Source | "Medical" WeChat official account

65438126, state administration of traditional chinese medicine and National Health Commission jointly issued a document, saying that they should "standardize the naming of medical technology in traditional Chinese medicine" and clearly put forward "three noes": no exaggerated, boastful and unrealistic terms, no misleading terms, no vulgar or feudal superstitious terms.

The full name of the notice is "Notice on Standardizing the Naming of TCM Medical Technology in Medical Institutions and Strengthening the Management of Clinical Application of TCM Medical Technology".

In addition to further standardizing naming, the Notice also proposes to strengthen the clinical application and strict supervision of Chinese medical technology.

After the name change, Chinese medicine technology may be "uncharacteristic"

The notice requires that the naming of TCM medical technology should conform to TCM theory, be scientific and standardized, be short and accurate, reflect the academic characteristics of TCM, and adopt TCM professional terms.

The notice gives a "standard" for naming. It is said that medical institutions should use the technical names of traditional Chinese medicine in the specifications and technical specifications of traditional Chinese medicine, and may not name themselves.

Xu Yucai, former deputy director of the Health and Health Bureau of Shanyang County, Shaanxi Province, studied the notice as an example. If an acupuncture treatment technique is named "Five Unique Points", it belongs to the jurisdiction of the Notice, that is, "self-naming".

Searching for "medical field" found that the problems mentioned in the notice, such as "miscellaneous and chaotic, specializing in multiple functions", are widespread in public Chinese medicine hospitals.

In the column of "Special Treatment" in official website, a hospital in Guangxi claimed that it had perfected and applied more than 10 kinds of external treatment methods of traditional Chinese medicine, including acupuncture at Jiaji point of Huatuo, cupping along meridians, ironing and pressing, and flowing injection of meridians.

A hospital in Suzhou opened a "sub-health special disease clinic" in March 20021year, providing health care, physical resistance, moxibustion and other medical services.

Jiaxing, Zhengzhou and other institutions carry out "balanced cupping" treatment. It is called cupping therapy based on Yin-Yang theory, with nerve conduction theory as the approach and self-balance as the core. It is a natural balance therapy that uses different cupping techniques to act on the human body.

In addition, many Chinese medicine hospitals have "dragon moxibustion". Relevant introductions show that this technology originated in the Jin Dynasty, and it is a method for emperors to preserve their health. It is named after "Fire moves along the meridians, warms the abdomen and back, and rises like Youlong".

The same therapy is called "fire therapy" in a hospital in Shiyan city. This technology has not been included in manuals and specifications.

"Fire therapy and Chinese medicine moxibustion are a category, but in Chinese medicine textbooks, there is moxibustion but no fire therapy." 20 18 the paper quoted Li Changzhi, a famous Chinese medicine expert heir and deputy chief physician of acupuncture department of Yueyang Hospital of Integrated Traditional Chinese and Western Medicine affiliated to Shanghai University of Traditional Chinese Medicine.

"For a long time, the problem of nonstandard naming of TCM diagnosis and treatment technology has been widespread. This is related to Chinese medicine culture. " Yu Hsu told Medical Science that Chinese medicine advocates "secret recipe handed down from ancestors" and "unique skills", which is accompanied by "metaphysics". Its theory comes from yin and yang and five elements, and heaven and man correspond. Many treatments and prescriptions are superstitious or difficult to distinguish from feudalism.

Xu Yucai said that the standardized naming may affect the promotion of the corresponding Chinese medical technology and services. Because once it is named according to the specification, the technical features cannot be displayed.

Chinese patent medicine was named "six noes"

The standardized naming of traditional Chinese medicine also caused a heated discussion on 20 17.

On1October 20th, that year, 165438, the former China Food and Drug Administration issued the Technical Guiding Principles for Naming Common Names of Chinese Patent Medicines, which put forward three basic principles for naming Chinese patent medicines, namely, "scientific simplicity, avoiding duplicate names", "standardizing naming, avoiding exaggerating curative effects" and "embodying traditional cultural characteristics".

