Chinese medicine doctor Xu Yang

What is evidence-based medicine?

It’s medicine that follows the evidence.

What is empirical medicine is the experience passed down from generation to generation. Master used this medicine to treat this disease, and it was effective. He passed this experience on to his apprentice, who would treat him in the same way in the future.

Evidence-based medicine does not trust this. Why? Because you don't have enough evidence to prove it. You only have a single case and not enough objective clinical proof.

If you use this medicine to treat this disease, what is its effectiveness? What is the cure rate? How many adverse reactions are there? You don't have a complete clinical record, you don't have enough evidence.

Therefore, evidence-based medicine has always believed that empirical medicine is unreliable, because what if the experience you have passed down is wrong? Therefore, sufficient evidence must be found through their clinical demonstration.

This is why so many Western medicine research institutes have been studying traditional Chinese medicine in recent years.

In the private room.

Xu Yang smiled slightly: "Evidence-based medicine...heh, so you gave Yiyi Maxing Shigan Decoction and Yinqiao Powder because these two drugs have passed the evidence-based medicine?"

Liu Jingning was startled for a moment, then nodded: "For this reason, both drugs have very good effects, especially in the treatment of influenza A, their effect is even better than oseltamivir. It is supported by evidence-based medicine.”

Xu Yang knew what Liu Jingning was talking about.

Parents with children should have an impression of influenza A and H1N1. When influenza A was raging a few years ago, everyone was rushing for a specific drug, oseltamivir, commonly known as Tamiflu. At that time, many places were out of stock, and the price was as high as 7,800 or 800 per box.

In fact, what they don't know is that in addition to Tamiflu, a specific drug in Western medicine, there are also specific drugs in traditional Chinese medicine, and they are sold as a proprietary Chinese medicine called Jinhua Qinggan Granules.

This medicine is made by adding and subtracting Maxing Shigan Decoction and Yinqiao Powder.

And this medicine is supported by evidence-based medicine.

In 2011, the international authoritative medical journal "Ann Intern Med" was translated into "Annals of Internal Medicine". People with a background in Western medicine should know how authoritative this journal is.

This is one of the most authoritative medical journals in the world, and in the field of internal medicine, this journal is recognized as the most authoritative "first journal".

In August, it published a clinical study on H1N1 treatment conducted by our domestic experts, using evidence-based medicine. They found 410 patients with mild influenza A and randomly divided them into four groups: control group, Tamiflu group, traditional Chinese medicine group, and traditional Chinese medicine plus Tamiflu group.

The control group did not take any medicine, and their fever time was 26 hours; the Tamiflu group was 20 hours; the Chinese medicine group was 16 hours; and the Chinese medicine plus Tamiflu group was 15 hours.

The traditional Chinese medicine here is Maxing Shigan Decoction and Yinqiao Powder. Its efficacy is much stronger than Tamiflu, and its advantages are very obvious. Therefore, domestic production was immediately approved, which is the Chinese patent medicine Jinhua Qinggan Granules.

So instead of grabbing Tamiflu, you might as well grab this one.

This is evidence-based medicine, which is very scientific and supported by sufficient clinical experiments, with comparisons, experimental data, and theoretical guidance. This result is recognized by Western medicine.

Therefore, this matter has a great impact internationally, because the "Annals of Internal Medicine" is so authoritative, but few people in China know about it, or even know that this medicine exists.

Traditional Chinese medicine is very good at diagnosing and treating respiratory diseases, especially respiratory epidemics. There are actually people who say that traditional Chinese medicine is adding chaos to the fight against the epidemic. You really know nothing about its power!

…

Xu Yang said to Liu Jingning: "I know about this. As soon as this happened, the enthusiasm for researching traditional Chinese medicine in China became even higher. A lot of money was spent, but few traditional Chinese medicines can pass the evidence-based medical demonstration. ."

Liu Jingning nodded: "Actually, this is what confuses me the most."

Xu Yang said: "I have no opinion on evidence-based medicine. It is necessary to question experience. We should find enough evidence to prove the efficacy. This idea is very correct."

Liu Jingning was stunned. He didn't expect Xu Yang to admire evidence-based medicine so much. He thought he would denounce it.

Xu Yang said: "Don't be so surprised. Evidence-based medicine is a good thing and Chinese medicine should also use it, but it has gone awry in Chinese medicine."

Liu Jingning was stunned again: "What deviation?"

Xu Yang said: "Then do you know why Maxing Shigan Decoction and Yinqiao Powder can treat influenza A?"

Liu Jingning replied: "Experiments have shown that it can effectively inhibit virus replication, and from the perspective of traditional Chinese medicine, it can effectively clear away heat and detoxify, clear the lungs and eliminate evil."

"wrong."

Liu Jingning was startled.

