转眼间，为期六个月的访学已结束。历数半年来学习进修、体察领悟之种种，留学生活让我感慨万千。川崎学园在日本医学领域有着很高的知名度，能够在这种学校进行学习交流，我深感荣幸。
川崎学园与中国颇有渊源，第一任理事长川崎�宣当年曾受到毛主席和周总理等国家领导人的接见。现在川崎�宣纪念讲堂里还有当年的合影，旁边附有川崎�宣理事长的一番话，大致意思为：“日本在2000多年的岁月长河中，在文化方面从中国得到了不计其数的恩惠，但日本还是发动了那场侵略战争。日本应从不同场合，来偿还那场战争所欠下的债。川崎学园将通过医学，伸出友谊之手，加深中日友好”。我校与川崎学园的联系是从1983年开始的，1983年经上海市卫生局的介绍两校取得了联系，并与1984年签订了两校建立友好校际关系的协定书。两校来往以互访和日方接收我校教师研修、接待夏令营访问为主。国际教育学院门口那棵松树就是两校友谊的象征。
川崎学园附属机构包括川崎医科大学、川崎医疗福祉大学、川崎康复学院等教育机构。川崎学园还有川崎医科大学附属医院和川崎病院两个附属医院。旭川�也是川崎学园的一部分，主要收留日本的孤寡老人、畸形儿童、无法自理的人。旭川�的社会福祉理念，宾馆式服务和所具备的高端医疗让人印象深刻。
我主要在川崎医疗福祉大学和川崎医科大学附属医院进修康复专业。福祉这种幸福、利益、福利的观念让我感触很深。自己也体会到了这种观念下所进行的治疗和提供的服务与国内医疗环境的不同。为期两个月的理论学习和4个月的临床见习，也让我对康复有了一定了解，跟针灸推拿找到了很多结合点。以中风为例，“康复”治疗利用矫形器，助行器等手段很好的解决了针推治疗较为棘手的部分患者的足内翻问题。当然，针推在镇痛等方面的作用也可以提高康复治疗的疗效。
全球人口老龄化问题是21世纪各国面临的重要社会问题。中国未来发展的人口基础将是重度人口老龄化，人口红利逐步消失。中国作为发展中国家，老龄化速度是发达国家的2倍以上，且是“未富先老”。老龄化社会往往会带来较大的社会压力，老年人的看护、照顾、医疗等问题，也呈现出日益严峻的状态。据资料显示，目前我国60岁以上老人占总人口的14%，却花费了40%的医疗总资源，其中脑血管疾病与骨关节疾病占据了很大一部分。我们可以利用康复医学的同时发挥自身的针灸推拿优势，提高脑血管疾病与骨关节疾病患者的生活质量，减少患者的住院率，缩短住院天数，从而减少看护、照顾、医疗等一系列问题。在有效利用有限医疗资源方面，相信针灸推拿将发挥重要的作用。
最后，感谢学校和川崎学园提供给我这次难得的留学机会，这将是我一生中的宝贵财富。我也会竭力将我在川崎学园的所学用到今后的工作学习中去，实现做一个合格医教工作者的梦想。 具紫勇
No National Boundaries in Medicine―Thoughts of Visiting Term in Kawasaki Gakuen Time flies, the six-month Visiting Term has ended. Enumerating the six months’ studying, observation and comprehension, study abroad made me being emotional. Kawasaki Gakuen is very popular in Japanese medical domain and I am very honored to study here. Kawasaki Gakuen had historical relationship with China. The first chairman Kawasaki Yuxuan was received by Chairman Mao, Premier Zhou Enlai and other national leaders. There was the photo of that year in memorial auditorium and next to the photo having some words of him, roughly meaning: “Japan gets countless grace form China in the cultural aspects during 2000 years, but Japan still launched the war of aggression. Japan should repay a debt owed ??by that war in different occasions. Kawasaki Gakuen would give a hand of friendship though medicine circles to deep Sino-Japanese friendship.” The contact between Kawasaki Gakuen and our university began from 1983, which was linked by Shanghai Municipal Health Bureau and two universities signed friendly inter-university relations Agreement 1984. The two universities have exchange visits and Japanese side to receive the teachers of SUTCM to have advanced study and training and mainly the summer camps visiting. The pine tree in front of The Institute of International Education is a symbol of friendship between the two universities. The affiliated institutions of Kawasaki Gakuen include Kawasaki Medical School, Kawasaki University of Medical Welfare, Kawasaki Rehabilitation Institute and other educational institutions. Kawasaki Gakuen has two affiliated hospitals Kawasaki Medical School Affiliated Hospital and Kawasaki disease hospital. The Asahikawa Chuang is also a part of Kawasaki Gakuen, and it mainly take Japanese elderly people of no family, deformed children and people who cannot take care of themselves. The concept of social well-being, the hotel-style services and equipping high-end medical treatment impresses me a lot. I mainly have an advanced study of rehabilitation major in Kawasaki University of Medical Welfare and Kawasaki Medical University Hospital. The concept of happiness, profit, welfare of the well-being touched me deeply. And I have experienced the difference between the treatment and service under this concept and the circumstances in our nation. The two-month theoretical study and four-month clinical training let me have a certain understanding of rehabilitation with acupuncture and found the point of integration. Take stroke as an example, "rehabilitation" treatment use orthosis, walkers and other means to solve the problem of patient's foot varus which is a difficult part of acupuncture and tuina treatment. Of course, the function of analgesia of acupuncture and tuina can also raise the effect of improving rehabilitation. The aging of the global population is an important social issue of countries in the 21st century. The population of China's future development will be based on the severe population aging and the demographic dividend will gradually disappear. China, as a developing country, the aging rate is twice more than that of developed countries and is "being old before being rich”. Aging society tends to bring about greater social pressure. Care for the elderly, health care and other issues, has also showing the increasingly grim state. According to statistics, China's elderly people, who are over the age of 60, accounted for 14% of the population and they spend 40% of the total medical resources, and among them the cerebral vascular diseases and bone and joint diseases occupy a large part. We can take advantage of rehabilitation medicine and at the same time play the advantages of acupuncture and tuina, to improve the quality of patients’ life of the cerebral vascular diseases and bone and joint diseases, and reduce the rate of hospitalization of patients, shortern the days to stay in the hospital and so that we can reduce a series of problems like caring and curing. I believe that acupuncture will play an important role in the effective use of limited medical resources. Finally, thank SUTCM and Kawasaki Gakuen to provide me this precious opportunity to study abroad, which will be a valuable wealth in my life. I will try to use what I have learnt in Kawasaki Gakuen into my future work and achieve the dream of being a qualified medical education worker. Ju ziyong |
