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I guide? Is there a future in learning Chinese medicine? I think there are a lot of people who ask this question. Chinese medicine is actually the most humanized medicine, bar none. But the inheritance of Chinese medicine has been our headache topic.
When I was lecturing in Guilin in late November last year, I received two consecutive phone calls, both of which told me that Mr. Yang Deming had lung cancer and it was in an advanced stage, so could you think of a way. My first thought was to find a good Chinese doctor. After returning to Beijing, Mr. Yang was still undergoing chemotherapy at Peking University Hospital. More than a month of chemotherapy down, the money spent more than 60,000, people thin skin and bones. According to the doctor, the chemotherapy has slowed down the development of the disease, but there are still three to five months left at most. Luckily, Mr. Yang was still very lucid, and I strongly suggested that Mr. Yang receive Chinese medicine treatment, to which he readily agreed. However, the North University Hospital refused to accept Chinese medicine into the treatment, Mr. Yang a moment some hesitation.
Later, a friend from the Ministry of Science and Technology's Chinese Medicine Strategy Group recommended Dr. Wang Wenkui, who finally decided to transfer out of Peking University Hospital to receive Chinese medicine treatment alone. A month or so later, I received a phone call at home from Mr. Yang, who excitedly told me that the latest test result of pleural fluid found that the cancer cells in the fluid had disappeared, while the original test at Beihang University Hospital showed that the density of cancer cells in the fluid was very high. Now, I can eat better, sleep better, and my mental state is much better. The good news spread among friends immediately, and one friend said that it seems that receiving Chinese medicine treatment is a strategic turning point.
Why am I attracted to TCM? It started when my mother died of stomach cancer 5 years ago. Her stomach cancer was discovered very late, and she had many gastroscopies thinking it was just a general gastritis, and the last time she traveled from Shaoxing to Beijing to have a gastroscopy, the cancer was discovered. A doctor at the Beijing Cancer Hospital thought that the cancer could be removed surgically, but once opened, it was found to have spread widely, so it had to be closed up and waited for death. During this period, I witnessed my mother's agony, and I was deep in thought. Why do western doctors have to find the cancer cells in order to diagnose the disease? In the era of no gastroscope, how could Western medicine diagnose cancer? If they could not diagnose it, how could they treat it? What about people in the West in ancient and recent times who had the disease?
In this way, I came to realize that the advances in Western medicine in the 20th century were first and foremost in the means of diagnosis. Strictly speaking, however, this advance in diagnostic means was an advance in optical, mechanical, and electrical technology, not in medicine. For example, a small colonoscopy is something like a cold capsule, which is actually a miniature video camera with its own light source, capable of photographing the inside of the small intestine and transmitting it via radio waves to a receiver outside the body, which then feeds the received signal into a computer for processing.
Is this an advance in medicine? Or is it an advance in optical, mechanical and electrical technology? The most advanced diagnostic equipment in large hospitals, such as CT, color B ultrasound, nuclear magnetic **** vibration, etc., all optical, mechanical and electrical technology progress. Of course, optical, mechanical and electrical technology is not only used in diagnosis, but also in treatment.
I have a computer friend, invented a kind of electrochemical cancer treatment instrument. At the time, I was surprised that someone who didn't know anything about medicine at all could invent an instrument for treating cancer. Now I realize that the person who treats cancer does not need to know the cause of cancer, i.e., he does not need to know medicine, as long as he can find some kind of technical means to kill cancer cells. I believe those who invented X-ray, CT, colonoscopy and gastroscopy did not understand the complexity of the human body, and they only regarded the human body as a machine made up of countless parts. Using X-rays to irradiate the human body is like customs using ultrasound to detect smuggled goods in a container.
The second most impressive achievement of Western medicine is surgery, which in the 20th century has become much clearer in its study of the subtle structures of bones, muscles, nerves, blood vessels, and organs of the human body, but the conception of the human body is still that of 19th-century cadaveric anatomy, which sees the human body as a static, complex machine, and lacks a complete understanding of the complex interrelationships between various parts of the human body. However, the concept of the human body is still that of 19th century cadaveric anatomy, which sees the human body as a static, structurally complex machine, and lacks any understanding of the complex interrelationships within the body.
