the methods for obtaining knowledge in a healing art must be coherent with that art’s underlying understanding and theory of illness. at its core, the call for an evidence-based cam is a call for alternative practitioners (and the public) to accept this epistemic framework of orthodox medicine. there is only scientifically proven evidence-based medicine supported by solid data or unproven medicine, for which scientific evidence is lacking.”5 proof, and knowledge of medical truth, for evidence-based orthodox medicine lies in the statistical results of controlled clinical trials,13 presumed to generate knowledge independently of any theory of disease. ebm gives general preference to knowledge obtained from controlled clinical trials; this preference, however, may not be warranted.22 the claim of ebm that certain types of evidence are better guides for medical decision making is not scientifically demonstrable, but rather represents an epistemologic preference. it is easy, for instance, to imagine the dismissal as ineffective of an intervention that helps some and harms others in an equal proportion when no difference is found in outcomes compared with a control group.
it is important here to recognize that many of the factors that clinical researchers believe they are measuring are, in fact, unmeasurable in a scientific sense. the importance of qi in traditional chinese medicine (tcm) means that research that cannot and does not account for the force will never be compelling for a tcm practitioner. this would result in an internal inconsistency between a theory of disease and the method for obtaining knowledge within the discipline. but ebm will remain an incomplete guide to optimal clinical practice for disciplines that assert that non-measurable but detectable differences between individuals are important to the diagnosis and treatment of illness. thoughtful practitioners of orthodox medicine recognize that not all medical questions are best answered by appeal to or performance of a controlled clinical trial.
congress seems to agree, voting last september to expand the nih’s office of alternative medicine into a national center for complementary and alternative medicine, with an annual budget for 1999 of $50 million. one issue raised by the nejm editorial is that despite a lot of noise, the office of alternative medicine has not produced much in the way of results. the rosenthal center has taken the lead in trying to organize a searchable international database of alternative medicine research, a project that is itself still searching for funding.
it’s a paradigm that derives from modern newtonian physics, and that’s no longer the sole paradigm even in physics. the notion of the observer’s effect has a specific meaning in quantum mechanics that was never intended to be generalized. perhaps that very contentiousness makes research universities the natural arena for alternative medicine to respond to the challenge of science. trends in alternative medicine use in the united states, 1990-1997: results of a follow-up national survey.
there is only scientifically proven evidence-based medicine supported by solid data or unproven medicine, for which scientific evidence is lacking. “t here is no alternative medicine,” the editors of the journal of the american medical association wrote last year. “there is only scientifically proven, acupuncture; ayurveda; homeopathy; naturopathy; chinese or oriental medicine ; chiropractic and osteopathic medicine; massage; body movement therapies; tai chi, why alternative medicine is better, why alternative medicine is better, alternative therapies, complementary and alternative therapies, arguments against alternative medicine.
this article has been cited by other articles in pmc. complementary and alternative healthcare and medical practices (cam) is a group of diverse medical and health care systems, practices, and products that are not presently considered to be part of conventional medicine. integrative medicine is an approach to medical care that combines conventional medicine with cam practices that have shown through science in an accompanying editorial, phil fontanarosa and george lundberg, two of jama’s editors, wrote: “there is no alternative medicine. there is who recognizes that traditional, complementary and alternative medicine has many benefits and africa has a long history of traditional medicine, conventional medicine, what are the 5 major types of complementary and alternative medicine, list of alternative medicine doctors, article about alternative medicine, types of healing therapies, traditional medicine vs alternative medicine, complementary and alternative medicine journal, acupuncture, biology based practices, what are the different forms of complementary and alternative medicine approved by tama.
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