Source: China Science and Technology Information

Chinese medicine is not caused by the "middle way"

There is no denying the great historical role and important practical significance of traditional Chinese medicine. The scientificity and universality of western medicine have been recognized, and both of them have comparative advantages. Therefore, the government of China put forward the policy of "paying equal attention to Chinese and Western medicine" and "long-term coexistence and common development", and wrote "developing traditional medicine" into the Constitution. But for a long time, the government's policies and constitutional spirit have not been well implemented. In the specific legal policies, administrative management, national investment, scientific research development and medical practice, western medicine is generally valued over Chinese medicine, and the status of Chinese medicine has declined, and its development is facing difficulties. The biggest dilemma is that Chinese medicine is becoming more and more westernized, and the surname is no longer "Zhong". This is mainly reflected in six aspects:

1. Traditional Chinese medicine lacks successors. According to statistics, there were 65438+276,000 Chinese medicine doctors in 2009, and there were still more than 270,000 in 2002, with no growth in 53 years. In the same period, the number of western medicine practitioners was 87,000 and 6.5438+0.57 million respectively, an increase of 654.38+0.7 times; At present, there are 5.2 million medical workers and about 500,000 Chinese medicine workers in China, less than110. What is particularly frightening is that many Chinese medicine practitioners basically don't use Chinese medicine ideas to see a doctor, but only look at the laboratory list. Traditional Chinese medicine lacks successors.

2. Chinese medicine education is declining. In recent years, Chinese medicine education has been westernized seriously. In terms of language, foreign language requirements are not low, Chinese requirements are not high, and ancient Chinese training is lacking. Many students basically don't read and don't understand ancient Chinese medicine books. In the course arrangement, the class hours of Chinese and western medicine are almost equal; Western medicine theory learning requirements are not low, and Chinese medicine theory training is seriously inadequate. I don't even study classics such as Huangdi Neijing. In skill training, there are many experiments in western medicine, but not many trainings in Chinese medicine. After graduation, students generally don't need Chinese medicine thinking to see a doctor, and most of them turn to western medicine, or western medicine is the main business of Chinese medicine. Most graduate students do not improve the theory and clinic of traditional Chinese medicine, but follow the method of western medicine education, requiring masters to reach the cellular level and doctors to reach the molecular level before graduation. Many masters and doctors of traditional Chinese medicine can't use the theory and technology of traditional Chinese medicine to see a doctor clinically, so it is difficult to be called real Chinese medicine.

3. Deny the inheritance of mentoring. Master-apprentice inheritance is a traditional way to train Chinese medicine talents in China, which has produced a batch of doctors of Chinese medicine for thousands of years. The essence and skills of TCM are often "only taught in the heart, not in words", so since ancient times, teachers and apprentices, like father and son, should teach wholeheartedly. However, the current medical system basically denies the inheritance of mentoring, leaving mentoring with no place to stand. The lack of successors of pure Chinese medicine has become a very serious problem in the development of Chinese medicine. At present, there are few famous old Chinese medicine practitioners left before liberation in China, all of whom are over 80 years old; In the 1950s, there were only a few well-known traditional Chinese medicine practitioners, all of whom were over the age of ancient times. Since then, Chinese medicine, which is mainly cultivated according to western medicine education, has made little achievements in real Chinese medicine. According to statistics, there are currently less than 300 famous old Chinese medicine practitioners in China. There are only tens of thousands of Chinese medicine practitioners who can basically see a doctor with Chinese medicine ideas.

Many folk Chinese medicine handed down from master to apprentice in our country are well received by the masses because of their high level, low fees and good effects, but most of them have not been officially recognized. The current Chinese medicine practice examination system needs the examination of western medicine knowledge, but most folk doctors cannot pass the examination because of the lack of western medicine knowledge. The current medical license system also restricts normal folk medical practice. Most folk doctors are illegal to practice medicine because they can't get a license and can't practice openly. The current medical law enforcement supervision system hinders the normal folk medical practice. Even if there is a normal accident in folk medical practice, if you are sued without a medical license, you will be punished by law. These limitations of the medical system force many real folk doctors to practice medicine underground and illegally. However, the people have a huge demand for folk Chinese medicine, so the market of folk Chinese medicine is very chaotic.

