With the promulgation of the Law of the People's Republic of China on Traditional Chinese Medicine, Tu Youyou won the Nobel Prize for the first time, and the development of traditional Chinese medicine was written into the development strategy of "Healthy China", the development of traditional Chinese medicine has entered a new era. On the one hand, the public's demand for TCM services is increasingOn the other hand, it is difficult for traditional Chinese medicine to effectively absorb the achievements of modern natural science, and the data collection, diagnosis and advanced methods of traditional Chinese medicine are still at the traditional level, which is still far from "paying equal attention to Chinese and Western", and it is difficult to meet the needs of the people in the new era for the quantity and quality of traditional Chinese medicine services. When all parties work together to resolve the contradiction of "high demand and slow development", both traditional Chinese medicine practitioners and relevant managers should adhere to the principles of self-confidence, self-improvement, self-reliance and autonomy, and always think about and formulate guidelines, directions, methods and policies and regulations for the development of traditional Chinese medicine around the three core issues of inheritance, development and utilization, so as to effectively inherit, develop and make good use of traditional Chinese medicine. For traditional Chinese medicine, inheritance is more important than innovation, and the premise of inheritance lies in self-confidence, the key to inheritance is to learn the classics, and the key to innovation is to "originate from traditional Chinese medicine". Inheritance is more important than innovation
1.1 The efficacy of traditional Chinese medicine is certainSince the Qin and Han dynasties, Chinese medicine has gradually formed an independent discipline with three main characteristics: holistic view, syndrome differentiation and treatment, and prevention of disease, with basic theories, basic knowledge and basic techniques. Traditional Chinese medicine has made an indelible contribution to the reproduction and prosperity of the Chinese nation, and the reason why it is still comparable to Western medicine is that the curative effect is the last word, and its core is that it has a definite curative effect, not the result of artificial protection. In 1929, when Wang Pseudo** wanted to "abolish the old medicine" under the instigation of Yu Yunxiu and others, he was not only strongly resisted by people in the field of traditional Chinese medicine, but also resolutely opposed by the broad masses of the people. At that time, Wang Jingwei believed in Western medicine and presided over the work of the Executive Yuan, so there was a great tendency to abolish traditional Chinese medicine. Wang's mother-in-law suffered from dysentery, and asked Western medicine all over the place, but there was no little effect, and she couldn't afford it, someone suggested asking the famous doctor Shi Jinmo at that time to diagnose and treat her, Wang Jingwei was helpless and agreed to try. Shi Jinmo distinguishes the disease by the pulse, and every word must be true, which makes Wang Jingwei's mother-in-law happy. When prescribing, Shi Jinmo said affirmatively: "Take the medicine with peace of mind, it can be cured after a diagnosis, and there is no need for a follow-up visit." Everyone was suspicious, but the effect of the treatment was as Shi Jinmo said. Wang Jingwei believed in the miracle of traditional Chinese medicine, and sent a plaque of "Meiyi Longevity" to show his gratitude, and never mentioned the cancellation of traditional Chinese medicine again. 1.2 Theoretical advantages of traditional Chinese medicineAt the end of the last century, Francois Mitterrand** invited 75 Nobel laureates to have a heated discussion with the theme of "Challenges and Hopes of the 21st Century".A good doctor should keep people from getting sick, not just curing them. This idea of the Paris Declaration can be said to coincide with the idea of "working to cure the disease" that traditional Chinese medicine has always emphasized. It includes the three core contents of "prevention of disease, prevention of disease, and prevention of recurrence after disease", grasp the initiative of disease, and achieve the "art of work" through the medical service of the whole process of life. In the past ten years, the prevention of disease has been highly valued by various countries, and is considered to be an effective means to reverse the wrong medical goals in the past. At the 2007 National Conference on Traditional Chinese Medicine, Wu Yi, then Vice Premier, specifically mentioned "working to cure diseases" and advocated the development of research on traditional Chinese medicine to treat diseases. In addition to the prevention of disease, Chinese medicine also has two major characteristics: holistic