Building a highway for the development of Chinese medicine

First, the background of the times At the beginning of the 21st century, the 9.11 incident in the United States shocked the world, followed by the war in Afghanistan and the war in Iraq, artillery fire and smoke shrouded the world. Today’s world is somewhat similar to the Warring States Period in China, and we can say that we are now in the “Warring States Period of the World”. The formation of the “Warring States Period of the World” is the result of Western cultural domination. In order to reverse this situation, we should look for a way out from the Eastern culture, especially by vigorously promoting the Chinese culture, which will achieve the purpose of making the world harmonious and progressive. The essence of Chinese culture is the unity of heaven and man, which is the concept of peaceful coexistence with nature; the commonwealth of the world, which is the concept of peaceful coexistence with the people of the world; and the social concept of the old man and the old man, and the young man and the young man. Our Five Principles of Peaceful Coexistence, a very powerful weapon used by Premier Zhou Enlai to resolve world strife, has its origins in traditional culture. The Third Plenary Session of the Sixteenth National Congress proposed five integrations: first, to coordinate urban and rural development; second, to coordinate regional development; third, to coordinate economic and social development; fourth, to coordinate the harmonious development of man and nature; and fifth, to coordinate the unified development at home and abroad. These integrations are the development of ideas such as the old man’s old age, the young man’s young age and the unity of heaven and man. There is also the recent Zhuhai Declaration (editor’s note: the world’s first global economic development declaration, the World Economic Development Declaration, also known as the Zhuhai Declaration, issued in Zhuhai in November 2003), which was written for three years without achieving a unified opinion, and was settled only after going from New York, New Delhi, Zambia to Zhuhai, and finally to Zhuhai, China. An article in Guangming Daily on November 7, 2003 said: “The world will find balance in China’s voice, and the many years of indistinguishable groups of countries and interests will reach a consensus in the inter-temporal Zhuhai Declaration, and people are looking forward to a new world economic order advocated by China, based on equality, honesty, cooperation and development, equality and reciprocity, interdependence and common development. of a new world economic order that will bring the gospel to the vicissitudes of humanity.” Chinese culture has to participate in and merge with the world culture in order to better make the people of the world happy and harmonious. That is why our country, our scientific community, must recognize this problem. We have lost our confidence in our own culture since the Opium War, and now in the 21st century, it is our responsibility to build confidence in our excellent Chinese culture and to carry it forward and develop it for the benefit of the world. In the past, traditional culture was over-criticized, so we must now re-understand our traditional culture, and we must develop it. Chinese medicine is the treasure of Chinese culture, and we should promote it for the benefit of all mankind. Chinese and Western medicine complement each other and cannot replace each other, and may come together after one or two hundred years, which is the inevitable law of historical development. The great development of Chinese culture began in the Warring States period, and if today is the “Warring States period of the world”, it is estimated that the explosive new development of Chinese culture will begin in the 21st century, and the development of Chinese medicine will also be synchronized. The conditions for the take-off of Chinese medicine have already begun to exist, that is, the combination of Chinese medicine with the world’s second scientific revolution, going its own way, Chinese medicine will be at the forefront of the world. However, it is imperative to get strong support from the government to set up a highway for the development of Chinese medicine. As for the development of world science and technology, Jiang Yan said this in “Nine Prospects for World Science and Technology Development” published in the 5th to 6th issue of “t Look” news weekly on February 3, 2003: “The second scientific revolution is coming, since the end of the 20th century, a brand new revolution is taking place in world science, which is the second major scientific revolution in human history after the Western scientific revolution started more than 400 years ago. It is the second major scientific revolution in human history after the Western scientific revolution that began more than 400 years ago. …… The ideas and methods of the second scientific revolution are in the same vein as those of ancient Chinese science. Some modern scientists have found that the traditional Chinese scientific ideas of harmony, organicism, evolutionary development, and the opposite are very compatible with the new ideas of the second scientific revolution. Surprisingly, the second scientific revolution originated not only in ideas but also in methods of the ancient Chinese pragmatic scientific method characterized by ‘solving