People's Daily health client Lin Jing Wang Zhenya
General Secretary Xi Jinping stressed that "not only make good use of modern evaluation methods, but also fully respect the experience of thousands of years, and explain and explain the efficacy of traditional Chinese medicine." At the beginning of the new year, the People's Daily health client visited academicians, asked scholars, ran clinics, gathered the views of all parties, and launched a New Year special article in order to explore a new way for the dilemma of the spread of TCM efficacy.
Point 1: If you pass on the culture of Chinese medicine well, it will be easy to understand the efficacy of Chinese medicine
"Chinese medicine and Traditional Chinese culture are inseparable, if the traditional culture is passed on well, it will be easy to understand the efficacy of Traditional Chinese Medicine," Chen Yanqing, director of the Center for The Treatment of Diseases at the Affiliated Hospital of Shanxi University of Traditional Chinese Medicine, told the People's Daily Health Client, "For example, we ordinary people all know that ginger is hot, if we are cold, sneezing or stomach cold, drink a bowl of ginger water, but it is difficult to use modern science to explain, which substance in the ginger makes us not sneeze, the stomach is not cold."
"Modern science, always with an objective attitude, everything must pay attention to the relationship between molecules, atoms, protons and other mechanisms of action, but many of our Chinese medicine is some conceptual things, such as yin and yang in Chinese medicine, virtual reality and other issues, it is difficult to use scientific methods to explain clearly, or that modern science can not explain yin and yang, virtual reality", Chen Yanqing said, "The general secretary instructed: the development of Chinese medicine should inherit the essence, keep the integrity and innovation." What is the essence, I think the essence also includes traditional culture, and if you understand the traditional Chinese culture, the logic of Chinese medicine can be understood."
"Another example, such as dry eyes, Western medicine may do some symptomatic treatment for the eyes, and in the view of Chinese medicine, dry eyes are not only eye problems, it may be because of excessive use of the eyes, the consumption of liver blood, liver blood can be clear", Chen Yanqing said, "I often make analogies with students, Chinese medicine is a monk, Western medicine is a priest, the purpose is the same, are for human health services, but the ideas and methods are completely different, it is completely different sets of theoretical systems, it is difficult to communicate, can only be comrades who fight side by side."
"To improve the credibility and scientificity of the transmission of the efficacy of Chinese medicine, cultural dissemination is indeed very important," said Zhang Qicheng, a professor at Beijing University of Traditional Chinese Medicine, "Our culture is not the philosophical thinking of the dualistic world, we are the thinking of the cultural philosophy of yin and yang, to let Westerners gradually understand our Chinese medicine culture, to tell them that there are different discourse systems in China and the West." At the same time, we must adhere to our own discourse system and have cultural self-confidence in order to make them slowly accept."
Of course, modern science, including the method of evidence-based medicine, cannot be completely rejected, and Chinese medicine should also be good at using the scientific discourse system, and the discourse system that is now recognized by medicine to explain the problem. Like acupuncture research, there have been papers published in authoritative foreign journals recently. In summary, to explain the efficacy of traditional Chinese medicine, it needs to be from two aspects, one is culture, and the other is science," Zhang Qicheng said.
Point two: the efficacy is personally verified by people, and patient feedback is the best proof
"In the diagnosis and treatment of the new crown epidemic, Chinese medicine has an efficiency of more than 90%, which is very convincing," Zhang Qicheng said, "The efficacy of Chinese medicine is not clear in theory, it does not matter, it can really be curative." So the first thing is to use scientific methods, such as big data methods, to calculate the efficacy, so that it is convincing."
"Clinical efficiency statistics are easier to carry out than evidence-based medicine", Zhu Qingjun, director of the Traditional Therapy Center of the First Affiliated Hospital of Anhui University of Traditional Chinese Medicine, for example, "for example, a group of patients are treated with acupuncture or traditional Chinese medicine, another group of patients are treated with conventional or recognized Western medicine, the two methods are treated in the same condition and under the same circumstances for one cycle or two cycles, and then the data on efficiency, inefficiency and cure rate can be compared to draw conclusions, and this conclusion can explain the efficacy of traditional Chinese medicine." That's clinically efficient."