For example, some people have stomach ulcers or even stomach cancer due to chronic depression, but can surgical techniques detect this connection no matter what moment the body is opened? Surgeons can only see the state of the human body at a certain moment in time, and strictly speaking, not even at a certain moment. As the body is opened, various states within the body undergo important changes.
The human body, for example, is a marvelous river in constant motion, and the surgeon can't step into it even once. If he does, the river will change. So advances in surgical technology can really only address instantaneous, localized conditions such as fractures. Some people may think that surgery is also quite effective for those organic lesions that have accumulated over time, such as heart bypass, such as kidney transplantation.
But if one can understand the mechanism of the onset and development of organic lesions, and interrupt or even reverse the process, why operate? It is important to realize that an operation does not eliminate the cause of the organic lesion. This part of the stomach is removed, maybe the next part of the stomach has another problem. This kidney is replaced, another kidney goes bad again. Surgical techniques are so abused. Is this a boon to patients or a bane to them? As in the case of Mr. YANG's lung cancer, if there are medicines that can convert cancer cells into normal cells, why is it necessary to operate, why is it necessary to have chemotherapy and radiotherapy? Is it medicine that can only rely on surgery, or is it medicine that can diagnose the cause and mechanism of disease and mobilize the body's autoimmune function of Chinese medicine?
The third most impressive achievement of Western medicine is antibiotics. Now through colonoscopy, gastroscopy, CT, nuclear magnetic **** vibration, the diagnosis is made, and an inflammation is found in one part of the body, for example, in the colon part. Why is it inflamed? According to the theory of Chinese medicine, inflammation is just a result, a result of some kind of imbalance in the external environment inside the body. As long as the balance is regulated, i.e. the balance of yin and yang, cold and heat, emptiness and solidity, the inflammation will naturally disappear.
The problem is localized, but the cause may be in the whole. The problem manifests in the colon, but the cause may be in the spleen and stomach. This is a holistic view of the causality of the condition. But according to the atomistic view of Western medicine, the inflammation of the colon must be due to some kind of bacteria, and as long as we find some kind of antibiotic that can specifically kill this kind of bacteria, the inflammation will go away. It is according to this theory that Western medicine invented countless kinds of antibiotics and anti-inflammatory drugs in the 20th century. Nowadays, sales of all types of antibiotics account for about 40% - 50% of hospital drug revenues.
How do you know that a drug kills a certain bacteria? Chemically synthesize the drug and do animal experiments on mice. Because both humans and mice are made of cells, being able to kill bacteria in mice will kill bacteria in humans. What if a specific chemical cannot be found? The patient would have to wait for the results of the latest experiments.
In fact, as far as I know, Western medicine has so far failed to find a specific antibiotic for colitis. The broad-spectrum antibiotics that are used to treat colitis can make it easier to stop taking the medication, and then make it worse again. Further, even if a specific antibiotic is found, there will be side effects. The human body is an ecological club of millions of bacteria, antibiotics kill a certain disease-causing bacteria at the same time, but also kill the normal role of other bacteria, disrupt the body's internal conversion and synthesis of a variety of subtle mechanisms, resulting in a wide range of side effects.
An even more troubling issue is that there is a "game" going on between bacteria and antibiotics. Many people know the story of the bollworm and the insecticide. Some of the bollworms were killed, and some other bollworms with resistance to insecticides survived and continued to reproduce, requiring the development of new insecticides. It is this mechanism that forced China's cotton-producing areas to migrate from the North China Plain to the Xinjiang region, where bollworms in the Shandong area are resistant to insecticides while those in the Xinjiang region are not yet resistant to insecticides. Similarly, as some disease-causing bacteria are killed by antibiotics, others with resistance arise, requiring the development of new antibiotics.
