I. Practice Model of “Center for Treatment of Premature Diseases
1.Shanghai Shuguang Hospital KY3H Center for the Treatment of Disease General structure
2.Integration of Chinese and Western medicine, assessment of individual health
We use KY3H (individual person) health state identification and assessment system, Dawson brand tongue and pulse instrument and other advanced TCM diagnostic instruments, and combine individualized laboratory tests, auxiliary tests and clinical checkups to assess the health of individuals.
TCM physical identification: Based on the relevant information of the client, we provide physical identification conclusions through analysis and evaluation by KY3H intelligent system, experts and KY3H treatment center. The content includes the body type (calm/biased), susceptibility to diseases, health status, environmental adaptability, psychological index, quality of survival, life cycle TCM interpretation, etc. of TCM physical and subhealth assessment.
Specialized Chinese medicine examination: The use of more mature modern Chinese medicine identification instruments, such as: twenty-five tone analyzer, Chinese medicine tongue and pulse diagnostic instrument, meridian instrument, etc., unified detection of patient’s voice, tongue and pulse, so that each examined person obtains the equivalent of the four diagnosis results of a famous veteran Chinese medicine practitioner, to achieve the unification, objectivity and systematization of the four diagnosis.
Modern equipment physical examination: under the guidance of experts, a personalized whole body health examination program is formulated. Conclusion of physical and chemical index testing, biomedical engineering dynamic monitoring, etc., including reports on physical, chemical and imaging indexes (normal/abnormal), sleep monitoring and diseases suffered by medical physical examination.
Physical examination report with TCM characteristics: according to the information of the four diagnoses of TCM, identify the type of physique and health status, and provide health identification conclusions and recommendations for body identification and nutrition.
3.Health management
Health management: private health information database + health plan development + full tracking service
Establishing private health information database: Using intelligent computing and other information technology, we establish a “private database” for customers and provide health information management services, which can save, maintain and manage all kinds of health status and health service information for customers for life.
Formulation of health program: According to the analysis results, Chinese medicine experts will give comprehensive health guidance, focusing on changing the customer’s original lifestyle that is not suitable for them, including dietary guidance, exercise regulation, psychological guidance, etc. Based on the core concept of “treating the unborn, treating the unproductive”, senior TCM experts from centralized hospitals will provide systematic health care advice to customers by investigating the health hazards of each person’s different physique and health condition and under the guidance of the theory of “treating the untreated”. We provide customers with systematic individual health care suggestions through herbal conditioning, acupuncture and massage, winter and summer treatment (compressing therapy), and cream recuperation (winter tonic) to achieve the fundamental purpose of Chinese medicine in treating “untreated diseases”.
Full tracking service: track individual health status and intervention effect, enter relevant information into “KY3H private database” or our personal health information database, maintain and manage customer’s health status information flow, and re-evaluate at the right time: issue health report and health status warning, etc.
4.Seasonal return visits
In addition to providing interventions and managing health according to individual health conditions, the Center combines the characteristics of Chinese medicine and health care to create customized health care programs for all seasons according to the changes in customers’ health status, and makes timely visits.
Four seasons of health care principles.
(1) Spring health care principles – to promote Yang energy and to stimulate liver energy.
(2) Summer health principles – strengthen the spleen, benefit the qi, and clear the summer heat and dampness.
(3) Autumn health principles – moisten dryness, benefit the lung, and regulate the heart and spleen.
(4) Winter health principles – strengthen the spleen, nourish the kidneys, and stagnate the vital energy.
5.Open “treating the untreated disease” clinic to improve the comprehensive ability of disease prevention
Chinese medicine “before the disease” prevention center – highlight the concept of Chinese medicine disease prevention, whether it is the social environment, work pressure, diet and living, all have a certain impact on the generation of disease, the center’s Chinese medicine experts through a balanced diet, adjusting psychological, medicinal food conditioning, exercise regimen The TCM experts at the center provide patients and sub-healthy people with the concept of “treating the disease before it occurs” and various health consultations through a series of health interventions such as balanced diet, psychological regulation, medicinal food, exercise regimen, fumigation and foot baths, etc.
