的精华完整地传承下来。这就好比一群工匠，精心雕琢着一件珍贵的艺术品，让后人能够欣赏到叶天士医学思想的魅力。
叶天士的这种传承方式，就像一颗火种，在医林江湖里不断传递，点燃了一代又一代医家的热情。他的医学理论和经验，就像一座取之不尽、用之不竭的宝藏，为后世医家提供了丰富的营养。
医林启示：同行相轻与共同进步
回到最初那句话“唯有同行之间不服不忿，古已有之”，我们从薛雪和叶天士的故事里可以看到，同行之间的不服不忿并不一定是一件坏事。它就像一把双刃剑，既有争斗的一面，也有促进发展的一面。
在当今的医林江湖里，我们也应该正确看待同行之间的关系。同行之间的竞争是不可避免的，但这种竞争应该是良性的，就像一场精彩的体育比赛，大家在比赛中互相学习，互相提高。我们不能因为同行之间的不服不忿而互相诋毁，互相排斥，而应该像薛雪和叶天士一样，在争斗中寻找共同进步的机会。
同时，我们也应该学习薛雪的“不屑”和叶天士的传承精神。薛雪不屑以医名世，专注于医学的本质，这种对医学的纯粹追求值得我们学习。叶天士把自己的医学经验传承给弟子，让医学能够不断发展，这种传承精神也是医林江湖里宝贵的财富。
医林江湖，风云变幻，同行之间的故事就像一部部精彩的武侠小说，充满了悬念和惊喜。让我们从这些古老的故事中汲取智慧，在当今的医林里书写属于我们自己的传奇。
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。
Medical Forest "Weather": Working alongside each other is an ancient story
In our long history, various industries seem to be unique places, and the Medical field in Healing is a place where the winds rise and hide many unknown "swords and shadows." The phrase, "Only disobedience between peers, as ancient times have done," was like a key that, with a slight turn, opened the doors of sorority in the medical field that had been sealed by the years.
Doctors and Wizards: Xue Xue and Ye Tianshi's "fight in the middle"
During the Qing Dynasty, two great medical professionals - Xue Xue and Ye Tianshi - were born in Suzhou and Wu County, Jiangsu Province. It's like the East and West characters of Jin Youn, who have great skills but are not willing to give in to each other.
Xue Xue, born in white and known as Xiao Tao, was a man who had plunged into the sea of medicine because of her mother's multiple illnesses. He read a lot of books and was as skilled as a martial artist who had mastered the world's healing arts. Ye Tianshi, known as Tianshi and known as Xiangyan, was born as a doctor in the world. At the age of thirty, he had developed a great reputation in all parts of the country. He was good at treating feverish diseases, and he pioneered the identification of blood from the Wei Qi camp. His surgical skill was like the sword that sought defeat alone, and he walked the world alone.
The two men, Xue Xue was more than ten years younger than Ye Tianshi in age, but they were equally famous and equally close. It's like two martial arts masters standing at the top of the same mountain, and both want to become the only hegemon. Then a war without smoke quietly began.
Ye Tianshi was also a man of character, and he named his book house the "Snow Garden." Once the name came out, it was like dropping a stone in a healing lake and stirring up layers of ripples. What a clever Xue Xue. Once she heard the name, she immediately understood the meaning of "provocation." It's like someone has put up a sign on your doorstep saying they want to beat you. Can you not get angry? Xue Xue bit her teeth and stamped her feet, and immediately named her own living room "Shuangye Heights." Once the name came out, the smell of gunpowder became thicker, like two armies fighting each other and each lighting their own flags.
The two doctors slammed each other like two martial arts masters, fighting each other and refusing to give in to each other. They may have different opinions in academics, as in Huashan's debate on sword, the Eastern evil's Five-Steps and Western evil''s Toad Gong each had their own merits, and neither obeyed either. This disobedience between peers, which may seem like a fight, is actually a driving force in the development of medicine. Just as two martial arts masters competed and continued to refine their martial arts skills during the competition, the two medical doctors also continued to explore and perfect the theory and practice of medicine in the "collision" with each other.
