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The Future of Chinese Medicine (iii)
by Zhao Xinxian

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Advantages and Disadvantages of Chinese Medicine

Advantages

1. Clinical and historical experiences for thousands of years

On one hand, Chinese Medicine is always the only iatrology for the existence and multiplies of the Chinese nation in thousands years of Chinese civilization history and has made indelible contribution for the health of Chinese people.

In around 1948, I caught typhoid, which was not called typhoid at that time, and suffered from hyperpyrexia for more than ten days. My parents thought I would not survive. Guided by an old herbalist practitioner, I started to take Chinese herbal medicine, and it cured my illness.

What I am trying to say is that although all Chinese Medicine theories have not been validated by science, the clinical experiences in China for thousands years and their curative effects are incontestable. We cannot doubt Chinese Medicine just because it is not recognized in some countries and the history may prove everything.

On the other hand, it is an important method to develop new medicine by seeking compounds from the natural resources. The probability of success to sort out new medicine from the traditional Chinese herbals include digitalis and Taxol, etc. With thousands of years of clinical historic practice, TCM is improving significantly. For example, in order to develop the medication to cure diabetes, the sorted model for Western medicine shall be found in ten thousand candidate objects, while Chinese Medicine has thousands years of curative experience to cure diabetes with pumpkin and balsam pear with great probability.

2. The health-keeping function of Chinese Medicine-to prolong life

Traditional Chinese practitioners always place importance on the prevention of illness, they emphasize prevention illness and stimulate the premunition of human body. Health care in Chinese Medicine has a long history in China with abundant experiences. Chinese herbal medicines listed as the top-graded product in the "Shen Nong Ben Cao Jing" having tonic function include ginseng, glossy ganoderma, Polygonum multiflorum and the fruit of Chinese wolfberry, etc. There is a story told about Polygonum multiflorum shown as follows.

Once there was an old man seeking for the ways of perpetual rejuvenation. One day, he met an old woman crying at the roadside and asked her the reason. The old woman said that her father struck her. Then the old man was amazed why she had an older father since she herself was so old and asked her: "How are you now?" The woman replied that: "I'm seventy-four". The old man asked the woman to show him her father. The father seemed to be angry with black hairs and hale spirits like his daughter. The old man asked the father: "Why are you so angry?" and was replied "because my mother has beaten me". Upon this word, the old man turned more astonished. At that time, an old woman walked out of the house and the former woman introduced: "This is my grandma." The old man asked the grandma: "Why did you beat your son?" and was replied: "because my mother got angry since my son hit my granddaughter". The old man was astonished because of the longevity of the four generations in the same family, and then he implored the secrets of longevity and was told that they drunk Polygonum multiflorum in water.

It's impossible for us to verify the facticity of the above-said story. But the curative effects of Chinese Medicine and its action in prolonging life and building up bodies should not be doubted. Li Qingyun was the famous Chinese Medicine scholar, as well as one of the famous longevous old man in the world. He was born in 1677 and died in 1933, living for 256 years. At 100, once he won the special governmental hortation for his outstanding achievements in Chinese Medicine. At 200, he still gave lectures in the university. In his life, Li Qingyun had 24 wives with a lot of offspring. He owed his longevity to three reasons: first, to abstain from eating meal for a long term; secondly, to keep calm and sanguine mind; thirdly, to drink the fruit of Chinese wolfberry in water as the tea.

The neoteric research indicates that the Chinese Medicine's tonic function may reinforce the functions of nervous system, improve the physiological aging phenomenon, strengthen the organic immunity, reduce the geriatric diseases frequently occurring, facilitate the organic metabolic functions and to activate the vitality. As society progresses and people's quality of life gradually improve, the people's consciousness of health is changing. It's most people's strong desire to keep health, not to be ill and to improve the quality of life. This is where the advantages of TMC can be found. Therefore, it is one of the main directions for the development of TMC to fully execute the health-keeping function of Chinese Medicine.

3. Whole concept

The theoretical system of traditional Chinese medical science is being formed step by step through long term the clinical practices. This unique theoretical system characterizes by its entire concept and dialectic treatment. Entirety means unitarity and integrity. The traditional Chinese medical science attaches great importance to the unitarity and integrity of human body and the mutual relationship between it and the nature. TCM views human body is an organic entirety, all of its components are indiscerptible in structure and mutual unisonous in terms of function and pathology. At the same time, it realizes the close relation between human body and natural environment. Human keeps normal organic bio-activities in the struggle of acclimatize itself to nature and remold nature. The thought including the unitarity of the external and internal environments and the integrity of the organ itself is called the entire concept. When expatiate upon the physiologic change, pathologic change of human body, diagnosis and treatment of diseases, the traditional Chinese medical science is centralizing on the basic viewpoint of "human body is an organic entirety". This is totally different with the Western doctors' practice to treat symptoms but not the diseases. When the modern laboratory iatrology has come to the molecular level, the people have discovered that the Western medical science based on anatomy cannot cure all diseases. There is a need to study human body and cure illness on the whole level and has to think about the relation between the human being and the nature. Therefore, the macroscopic entire therapeutics is in the ascendant in curing the difficult and complicated illnesses that are impossible for the Western doctors.

