Under, Chinese medicine flavin

Chapter 157 The Attempt of TCM Evidence-Based Medicine

China Academy of Traditional Chinese Medicine, Professor Sun's office.

Huang Su and Wei Lai just sat down across the desk, and they asked together: "Mentor, what are you calling us for?"

One month has passed since Huang Su's doctoral examination. Huang Su became Professor Sun's doctoral student with excellent results in both the written examination and the practical operation.Now Huang Su officially changed his name to Professor Sun.

Professor Sun found a newspaper among the documents stacked on the desk and handed it to Huang Su: "Huang Su, take a look at this."

Huang Su took the newspaper in a daze, and opened it to see that it was a Grassland Daily.

Huang Su couldn't help but wonder: the tutor has been in the capital all the time, how could he have the grassland newspaper in his hand.

When Huang Su opened the newspaper to read the content, he found that it was the issue where he was interviewed.

Huang Su looked at Professor Sun suspiciously and asked, "Mentor, this is..."

It was only then that Huang Su realized that there were too many things that he didn't know about the doctoral students who came to the capital to take the exam for Professor Sun.

Professor Sun also said bluntly: "This is the newspaper that your teacher Chen Jingshan mailed to me. It is precisely because of this newspaper that I decided to give you a chance to inspect. Obviously, your medical skills and ethics have passed my inspection. "

Professor Sun did not wait for Huang Su to speak, and said self-consciously: "Since evidence-based medicine was proposed, the Chinese medicine community has always attached great importance to evidence-based medicine. In 1998, when the State Administration of Traditional Chinese Medicine held advanced training courses, it invited Experts went to the meeting to introduce the knowledge and progress of evidence-based medicine. In 1999, Zhang Boli, Liu Baoyan and other experts and scholars formed the principle of "one must learn, two must use, three must know the limitations, and four must innovate the evidence-based evaluation methods of traditional Chinese medicine". Guiding ideology. But after so many years of research, there is no guiding ideology, but there is still nowhere to start."

Since the day when evidence-based medicine was born, traditional Chinese medicine has never stopped exploring the combination of evidence-based medicine and traditional Chinese medicine. The concept of "evidence-based Chinese medicine" was first proposed, and Chinese medicine has never stopped exploring.

After a short pause, Professor Sun looked at Huang Su and asked, "Huang Su, what do you think of Chinese medicine and evidence-based medicine?"

Huang Su thought about the content of his previous interviews and the field of Professor Sun's research, and he had guessed the idea of ​​​​the tutor to some extent, and the feet under the desk couldn't help shaking excitedly.

If this thing is really successful, it will be a major attempt and breakthrough of TCM in evidence-based medicine, which may promote the development of TCM evidence-based medicine in advance.

It would not be until [-] years later that the Chinese Center for Evidence-Based Medicine of Traditional Chinese Medicine was established, but that was not the most perfect evidence-based medicine of Chinese Medicine in Huang Suxin's eyes. Evidence-based medicine.

Huang Su knew that this answer was very important. For the first time, he felt that perhaps a single sentence of his own could change the development of Chinese medicine in the future.

Huang Su felt that his breathing was disordered and his heartbeat was accelerating.

Both Professor Sun and Wei Lai looked at Huang Su together, and the room fell into silence for an instant. The only thing that could be heard in the office was the ticking of the hands of the clock on the wall.

Seeing that Huang Su had been contemplating, Professor Sun did not urge him, and waited quietly for Huang Su to sort out his thoughts.

After a long time, after making a draft in my heart, Huang Su said slowly: "I still maintain my point of view. The curative effect is always the only standard to measure medicine. How to reflect the curative effect depends on the cure rate and effective rate obtained from clinical records. Evidence-based evidence is proof."

"However, Chinese medicine seems to be in opposition to evidence-based medicine. Chinese medicine pays attention to one person and one side, and precise treatment varies from person to person. In addition, each doctor's medication habits are different. For the same syndrome, different doctors prescribe prescriptions. It's also quite different."

