A long article and dozens of words are the key words of real estate topic these days.

　　On December 20th, Minister of Finance Xiao Jie published the article "Accelerating the Establishment of Modern Financial System" in People’s Daily. The article mentions that the legislation and implementation of real estate tax should be promoted according to the principle of "legislation first, full authorization and step by step". Real estate tax shall be levied on industrial and commercial real estate and individual housing according to the assessed value, and the tax burden of construction and transaction links shall be appropriately reduced, and a perfect modern real estate tax system shall be gradually established.

　　The just-concluded Central Economic Work Conference also pointed out that it is necessary to improve the long-term mechanism to promote the stable and healthy development of the real estate market, maintain the continuity and stability of the real estate market regulation policies, distinguish the central and local powers, and implement differentiated regulation. As a result, the topic of real estate tax has been hotly debated again.

　　How to "collect" real estate tax according to the assessed value?

　　In the discussion on the landing of real estate tax, a new signal conveyed by the above article is that "industrial and commercial real estate and individual housing are subject to real estate tax according to the assessed value". The so-called evaluation value refers to the market evaluation value of the house, not the original value of the house (that is, the price at the time of purchase).

　　Yan Yuejin, research director of the think tank center of Yiju Research Institute, said that from the above statement, "collection according to the evaluation value" is a tax on the housing holding link, which will be based on the original value and existing value of the house, and take into account the real estate market. The environment and the value of similar properties around it are systematically evaluated, and then the corresponding tax share is obtained.

　　"In other words, the more the assessed value is collected, the smaller the assessed value is, which is in line with the principle of taxation in the holding link." Yan Yuejin believes that the positive answers to questions such as how to collect real estate tax indicate that the reform of real estate tax is accelerating.

　　The way of taxation has been determined, but how to carry out housing valuation is still a concern of many people. Owners may worry that the price of the house they bought before is low. If it is valued at the market value after the price increase, what impact will it have?

　　"There will be a set of specific and professional evaluation methods." Jia Kang, member of Chinese People’s Political Consultative Conference and chief economist of Huaxia Institute of New Supply Economics, said that the tax base evaluation of real estate tax has mature experience, and the general idea of collection is relatively clear, but it is still too early to discuss many details.

　　Yan Yuejin believes that the real estate tax levy will consider the evaluation value included in the scope of taxation, and there may be some deductions at this time. For ordinary people, considering the need for replacement and living in different places, housing holding similar to ordinary people is actually not a big problem, and it will not even be included in the scope of taxation. For those who hold multiple houses, the possibility of taxation is expected to be great.

　　In addition, what is the realistic basis of the method of "collecting real estate tax according to the assessed value" is also a concern of the real estate industry at present. Dong Fan, director of the Real Estate Research Center of Beijing Normal University, participated in the counseling and examination of the first batch of real estate appraisers in China. In his view, it is still debatable whether the current real estate appraisal force can support the real estate taxation work.

　　Dong Fan said that because the real estate is single and each house is different, the tax price must be calculated separately. At present, there are at least 300 million houses in cities in China, but there are only about 30,000 real estate appraisers. "If taxation is an annual levy, if it is assessed once a year, how many sets will each person have to assess? To evaluate 10,000 sets. " In his view, the current technical force can not meet the objective requirements of the full levy of real estate tax.

　　With strong local characteristics, how does the real estate tax go through the legal road?

　　It is worth noting that real estate tax will not be levied immediately, but must go through a series of legislative procedures first. Xiao Jie also pointed out in the above article: Strive to complete all legislative procedures in 2019, and complete the reform task of "implementing the statutory principle of taxation" in 2020.

　　Previously, in the National People’s Congress Standing Committee (NPCSC)’s legislative work plan for 2017, the real estate tax law was also included in the preparatory and research demonstration projects. However, the road to real estate tax statutory is not easy.

　　Dong Fan said that although the Ministry of Finance participates in the legislative work of real estate tax as the competent department, the ultimate leading authority of this legislative work lies in the National People’s Congress; If housing is included in the object of real estate tax collection, there is a fatal flaw in jurisprudence, because the public ownership of land leads to the fact that real estate cannot be a complete private property, so the conditions are not mature.

　　Zhu Weiqun, a professor of public school of economics and management at Shanghai University of Finance and Economics, said: "It is established to fully implement the statutory principle of taxation by 2020, but it is also very difficult, and the legislation of real estate tax is the most difficult of all taxes. In his view, although the landing of real estate tax is the future direction, because it involves thousands of households, the landing method is likely to be implemented in stages, regions and differences.

　　"The real estate tax is likely to be a local tax, and the tax rates in different places are not exactly the same. The tax elements such as the scope of taxation and the object of taxation, as well as the details of tax reduction and exemption may also have regional characteristics." Zhu Weiqun said.

　　When talking about promoting and improving the reform of the local tax system, the above article also mentioned that to expand the local tax power, under the premise of unified legislation and tax levy power of the central government, according to the characteristics of taxes, the local tax management authority should be appropriately expanded through legislative authorization, and the local tax management authority is mainly concentrated at the provincial level.

　　Jia Kang believes that a clear expression and trend at present is to fully empower local governments. "After authorization, places can distinguish the situation, not quick march together, but can be implemented step by step."

　　From the experience of foreign countries, most of the real estate tax is also one of the main financial resources of local governments. Zhu Weiqun believes that if we refer to this experience, it is objectively required that the real estate tax should be linked to the fiscal expenditure of the grass-roots government, and reasonable expenditure should be used to lead the future real estate tax reform, and the tax reform should be discussed from the perspective of the interconnection of revenue and expenditure of local governments, rather than tax reform.

　　"Behind the tax issue is expenditure, and reasonable expenditure determines reasonable taxation." Zhu Weiqun said that without the statutory constraints on fiscal expenditure, it is impossible to fundamentally solve the tax problem.

　　Jia Kang also believes that the reform of the fiscal and taxation system is a necessary option in the supporting measures for real estate tax landing. "The reform process of real estate tax must be well coordinated with other reforms. It is not enough to emphasize the importance of this."

　　Beijing, December 21st

　　On June 15th, 2024, American Pharmaceutical Front published this year’s top50 list of global pharmaceutical companies on its official website. Overall, the global bigpharma still maintains a stable development momentum. It is noteworthy that there are four China enterprises on the list this year, with Yunnan Baiyao ranking the highest, ranking 33rd. In 2023, Yunnan Baiyao achieved revenue of 39.111 billion yuan, up 7.19% year-on-year, and non-net profit reached 3.764 billion yuan, up 16.45% year-on-year, setting a record high in the same period.

　　Looking at the list, we can see that the Top 50 ranking in 2024 has undergone a major reshuffle under the influence of multiple factors such as the Inflation Reduction Act, drug pricing review, supply chain interruption, patent expiration of best-selling drugs, and competition for biologically similar drugs. Both the powerful big pharma and the rapidly rising potential biotech need to take new strategic decisions and actions to meet the challenges. The four China pharmaceutical companies on the list show the strength of pharmaceutical companies in China, which is also inseparable from the help of strategic consulting companies. How to find a suitable consulting company for enterprises in the ranking of medical consulting companies? Starting from two dimensions, this paper will deeply analyze the way to win the ranking of pharmaceutical marketing planning companies by relying on the former, and introduce several companies with outstanding performance in the field of medical consulting in China.

　　First, the way to win: What kind of consulting companies do pharmaceutical enterprises in China need?

　　Because of the differences in birth soil, core market, service mode and customer types, domestic and foreign consulting companies have their own characteristics. What kind of consulting companies do China pharmaceutical enterprises need more?

　　1. China enterprises need a market consulting company that knows more about "China characteristics"

　　To discuss the China market, we can’t avoid the word "China characteristics". In order to really serve China pharmaceutical enterprises, consulting companies need to have the ability to "read" China’s characteristic market. With a population of 1.4 billion and an area of 9.6 million square kilometers, China’s market is not only huge, but also has a unique economic structure, policy environment and cultural background. Its complexity far exceeds that of any other country in the world, and foreign operational experience is not suitable for moving to China.

　　Specifically, we can further understand the extreme differentiation and complexity of the China market through the following key dimensions.

　　Uniqueness of policy environment: Policy adjustment often has a far-reaching impact on the market, so we need to pay attention to it in time and understand the dynamically adjusted policies in combination with China’s national conditions.

　　Unique cultural background: As a multi-ethnic and multi-lingual country with a history of 5,000 years, the cultural customs and consumption habits of different regions are very different, and the cultural differences between the East and the West also set obstacles for foreign consulting companies to understand the China market.

