Does the Center for Evidence-Based Medicine of Traditional Chinese Medicine follow the principle of universality of evidence-based medicine?

The Center for Evidence-Based Medicine of Traditional Chinese Medicine is an institution that Westernizes traditional Chinese medicine. It follows the principle of universality of evidence-based medicine, but it does not apply to traditional Chinese medicine.

Restricted by mechanical reductionism, the drugs at the microscopic level deconstructed or constructed by Western medicine researchers in the laboratory are unknown due to their physical and chemical properties and effects on the human body, and cannot be directly used. Human trials, so it is necessary to carry out in vitro and in vivo animal experiments, and then to randomized controlled clinical trials on humans to gradually verify the clinical effectiveness and safety of the developed drugs. Compared with Western medicine, Chinese medicine does not encounter the problem of verifying the clinical efficacy of unknown drugs, because Chinese medicine uses plants, minerals or animals in their natural original form. "With such a historical choice, Chinese medicine practitioners have already clarified its natural properties such as smell, action parts, efficacy and toxicity, so Chinese medicine can directly formulate prescriptions based on abnormal conditions of the human body in clinical practice. The efficacy of TCM treatment is not determined by laboratory research by scientific researchers like Western medicine, but depends entirely on the accuracy of the four diagnosis and syndrome differentiation and treatment. Whether it is decoction or Chinese patent medicine, its efficacy and safety depend on the subjective initiative of Chinese medicine practitioners in the process of syndrome differentiation and treatment and their grasp of individual constitution.

Syndrome differentiation and treatment are based on the ultimate goal of curing the patient. This process must not only make full use of the subjective initiative of traditional Chinese medicine practitioners, but also fully consider the individual differences in the patient's constitution. Traditional Chinese medicine practitioners will constantly change the prescribed medications according to the differences in the patient's individual constitution and the dynamic changes of the disease until the patient's disease is cured. Syndrome differentiation and treatment are always in a state of real-time and flexible change, and it is impossible to carry out mechanized randomized controlled trials like Western medicine with the goal of evaluating drug efficacy. Although every Chinese medicine practitioner needs to follow syndrome differentiation and treatment in the clinical diagnosis and treatment process, doctors of the past dynasties have clinically explored prescriptions with definite curative effects for certain diseases and syndromes, and the doctors themselves or the government will formulate these prescriptions. Chinese patent medicines in fixed dosage forms such as pills, powders, ointments, and elixirs are available to patients. For example, the "Taiping Huimin Hejiju Prescription" of the Song Dynasty is a comprehensive prescription book of this type of Chinese patent medicines. Since these prescriptions are accumulated by doctors through long-term clinical practice of syndrome differentiation and treatment, their effectiveness and safety can only be guaranteed under the guidance of doctors' syndrome differentiation and treatment. However, the mainstream academic community of modern Chinese medicine is influenced by the ideology of scientism and imitates the Western medicine method of evaluating drug efficacy. It not only requires that newly developed Chinese patent medicines must undergo randomized controlled trials before being put on the market, but also transforms the clinical treatment of Chinese medicine into like Western medicine. Evidence-based medication is about transforming syndrome-differentiated traditional Chinese medicine into evidence-based Western medicine.

