Several key factors affecting the clinical efficacy of Chinese medicine: thinking hard about clinical efficacy, which is a common subject for all doctors, I roughly summarized the following four elements, pending further improvement in clinical practice. A. The disease is the root, the work is the standard, the standard is not allowed, the evil does not serve The biggest influencing factor of the treatment effect comes from the patient itself, the doctor’s treatment must be through the patient’s cooperation to work. If the patient refuses to trust the doctor, or does not believe in the doctor, or does not follow the doctor, or is terminally ill, then even if the doctor is highly skilled, he will not be able to help. The Duke of Qi Huan saw Bian Magpie three times, and he went from being able to heal to being incorrigible. This historical allusion warns us that we should try to win the trust of patients, and that “trust” is the first key factor to achieve clinical efficacy. Medicine itself is a complex science, with subtleties beyond our imagination, and sometimes we know less about ourselves than we do about the moon. Since medicine is a practical science, mistakes are inevitable, and we can only make fewer mistakes if we have the quality of “great medical sincerity”. Third, the use of medicine is like the use of soldiers The Art of War says “know yourself and know your enemy, a hundred battles will be won, the army is not in abundance, but in the good use of”. “Birds, animals, grass and trees can be used as medicine, so it is important to know what you are looking for. Some Chinese medicine market is mixed, counterfeit, poor quality, improved high-yielding varieties of herbs flood the market, which makes the doctor stretched to the limit. Planted herbs are far less effective than local herbs, so the practical dose of Chinese medicine is often on the high side, and with the involvement of fake drugs in the Chinese medicine market, the clinical efficacy is greatly reduced. There is a traditional quality control system for Chinese herbal drinks, and the quality of regular conscientious companies is relatively guaranteed, and the price is relatively high. The ancient medicine is divided into “first decoction”, “after the next”, “another decoction”, etc., while the modern machine decoction is not divided into anything, and before the decoction is not soaked, not to mention the first decoction after In modern machines, the decoction is not divided into anything, and there is no soaking before the decoction, and there is no division between the first and the second decoction, so the medicine is directly decocted for half an hour and then packed. In some cases, the decoction is discarded if there is a lot of juice, and if there is a little, the decoction is made of water, which is harmful to the clinical efficacy of Chinese medicine. Although the traditional decoction method is tedious, it can ensure clinical efficacy.