立足关岭，走向世界 第十届世界整合医学大会 民族医学与癌症康复论坛 （共同主席 黄玉和） （原文发言稿）

立足关岭,走向世界

第十届世界整合医学大会 民族医学与癌症康复论坛 (共同主席 黄玉和)

(原文发言稿)

Rooted in Guanling, reaching the world: The 10th World Congress on Integrative Medicine – Forum on Traditional Medicine and Cancer Rehabilitation (Co-Chair: Huang Yuhe) (Original speech)

尊敬的各位领导、各位专家同仁、海内外关爱整合医学与中医药事业的各界朋友们:

大家好!

金秋聚贤,智汇新知。非常荣幸能够以共同主席的身份,出席第十届世界整合医学大会,与全球医学同仁齐聚云端、共襄盛举、共话整合医学发展大势、共探人类健康守护之道。首先,谨代表个人,向本次大会的顺利召开表示热烈祝贺,向长期深耕医学领域、守护大众健康的各位前辈、同仁致以诚挚的敬意!

Dear leaders, distinguished experts and colleagues, and friends from all sectors of society at home and abroad who care about and support the cause of integrative medicine and traditional Chinese medicine: Hello everyone! This golden autumn brings together the most accomplished minds and fosters the exchange of new knowledge. It is a great honor for me to attend the 10th World Congress on Integrative Medicine in my capacity as co-chair, joining medical professionals worldwide in this virtual gathering to celebrate this significant event, discuss the broader trends in the development of integrative medicine, and explore ways to safeguard human health. First, on behalf of myself, I would like to extend my warm congratulations on the successful convening of this congress, and I would like to express my sincere respect to the pioneers and colleagues who have long been deeply committed to the field of medicine and dedicated themselves to safeguarding public health.

我是黄玉和,出身中医世家,祖上承袭南宋御医文脉,薪火相传、代代躬耕,至今已绵延三十代、历经八百余年。八百载医道赓续,三十代仁心传承,于我而言,这不仅是家族血脉的延续,更是一份沉甸甸的医者使命、一份跨越古今的生命托付,更是我毕生深耕中医、践行整合医学理念的初心根基。

I am Huang Yuhe. Born into a family with a long tradition of traditional Chinese medicine, my ancestors inherited the lineage of imperial physicians from the Southern Song Dynasty; this legacy has been passed down through the generations, with each successive generation devoted to the practice of medicine, spanning thirty generations and more than eight centuries. Over eight hundred years of continuous medical practice and thirty generations of compassionate inheritance, for me, this represents not only the continuation of our family lineage but also a profound medical mission and a lifelong entrustment of life that spans past and present; moreover, it forms the very foundation of my lifelong dedication to traditional Chinese medicine and my commitment to practicing the philosophy of integrative medicine.

本次大会以整合为核心、以创新为内核、以惠民为初心,搭建起中西医学交融、古今智慧互通的高端平台。今天,我结合自身世代传承经验与数十年临床实践,围绕“守本治病、疗效立医、根脉传承”三个核心维度,和各位同仁分享几点思考与感悟。

This conference is centered on integration, driven by innovation, and guided by the original aspiration of benefiting the people; it serves as a high-level platform for the integration of traditional Chinese and Western medicine and the exchange of wisdom between the past and the present. Today, drawing on the experience passed down through generations and decades of clinical practice, I would like to share with my colleagues several reflections and insights centered on three core dimensions: preserving the fundamentals while treating diseases, establishing medical practice through therapeutic efficacy, and passing on the roots and lineage.

一、治病留人、以人为本,肿瘤诊疗万不得已不动刀

I. Treating patients while retaining them and placing people at the center of care: avoid surgical intervention whenever possible in oncology diagnosis and treatment

在多年临床中,我始终坚守一个核心原则:“肿瘤之症,万不得已不动刀”。这绝非主观经验之谈,而是根植于中医整体观、平衡观的医者审慎之道,更是整合医学以人为本的核心体现。

Throughout my many years of clinical practice, I have consistently adhered to one core principle: When treating tumors, I will avoid surgical intervention unless absolutely necessary. This is by no means merely a matter of subjective experience; rather, it reflects the prudent approach of a physician grounded in the holistic and balanced perspectives of Traditional Chinese Medicine, and more importantly, embodies the human-centered core philosophy of integrative medicine.

