I couldn't help but feel sad when I saw a blog post by Mr. Huang Shi, a famous Chinese medicine doctor in Guangxi, entitled "Graduates of Chinese Medicine Colleges Can't Prescribe a Cold Medicine"! Mr. Huang's blog post reads as follows:
Graduates of Chinese medicine colleges cannot prescribe a pair of cold medicines. It is very difficult for many graduate students to prescribe a TCM after graduating from university, including my graduate school, who studied for 5 years in college and then studied for 3 years as a graduate student, and sometimes I couldn't prescribe a cold medicine.
Why is this the case? I don't know what went wrong in the heart of prescribing Chinese medicine? I'm afraid that it will be bad if I prescribe medicine, and I'm embarrassed to face it again, it's all like this. The same is true when I just graduated, Chinese medicine has been handed down from my ancestors for thousands of years, and Western medicine has only been in for more than 200 years.
Why is it one of the most populous in the world? Is Chinese medicine not working? It definitely works, but it's just two different models of medicine. So this situation in Chinese medicine is due to education, and I think there is a problem.
In fact, Mr. Huang Shi is not the only one who has expressed this kind of emotion and reflection! Deng Tietao, a master of traditional Chinese medicine, said bitterly: The university of traditional Chinese medicine cannot train qualified Chinese medicine at all, but can only train Chinese medicine gravediggers! At present, many patients do not believe in traditional Chinese medicine, and it is because of such a group of people that they do not study the classics of traditional Chinese medicine, do not understand the basic aspects of looking and hearing, and do not distinguish between cold and heat, and do not distinguish between cold and heat. Now traditional Chinese medicine is gradually moving towards higher education, ignoring folk Chinese medicine, which has led to the disappearance of many traditional Chinese medicine skills, and many schools of traditional Chinese medicine are difficult to inherit. Professor Qiu Peiran (hereinafter referred to as Qiu Lao), a well-known old Chinese medicine doctor in China and Shanghai University of Traditional Chinese Medicine, unceremoniously pointed out: "At present, the teachers and students of the Chinese medicine school have no confidence in Chinese medicine, because they have not learned Chinese medicine well and do not know anything about the essence of Chinese medicine. ”
On October 24, 2006, Outlook News Weekly published an article entitled "Gravediggers of Traditional Chinese Medicine Education and Cultivation of Traditional Chinese Medicine", which said: It is understood that tens of thousands of students are enrolled in traditional Chinese medicine schools in mainland China every year, but there are not many real Chinese medicine practitioners cultivated, and there are very few people with scientific research achievements in traditional Chinese medicine, and famous Chinese medicine practitioners are even rarer. According to the investigation of the research group on the strategy of traditional Chinese medicine, this is the result of the serious Westernization of traditional Chinese medicine education, and most of the old Chinese medicine practitioners also hold this view.
A survey of 32 TCM schools showed that students spent about one-third of their time studying Western medicine, and were rich in physical and chemical knowledge and Western medicine theories, but their basic training in TCM theories was seriously insufficient. Public courses such as English and computer science account for 1/4. The classical learning courses of traditional Chinese medicine, which have always been valued by everyone in traditional Chinese medicine, have been continuously deleted and even become elective courses. There are more and more "far-fetched" interpretations of Western medicine in TCM teaching, and many students basically cannot understand the ancient books of TCM. According to a professor at the Academy of Chinese Medical Sciences, due to the curriculum and examinations, his 21 graduate students have a high level of foreign language and computer skills, but they cannot read the "Preface" of the "Compendium of Materia Medica".
In terms of skill training, students have to do a lot of animal experiments, but they have insufficient training in clinical kung fu such as looking, smelling, asking, and cutting in traditional Chinese medicine. After graduation, most students are not likely to use the concept of Chinese medicine to see a doctor, and most of them switch to Western medicine, or practice Chinese medicine mainly in Western medicine. Most of the graduate students in Chinese medicine do not improve the theoretical basis and clinical diagnosis and treatment level of traditional Chinese medicine, but according to the education model and standards of Western medicine, it is proposed that the master's degree can only be graduated at the cellular level and the doctoral degree can be achieved at the molecular level. Many masters and doctors of TCM do not use TCM theories and skills to see patients.
