The prescription quality and preparation technology of ointment need to be further standardized. Therefore, the development of ointment needs correct guidance.
Importance of developing ointment
Developing ointment is the need of inheriting Chinese medicine culture. Ointment is a historical product of the development of traditional Chinese medicine, and it is a traditional Chinese medicine prescription with comprehensive functions of nourishing and preventing diseases explored by ancient doctors in clinical practice. Traditional Chinese medicine ointment is an important heritage of Chinese medicine culture, which contains many contents of Chinese medicine culture. A good ointment must fully reflect the traditional characteristics of TCM syndrome differentiation and treatment and the principle, method, prescription and medicine; It fully embodies the traditional characteristics of aesthetic medical ethics in traditional Chinese medicine, which are good manifestations of Chinese medicine culture.
Ointment is an important clinical embodiment of the thought of "preventing disease" in traditional Chinese medicine. As one of the important components of traditional Chinese medicine, ointment is used in the whole process of health care, disease prevention and rehabilitation. Guided by the overall concept, it is an important clinical manifestation of TCM's "prevention before illness" to adjust the balance of yin and yang by distinguishing people's physique, taking into account old diseases and formulating cream prescriptions, so as to achieve the goals of prevention before illness, correction before illness and recovery before illness.
The ointment well embodies the idea of "holistic view" and "syndrome differentiation and treatment" in traditional Chinese medicine. Its function covers tonifying deficiency and treating diseases, and it has relative advantages in the treatment of chronic diseases. Plaster is a dosage form of traditional Chinese medicine. Drug selection and prescription are different from the simple method of "strengthening the body" and from the general "tonic". Complementing "disease differentiation" and "syndrome differentiation", we should make legislative prescriptions according to individual differences, reasonably match the proportion and weight of drugs for strengthening the body resistance and eliminating evil in the ointment, and work hard on "regulating", "consolidating the roots and clearing the source, and moderately attacking and defending"
Cream prescription is an indispensable part of the academic system of traditional Chinese medicine. Ancient and modern physicians applied the ointment to the royal family and ordinary people, and achieved good results. In the Song Dynasty, doctors used Ningzhi ointment and ointment in Compendium of Materia Medica, Ginseng ointment, Poria ointment and Qiongyu ointment in Shoushi Baoyuan, Erxian ointment in Shousheng Zongyao, and two ointments in Zongjin Bamboo Slips. Many famous Chinese medicine experts have experience in preparing and applying ointment to prevent and treat diseases, such as Qin Bomo applying ointment effectively, and Pu Fuzhou, an old Chinese medicine practitioner, likes to use ointment pills to relieve symptoms when recuperating chronic diseases, and its clinical treatment is very effective. Modern famous doctor Ding Ganren is also good at treating diseases with ointment, which is quite influential.
The development of ointment is to meet the growing health care needs of people in today's society.
People's living standards continue to improve.
Health requirements are getting higher and higher. At the same time, with the pressure of life and work, lack of sleep, irregular diet, lack of exercise and other reasons, more and more people are in sub-health state, and Chinese medicine ointment has a good effect on regulating sub-health state. Plaster prescription is formulated according to patients' different physical characteristics and different symptoms and signs, which fully embodies the principle of syndrome differentiation and treatment according to time, and has strong pertinence, which is comparable to ordinary supplements.
Development trend of ointment
At present, more and more hospitals carry out ointment work, and ointment festivals and forums are held in various places. Ointment training courses are getting better and better, and more and more ointment monographs are published, which plays an increasingly important role in human health.
In the survey of 25 hospitals in China, there are 14 units (56%) engaged in ointment business. From the perspective of regional distribution, it is mainly concentrated in East China, and all the six units surveyed have carried out cream business; None of the three units in Northeast China carried out cream business, and about half of the units in North China and West China carried out this business. This shows that in the southern region, the majority of patients have a high degree of acceptance of ointment, while in the northern region, everyone's understanding of ointment is not high. For example, Jiangsu and Shanghai are increasing at an annual rate of 15%. 20 1 1 Shanghai used nearly 300,000 materials. Of course, in recent years, with the improvement of floating population and people's health awareness, the cream has also shown a trend of "moving north to the west". Beijing, Anhui, Shandong and other regions have started the paste work, and Hunan, Jiangxi and other places have also made good progress, showing great development potential.
