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Traditional Chinese "Medicine" - Acupuncture

  • 09-04-2013 9:09am
    #1
    Registered Users, Registered Users 2 Posts: 1,624 ✭✭✭


    The Irish Times today coughed up this infuriating work of Ignorance...

    In which it actually equates our understanding on how Kidney's work equally to TCM's view.
    Many people have a vague idea that traditional Chinese medicine (TCM) is based on a completely different understanding of the body than western medicine. For instance, in western medicine, the kidneys are organs that preserve the chemical balance of blood by filtering it and producing urine. In TCM, however, the kidneys store the body’s “essence” and produce marrow and manufacture blood.

    It could do with perhaps a little disclaimer: "if you were to implement treatments based on TCM, you'd be murdering people"

    Honestly... how do people conjure up the ignorance needed to fall for this!


Comments

  • Closed Accounts Posts: 27,857 ✭✭✭✭Dave!


    FFS

    Ah, well - by week's end they'll publish a letter or article by David Robert Grimes responding to that

    I'll probably write a letter too. They never publish my sh*t though :( Which I think is the greatest injustice of all


  • Closed Accounts Posts: 27,857 ✭✭✭✭Dave!


    Just sent my letter!

    edit

    If anyone cares
    Sir,

    Sylvia Thompson's article ("Understanding acupuncture through eastern and western medical traditions", 9th April) quotes Richard Halvorsen as saying: "I no longer believed literally what I was being taught but saw this way of explaining the body as a template on which to devise a traditional Chinese treatment." If the explanation is not literally true, then it serves only as a distraction from the literal understanding of the physical body, which has guided the medical advances we have seen since modern medical research began.

    It is also amusing to see the article reference Deirdre Murphy's indignation at the bastardisation of acupuncture by its use as an "add-on" treatment rather than strict adherence to the principles of TCM. The notions of an essence, acupuncture points and meridians have no basis in science; they are entirely theoretical and unsubstantiated ideas. In reality, studies show that in blinded experiments where the subject can't see what they are being treated with, a toothpick pushing on a random location on the skin—so-called "sham" acupuncture, a tautology if ever I heard one—is just as efficacious as a needle being carefully inserted into the specific acupuncture point.

    Yours, etc.,


  • Moderators, Category Moderators, Arts Moderators, Sports Moderators Posts: 50,890 CMod ✭✭✭✭magicbastarder


    i've always understood that acupuncture does stand out in that there are effects which cannot be easily explained.

    TCM is another matter - especially in that it's difficult to get TCM which lives up to the T in TCM - i think it was in ben goldacre's 'bad science' that he mentioned that most TCM remedies tested included prescription medicine - including some samples containing medicine licenced only for the use in the terminally ill.


  • Closed Accounts Posts: 31,967 ✭✭✭✭Sarky


    The human nervous system is complex and messy, and bits link to other bits for no particular reason, so you can scratch an itch on your cheek and suddenly you develop an itch on your foot. It's certainly plausible that sticking needles here and there could have useful effects on other parts of the body.


  • Posts: 0 ✭✭✭✭ [Deleted User]


    Sarky wrote: »
    The human nervous system is complex and messy, and bits link to other bits for no particular reason, so you can scratch an itch on your cheek and suddenly you develop an itch on your foot. It's certainly plausible that sticking needles here and there could have useful effects on other parts of the body.
    But acupuncture works on a pre-scientific notion that there is a system of mystical energy lines running through the body and that blockages in these energy lines are what cause various diseases and aliments and these blockages can be removed by manipulating various points in this system.

    However in trials, it is shown that acupuncture is just as effective if you don't use the right points and simply stick needles wherever or when you use fake needles that never actually break the skin.


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  • Closed Accounts Posts: 25,848 ✭✭✭✭Zombrex


    Sarky wrote: »
    The human nervous system is complex and messy, and bits link to other bits for no particular reason, so you can scratch an itch on your cheek and suddenly you develop an itch on your foot. It's certainly plausible that sticking needles here and there could have useful effects on other parts of the body.

    I would rather those doing the sticking had a bit better understanding of why that was happening than ancient mystical notions.

    Imagine if your doctor prescribed you a drug and then told you the way to work out how much to take each day was to measure the size of the moon in relation to Jupiter.

