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Less developed areas of the development of Chinese medicine work practice and exploration

2011年07月07日

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As one of the cradles of the Chinese medicine, gansu province in developing "poor province", win over natural disasters and medical outbreak created a series of remarkable achievements. Investigate its cause, is they should, grounded, the development of Chinese medicine and the courage and measures. This version is twice, gansu province LiuWeiZhong head of department of health department published articles, for reference for all.

Less developed areas of the development of Chinese medicine work practice and exploration

Health LiuWeiZhong head of gansu province

China's traditional Chinese medicine reported

 

 

 

The first consideration is the birthplace of Chinese medicine: one of gansu province

8000 years ago "taste the medicine and the nine needle" fu is one of gansu province, it should be a very the earliest Chinese traditional Chinese medicine. 3000 years ago and made a gansu province qingyang carry out of traditional Chinese medicine, "yellow emperor asked a discrepancy of traditional Chinese medicine health problems of some", he answered one out from the han dynasty, medical experts put this dialogue finishing books-of the yellow emperor. In 2010 we give qingyang investment of 500000 yuan, 500000 yuan this year plan to pitch in with 1 million yuan, of qingyang city, a total of 2 million yuan in a row, the ZuQiBo LongJu medical ". Jin dynasty famous medical experts, the acupuncture and party b and author of "the HuangFuMi ancestor, acupuncture and gansu (lingtai county). 2010 provincial health department took 1 million yuan, 1 million yuan, pingliang took the row of the HuangFuMi in China, the state administration of traditional Chinese medicine arranged in Beijing, in the province after performance acted in 30 games, we arrange every county hospital with 20000 yuan, each district hospital, 20000 yuan, ready to take on more than 100 games again. In 2010 we had scheduled a total 4 play, and 1 variety shows, including two and a half of the traditional Chinese medicine is propaganda. Traditional Chinese medicine is the birthplace of the gansu province because one of the traditional Chinese medicine, gansu do bad, is to the past.

The second consider: gansu is a poor province

We in order to determine the a train of thought, is in the most simple method "to solve the most basic questions as possible, the cost of less maintain the health of the people, go to the characteristics of the traditional Chinese medicine" road of cure of gansu province. Make sure the train of thought, a Chinese medicine can solve the problem; is 2 it is cheap Chinese medicine. Therefore, on one hand we governance excessive medical, on the one hand, developing Chinese medicine. Now the premier bacteria spread around the world, China also had, use of antibiotics, governance excessive medical problems become. Antibiotics down, with what instead of traditional Chinese medicine, only instead.

Governance, we determined the excessive medical "four line up", namely: doctor, antibiotics usage of patients, drug use, drug at one's own expenses of antibiotic penicillin proportion to months to wait in line. Above town, every hospital doctors, patients use antibiotic monthly expenses such as drug usage line, antibiotic use the top 10, organization of the assessment, and experts to unreasonable to the considerations of punishment. The province from last year were punished 1400 DuoGe doctor, this should be in the country is the most aggressive said. A: our monthly "four line up" situation and the bad performance records of the wall in hospital, common people Posting a see the doctor to prescribe medicine can't find the disorderly, his authority is not. Antibiotics down, you have to have a cure the things that would have to go up for Chinese traditional medicine.

The third consideration: we think that the curative effect of traditional Chinese medicine is very good

Boat song catastrophic floods happened in gansu province mud flow disaster, boat song place very small, 1.9 square kilometers death 1700 people, the possibility of epidemic situation happened is very big. The central leadership a few times, secretary of provincial party committee, the governor asked us to the prevention and control of epidemic as a great thing to grasp. At that time we the pressure very big, very DuoRen out to eat some preventive medicine, I say a person hair two pieces of western medicine who won't eat, people say I have no disease to eat what medicine. Then I give several city state health director dozen telephone, a city sent two tons of garlic. The first drew 40.5 tons of garlic, people eat, prevent disease the effect be very good, then the governor LiuWeiPing listen to good DuoRen reflect, said garlic to prevent the effect be very good, let I to the point, I said no money, the governor gave the provincial government, the secretary-general and call the 70 tons, after eating and transferred 50 tons, a total of 160.5 tons of garlic, transferred per capita 3 ~ 4 jins of garlic, the effect is very good, the epidemic situation not happened.