Chinese medicine hospital has become a second-rate western medicine hospital, and Chinese medicine has no real clinical foundation. At present, there are more than 2,800 Chinese medicine hospitals in China, but none of them are real Chinese medicine hospitals, and almost all of them are "integrated" hospitals of Chinese and Western medicine. Check the disease, mainly * western medicine instrument testing and testing; The diagnosis of diseases is mainly determined by the data of laboratory sheets; Prescription, mainly based on western medicine thinking and theory to prescribe treatment programs; Grasping medicine is a combination of Chinese and western medicine, and Chinese medicine and western medicine are mainly mutual; Efficacy, mainly * western medicine instruments to test the therapeutic effect. According to statistics, 200 1, only 40% of Chinese medicine, 60% of western medicine, or even 377. It can be said that at present, most Chinese medicine hospitals no longer have the surname "Zhong" and have no real nature of clinical base of Chinese medicine. On the one hand, most Chinese medicine practitioners who have been trained since the late 1960s have been unable to listen, ask questions and distinguish diseases, so they must use instruments to distinguish diseases like western medicine. On the other hand, in order to survive, hospitals buy a lot of western medicine and medical equipment. The difference between the import and export of western medicine is large, the cost of testing and testing is high, and the income of doctors, the profit of hospitals and the rating of hospitals should be improved. Although Chinese medicine is simple and cheap, if it is charged, it will be difficult for hospitals to survive and doctors will only be poor.

5. Judge Chinese medicine by the standards of western medicine, and belittle or even deny the achievements of Chinese medicine. Chinese and western medicine are two different theoretical and practical systems, each with its own clinical methods and evaluation criteria, which are basically incompatible. However, under the current medical concept and system, the diagnosis, treatment and curative effect of Chinese medicine, as well as the development, evaluation and popularization of new Chinese medicine, are basically judged by the standards of western medicine. It has long been common in the medical field to belittle or even deny the clinical "practice standard" of Chinese medicine, and the curative effect and scientific research achievements of Chinese medicine must be recognized by western medicine or western medicine methods.

As early as 1956 in Shijiazhuang, Japanese encephalitis was treated with traditional Chinese medicine, with excellent curative effect and no sequelae, but the Ministry of Health refused to admit it. Pu Fuzhou, a famous doctor of traditional Chinese medicine, successfully treated Japanese encephalitis 167 people, but the health department used 98 groups of traditional Chinese medicine prescriptions, which had no statistical significance and denied its curative effect. Recently, for example, Guangzhou used Chinese medicine to treat SARS last year, and the effect was remarkable, but it was not recognized at first. Chinese medicine believes that SARS is a plague, which can be cured by law, but it can only be intervened after repeated appeals. Western medicine believes that SARS is a brand-new disease, there is no precedent for treatment, and there is no medicine, but western medicine can completely enter the treatment process from the beginning. Some effective prescriptions of traditional Chinese medicine for epidemic febrile diseases must be proved to "kill" SARS virus by experiments in mice before they are allowed to enter the clinic. Western medicine knows that antibiotics and other western medicine can't kill SARS virus, which has great side effects, but it can be tested in large doses, without discussion.

6. One-sided understanding of modernization of traditional Chinese medicine. From the practice of modernization of traditional Chinese medicine for many years, the basic idea is to make clear the chemical composition of traditional Chinese medicine and extract effective substances according to the scientific research approach of western medicine through animal experiments and data statistics, so as to make a "new traditional Chinese medicine" similar to western medicine, which specializes in treating "some diseases". If we use this method to develop new western medicine from Chinese medicine, it is beyond reproach; However, if we regard it as the main or even the only way to modernize Chinese medicine, the result is not the modernization of Chinese medicine, but the westernization of Chinese medicine.

