Talk:Traditional Chinese medicine
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The lede needs to be revised
[edit]Hi everyone. I was searching about Traditional Chinese Medicine today and saw this very negatively worded description about TCM. The lede does not give a proper introduction to TCM and is backed up by an article that has only an impact factor of 1.17, which is quite low and most definitely cannot reflect the mainstream opinion. I made a change to the first paragraph to a more comprehensive and neutral description, and later it got reverted by a user because they think that my change is non-neutral, which is ridiculous. I was told later that we need reliable sources to back up a neutral description. Please respond with reliable sources so we can try to make a change.
It is worth noticing that many other traditional medicine branches like "traditional Japanese medicine", "traditional Korean medicine", "Ayurveda" (which is alternative medicine in India), etc all have very neutral descriptions, and some of these branches even are derived from Chinese medicine. If their lede can stay neutral, then the TCM lede should stay neutral. — Preceding unsigned comment added by GuangyanLi (talk • contribs) 03:39, 11 June 2022 (UTC)
- Have you got any policy based reasons to revise the lead? We appear to be following WP:LEAD and your contribution of unsupported commentary was rightfully reverted- Roxy the grumpy dog. wooF 06:14, 11 June 2022 (UTC)
- As stated in the "Intro revision" section, current reference 2 which is the Nature editorial is more suitable as a statement attributed to that particular editor, but not necessarily as statements of fact. Therefore, it can be misleading to place such statement as the very first sentence of the entire page, which is seen directly by anyone who Google searches "Traditional Chinese Medicine".
- In addition, regarding your comment also in the "Intro revision" section, what evidence are you using to support the statement that "the most important thing about TCM is that it doesn't work"? GavinXLu (talk) 00:28, 12 June 2022 (UTC)
It has been described as
, already in the article, is enough of an attribution. The level of acceptance from the scientific mainstream is extremely relevant context for the reader and should be at the top of the article. What google decides to put on their website is none of our business. MrOllie (talk) 00:36, 12 June 2022 (UTC)- Hi, The cited Nature editorial "Hard to swallow" has no citations/evidence of what it is saying, which is simply an opinion piece rather than a scientific article with evidence. It cannot represent the mainstream just because it's Nature. There are many more reliable secondary scientific articles about TCM that suggest its effectiveness. I really suggest you and a few other active reverters on the TCM article to investigate more into TCM before saying it is "pseudoscience". I can help you to get started here: "Traditional chinese medicine: an update on clinical evidence", "Understanding Traditional Chinese Medicine Therapeutics: An Overview of the Basics and Clinical Applications" GuangyanLi (talk) 01:28, 11 December 2022 (UTC)
- I guess we all need
to investigate more into TCM
until we agree with you, otherwise it is still not enough. "You do not know enough to judge this" is a common pro-pseudoscience talking point, also used by astrologers and homeopaths. - Actually, you have no idea how much we know about the TCM evidence. Maybe we know more than you do?
- Back to article work: The Nature article is clearly marked as an editorial, and although it is used several times, what it is used for in the article is either uncontroversial (such as "TCM uses artemisia") or it has another, non-editorial source, or the statement is attributed.
- We have loads of sources saying that TCM is full of pseudoscience, spread over the whole of the article. Denying that it is not would be silly; literature about pseudoscience regularly features concepts from TCM. --Hob Gadling (talk) 03:53, 11 December 2022 (UTC)
- Is this what Wiki is? Wow. A bunch of uninform people with no credential on the subject matter dictating on a topic that they have no credential on what-so-ever. Very disappointing. I will refrain from using Wiki from now on. K2wong (talk) 23:36, 6 August 2023 (UTC)
- As I said avbove,
We have loads of sources saying that TCM is full of pseudoscience
. It is not our doing, it is the scientific consensus. You are not listening. But of course, not listening to things you disagree with is a precondition for belief in pseudoscience. --Hob Gadling (talk) 07:43, 24 September 2023 (UTC)- Is it really accurate to define TCM as an alternative medicine practice in a Western sense? The worldview of TCM is not historically an alternate, pseudoscientific version of Western medicine. It has been practiced for thousands of years, and it is based on a different understanding of reality. Wouldn’t it be appropriate to provide a leading context as to the historical and spiritually-influenced basis of these beliefs? To lead with pseudoscience in the description of TCM is inappropriate. An opening section similar to ‘Tai chi’ or ‘Qigong’ - both highly related facets of TCM, would be more appropriate. See also the opening to ‘Kampo’ on Wikipedia, which is the Japanese adaptation of TCM. I find it bizarre that the spiritually-infused healing art of TCM, practiced by millions worldwide, would fall under the umbrella of a Western “alternative medicine” pseudoscience on Wikipedia. This seems a bit dismissive and xenophobic. 216.59.168.223 (talk) 23:20, 30 January 2024 (UTC)
- For what it's worth, Ayurveda is treated the same way. I think "pseudoscientific" is maybe the wrong word, but the idea that TCM has no scientific basis needs to be emphasised for WP:FRINGE reasons. Hemiauchenia (talk) 23:25, 30 January 2024 (UTC)
- Understood re: fringe theory reasons, still seems that “pseudoscientific” is an inappropriate label for Traditional Chinese Medicine (and Ayurveda, for that matter). “No scientific basis” is different than pseudoscience, when it comes to beliefs w/ a different spiritual understanding of reality. Also consider “Qi”, Yin and yang”, and “Wuxing” articles— here is the same underlying Chinese philosophy that is deeply connected with TCM principles, yet presented here with a neutrality not found on “Traditional Chinese Medicine” or “Acupuncture” articles. I understand that the umbrella of medicine requires protection from fringe theories / dangerous beliefs, but clearly this isn’t simple “quackery” or snake oil… judging by the wealth of Wikipedia articles related to the underlying TCM philosophy & principles. 216.59.168.223 (talk) 00:17, 31 January 2024 (UTC)
- The difference is that 'Yin and yang' and 'Wuxing' are not presented as medical treatments or supported by sham 'scientific' papers. The context is different so the result is different - in particular, the best-available sources treat them differently, and Wikipedia follows that, as the site's content policies require. That's really all we do here - WP:NPOV means follow the viewpoint of the mainstream sources. We don't pick apart the definitions of terms like "pseudoscientific" ourselves to decide if the sources are correct or not, that is WP:NOR and WP:NOTFORUM territory, and is considered a misuse of the talk pages. MrOllie (talk) 00:23, 31 January 2024 (UTC)
- “Traditional Chinese medicine (TCM) is an alternative medical practice drawn from traditional medicine in China.” So this article is specifically about the Western practice of TCM? In this article (in the Critique section) there is a distinction between “TCM” and “ medicine in traditional China.” Maybe the issue is, rather, that two topics are both being represented by one article. “Medicine in China” is a somewhat weak article about modern medicine in China. Nevertheless, apologies- did not intend to misuse the Talk page. 216.59.168.223 (talk) 00:43, 31 January 2024 (UTC)
So this article is specifically about the Western practice of TCM?