Thus, I think this third major achievement, the development of a huge variety of antibiotics, is actually an advance in chemistry, not medicine. The advancement of chemistry is also manifested in the technology of assaying, whereby the normal and abnormal values of the human body are counted through the assaying and analysis of various human bodily fluids such as urine, blood, saliva, and so on.
In summary, the achievements of Western medicine in the 20th century are mainly achieved by light, machine, electricity, chemistry, biology and other technical means, in the concept of medicine, is still stuck in the 19th century on the atomistic and mechanistic, and thus the human body in the wholeness of the body, the changing nature of the body is still ignorant, for the solution of complex diseases can not help.
On the contrary, in the ancient times, when there was a lack of technical means such as light, machine, electricity, chemistry, biology, etc., due to the holistic and changing concepts in the philosophy of the human body, the Chinese medicine was able to explain the causes of diseases and their mechanisms, and to develop corresponding therapeutic means and medicines, which were able to treat complex diseases. In fact, my own colitis was cured by Chinese medicine. When exactly will I be cured? What kind of medicine was used to cure it? I do not know. All I know is that after taking Chinese medicine for a period of time, and then doing a colonoscopy, I could not find the inflammation.
A friend, after listening to my views on Chinese and Western medicine, told me a story about his wife, who had cancer 10 years ago and was told by a Western doctor to take whatever she wanted. This friend was so desperate that he found Dr. Shi Hanzhang of Dongzhimen Hospital of Traditional Chinese Medicine. The patient had lost confidence and did not dare to go to the hospital. On the basis of oral disease, Dr. Shi wrote a prescription. More than a month later, the condition improved significantly. Now, his wife is still alive and well. Last Spring Festival, our two families even had dinner together. Once I realized the difference between Chinese and Western medicine in the philosophy of the human body, I became very interested in Chinese medicine.
I have lifelong regrets! When my mother was sick, I did not know how to compare the advantages and disadvantages of Chinese and Western medicine, and I was still superstitious about Western medicine like ordinary people. If Western medicine declares a person's death sentence, it is science declaring a person's death sentence. Now I know that when Western medicine announces the death penalty, it is often Western medicine announcing its own incompetence, and it is Western medicine announcing the error of its own philosophy of the human body.
I even think that the Western medical system, governed by a wrong philosophy of the human body, is moving from error to deeper error, as evidenced by the move from cell biology (which produces the antibiotic idea) to gene biology (which looks for crime genes, disease genes), and from gene biology to molecular biology. This is a continuation of the atomistic thinking of Western medicine. If the cause of a disease cannot be found at the cellular level, it goes to the genetic level; if it cannot be found at the genetic level, it goes to the protein level. In this way, it is likely to fundamentally reverse the cause and effect of disease.
Nowadays, students in medical schools regard molecular biology as the highest point of future medicine, and even some students in Chinese medical schools do the same, which is very worrying. Students trained in this way are likely to get closer to single-cell life and farther away from the human body. To a certain extent, I think Marx's theory also has a strong atomistic tendency. The so-called economic base determines the superstructure, and in the human body it is the cell that determines the whole, the gene that determines the whole, until the molecule determines the whole, and the atom that determines the whole. In my opinion, his theory does not explain social movements well. In the new China, the atomistic way of thinking was spread to a considerable extent through Marxism.
What worries me even more is that such a naive atomistic, mechanistic philosophy of the human body has come to rule the world of medicine. Western medicine has declared itself as the only science, stifling all other kinds of traditional medicine guided by the holistic, kinematic philosophy of the human body, especially Chinese medicine. If a patient dies under Western medical treatment, it is the patient's fault; if a patient dies under Chinese medical treatment, it is medical malpractice. If the patient gets well under the treatment of Western medicine, this is the result of the scientific and inevitable nature of Western medicine; if the patient gets well under the treatment of Chinese medicine, this is an accidental, scientifically unfounded and unrepeatable miracle.
