Guest guest Posted May 9, 2005 Report Share Posted May 9, 2005 Not being a politician or very diplomatic (despite being born in the year of the rabbit), I have no inclination nor ability to lead others to a common ground. I am merely capable of making my case as forcefully and persuasively as decorum permits. However it is worth considering the issue of common ground. One of the reasons I started the CHA forum was to see if there was or could be a professional consensus on key points in the field of chinese herbology. I had even hoped a white paper would come out of the project. I was inspired in this endeavor by the writings of the philosopher Ken Wilber. In his book Eye to Eye, Wilber postulates that knowledge in all domains of human existence (body, mind and spirit) have their own modes of validation. Science validates knowledge of the realm of the flesh by using external measurement. This measurement does not explain the workings of the mind nor the insights of spiritual practice. Yet neither does meditation reveal the detailed workings of the body. However meditation is the process by which one confirms the knowledge of the spiritual realm. And in the world of ideas, it is conversation, dialog and consensus that determines the truth of ideas. You can measure brainwaves, but you can only discuss existentialism and only experience nirvana through practice or sudden transcendance. Lets set aside spirit as it is not the topic of this list, merely reiterating Wilber's point that confusion of modes of validation is the main reason for conflict between the sciences of the flesh, ideas and spirit. While the 3 domains are certainly part of an integrated whole, one will always fail to comprehend one domain if one tries to reduce it (or expand it, if you prefer) to another. Just as we don't like seeing ideas reduced to brainwaves, it is equally fallacious to assign brainwave activity to some prior thought or karma, etc. If it was true that mastery of spirit and/or mind led to perfect knowledge and control of the flesh, than the ancient world would have been a paradise and there never would have been any impetus for modernity to supplant it. While there are no doubt at least some on this list who the idea that the ancient world was indeed a paradise and we live in a fall from grace, my only reply is that I used to share such an idea, which the preponderance of evidence has now convinced me to be unlikely. So how does the issue of consensus in the realm of ideas apply to TCM? Since TCM has not been validated in an unequivocal empirical fashion, the truth of ideas in this field can only be determined by discussion and consensus. There have been many ideas in chinese medical history that have been floated only to wither. There have likewise been many ideas proposed on this list and others like it that have either been accepted, debated or trashed. The term MSU has been used to describe ideas that are just made up, but then portrayed as if they were solidly rooted in TCM. My use of stem cell and genetics in relation to jing could qualify as such an example except I make no claim that I am presenting a chinese medical idea, but rather a limitation of TCM as I see it. OTOH, stating unequivocally something like lupus is always due to a latent pathogen is clearly an example of MSU. While the CHA list has served well to dissuade all but the most stubborn dissenters away from pure MSU, many of these folks just post their ideas on other lists, some as large and active as CHA. In other words, the response to admonitions from ones more experienced and scholarly peers (and I am not referring to myself here) has not been the withering of idiosyncratic and unfounded ideas, but rather an entrenchment of positions. While CM is indeed quite pluralistic in its history if one considers every idiosyncratic idea ever proposed, there is actually quite a consensus amongst the many hundreds of herbal texts written in the past 1000 years. And ideas that have stood the test of time have been developed by those who had deeply studied what had come before (wen bing founders were SHL scholars, for example). It was not the result of reading Giovanni, smoking a bong hit and letting your mind wander. I had hoped in the past 12 years that we would see some empirical research to validate our medicine externally. That's the rub, you see. If a set of ideas are only validated internally amongst professional peers, you cannot expect the mainstream public to buy into those ideas and pay money for services associated with them. Witness the complete demise of psychoanalysis, once a prominent profession. They failed to validate their ideas externally despite developing intricate internal theories and having devoted patients who swore by them. However it was shown in numerous studies that much of the supposed effects were placebo or absent when measured using widely accepted psych instruments (which means questionnaires, etc.) and the profession pretty much dissolved overnight (there are several key reasons why these studies failed, too complex to discuss here, but suffice it to say that I believe all the major schools of psychoanalysis have much to offer in personal development, but it is not necessarily an effective form of healthcare across a broad demographic). In our own field, we have seen some compelling recent evidence of our techniques or substances being validated. However, it is always this herb or that point, but not the medicine, per