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女孩因泥石流受伤专家欲截肢 服中药后病愈出院--亲稳网络舆情监控室
2012-10-18
图为天津市和平区劝业场街社区卫生服务中心副主任医师尹淑华在给患者拔罐。
The graph is tianjin heping district QuanYeChang street community health service center of doctor of vice director of YinShuHua in give patients drawing tank.
李世琦摄
LiShiQi perturbation
正规中医不愿用,民间中医私下用—— Regular doctor of traditional Chinese medicine is not willing to use,Folk in traditional Chinese medicine with --
中医偏方灵不灵(聚焦·如何看待中医偏方(上)) The doctor of traditional Chinese medicine folk prescription spirit hard(How to treat the folk prescription of traditional Chinese medicine focus ·(on))
本报记者 王君平 Our reporter WangJunPing
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流传于民间的偏方,偏离于中医主流之外。由于缺乏足够重视,慢慢不为人所知,甚至失传
Spread in the folk folk prescription,Deviation in the mainstream of traditional Chinese medicine.Due to the lack of enough attention,Slowly not known,Even lost
甘肃省卫生厅厅长刘维忠有一套全新的医改思路:用尽可能少的费用维护群众健康,走中医特色的医改之路。他曾在全省推广中医偏方、验方,最为著名的就是“猪蹄汤”,并因此被称为“猪蹄厅长”。
Gansu province health department director LiuWeiZhong has a new medical reform ideas:Less as possible the cost of the health maintenance,Walk the road of the characteristic of traditional Chinese medicine medical reform.He was in the promotion of folk prescription of traditional Chinese medicine/prescription,The most famous is"Pigs feet soup",And so called"Pig head of".
刘维忠说,猪蹄汤既是家常菜,也是治病的良药。2011年,有名甘肃画家突发脑溢血,昏迷不醒,省领导给刘维忠打电话,要求全力抢救。老中医开了安宫牛黄汤,又同时给患者通过胃管灌了猪蹄汤,很快解除了病危。
LiuWeiZhong said,Pigs feet soup is home cooking,Is the medicine of the cure.In 2011,,Gansu province famous painter he suffered a brain hemorrhage,unconscious,Provincial leadership LiuWeiZhong to make a phone call,Requirements to rescue.The old doctor of traditional Chinese medicine opened bezoar chest functioning soup,And at the same time give patients through the stomach tube filling the pig's feet soup,Quickly remove the terminally ill.
17岁小女孩苏凤雷的脚在舟曲泥石流中压了十几个小时,脚上肉全烂掉了,踝关节周围的皮肤、肌肉环形撕脱,神经血管均损坏严重,骨头已经发黑。西医专家决定截肢,老中医主张保脚,开了内服外用的中药,喝猪蹄汤,喝黄芪水。24小时后,脚上的干肉开始渗血了。48小时后,西医专家会诊说,90%的可能是不用截肢了,因为开始长肉芽了。后经取皮移植,3个月后病愈出院。
17 years old girl SuFengLei feet in the boat song debris flow medium pressure for ten hours,Feet all meat is rotten,Ankle surrounding skin/Muscle ring avulsed,Nerve blood vessels are damaged seriously,Bones have black.Western medicine experts decided to amputation,The old doctor of traditional Chinese medicine claims the feet,Open the internal and external administration of traditional Chinese medicine,Drink pigs feet soup,Drink astragalus root water.After 24 hours,Feet dry meat began to seepage blood.After 48 hours,Western medicine specialists said,90% of may be not the amputation,Due to the long granulation.By take after skin grafting,Three months after hospital discharge recover.
记者见到了正在兰州读高中的苏凤雷,从她走路的样子,已经看不出曾经受过伤,尽管还不能像其他同学一样上体育课。她告诉记者,她长大要学中医。
Reporters saw is lanzhou read high school SuFengLei,From her appearance walk,Already can't see had been hurt,Although is not like other students in physical education classes.She told reporters,She grow up to learn the doctor of traditional Chinese medicine.
一般来说,中医有五方:经方、偏方、单方、验方、时方。经方、验方是由历代著名医学大师在治病过程中总结出来的处方用药,是医生在辨证诊治理论指导下而运用的处方,偏方、单方则是民间流传而缺乏理论指导的处方。时方与经方相对,汉代以前的方剂称为经方,而汉代张仲景以后医家创制的方剂为时方。验方与偏方类似,一般是民间的方子,不是古代医书上的流传方,但验方是在临床反复使用证明有效的方剂。
Generally speaking,Doctor of traditional Chinese medicine have five party:The party/Folk prescription/unilaterally/prescription/When side.The party/Prescription is by all previous dynasties famous medical master in cure process concluded a prescription medicine,Is a doctor in the differentiation of symptoms and signs treatment under the guidance of theory and the use of prescription,Folk prescription/Unilateral is folk history and lack of theoretical guidance prescription.The other, and the relative party,Before the han dynasty the formula is called the party,After the han dynasty and ZhangZhongJing necessary prescriptions created is square.Prescription and folk prescription similar,The general is a folk prescription,Not the ancient books, the spread of the party,But prescription is in clinical use repeatedly proved effective prescription.
