A Comparative Analysis of the Control Effect of Medical Expenses between General Hospitals and Traditional Chinese Medicine Hospitals from 2012 to 2021

Objective To analyze the changing trend of average medical expenses and structure in general hospitals and traditional Chinese medicine(TCM)hospitals and the effects and differences achieved by the two kinds of hospitals through controlling unreasonable growth of medical expenses,so as to provide reference for controlling the rapid rise of medical cost in public hospitals and optimizing the cost structure.Methods Based on the changes of related indicators of medical expense control from 2012 to 2021,the overall characteristics,changes of cost structure and trends of medical expenses in general hospitals and TCM hospitals were investigated.Results and Conclusion From 2012 to 2021,the increase of medical expenses in general hospitals and traditional Chinese medicine hospitals had slowed down,the proportion of drug revenue to medical income began to decline,and the medical service income increased.However,the proportion of inspection,test and sanitary materials income has increased instead of decreasing,but the management cost has decreased.The two kinds of hospitals have achieved certain cost control results,the structure of medical cost has changed greatly,and the technical service and labor value of medical personnel have been reflected to a certain extent.However,it is still necessary to explore a more scientific and reasonable cost control mechanism to promote the further optimization of medical cost structure.

A Brief Discussion on the Construction of Practical Teaching System for the Traditional Chinese Medicine Resources and Development Major

China’s traditional medicine,science,and technology industry has great development potential.However,there is a problem of insufficient practitioners in the current industrial development.At the same time,the capabilities of existing practitioners do not match the demand standards.Therefore,it is necessary to actively promote the education of resources and development in Central Asia.As an institution for cultivating talents,colleges and universities must establish a practical teaching system for cultivating talents.Based on the requirements put forward by China in education,this article studies the development status of the traditional Chinese medicine resources and development major,determines the talent training goals,starts from the practical teaching aspect,and locates the industry’s requirements for the capabilities of personnel in the field of traditional Chinese medicine.It also puts forward the overall idea of the construction of the practical teaching system,summarizes the reform content of the practical teaching system,and lastly provides the specific path of the reform.

Expert Survey on the Prevention and Treatment Situation of Traditional Chinese Medicine for Coronary Artery Disease

Objective: To grasp the current situation of Traditional Chinese Medicine (TCM) on prevention and treatment for coronary artery disease (CAD) and the possible advantages and disadvantages. Method: Using a survey in the form of questionnaire among 60 cardiovascular disease experts, to grasp current situation of TCM on prevention and treatment of CAD and the possible advantages and disadvantages. Results: In most areas of China, CAD is common, and angina is the most common clinical type. More than 91% experts choose to integrate traditional and western medicine for treatment and prevention of CAD. TCM proprietary medicine, traditional herbal decoction and intravenous TCM are widely used in the clinical work. Clinical advantages of TCM in the prevention of CAD that are listed in the questionnaire include improving symptoms, enhancing quality of life, increasing exercise tolerance, improving cardiac function, relieving angina, secondary prevention of myocardial infarction, etc. The shortcomings include troublesome brewing of herbal medicine, unpleasant taste of decoction, minimal clinical evidence, slow onset of effects and non-standardized prescription of medicine, etc. Conclusion: The survey reflects the present situation of clinical diagnosis and treatment of TCM on prevention and treatment of CAD to a certain extent;more accurate conclusions need the broader, deeper and large-scale clinical survey.

A General Introduction of HIV/AIDS Treatment with Traditional Chinese Medicine in China

This paper gives a general introduction of HIV/AIDS treatment with Traditional Chinese Medicine (TCM) in China during the past 20 years. Although the role of TCM in treatment of HIV/AIDS is promising,there is still a long way to go.

On the Need to Integrate Traditional Chinese and Western Medicine, and Pool Research Resources

The Chinese Academy of Sci-ences (CAS) is implementing theknowledge innovation program(KIP) on a trial basis. In my opinion,our knowledge innovation targetsshould be first of all precise and,secondly, able to boost our work. Ispecialize in hematology and mo-lecular biology. Under the

Research Progress of the Wild Medicinal Plant,Pinellia ternata

Based on literature reviews and analysis of research reports on Pinellia ternata found locally and abroad in recent years,this article summarizes and arranges them.The research on Pinellia ternata mainly focuses on its cultivation,tissue culture,and so on.There are only a few research on its active components and its regulation mechanism.The wild resources of Pinellia ternata are gradually decreasing,hence it is urgent to take effective measures to protect these wild resources as well as to establish germplasm resources bank and nursery.In order to meet the needs of the domestic market,it is necessary to investigate the distribution of wild Pinellia ternata resources,explore the best growing environment and conditions,artificially cultivate Pinellia ternata,as well as implement resource industrialization,sustainable development,and utilization.

