Traditional Chinese Medicine and Infertility Although health and healing are
common goals of Traditional Chinese Medicine (TCM) and allopathic medicine, their ideas on
etiology of disease, disease itself and
process used to regain health are decidedly different. The allopathic physician learns that disease must be cured by prescribing medicine, which kills bacteria or renders a virus ineffective; at times surgical intervention is a necessity.
There is nothing inherently wrong with this approach. It often works. The question worth exploring is why TCM succeeds where allopathic medicine fails? What is
mechanism of action of acupuncture and herbal medicine, which results in palliation or cure that is not manifest in biomedicine?
Though
goal of TCM is to cure a patient,
doctor of TCM attempts to do this not by treating
disease but rather by treating
whole person, taking into account
various attributes of an individual which, when combined, account for an individual being sick or healthy. A person, according to
tenets of TCM is more than their pathology. While treating
pathology may yield impressive results, they are commonly temporary.
A person is not, according to TCM, represented solely by his or her illness, but by
accumulation of every human interaction engaged in from
moment of birth, including
values of and
culture from which
individual develops. The emotional experiences, eating habits, work habits, work and living environment, personal habits and
social milieu are factors that contribute to disease and are factors which, when modified appropriately may lead to regained health.
Though
Western scientific community has not, to date, arrived at a methodology to use in research of Chinese medicine,
veracity and efficaciousness of this medical modality is nonetheless proved by its long history of continued success. More than a quarter of
world's population regularly uses TCM as part of their health care regimen. Chinese medicine is
only form of classical medicine, which is regularly and continuously used outside of its country of origin.
THE FOUR EXAMINATIONS
The 'Four Examinations' is a method of diagnosis which dates back over three thousand years. Observing, Listening and Smelling (Listening and Smelling are counted as one of
Four Examinations), Questioning and Palpating make up
'Four Examinations'. This method of diagnosis is far from simplistic, allowing
practitioner to arrive at a differential diagnosis.
Each of
"Four Examinations" can take years to master, and while these diagnostic tools are not replacements for that which Western medicine can provide in analyzing and treating disease, they have
ability to offer information which, when understood in
context of TCM, provides additional opportunities in mapping out patterns of disease and arriving at greater treatment success.
The doctor of TCM must approach a patient with a clear and calm mind, without a preconceived diagnosis and etiology. This mind-set will enable
practitioner to yield clinical gems which are clues about
individual who sits before us! This is
stuff of TCM.
The subjective, interpretive and objective evidence of an individual obtained via
'Four Examinations' leads to
discovery of
etiology of disease while concomitantly opening a window to
'Whole Person", thus revealing where in
individual's life
pathogenesis started and what initiated it. The practitioner of TCM must utilize his own interpretive skills, which takes into consideration what is verbalized by
patient and what is observed, while considering what
patient does not verbalize as well. Often, that which is not said can be as clinically enlightening as
information which is freely provided. The tone of
voice,
complexion,
condition of
eyes (in TCM,
Shen or spirt of an individual is said to be revealed through their eyes. Who can deny
clinical efficacy of this? Is there a different expression revealed through
eyes of a clinically depressed individual than from those of a happy, well adjusted one?),
facial expression,
overall demeanor, how one walks, sits, and stands are all observed and utilized by
doctor of Chinese medicine as part of
information required to arrive at a differential diagnosis. The doctor must be able to note and sense inconsistencies in an individual that are expressed by
patient even without
patient being cognizant of
chasms which exist between what they verbally express and what their spiritual presentation divulges. The sensitivity to and awareness of these human idiosyncrasies enables
TCM doctor to develop an understanding of who
patient is even before
'main complaint' is discussed.