First, the suffering and pain of traditional Chinese medicine
1. Traditional Chinese Medicine Hospital
According to the survey, there is no real Chinese medicine hospital among all Chinese medicine hospitals in China. It's really a sad thing to say. I don't know when the original good Chinese medicine hospital changed its tune. "Combination of Chinese and Western Medicine" is nominally dominated by Western medicine, while Chinese medicine is just embellishment. Hang the brand of Chinese medicine hospital and engage in western medicine. As the saying goes, "Hang the sheep's head and sell dog meat." Opening a Chinese medicine hospital, "I didn't smell the fragrance of Chinese medicine in the ward, but I saw that the infusion bottle was full." Looking, smelling, asking, cutting and throwing, biochemistry, photos and B-ultrasound. "We don't compare our own medical characteristics with our own advantages, but use our own shortcomings to compete to buy" advanced "instruments to show the" strength "of the hospital. As we all know, the strength of Chinese medicine hospitals is not here. As the saying goes, western medicine depends on the door (the bigger the door, the more advanced the equipment and the more powerful the hospital), while Chinese medicine depends on people (there are famous doctors sitting in the clinic). Traditional Chinese medicine does not rely on equipment, but follows people's buttocks. Compared with people's characteristics, it is unmatched by others and increases the burden on patients. As soon as the patient was examined, thousands of dollars were gone. The poorer you are, the money will be gone before the disease is cured. Therefore, the majority of rural people are afraid to go to big hospitals when they are sick, which is really exhausting. You have to go to the hospital to delay time, or you have to wait for death. Is this the characteristic of China people's medical system with socialist superiority? A few doses of traditional Chinese medicine could have cured the disease, and it would have cost you hundreds of thousands. There must be no less inspections, and unnecessary inspections must be done as long as they are touched slightly. This is the so-called "exclusion inspection". Blood routine, urine routine, stool routine, biochemical routine 12 routine, lung film, B-ultrasound routine, electrocardiogram routine, CT routine, MR…… routine .....................................................................................................................
In the inpatient department of traditional Chinese medicine, medical records are written according to the model of western medicine, and physical examination, illness inquiry and diagnosis and treatment ideas are all based on western medicine. So western medicine is the main medicine, no wonder the bedside of Chinese medicine hospital is covered with infusion bottles. As for a bottle of so-called Chinese medicine every day, it is naturally dispensable. Why is it called Chinese medicine? Because it was opened under the guidance of western medicine, it is no longer a real Chinese medicine. Why is it unnecessary? One reason is that in the eyes of many residents, treatment depends on western medicine, not on it; Second, because of the wrong thinking, the curative effect is not good or even ineffective, and it doesn't matter whether it is used or not. Then why give the patient this indifferent Chinese medicine? Wouldn't it be better to avoid it? The doctor said that the patients came from the brand of Chinese medicine hospital and didn't prescribe Chinese medicine for them. Many patients have opinions. In this way, Chinese medicine has become a "placebo". Is this still a Chinese medicine hospital? Many people in the industry have this understanding that Chinese medicine practitioners in Chinese medicine hospitals actually only hold very small positions in outpatient departments.
What caused such a painful situation? In addition to economic reasons, the hospital also has its difficulties: it is not intended to make the doctor-patient relationship tense. The actual situation is that the hospital really can't do this.
2. Doctor
Now many people say that doctors have a bad conscience. Once in the elevator, quietly, a patient suddenly burst out with a sentence: "These doctors, their clothes are white and their hearts are black!" " "My heart is not surprised, angels in white gives the impression that's it?