Chinese Medicine “before the disease” treatment center – with the core concept of “treating the disease before it is born and treating the disease before it becomes”, based on the existing special needs clinic and traditional Chinese medicine treatment center clinic and our famous Chinese medicine doctors The main body of the clinic is composed of famous TCM experts, who will provide systematic individual health care advice for each person’s different physique and health condition by investigating the health hazards and under the guidance of the theory of “treating the untreated” in TCM, and by adopting traditional Chinese medicine, acupuncture and massage, winter and summer treatment (compressing therapy), and ointment recuperation (winter tonic). (winter tonic) to achieve the fundamental purpose of Chinese medicine to treat “undiseased”.
6.Full use of traditional therapeutic techniques, play the role of non-pharmaceutical treatment in the “treatment of untreated diseases
Using the prescriptions of Chinese medicine, acupuncture, moxibustion, massage, prescriptions, spiritual regimen, food therapy and meals, as well as other traditional health care methods, such as the Five Animal Play, the Eight Duanjin, Taijiquan, Qi Gong, Guiding, Jing Yang Gong and other exercise and health care methods, we can carry out personalized three-dimensional interventions and targetively stop the transformation of some people from “undiseased” to “disease”. The transformation of “disease”.
7. Actively promote the concept of “treating the untreated disease” in Chinese medicine and raise the awareness of health care for all people
Increase the popularization of science, carry out forums and lectures to promote the concept of “treating the untreated disease” and knowledge of disease prevention and treatment to the general public, so that all people can raise their awareness of health care; issue preventive health care manuals for treating the untreated disease, promote the public to change their mindset, and implement the advanced medical idea of “preventing the untreated disease first, preventing changes in the existing disease, and preventing recurrence of the existing disease. The advanced medical idea of “prevention before illness, prevention after illness, prevention after illness”.
8.Union of superior units
In addition to the management technology and resources of the department, the center has a good cooperation base with the traditional Chinese medicine department, acupuncture department, injury department, endocrinology department, gynecology department, pediatrics department, rehabilitation department, etc., and radiates to enterprises, elderly institutions, government departments, clubs, disease control centers, community hospitals, etc., and establishes a lasting cooperative relationship to form a comprehensive health management network and platform, with a view to establishing a comprehensive health management network for We aim to establish an innovative health service model that provides health-centered individualized, comprehensive preventive care and treatment-related services that reflect the characteristics of TCM, and explore boldly to eventually form a TCM health care system with distinctive features, appropriate technology, diverse forms and standardized services.
9.Improve the health service guarantee system and carry out the work of treating the untreated disease in the community
Community health service is the basis of China’s new urban health service system, the basic way to achieve primary health care for all, but also to promote the fairness of health services, the construction of a harmonious society, it has the advantages of wide service coverage, convenient for the masses. To promote the technology of treating the disease to the community is to put the preventive health care service of TCM into practice, and to implement the policy line of “shifting the center of gravity downward and moving the gate forward”. Practice also proves that the linkage development of tertiary, secondary and primary hospitals is an effective way to promote the construction of TCM preventive health care service system, which is conducive to the comprehensive inheritance and innovation of TCM, and can further highlight the characteristic advantages of TCM, expand the new demand for TCM, expand the new field of TCM services, and is an important measure to promote the health quality of all people.
II. Community promotion of Chinese medicine “treating the disease” project
In order to realize individualized prevention, health care and treatment centered on human health, to popularize the TCM health concept of “prevention before illness”, according to the global trend, social demand, international successful experience and our traditional advantages, and in response to the instruction of the State Administration of Traditional Chinese Medicine on the “TCM Health Project for Treating Diseases Before They Occur”, Shuguang Hospital has been promoting TCM services in the community. “According to the instructions of the State Administration of Traditional Chinese Medicine, the Center for the Treatment of Preventative Diseases of Shuguang Hospital started to improve the project of “Chinese Medicine for the Treatment of Preventative Diseases” into the community in 2007, and established the “5+1” community promotion model and expanded it to The goal of the “X+1” model is to gradually improve the TCM preventive health care service system: through the training of several community doctors and health cadres, expert consultation and community intervention, and then fully expand to 15 community hospitals.
