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At 3:59 PM +0000 11/26/03, Bob Flaws wrote:

>Wainwright,

>

> " Since it's arguable that for many illnesses, individualised

>prescriptions, altered as treatment progresses, is the norm, this is

>a big problem for investigating CHM as it is usually practiced. "

>

>The norm where? China, yes; North America definitely not. The de

>facto standard of care in N. America, Europe, Israel, and

>Australia-NZ is the use of ready-made formulas. So I think it does

>make sense to study this. As for the use individualized formulas,

>the Chinese publish oodles and oodles of research on those. The main

>problem with that research is that it is not blinded.

--

 

Bob,

 

I would like to know how you came to these generalizations, and who

they refer to. What does " de facto standard of care " mean?

 

I practice in North America, where the standard was set long ago by

Chinese immigrant practitioners as individualized prescribing. Nearly

all my non-Chinese practitioner acquaintances in the San Francisco

and New York areas prescribe raw or powdered individualized

prescriptions, and as a CE teacher I find most of the practitioners

attending who prescribe herbs do the same. So, how was your

conclusion arrived at?

 

What you seem to be describing is what non Asians who have taken an

acupuncture only program do. If that's so, then for my money they do

not represent anything other than irresponsible practice (ie

practicing something you are not trained to do). This phenomenon may

be very widespread, but it is not a standard of care, IMO.

 

Rory

--

 

 

 

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