Introduction
Acute oscillitis is a common upper-respiratory disease in primary health-care institutions, mainly in the form of stomach pain, drying, burning, exotic feelings, etc., which can be accompanied by heat and cough. It has a high incidence and is prone to repeated occurrence, and if treatment is not timely or thorough, it may turn into chronic oscillitis, with a greater impact on the quality of life of patients. In recent years, the combined treatment of acute oscillitis in western and central medicine has received extensive attention and application, with unique advantages and potential for development at the primary level.
II. METHODOLOGICAL METHODOLOGY FOR ASYLUM ACHIEVEMENT
(i) Medical treatment in China
1. Chinese medicine
Based on the patient ‘ s symptoms, signs and identification patterns, Chinese medicine often uses different equations. For example, in the case of wind heaters, the apparent acute oscillitis, silver stifling is commonly used to clear and detoxify the wind, and in the case of pulmonary stomach fever, more tungsten is used to detoxify and soak. The Chinese ingredients in these formulations, such as gold and silver flowers, corrosives, orange infarction, mints, yellow tungsten, etc., are antibacterial, antivirus, anti-inflammation and dethermal, and are effective in mitigating osteoporosis.
2. Acupunctures
The acupuncture therapy can be used as a defunct watch and acupuncture through needle-coupling of caves such as valleys, small businesses and commercial suns. Pumping can contribute to local blood circulation, depressive muscle tension and pain symptoms, for example, by rubbing them to the caves.
3. Inhalation by Chinese medicine
Inhalation treatment is provided for Chinese foretells, such as gold and silver, daisy and fat sea, which are made into aerosols. Drugs can directly affect the adhesive mucous membrane, rapidly reduce inflammation response, improve the discomfort of the ingesting, pain, etc., and local drug concentrations and side effects are low.
(ii) Western medicine
1. Drug treatment
Antibiotics are used mainly for the treatment of acute oscillitis caused by bacterial infections, such as penicillin, sepsis, etc. For viral infections, antiviral drugs such as Libavirin are often used. In addition, antithermal analgesics are used to mitigate the symptoms of fever, osteoporosis, e.g., brophen, acetylaminophenol, etc., as well as clean orals, e.g., sorbents, e.g., composts, and inflammation.
Physical therapy
Local cooling can reduce larvae, swelling and pain. Ultra-short-wave, infrared physiotherapy methods also help to improve local blood circulation and promote inflammation absorption.
(iii) Integrated medical treatment programme in West and Central China
In primary health-care institutions, combination treatment is often combined with combinations of medication and combination therapy. For example, antibiotics or antivirals are used to control infections, together with Chinese medicine to adapt the body to improve immunity; based on the application of acupuncture as a combination of acupuncture to reduce symptoms; or while Chinese medicine is mistified in inhalation, local treatment is enhanced by the presence of Western medicine. Such a combination would make it possible to take full advantage of the Chinese and Western doctors, reduce the duration of the disease, improve the effectiveness of treatment and reduce the incidence of complications.
III. Advantage of a combination of Western medicine in primary health-care institutions to treat acute oscillitis
(i) Improved efficacy
Chinese medicine focuses on holistic management, which improves the overall symptoms and body resistance of patients, while Western medicine is able to treat the causes of the disease quickly, to control infections and to alleviate symptoms. The combination of the two can play a different role in the disease, increasing the cure rate and reducing the recurrence rate. For example, the combination of the athermal detoxification of Chinese medicine and the anti-bacterial inflammation of western medicine can make it more effective to eliminate osteoporosis, make it easier for patients to mitigate their osteoporosis, fever, etc., and prevent delays.
(ii) Reduction of adverse effects
The long-term or unreasonable use of Westal antibiotics can lead to adverse effects such as increased resistance and fungal disorders. For Chinese medicine, natural drugs are used, with relatively small side effects. When treated in combination with Western and Central medicine, appropriate reduction in the use of Western medicine and in the time spent on it may be appropriate, reducing the risk of adverse reactions to Western medicine, while the adjustment of Chinese medicine can also help restore normal micro-ecological balance in the body. For example, when antibiotics are used for the treatment of acute oscillitis, co-optation with Chinese medicine reduces antibiotic irritation to the gastrointestinal tract and protects spleen stomach function.
