摘要：在浩瀚的医学殿堂中，中医犹如一颗璀璨的明珠，熠熠生辉。它不仅是救死扶伤的入世之学，更是医者修心养性的修行之道。提高医术，对于中医而言，既离不开对外在知识的渴求与探索，更离不开对内心世界的修炼与感悟。外求与内求，如同中医之双翼，相辅相成，共同铸就了中医的博大精深
在浩瀚的医学殿堂中，中医犹如一颗璀璨的明珠，熠熠生辉。它不仅是救死扶伤的入世之学，更是医者修心养性的修行之道。提高医术，对于中医而言，既离不开对外在知识的渴求与探索，更离不开对内心世界的修炼与感悟。外求与内求，如同中医之双翼，相辅相成，共同铸就了中医的博大精深。
中医的入世之学，体现在它对人类健康的深切关怀和实际疗效上。医者以悬壶济世为己任，用一草一木、一针一灸，为病患解除痛苦，带来希望。这种入世的精神，让中医深深扎根于人民群众之中，成为了他们生命健康的守护者。然而，中医的医术并非一蹴而就，而是需要医者不断地学习、实践和总结。这就是外求的过程，是医者通过不断学习医学典籍、临床经验和前辈教诲，来丰富自己的医学知识和技能。
然而，仅仅依靠外求，中医的医术还难以达到炉火纯青的境界。因为医术不仅仅是技术的堆砌，更是智慧的体现。这种智慧，源自于医者对内心世界的修炼和感悟。这就是内求的重要性所在。内求，是医者通过修炼自己的心性，提高自己的道德境界和人文素养，从而培养出一种对生命的敬畏之心、对病患的慈悲之心和对医学的热爱之心。
举个例子来说，一位中医在面对一位长期受病痛折磨的病患时，如果仅仅依靠外求的医术，他可能只会根据病患的症状来开具药方。但如果他同时注重内求，他就会用心去感受病患的痛苦，用同理心去理解病患的处境，用爱心去温暖病患的心灵。这样的医者，在治疗过程中，不仅关注病患的身体状况，更关注病患的情感需求和精神状态。他的治疗，不仅仅是针对病患的身体，更是针对病患的整体生命。
内求还让医者在治疗过程中更加注重医患关系的建立和维护。中医认为，医患之间应该是一种和谐、信任的关系。医者应该用心倾听病患的诉说，用真诚去回应病患的疑虑，用耐心去解答病患的问题。这样的医患关系，不仅有利于病患的治疗和康复，也有利于医者医术的提高和完善。
再举一个例子，中医在诊断疾病时，往往需要通过望、闻、问、切四诊合参的方法。这其中，问诊是非常重要的一环。医者需要通过问诊来了解病患的病史、症状、生活习惯等方面的信息。如果医者只注重外求的医术，他可能只会机械地询问病患一些问题，然后根据自己的经验来判断病患的病情。但如果他同时注重内求，他就会在问诊过程中，用心去感受病患的情绪变化，用同理心去理解病患的表述方式，用爱心去鼓励病患说出自己的真实感受。这样的问诊，不仅更加全面、准确，也更加人性化、温馨。
因此，提高医术对于中医而言，既离不开对外在知识的渴求与探索，更离不开对内心世界的修炼与感悟。外求让医者拥有丰富的医学知识和技能，内求让医者拥有高尚的医德和人文情怀。只有外求与内求相结合，中医的医术才能达到炉火纯青的境界，才能为病患带来更好的治疗效果和更深的人文关怀。
中医之路，既是一条入世之学之路，也是一条修行之道之路。在这条路上，医者需要不断地学习、实践和总结，也需要不断地修炼自己的心性、提高自己的道德境界和人文素养。只有这样，中医才能更好地服务于人民群众的生命健康事业，才能为人类的医学事业做出更大的贡献。
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: The study of entering the world, the path of cultivation, the improvement of medical skills, not separated from external seeking, but also internal seeking
In the vast medical hall, Chinese medicine is like a brilliant pearl, shining brightly. It is not only a worldly study of saving lives and helping the injured, but also a way for doctors to cultivate their hearts and minds. Improving medical skills is not only inseparable from the pursuit and exploration of external knowledge, but also inseparable from the cultivation and understanding of one's inner world. External pursuit and internal pursuit are like the wings of Chinese medicine, complementing each other and jointly creating the profoundness of Chinese medicine.
