What is evidence-based medicine?

It's medicine that follows evidence.

What is empirical medicine is the experience that has been passed down from generation to generation. Master used this medicine to treat this disease, and it was effective. He passed on this experience to his apprentice, and the apprentice did the same in the future.

And evidence-based medicine doesn't trust that, why? Because you don't have enough evidence to prove it. You only have a single case and don't have enough objective clinical proof.

What is the effective rate of your treatment with this drug? 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 felt that empirical medicine is unreliable, because the experience you have passed down, if it is wrong, what should you do?

This is the reason why so many Western medicine research institutes have studied Chinese medicine in recent years.

Inside a private room.

Xu Yang smiled slightly: "Evidence-based medicine...... Heh, that's why you gave Yiyi Ma Xing Shi Gantang and Yin Qiao San because these two medicines have passed evidence-based medicine?"

Liu Jingning was slightly stunned, and then he nodded: "For this reason, these two drugs have good efficacy, especially in the treatment of influenza A, its effect is better than oseltamivir, which is supported by evidence-based medicine." ”

Liu Jingning said this, Xu Yang knows.

Influenza A, influenza A H1N1, parents with children should have the impression that when influenza A was raging a few years ago, everyone was rushing for a special drug, oseltamivir, commonly known as Tamiflu. At that time, many places were out of stock, and the price was speculated to seven or eight hundred boxes.

In fact, what they don't know is that in addition to the special effect drug Tamiflu, traditional Chinese medicine also has special drugs, and it has been made into a Chinese patent medicine and sold on the market, this medicine is called Jinhua Qinggan Granules.

This medicine is made after adding and subtracting Ma Xing Shi Gantang and Yin Qiao San.

And this medicine is supported by evidence-based medicine.

In 2011, the international authoritative medical journal "Ann intern Med", translated as "Annals of Internal Medicine", should know how authoritative this journal is.

It 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 the treatment of influenza A done by our domestic experts, using evidence-based medicine. They found 410 patients with mild influenza A and randomly divided them into four groups, the control group, the Tamiflu group, the Chinese medicine group, and the Chinese medicine plus Tamiflu group.

The control group was inodicated and had a fever of 26 hours, the Tamiflu group for 20 hours, the Chinese medicine group for 16 hours, and the Chinese medicine plus Tamiflu group for 15 hours.

The traditional Chinese medicine here is the addition and subtraction of Ma Xing Shi Gantang and Yin Qiao San. Its efficacy is much stronger than that of Tamiflu, and its advantages are very obvious. Therefore, the production was immediately approved in China, that is, the Chinese patent medicine Jinhua Qinggan Granules.

So to grab Duffy, it's better to grab this.

This is evidence-based medicine, which is very scientific, with enough clinical experiments to support, there are controls, comparisons, experimental data, and theoretical guidance, and this result is recognized by Western medicine.

Therefore, this matter has a great impact in the world, because the "Annals of Internal Medicine" is too authoritative, but few people in China know about it, or even know that there is this drug.

Traditional Chinese medicine is very good at the diagnosis and treatment of respiratory diseases, especially respiratory epidemics. There are still people who say that Chinese medicine is adding to the chaos, you really don't know anything about power!

......

Xu Yang said to Liu Jingning: "I know about this, as soon as this incident comes out, the enthusiasm for domestic research on traditional Chinese medicine will be even higher, and a lot of money will be sprinkled, but few traditional Chinese medicines can pass the evidence-based medical demonstration." ”

Liu Jingning nodded: "Actually, this is what I am most confused about. ”

Xu Yang said: "I have no opinion on evidence-based medicine, it is necessary to question experience, and 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 respect evidence-based medicine so much, he thought he would denigrate 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 is biased here in Chinese medicine." ”

Liu Jingning was stunned again: "What deviation?"

Xu Yang said: "Then do you know why Ma Xing Shi Gantang and Yin Qiao San 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, and promote lung and penetrate evil." ”

"Wrong. ”

Liu Jingning was stunned.

