The great historical and practical significance of Chinese medicine can not be denied, the scientific and universal effect of Western medicine has been recognized, the two have comparative advantages. Because of this, the Chinese government put forward the "Chinese and Western medicine and" and Chinese and Western medicine "long-term coexistence, *** with the development of" the policy, and the "development of traditional medicine" written into the "Constitution. However, for a long time, the government's policy and the spirit of the Constitution have not been well implemented. In all aspects of specific laws and policies, administrative management, national investment, scientific research and development, and medical practice, Western medicine is generally emphasized over TCM, and the status of TCM has been declining and its development is facing difficulties. The biggest dilemma is that Chinese medicine is becoming more and more westernized, and is increasingly not called "Chinese". This is mainly reflected in six aspects: 1. Chinese medicine lack of successors. According to statistics, the national Chinese medicine doctors in 1949 276,000 people, to 2002 or more than 270,000 people, 53 years without growth; the same period of Western medicine doctors for 87,000 and 1.57 million people, an increase of 17 times; now the country **** 5.2 million people in the medical staff, Chinese medicine staff of about 500,000 people, less than 1/10. Especially scary is that many Chinese medicine practitioners basically do not think of Chinese medicine to see the disease, and only look at the lab tests. They will only look at laboratory tests. There is a lack of successors in Chinese medicine. 2. Chinese medicine education is declining. In recent years, Chinese medicine education has been seriously westernized. Language, foreign language requirements are not low, Chinese requirements are not high, the lack of ancient Chinese language training, many students basically do not see, and can not read the ancient Chinese medicine; curriculum, Chinese and Western medicine class time is almost equal; Western medicine theory learning requirements are not low, Chinese medicine theory training is seriously insufficient, and even the "Yellow Emperor's Classic of Nei Jing" and other classics do not read; skills training, Western medicine experiments quite a lot of Chinese medicine, such as the training of the smell and smell, not much. After graduation, students generally do not use Chinese medicine thinking to see the disease, most of them switch to Western medicine, or the name of Chinese medicine in fact, mainly Western medicine. Most of the postgraduate students do not improve their theoretical and clinical knowledge of Chinese medicine, but follow the Western medical education method, which requires masters to achieve the cellular level and doctors to achieve the molecular level in order to graduate. A lot of Chinese medicine masters, doctors will not use Chinese medicine theory and clinical skills, it is difficult to be called a real Chinese medicine. 3. Negative of master and disciple inheritance. Teacher-disciple inheritance is the traditional way of Chinese medicine personnel training, thousands of years to create a number of Chinese medicine doctors. The essence of Chinese medicine and skills are often "can only be taught by heart, can not be passed on", so since ancient times, master and disciple as father and son, should be taught with dedication. However, the current medical system basically negates the transmission of skills from master to disciple, making it impossible for them to gain a foothold. The lack of successors of pure Chinese medicine has become a very serious problem for the development of Chinese medicine. Now, before the liberation of the country left behind the famous old Chinese doctors are few, have reached the age of eighty-nine; the 50's mainly according to the traditional way to train the domestic famous Chinese medicine has been few, are over the age of old; after the main according to the western-style education training of Chinese medicine, in the real Chinese medicine on the achievements of very few people. According to statistics, there are less than 300 famous Chinese doctors in China. Basically, there are only a few tens of thousands of Chinese medicine practitioners who are able to treat patients with Chinese medicine thinking. Many of our folk Chinese medicine practitioners inherited from masters and disciples have high standards, low fees and good results, and are popular among the public, but most of them are not formally recognized. Existing licensed Chinese medicine practitioner examination system requires the examination of Western medical knowledge, most of the folk doctors due to insufficient knowledge of Western medicine can not pass the examination. The current licensing system also restricts the normal practice of private medicine, and most private doctors are unable to practice openly because they cannot obtain a license, and if they do, they are illegal. The current system of medical law enforcement and supervision impedes the normal practice of medicine by private practitioners, and even if a private practitioner has a normal accident, he or she will be subject to legal sanctions if a lawsuit is filed against him or her because he or she does not have a license to practice medicine. These restrictions in the medical system have forced many genuine private doctors to practice underground and "illegally". But the people's demand for folk Chinese medicine is huge, so, the three religions and nine streams mixed in, good and bad, folk Chinese medicine market is very chaotic. 