In the inheritance and dissemination of Chinese medicine culture, some folk Chinese medicine practitioners have really made efforts, and there are also some people who take advantage of this to do the business of fly camp dog fishing, how will this huge team of folk Chinese medicine become the "regular army" in the Chinese medicine industry?
Source of this article: Xiuyuan Foundation
In recent years, private TCM clinics have become popular, and although there seems to be no reason for TCM to heat up suddenly in terms of mainstream medical trends, the social response is not the same. The traditional concept of Traditional Chinese medicine "not curing the disease and curing the disease" is deeply rooted in the hearts of the people, and the market-oriented reform precisely meets the needs of the personalized choice of the patient.
In contrast, the stereotype of "cheating" in Chinese medicine, many patients choose to seek medical treatment precisely because their own diseases cannot find the means of thorough treatment in Western medicine. The dialectical treatment of Chinese medicine "when the spirit is not good" is the relative advantage of Chinese medicine to solve difficult and complicated diseases.
Through visiting private clinics, the reporters of this magazine divided the TCM jianghu into TCM brands with famous masters, factional clinics supported by core figures, and personal clinics where enthusiastic people practice medicine on their own.
Despite their different backgrounds and priorities, they all face a situation where there is no successor. Why does "practice," the criterion for testing truth, seem so questionable in the face of the laboratory of scientism?
This article was originally published in the magazine "Culture Vertical and Horizontal", transferred from the "Xiuyuan Foundation" public account, only represents the author's views, and is hereby compiled and issued for the consideration of all the kings.
Folk Chinese medicine, what kind of form
In recent years, more and more people around us have gone to private TCM clinics to see doctors. Is this just a personal feeling, or is it a general change? When the reporter raised the issue to Shen Zhixiang, president of the China Association for the Research and Development of Traditional Chinese Medicine, he affirmed the reporter's feelings.
On the surface, the space for such a change to occur is very small. An unavoidable fact is that Chinese medicine, which is fully surrounded by Western medicine, faces many difficulties in scientific research, funding, and talent training.
Since the reform and opening up, especially after the implementation of the medical system reform in the 1990s, China's modernization has entered a period of rapid development, and the medical system has also been reformed from all aspects: from the production and circulation of pharmaceutical products, to the diagnosis and treatment process of diseases, to the medical security system, etc., all aspects have pursued standards that are compatible with modernization.
This process is mainly based on the experience of Western developed countries, so it must also be oriented to scientific Western medical standards. In contrast, the thinking methods of Chinese medicine reflect great disadvantages, and tend to be crisis in both theory and practice.
Therefore, as far as the mainstream medical trend is concerned, there seems to be no reason for Chinese medicine to suddenly heat up. But this is not the reaction of society. Since the 1990s, the market-oriented reform has marginalized TCM while providing space for the resurgence of folk TCM.
With the improvement of people's spending power and the growth of consumer demand, private clinics and health care institutions have gradually emerged in the private sector, attracting a large number of medical patients; the traditional training method of traditional Chinese medicine has gradually recovered, and some people have even turned from long-term enthusiasts to professionals.
So far, there are 140,000 private medical institutions registered with relevant management departments, of which nearly 40,000 are traditional Chinese medicine. (The data has not been verified by the editor) "In rural or remote mountainous areas, there are some non-registered folk Chinese medicine practitioners, generally learning from the old Chinese medicine practitioners, and the treatment effect is also good, and the number of these people is still quite large." Chairman Shen Zhixiang introduced, "Inheriting and carrying forward the medical heritage of the motherland, folk Chinese medicine is an extremely important part." ”
So, what kind of form is this "folk Chinese medicine" formed in the contemporary market society? What is the TCM view of the body and disease hidden behind the slightly mysterious TCM treatment? In contemporary life, what kind of psychological motivation do patients who return to traditional medicine have?
In the process of the dynamic integration of traditional Chinese medicine diagnosis and treatment methods in civil society with modern society, what kind of development direction will be formed... In response to this kind of difficult problem, the reporter visited a number of clinics, interviewed a variety of roles from managers, practitioners to patients, and tried to sort out a clearer outline of these problems.