现代医学多聚焦病灶实体、靶向祛病,而中医看待疾病,始终立足整体、溯源求因。肿瘤从来不是单一的局部肿块,而是人体长期阴阳失衡、气血瘀阻、脏腑失调、正气亏虚,日积月累形成的“内环境失衡之果”。人体是一个有机整体,局部病灶的背后,是全身机能的紊乱、气血津液的失调。

Modern medicine generally focuses on treating disease by targeting the physical lesion, whereas Traditional Chinese Medicine approaches disease from a holistic perspective, tracing its origins to identify the underlying cause. A tumor has never been merely a localized mass; rather, it is the consequence of an internal environmental imbalance that develops over time as a result of long-term imbalances in yin and yang, stagnation of qi and blood, dysfunction of the zang-fu organs, and deficiency of vital qi. The human body is an organic whole; behind any local lesion lies a systemic disruption of bodily functions and an imbalance in qi, blood, and body fluids.

手术刀精准高效,可快速切除可见病灶、解除急症危象,其临床价值无可替代。但我们必须清醒认知:“切的是病灶,改不了病根;除的是肿块,修不好失衡的机体”。若仅治标不治本,未能调理脏腑、补益正气、疏通气血,未能改善肿瘤滋生的人体内环境,即便病灶切除,依旧存在复发转移的隐患。同时,手术创伤会损耗人体正气,导致患者免疫力下降、体质亏虚,反而不利于后续康复。问题是应警惕渐变产生多发性病变,任何病都是由表及里,由小变大,由轻变重,由良性变恶性。八字成瘤:虚、寒、湿、凝、瘀、阻、瘤、痈(癌),癌症是由五毒形成,没有五毒形成不了肿瘤,五毒是:寒毒、热毒、痰毒、气毒、血毒、如果病毒入侵,身体走下坡路,将一发不可收拾,慎之又慎,同时还要记得不能用刀!活检、手术都是人为器械性损伤,破坏了循环!破坏了平衡!一旦切断了微经络、微脉络、微神经、微血管、循环就断了,更无法接驳复原,这期间,加上电疗、化疗一整套,世界上哪个国家,哪个医院,哪个医生能够把切断的“四微”接上,皮、肉可以再生成,但“四微”永远都无法接上,四微不通,循环被阻不达,破坏了循环,局部切割肿瘤组织切口渗出液体成毒液积聚,我们知道水不流也会臭,何况肿瘤手术切口的液体呢?日后引起后遗症不断,灾难无穷,痛苦万分。这就是几千年來为什么中医先祖反对肿瘤动刀,而且中医没有一本传承的肿瘤手术书,难道中医匠人就这么蠢吗?肿瘤形成是由大自然的六淫入侵到人体为六邪,六邪转化为五毒(寒毒、热毒、痰毒、气毒、血毒),没有五毒形成不了肿瘤,没有寒毒更不容易生成肿瘤。生活中经常吃寒性食品或寒性药品,也包括针水,就容易积聚“寒毒”,寒凝瘀堵,越寒越堵,越堵越毒,毒聚病发。假以时日,肿瘤就长出来了。

The scalpel is precise and efficient; it can rapidly excise visible lesions and relieve acute crises, making its clinical value irreplaceable. However, we must maintain a clear awareness: While the lesion is removed, the root cause of the disease remains unaddressed; while a mass is excised, the diseased body's imbalance remains uncorrected. If treatment merely addresses the symptoms without treating the root cause—failing to regulate the visceral organs, replenish vital energy, and unblock the flow of Qi and blood, and failing to improve the internal environment in which tumors develop—then even after the lesion is removed, the risk of recurrence and metastasis persists. Furthermore, surgical trauma depletes the body's vital energy, leading to decreased immunity and physical debilitation, which conversely hinders subsequent recovery. The issue is that we must be vigilant against the gradual development of multiple lesions; every disease progresses from the exterior to the interior, from small to large, from mild to severe, and from benign to malignant. The Eight Factors that lead to tumor formation: deficiency, cold, dampness, stagnation, stasis, obstruction, tumor, and carbuncle (cancer). Cancer is formed by the Five Toxins; without the formation of these five toxins, tumors cannot develop. The Five Toxins are: cold toxin, heat toxin, phlegm toxin, Qi toxin, and blood toxin. If a virus invades and the body begins to decline, the situation becomes uncontrollable; therefore, extreme caution is required—and one must remember: do not use a knife! Biopsies and surgeries both involve intentional instrumental injury, which disrupts the circulatory system and destroys the body's balance! Once the micro-megaoles, micro-vascular channels, micro-neurons, and micro-vessels are severed, the circulation is broken; it can no longer be reconnected or restored. During this period, if combined with a full course of electrotherapy and chemotherapy, in which country, which hospital, and which doctor in the world can reconnect these four micro systems? The skin and flesh may regenerate, but the four micro systems can never be reconnected. When the four micro-systems are blocked and circulation is obstructed, the local incision where tumor tissue was removed releases exudate that accumulates as toxic fluid. We know that stagnant water smells; how much more so the fluid from a tumor surgery incision? In the future, this will lead to a continuous stream of sequelae, endless disasters, and immense suffering. This explains why the ancestors of Traditional Chinese Medicine opposed surgical treatment for tumors for thousands of years; moreover, there is no single, handed-down manual on tumor surgery in TCM. Are TCM practitioners simply that foolish? Tumor formation occurs when the six pathogenic factors of nature invade the human body, becoming the six pathogenic agents; these six pathogenic agents then transform into the five toxins (cold toxin, heat toxin, phlegm toxin, qi toxin, and blood toxin). Without the five toxins, tumors cannot form; without cold toxin, tumors are even less likely to develop. Frequently consuming cold-natured foods or cold-natured medicines in daily life—including acupuncture and herbal preparations—can readily lead to the accumulation of cold toxin. When cold causes coagulation and stasis, the condition becomes more obstructed the colder it gets; the greater the obstruction, the more toxic it becomes, and once toxins accumulate, disease manifests. Given sufficient time, a tumor will eventually develop.