　　Unique channel layout: On the one hand, China has a vast territory, a large population and uneven development. The strategic depth of China’s market far exceeds that of Europe and the United States, and the lifestyle and consumption habits in different regions are different, which has created the complexity and diversity of China’s channel market. In this respect, China local consulting companies have natural advantages. These "home-grown" consulting companies are familiar with the operating rules of the China market and can accurately grasp the development needs of enterprises. For example, Kena Consulting has successfully helped Yunnan Baiyao Toothpaste achieve a breakthrough in sales volume from 30 million to 70 billion by virtue of its rich practical experience and planning and operation ability focusing on China’s medical and health industry for many years, and has become an industry leader.

　　Based on the above-mentioned complicated factors, it is obviously challenging for western consulting companies to analyze and interpret the China market, so there are sometimes problems in the consistency between their strategic suggestions and the China market.

　　2. China enterprises need consulting companies that can provide "strategic+tactical planning" services.

　　The difference between international consulting companies and local consulting companies in China is also reflected in the content of consulting services. International consulting companies are often good at providing solutions in a specific field, and their services are obviously divided. The local head strategy consulting company pays more attention to the combination of top-level planning, strategic path selection and tactical landing ability, and can provide systematic consulting services such as brand integration, marketing management, product planning, channel planning and brand marketing in an all-round way to realize the integration of knowledge and practice of strategy and tactics.

　　In the medical consulting industry, actual combat experience and successful cases are important standards to measure the strength of consulting companies. Excellent consulting companies usually have rich practical experience and can provide practical solutions for enterprises. At the same time, there are many successful cases, which are not only symbols of strength, but also provide experience for other enterprises to learn from.

　　Second, the strength list: What are the excellent medical consulting companies in China?

　　In recent years, China’s pharmaceutical industry consulting companies are relying on excellent strategic consulting strength and rich practical experience to jointly promote the upward development of the pharmaceutical and health industries. The following is a detailed introduction to three consulting companies that are often in the forefront in the ranking list of several pharmaceutical marketing planning companies:

　　1. Kena Consulting

　　Kenner Consulting has been deeply involved in the field of medical health consulting for more than 20 years, serving more than 50 well-known domestic pharmaceutical enterprises, and is known as the leader of cross-border strategy in China, providing enterprises with the whole case planning service of "top-level strategic planning+effective tactics landing". According to official information of Kena, the clients of Kena Consulting include not only domestic first-line pharmaceutical companies such as Yunnan Baiyao, Shanghai Pharmaceutical Group, Dong ‘e Ejiao, Pien tze Huang, Renhe Pharmaceutical, Northeast Pharmaceutical and Shenwei Pharmaceutical, but also many well-known enterprises in the field of daily chemical health, such as Suntory, Wahaha, Jiuyang and Panasonic.

　　The successful cases of Kena Consulting include helping Yunnan Baiyao cross-border health and achieving a cross-border breakthrough of 70 billion industries; Helping Dong ‘e Ejiao to successfully cross the border big health industry, and the sales volume of Taohuaji Ejiao cake increased by 300%; Helping Pien Tze Huang, a 500-year-old pharmaceutical company, to lay out cosmetics health and create the second growth pole of the company with "yellow skin", which fully demonstrated the strength and professionalism of Kaina Consulting in the field of medical health consulting.

　　2. China and China

　　Hua and Hua are famous for their creative design and are good at injecting new vitality into brand planning from the perspective of symbols. In the pharmaceutical industry, it has designed brand symbols and super symbols with memory points for many enterprises, such as Little Sunflower Doll of Sunflower Pharmaceutical, Green Checked table linen of Chubang Soy Sauce, etc. Hua and Hua use symbols to enhance the market awareness of products and enhance brand recognition and loyalty.

　　3. Ye Maozhong

　　Ye Maozhong advocates the concept of "conflict marketing" and is good at creating conflicts through advertising language and advertising pictures, thus attracting attention. In the pharmaceutical industry, it has created a number of out-of-the-box advertisements for brand products such as Neptune Jinzun and Neptune Yindefei, which has enhanced the brand’s popularity and promoted product sales.

　　In addition, trout, Reese, Adoption, Qizheng Mugu and other consulting companies have also performed relatively well in the field of medical consultation in China. It is the intellectual empowerment of these consulting companies that has promoted the development of the medical consulting industry in China.

　　Under the background of multiple challenges faced by the pharmaceutical industry in China, it is very important to choose a suitable consulting company for the development of pharmaceutical enterprises. China pharmaceutical enterprises should comprehensively consider the performance, company background, consulting depth, consulting performance and customer reputation in the ranking of pharmaceutical marketing planning companies, so as to choose a marketing consulting company that can really help the development of enterprises. At the same time, I also hope that China Consulting Company can grow together with China pharmaceutical companies and make greater achievements.

Wan ‘an Town, located along the Hengjiang River in the Xuxiu Basin, is one of the four ancient towns in Huizhou, named after Wanan Mountain (also known as Gucheng Rock) in the east. The embryonic form of the market town was formed as early as the Han and Sui Dynasties, with a documented history of more than 1,700 years. It was once the seat of county governance and county governance. It is close to Yicheng, and it is located in the land transportation center of yi county, Qimen and Wuyuan, Tunxi and Yansi, and Anqing, Jiangxi, Hunan and Fujian. And according to the water transport trunk road in the upper reaches of Qiantang River, the boat can go upstream to yi county Fishing Pavilion and go straight to Hangzhou, Zhejiang. Because Wan ‘an has both the convenience of horses and chariots and the benefits of boats and boats, a large amount of grain and oil, bamboo, wood, tea and other materials produced by surrounding towns are concentrated here for processing, sales or transshipment, making it an important commercial port and water transport terminal in ancient Huizhou.

After hundreds of years of development, by the Ming and Qing Dynasties, Wan ‘an Street had ranked first among the nine major markets in Xiuning County, and the people had the reputation of "a small Xiuning City and a large Wan ‘an Street". The street is about five miles long, and there are many shops on both sides of the long and narrow street, so it is also known as the "first sight" market. Even in the late Qing Dynasty and the early Republic of China, there were still more than 50 kinds of industries, more than 140 shops and workshops along Wan ‘an Street, such as cloth, grain and oil, sugar mill, sauce garden, pawn, Chinese medicine, Hui ink, compass, waste mill, furnace mill and sedan chair, and we can imagine its prosperity in its heyday.

However, this is not the same. Compared with the bustling Tunxi Old Street in the center of Huangshan, Wan ‘an Street now looks depressed and desolate. There are almost no pedestrians on the street, and there is no smell of chickens crowing and dogs barking. Many old houses have been in disrepair for a long time and are uninhabited. The once busy dock has now become a laundry place for women, and there are no traces of shops that were lined up in the past. Only the blue stone road with smooth feet is still vaguely showing the pedestrians on Wan ‘an Street in the past.

Wan’ an old street

At the same time, there is also a skill that continues. From Wan ‘an Street eastward to No.70 Shangjie, the signboard of "Wu Luheng Compass Old Shop" came into view. "Compass" is the honorific title of Feng Shui master for compass. According to research, Wan ‘an Street compass manufacturing industry started in the late Yuan and early Ming Dynasties, developed in the Ming Dynasty, and flourished in the middle of Qing Dynasty. It has a history of more than 600 years, so Wan ‘an is also called "the hometown of compass". In 2006, Wan ‘an compass making skills were included in the first batch of national intangible cultural heritage list.

Wu Lu heng Luo Jing old shop

"hometown of compass"

The prosperity of Wan ‘an Compass is related to its geographical and humanistic environment and social needs. Huizhou is the birthplace of Neo-Confucianism in Song and Ming Dynasties, and its social culture is deeply influenced by Neo-Confucianism in Cheng and Zhu. Neo-Confucians Cheng Hao and Cheng Yi in the Northern Song Dynasty and Zhu Xi in the Southern Song Dynasty, as well as many later Neo-Confucians, all wrote books on Yi-ology, and there were special articles emphasizing the study of Feng Shui. Xin ‘an Neo-Confucianism, which originated from Cheng Zhu’s Neo-Confucianism, prevailed in Huizhou for nearly 700 years, and had a profound impact on Huizhou society, making the geomantic activities in this area last forever and forming traditional social customs. The Southern Song Dynasty’s Xin ‘an Annals said: "The disadvantages of its people are that it is good to appoint personnel, and it is good to bury people in mud until the age of choosing auspicious days. There are still a few doors in the market, so it is good for luck." It shows that Huizhou people at that time were very particular about the geomantic omen of buildings and tombs. In the early Qing Dynasty, Zhao Jishi, a native of Wan ‘an, Xiuning County, wrote "Send to the Garden, Send to the Place", saying that "Feng Shui is especially important for Hui people, and it is strong to settle disputes at ordinary times", which shows the prevalence of Feng Shui in Huizhou.