In 1970's, I was always harassed by chronic headache and tried all Western medicines that only could lenitively reduce the symptoms and I was afraid of the long term side effects. Later, a friend told me a traditional Chinese prescription and reassured me that it would cure my condition completely after taking it for a monthly. He said that if it failed, he would walk on the road with his head downward. With uncertainty, I tried this prescription and then it worked. It had relieved the symptoms of headache constantly. After one month, it worked like a wonder that my headache healed and never recurred. Excited upon the effect, several colleagues and I began to study and develop the prescription and create the "Zheng Tian Wan" later, one of the leading products of Sanjiu Group. "Zheng Tian Wan" is composed of more than 10 Chinese Medicines including the rhizome of Chuanxiong, red flower, peach kernel, uncaria stem with hooks, Asarum sieboldii and angelica with the effects of removing obstruction in channels, dissolving stasis, invigorating the circulation of blood and nourishing the blood. Analyzed from the point of modern iatrology, "Zheng Tian Wan" may accelerate the composition of the DNA for the heart, kidney, thyroid gland and adrenal gland, etc., assist to shrink the intracerebral blood vessel, reduce the intracranial pressure, and relieve or remove the headache completely. With the pharmacological functions of easing pains, calming and restraining the platelet aggregation, distending blood vessels of brain, improve the microcirculation, increasing the runoff of the brain blood and reduce the blood pressure, a considerable of clinical experimentation shows that Zheng Tian Wan has an excellent curative effects to hemicrania and chronic headache. This fact not only indicated the cooperating tempering relation among the viscera, but also affirmed the scientific nature of the entire concept of Chinese Medicine from the level of molecular biology.

4. Individual viewpoint

Individual viewpoint is the other essential characteristic of traditional Chinese medical science. The Western doctors regard the patients as the individuals among the groups in compliance with a certain diagnosis or therapy, so that they always try to bring the patients into their standard treatment and change various therapeutics into the "standard" pattern. While herbalist practitioners regard every patient as the unique, they treat differently the same illness in different patients differently. Therefore, herbalist practitioners are more acceptable for the patients for their more practicability and pertinence.

5. Economic and convenient with seldom noxious side effects

The economy and convenience of TMC are shown in the two aspects of life expectancy in China and the medical investment. The latest information shows that the life expectancy in China has overrun seventy-three, coming near the level of developed countries, while the investment in the medical and public healthy expense is once one a few dozens. One of the main causes is TCM is popular amongst Chinese people. The information issued by the public healthy departments shows that Chinese Medicine has accounted for 40% of the gross sales volume in the medication sold, which is incomparable for any country in the world. The second cause is that the healthy culture is the effective guarantee of the sound health in body and mind. Chinese Medicine is rooted in the excellent and traditional culture in China that is fusing into people's thoughts and actions. This is the important road for longevity with Chinese feature.


Disadvantages

1. Lack of the modern medical data:

(1) most Chinese Medicine does not have systematic pharmacological and toxicological experimental data, (2) most Chinese Medicine lacks strict contrast test in the clinical research and the objective forced indices to prove its curative effects. The excessive private medical economies bring great difficult for the scientific appraise.

2. Ineffective control over TMC qualities:

Since most Chinese Medicine are composed of two or more ingredients, it's difficult to control the quality in the production course. At present, there are still some technical problems existing, lacking of modern quality standards.

3. Real and fake products coexist:

(1) because the Chinese Medicine formation has a long history and multiform producing areas, so that there is the phenomena of "the dissimilar objects with the same description". Take akebi for the example, there are four kinds of them called quinquefoliolate akebi, dwarf akebi, armand clematis stem. The problems occurring recently mainly involve the Caulis aristolochiae manshuriensis containing the birthworl, the ingredient with strong nephrotoxin. While he Caulis aristolochiae manshuriensis is not the certified product of akebi and has not been stated in the Ben Cao in the past generations. (2) The same Chinese traditional medicine may result in different actual effects with different producing areas, time, part and drug processing method, etc.



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