i have a small world

In modern society, as people pay more attention to efficiency, people have increasingly underestimated the slow treatment of Chinese medicine. Therefore, it can be said that the current situation of Chinese medicine is becoming more and more worrying. Compared with Western medicine, the current Chinese medicine is far behind. There are many, and it can even be said that the status of traditional Chinese medicine has been replaced by western medicine.

In recent years, Chinese medicine is rapidly declining. In many areas, except for the relatively stable business of city-level Chinese medicine hospitals, the traditional Chinese medicine business of district-level hospitals and street health centers is mostly very cold.

There are very few winners, and there are many people who are losing money or are on the verge of losing money. Facing such a situation, many grassroots hospitals have successively canceled the Department of Traditional Chinese Medicine.

Although some hospitals retain the Department of Traditional Chinese Medicine, the purpose is only to maintain the completeness of the subjects as a whole, and they do not place much hope on whether it will make a profit.

For example, a hospital originally had nearly 200 employees, and there were 14 in the Department of Traditional Chinese Medicine. However, due to the decreasing number of patients seeing Chinese medicine and the difficulty in sustaining the business of Chinese medicine, the hospital was forced to lay off relevant personnel.

Except for acupuncture, massage, physiotherapy and other profit-making projects of Chinese medicine or a few doctors reserved for representative projects of Chinese medicine, the rest of the Chinese medicine personnel in the  book&bar& {3.}.{nsb}.{m} are all I receive more than 1000 yuan a month for basic living expenses, and the rest is to go home and find my own way out.If it is said that the TCM business in grass-roots hospitals is not impressive, what about the situation of individual TCM clinics?In fact, the current situation of individual Chinese medicine clinics can be imagined.

In every city, there will be some Chinese medicine clinics.But if you go there and take a look, you will find it.There is definitely a counter for western medicine inside, and there are definitely people who are doing infusion therapy.What's more, some Chinese medicine clinics don't even have a medicine cabinet for Chinese medicine, and the Chinese medicine clinic is just a name.

There will definitely be people asking why Chinese medicine clinics will eventually become Western medicine clinics, and after listening to the answers of these Chinese medicine clinic doctors, people will definitely be speechless.because they answered.There is no way for them to convert Chinese medicine clinics into Western medicine clinics. The turnover of Chinese medicine is too low.Therefore, in order to support my family, I had to change the Chinese medicine clinic into a Western medicine clinic.

From this we can see how difficult the situation of Chinese medicine is now.There is no steady income.Where can people learn Chinese medicine wholeheartedly.

on the one hand.Many TCM practitioners who are in the prime of life and have many years of clinical experience are losing a lot; on the other hand, the state is still training a large number of new people.It is also because of this that quite a few students find it difficult to find employment after graduation, or engage in sales of medicine and health care products, or go to fitness and entertainment centers to do massage. .

Now, in every [-] hospitals, there is rarely an independent TCM hospital; every [-] individual clinics.It is rare to have an independent Chinese medicine clinic.

TCM institutions are shrinking, talents are withering, and its decline.It can be said that "flying down three thousand feet, the gates are desolate, and there are few cars and horses".

Although Chinese medicine has tenacious vitality, although Chinese medicine is still partially prosperous in some aspects, if we still hold a blindly optimistic attitude, if we cannot find the correct development direction in time, then one day, Chinese medicine will Reduced to become an ordinary folk therapy, and then, gradually, gradually forgotten by people!
So why is Chinese medicine gradually declining now?There are many reasons for this.

The first reason: the integration of Chinese and Western medicine is the beginning of Chinese medicine going astray and declining.

The curative effect is the basis of the existence of Chinese medicine. If there is no outstanding curative effect, Chinese medicine will lose its value in the world. The curative effect of Chinese medicine depends on the unique theoretical system and way of thinking of Chinese medicine, that is, "holistic concept" and "dialectical treatment". This is the root and soul of Chinese medicine.

The so-called integration of traditional Chinese and Western medicine is essentially a "peaceful evolution" of modern medicine in the name of science, in terms of theory and ideology.

It has subtly changed the way of thinking of Chinese medicine and made the concept of Chinese medicine increasingly rigid, which led to the most fatal consequence - the decline of the efficacy of Chinese medicine!
Due to the infiltration and influence of Western medicine concepts, many TCM doctors unknowingly fall into the rigid thinking mode of Western medicine when they are clinical.

