Yang Sheng Fa principles in Academic Environment · 2019. 11. 7. · Yang Sheng Fa principles in...

Yang Sheng Fa principles in Academic Environment

Jan Novák1,2,3

1Czech Technical University in Prague 2University of Luxembourg3First School of TCM in Prague

ELITE 2019: 3rd Annual International Training Course in TCMCACMS, China, BeiJing, 12–26 October 2019

J. Novák et al. (CTU . . . ) Yang Sheng Fa principles in . . . CACMS ELITE TCM 2019 1 / 27

Outline

1 Czech Republic

2 General Health Status

3 Health care system

4 Traditional Chinese Medicine

5 TCM and Me


Overview

1 Czech Republic




5 TCM and Me


Czech RepublicDemographic and socioeconomic factors

Demographic Factors Czech Rep. EUPopulation in total (millions) 10,546 509,394Population over age 65 (%) 18.3 18.9Fertility rate∗ 1.6 1.6

Socioeconomic factorsGDP per capita (ePPP†) 25,200 28,900Relative poverty rate‡ (%) 5.3 10.8Unemployment rate (%) 5.1 9.4

∗Number of children born per woman aged 15–49†Purchasing power parity‡Persons living with less than 50% of median disposable income


Czech RepublicDemographic and socioeconomic factors


Overview

1 Czech Republic




5 TCM and Me


General Health StatusPrincipal causes of death

Life expectancy 78.7 years (two years below the EU average)

Top three causes of death:

cardiovascular diseases (50% of total deaths), among lovest in EUlung and coloteral cancers (man 23%, woman 28%)endocrine system diseases (diabetes), slightly over EU average


General Health StatusHealth risk factors

According to WHO figures:

22% of Czech adults smoke (2% more than the EU average)amount of consumed alcohol per capita (adults only) 13 liters (3liters more than EU average, among top ten worldwide!)over 63% of adult are overweight (70% of men, 57% of women)musculoskeletal problems, acceleratingdepressive mental disorders, acceleratingnearly 1 in 4 people living with hypertension1 in 13 with diabetes1 in 22 with asthma


General Health StatusHealth risk factors

Chronic diseases and depression are among the keydeterminants of disability-adjusted life years§.

Skin disorders as eczema are not considered by officalpolitical-medical doctrines as quality life limiters.

§WHO: Number of lost years of "healthy" life.J. Novák et al. (CTU . . . ) Yang Sheng Fa principles in . . . CACMS ELITE TCM 2019 9 / 27

Overview

1 Czech Republic




5 TCM and Me


Health care system

universal health care system, generous coverage (ranked 13th inEurope, behind Sweden and two positions ahead of the UK)Ministry of Health – main administrative and regulatory body

owns some regional hospitals, psychiatric institutions and otherabulatory providersowns all university hospitals

collection of contributions – private health insurance bodiesall CZ individuals are insuredmajority of GP’s are private as are most dentist ambulatoryprovidersexpenditures 1,800 EUR versus 2,800 EUR (EU average) peryear/capitait amounts to 5.3% of GDP PPP versus 7.3% (EU average).82.4% of total health spending is financed from public resources


Overview

1 Czech Republic




5 TCM and Me


Traditional Chinese MedicineHistory – Europe

first written records in Europe, Netherlands, 17th centuryIceman Otzi, (1991, South Tyrol), acupunctured 3,400 years BCE?


Traditional Chinese MedicineHistory – Czech Republic

TCM = acupuncture until 1989studied since 1960 as an alternative for pain relief1965 – first book in Czech publishedpart of standard medical education since 1977Czech Acupuncture Society est. in 1990 (about 500 members)acupuncture 6= TCM(holism), increasing criticismDr. Jaroslav Debef, stressed the need for integrative therapy(basal stress)1990 – Czechoslovak SinoBiology Society (Dr. Ludmila Bendova)1990 – First School of Traditional Chinese Medinice1990 – Czech Chamber of Traditional Chinese Medicinesince 1995 on, publishing activities of Dr. Vladimir Ando2018 – new medical services act omitting TCM→ legal vacuum


Traditional Chinese MedicineStatus in the Czech Republic

CZ health care system based exclusively on allopathyunlike in China, Canada, the U.S. or the U.K.hostility towards TCM (IM in general, in Czech context mostlyTCM and homeopathy)acupuncture is more accepted but questionedIM treatment is often derided or stigmatized by state officials andpopular media(anti-TCM diction of government representatives)negative views held by Camera Medica Bohemica (powerfulCzech allopathy doctrine)


Traditional Chinese MedicineLimitations/bottlenecks – Czech Republic

Missing legislation (vacuum).A cumbersome educational environment (staying outside ofgovernment regulated/supported educational doctrine).Lack of scientific performance related to TCM/IM.Missing national TCM/IM standards or at least codification efforts.


Traditional Chinese MedicineSuggestions – Czech Republic

Systematic public relations and discussion about TCM andwestern medicine aspects, capabilities and weaknesses, free ofany prejudice and information noise.Identification of the cornerstones of allopathy and TCMcoexistence.Establishment of a clear legislative framework and inclusion ofTCM treatment into the country’s universal healthcare system.University-level educational TCM programs. Incorporation ofQiGong/Yoga practices into, for example, the curriculum ofgymnastics at the primary and secondary school levels.TCM (and/or mutual - allopathy/TCM-) oriented researchsupported by national grant agencies.Standardization of TCM treatments and rigorous scientificevidence of its results.


