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说多了都是泪:青年中医的职业发展困惑-
说多了都是泪:青年中医的职业发展困惑

说多了都是泪:青年中医的职业发展困惑

张兄,毕业六年,生活在某三线城市,上学跟过师,毕业前在大医院实习过,毕业后在中医馆坐堂一年,现在在一家三甲医院工作。

张兄有房一间,贷款一半,结婚生子,温饱不愁,但与出人头地相距甚远。好不容易熬过住院医师规范化培训,考过主治医师,准备文章报考副高,空余时间四处奔走参加学术活动,面对满屋子的中医经典和现代专业书籍,想起未来的道路,却迷惑不已。

这是现在青年中医的典型生活现状缩影,人生价值、社会价值、经济价值等多种标准交织在一起,构成了让人喘不过气、又望不到头的压力,每夜深人静,身疲惫不堪,心唏嘘不已。

为了让社会各界、更多人士关注青年中医的发展困境,今邀请大家选一选“对你来说最难最痛的困惑”,也许我们能为您奉献一点点我们的建议(也会邀请专家分享经验)、更多的“过来人”的感悟和同行者的抱团取暖,能让你茅塞顿开、或者让痛变得快乐些。

请选出对你影响最大的困惑!(可最多选3个)
[poll id=”2″]
还想说更多的话,请在文末评论区留言,每一条话语我们都会关注和回复!

困惑如何解?加入青年中医人才计划!

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  27. 每当在临床上看到病人的疾苦,看到病人对你三番四次的信任而找你,看到他们对疾病无望的眼神,我心里总是非常难过,感到这时解除病人的疾苦是我最大的愿望,往往高于一切,于是暗暗下定决心一定要学好中医,要为他们解决一切痛苦,多少次努力过,已经坚持过背诵伤寒等四大经典,甚至背到滚瓜烂熟,虽然时有收获,但总有许多时候不尽人意,深知拜师传承的重要,但总找不到机会,无奈门槛太多,途径太少,希望有更多的真正中医前辈大咖们可以慷慨解囊,创造更多机会,放低门槛,帮助有志于学好中医的人士成才,从而让中医更好服务于人民,服务于社会,使中医发扬光大!

  28. 我非常喜欢中医,以前一直在药界经营企业上班,函授学习中医,因为不在卫生领域工作,不能参加执业医师资格考试,很郁闷

  29. 去医院,我把前两天病症和医生说,医生吼了句,你别说没关系的,说现在的症状。然后开药两分钟看完了。心凉凉的,连症状啥都不弄清楚,直接药开。所以自学点中医知识。小毛病就不去排队受苦了。

    • 能有义行,为何还苦恼?无证行医,会有误解,但也有办法。现下,有证的也不一定能取得患者的信任进行良好诊治呢 :qidao:

  30. 我是中医爱好者,女儿鼻炎严重,睡前,起床时都要擤鼻涕,枕边会有一大摊纸巾,鼻子一直都是塞着的。我去医院咨询过中医,他说治不好 ,眼看到了高考,我就自己用黄元御的方子,没想到效果很好,一个多月,严重鼻炎竟然好了,很后悔没有早点,我也用经方给老妈治过睁不开的眼睛,效果很好。也用按摩的方式治好自己二条腿的湿疹。现在我想学习。我这个年纪系统学习已经不现实,只想学习脉珍,和一些望珍。不知如何才能实现。

  31. 中医讲天赋的,听说过祖传的药铺,没有祖传的中医名家。古代中医靠奉养的,十里八村养一个大夫,送点粮食就好,药材有时都是免费的。古代的方剂只能借鉴其思路,每个人都不一样,不能用通方,而且自古以来传下来的方剂不止千万,谁都记不住,能化繁为简的才是高手。能董针灸 方剂的都少有,别说正骨推拿等等。中医之路难已。为了积累临床经验,我和师兄每周都趴在医院门口 练习望诊辩证 但是苦于脉诊,舌诊 ,无法练习。治疗思路和辩证,两人只能做口舌之争,无人指点。师傅早去,苦苦苦。。。

  32. 想当一名好的中医,基础理论必不可少,但是得有一个持之以恒的全心为患者的态度,不要总是想着那些名声和金钱,一路走下去会有收获

  33. 在守以前的老方法,而不是去结合,去创新。必竟中医的发展史本身便在发展。这还是不讨论西医的前提下。总结一下来说,未来的医学必定会更发达,只是看谁更牛逼了!!!!