中医治病,核心在于“治病必求于本”。面对肿瘤疾病,我们始终坚持“整体为纲、标本兼顾”的诊疗思路。依托辨证论治核心体系,黄氏中医九法合用等多元手段,双向调节人体阴阳、疏通周身气血、修复脏腑功能、充盈机体正气。

In the treatment of diseases through Traditional Chinese Medicine, the core principle is that the treatment of a disease must address its root cause. When dealing with tumor-related diseases, we consistently adhere to a diagnostic and therapeutic approach that takes the whole body as the guiding principle and addresses both the symptoms and the root cause. Building on the core system of syndrome differentiation and treatment, and employing diverse methods such as the Nine Integrated Methods of Huang's TCM, we bidirectionally regulate the body's yin and yang, promote the free flow of qi and blood throughout the body, restore the functions of the zang-fu organs, and replenish the body's vital qi.

在临床实践中,中医药全程参与肿瘤防治,形成了成熟的整合诊疗体系,针对晚期患者,以扶正为主、祛邪为辅,实现带瘤生存、提升生活质量、延长生存期。

因此,“万不得已不动刀”,不是排斥西医、否定手术,而是“敬畏生命、审慎施治”。整合医学的核心,就是摒弃单一治疗思维,兼容中西所长,优先守护人体本源机能,以恢复自身平衡、激活自愈能力为根本,实现“人瘤共存、带病长寿、有尊严生存”的最佳诊疗效果,这正是大医治未病、既病防变的至高境界。

In clinical practice, traditional Chinese medicine is involved throughout the entire process of cancer prevention and treatment, resulting in a mature integrated diagnosis and treatment system. For patients with advanced-stage disease, the approach prioritizes strengthening the body's vital qi while supplementing it with the elimination of pathogenic factors, thereby enabling patients to live with the tumor, improve their quality of life, and extend their survival period. Consequently, the principle of avoiding surgery unless absolutely necessary does not mean rejecting Western medicine or denying the value of surgery; rather, it embodies reverence for life and prudent treatment. The core of integrative medicine lies in abandoning the mindset of relying on a single treatment modality, integrating the strengths of both Chinese and Western medicine, and giving priority to preserving the body's fundamental functions. By focusing on restoring the body's intrinsic balance and activating its self-healing capacity as the foundation, it aims to achieve the optimal therapeutic outcome of coexistence between the patient and the tumor, longevity with underlying disease, and dignified living. This represents the highest ideal of using comprehensive medicine to prevent disease before it arises and to prevent disease progression once it has developed.

二、疗效为纲、实践为尺,以临床实效印证医学价值

II. Prioritize therapeutic efficacy and use practice as the benchmark; validate medical value through clinical outcomes

医学无古今,疗效是唯一的硬道理。无论是千年中医古法,还是现代前沿西医技术,一切医学理论、诊疗手段、传承技艺的终极目标,都是祛除病痛、守护健康、造福众生。“疗效,是医学的立身之本,也是整合医学发展的核心准绳”。Medical value is measured through clinical outcomes; in medicine, there is no distinction between ancient and modern times—therapeutic efficacy is the sole definitive criterion. Whether it is the time-honored practices of traditional Chinese medicine or cutting-edge modern Western medical technologies, the ultimate goal of all medical theories, diagnostic and therapeutic approaches, and inherited techniques is to relieve disease and suffering, safeguard health, and benefit all living beings. Therapeutic efficacy is the foundation upon which medicine is built and the core benchmark for the development of integrative medicine.

