在遥远的乡村，有一位年过半百的医生，他从二十岁起便踏上了救死扶伤的征途，用一双温暖而坚定的手，抚慰了无数病患的痛苦。二十六岁那年，他毅然决然地开办了乡村卫生室，从此，这间小小的卫生室便成了村民们健康的守护者。几十年间，他经历了无数次的过敏事件、药物副反应事件、中毒事件，以及针灸意外事件，每一次的经历都如同一次生命的洗礼，让他更加深刻地理解了“医者仁心”的真谛。
过敏事件的惊心动魄
在行医的过程中，药物过敏是他最常遇到的紧急情况之一。青霉素、氨苄青霉素、头孢氨苄、头孢曲松……这些看似普通的药物，在某些患者身上却如同定时炸弹，稍有不慎便能引发严重的过敏反应。他曾亲眼目睹一位患者在静滴青霉素40分钟后突然发生过敏，呼吸急促，面色苍白。在这千钧一发之际，他迅速反应，皮下注射肾上腺素，终于将患者从死神手中抢了回来。类似的情况还发生在氨苄青霉素、头孢曲松等过敏患者身上，每一次的抢救都让他心惊胆战，但也更加坚定了他小心谨慎的工作作风。
除了注射剂，口服药同样存在过敏风险。复方新诺明，一种常见的抗菌药物，却让一位患者全身迅速起疹，瘙痒难忍。面对患者的痛苦，他毫不犹豫地肌注地塞米松、扑尔敏，终于让患者转危为安。每一次的过敏事件都让他深刻认识到，药物虽能治病救人，但同样也可能成为夺命的利刃。
药物副反应与中毒的沉痛教训
除了过敏事件，药物的副作用和中毒反应同样让他痛心疾首。氯霉素导致的精神症状、阿米卡星引发的头皮麻木、吲哚美辛所致的精神异常……这些药物的副作用让他深感医疗工作的复杂与艰难。他深知，每一种药物都有其独特的性质和副作用，医生必须充分了解并谨慎使用，才能确保患者的安全。
在中药领域，药物中毒的风险同样不容忽视。生川乌、生草乌等有毒中药的使用稍有不慎便能引发严重的中毒反应。他曾亲眼目睹一位患者因使用生川乌泡酒而导致全身麻木、紧缩感，情况危急。在这紧要关头，他迅速肌注阿托品，终于让患者转危为安。这次事件让他深刻认识到，中药虽好，但同样存在中毒风险，医生必须严格掌握用药剂量和禁忌，才能确保患者的生命安全。
针灸意外的惊心动魄
作为一位基层医生，针灸是他常用的治疗手段之一。然而，针灸同样存在意外风险。晕针是针灸过程中最常见的意外之一，面对患者的突然晕厥，他总是迅速起针，让患者平卧休息，一般都能很快恢复。然而，有一次的针灸意外却让他至今心有余悸。在强刺激委中穴时，患者突然翻身坐起，大口喘气，心率加速。面对这突如其来的变故，他保持冷静，让患者保持姿势不动，三四分钟后患者终于缓解了症状。这次事件让他深刻认识到，针灸虽好，但同样需要谨慎操作，稍有不慎便能引发严重的后果。
医者仁心，时时需谨慎
几十年的行医历程让他深刻认识到，医疗工作是一项高风险、高责任的职业。每一次的抢救、每一次的治疗都需要他小心谨慎、全神贯注。他深知，自己的每一个决定都可能关系到患者的生命安全。因此，他始终保持着高度的责任心和敬业精神，时刻准备着应对各种紧急情况。
他常说：“工作有危险，时时需谨慎！”这句话不仅是对他自己行医历程的总结，更是对所有医护人员的殷切嘱托。在这个充满未知和风险的医疗领域里，每一位医护人员都需要时刻保持警惕和谨慎，才能确保患者的生命安全。
这位基层医生的行医历程充满了惊心动魄的瞬间和沉痛的教训。然而，正是这些经历让他更加坚定了自己的信念和追求。他深知，作为一名医生，自己的使命就是救死扶伤、守护健康。无论面对多大的困难和挑战，他都会毫不犹豫地挺身而出，用自己的双手和智慧为患者的生命保驾护航。
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。事迹荣登2024年第四季刊《当代科学家》杂志。
A village doctor who asked not to be named: excitement and medical responsibility
In a far-off countryside, there was a doctor over half a hundred years old. From the age of twenty, he had embarked on the journey of saving lives and comforting the suffering of countless patients with a warm and determined hand. At the age of twenty-six, he resolutely opened the village health clinic, since then, this small health clinic has become the guardian of the villagers' health. Over the decades, he experienced numerous allergies, drug side reactions, poisonings, and acupuncture accidents, each of which was a life-saving baptism that allowed him to understand more deeply the meaning of "the compassion of the healer."
