《中国工程科学》 >> 2023年 第25卷 第5期 doi: 10.15302/J-SSCAE-2023.05.007
新时代中医药发展现状与思考
1. 天津中医药大学文化与健康传播学院,天津 301617;
2. 天津中医药大学管理学院,天津 301617;
3. 天津中医药大学中医药研究院,天津 301617;
4. 中国医学科学院北京协和医学院药用植物研究所,北京 100193;
5. 浙江大学药学院,杭州 310058;
6. 中国中医药科技发展中心,北京 100027;
7. 北京中医药大学东直门医院,北京 100700;
8. 北京中医药大学,北京 100029
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摘要
近年来,我国中医药事业发展迅速,同时也面临新的挑战,肩负新的历史使命。党的二十大报告中特别提出“促进中医药传承创新发展,推进健康中国建设”。为持续推进中医药高质量发展,本文以新时代中医药事业发展为背景,从中医基础理论创新、中医药临床优势与评价、中药资源开发与利用、中药智能制造和中医药走向国际等领域开展研究,对中医药发展现状进行分析,梳理中医药发展面临的形势和存在的问题,针对性提出六方面对策建议:①聚焦中医基础理论研究关键问题,实施人群中医药健康项目;②创新管理机制体制,在关键评价体系和方法上进行创新试点;③加强中医药人才队伍建设,提升中医药临床诊治水平和科研发展;④内引外拓、激发活力,促进中药资源综合开发与全面利用;⑤重视中药智能制造的发展,从理论研究、技术体系、人才培养等多层面协同创新发展;⑥推动中医药走向国际,实现中医药与国际传统医学和现代医学的融合发展。
参考文献
[ 1 ]
国务院办公厅 . 关于加快中医药特色发展的若干政策措施 [EBOL]. 2021-01-22 [ 2023-10-15 ]. https: www.gov.cngongbaocontent2021content_5588816.htm .
General Office of the State Council of the People´s Republic of China . A number of policy measures on accelerating the development of Chinese medicine characteristics [EBOL]. 2021-01-22 [ 2023-10-15 ]. https: www.gov.cngongbaocontent2021content_5588816.htm .
链接1
[ 2 ]
国务院办公厅 . 中医药振兴发展重大工程实施方案 [EBOL]. 2023-02-10 [ 2020-10-10 ]. https: www.gov.cnzhengcecontent2023-0228content_5743680.htm .
General Office of the State Council of the People´s Republic of China . Implementation plan of major projects for the revitalization and development of traditional [EBOL]. 2023-02-10 [ 2020-10-10 ]. https: www.gov.cnzhengcecontent2023-0228content_5743680.htm .
链接1
[ 3 ]
黄明 , 杨丰文 , 刘耀远 , 等 . 张伯礼院士谈"中医药发展这十年" [J]. 天津中医药大学学报 , 2022 , 41 4 : 409 ‒ 412 .
Huang M , Yang F W , Liu Y Y , al e t . Academician Zhang Boli talked about "ten years´ development of traditional Chinese medicine " [J]. Journal of Tianjin University of Traditional Chinese Medicine , 2022 , 41 4 : 409 ‒ 412 .
[ 4 ]
何渊 , 夏春玲 , 刘步平 . 针刺治疗慢性前列腺炎Meta分析 [J]. 中华中医药杂志 , 2015 , 30 1 : 226 ‒ 229 .
He Y , Xia C L , Liu B P . Meta analysis on acupuncture in treating chronic prostatitis [J]. China Journal of Traditional Chinese Medicine , 2015 , 30 1 : 226 ‒ 229 .
[ 5 ]
耿强 , 赵玉 , 欧阳斌 , 等 . 基于文献研究分析针刺治疗慢性前列腺炎慢性盆腔疼痛综合征的选穴循经规律 [J]. 时珍国医国药 , 2019 , 30 3 : 748 ‒ 751 .
Geng Q , Zhao Y , Ouyang B , al e t . Literature study for the regularity of acupoint selection and meridian circulation on the treatment of chronic prostatitischronic pelvic pain syndrome [J]. Lishizhen Medicine and Materia Medica Research , 2019 , 30 3 : 748 ‒ 751 .
[ 6 ]
杨安辉 , 刘宇灵 , 林龙飞 , 等 . 清热解毒类中药抗新型冠状病毒肺炎研究进展 [J]. 中华中医药学刊 , 2021 , 39 1 : 181 ‒ 186 .
