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Cultural Legitimacy of Herbs

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On Fri, Jun 27, 2008 at 5:52 AM, <

> wrote:

 

> I think this topic is too important to let a couple of bullies

> intimidate

> everyone. Others thoughts?

>

 

 

 

 

 

I'm not sure who the " bullies " are. Was that in reference to this list?

 

The topic being how to prove the value of CM. The usual method in

biomedicine is randomized placebo controlled double-blind multi-center

studies.

 

I see the use of herbs in Asia to have its own *cultural legitimacy* that we

lack in the West. I know that in Russia, many doctors routinely prescribe

herbs for issues of internal medicine. At least the doctors who treated some

of the people in my life from Moscow. But here in the US, herbs as medicinal

tools are still obviously suspect.

 

Rather than prove herbs' efficacy with the same tools that we use to

establish efficacy of drugs, I propose that we seek to establish a cultural

legitimacy for the use of herbs. What I've tried to do is locate something

familiar in American culture that has rarely been questioned but remains a

common home remedy.

 

So, I researched the history of chicken soup's curative

powers<http://en.wikipedia.org/wiki/Chicken_soup#Curative_powers>.

Some say it arose originally from the writings of Moses

Maimonides<http://en.wikipedia.org/wiki/Moses_Maimonides>,

a 12th century rabbi in Spain. Others point to other sources including

ancient Egypt. One in vitro study even suggests that chicken soup has an

anti-inflammatory effect on the body via slowing the movement of

neutrophils<http://www.chestjournal.org/cgi/content/abstract/118/4/1150/>

..

 

But the point is, Americans have no problem with drinking chicken soup when

we have an upper-respiratory infection. We accept that as beneficial. While

it isn't quite as clear or well developed as the Shang Han Lun, it comes

close to a parallel assumption of efficacy thanks to the cultural legitimacy

of this simple home remedy.

 

I'm trying to look for other culturally accepted home remedies that lack

vast research studies, but that nobody really questions. This is one method

that I hope will help us get herbs into the Western health care system, by

positioning them along side other remedies that are equally " unproven " but

accepted by the larger culture.

 

This " cultural legitimacy " is an important tool, I believe. We all know that

the (usually unfounded) fears of Chinese herbs arise because they are

considered to be unregulated drugs in most doctor's minds. The law (DSHEA)

regulates them more like vitamins, but lack of cultural legitimacy causes

doctors (and to a certain extent, consumers) to see them more as dangerous

drugs.

 

If we can reposition the herbs into something more familiar and comfortable

for people, that may yield positive results for us. I am reminded of the

" Chicken Soup for the Soul: book series. Perhaps we should talk about

Chinese herbs as " Chicken Soup for the Qi " or something. :)

 

Any other ideas as to how to describe Chinese herbs in culturally legitimate

terms?

 

-al.

 

--

, DAOM

Pain is inevitable, suffering is optional.

 

 

 

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Al

Since chicken soup is contraindicated in CM for Gan Mao what do we do with that?

is culturally accepted home remedies work only within its own culture? Or do we

still need to evaluate evidence for these remedies?

 

 

 

 

 

 

 

 

 

 

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Chicken is a warming tonic or something like that, right? I'm not sure what

its CM herbal properties look like, but Chicken soup does enjoy a cultural

legitimacy that isn't questioned here. That's my point. How do we get herbs

out of the " drugs are dangerous " part of our brains to make those " foods are

good for you " connections.

 

This particular conversation is less about medical efficacy or mechanisms

and more about cultural perceptions.

 

On Fri, Jun 27, 2008 at 11:35 AM, Alon Marcus <alonmarcus wrote:

 

> Al

> Since chicken soup is contraindicated in CM for Gan Mao what do we do with

> that? is culturally accepted home remedies work only within its own culture?

> Or do we still need to evaluate evidence for these remedies?

>

>

>

 

 

--

, DAOM

Pain is inevitable, suffering is optional.

 

 

 

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Al,

 

Yes this is precisely what needs to happen. Western approaches fall short in

almost every respect. IF we accept the Western standard then anything that

" hasn't been proven " is considered invalid.

 

The bullies are the ones who invalidate others experience or experiences of know

experts because they have no " proof " to what they claim. Of course we need to

ask for sources, and evaluate these sources, no one is arguing otherwise. But it

is my observation that human observations in many respects is far superior to

these controlled studies. I mentioned this bully concept because I have had

multiple private emails that are afraid to post on the CHA because of this

trend.

 

Your chicken soup example reminds me of my ex-girlfriend from Taiwan. She did

not believe in CM and thought it was a bit hokey. Although interestingly she

routinely made dang gui and he shou wu chicken after her periods. She also would

mention si wu tang soups for post periods. She did not think this was CM, but

just her culture...

 

-Jason

 

 

 

Al Stone

Friday, June 27, 2008 9:58 AM

 

Cultural Legitimacy of Herbs

 

 

On Fri, Jun 27, 2008 at 5:52 AM, <

> wrote:

 

> I think this topic is too important to let a couple of bullies

> intimidate

> everyone. Others thoughts?