view and syndrome differentiation and treatment, which is also a theory that surpasses the best strategy of Western medicine. Among them, the holistic view emphasizes the correspondence between nature and man, and comprehensively understands diseases, diseases and health care from the three holistic levels of the five organs as the center, as well as the three overall levels of man and nature, man and society, which is very different from the methods emphasized by Western medicine to discuss diseases on the basis of diseases, pay attention to understanding diseases from the microscopic level, and only see the "diseases of life" and not see the "sick people". Syndrome differentiation and treatment is superior to the disease differentiation of Western medicine, and the guiding ideology of syndrome differentiation and treatment of traditional Chinese medicine is to directly take people as the research object and be people-oriented, which has the advantages of positioning the system function of the viscera, grasping the main contradictions, and insisting that practice is the only criterion for testing the truth. The "syndrome" of traditional Chinese medicine is the pathological generalization of the body at a certain stage in the process of disease development, which not only includes the complex relationship between **, disease location, disease nature and evil and good, but also reflects the nature of pathological changes at a certain stage in the development of the disease, is the reaction of the nature of the disease, and is a generalization of a variety of pathological factors. Syndromes and diseases are intersecting and complementary, one disease has multiple syndromes, and one syndrome can also be seen in multiple diseases. Disease differentiation cannot replace syndrome differentiation, and syndrome differentiation is often more important than disease differentiation. Especially in the face of incurable diseases with unclear diagnosis, difficulty, and clusters of diseases, the characteristics and advantages of traditional Chinese medicine are more prominent and obvious. In 2003, the legend of Chinese medicine in the fight against SARS aroused the attention of the Western world to traditional Chinese medicine, and once again demonstrated the characteristics and advantages of traditional Chinese medicine in syndrome differentiation and treatment.
1.3. Traditional Chinese medicine is green and inexpensiveThe best means used in traditional Chinese medicine, whether it is acupuncture, massage, or traditional Chinese medicine, are taken from nature, which is very in line with the concept of green environmental protection advocated in today's world, emphasizing the harmony and unity of man and nature. Traditional Chinese medicine, especially acupuncture and moxibustion, can be carried out flexibly on the spot without being limited by time and conditions, such as we often see reports on airplanes and trains that Chinese medicine practitioners use acupuncture needles to rescue patients, which is unimaginable in Western medicine. Yu Chang, a famous doctor in the Qing Dynasty, advocated that doctors "discuss the disease first and then the medicine" in his "Moral Grass", which also emphasized that doctors should spend their efforts on the study of the mechanism of the disease, and should not mind too much about the use of a certain drug or a certain method, because drugs are limited and the use of drugs is limited by certain conditions. When there is no medicine, Chinese medicine can still use acupuncture, massage, cupping, and even diet therapy to achieve the best purpose. Worldwide, the growth rate of medical expenses in countries around the world is generally greater than the growth rate of GDP, even in economically developed countries such as the United States. In 2006, U.S. health care costs reached 16 percent of GDP8 According to this projection, the U.S. health care system may run out of money by 2028. As a result, the development of medicine in the 21st century has reached a difficult point, "many countries have reached the edge of affordability", and "health care models based on modern medicine and at the expense of huge financial subsidies" are considered "unaffordable and unsustainable medicine". Despite a series of health care reforms, the cost of health care doubled between 1992 and 2002. Compared with the increasingly expensive Western medicine, the advantages of traditional Chinese medicine are obvious, and it is considered to be a "clever plan" to solve the "difficult to treat" and "expensive to treat". Self-confidence is the premise of inheriting Chinese medicine
**The general secretary hopes that the majority of Chinese medicine workers will enhance national self-confidence, which is to require us Chinese medicine people to be confident in the theory, method, technology and culture of Chinese medicine, and self-confidence is the premise of inheriting Chinese medicine.