What is even more serious is that even if Chinese medicine is able to treat diseases reproducibly according to the statistical standards of Western medicine, Western medicine arrogantly refuses to recognize it. when the SARS epidemic broke out in Guangzhou in 2003, the combination of Chinese and Western medicines was commonly used in the city, and the effect of the treatment was very obvious. By mid-May 2003, the First Hospital attached to the Guangzhou University of Traditional Chinese Medicine treated more than 50 patients without a single death, with an average fever reduction time of three days, and none of the health care workers were infected. And academician Zhong Nanshan in the Western medicine hospital treatment of 117 patients, there are 10 deaths; 71 patients received Chinese medicine intervention, only one death. That is to say, in the people called "the fight against SARS, the first minister" under the leadership of Zhong Nanshan hospitals, to accept pure Western medical treatment of 46 patients, there are 9 people died. [1]
It is also worth mentioning that patients treated with Chinese medicine had no after-effects, while patients treated with Western medicine suffered from massive pulmonary fibrosis and necrosis of the femoral head. The comparison of treatment costs is also extremely obvious. The western medical treatment in Beijing Xiaotangshan Hospital mobilized respirators from countries in the Asian region, and each respirator was incinerated and destroyed when it was used up, and this alone cost tens of thousands of dollars per person. Originally, the effectiveness of Chinese medicine in treating SARS in Guangzhou was obvious and should have been promoted in Beijing. However, because SARS was later designated as an infectious disease, according to regulations, patients can only be admitted by infectious disease hospitals, Beijing Chinese medicine hospitals will not dare to admit patients. Because no Chinese hospital leaders dare to guarantee that Chinese medicine treatment does not kill. How many deaths are allowed in Western medicine, but one death in Chinese medicine is a medical incident. According to the theory of Western medicine, the treatment of SARS requires the development of effective antibiotics. However, in the absence of effective antibiotics, some leading authorities still only allow Western medicine to treat SARS, which is very strange.
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Yesterday, I recommended Dr. Wang Wenkui to a friend on the phone. This friend's father had pneumonia and was also being treated at Peking University Hospital. The pneumonia has certainly improved, but other organs are in trouble. Towards the end of the call, I suddenly realized that the superstition of Western medicine is indeed prevalent in society. If as a son or daughter, you let your parents receive Chinese medical treatment, they and their friends and relatives will privately think that it is the child who is unfilial. Sad! Pity ah!
What is the reason that Chinese medicine has fallen to this state? From the direct cause, because there are fewer good doctors in Chinese medicine, more quacks. A dose of Chinese medicine dozens of flavors, like a shotgun shot sparrow, aiming is not allowed, there is always a flavor of the symptom. Some patients also believe in Chinese medicine, especially in small and medium-sized cities and towns and villages, due to the low cost of Chinese medicine, by the big city of western medicine supremacy of less pollution, looking for Chinese medicine, but often looking for quacks. Though they can't cure the disease for a while, they can't cure the disease either. Over and over again, the patient lost confidence in Chinese medicine, or to find a Western doctor to open the knife surgery, to engage in "violent revolution".
However, why are there so many quacks? This has to do with the Westernization of Chinese medicine training. Chinese medicine needs to rely on the transmission of teachers. Because Chinese medicine is facing a complex complex of contradictions, in which there are countless layers of contradictions in action, there is the primary (system level), there is the secondary (organ level), there is the secondary (organization level), and there is the tertiary (cell level). Within each level of conflict, there are multiple levels from primary to secondary. Each of these conflicts is easier to solve individually, and there are certain rules to follow.
But how can we recognize and treat the interactions of different conflicts at different levels? A single principle does not work, multiple principles together fighting each other still have principles? Therefore, there is a need for balance and coordination between the principles, a need to find the main principle and secondary principles, and to clarify the relationship between Yang and Yin. Each patient's condition is different, i.e., the organization of contradictory relationships is different. The cause of the same condition may be completely different; the cause of the same condition may be manifested in completely different places and ways.
