Just to be clear, I'm not a TCM practitioner. What I know is that TCM theory focuses on restoring and strengthening your body's internal functions. If someone is so far gone with drug addiction to the point they can't quit even with impending heart failure then TCM will not be able to save them either, as the continued intake of meth would override any gains acupuncture and herbal treatments would offer.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?
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?
I wonder how much of these achievements are driven by the CNC machine sanctions by the west.
Because TCM like other remedies without the same kind of evidence based practice is often still allowed and permitted alongside evidence based medicine if a patient chooses to go for it if there are no discernable harms to the provision of evidence based medicine.
And if they decline evidence based medicine in favour of alternative treatments, while that is disappointing for evidence based medical practitioners, they also have the autonomy to choose what they do and do not want within the confines of the law.
My view is that so long as TCM advances and societal acceptance doesn't override the pace of advance and societal acceptance of evidence based medicine, it doesn't really matter. And it's not like China isn't a biomedical powerhouse.
My dad was trained in both conventional Western medicine and TCM while practicing in Nanning, he also understands both complement each other by covering each other's shortcomings. I wouldn't expect this idea of multidisciplinary cooperation to change.My worry is that instead of turning into a parallel track like the history of osteopathic medicine(DO) in the west, where they now take the same exams and have the same scientific knowledge base/training/prescriptions as regular MDs + some crunchy osteopathy training, it will turn into an India situation where cow piss aryuveda and homeopathy competes with genuine medicine.
You can see this happening in the West where charlatans are lobbying the government for more and more practice privileges without the liability/responsibility, clinical experience, or basic knowledge of how the human body or medicines works.
remember the goal of CNC sanctions was to stop Chinese development of advanced weapon system. It actually worked decently when you consider that Chinese aeroengine and nuclear submarines haven't been all that capable until past 5 years.I'd say most of it. If China didn't get CNC sanction, very likely China still very much dependent on German, US and Japan on high end CNC machine
My worry is that instead of turning into a parallel track like the history of osteopathic medicine(DO) in the west, where they now take the same exams and have the same scientific knowledge base/training/prescriptions as regular MDs + some crunchy osteopathy training, it will turn into an India situation where cow piss aryuveda and homeopathy competes with genuine medicine.
You can see this happening in the West where charlatans are lobbying the government for more and more practice privileges without the liability/responsibility, clinical experience, or basic knowledge of how the human body or medicines works.