2.1 Theoretical self-confidenceTraditional Chinese medicine is a treasure of ancient Chinese science, a unique medicine that Chinese people gradually summarized, explored and realized in the process of long-term production practice, organically absorbed the academic research results of astronomy, geography and personnel in ancient China, and constantly conformed to the needs of the development of the times, consciously improved its own academic system, endured, continued to inherit, and made great contributions to the health and reproduction of the Chinese nation, all of which are inseparable from the systematic, scientific and practical nature of the theory of traditional Chinese medicine. As early as the Spring and Autumn Period and the Warring States Period, traditional Chinese medicine organically absorbed the theory of yin and yang and the five elements at that time, and used it to explain the physiology and pathology of the human body and guide clinical practice. Later, the Yellow Emperor's Neijing became the sect of medicine and played a decisive role in the development and perfection of the theory of traditional Chinese medicine in later generations. The Han Dynasty's "Treatise on Typhoid Fever and Miscellaneous Diseases" laid the basic criteria and diagnosis and treatment techniques of syndrome differentiation and treatment, and the theory of prescription syndrome swept the East and endured, and a small chai hu soup can ** cold, pneumonia, hepatitis, diarrhea, constipation, stomach pain, pharyngitis, depression, menstrual irregularities and other diseases, and treat different diseases at the same time, which is convincing. Wu Youke's "Treatise on Plague" in the Ming Dynasty, in addition to the original six lewdness and seven feelings, put forward the non-wind and non-cold furious gas, miscellaneous gases and other causes. Ye Tianshi also summed up a systematic and specific method of syndrome differentiation and treatment of Weiqiying blood, which made a significant contribution to the understanding and treatment of infectious diseases, and even made great contributions to traditional Chinese medicine when SARS was raging in the 21st century. Since the 70s of the 20th century, Professor Zhou Zhongying has condensed the "stasis theory" by using Weiqiying blood syndrome differentiation, successfully solved the first problem of "epidemic hemorrhagic fever", and won the "first prize of scientific and technological achievements of the Ministry of Health". Tu Youyou discovered a "treasure" from Ge Hong's "Elbow Reserve Emergency Prescription" and developed artemisinin, which saved the lives of tens of millions of African malaria patients and became China's first Nobel Prize winner. Therefore, TCM practitioners should have theoretical confidence. At present, many Chinese medicine schools are increasing the number of hours of students in Western medicine courses and general education courses, and blindly squeezing the teaching hours of the four classics of Chinese medicine, which is an unwise practice of taking the end from the basics, and a manifestation of lack of confidence in Chinese medicine, which should be paid enough attention to. In the short term, the students' clinical hands-on ability seems to improve, but in the long run, there is no development potential. Practice that lacks theoretical guidance cannot be reversed.
Third, touching the bypass is harmful to the development of traditional Chinese medicine. It is necessary to guide some practitioners of traditional Chinese medicine who "do not believe in the surname" to concentrate their energy on the track of researching and developing the academic track of traditional Chinese medicine, and must not be arrogant. It is necessary to adhere to the three basic characteristics of traditional Chinese medicine, namely, the holistic view, syndrome differentiation and treatment, and the prevention of disease, and take the road of independent development. 2.2. Knowledge and technical confidenceSince the spread of Western learning to the East a hundred years ago, many people have lost confidence in the theories and techniques of traditional Chinese medicine, raised various doubts about the scientificity of traditional Chinese medicine, and even used this to deny traditional Chinese medicine, believing that traditional Chinese medicine is dross and superstition, and should be abandoned as soon as possible. For example, as early as 1914, during the rule of the Beiyang warlords, Wang Daxie, the chief of education, advocated the abolition of traditional Chinese medicine. In February 1929, Yu Yunxiu and others proposed the "Abolition of Old Medicine to Remove Obstacles to Medical Health", which brought the trend of destroying and eliminating traditional Chinese medicine to its peak. In 1933, Wang Jingwei slandered that "the five elements of yin and yang are not dissected by traditional Chinese medicine, which is scientifically groundless, and there is no analysis of traditional Chinese medicine, and the treatment effect is slim", and