Guest guest Posted January 11, 2005 Report Share Posted January 11, 2005 Hi Bob. Interesting point, but at the moment I don't agree with this. Please let me explain why. I believe that any practitioner of medicine, whatever his or her style, must be *first* concerned with two questions: - Is it safe? - Does it work? Now what distinguishes the methodologies that Classical CM and WM use to evaluate themselves? Surely the main distinguishing features are:- (a) WM uses objective measurement (including technology) and mathematics. (b) Classical CM does not, but uses more intuition, subjective measurement (eg pulse and tongue diagnosis), qualitative measurement and a case study approach. Both these approaches (a) and (b) have the same goal. They are both trying to answer the same two questions: Is it safe and does it work? So what's wrong with just using method (b). Classical CM doctors have done this for at least 2-3,000 years? Why can't we continue to do so now? Disreputable practice and the global economy. I reckon that in ancient China there may have been some practitioners who harmed their patients either intentionally or through negligence, but this was probably the minority of cases. There was no way for these individuals to dominate the scene. Nowadays, we truly live in a global economy where big business can very easily squeeze out the small practitioners. Even with countries' anti-monopoly legislation, monopoly and oligopoly are often rampant. It is just too easy for a small number of dishonest or negligent firms (effectively ruled by shareholders and managers seeking self-agrandisement) to dominate the marketplace and cause havoc. I believe this is the fundamental reason why we are moving relentlessly towards more legal regulation. It is the (unfortunately) *necessary* result of the global economy. Legal regulation is the only way that we can stop big business from fleecing us bare. To illustrate this point look at technologically undeveloped countries when they start to rapidly develop economically and technologically without the legal framework. You see rampant corruption! Now where you have more legal regulation you must have more objective evluation of medicine, which means using technology and mathematics, ie the WM model of evaluation, ie method (a). I very much regret this as I am a bit of a Taoist and would genuinely rather live in a hut, breathe the pure mountain air, drink pure stream water and live off living foods and vegetables. But if I live in a Western technologically devloped country I have no choice but to embrace legal regulation and what comes with it - unless I can reverse globalization, which is I think unrealistic. We simply *have* to *work with* modern scientific methodology - otherwise we will die. Now someone will say that the scientific methodology is not working in the West because it is so expensive and is therefore being 'corrupted' by drug companies. This is true to a degree of course. But just going back to the ancient ways alone will not work either - in a global economy. I believe we have to embrace scientific methodology, understand it (which, incidentally many WM doctors and researchers *do not*) and *teach them* how it should be applied in the field of medicine. We should also seek to educate the masses, raise finance for our own scientfic research, as well as ... .... embrace the ancient methods to show that 'there's more than one way to skin a cat'. Best wishes David Gordon Bob Xu wrote:- --------- Bob Xu <bxu6> Mon Jan 10, 2005 12:41 am Re: The future of Chinese Herbal Medicine in the West? Hi all, I agree with Z'ev. should be differentiated from Western Medicine at the framework, foundation, and structure of medicine. There is no scientific evidence and ground to judge by means of Western Medicine's standards and approaches. In some senses, the relationship between Chinese Medicine and Western Medicine is similar to the relationship between Chinese language and English language. To judge by means of Western Medicine's standards and approaches is similar to judge the correctness of Chinese language by means of English grammar. Will this work? The correctness of Chinese language should be judged by Chinese grammar. Similarly, the efficacy and safety of should be judged by 's standards and methodologies. Bob Xu Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 12, 2005 Report Share Posted January 12, 2005 I believe that any practitioner of medicine, whatever his or her style, must be *first* concerned with two questions: - Is it safe? - Does it work >>>>I could not agree more. Alon Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 16, 2005 Report Share Posted January 16, 2005 Hi David, It seems there exist misunderstandings in our communications. Due to time limit, I couldn't elaborate in details here. Following, I will discuss a few points briefly. (1) In my initial message, under that environment, I focused on the importance of 's standards and methodologies. This, however, did not mean that I don't support mathematical approach. In fact, I am an advocate for mathematical medicine. In 2001, I call for new mathematics for Chinese Herbal Medicine [1]. In 2002, I propose to establish a " Department of Theoretical Herbal Medicine " within the FDA [2]. All those efforts were aimed at developing new mathematics for Chinese Herbal