畲靖关于“中医药事业发展现状与管理情况”讲话

　　国务院新闻办公室新闻发布会材料 中医药事业发展现状与管理情况

　　（2004年10月8日）

　　国家中医药管理局

　　中医药事业发展现状

　　新中国成立55年来，在党和政府的关怀下，我国的中医药事业取得了长足的发展。

　　一、以中医医院为主体的中医医疗保健服务体系基本形成。目前，全国有中医医院2868所，中医类医院床位28万余张，中医执业医师（含助理医师）27万余人；大部分综合医院设立了中医科；2003年全国中医医院诊疗人次达2.06亿人次，综合医院中医科门诊人次达5636万人次。在社区，有89%的社区卫生服务中心和50%的社区卫生服务站提供中医药服务。为发挥中医药特色优势，目前全国建设了137所示范中医医院，161个重点专科（专病）。中医药既对一些慢性病、疑难病、老年性疾病、功能性疾病和病毒性疾病等有很好的疗效，同时在急性传染病临床基地建设和中医医院急诊科建设，进一步提高重大疾病的中医药防治水平。

　　目前，我局已成立中医药防治艾滋病工作组织协调小组和专家组，制定了中医药防治艾滋病2004-2005年工作计划。组织开展了5省艾滋病中医药关怀治疗项目，现已开始对河南、河北等5省2300名艾滋病患者免费进行中医药治疗，组织开展中医药防治艾滋病的科学研究。整个工作要做到六个一，即落实一个工作计划，组织一批医疗、科研专项，组建一支专家队伍，建立一批医疗与科研基地，优化一个中医、中西医结合治疗方案，研制一批中药新药。

　　二、大力推进名院、名科、名医战略

　　继续实施名院、名科、名医战略，突出中医药优势特色。总结137所示范中医院的建设经验，在全国和各省建立一批服务质量高、医疗技术好、中医特色突出的名院。在总结161个重点专科（专病）建设经验基础上，在全国和各省建设一批中医药名科。在总结老中医药专家学术经验继承、优秀中医临床人才研修项目、基层中医药人员成才经验的基础上，培养一批名医。

　　三、中医药科技工作

　　加强中医现代化发展战略研究，进一步明确中医现代化的发展目标、基本思路、重点领域和主要任务，使中医现代化和中药现代化协调发展。进一步推进中医现代化科技发展工作，建立中医现代个体化诊疗体系、临床疗效评价和技术标准体系、中医研究方法体系和中医药数字化信息服务平台。与有关部门密切配合，继续贯彻落实《中药现代化发展纲要》，构建国家中药现代化创新体系，完善现代中药标准体系，加强中药研究开发条件建设，开发一批安全、可靠、疗效确定的中药新产品，形成具有市场竞争优势的现代中药产业。

　　四、农村中医药工作

　　加强西部地区农村县级中医医疗机构的基础建设，加强乡镇卫生院中医科的建设，按照有关要求，配置相关设施。落实农村初级卫生保健中医药指标。开展全国农村中医医疗机构中医特色专科（专病）建设，第一批启动200个。组织向农村推广百项中医药特色诊疗技术。加强对农村现有卫生技术人员和中医药人员的培训，使村卫生室中以中医知识为主或掌握中西医两种知识和技术的乡村医生达到70%。抓好发挥中医药作用的新型农村合作医疗的试点工作，总结经验，印发《关于充分发挥中医药在新型农村合作医疗试点工作中作用的意见》。

　　五、加强法制化建设和标准化工作

　　全面贯彻施行《中华人民共和国中医药条例》，制订《中医药条例》配套文件和相关标准。加强对中医医疗机构准入，中医执业人员准入，医疗气功机构、人员准入的管理。将中医药执法纳入卫生监督执法体系中。制定《中医药标准化建设规划》，初步构建现代中医药标准体系，以临床技术操作规范和疾病治疗指南为重点，开展一批中医药标准化项目，拟定和制定一批中医药国家标准和行业标准。进一步加强市场监管，规范中医医疗行为，提高中医医疗质量和服务水平。

