Traditional Chinese Medicine Is Making the World Healthier
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Traditional Chinese Medicine Is Making The World Healthier By Anita Tang March 2013 Plans by the Chinese Government to improve health care for all Chinese people – along with modernization of Traditional Chinese Medicine – offers opportunities for furthering nutritional and other health-care education in the People’s Republic of China and the West. Will the increasing acceptance and growing use of Traditional Chinese Medicine throughout the world help change the landscape in modern medicine by focusing more on preventive care? If so, does the world have the relevant knowledge and needed specialists to handle it? © 2013 Royal Roots Global Inc. All Rights Reserved. 1 “Healthy China 2020” Reform Points the Way In 2008, the Chinese government set a target for year 2020 when a sound, basic medical and health system covering both urban and rural residents would be established, this reform is known as “Healthy China 2020”. The reform is introduced to ensure that everyone enjoys access to basic medical and health services. In March 2009, the Chinese government promulgated the "Opinions on Deepening Reform of the Medical and Health Care Systems" with the goal to provide the entire nation with basic medical and health services as a public product, and ensure that everyone, regardless of location, nationality, age, gender, occupation and income, enjoys equal access to basic medical and health services. As shown in Table 1, in 2009, there were 35 countries in the world that had per capita health expenditure of over US$ 2,000, adjusted to PPP. China ranked 111 on the list with a PPP-adjusted per capita health expenditure of US$ 347 (5.1% of GDP). In 2011, the total health expenditure in China accounted for 5.1% of the country’s GDP, reaching RMB 2,434.591 billion (~US$ 386.44 billion) and representing RMB 1,806.95 (~US$ 286.82) per capita. Liu Yuanli, Senior Lecturer on International Health at Harvard’s School of Public Health, is directly involved in the strategic planning of Healthy China 2020. He suggested that total health expenditure in China in 2020 should account for 6.5% of the country’s GDP. Since China’s GDP is expected to reach RMB 105-127 trillion (~US$ 16.67-20.16 trillion) then, 6.5% of it will translate to RMB 6.83-8.26 trillion (~US$ 1.08- 1.31 trillion); at a projected population of 1.5 billion people, health expenditure per capita will be RMB 4,553.33 (~US$ 722.75). Over the years, China has worked hard to develop its medical and health services with Chinese characteristics “in accordance with the policy of making rural areas the focus of its work, putting disease prevention first, supporting both traditional Chinese medicine (TCM) and Western medicine, relying on science, technology and education, and mobilizing the whole of society to join the efforts, improving the © 2013 Royal Roots Global Inc. All Rights Reserved. 2 people's health and serving socialist modernization.” With its planned health expenditure, China can only achieve its Healthy China 2020 goal by using both TCM and Western medicine – complementary practices have already been used today in many of China’s hospitals and clinics. Tradition Chinese Medicine The History In a white paper released in December 2012 by China’s Information Office of the State Council – “Medical and Health Services in China” – it noted that “Traditional Chinese Medicine has a long history in China, and is a medical science formed and developed by the Chinese people in their daily work and life as well as attempts to treat diseases. TCM is the crystallization of the wisdom of the Chinese people, and has made important contributions to the continuance and thriving of the Chinese nation. Known for its unique characteristics and advantages in curing common diseases, frequently occurring diseases and complicated diseases, TCM has also proved effective in treating infectious diseases and is very popular among the Chinese public for its low cost, satisfactory curative action and mild side effects. TCM plays an irreplaceable role in China's medical and healthcare endeavors, and the Chinese government has always supported and promoted its development.” Based on a tradition of more than 2,000 years, TCM includes acupuncture, massage (tui na), cupping, gua sha, dei-da, exercise (qigong, tai chi), dietary therapy/Chinese food therapy, and various forms of herbal medicine. Modernizing TCM in China The white paper also point out that “A modernization drive for TCM has been initiated. The State has proactively promoted theoretical and technical innovations in TCM through the application of modern science and technology, and has gained important achievements in basic TCM theory, clinical diagnosis and treatment, TCM technology and other related areas. China promotes the industrialization and modernization of TCM, and as a result the industrial scale and technical level of TCM has increased markedly. Currently, there are about 1,500 manufacturers of TCM pharmaceuticals in China, and the variety, quantity and processing technique of TCM pharmaceuticals have improved by a wide margin. The State attaches importance to the protection of TCM's cultural values, and 41 TCM programs have been included on the nation's intangible heritage list.” © 2013 Royal Roots Global Inc. All Rights Reserved. 