practical problems’. …… Eastern and Western sciences, Eastern and Western civilizations should and must be combined to jointly provide the impetus for economic development and social progress”. He added: “Four waves of high-tech revolutions are emerging and are about to emerge. Within the next 50 years, there is and will be a fourth wave centered on information technology, biotechnology, nanotechnology and space technology in succession.” I believe that the above opinion is in line with the development reality of the 21st century, when Chinese medicine will appear in the world of science with a new face. If the above opinion is considered to be correct. Then one of the most popular slogans – “to the world” – should be corrected. The 21st century is a time to re-evaluate Chinese culture and discover its excellence, and the development of world culture cannot be without the participation of Chinese culture. The slogan should be changed to “Chinese culture is the most important culture in the world. The slogan should be changed to “Two-way connection between Chinese culture and world culture”, or “Two-way connection with the world” for short. Chinese scientists have the will, the backbone, the wisdom, and the ability to create a better future for the Chinese nation. A historical review of scientific research in Chinese medicine Modern scientific research in Chinese medicine is usually based on the experimental research methods of Western medicine. In fact, there have been experimental studies in Chinese medicine throughout history. The “Compendium of Materia Medica” relayed the eighth century Chen Zangqi on the cause of foot disease, which was considered to be related to the consumption of white rice, and said, “When small cats and dogs eat it, they also cannot walk with their feet flexed; when horses eat it, their feet are heavy.” This is actually a kind of animal experiment to verify the cause of the disease. In ancient times, there were also controlled studies, for example, according to the literature, to identify the authenticity of the party ginseng, two people chewed the party ginseng in their mouths and ran to see who persisted for a long time, then the party ginseng in the mouth is real. This is a controlled experiment. The earliest experimental diagnosis method also appeared in China, the Jin and Tang dynasties, doctors in order to observe the change of jaundice symptoms, day by day with a white cloth dipped in the patient’s urine and dried, to compare the daily jaundice can be known the progress and decline. It should be said that, in terms of experimental research, ancient Chinese medicine had many creations that were ahead of the world. However, the later development of Chinese medicine did not follow the path of animal experimentation. Is it true that Chinese medicine did not develop without following the path of experimental research? History proves otherwise. Every breakthrough in the history of Chinese medicine has depended on the emergence of new scientific research results. Of course, we cannot limit our understanding of scientific research to the path of experimentation, and we cannot say that Chinese medicine without experimentation is not scientific research. The following is a review of the history of Chinese medicine from the perspective of scientific research. As we all know, Zhang Zhongjing, a famous doctor in the Han Dynasty, is known as the “Saint of Medicine”, and he has made significant contributions to clinical medicine. Zhang Zhongjing’s main work, “Treatise on Typhoid and Miscellaneous Diseases”, can be said to be his scientific research results. Zhang Zhongjing’s research method, in his own words, was to “diligently seek the ancient teachings and collect many prescriptions”. Before the Han Dynasty, there were four major schools of medicine, namely, medical scriptures, scripture and prescriptions, divine and house medicine. Zhang Zhongjing mainly inherited the academics of the first two schools, and used the theories of the medical scripture school combined with clinical practice (pulse diagnosis) to organize the prescriptions of the scripture school. The Book of Han? The Book of Arts and Letters records that there were nine schools of medical scriptures and eleven schools of prescriptions at that time. Zhang Zhongjing’s research achievements on the basis of his predecessors are mainly the establishment of the essence of Chinese medicine, and the compilation of the two clinical evidence system of “treating miscellaneous diseases from the internal organs” and “treating typhoid fever from the six meridians”, which makes Chinese clinical medicine have a complete academic system. Today we still have to study in depth the theory, method, prescription and medicine of the Treatise on Typhoid and the Essentials of the Golden Horoscope, which shows its far-reaching influence. Wang Shuhe, a Jin dynasty physician, organized and discussed the research on pulse science before the Jin dynasty in his “Pulse Classic” and compiled 24 pulse signs, which are still applied today and have not become obsolete, which is also a remarkable scientific achievement. In the Sui Dynasty, Chao Yuanfang studied etiology and pathology and wrote “Chao’s Origin of Disease”. In the Tang Dynasty, Wang Bing specialized in the study of the Nei Jing and did a lot of revision work to compile the most popular version, in addition to adding seven