中医药能够穿越千年沧桑、历经时代检验,生生不息、薪火不绝,核心就在于“经得起临床实践、经得起时间考验、经得起患者验证”。我们世代传承的经典方剂、辨证心法、针灸技法,不是书本上的理论文字,而是无数先辈经年累月、日复一日临床打磨的智慧结晶,是治愈万千病患的实战良方。Traditional Chinese medicine has endured the vicissitudes of thousands of years and withstood the test of the ages; it has continued to thrive and passed down its legacy from generation to generation. Its essence lies in its ability to withstand clinical practice, withstand the test of time, and withstand validation by patients. The classical prescriptions, principles of syndrome differentiation, and acupuncture techniques passed down through successive generations are not mere theoretical statements found in textbooks; they are the crystallization of wisdom refined through years of daily clinical practice by countless predecessors, serving as proven remedies that have healed countless patients.

身处新时代,疾病谱不断迭代、疑难病症日益复杂、大众健康需求持续升级,这对整合医学发展提出了更高要求。坚守疗效为王,需要我们坚守两大初心:

其一,“守正笃行,深耕临床”。始终扎根临床一线,不脱离病患、不空谈理论,在每一例疑难病案中打磨医术、活用古法、优化方案,让传统中医智慧适配现代疾病诊疗需求,让古法良方服务当代大众健康。

其二,“开放包容、与时俱进”。整合医学的精髓,就是兼容并蓄、取长补短。我们不固步自封、不墨守成规,主动对接现代医学检测技术、循证医学体系。以现代科学语言阐释中医机理,以客观临床数据验证中医疗效,将个体化辨证经验,转化为可复制、可验证、可推广的医学成果,让中医疗效从患者体感,变成科学可证、行业公认的硬核实力,让传统医学真正融入现代医学体系、走向世界舞台。

唯有以疗效立心、以实践立医,中西整合才能真正落地,古今智慧才能真正交融,医学事业才能真正惠及万民、行稳致远。In this new era, the spectrum of diseases is continuously evolving, complex and refractory conditions are becoming increasingly sophisticated, and public health demands are steadily rising; these factors place higher demands on the development of integrative medicine. To remain committed to the principle that therapeutic efficacy is paramount, we must uphold two fundamental missions: First, uphold fundamental principles and act with steadfast dedication, while deepening clinical practice. We must remain rooted in the front lines of clinical care, stay connected with patients, avoid empty theoretical discourse, and refine our clinical skills through the meticulous study of complex cases, the adaptive application of traditional methods, and the optimization of treatment protocols. This ensures that the wisdom of Traditional Chinese Medicine (TCM) aligns with the needs of modern disease diagnosis and treatment, and that time-honored prescriptions serve the health needs of the contemporary public. Second, embrace openness and inclusivity, and keep pace with the times. The essence of integrative medicine lies in its capacity for synthesis and the leveraging of complementary strengths. We will not remain stagnant or rigidly adherent to outdated conventions; instead, we will proactively integrate with modern medical diagnostic technologies and evidence-based medicine frameworks. We will elucidate the mechanisms of TCM using modern scientific language and validate its efficacy through objective clinical data. By transforming our experience in individualized syndrome differentiation into replicable, verifiable, and scalable medical achievements, we can transform the perceived benefits of TCM from subjective patient experience into scientifically proven, industry-recognized core capabilities. This will allow traditional medicine to truly integrate into the modern medical system and gain global recognition. Only by prioritizing efficacy as our guiding principle and grounding our practice in real-world application can the integration of Chinese and Western medicine be truly realized, the wisdom of the past and present truly converge, and the field of medicine genuinely benefit the people and achieve sustainable, long-term progress.

三、溯源守根、薪火赓续,让千年医脉焕发时代新生III. Tracing our origins and preserving our roots, passing the torch forward, and revitalizing the millennia-old tradition of medicine for the modern era

中医药是中华优秀传统文化的瑰宝,是历代医者留给后世的宝贵财富,“有历史、有根基、有灵魂、有温度”。

所谓“弘扬有史”,是因为中医药文脉源远流长、体系完备。从《黄帝内经》奠定中医理论基础,《神农本草经》开创药物体系,到《伤寒杂病论》确立临床辨证准则,千年典籍沉淀的不仅是诊疗技术,更是天人合一、阴阳平衡、以人为本的生命哲学。这是我们中医人的文化底气,更是整合医学兼容与融合、和谐与施治的思想根基。