No, it is about TCM as promoted by Chinese dictators since Mao, which is also practiced outside China. --Hob Gadling (talk) 05:53, 6 June 2024 (UTC)
- “Traditional Chinese medicine (TCM) is an alternative medical practice drawn from traditional medicine in China.” So this article is specifically about the Western practice of TCM? In this article (in the Critique section) there is a distinction between “TCM” and “ medicine in traditional China.” Maybe the issue is, rather, that two topics are both being represented by one article. “Medicine in China” is a somewhat weak article about modern medicine in China. Nevertheless, apologies- did not intend to misuse the Talk page. 216.59.168.223 (talk) 00:43, 31 January 2024 (UTC)
- The difference is that 'Yin and yang' and 'Wuxing' are not presented as medical treatments or supported by sham 'scientific' papers. The context is different so the result is different - in particular, the best-available sources treat them differently, and Wikipedia follows that, as the site's content policies require. That's really all we do here - WP:NPOV means follow the viewpoint of the mainstream sources. We don't pick apart the definitions of terms like "pseudoscientific" ourselves to decide if the sources are correct or not, that is WP:NOR and WP:NOTFORUM territory, and is considered a misuse of the talk pages. MrOllie (talk) 00:23, 31 January 2024 (UTC)
- Understood re: fringe theory reasons, still seems that “pseudoscientific” is an inappropriate label for Traditional Chinese Medicine (and Ayurveda, for that matter). “No scientific basis” is different than pseudoscience, when it comes to beliefs w/ a different spiritual understanding of reality. Also consider “Qi”, Yin and yang”, and “Wuxing” articles— here is the same underlying Chinese philosophy that is deeply connected with TCM principles, yet presented here with a neutrality not found on “Traditional Chinese Medicine” or “Acupuncture” articles. I understand that the umbrella of medicine requires protection from fringe theories / dangerous beliefs, but clearly this isn’t simple “quackery” or snake oil… judging by the wealth of Wikipedia articles related to the underlying TCM philosophy & principles. 216.59.168.223 (talk) 00:17, 31 January 2024 (UTC)
- For what it's worth, Ayurveda is treated the same way. I think "pseudoscientific" is maybe the wrong word, but the idea that TCM has no scientific basis needs to be emphasised for WP:FRINGE reasons. Hemiauchenia (talk) 23:25, 30 January 2024 (UTC)
- Is it really accurate to define TCM as an alternative medicine practice in a Western sense? The worldview of TCM is not historically an alternate, pseudoscientific version of Western medicine. It has been practiced for thousands of years, and it is based on a different understanding of reality. Wouldn’t it be appropriate to provide a leading context as to the historical and spiritually-influenced basis of these beliefs? To lead with pseudoscience in the description of TCM is inappropriate. An opening section similar to ‘Tai chi’ or ‘Qigong’ - both highly related facets of TCM, would be more appropriate. See also the opening to ‘Kampo’ on Wikipedia, which is the Japanese adaptation of TCM. I find it bizarre that the spiritually-infused healing art of TCM, practiced by millions worldwide, would fall under the umbrella of a Western “alternative medicine” pseudoscience on Wikipedia. This seems a bit dismissive and xenophobic. 216.59.168.223 (talk) 23:20, 30 January 2024 (UTC)
- As I said avbove,
- Is this what Wiki is? Wow. A bunch of uninform people with no credential on the subject matter dictating on a topic that they have no credential on what-so-ever. Very disappointing. I will refrain from using Wiki from now on. K2wong (talk) 23:36, 6 August 2023 (UTC)
- I guess we all need
- Hi, The cited Nature editorial "Hard to swallow" has no citations/evidence of what it is saying, which is simply an opinion piece rather than a scientific article with evidence. It cannot represent the mainstream just because it's Nature. There are many more reliable secondary scientific articles about TCM that suggest its effectiveness. I really suggest you and a few other active reverters on the TCM article to investigate more into TCM before saying it is "pseudoscience". I can help you to get started here: "Traditional chinese medicine: an update on clinical evidence", "Understanding Traditional Chinese Medicine Therapeutics: An Overview of the Basics and Clinical Applications" GuangyanLi (talk) 01:28, 11 December 2022 (UTC)
- I thought the article was from Nature, which has an impact factor of 69.5. But if what you said is true then yes 1.17 is quite bad. Even my friend got published in a publication with an impact factor of ~7. Alexysun (talk) 00:19, 28 November 2022 (UTC)
- Thoughts re: moving the offending sentence to the "Critique" section? Seems like that is already the place for it. Biscuitfrank (talk) 18:32, 29 April 2023 (UTC)
- Nope, we do as described at WP:LEDE. tgeorgescu (talk) 18:35, 29 April 2023 (UTC)
- Thanks for chiming in, @Tgeorgescu. Per the original comment, the existing lede is inconsistent with the link you shared, i.e. "It should be written in a clear, accessible style with a neutral point of view." What would you suggest to resolve this? Biscuitfrank (talk) 20:52, 3 May 2023 (UTC)
- It is written in a clear, accessible style with a neutral point of view. Keep in mind that on Wikipedia, neutral point of view is defined as representing views proportionately to the sources, not a false balance. MrOllie (talk) 21:04, 3 May 2023 (UTC)
