◆ Accurate syndrome differentiation for complex nephropathy and various difficult and severe diseases has saved countless lives on the edge of life and death.
He is gentle, but for the sake of the rise and fall of Chinese medicine, he has written to the Prime Minister many times, and the great doctor is the world's public.
87-year-old Zhang Qi is slightly fat and likes to squint and laugh, like an elder next door. He kept a low profile all his life and wanted nothing more, but he had a special persistence and seriousness in the academic and clinical aspects of traditional Chinese medicine, which was widely respected in Northeast China and the whole country.
The etiology and pathogenesis of nephropathy are complex, and there is no good way for Chinese and western medicine in the 1960 s. Zhang Qi faced up to difficulties, and his research lasted for more than 40 years, which greatly improved the academic and diagnosis and treatment technology level of nephropathy in China. He has also made great achievements in the diagnosis and treatment of various intractable diseases, and has trained more than 50 doctors and masters at home and abroad.
At the end of August, the reporter interviewed Zhang Qi in his new home in Harbin. Compared with a few years ago, the elderly are better physically and mentally, and their words are more frank and philosophical. "Externalization without internalization", Zhang Qi is like a durable book. The more you read, the more you feel, and so should big doctor.
Sincerity: not just talking about curative effect.
He doesn't care about people's prejudice against generosity and dares to use generous prescriptions to see a doctor.
Zhang Qi has never worshipped any famous teachers, but he became one of the "Four Famous Doctors in Heilongjiang Province" before he was 40 years old. After becoming famous, Zhang Qi told the whole story in books and lectures.
In a lecture at Heilongjiang University of Traditional Chinese Medicine, Zhang Qi said, "I am a pragmatist and don't advocate writing too many books. A hundred notes is not as good as a clinical one. " Because he tasted the sweetness from Treatise on Febrile Diseases for many times, he intended to write an annotation on Treatise on Febrile Diseases, but later he read too many books with simple annotations and decided to write a book with clinical practical value. He said that there used to be many old Chinese medicine practitioners who read a lot of books, but there were few clinics. They don't want to see a doctor. "Publishing a book is an indirect practice for others. Treatise on Febrile Diseases is Zhang Zhongjing's practice, and Treatise on Febrile Diseases is Ye's practice. Practice by yourself, directly, and reading is indirect. "
Zhang Qi likes the word "seeking truth from facts" and insists on seeking truth from facts. He said that some magazines now write about teachers' experiences and hold teachers as high as the sky, which is very bad. It has been reported that the treatment effect of a certain disease is particularly good and the cure rate is particularly high, which is false at first glance. In the preface to Zhang Qi's clinical experience, he wrote: "What is recorded in the book comes from practice, and those who are really effective dare to write it at the end of the pen. Medicine is the way of the living, and they don't deceive themselves or others. "
There has always been a prejudice in the industry to treat diseases with large prescriptions, that is, it is impossible to differentiate the "gourd prescription". Perhaps because of his confidence in the accuracy of syndrome differentiation and treatment, Zhang Qishan used generous rehabilitation therapy to treat chronic glomerulonephritis and chronic renal failure, with more than 20 kinds of drugs and achieved good results. He said, "We must realize that the causes and pathogenesis of some diseases are not so simple now. For example, uremia is complicated in pathogenesis, mixed with deficiency and excess, spleen and kidney deficiency with damp heat, phlegm and blood stasis. You can't simply replenish or diarrhea. Need to start from many aspects, taking into account the prescription. This is actually an academic development. "
In addition to "generous treatment", Zhang Qi also makes good use of dialectics, such as the combination of dispersing astringency, combining cold and dampness, and combining elimination and supplement, that is, combining two drugs with opposite effects into one side. He recommended reading Mao Zedong's "On Contradiction" and "On Practice", which are helpful to distinguish the main symptoms from the secondary symptoms in complex diseases. He said that the words "doctor's intention" and "intention" have deep meanings, because doctors must be broad-minded, good at analyzing the disease and be emotional.
Zhang Qi's therapeutic methods have much respect for Zhongjing, and he often adds and subtracts the ancient prescriptions, creating many effective new prescriptions, such as treating tuberculosis of lymph nodes and thyroid cysts, promoting blood circulation and detoxifying phlebitis, and promoting diuresis and detoxifying to treat urinary protein delay in chronic kidney disease. His research and development of "Ning Shen" won the silver prize at the Eureka International Invention Expo, saving a pharmaceutical factory.
Specializing in the treatment of difficult and severe diseases is a major clinical feature of Zhang Qi. He has rich clinical experience in chest pain, joint pain, liver disease, hematological disease and mental illness. No one can count the number of critically ill patients who were cured and saved by him.