The practical learning of traditional Chinese medicine is reflected in its deep concern for human health and its actual curative effect. Doctors take it as their mission to use herbs, needles, and moxibustion to relieve patients' suffering and bring hope. This practical spirit has made traditional Chinese medicine deeply rooted in the people and become the guardian of their health. However, the art of traditional Chinese medicine is not achieved overnight, but requires doctors to continuously learn, practice, and summarize. This is the process of seeking outside, where doctors enrich their medical knowledge and skills through continuous learning of medical classics, clinical experience, and the teachings of predecessors.
However, relying solely on external sources, the medical skills of traditional Chinese medicine cannot reach the level of perfection. Because medical skills are not just the accumulation of techniques, but also the embodiment of wisdom. This wisdom comes from the cultivation and understanding of the doctor's inner world. This is the importance of seeking within. Seeking within means that doctors cultivate their own character, improve their moral realm and cultural literacy, and thus cultivate a sense of reverence for life, compassion for patients, and love for medicine.
For example, when a Chinese doctor treats a patient who has been suffering from pain for a long time, if he relies solely on external medical skills, he may only prescribe medicine based on the patient's symptoms. However, if he pays attention to internal needs, he will use his heart to feel the patient's pain, understand the patient's situation with empathy, and warm the patient's heart with love. Such a doctor pays attention not only to the patient's physical condition but also to the patient's emotional needs and spiritual state. His treatment is not only for the patient's body but also for the patient's overall life.
Internal pursuit also makes doctors pay more attention to the establishment and maintenance of the doctor-patient relationship during the treatment process. Traditional Chinese medicine believes that there should be a harmonious and trusting relationship between doctors and patients. Doctors should listen carefully to patients' complaints, respond to patients' doubts with sincerity, and answer patients' questions with patience. Such a doctor-patient relationship is not only conducive to the treatment and rehabilitation of patients, but also conducive to the improvement and perfection of doctors' skills.
Another example is that in diagnosing diseases, traditional Chinese medicine often uses the method of combining the four diagnostic methods of sight, smell, inquiry, and touch. Among them, inquiry is a very important part. The doctor needs to understand the patient's medical history, symptoms, living habits, and other information through inquiry. If the doctor only pays attention to external medical skills, he may only mechanically ask the patient some questions and then judge the patient's condition based on his own experience. But if he pays attention to internal requirements, he will use his heart to feel the patient's emotional changes during the inquiry process, understand the patient's way of expression with empathy, and encourage the patient to express his true feelings with love. Such inquiry is not only more comprehensive and accurate, but also more humane and warm.
Therefore, for traditional Chinese medicine, improving medical skills cannot be separated from the pursuit and exploration of external knowledge, nor can it be separated from the cultivation and understanding of one's inner world. The pursuit of external knowledge allows doctors to have rich medical knowledge and skills, while the pursuit of internal knowledge allows doctors to have noble medical ethics and humanistic feelings. Only when external and internal pursuits are combined can the medical skills of traditional Chinese medicine reach the level of perfection, bringing better treatment effects and deeper humanistic care to patients.
The path of traditional Chinese medicine is both a path of worldly learning and a path of spiritual cultivation. On this path, doctors need to continuously learn, practice, and summarize, as well as continuously cultivate their own heart, improve their moral realm, and enhance their humanistic qualities. Only in this way can traditional Chinese medicine better serve the people's health and well-being, and make greater contributions to the medical cause of humanity.
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：老梁谈养生