The essence of the evidence-based transformation of traditional Chinese medicine is to abandon syndrome differentiation and treatment in the treatment process of traditional Chinese medicine, transform traditional Chinese medicine into Western medicine, and apply it directly in clinical practice according to the diagnosis of Western medicine and the results of randomized controlled trials without syndrome differentiation and treatment. And the effectiveness and safety of Chinese patent medicines are not based on syndrome differentiation and treatment, but are applied based on the evidence of previous randomized controlled trials like Western medicine. This evidence-based approach, without syndrome differentiation and treatment, results in the clinical application of Chinese patent medicines not only having low efficacy, but also producing serious adverse reactions. In recent years, the State Food and Drug Administration has not only failed to correct the evidence-based application of traditional Chinese medicines, but has also included the toxic and side effects caused by the abuse of traditional Chinese medicines without syndrome differentiation and treatment as adverse reactions in the instructions of traditional Chinese medicines. This kind of labeling of adverse reactions violates the theoretical characteristics of traditional Chinese medicine and will not have a positive effect on the patient's health. The evidence-based transformation of traditional Chinese medicine has led to a decrease in clinical efficacy and an increase in adverse reactions. This is not an advancement of traditional Chinese medicine, but a complete setback. Western medicine relies on drugs developed in laboratories by scientific researchers, while traditional Chinese medicine relies on doctors with strong syndrome differentiation and treatment capabilities. The effectiveness and safety of TCM treatment are determined by accurate syndrome differentiation and treatment. To improve the effectiveness and safety of TCM treatment, including the application of Chinese patent medicines, it is necessary to improve the ability of TCM doctors to differentiate and treat diseases; to improve the ability of TCM doctors to differentiate and treat diseases. ability, we must improve the level of existence of the mind of Chinese medicine practitioners. Therefore, to improve the efficacy of traditional Chinese medicine, we need to seek from Confucianism and Taoism, rather than from Western medicine and modern science and technology, and from modern science and technology.

Whether it is SARS or COVID-19, traditional Chinese medicine, which is characterized by syndrome differentiation and treatment, is superior to Western medicine, which is characterized by evidence-based treatment.

With the great renaissance of Chinese culture in the 21st century, the mainstream academic circles of traditional Chinese medicine should establish firm cultural confidence and subject awareness of traditional Chinese medicine, analyze the shortcomings and flaws of evidence-based medicine, and stop transforming advanced syndrome-differentiated medicine into backward evidence-based medicine. , following the development of Western culture step by step. Traditional Chinese medicine, based on the eternal laws of natural change, is not only traditional medicine, but also modern medicine and advanced future medicine. The mainstream academic community of traditional Chinese medicine needs to wake up, re-understand the nature of Western medicine and science with the subject consciousness of traditional Chinese medicine, revise the relationship between traditional Chinese medicine and western medicine, and promote traditional Chinese medicine to an independent development path.

In 2019, the China Academy of Chinese Medical Sciences established the Center for Evidence-Based Medicine of Traditional Chinese Medicine, marking that the concepts and methods of evidence-based medicine in modern medicine began to be officially accepted and entered the implementation stage. In fact, before this organization was established, the traditional Chinese medicine community had already carried out relevant research work and published some meta-analysis papers based on evidence-based research.

If you read some of the articles, you will find that there are serious inaccuracies in the evidence-based research on traditional Chinese medicine literature. Specifically, there are a limited number of randomized controlled double-blind (RCT principles) clinical literature on traditional Chinese medicine. The truth behind claims to perform RCT is not clear, so there are very few documents that meet the requirements. However, no practical method has yet been established for how to deal with non-RCT literature. Analytical processing methods. Therefore, the objectivity and enlightenment of such research should not be overestimated.

Due to differences in physical constitution, evidence-based medicine is more in line with the characteristics of traditional Chinese medicine, which focuses on conditioning and long-term follow-up is the basic principle.

Traditional Chinese medicine’s practice of “evidence-based medicine” and “double-blind experiments” is simply nonsense. This is exactly the pit dug by control and management according to the thinking model of Western medicine. If this continues, Chinese medicine will If you go astray, you may fall into an abyss of eternal destruction in the future. This is exactly what Western medicine and Western interest groups want to achieve. To achieve the true purpose of destroying traditional Chinese medicine. Take the specific prescriptions of traditional Chinese medicine used to treat the SARS epidemic in 2003 and the current COVID-19 epidemic. How are your so-called "evidence-based medicine" and "double-blind experiments" going? Have the results come out? If you still can't explain why to the national government and the people of the world. It can only prove that Western medicine has no qualifications, no ability and technical level in thinking mode, and no right to manage traditional Chinese medicine. I hope they will never get involved in traditional Chinese medicine again in the future. Because Chinese medicine and Western medicine are medicines with different systems and different thinking modes, it will not work if you insist on applying rigid methods.

