There are many reasons why TCM is marginalized. Some people think that making TCM diagnosis and treatment hospital-based is one of the main reasons for marginalization and a major mistake. What is really suitable for the development of Chinese medicine is not a large general hospital, but an individualized and personalized small clinic.
Why small clinics are more suitable for Chinese medicine?
Convenient popularization, close to the people to solve the problem of seeing a doctor
Traditional Chinese medicine is individualized treatment, and the earliest diagnosis only needs to be heard and asked, without other instruments and equipment for inspection. Therefore, there is no need to purchase expensive modern instruments and equipment, and there is no need to raise hospitals, so the fees are also low, which is especially suitable for mass popularization in rural areas and communities.
Therefore, a Chinese medicine practitioner can open a clinic, and even drugs can be produced in the front and back: self-grown, self-collected, self-made and self-used. It is not only convenient for the people to see a doctor, but also helps to solve the problem that it is difficult and expensive for the people to see a doctor.
It is reported that in the early years of the Republic of China, 800,000 Chinese medicine practitioners were basically distributed in rural areas. A good Chinese medicine, a clinic, benefits people in Fiona Fang for dozens of miles.
02 is more in line with the characteristics of TCM diagnosis and treatment
The characteristics of TCM diagnosis and treatment are human-oriented, and the pathogenesis of each patient must be comprehensively considered as far as possible before syndrome differentiation and treatment can be achieved. For Chinese medicine, the same disease, which occurs in different patients, or occurs at different times, or is treated at different times, is different.
Therefore, the diagnosis and treatment process of TCM must be "one-to-one" face-to-face diagnosis and treatment, and it is impossible to carry out batch treatment in an industrialized assembly line or in a certain mode.
But now the hospital, because of the influence of western medicine, is a place where the same kind of diseases can be treated in batches with industrialized assembly line, which is not conducive to the development of Chinese medicine at all. It is more suitable for modern medicine (western medicine) based on physiological chemistry and physical physics, with the main goal of eliminating viruses, and western medicine surgery to remove and repair some necrotic organs of human body.
It is easier to give play to the advantages of traditional Chinese medicine.
From the above, it can be understood that the unique diagnosis and treatment methods and environment of individual clinics determine that they are more independent academically, and can really give play to the advantages of "simplicity, convenience, experience and cheapness" of Chinese medicine to serve the health of the people.
What about Chinese medicine hospitals? Because of the wave of medical industrialization, Chinese medicine hospitals that adhere to the nature of Chinese medicine have become "poor units", and Chinese medicine departments that adhere to the diagnosis and treatment of Chinese medicine have become "poor departments" in all hospitals. Chinese medicine practitioners, especially general Chinese medicine doctors, have also become the "poor" in the medical field in China.
Faced with such a dilemma, now, almost all Chinese medicine hospitals and Chinese medicine departments have to move closer to western medicine: introducing high-tech testing equipment, selling western medicine, using intravenous drip treatment of western medicine and other means of "quick money". The "one-on-one" sense of responsibility of Chinese medicine practitioners has disappeared, and the curative effect of Chinese medicine has plummeted.
This is abandoning its own development law, throwing away its own characteristics, and painting a tiger according to a cat. If this continues, it will eventually lead to the loss of the advantages of traditional Chinese medicine and the demise of traditional Chinese medicine.
04 survival crisis is small
Facing the westernization of TCM departments in TCM hospitals, which gradually degenerates into western medicine, the westernization probability of TCM clinics is much lower, the survival crisis is much smaller, and it is easier for the long-term stability of TCM development.
We might as well look abroad. Many countries in Europe allow Chinese medicine practitioners to see a doctor, but Chinese medicine practitioners are not allowed to prescribe western medicine or make western medicine tests. They are only allowed to prescribe Chinese medicine and acupuncture, otherwise it is illegal. This compulsory practice forces Chinese medicine practitioners to constantly improve themselves and innovate themselves, and the level and service are of course getting better and better.
