Analysis of Chinese medicine development should be "control" perspective

2017-01-18

Journal of Traditional Chinese Medicine

  • Chinese medicine has been completed by the "medical" and medical, by the general and internal and external women and children, from the internal medicine and liver and stomach professional differentiation, continue to divide, the general trend of the division of labor irreversible. To assume the great Renaissance, folk medicine on the need to field of vision from individual clinics into a broader space.

  Medical is "human" science, after all, can not ignore the patient's demands to himself, when the folk traditional Chinese medicine used to historical and development perspective to see the general trend, it will not easily breed "restricted" "suppressed" emotions .

  Traditional Chinese medicine in ancient times there is the distinction between doctors and doctors, "the doctor to music" in the "native" singled out "too hospital" of the plot is not historical facts, but also reflects a certain real emotion. Today, the "folk" (more than do not have qualifications and medical qualifications, by mouth to attract patients) and the "two schools" (graduated from the medical school, practicing in the hospital) continued this disagreement. To correctly understand the differences between the two, I believe that should be viewed from the control point of view, in order to ultimately contribute to the development of Chinese medicine.

  Seeing the Evolution of Medicine from Control

  From the "face" point of view, the "orthodox" struggle focused on the doctor treatment, training mode of the pros and cons, "Li Zi" is the industry discourse, dominance dispute. Chinese medicine has a profound philosophy, cultural complex, but medicine is ultimately to save people, and ultimately to be settled in the "can not see a doctor" is "efficacy". This must identify the key pre-issue - determine the "efficacy" of the standard? Who has the final say?

  According to the "cybernetics" principle, a few people hold the majority of people difficult to obtain from other sources of specific resources or information, you can create a sense of mystery or sacredness, so that the majority of the formation of worship and dependence. The Sociological Synopsis gives an example of a stone ax: a tribe still in stone age in Australia, who, owing to the difficulty of making the stone axes, is scarce and, in addition to worship at the ceremony, is kept by the chiefs on weekdays. The chiefs that "obedient" members of the tribe, have borrowed when needed in the award. Later, the West brought a more sharp, solid ax, all members of the tribe can trade in exchange for this advanced alternative to the stone ax is no longer scarce tools, faded mysterious "holy" aura, more "implicated" Emirates lose power, can not arbitrarily command.

  Medicine has also experienced a similar "disenchantment" process. Ancient times, "medicine" most of the time and can not cure, but trick some mysterious complex rituals, performance people "unknown Li." With the medical, medication experience and gradually accumulated, it was found that master of these experiences, "medicine" than only the practice of "medicine" more reliable, so the separation of witch doctors, "medicine" has become an ordinary person can be engaged in "one hundred" , "Witch" covered with treacherous halo continue to pretend to be a god. However, when the two have an intersection, Lu Xun's "most famous doctor" cure not good disease but love to use "is not easy to do" and expensive drugs lead, is to create high-end atmosphere of the mystery of the scarcity of things.

  The author believes that the dividing line is the witch doctor treatment, efficacy and treatment standards, the corresponding degree of certainty, the more certainty of the disease the more people believe in medicine, and vice versa will be someone to try. Cold naturally go to the hospital, advanced malignant tumors may be "dead horse when living horse medicine" and help "master." Therefore, although the witch doctor along the different tracks drifting away, but medicine is not yet strong to "cure", the existence of uncertainty makes it difficult to extinct witchcraft.

  The Conflict between Two Factions in View of Control

  Witch cure all diseases can not, because medicine has a stable, uniform industry standards, the effect is not their final say. The witch monopoly of the standard of efficacy of the development of the right to make the right to explain, so far apart mung bean, Glauber's salt is no different, but Zhang Wu, where Hu Wanlin has become a "god drug", without him, good flicker! Similarly, dare to say, "big hospital can not cure," the incurable diseases of their own, "a few drugs like", but the big hospital is not good in the end what disease, "good" What is the standard, which observation indicators do not elaborate , Care about him, such as no medical background, but claimed that advanced cancer cure rate of 95% of the Wang Xuegui and his ilk, and more can be included in the list of God.