A young worker in Qing 'an Iron and Steel Plant was poisoned by carbon monoxide in a fire and was diagnosed with brain cell necrosis. The patient's limbs trembled and his mind was dull, and he almost became a cripple. Zhang Qi prescribed the first prescription, and then constantly adjusted it. After taking more than 100 dose, the patient recovered miraculously.
Belgian Jack Blank flew from Brussels to Harbin thousands of miles away. He hobbled on his heels and back. Zhang Qi used Chinese medicine to make him stand firm and straighten his back. After returning home, he couldn't wait to send a telegram to announce the good news: "Although I am 6 1 year old, my body is as full of vitality as a teenager of 16 years old."
Determination: conquer kidney disease and break new ground.
Nephropathy is a "poor disease" and a serious illness, and there is no good way for western medicine. Zhang Qi realized that this is the opportunity and responsibility of Chinese medicine.
Since the 1960s, Zhang Qi has grasped the direction of kidney disease and led a group of people to study it continuously for decades, which is rare in the field of Chinese medicine. What chance made him make up his mind to choose to overcome the stubborn disease of kidney disease?
Zhang Qi said that unlike coronary heart disease and diabetes, kidney disease is not a "disease of wealth". The more you live in a cold, humid, poor and tired place, the more likely you are to get sick. In the early 1960s, Zhang Qi was the director of the Internal Medicine Research Office of Heilongjiang Institute of Motherland Medicine. At that time, he originally wanted to study coronary heart disease, but at that time, people's lives were difficult. There are only four cases a year, but many patients with chronic nephritis have been treated. The patient was swollen, pale and weak, and his condition recurred. Finally, he died of uremia due to renal failure, which made Zhang Qi very worried.
In the face of persistent nephropathy, many medical workers at home and abroad have made great efforts, but the treatment effect is not ideal. Dialysis can only sustain life, and it is dependent. Kidney transplantation must pay a high price, rejection is difficult to solve, and hormone therapy has obvious side effects and is easy to relapse. It is precisely because western medicine does not have a good way to treat kidney disease that Zhang Qi is convinced that this is the "breakthrough" for Chinese medicine to play its role.
From 65438 to 0962, Zhang Qi and Shan Cuihua, the attending physician of western medicine, began to study the treatment of chronic nephritis. At that time, there was no precedent of treating chronic nephritis with integrated traditional Chinese and western medicine in China, so it was difficult to find a way! Zhang Qi's ancient prescription was new, and he found a good prescription for treating chronic nephritis, namely "Jiawei Qingxin Lianzi Drink", while Shan Cuihua assisted him in monitoring patients and making scientific analysis. From 65438 to 0964, he went to Chongqing to attend the National Nephropathy Academic Conference, and his speech "Syndrome Differentiation and Treatment of Chronic Glomerulonephritis" won unanimous praise from Yue Meizhong, an old Chinese doctor. They were forced to stop during ten years of turmoil. 198 1, and the results of this work have reached the domestic advanced level.
The development of modern medicine has brought a lot of new contents, and it is more and more difficult for Chinese medicine to study nephropathy. Zhang Qi said that the initial goal was to cure edema, then to solve proteinuria, and then to improve the pathological results of "kidney puncture". While studying modern medical knowledge, he conducted systematic clinical and scientific research on kidney diseases, and analyzed the etiology and pathogenesis of each kidney disease. From 65438 to 0986, the State Science and Technology Commission and the Ministry of Health decided on the Seventh Five-Year Plan, and Zhang Qi won the bid for the project of "Traditional Chinese Medicine Tongluo". After that, the Nephrology Laboratory and the specialist clinic were established, and successively carried out "Clinical research on treating chronic glomerulonephritis with traditional Chinese medicine", "Clinical and experimental research on treating chronic urinary tract infection with traditional Chinese medicine" and "Clinical and basic research on delaying the progress of chronic renal failure with traditional Chinese medicine". He personally approved and developed a series of traditional Chinese medicines for treating kidney disease. His Heilongjiang Institute of Traditional Chinese Medicine became one of the national centers for treating kidney disease with traditional Chinese medicine, and won national, provincial and ministerial awards for many projects.
For more than 40 years, Zhang Qi's research on nephropathy has become more and more in-depth, and his treatment emphasizes strengthening the spleen and benefiting the kidney. He creatively used diversified ideas to treat refractory diseases such as chronic renal failure with multiple targets and generosity, and achieved good clinical results.