At the same time, Huizhou has a self-sustaining feng shui system since ancient times, and the most influential representative is He Lingtong. He Lingtong (922-1019), whose name is Pu, was originally a master of the Southern Tang Dynasty. According to the expert Kanyu family, during the Xiande period of the later Zhou Dynasty (954-960), he was demoted as the Xiuning county magistrate because of the unfavorable admonition of Li Jing to repair the Niushou Mountain Mausoleum. After resigning as a monk. He has done a lot in the theory and practice of "Yang Zhai" and "Yin Zhai". "Xiuning County Records" said: "Where Hui people are buried in good places, why are the Buddhist teachers?" He Lingtong’s geomantic omen has been passed down in Huizhou. For example, the You family in Jixi, Wuyuan, that is, "the learning of He Lingtong, the master of my uncle’s family", has produced many famous Feng Shui masters in past dynasties. In the Ming Dynasty, you Yuanli also wrote in "At the beginning of Yongle, Bo Tian Shoushan Mausoleum should be summoned and given back to the mountain". He Keda, a famous feng shui master in Xiuning, a descendant of He, was the planner who reconstructed the village environment and built the village water system during the Ming Yongle period in Hongcun, yi county, a world cultural heritage site.

In addition, in the Ming and Qing Dynasties, after they became rich in foreign business, Huizhou merchants returned to their hometowns to build houses, ancestral temples and ancestral graves. Before these activities broke ground, Mr. Feng Shui was invited to choose his direction, which made Feng Shui and compasses have a broad sales market. At the same time, foreign businessmen and geomancers also made a special trip to Wan’ an to buy compasses. These unique cultural, economic and geographical conditions objectively promoted the emergence and development of Wan ‘an compass, and Wan ‘an compass industry came into being, which gradually made Wan ‘an Town one of the famous compass manufacturing centers in Ming and Qing Dynasties.

compass

Skill inheritance

The compass shops in Wan ‘an history mainly include Fang Xiushui, Wu Luheng, Hu Ruyi and Hu Ping Rank. Wu Luheng’s compass shop was founded in the first year of Yongzheng in Qing Dynasty (1723), and it is a rising star in Wan ‘an compass making industry. Compasses and sundials made by founder Wu Guozhu (word Lu Heng) are popular all over the world because of their high quality and high precision, and "Wu Luheng" has also become a well-known brand in China compass industry. Later generations inherited the ancestral system, and made "foreign-style sundials" and "solar-term sundials", etc. The products were sold in China urban and rural areas, and even spread to Japan, Korea, Southeast Asia, Europe and America, enjoying a good reputation at home and abroad. In the 4th year of the Republic of China (1915), the compass and sundial jointly produced by Wu Luheng’s fifth and sixth generations, Wu Yuxian and Wu Weicang, were awarded the second prize of China’s products for the Panama World Expo, and won the gold medal at the Panama World Expo. Wu’s compass shop was handed down for six generations and closed in the 1960s. In 1990s, Wu Shuisen, a seventh-generation inheritor and later named as a national intangible heritage inheritor, returned to his ancestors’ old business and restored Wu Luheng’s compass making skills.

China prepares for the second prize certificate of Panama World Expo products.

The current "shopkeeper" of Wu Luheng’s old compass shop is the eighth generation descendant Wu Zhaoguang. Wu Zhaoguang was born in 1984. He started to make compasses at the age of 10, "looking at it for three years and repairing it for three years". At the age of 16, he basically mastered the core technology of Wu Luheng’s compass making. But he doesn’t think this is the embodiment of parents’ sense of inheritance. "Do you think farmers will deliberately train their children to farm? That’s not training, but working for the family. You are a family laborer. " Wu Zhaoguang feels that "the thing I want to do most since I was a child is to play". Learning to make a compass is forced, and I have never considered cultural inheritance. At the age of nineteen, he joined the army despite his father’s opposition and followed the troops everywhere.

When he was a soldier, a letter from his father Wu Shuisen touched him greatly. Around 2003, the environment of the whole compass industry was very bad. Wu Shuisen felt that he was too old to make a compass. He hoped that his son would come back to take over, inherit this craft and lead the compass industry to the right track. On second thought, Wu Zhaoguang returned to Wan ‘an Town after the expiration of his service and took over the operation of the old shop. He decided to "do something famous".

The first is to expand the scale of production. The compass made by Wu Luheng’s old shop has to go through seven complicated processes, including material selection and blank making, turning, dividing, liquidation, writing, oil delivery and needle installation, and each step must be made by hand. The most critical process is to install the magnetic needle: first, place the steel needle on the natural meteorite to magnetize it. When installing, the center of gravity of the magnetic needle should be accurately determined, so that the fulcrum can not produce resistance, so that the pointer can rotate freely. This process is the core technology of compass making, which can only be completed by the shopkeeper himself in the secret room.

In the past, Wu Shuisen completed all the processes alone. Wu Zhaoguang persuaded his father to hire people and take apprentices, and handed over the first six processes to others to improve the compass output. Secondly, to expand publicity, Wu Zhaoguang established a website to introduce the history and production process of compass, and also began to sell compass on QQ. These operations, which now seem normal, made my father feel very incredible at that time.

Two or three years later, the old shop was gradually on the right track, and Wu Zhaoguang and his father were faced with a choice: should they sell the compass to the government or a professional feng shui master? At that time, the government purchased a large number of local specialties as gifts, including Huimo, inkstone and compass, and the order amount sometimes reached hundreds of thousands or even millions. However, they feel that the relationship between government procurement and policy is too close and not safe enough. In contrast, although individual customers are difficult to do, as long as the products are well done, the accumulated reputation and resources will continue. Therefore, they positioned the product audience as professional customers. Later, the "eight regulations" strictly controlled the three public funds. Due to proper pre-judgment, the reduction of government orders hardly affected Wu Luheng’s compass store.

Many people are also playing the idea of "Wu Luheng", the golden signboard of Wanan compass. Due to Wu Shuisen’s lack of trademark awareness, "Wu Luheng" was squatted in the 1990s, and it took nearly 20 years to get the trademark back. There are also some small workshops that put the names of Wu Shuisen and Wu Zhaoguang on their homemade compasses and sell them on Taobao. In order to set the record straight, Wu Zhaoguang also opened a Taobao shop to keep informed of the inventory situation at any time to prevent customers from being cheated.

Mr. Wu Zhaoguang

Compass requires a lot of raw materials. The rivers around Wan ‘an Town are criss-crossing, and the trees are lush, which is rich in a kind of "tiger bone wood". Its material is tough and does not show texture, so it is the best choice for making compasses. However, tiger bone wood should be left for three and a half to four years, and it can only be used after it is fully dried. Compass has many sizes, large and small. Due to the limitation of raw materials, the quantity distribution of compasses of various sizes needs to be prepared when storing wood according to the change of disc demand. "We have to predict the trend of the compass market in the next 3-4 years. Different schools have different interpretations of Feng Shui, so they need different compasses. For example, in the first two years, the market was sold with great enthusiasm, and there were piles of small ones, but no one bought them; But sometimes small-cap stocks are short-selling for several months in a row, and the market does not move. A certain period of time just happens to have more training courses run by a large feng shui school, and small-sized dishes will sell more; However, if the professional society has more training, it will be different. They are more inclined to explain the broader market with more content. "

In order to understand the trends of different schools, Wu Zhaoguang often communicates with feng shui masters, but he still thinks that he can’t fully grasp the dynamics of the compass market. "We only produced more than 1,000 plates last year, but the demand is far from enough. For example, if the market demand is 10,000 and you only have 1,000, how can you ensure that 1000 is a comprehensive reflection of 10,000? Unless it is basically parallel to the market demand, it will be more reasonable to say so, but now we certainly can’t do it. " Wu Luheng’s old compass store has more than 100 kinds of samples, and the common types are Sanhe, Sanyuan, Zhonghe, Xuankong and Zhuzi. Customers mainly choose and book the dishes from the website of the old shop, and Wu Zhaoguang processes and makes them according to the customer’s needs.

Wu Luheng’s old compass shop has more than 20 employees, but it can’t be regarded as a commercial company. Wu Zhaoguang calls their production mode "manual small-scale batch production", and generally no more than 20 compasses can be made in one batch. The old shop produces three kinds of products: compass, sundial and geomantic ruler. The price of compass ranges from 400 yuan to 10 thousand yuan, mainly from 2000 yuan to 3000 yuan. The most expensive product, the sundial, can be sold for more than 300 thousand, but it takes more than one year to make. Wu Zhaoguang feels that he is relatively relaxed. There is no pressure on sales of products, and there is no need for special sales staff. Every year, he has more than 5 million sales and a considerable profit margin.

