Guest guest Posted December 3, 2006 Report Share Posted December 3, 2006 Here is part 2 of this article. For those who are unclear about what central premise of new age thinking about health and cosmology this undermines, it is what Unschuld calls " systematic correspondence. " This idea has always been at the heart of the practice of acupuncture since the time of the nei jing. However, it was only broadly applied to the practice of herbology in china starting in the jin-yuan dynasties. Prior to that time, according to Unschuld, herbology was practiced based upon an empirical approach rooted in the Daoists observation of nature. While some have consider this application of dogma a leap forward in herbal practice, that is hardly far from " proven " in any fashion. The fact that some clinical research in Chinese TCM circles draws upon this dogma to determine its clinical protocols does not demonstrate that their effectiveness is due to its application. Until large controlled studies compare the treatment of various diseases using the differential diagnosis of TCM (in whatever fashion one thinks it is best applied—simple pattern dx vs. numerous mutually engendering patterns) against treatment solely according to western parameters, we cannot really know what determined the successes reported in TCM-style studies. Perhaps the results would be just as good if one was treated for a heart condition differentiated as " blood stasis " by using the single herb dan shen as it would be by using complex formulas designed to address multiple patterns. In other words, maybe the complex formulas are effective because one or two herbs acting upon key biochemical pathways are the active factor and the rest of the formula provides no substantial benefit or detriment. There is certainly no harm in using the complex formulas in such cases, but their effectiveness as determined in even placebo- controlled clinical audits provides no evidence that the underlying principles used in their construction are valid. http://www.hinduonnet.com/fline/fl2101/stories/20040116001408700.htm Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 3, 2006 Report Share Posted December 3, 2006 I am very surprised by the argument you are trying to make, unless you are again playing 'devil's advocate'. In no way is systematic correspondence 'new age thinking'. . . is that what you are trying to say? While one has to be quite selective in dealing with either Vedic philosophy or Chinese systematic correspondence, it is not as black and white as you are seeming trying to make it. Vedic culture had very sophisticated principles of medicine and ecology, and also barbaric practices such as the banishment of widows from society. You are, in my opinion, falling into the trap of using 'evidence- based' criteria to explain the successes and failures of Chinese medicine, rather than looking at the criteria of Chinese medicine itself. Why do I call it a trap? Because, if you fail to 'validate' Chinese medicine with these criteria (evidence-based), it then is assumed that there is no value in the subject. Meanwhile, generations of physicians have used these formulas, with voluminous case histories to that effect. Spengler's arguments in " Decline of the West " do hold some water. Perhaps Chinese medicine works very effectively within the criteria of its own culture. Does that mean that evidence-based medicine will be unable to 'prove' that Jin-Yuan medicine works? Perhaps. Does that mean we should prescribe single herbs for heart conditions? I don't know about you, but to me that is an biomedical treatment, not Chinese medicine. That is not 'wrong', just different criteria for the practice of medicine. Systematic correspondence is simply based on the principle that there is a connection between human life and the universe/natural world. While not a conceptual engine in modern science, it was and remains an effective way to understand how to harmonize human life with the natural world as a tool for maintaining and restoring human health. On Dec 3, 2006, at 10:48 AM, wrote: > Here is part 2 of this article. For those who are unclear about what > central premise of new age thinking about health and cosmology this > undermines, it is what Unschuld calls " systematic correspondence. " > This idea has always been at the heart of the practice of acupuncture > since the time of the nei jing. However, it was only broadly applied > to the practice of herbology in china starting in the jin-yuan > dynasties. Prior to that time, according to Unschuld, herbology was > practiced based upon an empirical approach rooted in the Daoists > observation of nature. While some have consider this application of > dogma a leap forward in herbal practice, that is hardly far from > " proven " in any fashion. The fact that some clinical research in > Chinese TCM circles draws upon this dogma to determine its clinical > protocols does not demonstrate that their effectiveness is due to its > application. Until large controlled studies compare the treatment of > various diseases using the differential diagnosis of TCM (in whatever > fashion one thinks it is best applied—simple pattern dx vs. numerous > mutually engendering patterns) against treatment solely according to > western parameters, we cannot really know what determined the > successes reported in TCM-style studies. Perhaps the results would be > just as good if one was treated for a heart condition differentiated > as " blood stasis " by using the single herb dan shen as it would be > by using complex formulas designed to address multiple patterns. In > other words, maybe the complex formulas are effective because