se. For example, two studies, one on rats and one on humans, have proven effective treatment of hypertension with acupuncture. I have heard and read a lot of raves about this study and the big german study and the recent knee OA study. But in all these cases, the treatment method was allopathic, not TCM. There was no pattern differentiation, which not only does not validate our mode of thinking, but actually calls it into question. If the treatment works without the methodology, then how valuable is the methodology? I have written for years that we should be doing interrater reliability studies, TCM style research and verifying zang fu theory (like the way acupuncture is being verified with fMRI). The more allopathic studies that prove TCM works w/o the theory, the sooner we will all be out of work. But not only do we not have the empirical research, we also have very little common ground in the world of ideas within our profession at all. Many on this list often have little in common with those on other similar lists, some of which originally started as havens for former CHAers who didn't like being challenged or debated here. And many remaining on this list have little common ground with each other on fundamental points. But we are still more likely to find common ground amongst ourselves than within the profession as a whole. Those who are strictly orthopods, i.e. most of the profession are not on this list, nor are the new agers, the homeopaths, NAET, etc. So what is our common ground? It is certainly not vision for the future. Nor agreement on issues such as dosage, forms of herbs, terminology, language, classics, etc. After 6 years, while my personal ideas have evolved, some quite a bit (as I assume have others), I see no greater consensus today than I did before I started the list. So while the list remains a continual source for resources of which I was unaware, as well as a form of entertainment and information for the profession, I have long since dropped any such goal of discovering the professional consensus. It as, as it ever has been, pretty much a free for all. But within that free for all, there are some pretty sizable factions. There are definitely vocal dissenters from my message, but the majority is a silent majority. And perhaps most of them do side against me, but just hold their tongues altogether, I cannot say for sure. In the defunct world of classical psychoanalysis, similar schisms developed along very similar lines. These were hardcore flesh types such as Skinner or mental types like Freud and Jung, who shared no common ground at all by the end of their lives. Then came the transpersonal schools during the 60s and 70s, often heavily overlaid with eastern mysticism. The crowning jewel of east west psychiatry was perhaps the Naropa Institute in boulder, founded by the notorious monk, Chogyam trungpa. I would think there is at least one place we have the most common ground. We all want the public to know TCM works and there is only one way to prove it. Research. Though there are quite a few of us who also do not believe there is any validity to the western research model. So even on that account, we fracture. I think perhaps the profession would best be served if smaller organizations formed to serve specific interests rather than relying on larger organizations which are often stymied by lack of agreement or pursue agendas opposed by the bulk of the profession. Let the orthopods band together and spend their time and effort on workers comp, about which many herbalists couldn't care less (since we never get reimbursed for our service by anyone). And the herbalists should work towards maintaining our materia medica, something which is not the main concern to those who treat 4 WC cases per hour. I thus strongly support Roger Wicke's efforts to create a voluntary independent international TCM herbalist certification process. Each such org might accomplish more in a narrowly focused agenda and might more easily attract members. Many would be activists oppose part or all of the agendas of many state and national orgs so they don't join any one of them. This is the natural result of the currently irreconcilable differences in the field. But if there were orgs and associations that one could actually feel represented them rather than some narrow vision that was not yours or some mushy form of tolerance of all diversity (which really means not supporting anything at all), then things might get done. And if these orgs sometimes worked at cross purposes, so what? They could either work out their difference in such cases or fight it out, whatever the venue. Perhaps some real competition in the marketplace of ideas would accomplish more in a short time than a thin facade of cooperation stretched over a powder keg of conflicting interests ever could. If we were talking about a product, everyone would agree to let competition sort out what best serves the public. Cell phone companies don't all get together and set a common agenda. The form their own companies and pursue their own agendas and let history decide their fate. Chinese Herbs Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 10, 2005 Report Share Posted May 10, 2005 Cell phone companies don't all get together and set a common agenda. The form > their own companies and pursue their own agendas and let history > decide their fate. > > > > Chinese Herbs > I don't know that this is the best model for market forces working