How should we treat traditional Chinese medicine?
2021-10-20
As the treasure of Chinese civilization, traditional Chinese medicine has made important contributions to the prosperity of the Chinese nation. In recent years, with the improvement of people's health awareness, TCM health preservation has been more widely accepted. However, many people's cognition of traditional Chinese medicine tends to be antagonistic, often stick to their own words, and often lead to disputes on topics related to traditional Chinese medicine. The tendency of "traditional Chinese medicine powder" or "traditional Chinese medicine black" is not conducive to the healthy development of traditional Chinese medicine and better serve people's health. So, what are the efficacy advantages of traditional Chinese medicine? How to treat the advantages of traditional Chinese medicine more comprehensively, scientifically and objectively? We invite relevant experts to discuss. 1. Is traditional Chinese medicine just a "placebo" In the novel coronavirus pneumonia prevention and control, the unique curative effect of Chinese medicine in reducing the rate of conversion and shortening the time of nucleic acid conversion is widely known. The successful cases of Chinese medicine applied in critically ill cases have refreshed the understanding that Chinese medicine is "slow in the middle" and is only applicable to the prevention and control of chronic diseases. However, there are still some "black doctors of traditional Chinese medicine" who believe that traditional Chinese medicine is not a science, and the curative effect of traditional Chinese medicine is equivalent to the "placebo" effect. How to treat TCM rationally? Wang Wei (the first Qihuang scholar and President of Guangzhou University of traditional Chinese Medicine): the prevention and treatment system based on the constitution theory of traditional Chinese medicine has been incorporated into the national public health service system, a number of prevention and treatment centers have been built, and a series of standards, equipment and health products for distinguishing and adjusting physique have been formed, which plays an important role in prevention and health care and prevention and control of major disease risk factors. "Healthy qi is stored in the body, and evil cannot be dried". Traditional Chinese medicine has effectively played a role in disease prevention by regulating its own body function. For example, intervention in risk factors such as prehypertension, impaired glucose tolerance and overweight can achieve significant results in reducing the incidence rate of hypertension and diabetes. In addition, in some diseases dominated by dysfunction (especially diseases related to abnormal immune regulation) or diseases related to emotional stress, traditional Chinese medicine has prominent advantages. It can show sufficient curative effect when applied alone. Traditional Chinese medicine plays a major role in the prevention and treatment of such diseases. For example, depression, functional dyspepsia, stress urinary incontinence, allergic rhinitis, rheumatoid arthritis, ulcerative colitis and other diseases, the rational application of traditional Chinese medicine can reduce recurrence, prevent or delay disease progression. In addition, traditional Chinese medicine has unique advantages in improving some refractory symptoms and improving patients' quality of life. Modern medicine has not been included in the scope of treatment or lacks effective therapeutic drugs for the accompanying or residual symptoms of diseases, or unexplained physical discomfort. Although some symptoms do not cause great harm, they also cause the quality of life of patients. Such as long-term dry cough caused by cold, the intervention effect of traditional Chinese medicine is significant. Chen Kaixian (academician of the Chinese Academy of Sciences and former president of Shanghai University of traditional Chinese Medicine): from the long-term goal of establishing a new medicine integrating traditional Chinese medicine and Western medicine, the current integration of traditional Chinese and Western medicine is still in the primary stage, facing many challenges and problems, and needs long-term efforts. Chronic non communicable diseases are serious challenges faced by contemporary medicine, such as tumors, cardiovascular and cerebrovascular diseases, neurodegenerative diseases, metabolic disorders and immune diseases. These diseases are often unclear about their single pathogen, which can be called complex diseases caused by multiple factors, which are closely related to human genetics, living habits, diet and exercise. Single pathway therapy for a single target is often difficult to overcome complex diseases caused by multiple factors. In this case, the holistic, multi-target and multi-channel treatment of traditional Chinese medicine shows important value. Yu Shuguang (president of Chengdu University of traditional Chinese medicine and academic leader of acupuncture and massage, a national key discipline): Traditional Chinese medicine is a scientific system repeatedly verified for thousands of years, and develops with the deepening of understanding of the human body and the change