    While you would probably say it is plausible the drug will do something, your doctors explanation of the mechanics would not fill you with a lot of confidence :p


  • Closed Accounts Posts: 25,848 ✭✭✭✭Zombrex


    The Irish Times today coughed up this infuriating work of Ignorance...

    In which it actually equates our understanding on how Kidney's work equally to TCM's view.



    It could do with perhaps a little disclaimer: "if you were to implement treatments based on TCM, you'd be murdering people"

    Honestly... how do people conjure up the ignorance needed to fall for this!

    The privilege that ancient medicine gets by just sticking "eastern" or "Chinese" in front of it truly is baffling. Imagine if you said Try this remedy, it is what pig farms in 4th century Britain were rubbing on their faces to prevent small pox. People would recoil in horror.

    I can't work out if this is some sort of reverse racism (we can't say they didn't know what they were doing, that would be racist), or this notion of the noble mysticism of far away lands.


  • Closed Accounts Posts: 31,967 ✭✭✭✭Sarky


    Oh I'm not defending the mystical voodoo stuff. I'm suggesting what usually happens: People happen across something that works, and associate all the wrong stuff with it. Most of the time folk remedies that actually work tend to have some reason for their working. Some mystical oriental drink might be full of antioxidants or contain bacteria that complement the gut fauna of immunocompromised people, things like that.

    Any useful effects of acupuncture are probably bound up in a mess of nerve bundles, placebo effects and other such factors.


  • Moderators, Society & Culture Moderators Posts: 25,558 Mod ✭✭✭✭Dades


    My missis used to get acupuncture years ago. She even had one of those pin things they put in your ear. Worked for her. (Though of course toothpicks might have too...)


  • Closed Accounts Posts: 25,848 ✭✭✭✭Zombrex


    King Mob wrote: »
    But acupuncture works on a pre-scientific notion that there is a system of mystical energy lines running through the body and that blockages in these energy lines are what cause various diseases and aliments and these blockages can be removed by manipulating various points in this system.

    However in trials, it is shown that acupuncture is just as effective if you don't use the right points and simply stick needles wherever or when you use fake needles that never actually break the skin.

    Or in other words, placebo effect :)


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  • Registered Users, Registered Users 2 Posts: 4,698 ✭✭✭Gumbi


    Zombrex wrote: »
    Or in other words, placebo effect :)

    Actually, I think acupuncture has been shown to be slightly effective more than a placebo in studies.


  • Posts: 0 ✭✭✭✭ [Deleted User]


    Gumbi wrote: »
    Actually, I think acupuncture has been shown to be slightly effective more than a placebo in studies.
    It's been shown to be a placebo as it is as effective whether or not the needles actually break the skin.
    Some placebos are more effective than others, such as two pills are better than one and an injection are better than pills.
    Acupuncture is a very effective placebo, but it's still a placebo. And it certainly isn't magic.


  • Registered Users, Registered Users 2 Posts: 22,412 ✭✭✭✭endacl


    I went for acupuncture once. To be honest, I felt a bit of a prick...


  • Registered Users, Registered Users 2 Posts: 22,412 ✭✭✭✭endacl


    Zombrex wrote: »
    The privilege that ancient medicine gets by just sticking "eastern" or "Chinese" in front of it truly is baffling.
    Absolutely. And tell somebody to keep looking even farther east to find effective remedies, until they arrive at actual medicine and they'll look at you like you've two heads.

    :confused:


  • Closed Accounts Posts: 2,019 ✭✭✭nagirrac


    There were hundreds of clinical trials run on acupuncture between the 1960s and mid 90s. I'm convinced its placebo as well, but the interesting thing is its cultural driven placebo. All the Asian studies demonstrated a positive therapeutic effect according to the studies (scientists running the research remember), while only 56% in Europe demonstrated a benefit. Because its so ingrained in their culture, at the individual level they repond better to it. Its fascinating, its actually even more fascinating how many in the West claim a benefit.