- Agreed - the existing lead is fine. No problem with wordsmithing, but there anything that needs removing or moving elsewhere. Girth Summit (blether) 21:15, 3 May 2023 (UTC)
- It is written in a clear, accessible style with a neutral point of view. Keep in mind that on Wikipedia, neutral point of view is defined as representing views proportionately to the sources, not a false balance. MrOllie (talk) 21:04, 3 May 2023 (UTC)
- Thanks for chiming in, @Tgeorgescu. Per the original comment, the existing lede is inconsistent with the link you shared, i.e. "It should be written in a clear, accessible style with a neutral point of view." What would you suggest to resolve this? Biscuitfrank (talk) 20:52, 3 May 2023 (UTC)
- Nope, we do as described at WP:LEDE. tgeorgescu (talk) 18:35, 29 April 2023 (UTC)
Citation 6
[edit]Citation 6 leads to a porn site, I don't intend to be an editor but I figured I'd let someone know that for whatever reason the citation link is not functional GargantuanChungoid (talk) 02:57, 20 April 2024 (UTC)
- I've tagged it as a dead link. --Tryptofish (talk) 22:02, 20 April 2024 (UTC)
- I searched for the title of the citation and relinked it to the original website. It should work now. FeliceRCLi (talk) 01:40, 30 April 2024 (UTC)
- Thanks. I can't read the text, but it looks fixed to me. --Tryptofish (talk) 21:15, 30 April 2024 (UTC)
TCM and Mental Health
[edit]I am working on adding a section on TCM and Mental Health, will upload it later this week. FeliceRCLi (talk) 19:26, 30 April 2024 (UTC)
- @FeliceRCLi: I think you already know that that requires extremely strong WP:MEDRS. E.g. sane homeopathists do not pretend to be able to treat mental illness. E.g. here is an argument from researchers who are not unfriendly to homeopathy.
- If alt-med pretends to heal mental illness: run for your life. tgeorgescu (talk) 19:51, 30 April 2024 (UTC)
- User:FeliceRCLi/Traditional Chinese medicine#TCM and Mental Health does not look promising. If those weren't Ancient superstitions, we would believe it is present-day mystical delirium. And the assertion one can successfully treat anxiety and depression with acupuncture is gullible. Just because TCM practitioners pretend to treat mental illness, it does not mean it's a commendable idea. tgeorgescu (talk) 09:38, 6 May 2024 (UTC)
Agreed. This lead is false and misleading. Over 13,000 studies in 60 countries prove so.
[edit]There have actually been over 13,000 studies in 60 countries proving acupuncture is effective. Here are 30+ links to some of these studies. Not sure how your 2 references beat out 13,000+ References:
1. Ma Y, Dong M, Zhou K, et al. Publication Trends in Acupuncture Research: A 20-Year Bibliometric Analysis Based on PubMed. PLoS ONE 2016;11:e0168123. doi:10.1371/journal.pone.0168123
2. Hempel S, Taylor SL, Solloway MR, et al. Evidence Map of Acupuncture. Washington (DC): : Department of Veterans Affairs 2014.
3. The Acupuncture Evidence Project – A Comparative Literature Review 2017 – Acupuncture.org.au. 2017;:1–81. https://www.acupuncture.org.au/resources/publications/the-acupuncture-evidence-project-a-comparative-literature-review-2017/
4. Birch S, Lee MS, Alraek T, et al. Overview of Treatment Guidelines and Clinical Practical Guidelines That Recommend the Use of Acupuncture: A Bibliometric Analysis. The Journal of Alternative and Complementary Medicine Published Online First: 18 June 2018. doi:10.1089/acm.2018.0092
5. Prasad V, Vandross A, Toomey C, et al. A decade of reversal: an analysis of 146 contradicted medical practices. Mayo Clinic Proceedings 2013;88:790–8. doi:10.1016/j.mayocp.2013.05.012
6. Prasad V, Ioannidis JP. Evidence-based de-implementation for contradicted, unproven, and aspiring healthcare practices. Implement Sci 2014;9:1. doi:10.1186/1748-5908-9-1
7. Brownlee S, Chalkidou K, Doust J, et al. Evidence for overuse of medical services around the world. Lancet 2017;390:156–68. doi:10.1016/S0140-6736(16)32585-5
8. Makary MA, Daniel M. Medical error-the third leading cause of death in the US. BMJ 2016;353:i2139. doi:10.1136/bmj.i2139
9. Corbett MS, Rice SJC, Madurasinghe V, et al. Acupuncture and other physical treatments for the relief of pain due to osteoarthritis of the knee: network meta-analysis. Osteoarthritis and Cartilage 2013;21:1290–8. doi:10.1016/j.joca.2013.05.007
10. Dong W, Goost H, Lin X-B, et al. Treatments for shoulder impingement syndrome: a PRISMA systematic review and network meta-analysis. Medicine (Baltimore) 2015;94:e510. doi:10.1097/MD.0000000000000510
11. Lewis R, FLCOM NHWPF, PhD AJS, et al. Comparative clinical effectiveness of management strategies for sciatica: systematic review and network meta-analyses. The Spine Journal 2015;15:1461–77. doi:10.1016/j.spinee.2013.08.049
12. Zhu L, Ma Y, Deng X. Comparison of acupuncture and other drugs for chronic constipation: A network meta-analysis. PLoS ONE 2018;13:e0196128. doi:10.1371/journal.pone.0196128
13. Fan AY, Miller DW, Bolash B, et al. Acupuncture’s Role in Solving the Opioid Epidemic: Evidence, Cost-Effectiveness, and Care Availability for Acupuncture as a Primary, Non-Pharmacologic Method for Pain Relief and Management–White Paper 2017. Journal of Integrative Medicine2017;15:411–25. doi:10.1016/S2095-4964(17)60378-9
14. Verkhratsky A, Burnstock G. Biology of purinergic signalling: Its ancient evolutionary roots, its omnipresence and its multiple functional significance. Bioessays 2014;36:697–705. doi:10.1002/bies.201400024