Constrained by the diagnosis of Western medicine, when encountering inflammation, clear away heat and detoxify; when encountering high blood pressure, calm the liver and relieve wind;

For example, according to pharmacological experiments, it is known that Pueraria root and Salvia miltiorrhiza have the effect of "expanding the crown", Polygonatum and Digupi have the effect of "lowering blood sugar", and Schisandra chinensis has the effect of reducing "transaminase". Therefore, it must be used when encountering related diseases.

This practice of "using prescriptions to cover diseases and abolishing medicine to save medicine" is completely divorced from the principle of dialectical treatment of traditional Chinese medicine, which has completely lost the essence and characteristics of Chinese medicine in academics, and has become in name only but dead in name! Medication under the guidance of principles, once the treatment is ineffective, it is often treated with the help of Western medicine. If it is effective, it is considered that Western medicine is scientific and Chinese medicine is not scientific.

This malpractice has been accumulated for a long time, and if it is not realized for a long time, it will intensify and form a vicious circle.

Mistake in decision-making is the biggest mistake! If you go in the wrong direction, the further you go, the farther you will be from your goal!
Is the integration of traditional Chinese and Western medicine more beneficial than harmful?Or does it do more harm than good?Is it necessary to combine Chinese and Western medicine?And how to combine them?These issues must be decided after in-depth argumentation.

If Chinese medicine is reformed with the "Great Leap Forward" mentality of eagerness for quick success, then this excellent national traditional culture will be "revolutionized" by some people!
More and more people are realizing the harm brought by the "integration of Chinese and Western medicine", and they are calling for maintaining the characteristics of Chinese medicine! At the same time, more and more people are vigorously advocating the "integration of Chinese and Western medicine".

Which is right and which is wrong is hard to say.

In fact, both have overlooked the crux of the problem: that is, many old Chinese medicine practitioners began to learn Western medicine after practicing medicine for many years.

After years of clinical practice, they have formed a thinking mode of "diagnostic treatment" of TCM. Under this premise, a proper understanding of some knowledge of Western medicine may be helpful to improve their clinical efficacy.

That is.Only on the premise that the thinking mode of "dialectical treatment" of traditional Chinese medicine has been formed, can it be beneficial to implement "combination of traditional Chinese and Western medicine", otherwise.You will not benefit from it, but suffer from its disadvantages first!
The second reason: the backwardness of traditional Chinese medicine formulations is a key factor restricting the development of traditional Chinese medicine.

Speaking of drinking traditional Chinese medicine, people can't help feeling daunted when they think of its bitter taste.

Especially for some old patients, they are afraid of taking traditional Chinese medicine for a long time, and they complain endlessly when they mention Chinese medicine.In clinical work, you can often hear such comments from patients: "I don't want to eat. Who wants to take traditional Chinese medicine?", "I don't even want to move when I'm sick, how can I have the energy to cook Chinese medicine?", " Even if the medicine is delivered to my mouth, I don’t bother to drink it! Who has the leisure to cook Chinese medicine?”, “I live and study at school, and there is no place to cook Chinese medicine.”;
"I'm going on a business trip. Will stopping the medicine for a period of time affect the curative effect?", "After decocting traditional Chinese medicine for a long time, the family members are tired of smelling the smell of the medicine, and the neighbors upstairs also have opinions!", "When the medicine was decocted, the water overflowed Come out. The concoction is dry. What should I do?";
"Without Waqian, can I use other things to decoct traditional Chinese medicine? How long to decoct? How much water to give?" Such complaints abound.

With the development of the times, people's quality of life continues to improve, and more and more people gradually stay away from tedious housework and begin to focus on enjoying life.In this case, patients always hope that the simpler the treatment method, the quicker the effect, the less medication the better.

However, the taste of traditional Chinese medicine is bitter and difficult to swallow, the decoction process is cumbersome, the dosage is large, and it is not easy to carry and store. It has become difficult to adapt to the rhythm of life of modern people and has become a fatal weakness.

Many people agree that Chinese medicine is indeed effective in treating diseases.But do not want to take traditional Chinese medicine.This phenomenon of recognizing Chinese medicine but rejecting Chinese medicine is not uncommon.

Traditional Chinese medicine is the most commonly used and main treatment method in traditional Chinese medicine.But on this most critical issue, it is separated from the needs of patients, which greatly restricts the development of Chinese medicine!
Although some traditional Chinese medicine companies have recognized the existence of this problem, and have introduced many exquisite Chinese patent medicine preparations, such as Xue-Fu-Zhu-Stasis-Mouth-Service-Liquid, Liuwei Dihuangjiaoxiang, etc., which bring benefits to both doctors and patients. It has brought great convenience, but due to lack of overall strategic planning, due social and economic benefits have not been obtained.

