1. General Article 1 is to guide and strengthen the standardized construction and scientific management of geriatrics departments in traditional Chinese medicine hospitals, highlight the characteristics of traditional Chinese medicine, improve clinical efficacy, and systematically summarize the experience in the construction and management of geriatrics departments in traditional Chinese medicine hospitals. above, this guideline is formulated with reference to relevant laws and regulations. Article 2 This guideline aims to guide traditional Chinese medicine hospitals and their geriatric department managers to strengthen the construction and management of the unique advantages of traditional Chinese medicine in geriatric departments. It can also serve as a reference and basis for the evaluation work of traditional Chinese medicine management departments at all levels. Article 3 The geriatric departments of traditional Chinese medicine hospitals at level 2 or above shall be constructed and managed in accordance with these guidelines. Article 4 The geriatrics department of a traditional Chinese medicine hospital shall, based on the basic diagnosis and treatment technology of geriatric diseases and guided by the theory of traditional Chinese medicine, apply drugs and technology to carry out geriatric disease diagnosis and treatment work, focus on highlighting the characteristics of traditional Chinese medicine, give full play to the advantages of traditional Chinese medicine, inherit, innovate and Develop unique TCM diagnosis and treatment technologies and continuously improve the level of TCM clinical diagnosis and treatment. Article 5 Traditional Chinese medicine management departments at all levels should strengthen the guidance and management of geriatric departments in traditional Chinese medicine hospitals. Traditional Chinese medicine hospitals should strengthen the standardized construction and management of geriatric departments, maintain the unique advantages of traditional Chinese medicine, and ensure medical quality and safety. 2. Basic Conditions Article 6 The geriatrics department of a traditional Chinese medicine hospital should have venues, equipment, facilities and technical capabilities that are commensurate with its hospital level and department functions to ensure the effective development of undergraduate diagnosis and treatment work. Article 7 Geriatric outpatient clinics of traditional Chinese medicine hospitals may open specialized disease outpatient clinics if conditions permit. The geriatric departments of tertiary TCM hospitals and qualified second-level TCM hospitals should open wards with the ability to provide emergency geriatric diagnosis and treatment services. Article 8 The geriatric outpatient clinic of a traditional Chinese medicine hospital should be equipped with waiting seats, consulting rooms, examination rooms, and treatment rooms (including traditional Chinese medicine treatment rooms). The layout of each area should be reasonable, the treatment process should be convenient, and the privacy of patients can be protected. The geriatrics department of tertiary TCM hospitals and the geriatrics department of qualified second-level TCM hospitals should set up supporting diagnostic facilities and treatment rooms according to the specialty characteristics. The building layout and facilities should comply with hospital infection management requirements. The geriatric ward of a traditional Chinese medicine hospital should be equipped with an examination room and a traditional Chinese medicine treatment room. The traditional Chinese medicine treatment room can carry out acupuncture, cupping, sound therapy, traditional Chinese medicine fumigation, external treatment with traditional Chinese medicine, physiotherapy, etc. Article 9 The equipment configuration of the geriatric department of a traditional Chinese medicine hospital should be consistent with the hospital level and department functions. In addition to basic diagnostic and treatment equipment, it can also be equipped with traditional Chinese medicine ultrasonic introduction treatment equipment, acupuncture equipment, meridian treatment equipment, traditional Chinese medicine magnetic therapy equipment, and traditional Chinese medicine. Traditional Chinese medicine diagnosis and treatment equipment such as soaking and washing equipment that can help improve the curative effect. The equipment and related functions of the examination room should be shared by the entire hospital. Article 10 The geriatrics department of a traditional Chinese medicine hospital should establish, improve and strictly implement various rules and regulations, job responsibilities, diagnosis and treatment plans and technical operating procedures to ensure medical quality and medical safety. Based on the development of special therapies in this department, we have established operational specifications and related management systems for commonly used diagnostic and treatment equipment in geriatric departments such as acupuncture, auricular therapy, sound therapy, acupoint injection, acupoint application, external application of traditional Chinese medicine, fumigation of traditional Chinese medicine, and enema with traditional Chinese medicine. 