Standardization of Chinese medicine: no standard for "standard" 
 
 
Our reporter Luo Chaoshu 
 
 
Source: journal of science and technology 

        Innovation of revelation 
 
        On December 10, the state administration of traditional Chinese medicine at a news conference, the spokesman wang introduced the standardization of Chinese medicine. According to introducing, in order to promote the standardization of Chinese medicine, the state administration of traditional Chinese medicine based on TCM clinical basic medical research institute, Chinese academy of TCM, set up the standardization office so far, a total of 27 items issued national standard of traditional Chinese medicine, has completed 291 diseases diagnosis and treatment guidelines for the clinical application of evaluation, the publishing industry and the industry standard for more than 470, formed a relatively independent complete standard system framework of Chinese medicine, primarily established government-led, industry involvement, overall planning, division of labor is responsible for the standardization management system and operational mechanism of Chinese medicine. 
 
        What standard is formulated in order to solve the problem? Formulate unified standard can adapt to the characteristic and individualized diagnosis and treatment principles of evidence-based medicine of traditional Chinese medicine? In the process of establishing these standards in conform to specification? At the day's news conference, the state administration of traditional Chinese medicine policies and regulations and supervision department as Chad loyalty was interviewed by science and technology journal and other media. 
 
        Three categories of norm of Chinese medicine 
 
        Chad zhong said: "the standard of traditional Chinese medicine in general is divided into three categories: one is the management standard, one kind is technical standard, one kind is basic standards. Some people think that management standards are normative documents, and should not be technical, because the standard is more of a technical file, management standards should belong to the legal documents. It also explains the connotation of the standard is there." Chad zhong told reporters, "for now, Chinese clinical aspects of the technical standards are mainly two kinds big. A class of traditional Chinese medicine (TCM) is a unique technology, methods of operation specification, such as acupuncture, standard will tell you what is placing the basic process, what is the method of the needles, each kind of method how to do it, it is operating. In terms of terminology, acupuncture is an important standard of terms, including what name, in what position. There is a is the guidelines for a disease, the disease is what disease, what are the main points of the disease diagnosis, should do what disease diagnosis, what are the clinical TCM syndrome types, the basic principles of treatment, what is the basic principles of drug, it is the basic structure." 
 
        Handle the relationship between the special and general 
 
        When it comes to the relationship between the standardization and the characteristics of traditional Chinese medicine diagnosis and treatment, Chad zhong explained: "the exquisite treatment based on syndrome differentiation of traditional Chinese medicine, for the same kind of disease, different experts may have different understanding, also may have different treatment in treatment, it is the embodiment of the principle of individualized diagnosis and treatment of traditional Chinese medicine. But the personalized does not mean that follow one's inclinations, unstructured, this is two completely different concepts." Chad loyalty, for example, "such as the traditional Chinese medicine for cold syndrome, treatment must be with the method of the heat, and heat syndromes must be with the method of the cold, namely we often say 'cold fever, cold, hot' of the therapeutic principles. Individualized diagnosis and treatment is not to say that there is no certain standard. On the other hand, our standards and norms also absolutely can't go to kill individualized diagnosis and treatment, the key lies in how to deal with the relationship between special and general, if the regulation is cold heat, cold fever, this man is cold, it must use hot way, this is my rule. But did you say this man is cold, the doctor to judge, there is no limit to the person you is it cold or hot, but once you make a judgment for the cold, must use hot way." 
 
        Standards need to seize the consensus 
 
        Chad zhong believes that modern science is often data expression, a lot of TCM are use descriptive language to express. Standardization is a modern technology, old subject how to adapt to the requirement of the modern technology method, this is a challenge in itself. How to ensure the standard of traditional Chinese medicine is scientific and rigour, is another big challenge in the standards. "Starting from the definition of standard specification, it is the purpose of pursuing the best order within a certain scope, form consensus within a certain range, can be used in a certain range and repeated use. The consensus is the key, so in setting standards need to seize the consensus." He thinks that to ensure the consensus, requires strict working procedures. "To this end, the state bureau of traditional Chinese medicine draw lessons from the related measures for the administration of establishing national standards, and reference standards including ISO international standards to develop procedures, and published in November, the standard of Chinese medicine management measures." 
 
        Let the standard is widely used 
 
        "Promotion and application of Chad zhong said, is a very important point in standardization work. Our work goal is not to pursue a much standard, standard has played a role, but to pursue and go to work must be applied." In the standard work, he thought, different stages have different priorities and tasks, when there is no standard not standard, so standardization work is the first standard worked out; But with some standard, must be the standard of popularization and application on the important agenda. "From the medicine standardization work, at this stage has come, in last year's national symposium on standardization of traditional Chinese medicine raised such work requirement, application standard, is the focus of the current through extensive training, improve the industry standardization of consciousness, let everybody know what country or industry has standard, how these standards issued, how should be applied." In addition, Chad loyal thought, to standardization work on the management measures of organic blend in. For example, he said: "in hospital management practice, for example, the state bureau of traditional Chinese medicine is the standardized work as one of the most important aspects of the hospital connotation construction and management, into the category of classification management. A review to the hospital over the past year, one aspect of the standardization and evaluation. In the subject construction, standardization is an important aspect." 
 
        Chad zhong said, at present, the state administration of traditional Chinese medicine has been set up in 31 provinces, municipalities and autonomous regions nationwide 42 standard research of traditional Chinese medicine to promote base, promotion of related standards. 
 
        Chad loyal finally stressed that "traditional Chinese medicine as one of the oldest subjects, how to carry on the cohesion and standardization of such a modern technology need further exploration, but never for the sake of standard standard, can not be changed to the standard of traditional Chinese medicine itself inherent nature."
 
 
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