Xing Wu Wang, a British Chinese, has opened more than 100 Chinese medicine chain stores in the British Isles, and has enjoyed a prosperous business for more than ten years. Although this is just one of the representatives of many pure Chinese medicine clinics in Europe and America, it is enough to prove that there is no "survival crisis" in pure Chinese medicine clinics. The crisis actually comes from the fact that many people engaged in Chinese medicine have no confidence in their own subjects.
In a word, the development of individual Chinese medicine clinics is beneficial to the country, the people and Chinese medicine, and the state should regard it as a strategic decision of China’s health cause. Vigorously improve the level of disease prevention and treatment of primary Chinese medicine, so that more people can enjoy and favor Chinese medicine services, and truly promote the development of Chinese medicine.
At present, Chinese medicine hospitals are facing great historical development opportunities, and the party and government attach great importance to and support them. However, at present, the operation of traditional Chinese medicine hospitals nationwide blindly follows the development model of western hospitals, which greatly restricts the development of traditional Chinese medicine. In order to make Chinese medicine "live", we must change the existing model of Chinese medicine hospital.
The existing mode of Chinese medicine hospital may bring harm.
First of all, some Chinese medicine hospitals are not completely surnamed "Zhong". At present, some Chinese medicine hospitals all over the country still have low treatment rate of traditional Chinese medicine, low rate of critical illness and low use of Chinese herbal medicine.
Secondly, a small number of Chinese medicine doctors do not firmly believe in "zhong", and their knowledge of Chinese medicine is weak, and there is a shortage of Chinese medicine talents with real exquisite skills. The clinical efficacy of traditional Chinese medicine hospital is low, and people question or don’t believe it, so they don’t choose to see a doctor.
Thirdly, the original medical market does not support "China". The data shows that there are 3966 service items in the current charging standards of hospitals at all levels in China, while Chinese medicine items only account for 2.45%. Traditional Chinese medicine is not only low in price, but also has few charging items. For example, for a fracture patient, the manual treatment of traditional Chinese medicine only needs 80 yuan, while the method of western medicine has more than ten charging standards, up to more than 1,000 yuan.
What harm will the existing model of Chinese medicine hospital bring?
The combination of Chinese and western medicines is unreasonable, and the toxic and side effects of traditional Chinese medicine are increasingly prominent.
After the founding of New China, under the guidance of the route of "Chinese medicine is good, western medicine is good, and the combination of Chinese and western medicine is better", "combination of Chinese and western medicine" once became the direction of medical development in China. Today, the combination of Chinese medicine and western medicine has developed into a trend involving almost all clinical departments, ranging from provincial and municipal hospitals to Chinese medicine departments in township hospitals, mostly using Chinese medicine and western medicine. But in many cases, Chinese medicine is just a symbolic decoration.
If the combination of Chinese and western medicines is reasonable, it will help to enhance the curative effect and reduce the toxic and side effects of drugs; On the other hand, unreasonable compatibility or blind combination may reduce the therapeutic effect and increase the toxic and side effects through chemical changes, drug antagonism, changing pH and destroying effective components, thus endangering the safety of the broad masses of people.
❷Repeated use of drugs will increase the medical burden of the people.
Blindly "traditional Chinese medicine plus western medicine" is prone to repeated drug use, which makes the respective curative effects of Chinese and western medicine uncertain, the reactions of the two in the body can not be summarized, and the responsibility can not be confirmed. More importantly, it has increased the medical burden of the people, making it impossible to solve the problem of "expensive medical treatment".
❸The academic research of TCM is lazy, and the clinical level is declining day by day.
Because western medicine alone can also have a good curative effect, many Chinese medicine practitioners refuse to study Chinese medicine, but they think from the bottom of their hearts that it is effective to use western medicine alone, and it is useless to study bitter and difficult Chinese medicine. In the long run, the clinical level of traditional Chinese medicine will inevitably decline.
Nowadays, many Chinese medicine hospitals practice western medicine in the name of Chinese medicine. Even though a few Chinese medicine practitioners are still prescribing Chinese medicine for patients, they will still operate with the thinking of western medicine. In foreign countries, the law stipulates that Chinese medicine practitioners (including Korean doctors) "can only prescribe Chinese medicine but not western medicine", and the need of survival forces them to study Chinese medicine academically and try their best to improve the clinical efficacy by using pure Chinese medicine.