Yang A H , Liu Y L , Lin L F , al e t . Research progress of heat-clearing and detoxifying traditional Chinese medicine in treatment of Corona Virus Disease 2019 [J]. Chinese Archives of Traditional Chinese Medicine , 2021 , 39 1 : 181 ‒ 186 .
[ 7 ]
王琦 . 9种基本中医体质类型的分类及其诊断表述依据 [J]. 北京中医药大学学报 , 2005 4 : 1 ‒ 8 .
Wang Q . Classification and diagnosis basis of nine basic constitutions in Chinese medicine [J]. Journal of Beijing University of Chinese Medicine , 2005 4 : 1 ‒ 8 .
[ 8 ]
国家中医药管理局办公室 . 2020年中医药事业发展统计提要报告 [EBOL]. 2022-01-13 [ 2023-10-01 ]. http: www.natcm.gov.cnguicaisigongzuodongtai2022-01-2024293.html .
Office of the National Administration of Traditional Chinese Medicine . Statistical synopsis report on the development of traditional Chinese medicine in 2020 [EBOL]. 2022-1-13 [ 2023-10-1 ]. http: www.natcm.gov.cnguicaisigongzuodongtai2022-01-2024293.html .
链接1
[ 9 ]
张伯礼 . 中医药的探索与发展 [J]. 云南医药 , 2023 , 44 1 : 1 .
Zhang B L . Exploration and development of traditional Chinese medicine [J]. Medicine and Pharmacy of Yunnan , 2023 , 44 1 : 1 .
[10]
陈凯先 . 精准医学和中医药创新发展 [J]. 世界科学技术 ‒ 中医药现代化 , 2017 , 19 1 : 7 ‒ 18 .
Chen K X . Precision medicine and innovative development of traditional Chinese medicine TCM [J]. Modernization of Traditional Chinese Medicine and Materia‒World Science and Technology , 2017 , 19 1 : 7 ‒ 18 .
[11]
工业和信息化部装备工业司 . 2016年智能制造试点示范项目公示 [EBOL]. 2016-06-17 [ 2023-09-17 ]. https: wap.miit.gov.cngzcyyjzjart2020art_6b451c1a124b4ddfae995b9373f11ee3.html .
Department of Equipment Industry of Ministry of Industry and Information Technology of the People´s Republic of China . 2016 intelligent manufacturing pilot demonstration project publicity [EBOL]. 2016-06-17 [ 2023-09-17 ]. https: wap.miit.gov.cngzcyyjzjart2020art_6b451c1a124b4ddfae995b9373f11ee3.html .
链接1
[12]
工业和信息化部 . 关于公布2015年智能制造试点示范项目名单的通告 [EBOL]. 2015-07-21 [ 2023-09-17 ]. https: www.gov.cnxinwensite12015072284411437533396082.pdf .
Ministry of Industry and Information Technology of the People´s Republic of China . Notice on announcing the list of pilot demonstration projects of intelligent manufacturing in 2015 [EBOL]. 2015-07-21 [ 2023-09-17 ]. https: www.gov.cnxinwensite12015072284411437533396082.pdf .
链接1
[13] Bedard A C, Adamo A, Aroh K C, al et. Reconfigurable system for automated optimization of diverse chemical reactions [J]. Science, 2018, 361(6408): 1220.
[14] Coley C W, Thomas D A, Lummiss J A M, al et. A robotic platform for flow synthesis of organic compounds informed by AI planning [J]. Science, 2019, 365(6453): 557.
[15]
国家中医药管理局推进"一带一路"建设工作领导小组办公室 . 推进中医药高质量融入共建"一带一路"发展规划 2021 — 2025 年 [EBOL]. 2021-12-31 [ 2023-09-27 ]. https: www.gov.cnzhengcezhengceku2022-0115content_5668349.htm .
State Administration of Traditional Chinese Medicine Office of the Leading Group for Promoting the Construction of "the Belt and Road" . Development plan for promoting high-quality integration of traditional Chinese medicine into the construction of "the Belt and Road" 2021 — 2025 [EBOL]. 2021-12-31 [ 2023-09-27 ]. https: www.gov.cnzhengcezhengceku2022-0115content_5668349.htm .
链接1
[16]
新华社 , 中华人民共和国中央人民政府网站 . 中医药在抗疫国际合作中走向更广阔世界 [EBOL]. 2021-04-30 [ 2023-09-27 ]. https: www.gov.cnxinwen2021-0430content_5604183.html .
Xinhua News Agency , Central People´s Government Website of the People´s Republic of China . Traditional Chinese medicine has reached out to the wider world through international cooperation against COVID-19 [EBOL]. 2021-04-30 [ 2023-09-27 ]. https: www.gov.cnxinwen2021-0430content_5604183.html .
