中药产业:中国人手中的金矿
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图示∶2010年12月即将出版的《中国特色医疗金鉴》登载的刘君主任及其机构 | ||||
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中医现代化可能引起医学的革命,而医学的革命可能要引起整个科学的革命。所以我们一定要向前走。中药必将成为未来经济增长的引擎。
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——钱学森
中药的前景:未来经济增长的引擎
中国的崛起正在改变世界对中国的认知。
中国已经有两个领域在全球享有巨大影响力:饮食和传统中医药,虽然后者影响力要小得多。中国烹饪技术许多年来伴随华人移民而流传至世界各地,现在已为世界大部分地区的人们耳熟能详。很特别的是,中餐的全球影响力并非因中国的崛起而产生,而是伴随着华人在国外开设中餐馆而逐渐传播的。
中医药在中国大陆以外地区的传播过程大体与中餐相同,海外华人在栖息地将中医药慢慢地向当地居民推广。然而,由于餐饮没有那么多的标准和限制,很容易被外国居民所接受,传播和普及遇到的阻力较小。但药物与人的健康息息相关,且在治疗疾病的过程中,医生难以给病人说清中医药的治病机理和药效成分,因此很难被外国居民所接受,普及范围和速度难以和中餐相比,从而制约了中医药的国际化进程。
中药的国际化是中华文明在世界上崛起的一个重要组成部分。随着中国国际地位的提高,中医药作为中国文化的遗传因子必将加速在世界各国的传播进程。如今,越来越多的西方人发现,来源于古文明的缓解性药物和医疗方法是数千年试验和试错的结晶,是医学有效而重要的部分,即使我们并不理解它们大多数是如何产生作用的。
中国医药企业管理协会副会长于明德认为,中医药要贴上全球通行证,必须走现代化道路。如果不能用现代科学技术去改造和提升传统中药产业,国内中医药产业的市场份额势必会被国外跨国公司所占领。
近年来,中药产业正成为国际医药产业投资资本追逐的新热点。全球著名的大型跨国医药公司之所以跑到传统医药大国中国市场来掘金,并不约而同地把触角纷纷伸向天然药物,原因在于天然药物市场的复苏。同时,WHO在全球启动的传统医学发展战略,把传统医学推到所未有的高度。
日本、韩国、美国等发达国家更是利用其经济和科技优势,大量收集我国中药处方信息,通过改变剂型、添加剂、工艺等方法,抢占中药知识产权。因此,中医药需要在医疗理论研究、药理药效成分研究及规范化种植、标准化生产等领域推进现代化进程,实施质量上的“安全、稳定、可控”革命,以争取获得世界各国的认可,进入其药品目录。
当然,仅仅实现产品的国际化是不够的,还要实现标准的国际化和理念的国际化。中药产业生产的不仅仅是一种产品,它还代表了中国的文化,仅凭少数几家企业,少数品种、散兵游勇式的作战模式,在当前新技术、新标准不断出现的背景下,难以实现中药产业整体走向国际的历史使命。
实际上,把药品作为一个特殊商品推销出去并不难,但赢得广大消费者持久的认可并不容易,除了必要的产品市场推广外,更重要的是要在产品的市场竞争与营销创新中,不断导入提高生命质量的大健康产业的服务理念。
未来,在中药现代化的同时,我们还需要对中医药文化加强宣传和营销,逐步改变外国居民对中国中医药的认知。若能在国内招收国际中医药留学生和举办中医药国际培训班,在国外开设中医药学校和中医院,在国外的汉语言课本里增加一些中医药方面的文章,利用互联网开展国际范围的远程教学和远程医疗,开展中医药外交,努力使国际社会更多地了解中医药,将会大大提高中医药在国外的接受度。
中药的伟大:可以推翻“疾病产业”的暴政
所有对医学有点研究的人,都会发现一个规律:经济发展水平越高,医疗保健费用也越多。有关数据显示,美国经济总量的1/6都被用在了“疾病产业”上。美国经济学家保罗·皮尔泽的研究证明了这一结论:人们的财富增加的越多,投入到保健中的金钱比例也就越大。