towards a holistic paradise. European cell phone networks established protocol early on and in doing so have achieved far better coverage and service than the US. Telecom in the US is lagging behind the rest of the world at this point because various entrenched monopolies (cable TV, and wired and wireless telephone) have decided that they liked their defined turf and any change in the current system would result in a change in the balance of power. They have incentive to innovate but they spend more time with both hands locked around their competitions throats trying to change regulations that they used to establish their various monopolies. Our service has suffered as a result, but we have no recourse because infrastructure (wavelength and wires) and privatized. I think that this would be a better analogy for the lack of movement in our field today; contrived consensus (like the founding of TCM in the Mao dynasty) works to push a field forwards. The struggle of ideas between individuals gets dragged along regardless, because individuals will fail to see reason for their entire life if they have had one good idea. They will cling to, cherish, and attempt to establish connections to that idea, like Trungpa's " spiritual materialist " clings to his original epiphany. The problem that I've always had with Kuhn is what seemed like a failure to acknowledge this role of the individual in the tenacity of a paradigm. It seemed to me that his paradigm exists as part of the collective unconscious, where in reality, even in the scientific community, seems to hinge on the opinion of a few. The majority are sheep, or, more optimistically, pliable enough to change their minds. In the US we have no proverbial bayonet in our backs forcing us into a room to have a conversation about conventionalizing our medicine, all we have is a vague but substantive worry that our medicinals are being regulated out from under us, and that we will be outmoded by Western medicine using our technology without our ideas. The question is: is this enough to force us out of our respective patches to a common ground? So far apparently not. Would such a congress create a " scientific " validation of CM ideas? No. Would it have useful effects? Yes, it would allow us to spend less time hashing over the same material, worrying about the dumbing down of CM, and put some of the s firmly outside the camp. Disadvantages? Yes, there would be a loss of subtlety, but this would be preserved in individuals as it is impossible to expunge, and that is where market forces work, preserving and elevating what is best in a defined category, rather than creating and shaping a category. We have to create and/or redefine our category. Telecom, cable TV and wireless (as well as oil, auto companies, and some could argue the medical community) are hindering the creation of a useful category because they are institutionally frightened of change. We haven't defined ourselves well as a field, and yet we are still frightened of change... Why are we failing to produce a coherent category beyond what we have right now? First because we are as a field still in the developemental phase of prophetic/charismatic leaders, versus a coherent central corpus. This is where access to Chinese material becomes important, and I hope you're correct about machine translation, because the current rate of translation of the classical corpus does not bode well for eliminating this problem. Second is the ballyhood anti-establishment nature of many of the founders of CM in this country. I don't know how real this is... yes there were anti-establishment types, and some of them have subsequently become charismatic leaders, but the majority seem reasonable and willing to hash out a deal, provided a context like CHA. Third is the intellectual quality of students coming into the field, and what constitutes a good education. As long as we have NCCAOM (or the CA board) establishing what constitutes professional education we're going to have a reactionary and lowest-common-denominator education, with exams that are laughable, expensive and serve to preserve the status quo. There may be additional reasons, but I think these will serve as a starting point. I appreciate your clarification of where you are coming from. Par Scott Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 10, 2005 Report Share Posted May 10, 2005 Par states, " all we have is a vague but substantive worry that our medicinals are being regulated out from under us, and that we will be outmoded by Western medicine using our technology without our ideas " I would suggest that this is not simply a matter of opinion but fact if we look at the FDA and their holdup of many safe herbs just because. That is a restriction of trade and wrong, might also be illegal. Additionally concerning is the increase of acupuncture and other healthcare modalities into the medical school curricula. This move is not for referral but for practice of medical acupuncture reasons. This is much more serious than it looks. Mike W. Bowser, L Ac Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 10, 2005 Report Share Posted May 10, 2005 there is actually quite a consensus amongst the many hundreds of herbal texts written in the past 1000 years >>>That is a dream Oakland, CA 94609 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 10, 2005 Report Share Posted May 10, 2005 Let the orthopods band together and spend their time and effort on workers