Think about it, no wonder. Check is expensive, check more, be generous and use expensive medicine. It takes tens of thousands, even hundreds of thousands, to be hospitalized in provincial hospitals in January, and only a few thousand have never heard of it. Even if you go to the clinic with a cold, it won't cost you hundreds of dollars, and you will never let it go. If you really follow Chinese medicine, you can do it well with several doses of medicine for tens of dollars, and you can even cure it without taking medicine and massage. Example: A patient had a cold, headache, fever, itchy throat, cough and neck and shoulder pain, and spent more than 1000 yuan on treatment. Look at me. According to their medical records, several doctors treat Chinese and western medicines with western thinking, and there are many medicines, but they never return. Why? Wrong thinking. This is caused by wind-cold, with exterior heat being cold and confused by exterior heat. Can blind use of cold medicines such as Yinqiao, Mulberry, Chrysanthemum, Banlangen and Melaleuca paper be restored? It is better not to see a doctor than to do so. It may have been cured long ago. She works part-time and has no money to buy medicine. I said it was easy, so I pressed the bladder meridian, took the shoulder and neck, moved cupping, and pressed points such as Fengchi, Dazhui, Fengmen and Shu Fei, which made her feel very relaxed. Just twice.
At the beginning of life, human nature is good. Human nature is good, and only in the real life environment the day after tomorrow can the bad side be tempered. Why do many Chinese medicine practitioners give up simple and cheap Chinese medicine in clinic and use western medicine instead? Now that it has become a common phenomenon in society, it is not a personal matter for doctors. We should ask this system, this medical system, and we should reflect on whether medical care should be introduced into the market.
3. Talent cultivation
On the surface, Chinese medicine is still relatively prosperous. Almost every province has a college of traditional Chinese medicine, which trains tens of thousands of talents of traditional Chinese medicine every year. But Chinese medicine is still lamenting "lack of people and skills". Why? Because most of the talents trained by Chinese medicine have taken the road of western medicine, and even become grave diggers who bury Chinese medicine, especially the "advanced" talents trained by Chinese medicine. Please listen to the following voices of Chinese medicine:
Doctor of Traditional Chinese Medicine 1: "Without western medicine, Chinese medicine can't move!"
TCM 2: "Can TCM cure diseases? It is only a government act to say that SARS can be cured! "
Traditional Chinese Medicine 3: "If you are sick and eat Chinese medicine, are you sick (neuropathy)?" Look at the doctor on our floor, who is sick and takes Chinese medicine? "
Traditional Chinese Medicine 4: "Now 99% of Chinese medicine practitioners in China are intervening in the medical and health undertakings in China!"
TCM 5: "TCM is deceptive. The professors in our school are all liars! "
I asked one of the doctors, "Do you hate Chinese medicine so much?"
A: "I am defending the truth."
Q: "Then why don't you study Chinese medicine instead of western medicine?"
A: "That's because people don't want me. It's very difficult for them to take the exam at school."
I wonder how readers feel when they hear this. Oh! Alas! This is the sorrow of Chinese medicine! Western medicine colleges don't want it. If you pick it up and cultivate it, people will not only be ungrateful, but also think you are cheap, kick you and bite you! Chinese medicine is not cultivating people, but cultivating grave diggers, and it is awarding high-level grave diggers with high academic qualifications! The terrible thing is that this is not an individual phenomenon, but a common phenomenon!
On the one hand, Chinese medicine undergraduates who have not been fully westernized and still have some feelings for Chinese medicine can't find jobs. On the other hand, the senior grave diggers of traditional Chinese medicine who are completely westernized and can't write the prescription of 10 are popular. In this way, what is the future of Chinese medicine? In the near future, these "senior talents" will take up leadership positions and enter decision-making organs, and the future of Chinese medicine can be imagined. Mao Zedong once said that the * * * production party is invincible by external forces, and it is afraid of internal problems. Actually, Chinese medicine is no exception!
Second, the crux.
Why is the westernization of Chinese medicine hospitals serious? The hospital says it's not that they value the west and admire foreign things, but that they have to: under the existing medical system, the most crucial and nerve-racking thing is that whether you like it or not, you should operate and operate according to the ideas of western medicine, because it involves a question of medical standards and risk taking. If you treat the same disease according to the thinking of TCM, once something goes wrong, you will be overwhelmed! And if it is operated according to the standards of western medicine diagnosis and treatment, although it is unreasonable, if something goes wrong, it can be safe and sound. For example, a tuberculosis patient, if you don't give antibiotics treatment, but give Chinese medicine treatment according to Chinese medicine ideas, if the patient can't be cured, you will be finished. And if you treat according to western medicine standards, even if the patient dies, you are not responsible. Because the current medical malpractice appraisal system is based on western medicine. Many doctors said with deep feelings: in fact, why don't we want to engage in real Chinese medicine and reduce the burden on patients? However, according to Chinese medicine, what should I do if there is a medical accident? In addition to economic benefits, an important reason for doing a lot of examinations for patients is to avoid medical disputes. If you don't do more tests to rule out some diseases, once the patient sues you, you will definitely lose. Now, once something goes wrong, the compensation is tens of thousands or hundreds of thousands, which is simply unbearable! This explains the problem: Chinese medicine does not have its own diagnosis and treatment standards and risk responsibility assessment standards, and everything is carried out with reference to western medicine standards. Standards are others'. Dare you disobey? This is a ...
