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>

> ------ Forwarded Message

>> " Ricardo Saldanha - Laser Clinic "

>> <ricardosaldanha

>> Thu, 2 Sep 2004 16:11:24 +0100

>> <support-sd

>> chinese herbs

>> Resent-<support-sd

>> Resent-Thu, 02 Sep 2004 08:13:42 -0700

>>

>>

>> Dear Sir,

>>

>> I am currently running a chinese medicine clinic and have been

>> planning to

>> add " fitotherapy " to the list of therapies available in my clinic.

>> However such is not possible since the price at which chinese herbs

>> arrive

>> in Portugal are prohibitive. So, I would like to ask you for a

>> contact of a

>> chinese company that exports these herbs so that I can buy them

>> directly

>> from China.

>> Best regards,

>>

>>

>>

>>

>> Ricardo Saldanha - Gerente

>>

>>

>>

>> Rua Santa Catarina, 375, sala 32

>> 4000-451 Porto

>> Tel./Fax 222033095

>> <geral geral -

>> www.laserclinic.pt

>>

>

 

Chinese Herbs

 

 

 

 

 

 

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  • 3 years later...

So far, Andrea, I've heard nothing, or had any resistance to taking

Chinese herbs. I think the trust in the practitioner is the key

issue, and they trust that I will only give them the best quality

medicine I can. ..

 

Z'ev

On Dec 31, 2007, at 7:13 AM, wrote:

 

> So I am writing to you, my esteemed colleagues, to ask whether you

> are also encountering this phenomenon in your part of the world, and

> how you are responding to it. Are you also looking for a different

> way to promote the herbal part of your practice? Are you doing

> public education talks on the subject? Are you handling it one-on-

> one with your clients? Or are you waiting for this storm to pass?

> What do you find is working, and what is not?

 

 

Chair, Department of Herbal Medicine

Pacific College of Oriental Medicine

San Diego, Ca. 92122

 

 

 

 

 

 

 

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Dear Colleagues,

 

Due to the information that has come to light this past year about herbal

medicines and other products coming out of China that has been tainted in one

way or another, I am finding more of my patients are increasingly resistant to

taking " Chinese " herbs. They are concerned about purity and safety. I have

received letters from several herbal manufacturers addressing this very issue in

recent months, intended to assure me that they take the most stringent measures

to use substances that are free of drugs, chemicals, toxins, organisms, and are

the proper species. While that is well and good, I find sharing these articles

with my patients does nothing to assuage their concern, and further, advertising

that I offer Chinese Herbal Medicine is, at this point in time, viewed rather

suspiciously - rather than as an attractive, healthy alternative to

pharmaceutical drugs with their incipient host of side effects.

 

So I find I am experimenting with the wording on my business cards and other

advertising. Mainly, I find I am leaving out the word " Chinese " ! My most

recent wordage attempts are " Acupuncture and Herbal Therapies " or " Acupuncture

and Herbal Medicines " , or " Acupuncture and Asian Herbal Medicine " , but these

sound wishy-washy to me. I am personally proud of the lineage of Chinese Herbal

Medicine, yet I find I cannot reconcile it with the public fear that surrounds

medicinal substances coming from China and all of Asia right now. They are

suspect in the public eye - at least in the part of Arizona where I currently

live and practice.

 

So I am writing to you, my esteemed colleagues, to ask whether you are also

encountering this phenomenon in your part of the world, and how you are

responding to it. Are you also looking for a different way to promote the

herbal part of your practice? Are you doing public education talks on the

subject? Are you handling it one-on-one with your clients? Or are you waiting

for this storm to pass? What do you find is working, and what is not?

 

In a similar vein, I also find my NCCAOM designation, Dipl. OM, to be useless.

People do not know what Oriental Medicine is, and further, to many people who

don't know any better, " Oriental " , is identical with " Chinese " ... thus bringing

up the suspicions and wariness I mentioned above.

 

So before I go about trying to reinvent how I conceive of the work I do and how

to present it to the public in a more " palatable " and less threatening way, I

thought I'd ask your input. I know you're a fantastically creative bunch, and I

imagine this issue is affecting you and your practice in one way or another.

Perhaps we can find solutions together. You may contact me off-list or on.

 

All blessings for a happy, healthy and abundant new year,

 

 

 

 

 

 

Looking for last minute shopping deals? Find them fast with Search.

