The old Chinese doctor in the courtyard

Chapter 716: Managing the World and Benefiting the People (Part )

"Dr. Wu, what's the use of saying it?

If I give you a recipe and results, would you dare to use them without proof?
Children's Hospital is not a barefoot doctor down there, it has its own rules. "

Li Shengli's explanation left Dr. Wu speechless.

Despite the fact that many hospitals nowadays use Western medicine mixed with Chinese medicine, the medication is not very clear.

But it's not clear, it's for the patient.

Among doctors, there are no major problems when using traditional Chinese medicine methods for diagnosis and treatment.

But in hospitals, traditional Chinese medicine cannot be used casually without permission.

At most, some Chinese and Western doctors can give patients suggestions on where to take some traditional Chinese medicine.

It is not so easy to buy traditional Chinese medicine preparations directly from the outpatient clinic, and this comes from the 58 years of United Chinese Medicine.

In places like children's hospitals, in addition to acupuncture and massage, there are indeed restrictions on the use of other traditional Chinese medicine preparations.

Now that the generals are here, many people want to carve out territory and rule it.

He comes from a humble background, so naturally he won't care about the interests of academic circles.

After listening to Li Shengli's instructions to Mr. Lu and Mr. Wang, Lao Wu's face darkened, he changed his name, and asked about the scope of the barefoot doctor's medication.

Whatever you say, in many projects, Big Brother’s assistance back then was still heartfelt, although there were many small thresholds.

If we take the Liuju Powder and Fritillaria Gualou Powder mentioned by Lao Wang and combine Chinese and Western medicines, I'm afraid the doctors will have objections, because it has nothing to do with what they have learned.

Let alone traditional Chinese medicine preparations, even Dabai tablets are not cost-effective.

When it comes to traditional Chinese and Western medicine with the largest coverage, it is still the barefoot doctors below, but their professionalism needs to be improved.

It is becoming more and more standardized and more and more capable, which is what the question should mean.

To put it bluntly, no matter what kind of illness you encounter, if you pass a piece and a half of Dabai, it will probably be effective.

With the help of the Dharma book "One Piece of Da Bai Da Tian Xia", antipyretic and analgesic tablets, metamizole and other drugs are the most commonly used drugs by barefoot doctors.

When asked by Lao Wu, Li Shengli did not cover up the nondescript nature of the barefoot doctor.

Most of these costs are borne by medicinal companies in various places.

If we look at the solidification of interests, wind and rain are still necessary.

It’s useless to ask…”

Medications other than antipyretics and analgesics. "

In addition to Dabai tablets and anti-inflammatory drugs, acupuncture is also a common method. As for Chinese herbal medicine, barefoot doctors are generally not qualified to use it.

For many things, Wang Qianjin's godmother's words are more effective than anything else. Sometimes, even the leadership office has to stay away.

"You know what I want to ask about is Chinese herbal medicine prescriptions."

After being swept away by the wind and rain, it was not a bad thing in Li Shengli's opinion.

It's not accurate to say it's a restriction. It's a restriction because it's not allowed to be used.

Although the promotion of Chinese herbal medicine preparations can be discussed on the table.

Seriously speaking, the Children's Hospital is owned by Su Yuan, and Lao Gu also learned the basics of polio pills from Big Brother.

“Doctor Li, what kind of medicine does Barefoot Doctor use down there?

Lao Wu's question made Li Shengli smile. This involved some non-administrative issues.

In addition to the Children's Supreme Tablets, there are a limited number of Chinese patent medicines.

Only barefoot doctors who have been approved by correspondence and have written authorization can go to medicinal companies or relevant units with relevant certificates to receive limited Chinese medicine preparations. "

Lao Wang's difficulties were also his difficulties, and Li Shengli's explanation also spoke to his mind.

The standards for this price vary from place to place, but it is simply not enough to meet the ex-factory price of medicines.

For example, there is the issue of medication by barefoot doctors. Barefoot doctors treat illnesses and administer medications down there. Although they charge money, they charge based on the amount of medical subsidy.

Especially those barefoot doctors who use antipyretic and analgesic tablets, which have the functions of relieving the skin, causing sweating, relieving pain, and reducing inflammation. For ordinary minor ailments, even if they are not cured by medicine, they are not harmful to people.

Nowadays, the following sulfonamide tablets are better, and it is difficult for sulfamethoxazole to be popularized.

“The main recommended drugs are antipyretic and analgesic tablets, metamizole, sulfonamide tablets, and sulfamethoxazole.

Without wind and rain, many areas would become the private territory of some people.

"Dr. Wu, this is just like Mr. Wang in Lu trying to swallow his anger, you can't do it.

The following barefoot doctors slowly gained experience, adding prescriptions for anti-inflammatory drugs and acupuncture, as well as local barefoot doctor training classes and correspondence education.

It's just that there are obstacles on their own roads, and Lao Wu just felt a little indignant.

Some Chinese patent medicines at the Children's Hospital are considered by many to be a huge concession to traditional Chinese medicine.

