These days, most proprietary Chinese medicines are prescribed by Western medical practitioners, and I am not sure if they know Chinese medicine dialectics or not, or if they really know how to apply proprietary Chinese medicines.

As far as I know, most of the proprietary Chinese medicines they prescribe are prescribed on the basis of nothing more than their efficacy and effects, for example, this medicine is good for treating colds, is that medicine good for treating? etc. There is no knowledge or guidance on how to recognize the evidence in Chinese medicine.

I am a Chinese medicine practitioner, but at the same time is also a patient, in a long time ago, I went to see a Chinese and Western professors to see the doctor, he gave me a lot of pCms, and my spleen and stomach to eat bad, from this, I do not have a little bit of good feeling about the Western medicine prescribing pCms, and even against, that of course, know that I have done after the doctor, I just hair only to know that many of them prescribe pCms is nothing more than because of pCms to give a very high kickbacks.

This is already an unspoken rule of the industry, open to the public, that of course, I say it out loud, and many people are dissatisfied and angry again.

Well, without further ado, in a nutshell, the prescription of proprietary Chinese medicines by Western medical practitioners is a pitfall for Chinese medicine practitioners and it is a pitfall for patients!

The Medical Affairs Bureau of the National Health Commission issued the first batch of key monitoring and rational use of medicines catalog on July 1. There are 20 kinds of key monitoring medicines, such as ganglioside, danshen chuanxiongzine, bone peptide, etc. And the document has made provisions for the prescription right of pCms: physicians of Chinese medicine category should prescribe pCms in accordance with the "Guidelines for Clinical Application of Proprietary Chinese Medicines" in accordance with the basic principle of identification and treatment, and Western physicians must have gone through a no less than 1 year of Western medical practitioners must undergo not less than one year of systematic study of professional knowledge of Chinese medicine and pass the examination before prescribing proprietary Chinese medicines.

First of all, these 20 kinds of key monitoring drugs, can be said to be the most common abuse in the hospital, but these drugs evidence-based basis is lacking, the efficacy of these drugs are unreliable, that is, the so-called auxiliary drugs, in fact, there is no any kind of disease must be used in these drugs, do not use them, will not delay the patient's condition, the Commission on Health Care will be listed as a key to monitor them is a kind of progress, but is not thorough enough, the drug supervision department actually Should reevaluate these drugs, insufficient evidence, side effects of the higher outlawed is the best policy, just that this involves too many interests, which is impossible to outlaw.

Besides, it may be difficult to implement the requirement that Western medical practitioners can only prescribe proprietary Chinese medicines after training. First of all, this provision of the pharmaceutical manufacturers will not agree, proprietary Chinese medicines in the domestic medicine accounted for half of the territory, if really strictly enforced, the sales of proprietary Chinese medicines will be greatly reduced. Furthermore, can Western medical practitioners master the TCM method of evidence-based treatment after one year of training? I do not think so. So in the end, if we really have to follow this rule, Western medical practitioners to receive training in Chinese medicine knowledge is just a formality, and each of them will get a license to prescribe proprietary Chinese medicines as a matter of course.

I think this rule is really good. I must say that the indiscriminate prescription of proprietary Chinese medicines is now on the verge of becoming a means of income generation for hospitals and doctors. Especially now with the implementation of the zero price difference of medicines, pCms have become a way to gain profits, and a few boxes of pCms can't cure illnesses or harm lives anyway.

Although pCms cannot be killed with a stick, the frequent occurrence of adverse reactions to pCms, especially pCm injections, in recent years should really be a wake-up call for everyone. The abuse of pCms may be due to the following reasons.

The first one is economic benefits. I have to say, many of the profits of proprietary Chinese medicines, in the clinical drugs are relatively high, the hospital sells more income, the doctor prescribes more income, I have encountered to the vaginitis patients, a dozen boxes of proprietary Chinese medicines prescribed "anti-inflammatory" example. A box of dozens of dollars suppositories can cure the disease, rashly let the patient spent more than a thousand.

There is another kind of superstitious pCms. It has come to this time, a variety of proprietary Chinese medicine caused by the frequent outbreak of adverse reactions, surprisingly, there are still many people think that Chinese medicine proprietary Chinese medicine has no side effects. In fact, the side effects are not yet clear, may be more dangerous than the side effects have been clear.

Another kind of request is that of the patients. Because there are still some people who lack real medical knowledge and blindly believe that Chinese medicine has no side effects and that Chinese medicine does not have any harm to the body, they ask their doctors to prescribe proprietary Chinese medicines and refuse to use western medicines.

On the whole, I personally believe that the advantages of restricting the prescription of medicines outweigh the disadvantages, and the phenomenon of indiscriminate prescription of proprietary Chinese medicines can be properly regulated, not only for the purpose of purifying the medical environment, but also to regulate the market of proprietary Chinese medicines, and to break the superstition of proprietary Chinese medicines, which is an important measure.

Recently, this is a relatively hot news in the medical circle, not to mention that we as the general public will have different views, even the doctors themselves have a lot of different views on this news. Dr. Zhang is not a policy maker, for this matter, to mention some of their own views, I hope we can further discuss.