At the same time, the principle lists "six noes", namely:

Vulgar and superstitious terms should not be used;

In addition to the dosage form, the name shall not be duplicated with the existing generic name of Chinese patent medicine, so as to avoid the situation of different names with the same name and different names on the same side;

Generally, names of people, places, enterprises or endangered protected animals and plants should not be used;

The homophonic naming of code names and nouns with specific meanings should not be adopted. Such as: X0X, homonym of celebrity names, etc.

It should not be named after modern medical pharmacology, anatomy, physiology, pathology or therapeutics, such as anti-cancer, anti-inflammatory, hypoglycemic, antihypertensive, lipid-lowering and so on.

Exaggerated, boastful and unrealistic words should not be used, such as: strong, quick-acting, imperial, secret, spiritual, precious and refined.

The Principles published the Draft for Comment on June 20 17. The contents of the two editions are basically the same, and the main difference is "applicable object".

According to Beijing Youth Daily, the Exposure Draft stipulates that this principle applies to both new Chinese medicine and original Chinese patent medicine. According to rough statistics, more than 5,000 kinds of Chinese patent medicines need to be renamed according to the requirements of "one size fits all". "This has caused heated discussions and even doubts from all walks of life."

Beijing Youth Daily commented that this is to standardize the naming of Chinese patent medicines based on western medicine. This unrealistic approach can only be "doing bad things with good intentions." Whether the actual function determines the characteristics, culture and inheritance tradition of traditional Chinese medicine.

Under the strong pressure of public opinion, around March 2065438+2007, the former head of China Food and Drug Administration said that the new naming rules for proprietary Chinese medicines did not involve time-honored brands. Time-honored Chinese patent medicines do not need to be renamed.

According to the principle of final release, the generic names of Chinese patent medicines that have been listed, exaggerating curative effect or using vulgar language will be classified in batches.

TCM technology lacks "quality control"

The aforementioned "Notice" also mentioned that the medical technology of Chinese medicine should be strictly regulated. Including promoting the establishment of quality control system of TCM medical technology as soon as possible, improving various systems of TCM medical technology management, strengthening quality control, daily monitoring and regular evaluation of clinical application of TCM medical technology with short development time and high risk, feeding back quality control and evaluation results to medical institutions in time, and continuously improving the quality of clinical application of TCM medical technology.

Xu Yucai pointed out that at present, Chinese medicine technology has established some technical quality control standards and quality control systems, but they are not systematic and standardized.

"Research on the Supervision Countermeasures of Chinese Medicine Medical Services in Chengdu" written by Chengdu Health and Family Planning Supervision and Law Enforcement Detachment said: "Chinese medicine diagnosis and treatment methods must have national legal standards, and Chinese medicine must also have national legal standards. Lack of standards will not only hinder the overall development of Chinese medicine, but also bring practical problems to supervision. In order to improve the efficiency of supervision and change the passive situation of supervisors in their work, it is necessary to put the standardization of Chinese medicine and the formulation of standards and norms for Chinese medicine health care institutions, personnel and services on the agenda, and it is impossible to rise to the national level in a short time. It is suggested that local legislation should be adopted to clearly define the diagnosis and treatment methods of traditional Chinese medicine. For service projects with vague or overlapping concepts, it is recommended to set up an expert group to study and formulate an inventory, or to clarify the source of authoritative opinions in the future. "

Source:

1. Notice on standardizing the nomenclature of TCM medical technology in medical institutions and strengthening the management of clinical application of TCM medical technology. Website of Chinese Medicine Bureau

2. China Medical Technical Manual.

3. National medical service price project specification.

4. Notice of the General Administration on Issuing the technical guiding principles for naming generic names of Chinese patent medicines. U.s. food and drug administration. GGTG-20 17- 1 1778

5. Research on the countermeasures of TCM medical service supervision in Chengdu. Chengdu health he family planning supervision law enforcement detachment