Second, the state investment is low, hospitals are responsible for their own profits and losses, and the price of traditional Chinese medicine is relatively low. If we don't make a living by increasing examination fees and operation fees like western medicine, the hospital will fail, close down and doctors will have no food. You are engaged in Chinese medicine, and the medical expenses are calculated according to 4 yuan, 5 yuan and 7 yuan before attending, associate professor and professor; According to western medicine, the cost of inspection alone will reach hundreds, thousands or even tens of thousands! A few doses of Chinese medicine are only tens of yuan, more than 100 yuan, and several boxes of western medicine are hundreds of thousands. Acupuncture is the best treatment for some diseases, such as stroke, facial paralysis, joint pain, etc., but it is basically not used or even lost in mainland Chinese medicine hospitals. Why? Too bad! Acupuncture costs 5 yuan only once, which usually takes half an hour. And the party is also held in 5 yuan, but five tickets can be opened in half an hour, which is 25 yuan. So, who is still doing acupuncture? Guangzhou has done a good job in acupuncture and has always insisted on it, because the fee is not higher than that in the mainland, which is tens of yuan at a time. The traditional small splint therapy in orthopedics has good effect and low cost, which can be done from tens to hundreds of yuan, but it is generally not used now, and surgery is used instead, usually thousands or even tens of thousands of yuan. This involves a question of interest. If it weren't for flexibility, it would have been closed long ago. Isn't it clear that some Chinese medicine hospitals in mainland China can't transform in time, can't cook and then close down?
No wonder many doctors say, you have to. Not using expensive drugs will not only lead to low income, poor hospital efficiency and poor operation, but also fire you. This is very clear: without its own standards, there will be no own way, and Chinese medicine will have no future. Because there is no independent standard on the legal level, there is no independent legal status, so we can only follow the ass of western medicine, so the final result is complete westernization, that is, the demise of Chinese medicine. It can be seen how important it is for Chinese medicine to establish its own legal system!
Why do most Chinese medicine doctors take the road of western medicine? This is mainly related to their subjective factors, and to some extent, it is also caused by objective reasons. Some of these people are confused when they are undergraduates: in Chinese medicine colleges, there are more courses in western medicine than in Chinese medicine, and the proportion of Chinese and western medicine is 4/6, and some even 3/7. Is Chinese medicine more important or western medicine more important? I went to the inpatient department of the hospital for an internship, and finally realized that almost everything was operated according to the standards of western medicine. It turns out that western medicine is still important! Even if the initial feelings of traditional Chinese medicine were cultivated, they were shattered in practice. Master students finish class in the first year, and basically exercise in the inpatient department in the second and third years. In this way, we completely embarked on the road of western medicine. A pot of Chinese medicine seems dispensable and can be prescribed at will, regardless of curative effect. The doctor training mode is the same. The first year of class, the second year of hospital exercise, further edification, so as to sublimate into a defender who hates Chinese medicine and defends the truth of western medicine. Why do you train grave diggers like this? Just because we have to adapt to the current diagnosis and treatment standards and medical malpractice identification standards! Talent cultivation serves social practice. Medical practice is based on western medicine, and teaching must be based on western medicine. No wonder Chinese medicine practitioners are shouting "lack of people and skills". If this goes on, isn't Chinese medicine the result of extinction? Where is the root of the problem? Not because there is no independent legal standard, so there is no independent legal status!