The Healing Hermit: Xue Xue's "dismissal" and the "Dialect of Wet and Hot"
Xue Xue, like Hu Mao, dismissed the world as a medical doctor. It's like a tall man who lives in a mountain, but who doesn't want to appear in the streets, even though he has the world-class martial arts skills. Yuan Mei mentioned Xue Xue's "transcendent" in his book with Xue Xuer.
Xue Xue excelled at diagnosing fever and fever diseases, and his expertise was like an accurate surgical knife, able to accurately find the root cause of diseases and treat them. However, he seldom wrote or spoke. It is like a martial arts master who has a lot of combat experience, but is not willing to write these experiences down as secrets. However, it is generally believed that The Book of Wet and Hot is the work of Xue. This book is like a "sword" left by Xue Xue in the medical field. Although he usually kept a low profile, this "sword" shines with unique light, providing valuable reference for future medical practitioners to treat fever and fever diseases.
From a statistical point of view, in the Qing Dynasty, when medical development was relatively slow, there were few books such as The Book of Wet Heat that systematically addressed feverish diseases. It's like when a huge tree suddenly grows on a deserted land and looks very noticeable. Xue Xue's "disdain" may be because he has a higher pursuit of medicine, believing that medicine is not only for fame and fortune, but also to save lives. He was like a farmer who worked in silence, focused on his land and didn't care about the noise and judgment of the outside world.
The Legend of Healing: Ye Tianshi's "Team of Followers" and the Legacy of His Writings
Yetians, on the other hand, is also a legend. He was born as a medical doctor, and at the age of 30, he became famous across the country, which was like a new star rapidly rising in the medical landscape, illuminating the entire night sky.His expertise in treating fevers and his advocacy of blood identification at the Hôpital was like a new path for future generations to follow.
Ye Tianshi is known for his work as "The Theory of Heat" (also known as "The Field of External Warmth"), "The Field Of Three-Tenths of Adenitis," and "The Case of the Medical Guide." Most of these works are medical theories and experiences which he described in his later years and which were subsequently compiled by his disciples. It is like a martial arts master who passes on his life's learning to his disciples in his later years, so that these valuable experiences can be passed on from generation to generation.
According to statistics, Ye Tian Shi's disciples spread all over the land and the north of the country. They were like a large "corps of disciples" who spread Ye Tian Shi's healing skills and ethics throughout the medical landscape. These disciples were also meticulous in the preparation of Ye Tianshi's writings, striving to pass on the essence of the teacher intact. It is like a group of craftsmen who carefully carve a precious piece of art so that future generations can appreciate the charm of Ye Tian Shi's medical ideas.
Ye Tianshi's inheritance style, like a fire, was constantly passed on throughout the medical landscape, igniting the passion of generations of medical practitioners. His medical theories and experiences, like an inexhaustible treasure, have provided a wealth of nutrition for future medical practitioners.
Medical sciences reveal that peers should be gentle and progress together
Back to the original sentence, "Only disobedience between peers, as it has been in ancient times." We can see from the story of Xue Xue and Ye Tianshi that disobedience from peers is not necessarily a bad thing. It is like a double-edged sword, with both a combative side and a developmental side.
In today's medical landscape, we should also view the relationship between peers correctly. Competition between peers is inevitable, but it should be benign, like a wonderful sporting game in which everyone learns from each other and improves on each other. We cannot denigrate and ostracize each other because of the discontent between our peers, but should, like Xue Xue and Ye Tianshi, seek opportunities for common progress in the struggle.
At the same time, we should also learn Xue Xue's "disdain" and Ye Tianshi's inheritance spirit. Xue Xue dismissed the name of medicine and focused on the nature of medicine, and this pursuit of medicine is worth learning. Ye Tian Shi passed on his medical experience to his disciples so that medicine could continue to develop, and this inheritance spirit is also a valuable asset in the medical profession.
The landscape of medicine is changing, and the stories between the peers are like a wonderful martial arts novel, full of suspense and surprise. Let us draw wisdom from these ancient stories and write our own legends in today's healing forest.
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