Sun Xiaobo: clinical effect is the material basis for the long-term development of traditional Chinese Medicine

[expert opinion of chinapharma.com] on March 14, three senior experts in the field of medicine and general health, sun Xiaobo, Wang Fengqi and Shang Qi, participated in the people's livelihood Salon of Health China national policy to discuss the development direction of traditional Chinese medicine Sun Xiaobo, director of the Institute of medicinal plants, Chinese Academy of Medical Sciences, delivered a speech on the protection of traditional Chinese medicine resources mentioned in the outline of healthy China 2030 plan (Sun Xiaobo, director of the Institute of medicinal plants, Chinese Academy of Medical Sciences) the following is a transcript: the current development of traditional Chinese medicine ushers in a good opportunity sun Xiaobo: this topic is a hot spot at present, and how traditional Chinese medicine plays a role in our country's medical and health system in the near future I am very happy to participate in the program of "Health China policy" Phoenix people's livelihood salon I think this program is well organized At the right time, it is exactly what we need under the background that all circles at home and abroad pay great attention to people's livelihood and health From the perspective of my own work experience, life experience, research work and traditional Chinese medicine, I would like to talk about how to play a role in this field Recently, the topic of great concern is how traditional Chinese medicine plays a role in our national medical system In the outline of healthy China 2030 plan, we mentioned how to provide unmet clinical needs from the aspect of supply side reform We saw the problems of traditional Chinese medicine quality, sustainable development, and the efficacy of traditional Chinese medicine, and how to promote the development of traditional Chinese medicine industry Development, service in the field of health and other issues The clinical effect of traditional Chinese medicine is the material basis for the long-term development of traditional Chinese medicine We believe that traditional Chinese medicine is a science of health preservation, disease prevention and treatment, and a symbol of the soft power of Chinese culture, which embodies the profound philosophy of the Chinese nation The experts and hosts mentioned that traditional Chinese medicine has played an important role in the prevention and treatment of diseases At present, we have a new understanding of the environmental impact factors of human diseases - the emergence of new diseases may be the advance of some diseases Traditional Chinese medicine plays an important role in the prevention of diseases in our national health system Of course, I also think that traditional Chinese medicine has good therapeutic effect and rich clinical experience accumulated in the past In this respect, I would like to talk about the root of traditional Chinese medicine or traditional Chinese medicine lies in clinical practice As we all know, traditional Chinese medicine is an empirical science It is the wisdom crystallization of the long-term labor practice of the Chinese nation and plays an irreplaceable role in the reproduction of the Chinese nation Especially before western medicine entered China, the Chinese nation was closely related to the development of traditional Chinese medicine At present, traditional Chinese medicine is widely used in the society and is the crystallization of strong industrialization How to combine traditional Chinese medicine and clinical experience through industrialization, so that more people benefit from traditional Chinese medicine, industrialization has played an important role In addition, we all know whether the quality of products in traditional Chinese medicine can be guaranteed, whether traditional Chinese medicine is effective, and whether it is safe, which are the three key links People generally have doubts about which aspects should be paid more attention to and which aspects should be paid attention to I personally think that the first thing to determine whether Chinese medicine is effective, if the efficacy can not be determined, then safety and quality is meaningless The General Administration of food and drug said that in the future, the registration of traditional Chinese medicine and the reevaluation of its safe and effective curative effect should be carried out In fact, it also raised the safety and effectiveness to a higher level If a drug has no curative effect and no clinical value, no more safety and quality problems should be done, no matter whether it is treated as a disease or a disease, no matter in preventive health care or treatment There is no placebo at all It is necessary and valuable, so it is important to involve the curative effect in the sustainable development of traditional Chinese medicine Quality is to ensure the curative effect, safety is also to provide effective support for the curative effect In addition, whether it is the current industry or the future clinical, we are concerned about the sustainable development of traditional Chinese medicine resources Can the supply side of traditional Chinese medicine meet the clinical needs, market needs, and the need of internationalization of traditional Chinese medicine in the future In 2015, Professor Tu youyou's team won the Nobel Prize, and artemisinin derived from traditional Chinese medicine was recognized by the international natural science community, which is a high international recognition of traditional Chinese medicine in the treatment of diseases In the past 20 years, with the development of science and technology in China, a series of achievements have been made in the modernization of traditional Chinese medicine At present, about 50% of the so-called western medicines commonly used in clinic, such as aspirin, berberine, ephedrine, etc., are from natural products and traditional Chinese medicine, which has a strong clinical basis How can traditional Chinese medicine help the supply side reform? Another question I want to talk about is how to have more traditional Chinese medicine resources on the supply side on the basis of ensuring clinical effectiveness, and to provide better quality assurance and quantity assurance, especially the development of big health industry In 2030, health China already has disease prevention and health care, but more importantly, how to provide more valuable products for the whole health market and clinic from the supply side reform On the one hand, traditional Chinese medicine is an important material basis for clinical prevention and treatment of traditional Chinese medicine, and the decoction pieces made of traditional Chinese medicine are the main means of clinical prevention and treatment of traditional Chinese medicine On the other hand, it is the concept of healthy China The development of big health industry is inseparable from the whole healthy product system A large part of healthy products are from the same source of medicine and food They are derived from traditional Chinese medicine, which is found clinically