great treatises, from which many of the essentials of Chinese medical theory are derived, which is also a remarkable scientific study. The famous pharmacopoeia “Xinxiu Bencao” of the Tang Dynasty, the great work on materia medica “Zhangshi Bencao” of the Song Dynasty, and the official prescription book “Hejian Bureau Fang” of the Song Dynasty were the results of many scholars’ careful research. There was also an even more significant scientific research project in the Song Dynasty, which was the proofreading of medical books. In the Song Dynasty, there was a more significant scientific research project, which was the proofreading of medical books. The government organized a group of literati and medical scholars, and set up a special agency to carry out such a systematic project. Most of the ancient medical classics we see today are excellent versions passed down by the Song dynasty, which is of great significance to the popularization and development of medicine. In the past, some people thought that proofreading was not a scientific achievement, but in fact, in order to break a sentence or correct a word, it is often necessary to consult a lot of information and compare various versions, and it is not enough to simply compare words, but also to use medical reasoning to reason. Therefore, proofreading is not a simple task, it takes a lot of effort, and the result often affects the correct understanding of Chinese medical theory. Good annotations also involve creative labor, so documentation such as proofreading should belong to scientific research. The popularity of medicine and philosophical contention in the Song Dynasty brought about medical contention in the Jin-Yuan era, with the emergence of four great masters, Liu Wansu, Zhang Zihe, Li Dongyuan, and Zhu Danxi, who had a great influence on later generations. Li Dongyuan, for example, can be said to be the originator of the doctrine of spleen and stomach, and the Guangzhou University of Traditional Chinese Medicine now has an Institute of Spleen and Stomach, and the study of the doctrine of spleen and stomach reflects the value of Li Dongyuan’s research. How did Li Dongyuan achieve his research results? He lived in an era when, due to the Song-Jin-Yuan confrontation and years of war, the diseases common in society were not exactly the same as those recognized in the past. For example, the fever in the era of Typhoid Fever was mostly typhoid fever, which was identified by the six meridians; however, the fever that Li Dong Yuan saw was mostly internal injury, and after clinical research, he distinguished between external and internal fever, and believed that internal fever should not be treated with bitter cold medicines such as Scutellaria baicalensis, Huang Lian and Huang Bai, but with sweet and warm medicines such as Huang Qi, Dang Shen and Bai Zhu to remove the great heat. The so-called “sweet warmth to remove the great heat” is to reduce the fever above 39 degrees, eat astragalus and dang ginseng can reduce fever. For example, the mother of a graduate of our school had a fever of 38-39 degrees Celsius every day after knee surgery, and had been treated with the latest and most expensive antibiotics and other drugs for nearly a month, but the fever remained the same. I was invited to consult with her, and I used Li Dong Yuan’s Tonic Zhong Yi Qi Tang according to the sweet warmth and heat removal method. The student was afraid to take it with, and when she called in the evening, I told her to take half a dose first, and then another half dose after 2 hours without adverse reaction. The next day the student called and the patient slept better and was in slightly better spirits. I told her to take 2 doses a day, the body temperature gradually fell, the above plus reduction of conditioning, half a month after the cure was discharged. Some modern young doctors are influenced by Western medicine, encounter fever, according to the treatment of infection, on antibiotics, or the use of Chinese herbal medicine to clear heat and detoxification. In fact, some patients are not suitable for such treatment, instead, the use of tonics or other tonic medicine can reduce fever, this “sweet warmth to remove the great heat” results, until now is still more than the world medical level. Li Dongyuan’s scientific research, based entirely on clinical, the results achieved can break through the theoretical confines of the previous, effective clinical guidance. The development of Chinese medicine to the Ming and Qing dynasties, the emergence of the doctrine of warm diseases, which is a great achievement. The medical doctor who really established the doctrine of warm diseases was Wu Jutong, whose works include “Wenzhi Zhuanzhi”. How did Wu Jutong research and write this book? It is clear from the Preface to the book It is clear from the Preface that he was influenced by Liu Heshi, Zhu Danxi and Wu Youke’s Treatise on Warm Diseases, while Ye Tiansh was the one who influenced him the most. The main ideas and experiences are reflected in the Treatise on Warm Fever and the Clinical Guide to Medical Cases. This work was also the result of scientific research, as it compiled his experience as well as his own in-depth experience. Wu Jutong further developed Ye Tianshi’s scholarship, and his “The Discernment of Warm Diseases” not only established the science of warm diseases and made it a system of its own, but