On the one hand, the market is in great need of Chinese patent medicine preparations, and on the other hand, the Chinese patent medicines launched by enterprises are unsalable. This phenomenon has deeply puzzled many people in the industry.

What has actually happened?It turns out that although Chinese patent medicines have many advantages, they also have considerable limitations.After all, there are certain individual differences among patients, and it is impossible to "sick according to the prescription" in the original way.

When the formulations of traditional Chinese medicines are not developed, their practicability will be greatly reduced.

For example: a patient needs to be treated with Xiangsha Liujun Pills plus hawthorn, divine comedy, and radish seeds. Although Xiangsha Liujun Pills have patent medicines, hawthorn, divine comedy, and radish seeds have to be decocted separately. Patient taking decoction!
In many similar cases, Chinese patent medicines were abandoned because they could not fully treat the symptoms.How to resolve this contradiction?

The method is very simple: in addition to developing most of the prescriptions and many clinically effective proven prescriptions in "Formula Science" into Chinese patent medicine preparations, hundreds of Chinese medicines in "Chinese Materia Medica" should be refined into independent concentrated granules or taken orally. In this way, the doctor can make changes on the basis of the finished medicine according to the needs of the patient's condition, or simply use the concentrated granules of a single Chinese medicine to recombine the prescription.

Once this "bottleneck" is broken through, it will drive the comprehensive and extensive clinical application of Chinese patent medicines, and Chinese medicine will usher in new glory with a new look!
The third reason: the low quality of TCM teaching has led to "no successors and lack of successors" in TCM.

The current teaching mode of Chinese medicine neither highlights the characteristics nor grasps the key points.

The setting of teaching content is very unreasonable: while students are learning Chinese medicine, they also have to learn a lot of content of Western medicine.There are too many subjects in Western medicine and improper selection of content, which undoubtedly consumes a lot of time and energy of students.

Especially when the foundation of Chinese medicine is far from solid, learning Western medicine at the same time will only cause conflicts of views and confusion in thinking! As a result, many contents that should be mastered are not thoroughly learned.

Doctors with pure skills can save people, but those with poor skills can kill people! "What you have learned is not professional and flashy", which means that Chinese and Western medicine understand everything.In fact, he is not proficient in everything, so how can such an ordinary person be of great use?so.There is no shortage of doctors in this era, but there is a great shortage of good doctors with excellent skills! In addition, there are too many repetitions of basic theories, and there is a serious tendency to emphasize theory over practice and deviate from clinical practice.

The phenomenon of students with high scores and low abilities and difficulty in applying what they have learned is also more prominent.

The low quality of Chinese medicine teaching has directly led to the "lack of successors and skills" of Chinese medicine! Just as enterprises should produce qualified products, medical schools should also train qualified doctors.

However, the reality is that many Chinese medicine students have very limited professional ability after graduation.In theory, full of economics, but in practice, there are too many people who are helpless.

From a so-called "doctor" to a qualified doctor, there is still a long way to go.

"One general succeeds and ten thousand bones dry up".The professional quality of doctors is generally low, which not only greatly reduces the reputation of Chinese medicine, but also makes many patients pay an extra price! Indeed, the growth of any famous doctor.They are all destined to experience many mistakes and suffer many setbacks.However, some man-made negative factors should be avoided as much as possible.

It is of great significance to revitalize Chinese medicine and its sustainable development to reform-reform-teaching mode of Chinese medicine, improve the quality of teaching of Chinese medicine, and shorten the cycle of personnel training.

So, how to improve the quality of Chinese medicine teaching?
First of all, the teaching content should be adjusted: highlight the key points.Focus on the study of basic theory and "Treatise on Febrile Diseases".

At the same time, many repetitive contents should be streamlined.For example, "liver-gallbladder-dampness-heat" can cause headache, herpes zoster, leukorrhea, genital itching, strong middle-weight, impotence-weakness, premature ejaculation, inability to Dozens of diseases such as childbirth, infertility, pregnancy, childbirth, jaundice, sciatica, etc.Widely involved in various subjects such as internal medicine, external medicine, gynecology and pediatrics.

Therefore, when studying the related diseases of these subjects, there are too many repetitions in the discussion of symptoms, etiology and pathogenesis, dialectics, and prescription drugs.

The content learned is boundless, and the effect is bound to get twice the result with half the effort! In fact, the dialectical key points of damp-heat syndrome are "yellow fur and yellow urine". , it can be dialectically as "damp-heat in the liver and gallbladder", and it can be treated with "Longdan Xiegan Decoction" or "Chaihu Yinchen Decoction".

