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To clarify a point, it was not that the audience had no interest in

chinese herbs. In fact, many of the herbs discussed by presenters are

chinese herbs (licorice, ginseng and turmeric). They were not

interested in chinese herb FORMULAS or chinese medical THEORY at all,

though. I devoted the first half of my presentation to discussing

mutual interactions between herbs and root/branch concepts, comparing

those ideas to similar ones in biology. While everyone seemed to

follow along and no one objected, it changed when I got to the

research. While accepting the idea of using herbs to treat the root of

a condition, they could not accept research done on formulas with often

20 or more herbs in them. I could see that they were impressed to find

out an herbal formula could reverse liver disease caused by diabetes

drugs, but clearly wanted to know which ONE of the herbs had done the

trick. Even if accepting the idea that multiple herbs might work well

together, the consensus seemed to be that they should be studied first

by themselves before being studied in formulas. There were some very

nice poster board presentations showing that sam-e worked as well as

celebrex. That turmeric and glucosamine were also effective for

osteoarthritis. That plant based digestive enzymes survived the gut

acid with their full activity. So there was plenty of interest in

natural substances. After my talk, there was no one who wanted to

speak with me, though I was the only one present representing the TCM

herbology community. In fact, there seemed to a general alarm about

chinese herbs being contaminated. In hindsight, I am sorry I wasted my

time.

 

 

 

Chinese Herbs

 

 

 

 

 

 

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On Jan 7, 2005, at 8:03 PM, wrote:

 

> In hindsight, I am sorry I wasted my

> time.

 

You know, (and I do mean you know) that there are plenty of other

researchers in the sea.

 

There are those who research the cost benefits of a particular

intervention compared to the standard of care.

 

There are those who research the efficacy of a particular intervention

compared to the standard of care.

 

These are the researchers who can benefit from the polypharmaceutical

chaos of TCM.

 

we don't know what will come from this conference. Who knows what

seed will germinate in the minds of the attendees.

 

-al.

 

 

--

 

Pain is inevitable, suffering is optional.

-Adlai Stevenson

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I have a feeling a presentation like this can be very important even if the

effects aren't felt

in the afternoon you gave it.

Butterflies and all that... good going, Todd.

doug

 

 

 

, Al Stone <alstone@b...> wrote:

> On Jan 7, 2005, at 8:03 PM, wrote:

>

> > In hindsight, I am sorry I wasted my

> > time.

>

> You know, (and I do mean you know) that there are plenty of other

> researchers in the sea.

>

> There are those who research the cost benefits of a particular

> intervention compared to the standard of care.

>

> There are those who research the efficacy of a particular intervention

> compared to the standard of care.

>

> These are the researchers who can benefit from the polypharmaceutical

> chaos of TCM.

>

> we don't know what will come from this conference. Who knows what

> seed will germinate in the minds of the attendees.

>

> -al.

>

>

> --

>

> Pain is inevitable, suffering is optional.

> -Adlai Stevenson

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Congratulations are in order for what you have done. It takes a great deal

of courage to go into the lion's den and tell them the truth. The theories

are what makes this effective. They are afraid of letting go and

challenging their own paradigm. You have just confirmed our greatest

threat, limited truth as taught in medical science. Science is and has been

moving away from medicine for years, they medicine doesn't want to accept

it. The creation and work in quantum fileds for example hold more ideas

that are in alignment with Chinese energetic theory and cosmology. We,

meaning our profession, have a bit of a paradox in that we do not want to

accept quantum physics but we gladly accept " bio-medicine " , go figure. We

need more focus on public education and less on impressing the scientists or

medical profession. They will only see what they want to and they will

practice partial OM, as a biomedical modality. Again, thanks for trying.

Remember that the people who attend these seminars are not necessarily the

most educated as to ongoing research, there is much out there that would

turn their belief system on end.