advocated that "all traditional Chinese medicine is not allowed to practice, and the national traditional Chinese medicine store will be closed down". After the founding of the People's Republic of China, the Ministry of Health once made the mistake of "transforming traditional Chinese medicine in the name of training", but fortunately it was corrected by the chairman in a timely manner, and issued a call for "Western medicine to learn Chinese medicine". At the beginning of the 21st century, some people still wanted to cancel traditional Chinese medicine as a matter of their own opinion, and launched a farce of 10,000 signatures to cancel traditional Chinese medicine on the Internet. Nowadays, in the name of "modernisation of Chinese medicine", many Chinese medicine schools have denied and compressed the teaching of traditional Chinese medicine courses in the name of "modernisation of traditional Chinese medicine", and the teaching of classical Chinese medicine courses has been denied and compressed, which is worrying. In fact, these are all manifestations of lack of confidence in Chinese medicine. Perhaps it is precisely because of the use of Western medicine that many people have committed the problem of "liking the new and hating the old", thinking that we no longer need such traditional Chinese medicine, and many "people in the scientific community" will scoff and disdain Chinese medicine when they talk about it, so that there is a "hot outside and cold inside" that foreign Chinese medicine is very hot and the domestic does not believe in it, and the upper leaders attach great importance to it and the grassroots Chinese medicine hospitals are basically in the dark Chen Cang "Westernization" of the two strange phenomena of "hot on the top and cold on the bottom". In fact, throughout the history of the development of traditional Chinese medicine, it is not difficult for us to find that since the advent of the two classic works of "The Yellow Emperor's Neijing" and "Treatise on Typhoid Fever and Miscellaneous Diseases", traditional Chinese medicine has actually had a perfect theoretical foundation and knowledge systemHua Tuo's Ma Boiling San, the different treatment propositions of the "Big Four" of the Jin Yuan Four, and the many pharmacological research and error correction of the Compendium of Materia Medica are all applied under the theoretical guidance of the above-mentioned classic works. In the old days when there was no Western medicine, traditional Chinese medicine also took on its due responsibility for the reproduction and prosperity of the Chinese nation. If the skin does not exist, the hair will be attached"Waste medicine and save medicine" is one of the most representative manifestations of today's lack of confidence in traditional Chinese medicine. "Zhou Yi" has a saying: "The metaphysical is the way, and the metaphysical is the instrument." The Tao is in the vessel, and the Tao is in the vessel. "If traditional Chinese medicine abandons the basic theories of the five elements of yin and yang, the theory of dirty elephants, and the four qi and five flavors, Zhongjing's formula, Hua Tuo's techniques, acupuncture and moxibustion meridians, etc., will become water without source and wood without roots. As Yu Chang of the Qing Dynasty said in his "Moral Grass": "From ancient times to the present, there is a generation of doctors. Although it is sacred and wise, the weight is different. However, we must not give up the rules and standards, and think that the square circle is straight. Therefore, to treat the disease, we must first recognize the disease, and then discuss the medicine. Medicine, so the winner of the disease. To recognize the disease, among the thousands of medicines, any one or two kinds of them can be used and enlightened;If you don't know the disease, you will use dizziness. All medicines can hurt people, but the most partial?Many people come to study medicine, and medicine becomes more and more scarce, and it becomes a world where medicine is discussed but not diseased, and its premature death is invincible. ”2.3 Cultural self-confidenceSun Guangrong, a master of traditional Chinese medicine, once wrote an article pointing out that traditional Chinese medicine is a precious gift that the Chinese nation has contributed to the world. In the splendid treasure house of Chinese civilization, the only one that can play the role of "the key to open the treasure house of Chinese civilization" is traditional Chinese medicine. Traditional Chinese medicine is the pioneer of the rejuvenation of Chinese civilization, and if you want to deeply understand and integrate into Chinese civilization, you must study and study Chinese medicine well. We can not only play its essential role in health preservation, disease prevention, disease treatment and salvation, but also carry forward and spread the broad and profound Chinese culture, let the Chinese culture serve the international community, and let all mankind enjoy the fruits of the development of Chinese medicine.