one or > two herbs acting upon key biochemical pathways are the active factor > and the rest of the formula provides no substantial benefit or > detriment. There is certainly no harm in using the complex formulas > in such cases, but their effectiveness as determined in even placebo- > controlled clinical audits provides no evidence that the underlying > principles used in their construction are valid. > > http://www.hinduonnet.com/fline/fl2101/stories/20040116001408700.htm > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 3, 2006 Report Share Posted December 3, 2006 A few more thoughts on this. . .. I was at Paul Unschuld's lecture at the Asian Medicine Conference in Austin, Texas in April of this year. One of the arguments Paul made for the adaption of systematic correspondence to 'herbal' medicine was that the empirical, disease-based approach led to catalogues of prescriptions that were in the tens of thousands. For each new ailment, sometimes differentiated by only a few variances in symptoms, a new formula was developed. This led to great confusion and difficulty in finding the proper prescription to match the ailment. The development of systematic correspondence in internal medicine allowed a more coherent and simplified selection of prescriptions to be matched by pattern rather than symptoms. So, the issue was the categorization of disease states and matching them to appropriate formulas, which had apparently gotten out of hand by the Tang Dynasty. On Dec 3, 2006, at 10:48 AM, wrote: > Here is part 2 of this article. For those who are unclear about what > central premise of new age thinking about health and cosmology this > undermines, it is what Unschuld calls " systematic correspondence. " > This idea has always been at the heart of the practice of acupuncture > since the time of the nei jing. However, it was only broadly applied > to the practice of herbology in china starting in the jin-yuan > dynasties. Prior to that time, according to Unschuld, herbology was > practiced based upon an empirical approach rooted in the Daoists > observation of nature. While some have consider this application of > dogma a leap forward in herbal practice, that is hardly far from > " proven " in any fashion. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 4, 2006 Report Share Posted December 4, 2006 you'll have to forgive me if I slip into New Ageisms. Perhaps, I'm really not sure what you are saying here. However I have a saying that, One person's Rhetoric (dogma) is another person's Truth. In all medicine (interactions?) there is concensus/conspiracy that forms among the participants. In this case: between the patient, doctors and the paradigm of the Medicine. There are those who will find solace in 5- elements or TCM or whatever. So it is not surprising that a researcher from a Western perspective looks at Chinese medicine they don't find the " proof " other than what their own Western parameters allow for. In my case, I use a paradigm that works for me and my patients. If I were to prescribe a single herb for a single problem then that's OK. However I know I need both fu ling and sheng jiang in my Er Chen Wan and Zhu Ru for more agitation and heat. If I were to look at the patient and not see a heart problem and not look at the tongue then I would never prescibe Er Chen Wan. Would Dan Shen work for there chest congestion? I think not. That's why my patients come to me. It's our little conspiracy. doug , < wrote: > > Here is part 2 of this article. For those who are unclear about what > central premise of new age thinking about health and cosmology this > undermines, it is what Unschuld calls " systematic correspondence. " > This idea has always been at the heart of the practice of acupuncture > since the time of the nei jing. However, it was only broadly applied > to the practice of herbology in china starting in the jin-yuan > dynasties. Prior to that time, according to Unschuld, herbology was > practiced based upon an empirical approach rooted in the Daoists > observation of nature. While some have consider this application of > dogma a leap forward in herbal practice, that is hardly far from > " proven " in any fashion. The fact that some clinical research in > Chinese TCM circles draws upon this dogma to determine its clinical > protocols does not demonstrate that their effectiveness is due to its > application. Until large controlled studies compare the treatment of > various diseases using the differential diagnosis of TCM (in whatever > fashion one thinks it is best applied—simple pattern dx vs. numerous > mutually engendering patterns) against treatment solely according to > western parameters, we cannot really know what determined the > successes reported in TCM-style studies. Perhaps the results would be > just as good if one was treated for a heart condition differentiated > as " blood stasis " by using the single herb dan shen as it would be > by using complex formulas designed to address multiple patterns. In > other words, maybe the complex formulas are effective because one or > two herbs acting upon key biochemical pathways are the active factor > and the rest of the formula provides no substantial benefit or > detriment. There is certainly no harm in using the complex formulas > in such cases, but their effectiveness as determined in even placebo- > controlled clinical audits provides no evidence that the underlying > principles used in their construction are valid. > > http://www.hinduonnet.com/fline/fl2101/stories/20040116001408700.htm > > > > Quote Link to comment Share on other sites More sharing options...
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