Development of treatment of influenza in primary health-care institutions

I. Historical Retroactivity and Theory

There is a long-standing awareness of influenza among Chinese doctors, and many of these diseases have been documented in ancient medical records, such as “time flu” and “seriously injured wind”. It is based mainly on the holistic concept of Chinese medicine and on the idea of adversarial treatment. According to traditional Chinese medicine, flu is the result of a lack of positive human gas and the ills of external disease, mainly in the form of pulmonary health, which can be sorely and in the form of stomach and stomach. In long-term medical practice, a wide variety of treatment methods and agents have been developed.

Traditional models for grass-roots applications

In the past, the treatment of influenza at the grass-roots level was based on the personal experience of senior Chinese doctors and the classic formula. Common, such as silver dissipation, saliva, etc., are used to protect the wind, in the form of heat, mild wind and thirst; ephedra and cuisine soup should be used as evidence of the wind, in the form of cold and cold. The Chinese physician collects information on the symptoms of the patient, hears them, asks them, asks them to examine the symptoms, and then gives them a drug, or is assisted by medical treatment in the form of an acupuncture, push, etc., in the form of external medical treatment, for the purpose of defusing the table, detoxification, and detoxification.

III. The drivers of modern development

1. Policy support: In recent years, the State has made a major effort to support the development of the Chinese medicine industry and the implementation of policies such as the project to improve the capacity of the Chinese medicine service at the grass-roots level, which has provided a favourable policy environment for the development of the Chinese medicine for the treatment of influenza at the grass-roots level. For example, financial resources have been increased for grass-roots and middle-level medical institutions, which encourage the development of middle-level medical personnel.

2. People ‘ s needs: With a shift in health perceptions and increased recognition of Chinese medicine, a growing number of people at the grass-roots level are opting for Chinese medicine to treat influenza. The relatively small side effects of Chinese medical treatment, the focus on holistic management and the unique advantage of improving symptoms are in line with people ‘ s quest for green, moderate health care.

3. Progress in scientific research: Modern scientific research has been developing an in-depth study of mechanisms for treating influenza in Chinese medicine. Studies have found that many Chinese formulations have antiviral, immunological and other effects. For example, the scavenging capsules have been shown to inhibit multiple influenza viruses, regulate body immunocellular activity, provide a scientific basis for Chinese medicine to treat influenza and increase confidence in primary and secondary care.

IV. Current status of treatment at the grass-roots level

1. Standardization of diagnostics: the primary health-care institutions have developed a more standardized in-patient influenza process. Based on the National Influenza Treatment Programme and the Guidelines for Medical Care in China, a clear Chinese medical identification of influenza, such as wind fever, heat-to-pulmonary attacks, summer wetness tables, etc., is carried out, taking into account the local situation, and a corresponding standardized treatment programme, including the choice of formulas, the dose of drugs, the course of treatment, etc.

2. Diversity of treatment: In addition to traditional Chinese soup, Chinese medicine is widely used in the treatment of influenza at the grass-roots level. Easy to take, easy to store and very popular with patients, such as double-chronic oral fluids and antiviral oral fluids. At the same time, medical out-of-patient treatments such as acupuncture vertebrates to deheating, and pulmonary pulmonary vertebrae to stop coughing are often used in conjunction with internal medicine to improve treatment effectiveness. In addition, the Chinese medical rehabilitation concept has been incorporated into the advanced stage of flu treatment, which promotes physical recovery and reduces the after-effects of the disease through dietary adjustment, emotional guidance, etc.

3. Talent development and reserves: Strengthening the capacity-building of middle- and middle-level medical personnel through a variety of means. On the one hand, medical schools have increased the number of students enrolled in targeted secondary medicine at the grass-roots level and have trained middle-level medical personnel “to stay, stay and use”, while on the other hand, training programmes on appropriate technology at the grass-roots level have been carried out.

V. CHALLENGES AND CONTEXTS

1. Talent shortage: Despite efforts to train middle-level medical personnel, the overall number of middle-level medical professionals remains relatively low, especially in remote areas. Moreover, there is a greater scarcity of complex personnel who are both proficient in the classic Chinese medicine theory and proficient in modern medicine, which limits the comprehensive and in-depth use of Chinese medicine at the grass-roots level.

2. Drug quality and supply: The efficacy of Chinese medicine is closely related to its quality. In the procurement of medicines, primary health-care institutions may face problems of mixed variety, uneven quality and irregularity. Some regions also suffer from delays in the supply of Chinese medicines and the lack of supplies of certain scarce medicines, affecting the continuity and effectiveness of Chinese medical treatment.

3. Limitations in the health-care policy: Restrictions on the coverage and percentage of health-care coverage for some Chinese-medicine treatment projects and Chinese-medicine preparations have led to increased costs of access to health-care services, to some extent affecting the motivation of patients to choose to treat flu in Chinese-medicine care, and to limit the motivation and innovation of primary-level health-care institutions to conduct such treatment.

VI. Outlook for the future

1. Smart development: With the integration of technologies such as the Internet, big data, artificial intelligence and Chinese medicine, the treatment of influenza at the grass-roots level will usher in an age of intellectualization. For example, using artificial intelligence-assisted Chinese medicine diagnostics, rapid and accurate identification of the patient ‘ s symptoms, histograms, pulses, etc., to recommend individualized treatments; and the establishment of a large data platform for the management of influenza in Chinese medicine, which collects data on clinical cases, treatment effects, etc., to provide a basis for optimizing treatments.

2. Innovative drug research and development: Based on Chinese medicine theory and modern scientific research, it is expected that more efficient, safe and accessible new drugs will be developed in the future. These new drugs may be optimized on the basis of classic formulas, or new formulations made from active ingredients extracted from Chinese medicines, which will provide a stronger weapon for the treatment of influenza at the grass-roots level.

3. Integration of medical services: Primary-level health-care institutions will further strengthen the integration of Central and Western medical services and integrate the comparative resources of Chinese and Western medical services for influenza treatment. In the areas of disease diagnosis, treatment programme development and rehabilitation care, a seamless interface between Western and Central medicine, synergy and complementarities have been achieved, the overall level of influenza prevention and treatment has been raised, and quality and efficient medical services have been provided to the population at the grass-roots level.