of disease pedigree. The dynamic outlook on life, health preservation theory and clinical practice of traditional Chinese medicine, the early intervention thought of "preventing disease", the people-oriented individualized diagnosis and treatment mode, the comprehensive treatment concept of overall regulation and rich and colorful diagnosis and treatment methods all make traditional Chinese medicine play an exact and irreplaceable role in disease prevention and treatment. Shi bin (president of Shandong neck, shoulder, waist and leg pain hospital): Traditional Chinese medicine has its own unique scientific methods and essential characteristics. Traditional Chinese medicine can be inherited so far. I think there are at least three aspects. First, the advantages of treatment means. Traditional Chinese medicine is mainly two kinds of means: Acupuncture and prescription. In addition, there are various ways such as medicine bath, application and guidance. The second is the advantage of the treatment thought. "Treating diseases before treatment" is one of the most famous ideas in traditional Chinese medicine. This preventive medicine thought has been formed as early as in the Yellow Emperor's Internal Classic · Su Wen · four Qi and regulating spirit. In the first "ancient innocence theory" in the Yellow Emperor's Internal Classic · Su Wen, it systematically expounds various elements of physical and mental regulation, daily regulation and dietary regulation, such as: "Tranquility and nothingness, keeping true Qi, keeping internal spirit, and never getting sick!" "eating and drinking are regular, daily life is regular, don't work rashly, so form and spirit are all" and so on. These ideas run through the whole traditional Chinese medicine. Many medical scientists have put forward the "new concept of health" put forward in recent decades "Modern medicine must be transformed from simple biomedicine to biological, psychological and social medicine". It is widely understood that there is still a "sub-health" between health and disease State. Frankly speaking, all these new concepts are the old concepts of traditional Chinese medicine that have been adhered to for more than 2000 years and have accumulated a lot of rich experience. Third, the advantages of literature resources. It is difficult to learn traditional Chinese medicine in addition to syndrome differentiation and prescription use. It is also difficult to read. Traditional Chinese medicine has developed like a snowball. The ancient books of traditional Chinese medicine of all dynasties are the summary of doctors' experience in treating diseases at that time, which is very precious. 2. Chinese medicine "omnipotent"? "Never"! Contrary to the "disapproval of traditional Chinese medicine", some people believe that traditional Chinese medicine is "omnipotent" and even extremely reject the diagnosis and treatment methods of modern medicine. Traditional Chinese medicine and Western medicine have their own advantages. In what aspects can the integration of traditional Chinese and Western medicine play a greater role? Gu Xiaohong (Chairman of the Teaching Steering Committee of traditional Chinese medicine in Colleges and universities of the Ministry of education and Secretary of the Party committee of Beijing University of traditional Chinese Medicine): in a certain sense, traditional Chinese medicine does not treat "diseases", but "people". For example, in epidemic prevention and control, we say "healthy qi exists in the body, evil can not be done", which has well guided the clinic. Another example is that traditional Chinese medicine "does not treat the disease and does not treat the disease" The concept of traditional Chinese medicine is to emphasize the regulation of human function, improve people's health level and reduce the occurrence of diseases. In people's whole life cycle health services, the integration of traditional Chinese and Western medicine can be the whole process and all-round. We can't discard this advantage and simply separate traditional Chinese and Western medicine. The two are not either or, but integrated. Wang Wei: we should objectively recognize the limitations of the efficacy of traditional Chinese medicine. We should not exaggerate the efficacy advantages of traditional Chinese medicine. For some organic diseases or genetic diseases, the efficacy of traditional Chinese medicine is relatively limited. For example, coronary angioplasty in the acute stage of myocardial infarction can quickly achieve vascular recanalization, but the means of traditional Chinese medicine can not achieve similar effects. In addition, traditional Chinese medicine also needs to be developed For example, the complex components of traditional Chinese medicine and unclear core effect components are not conducive to the scientific evaluation of the potential efficacy and risks of drugs; the objectification and quantification of the diagnostic basis of traditional Chinese medicine are not enough, which is not conducive to the realization of standardized diagnosis and treatment; there are not many traditional Chinese medicine dosage forms available for first aid, which limits the scope of application of traditional Chinese medicine, etc. These