  • Moderators, Society & Culture Moderators Posts: 24,427 Mod ✭✭✭✭robindch


    nagirrac wrote: »
    There were hundreds of clinical trials run on acupuncture between the 1960s and mid 90s. I'm convinced its placebo as well, but the interesting thing is its cultural driven placebo. All the Asian studies demonstrated a positive therapeutic effect according to the studies (scientists running the research remember), while only 56% in Europe demonstrated a benefit. Because its so ingrained in their culture, at the individual level they repond better to it. Its fascinating, its actually even more fascinating how many in the West claim a benefit.
    UI don't have the details to hand, but studies into this difference have shown that Asian studies which demonstrate the efficacy of acupuncture suffer from significant Selection Bias (during the tests themselves) and significant Publication Bias (once the tests are completed).

    These two biases adequately explain the reported differences between European studies and Asian studies.


  • Registered Users, Registered Users 2 Posts: 4,698 ✭✭✭Gumbi


    robindch wrote: »
    UI don't have the details to hand, but studies into this difference have shown that Asian studies which demonstrate the efficacy of acupuncture suffer from significant Selection Bias (during the tests themselves) and significant Publication Bias (once the tests are completed).

    These two biases adequately explain the reported differences between European studies and Asian studies.
    This is true.


  • Registered Users, Registered Users 2 Posts: 26,578 ✭✭✭✭Turtwig


    Kind of off topic here. I remember reading somewhere that the placebo was still a questionable phenomenon. If you could control variables better and employed better statistical analysis it disappears completely. What is considered placebo is in fact just a fluke of statistics and bad analysis. Anyone come across this train of thought before? :o


    /hypocrite.


  • Moderators, Category Moderators, Arts Moderators, Sports Moderators Posts: 50,890 CMod ✭✭✭✭magicbastarder


    where did you read that? kinda runs contrary to most of what i've read about placebos.


  • Closed Accounts Posts: 2,019 ✭✭✭nagirrac


    Jernal wrote: »
    Kind of off topic here. I remember reading somewhere that the placebo was still a questionable phenomenon. If you could control variables better and employed better statistical analysis it disappears completely. What is considered placebo is in fact just a fluke of statistics and bad analysis. Anyone come across this train of thought before? :o

    If anything the placebo effect is getting stronger. I have spent a fair bit of time around the Pharma industry and can confirm the attached article is pretty accurate.

    http://www.wired.com/medtech/drugs/magazine/17-09/ff_placebo_effect?currentPage=all


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  • Closed Accounts Posts: 2,019 ✭✭✭nagirrac


    robindch wrote: »
    UI don't have the details to hand, but studies into this difference have shown that Asian studies which demonstrate the efficacy of acupuncture suffer from significant Selection Bias (during the tests themselves) and significant Publication Bias (once the tests are completed).

    These two biases adequately explain the reported differences between European studies and Asian studies.

    I won't argue the bias claim as I have not seen any data on it, but if the placebo effect is triggered by an "expectation of getting better", would you not expect that effect to be greater in a culture where there is stronger belief in the efficacy of acupuncture?


  • Closed Accounts Posts: 27,857 ✭✭✭✭Dave!


    nagirrac wrote: »
    I won't argue the bias claim as I have not seen any data on it, but if the placebo effect is triggered by an "expectation of getting better", would you not expect that effect to be greater in a culture where there is stronger belief in the efficacy of acupuncture?

    It's not that simple necessarily. Acupuncture is probably a mundane and common procedure in Asia, but in the context of Western society it is quite novel, and you also have the baggage of it being from an "ancient culture", which gives any treatment an extra bit of respectability for the kind of people who would indulge in this kind of thing. These factors could easily feed into any placebo effect.


  • Closed Accounts Posts: 27,857 ✭✭✭✭Dave!


    Jernal wrote: »
    Kind of off topic here. I remember reading somewhere that the placebo was still a questionable phenomenon. If you could control variables better and employed better statistical analysis it disappears completely. What is considered placebo is in fact just a fluke of statistics and bad analysis. Anyone come across this train of thought before? :o


    /hypocrite.
    That argument is outlined here. I'm not sure I buy it, would need to read up more.


  • Registered Users, Registered Users 2 Posts: 2,370 ✭✭✭Knasher


    Jernal wrote: »
    Kind of off topic here. I remember reading somewhere that the placebo was still a questionable phenomenon. If you could control variables better and employed better statistical analysis it disappears completely. What is considered placebo is in fact just a fluke of statistics and bad analysis. Anyone come across this train of thought before? :o
    Well considering that the placebo effect generally applies to subjective measures of health, like pain, rather than objective measures, like blood pressure, I tend to regard to regard the placebo effect as bias in the results more than anything else. Though for subjective effects it is questionable if the distinction really matters. Consider as well that the placebo effect has been observed in pets, who really shouldn't have a exception of getting better which could lead to an actual improvement, I'd definitely regard the placebo effect a bias on the part of their owners.

