Figures show that only 0.53 per 1000 children pediatric doctor; Pediatric outpatient lack of people, emergency posted information critically ill children were \"only\"... Recently, a pediatrician in much of the country, a widespread social concern is caused. In the face of this situation, the traditional Chinese medicine can do --

\"Pediatricians shortage\", the doctor

 of traditional Chinese medicine

Time: 2016-03-14

Source: China's traditional Chinese medicine

Author: hong-wei xu

Recently, in response to a pediatrician, the national health and family planning commission issued by the \"about seasonal disease high pediatric medical service work notice who invented electric [2016] no. 2 (countries), points out that\" pediatric medical staff is insufficient, can the high qualification of internal medical personnel professional training, enrich the pediatric medical power.\" The author thinks that, with a pediatrician, in the long run, still need to play to the role of traditional Chinese medicine.

Pediatrics of traditional Chinese medicine resources

Throughout the history of TCM pediatrics, it presents three characteristics:

First is pediatric earlier professional branch. According to the contained in shanhaijing, WuFang is China's earliest pediatrician in legend. Clearly recorded in the history of a pediatrician, beginning in shi-ji que in warehouse and biographies of the male: \"que... people xianyang, smell the qin people love children, namely for pediatric medicine\". In ancient medical books of pediatric disease early records in west silk writing \"fifty-two diseases party\", a book about \"baby epilepsy disease\", \"baby Chi\" account. \"Book of sui, sutras still\" records of the northern and southern dynasties medicine specifically listed in the book pediatric medical branch, at the same time also appeared a pediatric medicine monographs, such as wang chao at the end of the compendium of material medica, pediatric medicine Xu Shuxiang cure young all ills miscellaneous party etc. Sui and tang dynasties, cure too much within the department by the medical doctor, a professor of medicine, including set up young, equivalent to specifically train pediatrician, only 5 year, promoted the pediatric personnel training and professional development. Two, after the song dynasty of further subdivided.

Second, pediatric everybody, monographs. As popular in tang dynasty had been the cranial fontanelle sutra, infants and young children pure Yang proposed physical point of view, and discusses the method of pediatric vein and surprised. Epilepsy, epilepsy, malnutrition, dysentery, Dan diseases such as fire proof, northern song dynasty \"saint\" of pediatric Qian Yi academic compilation by his disciple Yan Jizhong finishing in his book \"pediatric medicine card straight tactic, summarized physiological and pathological characteristics of children as\" viscera vulnerability, yi yi virtual to real, easy cold hot \". When the northern song dynasty period, such as smallpox, measles disease epidemic, dong deserves to make free with the method of cold treatment, summarizes from the pediatric macula pre-emergency party theory, become the beginning of smallpox, measles monographs. The southern song dynasty written by liu Fang etc \"new baby book\", is the world's most complete works of pediatrics at that time; At the same time, Chen Wenzhong \"infantile acne rash party theory\" and \"infantile pathogenic theory\", and other \"infantile health chief micro theory\" and so on. In addition, the yuan dynasty Ceng Shirong compiled the living baby mouth, live young heart book. Xue Ming dynasty armoured, father and son Xue Ji skilled in pediatrics, good in the long, author of \"protect the infant this\", the theory of pediatric disease in all the subjects 221 kinds, column basis, 1540, which deals with pediatric surgery. Ming dynasty famous doctor solution, with the young families play the nursery secret piece of jade heart book, etc. Xia Yuzhu in qing dynasty with young families, iron mirror, think \"have all inside and outside conditions of\", from up to complexion, whose miao qiao to identify was not the actual situation of the zang-fu organs, attaches great importance to the application of massage therapy in pediatrics.

Once again, is rich in pediatric medical practice records. Especially in modern times, in clinical work, retained a large number of pediatric basis and cases, and to promote pediatric professional development extremely valuable resource and wealth. In long-term pediatric medical practice, formed the hundreds of classical prescriptions in pediatrics, widely used in pediatric clinical, such as breast pills, for the treatment of stagnant engenders stomach pill treatment of malnutrition, etc.

The masses of TCM service demand

In more than 200 practitioners in the country, only one out of every four people a pediatrician, however, the country's 1.3 billion people, one out of every four people are children. Relative to the huge population base, a pediatrician is rare, and pediatrics of traditional Chinese medicine is more scarce.