Application of Traditional Chinese Medicine in medical practice：a survey of community residents in Beijing,China

OBJECTIVE:To investigate how community residents in Beijing understood and used Traditional Chinese Medicine(TCM) in their medical practice.METHODS:This was a cross-sectional study conducted on 3410 community residents from four large communities of Tongzhou district in Beijng,China.A validated, self-administered questionnaire comprised of three sections was used to gather the data.A systematic sampling procedure was applied to recruit the community residents.RESULTS:A total of 3410 participants completed the questionnaire survey.It showed that in highly educated residents, 33.4%(170) knew of the names of 3-10 Chinese herbals, 35.8%(182) knew of names of 3-10 traditional Chinese patent drug.Among all the respondent residents, 80.7%(2753)believed that TCM herbal therapy and TCM non-drug treatments were effective in disease treatment, health enhancement, 85.7%(2923) had taken traditional Chinese patent drug in their life,56.8%(1937) of residents had used herbal decoction, 40.0%(1365) had received non-drug treatment of TCM, such as acupuncture, massage, cupping, auricular acupuncture.Among the elderly residents, 11.4%(98) often used Chinese patent drug and 9.8%(85) often used herbal decoction.In addition, 70.8%(2415) of residents were willing to accept knowledge and information on TCM for health enhancement and disease prevention, such as medicated diet, medicinal tea, Tai Chi and Qi Gong, although 82.8%(2825) of residents had never used them.CONCLUSION:Chinese patent drug and herbal decoction are widely used in the communities in Beijing, and there existed a possible close correlation between high educational level and better understanding of TCM.Age and occupation also correlated with the attitude to TCM therapies.The characteristics of the residents should be considered seriously in the course of promoting the understanding and application of TCM.

Survey and Practice of Reporting Quality of Randomized Controlled Clinical Trials on Traditional Chinese Medicine

Evidence obtained from randomized controlled trials （RCTs） has been generally accepted as the gold standard in the evaluation of clinical effectiveness. Readers need to understand the trial design, implementation, results, analysis and interpretation, so as to fully Jnderstand the results of RCTs. Thus, the investigators of RCTs have to report these items in a complete, accurate and clear manner. Since 1998, we have conducted several evaluations on the reporting quality of RCTs published in Chinese journals on traditional Chinese medicine （TCM） and results have shown that there is an urgent need for higher quality RCTs on TCM.

The utilization of traditional Chinese medicine and associated factors in Taiwan in 2002

Background Previous studies have noted that there is a high utilization rate of traditional Chinese medicine （TCM） services in Taiwan, China and in western countries, but few studies investigated factors associated with the utilization of TCM in Taiwan. This study analyzes the utilization rate and the factors associated with the utilization of TCM in Taiwan. Methods Data for this study were from the 2002 HPKAP Survey that conducted the face-to-face questionnaire interviews of people aged 15 years and over from October 2002 to March 2003 in Taiwan. This study analyzed the utilization of TCM outpatient services, including admission to the hospital and clinic visits. Results A total of 26 755 participants completed the survey in the six-month period. The data revealed that 10.4% of participants had utilized TCM services in the past one month while 4.2% of participants utilized TCM only （without using Western medicine outpatient services （WM） or Folk therapy （FT））. The average visits of TCM services per patient was higher among people who had utilized TCM and FT services （2.68 visits） than among those who had utilized WM and FT services （2.15 visits） or TCM services alone （2.15 visits） during the previous one month. Younger people （odds ratio OR = 1.78, 95%CI= 1.47-2.16）, women （compared with men）, and people with higher education levels （OR = 1.58, 95%CI= 1.25-1.98） were more likely to visit TCM than compared groups. People with self-reported poor health status （OR = 2.07, 95%CI= 1.76-2.44） and people who exercise regularly （OR = 1.17, 95%CI= 1.07-1.27） had higher ORs to visit TCM service than comparison group. Conclusions There is a high utilization of TCM in Taiwan. Further studies are needed to investigate the related factors and determinants between the utilization of TCM and the utilization of FT in Taiwan.

General Introduction of China Academy of Traditional Chinese Medicine

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Challenges in Research and Development of Traditional Chinese Medicines

This review is briefly to recall the history of research and development (R&D) of Chinese materia medica (CMM) and to discuss the challenges of Chinese traditional and herbal medicines (CTHM) facing the modern science and technology. The R&D of CTHM is thought to be an important pathway for new drug discovery. Since1949, about 140 approved new drugs have been developed, among which about 80 originated directly or indirectly from medicinal plants. CTHM has gained interest from the international medical, biomedical, and pharmaceutical institutions as a valuable source of potential medicines. For the modernization of CMM and innovative research of CTHM, there are following challenges to be faced: (1) to evaluate the efficacy, pharmacological properties, action mechanism, and active chemical constituents; (2) to develop new methodologies for the quality and safety of CTHM; (3) to apply new '-omics' techniques to accelerate drug discoveries developed from CTHM; and (4) to apply international practices including good agricultural practice, good manufacturing practice, good laboratory practice, and good clinical practice in the R&D of CTHM.