This dialectical method of "prescriptions and medicines corresponding" is very wonderful in treating different diseases with the same treatment, sticking to the simple and controlling the complex, knowing the constant and changing!
Traditional Chinese medicine pays attention to flexibility and flexibility in treating diseases, and it varies from person to person. Even for the same disease, the treatment is "a thousand doctors with a thousand prescriptions"!
So, among the many prescriptions, which ones are the most reasonable and effective?

Conventional dialectical methods are difficult to grasp the essence of the problem! In this regard, "Treatise on Febrile Diseases" can be said to have set a shining example!
A certain patient had headaches, dizziness, blood pressure often as high as 210/95, occasional spitting, red tongue with less moss, and pulse strings; It worked.

According to the article in "Treatise on Febrile Diseases" that "retching, spitting, and headache, Evodia decoction is the main treatment", a doctor prescribed Evodia decoction to treat it, and it recovered after several doses.

It is said that if there is a syndrome, then use the prescription, and if you use the prescription, you will see the effect! "Treatise on Febrile Diseases" has achieved a high degree of unity in "dialectics, prescription, and curative effect".

No wonder Liu-Du-Zhou, Yue-Mei-Zhong, Qiao-Jun-Bao, Zhang-Qi and many other famous Chinese medicine masters are all admiring it!
Therefore, the significance of studying "Treatise on Febrile Diseases" is not only to comprehensively and profoundly understand the evolution rules and medication characteristics of certain diseases, but also to establish the correct thinking mode of Chinese medicine and lay a solid foundation for the future development of students. Foundation!
In addition, in order to improve the quality of TCM teaching, it is necessary to improve its teaching methods and assessment methods.

When they are new to medicine, some people think that massage is a small skill and disdain to learn it.On the eve of the exam, a classmate was asked to demonstrate the various techniques he had learned. As a result, the exam score was even better.

My basic theory is relatively solid, but I don't know anything about massage; and this classmate is an apprentice of a certain professor. His technique is pure, but he is clumsy in words, so his test scores are not satisfactory.

It can be seen that the current teaching assessment system of Chinese medicine cannot truly reflect the level of students, and there are considerable defects!
The current teaching of Chinese medicine lacks clear pertinence.For the teaching of all subjects, almost all of them are based on explaining theory, and students rarely have the opportunity to participate in practice.

Even if it is a graduation internship, it is just a little bit of water and a pass, so how can we cultivate high-quality talents? !

If we teach according to the following model, the effect may be completely different: when explaining various diseases such as internal medicine, surgery, gynecology, and pediatrics, we should put aside repetitive and boring theories, and explain more representative ones according to different symptom types. Innovative clinical medical records to inspire students' thinking and improve their comprehensive ability to use principles, methods, prescriptions, and medicines.

When explaining traditional Chinese medicine, the audio-visual materials of the growth process of the medicine in the natural environment are simultaneously shown.At the same time, put relevant physical specimens in front of each student.

During the acupuncture class, students can practice acupuncture finger strength and various techniques such as lifting, inserting, twisting, and turning on the rubber of the infusion bottle; male and female students can also be divided into groups, and the male and female teachers will take them to different classrooms. Under its guidance, draw the correct meridian-tracking route and precise acupoint positioning on each other.

During the massage class, the two groups of students can practice various basic manipulations on each other under the teacher's demonstration and guidance. After they are proficient, they can further practice comprehensive manipulations for treating neck, shoulder, waist, leg pain and other diseases.

When explaining the class of orthopedics, we can give full play to the advantages of modern technology, film the state of bone damage and the mechanism of manual reset into a VCD with three-dimensional images, supplemented by corresponding human models for teaching.

All in all, the teaching of Chinese medicine should be "all to improve clinical efficacy" as the purpose!
If the teaching content of traditional Chinese medicine is divided into two parts: "theoretical knowledge" and "practical skills", then those who use traditional Chinese medicine as the main treatment method should focus on the study of theoretical knowledge; , then it should focus on the training of practical skills; you must not rely on scores to talk about heroes!
If the relevant colleges and schools can base themselves on practice and clinical practice, brainstorm and teach students in accordance with their aptitude, why not worry about the revitalization of traditional Chinese medicine?And why worry about Chinese medicine's "lack of successors and skills"? !
ps: ?? Note: Thank you Jin Guiguan for molesting and Xie Zhixiu for your support, thank you!