众所周知,疾病产业具有被动的特点,虽然其规模庞大,但人们只有发生特别症状或患某种疾病时才会成为治病产业的消费者。但是,每个人都想成为保健产业的顾客,他们都想让自己变得更健康一些,最好能减缓老化的现象,避免成为治病产业的顾客。当人们这样想时,他们就不仅有对药物的需求,更有对健康知识的需求,从原来被动用药,逐步转向自己选择药物,从被动治疗逐步向预防及保健,将自己的生命价值链前移,这可以被称作为健康消费系数。
据此推理,如果各个国家的经济发展水平都能向欧美国家靠拢,并在经济发展的同时提高健康消费系数,将会极大地扩容对生活质量升级和身体保健有独特优势的中医药产业的市场宽度。
正在兴起的保健革命是对治病和食品工业“暴政”、“专制”的反映,是对人类需要自由选择保健产品的一种满足。其实,我们每天造成都用的牙膏、洗发液,白天的饮食到晚上睡觉的床垫及化妆品,日常生活的每一个决定,已经充斥着对保健的需求。
以饮食改善身体状况,并非是中国发明的专利,西方公认的“现代医学之父”希波克拉底在公元前400年就曾经指出,“我们应该以食物为药,饮食就是你首选的医疗方式”。由此推理,添加中药的第三代保健食品(尤其是增强免疫的食品)有可能成为21世纪的主流食品。
可以毫不夸张的说,如果二十世纪是物理学的世纪,那么二十一世纪就是生命科学的世纪。未来医疗产业和保健产业将会在同一平台上展开竞争。
另外,人均寿命的不断提高,婴儿出生率不断下降,使得人口老龄化成为世界性趋势。在我国,现在60岁及60岁以上老年人口已经达到1.67亿,占人口总数的12.5%,到2020年,中国60岁以上人口将会达到2.4亿。未来25年,世界上的老年人口将增长2倍,老年人口占全球人口的总数将从现在的15%增至30%。
老年人口的增加和生活方式的变化带来了疾病谱的变化,以肿瘤、心脑血管、糖尿病、高血压为主的慢性病的发病率逐年增加,由此带来的最大的挑战是医疗费用成倍增加。
更为可怕的是,现有的以西医药为主流的医疗体系在慢性病面前显得无能为力。另外,随着老百姓对疾病防护以及自我保健意识的提高,病人对医疗保障的需求和期望也越来越高,这对现已满负荷的医疗保障系统带来更大的压力。
针对这一问题的解决方案,除了对慢性病的早期诊断处理外,更主要的是引入家庭医疗保健的概念。中医药的预防和保健属性,使得它在家庭医疗保健方面比西医药更具有优势。
据有关方面估算,我国老年群体每年的消费潜力达到3000亿元以上,其中老年食品每年至少1000亿元。
世界卫生组织认为,人的大部分疾病都是“生活方式病”,我们的社会建立在汽车和少运动之上,每天花费在电脑和电视前面的时间也在增加,加上同时又摄入过多的高热量和存在食品安全问题的食物,以至于一些人患上了现代文明病——如肥胖症、糖尿病、冠心病、高血压、结石病等。
在中国,因为营养过剩而导致的各类疾病的人口也越来越多。据卫生部统计,脑血管病近几年间有明显上升趋势,每年新发生脑血管病200万例,每年死于脑中风者150万左右,其中3/4留有不同程度的残疾。
在各类垃圾食品充斥市场的同时,在报纸、电视、网络等媒体经常出现各种减肥药品促销,垃圾食品和减肥药品大把赚钱。虽然这两者并没有直接共谋,但都攫取了庞大的经济利益,仿佛事先串通好一样。
这给中医药产业的发展提供了一些思考。如果政府能多普及一些中医药理论和文化,用这些理论去引导人们的生活,并用中药药食同源的机理预防并消除食品危机而造成的一些疾病,中医药产品必将在越来越多的人群中普及开来。
Chinese medicine industry: the hands of the Chinese gold
At 15:14 on November 1, 2010 Hubei Daily
Modernization of the Chinese medicine may lead to revolution, and revolution in medicine may lead to the scientific revolution. Therefore, we must move forward. Chinese will become the engine of future economic growth.