Jia Qian said, for example, that there is a dean of the School of Traditional Chinese Medicine, who was originally a master of gynecology in Western medicine, and became a doctor of Chinese medicine after two years of white mouse experiments, and became the dean of the College of Traditional Chinese Medicine. Professor Deng Tietao, a professor at Guangzhou University of Traditional Chinese Medicine, said sadly: "We are a generation of 'perfect people', and we are finished. He is worried that after academic and experimental Chinese medicine becomes the mainstream, Chinese medicine will not know how to develop.
The survey shows that the current education model of TCM schools is cultivating students into semi-finished products that are not proficient in Chinese medicine and Western medicine, and become "gravediggers" of Chinese medicine. They use their ignorant knowledge of TCM and Western medicine to deny the scientific nature of TCM, or use some fashionable label language to explain TCM theories that they do not really understand. However, the Chinese medicine school sets Chinese medicine, Chinese medicine, acupuncture and moxibustion as relatively independent majors, and doctors do not know medicine, and medicine does not understand medicine, so the separation of Chinese medicine and pharmacy results in the "cripple" of students' knowledge structure, and it is difficult to give full play to the role of traditional Chinese medicine, Chinese medicine, and acupuncture, and even maintain the original level.
What is the purpose of our country spending a lot of manpower, financial resources, and material resources to set up a university of traditional Chinese medicine? It is to inherit and carry forward traditional Chinese medicine, to use traditional Chinese medicine to relieve people's suffering, and to escort people's health care. The University of Chinese Medicine not only did not train qualified Chinese medicine, but instead cultivated a large number of Chinese medicine gravediggers, many students reported great hopes to study in the University of Chinese Medicine, they spent several years to study, and the result was not even a good prescription for colds, which is not worth reflecting on by each of us?
Why does the University of Chinese Medicine fail to train qualified Chinese medicine practitioners, but instead train a large number of Chinese medicine gravediggers? The reasons for this are probably as follows:
One is that Chinese medicine has nothing to do with English, but it takes up a lot of students' time to learn English!
Professor Li Jinyong, the first "master of traditional Chinese medicine" in Hubei Province, once pointed to traditional Chinese medicine education in a reform plan for traditional Chinese medicine education drafted for the Ministry of Education. In this regard, Professor Li Jinyong believes that the problem is not in the students, but mainly in three aspects: one of the important aspects is that the curriculum is unreasonable, and the whole teaching focuses on general education, "Students spend more time learning foreign languages than reading medical books." ”
Professor Wang Sanhu also said that in addition to professional courses, there are also various public courses such as meditation, Marxism-Leninism, and English, which all take up class hours. Originally, at least 40% of the courses in the TCM major have been occupied by Western medicine courses, where do you have the time to specialize in the classics of TCM? Without the specialization and familiarity with the classics of TCM, the study of TCM is simply not started.
Xing Yurui, a professor at Shaanxi University of Traditional Chinese Medicine, said, "Taking the five-year undergraduate program as an example, students spend about one-third of their time learning English, politics, physical education and other public courses, one-third of their time taking Western medicine courses, and only one-third of their time studying traditional Chinese medicine courses. Coupled with the shortage of clinical practice and inheritance education, it is conceivable that a high-level TCM practitioner can be trained in such a short period of time."
Liu Lihong, a professor at Guangxi University of Traditional Chinese Medicine, once said in an interview: "Our education took five years, or eight years, and if we study for a doctorate, it will take 11 years." Although it has taken so much time, a considerable number of people do not have a basic belief in Chinese medicine and have not yet entered the door of Chinese medicine. "
The University of Chinese Medicine does not specialize in Chinese medicine, but spends a lot of time learning English. What are the consequences of this?
There is such a classic case. Professor Wang of a Chinese medicine college, his experience is: he entered the Chinese medicine school at the age of 19, studied the "theory of traditional Chinese medicine" all his life, and taught the "theory of traditional Chinese medicine" in the school of traditional Chinese medicine for more than 30 years. However, he does not know how to treat diseases, he does not even have basic Chinese medicine thinking and basic concepts of Chinese medicine, and he cannot use Western medicine to treat diseases. A doctor at a traditional Chinese medicine hospital in Beijing also recalled, "I graduated from the University of Chinese Medicine with a seven-year major in Chinese medicine, and the curriculum was 60% Chinese medicine and 40% Western medicine. Of his 110 classmates, less than 20 are still eating "Chinese medicine rice", and some of them still don't know how to prescribe prescriptions.
