站在2025年的门槛上，回望过去的岁月，心中涌动着无限的感慨与感激。作为医者，我深知时间的宝贵与生命的脆弱，每一次与患者的相遇，都是一场心灵的交流与生命的托付。作为一个普通的医者，在这条漫长而又充满挑战的行医之路上，已经走过了二十四个春秋。
人是感情动物，正所谓“”人心换人心，四两换半斤”，有了感情，才有了道德，才有了品行，才有了医德！这些形而上看不见摸不着的感情，正是人类所独有的，也是众有情众生所可贵的。在佛学中，觉有情就是行菩萨大道！就是帮助无数的人觉悟智慧，幸福喜乐，福慧无边。
2024年已经过去，2025年的太阳冉冉升起！感恩所有患者的信任，尤其是许多自己治好了病，还为我做推荐，给我传名的患者！这难道不是在做菩萨道吗？这种随喜功德实在让我自己无上感叹，铭记在心，永久感恩……
士农工商，三教九流，在二十四年的行医之路上，我接触到的患者不计其数，各行各业，无所不包！秉承一视同仁的原则，来就医者无论其行业、职业、贫富贵贱，老幼孱弱，高官还是平民，一律一心一意真诚看病。患者有病就是有病，没病就是没病，好治就是好治，难治就是难治，疗程长就是疗程长，疗程短就是疗程短……一律实言相告，见效时间和参考疗程一律详细告知，供病家参考。详细遗嘱诊疗时告知，比如“有病及时治疗，无病春秋调理”饮食忌讳以及何时需要复诊，来预防复发。诊疗过程中，绝不沽名钓誉，故弄玄虚，罔顾人命，耽误病情！
我有多大力使多大力，秉承医不叩门的古训，有效则来，无效则往，让患者用脚投票！绝不以联络感情、回访患者名义搭讪患者，为患者徒增烦恼！
行医二十四年余，面对各行业的患者群体也是感慨万千！患者群体中，北京工人、上班族、白领、干部、知识阶层、退休老人居多！尤其是未退休人群，他们明白“打铁还需自身硬”的道理，他们绝大多数出一天工，得一天利，按劳分配，绩效工资，身体一旦有恙，就不能参加劳动，会被扣工资，耽误上班，影响个人和家庭的经济效益！
所以他们很注重自己的身体的养生保健，及时通过网络自媒体获取医疗保健养生知识，有一定的健康理念和健康认知。同样，他们和中医打交道比较多，注重体检，虽然许多白领因过度久坐、熬夜透支自己身体，落下了许多慢性病，但是他们积极体检复查，中医药控制病情，结合中医理疗项目，缓解身体疲劳，虽然是亚健康，但是没有影响工作和首都建设，经过中医的医嘱和调理，提高了他们的健康观念，他们绝大多数处于身体恢复状态！
外地的农民医保覆盖虽然不低，但是基层缺乏名老中医，再加上近三年中药价格虚高，外地农民就医相对减少，看病难看病贵问题没有得到有效遏制，他们得了慢性病或者身体亚健康只能在基层吃西药或者中成药，控制症状，延缓病情，无法及时进京就诊。
下面着重谈一下特殊而广泛的一个群体，他们需要特别关注和提醒，根据我的经验，商人（企业主、小微企业、个体户、商贩等）群体虽然有一定的经济实力，但是受当下经济大环境的影响，也往往入不付出！另外他们心里压力大，起早贪黑，员工工资、社保开支、水电费、房租等各项开支压着他们喘不过气来，再加上他们大多数人往往是重利而轻命（重视经济效益，忽视自身健康）的，且有精打细算的习惯，不重视身体的体检和保健，潜移默化地秉承着“小车不倒只管推”的落后思想，他们的身体状况往往都处于慢性病或亚健康状态，多数伴失眠，抑郁焦虑，血压波动，血糖异常，尿酸升高，体重超标等三高四高状态，他们作为商人群体是应当被社会和家人关注、关心、关爱的一个群体，也应当被医疗健康行业所关注！据我观察，即使有极少商人，找中医摸脉看慢性病也是秉承着“短平快”“大yao进”的思想，无法投入时间成本，精力成本，经济成本，不能适应医学规律和身体康复规律。
总之，各种因素使然，他们没有足够的耐心和信心对待医疗和自己的身体。另外据长期观察，他们寻医问药侥幸心理严重，烦躁情绪严重，有的赌徒、押宝心理昭然若揭，可能跟商业思维惯性有关。在医疗这一特殊的行业行为中，他们过度核算支出成本与收益效率，精打细算，不能静下心来踏实就医，急功近利、浮躁情绪等商人意识形态，使其往往与恢复健康失之交臂。应了《红楼梦》中王熙凤的“机关算尽，反误了卿卿性命”。老话讲“吃不穷，喝不穷，算计不到就受穷”，但也有一句话叫“人算不如天算”。
行医之路，感慨良多，行文至此，并不是对商人群体有任何偏见和品德贬低，而是觉得商人群体的健康状况应该得到医疗行业及社会、家庭等多方面的全方位关注！
一年又过去了，留不住的是岁月，忘不了的是朋友，谢不尽的是关照，丢不掉的是友谊，我珍惜每一位和我一起走过的朋友，我感恩以往岁月里曾经给予支持和帮助过我的至亲至爱挚友，我祈祷我曾经认识的人和认识我的人都平安健康，回首这一年坎坷也好，顺利也罢，都将画上圆满的句号，祝你祝我，祝大家：新年快乐，健康美满，阖家幸福，心想事成！
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。
Liang Shijie: Year-end speech, years as song
Standing on the threshold of 2025 and looking back at the past years, there is an endless amount of feeling and gratitude in my heart. As a medical practitioner, I know the value of time and the vulnerability of life. Every encounter with a patient is an exchange of heart and a trust of life. As an ordinary healer, I have already gone through twenty-four springs and autumns on this long and challenging road of medicine.