3. Personnel Team Article 11 The proportion of traditional Chinese medicine practitioners (including licensed assistant physicians) in the geriatric department of a traditional Chinese medicine hospital shall not be less than 70% of the total number of practicing physicians, and other types of practicing physicians who have received professional training in traditional Chinese medicine will be deployed according to work needs. Article 12 The proportion of personnel with senior, intermediate and junior professional and technical qualifications in the geriatrics department of a traditional Chinese medicine hospital should be reasonable, the age composition should be basically balanced, and there should be a talent echelon to support the sustainable development of the department. Article 13 Physicians in the geriatric department of TCM hospitals should receive professional and systematic training in TCM geriatrics and master the basic theories, basic knowledge and basic operational skills of TCM geriatrics; they should be proficient in emergency critical care and rescue skills. After receiving standardized training, TCM residents should be proficient in the diagnostic standards of common diseases (disease syndromes) in geriatrics, master TCM diagnosis and treatment plans, clinical pathways, clinical guidelines and basic diagnosis and treatment skills for major undergraduate diseases, and be familiar with 200 prescriptions, key points Master 100 commonly used prescriptions (see attachment) and master common diagnostic and treatment techniques in geriatrics. On the basis of meeting the basic requirements for residents, the attending physician in the traditional Chinese medicine category should have a high level of traditional Chinese medicine diagnosis and treatment for some diseases, formulate systematic traditional Chinese medicine diagnosis and treatment ideas for common clinical and difficult diseases, accumulate rich diagnosis and treatment experience, and have common geriatric diseases. The ability to deal with acute and severe cases, and the ability to guide lower-level doctors to carry out traditional Chinese medicine diagnosis and treatment.

Physicians at or above the deputy chief physician category of traditional Chinese medicine should, on the basis of meeting the basic requirements of attending physicians, have high theoretical literacy and rich practical experience in traditional Chinese medicine, have the ability to diagnose and apply traditional Chinese medicine methods to deal with difficult and critical geriatric diseases, and have the ability to understand the undergraduate department. The ability to make final decisions on important TCM diagnosis and treatment options. Article 14 Resident doctors in the geriatrics department of traditional Chinese medicine hospitals should, after completing standardized training and transfer training, focus on training on the diagnostic standards of common geriatric diseases, diagnosis and treatment plans for major undergraduate diseases, and clinical pathways under the guidance of superior physicians in the geriatrics department. , clinical guidelines and basic skills, basic knowledge of traditional Chinese medicine for geriatric diseases, basic theories and the operation of common diagnostic and treatment techniques. Attending physicians in the traditional Chinese medicine category mainly train on traditional Chinese medicine diagnosis and treatment techniques and methods for difficult diseases, academic experience of famous old Chinese medicine experts, new technologies and new methods, etc., through participating in further training, studying with teachers, and participating in study classes, etc., to understand the new progress in the prevention and treatment of geriatric diseases. Clear personal professional development direction, and have expertise in the diagnosis and treatment of one or more traditional Chinese medicine geriatric diseases. Physicians at or above the deputy director level in the traditional Chinese medicine category mainly focus on training on traditional Chinese medicine diagnosis and treatment techniques and methods for elderly patients with difficult and critical illnesses, and master new advances in the prevention and treatment of geriatric diseases by participating in advanced training courses, academic conferences, and studying with teachers. Article 15 The director of the geriatrics department of a traditional Chinese medicine hospital shall be a traditional Chinese medicine practitioner who is engaged in the professional work of traditional Chinese medicine in geriatric diseases or a clinical practitioner who has received systematic training (more than 2 years) in the professional knowledge of traditional Chinese medicine and has certain administrative capabilities. Serve. The director of the geriatrics department of a second-level traditional Chinese medicine hospital should have more than 10 years of