Shuguang Hospital’s TCM “treating the disease” in the community program involves four aspects: 1.
1. Actively promote the concept of “treating the disease before it occurs” and raise the health care awareness of the whole population: to popularize the concept of “treating the disease before it occurs” to the general community through forums and lectures, so as to raise the health care awareness of the whole population and realize the importance of preventing diseases before they occur and preventing changes in existing diseases, thus To achieve the purpose of promoting the health awareness of all people.
2.Cultivate a community medical team to identify “sub-healthy” people: cultivate a community medical and health team that has the means to prevent and treat diseases in Chinese medicine, so as to provide early education, early identification and early intervention for “sub-healthy” people in the community and achieve the purpose of early disease prevention and treatment.
3.Promote appropriate technology and improve the convenience of the community: further promote the appropriate technology of “treating the unhealthy”, which is conducive to improving the health pattern of the community, and improve the convenience of the community’s participation in health care actions.
4.Implementing interventions for subhealthy people and common diseases in the community: Using the prescriptions of Chinese medicine, acupuncture, moxibustion, massage, plastering, spiritual regimen, food therapy and medicine, as well as other traditional health care methods, such as five-animal play, eight-danjin, taijiquan, qigong, channeling and other exercise health care methods, we can carry out personalized three-dimensional interventions to target and stop some people from “We have completed the following projects since 2007
From 2007 to the present, we have accomplished the following
1. More than 200 times of community outreach and training by experts
2. Conducted more than 30 lectures on prevention and treatment of untreated diseases
3.Trained about 60 community health cadres and community doctors
4. Collected more than 400 copies of physical identification forms
5. More than 900 copies of each item form
6. More than 1,800 people were promoted
7. Held the first national “treating the disease” summit forum lecture
8. Hold the forum of “treating the disease” and chronic disease prevention and control in Pudong New Area
Project objectives.
The goal of the project is to Actively promote the concept of “treating the untreated disease” in Chinese medicine.
? To train community medical teams.
? Identify people with “untreated diseases” and “desired diseases” and promote appropriate technologies.
? Improving community accessibility
? Implement interventions for sub-healthy people and common diseases in the community
Promoted communities.
Zhangjiang Community Health Service Center
Sunqiao Community Health Service Center
Jin Yang Community Health Service Center
Sanlin Community Health Service Center
Yingbo Community Health Service Center
Huamu Community Health Service Center
Tangzhen Community Health Service Center
Tangqiao Community Health Service Center
Liangyang New Community Service Society Health Service Center
Community promotion of treatment of untreated diseases has been carried out: through the close cooperation of the Center for Treatment of Untreated Diseases of Shuguang Hospital and various departments, six kinds of appropriate technologies for treatment of untreated diseases have been pushed into the community, from point to point, in order to reduce the incidence of these common diseases and multiple morbidities and effectively improve the health of community residents, namely
1.Promotion of auricular acupressure technique in the community for people with a tendency to constipation
2. Community promotion of the “Eight Methods of Guiding” to prevent degenerative diseases of bone and joint
3.Intervention of TCM’s idea of treating the disease to prevent and treat people with reduced glucose tolerance in the community
4.Community promotion of TCM comprehensive intervention method to prevent and treat early hypertension
5.Community promotion of comprehensive TCM treatment program to reduce the risk of fragility fracture
6.Intervention and prevention program for COPD patients in the community
7.Community promotion of elderly insomnia prevention and treatment intervention
8.Acupuncture rehabilitation and prevention of cervical spondylosis community promotion project.
Upcoming projects for community promotion of treatment of cervical spondylosis.
