Think Tank

Equating traditional Chinese medicine with traditional Chinese medicine is a cognitive limitation

2024-12-09   

Recently, The Lancet published a large-scale clinical research article focusing on the effectiveness of traditional Chinese medicine FYTF919 (Stroke Awakening Brain Oral Liquid) in treating acute cerebral hemorrhage, stating that the drug is ineffective in treating acute cerebral hemorrhage. This article has sparked widespread discussion and controversy in the medical community. The debate mainly involves the experimental methods and actual effects of the drug. Some argue that a negative experimental result means that the efficacy of the drug cannot be verified by randomized double-blind clinical studies, implying that the drug's effect is not good. On the other hand, the opposite view holds that the efficacy of traditional Chinese medicine should not be verified by such research methods. Commentators generally focus on the efficacy of traditional Chinese medicine, and even escalate it into questioning traditional Chinese medicine. Some opinions also believe that the conclusion of the article only indicates that this formula is not suitable for treating acute cerebral hemorrhage, but it does not prove that traditional Chinese medicine is ineffective in treating acute cerebral hemorrhage. From the perspective of clinical doctors, traditional Chinese medicine cannot cover the whole world with just one prescription. This study used traditional Chinese medicine as a diagnostic drug for treating all types of cerebral hemorrhage, which is obviously inappropriate. In fact, traditional Chinese medicine is only one of the six arts of traditional Chinese medicine, and it ranks last among traditional Chinese medicine therapies. Equating traditional Chinese medicine with traditional Chinese medicine is a cognitive limitation. Chinese medicine is not the entirety of traditional Chinese medicine. Traditional Chinese medicine has a long history and rich connotations. In the rich and diverse treatment system of traditional Chinese medicine, drug therapy is only one of them, and it ranks last based on the degree of "damage" to patients. Traditional Chinese medicine treatment can be divided into six systems, namely "six arts of traditional Chinese medicine", namely, guiding, pressing the needle, moxibustion, acupuncture and moxibustion, stone needle, and medicine. Firstly, guidance. Guidance is a non physical contact therapy method that relies on daily "exercises" such as standing on a stake, meditation, and movement. By guiding the internal qi and blood flow of the human body through thoughts, and perceiving the strength, weakness, deficiency, and excess of organs, the therapeutic effect can be achieved. Guidance can make patients feel most comfortable, suitable for a wide range of people, and the treatment speed depends on the individual ability of the doctor. Secondly, press the stilts, that is, massage, massage. Some doctors mistakenly classify guidance as massage, such as the so-called meridian guidance technique, acupoint guidance technique, etc., and any technique that involves physical contact is called pressing. In this method, attention is paid to the patient's comfort during the treatment process, which can be used to determine the doctor's medical level. Skilled practitioners can even treat diseases by just touching their hair. Thirdly, moxibustion. Modern moxibustion often uses moxa to produce moxa, and achieves therapeutic goals by igniting moxa to fumigate acupoints, meridians, or specific areas. The main difference between traditional moxibustion and modern moxibustion lies in the production process. Traditional moxibustion is often made using traditional Chinese medicine, and the medicinal properties are transmitted to the body through heat. Compared to guidance and acupressure, moxibustion can cause irritation to the skin and has requirements for physical fitness. Moxibustion belongs to the nature of warming and tonifying, and is suitable for those with weak yang and qi constitution, but it is not conducive to those with strong solid fire. Fourth, acupuncture and moxibustion. Everyone has heard of acupuncture and moxibustion. Acupuncture or fire moxibustion is used to smooth the movement of qi and blood, so as to cure diseases. Acupuncture and moxibustion is also a representative work of human intangible cultural heritage recognized by UNESCO. It should be emphasized that acupuncture and moxibustion therapy is not "tonifying" but "unblocking". Some commentators believe that acupuncture and moxibustion can replenish qi, which is actually because the patient's own symptoms are deficiency syndrome, but there is congestion in the body. After acupuncture and moxibustion is unblocked, the qi and blood flow is smooth, and the essence, qi and spirit become better. It seems that the method of replenishing is actually the method of unblocking. In addition, there is also the phenomenon that some acupuncture and moxibustion doctors do not practice according to the theoretical system of traditional Chinese medicine. Number five, Bianshi. There is a significant difference in modern people's understanding of Bianshi compared to ancient times. Nowadays, Bianshi is mostly used for scraping or hot compress. Traditional Chinese medicine, on the other hand, involves breaking the Bian stone into pieces and using a sharp face to puncture the blood vessels, known as blood letting therapy, which is more effective for acute, severe pain and stasis. However, due to its large wound size, its applicability is also the smallest. Sixth, medicine. Medicine ranks last because the first five are all external physical methods, while traditional Chinese medicine is a method of orally entering the body and acting on internal organs. Traditional Chinese medicine has three parts of toxicity. Although it acts on the internal organs, it can also have certain side effects and damage to the internal organs, so it ranks last. It should be noted that with the changes of the times and market demand, the production of traditional Chinese medicine is different from traditional methods. In the past, it was mostly wild medicinal materials, while modern Chinese medicine is mostly artificially cultivated, with a short growth cycle and a tendency to weaken its efficacy. But this does not mean a weakening of the efficacy of traditional Chinese medicine. Taking the stroke disease discussed this time as an example, its underlying causes are diverse, fundamentally due to insufficient yang qi and deficiency of positive qi and vital energy. As long as accurate diagnosis is made and corresponding tonifying or promoting methods are adopted based on the deficiency and excess syndrome, traditional Chinese medicine treatment of stroke is not difficult. In addition, in the traditional Chinese medicine system, treatment is crucial, and syndrome differentiation is also very important. Many patients have similar symptoms, but their etiology and pathology are completely different. Therefore, a qualified traditional Chinese medicine practitioner cannot rely on data, but needs to flexibly adjust treatment plans based on the individual's physical condition. This is why traditional Chinese medicine not only focuses on consultation, but also on observation, smell, and palpation. (New Society)

Edit:Luo yu Responsible editor:Wang er dong

Source:china.com

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