also compiled many of Ye’s clinical prescriptions and made them famous, thus enriching the prescriptions for warm diseases. He was able to build a new edifice with Ye’s academic experience, which was a creative scientific achievement. The theory of the doctrine of warm diseases is at work everywhere today in the treatment of various infectious and contagious diseases, including SARS, and this highly valuable achievement is also the product of scientific research practice. The Ming Dynasty also saw the emergence of a worldwide masterpiece on medicine, the “Compendium of Materia Medica”. Li Shizhen spent thirty years of his life researching Chinese medicine and wrote the “Compendium of Materia Medica”, which has spread around the world. His achievements came not only from in-depth literature search and extensive field research, but also from Li Shizhen’s clinical practice, where he often revised the description of drug efficacy based on feedback from clinical applications. Li Shizhen’s achievements transcended the realm of medicine, and was an encyclopedic naturalist. The innovative Wang Qingren (1768-1831) of the Qing Dynasty commands admiration. He believed that treating diseases without knowing the internal organs was like walking at night with a blind man. When he was thirty years old, he met with an epidemic epidemic and went to the wilderness to observe the abandoned corpses and study the internal organs without avoiding the stench, and he said; “When the dogs were fed, within ten people, there were only three people who saw all of them, and for ten days, there were no less than thirty people who saw all of them.” Thus, he wrote the book “Medical Forest Correction”. But unfortunately, its anatomical part has no influence on future generations, except for the “spiritual memory is not in the heart in the brain”. Three-quarters of the book is devoted to the application of the method of eliminating blood stasis, and its more than 30 original prescriptions have had a profound impact. These dozens of new prescriptions are full of connotations of traditional Chinese medical theory. For example, the theory of eliminating blood stasis without forgetting to benefit qi originates from the theory of qi and blood in the Nei Jing, and he says “the key to treating disease is to understand qi and blood”, thus developing the traditional theory. On the contrary, those who study blood stasis today have lost “qi”, so although they have done a lot of hard work, they still have not surpassed Wang Qingren! On the contrary, since Wang Qingren’s time, he has made great achievements in treating diseases with his prescriptions and medicines, which can still be said to be beyond the world level. For example, the treatment of smallpox and bubonic plague during the Republican period, and the treatment of hemorrhagic and ischemic stroke, abdominal tumors, infertility, and hemothorax of war injuries after liberation. It is evident that the systematic theory of Chinese medicine has not become obsolete, and if we leave it, we will get half the result with twice the effort, but if we follow it, we will get twice the result with half the effort. From the historical experience, the development of Chinese medicine must be developed according to its own laws, mainly based on the systematic theory of Chinese medicine, based on clinical practice, under the guidance of dialectical materialism, and the combination of multiple disciplines for development. The research method of traditional Chinese medicine, which is macroscopic, has also made great achievements, showing that it is not only microscopic research that is scientific research. Of course, now we should be macroscopic plus microscopic, which is different from the old days. Third, the road is bumpy and Chinese medicine is still developing Chinese medicine is like Heshibi. He took the He Bi to King Li, but experts identified it as a stone and cut off one of his feet. When King Wu was reigning, He went to offer the treasure again, and the expert also said it was a stone, so he had his foot cut off again. When King Wen was reigning, he cried for three days and nights in Zhongshan with the stone in his arms, and his tears dried up and bled out, which moved King Wen to open the stone and found the stone. Chinese medicine is like this piece of jade. Before liberation, the Kuomintang wanted to eliminate Chinese medicine and cut off the left foot of Chinese medicine; after liberation, Wang Bin wanted to reform Chinese medicine and cut off the right foot of Chinese medicine, but fortunately, Chairman Mao Zedong of the Party Central Committee found the problem and formulated the policy of Chinese medicine. It was not until December 1986, when the Chinese Medicine Administration was established, that Chinese medicine took a breath and had a mother, with a single column of financial, material and human resources. But, despite this, attempts to eliminate TCM over the last hundred years have failed, but the transformation of TCM has actually succeeded. On the surface, the development of Chinese medicine is thriving, where Western medicine has Chinese medicine, the title of professors, associate professors, degrees have a master’s degree, there are doctors, institutions have universities, research institutes, there are large hospitals, but the real Chinese medicine connotation is shrinking day by day, the Western medicine component