Medicine (CHM) system. (2) Mathematical medicine is a very complicated field. It involves not only the profession of medicine, but also the profession of mathematics. Up to today, there is still no mathematical tool for Chinese Herbal Medicine system. The mathematics employed by Western Medicine cannot provide accurate solutions for Chinese Herbal Medicine system. (3) Currently, many people take it for granted that Western Medicine methodologies and approaches can be applied to . This, however, is only an assumption. It has not been proved, and it actually is incorrect. Current trend of fitting CHM to Western Medicine's mathematics model is inappropriate. CHM has its own rules and regularities, which are governed by some special mathematics (that are still unknown yet). The appropriate way is to find and develop the special mathematics to describe CHM's rules and regularities, and to direct more accurate, consistent, and reproducible clinical outcomes. (4) Mathematics is important. However, it is only a tool. The new mathematics should come from medicine, and go back to medicine. Mathematics for mathematics sake is useless in medicine. Due to this reason, I would like to go back to my original message: 's standards and methodologies should be the sources and criteria of any new mathematical medicine in the future. I have addressed above issues in more details in the Unified Medicine Project (to be published). Hoping the Unified Medicine Project can answer your questions in more details. Bob Xu [1] Recommendation on in the United States of America. ACMA Publication Issue Dec 2001. http://www.AmericanChineseMedicineAssociation.org [2] Letter to the Congress. ACMA Publication Issue Aug 2002. ..http://www.AmericanChineseMedicineAssociation.org David Gordon <junhengclinic wrote: Hi Bob. Interesting point, but at the moment I don't agree with this. Please let me explain why. I believe that any practitioner of medicine, whatever his or her style, must be *first* concerned with two questions: - Is it safe? - Does it work? Now what distinguishes the methodologies that Classical CM and WM use to evaluate themselves? Surely the main distinguishing features are:- (a) WM uses objective measurement (including technology) and mathematics. (b) Classical CM does not, but uses more intuition, subjective measurement (eg pulse and tongue diagnosis), qualitative measurement and a case study approach. Both these approaches (a) and (b) have the same goal. They are both trying to answer the same two questions: Is it safe and does it work? So what's wrong with just using method (b). Classical CM doctors have done this for at least 2-3,000 years? Why can't we continue to do so now? Disreputable practice and the global economy. I reckon that in ancient China there may have been some practitioners who harmed their patients either intentionally or through negligence, but this was probably the minority of cases. There was no way for these individuals to dominate the scene. Nowadays, we truly live in a global economy where big business can very easily squeeze out the small practitioners. Even with countries' anti-monopoly legislation, monopoly and oligopoly are often rampant. It is just too easy for a small number of dishonest or negligent firms (effectively ruled by shareholders and managers seeking self-agrandisement) to dominate the marketplace and cause havoc. I believe this is the fundamental reason why we are moving relentlessly towards more legal regulation. It is the (unfortunately) *necessary* result of the global economy. Legal regulation is the only way that we can stop big business from fleecing us bare. To illustrate this point look at technologically undeveloped countries when they start to rapidly develop economically and technologically without the legal framework. You see rampant corruption! Now where you have more legal regulation you must have more objective evluation of medicine, which means using technology and mathematics, ie the WM model of evaluation, ie method (a). I very much regret this as I am a bit of a Taoist and would genuinely rather live in a hut, breathe the pure mountain air, drink pure stream water and live off living foods and vegetables. But if I live in a Western technologically devloped country I have no choice but to embrace legal regulation and what comes with it - unless I can reverse globalization, which is I think unrealistic. We simply *have* to *work with* modern scientific methodology - otherwise we will die. Now someone will say that the scientific methodology is not working in the West because it is so expensive and is therefore being 'corrupted' by drug companies. This is true to a degree of course. But just going back to the ancient ways alone will not work either - in a global economy. I believe we have to embrace scientific methodology, understand it (which, incidentally many WM doctors and researchers *do not*) and *teach them* how it should be applied in the field of medicine. We should also seek to educate the masses, raise finance for our own scientfic research, as well as ... .... embrace the ancient methods to show that 'there's more than one way to skin a cat'. Best wishes David Gordon Mail - 250MB free storage. Do more. Manage less. Quote Link to comment Share on other sites More sharing options...
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