Sanjia Tiantuan
Chen Zhiqiang
Guangdong Famous Traditional Chinese Medicine, Chief Chinese Medicine Physician, Professor, Doctoral Supervisor
Professor Chen Zhiqiang
He is a national expert in traditional Chinese medicine and an instructor of academic experience inheritance, and the former vice president of Guangdong Provincial Hospital of Traditional Chinese Medicine.
He is currently the vice president of the Integrative Medicine Branch of the Chinese Medical Doctor Association and the honorary chairman of the Andrology Expert Committee, the honorary chairman of the Perioperative Professional Committee of the Chinese Association of Integrative Traditional and Western Medicine, and the chairman of the Urology Professional Committee of the Guangdong Association of Traditional Chinese Medicine.
He is good at the diagnosis and treatment of traditional Chinese medicine and integrated traditional Chinese and western medicine and rapid recovery during the perioperative period, especially for prostate diseases, infertility, urolithiasis and urinary tumors and other urological and andrology difficult diseases.
From the beginning of human life, the "disease" of injury and discomfort has been defined as suffering from "disease", and to this day, the public still believes that having a "disease" is a "disease".
"Symptom" is the abbreviation of "disease" defined by Chinese medicine, and "disease" refers to the "disease" diagnosed by Western medicine. "Western medicine and Chinese medicine have different perspectives on health and 'disease', and the direction of solving problems is also different, and we cannot simply separate and oppose the two."
After years of practice, Professor Chen Zhiqiang put forward the academic idea of "treating diseases and diseases together", combining the advantages of Traditional Chinese medicine and Western medicine to complement each other, treating both the "diseases" of Western medicine and the "diseases" of Traditional Chinese medicine.
No disease is a 'disease' that is not diagnosed by Western medical examinations,
No pain is no TCM and patient definition of 'disease' (uncomfortable),
There is no illness, no pain, and there is health. ”
<h1 class="pgc-h-center-line" data-track="109" > dare to think and dare to break in, "Chinese medicine hospitals can also do surgery."</h1>
How did Professor Chen Zhiqiang, who once dreamed of becoming an engineer, embark on the road of medicine?
"After graduating from high school, I was assigned to work in the health bureau of my hometown for several years, and in 1978 I signed up for the second college entrance examination after the Cultural Revolution, and the work experience of the health bureau made me feel the lack of medical resources at that time, so I applied for the exam and was admitted to Guangzhou College of Traditional Chinese Medicine (now Guangzhou University of Chinese Medicine)."
Professor Chen Zhiqiang recalled, "After graduating from university, I was assigned to Guangdong Provincial Hospital of Traditional Chinese Medicine, and I felt that my body was thinner and weaker, and I might not be able to do it as a surgeon, so I chose internal medicine. But the leaders of the Guangdong Provincial Hospital of Traditional Chinese Medicine at the time may have seen a burst of energy in me and assigned me to the surgical department, hoping that I would bring some breakthroughs as a new force. ”
In this way, Professor Chen Zhiqiang threw himself into the arms of the department of surgery of Guangdong Provincial Hospital of Traditional Chinese Medicine for decades.
At that time, the surgery department of Guangdong Provincial Hospital of Traditional Chinese Medicine was only a small department, with only four or five doctors, 52 beds, and the highest bed occupancy rate was only 80%.
"What is even more humiliating is that TCM surgery lacks a social foundation, and many people say that TCM hospitals must only be surnamed 'Zhong', and that TCM hospitals have surgery to westernize, which is a departure from the development direction of TCM."
Professor Chen Zhiqiang recalled, "We not only had a low level of surgery at that time, but also could not keep up with techniques such as anesthesia, and we could not do the operation when we encountered larger operations, so we could only invite experts from the outer hospital to consult, or send patients to the outer hospital for treatment, and many critically ill patients did not come to our hospital at all." Once, when escorting an urgently ill patient to a hospital for treatment, the family angrily accused us in front of our faces, saying, 'You don't have the technology to open any hospital', which deeply stung our hearts. ”
Therefore, Professor Chen Zhiqiang is determined to develop surgery, why can't TCM do surgery, can't do major surgery?
