Economic Information Daily: "Law West of" not a medical innovation

December 5, 2015
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"Law West of" not a medical innovation
- Promotion of Chinese medicine services should be prepared to "four key innovation"

Time: 2015-12-04
Source: Economic Information Daily
Author: Sun Guangrong

Sun Guangrong, the Second National Medical Masters, professor of Beijing University of Chinese Medicine, the cultural construction of the national committee of experts in medicine and science committee, one of the founders of modern distance education in medicine, executive director of the Chinese Medical Association, the World United (Beijing) Remote Chairman of the Education Development Center of Science and Technology, Culture Branch of the Chinese Medical Association, vice chairman, chief expert of the National TCM health guidance, the national science and technology award evaluation experts, the CPPCC Hunan Seventh, Eighth Standing Committee.

With the growing social demand for Chinese medicine services, capacity building for Chinese medicine services to the growing demand. If inheritance is to determine whether there are problems in medicine living space, then innovation is the most important issue in the development of Chinese medicine relations space. How to overcome the "rigid" thinking and innovative theory and practice of traditional Chinese medicine? This problem can not be resolved, space medicine without development.

I believe that innovation with inheritance, is to enhance the ability of medical services in the fundamental strategy.

Innovation is the development, is sublimation. Must not be a mention of the "innovation", is considered to be "sound and light" is "modern technology." In fact, inheritance and innovation of traditional Chinese medicine are inseparable from the classical theory of traditional Chinese medicine guiding principles, are inseparable from the old TCM academic experience inheritance, are inseparable from the application of modern science and technology.

Only based on clinical, adhere to innovation inheritance and succession innovation, inheritance and innovation of traditional Chinese medicine to get out of Sunshine Avenue.

"Innovation" is "change", is the "update" is "creation", it is human-specific cognitive ability and practical ability. On theoretical thinking, the innovation is the establishment of new ideas, new theories, new methods and new expressions; on practice results in terms of innovation is the acquisition of new inventions, new structure, new materials, new products, new results.

TCM's innovation is to maintain and thespians in the characteristics and advantages of the premise of Chinese medicine, create new ideas, new theories, new methods and new expressions of traditional Chinese medicine on the basis of inheritance; is to obtain a new invention in clinical practice, new structure, new materials, new products, new results. Therefore, Chinese medicine innovation is necessary on the basis of inheritance "improvements" rather than unnecessary "abandoned ancient"; it is necessary to "consolidate Innovation", rather than unnecessary "maverick"; it is necessary The "West is using" instead of unnecessary "law in the west." Ultimately, the Chinese medicine innovation, the key is to create new ideas and methods of traditional Chinese medicine.

Chinese medicine innovation, also is a systematic project. Broadly speaking, Chinese medicine innovation also covers the fields of medical, health care, research, education, culture, industry, international exchanges and cooperation in medicine; narrow, includes theoretical system of traditional Chinese medicine, clinical approach, product development and so on. We need to develop and define conditions for innovation, innovative ways, innovative mechanisms, innovative approach, innovation goals. The past 30 years, in order to allow the Chinese out of the innovation, the State Administration of Traditional Chinese medicine has done a lot of innovation in terms of exploratory work and achieved some results.

However, how to more accurately innovative ideas and methods of Chinese medicine, is still a pressing and arduous task.

It recommends that the current and future periods, around TCM "hair cut herbs," the academic system, a clear innovation objectives, improve innovation mechanisms, work together to do "four key innovation" to achieve "four successfully created."

First, focus on innovation, "reason" Chinese health services, create new differentiation system of traditional Chinese medicine.