more and more. I call this phenomenon “bubble Chinese medicine”! This is according to the model of Western medicine to transform the results of Chinese medicine. If we do not deepen the reform, Chinese medicine will exist in name and actually die! But in any case, Chinese medicine is alive and well, still developing on the bumpy road. Try to give examples to prove it. (a) Anti-SARS, the role of Chinese medicine The sudden attack of SARS in the 21st century took mankind by surprise, and Chinese medicine played an irreplaceable role in its effectiveness, and was praised by two experts from the International Health Organization as worthy of research and promotion. Now that SARS has temporarily passed, there are still people in China who believe that TCM only plays a supportive role and suspect that TCM alone cannot cure SARS! Except for Vice Premier Wu Yi’s affirmation of TCM’s treatment of SARS, there are few reports and summaries praising the role of TCM in this battle. It is really a long time for TCM doctors to fill their lapels with tears! WHO has the following statistics: There are more than 8400 cases of SARS in 32 countries worldwide, among which there are more than 7700 cases in China (including Hong Kong and Taiwan). The global mortality rate is 11%, Hong Kong is 17%, Taiwan is 27%, and mainland China is 7%. (Note: The mortality rate of SARS in Guangdong is 3.8%, and the mortality rate of SARS in Guangzhou is 3.6%, a figure that is the lowest in the world.) Guangzhou and Hong Kong are comparable in terms of geography, climate and living habits, but why is the difference so great? The difference lies in the presence or absence of Chinese medicine practitioners involved in the treatment. After two visits to Guangdong Provincial Hospital of Traditional Chinese Medicine to investigate and confirm the role of TCM, the Hong Kong Department of Health finally asked Guangdong Provincial Hospital of Traditional Chinese Medicine to send two female specialists to participate in the treatment of patients with severe SARS and new patients, and repeatedly extended their scheduled stay in Hong Kong. Then look at the First Affiliated Hospital of Guangdong University of Chinese Medicine, no steroids were used, and none of the 60 cases in the hospital and dozens of cases in the out-of-hospital consultation died. The whole hospital took Chinese preventive medicine, and none of the medical and nursing staff had any infection. In this way, should we review the Western medicine high-dose hormone treatment protocols in Hong Kong and Beijing? I think the high death rates in Taiwan and Canada and Singapore are also related to the lack of involvement of Chinese medicine. Please take a look at the article “Clinical Study on 71 Cases of Chinese Medicine Intervention in SARS” written by Pan Junhui and other TCM doctors in Guangzhou Hoh Research Institute, which counted 88 cases of confirmed patients admitted before May 30, among which 71 cases were treated with TCM interventions, with a low death rate of only one case. It was found that there were several deaths in the total of 88 cases in the institute. (For the article, see China Chinese Medicine News, August 18, 2003). Some people say that there is no Western medicine, no combination of Chinese and Western medicine Chinese medicine can not cure SARS, wrong. A group led by Professor Tong Xiaolin of China-Japan Friendship Hospital observed 16 cases of new-onset SARS patients admitted to the twelfth ward of the hospital with simple TCM treatment, and the results showed that not only does TCM have the characteristics of fast fever reduction, non-recurrence and effective symptom relief in SARS treatment, but also the early intervention of TCM has a role in reducing the degree of lung damage in the development of this disease. During the treatment with TCM alone, none of the cases experienced deterioration. Results: The fever resolved in 16 patients within 1 to 7 days after the application of TCM, with an average duration of 4.44±1.46 days, and the body temperature remained relatively stable after the fever resolved, and no recurrence was observed clinically. 11 patients with cough on admission were all relieved within 3 to 8 days, with an average duration of 5.27±1.49 days. 7 patients with shortness of breath on admission were relieved within 3 to 7 days, with an average duration of 5.27±1.49 days. ~The average time to remission was 5.15±1.87 days. All of the patients were basically relieved from general discomfort within 2 to 10 days, with an average time of 6.37±2.49 days. 16 patients had complete absorption or significant improvement of imaging changes within 6 to 16 days, of which 9 cases had complete absorption and 7 cases had significant improvement, with an average absorption or improvement time of 10.87±2.92 days. none of the 16 patients used antibiotics, hormones or other western drugs. This is one of the best answers to the question of whether SARS can be treated with Chinese medicine alone. If the right medicine is used for pre-SARS, it simply does not reach the level of serious lung lesions. According to the theory of Chinese medicine, hormone is a medicine that enters the inside of the body, which can attract the evil into the inside, and when the disease is severe, the patient has to be put on a ventilator. It is not objective to say that TCM is not treating SARS until the diagnosis is made. One