"In fact, the treatment is effective, and it can already prove the clinical efficacy of traditional Chinese medicine." It is difficult to study Chinese medicine in the way of Western medicine, at least in a short period of time or even decades, there is no hope, because its research entry point is to rely on various molecular structures to study. And Chinese medicine is not to use molecular components to exert the effect, it is under the guidance of a very meticulous and perfect theory, the use of natural substances to treat diseases in the human body, its mechanism and Western medical mechanism, fundamentally different. If you want to take Chinese medicine hard for analysis and research, then Chinese medicine may eventually become unclassified, or even perish."
"In fact, when foreign countries look for TCM treatment, they also look at the efficacy, not data analysis", Zhu Qingjun said, "when we went to Germany and Switzerland to lecture, they did not just want to listen to the explanation of the TCM mechanism, after making a simple opening statement, they will immediately find the patient to let you do treatment, and the curative effect will be recognized by people." The domestic emphasis on clarifying the situation of the TCM mechanism only shows that we have no confidence in ourselves to a certain extent."
Point 3: Publicize the advantages of TCM and let pure TCM be implemented in the emergency department
"At this stage, in terms of the publicity content of Chinese medicine, we should focus on the important role played by Chinese medicine in the new crown pneumonia epidemic. The combination of traditional Chinese medicine and Western medicine and the combination of Traditional Chinese medicine and Western medicine are a major feature and highlight of China's fight against the new crown pneumonia epidemic. In the face of the epidemic, Chinese medicine intervened early and participated in the whole process, and played an important role at all stages. In particular, the accessibility of traditional Chinese medicine, the early hand, the opportunity to win treatment, dialectical treatment, multi-target intervention of the unique advantages, has important strategic significance and great clinical significance," said Zhang Boli, winner of the national honorary title of "People's Hero", a national famous Chinese medicine doctor, and an academician of the Chinese Academy of Engineering, "In addition, we should also focus on publicizing the advantages of Traditional Chinese medicine in the treatment of diseases, such as major diseases, degenerative diseases, functional diseases, and chronic diseases, so that the public can understand the specialties of Traditional Chinese medicine in the treatment of these diseases." Use the exact curative effect to let the people understand the role of traditional Chinese medicine and guide them to seek medical treatment reasonably."
"Indeed, for ordinary people, the mechanism of TCM efficacy is too profound, or too complicated, they can't understand it or are not necessarily interested, so I think for the people, it is possible to speak with curative effect", Zhu Qingjun said, "like peripheral facial paralysis, shingles, etc. are diseases caused by viruses, for the treatment of such diseases, Western medicine currently has no specific drugs, and Chinese medicine acupuncture can play a better curative effect."
"In the emergency treatment of various soft tissue injuries, acute pain, acute appendicitis, etc., Chinese medicine also has a strong advantage," Zhu Qingjun said, "Taking vertigo as an example, after going to the emergency department, the patient will generally take a picture first, if there is no big problem, the hanging water will not care about you anymore, because there is no organic lesion, and Western medicine does not have a high trick." But in fact, experienced Chinese medicine doctors may be fine if they prick a needle or prescribe some Chinese medicine to eat within two or three days."
"Unfortunately, doctors in the emergency department are rarely using TCM methods to treat, and there is an important reason that everyone is afraid!" The same patient with Western medicine rescue cure or cure, everyone thinks it should be right, but the use of Chinese medicine methods to rescue, problems, you have to bear responsibility, the reason is that doctors do not follow the internationally recognized clinical guidelines of Western medicine to operate", Zhu Qingjun said, "the state should have a policy tilt in the protection of Chinese medicine, otherwise the excellent tradition of Chinese medicine will be slowly abandoned."
"Among those who question the efficacy of TCM are also TCM doctors themselves," Zhu Qingjun said, "because they have been out of the TCM clinic for too long and are unfamiliar with TCM diagnosis and treatment methods, so that he himself has no confidence in TCM."