What is the purpose of our country in spending a great deal of manpower and financial resources to set up a university of traditional Chinese medicine? It is to inherit and carry forward traditional Chinese medicine, train Chinese medicine talents for the country, and serve the people's health! But has this purpose of our university of traditional Chinese medicine been accomplished? Not only has it not trained qualified Chinese medicine for the country and the people, but on the contrary, it has trained a large number of people who do not believe in traditional Chinese medicine and a large number of gravediggers of traditional Chinese medicine. There is no doubt that university education goes against the laws of TCM education.
Traditional Chinese medicine is a traditional medicine in the mainland, is a medical treasure with historical and cultural precipitation, from ancient times "Compendium of Materia Medica", "Yellow Emperor Neijing", "Treatise on Typhoid Fever and Miscellaneous Diseases" and other famous Chinese medicine books, influencing generation after generation.
At present, many medical schools have opened TCM majors, and medicine needs rigor, and the same is true for TCM, and if you want to become an influential TCM, postgraduate entrance examination is also an essential process.
Like most majors, Chinese medicine students also need to take mathematics, politics, English, and professional courses for graduate school entrance examinations, and the other three subjects can be understood, but English is the only subject that makes people speechless.
Traditional Chinese medicine is something left by our ancestors, so why should we learn English?
Could it be that Hua Tuo, Zhang Zhongjing, Sun Simiao, Li Shizhen and other great TCM experts used to know English, and the knowledge of TCM they left behind needs students to understand in English?
At the same time, the students of Chinese medicine were also speechless, and at the same time felt very sad, they must know that medical knowledge is many and complex, and Chinese medicine should not only learn Chinese medicine but also Western medicine, and four years of college time is simply not enough.
Many Chinese medicine universities take English as a compulsory course, and many students learn English well, but they can't read the classics of Chinese medicine, can't read the Yellow Emperor's Neijing, and can't read the Treatise on Typhoid Fever and Miscellaneous Diseases. Some majors must learn English, such as diplomacy, scientific research, tourism, etc., but what is the purpose of learning English for Chinese medicine majors? Countless scholars are worried that the compulsory study of English and the wave of English will have an irreparable impact on Chinese language and literature. According to a poll conducted by the Social Survey Center of China Youth Daily, 80.8 percent of people confirmed that there is a crisis in their ability to use Chinese. Among the respondents, 54.4% have a bachelor's degree or above. On the one hand, our education department is shouting "in line with international standards", and on the other hand, the domestic education environment lacks enthusiasm for the mother tongue, and the Chinese language is gradually degrading. Just as the French speak little English, the preservation of the mother tongue must be implemented in the daily lives of each of us. English is just a tool, people who need to use it will naturally learn, there is really no need for contemporary universities to force a flashy course! The major of Chinese medicine has nothing to do with English, but it takes up a lot of class time to learn English, which not only violates the original intention of running a university of Chinese medicine, but also delays the students' studies, no wonder many students laugh at themselves and say that after graduating from the university of traditional Chinese medicine, they have become a waste product of "Western medicine has not been learned, and Chinese medicine has not been learned"!
When asked why the University of Chinese Medicine wants to learn English, some people are ashamed to say that they want to be in line with the world! What is the track? You yourself have not done a good job in Chinese medicine? Don't forget that "the national is the world", Chinese medicine is the essence of our China, why should we be in line with them? It is not that we are in line with them, but that they are in line with us. It's sad that some people now have lost their backbone and self-confidence!
During the prosperous period of the Tang Dynasty, China's economy, culture, politics, science and most other fields were in the leading position in the world, and it spread to Europe and Asia through the Silk Road. Japan and Korea came to copy the Tang Dynasty system in an all-round way, and Persia and Arabia came from afar to carry out cultural exchanges and trade. The coming of all nations in the prosperous era of the Tang Dynasty was the siphon effect created by the developed economy, and it was the strong Tang Dynasty culture that attracted people and envoys from all over the world.
