摘要：在医学这片广袤无垠的天地里，中医宛如一棵根深叶茂的参天古树，历经数千年的风雨洗礼，依然生机勃勃，散发着独特的魅力。而西医，则似一座现代化的科技大厦，以其精密的仪器和严谨的逻辑，在医学领域占据着重要的地位。二者犹如两条并行的河流，各有其源，各有其流，却有着根本的

在医学这片广袤无垠的天地里，中医宛如一棵根深叶茂的参天古树，历经数千年的风雨洗礼，依然生机勃勃，散发着独特的魅力。而西医，则似一座现代化的科技大厦，以其精密的仪器和严谨的逻辑，在医学领域占据着重要的地位。二者犹如两条并行的河流，各有其源，各有其流，却有着根本的区别。中医，这门实践性极强的学科，就像一位久经沙场的将军，其本领并非源自纸上的谈兵，而是源于无数次临床实战的磨砺。

古人箴言：实践出真知的中医智慧

古人云：“熟读王叔和，不如临症多。”王叔和，这位中医史上的脉学宗师，其著作《脉经》堪称中医脉学的经典之作。然而，即便将《脉经》倒背如流，若缺乏临床实践的锤炼，也难以成为一名真正的良医。这就好比一个人熟读了所有的兵法，却从未上过战场，面对真正的敌人时，依然会手足无措。

中医的理论体系博大精深，涵盖了阴阳五行、脏腑经络、气血津液等诸多方面。但这些理论并非是抽象的空中楼阁，而是与临床实践紧密相连的。只有在临床中，医生才能真切地感受到患者的脉象变化、症状表现，才能将所学的理论知识运用到实际诊断和治疗中。就像一位厨师，即便掌握了所有的烹饪理论，若不亲自下厨操作，也难以做出美味佳肴。

鼠笼之困：实验室研究的局限性

然而，在当今的医学研究领域，却出现了一种令人担忧的现象：一些中医科研脱离了临床实践，将大量的精力投入到实验室的小动物研究上。那些实验室里的小白鼠，成了中医研究的“主角”。它们被注射各种药物，接受各种实验处理，仿佛成了中医疗效的“试金石”。

但我们必须清醒地认识到，实验室小白鼠实验是提升不了中医临床疗效和中医学进步的。小白鼠与人类在生理结构、病理机制等方面存在着巨大的差异。一种在小白鼠身上有效的药物或治疗方法，在人体上未必能取得同样的效果。据相关研究数据显示，在中医药实验中，约有 70%在小鼠身上显示有效的药物，在人体临床试验中却效果不佳。这就好比用一把适合小锁的钥匙去开大锁，显然是行不通的。

曾经有这样一个案例，某科研团队在实验室里通过对小白鼠的研究，发现了一种中药方剂对某种疾病有显著的抑制作用。于是，他们满怀信心地将这种方剂应用于临床治疗。然而，结果却令人大失所望，患者的病情并没有得到明显的改善。这个案例就像一记响亮的耳光，狠狠地打在了那些脱离临床实践搞研究的脸上。

临床科研：中医发展的必由之路

中医科研要紧密联系临床，多做临床科研，这才是中医发展的必由之路。中医历代经方验方古方，是先辈们智慧的结晶，它们在临床实践中经过了无数次的验证，具有极高的疗效。但这些宝贵的经验并不能仅仅停留在古籍的记载中，而应该通过临床科研，进一步挖掘其潜力，使其发挥出最大的疗效。

同时，临床科研还可以使中医成果疗效可重复。在中医的临床治疗中，经常会遇到这样的情况：同样的病症，不同的医生使用相同的方剂，疗效却参差不齐。这其中的原因，很大程度上是由于缺乏规范的临床科研，导致治疗方法不够标准化、规范化。通过临床科研，我们可以制定出统一的治疗方案和评价标准，使中医的疗效具有可重复性。

比如，在针灸治疗颈椎病的研究中，科研人员通过大量的临床观察和实验，确定了最佳的针灸穴位、刺激强度和治疗疗程。经过多年的实践验证，这种治疗方案在临床上取得了显著的疗效，并且可以被不同的医生重复使用。这就好比为中医治疗搭建了一座坚固的桥梁，让更多的患者能够走上健康之路。

回归本源：守护中医的实践精神

中医的发展，离不开临床实践这片肥沃的土壤。我们不能让中医困于“鼠笼”，被实验室的小白鼠研究束缚住手脚。我们应该回归中医的本源，传承和发扬中医的实践精神。

每一位中医从业者都应该牢记古人的教诲，多临症、多实践。在临床中不断总结经验，提高自己的诊疗水平。同时，科研人员也应该将目光投向临床，开展更多有价值的临床科研，为中医的发展提供坚实的科学依据。

让我们携手共进，打破实验室的“鼠笼”，让中医在临床实践的舞台上绽放出更加耀眼的光芒。让这门古老的医学，在新时代焕发出新的生机与活力，为人类的健康事业做出更大的贡献。因为，只有扎根于临床实践的中医，才是真正有生命力的中医，才是能够造福人类的中医。

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。

Liang Shijie: Scientific Research of Traditional Chinese Medicine Department Should Not Be Confined in "Rat Cage," Clinical Practice Should Be the Real Chapter

In this vast and infinite world of medicine, Chinese medicine is like a deep-rooted Ancient tree, which has been cleansed through thousands of years of rain and wind, and is still vibrant and radiates its unique charm. Western medicine, like a modern technological edifice, occupies an important position in the field of medicine with its precision instruments and rigorous logic. They are like two parallel rivers, each with its origin and its flow, but they are fundamentally different. Chinese medicine, a highly practical discipline, is like a battle-hardened general whose skills do not derive from paper soldiering, but from the training of countless clinical battles.

