Bottlenecks and breakthroughs in the modern development of Chinese medicine-中医药现代发展的瓶颈及突破

In recent years, especially since the outbreak of this year’s epidemic, it seems that there has been a Chinese medicine fever throughout the country and around the world. However, as people in the industry, we calm down and think about it. After this so-called Chinese medicine fever, we also have a lot of sadness and helplessness.

why do you say so? For example, when the epidemic broke out in Wuhan, the government, the people, and in many cases refused the intervention of traditional Chinese medicine at the beginning, and even the sick patients. A large number of people refused to take traditional Chinese medicine preparations. When they saw such reports, they gave them to others. A very bleak, very sad feeling.

Why is this happening? Why did the local officials at the time be in a state of mind that rejected the intervention of traditional Chinese medicine? Why do local infected people reject the use of Chinese medicine in such a large proportion? There are no more than three reasons.

Three Bottlenecks Facing the Modern Development of Traditional Chinese Medicine

First, in the current cultural atmosphere, there are a large number of people propagating this statement-Chinese medicine is unscientific, and Chinese medicine is superstitious. It can be said that because of this, a kind of “Chinese medicine is witchcraft, Chinese medicine is unscientific and anti-scientific” has been planted in many people’s hearts. Under such circumstances, it is difficult to convince people to use Chinese medicine. .

Second, from the current point of view, historically, the clinical effectiveness of traditional Chinese medicine has not been high enough, at least in the last 100 years, it is almost at the lowest point of clinical effectiveness of traditional Chinese medicine. Just because the efficiency is not too high, it has also caused some people and some government officials to distrust Chinese medicine.

Third, the current Chinese medicine can be said to be not a complete medical system. Why can it be said that Chinese medicine is not a complete system now? Because the evaluation of the clinical efficacy of Chinese medicine does not have the qualifications for evaluation, and there is no method of evaluation. Just like an athlete, you can only participate in sports. As for the good and bad of sports, there is no qualification and no method of judging. It is entirely up to others to say you are good or bad. Of course, this is not caused by Chinese medicine itself, but for a medicine, this is a very sad thing. It can also be said that because of this, Chinese medicine in today’s society is a lame medicine, not a complete medical system.

I personally believe that the above three points are the biggest bottleneck in the development of Chinese medicine in modern society. To develop and promote Chinese medicine, these three items must be effectively solved. If these three problems cannot be solved effectively, the revival of Chinese medicine and the development of Chinese medicine can be said to be empty words, and it will never be realized.

Thoughts on Breaking Through the Bottleneck of Modern Development of Traditional Chinese Medicine

In response to the several questions raised above, I have some thoughts as follows.

The first is to organize some people with lofty ideals to explain the traditional Chinese medicine principles in a modern context. Because, after all, the traditional Chinese medicine that is passed down today is left over from the works of Chinese sages thousands of years ago. The context and way of thinking in today’s Chinese society are very different from those of thousands of years. Especially in the current situation, almost Chinese people are born in this kind of Western education. According to the past, they came from the foreign school, not the traditional culture of the Four Books and Five Classics. So a problem arises. Western-style education pays attention to science. If traditional Chinese medicine cannot effectively connect and explain with the current scientific context, then there will be no way for the general public to understand and further accept Chinese medicine. . Once a doctrine is judged to be an unscientific and superstitious thing, people will instinctively reject it and it is impossible to approach it. Therefore, it should be necessary to explain the traditional Chinese medicine thousands of years ago in this modern context.

For the modern contextual interpretation of traditional Chinese medicine principles, we can refer to some current method concepts. For example, Einstein’s theory of relativity, now thrown out, almost no one in the world thinks it is superstition or pseudoscience. But they can really understand what Einstein’s theory of relativity is about, so there are very few people, and most people don’t even understand the connotation of the theory of relativity, but they will admit that it is science and truth. We can also use some of these methods to sort out and explain ancient Chinese medicine, and carry out some propaganda to the people through the modern context.

Second, from the perspective of historical development, we have lost a lot of things in the principles of traditional Chinese medicine. Today’s Chinese medicine is no longer the Chinese medicine of two thousand years ago, or even the Chinese medicine of a hundred years ago. In the Republic of China, in order to survive, Chinese medicine can go to the clinical arena under certain circumstances. Just imagine, if there is such an opportunity now, is it possible for us in the Chinese medical field to organize such personnel to compete in the arena? If such personnel cannot be organized, then in this case, our Chinese medicine practitioners are very sad. Therefore, the current traditional Chinese medicine, historically speaking, can be said to have fallen into decline. People of insight in the Chinese medical field should do more to excavate and sort out the principles of traditional Chinese medicine, so as to make traditional Chinese medicine theoretical and self-consistent, including The clinical effectiveness is truly improved. This is where the action is taken to solve the urgent problem, and it is also a process of rebuilding the core of traditional Chinese medicine.

Now we can see a problem. The loss and dissolution of traditional Chinese medicine is very serious. Basically, we have lost our independent and complete method and academic system. Many basic concepts of Chinese medicine have been imaginary and have no real and substantial connotations, and a relationship between various concepts is also fragmented and decomposed. For example, under the most basic concepts of Chinese medicine, there are the theory of essence, qi and spirit, the theory of yin and yang and the five elements, the system of the eight channels of odd meridians, and the system of twelve channels. The meridians and the twelve meridians are very vague concepts. It can be said that in the current clinical practice of Chinese medicine, it is very rare for Chinese doctors who can truly use the fundamental concept of essence, energy and spirit to guide the clinic to achieve satisfactory results; the theory of yin and yang and five elements is now completely transformed into philosophy. Doctrine has lost its fundamental grasp as a TCM methodology and worldview. Its connotation is also blurred. After philosophizing and virtualizing, it becomes useless. It is useless in clinical practice. This is also a very Sad things; what is the system behind the theory of the eight meridians and the theory of the twelve meridians? Which level of the system of Chinese medicine does the eight meridians of odd meridians represent? What are the twelve meridians? What are the connections and differences between the eight meridian system and the twelve meridian system? Now they are basically swallowing dates and being blurred. So, what is the original meaning of the most basic concepts of similar Chinese medicine? What is the source? What are the connections and differences between each other? It should be the work we must do to further excavate, sort and reconstruct modern Chinese medicine theory.