<h1 style="text-align: center;" > the traditional feature of the "jianghu" of Chinese medicine</h1>
Folk Chinese medicine is a huge team, and it is initially estimated that there are at least more than 300,000 people in the country. Among them, there are those who have graduated from colleges and universities, those who have come from apprenticeships with teachers, those who come from rural doctors, and those who have taught themselves to become doctors. In short, the ingredients are complex, the good and the bad are uneven, and it is a self-growing team of Chinese medicine.
Through visits and investigations, the reporter found that the private TCM organizations and individuals in Beijing can be roughly divided into three types.
▌The first is a collection of famous artists, which is most typical of Pingxintang.
Founded in 1999 by the descendants of cui Yueli, the former minister of health, Pingxintang brings together a number of famous old Chinese medicine doctors in Beijing, such as Fei Kaiyang and Fan Zhenglun, who are familiar with old Chinese medicine practitioners in Beijing. In addition, the backbone of young and middle-aged Chinese medicine in the hospital is also hired. "It is more difficult for patients to go to the hospital to see a doctor by name, so many people are willing to go to private outpatient clinics to ask experts to see a doctor," Tu Zhitao, director of the scientific research department of the Chinese Medicine Administration, explained the patient's favor.
▌The second type is maintained by the core figures, shi Xiaomo Clinic, HoupuTang, Diao's spine health care, etc. are its typical representatives.
Mr. Shi Xiaomo is the son of Mr. Shi Jinmo, one of the four famous doctors of the Republic of China. Mr. Xu Wenbing belongs to the Shaozhuang school and studied Traditional Chinese Medicine with his mother since childhood, and later graduated from a regular medical school. A few years ago, he was still unknown to the scriptures, but in the small circle, it was rumored that this person deeply understood the five elements of yin and yang meridians. In recent years, he has frequently appeared in the media, most of the content is to talk about traditional cultural knowledge related to Chinese medicine, and his blog introducing the health knowledge of Chinese medicine is also very popular on the Internet.
Born in 1938, Mr. Diao Wen pomfret, as the core figure of Diao's spine health care, studied Chinese medicine with his uncle since childhood, and "meridian injection acupuncture and Chinese medicine orthovertebral reduction" is his family tradition, and the supreme state of this acupuncture technique has become famous in modern medical textbooks.
▌ The third type is folk people who love TCM.
Among them, the experience of "returnee" Xiao Hongci is quite legendary. He jumped out of the financial circle and entered the field of Traditional Chinese Medicine, and his original intention and process always held the ideal of finding the ultimate care of life. He has visited folk Chinese medicine all over the world, and in the past two years, he has learned a variety of external treatment methods of traditional Chinese medicine such as stretching, slapping, pointing, twisting waist, knife gong, etc., using the Internet and radio to promote simple and practical external treatment methods.
Unlike Xiao Hongci's positive actions, Mu Huaijun practiced TCM almost in a "hermit" way. More than 20 years ago, he studied under Mr. Wei Longjun, an old Chinese medicine doctor in Beijing Hospital, who was originally only to see his mother and brother, but his increasingly exquisite level of Traditional Chinese medicine diagnosis and treatment gradually became recognized by his relatives and friends, so "there are many people who have to be saved and have to see diseases." ”
Even in the minds of some leaders in the medical management department, Mu Huaijun is also a person with weight and medical skills. But he never practiced medicine openly, but only received patients at home and did not take anything. The two people mentioned above are the group of people that Chairman Shen said were "quite a few". Theoretically, they have not passed the exam and are not qualified to practice medicine, but the number of patients who come to seek medical treatment is endless.
In fact, the Chinese medicine touched on by this reporter above may not be completely titled "folk", and Beijing, as the first good district, may not be able to represent the situation of the whole country. Some practitioners who are well versed in the doorway told reporters: Chinese medicine has many idle people and fewer people; there are many famous people, and there are real people and widows. This criticism should be to the point.