    I just can't think of any way of eliminating that bias. You could eliminate the subjects side by experimenting on them without their knowledge or consent, possible but unethical. But I can't imagine how you would eliminate the bias on the researcher side.


  • Registered Users, Registered Users 2 Posts: 1,312 ✭✭✭Paramite Pie


    Zombrex wrote: »
    Or in other words, placebo effect :)

    Placebo?? Then why did acupuncture work better than actual medication for my acne?... (I was a skeptic too:cool:)

    I'd been an antibiotics for years, then referred to a dermatologist for roaccutane treatment (which has an extremely high sucess rate) which worked well for a while, then it came back and I got a second round of treatment. Someone had suggested acupuncture and I scoffed at the idea.

    My acne came back once again (though maybe not quite as bad but stubborn case none the less) and I finally tried traditional Chinese medicine since I was at a loss. I took their stinky herbs (tasted gross) and let them poke me with needles once a week.

    For the first month I was constantly thinking I was wasting my money but though I'd see it through.

    Within 2 months my skin was glowing, not just clear from blemishes but positively glowing! Their explanations might be silly and medieval but the results are quite effective... I don't think they know how it works either:D


  • Registered Users, Registered Users 2 Posts: 4,698 ✭✭✭Gumbi


    Placebo?? Then why did acupuncture work better than actual medication for my acne?... (I was a skeptic too:cool:)

    I'd been an antibiotics for years, then referred to a dermatologist for roaccutane treatment (which has an extremely high sucess rate) which worked well for a while, then it came back and I got a second round of treatment. Someone had suggested acupuncture and I scoffed at the idea.

    My acne came back once again (though maybe not quite as bad) and I finally tried traditional Chinese medicine since I was at a loss. I took their stinky herbs (tasted gross) and let them poke me with needles once a week.

    For the first month I was constantly thinking I was wasting my money but though I'd see it through.

    Within 2 months my skin was glowing, not just clear from blemishes but positively glowing! Their explanations might be silly and medieval but the results are quite effective...:D

    Err, please tell me you're being sarcastic? Assuming your story is accurate, what's to say it's not confirmation bias?


  • Registered Users, Registered Users 2 Posts: 9,514 ✭✭✭TheChizler


    Gumbi wrote: »
    Err, please tell me you're being sarcastic? Assuming your story is accurate, what's to say it's not confirmation bias?

    Or even that you just grew out of it?...


  • Registered Users, Registered Users 2 Posts: 4,698 ✭✭✭Gumbi


    TheChizler wrote: »
    Or even that you just grew out of it?...

    I could go on, too...


  • Closed Accounts Posts: 25,848 ✭✭✭✭Zombrex


    Placebo?? Then why did acupuncture work better than actual medication for my acne?... (I was a skeptic too:cool:)

    Who said it did?
    I'd been an antibiotics for years, then referred to a dermatologist for roaccutane treatment (which has an extremely high sucess rate) which worked well for a while, then it came back and I got a second round of treatment. Someone had suggested acupuncture and I scoffed at the idea.

    My acne came back once again (though maybe not quite as bad but stubborn case none the less) and I finally tried traditional Chinese medicine since I was at a loss. I took their stinky herbs (tasted gross) and let them poke me with needles once a week.

    For the first month I was constantly thinking I was wasting my money but though I'd see it through.

    Within 2 months my skin was glowing, not just clear from blemishes but positively glowing! Their explanations might be silly and medieval but the results are quite effective... I don't think they know how it works either:D

    Again why do you think this was the acupuncture?


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  • Closed Accounts Posts: 506 ✭✭✭Waking-Dreams


    Paramite Pie, I'd invite you read up on this which will explain your testimonial.

    http://en.wikipedia.org/wiki/Post_hoc_ergo_propter_hoc

    I used to be plagued with warts on my hands as a teenager. Then a relative suggested I write some message (can’t remember what it was exactly) on a piece of paper, wrap it around a stone and bury it in the ground somewhere that I would then walk over each day. Eventually, the warts disappeared and I was convinced that method must have done it. But how could I really be sure? Maybe the warts would have disappeared had I done nothing as well...