Xu Yang said: "It's because influenza A is caused by wind and heat, and it's a heat syndrome. If you use pungent and cool medicine to relieve the symptoms, it is of course effective! You used this medicine to treat Yiyi, but why was it not cured? It's because she was affected by wind and cold. "

"I cured Yiyi. She had adenovirus pneumonia, right? I got results quickly, right? According to evidence-based medicine, we should find a bunch of patients with adenovirus pneumonia, randomly classify them, and divide them into several groups. One group used the medicine I prescribed earlier.”

"I can tell you that few people are effective. Why? Because you can't guarantee that all patients will be in the same condition as Yiyi. I'm talking about the dialectical pathogenesis of traditional Chinese medicine, not adenovirus pneumonia."

"I don't know how to treat adenovirus pneumonia. I treat diseases based on the syndrome of traditional Chinese medicine. She has wind-cold syndrome, Guizhi Decoction syndrome, and asthma, so I use Guizhi plus Houpu Xingzi Decoction. You have to find a doctor who meets this requirement. There are conditions."

Liu Jingning was a little stunned and in a trance.

Xu Yang added: "Let me give you another simple example. Some time ago, I cured a patient with perennial oral ulcers. He suffered from deficiency of the spleen and stomach, and the earth did not subdue the fire. I used Lizhong Decoction, and the effect was very fast. Later, I prescribed Aconite Lizhong Pills for him to consolidate."

"Logically speaking, I used Lizhong Decoction to cure oral ulcers. So if I want to prove that Lizhong Decoction is effective for aphthous ulcers, do I have to find a large number of aphthous patients to use this medicine to verify the clinical effect?"

"I'm telling you, it won't work. Why, Chinese medicine treats syndromes, not symptoms. You can't treat Lizhong Tang with oral ulcers. There are too many cases of oral ulcers."

"Lizhong Decoction treats spleen and stomach deficiency. If you want to prove its effectiveness, you should find a group of patients with spleen and stomach deficiency and conduct clinical experiments for comparison."

"But they will tell you, sorry, modern medicine does not recognize the concept of spleen and stomach deficiency and cold. It cannot be found or proven."

"You have denied my theory, and then how do you ask me to prove it? I said Lizhong Decoction can treat deficiency and cold of the spleen and stomach. You tell me that deficiency and cold of the spleen and stomach does not exist in this world. Please prove it separately."

"What do you want me to do? This is the most typical example of useless medicine testing. It completely denies the theory of traditional Chinese medicine and then tests the medicine according to the Western medicine method. Can the results be obtained?"

"Even if we spend our own money to study the relationship between spleen and stomach deficiency and Lizhong Decoction, well, the results are out. They will not approve it, and authoritative medical journals will not accept it. Let me tell you, you are lucky to encounter influenza A , because the patient’s disease syndrome is single, all of which are heat syndrome.”

"So it's not that Chinese medicine is ineffective. How can you use Chinese medicine if you don't understand the theory of Chinese medicine? You want to practice a set of peerless swordsmanship, but you say that the sword manual is unscientific, and instead your mind is full of machine gun shooting skills. What's the matter, you plan to use a long sword Swing out two points and one line to shoot and sweep?"

Liu Jingning was stunned and speechless for a long time.

Xu Yang sighed slightly, looked at Liu Jingning and said: "The theory of machine gun shooting cannot guide swordsmanship. The more you read pharmacology reports and the more modern theories analyze traditional Chinese medicine, the less able you will be to use traditional Chinese medicine to treat it." sick."

"Mr. Zhang Xiaotong, do you know? He opened a pure Chinese medicine clinic in Beijing, and the Chinese medicine doctors here are very powerful."

"He said that every now and then, miracles in the history of medicine would be performed in their clinic. There were many diseases that could not be cured by Western medicine, but they were cured by them."

"But even if you are cured, Western medicine will not recognize it. Because a single cured case is not supported by evidence-based medicine. The reason is the same."

"But it doesn't matter to us. It's just about treating diseases and saving people. But if you want to use Chinese medicine to save people, you must have a Chinese medicine mindset. If you want to use Western medicine to save people, you must be a serious Western doctor."

"Of course Western medicine is also very powerful. They can also cure many diseases that we Chinese medicine cannot. This world is wonderful because of differences, and your forced combination does not make you stronger, but worse. You are In eradicating traditional Chinese medicine, we are eradicating the advantages arising from differences."

"I won't tell you what to do, but you have to know what to do. I can only say this. I won't force you to practice pure Chinese medicine, although it is very good for me."

Xu Yang nodded and said, "With that said, I won't eat anymore. I'll take my leave, Doctor Liu."

After saying that, Xu Yang took his bag, turned around and walked out the door.

Liu Jingning sat on the chair in despair, feeling at a loss.

Xu Yang walked outside, took a few deep breaths, and then let it out in a long breath. Although he really wants the rewards of the system, he cannot change his principles of life.

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