The old Chinese doctor in the courtyard

Chapter 445

Opinions are opinions, but Li Shengli also has his own opinions on Chinese medicine practitioners.

It is not difficult to train Chinese medicine practitioners in large quantities and industrially in the field of Chinese medicine, and it is even much simpler than Western medicine.

After memorizing a set of medical records and a general introduction to pulse diagnosis, it will take less than four years to train a Chinese medicine practitioner who can diagnose pulse and treat diseases.

But it’s hard to say whether this type of Chinese medicine doctor can treat diseases. If you are lucky, you will only encounter the diseases in the medical books, or you will only use what you know to treat the disease, and will not accept anything else. As your experience increases, , can also become a famous doctor.

But there is also a price to pay, and there are only so many people who know how to do it. The price that patients have to pay can only be described in terms of pain, and it is difficult for this type of Chinese medicine practitioner to know these costs.

But not knowing it doesn’t mean that the price has not been paid, it’s just that neither the payer nor the perpetrator is aware of it.

"Traditional Chinese medicine needs to be slowly classified as a science. This is what the newspaper said. I brought the newspaper. Although the views in it are ill-intentioned, they are not necessarily just rhetoric.

Science and traditional Chinese medicine are always incompatible. Within us, what we want to talk about is not science, but rigor.

Doctors and patients are a relationship where one cares about life and death, and the other devotes all his knowledge. In the early days, human life was like a piece of grass. A doctor would make several misdiagnoses a year, resulting in several lives. All he could do was to get rid of the consultation fee or pay two yuan. .

But things are different now. People-centeredness is the foundation. Since Chinese medicine is a life-saving study, patients cannot be misdiagnosed because they do not know enough.

In the past, Chinese medicine was mainly for the sake of food. In the future, Chinese medicine will take saving lives and healing the wounded as its own responsibility.

Under this premise, as long as the conditions are sufficient, the requirements for Chinese medicine doctors will only become more and more stringent. Although half-baked doctors can cure diseases, they can also kill people.

This is a matter of stance, consciousness and starting point, not whether it is difficult or not.

You may have read the report on Barefoot Doctor. If you haven’t, please read it together with the newspaper here.

From now on, those who study Chinese medicine will be called barefoot doctors if they are not qualified. Only those who are qualified can be called doctors of Chinese medicine.

We need to raise the threshold and increase the requirements for ourselves. Why should we return to our roots? It is to quantify what we use!
Chinese medicine cannot be quantified, which is also sophistry. There are theories in Chinese medicine classics and dosages in prescriptions. How can it not be quantified?

It cannot be quantified. It is just a modified statement. Empirical medicine is also good. Without quantification, what diseases can be cured and how many patients have been treated have become established standards.

But this is wrong. Although traditional Chinese medicine does not need to be scientific, it must be standardized. It involves the life and death of patients, and it must be rigorous. "

The standard is what Li Shengli thinks needs to be changed. In the process of returning to the roots and simplifying the theory, there will be a theoretical reference for the use of medicine. After clarifying the properties of the medicine, there will be a dosage reference.

A prescription cannot be understood by outsiders, but can be understood by insiders. The dosage of medicine needs to be supported by medical science. Taking the road of quantification and theory-supported practice is also what Chinese medicine must do. changes.

This medicine cannot be replaced with other prescriptions. It is used to treat diseases in a general way. With the development of technology and life, if there is a slight mistake, it will be regarded as a medical accident in the future.

This is also the reason why Chinese medicine is criticized. If we look into it more deeply, it turns out that the fundamental reason is that medical science is unclear.

Just like the distinction between typhoid fever and febrile diseases, the medical theories for the same disease are very different. There are hundreds of medicines for one disease, but it needs to be supported by solid medical theories, not specious records in classics, and more There can be no contradictory statements.

Among the prescriptions, large doses of poisonous medicinal materials such as aconite and pinellia are not unique to the Vulcan sect, but only the Vulcan sect can really use them. This is actually the crux of the unclear medical and pharmacological theories.

It is said in the book of Materia Medica that Aconite is a pungent and warm medicine with good walking properties, so it is an important medicine for clearing the twelve meridians and pure yang, and is a great medicine for cutting off barriers and seizing generals.

In actual medication, when aconite, pinellia and other prescriptions are needed, most Chinese medicine practitioners will think about it and either reduce the dosage or use more licorice and the like.

There is no other reason. The medicinal materials are poisonous, and if a mistake is made, people will die. There are personal interests involved, and the medical theory and properties of the medicine are unknown. Naturally, it is natural not to seek merit but to seek no fault.

Another example is the excessive use of gypsum by Li Shengli in the extension of Maxing Shigan Decoction. The amount of gypsum used in a normal prescription is about seven or eight yuan, even if he is bold enough to use too much medicine.

