Comments on Banlangen event: we are not only looking forward to ISO

Content abstract: with international standards, it is far from enough An ISO international standard, hi a group of Chinese medicine people Traditional Chinese medicine has been looking forward to going out of the country and into the world Unfortunately, this international standard is only for the production, manufacturing, storage and transportation links As for the improvement of the efficacy, it is not mentioned According to the China News Agency, "Shanghai University of traditional Chinese medicine said Banlangen has a significant effect on the prevention and treatment of cold, influenza virus and other infectious diseases." But unfortunately, in the 2018 revised influenza treatment plan, there is no independent mention of Banlangen Is it not recommended Chinese medicine preparation? Obviously not After all, there is a basic prescription for wind heat invading the health in the treatment plan, yinqiao powder and Sangju drink are added and reduced With silver, forsythia, mulberry leaves Chrysanthemum, Platycodon grandiflorum, burdock, bamboo leaf, reed root, mint, raw licorice The prescription for the heat poison attacking the lung is the addition and subtraction of Maxingshigan decoction The ingredients include roasted ephedra, almond, raw gypsum, Anemarrhena, Fritillaria thunbergii, Platycodon grandiflorum, Scutellaria, bupleurum, raw licorice Xuanbai Chengqi Decoction is the basic prescription for damming lung with toxic heat It contains roasted ephedra, raw gypsum (fried first), almond, Anemarrhena, Houttuynia, Tinglizi, Scutellaria, Fritillaria thunbergii, raw rhubarb (next), Artemisia, red peony, raw licorice The basic prescription of internal closure and external removal is the addition and subtraction of Shenfu Decoction It contains raw ginseng, fried aconite, Coptis, honeysuckle, raw rhubarb, Artemisia annua, Cornus flesh, Fructus aurantii The basic prescription of syndrome differentiation treatment in recovery period is the addition and subtraction of sasanmaimendong decoction It contains sand ginseng, Ophiopogon japonicus, Schisandra chinensis, Fritillaria thunbergii, almond, Artemisia annua, roasted loquat leaves, and Jiao Sanxian If the effect of Radix Isatidis is significant, it is embodied in Chinese patent medicine For example, Lianhua Qingwen capsule and Qingkailing granules can be used for isatis root Is Isatis effective against influenza? According to the literature, Radix Isatidis has the pharmacological effects of clearing away heat and detoxification, cooling blood and promoting pharynx, mainly in the following aspects: antiviral microbial effect; anti bacterial endotoxin effect; anti-inflammatory effect; impact on immune function There is no saying that there is influenza in traditional Chinese medicine, so the pharmacological explanation of isatis root is close to the theory of Western medicine At present, western medicine is not very recognized It is obviously difficult to start from ISO and realize international trade What's more, ISO has been abused in China For example, ISO9000, also take this as a certificate to paste on the wall is really free money If a drug wants to become an internationally recognized variety, the first thing to do is clinical trial research At the very least, it can increase the pharmacodynamic effect in the manual Otherwise, it's hard to convince the public As for the promotion of Banlangen to prevent influenza, it is not mentioned in the influenza diagnosis and treatment plan, "drug prevention" Drug prevention cannot replace vaccination It can only be used as an emergency and temporary preventive measure for the high-risk groups of severe influenza who have not been vaccinated or have not been immunized Oseltamivir, zanamivir, etc may be used " The main thrust is vaccination If it is medicine, it is also western medicine This time, no enterprise participated in the formulation of ISO standard, only Shanghai University of traditional Chinese medicine took the lead Does it mean that enterprises have no vision for development? Not necessarily Because if Banlangen is to be exported as a large number of medicinal materials, it must be approved by FDA It's just that ISO recognition is not enough In 2017, Panax notoginseng medicine was also recognized by ISO, but how much does export profit account for the total output value? On the other hand, unlike the profits of APIs, the profits of traditional Chinese medicine can not match those of proprietary Chinese medicine, because the technical ratio of products sold as raw materials is too small This is a simple truth Exporting flour is far less suitable than exporting bread, and exporting rubber is not as profitable as exporting tires We can't always regard the export of low value-added medicine as an honor, let alone blindly excite foreigners to say "good" In the domestic market, in the same symptomatic treatment, what is the proportion of Banlangen products? The countries involved in setting standards include China, Germany, Canada, Australia, South Korea and Thailand In addition to China, how many other countries are the main producers, main sales regions or frontier countries of traditional Chinese medicine R & D? In other words, to get ISO recognition, honor is far greater than commercial profits In the same sentence, without clinical data, FDA will not approve it There is only one ISO, so it's hard to work alone In the simplest sense, your medicine should be useful to the buyer (after reprocessing, you can make profits)! It is not intended to flatter or belittle traditional Chinese medicine, but there is no need to over interpret the formulation of an ISO standard The development and growth of any herbal medicine depends on the investment of research and development and clinical experiments Without the efficacy, the sales performance is only a commercial behavior Reference: Research Progress of antipyretic and antidotal effects of Radix Isatidis on antiviral and anti endotoxin and chemical basis