 

 

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Andrea:

 

Let me attempt to address some of your concerns, and I apologize in advance if I

am not hitting the nail on the head with the issue. My computer skills are

limited, so it is hard for me to address every issue right under your email.

 

The major problem I see is that you have to be confident in what you are

offering. If you know in your heart that these are good manufacturers of

Chinese herbs, then that is how you present it to your patients.

 

I would not eliminate the word Chinese on your business cards if that is what it

says now. Companies we use have inspectors in China guaranteeing the quality of

the herbs. This is probably not true for Walmart and Toys R Us.

 

Some patients will still be hesitant, even if you reassure them. And that is

okay. Just let it go.

 

I use a lot of nutraceuticals that I feel very confident about. I also use

patent herbs where I trust the manufactures, and I express this to patients.

 

Andrea, you are probably fine presenting yourself just as you do now. Just

express your own confidence in your products and let the patient do as they

will.

 

 

Anne

 

 

 

 

 

 

 

 

 

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Andrea,

 

I have had similar experiences. My herbal sales have dropped

considerably in the past year. People just don't want to take them.

Perhaps I am not confident enough to persuade them. I just don't like

pushing patients to do something they are not comfortable with and I

don't seem to be the one to persuade them. I use Kan herbs and Golden

Flower, both of which have the highest standards. Still, like you, I

get resistance.

 

The NCCAOM " OM " designation means nothing to most of the public. They

want to know if you are licensed by the state, thats all. In Arizona,

as you know, you don't need the " OM " to get licensed.

 

Arizona is a pretty conservative state and Cottonwood is likely more

conservative than Phoenix being mostly retirees. You need to meet your

patients where they are at and then become the bridge to the beauty of

Chinese medicine. You can't expect them to come to Chinese medicine

without that bridge as it is likely just too strange for most of them.

99% of my patients I talk mostly in Western terms with as that is what

they understand. Only if they seem interested will I get into Qi, Jing,

meridians etc. I usually will always tease them with something like,

" In Chinese medicine the Spleen energy is related to metabolism " .or

" Depression is usually related to the blocked flow of Liver energy in

Chinese medicine. " If they seem interested, I get into more detail, if

not I just go about my treatment.

 

You need to market to your target patient base. If that happens to be

white retired Americans because of where your practice is, then that is

the reality of where you are at and it may be appropriate to not mention

" Chinese " or " Oriental " in your marketing. Most people connect

acupuncture with Chinese however.

 

Best of luck to you and Happy New Year!

 

Chris Vedeler L.Ac.

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> In a similar vein, I also find my NCCAOM designation, Dipl. OM, to be

> useless. People do not know what Oriental Medicine is,

 

This might be helpful, if you can pay the extra money:

 

http://www.nccaom.org/diplomates_news_aaom.htm#OM%20Certificates%20Order

 

or, if that doesn't come through correctly:

 

http://tinyurl.com/ywagek

 

" the NCCAOM Board of Commissioners has approved a new policy which allows

Oriental Medicine Diplomates or Applicants to become recertified or

certified respectively in overlapping certification programs (Acupuncture

and/or Chinese Herbology) with no additional recertification or

certification requirements. Applicants may submit the form and payment

along with their application and will receive the additional Acupuncture

and/or Chinese Herbology certification(s) once their Oriental Medicine

certification has been completed. "

 

HTH.

Jeri

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Hi Jeri,

 

Yes, I know about this. Rather than pay the additional $100 per certificate (I

think I remember that's what the fee is), I keep my Dipl. Acupuncture and Dipl.

Herbology certificates on my wall, even though they have expired. Thank you for

the reminder.

 

 

 

kurvenal <kurvenal wrote: > In a similar vein, I also find my

NCCAOM designation, Dipl. OM, to be

> useless. People do not know what Oriental Medicine is,

 

This might be helpful, if you can pay the extra money:

 

http://www.nccaom.org/diplomates_news_aaom.htm#OM%20Certificates%20Order

 

or, if that doesn't come through correctly:

 

http://tinyurl.com/ywagek

 

" the NCCAOM Board of Commissioners has approved a new policy which allows

Oriental Medicine Diplomates or Applicants to become recertified or

certified respectively in overlapping certification programs (Acupuncture

and/or Chinese Herbology) with no additional recertification or

certification requirements. Applicants may submit the form and payment

along with their application and will receive the additional Acupuncture

and/or Chinese Herbology certification(s) once their Oriental Medicine

certification has been completed. "

 

HTH.