15. Burnstock G. Purinergic signaling in acupuncture. Science 2014.
16. Goldman N, Chen M, Fujita T, et al. Adenosine A1 receptors mediate local anti-nociceptive effects of acupuncture. Nat Neurosci 2010;13:883–8. doi:10.1038/nn.2562
17. Huang M, Wang X, Xing B, et al. Critical roles of TRPV2 channels, histamine H1 and adenosine A1 receptors in the initiation of acupoint signals for acupuncture analgesia. Sci Rep 2018;8:6523. doi:10.1038/s41598-018-24654-y
18. Takano T, Chen X, Luo F, et al. Traditional Acupuncture Triggers a Local Increase in Adenosine in Human Subjects. The Journal of Pain 2012;13:1215–23. doi:10.1016/j.jpain.2012.09.012
19. Fried NT, Elliott MB, Oshinsky ML. The Role of Adenosine Signaling in Headache: A Review. Brain Sci 2017;7. doi:10.3390/brainsci7030030
20. Faas MM, Sáez T, de Vos P. Extracellular ATP and adenosine: The Yin and Yang in immune responses? Molecular Aspects of Medicine 2017;:1–11. doi:10.1016/j.mam.2017.01.002
21. Whiteside TL. Targeting adenosine in cancer immunotherapy: a review of recent progress. Expert Review of Anticancer Therapy 2017;17:527–35. doi:10.1080/14737140.2017.1316197
22. Masino SA, Kawamura M Jr., Cote JL, et al. Adenosine and autism: A spectrum of opportunities. Neuropharmacology 2013;68:116–21. doi:10.1016/j.neuropharm.2012.08.013
23. Woods LT, Ajit D, Camden JM, et al. Purinergic receptors as potential therapeutic targets in Alzheimer’s disease. Neuropharmacology 2016;104:169–79. doi:10.1016/j.neuropharm.2015.10.031
24. Burnstock G, Ralevic V, Perez DM. Purinergic Signaling and Blood Vessels in Health and Disease. Pharmacol Rev 2014;66:102–92. doi:10.1124/pr.113.008029
25. Burnstock G. Purinergic Signaling in the Cardiovascular System. Circulation Research 2017;120:207–28. doi:10.1161/CIRCRESAHA.116.309726
26. Burnstock G. Purinergic signalling in endocrine organs. Purinergic Signalling 2013;10:189–231. doi:10.1007/s11302-013-9396-x
27. Oliveira Á, Illes P, Ulrich H. Purinergic receptors in embryonic and adult neurogenesis. Neuropharmacology 2016;104:272–81. doi:10.1016/j.neuropharm.2015.10.008
28. Burnstock G. Purinergic Signalling in the Gut. In: The Enteric Nervous System. Cham: : Springer International Publishing 2016. 91–112. doi:10.1007/978-3-319-27592-5_10
29. Borea PA, Gessi S, Merighi S, et al. Adenosine as a Multi-Signalling Guardian Angel in Human Diseases: When, Where and How Does it Exert its Protective Effects? Trends Pharmacol Sci 2016;37:419–34. doi:10.1016/j.tips.2016.02.006
30. Cho ZH, Hwang SC, Wong EK, et al. Neural substrates, experimental evidences and functional hypothesis of acupuncture mechanisms. Acta Neurol Scand 2006;113:370–7. doi:10.1111/j.1600-0404.2006.00600.x
31. Lund I, Lundeberg T. Mechanisms of Acupuncture. Acupuncture and Related Therapies Published Online First: 2016. doi:10.1016/j.arthe.2016.12.001
32. Vickers A, Goyal N, Harland R, et al. Do certain countries produce only positive results? A systematic review of controlled trials. Control Clin Trials 1998;19:159–66.
33. Tian J, Zhang J, Ge L, et al. The methodological and reporting quality of systematic reviews from China and the USA are similar. Journal of Clinical Epidemiology 2017;85:50–8. doi:10.1016/j.jclinepi.2016.12.004
34. McGauran N, Wieseler B, Kreis J, et al. Reporting bias in medical research – a narrative review. Trials 2010;11:37. doi:10.1186/1745-6215-11-37
35. Lee K, Bacchetti P, Sim I. Publication of clinical trials supporting successful new drug applications: a literature analysis. PLoS Med 2008;5:e191. doi:10.1371/journal.pmed.0050191
36. Heneghan C, Mahtani KR, Goldacre B, et al. Evidence based medicine manifesto for better healthcare: A response to systematic bias, wastage, error and fraud in research underpinning patient care. Evidence-Based Medicine 2017;22:120–2. doi:10.1136/ebmed-2017-j2973repsources to use: Also, this Wikipedia lead helps prove that Wikipedia has an agenda to continue the massive industrial complexes that anti-human and greed based. 208.104.54.103 (talk) 01:28, 6 June 2024 (UTC)
- Also, this Wikipedia lead helps prove that Wikipedia has an agenda to continue the massive industrial complexes that anti-human and greed based—reply: "I can confidently say given that you reject the effectiveness of modern medicine and are invoking big pharma conspiracies that you are a crank, and that it's not worth wasting by time talking to you. Hemiauchenia (talk) 23:48, 6 August 2023 (UTC)" tgeorgescu (talk) 03:06, 6 June 2024 (UTC)
Not sure how your 2 references beat out 13,000+
In science, quality beats quantity. At least it should do so. --Hob Gadling (talk) 05:55, 6 June 2024 (UTC)
Wooden language
[edit]the Western reductionist and mechanistic approach to diseases—that's the wooden language of alt-med peddlers. What those words mean? That they're discontent with empirical science. And that they don't really have better science, but they're just trying to pull the wool over our faces. tgeorgescu (talk) 02:01, 23 June 2024 (UTC)
- Thanks for your comment. Would you mind formulate your concern in plain English? I am not able to provive a replay if I do not have a clear explanation of the potertial issue.