For example, artemisinin, known as the "trump card" of Chinese medicine modernization, is extracted from Artemisia annua, but the extracted artemisinin no longer has the medicinal properties of Chinese medicine and cannot participate in the compatibility of Chinese medicine prescriptions. It is no longer Chinese medicine, but belongs to the category of western medicine. For example, from 65438 to 0992, a clinic in Belgium prescribed "Chinese medicine" and "diet pills" to lose weight. After taking it for more than one year, half of the patients developed severe kidney disease, which was found to be caused by aristolochic acid contained in the drug. This was widely publicized by western public opinion as the so-called "aristolochic acid nephropathy" incident in traditional Chinese medicine, which greatly damaged the image of traditional Chinese medicine. In fact, this is the result of the ingredients of traditional Chinese medicine and the long-term consumption of traditional Chinese medicine as health food, which just violates the fundamental requirements of TCM syndrome differentiation and treatment.

According to the current one-sided practice of modernization of traditional Chinese medicine, it is impossible to develop such a famous prescription as Liuwei Dihuang Pill. Liuwei Dihuang Pill is not designed for treating a certain disease, it can treat more than 400 diseases, but it can only be effective under the guidance of TCM theory and according to the syndrome differentiation of kidney yin deficiency. The modernization of TCM simply imitates the development of western medicine, which leads to the separation of TCM research from its own system and the alienation of TCM research. As a result, Chinese medicine can't catch up with western medicine, and it will repeat the mistake of "abandoning medicine and storing medicine" in Japan. Traditional Chinese medicine has been abolished in Japan, and the curative effect is generally poor when western medicine is used according to the condition.

Self-deprecation limits development.

Traditional Chinese medicine (TCM) is in trouble, which has both conceptual problems and institutional problems, as well as TCM's own problems. The fundamental problem is to doubt the scientific nature of TCM.

1. National nihilism leads people to generally despise Chinese medicine. After Western medicine entered China with guns, many people in China treated Chinese medicine culture with national nihilism, belittling, doubting and even denying Chinese medicine. During the Reform Movement in the late Qing Dynasty, some people began to deny TCM. The Kuomintang government eliminated Chinese medicine twice. After liberation, Wang Bin, the Central Ministry of Health, proposed that Chinese medicine was feudal medicine and should be eliminated with the elimination of feudal society. Mao Zedong criticized this and fired two deputy ministers, pointing out that "China medicine is a huge treasure house". Although no one in China dares to openly deny TCM, TCM has been in a state of being questioned, verified and reformed for more than 50 years. Some authoritative people who doubt Chinese medicine always try to "upgrade" Chinese medicine to the level of western medicine under the banner of "integration of Chinese and Western medicine" and "scientific modernization of Chinese medicine".

As early as the 1980s, Professor Boquet from the Department of East Asian Studies at the University of Munich pointed out: "Traditional Chinese medicine in China has not been treated with cultural reverence, has not determined its scientific traditional status, conducted epistemological research and reasonable scientific discussion, and has not paid humanitarian attention to human welfare, but has been treated with dogmatic contempt and cultural destruction. It is not outsiders who do this, but domestic medical personnel. They don't recognize the treasures of China. In order to pursue fashion, they use Western terms to destroy and blur the information of Chinese medicine. " .

2. Two laws and one regulation hinder the development of Chinese medicine. Although "developing traditional medicine" is solemnly written into the Constitution, Chinese medicine has been discriminated, distorted and restricted in some specific laws, regulations and medical management systems.

The Law on Medical Practitioners stipulates that you must have a medical college degree of more than 4 years before you can take the qualification examination, and nearly half of the examination content is western medicine knowledge. In this way, as an apprentice, folk Chinese medicine practitioners who have not received formal western medicine education are not qualified to practice medicine. Clinical self-made pills, powders and ointments are a basic skill of Chinese medicine, and folk secret recipes are all self-made, but the Drug Administration Law strictly restricts the use of self-made prescriptions, otherwise sanctions will be imposed in the name of illegally manufacturing and selling drugs. The "Administrative Measures for the Examination and Approval of Preparations in Medical Institutions" being drafted stipulates that "preparations in medical institutions can be used between designated medical institutions"; However, "Chinese medicine preparations are generally not allowed to be used." The Regulations on the Administration of Traditional Chinese Medicine also restricts the development of traditional Chinese medicine in many aspects.