We need to have the ability to relieve suffering for others! To this end, he offered to go to the general hospital for further surgical training, first in the Second Affiliated Hospital of Sun Yat-sen University for more than a year of general surgery, and then to the First Affiliated Hospital of Sun Yat-sen University Urology for more than a year, and later went to New York University in the United States for exchange visits.
"These experiences had an important impact on my later development. During that time, I seemed to be back to the state of sprinting to study before the college entrance examination, sometimes to see an operation, in order to record every detail, it can be said that there is no day and night. ”
Through such non-stop charging and learning, Professor Chen Zhiqiang's surgical techniques have made breakthrough progress, and in 2001, he was appointed as the director of major surgery and the director of the surgical teaching and research department, "On the operating table is really tired, but whenever I save patients from the brink of life and death, the happy mood is indescribable." ”
After that, a series of surgical operations were carried out in Guangdong Provincial Hospital of Traditional Chinese Medicine, and at the same time, secondary surgical specialties were successively differentiated, including urology, hepatobiliary and pancreatic surgery, gastrointestinal surgery, vascular thyroid surgery, minimally invasive surgery, etc. As a result, the surgery of Guangdong Provincial Hospital of Traditional Chinese Medicine has entered the fast lane of rapid development, "Our Chinese medicine hospital can also do a good job in surgery!" ”
"I am willing to learn good things, whether it is Chinese medicine or Western medicine." A doctor with a heart and vision is a good doctor. Professor Chen Zhiqiang said. Therefore, he and his team insist on discovering the academic ideas and clinical experience of famous doctors of all generations, and actively introduce modern scientific and technological achievements, including modern medicine, and integrate them.
Professor Chen Zhiqiang is one of the pioneers in the country to carry out perioperative integrated traditional Chinese and Western medicine research, around the core concept of rapid rehabilitation, he led the surgical team to take the lead in proposing academic ideas such as dialectical treatment strategies for perioperative gastrointestinal dysfunction, took the lead in formulating the industry's first "Perioperative Postoperative Gastrointestinal Motility Evaluation Specification" and announced its application, leading the domestic perioperative application of traditional Chinese medicine research, tracking the postoperative recovery of patients, and providing traditional Chinese medicine conditioning in a timely manner, which effectively promoted traditional Chinese medicine. The development of integrated traditional Chinese and Western medicine health undertakings.
<h1 class="pgc-h-center-line" data-track="108" > "simultaneous treatment of diseases" and develop modern Chinese medicine</h1>
"Inheriting traditional Chinese medicine and developing modern Chinese medicine is the inevitable development of Chinese medicine." Only theoretical innovation can drive the fundamental development of the discipline and promote the substantial improvement of clinical efficacy. ”
Professor Chen Zhiqiang said, "Whether from the perspective of traditional Chinese medicine or from the perspective of Western medicine to understand and prevent diseases, the current Chinese and Western medicine has its own scientific and limitations, each has its own shortcomings and lengths, and it is difficult to achieve the best diagnosis and treatment outcome alone. ”
Therefore, Professor Chen Zhiqiang put forward the academic idea of "the same treatment of symptoms and diseases", believing that it is necessary to understand the corresponding "disease" and "disease", and to know the clinical practice of separating "symptom" and "disease".
In fact, many patients are a variety of "diseases" coexist, due to the different ages, genders, physiques of patients, the performance of "disease" and "disease" is also different, and due to the nature and classification of "disease" and different stages, the performance and law of "symptom" are also different.
Take prostate cancer, for example
Its diagnosis can be divided into two categories: early and late,
Early-stage prostate cancer mainly refers to the fact that the cancer is still confined to the prostate, while advanced prostate cancer refers to the metastasis and spread of the cancer.