- Many thanks Safetystuff (talk) 02:25, 23 June 2024 (UTC)
- It means that the Western reductionist and mechanistic approach to diseases is the standard complaint of pseudoscientists about "Western" science. tgeorgescu (talk) 02:28, 23 June 2024 (UTC)
- Are you saying that the authors writing these papers on Science and Nature are pseudoscientists?
- I have referencing contributions from two prestegious journals, Science and Nature. You might want to raise this issue with these journals if you have strong argumenst proving they are pseudoscientists and their research is not reliable. I do not think Wikipedia is the right place for this judgment. Safetystuff (talk) 02:56, 23 June 2024 (UTC)
- It's standard pro-quackery jargon, borrowed from quantum flapdoodle.
The randomized, controlled trial design, however, has distinct limitations when applied to TCM, because TCM is holistic and conceptual, and it identifies and treats ‘syndromes’ rather than diseases.
Same excuse as for why homeopathy cannot be tested through RCTs. Namely, RCTs throw sand in the gears, err, in the holism.- Gan c.s. speak of "mechanistic", but consider it a feature, not a bug.
- Herbalome participants could postpone publishing positive results indefinitely, they just need to claim they need time in order to develop drug patents, which could otherwise be stolen by Western Big Pharma. See? Just claim it is a secret, and they can dodge criticism forever.
- The paper from Nature Portfolio is advertisement. See WP:PROMO. tgeorgescu (talk) 04:06, 23 June 2024 (UTC)
- It means that the Western reductionist and mechanistic approach to diseases is the standard complaint of pseudoscientists about "Western" science. tgeorgescu (talk) 02:28, 23 June 2024 (UTC)
- Reverted for now. There are the tone issues, which may be fixable, but the sourcing and weight issues are more difficult to overcome. Firefangledfeathers (talk / contribs) 04:07, 23 June 2024 (UTC)
- Yup, Gan c.s. do not seem to WP:V their claim, and interpreting the Herbalome paper is a tad difficult, since it is a dialogue between two opposite viewpoints, and the reader has to make up their own mind about which of those viewpoints is right. tgeorgescu (talk) 04:14, 23 June 2024 (UTC)
- By reverting you are basically neglecting one view which is published on top scientific journals: Science and Nature. Is there any conflict of interest?
- You might want to justify this action before making such a strong decision. This looks to me censure. The statements provided in the new version were supported by references so why are you deleting it? Safetystuff (talk) 04:50, 23 June 2024 (UTC)
- I did justify my action. Was there part of the explanation that you would like more detail on? To flip things around a bit, are you confident that all the sources you cited were high-quality, reliable sources? Firefangledfeathers (talk / contribs) 04:58, 23 June 2024 (UTC)
- The sources were clear and reputable so I have undo your change. Please discuss here before taking actions. If you have issue with the Nature and Science papers please explain what is the issue Safetystuff (talk) 05:03, 23 June 2024 (UTC)
- One Nature source is an ad, and the other is an opinion piece ("Viewpoint"). One of the Science sources is a news article. The last source (this one), does not support the proposed article text. Firefangledfeathers (talk / contribs) 05:14, 23 June 2024 (UTC)
- Yup, according to Gan c.s. the "mechanistic" explanation is yet unavailable, but when it will be available, it will be something good, not something bad. That is, they are not opposed to mechanistic thinking, they just think that's too complicated at this time.
- And I think the rules for sourcing need an explanation: according to WP:PARITY, the two sides of the dispute are not equal, so lower-quality sources are allowed for rendering the mainstream scientific position, but not for rendering the WP:PROFRINGE position. tgeorgescu (talk) 06:03, 23 June 2024 (UTC)
- I just want to remind you that Science is not based on democratic consent. If democratic consent is the backbone of Wikipedia then we need better than this if we want to use it to disseminate Science.
- Just a small story from over 100y ago
- "One hundred German physicists claim Einsteins theory of relativity is wrong." Einsteins reply was supposedly, "If I were wrong, it would only take one." Safetystuff (talk) 07:13, 23 June 2024 (UTC)
- If the scientific consensus was that relativity was wrong, then Wikipedia, if it had been around then, would have reported that relativity was wrong. See WP:NOT. Brunton (talk) 09:32, 23 June 2024 (UTC)
- I thought Wikipedia was aiming to inform the public on many things including scientific progress. It seems the system is not built to provide unbiased information to the public. Pretty scary Safetystuff (talk) 10:09, 23 June 2024 (UTC)
I just want to remind you that Science is not based on democratic consent
Next time, please respond to what people actually say instead of what you are fantasizing they said. tgeorgescu talked aboutlower-quality sources
, not about "democratic consent". But I understand that you need to use bad reasoning - you have no choice since there are no good reasons for your position. --Hob Gadling (talk) 10:36, 23 June 2024 (UTC)- I will ask colleagues from our Medical School for better references.
- No need to be aggressive/rude as your colleague/friend just admitted that democratic consent is the rule on Wikipedia. So please avoid personal attacks as we are all here to share knowledge without an agenda. Aren't we?
