–Wang Dehui explains the rise and fall of Chinese medicine departments in general hospitals The Chinese medicine departments in general hospitals always seem to be caught in a strange circle: development – heyday – rapid decline. Is it due to the limitations of the development of Chinese medicine, or is it due to the current medical system? Through the rise and fall of many general hospitals in-depth analysis of the Department of Traditional Chinese Medicine. I personally believe that the current medical system is the fundamental constraints on the development of general hospitals of traditional Chinese medicine, the core of which I think lies in the treatment of diagnosis, I call it “post-processing”. The reasons are as follows: Wang Dehui, Department of Traditional Chinese Medicine, The First Affiliated Hospital of Xinjiang Medical University, Changji Branch First: Chinese and Western medicine require different platforms for post-processing. Western medicine depends more on the support of hardware facilities for further development, especially on large-scale medical equipment. On the other hand, the development of Chinese medicine in terms of medical treatment currently relies on large-scale equipment to a much lesser extent than that of Western medicine, and often a famous doctor can revitalize a half-dead Chinese medicine department. In the same general hospital inpatients, needle the same disease, Western medicine and Chinese medicine in the hospitalization examination are the same, but after the diagnosis of treatment is very different. Take coronary heart disease as an example, after the initial diagnosis of Western medicine, if there is the support of large imaging equipment, they will continue to carry out coronary examination and intervention and other diagnostic and treatment. On the contrary, in Chinese medicine, after the initial diagnosis, even the best large-scale equipment is in vain. Therefore, is there really a difference in the technical level of Chinese medicine departments in general hospitals of different levels? Are we really superior to those sitting doctors? Second: the difference in the economic benefits of reprocessing. In terms of the economic benefits brought about by reprocessing, Western medical practitioners can use almost all the medical resources that can be mobilized by the hospitals, so the economic benefits are considerable. The ability of reprocessing is the part of Western medical practitioners that earns them the most money and reflects the technical level and ability of their disciplines the most, and so the hospitals also support them vigorously. Chinese medicine in the post-treatment, only that limited means of treatment, so the economic benefits are not satisfactory, was born in a general hospital of Western medicine as a chicken rib of the leadership is inevitable. In the economic interests of the current medical system, general hospitals of traditional Chinese medicine struggles, can only survive in the cracks. Third: the technical level of physicians and the relationship between economic income generation. In terms of reprocessing, the technical level of Western medical practitioners and income generation is positively proportional to the relationship, the higher the technical content of the reprocessing means, the more substantial the economic benefits. In terms of the relationship between reprocessing ability and the economy, Chinese medicine is indeed the opposite; the more skillful the practitioner, the worse the ability to directly create economic value. For example, an experienced practitioner of internal medicine can often use simple prescriptions to achieve good results in a short time, but a novice practitioner may use very large prescriptions for a long period of time and still have poor results. Another example is acupuncture. Those with poor skills have poor efficacy but a long treatment period, thus generating more income; those with good skills have good efficacy but a short treatment period, thus generating less income. When the workload is linked to the income, skilled TCM practitioners will easily lose their balance psychologically, is the skill really worthless? How is the value of the skills of Chinese medicine practitioners reflected in public general hospitals? When can the pattern of loss of Chinese medicine talents from public hospitals to private medical organizations be changed? Fourthly, there is a difference in the reprocessing ability of Chinese and Western medical practitioners. Western medicine in the post-processing fully borrowed the extensive results of modern science and technology, the development of rapidly changing, new technologies, new results are endless, from the macro to the microscopic, no use of its extreme. On the contrary, the development of Chinese medicine is far more controversial than development, and even still faces the crisis of survival, still has to face the embarrassing situation of protection, reprocessing ability is still no breakthrough innovation and development, reprocessing means are still scarce. Nowadays, Chinese medicine academics are more keen to explore the origin and reality of Chinese medicine science, seems to have achieved some results, but the reality is that our diagnosis and treatment scope is more and more limited. I think the fundamental reason is that the means of post-treatment of Chinese medicine has not been fundamentally developed, more stagnant in the past, the nature of the essence has not yet escaped from the scope of empirical medicine. How much longer will TCM be protected? How many effective means of reprocessing are left in Chinese