How to "graft" new technology of traditional Chinese Medicine

Recently, Professor Wang Xian, chairman of the Expert Committee on interventional cardiology of the Chinese society of traditional Chinese medicine and director of the Department of Cardiology of Dongzhimen Hospital in Beijing, met with a problem: he received many phone calls and emails from colleagues all over the country, asking similar questions: "can't TCM engage in interventional therapy?" After learning about Wang Xian, we found that there are many national training bases for cardiovascular disease intervention diagnosis and treatment, and none of them refuse to enroll TCM doctors graduated from colleges and universities of traditional Chinese medicine, which results in the failure of TCM doctors to receive timely cardiovascular intervention qualification training "This situation has seriously affected the development of TCM cardiology." Wang Xian said anxiously In view of this problem widely reflected in the industry, recently, the experts of organizational Cardiology of the Chinese society of traditional Chinese medicine have carried out in-depth discussion Chinese medicine can play a corresponding role in our country after interventional surgery Interventional cardiology technology is a mature technology, which has been carried out in traditional Chinese medicine hospitals as early as 15 years ago, and has been organically combined with traditional Chinese medicine to a large extent, basically forming a combination effect of Chinese and Western medicine According to preliminary statistics, at present, more than 100 hospitals of traditional Chinese medicine or integrated Chinese and Western medicine are effectively carrying out the interventional diagnosis and treatment of cardiovascular diseases In some western medicine hospitals, there are also many patients taking traditional Chinese medicine for coronary stent implantation "This combination of Chinese and Western treatment method can effectively alleviate the postoperative chest pain, anxiety or depression of patients For patients who can't tolerate dual antiplatelet therapy, traditional Chinese medicine has played a potential role Of course, the clinical effect of some methods needs further study and confirmation." Wang Xian said As a western medicine, the Standing Committee member of the expert committee of interventional cardiology of the Chinese society of traditional Chinese medicine and the professor of caring sensitivity in the Department of Cardiology, the First Affiliated Hospital of Henan University of traditional Chinese medicine believe that there are multiple entry points of traditional Chinese medicine in the interventional treatment of cardiovascular diseases, and there is a lot of research and development space According to him, drug-eluting stents (DES) can significantly inhibit endometrial hyperplasia and reduce in stent restenosis, but it is also easy to cause thrombosis in the stent Moreover, two years after DES implantation, new atherosclerotic plaques were found in nearly 50% of patients In order to solve these problems, we need to guard against them with multi-directional and multi-target Guan Huaimin believes that traditional Chinese medicine has accumulated rich clinical experience in the treatment of coronary heart disease, and now it is urgent to conduct more in-depth research on those drugs that have initially proved to be clinically effective, including large-scale clinical evidence-based medicine research "Fortunately, there are several registered studies underway." According to Li Bin, member of the expert committee of interventional cardiology of the Chinese society of traditional Chinese medicine and associate professor of the First Affiliated Hospital of Tianjin University of traditional Chinese medicine, at present, in the field of interventional cardiology, such as the response of antiplatelet drugs after coronary stent implantation, slow coronary flow, in stent restenosis and stent thrombosis, TCM has done a lot of research from basic to clinical Research, some research work has made great progress, preliminary clinical practice has proved that traditional Chinese medicine can be used for patients who can not tolerate western medicine There are no TCM hospitals in the training base, but with the development of intervention technology in TCM hospitals around the world, problems also follow Professor Zhang minzhou, vice chairman of the expert committee of interventional cardiology of the Chinese society of traditional Chinese medicine and professor of Cardiology of Guangdong Hospital of traditional Chinese medicine, said: "at present, the interventional diagnosis and treatment services of traditional Chinese medicine hospitals need to be further standardized Some hospitals pursue the number of cases unilaterally, and some hospitals rely on" foreign aid "for a long time, resulting in medical disputes The lack of standardization not only increases the medical risk, but also makes the limited medical resources not be used properly " Zhang minzhou said that there are many problems to be solved in the research and clinical development of Chinese medicine after coronary intervention in Chinese hospitals At present, the National Health Department has certified nearly 100 cardiovascular intervention training bases to strengthen the training of medical personnel, but unfortunately, almost no Chinese medicine hospital has been shortlisted He called for speeding up personnel training, establishing a national training base for intervention diagnosis and treatment, and formulating relevant technical management standards in order to standardize the cardiovascular intervention treatment in traditional Chinese medicine hospitals Wu Wei, vice chairman of the expert committee of interventional cardiology of the Chinese society of traditional Chinese medicine and professor of the First Affiliated Hospital of Guangzhou University of traditional Chinese medicine, also expressed the same view: "at present, the cardiovascular interventional diagnosis and treatment work in the National Hospital of traditional Chinese medicine is booming, and quite a number of hospitals are on the right track However, up to now, the traditional Chinese medicine system still lacks the management organization of access and training of cardiovascular disease interventional diagnosis and treatment qualification In view of the actual situation of traditional Chinese medicine hospitals, it is urgent to issue regulations on qualification examination and management of cardiovascular disease intervention " The treatment of patients with traditional Chinese medicine cannot be separated from the new technology, said Shi Dazhuo, vice chairman of the expert committee of interventional cardiology of the Chinese society of traditional Chinese medicine and vice president of Xiyuan Hospital of the Chinese Academy of traditional Chinese medicine The large-scale top three hospitals, both the Chinese medicine hospital and the Western Hospital, all undertake the function of providing