  34. 中医的神在药,在用,在创新,四诊的目的在啥,不就是发现病,治疗病吗,当然,这是一个比较我个人的看法而已,中医要发展,要进步,不是你说一下,我说一下,就厉害了的。为什么不论是那时间,都有牛逼的和吹牛逼的。我国医学从古到今留下了很多(怎么.说了。我暂且称为经验和想法。),但现在不一样了,科技更发达了,对于人体,对于药物能研究更透了,我想.说,为什么还E

  35. 我也是家传中医,本人是西医医科大学毕业,对中医的喜爱已成为我生命中的一部分,中医的诊脉.诊断.潜方.用药.药物用量,对于我三小说,应不成问题。我也曾治过被北京协和医院判了死刑的不能生育的一位妇女,估计生下的小男孩应有3一4岁的年令。也治好过几例过敏性紫癜的成人与小孩……都是用中医的方法治好的。还有不少用中医的方法治好疾病的例子。如果有时间,我会与大家分享的。

  36. 真正的中医,不是没有客人的,而是原原不断的,现在医院的中医能看什么,不闭眼晴,不拿脉,都是随着西医来的,问病开药,拿药

  37. 学中医,什么人都能学,问题是要像古人那样一丝不荀的追求真理,学精绝才能医人,否则就害人,

    • 你也不能这样说,医生当然希望要看好自己的患者。如果看不好自己砸自己的招牌招牌,你以为医生考执业医很容易么

  38. 学己至用,走的本来就是中庸之道,不要想太多,做好自己,用经练研究秘方,你就成功了

  39. 中医治病讲究治病求因,治病求本,阴阳平衡,五行生克之理,更是讲究用药之巧,用药之火候。怎耐:一方治病不成医,常把药方锁柜里。

  40. 好的中医师是治人又治心,仁者之心,大爱, 😀
    存在问题:无奈庸医太多了,误人子弟,害己害人。社会过于现实和无奈 ,真正的好中医很受到应有的待遇。

    • 普遍的中医认知水平,有助于大家提高选择中医的合理性,从而从一个角度使得好中医的待遇回归。支持您!

  41. 前两天有一小儿被毒虫咬伤脚踝一周,引起肿胀有一点发黑,去医院检查B超说水肿,关节腔里面有积液,建议输液观察七天,要不严重了会切开引流,还会影响骨骼发育,吓得大人一愣一愣的。还好这小孩一直在我这里调理,几次医院确诊的肺炎,疱疹性咽峡炎都在我这里3~5天治愈,大人没办法又想到了我,3小时路程带过来,我仔细看了一看,问题不大,安抚好家长,就在路边药房买了盒季德胜蛇药片,在车里拿矿泉水盖子到水磨碎,敷于肿胀变色边缘一圈,在均匀涂抹整个肿胀部位,叮嘱大人去农村挖了几斤马齿笕捣碎敷于患处,第二天中午家长打电话给我非常激动说基本消肿,皮都皱褶起了,就这样叮嘱她敷了3天,后面随访一周,没有任何问题,家长没有花一分钱,小孩也没受罪,相信这里面的很多同行都可以处理,我只是想为中医国粹在黑暗的黎明前添一丝希望之光!