Wu Zhaoguang is cautious about further increasing compass production. The key to increase the output is to reduce his own workload. After several years of hesitation, he made up his mind to split the most important needle installation link in the seven processes, take an apprentice in the pointer assembly, and only take charge of the most difficult pointer fulcrum production part. He hopes to increase the annual output of compass to 1500-1600. "If the technology is really liberalized, I will create competitors for myself. If I adopt a process-based liberalization, I can always leave the core technology. "

Every old shop has rules left by ancestors. There is a rule in Wu Luheng’s Compass Old Shop that requires employees to "enter the shop young and leave the shop old", and everyone is only responsible for a certain process of compass making. "The servants who followed my great-grandfather and grandfather used to work until they died. They bought two sets of clothes every year and paid monthly money. I will show them when they are sick. When they die, they have to prepare coffins for them. It is a bit like a bonded worker. I have been in charge for a lifetime." There is also "passing on the daughter-in-law but not the daughter", that is, the skill of compass making can be passed on to the daughter-in-law, but not to the daughter. "This is to keep the family’s intellectual property secret. The daughter is going to get married, but the daughter-in-law belongs to her own family, and the child born is surnamed Wu. My father’s generation is a typical’ daughter-in-law’s son’, because my grandfather passed away very early, but fortunately my grandmother inherited this skill and was able to pass it on to my father. "

Wu Zhaoguang believes that these rules are all to prevent technology from spreading abroad. "It may be the reason why we are engaged in this business. Our Wu family’s incense is not prosperous. It has only been passed down for eight generations in more than 300 years. Since Grandpa Tai, it has been’ four generations of single biography’." Mr. Wu Shuisen, the seventh generation descendant, died in 2014. Today, Wu Zhaoguang is 35 years old and has only one daughter. For the inheritance of skills, he said that he is considering it.

Fengshui culture

Wu Zhaoguang usually reads Feng Shui books and understands the basic knowledge, but he didn’t want to spend energy on research. He believes that Feng Shui is not a feudal superstition, nor a metaphysical myth, but an experience and law between man and nature summed up by ancient sages in China. The wisdom of the ancients is expressed in the form of symbols on a compass, and today, through these symbols, we can deduce the experience at that time like cracking a password.

"Whether it’s a yin house or a yang house, it’s nothing more than what kind of orientation. Why is it that changing the orientation of the door will make you’ prosperous’? In fact, it’s very simple. For example, if you walk into a street, the doors of some shops just don’t attract you, and you just can’t get in. But if you change the direction of the doors according to the terrain and environment, you can naturally go in. Isn’t this a money-sucking? There is also’ Wangjia’, that is, the wind direction of the house, the earth’s magnetic field, sunshine and other effects on the owner’s body. If the house is always out of the sun, then it must be humid, and people are prone to rheumatism. Therefore, a person’s physical condition is closely related to his living environment-the so-called Feng Shui-but the ancient Feng Shui master will not tell you, he will only tell you whether the house is good or not, and he will not tell you. In fact, I think this is a kind of science and the attitude of the ancients towards the relationship between heaven and earth. "

Hand-painted feng shui map

The rise and fall of compass industry also represents the rise and fall of geomantic culture. In Wu Zhaoguang’s view, geomantic culture was in its heyday in the Republic of China, and it entered a period of depression after the founding of the People’s Republic of China. It suffered a great blow during the Cultural Revolution, but it didn’t really stop. It just moved from the ground to the underground, and it didn’t pick up until the reform and opening up. In 2006, the production technology of Wan ‘an compass entered the national intangible cultural heritage list. At the same time, the national economy grew rapidly, and the compass industry began to take off under the joint action of culture and economy. "We are sitting here today, and we are sure what we want to eat first; Only by solving the problem of eating can we continue to want to wear; Food and clothing have been solved, and then I want to have a place to live; I can decide whether to live here or there when conditions permit. Doesn’t the prosperity of Feng Shui just reflect the improvement of our needs? "

In order to spread the compass culture, Wu Zhaoguang spent more than 10 million yuan to establish the only compass museum in China-Wan ‘an Compass Culture Museum behind Wu Luheng’s old compass shop. The museum was opened to the public free of charge in 2012, displaying nearly 1,000 pieces of cultural relics such as ancient compasses, sundials, geomantic rulers, ancient geomantic books, ancient maps, tools for making old compasses, and original award certificates of Wan ‘an Compass, and was selected as the first batch of top ten private museums in Anhui Province. In addition, considering that the raw materials for disc making have been listed as national protected tree species, they should not be cut down indiscriminately. In addition to reporting to the forestry department for purchase, Wu Zhaoguang also invested in the construction of more than 1,000 mu of raw material bases for compass materials.

Wan’ an compass culture museum

　　Chutian City News (Reporter Zhang Wanjun) When students were walking on campus, a grey magpie suddenly swooped over the top of its head from the branches and attacked it with its claws or beak. Recently, this scene happened many times in Nanhu Campus of Zhongnan University of Economics and Law. Experts say that the grey magpie may have been disturbed by human beings, and the attack may be to protect the territory.

　　Yesterday, Mr. Zhang from Xiaogan reported that he had recently attended training in Nanhu Campus of Zhongnan University of Economics and Law, and was attacked by the same magpie several times on campus. Although he was not injured, Mr. Zhang was very curious.

　　At 11 o’clock yesterday, Chutian Metropolis Daily reporter met Mr. Zhang at the north gate of Nanhu Campus of Zhongnan University of Economics and Law. Mr. Zhang introduced that recently, he was attacked by a magpie several times when he passed near the north gate of the school. According to his observation, this magpie not only attacked him, but also attacked students and citizens passing by many times, especially in the morning when there were many people. Mr. Zhang observed that most of the attackers were men and some women, among whom shorter men were the most vulnerable.

　　Under the guidance of Mr. Zhang, the reporter saw this magpie on a camphor tree near the scene. Except that the sound is a little squeal, the appearance of this magpie is not much different from other magpies.

　　When a male student wearing a gray T-shirt passed by the tree, the magpie suddenly swooped down from the branch and passed by the back of his head, which made the student feel a little puzzled.

　　Soon, a middle-aged man passed by and was attacked by this magpie. Different from before, the magpie attacked him again after the man walked a few meters away.

　　In the next few minutes, this magpie attacked three other students and citizens passing by. A student wearing a red T-shirt told the reporter that he felt the magpie scratching his back with its claws. Because he was separated by clothes, he was not injured. "This is the first time I have seen a bird attack people. It’s really strange!"

　　A shop assistant nearby confirmed that this magpie had been attacking students and pedestrians passing by for several days.

　　Gao Yanhong, chief engineer of Wuhan Zoo, said after seeing the pictures taken by the reporter that this is a grey magpie. He introduced that the grey magpie has a strong territorial consciousness and is aggressive. There may be a nest of the grey magpie near the incident site, which makes aggressive behavior to protect the nest; Another possibility is that this grey magpie has been disturbed and intimidated by the public, and it has made aggressive behavior against passers-by out of revenge.

　　　 Following the scandal that Kitagawa, the president and founder of Genese Office, sexually abused a number of Jr. students (boys and young children), the Weekly Wenchun, published on November 4th, once again exposed the intimate and indecent photos of four members of the popular group Lan, Satoshi Ohno, Matsumoto Jun, Ninomiya Kazunari and Masaki Aiba, and the late AV actress AYA (real name: Makinoda Cai, aged 30) who committed suicide, causing an uproar.
　　　
　　　 You are the successor of SMAP, a national group. Lan has swept all fields of arts and energy in recent one or two years. He is also the ambassador of the national "building a country through sightseeing" designated by the Japan Tourism Office, with a fan range of "all men, women and children". As a role model for the majority of Japanese teenagers, Lan has followed Satoshi Ohno’s previous "drug threesome" doubts. The close relationship between several members and AYA this time has formed a new round of impact on the outside world.
　　　
　　　 Wenchun Weekly published an article by a reporter who had a good friendship with AYA for more than three years. This reporter interviewed her many times before her death, and AYA and the reporter described in detail the fact that she had an affair with many Genese idols.

　　　 "Weekly Wenchun" reveals the intimate photos of AYA, Satoshi Ohno and other Genese artists, and reveals that "she has a physical relationship with four members of Lan except Sh? Sakurai, and has been in contact with Tomoya Nagase of TOKIO, and with KAT— TUN’s photo of Tian Zhongsheng date was also photographed by other weekly magazines in the past. And lived with Masaki Aiba for a while. ". Not only that, AYA also had contacts with Shibutani Subaru of Guan8, Tsubasa Imai of Tackey & Tsubasa, tetsuya komuro and his wife, Tomomi Kahara, Ayumi Hamasaki, Kaori Mochida, Masato Matsuura, President of Aihui, Ryuhei Chiba, Vice President, and Mr. and Mrs. Sakai, who were both arrested and punished for taking drugs.
　　　　
　　　 Wenchun Weekly reported that since the "drug-taking threesome" scandal in Satoshi Ohno, Genese Office ordered its artists not to associate with AYA any more. Since 2010, many magazines have published indecent photos of Genese idols one after another. "It is estimated that AYA released materials to the media — — In order to retaliate against Genese in disguise. ".