Jeri

 

 

 

 

Subscribe to the free online journal for TCM at Times

http://www.chinesemedicinetimes.com

 

Help build the world's largest online encyclopedia for Chinese medicine and

acupuncture, click, http://www.chinesemedicinetimes.com/wiki/CMTpedia

 

 

and adjust

accordingly.

 

 

 

Please consider the environment and only print this message if absolutely

necessary.

 

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Thank you to all who replied to my earlier post on this topic. I believe there

is truth in the importance of having confidence in the products I recommend, and

I do. I also believe that what Chris says below, about understand my local

patient base, is essential, and speaks to the issue of what I am experiencing

locally. Although nearby Sedona is full of " alternative-minded " folks, the

popular concern there these days is " cleansing " , and these folks are not the

people who come to see me anyway. I see mainly older retired ranching folks and

a smattering of 50-somethings who are, in my opinion, overly suspicious - but

the client most vigilant in her refusal to take anything that comes from China

is a 19 year-old woman who is rather extreme in her fear of toxins. I will

continue to ponder how I want to be offering herbal medicines to my patients.

 

Thanks again,

Andrea Beth

 

 

Christopher Vedeler <vedeler wrote: Andrea Beth,

 

I have had similar experiences. My herbal sales have dropped

considerably in the past year. People just don't want to take them.

Perhaps I am not confident enough to persuade them. I just don't like

pushing patients to do something they are not comfortable with and I

don't seem to be the one to persuade them. I use Kan herbs and Golden Flower,

both of which have the highest standards. Still, like you, I

get resistance.

 

The NCCAOM " OM " designation means nothing to most of the public. They

want to know if you are licensed by the state, thats all. In Arizona,

as you know, you don't need the " OM " to get licensed.

 

Arizona is a pretty conservative state and Cottonwood is likely more

conservative than Phoenix being mostly retirees. You need to meet your patients

where they are at and then become the bridge to the beauty of

Chinese medicine. You can't expect them to come to Chinese medicine without

that bridge as it is likely just too strange for most of them.

99% of my patients I talk mostly in Western terms with as that is what

they understand. Only if they seem interested will I get into Qi, Jing,

meridians etc. I usually will always tease them with something like,

" In Chinese medicine the Spleen energy is related to metabolism " .or

" Depression is usually related to the blocked flow of Liver energy in

Chinese medicine. " If they seem interested, I get into more detail, if

not I just go about my treatment.

 

You need to market to your target patient base. If that happens to be

white retired Americans because of where your practice is, then that is

the reality of where you are at and it may be appropriate to not mention

" Chinese " or " Oriental " in your marketing. Most people connect

acupuncture with Chinese however.

 

Best of luck to you and Happy New Year!

 

Chris Vedeler L.Ac.

 

 

 

Looking for last minute shopping deals? Find them fast with Search.

 

 

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Andrea,

I've experienced many more inquiries from my clients about product

sourcing lately and I think there are a couple of issues that are

driving the concerns that they have. Generally I think patients are

more distrustful in general of prescriptions be they pharmaceutical or

herbal. They have seen too many news reports in the past several

years of wonder drugs gone bad or overdoses of " safe herbs " killing

their local hometown baseball hero. I live in that baseball players

home town and I get questions about herb safety all the time. I think

this is a good trend. I want my clients asking questions about

everything that is going in their mouth. They have learned that they

can't trust the FDA and the agricultural agencies to protect them and

their doctors can't predict the side effects so why should they trust

us? Just because we say so? I'm being a bit extreme here just to

illustrate the point but that is what it boils down to.

The China question is coming up more frequently in my office. I

find that if I draw the distinction between Taiwan sourcing and China

most clients are reassured. Of course that is only good for powders

and patents. Australian GMP means nothing to my clients, if anything

it has made a few clients wonder why our standards are not as good

creating more distrust and skepticism. I have found that products

labeled by a US manufacturer engender more trust but I attribute that

to a mild unexamined xenophobia rather than informed choice.

Perhaps with your client base you might try some direct education

through written material or lectures to inform them about the subject.

As far as the 19y.o. Chinese woman it sounds as if a mental health

referral and evaluation might be useful. Good luck with this ongoing

issue.