  Sports competition, the rules clear, the outcome of the standard easy to observe the project such as high jump, the referee about the possibility of competition is small, less controversial players. If the rules are fuzzy or variable, winning the standard flexible as gymnastics, it will enlarge the power of the referee, can not avoid controversy. On the treatment of norms and efficacy standards, the two schools of certainty, more observable, people can access the professional knowledge of the book to understand the disease, confirmed the diagnosis and treatment behavior, although this "misconduct" accurate, but conform to the modern Social Civil Rights.

  In the training of doctors, selection, the two schools of heavy school education and qualification examinations, folk sent re-understanding, pro-pass and word of mouth evaluation. From a control point of view, open examination of the rules clear, scoring standards and stability, if not fraud, the problem is determined once the candidates score, clearance or not subject to test subjects or test organizers control. While the perception, abstraction and the like abstract concepts and therapies, efficacy of the subjective interpretation of the flexibility, can be induced, but also conducive to nurture a sense of mystery and control.

  Civilian school of conflict, "hospital" may be because "hospital" is a huge and complex system of division of labor, division of labor means to produce part of the control, cooperation means that in some areas controlled by others. Traditional Chinese medicine (clinic) (medicine) shop in one, also medical division, prescribing and pharmaceutical, medical treatment and teaching, the advantage is pro-pro, can avoid "good medicine destroyed in inferior drugs" and other links out of control, the disadvantage is in Medical service chain complexity, refinement, specialization today, "one's own power" is doomed to corner, can not be bigger. In fact, Chinese medicine has been completed by the "medical" and medical, by the general and internal and external women and children, by the internal medicine and liver and stomach of the professional differentiation, continue to divide, the general trend of irreversible division of labor. To assume the great Renaissance, folk medicine on the need to field of vision from individual clinics into a broader space.

  Looking at Historical Trends from Control

  Disenchantment of medicine, but also the professionalism of the doctor to the elite of the process. In the "medical" era, this occupation is dominated by tribal nobility. Witch doctors separated, Liang Yi, Liang Xiang, a total of life and death decisions, doctors among the "scholar" class. But since modern times, the etiology, the increasing certainty of therapy, medical knowledge is widely popular for the public to grasp, the doctor's letter from the reins of space narrowing. SARS, for example, if the analysis of the ancient spirits or for some "bad gas" down can not be an empirical rebuttal, but in modern times can not be hard to say that the chlamydia coronavirus. This monopoly by the medical knowledge of doctors, clinic control activities gradually to share, it is inevitable that doctors experience to go down the altar, gradually lose authority to the doctor-patient equal rights (legal status) sense of loss.

  Traditional Chinese medicine has always been the focus of humanistic care, but the traditional care is still pursued by the comfort of access to compliance rather than medical patients with equal dialogue, and the needs of modern patients is still a gap between human needs. The realization of human freedom follows the path from external control to internal control and from self-control to self-control. The individual's right to health also evolves from "domination-obey" to "suggestion-co-governance". The premise of co-governance is informed choice, with the development of anatomy, physiology, biochemistry and detection, observation and technological progress, "open" the human body "black box" of inquiry has cell, gene, nanometer level. In today's rich information channels, individual values publicity, the right to a strong sense of patients in front of doctors to maintain absolute authority, unilateral dominant diagnosis and treatment of the more urgent desire to face the psychological rebellion, compliance is even stronger.

  Control of the sharing, will not form a pleasant psychological experience, it is human nature, some doctors face the clinical path, the expense of the mentality of the list. But medicine is "human" science, after all, can not ignore the patient's demands to himself, when the folk traditional Chinese medicine used to history, development perspective to see the general trend, it will not easily breed "restricted" .