　　六、中医药对外交流与合作

　　实施走出去战略，积极鼓励和支持中医药对外办医办学，扩大中医药在国际上的传播面；加强中医药标准规范在国际上的宣传和推广，提高中医药对外交流与合作的质量和水平，保持我国在世界传统医药界的领先地位；加强与世界卫生组织等国际组织及政府间的交流与合作，进一步拓宽中医药的民间交流。

　　附讲话英文版Material for the press conference of the State Council Information OfficeThe Current Situation of the Development and Management of Traditional Chinese Medicine

　　October 8,2004State Administration of Traditional Chinese Medicine

　　Under the care and support of Chinese Communist Party and the government, the Traditional Chinese Medicine (TCM) service has made substantial progress for the past 55 years since the establishment of the People’s Republic of China,

　　I. The Medical and Health Care Service System has been formed with the hospital of TCM as the main resources. At the present, there are 2,868 hospitals of TCM in China with 280,000 beds with different types. There are 270,000 licensed practitioners of TCM (including the assistant doctors); the majority of the general hospitals are deployed with the TCM units. In 2003 alone, there were 206 million time/visit to the TCM hospitals, while 56.36 million visits were made to the TCM units in the General hospitals, At the community level, 89% of the community health centers and 50% of the community health stations provide TCM service . In order to give the full play of the advantage of TCM, 137 demonstration hospitals and 116 key special units (diseases) were established. TCM can provide effective treatments not only to the chronic and difficult diseases and those for the elderly, of functional problems and caused by virus, but also can play certain role for the acute and infectious diseases.

　　The practice showed that the treatment of TCM to SARS were safe and quite effective. The application of TCM to AIDS cases at early stage can treat the opportunist infection ,regulate the immune function, regulate the immune function, reduce the toxicity, enhance the effectiveness of treatment and upgrade the living quality of the patients. In the meantime, the cost of the medicine is low and obvious side effect is not common.

　　II. The TCM service in the rural areas was enhanced. In the rural, about 70% of the township health centers established the TCM units,40% of the village doctors use TCM or both TCM and western medicine to treat the diseases. The country and the localities actively promote the construction of advanced TCM counties. In the recent years, 113 advanced TCM counties and 111 advanced institutes were constructed . 3000 key technical staff was trained for the country hospitals, while 600 key technical staff of TCM for the west part of the country. Furthermore ,216 clinical diagnosis techniques are under research and identification, among which, some projects have enter the period of the evaluation,15 were passed the evaluation and promoted to the rural. The pilot scheme for the certification education for the TCM staff that did not have formal education diploma in the countryside is conducted in 8 provinces to upgrade the technical standard and educational level for TCM health workers in the countryside.

　　III. The academic level of TCM is upgraded continuously and the scientific and technological accomplishments are produced. According to the statistics, there are more than 1000 independent Institutes for the research of TCM at the country level with 10,000 researchers. Quite a lot of universities, institutes and enterprises which are engaged in the natural sciences also take an active part in the research in the field of TCM ,by so doing the situation of integration between the inside and outside of the TCM professional organizations, participation by multi disciplines and joint efforts to make breakthrough have been made. Now , there are 2 GMP centers for non-clinical research on medical products,7 GMP centers for the medical products,8 centers for the TCM Engineering technology,138 labs of TCM supported by the State Administration of Traditional Chinese Medicine (SATCM),and 3 labs for the standardlized pharmacology. Now the platform for the scientific data of TCM has been jointly established and shared.600 ancient documents were compiled and printed after research on the literatures and basic study,200 copies of sole ancient books of TCM were brought back to the country from foreign countries. The great work “BencaoGang mu”(compendium of material medical) was published to the public.8980 kinds of herbal medicine were compiled and studied with a comprehensive and systematic manner. “ The basic study on the key scientific issues of the prescriptions and formulas”, a priority research of the national basic research project has conducted profound study on the materials of the compounds and their roles ,and explore the primary components

　　For the matching of the different medicines. The subject on the standardization of symptoms and conditions and the relevant relations with the diseases, and the prescription is under the intensive study. The acupuncture point location standardization is recognized by the world as a whole. In the clinical research, the treatments on vascular and cerebra vascular diseases ,liver conditions and kidney diseases have formed quite mature, standardized and feasible protocols. Since the 10th five year plan,11 accomplishments on TCM were rewarded with the national scientific and technological award, among which, the project on blood stasis and promotion of the blood circulation and remove the stasis were rewarded for the first class progress award in 2003.