Later

Mike W. Bowser, L Ac

 

> <

>

>cha

> more on scripps conference

>Fri, 7 Jan 2005 20:03:12 -0800

>

>To clarify a point, it was not that the audience had no interest in

>chinese herbs. In fact, many of the herbs discussed by presenters are

>chinese herbs (licorice, ginseng and turmeric). They were not

>interested in chinese herb FORMULAS or chinese medical THEORY at all,

>though. I devoted the first half of my presentation to discussing

>mutual interactions between herbs and root/branch concepts, comparing

>those ideas to similar ones in biology. While everyone seemed to

>follow along and no one objected, it changed when I got to the

>research. While accepting the idea of using herbs to treat the root of

>a condition, they could not accept research done on formulas with often

>20 or more herbs in them. I could see that they were impressed to find

>out an herbal formula could reverse liver disease caused by diabetes

>drugs, but clearly wanted to know which ONE of the herbs had done the

>trick. Even if accepting the idea that multiple herbs might work well

>together, the consensus seemed to be that they should be studied first

>by themselves before being studied in formulas. There were some very

>nice poster board presentations showing that sam-e worked as well as

>celebrex. That turmeric and glucosamine were also effective for

>osteoarthritis. That plant based digestive enzymes survived the gut

>acid with their full activity. So there was plenty of interest in

>natural substances. After my talk, there was no one who wanted to

>speak with me, though I was the only one present representing the TCM

>herbology community. In fact, there seemed to a general alarm about

>chinese herbs being contaminated. In hindsight, I am sorry I wasted my

>time.

>

>

>

>Chinese Herbs

>

>

>

>

>

>

>

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I think there are several valuable consequences from your experiences - they

simply verify things that you and I have been hammering at for years. The TCM

research community needs to clean up its research paradigms to rigorously define

and prove the efficacy of the pattern recognition paradigm - this will not only

result in greater information value to TCM practitioners, it may impact western

researchers interested in herbs but unconvinced of the " strange " beliefs of

Chinese herbalists.

 

I also suspect you may be too pessimistic about the potential for western

researchers and medical doctors to appreciate the pattern recognition paradigm.

In my experience, critical care physicians are often the quickest to see its

importance, as TCM-style pattern-matching comes very close to how they already

think - in terms of controlling a complex system of multiple variables

simultaneously. At the other end of the spectrum, you have the dermatologists,

who often pretend that one's skin is just like the upholstery on a sofa, and can

be patched up or renovated independently of everything else.

 

The Chinese research community needs to get the message that all of the work

they have put into flawed research designs could have had a much greater impact

if they had only done it right; instead, it is the object of scorn. The tragedy

is that it doesn't take a lot of extra people power or resources to do it right.

A well-designed study requires just one person who understands both statistics

and TCM theory and pattern matching to do it right, set up the control groups,

tell everyone else what to do, and then crunch the numbers. But if the study is

flawed, no amount of number crunching can salvage anything of value after the

fact.

 

I think it would be very instructive, if you have the time, to post an article

on your website detailing the Scripp's conference criticisms of TCM research and

how it can be improved.

 

---Roger Wicke, PhD, TCM Clinical Herbalist

contact: www.rmhiherbal.org/contact/

Rocky Mountain Herbal Institute, Hot Springs, Montana USA

Clinical herbology training programs - www.rmhiherbal.org

 

 

 

 