of my students, whose wife is the head nurse of the emergency department of Guangdong Provincial Hospital of Traditional Chinese Medicine, was infected with SARS and started to use large doses of hormones, but they did not work. Another head nurse who was infected with SARS was treated with Western medicine and later died. My disciple’s wife, however, got well. So many standards nowadays are based on the western rules of the game. According to those western standards, I think it is difficult for my research to enter the Natural Science Foundation! Because I do not enter the genetic level, nor do I engage in molecular biology, animal models. The point is that the rules of the game are Western medicine, not Chinese medicine, Western medicine is microscopic, we are macroscopic, we put people in nature to observe. As an example, why are meridians studied and studied to no avail? In my superficial opinion, the study of meridians is like using a wired phone model to study cell phones, which can ring and talk, but cannot find a connection. This is where the problem with the study of meridians in TCM lies. The tenured professor of Guangzhou University of Traditional Chinese Medicine, Liu Shichang, is 89 years old and still consults with patients in infectious disease hospitals, and some may say he is “ignorant and therefore fearless”, but he has not only developed an effective treatment plan, but he is also not infected. He took herbal medicine as a preventive measure. Now the world is still a year or two away from the research of a vaccine for coronavirus, but we in Guangzhou have prevented it from the beginning. I also came up with a medicine called “Deng Lao herbal tea”, my student teaching at the University of Hong Kong, he bought this medicine for people to supply two thousand people for prevention, including five or six Western doctors in Hong Kong, drank this herbal tea without a case of illness. A construction site owner in Beijing took this prescription to Tong Ren Tang and spent 400,000 yuan to buy the medicine, and sent it to the workers of the construction site, and it turned out that there were already two employees who had fallen ill, but after sending this medicine to the workers, there was no case of falling ill again. So, why don’t we invest in researching the medicine to prevent these diseases? Instead, we have to compete with foreign countries for the coronavirus. The gold medal of coronavirus has been taken by Canada and Germany. Someone wrote an article – often make heroes tears full of lapel, said this gold medal should be our China to win. Why is the gold medal on treatment so big that no one sees it? This SARS showed the potential power of Chinese medicine, many infectious diseases are viral, the treatment of Chinese medicine is in the lead, but our country did not invest heavily in human and financial resources to research. Instead of focusing on the research that we are already leading, we follow foreign research to conduct other microscopic research; instead of following the macroscopic ideas of TCM, we just think about how to catch up with the West. This is a typical example of “subordinate thinking”. (2) Achievements in Chinese medicine since the 1950s Since 1958, Mao Zedong gave instructions to the report of Western doctors studying Chinese medicine: “Chinese medicine is a great treasure trove, which should be explored and improved.” After setting off a national climax of Chinese and Western medical doctors studying and researching Chinese medicine, the results have remained remarkable despite the repetition over the past decades. For example: 1, infectious diseases, such as encephalitis B, leptospirosis, epidemic hemorrhagic fever, measles combined with pneumonia and other viral such infectious diseases, have achieved results beyond the world level. For viral hepatitis, infectious disease hospitals are also treated with Chinese medicine. 2, non-surgical treatment of acute abdominal diseases of research, such as gastric perforation, acute pancreatitis, intestinal obstruction, paralytic intestinal obstruction, ectopic pregnancy …… and other acute abdominal diseases can be treated with Chinese medicine without open surgery, which is not available in the world of medicine. 3, needle anesthesia and Chinese medicine anesthesia. Instead of anesthetics, needling can be used for thoracic and abdominal surgery. This is also the world’s innovation, surgery numb without intoxication, the patient can talk to the doctor during the operation. Due to the achievements of acupuncture and hemp, the 1970s in the world since the formation of acupuncture fever, now all developed countries have acupuncturists to treat people and included in the insurance medical. Especially worthy of recognition is that our physiologists have studied the principle of acupuncture and anesthesia is that the brain produces “enkephalin” after acupuncture, so it can relieve pain, which has laid the foundation for the implementation of acupuncture in the world. However, the world has not yet fully learned the academic acupuncture of Chinese medicine. The same success as needle anesthesia is the Chinese herbal anesthetic, a Chinese herbal anesthetic extracted from the flower of gold, because it can raise blood pressure, thus filling the gap of the world’s anesthetics for patients in shock. 