3. Problems of Chinese medicine. What is outstanding is that the field of traditional Chinese medicine has lost its tradition in many aspects, belittled itself and succumbed to western medicine.

First, the inheritance of Chinese medicine culture is seriously insufficient. The theory of traditional Chinese medicine is profound, and the development of traditional Chinese medicine must first learn and inherit, otherwise it will become passive water. However, for decades, not only laymen have despised the culture of TCM, but also the field of TCM itself has paid little attention to the study and mastery of the basic theories of TCM. Except for a few well-known Chinese medicine practitioners who have a solid knowledge of Chinese medicine culture, most Chinese medicine practitioners have a serious shortage of Chinese medicine culture.

Second, Chinese medicine research passively imitates the western medicine model. In the field of traditional Chinese medicine, many people use the theory of western medicine to revise the theory of traditional Chinese medicine, thinking that this is innovation; Using phytochemistry to study Chinese medicine means the modernization of Chinese medicine; It is considered that it is standardized to measure the clinical efficacy of traditional Chinese medicine with the physical and chemical statistical indicators of western medicine. Because of this, the research on major theories and prescriptions of traditional Chinese medicine in China has not made much progress.

Third, the westernization of Chinese medicine hospitals is serious. Chinese medicine hospitals in China are basically "integrated" hospitals of traditional Chinese and western medicine. Western medicine is the main method from diagnosis, prescription, hospitalization to curative effect test.

Finally, although the individualized treatment of traditional Chinese medicine represents the future medical direction, it does not meet the requirements of market economy to occupy market share and pursue profit maximization. Driven by practical interests, people often attach importance to western medicine and despise Chinese medicine.

Respect the national conditions and seek revitalization.

Fully guaranteeing the life and health of 654.38+0.3 billion people is not only the premise of building a well-off society in an all-round way, but also the most basic goal. However, 85% of the population in China (more than 90% of farmers and about 50% of urban residents) can't get the national public health guarantee. The gap between the goal and reality is very large. The solution is to learn from the West and continue to establish a Western-style medical and health system in China. However, practice shows that this road is difficult to go on. Only by proceeding from the reality of China, giving full play to the comparative advantages of traditional Chinese medicine "simple and cheap" and gradually establishing a medical and health care system with truly China characteristics, can this be a road of sustainable development.

1. It is impossible for China to adopt the western medical security model. The great achievements of western medicine are self-evident, but the high cost of western medicine is also obvious to all. The more modern western medicine, the greater the investment and the higher the fees, the more unbearable it is for the government and people. 10 for many years, the payment crisis has generally occurred in the health care system of developed countries. Since the 1980s, the medical expenses in the United States have increased dramatically year by year. In 2000, the total medical and health expenditure reached 1.3 trillion US dollars, accounting for 13% of the GDP and 43% of the total global medical and health expenditure. Even so, there are still 15% people in the United States who do not enjoy basic medical and health care. Without government subsidies, most medical insurance companies in the United States cannot afford the rapidly rising medical expenses and have to close down.

Not only that, although the United States has the most developed medicine and the most sound medical system in the world, it can't solve the two limitations of western medicine at all. First, the misdiagnosis rate is high, western medicine is abused, with great side effects and strong drug resistance. The Centers for Disease Control and Prevention estimates that more than 50% of antibiotics in the United States are improperly used, which is causing a serious public health crisis. There are 6.5438+0.8 million inpatients with adverse drug reactions in the United States every year, of which 6.5438+0.8 million people die, which is four times the number of deaths in car accidents. Second, western medicine can't solve chronic diseases, senile diseases and a large number of intractable diseases, which account for 70% of human diseases. Facing the reality, the United States and other western countries began to reform the current medical security system to reduce costs and expand the scope of citizens' benefits. On the other hand, re-examine the development direction of western medicine and gradually replace the traditional biomedical model with bio-social-psychological medical model. In this context, traditional medical methods such as acupuncture and traditional Chinese medicine, which were denied and banned in the past, began to be recognized and valued, and gradually incorporated into the medical and health security system of western countries.