    It’s easy to fall into the trap of thinking “after this, therefore because of this” but don't be fooled by it.


  • Registered Users, Registered Users 2 Posts: 1,312 ✭✭✭Paramite Pie


    TheChizler wrote: »
    Or even that you just grew out of it?...
    :rolleyes:

    Grew out of it? (I find that quite insulting... I'm not naive. If my acne hadn't come back we could've considered that option)

    It cleared up my acne for 2 years but it's coming back now and I plan to get a repeat session for accupuncture. I will not grow out of this until I'm in my 40s judging by my relatives.

    My mum had acne into her 40s and so did two of my uncles. I went for accupuncture at the age of 24.. this is adult acne (though it started in my teens) so theirs nothing to grow out of!
    Gumbi wrote: »
    Err, please tell me you're being sarcastic? Assuming your story is accurate, what's to say it's not confirmation bias?

    My story is accurate, acne runs in the family. It's something that can still flare up (i'm 26 now) and I will probably struggle with it for decades to come according to my dermatologist. I will never be cured but I can certainly manage the condition.

    I fail to see how it's confirmation bias? I'm just saying it seemed to treat my acne and that I don't know how it works but other treatments weren't as sucessful. When I tried roaccutane (the most powerful treatment known) my acne was back within a few months. I was told that it would cure my condition permanently.
    Zombrex wrote: »
    Again why do you think this was the acupuncture?

    There were no other variables to consider. Nothing else had changed, not my diet nor did I try any treatments. I think it was the herbs they brewed for me as it gave me the ****s alot. Not sure how much effect the needles had but it was relaxing and since stress can aggravate acne the needles may have helped in that way.

    The acne stayed away for 2 years which is the longest ever and while I was on it my complexion was nothing short of stunning.

    I simply don't think this was a placebo effect since I've tried the real stuff too.
    It’s easy to fall into the trap of thinking “after this, therefore because of this” but don't be fooled by it.

    It's easy to be skeptic too. I don't believe in "Chi" but somehow this treatment was effective for me. More so than what my dermatologist could do back when I was 18. Your link was irrelevant to my case in my opinion. I had previously given up on treatments for a long time and that had done nothing. I never claimed this was a miracle cure but for the duration of my treatment I had flawless skin. I was in good condition for a long time after but the acne eventually came back after 2 years (although not as bad).

    It helped me manage my condition better than pills which had many side effects like nose bleeds, dry skin, mood swings and risked damaging my liver.


  • Registered Users, Registered Users 2 Posts: 9,514 ✭✭✭TheChizler


    :rolleyes:

    Grew out of it? (I find that quite insulting... I'm not naive. If my acne hadn't come back we could've considered that option)

    It cleared up my acne for 2 years but it's coming back now and I plan to get a repeat session for accupuncture. I will not grow out of this until I'm in my 40s judging by my relatives.

    We can only go on what you tell us, please don't berate me for not knowing that it came back, you didn't say that before now. I fail to see how it's insulting, and I'm sorry if you feel that way, but acne is highly coincident with adolescence, and you did grow out of that.


  • Registered Users, Registered Users 2 Posts: 1,312 ✭✭✭Paramite Pie


    TheChizler wrote: »
    We can only go on what you tell us, please don't berate me for not knowing that it came back, you didn't say that before now. I fail to see how it's insulting, and I'm sorry if you feel that way, but acne is highly coincident with adolescence, and you did grow out of that.

    I am sorry for that, but if I had thought I had possibly grown out of it then I probably wouldn't have posted in this thread. It just seems like such an obvious thing, and I wouldn't have over-looked that even if it had never come back.

    All those replies asking if I was being sarcastic or instantly shooting down my experience (despite myself being the only person in the thread thus far with first-hand experience of the subject) just got to me. My apologies.:o

    I understand acupuncture should be regarded with skepticism but some people were acting as if I had simply pulled the story out of thin air with nothing to back it up. I honestly felt like you guys were all berating me and I was just feeling defensive.


  • Registered Users, Registered Users 2 Posts: 4,698 ✭✭✭Gumbi


    I am sorry for that, but if I had thought I had possibly grown out of it then I probably wouldn't have posted in this thread. It just seems like such an obvious thing, and I wouldn't have over-looked that.