Therefore, the training of Chinese medicine is like the training of the Prime Minister of the country, which depends on clinical practice as well as on the teacher's transmission. This is why there is the saying, "If you are not a good prime minister, you are a good doctor". Chinese medicine emphasizes the combination of the ruler, the minister and the enabler, the ruler attacks the main contradiction, the minister strengthens the strength of the ruler, the enabler attacks the secondary contradiction and restrains the poisonous side effects of the ruler, so that the medicine harmonizes the medicinal properties. This is like the rectification of a chaotic management of the enterprise, not only to remove the main leaders, rectify the morale, adjust the market strategy, the development of new products, strengthen the quality control, but also step by step, to prevent disorder during the rectification, resulting in the loss of funds, the loss of customers, the loss of technology, that is, we must know how to appease the people, pay attention to the fight against the small handful of people, to protect most of the people.
So, the purely collegiate Chinese medicine training can only cultivate a single type of problem solving cadres, not to cultivate the Prime Minister. This kind of section-level cadres are those Chinese medicine practitioners who keep one or two prescriptions to eat for a lifetime. This kind of Chinese medicine practitioners are waiting for a rabbit, and when they come across a condition that is right for his prescription, he will become a "miracle doctor", and when it is not right, he will become a quack. From an external statistical point of view, the patient concludes that this is a quack.
The real good doctors use medicine to change, out of the ordinary. For example, in 1957, when encephalitis B was prevalent in Beijing, Mr. Pu Fu Zhou, a famous doctor, cured 167 cases of encephalitis, using 98 different prescriptions. However, the Ministry of Health, which was led by Western medicine, actually believed that Mr. Pu's medical skills were not statistically significant precisely because each prescription solved the problems of less than two people! To use this mechanistic approach of Western medicine to lead and evaluate the holistic theory of Chinese medicine is like asking a toddler to evaluate the behavior of an adult, which is laughable and deplorable.
The result of transforming Chinese medicine with the Western model is that it is estimated that there were about 5,000 good doctors in the country at the beginning of the liberation, and now there are only about 500 left. What is even more puzzling is that, according to the Practicing Physicians Law promulgated by the Ministry of Health, those TCM practitioners who do not have academic qualifications and do not know any foreign languages, but have practiced medicine for a long time and have an outstanding reputation, will not be qualified to operate. Dr. WANG Wenkui, who has been mentioned several times in this article, strictly speaking, does not have the qualification to practice medicine recognized by the Ministry of Health. Isn't it said that practice is the only criterion for testing truth? How come when it comes to medical issues, it has become Western medicine is the embodiment of science and truth, and is qualified to negate other medicine?
In fact, Western medicine recognizes only the science of atomism and mechanism, the science of the era of Newtonian mechanics. Unfortunately, although Newtonian mechanics ushered in a new era of mechanics, its influence has been overextended. One step forward in truth is a fallacy. Since the birth of Newtonian mechanics, the Western world of thought and medicine has been obsessed with Newtonian mechanics. The intellectuals Locke and Smith, which to some extent included Hegel and Marx, were heavily influenced by Newtonian mechanics.
However, Newtonian mechanics was only suited to a deterministic, reversible, mechanical, divisible and isolated (atomistic) macroscopic physical world. The development of Western natural science in fact quickly transcended the world of Newtonian mechanics. The discoveries of thermodynamics, chemistry, biological evolution, quantum mechanics and relativity broke this deterministic, reversible world and brought us a highly complex, irreversible, contingent world. But the Western medical world was completely isolated from the changes in the natural sciences and stuck in the era of Newtonian mechanics.
