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Philosophical
Differences Between Chinese and Western Medicine
(Part 3 - Integration of Chinese and Western Medicine)
The first two parts of this article described the major philosophical
differences between Western Medicine and Traditional Chinese Medicine.
Below is a short
summary of the main differences:
TCM uses the inductive
and synthetic method; WM uses the reductive and analytical method. TCM is
individualized; WM is standardized. TCM is experience based; WM is
evidence based. TCM is a summary of clinical observations; WM is the
result of laboratory experimentations.
TCM is a healing art; WM is strictly a
science. TCM emphasizes the role of the body in healing; WM mainly relies
on medication and procedures. TCM uses herbs and natural agents; WM uses
pure chemical compounds. TCM looks at the behavior of the system as a
whole; WM looks at the structure and function of the parts. TCM works to
maintain health; WM manages disease.
In the modern era of science and technique, it is not surprising that WM
has become the main system of medicine while TCM became so called
alternative or complementary medicine.
The open, large, and complex human body system consists of reducible
and non-reducible, linear and non-linear, definite and random, sequential
and non-sequential parts. Thus, it is nearly impossible to understand
the mechanisms of body by using a purely reductive method. The
reductionism of WM distorts the true nature of a complex system, the human
body and this is where the behavioral and experience-based method of TCM
can provide the means to see the body as a whole system. TCM was developed
through thousands of years of "trial and error", and is a
result-based black box model. TCM analyzes multiple variables of
output from the body (the black box) to define the status of the system
(diagnosis). Then, using corrective inputs (treatment herbs) as
intervention, the system is brought back into balance based on trial and
error. The lack of understanding of the detailed internal mechanisms of
the human black box is the shortcoming of the TCM. Thus, it is unable to
study the detailed mechanisms of treatments that are effective.
For the past forty years,
researchers and doctors in China have been developing an integrative
medical system that uses the diagnostic tools of WM to identify the
mechanisms of TCM. The chemical make-up and active ingredients of
thousands of TCM herbal medications have been clearly identified and
studied. In practice, we can now use the anatomical and microbiological
knowledge of WM to explain the concepts of TCM. Combined with the
diagnostic powers of WM and the phyto-pharmacology of TCM, treatment for
infectious diseases such as Hepatitis C can be more individualized and
comprehensive. While treating a WM diagnosed infectious disease, the
integrative treatment not only deals with the etiological factor to
eradicate the pathogenic microbial (WM approach) but also supports the
body's immune function (TCM approach). This integrative approach to
medical care will be very beneficial to the patients it serves.
The integrative method is
the foundation of my protocols for treating viral Hepatitis. In designing
herbal protocols for treating Hepatitis C, I utilize the diagnostic tools
of WM as a guide for finding the corresponding treatment herbs. Phyto-pharmacology
research identifies the active ingredients, which is isolated in the
formulas for increased potency relative to using raw herbs in TCM. Blood
test panels using WM diagnostics monitor the patient’s treatment
progress and the majority of the results have been positive. Although this
type of integrative treatment method is only beginning in the United
States, I feel it is a step in the right direction. As the need for
complementary solutions rise with the incidence of chronic illnesses,
integrative medicine will be leading the search for better healthcare.
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