流传于民间的中医偏方、验方,偏离于中医主流之外。中日友好医院中医内科首席专家晁恩祥从医50年。在他的从医经历中,就没用过民间的偏方、验方。一些三级中医院的医生也表示,他们基本不用民间的偏方和验方。
Spread in folks of doctor of traditional Chinese medicine folk prescription/prescription,Deviation in the mainstream of traditional Chinese medicine.The sino-japanese friendship hospital internal medicine of traditional Chinese medicine ChaoEnXiang chief expert medical profession 50 years.In his working experience,It used folk folk prescription/prescription.Some tertiary hospital of traditional Chinese medicine doctor also said,Their basic need not folk folk prescription and prescription.
中医偏方、验方由于缺乏足够的重视,慢慢不为人所知,甚至失传。在井冈山偏僻山区,有一农妇用草药研粉内服避孕,效果很好,特别神奇的是,服用她所配制的避孕药后,如果又想生育,农妇尚有一味解药,服后可恢复生育功能。这位农妇的避孕药,既很灵验,又无毒副作用。国医大师朱良春感叹说,可惜她的验方秘不外传,农妇与偏方老死山林,回归自然了!类似者,不胜枚举。
Folk prescription of traditional Chinese medicine/Prescription due to lack of enough attention,Slowly not known,Even lost.In the jinggang mountains remote,A woman with herbal mortar powder internal use birth control,Effect is very good,Special magical is,Taking what she prepared after pill,If I want to birth,Countrywoman still blindly antidote,Suit can restore fertility function.The women's contraceptive,Is very efficacious,And non-toxic side effects.GuoYi master ZhuLiangChun exclamation said,But her secret prescription is not exported,Countrywoman and folk prescription trees die a natural death,Back to nature!Similar person,Too numerous to mention one by one.
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民间偏方就地取材,不仅花钱少,还能解决西医无法解决的问题。但是,中医偏方要想发挥更大作用,还需要政府扶持
Folk folk prescription use local materials,Little money not only,Also can solve the western medicine can't solve the problem.but,The doctor of traditional Chinese medicine folk prescription to play a bigger role,Also needs the government to support
贾先生因吃海鲜出现皮肤过敏,浑身瘙痒难忍。在西医院经过一段时间的治疗,丝毫没有减轻。朋友找来一个偏方:绿豆和甘草分别煎水,煎好后将两者混起来喝。说来也奇怪,一晚上连着喝了好几杯,上了几趟卫生间。天亮时,皮肤上的红肿消退大半。再喝了两天,贾先生的皮肤病就痊愈了。
Mr Jia for seafood occurrence skin allergy,Whole body itch difficult to endure.In XiYiYuan after a period of treatment,Hasn't reduce.Friends find a folk prescription:Mung bean and liquorice decoction water respectively,Fried will both mixed up to drink.Oddly enough,One night several cup to drink,In the several trips to toilet.At daybreak,On the skin of a half red subsidise.Drink another two days,Mr Jia skin disease was healed.
类似的灵验偏方还有很多。例如,饭团、艾叶捣烂,用火烧焦泡水吃,治小儿呕吐和腹泻;艾叶、葱白捣烂,用白酒炒热敷脐上,治腹泻腹痛……甘肃省敦煌市卫生局中医科王多祥介绍说,民间偏方就地取材,不仅花钱少,还能解决西医无法解决的问题。
Similar works folk prescription there are many.For example,Rice cake/Ai foliaceous pound,Burned with fire bubble water to eat,For pediatric vomiting and diarrhea;Argy wormwood leaf/Fistular onion stalk pound,Use white wine Fried hot compress on the umbilicus,Cure diarrhea abdominal pain...Dunhuang city, gansu province health bureau king of traditional Chinese medicine department more auspicious said,Folk folk prescription use local materials,Little money not only,Also can solve the western medicine can't solve the problem.
