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Yehuda,

That's a very moving email. Thank you for your comments.

 

I'm certainly not going to sit around waiting for biomedical

practitioners and the scientific establishment to 'validate' CM, and

biomedicalize and appropriate it in the process.

 

I think you're absolutely right that the only way forward is for us to

continue to develop a well thought out, cogent position, educate

ourselves and others, and be vocal and pro-active. This forum is not a

bad place to be getting on with some of that.

 

I actually believe that we're in the vanguard of a cultural shift in

our society, but that's no reason for complacency - the hard work

still needs to be done as well as possible.

 

 

Best wishes,

Wainwright

 

 

-

" yehuda l frischman " <

 

Tuesday, October 21, 2003 9:57 AM

Science and Rhinos

 

 

> Emmanuel, Wainwright, Ken, Rory and all you wonderful enlightened souls

> who dare to resist mediocrity,

>

> I am reminded of Ionesco's wonderful play (later a movie staring the

late

> Zero Mostel) " Rhinoceros " . It starts off with these two guys sitting in

> a bar, when all of a sudden in charges a rhinoceros. But instead of a

> reaction of horror and fear, the people are astounded by the strength,

> the power. To make a long story short, one by one, each person in the

> town turns into a rhinoceros. Written in the 30's the play is an

> allegory as to how an entire nation, seduced by power and drawn in by a

> herd mentality could become Nazis.

>

> That being said, it will be a very slow process changing the way

> scientists, educators and physicians think, after a century dominated by

> wonderful technological advances, and a giddy belief that with enough

> money, any illness can be conquered. I'm sure, that all of us who grew

> up in the 50s and 60s recall how the cure for cancer was just around the

> corner. Remember? Just a few more million and for sure it will be

> conquered . Well the only thing around the corner has been earlier

> detection. It is the rhinoceros mentality, the ooing and ahing in

> admiration of all of the magnificant technology, such as genetic

> engineering, that has dulled bright people to stop thinking, and stop

> considering with appropriate analysis whether there are inherent

flaws in

> the foundations of scientific method.

>

> What will change this inertia? The same thing that spurred the great

> Italian renaissance: a few brilliant and charismatic heretics

willing to

> think differently, to dare to challenge the accepted assumptions, to be

> unafraid to publish their innovations, and, MOST IMPORTANTLY, TO DEVELOP

> MANY STUDENTS. The money will come around, I am sure of it. But it is

> critically important that ideas be packaged attractively. That is what

> sold Carnegie 100 some odd years ago to endow allopathic medicine and

> essentially cut off any funding to homeopathic or eclectic medicine.

> Until that time there was no dominent medicine in America. With

> incredible clinical success, little funding, an educational farm system

> which leaves room by in large for much improvement, and all this in the

> face of a hostile and suspicious allopathic medical establishment,

> Oriental Medicine has already made astounding inroads into how medical

> consumers spend their money. I happened to pick up a book written

in the

> 80s by a popular western MD today, and just 15 years ago, the accepted

> belief was that acupuncture efficacy was due to placebo. Few MDs

believe

> that today. So don't be afraid.

>

> remember, the line " we can change the world? " Well we can!

>

> Yehuda

>

> On Mon, 20 Oct 2003 16:34:09 -0700 " Emmanuel Segmen "

> <susegmen writes:

> > Yehuda,

> >

> > I, for one, am more than happy to describe CM in the English

> > language by the following tenets of Wainwright. I would then go on

> > to tell you this .... my Chinese-born friends who are scientists in

> > the U.S. are in some cases the most anti Chinese medicine people

> > that I know. They are personally embarrassed by Chinese medicine.

> > Others of this same cohort are secretly supportive of CM for

> > personal use, but they tend to keep their use of it very low

> > profile. Your views, Yehuda, are certainly my views. I agree with

> > you completely. The truth is we've been out-voted. If you and I

> > apply for a teaching post at a public college or university in some

> > department of science and we present our honest views of CM, we will

> > likely not get the job on that basis alone. The level of teasing I

> > get from my science faculty colleagues who know of my daytime work

> > at Asia Natural is fairly intense. It keeps me amused. That said,

> > I completely share your views.

> >

> > Emmanuel Segmen

> >

> >

> > Wainwright wrote:

> > >It is pluralistic and heterogenous

> > >It is incoherent

> > >It is not scientific in any narrow, modern Western cultural sense

> > >It is associated with ways of thinking and approaching reality

> > which are different from the modern Western worldview

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Ken,

 

I love your idea of a meeting ... or a meming ... between individuals of various

points of view. Some days it will be a circus while on other days it will be

what ever the tao chooses for that day. All of it will lead to clear vision for

those who are paying attention. This is not a caravan of despair ... come,

come, come again ... or in this case meme, meme, meme again ... though you've

broken your vow a thousand times ...

 

Emmanuel Segmen

 

-

kenrose2008

Tuesday, October 21, 2003 9:46 AM

Re: Science and Rhinos

 

 

Yehuda,

 

The most absurd piece of theater we

could perform would be to replicate

in our own acculturation of medical

traditions from China the same propensity

to become rhinoceri that you and Ionesco

worry about. I worry, too.

 

Your mention of the placebo effect as

being thought of as the effective agent

or essence of acupuncture is both a poignant

and highly pertinent reminder of the presence

of this danger in our midst.