If China continues to follow the path of western medicine, the biggest problem it faces is its inability to pay the increasing medical and health expenses. China's health expenditure can't reach the level of 1.3 trillion US dollars (more than 200 1 year China's total GDP), and it can't reach the level of 13% GDP (this requires 1.25 trillion RMB, which will actually reach 51year. What's more, China's government expenditure accounts for less than 40% of the total health expenditure, which is one of the lowest countries in the world, while it is over 70% in developed countries and 60% in developing countries. In addition, the medical price in China has risen alarmingly, which has become a serious social problem. According to statistics, in the 1990s, the outpatient medical expenses of general hospitals in China increased by 20% every year, and the inpatient medical expenses increased by more than 17% every year, which was times higher than the growth rate of GDP and residents' income. Determined by the national conditions and national strength, China should not and cannot adopt the western medical and health security model.

At the same time, the limitations of western medicine have the same performance in China, even worse in many aspects. According to statistics, from 65438 to 0999, the misdiagnosis rate of clinical diagnosis of western medicine in China reached 27.8%, of which the misdiagnosis rate of malignant tumor exceeded 40%. Antibiotics account for 365,438+0% of the total consumption of western medicine in China, and the utilization rate of antibiotics in inpatients is as high as 80%, with the world average of 30%.

2. Traditional Chinese medicine has obvious comparative advantages. For thousands of years, the development of Chinese medicine has formed a set of medical and health methods and experiences that are both realistic and advanced, both generalized and in-depth, characterized by "simplicity and cheapness", and Chinese medicine represents the development direction of future medicine. As long as we study, inherit and develop seriously, we can carry forward in today's society and really keep pace with western medicine.

Traditional Chinese medicine plays a great role in preventing major epidemics. From Huangdi Neijing, which began in the Warring States Period and was completed in the Western Han Dynasty, to Treatise on Febrile Diseases by Zhang Zhongjing in the Eastern Han Dynasty, and then to Treatise on Febrile Diseases by Wu Youke and Ye in the Ming and Qing Dynasties, Chinese medicine subdued the plague again and again and saved countless lives. In recent decades, Chinese medicine has also played an important role in preventing and treating some major infectious diseases. Japanese encephalitis was prevalent in Shijiazhuang from 65438 to 0956, and Baihu decoction was used by Shi Zhongjing. The curative effect exceeds the world level. 65438-0958 epidemic encephalitis B, when Professor Deng Tietao participated in the treatment. According to statistics, the curative effect of traditional Chinese medicine is 90%, and there is no sequela. 1990 the centers for disease control and prevention of the United States made a statistical comparison between 1988, which mainly treats hepatitis b and overlapping hepatitis a in Shanghai, and 1983- 1988, which treats similar diseases in American western medicine. The mortality ratio between China and the United States is 1∶234. The role of traditional Chinese medicine in fighting SARS has been highly praised by medical circles at home and abroad. Chinese medicine has also begun to play a role in the prevention and treatment of AIDS.

It is the comparative advantage of TCM that makes quite a few people in China still love TCM. Although the organization and strength of Chinese medicine are far less than that of western medicine, the number of Chinese medicine outpatients still accounts for the total number of hospital outpatients in China every year? Private clinics are as high as 63%.

3. China needs to establish a new medical and health security system suitable for the national conditions. In 1970s, China made the population coverage rate of public health system reach 85% with the world health expenditure of 1%, which created a miracle in developing countries and was highly praised by the world. One of the basic reasons is that the rural cooperative medical system, which is based on traditional Chinese medicine and integrated traditional Chinese and western medicine, has played an important role.

In the past 20 years, the medical service in China, which is mainly based on western medicine, has made unprecedented development, but the beneficiaries are mainly more than 200 million urban residents who enjoy free medical care. In terms of universal health services and per capita health expenditure, the gap between China and the world has obviously widened. In 2000, the World Health Organization evaluated the fairness of medical and health care in 19 1 countries and regions, and China ranked fourth from the bottom, which is one of the most unfair countries in the world. According to the statistics of the World Bank, in 2000, China's per capita health expenditure was only 1/20 of the world average, which was one of the most backward countries. Among the total health expenditure in China, the ratio of government to individual is 39.4∶60.6, the world average is 6 1.8∶38.2, and that in the least developed countries is 59.3∶40.7. Therefore, China has been strongly criticized by the international community.