comp, about which many herbalists couldn't care less (since we never get reimbursed for our service by anyone). And the herbalists should work towards maintaining our materia medica, something which is not the main concern to those who treat 4 WC cases per hour. >>>Why do you think these are separated? While my practice varies from week to week, many weeks its 50% ortho and 50% internal med. Many acup i know also have similar brake downs. I use as much herbal med as acupuncture and manual therapy. There is much to say for power by numbers, what we need is more effective unity not fracture. There are too many forces out there ready and waiting to eat us alive.Even if concusses is not found, there are much in common. Oakland, CA 94609 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 10, 2005 Report Share Posted May 10, 2005 Each such org might accomplish more in a narrowly focused agenda and might more easily attract members. Many would be activists oppose part or all of the agendas of many state and national orgs so they don't join any one of them. >>>>All we need is many organizations lobbing in cross purposes. That is already the biggest problem we have and why we find ourselves in the current situation. The problem with us is the majority of the profession is apathetic and non active. Oakland, CA 94609 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 15, 2005 Report Share Posted June 15, 2005 Hi I wrote this article for my email list a little while ago, thought it might interest you in alignment with your article... The two keys to integrating the perspectives of the latest scientific discoveries, as well as the deepest and subtlest of ancient wisdom in my opinion, are the ability to critically think for oneself (as we have already talked about), and the ability to completely honour and listen to the critical thoughts of others. Ken Wilber, my favourite modern writer/philosopher, has a wonderful principle in the work that he does – " No human is smart enough to produce 100% error " . In other words, every single person and major system of knowing in existence, no matter how seemingly primitive, has some partial truth to it. The flipside to this principle is that no-matter how well thought out and internally consistent and empirically supported the system you happen to like is, it too is missing part of the total puzzle and is also only a partial truth. Here is what I have discovered in my observations of people – those with the deepest knowledge of what they are doing are the most open to what others have to say. Their roots are strong enough to allow their branches to be very flexible and not have their whole being destabilized. Those with a more shallow understanding are those that are more stubborn and dogmatic, more lazy in their thinking, more intolerant of opposing/differing opinions. And this is okay, I mean we have to start off somewhere and stick with it to be able to achieve that depth that allows us to grow to the heights of our potential. But eventually in this learning process, we come to the point where we appreciate not just that the way we see things has great value, but why it has great value. Once we can see that, we can also begin to understand the areas where our own perspective has its weaknesses. In my opinion, it is this final step which is much more rarely reached by people in our society today, to have the humility to see our own flaws and imperfections and where other people's seemingly conflicting ideas can help us to keep growing. I think it is not that people find it difficult to hear other people out of strength, it is essentially a manifestation of a weakness at the root, a kind of self-esteem issue. Only when we feel threatened do we get defensive and attack other ideas. But if we are given the space to see that an different point of view is not at all a threat to our own worth or of the truths that we have discovered, then it becomes that much easier to humbly listen to what others have to say. In this, Wilber again comes to the rescue. He says it is useful to " free an inquiry by limiting it " . What that means is that instead of saying/inferring that " We know all these facts about the physical/material side of how the body works and therefore this other knowledge that you guys have developed that talks from the more subjective/energic side of things is therefore invalidated " , it goes something more like " We know all this stuff about the physical side as that is our area of specialty and we have our own systems of validating knowledge in that realm. You guys know heaps on and are specialists in the subjective point of view and I also honour the contributions you guys make to the total picture " . Do you see the subtle yet very important difference? Neither point of view has to step on or marginalize the other, and they are both then able to freely do what they do best. Now I understand sometimes people do come up with crap, probably because the respective systems of knowledge validation are in need of a bit of an overhaul. But to criticize with this basis of respect and space is much better received and productive than just attacking and making people feel stupid. Sometimes we have to be cruel to be kind, but we still have to be kind! -Li , wrote: > Not being a politician or very diplomatic (despite being born in the > year of the rabbit), I have no inclination nor ability to lead others > to a common ground. I am merely capable of making my case