In zhengzhou city as an example, according to the author, has for many years during the Spring Festival several provincial hospital pediatric outpatient critical shed, the pediatric ward is one bed is hard to find. At present, a major hurdle for hierarchical diagnosis is grassroots medical institutions, the lack of talent, the hospital without a sense of security, can't establish trust, lead to big hospitals are overcrowded, especially in pediatrics. Last year, a friend of the author, twice to take their children from more than 200 kilometers of rural run to zhengzhou to see the doctor, every time also are cough, fever, slight illness, treatment by the local county people's hospital pediatrician transplanting such as listlessness, grassroots doctors advise parents with children referral to the superior hospital for treatment. The author has made investigation in urban communities, more than sixty percent of parents said that children get sick to the preferred treatment of traditional Chinese medicine.

The concept of traditional Chinese medicine is more suitable for pediatric medical

The doctor of traditional Chinese medicine has a lot of pediatric nursing knowledge. Such as \"three points to the body, the tolerance hunger and cold.\" Has lasted so long \"ten method adopted son\", in one thousand to all down xi, is our ancestors experiences in raising children, are still worth learning and using for reference in today. The earliest record of medical books \"ten method adopted son\", is the song dynasty Chen Wenzhong by pediatric pathogen theory, adopted by past dynasties ten method after the recipe to reference and play, and become about children raised in pediatrics of traditional Chinese medicine is an important content of conservation.

The concrete content includes back warm warm, warm stomach, foot, head cold, heart cold, do not see very thing in the world, the spleen and stomach to temperature, crow to be decided, and not to drink milk, do not light powder, cinnabar, etc. Second, in addition to medication, pediatrics of traditional Chinese medicine still has a lot of non-drug therapy. Such as massage, massage, sticking, medical system, acupuncture, etc. Traditional Chinese medicine health care medicine in last decade, the development and application of health food, health supplies, to build our bodies, protect the vulnerable, reduce the incidence of a disease, play a role. To a certain extent reduce the drug side effects on infant may lead to secondary injury. In addition, the traditional Chinese medicine \", Jane, inexpensive, check \"features, to reduce health care costs will also play a positive role.

For these reasons, in response to the pediatric doctor shortages, meet the demand of pediatric medical service, and vigorously promote the development of Chinese medicine, the following three Suggestions:

It is in 5 ~ 10 years, to speed up the construction of a batch of specialized children's hospital of traditional Chinese medicine, or combine traditional Chinese and western medicine specialist at children's hospital. Now children's hospital quantity is less, far cannot meet the demand of pediatric medical service. Suggestions according to the demand gap, grasping the planning and construction of a batch of specialized subject hospital of traditional Chinese medicine or combined Chinese and western medicine specialist at children's hospital. Pediatric medical service system, establish and improve the pediatric medical resources shortage problem can be solved fundamentally.

The second is to speed up the Chinese medicine clinical professional talents cultivation in pediatrics. Higher medical colleges and universities of western medicine in clinical professional approved by the relevant state departments have begun pilot recruitment of students major in pediatrics, suggest that the doctor of traditional Chinese medicine and traditional Chinese and western medicine combined with the professional, also add pediatrics of traditional Chinese medicine specialty, and according to the requirements of society and people's health, appropriate to expand enrollment, from the source will intensify training of TCM pediatrics medical students. At the same time, call for medical institutions at all levels to improve working conditions in pediatrics, improve treatment, enhance pediatric jobs appeal.

Third, on the basis of inheriting predecessors experience, speed up the promotion of TCM pediatrics clinical and scientific research strength, promoting TCM pediatrics appropriate technologies, focus on strengthening the construction of grass-roots pediatric medical service ability. By promoting appropriate technologies, to a large number of common disease, frequently-occurring disease to solve at the grassroots, convenient masses go to a doctor. At the same time, also want to encourage grassroots medical and health institutions, strengthening the service ability of TCM, actively explore children build family doctor type general medical service mode, seriously implement the prevention of health work policy, in the new period \"cure not ill\" project was carried out. (the author unit for the health and family planning commission of henan province KeJiaoChu)