TCM education often requires a long period of maturity, and in history, it has been taught orally by teachers and apprentices, and there is talent selection and recognition between teachers and students. Traditional Chinese medicine talks about one disease and one test, one test at a time, one method and one test, and in the face of the extreme diversity of diseases in modern society, the difficulty of teaching can be imagined. It is difficult to pass on the truth, it is difficult to become a talent, and it is inevitable that the fish and dragons are mixed with each other. Traditional data and criteria are not scientific, making it more difficult to form definitive diagnostic criteria for diseases.
To this day, Chinese medicine is more likely to explain diseases in terms of yin and yang and the five elements, and what is more, some "jianghu langzhong" under the guise of chinese medicine, practice the art of wealth and deception, and the people are in a state of refusal to return to Chinese medicine, which can also be imagined.
But even the most Western-minded observers have to admit that Chinese medicine and Chinese medicine still have a broad mass base in China. Folk Chinese medicine has no shortage of famous doctors with unique skills and reputations; Many stunt therapies, such as bee therapy, ant therapy, acupuncture therapy, umbilical cord therapy, lavender therapy, etc., are difficult to carry out in public hospitals; The services provided by grassroots TCM are somewhat similar to the goods sold in small markets, with low prices and good quality and local adaptability.
In reality, some folk Chinese medicine practitioners cannot get medical licenses for various reasons, and they have been "illegally practicing medicine" for a long time, but they are quite popular with the people. In terms of health care and treatment of difficult and complicated diseases, traditional Chinese medicine often imagines life with the holistic view of Chinese cultural spirit, bringing hope to patients in distress.
<h1 style="text-align: center;" > choice of TCM after physical and mental confusion</h1>
In the overall medical environment dominated by Western medicine, how to determine its stable safety is an important question for Chinese medicine. But in reality, pragmatic and flexible patients are not so real about this. A doctor of traditional Chinese medicine told reporters that in fact, people have seen Western medicine before going to see Chinese medicine, and people choose Traditional Chinese medicine methods in the absence of serious lesions after Western medical testing.
In the investigation of the clinic, the reporter found that many patients have repeated episodes of physical discomfort symptoms, and can not find the means of thorough treatment in Western medicine, at this time, Chinese medicine does not target individual symptoms but for the overall related conditioning has become extremely important, in this regard, Chinese medicine does have a curative effect that Western medicine cannot explain.
This disease is mostly directly related to the way modern life and work. Xiao Huang is a reporter of CCTV, long-term business trips, stay up late work habits so that her body has been in a sub-healthy state, often feel chest tightness, shortness of breath, mental atrophy, several times to the hospital to check the body is not unusual.
After being introduced by a friend, she went to PingxinTang to eat the decoction prescribed by Mr. Fan Zhenglun, "After these medicines are finished, you will be fine, and you should not come to me again." Xiao Huang said that the fact is that as Mr. Fan said, a few doses of decoction medicine went down, and the symptoms have changed greatly. Mr. Fan told her that this is not a disease, according to Chinese medicine, it is through the use of pharmacy to improve the imbalance between the various parts of the body, and mobilize the function of the person to achieve a general state of peace.
Diao Lao's chiropractic method first came from the ancestral tradition, and he summed up and innovated a relatively complete set of diagnostic standards and treatment standards in his more than 50 years of medical practice. The use of Diao's orthovertebral method to reduce the misplaced vertebral joints, such as lumbar disc herniation or cervical spondylosis and other difficult diseases will be effectively treated.
Director Tu of the Beijing Administration of Traditional Chinese Medicine said that they are now working on a project that integrates traditional Chinese and Western medicine, "vertigo" and "cardiac neurosis", which are more difficult for Western medicine to solve, and are treated without surgery, drugs and instruments through Diao's five-point and one-line hand reduction of the spinal joint. It sounds a bit magical, but it's true.