"Nine days open the palace, and all the nations are crowned. The Tang Dynasty poet Wang Wei once indulged in the beautiful scene when "all the nations came to court", when it was like a magnificent palace built on the nine heavens, slowly opening the palace doors, scattered in many countries in the world, sending messengers wearing exquisite and gorgeous clothes, gathered together under the glory of the Tang Dynasty.
At that time, Japan sent many students, monks, and skilled craftsmen to the Tang Dynasty to learn knowledge, and most of the students were assigned to the Guozijian in Chang'an for long-term study. In the twelfth year of Tianbao, Chao Heng encountered a critical sea storm on the way back to his homeland, and finally escaped death, relying on a piece of driftwood to drift to Vietnam, but the news of Chao Heng's unfortunate death was mistransmitted to the Tang Dynasty, and the poet immortal Li Bai wrote a memorial poem called "Crying Chao Qingheng": "Japan Chao Qing quit the imperial capital, and the sail was a piece of tent pot. The bright moon does not return to the blue sea, and the white clouds are full of sorrow. This poem shows the charm of our traditional culture from one aspect, and also shows the grandeur of all nations at that time!
Nowadays, some foreign people of insight have realized that the Westernized teaching methods of Chinese medicine can no longer produce qualified Chinese medicine practitioners, so they are more welcoming to those who do not know English!
Mr. Guo Boxin, a famous traditional Chinese medicine practitioner, once launched such an emotion: Now it is not necessary to find a famous Chinese medicine doctor like in the past, it is not easy to find a so-called pure Chinese medicine doctor who does not open laboratory test sheets, test sheets, and seriously treats patients according to the thinking of traditional Chinese medicine.
In 2005, when the Australian Embassy counsellor sponsored my daughter's chronic eczema cure, he invited me to see a doctor in Australia, and I said, "No, I don't know English." ”
After hearing this, he said to me seriously: "You are wrong, we Australians are looking for Chinese medicine practitioners who don't understand English, and we think that such people are authentic Chinese medicine!"
At the end of the following year, when I set foot on Australian soil, I seemed to understand something.
On that day, I had a discussion with my classmates in the Department of Traditional Chinese Medicine of a certain university, and I learned that their teaching model was completely copied from ours, that is, both Chinese and Western, and they also had difficulties in finding employment after graduation, and they could not even find a place for internship.
But everyone knows that there are many TCM clinics in Australia, how can we not find a place for internship? I asked Liu Chijing, secretary general of the Australian Association of TCM and Acupuncture, with this topic, and he said: They (referring to graduates of Chinese medicine universities) do not know anything, so our clinic refuses to allow them to come for internship!
We know that Australia is the first country in the world other than China to recognize traditional Chinese medicine, and it is the first Western country to give traditional Chinese medicine a higher status.
The TCM doctors in their TCM clinic are only allowed to prescribe Chinese medicine, not Western medicine, and they have all become pure Chinese medicine. It's no wonder that I only talked about the experience of traditional Chinese medicine thinking and medicine, and they actually exclaimed: "This time it's the real Chinese medicine!"
Mr. Guo's experience and feelings should indeed arouse the deep thinking of every TCM person!
The second is that TCM students do not have TCM thinking, and they do not understand the principles and treatment rules of TCM.
Traditional Chinese medicine and Western medicine are two completely different systems, from the way of thinking to the treatment method. Western medicine is a treatment for headaches and foot pain, and where it is uncomfortable, it is treated. When there is a certain disease, it is necessary to dialectically find out the cause of the disease, and achieve the balance of yin and yang in the body through the action of drugs, and the disease will be cured naturally, and different diseases will sometimes be treated with the same method, because the cause of the disease is the same, and some of the same diseases are treated with different methods, because the causes of the disease are different.
I believe that all of you are newcomers who have grown up under the influence of the so-called science. They can't accept traditional Chinese medicine thinking, or traditional Chinese culture.
For example, many Chinese medicine black spray Chinese medicine yin and yang theory. At first glance, it is superstitious thinking, which is a typical preconceived thinking. In fact, yin and yang in traditional Chinese medicine is nothing more than a classification method, even modern medicine often uses yin and yang to represent, for example, some viruses are replaced by a plus sign (+) or a minus sign (_), which is actually a kind of yin and yang derivation!
