I don’t visit these boards much anymore but I have managed to wade through tis thread and I may have something to add.
First off, I’m a medical anthropologist with a specialization in communication between Chinese medical practitioners and Bio-medical practitioners. I teach at a school of Chinese medicine (med. history, ethics, Qigong). I’m a bit miffed by the attitude of superiority being expressed by Bio-medical partisans here.
The idea that Bio-medicine is older than 300 years is a bit of a stretch. William Harvey in the 1600’s? It took 200 years for his work on the heart to have a wide enough effect to stop the practice of bloodletting as it was done in Humoral medicine. Pharmacy? Chemistry didn’t even have a nomenclature until 1769 (Lavoisier) let alone a medical focus. Jenner in the 1780’s was beginning to work on something that a modern physician would find familiar. Basically the Bio-medicine that we recognize today didn’t begin until after the changes in aesepsis (hygiene) and anaesthesia after the Crimean war in 1850’s. So saying its older than 150 years what I call extreme arrogance and revisionist power mongering.
Another basic aspect of arguments against Chinese medicine is the religious adherance to experimental verification. The idea that all aspects of knowledge can be revealed by isolation is not a fact, its a belief. Do we really know enough to isolate for blind studies involving humans? Does measuring parts-per-million tell us what a healing experience is? There are a lot of presumptions that go along with the philosophy of logical positivism, superior to simple superstition to be sure, but is that all there is to TCM?
Lets keep in mind that there are medical dossiers in China stretching back to Chunyu yi (215-167 BCE). TCM is based on observation not isolation. If it were a mere 150 years old then this would make it very suspect. However, it is 2500 years of recorded observation, and that gives it some weight.
One thing that I love about these arguments is the dismissal of the effect of the mind. The first problem with this is the religion that supposes the mind and the body are seperate things. This is total FAITH and has no basis in anything other than convenience. Keep in mind that when de Cartes proposed “cogito ergo sum” he was saying “I can doubt all but that I doubt.” The same solopsistic box that thousands of first year philosophy students crawl into. He used God to get out (“God is not an evil genius trying to deceive me.”) do I have to believe in God to believe in Bio-medicine? To dismiss psychosomatic effects of treatments is to miss how virtually all of the healing in the world occurs. While there are truly biological effects from the interaction of chemical substances, why is there so much variation, and what about the statistical left-overs for whom there was no effect?
Yet there is more to this. While acupuncture anaesthesia is used in China, this use is minor. One of the main reasons is that it is a new idea, it doesn’t have many years behind it. However, there are some compelling questions that come out of it. If it is purely psychosomatic that why does acuanaesthesia work on animals? I’m confident that it doesn’t have to do with the belief system of the horse having a tooth extracted.
I love when Bio-medical partisans hint at quackery when talking of TCM yet ignore the massive amount of iatrogenic illness and death caused by modern treatment methods. Imagine a world dominated by TCM where Bio-medicine stepped forward to be judged for viability.
T “How deep?”
B “500 years…, well, 300…, well 150 years.”
T “Hmmm, alright then, is it safe?”
B “Very safe, the safest, only tens of thousands are killed by it each year.”
T “Hmmm, How about etiology (disease causes), what is this 40% idiopathic?”
B “It means no known cause can be determined.”
T “You don’t know?”
B “No bloody idea really, we treat them anyway though.”
T “We’ll be in touch.”
Now don’t get me wrong, I get as ****ed off with apologists who trash the value of Bio-medicine and try to make TCM into some magical healing method of the ancients. Bio-medicine is fabulous for traumatic injury and surgery, and its role in the control of infectious disease is not at all appreciated today. Yet it sort of sucks at issues of aging and chronic disease. “Walk more, and don’t smoke” is a feeble excuse for preventative medicine. Its a product of its culture. Bio-medicine is an industry and suffers from its association to corporate bottom lines, and has done so since the after effects of the Flexnor Report of 1908. I have no doubt that TCM will suffer similarly in years to come.
The idea that one is better than the other begs the question of “for what?” In Canada TCM is not considered “alternative medicine” it is “complementary medicine.” This is an attempt to recognize that it is a valuable and time tested method of healing that offers support for that 150 year old system that gets called “traditional medicine” by those that do not know the past.
The simplistic scientifically styled arguments against TCM that have been presented here are like religious fundamentalism that says you are a believer or a heretic. As an historian I teach that science is from Christianity and carries forward many of its assumptions. Sadly, many of the metaphysical assumptions of tight back-sided puritans are weilded against TCM when these discussions start. Then the defenders reply with anecdotal stories and emotion. When will modern people stop behaving like crusaders and infidels and realize that these medical systems don’t need to satisfy each others criterion. Both are good in their respective spheres.