(iii) Enrichment of treatment
Medical resources at the primary level are relatively limited, and the combination of medical treatments in West and Central China provides them with diversified treatment options. The methods of acupuncture, pick-up, mist inhalation of Chinese medicine are simple and low-cost and do not require sophisticated medical equipment and are suitable for implementation at the grass-roots level. These methods, which can be applied individually or in conjunction with Western medicine, provide individualized treatment programmes for patients with different conditions and needs and increase patient satisfaction. For example, for patients with mild acute oscillitis, the use of Chinese medicine for mistification of inhalation and administration of treatment avoids the potential risk associated with the use of antibiotics; for those with more serious conditions, the overall adjustment of Chinese medicine is based on Western medicine and promotes rehabilitation.
(iv) Promoting capacity-building in primary health services
The development of a combination of Western and Central medical treatment for acute oscillitis requires that primary medical personnel acquire knowledge and skills in both areas of Western and Central medicine, which helps to improve the operational level and quality of doctors at the grass-roots level. Through the study of Chinese medicine theory and technology, doctors at the grass-roots level are able to broaden their approach and better serve their patients, while also contributing to the transmission and promotion of a culture of Chinese medicine and medicine and to the overall development of health care at the grass-roots level. For example, after learning how to apply Chinese medicine, doctors at the grass-roots level can use Chinese medicine flexibly to treat common diseases and improve the position and role of Chinese medicine at the primary level, depending on the characteristics of the disease and the health of the patient.
IV. Challenges of combined treatment of acute oscillitis in primary health-care institutions
(i) Talent shortage
There is a shortage of complex people in primary health-care institutions who are both Western and Chinese. Most of the doctors at the grass-roots level, mainly in Western medicine, have relatively inadequate knowledge and skills in Chinese medicine, lack systematic training in Chinese medicine and clinical practice, and are unable to use the Chinese medicine theory for the purpose of identifying and developing Chinese medicine. The limited knowledge of Western medical norms and the application of new technologies among Chinese medical professionals limits the effective implementation of West and Central medical combination therapy. For example, in some township health centres, doctors may be able to use only Western medicine to treat acute oscillitis, half-aware Chinese medicine such as acupuncture, administration, etc., and fail to provide a comprehensive combination treatment programme for patients.
(ii) Drug availability and management
The combination of Chinese and Western medicine requires well-equipped Chinese and Western medicine. However, the procurement and storage of drugs in primary health-care facilities is constrained by a number of factors, the quality and stability of the supply of Chinese tablets is difficult to ensure, the availability of some commonly used Chinese preparations may be scarce and the availability of West and Central Western drugs may be insufficient, affecting the implementation of a combination treatment programme. In addition, the high requirements for the manufacture, storage and management of Chinese medicines and the relative weakness of professionals and facilities in this area in primary health-care institutions are prone to problems with the quality of Chinese medicines and affect the effectiveness of treatment. For example, poor storage conditions in some grass-roots pharmacies have led to the deterioration and deterioration of Chinese tablets and their normal use.
(iii) Patient perception and trust
There is insufficient awareness and prejudice among some of the patients regarding the combination of medical treatment in China and West. Some patients prefer purely Western medical treatment, considering it to be effective and effective and sceptical about the efficacy of Chinese medicine, while others rely too much on Chinese medicine to ignore Western medicine ‘ s advantages in controlling infection. This difference and mistrust in the perception of patients has created some difficulties for the promotion of the combination of treatment at the grass-roots level. For example, when people are referred to the Sino-Western medical combination therapy programme, they may refuse to accept Chinese medicine for lack of knowledge or have fear of Chinese medical practices such as acupuncture, which affects treatment dependence.
(iv) Lack of standardized clinical guidelines and evaluation criteria
At present, the harmonized guidelines for the treatment of acute oscillitis and the criteria for the evaluation of the efficacy of treatment are not yet adequate. There are significant differences in treatment methods and drug use practices between different regions and health-care institutions, resulting in uneven treatment outcomes and difficulties in conducting scientific clinical research and lessons learned. The lack of a standardized evaluation system also makes it difficult to accurately assess the strengths and weaknesses of combined treatment in West and Central Africa, to the detriment of its further development and improvement. For example, when evaluating the efficacy of combination treatment for acute oscillitis in West and Central China, the lack of uniform standards may result in overestimation or underestimation of treatment outcomes, affecting the optimization and improvement of treatment programmes.
