摘要：在中医的浩瀚宇宙里，个性化治疗宛如一颗璀璨的启明星，指引着医者探寻人体奥秘的方向。我们总爱扯着嗓子强调，中医讲究辨证论治，就像给每个人量身定制一件独一无二的锦袍，因为每个人的体质都像是被老天爷用不同颜料涂抹的画卷，各有千秋。可咱也得冷静下来，好好琢磨琢磨，在这

在中医的浩瀚宇宙里，个性化治疗宛如一颗璀璨的启明星，指引着医者探寻人体奥秘的方向。我们总爱扯着嗓子强调，中医讲究辨证论治，就像给每个人量身定制一件独一无二的锦袍，因为每个人的体质都像是被老天爷用不同颜料涂抹的画卷，各有千秋。可咱也得冷静下来，好好琢磨琢磨，在这片个性飞扬的天地里，中医那令人惊叹的技术疗效，其实也是能像复印机一样，一份一份精准复制出来的。

个性如繁星，各具光芒

中医把每个人看得那叫一个细致，体质差异被当成宝贝一样重视。就好比走进了一个大花园，每一朵花都有自己的颜色、形状和香气。有的人体质像那熊熊燃烧的火焰，容易上火，动不动就满脸通红、口舌生疮；有的人体质则像那寒冷的冰窖，畏寒怕冷，手脚冰凉得像块石头。

曾经有个患者，大夏天的还裹着厚厚的外套，别人吃个冰淇淋舒舒服服，他吃一口就得拉肚子。中医大夫一瞧，这是典型的阳虚体质啊，就像身体里的小太阳不够亮堂。于是，根据他的情况，开出了温阳的方子，就像给那小太阳添了把柴火。经过一段时间的调理，这患者渐渐能在夏天穿短袖了，也不再对冷食那么敏感。这就是中医个性化治疗的神奇之处，因人而异，精准打击疾病。

疗效可复制，如星河浩瀚

可别以为中医就只会在个性化的圈子里打转。中医的技术疗效，那可是有着实实在在的“复制密码”，它的载体就是那些流传千年的验方、秘方、专病专方，还有那成千上万的中成药和制剂。据统计，中医古籍里的经方、时方总数不下10万个，这可不是个小数目啊！要是这些方子都不能复制疗效，那它们不就成了躺在书架上的“花瓶”，中看不中用了吗？

就拿六味地黄丸来说吧，这可是中医界的“明星药”。它就像一个万能的小助手，专门对付肾阴虚引起的各种问题。很多患者，不管是年轻人因为熬夜、压力大导致的肾阴虚，还是老年人随着年龄增长出现的肾阴虚症状，吃了六味地黄丸后，都感觉身体有了明显的改善。头晕耳鸣减轻了，腰膝酸软也不那么厉害了。这说明什么？说明六味地黄丸的疗效是可以复制的，不管你是哪个年龄段，不管你是因为什么原因导致的肾阴虚，它都能发挥一定的作用。

再看看那些治疗感冒的中成药，像板蓝根颗粒、感冒清热颗粒等。每年一到感冒高发季，这些药就像英勇的战士，冲在抗击感冒的第一线。无数人吃了它们后，感冒症状得到了缓解，病程也缩短了。这不就是疗效可复制的最好证明吗？如果药品疗效不能复制，那西药制剂的存在价值又何在呢？西药靠的就是大规模的临床试验和标准化的生产，来保证疗效的一致性。中医其实也有着类似的能力，通过验方、秘方和中成药，把有效的治疗方法推广开来。

个性与共性，共舞的旋律

我们既不能只盯着疾病的个性化，就像只看到花园里每一朵花的独特，却忽略了它们都属于花这个大类别；也不能只强调疗效的可复制性，而把每个人的个体差异抛到九霄云外。疾病有其大众性，就像流感每年都会在人群中肆虐一番，很多人都会中招。这时候，就需要有可推广的技术手段，把有效的治疗方法迅速传播出去。

比如在治疗一些常见病时，中医可以根据大部分患者的共同特点，制定出一些通用的方剂和中成药。同时，对于一些病情复杂、体质特殊的患者，再进行个性化的调整。这就好比做衣服，先有一个基本的款式，适合大多数人穿，然后再根据每个人的身材特点进行修改，让衣服更合身。

在中医的发展道路上，我们要像一位聪明的舞者，在个性与共性的舞台上翩翩起舞。既要考虑到疾病和人体的个性化，为每一个患者量身打造治疗方案；也要考虑到疗效的可复制性，让有效的治疗方法像星星之火一样，燎原整个医疗领域。因为，只有这样，中医这颗古老的医学明珠，才能在新时代绽放出更加耀眼的光芒，为人类的健康事业谱写出一曲更加壮丽的交响曲。让我们携手共进，在中医的个性与共性之间，找到那把开启健康之门的金钥匙。

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。

Shijie Leung: Emphasises personalized therapy, but also does not forget the reproducibility of technology

In the vast universe of traditional Chinese medicine, personalized treatment is like a shining revelation star, guiding the practitioner in the direction of the search for the mysteries of the human body. We always emphasize with a loud voice that traditional Chinese medicine is about dialectical treatment, like customizing a unique robe for each person, because each person's body is like a painting painted with different colors by God, and each has its own characteristics. But we also have to calm down and think about it. In this world of flying personality, the amazing technical therapeutic effects of traditional Chinese medicine can actually be precisely replicated one by one like a photocopier.