First of all, I think that I am still very much in favor of the mention of prescribing proprietary Chinese medicines after formal study of Chinese medicine. Because of two reasons, one cannot rely solely on the instructions to see a doctor. The theories of Chinese medicine are profound and profound, and Chinese medicines, including pCms, are all based on the systematic theories of Chinese medicine for the purpose of evidence-based treatment. If pCms are used without a solid foundation in Chinese medicine, the desired therapeutic effect cannot be achieved. Another reason is that recently there have been many reports of side effects associated with proprietary Chinese medicines. In order to increase the safety of medication, it is necessary to learn the necessary Chinese medicine theories.

However, what Dr. Zhang would like to mention is that after this 1-year systematic training, what form of training should it be? Is it off-the-job? Or full-time? Is it to follow the specialists in outpatient clinics? Or do you study in the TCM department? Or is it a systematic study of the basic theories of Chinese medicine? Do I have to go through an examination? What is the form of assessment? Also, should there be continued learning after one year? I think these are all elements that we need to think about. Things are gradually finding its own laws and solutions to problems in the course of development.
However, in any case, our country is now attaching great importance to the development and scientific management of Chinese medicine. We hope that the cause of Chinese medicine in our country will be carried forward to serve the health of the people in our country and even the people all over the world. Once again, I would also like to strongly condemn those people who have been soliciting for business under the banner of Chinese medicine, which has not only harmed the people physically and mentally, but has also caused a very negative impact on the development of our motherland's medicine.

I see it as a good thing that Western doctors have to go through a year of training before they can prescribe proprietary Chinese medicines.

Most proprietary Chinese medicines in China are now probably prescribed by Western doctors.

China's Western doctors know Chinese medicine and traditional Chinese medicine? It should be said that more or less know a little bit of skin. There is still a "Chinese medicine" in the Western medicine program, and the basic principles of Chinese medicine should be understood.

But are Western doctors prescribing Chinese medicine based on TCM theories? I don't think so.

Most western doctors do not know how to diagnose Chinese medicine. The six external influences (wind, cold, summer, dampness, dryness and fire), the five internal evils, and the eight principles of diagnosis (yin and yang, surface and inside, cold and heat, and emptiness and solidity) are not clear, so how can we diagnose and treat them? Most of the western doctors I have seen use pCms are based on western diagnosis. For example, coronary heart disease, cerebral infarction, gastritis, diabetes, and so on.

Do these pCms play a major therapeutic role? Not really.

Most proprietary Chinese medicines come in the form of complementary medicines. In diseases that modern medicine has the means to treat, Western medicine is the mainstay, and Chinese medicine is a supplement. In diseases that modern medicine does not have the means to treat, or diseases that are not considered to need treatment, proprietary Chinese medicines also play a role in taking a try.

This situation has led to the ineffective use and abuse of a large number of proprietary Chinese medicines, crowding out valuable health insurance funds. That is why the State is determined to rectify it.

But then there are a lot of problems.

1 Doctors are not qualified to abuse proprietary Chinese medicines, so can ordinary people still buy them in pharmacies?

Western doctors, even if they don't understand how Chinese medicine is used, are definitely aware of the potential safety of the drugs. And the common people simply don't realize the potential risks involved.It would be an absolute joke if doctors couldn't use it and the people could just buy it.

("Not yet known" is a common problem for a large number of proprietary Chinese medicines)

2 Is it time to correct pCms whose names come with advertising attributes?

If the name of a Chinese medicine contains words such as "clearing heat", "dispelling wind", "lowering fire", "expelling cold", etc., which are in line with Chinese medicine theory, it is reasonable. If the name of a medicine contains words such as "clearing heat", "dispelling wind", "lowering fire", "expelling cold", etc., which are in line with the theory of Chinese medicine, or if it contains the main ingredient of the medicine (e.g., Liufidihuang Pill), this is reasonable. However, Chinese medicines such as "救心丸", "脑心通", "降糖灵", and "胃康灵", which are obviously publicized with Western medical diagnosis and efficacy, are not. Should we not rectify the situation of Chinese medicines which are obviously publicized with western diagnosis and efficacy? Would it be wrong to use medicines only according to their names?

If it won't be used incorrectly, does that mean Western medicine can be used? If it will be used incorrectly, are the people more likely to be misled?

3 Is the addition of western drugs to proprietary Chinese medicines consistent with the characteristics of western drugs and regulated as such, or should they be prescribed by Chinese medicine practitioners?

Western medical doctors should not prescribe Chinese medicine, and Chinese medical doctors should not prescribe Western medicine. Who is more appropriate to use this product of combining Chinese and Western medicines with the addition of Western medicines to proprietary Chinese medicines?

4 What is the future of Chinese medicine injections?

Decent Chinese medicine practitioners deny Chinese medicine injections, believing that they are not in line with traditional Chinese medicine theories. Chinese medicine doctors also basically do not prescribe Chinese medicine injections for treatment. But Western doctors are no longer qualified to use them either, so shouldn't Chinese medicine injections be completely dead?

In any case, this time the nation's herbal manufacturers are going to cry.

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Feel free to leave a comment to discuss.