　　　 16-year-old Makinoda Cai stood out in the program and was joined by 14 girls in tetsuya komuro to form "L☆IS". Unfortunately, the group was dissolved two months later, and then she turned to be a model and a racing girl, but none of them showed any outstanding performance. After that, Mu Ye Tian Cai turned to be a photo artist. In 2008, she launched a bold and sexy photo album, and in 2009, she officially entered the AV industry, with a general development. On October 23, he committed suicide by jumping off a building in his apartment. It has been pointed out by insiders that AYA may not have committed suicide, but killed him. "It is not surprising that she has too many secrets in her hand and has been excluded and resented by insiders." As for the truth, it is unclear.

Overlooking West China Tianfu Hospital of Sichuan University. Photo courtesy of China Construction Third Bureau

At 8 o’clock on the morning of October 13th, the West China Tianfu Hospital of Sichuan University, located at Xinglong Lake in Tianfu New District, was crowded, and hundreds of patients waiting here became the first patients in the hospital. Different from the narrow space of traditional hospitals, Huaxi Tianfu Hospital is very spacious. Outside the outpatient hall on the first floor, there is not only a coffee shop, but also a grand piano. In the words of Kang Yan, president of Huaxi Tianfu Hospital, this is a high-value hospital.

What are the "hard core" strengths of Huaxi Tianfu Hospital? How to ensure the homogeneous management with the headquarters of West China Hospital? After sending many doctors to the medical association, how to ensure that the medical technical strength of this department will not be diluted? The reporter visited this.

The software is "hard"

Experts in this department take turns to sit in the clinic, and all clinicians are stationed by Huaxi Hospital.

"I finally’ grabbed’ the number." On the morning of the 13th, outside the orthopedic outpatient department of Huaxi Tianfu Hospital, several patients exchanged experiences in registration. A patient from Neijiang said happily that he had always wanted to hang the number of Zhou Zongke, an orthopedic expert in Huaxi Hospital, and finally "grabbed" it here.

How can Huaxi Tianfu Hospital improve its soft power and better serve its patients?

"In order to ensure the homogenization of hospital management level, the management backbone of the leadership team and administrative functional departments of Huaxi Tianfu Hospital are all stationed by the headquarters of Huaxi Hospital." At the opening ceremony, Li Weimin, president of Huaxi Hospital, introduced that all medical and health information and inspection data of Huaxi Hospital and Huaxi Tianfu Hospital run on the same platform, and the inspection results are exchanged and human resources are shared, so that the clinical path and treatment plan of patients are completely consistent. All clinicians in Huaxi Tianfu Hospital are stationed by Huaxi Hospital, and all nurses are retained after passing the standardized training in Huaxi Hospital. At the same time, through the green channel of real-time remote consultation, real-time inter-hospital consultation and two-way referral of patients, the seamless connection of medical diagnosis and treatment between the two hospitals can be realized.

In addition, according to the unified management, experts from the headquarters of Huaxi Hospital will also take turns to visit Huaxi Tianfu Hospital. The reporter learned that among the first batch of open outpatient clinics in West China Tianfu Hospital, Professor Wang Jia of Urology, Professor Fu Ping of Nephrology and Professor Hong Xiao of Pain Department, who are usually hard to find on the 1st, will visit the hospital regularly.

Hardware is more "hard"

Green ecological hospital, the roof apron opens the "air lifeline"

1,200 beds, 14 medical centers, 2,000 parking spaces, and more than 2 million people per year-in addition to these, Huaxi Tianfu Hospital has the other side of "hard core".

An apron was built on the roof of the outpatient medical technology building of the hospital. According to the person in charge of the project, this is the first new material hospital apron in Chengdu, which echoes the aviation rescue response mechanism in the province.

The elements of landscape, forest, field and lake gather together, and Huaxi Tianfu Hospital is also a green ecological hospital. It is worth mentioning that in order to improve the overall greening rate, the construction team also built a garden on the roof, forming the "air green lung" of the hospital-the garden landscape area reached 80,000 square meters, accounting for 30% of the total construction area of the project.

Hospital equipment is also "hard core". The reporter saw in the outpatient pharmacy of Huaxi Tianfu Hospital that the self-service dispensing machine operated freely. Different from the manual dispensing process, the self-service dispensing machine puts the medicine into the machine after dispensing, and sends it to the pharmacist through the special transmission belt of the pharmacy when the patient takes the medicine, and then returns it to the patient after verification. The whole process only takes one or two minutes.

Self-service blood collection machine is also a highlight of Huaxi Tianfu Hospital. For elderly patients, the blood vessel scanner matched with the self-service blood collection machine can quickly and accurately find the position of the patient’s blood vessels, so that medical personnel can carry out blood collection operations.

Through the medical pneumatic logistics transmission system, a small number of specimens can be transported directly through the system, and it takes only 3-5 minutes to transport to the corresponding site of the laboratory. "Compared with manual transportation, it takes 20 minutes, and the advantage is’ fast’, which can greatly shorten the inspection time for the rescue of emergency patients."

The radiology department is called the most valuable place in the hospital. At present, 6 CT equipments and 4 nuclear magnetic resonance instruments have been put into operation. Huang Zixing, deputy chief physician of the Department of Radiology, told the reporter that the CT equipment currently used in the hospital is worth 20 million units, which is the same as that used in Mayo Clinic and Massachusetts General Hospital, the world’s top hospitals. Compared with other CT equipment, the equipment adopts AI algorithm, which has extremely fast scanning speed, lower radiation dose and clearer imaging. Doing MRI in West China Tianfu Hospital can realize "same-day appointment and same-day inspection".

A question

Ensure that medical resources are not diluted   What should Huaxi Hospital do?

Shangjin Branch of Huaxi Hospital, Wenjiang Campus of Huaxi Hospital, Longquan Hospital of Huaxi Hospital … Nowadays, there are more and more "Huaxi Brand" hospitals. Since 2001, Huaxi Hospital has begun to innovate and explore the organizational model of medical associations. After years of practice, the leading medical association of "Huaxi Hospital+City Medical Group/County Medical Community" has gradually formed. Will so many members of the medical association dilute the medical technical strength of Huaxi Hospital?

Li Weimin, president of Huaxi Hospital, said that in accordance with the unified deployment of the sinking of national high-quality medical resources, Huaxi Hospital has been reserving human resources and expert resources since 2015 to prepare for Huaxi Doctor Group. Up to now, 758 professional doctors, backbone nurses, backbone technicians and managers have been reserved, which is an important support for human resources when Huaxi Hospital is stationed in hospitals outside its headquarters. "After unified training, the doctors of Huaxi Doctor Group were sent to the headquarters of Huaxi Hospital, branches, trusteeship (cooperative) hospitals and other places to carry out their work."

"These backbone doctors reserved by Huaxi Hospital have gone through years of standardized training and reached the level of specialists or experts." Li Weimin introduced that at present, there are 741 qualified medical team leader candidates trained by West China Hospital, but there are only 500 medical team leader positions in the hospital headquarters, and 241 senior doctors can be stationed in other hospitals, so as to give full play to high-quality expert resources. "Therefore, the medical resources of the headquarters of Huaxi Hospital have not been diluted, and the doctors stationed can further develop on the new platform."   (Zhang Xinyue   Reporter   Li Huan   Zhang Minghai)

At the beginning of this year, National Medical Products Administration released the No.1 document in 2020-Guiding Principles of Real-world Evidence Supporting Drug R&D and Evaluation (Trial), which attracted great attention in the industry. Two years ago, the reporter of Economic Information Daily interviewed Fan Daiming, an academician of China Academy of Engineering. In the report "Academician Fan Daiming: Paying too much attention to the micro, medicine will go astray", Fan Daiming pushed for "real world research" and called for the reverse research of medicine.

Now, Fan Daiming is still busy, and the thinking about the development of medicine is also deepening: Why is the more modern medicine develops, the more intense it is questioned? What is the relationship between culture and medicine? How to reshape medical culture … Not long ago, Fan Daiming once again accepted an exclusive interview with the reporter of Economic Information Daily, and he solemnly proposed that culture should lead the development direction of modern medicine.

The picture shows Fan Daiming, academician of China Academy of Engineering.

Four major deviations in the development of modern medicine

Reporter: What do you think of the relationship between modern medicine and culture?

Fan Daiming: To answer this question, we must first realize the dilemma faced by modern medicine-modern medicine has greatly improved the average life span of human beings, but the question of medicine has never been so fierce as it is today.