Yin and Yang are actually classified in Chinese tradition, for example, during the day as Yang and at night as Yin, men are Yang and women are Yin, the upper part of the human body belongs to Yang, the lower part belongs to Yin, the five internal organs belong to Yin, and the six internal organs belong to Yang.
A fever, red face, red lips, slippery pulse, dry stool, and yellow urine are positive signs.
A low-grade fever, yellow face, pale white tongue, weak pulse, loose stools, clear urine, is a negative syndrome.
Therefore, this method is very conducive to our clinical identification of the nature of the disease, rather than for the superstitious so-called yin and yang.
The classic "Treatise on Typhoid Fever" is a representative of yin and yang, which is divided into three yin and three yang, and it also refines the classification of diseases, and all kinds of evidence in it are combined with yin and yang. For example, ephedra soup corresponds to guizhi soup, small chaihu corresponds to big chaihu, and small green dragon corresponds to big green dragon。。。。。
As a TCM practitioner, you must learn TCM with traditional thinking. Another example is the simple Chinese medicine saying, such as liver depression, some people think that the liver function is not good, go to check the liver function. In fact, it is a misunderstanding of liver depression in traditional Chinese medicine, not liver problems in the sense of anatomy.
Another example is kidney deficiency, which is not a kidney problem. Professor Zhao Shaoqin pointed out that the treatment of kidney disease is obviously a wrong thinking, how can this effect be good?
University courses are not systematic, and they are all fragmented knowledge. For example, for colds, although they are divided into wind, cold, wind and heat, ephedra soup, Yinqiao detoxification, it seems that typhoid fever and fever are all included in the pharmacology, but this method is reasonable on the surface, but it is actually wrong. Because the thinking of typhoid fever and fever is completely different, it is necessary to deeply understand the premise of typhoid fever and temperature disease in order to use prescriptions accurately.
For example, the teacher said that typhoid fever and fever can sweat, which is true, but there are practical differences. For example, typhoid fever needs Xinwen ephedra cinnamon branch Xinwen sweating, the side effect of this method is to hurt yin, and most of the cold methods of sweating in warm disease, such as mint nepeta light tempeh, mainly because the temperature disease itself is a heat syndrome does not need to sweat vigorously, if the misuse of ephedra cinnamon branch obviously adds fuel to the fire, and typhoid fever uses nepeta light tempeh and other sweating power is insufficient and impractical.
Therefore, the use of ephedra soup Yinqiaosan must deeply understand the essence of warm disease and typhoid fever. Another example is Xiao Chai Hu Tang, which belongs to the category of Japanese medicine, don't you know that Xiao Chai Hu originally Zhongjing mainly treats external senses, and also treats miscellaneous diseases. Even Zhong Jing called Bupleurum Syndrome directly, it can be seen that no matter what kind of disease as long as Bupleurum Syndrome appears, it can be effective according to the map, how can it be summarized by a harmony? !
Although there are many academic schools now, they can't be integrated, and even if you can put all the drugs on the back, they can't be used clinically. Therefore, the students who come out of the University of Chinese Medicine are just Chinese medicine kindergartens, so they can't be systematically mastered, and they are all fragmented things, so they can't treat diseases.
Although the knowledge of the teacher is not extensive, it is systematic, so the system is Chinese medicine, and a complete Chinese medicine must have knowledge. It's not that you know everything, you can't do anything, it's just that everything is sparse!
Another example is diabetes (thirst-quenching) textbooks, most of which nourish yin and clear heat, but they will not treat some special ones such as cold and heat.
Less theoretical, less clinical. This is the general deficiency of academic Chinese medicine, clinical is the position of Chinese medicine, and only effective good results are also the last word. Traditional Chinese medicine is trusted and respected by the public because of its efficacy, which is the vitality of traditional Chinese medicine. Most TCM schools use a ratio of 0.8:1 between Western medicine and TCM for the curriculum arrangement, and ignore the study of TCM classical courses, and even the teaching of TCM in some Western hospitals and schools puts the cart before the horse, focusing on Western medicine knowledge, and the specialty of integrated Chinese and Western medicine is particularly prominent. Some academic TCM practitioners don't even memorize a few classics after graduation.