  42. 请允许我讲下我家传的行医背景和我现在行政管理情况:或许对将来如何发展中医药有所启示:我家祖传中医外科至今我儿女这代第七代,由清朝至今中医及外科外用药在我们当地及周边市县享有盛名,患者赞不绝口。经过土改因我祖父儿女多,家口重娃小没有劳动力给家顾了一个长工帮家务过农,地也有一二十亩,因此划成份时给家订了地主成份。在文革前我祖父因医术超人他边行医边担任宝鸡市毕公区医疗卫生管理工作,可谓是风顺雨顺。这样以来对他并非好事,轰轰烈烈的大革命不但摧残了他的身体就连传承到我父第五代在我当地保健站工作也干不成了回家务农!一九六六年八岁的我刚上小学一年级,从学校回家吃饭,看见我家人山人海,红卫兵们把我家治病救人的药,书等资料大火烧掉。这个景象至今在我脑海挥之不去。究其原因:我家是地主成份,我祖父给戴上地主分子帽子并诛连到我攵亲都不能行医,病人找上门看病都被贫农代表把病人轰走!这个印象在我幼小的心灵产生一个想法:为什么治病救人还遭人这样欺负?直到改革开放后的一九八八年,我才动员我父亲在杨凌开诊所。原因是我们不开,别人姓汤假冒我汤氏家族开诊看病,欺骗人家人家才找上冂来诉说。我在一九八九年为了方便患者,在卫生局准许下另开诊室为群众服务至今。回忆我三十年的行医经历:我内心五味杂陈:不是我意志坚强,早就被所谓的管理者和心术不正的同行们迫的我收兵回营。我行医过程中省卫生厅,咸阳市卫生局考试每次都过关。发证时主管医证的人员总因种种原因不发给我?至今我还没有拿到二零零五年我考取的乡村中医师证?因此我遭受假记者依非法行医讹财10万元不成,捏造事实登报的违法事实。该事件过去十二年了真相大白于天下,卫生局工作人员换了一茬又一茬,这不光彩的事他们都不管了,我的证也没影了。无论咋样我这为人治病的神圣职业不能丢。同时也要把下一代培养成优秀的接班人,让他们在医学方面学有所成,服务于人类。我三个孩子都考本科大学除大女儿怕见血没学医外,二女儿和小儿子分别上本科临床专业和中医学专业学习,二女儿己在大都市二甲医院工作,小儿子己进省中医院实习。我利用我的技能救治了无数的穷苦患者,对中医的认识与众不同,从诊脉变五脏血流,从血流变病症,从病症变阴阳,从阴阳变用药.直到病所无不见效!近年治疗各类凝难杂症,癌症医院判了绝症活不了几月,经我诊脉下药都发生奇效,有数人现都健在。不孕症医院治疗无效在我诊脉下药后几付中药就怀了健康的宝宝就生下了。我对我现在能有这样的成果都怀凝过?是巧合还是技术?三十年了,能巧合三十年吗?.一个肺癌患者不去医院治疗,不用医院一丸药在我处用中药调理七年了,让别人谁能认他有肺癌?一位十六岁学生患B母淋巴瘤今年四月三日家人硬把我请到医院说:医院说最多活一个月时间你救教孩子吧.家人和孩子的痛苦样打动了我的心,我报看死马当活马医的态度给孩子诊脉后开了处方当晚抓药煎汤服用,后听孩子妈说:第二天孩子叫她给他:我要喝昨晚那医生给我

      • 按照现行体制培养就是这样呀,要不就治不好太平医,要不就治死人,实际上现代西医也是这样研发一种新药不知道死多少人只是没披露而已,传统中医则不然几千年的传承啥病没治好过呀,只是现代的培养方法有误,按照考试考的东西去治人那绝对是害人。

      • 读上:孩子当晚服药后的第二天早给他妈说:我要喝昨晚那医生给我开的中药我不喝医院给我的药。该病例至今己三月时间,孩子健在,身体一天比一天好。象这病倒我几年前治过一例,也是淋巴瘤年近六十还健在!行了夜深了,休息吧,我因喜欢中医,才这样,别见怪,有利于中医发展的消息下次分享,晚安!