Is it still traditional Chinese medicine if we follow Xunxun medicine without using Yin-Yang, Five Elements, I Ching and Bagua theory?

Evidence-based medicine of traditional Chinese medicine is different from traditional Chinese medicine. Traditional Chinese medicine is empirical medicine. Evidence-based medicine follows the principle of medical evidence and combining the experience of clinicians and patients. It should be said that it promotes the development of traditional Chinese medicine. trend. I am optimistic about evidence-based medicine. But there's still a long way to go before reaching universality. The China Evidence-Based Center for Traditional Chinese Medicine has only been established for one year, and the provincial universities of traditional Chinese medicine have also just established evidence-based centers. We can only wait and see how far it will develop in the next step.

But it may still be difficult to achieve universality. The difficulty lies in evidence-based treatment, because traditional Chinese medicine relies on dialectical treatment, and it is impossible for every doctor to have the same dialectical view. Whether the evidence-based evidence is based on modern medical methods, personal clinical experience, or patient confirmation is very important. Difficult to grasp accurately.

If it is based on the personal experience of clinicians and is similar to the empirical medicine of traditional Chinese medicine, it is also unrealistic if it relies on the evidence-based theory of modern medicine. Especially in the theory of traditional Chinese medicine, different diseases can be treated together, and the same disease can be treated differently. Each doctor's treatment method is different, which is difficult to measure with medical evidence marks. In fact, every Chinese medicine practitioner is doing evidence-based treatment, but the evidence-based standards are different. If you don’t follow the theoretical principles of Chinese medicine, how can you carry out medical work, including folk medicine. How can diseases be cured without evidence-based medicine? I think evidence-based medicine is just a hype concept? At what point will we be inseparable from the dialectical theory and experience of traditional Chinese medicine? How about taking the path of integrating traditional Chinese and Western medicine?

I believe that the purpose of evidence-based medicine is to scientifically cure diseases; the purpose of traditional Chinese medicine and empirical medicine is also to cure diseases. Empirical medicine is to follow the dialectical theoretical basis of traditional Chinese medicine and combine it with practice to cure diseases and benefit patients. Recognition, this is the proof. The above is my humble opinion. Criticisms and corrections are welcome.

Traditional Chinese medicine cannot use Western-style research methods, nor can it use Western-style selection methods, because the core concepts of traditional Chinese medicine and Western medicine are fundamentally different from the soil.

Traditional Chinese medicine focuses on idealism, the relationship between the spirit and the whole, and the harmonious relationship between nature. It focuses on the dynamics of life and the theory of Qi and pulse, and is based on Confucianism, Buddhism and Taoism. Western medicine, on the other hand, focuses on parts and not on the whole. It is based on materialism and believes that the human body is a machine. If the five internal organs are broken, they should cut them off and replace them without paying attention to maintenance. Even in terms of humanistic ethics, it cannot compare with traditional Chinese medicine, so we can see mice, and Western medicine uses mice for experiments. Western medicine’s anatomy also treats the human body as a machine. However, both Chinese and Western medicine have their own advantages and disadvantages. They should be combined, learn from each other's strengths, innovate on their own, and take Chinese medicine's philosophy of saving people and saving lives, hanging pots to save people, and the benevolence of doctors as the guiding ideology. The above-mentioned treatment is considered to prevent illness, maintain health, and achieve longevity.

Then use the precise treatment of Western medicine as a tool, for surgical practice, for emergency treatment, etc.

Only in this way can our contemporary medicine truly have a soul, a body, and flesh and blood, so that it can truly Make the most of medicine! Benefit all living beings, save all living beings, cure mental and physical illnesses with medicine, make the world harmonious, all things flourish, and the world is unified!