- Qian
The prospect of traditional Chinese medicine: the engine of future economic growth
China's rise is changing the world perception of China.
There are two areas of China has enjoyed great influence in the world: food and traditional Chinese medicine, although the latter influence is much smaller. Chinese cooking techniques for many years with Chinese immigrants spread all over the world, now people in most parts of the world familiar. Very special is that the global impact of Chinese food not due to the rise of China and produced, but along with the opening of the Chinese restaurants in foreign countries and gradually spread.
Chinese medicine in China outside of the same communication process in general and Chinese food, overseas Chinese and the Chinese medicine in the habitat to the local residents in slowly. However, the food not so much the standards and restrictions are easily accepted by foreign residents, dissemination and popularization of encounter resistance. But drug and human health are closely related, and in the process of treating disease, the doctor said the patient is difficult to clear the mechanism and efficacy of TCM treatment composition, it is difficult to be accepted by foreign residents, and the popularity of Chinese food is difficult to scope and speed of the phase ratio, thereby constraining the process of internationalization of Chinese medicine.
Internationalization of Chinese medicine is the rise of Chinese civilization in the world, an important component. With the advancement of China, Chinese medicine as a genetic factor in Chinese culture in the world will accelerate the spread of the process. Today, more and more Westerners find relief from the ancient civilization of drugs and medical treatments are thousands of crystallization experiments and trial and error, is effective and important part of medicine, even if we do not understand how most of them have an effect.
China Pharmaceutical Enterprise Management Association, vice president of the Matilda that the world passes you want to paste in medicine, we must take the road of modernization. If you can not use modern technology to transform and upgrade traditional Chinese medicine industry, domestic market share in the pharmaceutical industry will inevitably be occupied by foreign multinational companies.
In recent years, traditional Chinese medicine industry, the international pharmaceutical industry is becoming the new hot pursuit of investment capital. The world's leading multinational pharmaceutical companies big reason why the country went to the Chinese traditional medicine market to Denver, and have bent their tentacles stretched natural medicine, natural medicine because of the market recovery. Meanwhile, WHO launched the Traditional Medicine in the global development strategy, the traditional medicine has not pushed to the heights.
Japan, South Korea, the United States and other developed countries is to use its economic and technological advantages, a large collection of traditional Chinese medicine prescription information, by changing the formulation, additives, process and so on, to seize the Chinese intellectual property rights. Therefore, the medical needs in the medical theory, pharmacological efficacy and standardization of plant constituents, standardized production and other fields to promote the process of modernization, the implementation of the quality of the "safe, stable and controllable" revolution, to gain access to world recognition, access to the drug list.
Of course, the internationalization of their products alone is not enough, but also to achieve international standards and the concept of internationalization. Chinese industrial production is not only a product, it also represents the Chinese culture, alone a few companies, a few species, stragglers-style combat mode, in the current new technology, new standards in the context of emerging, difficult to achieve Chinese industry as a whole to the international mission.
In fact, the drugs out as a special commodity marketing is not difficult, but a lasting recognition to win the majority of consumers is not easy, in addition to the necessary product marketing, the more important to market competition in the product and marketing innovation, continuously improve the quality of life into the health service industry is a big idea.
The future, in the modernization of Chinese medicine, we also need the publicity and marketing of medical culture, and gradually change the foreign residents of Chinese medicine knowledge. If Chinese medicine in the country to recruit international students and conduct international training courses of Chinese medicine, Chinese medicine schools in foreign countries and Chinese medicine hospital opened in the Chinese language textbooks overseas to add some articles on Chinese medicine, the use of the Internet for remote international education and telemedicine, to carry out the medical diplomacy and efforts to make the international community to learn more about Chinese medicine, Chinese medicine will significantly improve the acceptance in foreign countries.
The great Chinese medicine: can overturn the "disease industry" tyranny
A little bit of all the medical people, will find a pattern: the higher the level of economic development, health care costs more. The data show that the total U.S. economy, 1 / 6 have been used in the "disease industry" on. U.S. economist Paul Pilzer Luopi studies have shown this conclusion: people's wealth increases, the more money put into the care of the greater proportion.