The light clinical performance is mainly theoretical teaching in TCM schools, there are almost no TCM medical case courses, and the clinical internship arrangement follows the rotation of Western medicine, which cannot reflect the clinical characteristics of TCM, resulting in academic TCM graduates who have just graduated and will not even be able to prescribe.
For five or six years, Chinese medicine students have not learned real skills, and they are all fragmented knowledge. So I suggest that you don't study "Typhoid Fever" only after graduate school. I should start learning typhoid fever or fever in my freshman year, because typhoid fever and fever are systematic knowledge, and there are opportunities to use it in clinical practice, whether it is infectious diseases or internal medicine clinics, and I guarantee that it will be stronger than the current director of Chinese medicine for ten years!
The second is to study Chinese medicine with Western medicine thinking, blindly "using Western law in the middle", and the result is getting farther and farther away from real Chinese medicine.
The current academic Chinese medicine practitioners, especially the professors and doctors who are engaged in research, have been using Western medicine methods to study Chinese medicine in an attempt to make Chinese medicine scientific. But the problem is that TCM focuses on relationships, not entities, and the relationship is lost by using the method of entity reduction. For example, in the study of the pharmacology of traditional Chinese medicine, academic Chinese medicine has been trying to find the principle of curing diseases by studying the chemical composition of traditional Chinese medicine, but what they don't know is that the target of traditional Chinese medicine is not the cells in Western medicine, but the meridians in traditional Chinese medicine.
Mentoring education is a traditional model for the cultivation of TCM talents in mainland China. For thousands of years, this model has created many skilled doctors. Oral teaching and teaching according to aptitude have become a major feature of TCM education.
However, today, although many traditional Chinese medicine practitioners trained by teachers are of a very high level, due to the lack of knowledge of Western medicine, they cannot pass the qualification examination for licensed physicians and cannot obtain legal qualifications.
They follow the family inheritance model, and some "tricks" are often reluctant to be made public, and many valuable prescriptions are lost.
The difference between Chinese and Western medicine lies in the different methods and ideas of treatment, the difference in medication, Western medicine is to block and inhibit its positive reaction, just like the water treatment of the cang, take the way of interception, and the treatment of Chinese medicine uses drainage, conditioning, balance yin and yang, just like Dayu to control the water, take the dredging method. Traditional Chinese medicine natural medicine, Western medicine chemical medicine. Western medicine believes that Chinese medicine is food, and human beings rely on natural food to grow and develop. Western medicine has analyzed how many kinds of vitamins and amino acids are needed for human growth and development, and various vitamins and amino acids are produced by chemical synthesis methods.
Now when it comes to the way of traditional Chinese medicine can cure diseases, some people use the way of thinking of Western medicine, ask what chemical ingredients are contained in it, and desperately go to the laboratory, analysis, extraction, this kind of Western medicine thinking to study traditional Chinese medicine, but also written into the national scientific development outline, can not be said not to be a tragedy, so how can Chinese medicine be in line with modern standards? Modern scientific testing instruments and laboratory methods should not only belong to Western medicine, Chinese medicine should also make full use of its own service, can see the crux of the five organs of the human body, has always been the hope of traditional Chinese medicine, historical records The Biography of Bian Que Canggong said:
Bian Que can "see the person of the wall, so as to see the disease, see the crux of the five organs", Western medicine by the anatomy and the pathological changes, we Chinese medicine should also admit, for the Chinese medicine prescription to provide a basis, such as liver cirrhosis, according to the pathology of modern Western medicine, liver cells are widely degenerated and necrotic to form regenerative nodules (Chinese medicine called the crux), regenerative nodules compress the branches of the liver vein to cause portal hypertension, due to portal hypertension, the spleen is stasis and swollen, hepatic sinusoidal blood stasis, gastrointestinal blood stasis, ascites, Due to hepatocyte necrosis or intestinal steroids and other pyrogens, and low-grade fever symptoms, although Western medicine on the pathological changes of liver cirrhosis research is very clear, but Western medicine does not have any drugs and technical treatment, Nantong famous old Chinese medicine Zhu Liangchun, all over the ancient books, from the "Benjing" recorded "Nunnery Linzi, bitter taste and slightly cold, the main five organs stasis, abdominal water vapor, distending and heat."