4, myasthenia gravis is a difficult disease to treat. When myasthenia gravis presents with respiratory crisis, the mortality rate is quite high. For example, Zhan Guohua’s article reported that the Guangdong Provincial People’s Hospital rescued 14 cases of myasthenia gravis crisis and died in 6 cases, with a mortality rate of 40%. According to an article by Chengguo Zhang and others, 195 cases of myasthenia gravis crisis were reported in China since 1981, and 71 cases died, with a mortality rate of 36.2%. Our group rescued 21 cases from 1999 to 2003, and there was no one death, and the recent efficacy was 100%. After discharge from the hospital, 2 cases died within 6 months because of recurrence of critical symptoms in the local hospital or gave up resuscitation; after one year of follow-up, 2 cases died again (1 case died of other diseases and 1 case died of critical symptoms induced by thymoma surgery in a foreign hospital), the remaining 17 patients are alive, can take care of themselves and can engage in light work. The long-term efficacy was 80.95%. While Western medicine guides the treatment of myasthenia gravis with neurological theory, we guide the treatment with the spleen and stomach theory of Chinese medicine. Strategy and tactics At present, China is moving forward along the road of “building socialism with Chinese characteristics” guided by Comrade Deng Xiaoping. Culture and science must march with this guidance, and the development of Chinese medicine is no exception. The development of Chinese medicine is not a science for the sake of science, not a dispute between Chinese and Western academics. The development of Chinese medicine is first and foremost to ensure that all 1.3 billion people enjoy the right to health care. The development of Chinese medicine is to serve the development of Chinese society. Chinese medicine is the medicine with the most Chinese characteristics and will play a great role in the construction of socialist China. In accordance with the requirements of the “Three Represents” and the provisions of our constitution, we must implement the policy of giving equal importance to Chinese and Western medicine, and we must increase the investment in Chinese medicine to build a highway for the development of Chinese medicine. Because the characteristics of Chinese medicine is simple, experimental, convenient, inexpensive, is the solution to the current “poverty due to disease”, “return to poverty due to disease” of the effective remedy. If the purpose of medical research is to focus on the health care of 1.3 billion Chinese people, it is necessary to promote the development of Chinese medicine. The treatment of SARS is a good example. In Hong Kong, the treatment of a SARS patient costs tens of thousands or hundreds of thousands of dollars, while the highest cost of treatment for a SARS patient in our First Affiliated Hospital is only$5,000. From the academic point of view itself, Chinese medicine has a unique theoretical system. Western medicine is micro-medicine and Chinese medicine is macro-medicine. Western medicine is developing rapidly with the support of modern science, while Chinese medicine has the essence of thousands of years of accumulation, and it has not stagnated, but advanced with the times. Chinese medicine combined with the new scientific revolution of the 21st century will get another leap forward like the Warring States period. Then the development of Chinese medicine will make a great contribution not only to the health of 1.3 billion people, but also to the health of the people of the world. Chinese medicine will be worthy of the honor of “the fifth invention of China”. Chinese medicine has been developing for thousands of years, but it is only a “quantitative” development. In the 21st century, when the development of world science has entered the fourth wave, it will help Chinese medicine to develop by a “qualitative” leap, and at the same time, the world science will be able to develop Chinese medicine. In addition to the development of TCM, the world science will also be able to innovate and develop at the same time because it has learned the essence of TCM. The theories of TCM were formed in the early days under the influence of ancient philosophy, and then theories and clinics were closely integrated. In ancient times, TCM was not divided into basic and clinical disciplines. Without clinical practice, it is not easy to appreciate the correctness and scientificity of TCM theories, and this remains unchanged in modern TCM practice. The clinical experience of contemporary famous TCM doctors is a mineral deposit that is both valuable and rich. (2) Basic research makes Chinese medicine develop by leaps and bounds The above-mentioned stresses that the research of Chinese medicine must be combined with clinical practice, while the combination of Chinese medicine research and the doctrines of various schools over thousands of years is also important, which requires in-depth excavation and collation, and the study of literature cannot be ignored, which is a unique characteristic of Chinese medicine. It is worthwhile to verify the doctrines of various schools of Chinese medicine and to continue to develop them in the verification. If Chinese medicine is to develop by leaps and bounds, experimental research must be conducted on the basis of the above, and multidisciplinary research must be carried out along the systematic theory of Chinese medicine in order for