The excitement of allergic events
In his practice as a doctor, drug allergies were one of the most common emergencies he encountered. Penicillin, ammonia penicillin, cephalosporine, cephalecloprolin... These seemingly ordinary drugs can act as a time bomb in some patients, causing severe allergic reactions if they are accidental. He once witnessed a patient who suddenly developed allergies, shortness of breath and paleness after 40 minutes of intravenous penicillin. At this critical moment, he responded quickly, hypodermically injected adrenal gland, and finally snatched the patient from the hands of death. Similar situations also occurred in allergic patients such as penicillin and cephalosporine, and each rescue frightened him, but also strengthened his cautious work style.
In addition to injections, oral medications also have an allergy risk. The compounded neomycin, a common antibacterial drug, caused one patient to develop a rapid rash all over his body and itchy enough. In the face of the patient's suffering, he did not hesitate to inject the patient with sodium selenide and pyrimidine, and finally turned the patient to safety. Each of these allergies made him realize that while drugs can cure and save people, they can also be a life-saving weapon.
The harsh lessons of drug side effects and poisoning
In addition to the allergies, the side effects and toxic effects of the medication also upset him. Psychiatric symptoms caused by chloramphenicol, numbness of the scalp caused by amoxicillin, psychiatric abnormalities caused by indomethacin... The side effects of these drugs made him feel the complexity and difficulty of medical work. He knows that every drug has its own unique properties and side effects, and doctors must be fully aware of and careful in their use to ensure patient safety.
In the field of traditional Chinese medicine, the risk of drug poisoning cannot be ignored. The use of toxic Chinese medicines such as Shengchuan u and Shengcao u can trigger a serious poisoning reaction at the slightest inadvertence. He had witnessed a patient who was in a critical condition because of the numbness and tightness of his body caused by the use of Saikawa umbrella wine. At this critical juncture, he quickly injected the patient with atope and finally saved him from a critical condition. The incident made him acutely aware that while traditional Chinese medicine is good, there is also a risk of poisoning, and doctors must strictly control the dosages and contraindications to ensure the safety of patients' lives.
Acupuncture was unexpectedly exciting
As a primary doctor, acupuncture was one of his usual treatments. However, acupuncture also carries unexpected risks. Acupuncture is one of the most common accidents during acupuncture. In the face of a sudden fainting of the patient, he always starts the acupuncture quickly, and leaves the patient on a flat bed. He generally recovers quickly. However, an acupuncture accident has left him feeling shaky. During the intense stimulation of the central acupuncture, the patient suddenly turned and sat up, gasping for air, and the heart rate accelerated. In the face of this sudden change, he kept calm and kept the patient in his posture. After three or four minutes, the patient finally relieved. The incident made him realize that acupuncture, as good as it is, also requires caution, and a slight mistake can lead to serious consequences.
Doctors are very conscientious and need to be cautious at all times.
Decades of practice have made him acutely aware that medical work is a high-risk and highly responsible profession. Every rescue, every treatment requires him to be careful and attentive. He knows that every decision he makes may have a bearing on the patient's life. As a result, he has always maintained a high level of responsibility and professionalism and is always ready to respond to various emergencies.
He often said, "There are dangers at work, and caution is always necessary!" This statement is not only a summary of his own medical journey, but also an earnest advice to all medical personnel. In this field of healthcare, which is full of unknowns and risks, every healthcare professional needs to remain vigilant and cautious at all times to ensure the safety of patients.
The medical career of this grassroots doctor was filled with exciting moments and painful lessons. However, it was these experiences that made him more committed to his beliefs and pursuits. He knows that as a doctor, his mission is to save the lives of the wounded and protect the health. No matter how many difficulties and challenges he faces, he will not hesitate to step forward and use his hands and wisdom to protect the lives of patients.
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.The story was featured in the fourth edition of Current Scientist in 2024.