As Roy Porter, a professor of medical history at Cambridge University, wrote: People have never lived so long and lived so healthily, and medicine has never achieved so much. However, paradoxically, medicine has never aroused people’s strong doubts and dissatisfaction as it is today.

In fact, there are four deviations in the development of modern medicine: first, medical research blindly develops to technology and penetrates to micro-level, which leads to over-differentiation of specialties, over-detailed planning of specialties and fragmentation of medical knowledge, that is, O2F1；; Second, modern medicine has become waiting medicine; Third, modern medicine has become antagonistic medicine; The fourth is medical alienation, which takes some natural processes of life and some natural changes of the body as diseases for excessive intervention.

Reporter: As for O2F1, you have elaborated it in detail when you were interviewed by us.

Fan Daiming: Yes. This situation is at least a problem caused by introducing simple research methods into medicine, that is, simply introducing science and technology into complex and variable human health care. Doctors are increasingly confined to narrow professional fields, and even can only see a certain disease, resulting in more and more drugs, but the curative effect is getting worse. I will focus on the last three biases.

Modern medicine has become waiting medicine. Modern medicine regards people’s health status as a linear process, from no illness to death due to illness. What is disease? It is to draw a line artificially according to some indicators, and when you cross this line, you are sick, and the doctor will treat you; If you don’t cross this line, the doctor won’t care.

Take stroke as an example. A person is a "good" person without a stroke, and a sudden stroke one day becomes a patient. After the onset of stroke, treatment can hardly play much role, but the money earned by patients in their lifetime is likely to be used up in the last few days.

Only at the end of the disease and the last few days of life, the curative effect is bound to be limited, and it will bring great pain to patients. This is waiting for medicine. If we work harder before we get sick, will the result be different? The "prevention of disease" advocated by Chinese medicine should give enough enlightenment to modern medicine.

Modern medicine has become antagonistic medicine. In the past, infectious diseases caused by foreign sources and a single cause were the greatest threat to human health, so it is understandable to "confront" all diseases as "enemies". However, at present, chronic diseases have become the biggest threat to human health, which is a problem in the internal balance adjustment of human body. If we still adopt the thinking of "confrontation", we are "confronting" ourselves, and we may not cure the "disease" but hurt other organs.

This "confrontational" thinking is also deeply influenced by culture. Modern medicine represented by western medicine originates from nomadic culture, and the survival rule of nomadic culture is "you die and I live"; In China’s traditional culture with thousands of years of farming society as the background, "harmony" and "you live and I live" are the mainstream. Therefore, treating cancer in traditional Chinese medicine is "treating cancer without seeing it" and how to better "survive with cancer".

There has been alienation in medicine. It is too serious to treat some natural processes of life and some natural changes of the body as diseases for excessive intervention.

For example, it is a natural process for a mother to give birth to a baby. If there are some problems during pregnancy, it is ok to check it occasionally, but now many pregnant women go for a B-ultrasound every month or two. You know, every medical examination is more or less harmful to people, but this kind of damage is within the tolerable range. But has anyone ever thought about how much long-term harm regular prenatal checkups will do to the fetus? What will be the consequences after many years? Actually, we don’t know.

Unbalanced medical culture

Reporter: What will the imbalance between medical development and culture, or the lack of culture in medical development, bring to medicine?

Fan Daiming: There are at least three consequences. First, with the help of science and technology, medical research on human body structure and even function has been advanced and thorough, reaching directly to genes, but medical knowledge of the nature of life is still far from being understood culturally, and this is the most important thing. You know, being sick is not only a physical illness, but also a life illness. The imbalance between medical development and cultural relations, or the lack of cultural medicine, makes modern medicine "out of her wits".

Second, worldwide, human culture (including medical culture) has been formed and developed for thousands of years (such as European culture, Indian culture and China culture), but now we are using a single-domain culture (such as medical ethics culture) with only a few hundred years to monopolize or even replace the global human culture for thousands of years, which seems to be somewhat "inadequate".

Third, compared with the past, the spectrum of contemporary human diseases has undergone fundamental changes, such as various endogenous senile diseases and chronic diseases, with multiple causes and multiple targets; In history, human life span has never been as long as it is now, and the biggest threat to health is often infectious diseases caused by external factors and single cause. Modern medicine is still using simple, linear and direct methods to deal with infectious diseases in vitro to deal with the complex, nonlinear, indirect and endogenous chronic diseases of human beings, so it often backfires.

From being out of her wits, to being unable to do what she wants, and then to being counterproductive, won’t this medical culture change its profession? We must make great efforts to reshape medical culture. Where medicine develops depends on what kind of medical culture to lead.

Reporter: Some people say that science and technology and humanities are the two wings of the progress of human society, and they are indispensable, otherwise they will deviate from the direction. It seems that the same is true for human health, medicine and culture.

Fan Daiming: Improper handling of the relationship between medicine and culture is not only bad for patients, but also harmful to doctors. At the memorial service, it is usually said that "the comrade died because of illness", but it is not said that "he died because of illness". In the event of an emergency, the seriously injured are sent to the hospital for rescue, and when notified, they will say "death due to injury", but they will not say "death due to injury". Also, "as long as there is one percent hope, we must use 100 percent efforts to rescue", which is right from the humanitarian point of view, but is it completely right in medical practice? This is a waste of money for some patients, a waste of effort for doctors, and a loss for society.

If "ineffective treatment", "ineffective rescue" and "medical pursuit of 100% success" have become "routine", isn’t it an excessive accusation and injury for doctors? This is also a cultural problem!

Cases of hurting doctors are endless, which is a more extreme phenomenon. Let those who hurt doctors be punished, even sentenced to death, so that the problem can be solved fundamentally and completely? No! We must think from the root of medicine, culture and values, so that we can embark on the right path.

"Four Persistences" Reshape Medical Culture

Reporter: In your opinion, what should be included in dealing with the relationship between medicine and culture?

Fan Daiming: First, we must adhere to the humanity of medicine.

Humanism is the highest realm of culture in the study of human nature, and its function is to ensure the safety, importance and dignity of life. There are two basic requirements of human nature: one is to pursue happiness, the other is to pursue immortality and hope to live forever. In fact, it is impossible for an organism to be immortal. People are the same, flowers bloom and flowers fall, the tide rises and falls, and everything is the same, which is inevitable in nature.

But the problem is that the single-domain medical ethics culture does not recognize that people will die, so they use technology to intervene in death. So there are three problems: first, the time of death has changed from unknown to known. Second, the place of death was moved from home to the ward. We used to take medicine home for illness, but now we send patients directly to the hospital to save their lives, even if we know there is little hope. Doctors in ICU and rescue room tried their best to rescue them, and family members outside tried their best to pay the money. It is likely that when the patient finally left, the family members failed to shake hands and say goodbye. The third is from natural death to technological death. An old expert in our hospital left when he was 92 years old. In the last two years, he became a vegetable, and his soul had already left this world. We still worked hard on his body and relied on a ventilator to maintain it. There are many such people, who have left this world although they are lying in hospital beds. They are covered with tubes but don’t know it. It can be said that they have no dignity at all. The doctor is looking at whether the pipe is impassable. All-pass is alive, no-pass is dead, and part-pass is part-live. Is that right? Isn’t this culture going to change professions?

In the past, both Chinese and western sacrificial customs fully considered the sanctity and dignity of life. At present, many hospitals offer hospice care, which fully considers the feelings of family members and the hospice care of medical staff for the dead. In fact, this is also a reshaping of medical culture.

Second, we must adhere to the integrity of the human body.

We should respect life and respect it. Life exists as a whole. With the infinite division, all the parts finally exist, but what is lost is life. Conversely, the sum of all parts is not equal to a whole, because the whole of medicine must have life. A whole with life is called a whole; There is no whole life, we call it a corpse.

The existence of life must depend on the whole existence. An elephant, we know at a glance, the blind can only rely on touch. When a blind man touches an elephant’s leg, he can tell that it is an elephant, but can he still recognize it if he touches cells or even molecules? If we go to the atomic and quantum level, everything is indistinguishable, can we still identify life forms? Therefore, medicine should not be too microscopic.

Einstein has long said that science pursues clarity, accuracy and purity at the expense of integrity. Similarly, the "accuracy" we blindly pursue in medicine is at the expense of life, which is also a culture and a culture with problems.

Third, we must persist in the complexity of life.

Life has great complexity, and the local and instantaneous research results can not explain the process and essence of life, nor can they be a panacea to save lives.

