Guest guest Posted August 29, 2004 Report Share Posted August 29, 2004 , " " <@c...> wrote: But we have > access to all the same 'classical' and 'pre-modern' books that were around > before 1949. Let us look at the alternative, apprenticing with a pre-1949 > doctor. How much of the vast 2000 years of history do you think would have > been left out. Even studying with the above mentioned famous pre-communist > doctor, one would acquire his take on disease (which is why I am reading it) > but would miss so much more which such a single viewpoint. You are absolutely correct Jason. Today's TCM doc, even those raised by commies, had far more access to a diverse education than any other era in chinese history. If Unschuld is talking about the maoist crap printed in the state texts of a certain era, he is right about that. But he is wrong that those books ARE TCM. They are merely textbooks and according to Scheid, everyone ignored the political stuff anyway. In ancient times, one was indocrinated by a single teacher. Those were the days of narrowmindedness. Also, when PU talks about diversity, he is talking about the entire corpus of CM. But if you narrow the focus to herbology, the supposed diversity pretty much evaporates. The TCM style of zang fu herbology has been evolving for about 800 years side by side with the TCM styles influenced by SHL and wen bing later on. All of this is mainstream TCM, IMO. There are not dozens of obscure styles of herbal practice that had any consensus in ancient china. So while fringier practices like acupuncture, diet, qi gong, etc. were no doubt diverse and we can't say for sure which method is best, I really don't think this argument applies to herbology. My reading of older texts is the same as Jason's. There is nothing in the herbal texts since about 1300 that fail to make sense in modern terms (and, except for materia medicas, only a handful of important texts were even written before this time). The pi wei lun is a little out there, so I await Bob's translated commentaries fromlater centuries to put in perspective. But starting with Zhu dan xi, its TCM all the way. Even the SHL commentators write in terms of well known pathomechanisms. The herbalists invented TCM and according to Scheid were very careful to both appease the communists with passages they added to books, but never at the expense of the medicine. They were no doubt less concerned about acupuncutre and qi gong. And let's be honest, when TCM gets a bad rap, the fingers are always pointed at TCM acupuncture or the lack of spirit in TCM. By and large, herbalists who have studied premodern texts are more than happy with TCM. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 29, 2004 Report Share Posted August 29, 2004 Unschuld writes in http://www.acupuncturetoday.com/archives2004/aug/08bauerunschuld.html " With regard to part A, few people are aware that TCM is a misnomer for an artificial system of health care ideas and practices generated between 1950 and 1975 by committees in the People's Republic of China, with the aim of restructuring the vast and heterogenous heritage of Chinese traditional medicine in such a way that it fitted the principles - Marxist-Maoist type democracy and modern science and technology - on which the future of the PRC was to be built. TCM, as it came to be known in the West beginning with the late 1970s, reflects only a portion of the tremendously variegated body of knowledge accumulated in the preceding two millennia. While it is entirely understandable and legitimate for the Chinese leadership to select from this tradition, and to reinterpret those elements it considers helpful to build a future meaningful coexistence of modern Western and traditional Chinese ideas and practices, it is not clear whether populations in Western countries wish to make the same choices when they are confronted with the legacy of the past. It is therefore that I distinguish between TCM and " CTM, " the latter referring to the entirety of health care knowledge, beliefs and practices prior to the 20th century. " [Jason] Maybe I misreading the above, but P.U. seems quite disenchanted with TCM. He (as others) feel that TCM somehow weeded out all of this vast amount of knowledge and we are left with this barebones system. I have always been puzzled by this and am still waiting to see tangible evidence of this. G.Macicioa, for example, addressed this issue a few years ago at the PCOM symposium questioning the same issue and defending the diversity of TCM (stance). G.M. methodically went through the ages and showed how most stuff that people think that the communist destroyed has long been extracted (100's of years prior). He also convincingly demonstrated that Taiwan was far from communist influence and there medicine is almost identical to what we see in the PRC. When I was there It looked like TCM to me. Furthermore, I just acquired a book from a famous CHINESE doctor born in 1888, which peeked around 1940. Although this book was printed just after 1949 and hence has the hail to mao slogan on the opening page, his ideas (based on years of clinical experience and study) according to the nature of the book