There was a time, the people's liberation army soldiers and the masses with "lousy fork", "lousy skin", xinhua wrote NaCan, prime minister, the leader of the central DuoWei instructions, the province under a lot of pressure, we asked the name of the province of traditional Chinese medicine LiuDongHan opened a simple prescription: a golden cypress, a cangzhu, just two gout drug, will take the POTS and pans, solution stay up for with on the skin, and talcum powder, four days after skin disease is not. Afterwards, I said put this big POTS and pans, and people from the job and good DuoRen line up every day with plastic bottles to install, said the cure beriberi quite good of, always cook for two months and a pot and no away.

Boat song after the occurrence of debris flow in the first few days, many lost loved ones appeared some symptoms of depression, sorrow, fear, insomnia, and have no appetite. We according to the 301 hospital ZhaoLin professor advice, from 2 tons of qingyang city day lily, with shophach the big POTS and pans let the patient drink after cooking, a week after the depression will ease. There was a time the boat song diarrhea and cold many of the traditional Chinese medicine, and we please open the prescription, a mouth big POTS and pans on 12 to cook the medicine drink, 4 days after the disease was control. County hospital dean is my university students, he said it was two months Chinese medicine out county hospital not the patient.

Boat song the outbreak not up, should say Chinese medicine has played a large role. Comrade of provincial party committee tell me, provincial committee and government, central to write the relief reporting on traditional Chinese medicine, began to prevent disease write less, the provincial party committee secretary lu hao to concentrate more and LiuWeiPing governor and the relief of traditional Chinese medicine and wrote a long. That year late August day evening, I from boat song send health ministry to lanzhou, I that day lead very tired, want to sleep, but have a department chief phoned me and said: "boat song to lanzhou hospital patients have two critically ill, I'm afraid not, suggest the tonight from Beijing please two doctor to look, once the death of our responsibility is small. Another 17-year-old girl tonight." foot section I said, Beijing experts can please, two seriously ill people call me please see the feet of traditional Chinese medicine, cut patient I take Chinese medicine experts to consultation.

The first one is living in lanzhou a army hospital comprehensive extrusion injury in the debris flow, 10 days no urine, diuresis drug doesn't work, patients are coma. The medical director of administration called me that the patient can not pass this evening, I was immediately to the old man, Mr. Liu LiuBaoHou call at the age of 70, is dedicated to see kidney disease of combining traditional Chinese and western medicine expert, he open to Chinese medicine to patients take, drink for three days, the patient of urine to reach 600 ml urine output, then return to normal gradually, after a month was released from the hospital.

The second is to live in the court of the LanDaYi boat song debris flow of comprehensive crush injuries a 48, 40 , women, a fever of the best antibiotic doesn't work, no blood pressure, no medicine, no booster effect urine, unconscious. I give 70-year-old and old Chinese medicine LiuDongHan call Mr. That evening, he went to see the patient. The second day morning 8 o 'clock and I'm on the way to LanDaYi court to Mr. LiuDongHan dozen telephone, please him together look again at the patient, liu said, "the patient was very heavy, I very nervous, 6 watched it, are better now, you see." I see the patient, then at the open, Mr. LiuDongHan never-failing is MaXingShi Ian tonga, remove the reduced ephedra, leaving 30 grams of gypsum, add the 1 g cohosh, the effect is very good. The 30 grams of gypsum from 40 temperature fell to 37 , 1 g cohosh to rise to 130/60 mmHg blood pressure (1 mmHg kPa = 0.133) a year, more than a month after the patient recover was released from the hospital, returned to the provincial health department to send a thank-you note.