To completely change this situation, China must rethink the development strategy of medical undertakings and establish a new medical and health system with China characteristics. This system must be universal and truly serve the people of China; Must be fair and just, so that most people can really enjoy the most basic medical services; Must be reasonably priced, so that most people can really afford basic medical services; Must be convenient and effective, so that most people can really enjoy convenient, fast, efficient and effective basic medical services; It must be prevention-oriented, and truly put "self-cultivation" and "disease prevention" in the first place; It must be sustainable and truly adapt to the future trend of economic development, government financial resources and residents' income.

The basic framework of the new medical and health system with China characteristics should be: giving priority to prevention, paying equal attention to urban Chinese and western medicine, giving priority to rural Chinese medicine, and integrating Chinese and western medicine. That is, through state investment and policy support, vigorously develop the cause of Chinese medicine, and gradually make Chinese medicine really keep pace with western medicine in cities and play a leading role in rural areas. Only with such a system framework can we realize the requirements of "the strategy of shifting the center of gravity downward" (for rural areas and grass roots) and "the strategy of shifting the center of gravity forward" (for disease prevention and early treatment) in disease control, and comprehensively improve the health level of China people and realize the goal of "health for all by 2020". To establish such a new system, we must revitalize Chinese medicine in an all-round way.

4, the implementation of six major projects, comprehensive revitalization of traditional Chinese medicine. Rebuilding the important strategic position of Chinese medicine, with the basic framework of "prevention first, paying equal attention to urban Chinese and western medicine, rural Chinese medicine first, and Chinese and western medicine parallel", is the best choice to establish a new medical and health system with China characteristics. Therefore, to fully revitalize Chinese medicine, six revitalization projects should be implemented.

Traditional Chinese Medicine Talent Project: The most fundamental way to solve the problem of talents in traditional Chinese medicine is to cultivate talents according to the laws and characteristics of traditional Chinese medicine. A real college of traditional Chinese medicine must be established. The entrance examination should have strict requirements for traditional cultural knowledge such as ancient Chinese; Curriculum, mainly based on Chinese medicine theory and classics; Clinical training, focusing on the skills of listening, speaking and asking; Postgraduate entrance examination should be based on in-depth study of TCM classics and inheritance and mastery of some TCM skills. Only in this way can students have real TCM thinking, master real TCM skills and become real TCM practitioners when they graduate.

In addition, the guidance inherited the training method. Let the folk Chinese medicine with real skills be open, normalized and legalized. At the same time, it is necessary to reform the Chinese medicine education system and talent evaluation system, reform the Chinese medicine qualification examination system, increase the financial investment in Chinese medicine education, and create institutional and material conditions for cultivating millions of Chinese medicine talents.

Chinese medicine scientific research project: Chinese medicine scientific research must be carried out under the guidance of Chinese medicine theory, completely changing the long-term practice of mainly following western medicine ideas and methods. We should re-establish the strategic direction of TCM modernization. Traditional Chinese medicine is a comprehensive knowledge system integrating philosophy, social science and natural science, not a pure medicine. The direction of modernization of traditional Chinese medicine should not follow the scientific research route of western medicine, but should fully absorb the achievements of modern science on the basis of inheriting the basic theories, methods and experiences of traditional Chinese medicine, improve and develop them, and establish a truly independent TCM syndrome differentiation and treatment system and scientific research system.

In addition, under the guidance of traditional Chinese medicine theory, new Chinese medicines are developed. A new Chinese patent medicine was developed on the basis of summarizing the formulas of commonly used Chinese medicines. The study of herbal ingredients based on chemical and biological methods belongs to the category of western medicine. It is necessary to establish a series of standards and norms of traditional Chinese medicine, so that it will gradually become the international standard of traditional Chinese medicine. At the same time, establish an independent evaluation system of TCM scientific research. Establish a real TCM scientific research and clinical base.