中医验方看起来简便,但往往有特殊的功效。2010年夏天,舟曲泥石流发生后,天气炎热,救灾初期停水停电,饮用水都成了问题,更谈不上洗澡。救灾的解放军战士和当地群众烂裆、烂皮肤。甘肃省著名中医、兰州大学第一医院刘东汉教授开了一个方子:黄柏加苍术,就两味药,用大铁锅煮,将药汁分给患者,请他们直接涂抹于患处,然后撒上滑石粉,仅用3—4天就有效解决了这一问题。而刘东汉教授所献处方已被中国军事博物馆收藏,作为永久展览之用。
The doctor of traditional Chinese medicine prescription look easy,But often have special efficacy.In the summer of 2010,Boat song after the occurrence of debris flow,Hot weather,The early relief of water power failure,Drinking water has become a problem,Much less to take a shower.The relief of PLA soldiers and local people rotten fork/Rotten skin.Gansu province famous doctor of traditional Chinese medicine/Lanzhou university first hospital LiuDongHan professor wrote a prescription:HuangBaiJia rhizoma atractylodis,Two taste medicine,With a large iron pan boil,Will medicine juice to patients,Please they direct smear on the affected part,Then and talcum powder,In only 3-4 days is effective in solving the problem.And LiuDongHan professor offering prescription has been China's military museum,As a permanent exhibition purpose.
据统计,舟曲泥石流时,治疗抑郁症、皮肤湿疹、感冒、腹泻的中药,每人份平均两毛钱,每人总共治疗费用不足1元钱。
According to the statistics,Boat song when debris flow,Treatment of depression/Skin eczema/cold/Diarrhea medicine,Each person average of two cents,In each treatment costs less than one yuan.
中医药事业国情调研组执行组长陈其广说,一般来说,中医验方价格都比较低廉,使用者不能获得相应的经济收益,可能成为提高收入的障碍。在目前的医疗体制下,简、便、验、廉的中医验方可能会因收益不佳,而被弃之不用。中医验方、偏方要想发挥更大作用,政府必须给予扶持,尤其是将其纳入医保报销范围。
Traditional Chinese medicine career situation research group executive team leader ChenJiGuang said,Generally speaking,The prescription of traditional Chinese medicine price is cheap,Users can't get the corresponding economic benefits,May become obstacles to raise revenue.In the present medical system,Jane/and/test/Cheap Chinese medicine prescription may be due to poor earnings,And be abandoned.Prescription of traditional Chinese medicine/Folk prescription to play a bigger role,The government must support,Especially be included in the scope of medical insurance to submit an expense account.
在甘肃省武威市凉州区黄羊卫生院,楼道里挂满了各类食疗偏方,“加上苦瓜与南瓜,红薯山药亦逞强”;“若要不失眠,煮粥添白莲”……在二楼的住院病房,记者见到了66岁的大墩村柯文秀老人,她患有严重的类风湿病,手背肿得像面包,指压就会陷出一个深坑,双手抬不起来洗脸,更别说是梳梳头发。除了推拿扎针灸外,中医师邱国红为她用上中医验方。这是种间接的药物疗法,先将乌蛇、透骨草等多味中草药研成药末,放在黄色布袋中,微波炉加热7—8分钟,隔着毛巾放在膝关节处热敷,感觉不热就去加热,每次保持1小时以上。柯文秀老人想不到,连着用5天,她的双臂已经运用自如。做一次只需要7元,全部纳入报销范围。在甘肃省,这样的中医适宜技术100%可以报销。
In gansu province WuWeiShi liangzhou district dzeren health center,Hanging in the corridor with all kinds of dietotherapy folk prescription,"Add balsam pear and pumpkin,Sweet potato yam also strengthened themselves";"If not insomnia,Cook porridge add white lotus"...On the second floor of the hospital ward,Reporters saw the 66 - year - old big pier village KeWenXiu old man,She was suffering from serious kind of rheumatism,The back of the hand is swollen like bread,Refers to the pressure will trap out a deep pit,Hands wash a face lift,Not to mention the comb your hair.In addition to massage pierced the acupuncture and moxibustion,Traditional Chinese physician QiuGuoGong use traditional Chinese medicine prescription for her.This is a kind of indirect drug therapy,First the black snake/Speranskia tuberculata and many kinds of Chinese herbal medicine research at the end of the medicine,On the yellow bag,The microwave 7-8 minutes,Across the towel on knee hot compress,Don't feel hot will go to the heating,Every time keep more than 1 hour.KeWenXiu the old man thought,Connecting for five days,Her arms have use it freely.Do one need only 7 yuan,All included in the scope of submit an expense account.In gansu province,Such a doctor of traditional Chinese medicine "appropriate technology" 100% can submit an expense account.