    All those replies asking if I was being sarcastic or instantly shooting down my experience (despite myself being the only person in the thread thus far with first-hand experience of the subject) just got to me. My apologies.:o

    I understand acupuncture should be regarded with skepticism but some people were acting as if I had simply pulled the story out of thin air with nothing to back it up. I honestly felt like you guys were all berating me.

    Nobody acted like you pulled it out of thin air. Indeed, I assumed you were telling the truth.


  • Closed Accounts Posts: 506 ✭✭✭Waking-Dreams


    Paramite Pete, what are your thoughts on the fact that in many studies “sham” acupuncture seems to produce the same results as “real” acupuncture? As Ben Goldacre once commented on such a study:

    There was no statistically signficant difference between proper, genuine ancient wisdom acupuncture, and fake, “bung a needle in, anywhere you fancy, with a bit of theatrical ceremony” acupuncture.

    (Source: http://www.badscience.net/2007/09/542/#more-542)

    You said: “Not sure how much effect the needles had but it was relaxing and since stress can aggravate acne the needles may have helped in that way”.

    So perhaps it was just seeking any alternative treatment which offers relaxation and de-stressing that could have done it, no? I’m just genuinely curious why you are defending acupuncture when you openly admit you don’t believe in Chi, etc. but after trying it you think it banished your acne for some time.

    Your acne may have diminished after the treatment but like I said earlier, how do you know it was the needles and not just the act of going to receive any alternative treatment?


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  • Registered Users, Registered Users 2 Posts: 1,821 ✭✭✭18AD




  • Registered Users, Registered Users 2 Posts: 1,624 ✭✭✭SebBerkovich


    18AD wrote: »

    Dr. Ladan Eshkevari, who published the study has also published 4 other studies proving various benefits of acupuncture. She also happens to be a certified acupuncturist.

    I'm not completely dismissing the research based on this, but i think there's the possibility that she may have an unfair interest in this study's positive conclusions.

    ....ALSO the study was part funded by the (absurdly named) National Institutes of Health's National Center for Complementary and Alternative Medicine. This is an agency that has been "studying" alternative medicine so intensely since they formed 1991 that they've e neither succeeded in demonstrating the efficacy of a single alternative method, nor declared any alternative medicine treatment ineffective.


  • Registered Users, Registered Users 2 Posts: 22,799 ✭✭✭✭Akrasia


    :rolleyes:

    Grew out of it? (I find that quite insulting... I'm not naive. If my acne hadn't come back we could've considered that option)

    It cleared up my acne for 2 years but it's coming back now and I plan to get a repeat session for accupuncture. I will not grow out of this until I'm in my 40s judging by my relatives.

    My mum had acne into her 40s and so did two of my uncles. I went for accupuncture at the age of 24.. this is adult acne (though it started in my teens) so theirs nothing to grow out of!



    My story is accurate, acne runs in the family. It's something that can still flare up (i'm 26 now) and I will probably struggle with it for decades to come according to my dermatologist. I will never be cured but I can certainly manage the condition.

    I fail to see how it's confirmation bias? I'm just saying it seemed to treat my acne and that I don't know how it works but other treatments weren't as sucessful. When I tried roaccutane (the most powerful treatment known) my acne was back within a few months. I was told that it would cure my condition permanently.



    There were no other variables to consider. Nothing else had changed, not my diet nor did I try any treatments. I think it was the herbs they brewed for me as it gave me the ****s alot. Not sure how much effect the needles had but it was relaxing and since stress can aggravate acne the needles may have helped in that way.

    The acne stayed away for 2 years which is the longest ever and while I was on it my complexion was nothing short of stunning.

    I simply don't think this was a placebo effect since I've tried the real stuff too.



    It's easy to be skeptic too. I don't believe in "Chi" but somehow this treatment was effective for me. More so than what my dermatologist could do back when I was 18. Your link was irrelevant to my case in my opinion. I had previously given up on treatments for a long time and that had done nothing. I never claimed this was a miracle cure but for the duration of my treatment I had flawless skin. I was in good condition for a long time after but the acne eventually came back after 2 years (although not as bad).

