三个现代医学的现象
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三个现代医学的现象
l自从1960年代,沙宾疫苗克服了小儿麻痹症之后,近四十年来没有再听到那个疾病又被克服的好消息。龙腾小说ltxsba.com
l除了外伤性疾病和传染病以外的各种慢性病,多数只能控制不能痊愈。
l多年来不断有新医学科技进展的发表,每一届的诺贝尔医学奖也从未缺席,但是所有最新医学科技的进展,永远都预告着明天或有一天人类有机会解决某一个疾病,从来没有今天已经解决了那一个疾病的消息。几十年来那么多不能治的慢性病,一个也没解决。
这三个现象让我们觉得现代医学似乎原地打转了几十年,对慢性病一筹莫展,它的问题必定不是有没有找到新药这么简单,很可能是它的基本思考逻辑或在起步点的思考方向上出了问题。
计算机技术的启示
l人体的电压是什么?
计算机技术是这个世纪多数人都能了解的,从系统结构来看,人和计算机有许多基本的架构是非常类似的。因此,我经常用一个大家都熟悉的个人计算机例子来说明人体疾病的原因。
现代个人计算机的电源供给器,都使用电子式的,打开操作手册中的规格,可以看到电压允许有上下百分之三十五的浮动。因此,一部额定电压为110伏特的计算器,当外界电源的电压下降到70伏特时,是允许额度中的下限,理论上个人计算机还可以正常运行(当然品质太差的除外)。但是当电压下降到60伏特时,超过了下限,系统可能就会出现问题,假设磁盘驱动器这个时候出了问题。工程师应该处理那个部份?是电源还是磁盘驱动器?答案非常清楚。
在电子工程师眼里这是一个很简单的笨问题,一个受过基本训练的电子工程师,修理个人计算机的第一个步骤就是量量电源电压,很快的就会发现是电压的问题。等电压调到正常范围以后,再看看磁盘驱动器是不是还有问题。多数情形磁盘驱动器始终是好的,只要电压正常了,问题也就解决了。
如果相同的情形发生在人体上,就不再是一个笨问题了。磁盘驱动器就像是人体的一个器官,在这个例子我们假设是肾脏,用前面电子工程师修个人计算机的逻辑来思考,问题就大了。第一个问题是“人体的电压”是什么?没有电压可以量,就没有证据说明是能量水平有问题,而各种证据又显示磁盘驱动器(肾脏)坏了,当然是修磁盘驱动器了,也就是修理肾脏。于是用上了各种治疗肾脏病的药,甚至还把肾脏割了换个新的都无济于事,很可能多数割掉的肾脏根本就是好的。(这听起来有点毛骨悚然,不过真实的医学就是这么做的)
由于至今医学上没有任何一个指标是用来测量人体能量水平的,从这个角度来说,现代医学和电子学相比,还在尚未发现电压的年代,没有发现电压当然电子学也就无从发展了。
一切讲究证据是西方医学最重要的原则之一,在这个例子里,由于人类至今还没有能力提出证据来证明人体的能量不够,现代医学的原则是:不能用还没有经过证实的观念来诊断和治病。由于这个例子,有明显的证据显示肾脏的异常,在这种情形下,所有的医生都会认为是肾脏的疾病。
然而,医生花主要的精力治疗肾脏,很可能就像前一个例子中,电子工程师不调整电源电压而修磁盘驱动器一样的缺乏专业常识。可是在今天以“头痛医头;脚痛医脚”为逻辑的医学世界里,这样的思考逻辑,却像真理一样的被大家所奉行。尿毒症之所以成为不治之症也就理所当然了。
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