As an old doctor with more than 50 years of experience in medicine, Diao Lao has keenly found in recent diagnostic cases that more and more people's physiological curvature of the spine is disappearing, and "the whole spine is like a straight stick." This happens entirely due to a lazy lifestyle that neglects exercise: "Human walking will lose its toughness, the buffer generated by the curvature of the human spine will no longer function, and the person will become vulnerable and vulnerable when exposed to external forces." Elder Diao said.
It is also for this reason that the elderly who have passed the age of ancient rarity particularly emphasize the health care function of Traditional Chinese medicine of "not curing the disease that has not been cured", and the family chiropractic he is good at has the irreplaceable effect of Western medicine in the sense of treatment and health care.
Most outpatients are seeking medical advice for incurable diseases. In the case of Western medicine helpless, people will look for Chinese medicine to give it a go.
At Mr. Mu's home, the reporter saw two thick patient medical records, recording the diagnosis and medication process of all patients, with neat handwriting and detailed content. There was one case that made the reporter a little frightened. The patient Ji Xiaoxue was admitted to the hospital due to uterine bleeding, and no obvious effect was seen in more than 20 days of treatment, and it was difficult for the patient to curb abdominal pain with durandine. Mr. Mu was begged by his friend to receive treatment. The reporter asked him, is there no pressure to treat such patients? Mr. Mu smiled slightly and said, of course, there is, so be extremely cautious when taking medicine.
Thankfully, Ji Xiaoxue stabilized his condition in less than a week of treatment, eliminating the pain and recovering quickly. Mr. Mu does not think that he will be able to treat all such conditions: "The specific physical condition and cause of the disease vary greatly from patient to patient, so there can be no uniform standard. Just according to the individual situation, try to save, it is impossible to use a method to save many people, which is the basis of TCM dialectical treatment. ”
<h1 style="text-align: center;"" > between inheritance and development</h1>
As far as the entire TCM community is concerned, inheritance and development are an urgent issue. In this regard, folk Chinese medicine feels more strongly.
Elder Diao once discussed "meridian injection" with a doctor of acupuncture who came to visit him, an acupuncture technique in traditional Chinese medicine that combines treatment time with acupuncture techniques. The student's answer made it difficult for Diao Lao to let go, "The teacher said that this is the highest level of acupuncture technology, none of us can do it, so as long as we know." When Diao Lao was in his 20s, he used this method to save dozens of people.
Since folk Chinese medicine has always maintained a relatively complete tradition of Chinese medicine, many secret recipes, secret recipes and techniques of Chinese medicine have been circulated in folk Chinese medicine, and these are regarded as historical sites in mainstream textbooks or medical circles.
This lineage relies mainly on the teacher-apprentice approach. Mr. Mu visited Mr. Wei Longjun 25 years ago and has been following Master around to see doctors and treat patients, and has been studying for several years. Diao Lao has followed his uncle to learn Chinese medicine since he was a child, and at present, there are more than a dozen disciples around him who have followed him since childhood, "they are all fighting forces and snipers", Diao Lao did not hesitate to praise the disciples' superb skills.
Although the traditional method of imparting knowledge between master and apprentice has the dual advantages of practice and creativity, it makes it difficult to practice medicine in the modern medical system. Because they are not recognized by mainstream medical management departments, the medical environment for learners is more awkward. The spread of many folk medicines is becoming more and more narrow, and the possibility of loss or disappearance in the long run is extremely high. Moreover, these contents cannot easily enter the classroom of modern medical education.
Mr. Diao Wenbo, who is over seventy years old, is very excited to talk about this topic. At present, his greatest desire is to engage in teaching and scientific research, and the ultimate purpose is to promote the medical results of his lifelong practice.
The reporter asked Mr. Diao Lao, without scientific experiments, why is he so confident in his own set of spine techniques? The old gentleman replied, "Are the thousands of patients I have been optimistic about all my life not enough to show that it is effective and accurate?" Perhaps coincidentally, or perhaps inevitably, all the doctors interviewed had similar answers to this question.