  43. 我快50了,是一个酒店的经理,在读易经的时候,突然理解了五行相生相克的道理,喜欢上了中医,现在放下一起,专心研读黄帝内经,针灸,神农百草,感觉像在年轻的时候读武侠小说一样,现在我特别羡慕从医的人,感觉自己一辈子选错了职业。
    学习中医我感觉,悟性最重要,千万不要读死书,另外想学好中医应该先理解易经,以后会简单一点。
    牛吹的有多大,但是都是真实想法。

  44. 青年中医的遭遇是普遍遇到的:我认为从学校的教学方式来看,这种遭遇在所难免:因为教学方式违背了人类由生到死一生如何生病的自然规律,人始由肾,其次其它脏腑,五脏一脏一腑相互滋生,人才能健康长寿,古医按金,木,水,火,土说明五脏各自的功能。把它应用到中医很客观的说明问题,便于学生学习应用。当今学生在校不是这样学,而是学习先辈各大金鉴名著,什么诊断学,方剂学等等把学生学的晕头转向。这样一来,学生没了自己的悟性,没了中医阴阳学说,没了中医五行学说,更严重的没了脉诊这一说。优秀的老中医一诊脉根据脉象就能判断五脏中各自的血循环情况:把病人感觉及病讲的一清二楚,然后处方用药无不见效!现在青年中医全国这样的中医有几个?就连堂堂正正的中医学院毕业的研究生给病人治病诊脉成了样子,照抄方剂打法病人的做法竞成了常态。这样下去中医能高质量的发展传承下去吗?青年中医能不困惑吗?

    • 您说的对,这确实是实情。因此,才急需上面的讨论,寻找方法解决中医传承发展的问题。“青年中医强,则中医强”,也请老师们继续指点,为广大青年医生支招! :qidao:

    • 这个中医医师培训,现在真的不好说,你可以了解一下您想要报考的中医医师培训已经毕业的人员,看有没有确信的结果。其次,如果这样放宽医疗门槛,必定后续有补丁政策,不会那么激进的放开医疗从业资格。另外,很多机构也都憋着火正这笔钱呢,所以鱼龙混杂。建议全面了解政策和机构实际情况后再决定。

  45. 大多中医医师是为病人诚实献技的,但有少部分中医师动不动就在微信里揽客,献方,及时都为了钱。

  46. 我的老师傅曾经救过一个死掉的人,用家里珍藏好多年的人参做成独参汤给那人灌下去,针扎人中涌泉,扎涌泉的那一下死人一下子跳起来了,可惜我老师傅带我没有多长时间就去世了,给我留了一大堆的书,走的时候让我好好钻研。现在发现有好多黑中医的,其实不怪他们,因为有太多打着中医的旗号招摇撞骗,对中医也失去信心

  47. 我以前也是随波逐流黑中医,不科学,后来我的鼻炎严重了,看了大医院,变态反应科都没用,医生开激素药了,我绝望了,后来熟人介绍一个老中医,针灸给我治好了,从此黑转粉,并且成了中医爱好者?

  48. 现在中医界真正有医术医德的人太少了……本评论过于偏激,已由系统自动过滤……找一大圈也很难找到一个踏踏实实看病的好医生。

    • 如果是免费书籍,可以继续阅读。如果是收费书籍,那么VIP到期后,将不能无障碍阅读。关于VIP的疑问,您可以到VIP专区反馈或者咨询 😀

  49. 中医确实好,可惜没多少人真正苦研传承了。我是一个中医爱好者,最初研究中医是因身边亲人长期吃药无效而自学中医,先分享两个方子给中医爱好者也谢谢中医智库无私的分享医学书籍。凡脚或小腿上烂痒医院诊断为神经性皮炎或癣都可用此方,用后第二天开始结疤快速好转,好后不易反复方:用醋入粗碗中,再用鲜老虎竽和铜钱在碗中磨好后擦于患处神效,有些小孩会过敏,吃点药即可,患处必好。另一方右归饮治疗冷秘(便秘)神效,不用任何通便药,不要去医院做肠镜花冤枉钱,一副药几元钱。太多有用的方举不胜举,特别咽喉发炎一定分清阴阳,西医治疗多坏事。世上一物降一物,病亦如此,用对药医好病。中医有中医的长处,希望发扬光大。