Experience of successfully carrying out ointment work
Some hospitals have set up prevention and treatment centers and ointment clinics, organized experienced experts to prescribe ointment, strictly controlled the selection of medicinal materials and the production of ointment, paid attention to the popular science propaganda of ointment, and carried out ointment service activities scientifically and standardly. Some local administrative departments and hospitals have formulated corresponding rules and regulations, such as hospital access system, doctor access system, paste production quality standard, processing unit access system and so on. These measures ensure the normal development and quality of hospital ointment.
Publicity is in place. Make use of television, radio, newspapers, internet and other media to publicize widely, and carry out various forms such as cream festivals, health talks and free clinics. To publicize the role of ointment in health care, treatment and disease prevention, and the production and processing of ointment experts in hospitals, so that people can better understand and understand ointment and lay a good mass foundation for the development of ointment work.
The service is meticulous, providing patients with a variety of supporting convenience services, such as mailing letters to inform them of the appointment time and relevant experts' time before the opening of the ointment clinic, booking the ointment clinic service, delivering the ointment to the door, printing the administration method, preservation method and precautions of the ointment bag, providing consulting services for patients, and printing small pages of popular science knowledge of the ointment, so that the majority of patients can use the ointment more conveniently and correctly.
Problems in the development of ointment formula
Unbalanced regional development At present, gypsum development is obviously unbalanced, with rapid development in the south, poor development in the north, rapid development in the east and slow development in the west.
What is worrying is that the current domestic cream market is driven by pure economic interests. Some hospitals have not standardized the development of ointment. In order to seek pure economic benefits, it is not uncommon to blindly pursue the number of ointment and outpatient service at the expense of the quality of ointment.
Insufficient publicity, insufficient publicity in hospitals, and failure to establish good relations with various media, such as television, radio and newspapers. People don't understand the role of ointment in health care, treatment and prevention, the development of hospital ointment, the expertise of experts, the production and processing of ointment, etc. So they don't know what ointment is or which hospital to prescribe ointment.
Expert training is not in place. At present, the level of doctors who prescribe ointment is uneven, the training of experts is not in place, and the experts who can prescribe ointment are obviously insufficient. Many doctors do not have a good understanding of the role of ointment, do not master the prescription characteristics of ointment, and do not give full play to the efficacy of ointment.
The production of ointment is not standardized. The production of ointment lacks strict rules and regulations and supervision mechanism. So at present, the production of ointment is mixed, and some experts even say that the qualified rate of ointment will not exceed 50%. Judging from the production situation of cream, most units produce cream by themselves, and a few units process it on behalf of other units. Although most units have production standard operating procedures, the standards are either formulated by hospitals themselves or for trade associations, and there is no unified specification. Therefore, the area and space of the processing site are not suitable for the scale of processing and production, and errors and cross-contamination are easy to occur; There are no measures to prevent insects and other animals from entering the processing site; It is not uncommon that the shelves in the ointment room are not kept clean and hygienic.
Development countermeasures of cream prescription
Strive for the support of the relevant administrative departments In order to make the ointment develop healthily and orderly, strive for the support of the relevant administrative departments, make it clear that the ointment is an important part of the prevention of diseases in traditional Chinese medicine and a branch of the development of traditional Chinese medicine, so as to formulate relevant measures, give full play to the characteristics and advantages of the ointment in the prevention of diseases in traditional Chinese medicine, and fully embody the ointment as an important part of the development of traditional Chinese medicine.
Strengthen multi-link management. All regions should develop ointment in a healthy and orderly way according to their own conditions, gradually establish a doctor access system for hospitals and ointment prescriptions in accordance with corresponding laws and regulations, and standardize ointment prescription behavior. Establish an access system for processing units, strengthen supervision over all aspects of paste production, and strictly control quality; Actively carry out expert training, and strive to train more qualified cream experts; Standardize the examination of doctors who prescribe ointment.
Intensify publicity through various forms and channels, and conduct extensive publicity through television, radio, newspapers and other media to provide a good mass base for the development of plasters. Hospitals can also carry out ointment festivals, health talks, free clinics and other forms to promote the publicity of ointment in hospitals and raise awareness.
Strengthen exchanges and cooperation between exchange areas, absorb the experience of successful areas to carry out ointment work, cultivate more ointment talents, gradually expand the application scope of ointment, and improve the influence of ointment at home and abroad.
In addition, the basic and clinical research of ointment should be actively carried out to verify its curative effect, reveal its mechanism of action and provide theoretical basis for its healthy development. Process standardization and technical standardization are the development direction of ointments, and a series of standards, such as "Application Specification of Ointment" and "Supervision Specification of Ointment Production", should be formulated as soon as possible.