V. Development strategy for a combination of Western medicine in primary health-care institutions for acute oscillitis
(i) Enhanced talent development and training
1. Implementation of the China-West Medical Integration and Continuing Education Project to develop a systematic training course on the characteristics and needs of medical personnel at the grass-roots level, including basic Chinese medical theory, methods of identification and treatment, application of Chinese pharmaceutical preparations, acupuncture techniques and clinical practice of the Central-West Medical Service for the treatment of acute oscillitis, with a view to improving the level of co-meditation at the grass-roots level.
2. Establishment of a mechanism for medical staff at the grass-roots level to study in higher-level hospitals, encouragement of Western medical personnel to learn Chinese medical knowledge and skills, Chinese medical personnel to learn Western medical technology, promotion of the integration and exchange of Western and Central medical knowledge, and training of a cadre of middle- and western medical professionals.
3. To provide medical staff at the grass-roots level with easy access to learning, using modern technological means such as web-based teaching platforms and telemedicine, and to conduct regular online lectures, case discussions and other activities to enhance guidance and training on the integration of treatment at the grass-roots level.
(ii) Optimization of drug supply and management
1. To strengthen the management of the procurement of medicines in primary health-care institutions, to rationalize the inventory of the procurement of Chinese and Western medicines, and to ensure that all types of drugs are commonly used, in accordance with the local disease spectrum and clinical needs. Establishment of stable cooperation with drug suppliers to ensure the quality and stability of the supply of tablets for Chinese medicines, in particular the supply of some edible medicines and special Chinese preparations.
2. To improve the level of construction of pharmacies in primary health-care institutions, with the necessary equipment for the manufacture, storage and distribution of Chinese medicines, to strengthen the capacity of Chinese medicine professionals, to regulate the production, storage and management of Chinese medicines and to ensure their quality. For example, a system of backtracking of the quality of Chinese medicines has been set up to monitor all aspects of the procurement, manufacture, storage and distribution of Chinese medicines and to ensure that patients are safe and effective.
(iii) Increased patient education and awareness
1. To increase the awareness and acceptance of Western and Central medical treatment through a variety of channels, such as community health lectures, information boards, micro-intelligence public signs, among others, to people at the grass-roots level. For example, the production of accessible information materials on successful cases of Chinese and Western medicine combined to treat acute oscillitis, and the understanding of patients that combined treatment in Central and Western medicine not only alleviates symptoms but also reduces relapse and improves the quality of life.
2. During visits to primary health-care institutions, doctors are required to increase communication with patients, to explain in detail the content, purpose and expected impact of the integrated treatment programme of the Western and Central Medical Institute, to eliminate the doubts and prejudices of patients and to increase their compliance. For example, when developing Chinese medicines, the patient is informed of the mechanism, method of use and care of the Chinese medicine, and the patient is actively involved in the treatment.
(iv) Development of standard clinical guidelines and evaluation criteria
1. Organization of a team of Western and Central medical experts to develop, in the light of the actual situation at the grass-roots level, guidelines for the integrated treatment of acute oscillosis in primary-level health-care institutions, and to identify the appropriate documentation, treatment methods, medications and procedures for such treatment, and to provide a scientific and normative basis for the treatment of primary-level medical personnel.
2. Establish a well-established system of criteria for the evaluation of the efficacy of the combination of treatment for acute oscillitis, which takes into account a number of factors, including the reduction of the patient ‘ s symptoms, the improvement of his or her signs, changes in laboratory indicators, the repetition rate and the quality of life. The objective evaluation is to be carried out using a quantitative scoring method in order to accurately assess the effects of the treatment and to promote the continuous optimization and improvement of the combination treatment programme. For example, an acute osteoporosis scoring scale has been developed, and patients have been rated for pre- and post-treatment symptoms such as ache, ingesting, drying, cough, etc., with a comprehensive evaluation of the effects of the treatment, taking into account the results of the osteal examination and laboratory examination data.
Conclusions
The combination of treatment of acute oscillitis in primary health-care institutions has a significant advantage in improving the efficacy of treatment, reducing adverse effects, enriching the means of treatment and enhancing the capacity of primary health-care services. However, many challenges remain in the areas of talent, medicines, patient awareness and clinical norms. The implementation of development strategies such as the strengthening of skills development and training, the optimization of drug supply and management, the strengthening of patient education and information, and the development of standard clinical guidelines and evaluation criteria is expected to further the development of a combination of Western medicine in primary health-care institutions for acute oscillation treatment, the provision of better quality, efficient and safe medical care to a wide range of people at the grass-roots level, and the promotion of the advancement of health care at the grass-roots level and the transmission and innovation of Chinese medicine at the grass-roots level.