to be effective in prevention, health care, health preservation, disease rehabilitation and disease treatment Therefore, Chinese medicine is also an important material basis for big health and the material basis of traditional Chinese medicine industry Basics In addition, traditional Chinese medicine has been included in the poverty alleviation work The production environment and growth areas of traditional Chinese medicine are many in some remote minority areas Poverty alleviation with traditional Chinese medicine is an important starting point for the overall promotion of poverty alleviation in minority areas and economic development of the old, the young, the border and the poor areas It is also an important part of how to make good use of the content of traditional Chinese medicine to fight poverty alleviation Traditional Chinese medicine determines the overall development of traditional Chinese medicine in the future and is an important material basis for sustainable development One of the problems that we are concerned about is whether the quality of traditional Chinese medicine can be guaranteed, whether the processing technology of traditional Chinese medicine can get good quality assurance, and how to control the quality of traditional Chinese medicine Here are a few points to talk about Chinese herbal medicine has endangered resources, including Amomum villosum, which is an endangered medicinal material In the early days of the people's Republic of China, a branch of the Institute of medicinal plants, Peking Union Medical College, Chinese Academy of Medical Sciences, made experiments on the cultivation of Amomum villosum At that time, an old expert and Professor led local farmers to plant Amomum villosum by using science and technology Unexpectedly, they made local farmers rich This is a typical case Scarce medicinal materials fundamentally ensure the quality of medicine Modern people pay more and more attention to health preservation and the efficacy of medicinal materials Authentic medicinal materials are more and more popular The production of rare medicinal materials is less and less We should protect the growth environment of wild Chinese medicinal materials, ensure the production quality and quantity of authentic Chinese medicinal materials, and control the quality of Chinese medicinal materials at the source The benevolence of doctors, relying on the tradition and facing the modern era, is the guideline that every enterprise should follow under the background of promoting traditional Chinese medicine To ensure the quality of traditional Chinese medicine, it is more important to provide authentic traditional Chinese medicine for consumers Huiren Pharmaceutical Co., Ltd near Jiangxi Province has also guaranteed the quality of drugs from the aspect of product quality through the layout of rare drug producing areas and the optimization of modern production technology of Chinese patent medicine For example, ginseng, Panax notoginseng and Panax quinquefolium belong to the genus Panax, and they have good consanguinity, but the drug resistance is obviously different, and the growth environment is obviously different Ginseng has a strong color of Chinese culture, which is mentioned in many martial arts novels It originated in the Changbai Mountains in the northeast of our country, radiates northward to the Xing'an Mountains, southward to the Songliao plain, and westward to the Inner Mongolia grassland In addition, North Korea and South Korea are also major ginseng producing areas The main function of ginseng is to nourish and strengthen the body Some people use ginseng to burn the fire If you are in a normal state, you don't need it Panax notoginseng grows in the south Its main function is to stop bleeding and promote blood circulation In the traditional history, Panax notoginseng is mainly used in surgery Many ancient books record that Panax notoginseng plays an important role in vascular diseases, which can promote blood circulation and stop bleeding At present, most of the Panax notoginseng products we see in the market are focused on the treatment of cardiovascular and cerebrovascular diseases Cardiovascular and cerebrovascular disease is a very prominent category of diseases, the death toll has exceeded the death toll of tumor In May 10, 2016, our national cardiovascular disease research center published information about the incidence rate of cardiovascular and cerebrovascular diseases and medical expenses in our country The report shows that cardiovascular disease, cerebrovascular and diabetes have risen to the top in China Human beings can win a battle of diabetes, but they may lose a war of diabetes, because in the field of clinical control of blood sugar, the major harm to human beings is the complications of diabetes One of the potential clinical values of traditional Chinese medicine in the future is to treat diabetes by Invigorating Qi, promoting blood circulation and removing blood stasis, clearing away heat and detoxification We are trying to actively cooperate with clinical development and modern medical treatment related vascular disease drugs, as well as mechanism research American ginseng is native to North America Its nourishing effect is not as strong as ginseng, and its blood activating effect is not as good as Panax notoginseng, so it is generally used peacefully In terms of plant classification, the proportion of main components is different, resulting in different drug properties, so the clinical value and clinical application focus are different At present, ginseng, Panax notoginseng and Panax quinquefolium are faced with the most technical problems Replanting in the source will affect the production and quality of medicinal materials, so rotation is also a problem to be overcome In the ancient Chinese medicine manufacturing process, the processing process highlights the spirit of craftsman, and must strive for perfection in the processing of each medicine Some traditional Chinese medicine can change its properties through processing, some have other characteristics, and the whole pharmaceutical process is full of wisdom in ancient times The same old adage also said that although some drugs are more expensive, they can not be reduced in the use of drugs, which reflects that the quality of the drug dosage must meet the clinical needs I firmly believe that if we follow the traditional ancient maxims and modern scientific research to ensure the quality control in the process of processing, manufacturing and industrial production of traditional Chinese medicine, we will be able to provide products for the market or consumers At present, we have also seen that many wild medicinal materials are endangered, and a large number of medicinal materials start to provide demand through artificial planting If we plant medicinal materials from the source, seeds and seedlings, we can guarantee the quality of the medicinal materials of the products If we can use more modern science and technology in the cultivation of traditional Chinese medicine, there will be no problem in the supply of traditional Chinese medicine for the market Again, through technical