Summary: The purpose of this paper is to explore the development of a combination of Western medicine in primary health-care institutions to treat acute oscillitis. By analysing the advantages of a combination of Chinese and Western medicine for the treatment of acute oscillitis, the current situation in primary health-care institutions, the challenges faced and the way forward, it will be possible to provide a reference for improving the level of treatment for acute oscillitis at the grass-roots level and to promote a combination of Chinese and Western medicine to better serve patients in the field of primary care.
Introduction
Acute oscillitis is a common respiratory disease in primary health-care institutions, mainly in the form of stomach pain, drying, burning, exotic senses, which can be accompanied by whole-body symptoms such as fever and cough. Western medicine uses anti-infection, treatment of symptoms, etc., for acute oscillitis treatment, while Chinese medicine has a unique system of evidence-based treatment, which intervenes through a variety of means, including Chinese internal and external medicine. The combination of Western and Central medicine for acute oscillitis can combine the two advantages, and it is important to improve the efficacy of treatment and reduce adverse effects in primary care.
II. Advantage of a combination of Western and Central medicine for acute oscillitis
(i) Improved combination therapy
Medicines such as antibiotics in Western medicine can rapidly control inflammation in cases of acute oscillitis caused by bacterial infections, but have limited effect on the regulation of viral infections or post-inflammation. The Chinese doctor is able to clear his or her stomach and stomach fire by identifying, for example, wind-heated venomous evidence of the use of wind-sorting to keep him or her warm. The Chinese medicine not only alleviates local symptoms, but also regulates the overall state of the organism, enhances immunity and promotes recovery.
(ii) Reduction of adverse effects
The long-term or unreasonable use of antibiotics leads to adverse effects such as bacterial resistance and intestinal herbology disorders. The Chinese medicine is mostly natural and has relatively small side effects. For example, the local application of the drug mist inhaled or rinsed can directly affect the stomach, reduce the dose and adverse reaction of the whole body of the drug, and a reasonable combination with the Western drug can reduce the risks associated with the drug while ensuring therapeutic efficacy.
III. Current situation of primary health-care facilities
(i) Composition and training
Medical personnel in primary health-care institutions are mostly general practitioners, some of whom are trained in Chinese medicine or in Chinese Western medicine. In recent years, as the construction of primary health care has progressed, a growing number of Chinese and Chinese medical doctors have joined the grass-roots team, providing a human resource base for combined treatment in West and Central China. At the same time, there is an active training programme for medical personnel at the grass-roots level on the techniques of integrated medical treatment in Central West and Central West, so as to improve their capacity to treat such diseases as acute oscillitis.
(ii) Drugs and equipment facilities
With regard to the supply of medicines, primary health-care facilities are generally able to meet the availability of common Western drugs, such as antibiotics and antithermal painkillers. With regard to Chinese medicines, most are equipped with certain types of medium-element drugs, such as oscillating tablets, blue-sort oral fluids, etc., and some of them are provided with Chinese tablets for medical examination. In equipment facilities, a number of grass-roots units are equipped with equipment, such as mist inhalers, that can be used for combined treatment in West and Central medicine, facilitating local treatment.
Challenges
(i) Qualification difficulties
Chinese doctors are required to have a high level of Chinese medicine theory and clinical experience. In the case of acute cases, doctors at the grass-roots level may find it difficult to identify the spectrometry accurately because of their busy work or lack of adequate training in their own medicine, thus affecting the choice and efficacy of Chinese medicines. For example, the use of drugs may be counterproductive if the identification of wind and cold is not accurate.
(ii) Improved integration of Chinese and western medicine
At present, clinical pathways and clinical protocols for the combined treatment of acute oscillitis are not fully harmonized at the grass-roots level. Differences in the timing, dosage, treatment process, etc. of co-use of Chinese and Western medicine by different doctors have led to uneven treatment outcomes and to a negative impact on scientific assessment of and lessons learned from treatment.
(iii) Patient cognitive and subjectivity issues
Some sufferers are under-recognizing the combination of Western and Central medicine, relying too much on the rapid efficacy of Western medicine, and have doubts about the role of Chinese medicine and the way it is administered, leading to poor dependence. For example, the poor taste of Chinese soup and the high number of times it is used, and the difficulty of some patients in maintaining the course of treatment affects the continuity and ultimate efficacy of treatment.
V. The way forward
(i) Strengthened skills development and continuing education
(b) Further strengthen the capacity-building of middle- and west-level medical personnel, and optimize the integration curriculum in medical institutions, with a focus on capacity-building in clinical practice. In-service primary-level medical personnel, multilevel and multi-form continuing education programmes, such as online and off-line academic lectures, clinical teaching, case discussions, etc., have been developed to improve the level of co-medicine treatment, especially in the case of Chinese and Chinese medicine.
(ii) Improvement of clinical norms and guidelines
Organization of a team of experts to develop an integrated approach to basic health care
i. Detailed and highly operational medical protocols and clinical pathways for the combined treatment of acute oscillitis in West and Central Africa. To identify appropriate certificates, taboo certificates, drug choices and methods of use, treatment protocols, etc. for the combination of medical treatment in China and West Asia, to provide a scientific and normative basis for medical treatment at the grass-roots level, and to promote standardization and homogenization in the combination of medical treatment in China and West China.
(iii) Improved patient education and management
Through various channels, such as community health talks, information boards and new media platforms, patients are being made aware of the importance of Chinese medicine in improving symptoms, preventing relapse, and increasing their awareness and acceptance of Chinese medicine. At the same time, drug use guidance and follow-up management for patients are being strengthened, patient treatment is being kept up to date, treatment programmes are being adapted to improve patient compliance and effectiveness.
(iv) Promoting the integration of scientific research and clinical practice
Primary-level medical institutions are encouraged to conduct clinical research on the combination of medical treatment of acute oscillitis in West and Central China, to collate information on relevant cases, to observe the effects of treatment, adverse effects, etc., to learn lessons and to explore new treatment methods and combinations of drugs. The results of scientific research are being translated into clinical practice in a timely manner, and the combination treatment programme for Central and Western medicine is being optimized and the quality of primary health care is being improved.
Conclusions
The combination of Western medicine in primary health-care institutions offers great development prospects and important clinical value. Despite current challenges, the combination of Chinese and Western medical care for acute oscillitis will continue to develop and improve primary health care, providing better quality, efficient and safe health care to a large number of patients and promoting progress in primary health care by strengthening efforts to develop human resources, improve clinical norms, improve patient awareness and management and promote the integration of scientific research and clinical practice.