　　IV. The TCM education has formed the educational network for the integration of modern educational system and master to student pattern study with different forms, levels and disciplines . Currently, there are 32 universities and colleges of TCM.8 general universities have the TCM school or department,184 professional medical school set up TCM curriculum.24 key subjects(78 construction spots)are undergoing the mid term review.46 subjects of the teaching materials are prepared and published. Continuing education is organized; inheriting the academic experience of the senior experts arranged. 1607 senior experts are identified respectively and 2285 inheritiors are being trained. The project of continuing education for the excellent clinicians of TCM is implemented for the training of the future excellent doctors. The first group is selected consisting of 215 doctors.

　　V. The progress is made in the field of integration of TCM and western medicine. At present, there are 193 hospitals of integration of TCM and western medicines and 30,000 health workers in this field. The priority is given to the construction of 10 hospitals of integration of TCM with western medicine, and 27 units of this kind in order to find best practice for the integration point and method. The pilot schemes are carried out for the 7years schooling for the training of professional with the TCM and western medicine educational knowledge in 7 universities of TCM in Beijing, Shanghai and Guangzhou etc., in the meantime, the teaching materials are prepared for the undergraduate students on the subjects of integration of TCM and western medicine. The clinical study on the treatment of thighbone head putrescence and the application and basic study on the abdominal operation by purgation were rewarded the 2nd grade award of science and technology progress.

　　VI. The ethnic medicine is further exploited, upgraded and compiled. There are 157 hospitals of ethnic medicines in China with 8,000 health workers. Through national examination, 4683 health workers in the field of ethic medicine obtained license for the medical practice. Some general hospitals are also equipped with the ethnic medicine units.14 ethnic medicine specialty units are listed as the priority units for further development. Some ethic medicines have entered the reimbursement list of the national basic medical insurance scheme. There are 3 universities of Ethnic Medicine in the country and Tibet, Mongolia, and Uigur medicines are listed as the key subjects,76 topics of ethnic medicine have been prepared,25 of which have been published. The charters on the Tibet, Mongolia and Uigur medicines in the national compendium of material medical are completed. 60 medical literatures form the 15 ethnics were compiled, including the literatures form Tibet, Mongolia, Uigur and the Thai. Currently,30 books such as Medicine of the Buyi , Basic Theory of Yi Ethnic Medicine and the Hui Medicine in China were compiled and completed.

　　VII. Further growth of the international cooperation in the field of TCM and the expansion of the international dissemination of TCM. By September 2004, there were 49 items in the multi lateral and bilateral agreements with the foreign governments in the field of medicine were relevant to the TCM ,while there are 17 agreements dedicated to TCM. According to the statistics of TCM institutes in 28 provinces, from1998 to 2002, there was a 20% growth of delegations and groups from foreign countries or outside the mainland in the field of TCM, at the same time, there was an increase of 6% for the outgoing delegations. With the cooperation of WHO, the global and regional strategy of TCM were promoted for the formulation and implementation . 7WHO collaborating centers for TCM have played active roles. The world Federation of Acupuncture Societies headquartered in Beijing now has 77 TCM societies from 43 countries and areas. The World Federation of Traditional Chinese Medicine also established its headquarter in Beijing, owners 138 members from 48 countries and areas. According the incomplete statistics, there are 50,000 health service and care setups in the field of TCM including acupuncture outside the mainland China. There are 100,000 registered acupuncturists and 20,000 TCM practitioners. According to the statistic of 2003, there were 3221 students from overseas to study in the university and college of TCM, which occupied the No.1 among all natural sciences in terms of the number of the students.

　　Way of Thinking and the Priorities in the Future

　　I. Participation of TCM to the Public Health System Construction

　　TCM should take an active part in Emergency Response System of the Public Health Construction. The capability of TCM to response the urgent Public Health events should be further enhanced, TCM should be integrated to the Response System for emergent Public Health events, therefore, the professional teams and experts counseling panel for the urgent medical problems should be established. The professional and universal training should be provided ,and attention should be given to the construction of the clinical base for the integrated treatment of TCM and western medicine, and the establishment of Emergency Unit in the TCM hospitals, therefore to further upgrade the standards for the prevention and control of the major diseases.