>

 

I'm not sure who the " bullies " are. Was that in reference to this list?

 

The topic being how to prove the value of CM. The usual method in

biomedicine is randomized placebo controlled double-blind multi-center

studies.

 

I see the use of herbs in Asia to have its own *cultural legitimacy* that we

lack in the West. I know that in Russia, many doctors routinely prescribe

herbs for issues of internal medicine. At least the doctors who treated some

of the people in my life from Moscow. But here in the US, herbs as medicinal

tools are still obviously suspect.

 

Rather than prove herbs' efficacy with the same tools that we use to

establish efficacy of drugs, I propose that we seek to establish a cultural

legitimacy for the use of herbs. What I've tried to do is locate something

familiar in American culture that has rarely been questioned but remains a

common home remedy.

 

So, I researched the history of chicken soup's curative

powers<http://en.wikipedia.org/wiki/Chicken_soup#Curative_powers>.

Some say it arose originally from the writings of Moses

Maimonides<http://en.wikipedia.org/wiki/Moses_Maimonides>,

a 12th century rabbi in Spain. Others point to other sources including

ancient Egypt. One in vitro study even suggests that chicken soup has an

anti-inflammatory effect on the body via slowing the movement of

neutrophils<http://www.chestjournal.org/cgi/content/abstract/118/4/1150/>

..

 

But the point is, Americans have no problem with drinking chicken soup when

we have an upper-respiratory infection. We accept that as beneficial. While

it isn't quite as clear or well developed as the Shang Han Lun, it comes

close to a parallel assumption of efficacy thanks to the cultural legitimacy

of this simple home remedy.

 

I'm trying to look for other culturally accepted home remedies that lack

vast research studies, but that nobody really questions. This is one method

that I hope will help us get herbs into the Western health care system, by

positioning them along side other remedies that are equally " unproven " but

accepted by the larger culture.

 

This " cultural legitimacy " is an important tool, I believe. We all know that

the (usually unfounded) fears of Chinese herbs arise because they are

considered to be unregulated drugs in most doctor's minds. The law (DSHEA)

regulates them more like vitamins, but lack of cultural legitimacy causes

doctors (and to a certain extent, consumers) to see them more as dangerous

drugs.

 

If we can reposition the herbs into something more familiar and comfortable

for people, that may yield positive results for us. I am reminded of the

" Chicken Soup for the Soul: book series. Perhaps we should talk about

Chinese herbs as " Chicken Soup for the Qi " or something. :)

 

Any other ideas as to how to describe Chinese herbs in culturally legitimate

terms?

 

-al.

 

--

, DAOM

Pain is inevitable, suffering is optional.

 

 

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All,

 

I thought it would be good to share some of the research methods that

Andrew Flower is conducting in London, England right now. He studying

the effectiveness of chinese herbal medicine for endometriosis and is

doing it via a method called the Delphi process. He is using

indivually written prescriptions for each client according to the

differentation of each individual. The delphi process combines the

thinking of all the previous research done on a subject with the

thinking of some of the top thinking practitioners for that

particular subject. Quite a good and thorough technique.

 

Please check out the podcast interview of Andrew here:

http://www.chinesemedicinetools.com/audio-podcasts/adrew-

flower/endometriosis-and-chinese-herbs-first-study-of-its

 

Here is the article Andrew wrote about the delhpi process:

http://www.chinesemedicinetools.com/article-

sharing/endometriosis/using-the-delphi-process-to-develop-practice-

guide

 

Cheers,

Trevor

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Al, good points.

I know for one that I can easily get my patients, who really resist

herbs,to go to the health food store and pick something up there. For

example ,often times COPD patients benefit greatly from Cordyceps and

will take that off the shelves at Whole Foods whereas they would be

reluctant to take it from my pharmacy.

Doug

 

 

(sorry to those that get this twice)

 

Al wrote:

 

> familiar in American culture that has rarely been questioned but

remains a

> common home remedy.

>

> So, I researched the history of chicken soup's curative

> powers<http://en.wikipedia.org/wiki/Chicken_soup#Curative_powers>.

> Some say it arose originally from the writings of Moses

> Maimonides<http://en.wikipedia.org/wiki/Moses_Maimonides>,

> a 12th century rabbi in Spain. Others point to other sources including

> ancient Egypt. One in vitro study even suggests that chicken soup has an

> anti-inflammatory effect on the body via slowing the movement of

>

neutrophils<http://www.chestjournal.org/cgi/content/abstract/118/4/1150/>

> .

> -----

> If we can reposition the herbs into something more familiar and

comfortable

> for people, that may yield positive results for us. I am reminded of the

> " Chicken Soup for the Soul: book series. Perhaps we should talk about

> Chinese herbs as " Chicken Soup for the Qi " or something. :)

>

> Any other ideas as to how to describe Chinese herbs in culturally

legitimate

> terms?

>

> -al.

>

> --

> , DAOM

> Pain is inevitable, suffering is optional.

>

>

>

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