Happy New Year,

Michael

 

Chinese Medicine , Andrea Beth

Damsky < wrote:

>

> Thank you to all who replied to my earlier post on this topic. I

believe there is truth in the importance of having confidence in the

products I recommend, and I do. I also believe that what Chris says

below, about understand my local patient base, is essential, and

speaks to the issue of what I am experiencing locally. Although

nearby Sedona is full of " alternative-minded " folks, the popular

concern there these days is " cleansing " , and these folks are not the

people who come to see me anyway. I see mainly older retired ranching

folks and a smattering of 50-somethings who are, in my opinion, overly

suspicious - but the client most vigilant in her refusal to take

anything that comes from China is a 19 year-old woman who is rather

extreme in her fear of toxins. I will continue to ponder how I want

to be offering herbal medicines to my patients.

>

> Thanks again,

> Andrea Beth

>

>

> Christopher Vedeler <vedeler wrote: Andrea Beth,

>

> I have had similar experiences. My herbal sales have dropped

> considerably in the past year. People just don't want to take them.

> Perhaps I am not confident enough to persuade them. I just don't like

> pushing patients to do something they are not comfortable with and I

> don't seem to be the one to persuade them. I use Kan herbs and

Golden Flower, both of which have the highest standards. Still, like

you, I

> get resistance.

>

> The NCCAOM " OM " designation means nothing to most of the public. They

> want to know if you are licensed by the state, thats all. In Arizona,

> as you know, you don't need the " OM " to get licensed.

>

> Arizona is a pretty conservative state and Cottonwood is likely more

> conservative than Phoenix being mostly retirees. You need to meet

your patients where they are at and then become the bridge to the

beauty of

> Chinese medicine. You can't expect them to come to Chinese medicine

without that bridge as it is likely just too strange for most of them.

> 99% of my patients I talk mostly in Western terms with as that is what

> they understand. Only if they seem interested will I get into Qi,

Jing,

> meridians etc. I usually will always tease them with something like,

> " In Chinese medicine the Spleen energy is related to metabolism " .or

> " Depression is usually related to the blocked flow of Liver energy in

> Chinese medicine. " If they seem interested, I get into more detail, if

> not I just go about my treatment.

>

> You need to market to your target patient base. If that happens to be

> white retired Americans because of where your practice is, then that is

> the reality of where you are at and it may be appropriate to not

mention

> " Chinese " or " Oriental " in your marketing. Most people connect

> acupuncture with Chinese however.

>

> Best of luck to you and Happy New Year!

>

> Chris Vedeler L.Ac.

>

>

>

> Looking for last minute shopping deals? Find them fast with

Search.

>

>

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Thank you, Michael. I think you are right on all counts.

 

Andrea Beth

 

mpplac <inquiry wrote: Andrea,

I've experienced many more inquiries from my clients about product

sourcing lately and I think there are a couple of issues that are

driving the concerns that they have. Generally I think patients are

more distrustful in general of prescriptions be they pharmaceutical or

herbal. They have seen too many news reports in the past several

years of wonder drugs gone bad or overdoses of " safe herbs " killing

their local hometown baseball hero. I live in that baseball players

home town and I get questions about herb safety all the time. I think

this is a good trend. I want my clients asking questions about

everything that is going in their mouth. They have learned that they

can't trust the FDA and the agricultural agencies to protect them and

their doctors can't predict the side effects so why should they trust

us? Just because we say so? I'm being a bit extreme here just to

illustrate the point but that is what it boils down to.

The China question is coming up more frequently in my office. I

find that if I draw the distinction between Taiwan sourcing and China

most clients are reassured. Of course that is only good for powders

and patents. Australian GMP means nothing to my clients, if anything

it has made a few clients wonder why our standards are not as good

creating more distrust and skepticism. I have found that products

labeled by a US manufacturer engender more trust but I attribute that

to a mild unexamined xenophobia rather than informed choice.

Perhaps with your client base you might try some direct education

through written material or lectures to inform them about the subject.

As far as the 19y.o. Chinese woman it sounds as if a mental health

referral and evaluation might be useful. Good luck with this ongoing

issue.