Overview

1 Czech Republic




5 TCM and Me


TCM and MeMotivation – healt crisis genesis

MSc. in Civil Engineering/Architecture, 1997 - 2002clasroom (6-8 h/d, 5d/w), PC overuse (3-6 h/d, 7d/w), limited/noactivity

PhD. in Materials Engineering, 2002-2008clasroom (8h/w), PC overuse (12-16 h/d, 7d/w), limited/no activity

1st postdoc/fellowship 2007PC (12-16 h/d, 7d/w), compensative activity (3h/d, running, gym)tennis elbow, upper back pain, groin hernia surgery

2nd postdoc 2008-2010PC (12-16 h/d, 7d/w), compensative activity (2-3h/d, running, WS,yoga)upper/lower back pain, tennis elbow, wrist pain

3rd postdoc 2010-2012PC (12-16 h/d, 7d/w), compensative activity (1h/w, WS, yoga)upper/lower back pain, tennis elbow, wrist pain, looser sight

4th postdoc 2013PC (12-16 h/d, 7d/w), compensative activity (2h/d, 4d/w, yoga)upper/low back pain, tennis elbow, wrist pain→ RSI→ 80% armdisabilityJ. Novák et al. (CTU . . . ) Yang Sheng Fa principles in . . . CACMS ELITE TCM 2019 19 / 27

TCM and MeMotivation – remedy proces

PC (6h/d, 4d/w at maximum)QiGong (2-6h/d, 7d/w), currently (1-3h/d, 2-3d/w), includingmeditationchiropractice/japanese acupuncture (1h/m), currently (1h/2m)Qi massages (1h/m)Yoga - Macco Ho (1h/d, 3-4d/w)Yoga - Ashtanga (2h/d, 2d/w), currently (1h/m)farmhouse activity (bee keeing, gardening, building rehabilitation)(8h/d, 1-2d/w)professional burnout (immune system collapse)boxing, running (2h/d 2-4d/w)currently nearly no PC, however car driving (10-20h/w)back to WS, surfingTCM, pills, acupuncture, psychotherapy, tuina


TCM and MeMotivation – side effects

changes in all aspects of lifecomplete change and “clean up” of near surroundings (friends, jobties, relationships)selfrespectme & my wife relationshipwork habits changesfamily economics – trippled incomeimproved health of all family membersbetter understanding of “earth” element – mind liberationthoughts: Jing overuse; permanent activity × lazyness, boredom


TCM and MeMotivation – healthy/fit unhealthy/sick and vice versa


TCM and MeProject description – research plan

Short term:Recruit a group of about 10 individuals into a year- (or so) longresearch studyCreate a diagnosis questionary (non/anonymous/nicknames?) for arepeated useQuestionary analysis within the context of TCM diagnostics(WuXing/ZangFu)Intensive QiGong and dietetary training, focusing on Yang Shen Famodus operandiMonitoring of pattern/health evolution of each individualSelf/Assisted-care methodology developmentResults dissemination, message to university headquater, remedymeasures definition

Mid term:CTU IM health care consultancy centre/office

Long term:CTU IM faculty/School/Department


TCM and MeCase study - Mastitis

Symptoms: High temperature (39.5 C), Swollen breast, strongbreast pain, breast feeding defficiency/unabilityTreatment:

acupuncture SI1 – 2× first two daysST meridian massage at instep over ST43, ST42 (recallST17-nipple), deep massage inbetween LI13 – LI14 (recall LU3,LU4, TH12 nearby) – 4× first two daysfyto: QiangHuo ShengShi Tang

Observation: heat comming out through arm (breast→ arm)

Day 1/PM Day 2/AM Day 3 Day 4 Day 5J. Novák et al. (CTU . . . ) Yang Sheng Fa principles in . . . CACMS ELITE TCM 2019 24 / 27

Contemporary scienceThoughts, Evidence/Non-evidence

Observation Method, Trial and Error MethodChinese × Arabic heritage TCM × Math (algorithm, algebra, . . . )Mengele/Nazis, tests on humans, evidence based science?Anti-conception – Science × crime (enviromental impact)Non-acceptance of negative resultsIntentionally misleading/deceptive resultsQuantitavie based management in scienceAriane 6 nozzle ESA/Airbus/CTU project – 3 years wrong inputs(engine test e200M )WM × GPs, therapist × patient relationship – trust × fear(psoriasis case)?Proton Therapy Centre HPC/AI project (quickly developing tumors)WM cancer treatment succes rates (tens %) × Civil/MechanicalEngineering safety factors (thousands %)Recreology/Turism – we award PhD, why not accepting TCM?


Contemporary scienceThoughts, Evidence/Non-evidence – Exxon

“Science? Yet another way of making living . . . ”


Acknowledgements

THANK YOU ALL FOR THE ATTENTION


Yang Sheng Fa principles in Academic Environment · 2019. 11. 7. · Yang Sheng Fa principles in...

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