as > forcefully and persuasively as decorum permits. However it is worth > considering the issue of common ground. One of the reasons I started > the CHA forum was to see if there was or could be a professional > consensus on key points in the field of chinese herbology. I had > even hoped a white paper would come out of the project. > > I was inspired in this endeavor by the writings of the philosopher > Ken Wilber. In his book Eye to Eye, Wilber postulates that knowledge > in all domains of human existence (body, mind and spirit) have their > own modes of validation. Science validates knowledge of the realm of > the flesh by using external measurement. This measurement does not > explain the workings of the mind nor the insights of spiritual > practice. Yet neither does meditation reveal the detailed workings > of the body. However meditation is the process by which one confirms > the knowledge of the spiritual realm. And in the world of ideas, it > is conversation, dialog and consensus that determines the truth of > ideas. You can measure brainwaves, but you can only discuss > existentialism and only experience nirvana through practice or sudden > transcendance. > > Lets set aside spirit as it is not the topic of this list, merely > reiterating Wilber's point that confusion of modes of validation is > the main reason for conflict between the sciences of the flesh, ideas > and spirit. While the 3 domains are certainly part of an integrated > whole, one will always fail to comprehend one domain if one tries to > reduce it (or expand it, if you prefer) to another. Just as we don't > like seeing ideas reduced to brainwaves, it is equally fallacious to > assign brainwave activity to some prior thought or karma, etc. If it > was true that mastery of spirit and/or mind led to perfect knowledge > and control of the flesh, than the ancient world would have been a > paradise and there never would have been any impetus for modernity to > supplant it. While there are no doubt at least some on this list who > the idea that the ancient world was indeed a paradise and > we live in a fall from grace, my only reply is that I used to share > such an idea, which the preponderance of evidence has now convinced > me to be unlikely. > > So how does the issue of consensus in the realm of ideas apply to > TCM? Since TCM has not been validated in an unequivocal empirical > fashion, the truth of ideas in this field can only be determined by > discussion and consensus. There have been many ideas in chinese > medical history that have been floated only to wither. There have > likewise been many ideas proposed on this list and others like it > that have either been accepted, debated or trashed. The term MSU has > been used to describe ideas that are just made up, but then portrayed > as if they were solidly rooted in TCM. My use of stem cell and > genetics in relation to jing could qualify as such an example except > I make no claim that I am presenting a chinese medical idea, but > rather a limitation of TCM as I see it. OTOH, stating unequivocally > something like lupus is always due to a latent pathogen is clearly an > example of MSU. > > While the CHA list has served well to dissuade all but the most > stubborn dissenters away from pure MSU, many of these folks just post > their ideas on other lists, some as large and active as CHA. In > other words, the response to admonitions from ones more experienced > and scholarly peers (and I am not referring to myself here) has not > been the withering of idiosyncratic and unfounded ideas, but rather > an entrenchment of positions. While CM is indeed quite pluralistic > in its history if one considers every idiosyncratic idea ever > proposed, there is actually quite a consensus amongst the many > hundreds of herbal texts written in the past 1000 years. And ideas > that have stood the test of time have been developed by those who had > deeply studied what had come before (wen bing founders were SHL > scholars, for example). It was not the result of reading Giovanni, > smoking a bong hit and letting your mind wander. > > I had hoped in the past 12 years that we would see some empirical > research to validate our medicine externally. That's the rub, you > see. If a set of ideas are only validated internally amongst > professional peers, you cannot expect the mainstream public to buy > into those ideas and pay money for services associated with them. > Witness the complete demise of psychoanalysis, once a prominent > profession. They failed to validate their ideas externally despite > developing intricate internal theories and having devoted patients > who swore by them. However it was shown in numerous studies that > much of the supposed effects were placebo or absent when measured > using widely accepted psych instruments (which means questionnaires, > etc.) and the profession pretty much dissolved overnight (there are > several key reasons why these studies failed, too complex to discuss > here, but suffice it to say that I believe all the major schools of > psychoanalysis have much to offer in personal development, but it is > not necessarily an effective form of healthcare across a broad > demographic). > > In our own field, we have seen some compelling recent evidence of our > techniques or substances being validated. However, it is always this > herb or that point, but not the medicine, per se. For example, two > studies, one on rats and one on humans, have proven