3 Traditional Chinese Medicine and the World International exchanges and cooperation in TCM are actively being promoted. China has signed treaties with TCM contents or special TCM cooperation agreements with over 70 countries. Cooperation in TCM application in foreign countries, and TCM education and technical cooperation has steadily expanded. Currently, over 160 countries and regions around the world have access to TCM. TCM is well accepted and widely practiced in Asia and countries in Africa. However, in the developed economies, TCM is not viewed as mainstream medicine; in the U.S., it is only considered one of the complementary and alternative medicines. Acupuncture is the most widely recognized TCM therapy. Table 2 is adapted from “Understanding Acupuncture” by Birch and Felt, 1999 Churchill-Livingstone; it shows early European exposure to acupuncture. Table 2, some 19th Century references to acupuncture in the West Date Country Author(s) Nature of Publication 1802 England W. Coley Article about the uses of acupuncture 1816 France L. Berlioz Book on acupuncture for chronic disorders 1820 Italy S. Bozetti Book on acupuncture 1821 England J.M. Churchill Article on use of acupuncture in treating rheumatism 1822 USA Anonymous Medical journal commentary favorable to acupuncture 1825 France J.B. Sarlandiere Article on the use of electron-acupuncture for gout 1825 Italy A. Carraro Article on uses of acupuncture 1826 USA F. Bache Article about uses of acupuncture 1826 England D. Wandsworth Article about using acupuncture for pain relief 1826 Germany G.E. Woorst Review article on status of acupuncture 1827 England J. Elliotson Article about acupuncture for rheumatism 1828 Germany J. Bernstein Article about acupuncture for rheumatism 1828 Germany L.H.A. Lohmayer Article about acupuncture for rheumatism 1828 France J. Cloquet, T.M. Dantu Book on acupuncture 1833 USA W.M. Lee Article about acupuncture for rheumatism 1834 Italy F.S. da Camin Described Sarlandier’s work on electro-acupuncture 1871 England T.P. Teale Article about acupuncture for pain relief In Belgium, Denmark, France, Italy and the Scandinavian countries, acupuncture therapy must be performed only by medical doctors. Germany Since classical medicine has limitations in many chronic and difficult illnesses and may generate grave side effects, more and more German patients have sought after help from Chinese medicine clinics in recent years. Statistics of German TCM institutions show that Germany has 50,000 doctors who treat patients with Chinese medicine, accounting for one-sixth of the total in the country, and more than 2 million patients see Chinese doctors every year. There are increasing numbers of Sino-German joint ventures in the TCM area in Germany. Though millions of Germans favor the traditional medicine from China, and TCM has been proved effective in treating many chronic and difficult illnesses, government authorities and © 2013 Royal Roots Global Inc. All Rights Reserved. 4 national health-care insurance funds are still reluctant to give TCM a parallel status with classical medicine. Other than acupuncture being qualified for partial insurance reimbursement, TCM is basically excluded from Germany's health-care insurance system. France In France, the first TCM hospital was established in Paris in 1996, focusing on providing acupuncture, message, Chinese medicine, exercise and food-therapy treatments, and related research. A number of social health-insurance agencies have agreed to pay for TCM treatment; some people suggest that there is a possibility that application of herbal remedy can soon undergo clinical trial in France. England At present, an estimated 2.5 million English spend US$ 158 million (GBP 90 million) annually on therapies by TCM, such as acupuncture, massage, and herbal medicine. There are more than 350 Chinese medicine pharmacies in England, and 60 percent of Chinese medicines are imported from China. Not only is TCM well accepted in England, its colleges have started to offer degree programs in TCM. Table 3 below is a list of member organizations of Euro TCM. Table 3, TCM in Europe: Member Organizations of Euro TCM1 Country Abbreviation Full name Type Austria Medizinische Gesellschaft für Chinesische MED CHIN College Gesundheitspflege in Österreich PROTCM Austria Austrian Professional TCM Federation Professional org. TCMA-W TCM Academy - Campus Wien College TCM-U TCM University Private University Belgium BAF Belgian Acupunctors Federation Professional org. BATCM Belgian Association of Traditional Chinese Medicine Scientific org. OTCG Opleidingsinsituut Traditionele Chinese Geneeswijzen College Bulgaria BAAPT Bulgarian Acupuncture Association of Physical Therapists Professional org. Czech Republic CSBS Ceskoslovenska Sinobiologicka Spolecnost College CSBSPTCM Praktici TCM Acupuncture org. NBJ Foundation of the white crane Professional org.