Factors influencing communication of traditional Chinese medicine use between patients and doctors:A multisite cross-sectional study

Objective: In Singapore, the use of traditional Chinese medicine(TCM) alongside Western medicine(WM)is common. There are risks of adverse herb-drug interactions when taken concurrently. Current literature suggests that TCM use is not regularly reported to WM doctors in Singapore, but the underlying reasons are not understood.Methods: A cross-sectional study was conducted across Singapore by administering questionnaires to TCM-using patients and WM-practising general practitioners(GPs). The questionnaire examined the following themes:(1) demographics and TCM use pattern;(2) respondents'(patients and GPs) knowledge and beliefs about TCM and the factors influencing the discussion of TCM during the WM consultation;and(3) respondents' qualitative suggestions to increase disclosure rate.Results: A total of 484 patients and 334 GPs were surveyed. Factors associated with patients' initiation of TCM discussion include length of consultation(odds ratio [OR]: 2.1;P < 0.001), comfort level in discussing TCM(OR: 1.6;P < 0.001) and belief in importance of discussion(OR: 1.4;P = 0.017). Doctor's initiation of discussion(74%) was the top patient-ranked factor influencing their discussion of TCM. For doctors,knowledge of TCM indications(OR: 2.2;P < 0.001), belief in importance of discussion(OR: 2.1;P < 0.001) and comfort level in discussing TCM(OR: 1.9;P = 0.001) were associated with their initiation of TCM use discussion. Possible WM-TCM interactions(58%) was the top doctor-ranked factor influencing their discussion of TCM.Conclusion: The discussion of TCM in a WM setting is multifactorial. Interventions include doctors' active screening for TCM use in patients and equipping doctors with TCM knowledge. Improving communication between patients and doctors is key to avoiding harmful herb-drug interactions.

Special Issue "Research Progress on Traditional Chinese Medicine and Medicinal Resources" calls for papers

In this special issue of Research Progress on Traditional Chinese Medicine and Medicinal Resources,articles describing the current advances of research on traditional Chinese medicine(TCM)will be invited for submission.The directions of submissions include but not limited to:1.The separation and identification of the chemical components of TCM,pharmacological

辽宁省海城市中药资源调查与分析

目的 通过对辽宁省海城市中药资源的普查,掌握海城市药用植物资源现状及部分重点品种的蕴藏量,为海城市中药资源的保护及可持续开发利用提供理论参考。方法 以第四次《全国中药资源普查技术规范》要求为标准制定普查方案,采用传统野外调查与现代技术相结合的方法,对海城市药用植物资源进行调查及数据分析。结果研究共完成了36个样地、180个样方套、1080个样方的调查,调查到药用植物452种,涉及86科290属;其中2020版《中华人民共和国药典》收载的重点调查品种112种,辽宁省新纪录植物2种。结论 海城市药用植物资源较为丰富,县域内大部分中药物种种群处于稳定状态,少数种群呈减少趋势,政府应采取措施加强动态监测与保护,普查工作的开展有助于县域内中药文化知识的推广普及,亦为海城市中药资源的可持续发展及开发利用提供科学依据。

陕西省第四次全国中药资源普查对秦药产业高质量发展的启示

通过对第四次全国中药资源普查陕西省相关工作成果进行梳理,明确了陕西省中药资源种类与构成情况,根据区域生境特点和生态适宜性提出秦药的适宜生产区划;总结了中药资源普查成果在陕西省乡村振兴和富民强省、中药产业合理布局和生产规划、中医药事业高质量可持续发展等方面的作用;最终,从加强种子种苗标准化研究、培育优良秦药品种,积极发展林下经济、构建中药材生态种植体系,引导秦药生产向绿色高效方向发展、促进秦药提质增效3个方面展望了秦药产业未来发展面临的挑战,为进一步聚焦秦药大品种、打造秦药全产业链、促进秦药产业绿色可持续发展提供科学参考。

馆藏优秀传统文化资源再生性保护与价值释放——基于中医药古籍的调查分析

通过调查统计河南省各类图书馆、文博单位等中医药古籍资源存藏、保护、整理和利用情况,分析河南省中医药古籍资源馆藏开发整理存在的问题,提出“加强中医药古籍保护与利用工作的领导与统筹”“深入挖掘整理河南省中医药古籍资源”“确定重点保护对象,推进中医药古籍多层级保护”“加大中医药古籍保护领域复合型人才培养力度”“加强中医药古籍艺术与文化价值的发掘与传播”等推动河南省中医药发展的举措。

中医药数据资源目录体系构建与研究

目的/意义规范中医药数据资源的有效管理和应用。方法/过程以中医药数据资源为主要研究对象,以目录学为研究方法,参考相关行业领域数据资源分类体系、中医药相关法律法规、中医药领域业务职能和学科分类等资料,提出中医药数据资源目录分类模型及主要内容。结果/结论初步建立中医药数据资源目录分类体系,为中医药数据资源目录数据库构建提供参考。