4. Chinese medicine hospitals have become second-rate western hospitals, and there is no real clinical base for Chinese medicine. At present, there are more than 2,800 grades of Chinese medicine hospitals, but none of them is a real traditional Chinese medicine hospital, almost all of them are Chinese and Western medicine "combination" hospitals. Disease checking, mainly * Western medical instruments to detect and test; break the disease, mainly * laboratory data to determine; prescription, mainly according to Western thinking and theory to prescribe treatment; grasp the drug, is Chinese and Western medicine, Chinese and Western medicine and see each other as the main; checking the effectiveness of the main * Western instruments to test the effectiveness of the treatment. According to statistics, in 2001, the national level of Chinese medicine hospitals in the drug revenue, Chinese medicine only accounted for 40%, Western drugs accounted for 60%, or even three to seven. It can be said that at present, most of the Chinese medicine hospitals are no longer named "Chinese", and do not have the nature of a real Chinese medicine clinical base. The reason, on the one hand, since the late 60's to train most of the Chinese medicine practitioners have been not General Assembly to look and smell and identify the evidence of treatment, must be like Western medicine, as with the help of instruments and laboratory tests to identify the disease. On the other hand, the hospital in order to survive, a large number of purchases of Western drugs and medical equipment. Western medicine in and out of the price difference is large, testing and laboratory fees are high, the doctor to generate income, hospital profits, hospital rating are to * it. Chinese medicine, although simple and inexpensive, if * it charges, the hospital is difficult to survive, the doctor only poor. 5. Western medical standards to judge Chinese medicine, disparage or even deny the results of Chinese medicine. Chinese and Western medicine are two different theoretical and practical systems, each has its own set of clinical methods and evaluation criteria, the two are basically incompatible. However, under the existing medical concepts and systems, the diagnosis, treatment and effectiveness of Chinese medicine, and the development, evaluation and promotion of new Chinese medicines are basically judged by Western medical standards. Demeaning or even simply do not recognize the Chinese medicine clinical "practice standards", Chinese medicine efficacy and scientific research results must be recognized by Western medicine or according to the Western medicine method, which has long been commonplace in the medical profession, taken for granted. Early such as 1956 Shijiazhuang with Chinese medicine for the treatment of B brain, the efficacy of excellent, and no sequelae, but the Ministry of Health does not recognize. Famous Chinese medicine doctor Pu Fu Zhou, a successful treatment of 167 people with B brain, the health department but the use of 98 groups of Chinese medicine prescriptions, not statistically significant, not recognized its efficacy. Nearby, such as last year, Guangzhou, the use of Chinese medicine to treat SARS, the effect is remarkable, but the beginning of a period of time is not recognized. Chinese medicine believes that SARS is a plague and there are ways to treat it, but it is only after many appeals that it is allowed to intervene in the treatment. Western medicine believes that SARS is a brand new disease, there is no precedent for treatment, there is no * drug, but Western medicine can enter the treatment process fully at the beginning. Some Chinese medicine formulas that are really effective in treating warm diseases must be proved to be able to "kill" the SARS virus in white rat experiments before they are allowed to enter the clinic. Western doctors know that antibiotics and other Western drugs can not kill the SARS virus and the side effects are very large, but without discussion can be tested in large doses. 6. One-sided understanding of the modernization of traditional Chinese medicine. From the modernization of traditional Chinese medicine many years of practice, the basic idea is to Western medicine scientific research, mainly quantitative, objective approach, through animal experiments and statistics, to clarify the chemical composition of traditional Chinese medicine, the extraction of effective substances, similar to the Western medicine for "a certain disease" of the "new type of Chinese medicine The new type of traditional Chinese medicine is made similar to western medicine, specializing in the treatment of "certain diseases". Using this method, if it is to develop new Western drugs from Chinese medicine, there is no argument; but if it is the main or even the only way to modernize Chinese medicine, the result is not the modernization of Chinese medicine, but the Westernization of Chinese medicine. Such as is known as the modernization of traditional Chinese medicine "ace" results of the "artemisinin", although extracted from the traditional Chinese medicine artemisia annua, but the extracted "artemisinin" no longer has the medicinal properties of traditional Chinese medicine, can not participate in the prescription of traditional Chinese medicine, is no longer a prescription. It is no longer a traditional Chinese medicine and belongs to the category of western medicine. Another example is that in 1992, a clinic in Belgium prescribed the weight-loss Chinese medicine "Slimming Pill", which was taken by patients for more than a year, and half of them suffered from serious kidney disease, which was found to be caused by the aristolochic acid ingredient contained in the medicine. This has been widely publicized by the Western public opinion as the so-called Chinese medicine "aristolochic acid nephropathy" incident, so that the image of Chinese medicine has been greatly damaged. In fact, this is the result of the differentiation of Chinese medicines and the long-term consumption of Chinese medicines as health