In the 1980s, there were more than 5,000 famous and old Chinese medicine practitioners in the country, and now there are less than 500 people. The schools of Chinese medicine were also once rich in diversity, such as the Danxi School, the Attack on Evil School, the Wen Disease School, the Yishui School, the Wen Supplement School, the Typhoid Fever School, the Hejian School, etc., and now it is also a lack of inheritance and innovation. Wang Qi, a master of traditional Chinese medicine and an academician of the Chinese Academy of Engineering, said bluntly at the 2021 Shanghai University of Traditional Chinese Medicine Academician Forum on the 18th that due to the emphasis on academic commonality and the lack of academic personality, "At present, there seems to be only one school, and each school is a 'dialectical theory' school." What worries him the most is how chinese medicine can maintain the subjectivity of inheritance under the "Westernization" and not be "genetically modified" in the transformation and development.
At present, it is a good time to build a "long board advantage" of traditional Chinese medicine, but from insufficient inheritance, insufficient innovation, to insufficient role, and uneven quality of traditional Chinese medicine, the high-quality development of traditional Chinese medicine still faces some serious problems. Taking the question of whether the "surname" or "surname Xi" of Chinese medicine hospitals is concerned, before the outbreak of the new crown pneumonia epidemic, the national TCM service volume accounted for 16.4%, and Western medicine accounted for 83.6%. In terms of the number of medical and health institutions, Chinese medicine accounts for only 6.53%; in terms of the number of health personnel, Chinese medicine is only 5.93%. However, it is particularly noteworthy that in the overall income structure of the national traditional Chinese medicine hospitals, the proportion of charges for Western medicine and Western medicine services is as high as about 70%.
Professor Wang Qi
Chinese medicine hospital is not surnamed "Zhong"? Wang Qi believes that there is no dominant position in traditional Chinese medicine without dominant diseases, so the screening of clinical dominant diseases needs to be strengthened. The "Opinions of the CPC Central Committee and the State Council on Promoting the Inheritance and Innovative Development of Traditional Chinese Medicine" issued in 2019 clearly stated that it is necessary to accelerate the construction of evidence-based medical centers for traditional Chinese medicine, use about 3 years to screen 50 dominant diseases and 100 appropriate technologies and 100 varieties of traditional Chinese medicine with unique efficacy, and form and promote about 50 integrated traditional Chinese and Western medicine diagnosis and treatment programs by 2022. "The dominant disease is that compared with Traditional Chinese medicine and Western medicine, it is not in the number of many, but in the high quality."
In fact, at a press conference of the joint prevention and control mechanism of the State Council last year, Academician Wang Qi said, "The guiding ideology of traditional Chinese medicine in the prevention of the new crown virus can be summarized in two sentences: one is to support healthy qi, and the other is to avoid evil qi." He believes that Fuzheng Qi is to regulate the internal environment of the patient's body and enhance immunity; at the same time, it can reduce the risk of contact with the virus through external drugs acting on the mucous membrane; and it can also change the living environment in which the virus is attached through volatile substances of traditional Chinese medicine, such as aroma avoidance.
"Tell me, please, three times: eliminate adjectives!" In the face of experts and scholars, including Chen Kaixian, Lin Guoqiang, Wu Yiling, Yang Baofeng, Tu Yongqiang, Tan Weihong, Liu Liang, Tong Xiaolin, Fan Chunhai, and about 10 academicians of the two academies, Wang Qi advocated the whole audience to speak out loud at the academician forum. In his eyes, how to strengthen the docking ability of Chinese medicine to "go out", the response method is to "eliminate adjectives", it is urgent to explain the principle of the efficacy of Chinese medicine, clarify the evaluation method of the efficacy of Chinese medicine, and explain the anti-epidemic role of Chinese medicine to the world, including regulating immunity, anti-virus, inhibiting the inflammatory storm, improving pathological damage, etc., and jointly improve the degree of recognition. "In general, two reliances, three changes, and four letters—" he explained, it depends on data and evidence; it depends on changes in functional status, abnormal indicators, and changes in organ tissue repair; and chinese medicine letters, Western medicine letters, Chinese letters, and foreigners' letters.
Professor Yan Shiyun
The Jiefang Daily Shangguan News reporter learned that Professor Yan Shiyun, who explained the theory of "harmony" in traditional Chinese medicine at the forum, as the son of Yan Cangshan, a famous traditional Chinese medicine teacher in the country, and the former president of Shanghai University of Traditional Chinese Medicine, also criticized the phenomenon that the mode of running medicine in traditional Chinese medicine hospitals and the dialectical classification were copied from Western medicine a few years ago. Yan Shiyun, who is now over eighty years old and has been practicing medicine and teaching for more than half a century, admits that in clinical practice, the way of thinking of some Chinese medicine doctors is often based on this logic: first think about what diseases are in Western medicine, and then find out what symptomatic medicines are from Chinese medicine. "Although the prescription is Chinese medicine, the soul used is Western medicine."
Professor Chen Kaixian
Academicians and experts in the field of traditional Chinese medicine said that stacking the same formula seems to taste Chinese medicine, which is not necessarily a good Chinese medicine; conversely, if you do not prescribe Western medicine and do not use modern instruments, it may not be a good Chinese medicine. Even if the famous doctors also refer to biochemical indicators and use modern medical methods to test the efficacy, but the thinking of Chinese medicine cannot be discarded or weakened, and an endogenous consciousness should be formed, returning to the basic position of Chinese medicine, keeping the innovation and inheriting development.
Professor Xu Jianguang
Column Editor-in-Chief: Xu Ruizhe Text Editor: Xu Ruizhe Photo Editor: Xiang Jianying
Source: Author: Xu Ruizhe