experience in studying and working in the geriatrics specialty of traditional Chinese medicine and the qualification to hold a professional and technical position above the intermediate level; the director of the geriatrics department of a third-level traditional Chinese medicine hospital should have more than 10 years of experience in the specialty of traditional Chinese medicine geriatrics. Experience and qualifications for senior professional and technical positions. Article 16 The geriatrics department of a third-level traditional Chinese medicine hospital with more than 10 practicing physicians and the geriatrics department of a second-level traditional Chinese medicine hospital with conditions may establish an academic leader system. As the academic authority of the undergraduate department, the academic leader has the qualifications to hold senior professional and technical positions. He has been engaged in geriatrics major study and work for more than 20 years, and should have a certain academic status in the professional field. The academic leader is responsible for guiding the inheritance and innovation of the characteristics of traditional Chinese medicine in the undergraduate department, organizing research to determine the academic development direction of the undergraduate department, and guiding the formulation and implementation of key projects. Article 17 The academic successor to the geriatrics department of a traditional Chinese medicine hospital should have more than 10 years of working experience in the geriatrics specialty of traditional Chinese medicine. The academic successor to the geriatrics department of a second-level traditional Chinese medicine hospital should have the qualifications for professional and technical positions above intermediate level. The academic successor of the medical department should have the qualifications to hold senior professional and technical positions. The training of academic successors should make full use of the resources of the undergraduate department, the hospital and the region, and focus on the theory of traditional Chinese medicine, the academic thoughts of old experts, clinical experience, and new prevention and treatment of traditional Chinese medicine geriatrics through study with teachers, advanced training classes, academic conferences, etc. Progress training. Article 18 The geriatrics department of a traditional Chinese medicine hospital should do a good job in inheriting the academic experience of famous senior traditional Chinese medicine experts in the undergraduate department, and adopt methods such as mentoring and mentoring, famous doctor lectures, and senior expert studios to sort out and inherit the academic experience of famous senior traditional Chinese medicine experts. Article 19 Nursing staff in the geriatric department of a traditional Chinese medicine hospital should receive systematic training on traditional Chinese medicine knowledge and skills. Nurses who graduate from traditional Chinese medicine schools should receive no less than 100 hours of training on traditional Chinese medicine knowledge and skills within 3 years. Article 20 Nurses in the geriatric department of TCM hospitals should be familiar with the basic knowledge of TCM diagnosis and treatment of common geriatric diseases, master the basic nursing knowledge and methods of common and frequently-occurring diseases in geriatric departments, and master the routine TCM nursing for undergraduate diseases and the operation of TCM characteristic nursing techniques. Procedures can provide patients with nursing services and health guidance with traditional Chinese medicine characteristics. Article 21 The head nurse of the geriatric department of a traditional Chinese medicine hospital is the first person responsible for the quality of nursing care in the geriatric department. The head nurse of the geriatric department of a second-level traditional Chinese medicine hospital should have professional and technical qualifications of nurse or above, and have more than 1 year of geriatric experience. Clinical nursing work experience in the disease department. The head nurse of the geriatric department of a tertiary traditional Chinese medicine hospital should have the qualifications of a supervisory nurse or above and a professional and technical position, and have more than 2 years of clinical nursing experience in the geriatric department. Article 22: Geriatrics departments of traditional Chinese medicine hospitals should actively apply traditional Chinese medicine methods to promote the improvement of traditional Chinese medicine diagnosis and treatment. A performance appraisal system should be established to include the rate of excellent syndrome differentiation and treatment, the utilization rate of syndrome differentiation of proprietary Chinese medicines, the rate of TCM treatment, the proportion of prescriptions of TCM decoction pieces in outpatient clinics, the rate of TCM participation in acute and critical illness, and the rate of cure and improvement, etc., into physician performance appraisals.