1.Community promotion of Chinese medicine prevention and treatment of occult nephritis
2. Community promotion of self-care methods for breastfeeding women with milk knots
Health booklet series for community promotion of curing the disease
u Constipation prevention and treatment booklet
Diabetes prevention and treatment booklet
u Hypertension prevention and treatment manual
u Eight Duan Jin for lowering blood pressure
u “Eight Methods of Guiding” health handbook
u Insomnia prevention and control manual
u Cervical spondylosis community prevention and treatment manual
u Handbook for the prevention and treatment of chronic respiratory diseases in the community
u Manual for the prevention and treatment of occult nephritis
u Self-care manual for winter and summer treatment
Forthcoming brochures.
u Handbook on community medical safety prevention and doctor-patient relationship coordination
u Self-care manual for breastfeeding women with milk knots
Through the preliminary efforts, up to now, the experts in treating the disease have gone to the community more than 200 times for publicity and training, more than 30 times for lectures, about 60 community health cadres and community doctors have been trained, more than 200 copies of the physical identification form have been included, more than 700 copies of the forms for each item have been included, and more than 1,800 people have been promoted. Under the guidance of health administration departments at all levels and with the active cooperation of specialized research institutions, preventive health care institutions, TCM health management institutions and a large number of community health service centers, the first national summit forum on “treating the disease” was held, and a forum on “treating the disease” and chronic disease prevention and control in Pudong New Area was held.
The construction of TCM preventive health care service system is still in its initial stage, and the key to its success or failure lies in the construction of human resources. In the communities where the “treating the disease” programs are introduced, students, community health service center physicians and community health cadres are trained through lectures, seminars, forums on treating the disease, and hands-on practice, so that they can have a deeper understanding of the skills and meaning of the “treating the disease” programs. In the Center for the Treatment of Preventive Diseases, each department works closely together to innovate new techniques for the treatment of Preventive Diseases.
Training for community doctors and health cadres
In the six community hospitals where the technology will be promoted, before the promotion, through lectures and demonstrations, and according to the needs of the local community and the objective development environment, one or two of the above six technologies will be selected each year to train the physicians in the community health service centers, and all four or more technologies will be mastered within three years. The number of training items can be increased according to the needs of the community and the latest progress in the treatment of the disease. In addition, training channels can be expanded through conferences and seminars, and forums on treating the disease.
Training students
Students entering community practice are required to be proficient in the “treating the disease” techniques promoted by their community hospitals. On the basis of the detailed teaching program, the training teachers will prepare a teacher’s manual, community teacher training materials, student manuals, a database of assessment questions, and an overall evaluation program for student practice, establish a database of TCM preventive health care medical practice, and build a set of community practice management model for students with TCM preventive health care characteristics.
III. Academic Research on Treating Disease
(I) Positioning of disciplines
Based on traditional medicine, Shuguang Hospital’s Center for the Treatment of Preventable Diseases fully integrates the original resources and characteristics of our hospital, combines modern medicine and modern technology, inherits the essence of Chinese medicine, promotes Chinese health culture, and highlights the concept of prevention of diseases and the concept of “prevention of diseases” based on Chinese medicine. It is an independent first-level discipline, and has been established as a major medical school. It is an independent discipline and has certain management and coordination functions. While providing full health management to clients and promoting the concept of “treating the disease”, it should also carry out theoretical and clinical research on treating the disease, build a teaching base for the discipline of TCM treating the disease, and cultivate professional talents in TCM treating the disease and TCM health management.
(II) Academic Team
In order to promote the construction of the discipline of treating untreated diseases, Shuguang Hospital actively builds the echelon of talents for treating untreated diseases and forms a pool of experts for treating untreated diseases with famous TCM doctors and experts from various clinical departments. At the same time, the hospital pays attention to the cultivation of reserve talents. On the one hand, the hospital doctors are trained in Chinese medicine “treating the disease”, and on the other hand, the hospital makes more efforts to introduce professional talents in subhealth management.
(3) Scientific research and innovation
At present, we have undertaken many projects of the Ministry of Science and Technology, the State Administration of Traditional Chinese Medicine and Pudong New Area, and the corresponding academic inheritance and talent training have been started. We have proposed a methodological system to identify, intervene and evaluate the health status of individuals by organically combining the physical constitution and the overall functional state of body and mind in Chinese medicine, focusing on the issue of “preventing diseases and injuries, maintaining and promoting health” as emphasized by WHO. Under this system, we are developing corresponding health products.
Currently, the following projects have been awarded
Three projects of the State Administration of Traditional Chinese Medicine.