The third patient is into two court of the debris of the boat song crush injuries 17, the little girl. Her parents are in the debris flow died, and her an orphan. Her feet in the debris flow medium voltage eight hours, foot all flesh rotted away, and there are only a small piece of dry flesh, bones have turned black. Beijing water of western medicine specialists tan hospital decided after amputation. The western medical specialists in gansu province after also decided to amputation. I have more than 70 years old SongGuiJie palasy experts, gansu institute of traditional Chinese medicine hospital, vice President of the LiuBaoJian and gansu province, vice President of the hospital ZhaoJiRong to Atlantic. 2 hospital consultation, they discussed to 11:00 PM. Traditional Chinese medicine, western medicine claims that the foot amputation. I asked SongGuiJie old man does not advocate amputation reason is??????? He said, first, children on foot with only a piece of dry meat in the artery that jump, feet for also in blood; Second, dried meat skin feel that feet nerve still; Third, the child's life, don't immediately amputation smooth signs will not have life risk. Finally, we decided to combine traditional Chinese and western medicine measures the feet. Mr. SongGuiJie open internal medicine, LiuBaoJian and ZhaoJiRong to the fracture patients to do, apply in the fixed ointment. I asked to give patients eat pig hoof, drink water astragalus. I have a experience after surgery, the patient eat pig hoof or through the stomach under some pig hoof cooking soup, 7 days or so the wound is long. Astragalus anticorrosive born muscle effect is good, the wound has infected patients, drink water astragalus soon will be able to grow the pus granulation, and can improve the top out immunity. The patient with TCM measures, 24 hours on the back foot of dried meat began to ooze blood, become living meat. 48 hours after the start long granulation. 15 days after the bones covered granulation, but no skin, from lap take skin transplanted, 3 more than a month after patient recover hospital discharge, the activities of the foot is functioning normally.

Gannan Tibetan autonomous region of gansu province is one of the worst conditions area, influenza a popular, GanNaZhou hospital two armour flow patients with trachea dissection coma, the dean, called me and said, I can't patients live said absolutely can't die, no matter how you treat, people can't die. He said that no way, I say you have Chinese medicine to people eat, he says don't have a way to western medicine, traditional Chinese medicine miles irrigation. I said, using traditional Chinese medicine, people died I don't to get you in trouble, need not traditional Chinese medicine, and I want you dead trouble. Finally they through the tube filling the Chinese medicine, two people all the life, so the place the people behind the life, no Chinese medicine do? A dead 1 individual jiuquan flow, the local health bureau chief is very severe, the responsible doctor told to scolded, ask why not give the patient eat Chinese traditional medicine. Then the city made a regulation, all the armour flow patients drink the prevention and treatment of traditional Chinese medicine, Chinese traditional medicine, drink if patients died, the doctor not to sanction. Traditional Chinese medicine, if did not drink of the patients died, and will give the doctor sanctions and the director also want to the sanctions, and later a had died, Chinese traditional medicine effect should say is very good.

Us department of education and health department joint hair notice, all school as long as there is a flow of fever, drink all Chinese traditional medicine, LinXiaZhou hospital has sold 60000 pay a traditional Chinese medicine. The 3 million people drink the traditional Chinese medicine, and preventive disease control down soon. Zhang ye YiZhuan President told me, the school has more than 5000 students, a flow every day dozens of students have a fever, received notice of guangdong provincial health department and after, to give each student to take preventive medicine, four pay after a fever of all have no. In 2010 we made a decision, all general hospital of severe care, must be worthy of TCM and western medicine, traditional Chinese medicine and carry out rescue, the goal is to save the survival rate of the increased by 5%. County hospital clinical departments above all western medicine are traditional Chinese medicine the doctor to match.