"The advantages of Chinese medicine are simplicity, convenience, testing, and incorruptibility, that is, using the least amount of money to solve more problems, but now the problem is that hospitals are self-financing, investing Chinese medicine in the market economy, if they all prescribe cheap drugs, the hospital has no income, and doctors do not have corresponding salaries, so there is no enthusiasm for the use of Chinese medicine diagnosis and treatment methods," Zhu Qingjun said, "Now, it is difficult to say which Chinese medicine hospital is treated with pure Chinese medicine, so where does the efficacy of Chinese medicine start?" ”
Viewpoint 4: Eliminate false TCM science popularization from the source and severely punish TCM "black"
"At present, many businesses and individuals, using television, WeChat, Douyin and other media, under the banner of traditional Chinese medicine science popularization, falsely exaggerate publicity products to varying degrees, or take chinese medicine out of context, misinterpret traditional Chinese medicine, mislead the public's cognition, and cause adverse social impacts, such as the end of some popular science lectures, public account articles, and short videos are often linked to the promotion of health care products, which not only has a negative impact on media reports, but also damages the reputation and image of traditional Chinese medicine," Zhang Boli said. The reason for this is, in the final analysis, the lack of profit-seeking and supervision, so that the fake science of traditional Chinese medicine has an opportunity. Relevant laws and regulations should be established and improved to eliminate false TCM science popularization from the source. For example, in all aspects of the "production-review-release" of TCM science popularization, clear responsibilities and rights should be made clear, and a reverse investigation mechanism should be established to increase the punishment. At the same time, a 'government-masses' interactive network monitoring and reporting website will be established, and the information on the popularization of traditional Chinese medicine culture and science found to be unreasonable and counterfeit should be released to the public in a timely manner, and a platform for cracking down on counterfeiting should be jointly built."
"You can choose some observers, recruit part-time or full-time responsible from the society, as long as you pay attention to the above information, you can immediately feedback and impose heavy penalties, so as not to give false advertising an opportunity," Zhu Qingjun said.
"Chinese medicine professionals should also be obliged to join in the promotion of Chinese medicine culture, rather than by pharmaceutical companies or some amateur Chinese medicine enthusiasts occupy the forefront of Chinese medicine culture propaganda, to let the people understand, understand and master the real and correct knowledge of Chinese medicine, so that more people understand Chinese medicine, believe in Chinese medicine, and reasonably apply Chinese medicine to serve their health", Chen Yanqing said, "In the era of self-media, professionals should also pay attention to some methods and skills when talking about chinese medicine science popularization, and be interesting." , in a more understandable way".
"In addition to the innovation in the form of communication, the content of communication should also be rich, if you mention Chinese medicine will only think of bitter medicine soup, it is a one-sided understanding of chinese medicine, and now there are many new preparations of Chinese medicine, which are easy to take." And the treatment of traditional Chinese medicine is also many, in the Wuhan cabin hospital, the use of traditional Chinese medicine, acupuncture, acupuncture point compression and other methods, medical staff also led patients to practice tai chi, baduanjin and other traditional Chinese medicine health care methods, comprehensive treatment has achieved good results, to achieve zero weight, zero yang. Compared with foreign sequelae, the occurrence is also smaller and lighter," Zhang Boli said.
"'Inheriting the essence, keeping the integrity and innovating', this is an important instruction made by General Secretary Xi Jinping on the work of traditional Chinese medicine." Shouzheng is to inherit the essence, innovation is to serve modern advanced technology and methods for traditional Chinese medicine, so that ancient Chinese medicine shines with new brilliance, better serve the people of Chinese and even the world, this is the purpose of the modernization of chinese medicine", Zhang Boli said, "Although Chinese medicine has a history of thousands of years, but its concept is not backward." While disseminating culture and ideological theories, we must also reflect the technology of traditional Chinese medicine. It is necessary to make efforts in innovation, so that the technology is new, the prescription medicine is new, the evaluation is new, and the theory and characteristics of traditional Chinese medicine are maintained, and the means are more scientific, the methods are more advanced, and the effect is better, so that it will be more popular with the masses."