- p
- Please refer to the previous reply I received of on the democratic consent on Wikipedia. No need to attack me as I am on Wikipedia to spread scientific knowledge. Sometimes the state of the art is not back or white and people have the right to know. Safetystuff (talk) 11:10, 23 June 2024 (UTC)
- Wikipedia:What Wikipedia is not#Wikipedia is not a democracy. So, yes, it is about WP:CONSENSUS, but not a democratic one.
- And Wikipedia is indeed biased, see WP:PSCI, WP:GEVAL, and WP:FRINGE.
- Artemisinin has been objectively shown to work, but such success stories are few and far between. There could be tens of similar medicines hiding among TCM cures, but it would require thousands of billions USD to research them, and it would require Chinese medical scientists to deny for 99% of TCM cures that those are effective, which in present-day China seems like academic suicide. Being honest would mean quarrels with every TCM professor in the country, and would likely get that scientist arrested. Because, even if most of TCM is not effective, it is big business and brings a lot of money for the country. Being honest about TCM would mean the death of many lucrative enterprises. The Chinese government has the same attitude towards researching the truth about TCM as the Trump government had about researching the truth about anthropogenic global warming. The difference being that Trump could not get scientists arrested at whim. tgeorgescu (talk) 06:26, 24 June 2024 (UTC)
- If the scientific consensus was that relativity was wrong, then Wikipedia, if it had been around then, would have reported that relativity was wrong. See WP:NOT. Brunton (talk) 09:32, 23 June 2024 (UTC)
- One Nature source is an ad, and the other is an opinion piece ("Viewpoint"). One of the Science sources is a news article. The last source (this one), does not support the proposed article text. Firefangledfeathers (talk / contribs) 05:14, 23 June 2024 (UTC)
- The sources were clear and reputable so I have undo your change. Please discuss here before taking actions. If you have issue with the Nature and Science papers please explain what is the issue Safetystuff (talk) 05:03, 23 June 2024 (UTC)
- I did justify my action. Was there part of the explanation that you would like more detail on? To flip things around a bit, are you confident that all the sources you cited were high-quality, reliable sources? Firefangledfeathers (talk / contribs) 04:58, 23 June 2024 (UTC)
- Scientific questions are not resolved by platitudes and trivialities. You can talk about "black and white" or "not democratic" as much as you want, it still comes down to facts and sources. And it is still true that nobody said anything about "democratic consent". Stop using this straw man. --Hob Gadling (talk) 07:50, 24 June 2024 (UTC)
Pseudoscience and western biomedicine colonialism bias/western ethnocentrism
[edit]Describing Traditional Chinese Medicine as "pseudoscience" in a post-WHO recognized practice world is nothing short of an ethnocentric bias by western biomedical gatekeepers of medicine/healthcare. This article needs to be edited to recognize the medical anthropology concept of medical pluralism that notes the art of medical care, not just as empirical research of western medicine, but many different practices and techniques shown to be effective (even if empirical research fails to understand how these methods work) are functional methods of healthcare/medicine. Healthcare in of itself is not empirical science. It has existed since the Paleolithic and found in several different animal species other than humans (H. sapiens). Over time certain methods and practices have been proven to be ineffective, even within biomedicine. But some things have stood the test of time regardless if it is associated with biomedicine or not. TCM is one of those practices that have shown to be effective even in some cases where biomedicine fails to be effective. The label "pseudoscience" was important in the age of miasma theory vs germ theory when biomedicine was critiquing itself. But now western biomedicine serves as a vessel for colonialism by means of stealing methods and practices from non-western cultures, repurposing what is found to be "effective" through empirical research, and plagiarizing it as a part of biomedicine while slandering the non-biomedicine practices as "pseudoscience." This term is derogatory and places TCM under the same umbrella as flat earth, creationism/intelligent design, and miasma theory. Please see Medical Anthropology: A Biocultural Approach by Wiley and Allen and use these sources below:
https://onlinelibrary.wiley.com/doi/abs/10.1002/9781118924396.wbiea1281
https://www.americanscientist.org/blog/from-the-staff/stop-using-the-word-pseudoscience ChallengingAnthropocentrism ([[User talk:|talk]]) 00:50, 28 June 2024 (UTC)
- Medicine is not like anthropology field that you come from. It is far less subjective, despite complications with the placebo effect and other confounding factors. There is no robust clinical proof the vast majority of Traditional Chinese Medicine have any sort of effectiveness (see [1]). TCM is pseudoscience because it claims to be a rational method of treatment based on concepts that are not scientific, like vital meridians (see [2]). TCM practitioners often make outlandish claims regarding the effectiveness of their products [3]. Hemiauchenia (talk) 01:40, 28 June 2024 (UTC)
- (even if empirical research fails to understand how these methods work)—generally speaking, robust empirical research never claimed that TCM does work at all, with a few exceptions. TCM was adopted by chairman Mao because Western-style anesthesia was too expensive. And the people who dared to say that anesthesia through acupuncture did not work were sent to concentration camps. That's how Mao obtained a consensus on TCM: he sent everybody who disagreed to the labor camp. Mao killed more innocent people than Hitler or Stalin.
- TCM relies upon Ancient mystical hogwash, which was revived for utterly cynical reasons under National-Communism.
- Medical pluralism might be normative at your faculty, it isn't normative at Wikipedia. It is simply your norm, not our norm. Here normative are WP:MEDRS, WP:PSCI, WP:GEVAL, WP:ECREE, and WP:FRINGE. In the end, Wikipedia is what it is, is not a forum with limitless free speech, so you have to obey our WP:RULES, like any other person who wants to edit here.
- If you think we should kowtow to medical pluralism: you're in the wrong place. It's none of our business, see WP:RGW.
- I can understand perfectly the argument you're making, and I can tell you for a fact that it is contrary to the policies and guidelines of this encyclopedia. Just because I understand your argument, I don't have to agree with it, nor does anyone else.