"This is the reason why Western medicine has put forward evidence-based medicine and labeled Chinese medicine as empirical medicine. We cannot refute it. Because you can't prove the effectiveness of your prescription? What is the cure rate? How many people have it? Have adverse reactions? Because everyone’s prescription is different, and Chinese medicine has no clinical data as evidence, so Western medicine says we are empirical medicine, and we have no way to refute it.”

After a short pause, Huang Su continued: "Western medicine is now using evidence-based medicine to 'evidence-based Chinese medicine'. Therefore, when we explore the evidence-based medicine of Chinese medicine, we should not fall into the misunderstanding of 'evidence-based Chinese medicine', but must Firmly do 'evidence-based Chinese medicine'."

Hearing the two new words, Professor Sun became interested and said, "Then tell me what is 'evidence-based Chinese medicine' and what is 'evidence-based Chinese medicine'."

Huang Su continued: "There is a big difference between the two. 'Evidence-based Chinese medicine' uses the evidence-based medical system of Western medicine to prove whether Chinese medicine is effective, while 'Chinese medicine evidence-based' is self-certification by Chinese medicine. As I interviewed in this newspaper As mentioned in the Chinese Medicine and Western Medicine, Chinese medicine and Western medicine are two completely different systems, and we cannot find answers within the framework of Western medicine to delineate evidence-based medicine. We should embark on a path of evidence-based medicine with Chinese characteristics."

Professor Sun continued to ask: "Then what do you think the path of evidence-based medicine with the characteristics of Chinese medicine should look like, how should this path be taken, and how should it be taken?"

After thinking about it for a while, Huang Su made a draft in his heart and said, "The syndrome of evidence-based medicine in Western medicine is verification, while the syndrome of evidence-based medicine in Chinese medicine should be syndrome."

"Western medicine is guided by basic research. Most new drugs and new technologies are first produced in basic research and animal experiments, and then carried out prospective and confirmatory experimental research on humans. In order to obtain definite evidence from humans, it is necessary to strictly control various Influencing factors, so they think that the scientific verification is actually the most unscientific. All their human verifications are carried out in the most ideal clinical trial environment. However, when the drug really enters the complex clinical environment, it will There will be various problems, such as unknown side effects, unknown accompanying symptoms, etc.”

"The biggest feature of our Chinese medicine is 'from the clinic to the clinic'. The evidence-based medicine of our Chinese medicine should be based on the experience of the predecessors. In the accumulation of solving clinical problems, we should gradually integrate our personal clinical experience. Refined and sublimated into a new prescription adapted to the group."

Hearing Huang Su's words, Wei Lai, who had been by his side as a spectator, now looked at Huang Su with bright eyes.

Huang Su solved the problem of many Chinese medicine experts and scholars with a light fluttering sentence.

Although Wei Lai didn't dare to imagine it, but thinking carefully about what Huang Su said, there was some truth to it.

Professor Sun ignored Wei Lai's surprise, and continued to ask, "Like the blood collapse example you mentioned in the newspaper?"

Huang Su scratched her head pretending to be shy and said: "That's just a bold assumption of mine. But..."

Huang Su paused for a while and continued: "Since you have been explaining your years of experience in treating tumors to me, my mentor, my thinking has become clearer."

"Oh!"

Huang Su's words aroused Professor Sun's greater interest and asked, "Tell me what kind of thinking you have."

Huang Su continued: "During the process of explaining your tumor treatment experience to me, you have summed up different commonly used traditional Chinese medicines and classic prescriptions for different tumors. And your 30 years of medical practice experience is supported by a large amount of clinical data. With a little refinement of your clinical data, we can obtain a new classic prescription of traditional Chinese medicine for treating tumors that is applicable to groups, and can be extended to all tumor patients who meet the syndrome."

"Huang Su, your thinking is in the same place as mine." Professor Sun looked at Huang Su appreciatively, and said the purpose of calling the two of them: "The reason why I called you here today is to choose to use that tumor, as the first clinical verification exploration of evidence-based medicine in traditional Chinese medicine."

Huang Su clenched his fists excitedly, Professor Sun told him to come over exactly as he had guessed.

For the first time, Huang Su felt that the development of Chinese medicine in the future might really change because of his reborn little wing.

(End of this chapter)