Its main function is very suitable for the symptoms of liver cirrhosis, and the use of Anlin Zi with Zhenshi Zi is really effective in the treatment of liver cirrhosis, so as to create a good prescription for the treatment of liver cirrhosis, Zhu Shi's innovation, representing the right direction of Chinese medicine research.
Third, TCM education has seriously deviated from the normal education track, and a large number of "fake TCM" so-called "research-oriented talents" with high academic qualifications have been cultivated
In the history of traditional Chinese medicine, Zhang Xichun, known as "the first person in modern Chinese medicine", is a famous medical scientist worthy of praise. Not only is his academic thinking unique, his theoretical attainments profound, and his clinical experience rich, but also his ideas on Chinese medicine education are also brilliant. He taught his students in this way, "At the end of the three-year period, everyone can do the way and save others." "But our current TCM education has seriously deviated!
With the development of postgraduate education, there are many talents who are good at theory and experimentation to represent the image of Chinese medicine in the new era, and at the same time, there are fewer and fewer clinical talents who really have a solid theoretical foundation of Chinese medicine and rich clinical experience.
"Master's degree without master's degree" and "doctorate without doctorate" in postgraduate education of traditional Chinese medicine
After entering the university, master's or doctoral students set up courses around their research direction and read materials according to their thesis topics, and after less than a year of basic and professional courses focusing on foreign languages, computer science, and statistics, they enter the process of topic selection, experiments, and dissertations. For basic graduate students or clinical graduate students, most of their dissertations are mainly based on experimental topics, which is both a kind of orientation and a fashion. And due to the constraints of funds and other factors, it is often a superficial discussion on the mechanism of a certain treatment of a certain disease, and the low-level repetition of experiments, the arbitrary change of data, and the pale and weak conclusions make it an ineffective confirmatory research.
The "middle is not Chinese, the west is not western" in the postgraduate education of traditional Chinese medicine.
Since the beginning of master's education, the enrichment of TCM theory has become secondary, how to use the theory of Western medicine to verify whether the TCM theory is correct, How to verify the incorrect efficacy of traditional Chinese medicine through experiments has become the goal of graduate students and tutors, and the indisputable facts of traditional Chinese medicine have been used to study the mechanism of action of traditional Chinese medicine or the nature of the disease by using some outdated or backward biochemical indicators in the field of Western medicine research on the so-called model that is not related to the syndrome of traditional Chinese medicine. Therefore, due to these reasons, the higher the level of postgraduate education, the farther away from the characteristics of traditional Chinese medicine, and some authoritative old experts in traditional Chinese medicine even say that "postgraduate education in traditional Chinese medicine only cultivates a large number of doctors who treat small mice". Traditional Chinese medicine in the true sense of the word is slowly being eaten away, and the fate of its replacement is not far off.
The Chinese medicine community does not study the "new three theories" of classical research, and it has become common to engage in animal experiments.
In colleges and universities of traditional Chinese medicine, in addition to literature majors, master's and doctoral degrees in traditional Chinese medicine cannot graduate without doing animal experiments, and some doctors of traditional Chinese medicine who never read the classics, can't even read the title of "Neijing", and don't know how many articles of "Treatise on Typhoid Fever" have, as long as they learn English well and do their experiments in line with the direction of "modernization", they will still "enter" postdoctoral fellows and become "top" talents who combine traditional Chinese medicine and modern science. "Modernization", which has lost the theoretical foundation of traditional Chinese medicine, is like water without a source and a tree without roots, how can it have vitality?!
Professor Liu Lihong of Guangxi University of Traditional Chinese Medicine said: Our education took 5 years, or 8 years, if you study for a doctorate, it will be 11 years, although it took so much time, but a considerable number of people do not have a basic belief in traditional Chinese medicine, that is to say, a considerable number of our undergraduate graduates, master's graduates, doctoral graduates have not entered the door of traditional Chinese medicine. This should be a very peculiar phenomenon if you look at it from an educational point of view. Because we have spent so much manpower, material resources, and financial resources, and spent so much time on such an education, and in the end, we have obtained such a result, isn't that enough to be thought-provoking?"
