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Chinese medicine needs inheritance and needs more innovation

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Lin Ruichao Quanzhou, Fujian, professor, French pharmacy doctor. He is currently the Dean of the School of Chinese Medicine, Beijing University of Chinese Medicine, the doctoral tutor, the director of the Beijing Key Laboratory of Quality Evaluation of Traditional Chinese Medicine; the traditional medical consultant and expert of the World Health Organization; the foreign academician of the French National Academy of Pharmacy; the executive committee of the National Pharmacopoeia Commission and the Chinese medicine expert committee Chairman. He has served as an associate professor at the University of Dijon in France, a consultant to the Beijing Municipal Government, and a council member of the Chinese Pharmaceutical Association; the chief expert of Chinese medicine testing at the China Food and Drug Administration Institute and the director of the Chinese Medicine National Drug Testing Institute.

On December 6, the Chinese government published a white paper entitled "Chinese Medicine in China." The results of the fourth China National Image Global Survey conducted by the China Foreign Languages ​​Administration's Center for External Communication Research show that compared with the first survey in 2012, Chinese medicine was considered the most representative Chinese element for the first time, with a selection ratio of 50. %. Chinese medicine has become a beautiful business card for China overseas.

However, the quality of traditional Chinese medicines is mixed, and the worry that "Chinese medicine may die from Chinese medicine" is even worse. Some Chinese medicines are restricted or prohibited from being imported overseas because of so-called "toxicity" or side effects. On December 9, our reporter interviewed Lin Ruichao, a traditional medical consultant of the World Health Organization and dean of the Chinese Medicine College of Beijing University of Chinese Medicine.

How to standardize the development of Chinese medicine?

Picking up from the source of medicinal materials

The quality of Chinese medicine and the safety of medication have always been of concern, and standardized production is considered to be one of the key measures to solve this problem. The white paper entitled "Chinese Medicine in China" just released mentioned that the standard system of Chinese medicine has been initially formed, with a standard number of 649.

Why is the development of Chinese medicine standardization and industrialization important?

“This is determined by the size of China’s rapidly growing population.” Lin Ruichao said that from the 450 million in 1949 to the current 1.3 billion, the demand for Chinese medicine is increasing, and some varieties of wild herbs have been difficult to meet the public. The demand for medication, so it is necessary to carry out standardized cultivation and production of traditional Chinese medicine.

The production of standardized standards for traditional Chinese medicine has actually started very early. Since the 1990s, the state has introduced many specifications for the development and production of Chinese medicine. For example, the “Non-Clinical Research Quality Management Regulations for Drugs” (referred to as GLP, implemented in 1999) for the pre-clinical development of drugs, and the “Quality Management Regulations for the Production of Chinese Herbal Medicines” (referred to as GAP, implemented in 2002) for regulating the cultivation of medicinal materials.

"Now, we emphasize that the standardized production of traditional Chinese medicine should be started from the source of medicinal materials production. For wild medicinal materials, we must standardize harvesting and do a good job in surrounding ecological environment management; for cultivation of medicinal materials, we must standardize planting, harvesting, processing, transportation, etc. In the middle, it must be processed and processed into pieces to be used as medicine. Lin Ruichao said that the manufacture of medicines is constantly regulated with the advancement and development of science and technology.

"Chinese medicine died in Chinese medicine"?

Chinese medicine and Chinese medicine should work together

Pesticide residues, heavy metal content exceeded the standard, the efficacy decreased... The quality of Chinese herbal medicines directly affects the image of Chinese medicine, and the industry even fears that "Chinese medicine may die of Chinese medicine."

"This is completely understandable, because there are good doctors, and it is very difficult to treat a disease without good drugs." Lin Ruichao said that people are worried that "Chinese medicine may die from Chinese medicine", mainly because of the uneven quality of Chinese medicine; but there is also one The problem - not all doctors can prescribe a good prescription, so the problem can not be completely attributed to Chinese medicine.

"Overall, Chinese medicine is a whole. The requirements of Chinese medicine should be met as much as possible. The Chinese medicine should also be understood as much as possible. Only in this way can the quality of Chinese medicine be put up, the efficacy can be guaranteed, and the safety can be put forward." Lin Ruichao said .

Then, how to ensure that the Chinese medicine industry “plants good medicines, produces good medicines, and builds good medicines”?

"Beijing Tongrentang has a 'motto': 'While the processing is complicated, it will not dare to save labor. Although the taste is expensive, it will not reduce the material resources.' This fully demonstrates the necessity of the traditional pharmaceutical theory and technology of 'concoction' for the quality of medicines. Importance." Lin Ruichao pointed out that there are four sources of traditional medicine in the world: ancient Greece, ancient Egypt, ancient India, and ancient China. Traditional Chinese medicine not only survives but also develops continuously. This stems from the fact that Chinese medicine has its own medical theory and pharmaceutical theory.

"The taste and cure of traditional Chinese medicine is unique to traditional Chinese medicine. It is the ancestors and predecessors who have explored through thousands of years of clinical practice. Many of the essences are gradually recognized with scientific progress." Lin Ruichao said that Wu The first medicinal material contains a diester type alkaloid, which is toxic, but after processing, the diester type alkaloid is degraded and becomes a non-toxic decoction tablet.