 

One of the reasons that I became concerned

with the work of Dr. Kaptchuk in the way

expressed in my recent criticism and questioning

of him here, is that after three years

editing a journal that had pretensions of

being peer-reviewed, I came to see his research

concerning the placebo effect as an effort

to prove in terms that scientists can accept

that acupuncture is a placebo.

 

I began to wonder why someone would

intent on demonstrating this. I still

can't say that I have a grasp of that.

 

I believe that this is the view held by

his boss, David Eisenberg. I tend to see the whole

effort at Harvard as an attempt on the

part of an important agency of " the

medical establishment " to coopt the

marketing momentum of acupuncture

and bring it into alignment with the

interests of mainstream medical

personnel. Integration, in other words.

 

Remember that Eisenberg's most influential

foray into the field of compaltmed

remains the market survey. It woke

a lot of people up.

 

I heard an email written by a fellow

in Nigeria in response to learning

that some recent survey of the world's

happiest and saddest people revealed that

Nigerians were the happiest people on earth.

This fellow was writing to point out that

surveys are like binkinis. They reveal

a lot but leave the critical things

out of view.

 

It is all too often the aim of scientific

research to bring the facts into alignment

with the economic requirements of those

who fund the research. Fact of life, I'd

say. Can't be avoided.

 

Of course we are talking not only about

the meanings of words and the design of

(and intention behind) scientific studies,

we are talking about values...the meaning

we place on our lives.

 

I think more strongly now than ever

that it is urgent that we discuss

these matters. I believe we must challenge

the sources of our ideas and beliefs.

And I believe that what was in evidence

here over the past couple of weeks

was a display of the degree to which

Web and Kaptchuk have been permitted

to go unchallenged far too long.

I think that the impact of that book

on the field and on the public that

it serves reaches far and wide.

People seek harmony and balance

associating these ideas with the

essence of Chinese medicine. But

Chinese medicine is also about warfare

and about clinging to codes of conduct.

 

How do you stop yourself from becoming

a rhinoceros?

 

I would like to propose a series of

debates during which individuals who

espouse various points of view that

come to bear on the development of

our memetic complex can directly

confront one another with their questions

and criticisms. Such a format would

allow for a careful inspection of

ideas, beliefs, opinions, etc. and

help give us all a better and clearer

understanding of who we are and why

we think the way we do.

 

Perhaps they can be arranged in the

context of one of the large gatherings

that take place routinely.

 

Of course such a thing could degenerate

into a circus, but I believe that with

apt moderation, such debates could

prove immeasurably valuable to the

whole profession as it continues to

try and grapple with a growing agenda

of unsolvable problems.

 

I would certainly like to hear such

discussions and would be willing to

take part in one or two.

I'm going to be suggesting this in

the context of the ongoing discussion

related to truth and reconciliation

in the field that began in the wake

of the week in the woods with Paul

Unschld.

 

It is very important that people hear

what Paul has to say in San Diego.

As Wainwright has so eloquently pointed

out in recent days, it is very important

that we engage in these kinds of discussions.

Paul's appearance at the PCOM symposium

will be a rare opportunity for people

to question him and to hear first hand

what he has to say. I feel apologetic

for having attempted to represent his

views here. Paul does far better at

explaining himself than I could ever

do. So don't anybody take my word for

anything I've attributed to him.

Come and hear what he has to say.

 

It is most important for individual

clinicians to pay attention and to

take an active part in such discussions.

People often feel like turning away

taking it all as bad news.

 

That's what happens in the play

or is that the Bald Soprano?

 

I would really like to hear from more

people, particularly those who take

offense at the notion that someone

of Ted's calibre should come under

this kind of scrutiny. Or that I should

be so heavily beating the drum.

 

I think it's an important way to

make sure that we don't turn into

a rhinoceros.

 

Ken

 

 

 

 

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, yehuda l frischman <

@j...> wrote:

I happened to pick up a book written in the

> 80s by a popular western MD today, and just 15 years ago, the accepted

> belief was that acupuncture efficacy was due to placebo. Few MDs believe

> that today.

 

Z'ev told me that harvard research is about to begin that will attempt to prove

just that. acupuncture is a placebo. if so, then little has actually changed.

 

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, " " wrote:

> Z'ev told me that harvard research is about to begin that will

attempt to prove just that. acupuncture is a placebo. if so, then

little has actually changed.

 

 

and Z'ev:

 

If the Harvard research is attempting to " prove " acupuncture is a

placebo from the outset, it seems dishonest to me. What is their

protocol? Where is the money for this study coming from?

 

It reminds me of, then, Vice President Spiro Agnew's comment that an

incomplete Whitehouse study would prove that marijuana was like

narcotics. Media people caught the obvious prejudice and the study

was discredited---if I remember correctly, never finished.

 

 

Jim Ramholz

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At 4:45 PM +0000 10/22/03, James Ramholz wrote:

> , " " wrote:

>> Z'ev told me that harvard research is about to begin that will

>attempt to prove just that. acupuncture is a placebo. if so, then

>little has actually changed.

--

 

At 4:45 PM +0000 10/22/03, James Ramholz wrote:

>If the Harvard research is attempting to " prove " acupuncture is a

>placebo from the outset, it seems dishonest to me. What is their

>protocol? Where is the money for this study coming from?

--

 

Jim et al,

 

Are we really sure what their intentions are? In order to prove

whether or not acupuncture is a placebo, you'd have to test the

hypothesis that it is a placebo, wouldn't you? I'm not sure you could

effectively test the opposite hypothesis, ie that it is not a

placebo. I think we need more details before we get up in arms about

it.

 

Rory

 

--

 

 

 

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