effective > treatment of hypertension with acupuncture. I have heard and read a > lot of raves about this study and the big german study and the recent > knee OA study. But in all these cases, the treatment method was > allopathic, not TCM. There was no pattern differentiation, which not > only does not validate our mode of thinking, but actually calls it > into question. If the treatment works without the methodology, then > how valuable is the methodology? I have written for years that we > should be doing interrater reliability studies, TCM style research > and verifying zang fu theory (like the way acupuncture is being > verified with fMRI). The more allopathic studies that prove TCM > works w/o the theory, the sooner we will all be out of work. > > But not only do we not have the empirical research, we also have very > little common ground in the world of ideas within our profession at > all. Many on this list often have little in common with those on > other similar lists, some of which originally started as havens for > former CHAers who didn't like being challenged or debated here. And > many remaining on this list have little common ground with each other > on fundamental points. But we are still more likely to find common > ground amongst ourselves than within the profession as a whole. > Those who are strictly orthopods, i.e. most of the profession are not > on this list, nor are the new agers, the homeopaths, NAET, etc. So > what is our common ground? It is certainly not vision for the > future. Nor agreement on issues such as dosage, forms of herbs, > terminology, language, classics, etc. After 6 years, while my > personal ideas have evolved, some quite a bit (as I assume have > others), I see no greater consensus today than I did before I started > the list. > > So while the list remains a continual source for resources of which I > was unaware, as well as a form of entertainment and information for > the profession, I have long since dropped any such goal of > discovering the professional consensus. It as, as it ever has been, > pretty much a free for all. But within that free for all, there are > some pretty sizable factions. There are definitely vocal dissenters > from my message, but the majority is a silent majority. And perhaps > most of them do side against me, but just hold their tongues > altogether, I cannot say for sure. In the defunct world of classical > psychoanalysis, similar schisms developed along very similar lines. > These were hardcore flesh types such as Skinner or mental types like > Freud and Jung, who shared no common ground at all by the end of > their lives. Then came the transpersonal schools during the 60s and > 70s, often heavily overlaid with eastern mysticism. The crowning > jewel of east west psychiatry was perhaps the Naropa Institute in > boulder, founded by the notorious monk, Chogyam trungpa. > > I would think there is at least one place we have the most common > ground. We all want the public to know TCM works and there is only > one way to prove it. Research. Though there are quite a few of us > who also do not believe there is any validity to the western research > model. So even on that account, we fracture. I think perhaps the > profession would best be served if smaller organizations formed to > serve specific interests rather than relying on larger organizations > which are often stymied by lack of agreement or pursue agendas > opposed by the bulk of the profession. Let the orthopods band > together and spend their time and effort on workers comp, about which > many herbalists couldn't care less (since we never get reimbursed for > our service by anyone). And the herbalists should work towards > maintaining our materia medica, something which is not the main > concern to those who treat 4 WC cases per hour. I thus strongly > support Roger Wicke's efforts to create a voluntary independent > international TCM herbalist certification process. > > Each such org might accomplish more in a narrowly focused agenda and > might more easily attract members. Many would be activists oppose > part or all of the agendas of many state and national orgs so they > don't join any one of them. This is the natural result of the > currently irreconcilable differences in the field. But if there were > orgs and associations that one could actually feel represented them > rather than some narrow vision that was not yours or some mushy form > of tolerance of all diversity (which really means not supporting > anything at all), then things might get done. And if these orgs > sometimes worked at cross purposes, so what? They could either work > out their difference in such cases or fight it out, whatever the > venue. Perhaps some real competition in the marketplace of ideas > would accomplish more in a short time than a thin facade of > cooperation stretched over a powder keg of conflicting interests ever > could. If we were talking about a product, everyone would agree to > let competition sort out what best serves the public. Cell phone > companies don't all get together and set a common agenda. The form > their own companies and pursue their own agendas and let history > decide their fate. > > > > Chinese Herbs > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Recommended Posts
Join the conversation
You are posting as a guest. If you have an account, sign in now to post with your account.
Note: Your post will require moderator approval before it will be visible.