So Qian Xuesen, a great scientist working in systematics and cybernetics, once said (to wit): Western medicine is in its infancy, and it will take another four or five hundred years before it can enter into systematics, and another four or five hundred years of development before it can get to the holism of Chinese medicine. [2]
However, although Chinese medicine and traditional Chinese culture may have been far ahead of the West in their understanding of both the human body and society, modern China was defeated by ships armed with the ideas of Newtonian mechanics. Originally, it was entirely possible to solve China's problems in science and technology by learning from the masters of the barbarians to control the barbarians, and by taking "middle school as the body and western learning as the use", however, because Chinese society was ruled by "quacks" such as Cixi at that time, and lacked the "body of middle school", there was no "body of middle school" in China. However, because the Chinese society was ruled by "quacks" like Cixi at that time and lacked "the body of secondary school", it failed again in the Sino-Japanese naval battle. National public opinion does not distinguish between "quack" and "good doctor", abandoned the "middle school", set off a wave of total westernization. [3]
After the Xinhai Revolution, the Beiyang *** "decided to abandon Chinese medicine and not use traditional Chinese medicine" on the grounds that "it is difficult to adopt both Chinese and Western medicine". 1929, Nanjing *** "the old medicine is not eliminated, the people's thinking is unchanged. In 1929, Nanjing *** to "the old medical one day, the people's thinking one day unchanged, the new medical career one day can not be up, health administration one day can not be carried out" as the reason, through the "abolition of the old medical case". Although these initiatives were strongly opposed by the public, had to be laid to rest, but, still to the Chinese medicine to a huge blow. After the liberation, although *** advocate the combination of Chinese and Western medicine, but because the Ministry of Health is basically the domination of Western medicine, the result of the combination of Chinese and Western medicine is that Western medicine is the main combination of Chinese medicine, so that the Chinese medicine has been reduced to a second-class citizen. 80's, the theory of the total westernization of the world once again clamor, the Chinese medicine from the second-class citizen and then back to become a third-class citizen, and even face the danger of being extinct.
In fact, the real combination of Chinese and Western medicine can only be "Chinese medicine as the mainstay, Western medicine as a supplement". Chinese medicine can prevent and eliminate most of the disease in the bud or growth state, to the development of the disease to the stage of completely irreversible, and then use the Western medicine "violent revolution". As to what kind of disease is completely irreversible, it depends on the level of treatment by TCM practitioners. For physicians like Wang Wenkui, advanced lung cancer can still be reversed. For less skilled TCM practitioners (who are also good doctors, but at a slightly lower level), early and mid-stage lung cancer can be reversed. In this way, it is possible to form a network of Chinese medicine practitioners with a few outstanding practitioners and many ordinary practitioners, covering both urban and rural areas of the country at a much lower cost than Western medicine.
Sympathetic to the same disease, orangutan. In the medical world, Chinese medicine is non-mainstream. In economics, I am also non-mainstream. The non-mainstream experience is similar. In economics, a doctor of economics with a mathematical background, although he knows nothing about economic history, although he has no understanding of the complexity of the economy and society, he can play with statistical data to make models, he can write articles published in international academic journals, and he can dictate economic policy by virtue of the fame of his papers published in international journals, just as a doctor of medicine studying molecular biology can do whatever he wants with a patient, just as a doctor of medicine studying molecular biology can do whatever he wants with a patient, just as a doctor of medicine studying molecular biology can do whatever he wants with a patient. just as a medical doctor studying molecular biology can do whatever he wants with a patient. When the economy is screwed up and the patient is cured, they are the embodiment of science and can take no responsibility, blaming the patient for not being their typical patient.
Whoops! Might as well return to studying Chinese medicine.
<hr ［1］［2］Excerpted from: China Institute of Scientific and Technological Information, "General Report on the Study of the Strategic Position of Traditional Chinese Medicine"
［3］ For a discussion of this, see my: "Re-conceptualizing China's History," Tianya Magazine, January 2005 issue.
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Poetry Love Story shijingqinghua ? The image is from the internet. This article is from "Jinlan Zhongyi" (micro-signal jinlanzhongyi), which was originally published in the 05th issue of China Society Guide in 2005. It was originally published in the Chinese Social Guide, Issue 05, 2005. It was collected and organized by "Shijingqinghua" (micro-signal shijingqinghua). Respect knowledge and labor, please indicate the source of reproduction. <hr Cooperation ： yiduolian@foxmail ? Discover the beauty of Chinese culture and spread the positive energy of health ?