and the Chinese Prof that I acquired it from are pre-communist. After reading through it, except for his own clinically experience/ take on certain diseases, I don't see anything different than a book printed let's say 30 years later. It all makes sense, no weird woo woo stuff, herbs functions all seem normal, approached to disease all make sense, theory is the same as my basic TCM books. Since Unschuld is a far better scholar than I, I would like him, or someone that thinks along the same lines, explain what the communist destroyed? AS we have all discussed in the past, the medicine is not like it was even 200 years ago. But did TCM somehow miss some important strand of theory lodged in the past? Maybe. But we have access to all the same 'classical' and 'pre-modern' books that were around before 1949. Let us look at the alternative, apprenticing with a pre-1949 doctor. How much of the vast 2000 years of history do you think would have been left out. Even studying with the above mentioned famous pre-communist doctor, one would acquire his take on disease (which is why I am reading it) but would miss so much more which such a single viewpoint. Of course a university education (ala TCM) is not going to include every bit of incorporation in the 2000 years of history.. But that is IMO a red herring. The diversity that people cry for is there for the taking? TCM amassed a tremendous amount of information, one should ask does the amount of amassment out weigh the minor things left out? And is the alterative any more encompassing? Granted I am looking at this through a scholarly herbal literary approach (mainstream CM) - and acupuncture or off beat qi gong approaches may certainly be a different story, but that is IMO a different issue. But as Unschuld points out, " Acupuncture, it appears, at no time played a dominant role in Chinese health care " Furthermore, some may complain that science was injected into CM at this 1949 point. I disagree because one can look at early works and see WM already infiltrating CM writings. So I ask, what is 'artificial' about TCM? I don't see the reason to bash TCM.. Or maybe he is not and I am missing his point? Maybe the underlying philosophical influence (i.e. Confucianism) has changed and that what P.U. is up in arms about, but I ask from a practical standpoint, what theoretically or treatment strategies have changed? BTW - I have the utmost respect for P.U., although just have never understood this viewpoint from him or anyone else. I am looking forward to ( in Early Communist China, 1945-1963. A Medicine of Revolution) that Paul mentions for more insight into what he is talking about, but in the meantime I ask anyone who has evidence to support such a contention to present it, I am very curious. - Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 29, 2004 Report Share Posted August 29, 2004 Jason, Although I take some risk offering to speak on Dr. Unschuld's behalf, I will take a stab. I think the primary aspect of Unschuld's ideas that you have difficulty understanding or agreeing with has to do with the scope of both time and cultural diversity a scholar like Unschuld concerns himself with. He speaks of, for example, a range of folk medicine techniques, widely used in China, that never found their way into any written texts. Such techniques were traditional and Chinese, but were never considered within the concept of of what we call TCM. The scholarly physicians, who depended on recognized texts, would have looked down their noses at such techniques as folk-medicine of the uneducated. These methods however, were widely used and so, from the perspective of a modern historian attempting to convey the full scope of the medical approaches used by the Chinese people over time, must be considered part of their traditional medicine. Unschuld, I believe, is just being precise with his language because his studies have made him aware of Chinese traditional medical methods none of the rest of us have ever heard of and this makes our tendency to think of " TCM " as " the " traditional medicine of the Chinese people over the last 2,000 years an oversimplification. China was, a perhaps remains, a much more diverse, complex, and heterogeneous (one of Unschuld's favorite words) culture than most of us non-scholars could imagine. While I hope what I have stated above helps you in some way, I think questioning authority is a healthy thing. One of the reasons I did those interviews with Unschuld was so that more could hear his thoughts, whether they agree or disagree, so that more may become interested in the subject of the roots of Chinese medicine Matt Bauer. - Chinese Medicine Sunday, August 29, 2004 8:48 AM Communist destroy CM! Unschuld writes in http://www.acupuncturetoday.com/archives2004/aug/08bauerunschuld.html " With regard to part A, few people are aware that TCM is a misnomer for an artificial system of health care ideas and practices generated between 1950 and 1975 by committees in the People's Republic of China, with the aim of restructuring the vast and heterogenous heritage of Chinese traditional medicine in such a way that it fitted the principles - Marxist-Maoist