> <

>more on scripps conference

>

>To clarify a point, it was not that the audience had no interest in

>chinese herbs. In fact, many of the herbs discussed by presenters are

>chinese herbs (licorice, ginseng and turmeric). They were not

>interested in chinese herb FORMULAS or chinese medical THEORY at all,

>though. I devoted the first half of my presentation to discussing

>mutual interactions between herbs and root/branch concepts, comparing

>those ideas to similar ones in biology. While everyone seemed to

>follow along and no one objected, it changed when I got to the

>research. While accepting the idea of using herbs to treat the root of

>a condition, they could not accept research done on formulas with often

>20 or more herbs in them. I could see that they were impressed to find

>out an herbal formula could reverse liver disease caused by diabetes

>drugs, but clearly wanted to know which ONE of the herbs had done the

>trick. Even if accepting the idea that multiple herbs might work well

>together, the consensus seemed to be that they should be studied first

>by themselves before being studied in formulas. There were some very

>nice poster board presentations showing that sam-e worked as well as

>celebrex. That turmeric and glucosamine were also effective for

>osteoarthritis. That plant based digestive enzymes survived the gut

>acid with their full activity. So there was plenty of interest in

>natural substances. After my talk, there was no one who wanted to

>speak with me, though I was the only one present representing the TCM

>herbology community. In fact, there seemed to a general alarm about

>chinese herbs being contaminated. In hindsight, I am sorry I wasted my

>time.

>

>

>Chinese Herbs

>

 

 

 

---Roger Wicke, PhD, TCM Clinical Herbalist

contact: www.rmhiherbal.org/contact/

Rocky Mountain Herbal Institute, Hot Springs, Montana USA

Clinical herbology training programs - www.rmhiherbal.org

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>

> rw2 [rw2]

> Saturday, January 08, 2005 1:22 PM

>

> Re: more on scripps conference

>

>

>

>

> I think there are several valuable consequences from your experiences -

> they simply verify things that you and I have been hammering at for years.

> The TCM research community needs to clean up its research paradigms to

> rigorously define and prove the efficacy of the pattern recognition

> paradigm - this will not only result in greater information value to TCM

> practitioners, it may impact western researchers interested in herbs but

> unconvinced of the " strange " beliefs of Chinese herbalists.

>

> I also suspect you may be too pessimistic about the potential for western

> researchers and medical doctors to appreciate the pattern recognition

> paradigm. In my experience, critical care physicians are often the

> quickest to see its importance, as TCM-style pattern-matching comes very

> close to how they already think - in terms of controlling a complex system

> of multiple variables simultaneously. At the other end of the spectrum,

> you have the dermatologists, who often pretend that one's skin is just

> like the upholstery on a sofa, and can be patched up or renovated

> independently of everything else.

[Jason]

I agree... I think pattern recognition is an inherit part of the Western

Medical system, it is just a different system than ours. Many many diseases

are further differentiated my various patterns, stages or whatever... I.e.

just yesterday I had an indebt discussion with an audiologist. She described

a PATTERN for vertigo that was almost identical to what we would call a

phlegm pattern. Interesting she noted that diet was a major determinant for

re-occurring episodes. Further of interest, she talked about Ca crystals

that were found in the canals, and once removed, manually, would alleviate

the symptoms. We hopefully will be working together on some patients.

 

Furthermore, the more I read Chinese the more I get the sense that there is

method to the Chinese's (research) madness. Their many case study

presentations or personal experiences by master herbalists, pass on

invaluable information and research... Yes it may not conform to Western

paradigm, which may or may not be an issue. That is yet to see...

Furthermore, I just found a section in a book that discusses the Chinese's

philosophy for research, scientific method etc (or at least the author's

opinion)... There is a method to their madness that I believe should not be

just ruled out. Obviously if one is just looking for the GOLD standard then

we have an issue... Maybe the Chinese, in general, could care less about

this GOLD standard. Obviously they are aware of it.. They have access to

Western Medicine, and many of the TCM doctors are also trained in WM...

Anyway, I may write more on this in the future.

 

-

 

 

>

> The Chinese research community needs to get the message that all of the

> work they have put into flawed research designs could have had a much

> greater impact if they had only done it right; instead, it is the object

> of scorn. The tragedy is that it doesn't take a lot of extra people power

> or resources to do it right. A well-designed study requires just one

> person who understands both statistics and TCM theory and pattern matching

> to do it right, set up the control groups, tell everyone else what to do,

> and then crunch the numbers. But if the study is flawed, no amount of

> number crunching can salvage anything of value after the fact.

>

> I think it would be very instructive, if you have the time, to post an

> article on your website detailing the Scripp's conference criticisms of

> TCM research and how it can be improved.