Dr. Wu, a barefoot doctor trained in traditional Chinese medicine classics, mainly uses western medicine. Do you believe this?

But with a little external effort, core technology can still be obtained here.

As for traditional Chinese medicine preparations, most of them are provided to barefoot doctors for free, which can be regarded as a transfer.

But when it comes to Lao Gu and Er Wu, it will always give them some bad associations.

"I just want to ask how the medicinal materials are distinguished and allocated."

This time it was Li Shengli's turn and he didn't want to talk, so Lao Wu came to ask questions.

There was also discussion among the Wu brothers about the situation of the barefoot doctor below.

During the discussion, the four brothers were not very optimistic about the effects of traditional Chinese medicine preparations.

Although Chinese medicine can cure diseases, it is only for Chinese medicine.

For barefoot doctors, using traditional Chinese medicine to treat diseases is technically difficult.

"This is easy!
Allocate medicines based on the stocks of medicines from medicine companies in various places.

You also know that there are levels of screening in the export of Chinese medicinal materials.

The current situation is that first-class products are exported, and second-class products are allocated to medicinal companies, traditional Chinese medicine hospitals and pharmacies in various places.

There are also some Chinese herbal medicines that are considered to be substandard products and are not suitable for sale as medicines.

And there are a lot of stocks of this part of medicine.

I asked the medicinal materials companies in various places to report it, and based on the use of Chinese medicinal materials in various places, Pu Lao and others would come up with prescriptions based on the medicinal materials and make appropriate compatibility.

Some of these accumulated substandard medicinal materials are distributed to barefoot doctors in the form of medicinal materials.

The other part that is really not suitable for use as medicinal materials is crushed and mixed according to the prescription and compatibility to make a prescription and distribute it to the barefoot doctor.

After mixing these crushed medicinal materials, some of them are not as good as the original prescription, but they are still quite effective.

Also meets the following medical conditions.

In general, allocating medicinal materials in this way not only reduces waste, but also enriches the types of medicinal materials in the hands of barefoot doctors and the scope of treatment.

After several years of trial use, the results achieved are pretty good.

It’s just that this one has little promotion value. We still have to see how we plan for the future..."

The semi-finished medicinal materials allocated to Barefoot Doctors are not only the basis of the pharmaceutical company's inventory, but also the types of prescriptions that will be sold in the international market in the future.

The medicine used by Barefoot Doctor was just a test, and the current test results are pretty good.

There will always be a day when the wind and rain stop. This kind of allocation method is not feasible under normal circumstances.

Although traditional Chinese medicine is somewhat inconsistent with the marketization of medical drugs, it also has its marketization side.

Pure allocation methods are not impossible, but they will destroy the few market-oriented aspects of traditional Chinese medicine. The promotion of non-administrative measures during the storm can only be regarded as making up for the poor medical conditions in rural areas.

When things get really normal, things will be done as they should be.

Without marketization, the foundation of traditional Chinese medicine will be shaken.

Li Shengli's explanation made old Gu Erwu fall into silence. This was a remarkable thing.

"Mr. Li, my father often said that studying medicine requires managing the world and benefiting the people.

I thought that managing the world and benefiting the people meant learning medical skills and saving more patients, and this is what I have been doing for the rest of my life.

Now that I have seen your methods and listened to Lao Wang's story, I now understand what my father said back then, what is it to manage the world and benefit the people.

Mr. Li, you have learned a lesson! "

After Lao Wu said this, he stood up with Xiao Wu and bowed to Li Shengli, who was sitting in the middle.

There were some things that Li Shengli didn't say, but Lao Wu was also aware of his methods. Although he was not on the stage, he was praised for enduring humiliation and bearing heavy burdens.

On the way of managing the world and benefiting the people, Li Shengli, a traditional Chinese medicine doctor, also achieved what traditional scholar-officials said: "Advancing principles and benefiting at the same time."

Although he may have some flaws as a person, he still has good governance.

Li Shengli accepted the bow from the two Wu brothers calmly.

He has made a lot of achievements in truth theory, and he has contributed a lot in the standardization and medication of barefoot doctors, and he is worthy of the bow from the Erwu brothers.

"Dr. Wu, managing the world and benefiting the people is nothing more than his duty as a doctor.

When it comes to the duties of a doctor, I have three legal regulations that are used by Chinese medicine practitioners in their practice.

I believe that neither the duty of a doctor nor professional ethics are sufficient to clarify the doctor-patient relationship.

Traditional Chinese medicine is relatively more convenient. If Western medicine is also used, some laws and regulations should be added appropriately. "

After receiving the bow from Er Wu, Li Shengli accepted it calmly, and also showed humility to what Lao Wu said about managing the world and benefiting the people.

He really couldn't stand these four words. He could stand it when Er Wu bowed, but he couldn't stand "managing the world and benefiting the people".

Pushing the three laws in his hand in front of Old Wu, Old Wu was not polite and picked up the doctor's law first.

Then he pushed the health law to his younger brother Xiao Wu and the first aid regulations to Lao Gu, and then he lowered his head and looked at it.