Happy New Year,

Michael

 

Chinese Medicine , Andrea Beth

Damsky wrote:

>

> Thank you to all who replied to my earlier post on this topic. I

believe there is truth in the importance of having confidence in the

products I recommend, and I do. I also believe that what Chris says

below, about understand my local patient base, is essential, and

speaks to the issue of what I am experiencing locally. Although

nearby Sedona is full of " alternative-minded " folks, the popular

concern there these days is " cleansing " , and these folks are not the

people who come to see me anyway. I see mainly older retired ranching

folks and a smattering of 50-somethings who are, in my opinion, overly

suspicious - but the client most vigilant in her refusal to take

anything that comes from China is a 19 year-old woman who is rather

extreme in her fear of toxins. I will continue to ponder how I want

to be offering herbal medicines to my patients.

>

> Thanks again,

> Andrea Beth

>

>

> Christopher Vedeler wrote: Andrea Beth,

>

> I have had similar experiences. My herbal sales have dropped

> considerably in the past year. People just don't want to take them.

> Perhaps I am not confident enough to persuade them. I just don't like

> pushing patients to do something they are not comfortable with and I

> don't seem to be the one to persuade them. I use Kan herbs and

Golden Flower, both of which have the highest standards. Still, like

you, I

> get resistance.

>

> The NCCAOM " OM " designation means nothing to most of the public. They

> want to know if you are licensed by the state, thats all. In Arizona,

> as you know, you don't need the " OM " to get licensed.

>

> Arizona is a pretty conservative state and Cottonwood is likely more

> conservative than Phoenix being mostly retirees. You need to meet

your patients where they are at and then become the bridge to the

beauty of

> Chinese medicine. You can't expect them to come to Chinese medicine

without that bridge as it is likely just too strange for most of them.

> 99% of my patients I talk mostly in Western terms with as that is what

> they understand. Only if they seem interested will I get into Qi,

Jing,

> meridians etc. I usually will always tease them with something like,

> " In Chinese medicine the Spleen energy is related to metabolism " .or

> " Depression is usually related to the blocked flow of Liver energy in

> Chinese medicine. " If they seem interested, I get into more detail, if

> not I just go about my treatment.

>

> You need to market to your target patient base. If that happens to be

> white retired Americans because of where your practice is, then that is

> the reality of where you are at and it may be appropriate to not

mention

> " Chinese " or " Oriental " in your marketing. Most people connect

> acupuncture with Chinese however.

>

> Best of luck to you and Happy New Year!

>

> Chris Vedeler L.Ac.

>

>

>

> Looking for last minute shopping deals? Find them fast with

Search.

>

>

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Just thought people should know that TGA only requires recertification every

three years and only skip batch testing. You still play Russian roulette

 

 

 

 

 

 

 

 

 

 

 

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Alon,

 

What is TGA? (Here cmes that acronym problem of mine again - I'm sure it must

be a form of dyslexia! LOL)

 

Andrea Beth

 

Alon Marcus <alonmarcus wrote: Just thought people should know that

TGA only requires recertification every three years and only skip batch testing.

You still play Russian roulette

 

 

 

 

 

 

 

 

 

 

 

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Alon,

Thanks for the info. I think we are all playing " Chinese roulette " to

a certain extent. It is instructive to peruse the web sites of some of

the major suppliers of herbal products in the US. Some have very

strong statements on testing and purity clearly aimed at professionals

while others have short paragraphs with no substitutive information

and others no easily found information at all for the professional or

the consuming public. My personal inquiries have resulted in very

thorough responses to " that is proprietary information we don't

share " . Needless to say I dropped the latter supplier. One

interesting response worth reading is Subhuti's paper on labeling

issues in California which creates some perspective. These issues are

huge in the natural products industry in general and they aren't going

to go away any time soon. I'm getting to the point of only using

products that I can produce product data for if requested. The

risk/liability issues are rising and it's these kind of issues that

the FDA will use to exercise their now restrained right to close small

herbal dispensaries. It would be nice to see some of the product

suppliers produce patient handouts for us to distribute addressing

these issues.

Regards,

Michael

 

> Just thought people should know that TGA only requires

recertification every three years and only skip batch testing. You

still play Russian roulette

>

>

>

>

>

>

>

>

>

>

>

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if the pharmaceutical companies in china been found to have

contaminants why do you think the herbal manufactures are doing any

better?

alon

 

 

400 29th St. Suite 419

Oakland Ca 94609

 

 

 

alonmarcus

 

 

 

 

i

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