Qinghai yushu when the earthquake, forwarded to gansu 340 DuoGe when most patients in hospital and provincial institute of traditional Chinese medicine hospital, began to a lot of people do not understand, said hu miles, to the whole of gansu fractures of the patient drink a Chinese herbal medicine soup can good? Good DuoRen called me and said, "you're beginning to hu whole," I said, how hu, and the whole of palasy miles. With five threatening miscarriage, quickened began a traditional Chinese medicine, are to keep. Among them, in gansu, institute of traditional Chinese medicine hospital live a women's thigh fracture, she is a pregnant women, the doctor says do surgery must first abortion. The women have had an abortion, she said two legs are, but this is a child must protect, cried so sad. We please SongGuiJie the old man to ZhengGu, do a splint fixed, leg healed, and the child also saved. We assigned 340 patients eat pig hoof, drink water, astragalus knee injury very fast, vice chairman of the Chinese people's political consultative conference of qinghai province to the injured all information Chen sympathy, said gansu created a disaster medicine, traditional Chinese medicine created a miracle of combination of Chinese and western medicine.

The fourth consider: combine traditional Chinese and western medicine is good for the hospital

Lanzhou university hospital a second ZhangYouCheng professor to tell me, and he did in the past to excise an operation, spleen after each patient fever 2 ~ 3 months, a are no exception, hospitals are not to accept money, low efficiency, and later he postoperative recovery eat Chinese traditional medicine combined with acupuncture, 3 ~ 4 days after all was released from the hospital, Corey at the benefit of the improved. A fast turnover, hospital bed the benefit of the improved, the patient's hospitalization is down. So if the development, benefit of traditional Chinese medicine hospital is up, the patient burden is small.

The fifth consider: gansu provincial party committee and government decided to develop meilong medicine

The whole province in 2010 work designated province financial talent and health bureau to speak. I told a point of view, I said gansu development meilong medicine must first developing Chinese medicine, traditional Chinese medicine and the people eat cattle eating grass like cattle, not just eat, and people eat Chinese traditional medicine can not directly eat, must let Chinese medicine into traditional Chinese medicine to eat a prescription. So gansu development meilong medicine must first expand Chinese medicine team; Next to improve the quality of talents; traditional Chinese medicine The third to increasing investment, the development of Chinese medicine scientific research, developing a new drug products.

Gansu protection and support the main measures of the development of Chinese medicine

First, beginning in 2008, provincial committee and government, recruit every year 5000 college students to the country in the work, a third are traditional Chinese medicine hospital, has been continuous recruit for 2 years. And governor, secretary of provincial party committee to see far, decided to recruit 3 years, a total of recruit five years, 5 years to recruit 20000 DuoGe college students to rural hospitals. Save the human resources and social security hall, the health department issued a circular, provisions joint since 2009, gansu county hospital, to college students more than into from the selection, not directly "recruit. So, five years later, in the new work these college students can gradually to the county level and above hospital. 2010 gansu institute of traditional Chinese medicine and the university entrance exam recruit students carry file fractional line is the province, a, Richard exams, the two places, all is the first volunteer, second choice, not one action, this will be enough to explain the development of traditional Chinese medicine education and future.

The second is that in "western". The 1950 s health department first head of gansu province LiuYunZhong advocated western medicine study traditional Chinese medicine from Beijing, he transferred 58 Chinese medicine to work in gansu province. 2008 in gansu province in "western" of human affairs hall sent a notice, western medicine promotion senior professional title with traditional Chinese medicine to test content, accounting for 20% of the score, each year 700 full-time study traditional Chinese medicine and western medicine. When resistance is very large, and many western medicine the doctor looking for leadership want to cancel the this policy, the health department very great pressure, finally had to find, secretary of provincial party committee and governor of XuShouCheng lu hao to concentrate more in "western", the "gansuribao" instructions and gansu television broadcast a leadership instruction, this just unified everybody understanding.