Innovation is to promote social progress and economic development inexhaustible power. A society, a cause, a discipline in order to walk in the forefront of the times, it is always inseparable from the theoretical thinking, always inseparable from the theoretical innovation. Follows the basic theory of Chinese medicine for thousands of years, clinical practice proved to be correct, instructive, but also proved to some extent, it is extensive, requiring refinement and standardization. In recent decades, scholars of Chinese medicine continue to do the basic theory of traditional Chinese medicine refined, standardization work, the achievements are obvious, but the obstacles are well known. The key is not as refined and sophisticated, standardization and standardization, even "sets in the west", "law in the west", the result behind closed doors is "played down the characteristics and advantages of Chinese medicine, Chinese medicine clinical rigid thinking." We must seize the key issues of innovation theory, after the convention, a mature standard, published a standard, the implementation of a standard.

What is the need for innovative "Key Issues"? It is clinical medicine, Chinese medicine clinical diagnosis, clinical diagnosis of traditional Chinese medicine syndrome differentiation method syndrome criteria. An important point is different from Western medicine Chinese medicine, Chinese medicine treatment mainly for "syndrome", the whole process of TCM clinical behavior, "Treatise on the" Article XVI speaks clearly: "watch his pulse card, knowing how to commit the inverse , with the card rule. " "Watch his pulse card", is arrested four diagnostic parameters learned "master card"; "Knowing guilty Ho inverse", is to grasp the pathogenesis of the "main change"; "with the permit rule", it is for the main card, the main transformer catch "main square." The key and before that eight words: "watch his pulse card" is the dialectical cut, "He made known inverse" is due to speculative demand trial disorder. How to cut? How speculation? By continuing to explore clinical predecessors, summed up a lot of differentiation program, there are "eight principal syndromes," "syndrome differentiation", "meridians", "Wei Qi Ying Xue syndrome", "blood Jin Jing syndrome" and so on. Why is there no unified program of differentiation? Because changing disease spectrum, because clinical cognitive rising, before a program was not enough, can not reasonably explain the new cause, a new pathogenesis, new syndromes, only Forced to generate new dialectical program.

Now, mankind has entered the 21st century, new diseases continue to occur, disease evolved, various diseases morbidity, mortality lift is constantly changing, TCM must advance with the times, all should be cited in academic medicine force, "Li" key innovation of traditional Chinese medicine health services, including etiology, pathogenesis theory, etc., but the focus is to create a new differentiation system of traditional Chinese medicine, can through laboratory research, medical case typically large data analysis, clinical validation of series method, Right pilot extraction dialectical elements, each element is given weight by disease classification innovation, and establish refinement, standardization, new TCM system.

Second, the focus on innovation, "Act" Chinese health services, standardized new therapeutic principle of traditional Chinese medicine.

Throughout ancient Chinese classics, treatment therapies endless. Which can be used in clinical practice is certainly a lot, but in turn, "according to Fang fixed", "according to the given" is also a lot; TCM clinical phenomenon "Western medicine diagnosis, Chinese medicine recipe" is even more common, which is more talk not on the rule of law is the rule. Over time, demand will inevitably lead to Chinese medicine in the trial due to disease, on the basis of diagnosis and treatment, "according to the certificate given, according to the legislation, according to the law prescriptions, according to the Prescription" temporary degradation or loss of license rules.

Therefore, it is necessary to collect big, big order, big foundation analysis, according to the modern disease, medicinal resources, prescription experience, drug habits, etc., using sub disease, small test approach, gradually standardize TCM new rule is Governing Law.

On the other hand, can in Traditional Chinese Medicinal (including acupuncture, massage, applicator, toilet, sausage, bath, fumigation, etc.), the "ism", to absorb, mix of methods and instruments of modern science and technology, innovation in the treatment of law.

Third, focus on innovation of traditional Chinese medicine health services, "party", to build a new Chinese medicine prescription patterns.