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无论是中医偏方还是验方,首先看它是否合乎医理,是否符合君、臣、佐、使的用药规则,其次看它的适用范围
Whether the doctor of traditional Chinese medicine folk prescription or prescription,First of all to see if it fulfills the principles of medical science,Conform to king/minister/with/Make use of the rules,Then look at its applicable scope
“一个乌梅二个枣,七枚杏仁同碎捣。男酒女醋食下之,不害心痛直到老。” “一片萝卜三片梨,七枚红枣一块姜,藕节三个一齐炖,此是咳嗽立止方。”晁恩祥说,《内经》将处方用药的基本结构形式概括为君、臣、佐、使。君药是在处方中发挥主要治疗作用的药,臣药是协助君药发挥治疗作用。无论是中医偏方还是验方,首先看它是否合乎医理,是否符合君、臣、佐、使的中医用药规则,其次看它的适用范围。
"A dark plum fruit two dates,Seven pieces of almond with broken incompletely.Male and female wine vinegar of food,Don't harm heartache until old." "A piece of radish three piece of pear,Seven pieces of red jujube a piece of ginger,Nodus nelumbinis rhizomatis three stewed together,This is a cough made check party."ChaoEnXiang said,[classic]The basic structure of a prescription medication will form summarized as king/minister/with/make.Gentleman medicine is in the prescription plays the main therapy effect of medicine,Official medicine is to assist gentleman medicine play therapy effect.Whether the doctor of traditional Chinese medicine folk prescription or prescription,First of all to see if it fulfills the principles of medical science,Conform to king/minister/with/Make the treatment of Chinese medicine rules,Then look at its applicable scope.
人们经常说,偏方治大病。这是因为偏方中可能蕴含着现代医学所不能认识到的作用机理。近现代中国中医学家张锡纯认为,中医讲辨证施治,强调因时因地因人给予不同的方药。同一临床表现,人不同,地不同,时不同,治疗方法也不同。他说,经方极可贵,时方有妙用,验方治专病,秘方治顽症,偏方治大病。
People often say,Folk prescription to a serious illness.This is because the folk prescription may contain modern medicine can realize the action mechanism.In the modern China medical ZhangXiChun think,The doctor of traditional Chinese medicine speak pattern identification and treatment,Emphasize also because of the person different formulae given.The same clinical manifestations,Person is different,different,different,Treatment is also different.He said,The party is extremely,When side have magical effect,Prescription to ZhuanBing,Secret recipe to persistent ailment,Folk prescription to a serious illness.
陈其广认为,西药是大样本,在空间上校验共性;而中药是小样本,在时间上检验个性。小样本和大样本统计,二者没有可比性。中医验方的有效性不能用西药的标准来评价,其安全性和有效性,主要通过时间来检验。
ChenJiGuang think,Western medicine is large sample,In space check commonness;And traditional Chinese medicine is small sample,In time inspection personality.Small sample and large sample statistics,Both are not comparable.The effectiveness of TCM prescription can't use western medicine standard to evaluate,Its safety and effectiveness,Mainly through the time to test.
陈其广不无担忧地说,中医验方尽管有疗效,但只限于民间流传个人试用。如果要推广的话,资金市场都是迈不过去的坎。即使是开发成院内制剂的话,光是药理、毒理实验做下来,就需要30万—50万元。如此下去,中医验方可能永远没有出头之日。
ChenJiGuang not worry to say,The doctor of traditional Chinese medicine prescription despite the curative effect,But only folk history individual trial.If you want to promote words,Capital market is not exceed the past hurdles.Even if is to develop into a hospital preparation words,Light is pharmacological/Toxicology experiment do down,Will need to 300000-500000 yuan.So down,The doctor of traditional Chinese medicine prescription may never have one's day.
中医偏方、验方不受重视,主要和我国执业医师制度和药品管理法有关。陈其广分析说,中医偏方验方多来自民间,公立中医院的医生有严格执业医师的操作规范,他们所开的药品要符合药品法的规定。而掌握中医验方偏方的民间医生,因为没有执业医师执照,要用偏方验方为患者治病,属于无照行医或者非法行医。在相关政策的制约下,民间中医日渐萎缩,从业人员越来越少,偏方和验方应用空间越来越小,逐渐将不为人所知。
Folk prescription of traditional Chinese medicine/Prescription ignored,The main and practicing doctors in China pharmaceutical administration system and relevant.ChenJiGuang analysis said,The doctor of traditional Chinese medicine folk prescription from folk prescription,Public hospital of traditional Chinese medicine doctor practicing doctors have strict operation specification,They open drugs must comply with the drug of the provisions of the law.And master the doctor of traditional Chinese medicine prescription folk prescription folk doctor,Because there is no practicing physician license,Want to use folk prescription to cure the prescription of patients,To belong to without according to practice medicine or illegal medical practice.In the related policy under the control of,Folk traditional Chinese medicine increasingly atrophy,Employees less and less,Folk prescription and prescription application space more and more small,Gradually will not be known.
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