Professor Liu Lihong also said: "Among the doctors of traditional Chinese medicine, there are very few people who read the classics of traditional Chinese medicine now. If any doctor puts a copy of "The Yellow Emperor's Neijing" on his desk, it will be laughed at. What kind of books do you have on the doctor's desk? They are all modern books on molecular biology. The Ph.D. group is undoubtedly a high-level group, so it is natural to read some modern books. But as a doctor of Chinese medicine, why don't you want to read Chinese medicine books, especially the classics? I think there can only be one answer, that is, in their minds, Chinese medicine is just like this, and the classics are just like that. ”
Professor Qiu Peiran (hereinafter referred to as Qiu Lao), a well-known old Chinese medicine doctor in China and Shanghai University of Traditional Chinese Medicine, unceremoniously pointed out: "At present, the teachers and students of the Chinese medicine school have no confidence in Chinese medicine, because they have not learned Chinese medicine well and do not know anything about the essence of Chinese medicine. "In fact, there are many diseases that cannot be cured by Western medicine, but many can be cured by Chinese medicine. The fact that TCM education has fallen into such a situation today is actually that it is not competitive. Originally, the purpose of TCM education was to train senior TCM practitioners, and the minimum requirement was to train qualified TCM physicians. However, now, the Chinese medicine school cannot train qualified Chinese medicine, and the cultivated Chinese medicine is simply a waste product, and even the level of quack medicine cannot be reached. This is a big failure of TCM education.
"Few of these graduates can see a doctor" A disciple of the Guangdong Provincial Hospital of Traditional Chinese Medicine told reporters sadly: "A few days ago, someone entrusted me to read the dissertations of some doctoral students, and I was speechless. All I can say is that few of these PhDs who have graduated can see a doctor. This is an ironclad reality! The education of Chinese medicine is a failure. ”
Professor Li Jinyong of Hubei College of Traditional Chinese Medicine, a well-known old Chinese medicine doctor in China, told reporters: "The life of traditional Chinese medicine is clinical efficacy. Some people sacrifice the clinical efficacy of traditional Chinese medicine in exchange for animal experimental results that are not beneficial to the development of traditional Chinese medicine, and the doctoral students trained cannot use traditional Chinese medicine ideas to see patients, so they are unwilling to see patients, and they are also called 'research-oriented talents'. ”
Traditional Chinese medicine education must pay attention to practice and bring forth the new, which is an important part of Zhang Xichun's thought on traditional Chinese medicine education.
Zhang Xichun believes that the content of the textbook must be practical and innovative. In his article "Fu Ran Xuefeng Asks the Rules Book for the Establishment of the Medical Hall", he clearly opposes the use of the four classics of the "Neijing", "The Difficult Scripture", "Treatise on Typhoid Fever", and "The Essentials of Jinkui" as medical textbooks, thinking that the whole classics are used as textbooks. He defended himself: "This is not the inner scripture and the difficult scriptures that can be abolished, because the important places of the ancient books have been roughly collected in the clumsy works and are easy to understand." He also passionately encouraged Ran Xuefeng to compile such a new textbook of traditional Chinese medicine: "Widely search the group to extract its essence, participate in Western learning to choose its essence, unique opinions, find out what the ancients have not developed, make up for what China and the West have not prepared, and write it as a new lecture on medicine, in order to teach the students, the wisdom of the eternal world, and the benevolence of the world, isn't it beautiful!"
Zhang Xichun believes that teaching methods must be combined with learning and application, and stress practical results. He said: "The medical school should be merged with the hospital, and the doctor in the hospital should be the middle school teacher. If the students hear from the teacher on a daily basis, and if the prescription of the teacher is consistent with what they say, and the diseases they treat can be effective, then the students will naturally be sure of the evidence they have seen and the treatment they have received. Not only that, but he also used his personal experience as a statement for his students, emphasizing the extreme importance of direct experience for medical students: "All medicines are tried by themselves, even if they are as poisonous as croton gansui, they have rarely tasted them." I still remember chewing Gansui a penny, after diarrhea more than ten times, all the people under are phlegm, and then realized that it is the main medicine for opening stubborn phlegm, but then nausea and vomiting, so it is used with ochre, in order to be happy under the hot phlegm...... "He used Western medicine," he first tested its original taste, and knew that it had nothing to do with the Chinese medicine, and then dared to try, and tried it repeatedly, and then dared to write it in the book. He taught his students in this way, "At the end of the three-year period, everyone can do the way and save others." ”