>

> ---Roger Wicke, PhD, TCM Clinical Herbalist

> contact: www.rmhiherbal.org/contact/

> Rocky Mountain Herbal Institute, Hot Springs, Montana USA

> Clinical herbology training programs - www.rmhiherbal.org

>

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I think the biggest problem now with our profession is a lack of

self-esteem. We are always seeming to apologize for existing, and all

of our research lacks confidence in the methods of pattern

differentiation. We are trying to prove something on the unconscious

premise that our medicine is somehow 'unproven' or not legitimate if

not confirmed by Western medicine or modern science. Before there can

be true integrative medicine there must be first true autonomy. We

need to develop our own structures, our own research, our own

methodology, and continue to learn and grow. Only then will we have

the confidence to truly interact with the rest of the world.

 

 

On Jan 8, 2005, at 12:21 PM, rw2 wrote:

 

>

> The Chinese research community needs to get the message that all of

> the work they have put into flawed research designs could have had a

> much greater impact if they had only done it right; instead, it is the

> object of scorn.  The tragedy is that it doesn't take a lot of extra

> people power or resources to do it right. A well-designed study

> requires just one person who understands both statistics and TCM

> theory and pattern matching to do it right, set up the control groups,

> tell everyone else what to do, and then crunch the numbers. But if the

> study is flawed, no amount of number crunching can salvage anything of

> value after the fact.

>

>

 

 

 

 

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I'm not sure its the biggest problem but there does seem to be a " we're number

2 "

mentality going around (younger readers may not get this reference). It can seem

very

frustrating and then you nail a diagnosis and treatment and the patient gets

better....

makes it worth it.

doug

 

, " " <zrosenbe@s...>

wrote:

> I think the biggest problem now with our profession is a lack of

> self-esteem. We are always seeming to apologize for existing, and all

> of our research lacks confidence in the methods of pattern

> differentiation. We are trying to prove something on the unconscious

> premise that our medicine is somehow 'unproven' or not legitimate if

> not confirmed by Western medicine or modern science. Before there can

> be true integrative medicine there must be first true autonomy. We

> need to develop our own structures, our own research, our own

> methodology, and continue to learn and grow. Only then will we have

> the confidence to truly interact with the rest of the world.

>

>

> On Jan 8, 2005, at 12:21 PM, rw2@r... wrote:

>

> >

> > The Chinese research community needs to get the message that all of

> > the work they have put into flawed research designs could have had a

> > much greater impact if they had only done it right; instead, it is the

> > object of scorn.  The tragedy is that it doesn't take a lot of extra

> > people power or resources to do it right. A well-designed study

> > requires just one person who understands both statistics and TCM

> > theory and pattern matching to do it right, set up the control groups,

> > tell everyone else what to do, and then crunch the numbers. But if the

> > study is flawed, no amount of number crunching can salvage anything of

> > value after the fact.

> >

> >

>

>

>

>

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At 7:13 PM -0700 1/8/05, wrote:

>I just found a section in a book that discusses the Chinese's

>philosophy for research, scientific method etc (or at least the author's

>opinion)... There is a method to their madness that I believe should not be

>just ruled out.

--

 

I hope you will let us know more about what this book has to say. I

can't see how the author could justify not doing follow up in

diabetes studies, as Todd noted.

 

Rory

--

 

 

 

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Z'ev,

 

Developing our own methodology is exactly what I've been proposing all along.

But it would be foolish to discard centuries of western knowledge of

mathematics, statistics, and research design to start all over. The fact is that

western research methods **can*** be adapted very easily do accommodate the TCM

pattern matching paradigm. I've discussed briefly the nature of the problem:

 

http://www.rmhiherbal.org/review/2003-2.html#t-sing

 

And a mathematical model for quantifying multi-parameter clinical studies of

pattern-recognition paradigm:

 

http://www.rmhiherbal.org/tch/tch1-appA.html

 

For the last one you would need to register (free) on our website to get access.