may be the key factors restricting the wider recognition of traditional Chinese medicine Su. Cheng Chun (Party Secretary of Nanjing University of traditional Chinese Medicine): the view of "omnipotence" of traditional Chinese medicine is "never" Yes! Disease is the common enemy of traditional Chinese medicine and Western medicine. Relieving pain is an eternal topic of traditional Chinese medicine and Western medicine. In fact, with the development of medicine today, there is still nothing that can be done for many diseases. However, traditional Chinese medicine and Western medicine also have their own fields of expertise. Comparatively speaking, traditional Chinese medicine is good at acute, difficult and chronic diseases, good at preventing diseases and miscellaneous diseases, good at health preservation, health care and rehabilitation. At the same time, for western medicine Traditional Chinese medicine often plays a unique role in the unknown diagnosis of Western medicine, the clear diagnosis of Western medicine without treatment or the treatment with little effect for a long time, the obvious toxic and side effects of Western medicine, and the sudden emergence of new infectious diseases and epidemics, especially the pandemic. Chen Kaixian: over the past few decades, many major achievements in traditional Chinese medicine and the integration of traditional Chinese and Western medicine have confirmed that traditional Chinese medicine has not only significantly improved the level of clinical treatment of many diseases, but also made important contributions to promoting the transformation of medical core values and medical models, highlighting the value and role of traditional Chinese medicine in the contemporary era. The view of denying the scientific and important value of traditional Chinese medicine is inconsistent with the facts At the same time, we should also note that there are a small number of comrades in society and in the field of traditional Chinese medicine who are rigid and complacent, and can not promote the inheritance, innovation and keeping pace with the times under contemporary conditions. Some people can not correctly grasp the relationship between traditional Chinese medicine as a medical science and its profound philosophical ideas Novel coronavirus pneumonia is playing a very important role in the struggle against new crown pneumonia. However, it is necessary to strengthen the role of Chinese medicine in modern technology, and to draw lessons from evidence-based medicine. 3. Traditional Chinese medicine is conservative? On the contrary! Traditional Chinese medicine is a traditional medicine with unique theoretical system, profound foundation and continuous development. It is a living existence with vitality. How to stick to the essence and organically combine with the times is the proposition that modern traditional Chinese medicine people want to solve. Gu Xiaohong: Traditional Chinese medicine is a highly integrated medicine with "Virtue", "Tao" and "art". Virtue is based on "great medical sincerity" The noble medical ethics and benevolence represented by spirit. In my opinion, in terms of traditional Chinese medicine, morality can not be simply understood as the level of professional ethics, but an indispensable part of traditional Chinese medicine. The sincere spirit of Da Yi has special guiding significance for the formation and development of traditional Chinese medicine. "Tao" It is a traditional Chinese medicine thinking and theory rooted in China's excellent traditional culture and with profound ancient Chinese philosophy. Traditional Chinese medicine thinking fully embodies people-oriented, is a distinct systematic thinking, and contains the profound philosophical wisdom of correspondence between heaven and man and the way of nature. It can be said that the way of traditional Chinese medicine includes the way of life, the way of heaven and earth, the way of health and the way of philosophy It is the method of diagnosis and treatment that is formed under the guidance of TCM thinking. It is the sublimation of Chinese medicine clinical practice for thousands of years. The operation of traditional Chinese medicine is carried out in the classics of traditional Chinese medicine, and has been carried forward by famous doctors and famous doctors. The essence of Chinese medicine is the integration of morality, Taoism and art, especially the integration of the three. Luo Songping (Professor of Guangzhou University of traditional Chinese medicine and leader of Gynecology of traditional Chinese medicine, a national key discipline) : Traditional Chinese medicine belongs to traditional medicine. In many countries and ethnic groups in the world, there are traditional medicine, such as Mongolian medicine, Thai medicine, Hui medicine, Tibetan medicine, as well as alternative medicine in Europe and America, such as chiropractic medicine, homeopathy, etc. many ethnic groups have a long history of traditional medicine, some only have their own unique diagnosis and treatment methods, and some have their own theoretical systems. Among many traditional medicine, traditional Chinese medicine has Yes, quite finished
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