type democracy and modern science and technology - on which the future of the PRC was to be built. TCM, as it came to be known in the West beginning with the late 1970s, reflects only a portion of the tremendously variegated body of knowledge accumulated in the preceding two millennia. While it is entirely understandable and legitimate for the Chinese leadership to select from this tradition, and to reinterpret those elements it considers helpful to build a future meaningful coexistence of modern Western and traditional Chinese ideas and practices, it is not clear whether populations in Western countries wish to make the same choices when they are confronted with the legacy of the past. It is therefore that I distinguish between TCM and " CTM, " the latter referring to the entirety of health care knowledge, beliefs and practices prior to the 20th century. " [Jason] Maybe I misreading the above, but P.U. seems quite disenchanted with TCM. He (as others) feel that TCM somehow weeded out all of this vast amount of knowledge and we are left with this barebones system. I have always been puzzled by this and am still waiting to see tangible evidence of this. G.Macicioa, for example, addressed this issue a few years ago at the PCOM symposium questioning the same issue and defending the diversity of TCM (stance). G.M. methodically went through the ages and showed how most stuff that people think that the communist destroyed has long been extracted (100's of years prior). He also convincingly demonstrated that Taiwan was far from communist influence and there medicine is almost identical to what we see in the PRC. When I was there It looked like TCM to me. Furthermore, I just acquired a book from a famous CHINESE doctor born in 1888, which peeked around 1940. Although this book was printed just after 1949 and hence has the hail to mao slogan on the opening page, his ideas (based on years of clinical experience and study) according to the nature of the book and the Chinese Prof that I acquired it from are pre-communist. After reading through it, except for his own clinically experience/ take on certain diseases, I don't see anything different than a book printed let's say 30 years later. It all makes sense, no weird woo woo stuff, herbs functions all seem normal, approached to disease all make sense, theory is the same as my basic TCM books. Since Unschuld is a far better scholar than I, I would like him, or someone that thinks along the same lines, explain what the communist destroyed? AS we have all discussed in the past, the medicine is not like it was even 200 years ago. But did TCM somehow miss some important strand of theory lodged in the past? Maybe. But we have access to all the same 'classical' and 'pre-modern' books that were around before 1949. Let us look at the alternative, apprenticing with a pre-1949 doctor. How much of the vast 2000 years of history do you think would have been left out. Even studying with the above mentioned famous pre-communist doctor, one would acquire his take on disease (which is why I am reading it) but would miss so much more which such a single viewpoint. Of course a university education (ala TCM) is not going to include every bit of incorporation in the 2000 years of history.. But that is IMO a red herring. The diversity that people cry for is there for the taking? TCM amassed a tremendous amount of information, one should ask does the amount of amassment out weigh the minor things left out? And is the alterative any more encompassing? Granted I am looking at this through a scholarly herbal literary approach (mainstream CM) - and acupuncture or off beat qi gong approaches may certainly be a different story, but that is IMO a different issue. But as Unschuld points out, " Acupuncture, it appears, at no time played a dominant role in Chinese health care " Furthermore, some may complain that science was injected into CM at this 1949 point. I disagree because one can look at early works and see WM already infiltrating CM writings. So I ask, what is 'artificial' about TCM? I don't see the reason to bash TCM.. Or maybe he is not and I am missing his point? Maybe the underlying philosophical influence (i.e. Confucianism) has changed and that what P.U. is up in arms about, but I ask from a practical standpoint, what theoretically or treatment strategies have changed? BTW - I have the utmost respect for P.U., although just have never understood this viewpoint from him or anyone else. I am looking forward to ( in Early Communist China, 1945-1963. A Medicine of Revolution) that Paul mentions for more insight into what he is talking about, but in the meantime I ask anyone who has evidence to support such a contention to present it, I am very curious. - Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 29, 2004 Report Share Posted August 29, 2004 Matt, Jason, My hit on this issue has been colored by reading an early manuscript of Kim Taylor's thesis, " Medicine of Revolution: in Early Communist China " . In short, the Chinese developed a coherent nationalized medical system out of the vast data of historical Chinese medicine which reflected the society at large, its economics, culture