comprehensive medical and health care services for the masses For patients, time is life If a patient has a sudden myocardial infarction in the hospital of traditional Chinese medicine, but the hospital of traditional Chinese medicine has no treatment ability, it is sad for the society, hospitals and patients Li Xianlun, a standing member of the Expert Committee on interventional cardiology of the Chinese society of traditional Chinese medicine and a Sino Japanese Friendship Hospital of the Ministry of health, agreed with Shi "When we were invited to other areas for surgery, we felt that the intervention technology of traditional Chinese medicine hospital was weaker than that of Western Hospital," he said Some patients with myocardial infarction go to the hospital of traditional Chinese medicine for treatment Because there is no intervention condition in the hospital of traditional Chinese medicine, they have to be transferred to a qualified hospital for surgical treatment, but there are risks in the transfer, especially in the basic hospital, the risk of transfer is greater " He believes that with the aging of China's population, the number of people in need of intervention treatment is increasing year by year, and local and municipal hospitals of traditional Chinese medicine and people's hospitals are generally responsible for local heavy medical rescue, "if a large number of hospitals of traditional Chinese medicine do not have the ability of intervention treatment, it will cause many tragedies to society and families." Li Xianlun said that interventional diagnosis and treatment is only a technology, and there should be no barriers from the industry and management departments, and patients should be the center to effectively solve clinical problems When Deng Tietao, a great master of traditional Chinese medicine, realized that there were problems such as "TCM doctors can't participate in the training of cardiovascular disease interventional diagnosis and treatment qualification", he said anxiously: "I put forward that the cultivation of" iron TCM "is based on the perspective of TCM, combining TCM with new technology Of course, in order to cultivate new doctors, traditional Chinese medicine hospitals should carry out doctor qualification certification, ensure medical safety is the first priority, and formulate corresponding certification standards and "rules of the game" The development of new technology in traditional Chinese medicine should take the road of independent innovation, and Western medicine should not be allowed to lead the nose, or even dare to surpass western medicine in some areas after combining with new technology " Mr Deng's words deeply touched the industry He said that without the opportunity to fully apply modern science and technology, traditional Chinese medicine could not be developed The development of traditional Chinese medicine must stand on the shoulder of science Its development direction is inheritance, development and innovation The so-called innovation is the application of all modern methods and theories that can be applied to improve their comprehensive service ability, including, of course, cardiovascular intervention technology Liu Hongxu, vice chairman of the expert committee of interventional cardiology of the Chinese society of traditional Chinese medicine and director of Cardiology Department of Beijing Hospital of traditional Chinese Medicine Affiliated to Capital Medical University, said that the difference between traditional Chinese medicine and Western medicine is essentially the difference in methods, perspectives and procedures for understanding human survival, health and disease, which should not be the obstacle and restriction for the two medical systems to accept modern scientific and technological achievements of human beings He suggested that the Chinese Medicine Industry Association and the administrative department should play an active guiding role in this regard, and promote the industry management and Qualification Access of cardiovascular intervention in the Chinese medicine system At the same time, TCM doctors of cardiovascular disease should also strive to master this technical means They have the same ability to use modern science and technology as Western doctors, give full play to the advantages of the combination of Chinese and Western medicine, and promote the development of TCM According to Wang Xian, compared with the rapid development of modern cardiology, the development of traditional Chinese medicine cardiology is facing a bottleneck in recent years The main reason is that the breadth and depth of learning and using modern scientific and technological achievements are not enough, and there is no policy guarantee mechanism for traditional Chinese medicine system, so it is unable to fully realize the "soft landing" of "hard technology" such as cardiovascular disease intervention diagnosis and treatment in traditional Chinese medicine hospitals 。 He believes that for the achievements of modern human civilization, such as X-ray, radio-frequency energy, stent mechanics and other theories, traditional Chinese medicine can completely take them over After careful refining and upgrading, new theories and technologies of traditional Chinese medicine are gradually formed to better serve the protection of human health "The organic combination of traditional Chinese medicine and modern intervention technology can not only inject new vitality into the inheritance and development of traditional Chinese medicine, but also bring a new impact on the treatment of coronary heart disease We are very looking forward to it." Said Guan Huaimin According to Li Xianlun, at present, the interventional therapy of cardiovascular diseases in China almost follows the west, and there are few "interventional technologies and products" with Chinese characteristics, which are generally recognized as almost none "Our traditional Chinese medicine is unique If it can be organically combined with interventional diagnosis and treatment to form its own characteristics and advantages, including equipment and drug research and development, and exported to the international market, we will be extremely honored, which is also the responsibility of the Chinese medicine people." Experts unanimously called for the formulation of relevant technical management standards under the framework of "technical management specifications for cardiovascular disease intervention diagnosis and treatment of the Ministry of health", referring to the standards of Western medicine, combined with the actual situation of the current Chinese medicine system, led by the State Administration of traditional Chinese medicine and the Chinese society of traditional Chinese medicine, including the admission of intervention qualification of medical institutions of traditional Chinese medicine, Chinese medicine practitioners and integrated traditional and Western Medicine The access of teachers' intervention qualification, the construction of TCM intervention training base, etc.