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It is generally accepted wisdom that if one gets in a serious car accident,

then one is better off in an emergency room than an acu's office. This

is of course due to the presence of lifesaving technology. However, this

technology was created with western science and its proper use depends on

a western understanding of the body. what this means is that TCM does not

have an adequate enough understanding of the anatomical body to intervene

at this level. So why do we assume that TCM has an adequate understanding

of the body sufficient to understand and treat all chronic internal

illness. It seems that some critical knowledge is missing and other

modalities must fil the gap. since many disease are caused by western

science (antibiotic misuse, vaccine misuse, drug misuse in general, toxins

in the environment,etc.), it seems to make sense that a western

understanding of the body might be essential to the solution. Just as one

gets their life saved in the ER, but recuperates in the acu's office, I

think there may be an analogy with chronic illness.

 

again, I will paraphrase Ken Wilber. A medicine cannot be holistic until

it reconciles all available data. TCM can only be a partial worldview.

It is not possible in my mind that it is anything more than that. And the

more time I spend in the field, the more I feel this way. sometimes I

need a topographical map and sometimes I need a roadmap. the map is not

the terrain.

 

 

Chinese Herbs

 

 

" Great spirits have always found violent opposition from mediocre

minds " -- Albert Einstein

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At 9:21 AM -0800 12/28/02, wrote:

>So why do we assume that TCM has an adequate understanding of the

>body sufficient to understand and treat all chronic internal

>illness. It seems that some critical knowledge is missing and other

>modalities must fil the gap. since many disease are caused by

>western science (antibiotic misuse, vaccine misuse, drug misuse in

>general, toxins in the environment,etc.), it seems to make sense

>that a western understanding of the body might be essential to the

>solution. Just as one gets their life saved in the ER, but

>recuperates in the acu's office, I think there may be an analogy

>with chronic illness.

---

 

Chinese medicine is a system of thought that permits the effective

delivery of therapies. However inadequate TCM may seem to you in its

theories, it is quite effective in doing that. Chinese medical

thought includes an understanding of the effects of acupuncture and

herbs, diet and qigong, not just the anatomy and physiology of the

human body. That understanding has not been surpassed by Western

medicine, and Western medicine has thus far been able to deliver

those particular therapies as effectively as CM, and really shows

little sign of being able to do so.

 

CM also has a lot to say about how to live a healthy life, and what

can lead to ill health -- many of those ideas are clearly as relevant

today as they were 2000 years ago, and compare well to the constantly

changing and frequently erroneous ideas espoused by Western medicine

that are supposedly based on modern science.

 

There seems to be an implied assumption in your comments that whereas

CM is limited in its ability to describe reality, Western science IS

reality. Of course, this cannot be so. The cliche that the map is not

the terrain applies equally to modern science as it does to CM. In

some respects Western medicine maybe a better description, simply

because it is built with the advantage of hindsight, and has some

technologies available to it that weren't available in the past. But

at some point in the future, the current paradigm that we call now

call scientific will be shown to be as inadequate as you seem to be

suggesting TCM is now. And it maybe that some of the insights of CM

will never be bettered simply because the people who formulated had

sufficient insight into the human condition, whatever paradigm they

were working with.

 

Also implied in your remarks is the idea that Western medicine is the

same thing as Western science. Although Western medicine draws from

Western science, no medicine is a solely scientific endeavor, and

current Western medicine certainly isn't -- although it often uses

the fig leaf of science as a cover for some very dubious and harmful

practices. Most doctors in general practice are no more scientists

than you or I, even though they have had some training based

information developed using modern scientific methods. Just as we do,

they have to make decisions that based on a human encounter. They are

most likely to give a medicine because a salesman told them to, and

the salesman may well be representing a pharmaceutical company that's

suppressing a more effective therapy from which they would derive a

smaller profit (witness the recent revelations about the last 20 to

30 years of bogus treatment with antihypertensives and, of course,

HRT). What's so scientific about that.

 

Rory

 

 

--

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I agree with all of your points, Rory. Well said.

 

I personally have no problem drawing on data from Western medicine, or

working with Western medicine if it is truly beneficial to the patient,

as with diabetes, cancer, or heart disease. I do have a problem with

the 'politically correct' attitude that seems to dominate our

profession, that somehow we need to live up to the criteria of Western

medicine to be 'legitimate', and never criticize the excesses of

biomedicine. Why is the Chinese medical community afraid to step up to

the plate and boldly state what it is we can offer to world medicine,

without fear?