Third, we carried out the provincial, city and county, township and village category five Chinese medicine DaiTu division activities. The province chose 1000's ancestral, each day to see more than 40 patients of traditional Chinese medicine master, each teacher choose three disciple bring 3 years, the province to each teacher fiscal 6000 yuan to 3000 yuan, every disciple subsidies. In 2010, we have achieved in HuangFuMi square, thousands of people visit ceremony in, play a HuangFuMi ", the China people see the plays, but also understand the traditional Chinese medicine. Soon, we again in lanzhou city and WuWeiShi held a TCM doctor DaiTu visit of the ceremony. In addition, we also do a 40 Chinese graduate student class, subsidy of RMB 12000 per person each year.

Fourth, carry out the training of position, technology duration. Each hospital all make traditional Chinese medicine, acupuncture competition, competition every year make the doctor of traditional Chinese medicine's post training, technical match activities, promoted professional personnel of traditional Chinese medicine to raise the level of technology.

Fifth, make clinical base construction. We had three of the traditional Chinese medicine clinical base, a hospital is province, one is academy of medical sciences, one is the institute of traditional Chinese medicine hospital. In 2010 we go to provincial hospital base 6.8 million yuan, orthopaedic clinic institute of traditional Chinese medicine hospital acupuncture clinical base 4.8 million yuan, academy of medical sciences, 2 million yuan. We want to bring the orthopaedic clinic base development to 600 beds, now at 400 beds. Gansu low wages, where people are hard to keep, for this province orthopaedic clinic hospital set up bases in 12 secondary branch, let some technology strong people, as director of the development tendency, is very good.

Sixth, the provincial government issued a support the opinions of the development of Chinese medicine. The state administration of traditional Chinese medicine still in gansu issued a support the opinions of the development of Chinese medicine in gansu province.

Seventh, the development of traditional Chinese medicine cure of as an important content. The national order are five content, the cure of gansu province is six, add a traditional Chinese medicine, including six supporting documents all have the Chinese medicine content, every link in traditional Chinese medicine.

Eighth, promote the use of real estate Chinese herbal medicine. By the county for units in Chinese herbal medicine resources survey, and then, with the unit of common country for several rows, and a real estate Chinese herbal medicine combined with out every county, the organization made up about 10 of the traditional Chinese medicine used to treat common diseases, prescription. Use 10 prescribing treatment of common diseases, new farming and give 100% reimbursed, TCM acupuncture, cupping treatment technology, new farming and also 100% to submit an expense account. Qingyang carry the jiuquan city common people to see a doctor, such as traditional Chinese medicine, acupuncture, eat, cupping, health care is also 100% to submit an expense account. In 2010 we and unconscious and social security hall jointly issued a circular, begin from 2011, in gansu, urban and rural residents of be in hospital, eat Chinese traditional medicine, and using acupuncture clinic of traditional Chinese medicine, and cupping appropriate technology, health care and new farming and 100% reimbursed, this is a big gansu policy.

The ninth, in the preparations in the provincial adjust use. The past province food and drug administration regulations in hospital preparations can only be in the internal use, the provincial health department in 2009, the administration's held by provinces after the hospital preparations, the management of the whole province can be used, and villages into town, village, can open forum, you, director of all say has a regulation bad to do. The administration's province high JianBang said: "today only said the procedures to do, don't tell me first, then agree to the rules". Then slowly and formalities developto the chief got an idea, put this government affairs in the hall, 93 kinds of hospital preparations do soon batch. In 2010, the group of 100 DuoZhong hospital preparations has also demonstrated in the circulation, approved for use.