Third, the treatment measures
"Curing the root cause" is the characteristic and advantage of TCM. Now Chinese medicine is so sick, where is the root of the disease? It has been made very clear above. What shall we do? This is:
First of all, we must establish independent TCM medical diagnosis and treatment standards. Chinese and western medicine are two completely different medical theories and systems. One is macro-medicine, which emphasizes the overall concept, syndrome differentiation and treatment, the correlation between the five internal organs and the correspondence between man and nature; One is micro-medicine, which emphasizes the diagnosis and treatment of diseases, focusing on the local area and treating headaches and pains. Obviously, it is impossible to use the same standard for these two completely different drugs. After so many years of "combination of Chinese and western medicine", it can't really be combined. If Chinese medicine practitioners are forced to apply western medicine standards, the result will definitely be westernization of Chinese medicine and eventually extinction. Only by establishing independent diagnostic criteria can Chinese medicine diagnose and treat diseases according to the thinking of Chinese medicine, and can it have its own world without looking at the face of western medicine. Independent diagnosis and treatment standards are the basis of establishing independent medical malpractice identification standards, otherwise, there will be no independent medical malpractice identification standards and castles in the air will not be built.
Second, establish independent standards for judging medical malpractice. Once the norms of TCM diagnosis and treatment are established, the evaluation criteria of TCM medical accidents can be established. There is no standard for judging medical accidents in Chinese medicine, which is the most fundamental reason that restricts the development of Chinese medicine. Chinese medicine hospitals, Chinese medicine practitioners and Chinese medicine students all refer to Western medicine and follow the path of Western medicine. Not only can Chinese medicine not develop, but survival is a problem! Once this gold standard is established, many people will return, because many reformed people love Chinese medicine, and most of them are forced to go to Liangshan because they forget their roots. Without this standard, the standard of TCM diagnosis and treatment is useless. With this standard, Chinese medicine practitioners are relieved, and dare to treat according to Chinese medicine thinking and Chinese medicine diagnosis and treatment standards without referring to western medicine standards. In this way, Chinese medicine can survive and develop, and the physical and mental health of people in China and the world can be more fully guaranteed. A superpower like the United States, with such a developed economy, cannot bear the huge burden of medical expenses, especially in developing countries. Traditional Chinese medicine (TCM) has the advantages of simplicity, inspection, convenience and convenience, and can solve medical and health problems not only for our country, but also for the people of the world, especially for the middle and lower classes. It is of great significance to formulate the law of traditional Chinese medicine.
Third, establish an independent standard of Chinese medicine medical charges. At present, western medicine is the main charging standard. The question now is, under the condition of insufficient national medical investment, western medicine can survive by expensive examination fees and operation fees, while Chinese medicine can survive by 5 yuan registration fees, free consultation and a few cheap doses of Chinese medicine? Don't talk about the northwest wind, the hospital will collapse. I have no choice but to listen to western medicine. I don't want to do this. I want to do B-ultrasound, CT and Chinese medicine to make money. If this problem is not solved, the characteristics of traditional Chinese medicine, such as simplicity, experience, convenience and curtains, which can better serve and benefit the people, will be lost or even lost. Not long ago, it was reported in the newspaper that the medical skills of several famous old Chinese medicine practitioners have not been passed down, indicating that the low price of technology is not conducive to the protection of Chinese medicine, because practitioners have to support their families and solve the problem of labor reproduction after all, in order to contribute to the sustainable development of Chinese medicine and society. Therefore, it is necessary to establish an independent and distinctive medical charging system in China.
To revitalize Chinese medicine, we must do a good job in cultivating talents of Chinese medicine. Successors are the premise and foundation of development, and the current Chinese medicine education system must be reformed. However, the root of the problems in personnel training is that the above three problems have not been solved. Therefore, the most fundamental problem is the establishment of the above three standards. With the establishment of these three laws and regulations, Chinese medicine can revolve around itself, and not only the education system will naturally change, but other related systems will also change. Otherwise, just like some local or local Chinese medicine regulations that have been formulated at present, even if they are formulated, they are only on paper and difficult to implement. Even many Chinese medicine practitioners don't know these things.