The reason is similar. The medicinal properties of gypsum are strong enough to hurt people, but this is calcined gypsum, and the medicinal properties of raw gypsum are even worse.

As for the amount of gypsum used in Maxing Shigan Decoction, Zhang Xichun's method is used. It is about one tael of gypsum for patients with exogenous excess heat. If the excess heat is severe, it will be increased to [-] or [-] taels depending on the disease.

Medical theory is that a slight cold cannot extinguish the heat caused by cold and warm. Once it is mentioned and explained, each has its own reason, and it is clear whether it should be used or not, and whether it can be used.

Even down to the details of the prescriptions, Li Shengli couldn't explain them. It was a unclear truth, and a brief explanation would be enough. It would only improve the theoretical basis of Chinese medicine practitioners.

In the eyes of everyone in the room, Li Shengli's words were quite idealistic, to use more fashionable words.

This is what happened, but it couldn't be done. According to this statement, these famous doctors and famous doctors in the room should at least half of them become barefoot doctors.

If you really train Chinese medicine doctors according to this method, if you start school at a young age and graduate at the age of 30, you are considered to be very powerful. If you can become a doctor in your 20s, you are undoubtedly a genius. Whether a normal person can become a doctor at [-] is still a question.

Go back to your roots and study medicine, identify the properties of medicines, then choose a field that suits you, and start studying medical books. If you can still pass this test, the doctor must be the best doctor, and he may become a famous doctor after graduation.

But the cost of cultivating talents is too high. Not to mention the cost of money and food, it is just the cost of time. Who can bear to let their children study for half their lives?Which organization would dare to open such a bottomless pit-like medical specialty?
“Many things still need to be down to earth.”

Looking at the old man standing up in the field, he should have said this to Gao Zhiyuan. This was to save face.

"We agree with this, but I don't know what to say above. Can the ministry and the department agree?"

This is a soft nail. With such a huge amount of education costs, the ministry and the department will definitely not dare to nod.

To set up a junior college, the semester would take at least tens of years. In serious terms, it would take almost 20 years. This is different from normal education. Who would approve such a school?

"If the ministry and department agree, then we will be fine, don't you think so?"

"I also support this statement. As long as the ministry and department nod, there will be no problem on my side."

After hearing Bai Sushan and Guo Shihuai's assists, Li Shengli smiled. The Ministry and the Department had no say in him. Although they did have it now, they would no longer have it after the summer.

The ministry and department will not be an obstacle to traditional Chinese medicine, but this group of people here can.

"Everyone, don't you feel that the world is very different from the past?

Department of Traditional Chinese Medicine, Research Institute of Traditional Chinese Medicine, four major Traditional Chinese Medicine hospitals, local Traditional Chinese Medicine hospitals and joint clinics in urban and rural areas.

Nowadays, there are more barefoot doctors taking root in the countryside.

In the past, the inheritance of traditional Chinese medicine was to treat diseases and save people, but it was also for the sake of food. Now it is also to treat diseases and save people, but with more theoretical research.The inheritance of one school after another will gradually be attributed to the ontology of the great inheritance of traditional Chinese medicine.

Otherwise, how can the ministry and division manage things in a unified manner?

The future path of traditional Chinese medicine will either be relegated to the great lineage and then branch out from the great lineage, or it will be banned.

If you cure someone to death, you can't take your sect's classics and tell the department, ministry, and police station that the ancients followed this, and you are not guilty of curing someone to death, right?
Some things are actually hard to say, but now, they have to be said.

May I ask who owns the world? "

The assists from Lao Bai and Lao Guo were of little use to Li Shengli, and the department had no say in the matter.

The reform of traditional Chinese medicine must start from the ideological changes of these famous old traditional Chinese medicine doctors from various places. The quantification and theory of traditional Chinese medicine are the key.

Once there is a commonly recognized theory, it will be classified into different factions in the future. Some things will be regained and some things will be discarded. This is also the path that must be taken.

The previous foundation of traditional Chinese medicine is not in line with the current environment. Inheritance is education. As the environment changes, the inheritance of traditional Chinese medicine must also change accordingly.

In the past, it was not required to pass all subjects, and it will not be mandatory in the future. However, geniuses who are proficient in all subjects still need to be cultivated. This is also the need for development.

In the past, judging whether one could practice medicine was based on whether one could cure diseases. Now that Western medicine is used as a reference, Chinese medicine should also be more formal.

It is not impossible to cure a disease by reading a medical book. This depends on the conditions. Nowadays, there is a shortage of doctors and medicines in various places, so such people are still very popular.

This will not happen in the future. Misdiagnosis will occur if there is systematic education, and misdiagnosis will inevitably occur if there is no systematic education. However, the nature of the two is different. The former is called a work error, and the latter is called a medical accident.