Xu Yang said: "It's because Jialiu is a manifestation of wind and heat, it is a heat syndrome, and you use Xin Liang to solve the surface, of course it is effective! You used this medicine to treat Yiyi, why didn't she be cured, because she was a wind and cold offender." ”

According to the idea of evidence-based medicine, we should find a bunch of patients with adenovirus pneumonia, randomly classify them, and divide them into several groups, one of which uses the medicine I prescribed earlier. ”

"I can tell you that there aren't a few people who are effective. Because you can't guarantee that all patients are in the same situation as Yiyi, I'm talking about TCM dialectical pathogenesis, not adenovirus pneumonia. ”

"I don't know how to treat adenovirus pneumonia, I treat the dialectical disease of Chinese medicine. She is a wind and cold beam table, has cinnamon branch soup evidence, and has asthma, so I use cinnamon branch to add magnolia apricot soup. You'll have to find someone who meets that criteria. ”

Liu Jingning was a little stunned and a little in a trance.

Xu Yang said: "I'll give you a simple example, some time ago I cured a patient with perennial mouth ulcers, he was spleen and stomach deficiency and cold, the soil does not subdue fire, I used Lizhong soup, the effect was very fast, and then I prescribed him aconite Lizhong pill consolidation." ”

"Logically speaking, I used Lizhong soup to cure my mouth ulcers. So if you want to prove that Lizhong decoction is effective for aphthous ulcers, do you 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 is a cure for syndromes, not for symptoms. You can't take mouth sores to the soup, there are too many cases that cause mouth sores. ”

"Lizhong decoction is a cure for spleen and stomach deficiency and cold, and if you want to prove that it is effective, you should find a group of patients with spleen and stomach deficiency and cold to come over and do clinical experiments. ”

"But they will tell you, I'm sorry, modern medicine doesn't recognize the concept of spleen and stomach deficiency and cold, what kind of deficiency and cold, I can't find it, I can't prove it. ”

"You have denied my theory, and then let me prove it? I said that Lizhong soup is a cure for spleen and stomach deficiency and cold, and you tell me that there is no spleen and stomach deficiency and cold in this world, please prove it separately. ”

"What do you want me to do? This is the most typical waste medical test, completely denying the theory of Chinese medicine, and then testing the medicine according to the same set of Western medicine, can the results be detected?"

"Even if we spend our own money to study the relationship between spleen and stomach deficiency and cold and Lizhong soup, well, the results are out. They won't be recognized, let alone authoritative medical journals. Let me tell you, it is good luck to encounter influenza A, because people have a single disease syndrome, and all of them are hot syndromes. ”

"So it's not that Chinese medicine is ineffective, you don't understand the theory of Chinese medicine, how to use Chinese medicine? You have to practice a set of peerless swordsmanship, but you say that the sword book is not scientific, but you are full of machine gun shooting skills. What's the matter, you're going to use your sword to swing a two-point-and-one-line straf?"

Liu Jingning was stunned and speechless for a long time.

Xu Yang sighed slightly, he looked at Liu Jingning and said, "The theory of machine gun shooting can't guide swordsmanship. The more you read the pharmacology report, and the more you read the analysis of TCM in modern theories, the more you will not be able to use TCM to treat diseases. ”

"Mr. Zhang Xiaotong, you know, right? He opened a pure Chinese medicine clinic in Beijing, and the Chinese medicine in it is very powerful. ”

He said that their clinic would perform miracles in the history of medicine every three or five days, and there were many diseases that were not cured by Western medicine, but they were cured there. ”

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

"But we don't care, it's just a cure and a rescue. But if you want to use Chinese medicine to save people, you have to 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, and they can also cure many diseases that we can't cure with Chinese medicine. This world is wonderful because of differences, and your forcible combination is not stronger, but worse, you are eliminating Chinese medicine, eliminating this advantage because of difference. ”

"I'm not going to advise you on how to do it, but you have to know what to do. All I can say is that I will not force you to be a pure Chinese medicine practitioner, although it will be good for me. ”

Xu Yang nodded, and he said, "That's all I have to say, I won't eat the meal, and I'll take my leave, Doctor Liu." ”

After speaking, Xu Yang took his bag, turned around and went out.

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

Xu Yang walked outside, took a few deep breaths, and then spit out a long breath. Although he really wants the reward of the system, he can't change his own rules of life.