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Guangming daily: we should attach equal importance to traditional Chinese and western medicine in the true sense

2018年12月24日

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Guangming daily: we should attach equal importance to traditional Chinese and western medicine in the true sense



December 24, 2016 guangming daily






At present, westernization exists in most traditional Chinese medicine hospitals. The main cause of this phenomenon is that most traditional Chinese medicine hospitals charge low fees for TCM diagnosis and treatment, few projects, and few medical insurance payment projects. In the regulatory documents such as the "national pharmacopoeia", there are still some problems, such as incomplete collection of medicinal materials and few supplementary varieties each year.



Not only that, according to the standards of western medicine for the detection and supervision of traditional Chinese medicine yinpian is also worth discussing. At present, according to the standards of western medicine, there is a widespread problem of detecting the content of effective ingredients in some traditional Chinese medicine decoction pieces, and completely turning a blind eye to the basic principle of traditional Chinese medicine, "nature, taste and meridian". What needs to emphasize is, according to "national pharmacopoeia" standard, individual breed finds qualified product not easily, because this kind of test does not accord with the idea of traditional Chinese medicine and thinking, and, the price that the control that detects use is tasted some too tall, bring about detect cost too tall. For example, before hu test, hu a, hu b, lotus seed core test for lotus carnitine, chicken gold test thickness, but chicken gold thickness does not affect the quality and so on. Additional, at present doctor of traditional Chinese medicine must be in strict accordance with "national pharmacopoeia" wait for a document to prescribe prescription, if some medicinal materials are in "national pharmacopoeia" in regulation, 20 grams ~ 30 grams belong to lawful limits, exceeded belonged to break the law. Although the state administration of traditional Chinese medicine has made binding regulations on the use of drugs in excess of the national pharmacopoeia, the relevant authorities often do not approve. In fact, according to the theory of traditional Chinese medicine and the practice experience of traditional Chinese medicine for thousands of years, some kinds of medicinal materials in the current "national pharmacopoeia" stipulated in the use of small, is not conducive to achieve the efficacy, so that traditional Chinese medicine "varies from person to person according to time and place" personalized diagnosis and treatment can not be implemented.



In the author's opinion, the real Chinese and western medicine should be paid equal attention to. In practice, we should design from the two aspects of policy promotion and economic promotion. The number of TCM diagnosis and treatment projects in TCM hospitals should be increased, and the types of TCM payment and reimbursement ratio for medical insurance should be increased. Because both TCM and western medicine, both are largely in medical experience, experience in the diagnosis and treatment is to have a great effect in the process, if driven by economic level, make the doctor willing to adopt the traditional Chinese medicine treatment, and can ensure the doctor personal income and traditional collective income has increased, and the western medicine is near Seattle grace mercy west hospital level, so believe in a few years time, can achieve the true sense of the equal emphasis on Chinese and western medicine.



Secondly, the state pharmacopoeia and other relevant documents should be revised in accordance with the development of traditional Chinese medicine and the theory and thinking of traditional Chinese medicine. "National pharmacopoeia" should promptly increase the collection of Chinese medicinal materials varieties for Chinese medicine physicians to provide a wealth of Chinese medicinal materials can be used. It is suggested to supplement a large number of TCM slices from the TCM slices catalogue of each province every year. For the specific medicinal materials varieties of each province and province, they should be directly included in the catalogue of the national pharmacopoeia. If there is no standard in the national pharmacopoeia, the national standard can be based on the standard of traditional Chinese medicine theory, and strive for the inclusion of the national pharmacopoeia in all varieties of traditional Chinese medicine to form a unified standard.



Thirdly, in accordance with the theory and thinking of traditional Chinese medicine, relevant documents such as the national pharmacopoeia should be revised to optimize the detection standard, and the existing effective component content detection should be changed into the detection of pesticide residues, heavy metals and aflatoxin in traditional Chinese medicine decoction pieces that exceed the standard. It is necessary to carry out tests according to the characteristics of traditional Chinese medicine so that the tests can truly reflect the quality of medicinal materials. At the same time, the testing items should be optimized to reduce the testing cost.



In addition, traditional Chinese medicine doctors should be allowed to determine the guidance and use of traditional Chinese medicine according to the theories of traditional Chinese medicine, especially the content that can be relied on in the classical historical records of traditional Chinese medicine, and the state administration of traditional Chinese medicine should be recognized to adopt the so-called "overdose", and the prescribing doctor should be solely responsible for the signature and bear the corresponding legal responsibility. The author believes that the above measures can expand the range of TCM doctors' choice of TCM, ensure that TCM doctors have more TCM decoction pieces to use, enrich the means of diagnosis and treatment, and improve the treatment effect, which is also an important guarantee to achieve the true combination of TCM and western medicine.