- Your POV would be absolutely correct in Larry Sanger's interpretation of WP:NPOV (what neutrality should mean according to him). But you should know that the Sangerite interpretation has been vanquished, here at Wikipedia.
- Editing is done by the Wikipedia Community, the community is a social group, a social group has social norms, and your argument does not comply with the norms for editing Wikipedia articles. You may choose to become an insider or to remain an outsider. The choice is yours.
- But some things have stood the test of time—in the anthropological sense, any superstitious hogwash still practiced in the 21st century "has stood the test of time". That does not say anything though about being capable of healing diseases. Anthropology isn't the science called to make that call. It is just hogwash which has endured for centuries. Anthropology cannot offer the answer if it is effective medicine or quackery. It does not have the required tools for doing that. Medical science has. Anthropology can say "This group of people behave like spirits are real." It cannot say "Spirits are real." That's not how anthropology works. tgeorgescu (talk) 16:36, 28 June 2024 (UTC)
"This does not at all mean that we don’t in loose, rough and ready ways judge interpretations… all the time. And this does not at all mean that practically speaking that some interpretations are obviously slightly better than others. Let me return to familiar ones like the traffic light. If it’s red and you see it as green, the outcome can be disastrous; Derrida doesn’t deny it. You know, it’s a bad misreading… bad misreading. But this is a familiar mistake and it is made about a lot of Derrida’s work. Philosophers call someone a relativist by which they mean it’s a person that holds that any view is as good as any other view. My simple response to that is this: that is a straw person argument, no-one in the world believes it or ever has believed it.
"No-one – Derrida or anyone else – believes that every view is as good as every other view. That’s only a view we discuss in freshman philosophy class in order to quickly refute it. I mean no-one believes it. There are no defenders of the view and since this tape will be going out, if we run into one it will be interesting, but we will likely find that person in one of the institutions Foucault discussed rather than in some seminar, okay. That’s where we will find them, if anybody believes that. No, Derrida’s kind of slippage is to remind us that the text of philosophy is not fixed; can not be fixed. It is of the nature of the text of philosophy and its relation to language that we cannot fix it once and for all. In a way it’s like the leaky ship where we haven’t got anything to stop the leak so we just keep bailing. I mean, the leak is in the language."
— —Rick Roderick, 307 Derrida and the Ends of Man (1993)- Quoted by tgeorgescu. And, to answer the charge, it is medical-science-centrism, not ethnocentrism. It is a big difference, though. We don't say that people of Chinese, Hindu, or African origin cannot practice medical science. We criticize superstitions, not nations, nor ethnic groups. Or, to put it otherwise, is nuclear physics ethnocentric? No, since North Korea and Iran love nuclear power. They don't reject nuclear physics as "Western colonialism". Their uranium centrifuges have been designed in the West, but for some reason they don't regard that as "cultural imperialism".
- And I can grant you the point that many Chinese herbal teas are effective against diseases. But this is merely because allopathic medicines have been added to the herbs, so marketing them as natural products is a scam. And let's not forget about Herb-Induced Liver Injury. tgeorgescu (talk) 05:30, 30 June 2024 (UTC)
In Taiwan to a quarter of traditional Chinese medicines there were seemingly added standard medicines (which are available on prescription). Among them there were dangerous substances, such as phenytoin (an anti-epileptic), glibenclamide (lowers blood sugar) and corticosteroids.
— prof. dr. Martijn B. Katan, Wat is nu gezond? 1st ed., p. 146In Taiwan a quarter of traditional Chinese medicines were found to apparently incorporate (prescription) drugs. Among them there were dangerous substances, such as phenytoin (an anti-convulsive), glibenclamide (lowers blood sugar) and corticosteroids.
— prof. dr. Martijn B. Katan, Wat is nu gezond? 1st ed., p. 146- Two alternative translations of the same WP:RS. In Dutch:
In supplementen worden ook in Nederland regelmatig toxische gehaltes aangetroffen van lood, arsenicum, kwik, thallium en cadmium. Deels zijn het verontreinigingen, deels zijn ze toegevoegd vanuit het misplaatste idee dat ze ziekten genezen. Deze stoffen hebben geleid tot hersenoedeem, kanker, nierfalen en sterfte. Verder worden aan Chinese en Indische kruiden soms heimelijk gewone geneesmiddelen toegevoegd om de werking te versterken. In Taiwan bleken aan een kwart van de traditionele Chinese medicijnen gewone (recept)geneesmiddelen te zijn toegevoegd. Daaronder waren gevaarlijke stoffen als phenytoïne (een anti-epilepsiemiddel), glibenclamide (bloedsuikerverlagend) en corti-costeroïden. Ook kruiden en theesoorten om te vermageren kunnen ernstige bijwerkingen hebben.