Traditional Chinese Medicine Industry Development Project: In recent years, the world herbal medicine market sales increased by 20% every year. The traditional Chinese medicine industry in China is also developing rapidly and is becoming a new industry.

First, develop the production of Chinese herbal medicines and Chinese herbal pieces; Second, we must support the production of proprietary Chinese medicines. Third, expand the international market of traditional Chinese medicine, expand the international influence of traditional Chinese medicine, and rebuild the prestige of China as a big country of traditional Chinese medicine.

Rural Chinese medicine project: first, we should train a large number of junior and intermediate Chinese medicine talents for the countryside, just as we trained barefoot doctors in the past. Second, encourage the establishment of Chinese medicine clinics in rural areas on the basis of standardization. Third, support township hospitals in policy and gradually improve their medical technology and service level. Fourth, we should organize a group of Chinese medicine lecturers to popularize primary medical knowledge based on Chinese medicine in rural areas. Fifth, it is necessary to establish a system that medical college graduates must serve in the countryside for one year before working in large and medium-sized hospitals and medical research institutions.

Chinese medicine administrative management system reform project: Chinese medicine is very different from western medicine in basic thinking, basic theory, basic methods and clinical practice, and its administrative management methods are also obviously different from western medicine. For a long time, Chinese medicine has become increasingly westernized. One of the basic reasons is to implement the unified administrative management system of Chinese and Western medicine, and basically manage Chinese medicine according to the management methods of Western medicine. This system must be reformed. The main guiding ideology of the reform is to fully respect the objective law of the development of traditional Chinese medicine and establish an administrative management model and system that fully conforms to the characteristics of traditional Chinese medicine; The main way of reform is to separate the management of traditional Chinese medicine and establish a top-down self-contained management system and institution of traditional Chinese medicine.

At the same time, it is necessary to increase state investment in the development of traditional Chinese medicine. To increase the proportion of national health administrative funds in fiscal expenditure, it is more important to increase the proportion of Chinese medicine administrative funds in the whole health administrative funds. Otherwise, it is difficult to embody the constitutional spirit of paying equal attention to Chinese and western medicine. This is the guarantee for the real revitalization of Chinese medicine.

Chinese medicine policy and regulation guarantee project: policies and regulations often determine the life and death of an industry or discipline. After Meiji Restoration in Japan, Chinese medicine was denied in law. Today, there is no Chinese medicine in Japan. This is a great lesson. Although China has included "developing traditional medicine" in the Constitution, it still needs to make great efforts to implement the Constitution in specific laws, policies and administrative management.

First, organize experts in traditional Chinese medicine and experts in law, economy and administration to re-examine and study all medical and health laws, regulations, policies and rules involving traditional Chinese medicine, and all provisions that hinder the normal development of traditional Chinese medicine should be revised or abolished. Second, speed up the pace of Chinese medicine legislation and formulate the Chinese medicine law as soon as possible. Third, we should study and formulate special policies and regulations to protect Chinese medicine classics, traditional prescriptions, secret recipes and new achievements of Chinese medicine, just like protecting precious cultural heritage and intellectual property rights. Fourth, when formulating new medical and health laws and policies, while implementing the principle of equal status and equal treatment of Chinese and Western medicine, we should also reflect the encouragement and support for Chinese medicine in some aspects.

In February this year, 100 many old Chinese medicine practitioners jointly wrote to the CPC Central Committee and the State Council, suggesting that "the sustainable development of Chinese medicine" should be included in the national medium-and long-term scientific and technological development plan as a major scientific and technological project. The appeal pointed out that Chinese medicine has made unparalleled contributions to the prosperity of the Chinese nation and is the key to solving the medical problems of China's 654.38+300 million population, especially 900 million farmers. Only a medical and health care system that focuses on traditional Chinese medicine and pays equal attention to both Chinese and western medicine can solve the medical and health care problems of China, especially farmers and urban poor people, and become a model of medical and health care in the world. If nothing is done, Chinese medicine will continue to develop like this. In less than 20 years, real Chinese medicine will no longer exist. If Chinese medicine dies in the hands of our generation, we will become sinners through the ages.