Chinese medicine to make a breakthrough in “qualitative” development. In-depth excavation of the essence of Chinese medicine theory, combined with the achievements of the new scientific revolution, is the way to the “qualitative change” of Chinese medicine. (Western medicine is medicine, and Chinese medicine is also medicine, the development of Western medicine and modern science synchronization, while Chinese medicine has suffered a lot of blows in the past hundred years, in the form of three fingers and roots and bark, easy to be misunderstood by the world. We want to combine multiple disciplines, then require all disciplines involved in the study of scholars, must be emancipated, especially in Western medicine scholars, must recognize: the only criterion for testing the truth is practice. We must realize that microscopic is science and macroscopic is also science; eventually, macroscopic and microscopic will be combined to produce “mesoscopic medicine”. This requires a new way out of the research method. (4) To take the philosophy of science as the guiding ideology Science is practical, but there must also be a correct guiding ideology. The correct guiding ideology, I think, is the philosophy of Marxism. Using historical materialism and dialectical materialism as the guiding ideology for our research, we will take less detours and get twice the result with half the effort. Marx’s philosophical ideas helped Mao Zedong defeat Chiang Kai-shek, and Mao’s Theory of Understanding and Theory of Practice are enough to show that Mao was another philosopher. I believe that while studying TCM with scientific philosophy, TCM may, in turn, enrich Marxist philosophy. (V) Opinions on key research projects 1. Systematic organization of TCM scholarship. Under modern epistemological conditions, the historical and logical organization of the basic concepts and theoretical doctrines of TCM is an important task of basic research. The same concept has different meanings in the theories of different medical practitioners, what are the prerequisites, what are the differences in their substantive connotations, and in what different situations they are applied respectively …… This belongs to the study of the academic and conceptual history of TCM, and is the basic work of studying the theories of TCM, which can be further developed only if these contents are inherited well. This systematic project is necessary to organize a team to carry out seriously. 2. In-depth study of core theories. Like yin and yang, the five elements, the internal organs and meridians are the core of TCM theory, and there have been different controversies over the centuries. There is a need for further research based on the summary of research results in recent decades. For example, does the heart dominate the mind or the brain? Do meridians exist? These questions cannot be accurately evaluated without the clinical practice of Chinese medicine. Another example is the doctrine of the five elements, which is regarded as metaphysics, but why is it still used in Chinese medicine? The actual essence of the five elements theory of TCM is the theory related to the five organs, which should be interpreted in the context of clinical practice. 3. The study of evidence-based treatment. Many people oppose the identification of evidence to the identification of disease, and even devalue the importance of the identification of evidence. In fact, the discriminatory treatment of Chinese medicine includes a comprehensive process of discriminating evidence – discriminating disease – discriminating evidence again. There should be a unified understanding of the substance of evidence-based treatment, and its relationship with the identification of physical and chemical indicators, the identification of diseases in modern medicine and the development of microscopic evidence should be resolved. 4. Research of Chinese medicine. The solution of many difficult problems in clinical medicine in the future will depend on Chinese medicine. However, the research of Chinese medicine must be based on the guidance of TCM theory, and not just take the phytochemical research path of isolation and extraction of active ingredients. TCM and Chinese medicine are not separate, and the relationship between the pharmacological theory of Chinese medicine and the theory of TCM and the laws of clinical application must be carefully studied. 5. Research on health care theory. TCM advocates “treating the disease before it happens”, and the theory of health care is very rich, including immunity and disease prevention, health care and health education. This part should not only be organized from the literature, but also be studied in modern times. The excellent health care culture of TCM should be reflected in our public health career and academics. V. Conclusion Chinese medicine in the 21st century has entered a once-in-a-lifetime opportunity, development is inevitable, but the speed of its development depends on the presence of a highway. The right to set up this highway is in the hands of the people’s government, in the decision-making of the State Council, the key lies in the leadership of the Party. The development of Chinese medicine is not only the unique responsibility of Chinese medicine personnel. The development of TCM is the health cause of the Chinese nation, and it is a matter of re-creating the glory of Chinese culture.