Advanced prostate cancer is characterized by two deficiencies of the spleen and kidneys, two losses of yin and yang, and the treatment is mainly to tonify the kidneys and improve the sperm, strengthen the spleen and benefit the qi.
According to Professor Chen Zhiqiang, for the treatment of prostate cancer, the overall principle is "to cure the disease and seek the root cause, help correct the evil, adjust the yin and yang", and adopt the strategy of combining traditional Chinese and Western medicine and treating the disease with the same treatment and the combination of traditional Chinese and Western medicine according to the time and local conditions.
For patients with early-stage prostate cancer,
Adopt the treatment strategy of "dispelling evil and supporting righteousness", and take radical surgery or radiotherapy to "dispel evil" in view of the limitations of disease and evil.
In view of the surgical blow, those who damage the body's righteous qi are treated with traditional Chinese medicine in the perioperative period or peri-radiotherapy period to "correct", with the main treatment method of tonifying qi and blood or strengthening the spleen and kidneys to promote rapid recovery after surgery.
For patients with advanced prostate cancer,
Adopt the strategy of "supporting the right and eliminating evils."
Among them, the androgen-dependent type mainly takes the synergistic treatment of endocrine therapy and traditional Chinese medicine and the comprehensive treatment of detoxification and efficiency to improve the quality of life and delay the transformation into castration-resistant prostate cancer, and some patients can achieve clinical cure.
And antagonistic resistance prostate cancer, the kidney yang loss, yin sperm depletion as the main mechanism, treatment to wen zhuang yuan yang, large tonic yuan qi as the method; in addition, in the treatment process, it is also necessary to pay attention to the care of stomach qi, encourage dietary conditioning; at the same time, for bone pain and other complications in a timely manner.
"Disease and disease treatment", the identification of diseases (dialectics), treatment and health care into one, this complementary advantages of the model is conducive to providing better quality health care services for human health, "medicine is patient-centered, we are always to protect and improve people's health status as the core, to clinical efficacy as the goal." ”
<h1 class="pgc-h-center-line" data-track="92" > "119 Fire Captains" who started from scratch and have been the same for decades</h1>
Guangdong Provincial Hospital of Traditional Chinese Medicine is currently the largest traditional Chinese medicine hospital in the country, in addition to the Dade Road General Hospital, there are six campuses, of which, in the introduction of Ersha Island Hospital and University Town Hospital, there is a word - picturesque. ErshaDao Hospital is a garden-style hospital with Lingnan characteristics, which can be called a model of modern hospital architecture, and the University Town Hospital is surrounded by the lake and can appreciate the charm of Chinese painting.
"Guangdong Provincial Hospital of Traditional Chinese Medicine is the whole life for me, and my youth and youth have stayed here. Coincidentally, my work number is '119', everyone calls me the '119 fire captain' of the hospital, as long as something finds me, I have no remorse. ”
From surgery, to teaching, to hospital management, Professor Chen Zhiqiang has to be busy for more than ten hours a day.
"Surgeons have no days off, and I only took my first Spring Festival annual leave since I worked until 2017." Even if it is a vacation, Professor Chen Zhiqiang also puts his mobile phone on the bedside as usual, and he does not dare to leak a phone, and colleagues have long been accustomed to calling him at any time for help. Emergency consultation and emergency surgery are accustomed to Professor Chen Zhiqiang, where there are difficult and complicated operations and diagnosis and treatment difficulties, there will be the figure of Professor Chen Zhiqiang, the "119 Fire Brigade Leader".
For decades, under the leadership of Professor Chen Zhiqiang, the surgery department of Guangdong Provincial Hospital of Traditional Chinese Medicine has now become a benchmark for many hospitals to learn, "but we still have to continue to take efficacy and health as the goal, continue to reform and innovate, both to correctly look at the advantages and disadvantages, to aim at the world-class, to aim high, never stop!" "The bright sunshine hit Professor Chen Zhiqiang's face, shining with the pride of the naked child...
| This article was first published: Journal of Home Medicine