    It helped me manage my condition better than pills which had many side effects like nose bleeds, dry skin, mood swings and risked damaging my liver.
    'In my experience' is the worst way to evaluate medical efficacy
    Even for very experienced GPs or specialists, relying on your own observations in your own experience is a terrible way of coming to a reliable conclusion about what treatments work best.

    The thing about illness is that we have our own immune system which is constantly working away and effecting our health.

    When we choose one course of treatment for a condition, the treatment could be either
    A) effective
    B) detrimental
    C) no effect

    At the same time, our immune response to the condition is also having an effect and is either,
    A) worsening the symptoms (sometimes the immune response to a condition can cause adverse symptoms either as part of the cure, or as an auto-immune disease)
    B) Overcoming the condition and reducing symptoms
    C) Not having any effect

    For individual cases, sometimes the treatment works, sometimes the treatment is actually delaying recovery, and sometimes the treatment does nothing and any recovery is due to the natural immune response and the treatment is not necessary

    If the persons symptoms improve during or following a course of treatment, the human instinct to find patterns and causes/effects will link the improvement to the last treatment the person was given but the only way to be sure that the treatment is the cause of the improvement is to undertake clinical studies involving large numbers of people, properly blinded and with controlled samples (ensuring that the control groups are all of similar demographic and with similar medical histories)

    It is the case with all 'alternative treatments' where there is no plausible scientific basis (like reike, acupuncture, homeopathy etc) when it comes to meta-analysis of the studies carried out, the smaller and more poorly controlled studies show the highest variation (ie, some studies show the 'treatments' perform better than placebo while others show little or no difference) but as a rule, when the studies are better, with larger samples and better controls, the results always show that the 'alternative treatments' perform no better than placebo.

    Individual cases are absolutely not reliable ways of judging medical efficacy, that kind of thinking just leads to superstition and voodoo medicine where people just try to re-create the conditions under which someone recovered from an illness before, without any understanding of what caused the disease or how the cure actually works.

    We're in the 21st century now, it's time to bin all this superstitious rubbish.

    And chinese medicine needs to cop onto itself big time, It is so unbelievably sad and pathetic that some of the most incredible animals on our planet are at risk of extinction because of the demand for their body parts as ingredients in their magic potions. It's the 21st century!!s.


  • Registered Users, Registered Users 2 Posts: 7,182 ✭✭✭Genghiz Cohen


    Akrasia wrote: »
    And chinese medicine needs to cop onto itself big time, It is so unbelievably sad and pathetic that some of the most incredible animals on our planet are at risk of extinction because of the demand for their body parts as ingredients in their magic potions. It's the 21st century!!s.

    If only they just killed the animals.

    The keep bears alive to harvest their bile. They keep a hole open with a metal frame into their gut to make the harvest easier.

    I saw reports of a mother bear who had one of the harnesses, smother her baby and then run headfirst into a wall, killing herself.


  • Closed Accounts Posts: 25,848 ✭✭✭✭Zombrex


    There were no other variables to consider. Nothing else had changed, not my diet nor did I try any treatments.

    Not to sound snotty, but it seems rather implausible that you would actually know that to be the case, unless you were in some scientifically controlled study, and even then.

    More plausible is that you didn't notice anything else change. But that is not the same as nothing else changing. For a start you wouldn't know if something changed internally, and you would only notice an external change that was matched a pattern that you would notice. Each day the human mind observes and discards thousands of pieces of information that the brain considered insignificant. These don't register with us and do not form significant memories. We cannot then go back over our experiences and picking out significant events after the fact because by definition we only remember them if we consider them significant at the time.

    This is why scientists take a lot of steps to, and a large large population group, when studying the effects of medicine, because you cannot reliably ask a patient if medicine X worked or did anything.

    This isn't a slight on you, no one could do that. You would have to know before hand what was significant enough to record before you experienced it.


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  • Posts: 0 ✭✭✭✭ [Deleted User]


    Akrasia wrote: »
    And chinese medicine needs to cop onto itself big time, It is so unbelievably sad and pathetic that some of the most incredible animals on our planet are at risk of extinction because of the demand for their body parts as ingredients in their magic potions. It's the 21st century!!s.
    Related:
    http://www.thejournal.ie/rhino-horns-stolen-national-museum-dublin-874748-Apr2013/?utm_source=shortlink


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