medicine? Concerned about Chinese medicine, caring for Chinese medicine, for the development and revitalization of the cause of Chinese medicine and work hard. In view of the beautiful vision depicted in the reform of the national health care service, we expect the cause of Chinese medicine to seize the opportunity, strengthen its advantages, explore its potentials and forge ahead. To this end, the development of Chinese medicine, I have a few ideas, perhaps a bomb. First: the development of Chinese medicine can be two parallel paths. In the development of Chinese medicine, modernization of Chinese medicine and traditional clinical practice together, but at present we need more traditional clinical practice, after all, Chinese medicine theory is from long-term practice, clinical efficacy is the basis of Chinese medicine’s survival so far, I think we can vigorously promote those who can withstand the clinical repetition and better efficacy of the treatment, and steadily expanding the field of Chinese medicine can be effective in treating the disease, to do a solid work and This can also be said to be a solution to the current existential crisis of Chinese medicine. Only when more people trust Chinese medicine and voluntarily accept its treatment will we have a basis for research. Western medicine talks about evidence, but Chinese medicine needs even more evidence, because the theory of Chinese medicine itself should be the result of evidence. Only development is the hard way. Chinese medicine should be developed, not protected. Acupuncture’s successful bid is actually the success of acupuncture’s clinical practice, because acupuncture treatments are more likely to be effectively repeated. Chinese medicine still has a promising future! Second: Get out of the misconception of theoretical research. Theories of TCM are supposed to summarize and record a large number of clinical practices. However, nowadays, many theoretical researches have left aside the research on the subject of human beings and carried out purely clerical researches, which is like building a nebulous pavilion in the air. Sometimes we also complain why modern literature often cites the three great classics as the basis, I think it is because those documents are more reliable and convincing. I think it is because those texts are more reliable and convincing. Even though this is against the general law of dialectical materialism about the development of things, we are still doing it. The classical theories of TCM originated from the observation of the biological conditions of natural persons in different states and the summary of the laws of functional changes, and are the culmination of a large number of objective law summaries and a small number of subjective analyses. Research that cuts off clinical practice will only turn Chinese medicine into metaphysics and evidence of “common sense”, and will do great harm to Chinese medicine. Therefore, the right way to develop Chinese medicine lies in the return to nature, and to eliminate those literary and scientific research conducted under the pretext of finding a way out for Chinese medicine. Chinese medicine really can not afford to hurt! Third: the medical system reform is imperative. Profit-oriented development of medical care is to affect the shackles of the development of Chinese medicine. As long as there is profit, maybe we have to throw away the people-oriented medical foundation. As long as there is profit, perhaps we inevitably lose the professional ethics of the great medical integrity. Profit-making medical care not only hurt the hearts of the nation, but also greatly harmed the healthy and orderly development of medicine, which leads to patient-doctor confrontation and mistrust is increasing the medical risk and difficulty of practice. In the long run, our main business is not to see patients, but to defend the safety of the national capital, and perhaps the one who loses less money is the famous doctor. Chinese medicine is hurting even more! Fourth: the power of communication. Chinese medicine talks about four diagnosis and consultation, which is important to the diagnosis and treatment of Chinese medicine. Good doctor-patient relationship is the premise of accurate clinical information, the more cordial doctor-patient relationship, we see, hear the content of the more real and detailed, four diagnosis and reference after the identification and treatment is more accurate. Famous doctors are good at doctor-patient communication, which is also the link to establish a relationship of trust. When facing an angry patient, what we see is angry expression, what we hear is full of complaints, what we feel is deep hostility, then we can only do communication and build trust, only then we can get the desired clinical treatment. To be an outstanding Chinese medicine practitioner, in addition to professional knowledge, it is necessary to have excellent communication ability and skills, which is the way to establish mutual trust. It is about getting the patient to a real state and then making clinical observations. Nowadays, in medical institutions, there is a general shortage of front-line workers, doctors are often overwhelmed, and for patients, sometimes doctor-patient communication is even a luxury! The distance between doctors and patients is widening, clinical observation and efficacy are dominated by doctors, and the authenticity of clinical data and results is worrying. The distance between doctors and patients is widening, clinical observation and efficacy are dominated by doctors, and the authenticity of clinical data and results is in doubt!