4. Service Technology Article 23: Geriatrics departments of traditional Chinese medicine hospitals should focus on inheriting and carrying forward traditional Chinese medicine diagnosis and treatment techniques, and actively explore and innovate traditional Chinese medicine diagnosis and treatment technologies for geriatric diseases on the premise of ensuring medical safety and patient interests. Article 24: Geriatrics departments of traditional Chinese medicine hospitals should have the ability to diagnose and treat common and frequently occurring geriatric diseases. Second-level traditional Chinese medicine hospitals should have the ability to diagnose and treat depression syndrome, insomnia, bone paralysis, diabetes, stranguria syndrome, constipation, epigastric pain, sweating, etc. The ability to diagnose and treat common diseases of the elderly such as syndrome, chest pain, vertigo, and stroke. Third-level TCM hospitals should have the ability to carry out diagnosis and treatment of difficult and critical diseases in the elderly, such as dementia, tremor, palpitations, asthma, and edema, based on the service capabilities of second-level TCM hospitals. Article 25: Geriatrics departments of traditional Chinese medicine hospitals should focus on highlighting the characteristics of traditional Chinese medicine, encourage the use of traditional Chinese medicine preparations in outpatient clinics and wards, and rationally apply Chinese patent medicines and hospital traditional Chinese medicine preparations under the guidance of the principle of syndrome differentiation and treatment. Carry out traditional Chinese medicine service projects such as external application of traditional Chinese medicine, traditional Chinese medicine enema, acupuncture, auricular point therapy, foot bath, acupoint application, navel therapy, cupping, etc.; actively create conditions to carry out acupoint injection, acupoint catgut embedding, meteorite and other service projects to improve the clinical efficacy of traditional Chinese medicine. Article 26 The geriatrics department of a traditional Chinese medicine hospital shall formulate a traditional Chinese medicine diagnosis and treatment plan for key diseases in the department in accordance with the TCM diagnosis and treatment plans and clinical pathways for relevant diseases formulated and released by the State Administration of Traditional Chinese Medicine, combined with the clinical reality of the department, and apply them to Clinically, we regularly analyze, summarize and evaluate the implementation and efficacy of the department’s diagnosis and treatment plans, and continuously optimize the diagnosis and treatment plans to improve the clinical efficacy of traditional Chinese medicine. Article 27: Strengthen basic training in traditional Chinese medicine and continuously improve the level of traditional Chinese medicine diagnosis and treatment. Implement a three-level physician ward rounding system. The content of the ward rounds should reflect the thinking of TCM syndrome differentiation and treatment, ensure accurate syndrome differentiation, consistent theory, methods and prescriptions, and give full play to the guiding role of superior physicians in TCM diagnosis and treatment of lower-level physicians; conduct case discussions in a timely manner to improve the quality of emergency, severe and difficult cases. The level of TCM diagnosis and treatment of diseases. Article 28: Geriatrics departments of traditional Chinese medicine hospitals should focus on the introduction and absorption of new diagnostic and treatment technologies in accordance with the development direction and construction plan, and actively explore traditional Chinese medicine theory, technical methods, drug research and development, etc. based on clinical practice and efficacy as the core. Be bold and innovative. 5. Environmental image Article 29 The geriatrics department of a traditional Chinese medicine hospital should focus on reflecting the characteristics and advantages of traditional Chinese medicine in the construction of environmental image based on the actual conditions of the unit and the undergraduate department. Article 30 The focus of the environmental image construction of the geriatric department of a traditional Chinese medicine hospital includes outpatient corridors, waiting areas, ward corridors, treatment rooms and other areas. Article 31 The environmental image construction of the geriatrics department of a traditional Chinese medicine hospital should focus on disseminating popular science knowledge about the prevention and treatment of geriatric diseases with traditional Chinese medicine through internal decoration, display board layout, etc., introduce the methods of traditional Chinese medicine in preventing and treating geriatric diseases and the expertise of experts, and highlight the traditional Chinese medicine. The characteristics and advantages of medicine in preventing and treating geriatric diseases and creating a good cultural atmosphere of traditional Chinese medicine. The names of TCM diseases and TCM terminology should be used to promote knowledge, introduction methods and specific contents that highlight characteristics, and should be adjusted in a timely manner according to changes in disease types. Article 32 The interior decoration of the geriatrics department of a traditional Chinese medicine hospital can, depending on the area and content, use calligraphy and painting works with famous quotes and aphorisms by famous doctors, photos of historical figures in the geriatrics specialty of traditional Chinese medicine and famous doctors in the undergraduate department, posters, window showcases, physical objects, Promotional forms such as touch screens, video networks, and promotional leaflets. 6. Supplementary Provisions Article 33 The Geriatrics Department of Traditional Chinese Medicine Hospitals shall carry out clinical teaching and scientific research in accordance with relevant requirements. Article 34 Hospitals of integrated traditional Chinese and Western medicine, specialized hospitals of traditional Chinese medicine, and clinical departments of traditional Chinese medicine in general hospitals that feature the diagnosis and treatment of geriatric diseases shall be constructed and managed with reference to these guidelines. Article 35 Relevant regulations on the construction and management of geriatric departments in ethnic medical hospitals shall be formulated separately by the traditional Chinese medicine management departments of each province, autonomous region, and municipality directly under the Central Government. Article 36 The State Administration of Traditional Chinese Medicine is responsible for the interpretation of these guidelines. Article 37 These Guidelines shall come into effect from the date of issuance.