Human beings are emotional animals. It is said that "people change people, four or two change half a pound." With emotion, there is morality, morality, and medical morality! These metaphysical emotions, invisible to the touch, are unique to human beings and are valuable to all sentient beings. In Buddhism, feeling compassion is practicing the Dharma! It helps millions of people to realize wisdom, to be happy and happy, and to have no limit to wisdom.
2024 is over and the sun is rising in 2025! I am grateful for the trust of all my patients, especially the many who have cured their diseases themselves and have made recommendations for me and named me! Isn't this a Dharma? This kind of joyful virtue really made me marvel at it, and I would always be grateful for it.
In my career as a medical practitioner, I have worked with numerous patients from all walks of life, from all walk of life. Guided by the principle of equal treatment, medical practitioners regardless of their profession, occupation, rich and poor, weak old and young, senior officials or civilians are committed to treating patients in good faith. Patients who are sick are sick, those who are not sick are not ill, good treatment is good treatment, difficult treatment is difficult, long treatment is long treatment, short treatment is short treatment... Truth is always given, and the effective time and reference course of treatment are always provided in detail for the patient's information. Detailed medical treatment tells you such things as "timely treatment for illnesses, spring and summer remedies for no illnesses" dietary abets and when a reappointment is needed to prevent relapse. During the course of diagnosis and treatment, we must never promote name and reputation, make false claims, disregard human life, and delay the condition!
As much as I can, I will continue the ancient teaching that medicine does not knock on the door: if it works, if it does not work, let the patient vote with his feet! Never talk to patients in the name of communicating their feelings and returning to the patient, so as to cause further annoyance to the patient!