— Martijn B. Katan- Quoted by tgeorgescu (talk) 17:42, 30 June 2024 (UTC)
- You completely missed the point. I am not claiming that TCM is a replacement or equivalent to western biomedicine. I am illustrating the medical pluralism argument of healthcare being an art form, not just a science. What I propose is to remove the derogatory term "pseudoscience" which has been used to promote colonialism and racism. ChallengingAnthropocentrism (talk) 18:46, 6 July 2024 (UTC)
- No he did not. Things can have more than one property. Something can be an art form and a pseudoscience. That "colonialism and racism" accusation is balderdash. The same people who call TCM pseudosience also call chiropractic and homeopathy pseudoscience, and they [later addition: "they" means those two pseudociences] come from the US and Germany. You are trying to promote WP:FRINGE content and whitewash dangerous quackery that can kill people. Stop it. --Hob Gadling (talk) 04:52, 7 July 2024 (UTC)
- Nearly every other language of this article is not derogatorily referring TCM, and have sound sourcing/citation, why is that? 58.152.67.69 (talk) 00:41, 8 July 2024 (UTC)
- My educated guess is: because they have not adopted WP:RULES such as WP:MEDRS, WP:PSCI, and WP:FRINGE. And above all: because they don't love science enough. They still lean for the Sangerite understanding of WP:NPOV as bereft of the WP:GEVAL proviso. They have to grow up. tgeorgescu (talk) 03:34, 8 July 2024 (UTC)
- Two Spanish Wikipedia lead sentences (machine translated) from es:Medicina china tradicional:
It has been described as "laden with pseudoscience," and most of its treatments do not have a logical, scientifically based mechanism of action.[56]
and:However, it is important to note that the concept of vital energy is pseudoscientific, and scientific research has not found any histological or physiological evidence to support the traditional Chinese concepts of qi, or meridians.note [111]
- One French Wikipedia lead paragraph (machine translated) from fr:Médecine traditionnelle chinoise:
Alongside the history of Chinese medicine, numerous therapies are offered today under the label of “traditional Chinese medicine”, inspired more or less freely by elements of this tradition without updating for essentially folkloric reasons. or commercial1, and constitute a pseudo-science[2,3], with sometimes deleterious effects on potential patients[4].
- One German Wikipedia lead paragraph (machine translated) from de:Traditionelle chinesische Medizin:
From a scientific point of view, the therapeutic effectiveness of many TCM treatment methods is disputed and several treatment methods are considered pseudoscientific.[10][11] In general, the assumptions of TCM contradict current facts about human physiology or anatomy.[6]
- I don't know where you got your
Nearly every other language of this article is not
claim, but it is not from those three. And even if it were as you say: Wikipedia, in whatever language, is not a reliable source for Wikipedia. --Hob Gadling (talk) 07:05, 8 July 2024 (UTC)
- Nearly every other language of this article is not derogatorily referring TCM, and have sound sourcing/citation, why is that? 58.152.67.69 (talk) 00:41, 8 July 2024 (UTC)
- No he did not. Things can have more than one property. Something can be an art form and a pseudoscience. That "colonialism and racism" accusation is balderdash. The same people who call TCM pseudosience also call chiropractic and homeopathy pseudoscience, and they [later addition: "they" means those two pseudociences] come from the US and Germany. You are trying to promote WP:FRINGE content and whitewash dangerous quackery that can kill people. Stop it. --Hob Gadling (talk) 04:52, 7 July 2024 (UTC)
- You completely missed the point. I am not claiming that TCM is a replacement or equivalent to western biomedicine. I am illustrating the medical pluralism argument of healthcare being an art form, not just a science. What I propose is to remove the derogatory term "pseudoscience" which has been used to promote colonialism and racism. ChallengingAnthropocentrism (talk) 18:46, 6 July 2024 (UTC)
- I'm sorry, but Wikipedia is not the place for TCM, if you want to get detailed info on that, go to Baidu, Wikipedia don't have nearly enough TCM practitioners to make this article lean that way. 58.152.67.69 (talk) 02:30, 4 July 2024 (UTC)
- It's not a question of not having enough editors. The policies and guidelines of Wikipedia do not allow us to treat TCM the way OP and you want. You would be right only if the following were abolished: WP:FRINGE and WP:MEDRS; WP:LUNATICS, WP:CHOPSY and WP:GOODBIAS; WP:DUE, WP:PSCI and WP:FALSEBALANCE; WP:ARBPS and WP:ARBCAM. Since this hasn't happened, you're wrong, completely wrong. tgeorgescu (talk) 03:42, 4 July 2024 (UTC)
- I know, I am talking about these polices, there is not enough TCM practitioners here to influence them, and I'm not even thinking about "treat TCM the way OP and I want.", I'm just saying Baidu is more tolerant with TCM. 58.152.67.69 (talk) 05:38, 4 July 2024 (UTC)
- Again, the policies and guidelines are subservient to the purpose of writing a science- and WP:SCHOLARSHIP-based encyclopedia. Meaning: WP:PAGs are not arbitrary whims, which could change through democratic participation. We're merciless with superstitions, including with Western superstitions. tgeorgescu (talk) 05:48, 4 July 2024 (UTC)
- I don't think I should waste more time with you and your policies, It's not even my central point. 58.152.67.69 (talk) 06:00, 4 July 2024 (UTC)
Wikipedia is not the place for TCM
—I agree. Generally speaking: medical science is not the place for TCM. Or, shorter: science is not the place for TCM. tgeorgescu (talk) 06:04, 4 July 2024 (UTC)- Thanks, glad we agree. 58.152.67.69 (talk) 06:08, 4 July 2024 (UTC)
- I don't think I should waste more time with you and your policies, It's not even my central point. 58.152.67.69 (talk) 06:00, 4 July 2024 (UTC)
- Again, the policies and guidelines are subservient to the purpose of writing a science- and WP:SCHOLARSHIP-based encyclopedia. Meaning: WP:PAGs are not arbitrary whims, which could change through democratic participation. We're merciless with superstitions, including with Western superstitions. tgeorgescu (talk) 05:48, 4 July 2024 (UTC)
- I know, I am talking about these polices, there is not enough TCM practitioners here to influence them, and I'm not even thinking about "treat TCM the way OP and I want.", I'm just saying Baidu is more tolerant with TCM. 58.152.67.69 (talk) 05:38, 4 July 2024 (UTC)
- It's not a question of not having enough editors. The policies and guidelines of Wikipedia do not allow us to treat TCM the way OP and you want. You would be right only if the following were abolished: WP:FRINGE and WP:MEDRS; WP:LUNATICS, WP:CHOPSY and WP:GOODBIAS; WP:DUE, WP:PSCI and WP:FALSEBALANCE; WP:ARBPS and WP:ARBCAM. Since this hasn't happened, you're wrong, completely wrong. tgeorgescu (talk) 03:42, 4 July 2024 (UTC)
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