Zhang Qi said that the creatinine level of many patients with renal failure can remain stable for 10 years without dialysis and will not develop uremia. Some people who have developed uremia can get better after taking Chinese medicine. He developed many effective hospital preparations. A boy of 10 years old in Daxing 'anling suffered from uremia and was in critical condition due to renal failure. Zhang Qi pulled him back from the brink of life and death by nasal feeding with traditional Chinese medicine. Now the boy has graduated from Fudan University. When Zhang Qi gave a lecture in Shanghai a few months ago, he and his mother came to thank him.
The Department of Nephrology of Heilongjiang Institute of Traditional Chinese Medicine completely inherited Zhang Qi's clinical experience and was subdivided into four departments, with 2 beds10. They use Chinese medicine to relieve physical pain and economic burden, and bring health hope to patients with nephritis, nephrotic syndrome and renal failure.
Enthusiasm: Love clinical perseverance.
Seeing that Chinese medicine was banned, he still insisted on being an apprentice in a pharmacy; I would rather have frostbite on my hands and feet than buy bedding, and I also bought medical books.
Zhang Qi likes clinics, can't live without patients, and is willing to treat people. "The only unhappiness in my life is that I was not allowed to see a doctor for one year during the Cultural Revolution. This is the most distressing. "
He believes that only clinical practice can learn the true skills and requires graduate students to get out of the clinic on time. Zhang Qi especially likes diligent students who follow home visits in winter and summer vacations, and she is full of praise. Director of the Second Department of Nephrology, Wang Provincial Hospital of Traditional Chinese Medicine, 1989 graduate student. Once, she didn't show up at the clinic in Zhang Qi on time, and Zhang Lao ordered, "Tell Zhao Jin to call me.". On the phone, Zhang Lao gently warned, "You can't leave the clinic." The teacher's anxiety made Wang make up his mind, and now he has become the backbone of medical care.
Generally speaking, most people who see Professor Zhang Qi suffer from serious or difficult diseases. Zhang Qi is patient with patients and spends a long time seeing a doctor. The fifth daughter, Peiqing Zhang, is the vice president of the Provincial Institute of Traditional Chinese Medicine. She said, "My father is very gentle and doesn't get angry when things happen. Whenever he encounters different opinions, he nods happily and listens patiently. " Gentle by nature, Zhang Qi treats patients like relatives. "There is a patient who talks about his illness for more than ten minutes, but he never interrupts and always listens carefully. We were in a hurry. "
Once the hospital organized a spring outing for all the staff, Zhang Qi, who was sitting in the car, saw an old patient with chronic nephritis coming, and immediately got off the bus and asked the patient to see a doctor in the clinic. For this reason, he delayed his trip, and some people regretted it, but he said happily: "It is the most meaningful thing for a doctor to regard the happiness of his patients as his own happiness. Isn't it far better than the pleasure of an outing! "
Now Zhang Qi goes to the clinic twice a week and once in the ward. When you can't finish reading it in the morning, the patient thinks of a plus sign, or looks for it at home and stops on the road. He always comes to the net with a smile. His wife, Wang Guizhen, said, "The old man can always recognize patients. He made a rule that when he went home to see a doctor, the people and the secretary of the provincial party Committee treated him equally, and he was not allowed to think that the rural people were dirty and lied that he was not at home. "
This extraordinary love for clinic is related to his childhood experience. Zhang Qi's great-grandfather and grandfather were both famous Chinese medicine practitioners in Laoting County, Hebei Province. When he was 6 years old, his grandfather taught him to read medical books under the oil lamp every night, and Zhang Qi witnessed that they cured many incurable diseases. When I was a child, the Japanese invaded China and wanted to ban Chinese medicine, but there was no way out to learn Chinese medicine. Zhang Qi was wandering in the northeast alone, and others advised him to change his profession, but he insisted on being an apprentice in Harbin Tianyutang Pharmacy. No teacher dared to teach, so he got up at night and secretly pondered the prescription prescribed by Mr. Wang against medical books. It was very cold in winter, so other disciples saved some money to buy blanket covers. He bought medical books regardless of frostbite on his hands and feet.
1967 During the "Cultural Revolution", he was sent to the countryside of Lanxi County, Heilongjiang Province for three months. The conditions are simple, but he is glad to have the opportunity to treat people. Farmers in Shiliba village drove cars and rode donkeys, and carried patients to the fanfare station with door panels. He patiently treated the villagers one by one, seeing 10 1 patient at most one day. Some farmer friends still keep in touch with him.
