"I will go to jail!" 13 years ago, a sentence from a former leader of Yuncheng Health Bureau opened the way for Yuncheng folk Chinese medicine practitioners to practice in compliance. 13 years later, the Chinese medicine law will be implemented soon. The exploration of Yuncheng in Shanxi can provide useful reference for how to liberalize and manage folk Chinese medicine.
There are not only "regular troops" serving the clinical frontline, but also a team of Chinese medicine talents from the people. They inherit and share the pressure of primary medical care, invigorate the medical service market, and let Chinese medicine take root in people's lives.
Good end became an "underground worker"
After the promulgation of the Law on Medical Practitioners from 65438 to 0998, Zhang Zemin in Xinjiang County of Yuncheng City felt particularly depressed.
Zhang Zemin was born into a family of traditional Chinese medicine, and his grandparents started practicing medicine in the late Ming Dynasty and the apocalypse. Medical skills have been passed down from generation to generation, and a signboard at home "Wen Yi Longdao Zhulinyuan Ancestral Zhanglao Pharmacy" has also been passed down from generation to generation. The Zhang family is best at gynecology of traditional Chinese medicine, and the medical records and secret recipes accumulated in past dynasties have formed a system, which has been passed down to the nineteenth generation. After the promulgation of the Law on Medical Practitioners, Zhang Zemin became a "black doctor", who could only treat people secretly and with fear. During the 10 year of "illegal medical practice", Zhang Zemin cured a large number of patients and received many punishments.
Zhang, who has studied Chinese medicine with his teacher for more than ten years, is in the same boat. In the 1990s, Zhang worked as a doctor in the local village health clinic for several years and accumulated a certain reputation. After leaving the hospital, Zhang intends to go home and concentrate on farming, but he can't bear to refuse patients who come to see a doctor one after another.
"At that time, I was often transplanting rice seedlings, and someone on the ridge told me to see a doctor. I washed my hands, felt their pulse and prescribed a prescription. " After a long time, this clearing became Zhang's open-air clinic. Everyone knows that Zhang has two brushes on the beach, and more and more people are looking for him. At the same time, there are more and more troubles to find the door.
"When I took people to yongji city Bianque Temple to see a doctor, the nearby hospital kicked me out four or five times a day. You said it was not bad. " Thinking of his past experience, this simple Jinnan man still feels wronged. "At first, the hospital kicked me out and felt that I had affected their work. Later, people from the supervision office came to check my certificate, not only confiscated my medicine, but also paid a fine. It is a glorious thing to see a doctor. Why did I become a shady' underground worker'? "
There are many folk Chinese medicine practitioners like Zhang Zemin and Zhang in Yuncheng, which benefits from the profound cultural accumulation of traditional Chinese medicine in Sanjin. Before and after the founding of New China, the talents of traditional Chinese medicine in Yuncheng were all over the grass roots, undertaking the medical and health care tasks of the masses. Among them, there are many famous old Chinese medicine practitioners such as Xin, Chai Haoran and Wu Chengzhai. In the 1960s, after Chairman Mao issued the slogan that medical and health work should focus on rural areas, dozens of old Chinese medicine practitioners, such as Yu Tianmin, Zhu Yan and Fang Yao, from the former Institute of Traditional Chinese Medicine of the Ministry of Health (now the Chinese Academy of Traditional Chinese Medicine) came to Yuncheng one after another to set up the Institute of Rural Diseases. In the early 1970s, Yuncheng held training courses for barefoot doctors and classes of Chinese and Western medicine, which trained a large number of Chinese medicine talents, forming a situation of "Chinese medicine hospitals in counties, Chinese medicine in villages and Chinese medicine in villages". To 1987, the former Ministry of Health held a site meeting on the construction of small and medium-sized Chinese medicine specialized hospitals in Yuncheng. At that time, there were more than 70 specialized Chinese medicine hospitals in Yuncheng, which was enough to explain why there were so many folk Chinese medicine resources at the grassroots level in Yuncheng.
1998 After the promulgation of the Law on Medical Practitioners, most folk Chinese medicine practitioners like Zhang Ze citizens and Zhang became "black Chinese medicine practitioners" and became targets of crackdown and ban. Since the implementation of the Law on Medical Practitioners, it has played a good role in improving the comprehensive quality and technical level of Chinese medicine personnel, and promoted the development of Chinese medicine team to a certain extent. However, due to the improvement of the threshold for practicing Chinese medicine, especially the limitation of the qualification examination conditions for doctors, a large number of Chinese medicine practitioners without academic qualifications cannot continue to engage in practicing activities. At the same time, the personnel trained by the family heirloom can't pass the examination to obtain the qualification of practicing doctors because they can't meet the requirements of applying for the qualification examination for doctors. The threshold restricts the development of folk Chinese medicine to a certain extent.
"We also want to pass the exam to obtain medical qualifications, but the exam has requirements for academic qualifications, and there is still a lot of knowledge of western medicine. I am so old, it is a bit difficult to take the exam. " Li Guohong, who taught herself Chinese medicine since childhood, also experienced the helplessness of "illegal medical practice". Li Guohong has high hopes for the "Interim Measures for the Administration of Qualification Examination and Registration of Chinese Medicine Professionals" to formally solicit opinions from the society.
"The current Law on Medical Practitioners is mainly formulated with reference to the standards of western medicine. Facts show that many folk Chinese medicine practitioners who have not obtained the qualification of practicing doctors can also skillfully use the theory of Chinese medicine to treat diseases and save lives. Solving this problem through legislation will "untie" folk Chinese medicine, which will benefit the present and the future. Tian, former deputy director of Yuncheng Health Bureau, said.