Good TCM practitioners are much harder to train than Western medicine counterparts. My father is one, every patient needs to have a custom diagnosis and treatment plan tailored to correcting the root causes of illness and can take a long time to achieve, whereas the Western system favours quick immediate results that treat symptoms but might leave the root cause unsolved. I can expand on this more later if need be.
Humor me for a minute, pretend I am an American internal medicine doctor trained in evidence-based medicine and I have a patient with methamphetamine induced chronic heart failure.
I have completed 4 years of undergraduate education, 4 years of medical school, and a 3 year residency, having worked no more than the ACGME mandated maximum of 80 hours a week.
There are guidelines I as a physician must follow for treatment because scientific data supports putting everyone with the diagnosis of chronic heart failure on these medications to reduce their risk of early death. To summarize, these medications lower the amount of work the heart has to do because there isn't any way to actually reverse the damage methamphetamine did to the heart. Evidence shows that these medications statistically significantly decrease the risk of dying.
I also counsel the patient on diet, exercise, and quitting methamphetamine to preserve what heart function they have left.
I refer them to a psychiatry specialist who deals with drug rehabilitation, using that same evidence-based approach of randomized control trials showing that certain medications improve patient's compliance with drug rehabilitation, and certain approaches deal with the root psychological issues that drive patients to use drugs in the first place such as socioeconomic factors.
I also have them follow up with the advanced heart failure clinic of cardiologists who can counsel the patient on a pacemaker if indicated in the future.
I also have them follow up with a nephrologist because they are at risk of developing cardio-renal syndrome and may end up needing dialysis in the future.
I also have them see a palliative care doctor who addresses their quality of life and discusses if they want to continue with taking all these pills or if they would rather stop medical treatment and instead focus on comfort-focused measures like pain control and limiting appointments.
As they are homeless they live within a 5 minute walk to the hospital and keep all their appointments.
The patient still ends up overdosing on methamphetamine and dies.
What would a TCM practitioner do differently, and why must that be specifically done by a TCM practitioner and not standardized as practice for all physicians, assuming it passes scientific rigor?