We know life now, which is too simple, but in fact it is extremely complicated. The existence of life, first of all, is the role of natural forces. Otherwise, how will life be spent in millions of years or even longer without medicine? This natural force is manifested in the ability of life itself to resist diseases and harm; Second, different organs can coordinate with each other and have self-consistency ability; Third, after a certain part of the body is damaged, it can compensate for growth and has the ability of self-repair; Fourth, metabolic ability, life and physical ability blend with the outside world, and absorption of order can discharge disorderly energy; Fifth, self-balance ability, such as water and electrolyte balance, white blood cell level balance, heat balance and so on; Sixth, the ability of self-protection, which is manifested in immunity, vomiting and excretion after eating bad things; Seventh, the reaction of spirit and consciousness to the above six abilities.

There is a saying that the "three magic weapons" for doctors to treat diseases are language, medicine and scalpel. Among them, drugs and scalpels are necessary, and the power of language is the greatest. There is a famous saying in the west, "To cure sometimes, to relief oft, To comfort always". This sentence means that for patients, soothing and comforting are the most important, and healing only accounts for a small part. In fact, even if the patient is cured, in the final analysis, it is the patient’s own internal natural forces that have played a role. The doctor just helped them outside, and never take advantage of it.

Therefore, medical intervention in life and health should first ensure that the natural forces of life play a role. If medical intervention exceeds or even replaces this ability, it is called overtreatment. From the development practice of modern medicine, there are fewer and fewer medical deficiencies, but more and more medical excesses.

Fourth, we should insist on the authenticity of the research.

At present, many medical researches are not true, but only one way to the end, from macro to micro, or from structure to small structure, from long time to short time. We must go back and return to the macro level, which is what we call reverse medical research. Only when the way back is clear and a circle is formed, it is called closed-loop research, and the correct results can be obtained. Historically, many great achievements in natural sciences, especially medicine, were obtained by reverse research.

The fundamental way to change the existing clinical thinking and improve the shortcomings of evidence-based medicine in medical research is reverse thinking. Reverse thinking involves many aspects, including real-world research. Real-world research may also have its own problems. If evidence-based medicine is combined with real-world research, especially reverse research on evidence-based medicine, we will be much more likely to get correct results.

Of course, four persistences are the necessary conditions for reshaping medical culture, and it is far from enough to be satisfied with these four aspects. I hope more people can join in and lay a more solid foundation for reshaping medical culture.

Learn from the sages 2,500 years ago.

Reporter: How to choose the starting point to reshape medical culture?

Fan Daiming: Some people say that to solve many global problems today, we should go back to ancient China 2,500 years ago and learn from the wisdom of Confucius. Confucius lived in the Spring and Autumn Period and the Warring States Period. At that time, there were "three religions and nine streams" and "hundred schools of thought". A large number of outstanding thinkers, represented by Confucius, looked forward to 2500 years and thought about 2500 years later, which set up an ideological monument for Chinese civilization and even world civilization that is beyond the reach of today.

So, where is the cultural essence of the Chinese nation for 5000 years? In my opinion, it is a people-oriented holistic view and an integrated view of the unity of man and nature. This is where the roots and ideological context of holistic integrated medicine come from. On the remolding of medical culture, the organic integration of holism of traditional Chinese medicine and reductionism of western medicine should be the only way.

In China’s traditional culture, everything in the world is divided into five elements: Yin and Yang, which are rooted in each other, and the five elements interact with each other. On this basis, Chinese medicine puts forward that essence is substance, which can be detected by modern medical means, such as hemoglobin, blood lipid, etc., but qi and spirit instruments can not be detected, but Chinese medicine doctors can perceive their state level by looking, hearing and asking. This is the common expression of structure and function, and it is the understanding of medicine by ancient Chinese medicine. Even in today’s advanced science and technology, Chinese medicine still shows strong vitality and good curative effect, even far beyond the cognitive level and curative effect of modern medicine in some aspects, which is worth learning and learning from modernmedicine with an open mind.

In the development history of traditional Chinese medicine, Taoism, Buddhism and Confucianism have contributed a lot, and the reconstruction of modern medical culture can gain important enlightenment from it. For example, Buddhists emphasize the cultivation of the mind, emphasizing a "clean" word and demanding that the mind be free from distractions. It is not easy to do this. There are always many distractions in my heart. Can I be healthy? If you want to calculate others every day, can you be healthy? Another example is that Taoists stress health preservation and emphasize a "quiet" word. Mentality is always manic, can you calm down and nourish your heart? Therefore, it is necessary to be calm in order to ensure health. For another example, Confucianism stresses governing the country, managing the world and helping the people, and emphasizes the word "respect", so as to respect nature, society and etiquette.

Science itself has no purpose, and good use can benefit mankind, such as nuclear power technology; If it is not used well, it can also be used to kill people, such as nuclear weapons. Whether it is used well or not needs the guidance of culture. The same is true for medicine. The profound traditional culture of China, whose holism and integration view are integrated with the reductionism of western medicine, will form a new medical culture. Only by forming an integrated health service system, including an integrated medical education system, a medical research system, a medical service system, a medical prevention system and a medical management system, can we lead the new direction of medical development and go faster and further in implementing the healthy China strategy and caring for human health.

[Editor’s Note] This is an interview with Academician Fan for four consecutive years —— Fan Daiming, an academician of western medicine in 2017, why I support Chinese medicine in 2018, Academician Fan Daiming: paying too much attention to the micro, and medicine may go astray in 2019. Visiting Academician Fan Daiming three times: modern medicine needs reverse research, and this article will be published in 2020 with the theme ". Academician Fan has thought a lot about the integrated health service system to be built in the future. During the anti-epidemic period, he wrote a 50,000-word masterpiece "On the Correct Practice of Medicine", which was published in Medical Contention in four phases. The interview next year (the fifth year) may focus on this theme. (Reporter Wang Xiaobo reports from Qi Wang)

　　CCTV News:Seven departments, including the Ministry of Industry and Information Technology, launched the implementation plan of equipment renewal in the industrial field on April 9. The plan is clear. By 2027, the scale of equipment investment in China’s industrial sector will increase by more than 25% compared with 2023.

　　The implementation plan to promote the upgrading of industrial equipment will rely on the unified national market, guide enterprises to eliminate backward equipment and use advanced equipment according to laws and regulations, and improve production efficiency and technical level. At the same time, adhere to the integrated update of software and hardware, pay attention to the iterative upgrade and innovative application of software system while promoting the update of hardware equipment.

　　The plan is clear. By 2027, the scale of equipment investment in China’s industrial sector will increase by more than 25% compared with that in 2023. The penetration rate of digital R&D design tools and the numerical control rate of key processes of industrial enterprises above designated size will exceed 90% and 75% respectively, and the digital transformation of industrial enterprises will be fully covered by industrial provinces, cities and key parks.

　　Yu Xiaohui, president of China Information and Communication Research Institute, said that on the one hand, promoting the upgrading of large-scale equipment in the industrial field is conducive to stimulating effective investment and promoting technological progress. At the same time, it is also conducive to promoting the continuous improvement of the proportion of advanced production capacity, promoting industrial upgrading and upgrading, which is of great significance to accelerating the construction of a modern industrial system and helping to accelerate the cultivation and development of new quality productivity.

　　A number of industry-related equipment were included in the update action.

　　In the implementation of promoting the upgrading of equipment in the industrial field, related equipment in multiple industries will be included in the upgrading action.

　　In the replacement of inefficient equipment, we will speed up the elimination of backward and inefficient equipment and old equipment that has been in service for an extended period, aiming at production equipment such as industrial mother machines, agricultural machinery, construction machinery and electric bicycles. Among them, we will focus on promoting the industrial machine tool industry to update machine tools that have been in service for more than 10 years; The agricultural machinery industry will update flexible cutting, forming, welding, manufacturing and production technologies and equipment; The construction machinery industry will update hydraulic presses, bending machines, outdated production lines and online testing equipment.

　　In the action of upgrading high-end advanced equipment, enterprises are encouraged to update a batch of advanced equipment with high technology, high efficiency and high reliability for aviation, photovoltaic, power battery, biological fermentation and other production equipment. Among them, we will focus on promoting the aviation industry to comprehensively carry out the assembly integration capabilities and supply chain supporting capabilities of large aircraft, large amphibious aircraft and aero-engines; The production equipment in the power battery industry is upgraded to high precision, high speed and high reliability, with emphasis on updating ultrasonic welding machines, laser welding machines, liquid injection machines, volumetric cabinets and other equipment.

　　In upgrading test and testing equipment, in key industries such as petrochemical industry, medicine, shipbuilding, electronics, etc., a number of advanced equipment are updated around pilot verification and inspection and testing links such as design verification, test verification and process verification, so as to enhance engineering and industrialization capabilities.

　　Yu Xiaohui introduced that China has 41 industrial categories, 207 industrial categories and 666 industrial subcategories, which are the characteristics of the industry itself. Therefore, in this scheme, it is considered in different ways, including the replacement of inefficient equipment, the update and upgrade of high-end advanced equipment, and the update and upgrade of experimental testing equipment.