The third one, I just talked about, why is Chinese medicine called lame medicine? It is because Chinese medicine is only an athlete and has no qualifications for referees. This is a terrible thing. In other words, when a Chinese medicine practitioner contacts a patient, from the beginning of the clinical trial, until the improvement, until the end of the treatment of the condition, what basis do you judge? This is a very real problem. If an athlete does not have any qualifications for refereeing, there is no so-called standardized sport, just for sports, there are no rules, and no qualifications for judging, this athlete is very sad, and it can be said that it should not exist. No, the qualifications for existence have already been lost. Similarly, if we Chinese medicine does not have its own judgment system, it can be said to be very sad. It is almost equivalent to cooking Chinese food with Western recipes. This will inevitably be Chinese or Western, and it seems to be a combination of Chinese and Western medicine. Yes, it turned out to be four different things, nothing. For a medicine that is no longer medicine, it can also be said that it is no longer qualified to stand in the world of medicine. Therefore, we must internally perfect the concept of “we are a complete medicine”, restore the lame medicine to a complete Chinese medicine system, and establish a system for judging the clinical efficacy of Chinese medicine.

Can the experience of relying entirely on Western medicine meet our clinical requirements of Chinese medicine? This is a question worthy of consideration by the majority of Chinese medicine practitioners. I personally think that although for a medicine, regardless of Chinese and Western medicine, the research target is for the human body, but there are still many differences in subdivision. Western medicine mainly focuses on human body shape, while traditional Chinese medicine is just different. Traditional Chinese medicine divides the body qi into the main foothold. This is a four-in-one research system that studies the human body’s shape, qi and spirit. Existing Western medicine laboratories and imaging examinations, basically, are some biochemical and imaging analysis based on the body shape by Western medicine, while traditional Chinese medicine is mainly based on the separation of qi, not completely considering the shape of the device. Problem, so this will inevitably have some differences with the needs of TCM clinics and some final judgments. I personally believe that this indicator of the Western medicine form and quality test is of reference for the clinical identification and outcome of traditional Chinese medicine. However, it is incomplete to use the Western medicine form and quality test to guide and judge the effectiveness of Chinese medicine. It is not able to cover and complete a kind of support for the evaluation of the TCM system.

There is a saying in the old ancient law called internal calculation and external calculation. I talked about this term to talk about my personal understanding of the possibility of establishing a system for evaluating the clinical efficacy of Chinese medicine. Ancient Chinese medicine has internal and external arithmetic. What is internal arithmetic? It can be interpreted as the induction judgment under the multi-factor set, and the external calculation is the result of the superposition of different factors under the linearity. We can look at it this way. In the methods of Chinese medicine, most of them are based on a combination of multiple factors. Therefore, the establishment of some of our constructive evaluation systems should also be based on the internal calculation of the ancient method. But how should this matter be done? For example, in the simplest example, one point is a point, two points are lines, three points are faces, one dimension is a line, two dimensions are faces, and three dimensions are three dimensions. We can draw on some of these forms to plan and judge. , To measure our clinical needs and needs of Chinese medicine.

For example, the ancients measured the shadows to fix the day, and watched the Big Dipper at night to fix the hour. You see, this is the wisdom and wisdom of our ancients. It does not say what angle or degree the sun is at or what time. Instead, it uses an eight-foot pole, the so-called sundial, to fix the position of the sun with the shadow of the sun. So as to determine the difference of the time of day. Of course, there is a trick here, that is, the oblique angle of the sundial is different at different latitudes, so it has a corrected data. There is another, in the use of sundial, there is a rule, that is, the equinox and vernal equinox will turn over, that is, the front and back flips. We can now completely learn from the current science and technology, especially the current western medical examination technology, under a combination of different shapes and images and laboratory examinations, to refine the shape and quality of the target. A mathematical relationship. Therefore, from this example, the establishment of our TCM curative effect evaluation system is feasible.

Of course, this does not mean that someone can do it, it needs to be done in an organized way. But for the long-term development of Chinese medicine, I personally think it is necessary. Without the assistance and escort of the judging system, Chinese medicine should be in the grave, because it is just a person who does not understand the rules of the game and is not qualified. A blind athlete who judges the right or wrong of the game, this kind of identity and this kind of position cannot last long.

to sum up

To sum up, we should make some breakthroughs in dealing with the bottlenecks faced by the modern development of Chinese medicine: the first is to explain and promote Chinese medicine in a modern context, which is convenient for the public to understand; A kind of reorganization of the core of theory and law; third, our traditional Chinese medicine should restore the current lame medicine into a complete and independent complete traditional Chinese medicine with its own clinical curative effect evaluation system.

I personally think that under the current situation of high fever in Chinese medicine in and outside the world, as Chinese medicine practitioners, we should see the bottleneck of our Chinese medicine in the modern development, and combine with a large number of people of insight to break these bottlenecks. So that the development of Chinese medicine can grow smoothly.

Okay, that’s all for my report, thank you everyone.

This article is based on Mr. Shen Qianyi’s speech at the “Second Chinese Medicine Experts Forum” on September 12, 2020, organized by Chen Jiancheng




















总 结