The first ten, we changed the acceptance standard grade hospital. Level 3, level 2 acceptance of the traditional Chinese medicine hospital, development do a ticket veto. The development of traditional Chinese medicine don't get up, not through the acceptance grade hospital, made them developing Chinese medicine. 2011 financial took out 70 million yuan provinces, the health department set provincial hospital of traditional Chinese medicine development work, management of excessive medical assessment standards, and guide the provincial hospital management and develop Chinese traditional medical excessive. According to estimates, provincial nine hospital, if which hospital medical treatment, excessive well the good effect, the doctor of traditional Chinese medicine development expenses low, well, it is possible to get 6 million yuan more than the bed of the subsidies, equivalent to a medium hospital a year of total income left over.

Each city, state, 11 to build 1 ~ 2 TCM characteristic of community health service center. Be included in the monthly key health work months reporting systems, each work bottom three cities, counties to criticized, and also have to report to the provincial party committee and government and the municipal party committee and the city government. In addition, we also requires each county building 10 Chinese medicine characteristics of rural hospitals. 2012 our goal is to make all the new characteristic of traditional Chinese medicine, hospital to have three main index: a third of the total income is, a third of the traditional Chinese medicine pharmaceutical income is Chinese traditional medicine, traditional Chinese medicine is a third of the workload. Now most do enough.

Comprehensive hospital should set, 12 in general and, at the same time, traditional Chinese medicine management section set. Traditional Chinese medicine is the medical examination management section of traditional Chinese medicine development requirement for all western medicine department will match a traditional Chinese medicine. Western medicine anterior chamber, finishing check of traditional Chinese medicine, Chinese medicine check this amount will go up. Every hospital evaluation western medicine department of traditional Chinese medicine dosage, instead of bonus. Buckle

The thirteenth, public health institutions set traditional Chinese medicine. CDC, at all levels are established in general, all levels of hygiene supervision set by traditional Chinese medicine, women and children seeks established, supervision in general. We started in 2010 to study TCM treatment hepatitis b, hypertension, diabetes and hyperlipidemia. Gansu institute of traditional Chinese medicine of traditional Chinese medicine of old LiShaoBo this year is more than 100 years old, the invention of the first operation method treat high blood pressure, stomach and hepatitis b the effect be very good, we gave 200000 yuan do scientific research. We also chose three community make test: celery fall blood pressure, eggplant reducing blood fat, balsam pear, fall blood sugar. Test after the success, in gansu, ready to develop three vegetables industry, the treatment of three chronic diseases.

14 in lanzhou airport, Mr Nakagawa near the 3000 mu for (1 mu = 666.67 m2). Of which 1000 mu construction a institute of traditional Chinese medicine and an institute of traditional Chinese medicine hospital; Another 2000 mu construction a YiZhuan, build a big hospital.

In villages and towns, villages and towns was founded 15 health office. This is equivalent to the township government's health bureau, set up a special people, this catch Chinese township TCM caught.

We pay attention to mobilize, 16 people participating in the enthusiasm of Chinese medicine. So that people trust Chinese medicine, Chinese medicine can be developed. So we took a few measures: one is that as long as the patient eat Chinese traditional medicine to submit an expense account, improve the rate of 30%, the policy in 2009, issued, the effect is very good. The second is a flash files we fixed publicity slogans, and publicity of the traditional Chinese medicine health knowledge. Recently we arrangement deployment each general hospital of west medical are to traditional Chinese medicine health knowledge stick on the wall, let the doctor, let people see, learn the Chinese medicine atmosphere out. In addition we develop health education, arranged for a health education in their 40, have a lecture the content of the traditional Chinese medicine. This year two play rehearsal, a "medical ZuQiBo", a "HuangFuMi", through the way of the masses, acting look of traditional Chinese medicine, Chinese medicine to eat the desire aroused. Another is in general hospital of traditional Chinese medicine prize, which set support western medicine of traditional Chinese medicine, propaganda promotion introduced the patient to regions to, give him the prize. In addition, we also prepare the next selection of ancient Chinese medicine in gansu 10, gansu modern name Chinese medicine 10, let common people vote, through the voting form publicity, build the development of traditional Chinese medicine of traditional Chinese medicine a good environment for public opinion. (to be continued)