 

 

Having even a single well-designed study to reference would be a tremendous

confidence booster to the TCM community. I wish I could reference such a study

in the lectures and articles I've written. Instead, the lack of such requires me

to explain why the Chinese or anyone else have not done such a study yet. I

still am not quite sure of the answer - is it ignorance of experimental design

or statistics, or simple stubbornness?

 

I don't deny the value of individual case study reports by eminent Chinese

physicians - I've benefitted greatly by the many translations that my mentor Dr.

Cheung has done over the years. But well-designed controlled clinical studies

provide a greater level of certainty that no amount of anecdotal case reports

can accomplish.

 

---Roger Wicke, PhD, TCM Clinical Herbalist

contact: www.rmhiherbal.org/contact/

Rocky Mountain Herbal Institute, Hot Springs, Montana USA

Clinical herbology training programs - www.rmhiherbal.org

 

 

 

>

>Message: 11

> Sat, 8 Jan 2005 18:37:06 -0800

> " " <zrosenbe

>Re: Re: more on scripps conference

>

>I think the biggest problem now with our profession is a lack of

>self-esteem. We are always seeming to apologize for existing, and all

>of our research lacks confidence in the methods of pattern

>differentiation. We are trying to prove something on the unconscious

>premise that our medicine is somehow 'unproven' or not legitimate if

>not confirmed by Western medicine or modern science. Before there can

>be true integrative medicine there must be first true autonomy. We

>need to develop our own structures, our own research, our own

>methodology, and continue to learn and grow. Only then will we have

>the confidence to truly interact with the rest of the world.

>

>

>On Jan 8, 2005, at 12:21 PM, rw2 wrote:

>

>>

>> The Chinese research community needs to get the message that all of

>> the work they have put into flawed research designs could have had a

>> much greater impact if they had only done it right; instead, it is the

>> object of scorn. The tragedy is that it doesn't take a lot of extra

>> people power or resources to do it right. A well-designed study

>> requires just one person who understands both statistics and TCM

>> theory and pattern matching to do it right, set up the control groups,

>> tell everyone else what to do, and then crunch the numbers. But if the

>> study is flawed, no amount of number crunching can salvage anything of

>> value after the fact.

>>

 

 

 

---Roger Wicke, PhD, TCM Clinical Herbalist

contact: www.rmhiherbal.org/contact/

Rocky Mountain Herbal Institute, Hot Springs, Montana USA

Clinical herbology training programs - www.rmhiherbal.org

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I certainly wouldn't suggest otherwise. I think you've done a good job

proving that western research models, especially mathematical ones, can

be applied to studies based on pattern differentiation.

 

 

On Jan 9, 2005, at 10:24 AM, rw2 wrote:

 

>

> Developing our own methodology is exactly what I've been proposing

> all along. But it would be foolish to discard centuries of western

> knowledge of mathematics, statistics, and research design to start all

> over. The fact is that western research methods **can*** be adapted

> very easily do accommodate the TCM pattern matching paradigm. I've

> discussed briefly the nature of the problem:

>

>

 

 

 

 

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In a message dated 1/7/05 11:03:54 PM, writes:

 

 

> I could see that they were impressed to find

> out an herbal formula could reverse liver disease caused by diabetes

> drugs, but clearly wanted to know which ONE of the herbs had done the

> trick.  Even if accepting the idea that multiple herbs might work well

> together, the consensus seemed to be that they should be studied first

> by themselves before being studied in formulas. 

>

 

I know this may have been brought up before, but the fact remains that herbs

are groups of constitiuents just as formulations are groups of constituents,

and to treat each formulation as a single herb. If they are going to limit

their thinking to single herbs, perhaps the end goal is to seperate out single

constituents of herbs in the long run, and that will bring them failure as well.

 

 

 

 

David Molony

101 Bridge Street

Catasauqua, PA 18032

Phone (610)264-2755

Fax (610) 264-7292

 

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