Xiao Wu and Professor Wu acted in the same way as their elder brother, Lao Wu, and didn't say much. They lowered their heads and read the health law.

But Lao Gu didn't look at the first aid regulations pushed in front of him, but thought about continuing to speak.

"Dr. Gu, although my method is a good one, your polio pills cost a lot of money.

If you want to promote barefoot doctors, you can't do it in a crooked way.

There still has to be a source for the expenses incurred by pharmaceutical companies. Medicinal material companies in various places will not bear such expenses for us.

This section is actually consistent with my purpose of inviting Dr. Wu to come.

There are some things that still need to be calmly discussed by the Wu family's second brother in the leader's office.

Without the support of the office, how can pharmaceutical companies in various places afford the polio preventive medicines used by hundreds of millions of people?
As for whether the office can pay the expenses, you don't need to supervise it. I can lend a hand on this.

But you, the Western medicine community, also need to come up with proposals.

Since polio pills are to be introduced, the artemisinin mentioned earlier can also be included in the list.

It's nothing more than spending more or less, and the leadership office has also made great profits in the export of Chinese medicinal materials in recent years.

This is what we doctors have contributed to, and even the leadership office must give back. "

Before Lao Gu could speak, Li Shengli blocked his mouth again. He couldn't listen to what Lao Gu had to say.

After hearing this, it was my duty to push polio pills, and this was not a side job.

From vaccine production to feedback on drug effects, the target population involved is at least several million, and with the promotion service personnel, the scale of drug promotion is at least tens of millions.

Serious expenses also start at a million dollars. In this day and age, a serious worker's salary starts at thirty or forty yuan, and goes up to three or four hundred yuan.

Let alone millions, even hundreds of thousands, that's an incredible amount of money.

It's not that Li Shengli can't take out this money, but he doesn't dare to take it out.

What Lao Gu wants to say, there is no other way except forcing the palace leader's office.

It is not easy for leaders, but the promotion of polio pills is also urgent. It is estimated that tens of thousands of people are infected every year.

Without containment, polio will spread more widely and involve more and more people.

This disease, once it develops, is incurable and most people will lose their ability to work.

It's better for adults to say that if a child gets this disease, it is the beginning of a miserable life.

Lao Gu is a ruthless person, and Li Shengli is also a ruthless person. If only he had listened to Lao Gu's instructions.

If the leader's office doesn't do anything, he will be the only one to take over.

Although he had two alternatives, Niu Bijian and Du Jiaoyang, it was still miserable and miserable outside these days.

When individuals do this, there are reasons why they have to do it, and there are also reasons why they dare not do it.

So Li Shengli didn't dare to let Lao Gu say it out loud. Once he said it out, once something couldn't be done, he had to do it himself.

But it is too risky to do this by yourself!

"it is good!

What I want to say cannot be delayed. Just make arrangements and I can do anything here. "

After receiving Li Shengli's words, Lao Gu opened the first aid regulations in front of him and fell in like the Wu brothers.

Li Shengli is also confident about the laws and regulations he has come up with.

This is the law that will be applied to both Chinese and Western medicine in later generations, and Western medicine plays a larger role.

Nowadays, whether it is Western medicine or Chinese medicine, most of them practice medicine according to regulations.

Legal regulations not only restrict and protect doctors.

For example, when using medication, the scope of medication is pointed out, and the medicines there can be used. Even if there is a problem, it is clearly stated.

If you use rules and regulations to talk about things, it won't be clear.

For example, if there is a problem with the use of poisonous medicinal materials such as Cao Wu, Aconite, Pinellia ternata, and Croton in traditional Chinese medicine, and there is no protection by laws and regulations, the responsibility lies mostly with the traditional Chinese medicine practitioner.

Not to mention Cao Wu, Aconite, Pinellia ternata, etc., even ordinary traditional Chinese medicine preparations also have such risks.

What is the result of the absence of legal system in the medical field?
That is, medicines that can cure diseases. When Chinese medicine doctors prescribe medicines, the first thing they think about is whether they can harm the patient.

Using medicine so as not to harm others has become the first principle of Chinese medicine practitioners. Therefore, Chinese medicine preparations should not be thought of curing diseases.

The eight methods of sweating, vomiting, purging, softening, warming, clearing, eliminating, and tonifying in traditional Chinese medicine, in addition to tonifying, all have risks.

Even tonic medicines are still risky.

It is pure nonsense to say that ginseng kills people.

If Chinese medicine practitioners want to avoid risks, then the efficacy of the medicine must be put aside.

At this time, let’s not talk about the benevolence of doctors. If there is a problem with taking medicine, the doctor must bear full responsibility.

Doctors are human beings too, and they also have to earn a living and live their lives.

If the medicine prescribed is not harmful to people and can still have a slight effect, then it can be regarded as a combination of virtue and art.

Those Chinese medicine practitioners who treat people with a single medicine are almost like licking blood with the tip of a knife. You don't even know how much risk they are taking...

(End of this chapter)