Veterans General Hospital, Kaohsiung, Taiwan
Dr. Huei-ching, Hsu got her Bachelor Degree of Traditional Chinese Medicine from China Medical University, and start her MA program degree in Kaohsiung Medical University, both in Taiwan. She is an attending physician of traditional Chinese medicine, participate in education program for licensed medical staff in Taiwan, and just finished her certificated program from Harvard Medical School global education, ICRT 2018 (Introduction to Clinical Research Training Program).
Evidence-based medicine not only exists during digitalized computer technology and Cochrane database nowadays. Its concept is also prevalent in ancient ages. The process of “kaozheng” (practicing evidential research) exist when inconclusive narratives in ancient Chinese medicine books. For example, Shi-Zhen Li (A.D.1518-1593) the author of 27-year work, scientific Chinese medicine book, Compendium of Materia Medica, was suspicious of the Chinese five-elements theory and popular trends, made efforts to investigate the truth.He pointed out the incorrect viewpoints of the prescription of mercury medicine at that time. QingRen Wang put emphasis on inspection of dog- torn children who had died in a plague epidemic in A.D.1798. His textbook of anatomy was based on cadaveric dissection, with opposition to only imagine human anatomy by way of the ancient Chinese yin-yang cosmic system. And it made steps forward in reversing past misconceptions based on Chinese mysticism. Moreover, when Western anatomy was introduced to Eastern Asia, opposition to mysticism concepts in Chinese medicine, is not equal to abandon of usage of its vocabulary. Because its vocabulary is more familiar to Chinese users than Latin origin ones. In the future, National Health Insurance database in Taiwan could be explored to identify the efficacy and side- effects of TCM. As long as it developed with clear research topics, sound study design, appropriate measurement (such as multimedia database for TCM tongue diagnosis, or Bi- sensing pulse diagnosis instrument). But we should keep in mind, these studies must be made by way of hypothesis-driven process after reviewing associated literature, not made according to templated forms. Besides, after combining botanic resources, more EBM appraisal about TCM was looked forward to and expected.