A little messy. What to learn and how to walk?

Western medicine cannot find the root cause of the disease, but in order to give people clear explanations from a rigorous "scientific" attitude, "double blindness" came into being, and later "multiple blindness" appeared, and then again "Evidence-based medicine" and so on are based on facts with unknown premise, and are supported by evidence to prove "safe" and "effective". This "curative effect" is only superficial. If you don't take the medicine, it will relapse. He doesn't say it's ineffective and lets you continue to take it. So if it doesn't work, just take it for a long time. It's a creative "curative effect".

How else?

Traditional Chinese medicine, under the guidance of the "theory" of the sages and masters, uses dialectical treatment on the premise of knowing the root cause of the disease. At the same time, it has also verified thousands of years of prescriptions and medicines, but they can only be adjusted flexibly. The "curative effect" that Chinese medicine emphasizes is the "curative effect". Once you are well, you don't need to take any more medicine. It is called "the disease can be cured by hand" or "the disease can be cured by medicine". All you need to do is "return to nature", understand the essence of the theory thoroughly, and understand the "hidden phenomena".

No matter what method is used, acupuncture, massage, cupping, blood pricking, scraping, medication, or even frightening or beating, the "cure" depends on the "effect".

This "effect", the swelling is gone, the flaccidity is gone, the coughing is gone, the toothache is gone..., it is intuitive and qualitative, so why should we be blind?

In this "new crown", the "efficacy" is just there. Is it necessary to be "double-blind"? Instruments are fine too.

When exporting "Chinese medicine", the "curative effect" is not important, but you have to use his "trap". Isn't this a joke? Rigorous "science" doesn't look at efficacy, but at standards? This ancient man has been satirized into the allusion "Zheng Man Buys Shoes". Nowadays, this purpose of healing people and diseases has become tasteful and a bit ironic under the aura of "science". And we pursue him, how to say that idiom? You cut your feet to fit into the shoes, and they are "little shoes" given to you.

"Efficacy" is always the highest standard of medicine.

The real "evidence-based medicine" does not know the "content", but we learned from reports that the "experts" are identified by name, and the video advertisements are shot and broadcast by commercial units.

This word is not mentioned much these days. The original meaning is correct, but the reality often deviates from the purpose.

This is the result of not understanding the "premise". In this fight against the epidemic and the "new crown", scholars, experts, leaders, the highest "authority" in traditional Chinese and Western medicine, and medical staff, let's fight together, ** *Witnessed together, in full view of everyone, does the "curative effect" of this traditional Chinese medicine need to be "double-blind"? Need "evidence-based"?

It’s clear at a glance.

Traditional Chinese medicine is also "double-blind", and "evidence-based medicine" should be its own "standard", rather than the "double-blind" and "evidence-based" original "standard" of "Western medicine" ( Learning Western medicine is just "surgery" and there is no need for "internal medicine" at all, because "Western medicine" is also very confusing. Why study it? ) If you get involved and don't know who is who, it will be even more troublesome and chaotic. Got the spectrum.

In internal medicine, Chinese medicine regulates qi and pulses, balances yin and yang, and remains true to its principles. And "Western medicine" is to analyze the symptoms of "viruses and germs" and their material components.

Although they treat the same disease in the same human body, Chinese medicine treats it from the root cause. Western medicine treats the disease from its structural appearance. Although the combination of Chinese and Western medicine is effective, it is not as effective as the simple and clear treatment of traditional Chinese medicine alone.

The premise of "integration of Chinese and Western medicine" must be clear about the original basis of traditional Chinese medicine.

The unclear "combination of Chinese and Western medicine", whether you admit it or not, has been "Westernized". If you take the theory of traditional Chinese medicine into account, it is self-created "traditional Chinese medicine".

Traditional Chinese medicine cannot be judged by the rigid routines of Western medicine.

Practice is the only criterion for testing truth, and other standards can be used as reference standards.