and political values of the era. The communist government resurrected a dying medicine and gave it new life, but also remodeled it to fit the needs of society. There appears to be two broad points of view out there: 1) we should follow the present TCM model developed in mainland China, it is the medicine of China, they've done the work, we don't have the source material available to do the same in the West. 2) TCM is overly influenced by communist dogma, undervalues acupuncture, and edited out the 'spiritual' aspects of the medicine. My own feelings on this issue, which I think I share with Paul, is that the Chinese have done what they felt they needed to do with the vast, chaotic field of Chinese medical practices to suit their modern society. We need to do the same, and for that, we need to access the source materials, and learn some history as well as cultural context to do so. This is very difficult, since few of us can read medical Chinese, or have a broad enough base of literature to do the synthesizing necessary. Also, it will take dedicated funding and scholarship. At a more grass-roots level, I think we need to do it in our day-to-day studies and practice. in order to succeed. I don't think we can just copy the Chinese model outright, it won't work here. Our society and its needs are different, and we don't have a centralized hospital system to practice with. Certainly, the TCM model will be one of our main sources, but we should be more broadminded in developing CM in the West. We've got a lot of work to do. On Aug 29, 2004, at 2:45 PM, Matt Bauer wrote: > Jason, > > Although I take some risk offering to speak on Dr. Unschuld's behalf, > I will take a stab. I think the primary aspect of Unschuld's ideas > that you have difficulty understanding or agreeing with has to do with > the scope of both time and cultural diversity a scholar like Unschuld > concerns himself with. He speaks of, for example, a range of folk > medicine techniques, widely used in China, that never found their way > into any written texts. Such techniques were traditional and Chinese, > but were never considered within the concept of of what we call TCM. > The scholarly physicians, who depended on recognized texts, would have > looked down their noses at such techniques as folk-medicine of the > uneducated. These methods however, were widely used and so, from the > perspective of a modern historian attempting to convey the full scope > of the medical approaches used by the Chinese people over time, must > be considered part of their traditional medicine. Unschuld, I believe, > is just being prec! > ise with his language because his studies have made him aware of > Chinese traditional medical methods none of the rest of us have ever > heard of and this makes our tendency to think of " TCM " as " the " > traditional medicine of the Chinese people over the last 2,000 years > an oversimplification. China was, a perhaps remains, a much more > diverse, complex, and heterogeneous (one of Unschuld's favorite words) > culture than most of us non-scholars could imagine. > > While I hope what I have stated above helps you in some way, I think > questioning authority is a healthy thing. One of the reasons I did > those interviews with Unschuld was so that more could hear his > thoughts, whether they agree or disagree, so that more may become > interested in the subject of the roots of Chinese medicine > > Matt Bauer. > - > > Chinese Medicine > Sunday, August 29, 2004 8:48 AM > Communist destroy CM! > > > Unschuld writes in > > > > http://www.acupuncturetoday.com/archives2004/aug/08bauerunschuld.html > > > > " With regard to part A, few people are aware that TCM is a misnomer > for an > artificial system of health care ideas and practices generated > between 1950 > and 1975 by committees in the People's Republic of China, with the > aim of > restructuring the vast and heterogenous heritage of Chinese > traditional > medicine in such a way that it fitted the principles - > Marxist-Maoist type > democracy and modern science and technology - on which the future of > the PRC > was to be built. TCM, as it came to be known in the West beginning > with the > late 1970s, reflects only a portion of the tremendously variegated > body of > knowledge accumulated in the preceding two millennia. While it is > entirely > understandable and legitimate for the Chinese leadership to select > from this > tradition, and to reinterpret those elements it considers helpful to > build a > future meaningful coexistence of modern Western and traditional > Chinese > ideas and practices, it is not clear whether populations in Western > countries wish to make the same choices when they are confronted > with the > legacy of the past. It is therefore that I distinguish between TCM > and > " CTM, " the latter referring to the entirety of health care knowledge, > beliefs and practices prior to the 20th century. " > > > > [Jason] > > > > Maybe I misreading the above, but P.U. seems quite disenchanted with > TCM. > He (as others) feel that TCM somehow weeded out all of this vast > amount of > knowledge and we are left with this barebones system. I have always > been > puzzled by this and am still waiting to see tangible evidence of > this. > G.Macicioa, for example, addressed this issue a few years ago at the > PCOM > symposium questioning the same issue and defending the diversity of > TCM > (stance). G.M. methodically went through the ages and showed how > most stuff > that people think that the communist destroyed has long been > extracted > (100's of years prior). He also convincingly demonstrated that > Taiwan was > far from communist influence and there medicine is almost identical > to what > we see in the PRC. When I was there It looked like TCM to me. > Furthermore, > I just acquired a book from a famous CHINESE doctor born in 1888, > which > peeked around 1940. Although this book was printed just after 1949 > and > hence has the hail to mao slogan on the opening page, his ideas > (based on > years of clinical experience and study) according to the nature of > the book > and the Chinese Prof that I acquired it from are pre-communist. > After > reading through it, except for his own clinically experience/ take on > certain diseases, I don't see anything different than a book printed > let's > say 30 years later. It all makes sense, no weird woo woo stuff, > herbs > functions all seem normal, approached to disease all make sense, > theory is > the same as my basic TCM books. Since Unschuld is a far better > scholar than > I, I would like him, or someone that thinks along the same lines, > explain > what the communist destroyed? AS we have all discussed in the past, > the > medicine is not like it was even 200 years ago. But did TCM somehow > miss > some important strand of theory lodged in the past? Maybe. But we > have > access to all the same 'classical' and 'pre-modern' books that were > around > before 1949. Let us look at the alternative, apprenticing with a > pre-1949 > doctor. How much of the vast 2000 years of history do you think > would have > been left out. Even studying with the above mentioned famous > pre-communist > doctor, one would acquire his take on disease (which is why I am > reading it) > but would miss so much more which such a single viewpoint. Of course > a > university education (ala TCM) is not going to include every bit of > incorporation in the 2000 years of history.. But that is IMO a red > herring. > The diversity that people cry for is there for the taking? TCM > amassed a > tremendous amount of information, one should ask does the amount of > amassment out weigh the minor things left out? And is the > alterative any > more encompassing? Granted I am looking at this through a scholarly > herbal > literary approach (mainstream CM) - and acupuncture or off beat qi > gong > approaches may certainly be a different story, but that is IMO a > different > issue. But as Unschuld points out, " Acupuncture, it appears, at no > time > played a dominant role in Chinese health care " > > > > Furthermore, some may complain that science was injected into CM at > this > 1949 point. I disagree because one can look at early works and see > WM > already infiltrating CM writings. So I ask, what is 'artificial' > about TCM? > I don't see the reason to bash TCM.. Or maybe he is not and I am > missing > his point? > > Maybe the underlying philosophical influence (i.e. Confucianism) has > changed > and that what P.U. is up in arms about, but I ask from a practical > standpoint, what theoretically or treatment strategies have changed? > > > > BTW - I have the utmost respect for P.U., although just have never > understood this viewpoint from him or anyone else. > > > > I am looking forward to ( in Early Communist China, > 1945-1963. A Medicine of Revolution) that Paul mentions for more > insight > into what he is talking about, but in the meantime I ask anyone who > has > evidence to support such a contention to present it, I am very > curious. > > > > - > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 30, 2004 Report Share Posted August 30, 2004 Chinese Medicine , " Matt Bauer " <acu.guy@g...> wrote: > Jason, > > Although I take some risk offering to speak on Dr. Unschuld's behalf, I will take a stab. I think the primary aspect of Unschuld's ideas that you have difficulty understanding or agreeing with has to do with the scope of both time and cultural diversity a scholar like Unschuld concerns himself with. He speaks of, for example, a range of folk medicine techniques, widely used in China, that never found their way into any written texts. Such techniques were traditional and Chinese, but were never considered within the concept of of what we call TCM. The scholarly physicians, who depended on recognized texts, would have looked down their noses at such techniques as folk- medicine of the uneducated. These methods however, were widely used and so, from the perspective of a modern historian attempting to convey the full scope of the medical approaches used by the Chinese people over time, must be considered part of their traditional medicine. Unschuld, I believe, is just being precise with his language because his studies have made him aware of Chinese traditional medical methods none of the rest of us have ever heard of and this makes our