摘要：在医学的浩瀚宇宙中，每一名医生都如同夜空中闪烁的星辰，虽然微小，却散发着属于自己的光芒。他们面对的是生命的脆弱与坚韧，是疾病的狡猾与多变。尤其是在面对疑难病症时，医生们往往要面对一个艰难的选择：明知道可能无法挽回，是否还要全力以赴？

在医学的浩瀚宇宙中，每一名医生都如同夜空中闪烁的星辰，虽然微小，却散发着属于自己的光芒。他们面对的是生命的脆弱与坚韧，是疾病的狡猾与多变。尤其是在面对疑难病症时，医生们往往要面对一个艰难的选择：明知道可能无法挽回，是否还要全力以赴？

答案是肯定的。因为对于医生来说，每一个生命都值得尊重，每一次努力都代表着希望。正如那句老话所说：“尽人事，听天命。”医生们深知，即使面对不可为的局面，也要拼尽全力去争取那一丝可能存在的生机。这种精神，不仅是对生命的尊重，更是对医学事业的执着追求。

作为一名普通医生，我时常感受到这份职业带来的幸福与内疚。当我的医术能够帮助到患者时，那种由衷的幸福感是任何物质都无法替代的。我仿佛看到了生命的奇迹在我的手中绽放，看到了患者和家属脸上的笑容，这是对我最大的肯定和鼓励。

然而，医学并非万能。当我面对那些超出我能力范围的疾病时，内心的内疚感也会如影随形。我深知，医生的职责是救死扶伤，但医学的局限性却让我无法做到尽善尽美。这时，我会诚恳地向患者和家属说明，请求他们的谅解。因为我知道，医学是极其庞大、复杂的学科，每个人的能力都是有限的。

以我曾遇到的一个病例为例。一位高龄患者被诊断为晚期癌症，被某三甲医院宣布不治，可见病情已经相当严重。尽管我尽我所能地为他制定治疗方案、调整药物剂量，但最终还是未能挽回他的生命。面对这样的结果，我内心充满了内疚和无奈。然而，我也清楚地知道，这并非我的失败，而是医学的局限性所致。

但正是这样的经历，让我更加坚定了对医学的信仰和对患者的责任。我相信，只要是医生，他都会尽他所能去帮助患者。因为医生的宿命，就是与疾病抗争、与死神赛跑。他们用自己的智慧和勇气，守护着每一个生命的尊严和希望。

在这个过程中，医生们也在不断地学习和成长。他们通过临床实践、学术研究等方式，不断提升自己的医术水平。他们深知，只有不断地学习和进步，才能更好地为患者服务、更好地履行医生的职责。

总之，医生的使命是救死扶伤、守护生命；而医生的宿命，则是与疾病抗争到底、为患者带来希望。在这个过程中，他们可能会遇到困难和挫折，但正是这些经历让他们更加坚定了对医学的信仰和对患者的责任。让我们向每一位坚守在医学岗位上的医生致敬！

作者简介：梁世杰 中医高年资主治医师，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。现任北京厚德为怀医生集团渐冻症研究中心主任，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。

The mission and destiny of doctors

In the vast universe of medicine, every doctor is like a shining star in the night sky. Although they are small, they radiate their own light. They face the fragility and tenacity of life, the cunning and variability of disease. Especially when facing difficult diseases, doctors often have to face a difficult choice: knowing that they may not be able to recover, should they still do their best?

The answer is yes. Because for doctors, every life is worthy of respect, and every effort represents hope. As the old saying goes, "Do your best, and let fate take its course." Doctors know that even in the face of an impossible situation, they must do their best to fight for that sliver of possible life. This spirit is not only respect for life, but also a passionate pursuit of the medical profession.

As an ordinary doctor, I often feel the happiness and guilt brought by this profession. When my medical skills can help patients, the genuine happiness is irreplaceable by any material. I seem to see the miracle of life blooming in my hands, seeing the smiles on the faces of patients and their families, which is the greatest affirmation and encouragement for me.

However, medicine is not all-powerful. When I face diseases beyond my ability, the feeling of guilt will follow me. I know that the duty of doctors is to save lives and help the sick, but the limitations of medicine prevent me from being perfect. At this time, I will sincerely explain to patients and their families and ask for their understanding. Because I know that medicine is a very large and complex subject, and everyone's ability is limited.

Take a case I once encountered as an example. An elderly patient was diagnosed with advanced cancer and was declared incurable by a certain Grade A hospital, indicating that his condition was already quite serious. Although I did my best to develop a treatment plan and adjust the dosage of the medication for him, I ultimately failed to save his life. Faced with such a result, I was filled with guilt and helplessness in my heart. However, I also clearly knew that this was not my failure, but rather the limitations of medicine.

But it is this kind of experience that makes me more firmly believe in medicine and the responsibility to patients. I believe that as long as a doctor, he will do his best to help patients. Because the destiny of doctors is to fight against diseases and run against death. They protect the dignity and hope of every life with their wisdom and courage.

During this process, doctors are also constantly learning and growing. They continuously improve their medical skills through clinical practice and academic research. They know that only through continuous learning and progress can they better serve patients and fulfill their duties as doctors.

In short, the mission of doctors is to save lives and heal the sick, and the destiny of doctors is to fight against diseases and bring hope to patients. In this process, they may encounter difficulties and setbacks, but it is these experiences that make them more firmly believe in medicine and their responsibility to patients. Let us pay tribute to every doctor who is committed to the medical profession!

Author Bio: Liang Shijie is a senior medical practitioner in traditional Chinese medicine. 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 the director of the Center for Diffusion Research of Dr. Houde Wei Group in Beijing, a researcher at the Shude Tang Institute of Chinese Medicine, and a fellow at the new 3 + 3 project of traditional Chinese medicine flame inheritance in Beijing - a scholar at the inheritance work station 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.

来源：老梁谈养生