As we all know, Chinese medicine treatment of disease using oral law, the final analysis, by "party" treatment. Due to the evolving spectrum of disease, due to the constant discovery of new varieties of natural herbs, as "party" accumulating clinical experience, Chinese medicine health services (including the name of the old Chinese medicine experience, civil experience side, minority doctors experience side) is also constantly updated. Each clinical medicine prescription out, in fact, their theoretical training, concentrated expression of clinical experience. Given the current TCM clinical thinking there were two tendencies, which results in prescriptions there were two bias: one is stressed by the parties of the CD are from, by the side of the drug name, taste a few doses, are all can not be changed; one is Experience is the only emphasize from the given formula based on Western diagnostic medicine, no "monarch" to speak of, a prescription of up to 80 Smell even more flavor, blindly drug dose even up to 200 grams, some weighing up to a dose of medicine 500 grams or more. This is the causative factor for the "zoom shot", which is "open gun," which is "bombing", no matter what the purpose of disease, always able to "fire" in fact, is dialectical unknown, uncertainty about so prescriptions, of course, far from precise treatment. Both groups tend to have several parties dispute even lead to medical malpractice generation. Thus, the administration is bound to extremely suspicious, make haste only open 3 g system Radix, France Breit only open 9 grams and other drug laws contrary to the provisions of Chinese medicine, if such temporary provisions "rushed" type of continuous publication, bound Chinese medicine prescriptions lead to a loss.

Everything is not extreme, Chinese medicine already seeking "Reinforcing yin and yang, Chih." The rhythm of modern life, habits, environment and disease arising from, all with several thousand people before the difference is very large, it is impossible by the parties in accordance with the sick, the modern traditional Chinese medicine prescription thought should inherit and rule by party, by the side of the CD applications, how can "worship ancient Nigu" Apply by side? As for the prescription of certain "hodgepodge" type of so-called experience side, large doses of medication, it is "not to the rules can not be a radius", but there is no need to comment.

Therefore, the current prescription of traditional Chinese medicine on innovation, it is necessary to do the job at least three aspects: First, according to the disease, screening effective representation prescription, given the scope and methods of the CD; the second is to clarify the principles of Chinese medicine prescription with essentials, creating new prescription patterns. For example, in ancient medicine for the monarch, according to the complexity of modern conditions, you can use the function set by drug prescription monarch's style; the third is based on by the parties and the name of the old Chinese medicine experience side research group party software.

Fourth, the "medicine" key innovation of traditional Chinese medicine health services, the establishment of a new culture of Chinese mining development of standards.

People over the years through the joint efforts of Chinese medicine, Chinese medicine formulations innovation has achieved good results, and out of the country. Such as Salvia pills, Huoxiangzhengqi dripping pills, etc., it does change the taste of traditional Chinese medicine, improve efficacy, easy to carry and take. However, from the overall perspective of traditional Chinese medicine innovation, innovation is still quite arduous task facing. This is mainly manifested in the following four areas:

First herbs cultivation, collection, rough, need for the present situation of climate, soil, water, seeds, fertilizing, weeding, pest control, etc., there is a need to develop new standards to ensure quality of output herbs.

Second, the transaction medicine, the need for new regulations for the storage, transportation, trade and other practices to ensure the quality of medicinal transaction.

Third, the development of new drugs, the need for a prescription, medication, technology, equipment, efficacy, instructions, etc., under the premise of the need to highlight the elements of the basic theory of traditional Chinese medicine, the establishment of new development, evaluation criteria, to ensure the quality of drug development.

Fourth, the traditional processing, the need for cream Danwan bulk wine and other traditional Chinese medicine (including hospital preparation), based on the establishment of a new set of square, tools, processing and efficacy evaluation criteria of the basic theory of traditional Chinese medicine, to ensure the quality of traditional cooked preparations.

Tang Dynasty Liu Yuxi said: "The new leaves urging Chen Ye Lim, former water wave after wave make." Innovation is inevitable in any development of things. However, the Chinese medicine, the focus on the present, focusing on succession must; look to the future, must be inspirational and innovative.

The Han Yang Xiong "Tai Xuan Xuan Ying", saying: "There is due to follow, there are leather-based and thus follow it have with the road of God; and of the leather, and the time it should therefore be able to leather, trusted by Heaven;. leather and can cause, Heaven is tame. husband not because no birth, no leather is not. "So, inheritance and innovation of traditional Chinese medicine is to enhance the service capabilities of the fundamental strategy.