Having practiced medicine for more than 24 years, I am also very appreciative of the patients in various industries. Among the patients, the majority are workers, office workers, white-collar workers, cadres, intellectuals and pensioners in Beijing! Especially the unretired people, who understand the truth that "steel requires strength of its own" The vast majority of them work a day and receive a day's earnings, which are distributed according to work and pay for performance. Once their health is ill, they cannot participate in the work, will be denied their wages, and will be delayed to work, affecting the economic benefits of their individuals and their families!
Therefore, they pay close attention to the health care of their own body, obtain healthcare and health care knowledge in a timely manner through online self-media, and have certain health concepts and health awareness. Similarly, they deal more with traditional Chinese medicine and pay close attention to physical examination. Although many white collar workers overstretch their bodies due to excessive sedentary behavior and staying up late, leaving many chronic diseases behind, they actively check their physical appearance. TCM controlled the condition, combined with TCM physiotherapy programs, and relieved physical fatigue. Although it was sub-healthy, it did not affect work or the construction of the capital. After TCM medical advice and conditioning, they raised their concept of health, and the vast majority of them were in a state of physical recovery!
Although medical insurance coverage for rural farmers in the field is not low, there is a lack of traditional Chinese medicine at the grassroots level, and the price of traditional medicine has been very high in the past three years. Farmers in the field to see a doctor is relatively reduced, difficult to see a doctor expensive problem has not been effectively curbed, they got a chronic disease or body sub-health can only eat Western medicine or Traditional Chinese Medicine Patent Prescription at the grass-roots level, control symptoms, delay the disease, can not be timely to Beijing for treatment.
I would like to focus on a particular and broad group below, They need special attention and reminders. According to my experience, although the business people (business owners, small and micro enterprises, self-employed, vendors, etc.) have certain economic strength, they are affected by the current economic environment and often do not pay. In addition, they are stressed and go to bed early, expenses such as employee salaries, social security expenses, utility bills, and rent are overwhelming them, and most of them often focus on profits over death (importance of economic benefits, Ignore their own health), and have the habit of careful calculation, do not pay attention to physical examination and health care, imperceptibly adhering to the "car does not fall just push" backward thought, their physical condition is often in a chronic disease or sub-state of health, Most of them suffer from insomnia, depression and anxiety, blood pressure fluctuations, abnormal blood sugar, elevated uric acid, overweight, etc. As businessmen, they should be concerned, cared for and loved by society and their families, as well as by the medical and health industry!In my observation, even if there are very few businessmen, looking for traditional Chinese medicine to feel the pulse to see chronic diseases is based on the idea of "short, flat and fast" and "big drug progress." It cannot invest time cost, energy cost and economic cost, and cannot adapt to medical rules and body rehabilitation rules。
In short, due to various factors, they do not have enough patience and confidence in their medical treatment and their bodies. In addition, it has been long observed that they seek medical treatment with serious fluency and serious irritability, and some gamblers and betting psychology are clearly revealed, which may be related to the inertia of business thinking. In medical care, a special industry practice, they overcalculate the cost of expenditure and the efficiency of revenue, carefully budget, and cannot rest their minds to effectively receive medical care, and business ideology such as short-term profitability and restlessness often miss the recovery of health. In the Red Chamber Dream, Wang Xifeng "ran out of authority, and mistook a woman's life." The old saying goes, "You can't eat enough, you can't drink enough, and you will be poor when you can' calculate," but there is also a saying called, "Man's calculation is worse than heaven's calculate."
The path of practicing medicine has many thoughts. To this end, I do not have any prejudice or debasement of the business people's character, but I think the health situation of the businesspeople's community should receive comprehensive attention from the medical industry and society, families and other fields.
As the year passes, it is the years that cannot be kept, the friends that cannot remain forgotten, the care that cannot last, the friendship that cannot go away. I cherish every friend that I have shared with you, and I am grateful for the support and help that have given me over the years. I pray that the people I have known and the people I know will be safe and healthy, looking back on this year's ups and downs, good or bad, will draw a satisfactory conclusion, I wish you and I wish you all: Happy New Year, healthy and happy, happy family, Ping An!
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.