Western medical practitioners should be prohibited from prescribing proprietary Chinese medicines, and similarly, Chinese medical practitioners should be prohibited from prescribing Western medicines. There is another kind of doctor in China, namely, the Chinese-Western combined doctor, and only the Chinese-Western combined doctor can prescribe both kinds of medicines.

Guardian issued a document Western medicine to be trained by a year of Chinese medicine can only open the provisions of Chinese medicine is not realistic, that the Guardian does not understand Chinese medicine, Chinese medicine as a child's play, said too easy, if it is the ancestral Chinese medicine and then learn Western medicine can be learned into the Western medicine, the opposite is said to be a Western medicine and then learn Chinese medicine is basically to learn not into a Chinese doctor at least three years after the Chinese medicine to open Chinese medicine, Western medicine even if the opening of proprietary Chinese medicines have to three years of training! A year is not as good as a Chinese medicine practitioner, Western medicine is good to learn, think of Chinese medicine is too simple, training for a year can only learn a fur, open Chinese medicine will also destroy the reputation of Chinese medicine, it seems that the management does not understand the complexity of Chinese medicine, no wonder the development of Chinese medicine does not come up, why the management can not have a Chinese medicine management personnel it?

I am a neurologist, and I come into contact with more proprietary Chinese medicines in my usual work, and I would like to talk about this matter from some of my own experiences and feelings at work. Of course, this is only on behalf of some of their own experience and ideas, may be biased, we are right as a reference.

My first feeling about pCms is that there is a lot of variety

Although working in neurology, which is a western medicine, there is a lot of exposure to proprietary Chinese medicines. There are many quantities, many types and many ingredients contained in the medicines. Although most of them are written in the instructions as activating blood circulation and improving circulation, their focus should be different because different medicines contain different ingredients. However, since I was also educated as a Western medical doctor, I do not know much about the effects of the ingredients of each type of Chinese medicine, and so I am not able to make good use of them, so I think it is good to have the relevant training.

My second feeling about pCms: imprecise efficacy and unclear side effects

After all, they are from Western medicine, which emphasizes evidence-based medicine, that is, anything (including efficacy, adverse reactions, etc.) has corresponding clinical evidence. But a lot of pCms are not clear. Clinically, I have encountered patients with similar diseases and symptoms, taking the same pCm injections, but the efficacy is different, some people feel better after the injections, and some feel that there is not much improvement, so the efficacy, in my opinion, is not exact. And the side effects of the drugs are not clear.

It's here.Special emphasis: some pCms injectable needles, which have now been ordered to be banned for use in children's infusions, are still being used in some places.So as a reminder to parents, please be careful if your doctor gives your own child a PCP injection.

My third feeling about pCms: the hustle and bustle

This mainly refers to the oral proprietary Chinese medicine. Because in the Department of Neurology, the most common disease is cerebral infarction, I have seen too many people come to the hospital, ask the patient's situation, said that the previous cerebral infarction, and then asked what drugs are now taking, said that is to activate blood circulation and eliminate blood stasis, specifically ** Tong, ** soft capsule, ** drops of such proprietary Chinese medicines, asked if there is no anti-platelet aspirin or clopidogrel, there is no statins eat lipid stabilization of plaques, many are said to have just taken a period of time when discharged, and then stopped; and even some people have not taken such medications. Many of them said that they took them for a period of time when they were just discharged from the hospital, and then they stopped; some of them even did not take these kinds of drugs.

It's really, really painful because the guidelines clearly state that after a cerebral infarction, antiplatelet drugs and statins are mandatory (except in special cases such as bleeding), and this is to prevent another cerebral infarction. For proprietary Chinese medicines, the guidelines do not have very conclusive evidence, but only say that they may be effective.

So then I found that after a lot of such cases, patients with cerebral infarction are discharged from the hospital, and I don't prescribe proprietary Chinese medicines when I am discharged from the hospital. Because many patients with cerebral infarction will be combined with hypertension, diabetes or other diseases, already need to take a lot of drugs, plus antiplatelet, statin, pCms are too much, I am afraid that the patient will feel that the medicine is too much, and then reduce their own medication, resulting in a situation where the medicine should be taken is not taken. Or because of various reasons, as well as the patient's request, I prescribe some proprietary Chinese medicines, but the front does not tick, the lowering of blood sugar, lowering blood pressure and other drugs that must be taken to tick, and then tell him to tick is necessary to take, and the other depends on their own situation.

Of course, I'm not saying that pCms are ineffective, just that they are "icing on the cake", not "a blessing in disguise". If you are in a position to take them, they will definitely be better, but if you are under great financial pressure, you have to put your money where your mouth is.

All in all, the State monitors medicines and requires Western medical practitioners to undergo one year's training before they can prescribe proprietary Chinese medicines. I think this is a good thing because it serves to regulate and monitor the use of proprietary Chinese medicines, which will ultimately benefit the people.

Western doctors can prescribe Chinese medicine with their training, so why is it that the older generation who have been learning all their lives are afraid to prescribe easily.

Five years in Chinese medicine, eight years in Chinese medicine, one year in Western medicine? Is Western medicine smarter?