"Practice," the criterion for testing truth, seems so questionable in the laboratory of scientism. The embarrassment and passivity of the people's failure to enter the mainstream discourse lies in this.
Recently, the president of southern California Medical University in the United States issued a lecture invitation to Diao Lao, who has been wondering why Chinese universities cannot let themselves take the stage.
<h1 style="text-align: center;" > conversation manager</h1>
Healer, entrusted by life. It is also true that civilian medical care should be incorporated into the national medical management system to achieve basic safety and order in medical care.
Founded in 1985, the China Folk Medicine Research and Development Association plays a guiding and supervising role in the field of folk medicine. Therefore, the reporter interviewed Mr. Shen Zhixiang, the president of the association.
Reporter: At present, private TCM clinics are more inclined to the way of traditional medicine in terms of diagnosis and treatment, and basically avoid the examination and diagnosis of large-scale instruments.
Shen Zhixiang: Modern science is developing rapidly, so Western medicine technology is also developing rapidly, large equipment can more clearly check diseases, and now the people know a lot about natural science, he knows that Western medicine has its advantages and disadvantages. Traditional medicine cannot diagnose any disease at once, and it needs to cooperate with each other.
Reporter: I have been to Mr. Diao Wenbo, he did positive chiropractic treatment, X-rays are helpful for his judgment, and he personally said that no X-ray can only be judged by palpation.
Shen Zhixiang: Touch can only grasp a part, and subtle things need to use modern scientific instruments.
Reporter: But the mainstream of more folk Chinese medicine practitioners I visited did not look at or did not use Western medicine to diagnose. The means of treatment, the method of treatment, including the atmosphere of treatment, are pure Chinese medicine.
Shen Zhixiang: Doctors can talk about engaging in "pure Chinese medicine", but in fact it is impossible, why? Now it's the patient who chooses the hospital, not the doctor who chooses the patient. If he needs Western medicine examination, he will go to Western medicine for examination, and if he needs to go to Chinese medicine, he will see Chinese medicine, so he has a more comprehensive understanding of his disease.
Reporter: Is it possible to say that folk Chinese medicine or private Chinese medicine institutions play a more important role in maintaining the traditional characteristics of Chinese medicine?
Shen Zhixiang: Yes, this is also the responsibility of our association to protect folk Chinese medicine. Traditional Chinese medicine has the need to preserve, but now Chinese medicine must also understand Western medicine, can not help but understand, this is a big medical environment.
Reporter: What is the intention of the Folk Traditional Chinese Medicine Research and Development Association in applying this concept to the people?
Shen Zhixiang: Because there are a lot of good Chinese medicine knowledge and techniques scattered in the folk now, including tuina, acupuncture and so on. They need to organize and excavate to enrich our treasure trove of TCM. Therefore, we set up the Association of Folk Chinese Medicine.
TCM is actually a very individual behavior because it doesn't require large-scale collaboration to prescribe medications by diagnosing themselves. In this process, individualized diagnosis and personalized treatment play more of people's enthusiasm and are easy to form factions.
Now folk are divided into two categories, one is the ancestral formula, the other is the new creation, for example, some people open their own clinics, their own thinking of new drugs, new treatment methods. This individualized creative activity is completely different from Western medicine. The association mainly sorts out and improves some of the folk benefits and good methods of Traditional Chinese medicine.
How do you assess the effectiveness of his prescriptions or his creations?
Shen Zhixiang: There are many methods of evaluation, mainly relying on experts to evaluate the efficacy. For example, Diao Lao, we identified him through Shandong University of Chinese Medicine and China Academy of Chinese Medical Sciences. It is mainly to observe the treatment of the disease number, see if the diagnosis is correct, the treatment is correct, how effective it is, and then determine whether his method is effective.
Source: Xiuyuan Foundation Author: Bian Wei
Editor: Celestial Phase (Drscoolest014)
❖ Cautious statement: The content of this article is only for learning and exchange, the views only represent the author's own position, the copyright belongs to the original author, if you have any questions, please contact the editor.