    • 路漫漫其修远兮,吾将上下而求索,共勉
      :zan: 常来智库,这里有各方面中医的朋友。缘分到了,自然就有明师了 :qidao:

  50. 我是中医爱好者,33岁,想拜师或上个班,没找到门道,只能自学。如果取得非医本科以上学历,能有个免高考学习中医的机会,就好了。 😀

  51. 讲一个我自己的例子吧!我是中医爱好者。我相信中医,我给父母调理也用中医!我儿子烫伤了吗就是用中医药膏敷好的,没有结疤没有留疤。(烫伤在大腿面积很大医院去要消毒,说什么要植皮,吓死宝宝了)因为本人看过一些书,也听一个朋友说起过有中医治疗皮肤烫伤的!后来打电话给朋友找到了那个中医,他就给我儿子大腿上敷了5天药膏!敷药当时就不疼了!5天以后皮肤很嫩没有疤!中医说注意饮食,别吃容易发花的食物就好了!想问,为什么在中医院没有这个药方,只能去土医生那边呢!

    • 中医有接骨治跌打损伤很有效的方子,我所了解的,还是世代传承的多,有些更是功夫界的秘传。医院的治疗,受某些限制,这些方面,不如您所说的“土医生”。

  52. 为什么困惑的选择要做规定呢?这是考试要有标准答案吗?就不能有五条以外的情况了吗? 这样是解决不了问题的。

    • 您说的对,这个只做部分了解,有其他困惑的朋友,可以在评论中回复 😀
      途径不重要,重要的是交流找出办法,您说呢? 😎

    • 上有政策,下有对策。神黄近期推出的“青中医英才计划”意在帮扶青年中医,欢迎大家来参加!一同助力中医人,做强中医!!
      注:文中末尾有活动链接

  53. 当初的无知,使我选错了专业,但现在知道自己对中医如此的酷爱,难道我不能改变现实,使自己走向中医的道路吗?

  54. 我是一名学针灸推拿的中医生,觉得自己越来越西医化,平时看得更多的也是现代医学的书籍,用中医起效了不知道怎么起效的,而且有点中医西医思维化。而且对中医又没那么自信,现在很困惑。

    • 太对了,博大精深,普通人可能望尘莫及,要学的太多太多,没恒心没时间定是不行,随便学学中医就想治病开方是不行的。

  55. 我不是学中医的是一个中国功夫爱好者,真心希望学中医的能够配合中国的功夫一起去体会,气看不到但是可以通过中国功夫感受的到,到那时你也许就不会感觉到迷茫,一个功夫极高的武者也是一个资深的好中医,推荐大家学学大成拳在淘宝卖,于鸿坤著的,注意是功夫而不是武术

  56. 我来解释一下,为什么说中医是科学,希望能为你排忧解难。

    我看过一篇文章,“科学”就是一件事,你能够解释它,并且能重复证明它,这就是科学。在我们中国,我们有无数的例子证明“亢龙有悔”,比如商鞅。我们也能在判断病机是“中气下陷”时用补中益气汤来治疗。所以《周易》,《黄帝内经》是我们中国传统的科学。“气”就是能“形”就是物质。我们研究“气化”,也就是能量的变化。然而人们多想信眼见为实。就算是现代的科学也无法直接观察到动能,势能,热能的变化。我们只能从外在的表现,来判断能的变化。所以我们中医要比西医更难精通,也让外行人更难了解。但你,需要有自信。

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