链接1
[17]
张坤 . 我国中医药服务贸易发展的现状、问题与策略 [J]. 价格月刊 , 2021 5 : 68 ‒ 74 .
Zhang K . Current situation, problems and strategies of Chinese medicine service trade development [J]. Price Monthly , 2021 5 : 68 ‒ 74 .
[18]
世界中医药学会联合会 . 世界中医药学会联合会五年发展规划 2021 — 2025 [EBOL]. 2021-12-31 [ 2023-09-17 ]. http: www.wfcms.orgindex.phpshow213260.html .
World Federation of Chinese Medicine Societies . World Federation of Chinese Medicine Societies five-year development plan 2021 — 2025 [EBOL]. 2021-12-31 [ 2023-09-17 ]. http: www.wfcms.orgindex.phpshow213260.html .
链接1
[19]
张伯礼 . 理论自信: 中医理论的传承发展——"中医辨证方法与临床高峰论坛"主题报告 [J]. 中国中医基础医学杂志 , 2015 , 21 4 : 373 ‒ 374 .
Zhang B L . Theoretical confidence: The inheritance and development of traditional Chinese medicine theory—Theme report of the summit forum on methodology and clinical recognition of traditional Chinese medicine [J]. Journal of Basic Chinese Medicine , 2015 , 21 4 : 373 ‒ 374 .
[20]
王琦 . 中医基础理论的重构与时代发展 [J]. 中华中医药杂志 , 2023 , 38 1 : 11 ‒ 17 .
Wang Q . Reconstruction and times development of basic theory of traditional Chinese medicine [J]. China Journal of Traditional Chinese Medicine , 2023 , 38 1 : 11 ‒ 17 .
[21]
施展 , 王燕平 , 史楠楠 , 等 . 中医药标准化研究述评 [J]. 中华中医药杂志 , 2023 , 38 1 : 30 ‒ 33 .
Shi Z , Wang Y P , Shi N N , al e t . Commentary on research of traditional Chinese medicine standardization [J]. China Journal of Traditional Chinese Medicine and Pharmacy , 2023 , 38 1 : 30 ‒ 33 .
[22]
田夏 , 柴倩云 , 张丽娟 , 等 . 不同医生辨证与针刺处方差异的临床研究 [J]. 中医杂志 , 2017 , 58 6 : 498 ‒ 501 .
Tian X , Chai Q Y , Zhang L J , al e t . Clinical study on the differences of syndrome differentiation and acupuncture protocols between doctors [J]. Chinese Medicine , 2017 , 58 6 : 498 ‒ 501 .
[23]
熊皓舒 , 章顺楠 , 朱永宏 , 等 . 中药智能制造质量数字化研究及复方丹参滴丸实践 [J]. 中国中药杂志 , 2020 , 45 7 : 1698 ‒ 1706 .
Xiong H S , Zhang S N , Zhu Y H , al e t . Study of intelligent manufacturing quality digitalization of traditional Chinese medicine and practice on Compound Danshen Dropping Pills [J]. China Journal of Chinese Materia Medica , 2020 , 45 7 : 1698 ‒ 1706 .
[24]
仲怿 , 茹晨雷 , 张伯礼 , 等 . 基于知识图谱的中药制药过程质量控制方法学研究 [J]. 中国中药杂志 , 2019 , 44 24 : 5269 ‒ 5276 .
Zhong Y , Ru C L , Zhang B L , al e t . Studies on the methodology for quality control in Chinese medicine manufacturing process based on knowledge graph [J]. China Journal of Chinese Materia Medica , 2019 , 44 24 : 5269 ‒ 5276 .
[25]
邢玉瑞 . 关于中医原创思维模式的再认识 [J]. 医学争鸣 , 2015 , 6 1 : 23 ‒ 26 .
Xing Y R . A re-understanding of TCM original thinking mode [J]. Negative , 2015 , 6 1 : 23 ‒ 26 .
[26]
程翼宇 , 王毅 , 刘雳 , 等 . 组分中药理论创新与实践范例: 冠心宁片创制研究 [J]. 中国中药杂志 , 2022 , 47 17 : 4545 ‒ 4550 .
Cheng Y Y , Wang Y , Liu L , al e t . theoretical innovation of component-based Chinese medicine and its exemplary practice: The study on creating Guanxinning tablets [J]. China Journal of Chinese Materia Medica , 2022 , 47 17 : 4545 ‒ 4550 .