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Traditional Medicine in Asia

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<strong>Traditional</strong> <strong>Medic<strong>in</strong>e</strong> <strong>in</strong> <strong>Asia</strong><br />

Chiropractic treatment is commonly used for cur<strong>in</strong>g <strong>in</strong>fantile<br />

malnutrition (Courtesy Prof. Chen Gui-t<strong>in</strong>g)<br />

and conservative treatment for ectopic<br />

pregnancy with herbal medication to<br />

remove stagnant blood. In addition, a<br />

herbal homeostatic formula that had<br />

been developed, as well as couch<strong>in</strong>g <strong>in</strong><br />

cataract operation were seen to achieve<br />

very good results. 12 Most of these cl<strong>in</strong>ical<br />

studies were carried out on large<br />

samples, at first jo<strong>in</strong>tly by traditional and<br />

modern medical practitioners and, later,<br />

by traditional and <strong>in</strong>tegrated medical<br />

practitioners. Therefore, modern medical<br />

circles were conv<strong>in</strong>ced by the results.<br />

There are many more diseases <strong>in</strong> which<br />

traditional treatment has been proved to<br />

be effective. In daily cl<strong>in</strong>ical practice,<br />

traditional medic<strong>in</strong>e has been shown to<br />

be effective <strong>in</strong> the treatment of many<br />

common diseases, as assessed by<br />

modern criteria of diagnosis and efficacy<br />

evaluation.<br />

Reform of educational system<br />

of traditional medic<strong>in</strong>e<br />

Historical review of TCM<br />

education<br />

Tra<strong>in</strong><strong>in</strong>g of TCM professionals is of utmost<br />

importance <strong>in</strong> the development of this<br />

system of medic<strong>in</strong>e. In ancient Ch<strong>in</strong>a, most<br />

122<br />

practitioners learned through apprenticeship.<br />

In most cases, knowledge was handed<br />

down from one generation to the next<br />

with<strong>in</strong> the family. Although TCM could<br />

boast of the earliest teach<strong>in</strong>g <strong>in</strong>stitutions,<br />

these <strong>in</strong>stitutions imparted tra<strong>in</strong><strong>in</strong>g ma<strong>in</strong>ly<br />

to the court physicians of the imperial<br />

family and to high-rank<strong>in</strong>g physicians <strong>in</strong><br />

the service of feudal nobles and officials.<br />

As early as the fifth century, the Tang<br />

Dynasty set up a central <strong>in</strong>stitution called<br />

the “Imperial Medical Bureau”, which<br />

served both as a medical school and as a<br />

cl<strong>in</strong>ic. It had four departments: medic<strong>in</strong>e,<br />

acupuncture, massage (<strong>in</strong>clud<strong>in</strong>g<br />

traumatology) and <strong>in</strong>cantation. The<br />

department of medic<strong>in</strong>e consisted of the<br />

specialities of <strong>in</strong>ternal medic<strong>in</strong>e, paediatrics,<br />

sores and ulcers, diseases of the ears,<br />

eyes, mouth and teeth, and cupp<strong>in</strong>g. The<br />

duration of tra<strong>in</strong><strong>in</strong>g varied accord<strong>in</strong>g to the<br />

speciality. For example, the tra<strong>in</strong><strong>in</strong>g period<br />

for general medic<strong>in</strong>e was seven years,<br />

paediatrics five years and cupp<strong>in</strong>g three<br />

years. Other than the Imperial Medical<br />

Bureau some prefectures had their own<br />

medical educational <strong>in</strong>stitutions.<br />

The succeed<strong>in</strong>g dynasties developed<br />

medical education further. For example,<br />

dur<strong>in</strong>g the reign of the Song Dynasty (960–<br />

1279), the Imperial Medical Bureau<br />

became a purely educational <strong>in</strong>stitution,<br />

consist<strong>in</strong>g of n<strong>in</strong>e departments: <strong>in</strong>ternal<br />

medic<strong>in</strong>e, stroke, paediatrics, sores and<br />

ulcers (<strong>in</strong>clud<strong>in</strong>g bone fractures), obstetrics,<br />

eye diseases, diseases of the mouth, teeth<br />

and throat, acupuncture, and <strong>in</strong>cised<br />

wounds. A professor was appo<strong>in</strong>ted for<br />

each department and the teachers were<br />

given the title of “doctor of medic<strong>in</strong>e”. The<br />

<strong>in</strong>stitution admitted 300 students annually<br />

through an entrance exam<strong>in</strong>ation. Besides<br />

the Imperial Medical Bureau, which was<br />

the premier <strong>in</strong>stitution, medical schools<br />

were set up by the local governments. 13

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