The road to the development of traditional Chinese medicine characteristics
What should it be like?
With the profound changes of people’s health concept, the advantages of TCM in "preventing diseases" have won the hearts of the people, and people’s demand for TCM is increasing day by day. From the perspective of market competition, traditional Chinese medicine hospitals should adhere to the development path of Chinese medicine characteristics, and only with "characteristics" can they have core competitiveness.
So, what is distinctive?
❶Highlight the cultural characteristics and academic characteristics of traditional Chinese medicine.
The cultural construction of traditional Chinese medicine hospital mainly includes hospital values, behavior norms and environmental image. At present, the cultural construction of traditional Chinese medicine hospitals is generally superficial, formal and lack of networking. To solve these problems, we should first make it clear that "precision" and "honesty" are the core contents of Chinese medicine hospital culture.
❷Highlight the construction of characteristic colleges and characteristic expert teams.The construction of characteristic college of traditional Chinese medicine is an important measure to strengthen the connotation construction of hospitals, and also a long-term important task to develop the cause of traditional Chinese medicine. A good specialty college can promote the common development of many related departments, thus greatly improving the overall strength of the hospital. Only by building an expert team with noble medical ethics, exquisite medical skills, reasonable structure and clear division of labor can we be competent for all kinds of complicated work in specialist construction.
❸There are special skills and special medicines.In particular, Chinese medicine clinical experts must have special skills and unique skills. Chinese medicine hospitals should pay attention to excavating, cultivating and publicizing the special skills of experts. Specialty drugs are the wisdom of experts’ clinical exploration for many years, such as some protocols and hospital preparations, drug patents, etc., which are the core competitiveness of specialty construction of traditional Chinese medicine hospitals.
❹It is necessary to highlight special diseases.
The construction of characteristic special diseases is the starting point and ultimate goal of the construction of characteristic specialties, experts, specialized skills and specialized drugs in hospitals. Only by deeply and systematically studying the etiology and pathogenesis of a certain disease and formulating a set of treatment schemes with definite curative effect can patients be attracted and retained. There are experts in the specialty, and the experts have special skills. The special skills use special drugs, and the special drugs treat special diseases. The characteristic construction complements each other and is indispensable. At the same time, the administrative department of traditional Chinese medicine should give preferential policies and subsidies to promote the construction of specialized diseases.
❺We should pay attention to inheriting and innovating Chinese medicine scholarship.
The soul of traditional Chinese medicine is academic, the academic foundation is clinical, and the key to clinical treatment is curative effect, which complement each other. We should insist on six aspects of curative effect:
(1) insist on the study of traditional Chinese medicine, not just the study of traditional Chinese medicine;
② Insist on syndrome differentiation, combined with clinical diagnosis and treatment methods;
③ We should adhere to the medical thinking of taking health medicine as the leading factor and disease medicine as the means;
④ Insist on the holistic and macroscopic thinking mode of diagnosis and treatment;
⑤ Insist on treating the disease before it happens, and combine the diagnosis and treatment strategy of treating the disease already;
⑥ We should adhere to the analysis method of combining image thinking with logical thinking.
It is necessary to highlight the characteristics of traditional Chinese medicine and improve the service function.
Highlighting the characteristics of traditional Chinese medicine and improving the service function are not contradictory but unified. Medical institutions of traditional Chinese medicine should improve their technical equipment and broaden their service fields. We should not only seriously inherit the characteristics and advantages of traditional Chinese medicine, but also be brave in innovation and actively use modern science and technology to promote the development of theory and practice of traditional Chinese medicine.
Nowadays, the national high-level officials pay more and more attention to Chinese medicine, and have issued a number of policies and measures to help the development of Chinese medicine. The people’s recognition of Chinese medicine is increasing day by day, and the concept of using Chinese medicine to treat diseases and recuperate is deeply rooted in the hearts of the people. As long as we Chinese medicine practitioners are confident and self-reliant, Chinese medicine hospitals adhere to the development path of Chinese medicine characteristics, the glory of Chinese medicine is just around the corner.