Love is the best teacher, and Zhang Qi's successful experience perfectly explains this. Because I love it, I am willing to study hard, and my medical skills have been sublimated in long-term clinical training. Zhang Qi's first clinical visit in rural Hebei Province cured a patient with high fever who had been cured for a long time. In Harbin No.4 Joint Clinic, his medical skill and humanity won the trust of the workers. Shortly after arriving at Heilongjiang College of Traditional Chinese Medicine, he was often invited to treat the first secretary of the provincial party committee and other leaders at that time, and was also entrusted by the central government to treat heart disease for the secretary-general of Amur Prefecture of the former Soviet Union (equivalent to the governor of our country). My Humble Opinion on Pulse Studies, written at the age of 42, reveals the important position of pulse studies in syndrome differentiation, and it is republished in one edition, which is quite influential in China.
Zhang Qi said that to learn any kind of science and any kind of knowledge, we must first love it. The classic content of TCM seems boring, but there are really good things in it, so we should pay attention to study and practice. I applied the books I read to the clinic and found that Chinese medicine was "tasteful", so I entered the business. After I went in, I was more willing to study.
In order to learn new technology and experience, he almost subscribed to all kinds of journal of traditional chinese medicine published in China, and read them carefully whenever he has time. Shopping in bookstores and buying books became an important part of Zhang Qi's later life. Peiqing Zhang said, "My father is rigorous in his studies and never perfunctory. He has to treat dozens of patients every day, and at night he has to read literature and search ancient and modern medical records. Because the administrative work is complicated and there are many doctors, I sometimes feel very tired, relaxed and ashamed. My spirit inspires future generations and warns those who come to me not to slack off. "
Public interests above all else: care about the cause and bring your disciples widely.
He never argued that he could do whatever he wanted, but for the cause of Chinese medicine, Zhang Qi made an appeal and wrote to the Prime Minister several times.
Zhang Qi said that the happiest day in more than 80 years was 1953 to convey Chairman Mao's instructions on Chinese medicine, and he believed that Chinese medicine had made the greatest contribution to the prosperity of the Chinese nation. Since he chose Chinese medicine, he has encountered a lot of discrimination and resistance. That day, he suddenly heard the good news. At the age of 365,438+0, Zhang Qi felt a bright future and stayed up all night with excitement.
He said that his "second happiest thing" was the establishment of state administration of traditional chinese medicine.
His gratitude is from the heart. Because he has experienced the hardships of life, he can deeply understand the influence of national policies on a practitioner of Chinese medicine. He said that the government gave him too much honor.
In fact, Zhang Qi is a person with few desires. In life, he likes to write calligraphy and listen to Beijing opera. When the relevant departments wanted to be promoted and reused, he declined politely; A friend suggested that he open a clinic in the south, but he couldn't talk about it. He never considers promoting to a higher position and making a fortune, and his greatest hobby is to see a doctor.
He seems destined to be born for Chinese medicine. Zhang Qi, who has always been calm and never angry, is willing to write a joint letter to the President and the Prime Minister many times for the cause of Chinese medicine, striving for policies and support for Chinese medicine. On many occasions, he publicly called on Chinese medicine to reform the educational model and pay equal attention to both Chinese and western medicine. His worries can't be expressed in words.
In order to cultivate more talents, Zhang Qi insisted on taking the postgraduate exam regardless of her age. He said, "How many years can I do it? It also makes sense to bring an apprentice. " He personally trained more than 50 doctors, masters and 8 heirs, and now there are 2 fourth-generation heirs and 5 doctors. Zhang Qi strives to "cultivate a promising one". His students include President of Chinese Academy of Traditional Chinese Medicine, Director of Chinese Medicine Department of Beijing Hospital, Director of Endocrinology Center of Tianjin University of Traditional Chinese Medicine, etc. Most of them have become the backbone of the Chinese medicine front.
He is also the tutor of Xu Daji and Lin Qizhan in the Department of Nephrology of Guangdong Provincial Hospital of Traditional Chinese Medicine. In order to guide their study, Zhang Qi travels from Harbin to Guangzhou twice a year, taking them personally. He usually takes pains to teach and solve problems on the phone. Every letter is written by himself.
On the occasion of his 80th birthday, Zhang Qi received thanks and blessings from many students. Professor Xie Ning and Professor Zhou Yabin from Heilongjiang University of Chinese Medicine said in their congratulatory letters: "I have been following my teacher for three years, practicing during the day and studying at night; The cock crows Leng Yue, and the yellow lantern rolls green. It's not hard. Thanks to the teacher's careful teaching, clear the clouds, point out the maze, edify us with character and medicine, and care for the younger students. Over time, I feel it is a great honor to be with my teacher for three years. "
Zhang Qi is such a peaceful and sincere old man, a Chinese doctor with deep love and pursuit in his bones, and a master with profound connotation who needs to be carefully pondered.