Ancient Proverbs: Practicing the Wisdom of Chinese Medicine to Know the Truth

As an ancient man once said, "Reading the king's uncle well is not as good as suffering from a serious illness." Shuwei Wang, the master of acupuncture in the history of Chinese medicine, is known as the classic work of acupunctury in Chinese medicine. However, even if you can recite the meridian without repeating it, it is difficult to become a true good doctor without the training of clinical practice. It is like someone who has read all the military tactics, but has never been on a battlefield, and still is confused when faced with a real enemy.

The theoretical system of traditional Chinese medicine is vast and deep, covering many aspects such as yin and yang, meridians, qi, blood, and fluids. But these theories are not abstract palaces, but are closely linked to clinical practice. Only in the clinic can doctors really feel the changes in the patient's pulse and symptoms, and can apply the theoretical knowledge learned to practical diagnosis and treatment. Like a chef, even if he has mastered all the culinary theories, he cannot make a delicious dish without cooking it himself.

Rat cage dilemma: limitations of laboratory research

However, in today's medical research field, there is a worrying phenomenon: some scientific research of Traditional Chinese Medicine Department is divorced from clinical practice, and a lot of energy is devoted to laboratory research on small animals. The lab mice became the "main players" in traditional Chinese medicine research. They were injected with various drugs and subjected to various experimental treatments, as if they became "fingerprints" of the effectiveness of medical treatment in China.

However, we must wake up to the fact that laboratory mouse experiments cannot improve the clinical efficacy of traditional Chinese medicine and the progress of traditional medicine. There are huge differences between mice and humans in terms of physiological structure and pathological mechanism. A drug or treatment that worked well in mice may not have the same effect in humans. According to the relevant study data show that in traditional Chinese medicine, about 70% of the effective drugs in mice, but in human clinical trials are not good. It's like using a key suitable for a small lock to open a large lock, which obviously doesn't work.

In one such case, a team of researchers in the laboratory discovered that a Chinese herbal remedy had a significant inhibitory effect on a certain disease by studying mice. So they confidently applied this formulation to clinical treatment. However, the results were disappointing, with no significant improvement in the patient's condition. The case was like a loud slap in the face at people who were doing research outside of clinical practice.

Clinical research: the road to the development of traditional Chinese medicine

The scientific research of Traditional Chinese Medicine Department should be closely related to clinical research, which is the only way for the development of Traditional Chinese Medicine. The ancient traditional prescriptions of traditional Chinese medicine are the crystallization of the wisdom of the forefathers, and they have been tested numerous times in clinical practice and have extremely high efficacy. However, these valuable experiences must not be limited to ancient texts, but should be further explored through clinical research to maximize their efficacy.

At the same time, clinical research can also make the results of traditional Chinese medicine repeatable. In the clinical treatment of traditional Chinese medicine, it is often encountered that different doctors use the same prescription for the same condition, but the efficacy is uneven. The reason for this is largely due to the lack of standardized clinical research, which leads to less standardized and standardized treatment methods. Through clinical research, we can formulate a unified treatment plan and evaluation criteria so that the efficacy of traditional Chinese medicine can be repeated.

For example, in the study of acupuncture treatment of cervical spondylosis, researchers determined the best acupuncture points, stimulation intensity and treatment course through a lot of clinical observations and tests. After years of practice validation, this treatment regimen has achieved significant efficacy in the clinic and can be repeated by different physicians. This is like building a strong bridge for traditional Chinese medicine, allowing more patients to embark on the path to health.

Returning to the Source: Protecting the Practice of Chinese Medicine

The development of traditional Chinese medicine cannot be achieved without the fertile soil of clinical practice. We cannot allow traditional Chinese medicine to be trapped in a "rat cage," bound by laboratory research on mice. We should return to the roots of traditional Chinese medicine and carry forward the practical spirit of traditional medicine.

Every practitioner of traditional Chinese medicine should bear in mind the teachings of the ancient people, and practice more frequently. Constantly learn from experience in clinical practice and improve their own diagnostic and therapeutic level. At the same time, researchers should also look to the clinic and conduct more valuable clinical research to provide a solid scientific basis for the development of traditional Chinese medicine.

Let us work together to break the laboratory's "rat cages" and let traditional Chinese medicine shine even brighter on the stage of clinical practice. Let this ancient medicine breathe new life and vitality in the new era, and make a greater contribution to human health. Because only traditional Chinese medicine that is rooted in clinical practice is truly viable and can benefit mankind.

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