摘要：在医疗这个充满未知与挑战的领域里，疾病如同千变万化的迷宫，每一种病症都隐藏着其独特的秘密与复杂性。医院，作为人类与病魔抗争的前线阵地，医生则是那手持明灯，引领患者穿越迷雾的引路人。然而，在这片希望的土地上，有时却会响起一些不和谐的声音——有的医院或医生，习惯于
在医疗这个充满未知与挑战的领域里，疾病如同千变万化的迷宫，每一种病症都隐藏着其独特的秘密与复杂性。医院，作为人类与病魔抗争的前线阵地，医生则是那手持明灯，引领患者穿越迷雾的引路人。然而，在这片希望的土地上，有时却会响起一些不和谐的声音——有的医院或医生，习惯于为患者“断生死”，轻易地判定患者的存活期限，甚至建议患者回家准备后事。这样的做法，无疑是在患者本已脆弱的心灵上再添一刀，扑灭了他们生存的希望和救治的勇气。
我们必须承认，医疗并非万能。在疾病的面前，有时人类的力量显得如此渺小，有些病人确实病入膏肓，抢救的价值微乎其微，继续治疗只会给家庭带来沉重的经济负担，这是无法回避的客观现实。但问题在于，这样的判断是否总是准确？是否每一次“断生死”都是基于无可挑剔的医学依据？更重要的是，这样的做法是否真的对患者及其家庭负责？
事实上，医疗的魅力正在于其不确定性和挑战性。许多被医院诊断为绝症，或者被告知仅剩一两个月生命的患者，在转投中医治疗或其他非传统疗法后，竟然奇迹般地活了下来。这些生动的例子，不仅是对医学局限性的有力反驳，更是对医疗工作者的一种提醒：不要轻易为患者“断生死”，因为生命总是充满着无限的可能。
记得有一位肺癌晚期的患者，西医医院已经给出了明确的“判决”——最多还能活三个月。面对这样的“死刑”，患者和家人几乎绝望。然而，他们没有放弃，选择了中医治疗。中医医生没有简单地重复西医的“判决”，而是根据患者的具体情况，制定了个性化的治疗方案。几个月后，当这位患者再次出现在西医医院复查时，结果让所有人都惊呆了——肿瘤竟然明显缩小，生命体征也趋于稳定。这样的奇迹，难道不是对“多为治病找出路，少为患者断生死”这一理念的最好诠释吗？
医疗工作的核心，应该是给予患者希望，而不是剥夺他们的希望。每一个生命都是宝贵的，都值得我们去尽全力拯救。当医生轻易地为患者“断生死”时，他们可能忽略了一个重要的事实：希望本身就是一种治愈的力量。当患者失去了希望，他们的身体也会随之崩溃，即使原本有救治的可能，也会因为心态的崩溃而化为泡影。
当然，我们并不是要求医生对每一个患者都盲目乐观，或者隐瞒病情。相反，我们应该倡导的是一种积极、负责、全面的医疗态度。医生应该基于自己的专业知识和临床经验，为患者提供尽可能多的治疗选择，解释清楚每种治疗的利弊，让患者和家属能够做出明智的决策。同时，医生也应该鼓励患者保持积极的心态，与病魔抗争到底。
在这个充满变数的医疗领域里，我们需要的不仅仅是冷酷的“判官”，更需要的是温暖的“引路人”。医生应该用自己的专业知识和人文关怀，为患者点亮一盏希望的明灯，让他们在黑暗中看到光明，在绝望中找到力量。因为，每一个生命都值得我们去尊重、去珍惜、去全力以赴地拯救。
所以，让我们铭记这句话：“多为治病找出路，少为患者断生死。”让医疗成为传递希望与力量的使者，而不是剥夺希望与生命的刽子手。让我们携手共进，为每一个生命创造更多的可能，让爱与希望照亮医疗的每一个角落。
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: Focus on finding ways to cure diseases, not on deciding whether patients will live or die
In the field of medicine, which is full of unknowns and challenges, diseases are like a maze with countless variations. Each disease hides its unique secrets and complexities. Hospitals, as the frontline in the fight against illness, and doctors, as the ones holding the light, guide patients through the fog. However, on this land of hope, there are sometimes discordant voices—some hospitals or doctors are accustomed to "determining life and death" for patients, easily judging the patient's survival period, and even advising patients to go home and prepare for death. Such actions undoubtedly add another knife to the already fragile hearts of patients, extinguishing their hope for survival and the courage to seek treatment.
We must admit that medicine is not all-powerful. In the face of disease, human strength is sometimes so small that some patients are indeed in a critical condition, and the value of rescue is almost negligible. Continuing treatment will only bring heavy economic burdens to the family, which is an unavoidable objective reality. But the question is, is such judgment always accurate? Is every "life or death" decision based on impeccable medical evidence? More importantly, is such an approach truly responsible to patients and their families?
In fact, the charm of medicine lies in its uncertainty and challenge. Many patients who were diagnosed with terminal illnesses or told that they had only a few months to live miraculously survived after switching to traditional Chinese medicine treatment or other non-traditional therapies. These vivid examples not only serve as a powerful rebuttal to the limitations of medicine, but also serve as a reminder to medical workers: do not easily "determine life and death" for patients, because life is always full of endless possibilities.
I remember a patient with advanced lung cancer who was given a clear "verdict" by Western medicine hospitals that he could live for a maximum of three months. Faced with such a "death sentence," the patient and his family were almost desperate. However, they did not give up and chose traditional Chinese medicine treatment. The traditional Chinese medicine doctor did not simply repeat the "verdict" of Western medicine, but instead, based on the patient's specific situation, formulated a personalized treatment plan. After a few months, when the patient reappeared at the Western medicine hospital for a check-up, the results stunned everyone - the tumor had significantly shrunk, and the patient's vital signs were also stable. Isn't this miracle the best interpretation of the concept of "finding ways to treat diseases and lessening the patient's life and death"?
The core of medical work should be to give patients hope, not to deprive them of hope. Every life is precious and deserves our best efforts to save it. When doctors easily "decide the fate of patients," they may overlook an important fact: hope itself is a healing power. When patients lose hope, their bodies will also collapse, and even if there is a possibility of treatment, it will be lost due to the collapse of mentality.
Of course, we are not asking doctors to be blindly optimistic about every patient or to hide the disease. Instead, we should advocate for a positive, responsible, and comprehensive medical attitude. Doctors should provide patients with as many treatment options as possible based on their professional knowledge and clinical experience, explain the pros and cons of each treatment clearly, and allow patients and their families to make informed decisions. At the same time, doctors should encourage patients to maintain a positive attitude and fight the disease to the end.
In this medical field full of uncertainties, what we need is not only a cold "judge", but also a warm "guide". Doctors should use their professional knowledge and humanistic care to light a beacon of hope for patients, so that they can see the light in the darkness and find strength in despair. Because every life is worth respecting, cherishing, and saving to the best of our ability.
Therefore, let us remember this sentence: "Find more ways to cure diseases, and less ways to decide the fate of patients." Let medicine be an emissary of hope and strength, not a executioner who takes away hope and life. Let us work together to create more possibilities for every life, and let love and hope illuminate every corner of 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：首都专家梁世杰一点号