Learning the scriptures is the key to inheritance
3.1 The classics of Chinese medicine teach people the art of fishing
Huainanzi said Lin Xun "cloud: "It is better to teach people to fish than to teach them to fish." Sometimes it is more important to master the method of learning knowledge than to learn a specific knowledge, especially the study of Chinese medicine. Since the Qin and Han dynasties, through the continuous annotations and writings of successive generations of doctors, the classics of traditional Chinese medicine can be described as abundant, according to incomplete statistics, there are more than 13,000 kinds of ancient books of traditional Chinese medicine. Such a huge number of ancient books of Chinese medicine, if you read one a day, it will take 35 years, which is impossible for anyone to do. Therefore, we need to read selectively, and the classics of traditional Chinese medicine such as "The Yellow Emperor's Neijing", "Shennong's Classic of Materia Medica", "Treatise on Typhoid Fever and Miscellaneous Diseases", and "Treatise on Warm Epidemics" are classics worthy of our repeated study and study. In view of the problems of later commentators' false rumors and one-sided understanding, it is all the more important to study the original work. The road is one foot high, and the magic is one foot high. According to incomplete statistics, more than 10,000 kinds of diseases have been discovered in human beings. With the abuse of antibiotics, hormones, and morphine, the number of human diseases is still increasing, such as the advent of superbugs, and the world is entering the "post-antibiotic era".The emergence of emerging infectious diseases such as "SARS", the emergence of problem teenagers under the development of the Internet, and the fact that rare diseases such as "porcelain dolls", "sticky babies", "penguin people", "ALS" and "glass people" are no longer rare. Traditional Chinese medicine, on the other hand, takes a macro view, and the methods of holistic view and syndrome differentiation and treatment have the magic of responding to all changes with the same attitude. Therefore, when Western medicine has not fully understood what the "SARS" virus is, Chinese medicine has already differentiated the syndrome and treated. The theory and method used by traditional Chinese medicine to ** "SARS" is actually Ye Tianshi's "Wei Qi and Blood" syndrome differentiation strategy of the Qing Dynasty. What is certain is that Ye Tianshi himself does not have the experience of "SARS", but he taught us the "fishing" technique of dealing with external fever, so he uses the theory of Weiqi and blood to ** "SARS" and other diseases unknown to human beings before, which is so now and will be the case in the future. This is the technique of fishing fish in Chinese medicine, and the importance of the classic works of Chinese medicine can be seen from this. 3.2 Studying the classics is the path to studying Chinese medicineThe scriptures, the path also. The classic works of TCM are the cornerstone of the theoretical system of TCM and the core of TCM theory. For all scholars of Chinese medicine, studying the classics of Chinese medicine is the only way, otherwise it will become a source of water, a tree without roots, it is difficult to get a glimpse of the mystery of Chinese medicine, and it is impossible to talk about making achievements in Chinese medicine. In modern times, all famous and old Chinese medicine practitioners who have achieved certain academic achievements and have high clinical attainments have emphasized the importance of learning classic and ancient books. After 1980, the Journal of Shandong University of Traditional Chinese Medicine published the reminiscences of 97 famous old Chinese medicine practitioners in China, introducing the path of study and success of famous old Chinese medicine practitioners from different perspectives, and it is their consensus to study Chinese medicine classics in depth. Therefore, only by conscientiously studying the classics of Chinese medicine can we lay a solid foundation for future academic development. 3.3 The classics of Chinese medicine are an inexhaustible sourceLiu Zhiji of the Tang Dynasty said in "Stone Narrative": "Since the sages narrated, it is called a classic", the classic contains enduring, time-tested, worthy of collection and other multi-layered meanings, the eternity of the classic lies in its own value, will not be reduced by the passage of time. At present, the problems faced by Chinese medicine are quite serious. With the rapid development of modern science, Western medicine has entered the era of genes, and technologies such as stem cell transplantation, organ transplantation, and organ cloning have become more and more mature, which are faster, more effective, and more targeted for certain diseases. According to the diagnosis and treatment thinking of Western medicine, it is unrealistic and unwise to blindly let Chinese medicine catch up with Western medicine in a certain disease. Traditional Chinese medicine is an ancient traditional medicine, and the authenticity of its theories and curative effects should not always be bothered by the methods of Western medicine to confirm and explain, and we should be fully confident. The treasures contained in the classics of Chinese medicine are unlimited, and those who devote themselves to studying them will always benefit from them. For example, nitroglycerin can rapidly dilate coronary arteries, which is a classic drug used in clinical practice for coronary heart disease and angina, but in the "Dunhuang Medical Fragment", there has long been a record of using saltpeter for chest paralysis. Schisandra chinensis has the effects of astringent essence, nourishing the kidneys, and shengjin, and later found that its biphenyl structure has the effect of significantly reducing transaminases. The artemisinin ** malaria invented by Tu Youyou has a definite curative effect, and its research idea is based on Ge Hong's "Elbow Reserve Emergency Prescription". The method of treating ** asthma in winter and summer recorded in "Zhang's Medical Tong" has also achieved obvious curative effects after being widely used in major hospitals in recent years. It can be seen that Chinese medicine is indeed a great treasure trove, hiding countless treasures, and in-depth study of classical medical books can often obtain some unexpected benefits. As a traditional Chinese medicine practitioner, you should study the classics of Chinese medicine in depth according to your own professional research direction, repeatedly think about it, compare it vertically and horizontally, and refer to each other between China and the West, so as to be truly handy in clinical practice. When you repeatedly study the classics with clinical questions, you will reach the realm of "looking for thousands of people, but that person is in the lamplight", and suddenly realize the noble value of the classics of Chinese medicine. "Derived from traditional Chinese medicine" is the key to innovation
The development of any discipline requires continuous innovation, and traditional Chinese medicine is no exception, but innovation is innovation on the basis of respecting the basic characteristics of the discipline. Innovation is to develop and improve Chinese medicine itself, and should abide by the principle of "derived from Chinese medicine".