tendency to think of " TCM " as " the " traditional medicine of the Chinese people over the last 2,000 years an oversimplification. China was, a perhaps remains, a much more diverse, complex, and heterogeneous (one of Unschuld's favorite words) culture than most of us non-scholars could imagine. (Jason) Ok..I get all that, and if that is all he is saying that is fine. I did get the sense he was taking a jab at TCM. And that is fine too… But more importantly, I.e. what are we supposed to do (as clinicians, not historians) with all of these non-recorded folk remedies. Many ancient remedies are completely bogus. – And who is to say that the one's that are not obviously bogus are even worthwhile trying, without substantial records, longevity, research etc. I am just having a hard time finding a) a solution to the `huge oversight' us TCMers have and b) what are these specific oversights (loss of valuable data) that exists… I ask Paul what are we supposed to do? IMO, as a doctor the best way to learn the most about Chinese Medicine (as a whole) is to PRECISLY study TCM because it represents the broadest snapshot of the past… - Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 30, 2004 Report Share Posted August 30, 2004 > The pi wei lun is a little out there, so I await Bob's translated commentaries from later centuries to put in perspective. Do you mean all the five phase/10 stem stuff? If so, my book will not be shedding light on this. I pretty much discount the clinical utility of any of this. In my experience, none of this is necessary to understand or, more importantly, use the core clinical insights of Li Dong-yuan. How he rationalized these insights to himself and his contemporaries is one thing. How we use we them is something else, and that is the something else I address in my new edition of the Pi Wei Lun. BTW, that edition is being designed at the moment. I think it looks very classy. All the commentaries, research reports, and case histories are printed in sepia, while the text itself is in black. Also, a totally new, very attractive new cover. Should be available in October. So far, we're right on schedule. Bob Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 30, 2004 Report Share Posted August 30, 2004 Jason wrote: Ok.. " I get all that, and if that is all he is saying that is fine. I did get the sense he was taking a jab at TCM. " Matt: Although this is just my opinion, I think the " jab " you sense in Unschuld's tone may have to do with all the flack Unschuld has dealt with over the years from those who thought they knew the true story of TCM when they, in fact, knew very little. Your question though is where do we go from here? Ok - the history of TCM is not as rosy and simple as some thought - but what do we do now to help develop the best aspects of this healing system to help our patients now and to produce the best doctors tomorrow? I think the TCM system developed in mainland China is a perfectly good starting point. The lesson of Unschuld and other scholars/historians is for us to be aware that there was a mixed bag of events that lead up to TCM being developed as it was and that there is no single " true " or " original " " TCM " that we can look to when looking for the best approach today. I think it is impractical and unnecessary for TCM practitioners to learn a lot of history, but, end the end, the historic questions loom large and must be addressed be some. Why? Because this healing system is based on common legends of a period of time, deep in the past, when its forefathers supposedly were endowed with a level of wisdom we cannot achieve today. This leads to arguments over the best approach being answered by claims of what is the most faithful to the " original " concepts. I have so much more to say about this but am running out of time. I am working on these question in my own small way and hope to offer more thoughts on this in different ways over time. Sorry for the somewhat cryptic language but I need to get back to work. - Matt - Chinese Medicine Sunday, August 29, 2004 8:06 PM Re: Communist destroy CM! (Jason) Ok..I get all that, and if that is all he is saying that is fine. I did get the sense he was taking a jab at TCM. And that is fine too. But more importantly, I.e. what are we supposed to do (as clinicians, not historians) with all of these non-recorded folk remedies. Many ancient remedies are completely bogus. - And who is to say that the one's that are not obviously bogus are even worthwhile trying, without substantial records, longevity, research etc. I am just having a hard time finding a) a solution to the `huge oversight' us TCMers have and b) what are these specific oversights (loss of valuable data) that exists. I ask Paul what are we supposed to do? IMO, as a doctor the best way to learn the most about Chinese Medicine (as a whole) is to PRECISLY study TCM because it represents the broadest snapshot of the past. - http://babel.altavista.com/ and adjust accordingly. If you , it takes a few days for the messages to stop being delivered. Quote Link to comment Share on other sites More sharing options...
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