 

As I've mentioned before, in our drive to acceptance, we should be

careful not to be absorbed into the mainstream to the point where we

lose our theoretical foundations, and be left just with needles and

herbs (even the moxa would disappear! Too messy and smelly).

Finally, we should remember that in the West, we are on the map largely

because of perceived shortcomings of modern medicine by the general

public.

 

 

On Saturday, December 28, 2002, at 06:33 PM, Rory Kerr wrote:

 

> There seems to be an implied assumption in your comments that whereas

> CM is limited in its ability to describe reality, Western science IS

> reality. Of course, this cannot be so. The cliche that the map is not

> the terrain applies equally to modern science as it does to CM.

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Rory, and anyone else who might care to chime in,

 

What do you reckon the source of this apparent

inadequacy is?

 

Ken

 

, Rory Kerr <rorykerr@w...>

wrote:

> At 9:21 AM -0800 12/28/02, wrote:

> >So why do we assume that TCM has an adequate understanding of the

> >body sufficient to understand and treat all chronic internal

> >illness. It seems that some critical knowledge is missing and

other

> >modalities must fil the gap. since many disease are caused by

> >western science (antibiotic misuse, vaccine misuse, drug misuse

in

> >general, toxins in the environment,etc.), it seems to make sense

> >that a western understanding of the body might be essential to

the

> >solution. Just as one gets their life saved in the ER, but

> >recuperates in the acu's office, I think there may be an analogy

> >with chronic illness.

> ---

>

> Chinese medicine is a system of thought that permits the effective

> delivery of therapies. However inadequate TCM may seem to you in

its

> theories, it is quite effective in doing that. ...

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Z'ev,

 

, " "

<zrosenbe@s...> wrote:

> I agree with all of your points, Rory. Well said.

>

> I personally have no problem drawing on data from Western

medicine,

 

Although I have met some old Chinese doctors

who steadfastly refuse to include any slightest

insights or approaches from Western medical

science or practice, the vast majority of

Chinese medical doctors I've met here in

China share your view.

 

In fact, I see the implied conflict between

the two systems of thought, to use Rory's

excellent phrase, to be more or less a red

herring.

 

Lack of familiarity with the system of

thought and the mode of thinking in

Chinese medicine typically and predictably

leads to inadequacy.

 

Ken

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, " dragon90405

<yulong@m...> " <yulong@m...> wrote:

> Rory, and anyone else who might care to chime in,

>

> What do you reckon the source of this apparent

> inadequacy is?

>

> Ken

 

Ken et al,

From a philosophy of science perspective, I would say that

ulltimately the inadequacy is CM is the prioritizaton of theory and

method over ontology,ie what is actually there. ALthough, at an

inadequate level of understanding, a cohesive methodology such as CM

might be more useful than a practice based on disparate facts, as

understanding progresses unless method is informed by ontology (with

all the consequences for terminology) then it will stagnate in its

own guiding concepts and metaphors.

 

Simon King

 

<

 

> > At 9:21 AM -0800 12/28/02, wrote:

> > >So why do we assume that TCM has an adequate understanding of

the

> > >body sufficient to understand and treat all chronic internal

> > >illness. It seems that some critical knowledge is missing and

> other

> > >modalities must fil the gap. since many disease are caused by

> > >western science (antibiotic misuse, vaccine misuse, drug misuse

> in

> > >general, toxins in the environment,etc.), it seems to make sense

> > >that a western understanding of the body might be essential to

> the

> > >solution

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Simon,

 

Thanks for your response. It raises a couple

more questions.

>

> Ken et al,

> From a philosophy of science perspective, I would say that

> ulltimately the inadequacy is CM is the prioritizaton of theory and

> method over ontology,ie what is actually there.

 

Can you point to sources in which we can

see this prioritization? Who prioritized

theory and method over what is actually

there?

 

ALthough, at an

> inadequate level of understanding, a cohesive methodology such as

CM

> might be more useful than a practice based on disparate facts, as

> understanding progresses unless method is informed by ontology

(with

> all the consequences for terminology) then it will stagnate in its

> own guiding concepts and metaphors.

>

> Simon King

 

Is this what you reckon has happened

to Chinese medicine? Has it stagnated

in its own guiding concepts and metaphors?

 

If so, when did that happen? Was it once

adequate and now longer, having stagnated?

 

And if this is the case, why has it

survived so long?

 

Ken

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