Throughout the development of traditional Chinese medicine over the past 2,000 years, every theoretical innovation has led to the great development of traditional Chinese medicine. For example, the Six Classics Dialectics founded by Zhang Zhongjing in the Eastern Han Dynasty, the Hanliang School founded by Liu Wansu of Jin Yuan, the Spleen and Stomach School founded by Li Dongyuan, the Conquering School founded by Zhang Congzheng, the Ziyin School founded by Zhu Danxi, and the Warm Disease School founded by Ye Tianshi in the Ming and Qing dynasties. These innovations not only met the urgent needs of disease diagnosis and treatment at that time, but also effectively promoted the development of traditional Chinese medicine and improved the clinical effect of traditional Chinese medicine. Although these innovations are different, they have a common feature, that is, "originated from traditional Chinese medicine", which are all innovations carried out in accordance with the academic characteristics of traditional Chinese medicine itself, which further improves the theory of traditional Chinese medicine and enriches the means of traditional Chinese medicine. In the late 70s of the 20th century, Professor Zhou Zhongying conducted in-depth research on epidemic hemorrhagic fever and other viral infectious high fever, shock, hemorrhage, stroke, acute renal failure, severe hepatitis, etc., and found that these diseases all have such a special pathological factor as "stasis and heat fighting". Professor Zhou Zhongying believes that the significance of proposing stasis is to expand the traditional stasis and heat syndrome from simple external temperature disease to internal injury and miscellaneous diseases, and from acute diseases to difficult diseases. Professor Zhou Zhongying and his research team have significantly improved the efficacy of severe hepatitis, DIC, acute renal failure, cerebral hemorrhage and other diseases using a series of blood-cooling and stasis prescriptions**. Cancer is a special disease, but due to the limitations of anatomical knowledge, the ancients could not have modern X-ray, CT, MRI and other imaging examination methods, so traditional Chinese medicine has not been able to form a systematic syndrome differentiation and treatment system for cancer. In practice, the symptoms of vomiting, fever, and pain caused by cancer are different from those of general internal medicine miscellaneous diseases. We believe that the fundamental reason for this difference is that the tumor is caused by "cancer toxicity", and gradually formed a systematic "cancer toxicity theory" theory. The core idea of the "cancer toxicity theory" is that "cancer toxicity" is the key to the occurrence and development of cancer, and that "cancer toxicity" can be caused by direct external visitors or due to the dysfunction of the internal organs. Poison must be attached to evil, cancer poison blocks the body, and each induces a variety of pathological factors such as phlegm turbidity, blood stasis, dampness, heat poison, etc., and further consumes qi and hurts yin, forming a vicious circle. Therefore, the early, middle and late stages of the tumor should run through the application of the method of attacking evil and eliminating cancer, and must be based on syndrome differentiation, combined with the viscera, meridians, physiological and pathological mechanisms to flexibly select drugs, or use the method of eliminating cancer and detoxification, or use the method of dissolving phlegm and dispersing knots, or use the method of activating blood and removing stasis, or use the method of clearing heat and detoxifying, or use the method of diluting dampness and turbidity, or use the method of benefiting qi and eliminating cancer. We have applied the anti-cancer correction method ** cancer has achieved good results. Conclusion
The issue of inheritance and innovation is the first issue to be discussed in the new era of the development of traditional Chinese medicine, inheritance is the basis of innovation, and inheritance is more important than innovation for traditional Chinese medicine. The premise of inheritance lies in the comprehensive confidence in the theory, technology and culture of traditional Chinese medicine, and the key to inheritance is the repeated study and comprehension of classical theoriesInnovation is the need for the development of traditional Chinese medicine, and the key to innovation is "derived from traditional Chinese medicine".