所谓“弘扬有史、传承有根”,是中医药文化,从来不是尘封的古籍僵化的理论,而是“活态传承、动态发展”的医学体系。它的根,藏在师徒口传心授的薪火中,藏在辨证施治的临床心法中,藏在天地人合一的诊疗智慧中。没有传承,中医就失去了灵魂;没有根脉,医学创新就成了无源之水、无本之木。

新时代传承发展中医药、推进整合医学建设,既要“原汁原味守经典”,深耕古籍文脉、坚守核心心法、传承特色技艺,守住千年医道的精髓内核;更要“与时俱进育新人”,培养一批懂经典、通临床、善整合、能创新的新时代医者,让正统医脉代代相传、生生不息。

Traditional Chinese Medicine (TCM) is a treasure of China's outstanding traditional culture and a precious legacy left to future generations by physicians throughout the ages; it possesses history, roots, soul, and warmth. The principle of promoting historical continuity stems from the fact that TCM has a long-standing cultural lineage and a comprehensive system. From the *Huangdi Neijing*, which laid the theoretical foundation of TCM, and the *Shennong Bencao Jing*, which established the pharmacological system, to the *Shanghan Zabing Lun*, which established the criteria for clinical syndrome differentiation, the millennia-old classics have preserved not only diagnostic and therapeutic techniques but also a philosophy of life centered on the unity of humanity and nature, the balance of Yin and Yang, and a people-oriented approach. This constitutes the cultural foundation for those who practice TCM and serves as the ideological bedrock for the integration and convergence of integrative medicine, as well as for harmony and therapeutic practice. The notion that promoting historical continuity and ensuring rooted transmission means that TCM culture has never been a rigid set of theories locked away in dusty ancient texts; rather, it is a medical system characterized by living transmission and dynamic development. Its roots lie in the passing of knowledge through oral instruction from master to disciple, in the clinical intuition of syndrome differentiation and treatment, and in the diagnostic wisdom that embodies the unity of heaven, earth, and humanity. Without transmission, TCM loses its soul; without roots, medical innovation becomes like water without a source or a tree without roots. In the new era, the transmission and development of TCM and the advancement of integrative medicine require us to both preserve the classics in their original form —deeply studying the cultural lineage of ancient texts, adhering to core clinical principles, and passing on distinctive skills to safeguard the essence of the millennia-old medical tradition—and to keep pace with the times to cultivate new generations —training a cohort of physicians in the new era who understand the classics, are proficient in clinical practice, excel in integration, and possess the capacity for innovation, thereby ensuring that the orthodox medical lineage is passed down from generation to generation and continues to thrive.

同仁们、朋友们!

整合医学,是医学发展的必然趋势;守正创新,是中医药振兴的必由之路。站在第十届世界整合医学大会的全新起点,我愿与全体同仁一道,坚守医者初心:

以“整体为本”,审慎施治、敬畏生命,攻克疑难病痛;

以“疗效为魂”,深耕临床、求真务实,彰显医学价值;

以“传承为根”,守正拓新、融汇中西,赓续千年文脉。

Colleagues and friends! Integrative medicine represents an inevitable trend in the development of medicine; upholding fundamental principles while pursuing innovation is the only viable path toward the revitalization of traditional Chinese medicine. Standing at the new starting point of the 10th World Congress on Integrative Medicine, I would like to join all colleagues in remaining true to our original vocation as medical practitioners: to take the whole person as the foundation, exercise prudent clinical judgment, honor life, and overcome complex and refractory diseases; to make therapeutic efficacy the core, deepen clinical practice, pursue truth and pragmatism, and demonstrate the value of medicine; and to take heritage as the root, uphold fundamental principles while exploring new approaches, integrate Chinese and Western medicine, and carry forward the millennia-old cultural legacy.

让我们携手并肩、凝心聚力,深耕整合医学领域,融通古今智慧、兼容中西所长,推动中医药传承创新与整合医学高质量发展,让中华传统医学瑰宝立足中国、走向世界,为守护全人类健康、构建人类卫生健康共同体,贡献中国智慧、中医力量!

Let us stand side by side, pool our efforts, delve deeply into the field of integrative medicine, synthesize the wisdom of ancient and modern times, and embrace the strengths of both Eastern and Western medicine. We will promote the inheritance and innovation of traditional Chinese medicine and the high-quality development of integrative medicine, enabling the treasures of traditional Chinese medicine to take root in China and reach the world, thereby contributing the wisdom and strength of China to safeguarding the health of all humanity and building a community of health for all.

最后,预祝本次大会圆满成功!祝愿各位专家同仁身体健康、工作顺遂、硕果累累!Finally, I would like to wish this conference every every success! I also wish all the experts and colleagues good health, smooth progress in their work, and fruitful achievements.

谢谢大家!Thank you all.