It is necessary to sum up the unique experience of Chinese medicine fighting the "epidemic"
【Take the pulse】
Since the outbreak of the new crown pneumonia epidemic, the country has attached great importance to the participation of Chinese medicine in epidemic prevention and control, adhered to the integration of Chinese and Western medicine, and continuously optimized the diagnosis and treatment plan. Traditional Chinese medicine has been deeply involved in the treatment of patients in the fight against the epidemic, demonstrating its unique advantages and becoming a highlight of the epidemic prevention and control. We should strengthen the self-confidence of Chinese medicine culture, summarize and summarize the successful experience and risk prevention and control methods of Chinese medicine in preventing and controlling sudden epidemics, improve the relevant medical and health systems, and provide reference and help for every epidemic prevention and control in the future.
Looking back on the prevention and control of this epidemic, Chinese medicine has formed a set of theoretical and practical systems. Infectious diseases belong to the category of "epidemic" in the Chinese medicine system. In the process of preventing and curing plague, Chinese medicine has fully summarized that different infectious diseases have specific pathogens, transmission routes, epidemic laws, family gathering characteristics, characteristics of invading specific organs, and The three major conditions of infection source, transmission route, and susceptible population, and its treatment of disease, syndrome differentiation and treatment play a theoretical guiding role in the prevention and treatment of new coronary pneumonia. Traditional Chinese medicine has formed many effective classic prescriptions in the long-term practice of preventing and treating infectious diseases. For example, the "Qingfei Paidu Decoction", which is optimized from the classic prescriptions of "Treatise on Febrile Diseases", was promoted in 10 provinces during the epidemic. The effective rate reaches 95%. Practice has proved that the combination of Chinese and Western medicine has the effect of shortening the course of the disease and preventing the transformation of existing diseases in the diagnosis and treatment of new coronary pneumonia.
This epidemic tells us that it is necessary to establish a cooperative mechanism of Chinese and Western medicine for the treatment of infectious diseases and a joint consultation system for Chinese and Western medicine, and to formulate and improve a diagnosis and treatment plan for integrated Chinese and Western medicine in line with local conditions. The participation of Chinese medicine in epidemic prevention and control requires a top-level design to improve the Chinese medicine diagnosis and treatment system. It is necessary to sink the center of gravity, realize localized management, form a prevention and control pattern of prevention and control according to law, scientific prevention and control, joint prevention and joint control, and group prevention and group control, and better give play to the subjective initiative of local governments. In addition, we should also improve the law on the participation of Chinese medicine in the prevention and control of infectious diseases, so that it can participate in the prevention and control of the epidemic on a solid legal basis.
To increase the participation of traditional Chinese medicine in health emergencies now and in the future, it is necessary to continue to deepen the reform of the medical and health system and truly establish a medical and health system that emphasizes both Chinese and Western medicine. For example, in the three stages of prevention, diagnosis and treatment, and rehabilitation, Chinese medicine and Western medicine are given equal status and opportunities for treatment; the theory and practice of Chinese medicine are systematically sorted out according to their own laws; the number of Chinese medicine medical institutions is increased, and the diagnosis and treatment of Chinese medicine, scientific research, and law , Management and other aspects of talents, and formulate assessment and evaluation standards based on the rules of traditional Chinese medicine; formulate identification and new drug registration standards that meet the inheritance and development of traditional Chinese medicine, and establish a sound intellectual property protection system with traditional Chinese medicine characteristics. At the same time, optimize the synergy of clinical diagnosis and treatment and research strength of Chinese medicine. On the one hand, we must improve the Chinese medicine diagnosis and treatment capabilities of medical institutions, and extend the treatment of traditional Chinese medicine to disease prevention, treatment, and rehabilitation; on the other hand, we must strengthen the scientific research and innovation capabilities of Chinese medicine. We should increase funding for scientific research on Chinese medicine, set up innovative topics in Chinese medicine, and encourage experts from Chinese medicine universities to actively participate in scientific and technological research tasks. Establish an information sharing platform for clinical diagnosis and treatment and scientific research institutions to share diagnosis and treatment information and scientific research results, thereby enhancing the synergy of clinical diagnosis and treatment and scientific research. On the premise that medical institutions improve the accumulation and summary of clinical data, scientific research institutions obtain the clinical characteristics and evolution of new coronary pneumonia in traditional Chinese medicine, and study effective treatment plans and drugs. And establish a supporting security system, pay attention to protecting the privacy of patients and the security of national information.
Failure to keep up with the cultivation and supply of Chinese medicinal materials will affect the effectiveness of integrated Chinese and Western medicine diagnosis and treatment. It is necessary to establish and improve the circulation mechanism of Chinese medicinal materials, and open up special channels for the cultivation, circulation and sales of Chinese medicinal materials while monitoring its quality and price. In terms of the cultivation of Chinese medicinal materials, actively guide the cultivation of Chinese medicinal materials suitable for the region, focusing on promoting the construction of authentic medicinal materials bases to ensure the source of high-quality medicinal materials; in terms of circulation, encourage medicinal materials to develop in the direction of deep processing and refinement, and accelerate the development of ancient classic recipes Simplify the approval procedures for the approval and listing of Chinese medicine compound preparations; in terms of sales, encourage the expansion of online sales channels, improve online transaction mechanisms, and standardize third-party seller information management. Establish a traceability system for the whole process of Chinese medicinal materials to ensure smooth and efficient transportation of high-quality Chinese medicinal materials to key areas of the outbreak.
During the epidemic, Internet medical services met the medical needs of many people and avoided cross-infection. The "Internet + Traditional Chinese Medicine" model has less participation in the prevention and control of the epidemic, and there is still a lot of room for development. The establishment and improvement of the "Internet + Traditional Chinese Medicine" system should be accelerated. Appropriately relax the policies for physical medical institutions to apply for Internet diagnosis and treatment qualifications or join Internet service platforms to improve the efficiency of examination and approval; make unified deployment for medical institutions to orderly divert patients through Internet services; clarify proprietary concepts such as chronic diseases and common diseases, and expand "Internet + The scope of diagnosis and treatment of "Chinese medicine"; appropriately relax the Internet first-diagnosis system, and practitioners will determine whether to conduct the first-diagnosis based on the patient's condition, rather than adopting a "one size fits all" policy. The implementation of "Internet + Traditional Chinese Medicine" needs to enhance the confidence in Chinese medicine culture, increase the training of compound talents, strengthen the construction of Internet Chinese medicine medical institutions, and establish and improve the management of Chinese medicine practitioners, electronic prescriptions, drug traceability, and chronic disease management And other supporting systems.
With its unique advantages, Chinese medicine has played a significant role in the prevention and control of the new crown pneumonia epidemic. The latest developments in the effectiveness of Chinese medicine in epidemic prevention and control should be announced in a timely and objective manner to expand the influence of Chinese medicine. While providing assistance for epidemic prevention and treatment in the world, providing Chinese medicine diagnosis and treatment technology and medicine, we should do a good job in translating Chinese medicine diagnosis and treatment concepts to expand the international influence of Chinese medicine culture. We need to strengthen our confidence in the culture of Chinese medicine. We must sum up our experience and look for shortcomings, so as to better utilize the advantages of Chinese medicine in the prevention and treatment of epidemics before preventing and treating diseases based on syndrome differentiation, and speed up the control of the epidemic.
(Author: Deng Yong, Associate Professor, Faculty of Law, Department of Beijing University of Chinese Medicine)