1. Community promotion project of “Eight Methods of Guiding” to prevent degenerative diseases of bone and joint.
2.Community promotion research on auricular acupressure technique for constipation.
“Chronic viral hepatitis B” individual health status identification norms, “fatty liver” individual health status identification norms.
Two projects of Shanghai Municipal Science Committee.
The establishment of a risk factor assessment questionnaire for type 2 diabetes mellitus suitable for community Chinese medicine intervention and the clinical study of Chinese medicine intervention program.
Clinical research on the combination of Chinese and Western medicine methods to prevent and treat chronic heart failure —-
2 projects of Pudong New Area Health Bureau.
1.Pudong New Area TCM “treating the disease in the future” into the community project promotion
2, Chinese medicine treatment of untreated diseases and chronic disease prevention and control (special project of Pudong New Area TCM Forum)
1 project of Shanghai University of Traditional Chinese Medicine
Preventive medicine practice in community “treating the disease” project.
Participation in the “Eleventh Five-Year Plan Five-Year Plan” National Science and Technology Support Project: 1 project
Epidemiological survey of sub-healthy population: Participated in the project group of Shanghai University of Traditional Chinese Medicine “Study on the measurement and diagnostic criteria of sub-healthy status” – conducted epidemiological survey of population (survey of Chinese sub-healthy scale and survey of fatigue and diet scale).
Other topics currently under study
1. Community promotion research of comprehensive intervention program for metabolic syndrome based on TCM physical classification.
2.Research on the community application of physique identification and plaster formula DD Yi Qi and Fu Yuan plaster formula for the intervention of people with Qi deficiency, etc.
3.Research on modern diagnosis and treatment instruments of TCM DD Cooperate with Laser Research Institute to explore the relationship between TCM physique and objective information obtained from the examination of nail wrinkles microcirculation combined with Bruch’s microscopic peripheral blood analysis technology, and explore the correlation between it and the early diagnosis index of certain chronic diseases, so that it can better serve the “treatment of the disease before the disease” of TCM; cooperate with Dao Sheng Ltd. and Shanghai University of Traditional Chinese Medicine to conduct research on tongue and pulse signs and meridian-assisted diagnostic instruments, which not only can objectively and accurately record the status of “untreated diseases”, but also can establish an efficacy assessment system for subsequent intervention therapies.
“The goal of the center’s work is to “prevent diseases before they occur, prevent changes in existing diseases, and prevent recurrence of existing diseases”, and our good services have brought fruitful rewards. “Through the implementation of the project, people can be prevented from getting sick, get sick less, get sick later, prolong their life with sickness, improve the quality of life, save medical expenses, and reduce the risk factors of diseases, and the social benefits are extremely remarkable.
(IV) Clinical base
1.The National Ministry of Science and Technology Eleventh? Five-year Support Project? Sub-health and treatment of disease subject group clinical testing collaboration center
2.Shanghai Municipal Education Commission Key Discipline Construction Project: Basic Research Base of Integrated Chinese and Western Medicine
3.Chinese Physicians’ Association, Clinical Training Base for the Treatment of Preventative Diseases
The development direction of “treating the disease before it occurs” The idea of “treating the disease before it occurs” in Chinese medicine is applied to all stages of disease, and the content of “preventing the disease before it occurs” is consistent with the current health policy. “We can systematically organize and further develop the contents and ideas of the theory of “treating the disease before it occurs” to guide the solution of the problem of “sub-health”. This is an important issue in Chinese medicine and has positive significance for the development of preventive medicine in the world. As Minister of Health Chen Zhu said, “We should adhere to the core ideas of Chinese medicine, such as holistic view, evidence-based treatment and treatment of the disease, and on this basis, actively use modern science and technology to strengthen basic research, promote the development of Chinese medicine theory and practice, and promote the modernization of Chinese medicine. We should continue to implement the project of “treating the untreated disease” in TCM, and explore the establishment and improvement of a TCM health care service system that integrates prevention, health care, health maintenance and rehabilitation.” We are convinced that the concept and model of “treating the disease before it happens” in Chinese medicine will definitely make its due contribution to the development of preventive medicine in the world.