　　Now the SATCM has set up coordinating group and expert counseling panel on the prevention and control of HIV/AIDS ,organized treatment and care program and implemented “six-one project”, namely: one plan should be realized, one medical and research project should be organized ,one experts team should be formed ,one medical and research center should be set up, one protocol for the treatment by TCM as well as by the integration of TCM with western medicine should be selected, and one batch of new drug of TCM should be developed.

　　II. To promote the Strategy of hospitals, units and doctors with high profile

　　We will continuously promote the strategy of hospitals,units and doctors with excellent reputations. On the foundation of the summing up the construction experiences of 137 demonstrative TCM hospitals, we are going to set up a group of hospitals with excellent reputations and high quality, good medical skill and special characteristics of TCM. While on the foundation of the experience of 161 key special units and diseases, we plan to set up a batch of high profile units at the national level and provincial level. On the foundation of summing up and inheriting the experiences of the senior TCM doctors, and the training experiences of the TCM health workers at the grass root level, we are going to nurture a batch of doctors with high reputation .

　　III. Research work of TCM

　　We are going to strengthen the strategic study on the modernization of TCM and further identify the goal, way of thinking, priority areas and main task for the development of TCM modernization, therefore to push forward the coordinated development of modernization of TCM practice and herbal medicine. We should further promote the science and technology modernization of TCM , to establish the individual diagnosis and treatment system by modernized TCM, the system on the clinical treatment result evaluation and technical norms, and to construct the platform for sharing the methodology and the digital information. We will work together with the relevant departments to implement continuously the Frame Work for the Development of Modernization of TCM, to construct the modernized and creative new system, to refine the standardization system and enhance the favorable condition for the development of new TCM drugs, therefore, a batch of safe, reliable and effective medicine will be discovered and to form a modernized TCM industry with competitive advantage in the market.

　　IV.TCM service in the rural areas

　　 We should strengthen the basic facility for the country TCM hospitals in western region; enhance the capacity building of the TCM unit in township hospitals and provide the necessary equipments according to the relevant requirements. Guideline of traditional Chinese medicine will be prepared for primary health care system. Specific departments ( for treating specific diseases) of TCM in medical units in rural area should be constructed; accordingly ,200 special units are going to be established as the first group . One hundred special treatment methods of traditional Chinese medicine will be promoted in the rural areas. The training for the existing rural health technicians and Chinese medicine practitioners will be strengthened ; therefore ,70% of the rural doctors in the village clinic can master the knowledge of TCM as the main method or both the TCM and western medicine. Experience should be summed up and Suggestions and Recommendations on the Pilot Project of Establishment of Comprehensive Function of TCM In the New Collective Medicine Scheme in the Countryside will be printed and disseminated.

　　V.Strengthen the work on legalization and standardization of TCM

　　We should implement comprehensively the Regulations on TCM of P.R. China, and formulate relevant documents and criterions. Accession of TCM facilities, TCM practitioners, medical qigong , and health workers to the health system should be further managed. The enforcement of the regulation on TCM should be integrated into the health supervision and law enforcement . We are going to formulate the TCM strategy on Standardization and to set up modernized standard of TCM. We are going to implement the projects on standardization of TCM, propose and formulate a batch of national standards and criterion of TCM based on standard clinical technique practice and guidance for the treatment of diseases so as to further strengthen the supervision of the market , regulate the practice of TCM and upgrade the treatment quality and service.

　　VI.External exchanges and cooperation

　　Strategy of reaching out will be implemented.The active encouragement and support should be provided to the running of the medical services and edubational program outside the mainland China, and the proportion of TCM professionals working in the medical team to assist the foreign countries should be further extended , the coverage of international dissemination of the TCM should be enlarged and the norms of TCM should be publicized and promoted, and the level and the quality of international cooperation and exchanges should be further upgraded so as to protect the leading status of the country in the field of TCM. The cooperation with WHO and other international organizations and governments as well as NGO should be further strengthened, and people to people cooperation and exchanges should be broadened.