Lin Ruichao said that the manufacture of traditional Chinese medicine should adhere to the principle of "taking the ancients and not burying the ancients", not only inheriting and carrying forward the ancient laws, but also insisting on continuous innovation.

Who is studying Chinese and Western medicine?

Key to clinical efficacy

With the development of modern pharmaceutical industry, the research and development technology of Chinese medicine has undergone great changes, and modern medical technology and standards have played an important role.

Lin Ruichao believes that the theory of Chinese and Western medicine is different, but the same way. "I once said to colleagues in the French medical profession that Chinese and Western medicine should firmly believe that 'good medicine has good health' and should learn from each other and learn from each other's strengths."

In fact, in the course of development, Chinese medicine has always insisted on the rivers and rivers. "The frankincense and myrrh in Chinese medicine, China does not produce, they are all from Africa. For thousands of years, Chinese medicine practitioners have used it as a commonly used Chinese medicine." Lin Ruichao believes that the ultimate goal of Chinese and Western medicine research and development is health benefits and clinical Efficacy. "For the Chinese medicine industry, on the basis of this, we should speed up the research on the mechanism and material basis of Chinese medicine treatment by means of Western advanced medicine research and development techniques and methods."

Chinese medicine overseas is questioned as "toxic"?

Different medication experience and theory

It is worth noting that in recent years, Chinese medicine has encountered two very different situations overseas. On the one hand, Chinese scientist Tu Yu won the Nobel Prize for his research on "artemisinin", and Chinese herbal medicines such as cool oil were highly sought after overseas. On the other hand, some proprietary Chinese medicines containing aristolochic acid, such as animals (such as sputum) and minerals (such as realgar and cinnabar) are restricted or prohibited overseas.

Lin Ruichao said: "There are differences in drug use experience and theory. Some medicines do have toxic side effects, but they are also very effective." He said that Chinese medicine sources include plants, animals, and minerals. The ancestors and predecessors have been used for thousands of years based on clinical needs and based on the need for disease prevention and treatment.

"For example, there are many reptile animals. Why choose cockroaches and black-snake snakes instead of other ones? Because they can cure diseases. As to whether they are toxic or have a lot of toxicity, they are gradually recognized with scientific progress. Western medicine, which is dominated by chemicals, has only been in history for hundreds of years. Then, how many years have people treated the disease hundreds of years before the science and technology were underdeveloped? It depends on these animals, plants and minerals," Lin Ruichao said.

Lin Ruichao said that this contrast in the understanding of Chinese medicine overseas can be understood. This shows that we need to pay attention to the international spread of Chinese medicine and deepen the understanding of Chinese people about Chinese medicine. “A typical example is that arsenic contains arsenic and is toxic, but the ingredients extracted from it can treat some leukemias and are also made into injections. Not only China approves production, but the US Food and Drug Administration (FDA) also approves them. In clinical treatment. Therefore, many Chinese medicines that are considered to be toxic are still waiting for us to adopt a positive attitude to develop and recognize, rather than 'killing one'."

How is Chinese medicine internationalized?

The first is to practice internal strength.

How to polish this Chinese business card of Chinese medicine?

Lin Ruichao suggested that the internationalization of Chinese medicine should first cultivate its internal strength. Why can Chinese medicine cure diseases, knowing why they still know why. The government, enterprises, society, scientific research and education circles should not be impetuous, and should support and carry out basic research on Chinese medicine.

Second, Chinese medicine research and development technology should advance with the development of modern medicine. “For example, the Nobel Prize-winning artemisinin research, the experience of the ancestors is to use fresh vegetable juice, inspired by this, combined with modern technology, using organic solvent extraction. This shows that for some Chinese medicine that can promote the development of Chinese medicine Law, experience, we should combine modern technology to accelerate the pace of research."

Furthermore, it is necessary to fully publicize and introduce the characteristics of Chinese medicine to the international community. "For example, for the treatment of cervical spondylosis, rheumatoid disease, etc., Western medicine has no special effects. However, Chinese medicine has corresponding treatment techniques and methods. In fact, many people in overseas countries lack understanding, we need to Telling things wide."

"The international propaganda of Chinese medicine should adhere to the principle of seeking truth from facts. If it is a strength, it must be boldly stated. As for some weaknesses such as surgery, it is generous to admit that it will become an important part of international medical care without any bias or long-term merit. Lin Ruichao said.

These Chinese medicines are popular overseas

Cool oil contains camphor, peppermint oil, eucalyptus oil and other ingredients, cool and cool, refreshing, refreshing and itching.

Wind oil essence has the effect of reducing inflammation, relieving pain, cooling and relieving itching. It is a good health medicine for summer home travel.

Huoxiang Zhengqi Water is generally used to treat gastrointestinal colds such as diarrhea and vomiting caused by cold and dampness.

Yunnan Baiyao has a good effect on bruises and traumatic bleeding, and is widely welcomed by Central and Eastern European countries.

Ma Yinglong Hemorrhoids Cream The main ingredients are borneol, calamine, artificial bezoar, borax, artificial musk, pearl, amber, etc. It has the functions of clearing away heat and detoxifying and removing saprophytic muscle. It is mainly used for sore swelling and pain of anal fissure.