Because you haven't learned it yet, you get started with it, resulting in a misdiagnosis. This is a medical malpractice, and this is also a problem of the starting point.

Mistakes are acceptable, knowing mistakes are less acceptable.

The argument of turning inheritance into formal education is actually the most reasonable, but it is indeed not feasible in terms of education costs.

As far as training Chinese medicine practitioners is concerned, Li Shengli's statement is undoubtedly the best, but this time only the results can speak for themselves.

In the next ten years or so, a Chinese medicine intensive study class will be held, starting with the children who were still playing wildly in the hospital in the morning.

Li Shengli estimated that these children, regardless of their qualifications, should be able to become talented, because they are different from others. They have elders at home and cannot be given up easily.

For children who are disobedient, there are many ways to deal with them in the tradition of traditional Chinese medicine. According to the old saying, there is no distinction between children and children. If they don't learn well, their brains have not been fully enlightened.

Although this kind of disguised elite education is inconsistent with the general environment, Li Shengli didn't want to do it before, but things have come to him, and the choice of whether to do it or not is right there. If he doesn't do it, the abundant energy of these children will be wasted, right?
Seeing Li Shengli showing a not-so-kind smile to the child outside the window, Mr. Liu, who seemed to have the same feelings as him, stood up and said:

"We will have to wait and see whether it succeeds or not. I think the children you have brought are all smart. With the combined efforts of doctors from various schools, we should be able to teach a group of leading figures in the medical field.

However, let’s start with the ugly talk. You are all grandparents. Children should not be too arrogant and unable to study well. Beatings and scoldings are inevitable.

The child has already arrived, so there is no need to quit. If you make any mistakes in the future, please forgive me..."

Although Mr. Liu's words were not very polite, they were popular among the people. The oldest children outside were no more than seventeen or eighteen. If they could be taught by famous experts from various schools, their future prospects would be limitless.

Although there are some people here who are tired of beating their children, the general trend is such that for the sake of a bright future, it is appropriate for these children to suffer some hardships.

Li Shengli's statement was not unanimously agreed upon, but Master Liu's was. He looked at everyone with smiles on their faces.

Li Shengli also laughed heartily. With the supervision of his children and grandchildren, these people would not be able to make it without their own efforts.

Although disguised elite education is not advisable, the great inheritance of traditional Chinese medicine is such that without such elite education, there will be no talents. This is also an education model that must be chosen.

"Master Liu, this is a good statement. If possible, I will let you see the younger generation grow up with your own eyes.

If you still have children of appropriate age at home, you can make a phone call or send a telegram to call them. One person will be taught, and a group of children will be taught.

After that, I will also ask special academic staff to supervise their studies, so you must be mentally prepared for this.

There are no shortcuts in the journey of medicine. These children may suffer a little from memorizing by rote at the beginning.

Mr. Shi, I think you will be the one to hold the post of general academic affairs director? "

Looking at Li Shengli, who was smiling brightly, Mr. Shi, who was considered to be well-versed in the world, looked back at the doctors from all over the country who were still laughing with a wry smile. They were also reckless this time.

Teaching Chinese medicine to apprentices can of course be taught without distinction, but there are also prerequisites. In martial arts, there is a theory of winter training and summer training. The same is true for the inheritance of medical pulse. Corporal punishment is only a primary method.

In the hands of a skilled doctor, if some disobedient children are fed some herbs from the medicine cabinet, the taste will be much more sour and refreshing than corporal punishment.

Don't think this is a poisonous trick, it's just to let these children know the properties of the medicine. These famous doctors from all over the world may have forgotten the suffering they suffered when they were learning medicine.

Although the pie drawn by Li Shengli is good, what these children will face in the future is hell on earth. This is the disadvantage of being educated without distinction.

"Everyone, since I have become the chief academic officer, you still have to sign and pledge with me.

In the past, medical apprentices had to sign a contract. In the new society, we can't do this, but we still need to sign a contract that allows us to be beaten and scolded at will.

If you sign it, I will naturally give you a successor with a solid foundation in the future..."

The so-called "strike while the iron is hot" is nothing more than this. Taking advantage of his enthusiasm, Mr. Shi asked all the doctors to sign a contract of sale for their children and grandchildren. After that, everyone's gain will be if they succeed in learning, and it will be Mr. Shi's responsibility if they fail to learn.

"You are always trying to put me in front..."

Returning to one's origins cannot be finished in one day. Now that Mr. Shi has taken over the right to speak, Li Shengli is also happy and free. He has finished explaining all the general things.

After signing the documents, Shi Laolin said a meaningful sentence before leaving, and Li Shengli smiled back and let it go.

There is no need to rush when teaching children. The lessons will not start until they enter a valley or a mountain and cannot run away. Now we just let them slowly copy medical books by hand and get familiar with some studies...

(End of this chapter)