food, which precisely violates the fundamental requirements of the identification and treatment of Chinese medicine. According to the current one-sided approach to the modernization of traditional Chinese medicine, it is simply impossible to develop a famous formula like the Six Flavours of the Earth Pill. Six-flavored dihuang pill is not designed to treat a particular disease, can treat more than 400 kinds of diseases, but must be under the guidance of traditional Chinese medicine theory, for kidney yin deficiency type of diagnosis and treatment is effective. Modernization of traditional Chinese medicine to take a simple imitation of the development of Western medicine, leading to the study of traditional Chinese medicine is increasingly detached from its own rationale, so that the scientific research of traditional Chinese medicine to alienation. As a result, not only will Chinese medicine fail to catch up with Western medicine, but it will also repeat the mistake of Japan's "abolition of medicine and storage of medicine". Japan has abolished Chinese medicine, Chinese medicine by Western doctors depending on the use of disease, the efficacy is generally very poor. Delusions of grandeur and constraints on the development of Chinese medicine in trouble, both conceptual problems, but also systemic problems, as well as the Chinese medicine practitioner's own problems. The fundamental problem is to doubt the scientific nature of Chinese medicine. 1. National nihilism has led to widespread contempt for Chinese medicine. Western medicine with the guns into China, many people with national nihilism attitude towards Chinese culture, disparage, doubt or even deny Chinese medicine. At the end of the Qing Dynasty, during the Restoration Movement, some people began to deny Chinese medicine. The Kuomintang government twice tried to eliminate Chinese medicine. After liberation, Wang Bin of the Central Ministry of Health and others suggested that TCM was feudal medicine and should be eliminated with the elimination of feudal society. Mao Zedong criticized this and dismissed the two vice-ministers, pointing out that "Chinese medicine is a great treasure trove". Although no one in the country dares to openly deny Chinese medicine any more, for more than 50 years, Chinese medicine has always been in a situation of being questioned, verified and transformed. Some skeptics of Chinese medicine authority, always use the "combination of Chinese and Western medicine", "scientific modernization of Chinese medicine" in the name of Chinese medicine, trying to Chinese medicine "up" to the level of Western medicine. Professor Bockert of the Department of East Asian Studies of the University of Munich, Germany, who has done a lot of research on oriental culture, pointed out as early as in the 1980s that: "Chinese medicine has not been treated with cultural piety in China so far, and there has been no epistemological research and reasonable scientific discussion to determine its status as a scientific tradition, and there has not been any humanitarian concern from the point of view of the welfare of mankind, and it has been subjected to a dogmatic contempt and cultural destruction. and cultural destruction. It is not outsiders who do this, but Chinese medical professionals. They do not recognize the treasures on Chinese soil, and in the pursuit of fashion, they use Western terminology to indiscriminately eliminate and obscure the message of Chinese medicine". 2. Two laws and one regulation hinder the development of Chinese medicine. Although the "development of traditional medicine" is enshrined in the Constitution, some specific laws and regulations and medical management system have been discriminating, distorting and restricting Chinese medicine. 3. Problems of the Chinese medicine profession itself. Prominent is the Chinese medicine in many aspects of the loss of tradition, self-depreciation, yielding to Western medicine. First, the inheritance of traditional Chinese medicine culture is seriously inadequate. The theory of Chinese medicine is profound, the development of Chinese medicine is the first to learn and inheritance, otherwise it will become a source of water. However, over the past few decades, not only do laymen despise the culture of Chinese medicine, the Chinese medicine profession itself does not pay attention to the study and mastery of the basic theories of Chinese medicine. Except for a very few well-known TCM practitioners who have a solid foundation in TCM culture, most TCM practitioners have a serious lack of TCM culture. Secondly, Chinese medicine research passively imitates the Western medicine model. In the Chinese medicine sector, many people use Western medical theories to amend Chinese medical theories, thinking that this is innovation; using phytochemical methods to study traditional Chinese medicine, thinking that it is the modernization of traditional Chinese medicine; using Western physical and chemical statistical indicators to measure the clinical effects of traditional Chinese medicine, thinking that it is standardization. Because of this, China's major theories of Chinese medicine and prescription research has not made much progress. Third, Chinese medicine hospitals are seriously westernized. Chinese medicine hospitals in China are basically all Chinese and Western medicine "combined" hospitals. From diagnosis, prescription, hospitalization to efficacy testing, all of them are dominated by Western medicine. Finally, although the personalized treatment of Chinese medicine represents the future direction of medicine, it is not in line with the market economy requirements of occupying market share and pursuing profit maximization. Driven by the reality of interests, people tend to value Western medicine and belittle Chinese medicine.
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