| Objective:1. Understand a TCM doctor in Thailand in the country's medical system position, professional status, the professional level, etc. Comparing the two countries feature a TCM doctor medical behavior (level) of the differences.2. Understand TCM in Thailand application characteristics and law (including herbal treatment of TCM, commonly used types, several usage and dosage, the TCM firing, etc. Comparing the two countries used TCM clinical feature of differences.3. Exploring and summarized in Thailand "because people, time, place" when the application rule.4. Put forward the corresponding policy recommendations of the national strategies. (Policy recommendations)Method:Take the field survey methods, and will get survey results are discussed and analyzed with phenomenon.Results:1. All around the hospital of TCM and TCM in Thailand total have131. Western medicine hospitals and clinics total have 20342 so the ratio is 1:155.2. All of Thailand has only 328 person's doctors practicing TCM, but Western doctor's total have 30829 persons. TCM doctors male 220 persons and female 108 persons. So ratio is 2:1. And 263 persons in Bangkok and 65 persons in other places.3. From this sampling survey of the 30 TCM doctors, male 13 women 17. Age lowest 52, highest 74, average age 63. All TCM doctors are Chinese, the well-known way to study Chinese medicine. Number of patient the highest in15 persons/day, the lowest in 4 persons/day, an average is 10 persons/day. Work seniority (the end of survey in 2009) the longest in 45 years and the shortest in 22 years, average age 33.9 years.4. The survey involved a total of 300 TCM prescriptions, with a clear diagnosis of TCM prescriptions 231 it covers 30 Chinese name of disease, of which the top 10 diseases in TCM are: arthralgia, dizziness, hypochondriac pain, epigastria pain, cough, insomnia, asthma, depression syndrome, headache, accumulation.5. The survey included a total of 300 TCM prescriptions have 307 kind of herbs, according TCM effectiveness of classification, a total of 18 categories. The top 10 are:tonic drug, heat clearing drug, phlegm resolving, antitussive and antiasthmatic drug, activating blood and dissolving stasis drug, relieving exterior syndrome drug, antirheumatic drug, damp-clearing drug, Astringent drug, soothing liver to stop wind drug, qi-regulating drug.6. From 300 prescriptions in the use of single herbs frequency point of view, the top 10 drugs are:poria cocos, broil liquorice, angelica sinensis slice, radix ophiopogonis, red jujube, prepared rhizome of rehmannia, ginger, rhizoma dioscoreae, ligusticum chuanxiong hort, fry rhizoma atractylodis macrocephalae.7. Results from a dose of TCM point of view, the use of the frequency of the top 10 single herbs in the average amount of the basic conventional dose range.8. From 307 kind of herbs,44 kinds have processing method, accounting for 14.33%. Processing methods include:broil (consist of honey, liquor, vinegar, salt, ginger) 25 kinds, fry 10 kinds, resembling charcoal 3 kinds, calcine 2 kinds and other processing methods:well done cooking, manufacture, method, fermented mass.9. From 307 kind of herbs,58 kinds have a special decoction method include:be decocted first 16 kinds, be decocted later 16 kinds, put in small bag 17 kinds, divide rinse 2 kinds, separately decoct 3 kinds, be taken after being infused in decoction 1 kinds, melt 3 kinds.10. From a practical point of view Syndrome drug:arthralgia have 33 prescriptions include 120 kind of herbs, dizziness have 21 prescriptions include 100 kind of herbs, hypochondriac pain have 21 prescriptions include 105 kind of herbs, epigastria pain have20 prescriptions include 78 kind of herbs, cough have18 prescriptions include 76 kind of herbs, insomnia have 16 prescriptions include 72 kind of herbs.Conclusion:1. TCM in Thailand is still in development stage, by Thai law defined as "the introduction of medicine", still cannot obtain medical like Thai medicine, Western medicine in social status. Thai people the degree of understanding and knowledge of TCM is not enough.2. In Thailand TCM doctor is little bit old and all of them are Chinese overseas. So the practice level is very different between TCM doctors in China.3. The survey involved 30 TCM Syndrome, covering internal medicine, external medicine, gynecology, dermatology, ENT and other subjects. Chinese medicine treatment of that disease in Thailand is relatively wide. Arthralgia in Thailand showed a high prevalence of specific diseases and geographical environment and the relevance of meteorological factors.4. The survey involved 300 prescriptions include 307 kinds of herbs. In 18 categories (efficacy points). According to "use medicine principle" in TCM,300 prescriptions involves deficiency syndrome, heat syndromes, phlegm syndrome, stasis syndrome, exterior syndrome, arthralgia, water wet stop syndrome, spondylolisthesis, wind inside liver, air stagnation, and other basic syndrome. 5. From 300 prescriptions in the use of single herbs frequency point of view, the spleen and stomach a majority of medication syndrome; tonic medicine is major drug and in tonic medicine group, warm tonic medicine is major.6. The amount and the processing method from the Chinese point of view, basically followed the tradition of China, but some special decoction of TCM in China in law and medicine but the records are not the same material.7. From a practical point of view Syndrome medicine, TCM treatment in Thailand①arthralgia mainly used blood circulation medicine, rheumatism medicine and tonic medicines;②dizziness mainly used soothing liver medicine, clear liver heat medicine, spleen tonic medicine, blood tonic medicine, yin promoting medicine;③hypochondriac pain mainly used yin-promoting medicine soothing liver medicine, clear liver heat medicine, spleen tonic;④pigastria pain mainly used qi and spleen promoting medicine, clear moisture medicine, qi activating drug, phlegm resolving;⑤cough mainly used phlegm resolving, clear lung and clear heat and toxic medicine;⑥insomnia mainly used yin promoting medicine and blood promoting medicine.According to the results of this survey, this paper focuses on the vision of Chinese medicine in Thailand, the development of relevant policy recommendations, including①The "people" oriented to enhance the level of Chinese medicine practitioners;②the "people" oriented, carry out the public knowledge of Traditional Chinese Medicine popularity;③timely import of medicine, two-way communication and professional training of pharmacists; and that:the development of Chinese medicine in Thailand, both the basic theory of traditional Chinese medicine and the skills of the inheritance, but also showing distinct from China's "localization" some of the features, characteristics, traditional Chinese medicine in Thailand will only follow the "for people, time, place" principle, to get great progress for the benefit of the people in Thailand. |
PDF Full Text Request