　　Focus on digital transformation and green transformation

　　In the implementation plan of equipment renewal in the industrial field, the characteristics of digitalization and greening will be highlighted.

　　In the implementation of digital transformation, it will promote the update of CNC machine tools, basic manufacturing equipment, additive manufacturing equipment, industrial robots, industrial control equipment, intelligent logistics equipment, sensing and testing equipment and other general intelligent manufacturing equipment. In addition, it also includes the raw material manufacturing industry to accelerate the application of new intelligent equipment such as unmanned transport vehicles, and the consumer goods manufacturing industry to promote new modes of intelligent equipment such as flexible production and personalized customization.

　　In building smart factories, it will promote the deep application of new technologies such as artificial intelligence, fifth-generation mobile communication and edge computing in manufacturing. Promote the networking of equipment and the digital link of production links, realize the connectivity of production data, flexible manufacturing and intelligent management, and build a digital workshop.

　　In terms of digital infrastructure construction, we will speed up the scale of new network infrastructure such as industrial Internet, Internet of Things, 5G and Gigabit optical networks, encourage the transformation of internal and external networks of industrial enterprises, and encourage large group enterprises and industrial parks to establish distinctive industrial Internet platforms.

　　In accelerating the green transformation of production equipment, we will promote the popularization and application of energy-saving and environmental protection green equipment in key energy-using industries and key links. The plan also includes accelerating the application of solid waste treatment and water-saving equipment, promoting industrial water saving and wastewater recycling, transforming industrial cooling circulation system and wastewater treatment and reuse system, and updating a number of cooling towers and other equipment.

　　Yu Xiaohui said that digitalization and greening are the two major directions for the development of manufacturing industry at present and for a long time to come, and they are also two major technical variables that affect the overall development and transformation of manufacturing industry and global competitive advantage. The promotion of green equipment is the direction of our efforts, and it is also the most important field for us to achieve the goal of industrial peak carbon dioxide emissions and carbon neutrality.

Focusing on the protection of industrial heritage, popularization of scientific knowledge and patriotism education, the Steel Structure Museum aims to let the audience know the development course of steel structure in the world, the rising road of steel structure in China and the unique charm of steel structure civilization.

(A) the characteristics of patriotism education

The steel structure museum shows the whole development process of China’s steel structure related technology from ancient times leading, to modern backwardness, to modern rise, and then to contemporary leading, which helps the audience to understand the history of national conditions and inspire the national spirit; Collecting and exhibiting a number of precious collections that carry red genes, unite blue power and focus on green development, and digging deep into the information and historical stories behind them will help stimulate the enthusiasm of the audience and cultivate scientific ideas; The theme is steel structure. Steel structure technology, products and works are important carriers for China to practice the "Belt and Road Initiative", build a community of human destiny and serve human welfare, and are also important starting points for telling the story of China’s revival.

(2) Free opening to the outside world.

The steel structure museum began its trial operation on May 18, 2017, and is open to the public free of charge every Tuesday, Thursday and Saturday. On May 1, 2018, it was approved by the Guangdong Provincial Cultural Relics Bureau and officially listed in the national cultural and cultural system; It officially opened on November 2, 2018, and the opening hours were adjusted to six days a week from Tuesday to Sunday. By the end of 2020, it had received more than 50,000 visitors. The museum has also set up online services such as visit reservation, self-help audio guide, panoramic display, etc., providing public services such as guide maps, convenient umbrellas, drinking water, and protection measures for the disabled, and regularly giving special lectures on popular science for children.

(3) Guangji steel structure treasures

The steel structure museum has collected more than 1,000 pieces (sets) of different kinds and shapes from home and abroad. The representative collections include: iron cables of Luding Bridge in Sichuan, rivets of Eiffel Tower, steel members of World Trade Center Building in New York, specifications for steel bridges of state-owned railways in 11 years of the Republic of China, 20-year annals of Showa Steel Works, coal and stone lamps of herringbone bridge in Yunnan-Vietnam Railway, draft recommendation letter of History of Wuhan Bridge Project, rivets and cables of Golden Gate Bridge in the United States, and 3D printed steel structure nodes. At the same time, according to the cultural industry norms, a collection warehouse with protective conditions was built for collection storage, and a collection and warehouse management system was established, and collection of collections continued.

(D) In-depth academic research

The steel structure museum has carried out in-depth research on the collection and history, published the Catalogue of Fine Collection (the first series), and written more than 40 articles on the Collection. Summarize the experience of enterprises in organizing industry museums, participate in the discussion of provincial and municipal industry norms for many times, share the experience of running museums and popularizing science at different theme activities, and publish many papers.

(five) to carry out social education.

The steel structure museum attaches great importance to the education of students and children, actively innovates and takes the initiative to plan and develop a series of research courses on how steel structures are "tempered", and has published a primary school edition, and will continue to compile a junior high school edition and a senior high school edition; A total of 15 public welfare lectures on "Opening of the Steel Structure Museum" were held, benefiting more than 15,000 people online and offline; Continuously held the volunteer service of "Little Interpreter Training" and carried out thematic research activities, benefiting more than 6,000 students. Co-organized a number of public welfare activities such as "prefabricated building citizen experience activities", "millions of citizens see Shenzhen" and "listening to the story of reform and opening up in the museum" with the relevant Shenzhen Municipal Bureau.

(six) extensive publicity and reporting

The steel structure museum has established an official website and WeChat WeChat official account, designed and produced brochures and guide maps, and developed various cultural and creative products such as steel structure theme souvenir covers and commemorative coins. As the only cultural institution, the Steel Structure Museum appeared in Shenzhen’s new edition (2020) city publicity film.

(seven) the social evaluation is good.

The construction and opening up of the steel structure museum has been widely praised by industry experts and the public. It has been awarded the "National Primary and Secondary School Students’ Research and Practice Education Base" and is a member unit of the China Museum Association, the National Federation of Industrial Museums and china national youth palace association.

　　Cctv news January 28th is the first day after the Spring Festival, and the main venue of key projects in the first quarter of 2023 in Shaanxi Province was held in the second phase of BYD New Energy Passenger Car Parts Project in Xi ‘an High-tech Zone. On the same day, 10 heavy projects covering new energy vehicles, 5G, intelligent manufacturing and other industries and business supporting fields in Xi ‘an High-tech Zone were started simultaneously.

　　It is understood that the concentrated start-up projects in the High-tech Zone as a whole have obvious characteristics such as large investment, high technology content, good economic benefits and strong employment-promoting ability. Among them, in the field of new energy automobile industry, the newly-started BYD New Energy Passenger Car Parts Phase II project has a total investment of 13 billion yuan. By purchasing equipment and optimizing the process, the automobile electronic parts production line will be upgraded and expanded. After completion, the new energy automobile parts production capacity will be increased by 400,000 sets/year, which will drive about 13,000 jobs. The national-level new energy vehicle testing center and vehicle-level semiconductor device and system R&D industrial base project aims to provide testing and verification opportunities for domestic independent semiconductors, and promote the industrialization verification and scale commercialization of domestic semiconductors. After completion, it is estimated that the average output value per mu will reach 31.25 million yuan.

BYD New Energy Passenger Car Parts Phase II Project

　　In the field of 5G industry, the West High-tech and Defense Phase II with a total investment of 3.3 billion yuan — The 5G Communication Industrial Park Project (South Zone) will devote itself to the research and development, production and manufacturing of 5G communication electronic products, and build facilities such as data room, production plant and assembly plant of R&D headquarters to help enterprises further seize the market share of 5G communication; The construction project of Xi ‘an Science and Technology Industrial Park Phase III, 5G Digital Factory and Science and Technology R&D Building, with a total investment of 1.87 billion yuan, mainly focuses on the research and development, production and sales of power electronic equipment such as inverters, flexible DC, SVG equipment and energy storage. After completion, it is estimated that the average output value per mu will be 26.79 million yuan.

West High-tech Days and Defense Phase II — 5G Communication Industrial Park Project (South Zone)

　　In the field of intelligent manufacturing, the project of Jixian Electronic Intelligent Manufacturing Industrial Park, which started in Xi ‘an High-tech Zone, has a total investment of 1.6 billion yuan, mainly building comprehensive office centers, multifunctional intelligent production workshops, intelligent logistics storage centers and other facilities, and will attract upstream and downstream high-tech enterprises including electronic equipment manufacturing, automobile integrated service industry, intelligent equipment industry and electronic information industry to settle in. After the project is completed, it is estimated that the average output value per mu will be 12.28 million yuan, which will drive about 5,000 jobs.

　　In addition, the newly-started business supporting projects such as Ziwei Yunduhui and Gaoxin Tianjing R&D Office Business Complex will further improve the regional business supporting facilities, enhance the regional competitiveness and optimize the "high quality and high technology" energy level.