Each personality is like a star and each has a glow.

Traditional Chinese medicine treats everyone as a nuanced person, and physical differences are valued as precious. It's like walking into a big garden where each flower has its own color, shape and aroma. Some human bodies are like those burning flames, easily catch fire, and whenever they move, their face becomes red and their mouth and tongue get sores. Some of the human body is like that cold ice cellar, afraid of the cold, and the hands and feet are as cold as a stone.

There was once a patient who wore a thick coat during the summer, and when someone ate an ice cream that was comfortable, he started to stomach up. When the traditional Chinese medicine doctor looked at it, this was a typical hypoxia, like the little sun in the body was not bright enough. So, according to his circumstances, he came up with a formula for a warm sun, like adding a firewood to the little sun. After a period of treatment, the patient gradually became able to wear short sleeves in the summer and was no longer as sensitive to cold food. This is the magic of personalized treatment in traditional Chinese medicine, which differs from person to person and strikes the disease with precision.

The effects can be replicated, like the rivers of heaven.

Don't think that traditional Chinese medicine only goes around in a personalized circle. The technical curative effect of Traditional Chinese Medicine Patent Prescription has a real "copy code," which is the carrier of the thousands of proven formula, secret recipe, disease specific formula, and thousands of Chinese patent medicines and preparations. According to statistics, the ancient books of traditional Chinese medicine by the side, the total number of no less than 100 thousand, this is not a small number of ah! If none of these remedies can replicate the efficacy, then they will become "vaults" lying on the shelves, and won't they work?

Take the six-flavored turmeric pill, which is the "star drug" in traditional Chinese medicine. It's like a handy little helper that deals with all kinds of problems caused by kidney failure. Many patients, whether young people with kidney deficiency due to staying up late or stress, or elderly people with krenal deficiency symptoms as they age, feel a significant improvement in their body after eating six-flavored turmeric pills. The dizziness and tinnitus were reduced, and the soreness of the knee and lower back were less severe. What does this mean? Explanation: The efficacy of hexidine pills can be replicated, no matter what age you are, and no matter what reason you have kidney deficiency, it can play a certain role.

Then look at those who treat a cold Traditional Chinese Medicine Patent Prescription, such as Banlangen particles, cold heat particles. Every year when the cold season is high, these medicines are like heroic soldiers on the front line in the fight against the cold. After countless people ate them, the cold symptoms were relieved and the duration of the illness was shortened. Isn't that the best proof of replicable efficacy? If the efficacy of medicines cannot be replicated, what is the value of the existence of Western medicines? Western medicine is relying on large-scale clinical trials and standardised production, to ensure the consistency of curative effect. Traditional Chinese Medicine (TCM) has a similar ability to promote effective treatments through proven formulas, secret recipes and Traditional Chinese Medicine Patent Prescriptions.

Personality and commonality, the melody of dancing together

We can neither focus on the individuality of the disease, just as we see the uniqueness of each flower in the garden, while ignoring that they all belong to the larger category of flowers. Nor can emphasis be placed solely on the replicability of therapeutic efficacy while putting aside the individual differences of each individual. The disease has its Volkswagen, like the flu every year in the crowd, a lot of people will be infected. At this point, there is a need for scalable technologies to enable the rapid dissemination of effective treatments.

For example, in the treatment of some common diseases, Traditional Chinese Medicine Patent Prescription can be developed according to the common characteristics of most patients. At the same time, for some patients with complex medical conditions and special physical conditions, individualized adjustments are made. It's like making clothes, first have a basic style that is suitable for most people to wear, then modify the clothes to fit better according to each person's body characteristics.

In the development of traditional Chinese medicine, we must be like a clever dancer, dancing on the stage of personality and commonality. Taking into account the individuality of the disease and the human body, we must develop a treatment plan tailored to each patient; Consideration should also be given to the replicability of treatments, so that effective treatments can spread the entire medical field like a fire of stars. Because only in this way can traditional Chinese medicine, the ancient pearl of medicine, shine brighter in the new era and write a more magnificent symphony for human health. Let us work together to find the golden key that opens the door to health between the personality and commonality of traditional 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：老梁谈养生