As we all know, disease characteristics of industry with a passive, although large, but it is only in the event especially when the symptoms or suffering from a disease treatment industry, consumers will become. However, everyone wants to become a health-care industry customers, they all want to become more healthier, better to slow down aging, treatment industry to avoid becoming customers. When people think so, they not only demand for drugs, the demand for more knowledge on health, from the original passive treatment, and gradually shift their drug of choice, step by step from the passive to the prevention and treatment of health care, to his own life before the value chain shift, which can be referred to as healthy consumption factor.
Accordingly reasoning, if the level of economic development of each country can move closer to Europe and the United States, and economic development while improving the healthy consumption coefficient, expansion will greatly upgrade the quality of life and physical health has a unique advantage in the pharmaceutical industry market width.
Emerging revolution in health care is medical treatment and food industry "tyranny," "authoritarian," a reflection of the human need for a freedom of choice to meet the health-care products. In fact, we use every day are caused by toothpaste, shampoo, diet during the day to sleep at night, mattresses and cosmetics, daily life, every decision has been full of the health care needs.
Improve the physical condition of the diet is not the Chinese invention patent, the West recognized as the "father of modern medicine" Hippocrates in 400 BC, once said, "We should be with food as medicine, food is your preferred method of medical . " This reasoning, adding the third generation of Chinese health food (especially the immune food) may become the mainstream of 21st century food.
It is no exaggeration to say that if the twentieth century is the century of physics, then the twenty-first century is the century of life science. Future health care industry and health care industry will compete on the same platform.
In addition, the continuous improvement of life expectancy, declining birth rate, making the aging of the population become a worldwide trend. In China, now aged 60 and 60 years old or older population has reached 167 million, accounting for 12.5% of the total population by 2020, the Chinese population over the age of 60 will reach 240 million. Next 25 years, the world's elderly population will grow by 2 times, the elderly population the total number of the world's population will grow from 15% to 30%.
Increasing elderly population and lifestyle changes have brought changes in disease spectrum, to cancer, cardiovascular, diabetes, hypertension, the incidence of chronic diseases mainly increased year by year, and the resulting medical costs are the biggest challenges into fold increase.
More alarming is that mainstream medicine west of the existing health care system in the face of chronic disease appears to do nothing. In addition, people with self-care to disease prevention and awareness, patient health care needs and expectations are also increasing, which is now at full capacity of the health care system to bring greater pressure.
A solution for this problem, in addition to the early diagnosis and treatment of chronic diseases, but more important is the introduction of the concept of family health care. Chinese medicine prevention and care properties, making it in the home health care has more advantages than Western medicine.
According to official estimates, China's annual consumption potential of older age groups up to 3,000 billion yuan, of which at least 100 billion yuan a year old food.
World Health Organization, the majority of human diseases are "lifestyle diseases", and our community to build on top of the car and lack of exercise, spend a day in front of the computer and television time also increased, while intake of added and the presence of too much high-calorie foods food safety issues that some people suffering from diseases of modern civilization - such as obesity, diabetes, coronary heart disease, hypertension, stones and so on.
In China, because of excess nutrients caused by various diseases of the population is also increasing. Ministry of Health statistics, between cerebrovascular disease in recent years, a clear upward trend, each year two million cases of cerebral vascular disease, 1.5 million persons die each year from stroke, of which 3 / 4 left varying degrees of disability.
Filled with all kinds of junk food in the market, in newspapers, television, Internet and other media often promote a variety of weight loss drugs, weight-loss drugs a lot of junk food and money. Although the two did not directly seek, but they grabbed a huge economic benefits, as well as if the prior collusion.
This gives the pharmaceutical industry provides some thoughts. If the Government can have more number of Chinese medicine theory and popular culture, using these theories to guide people's lives, and homology with the mechanism of Chinese food and medicine to prevent and eliminate food crisis caused by a number of diseases, traditional Chinese medicine products will more and more The popularity of the crowd off.