Chinese Pseudoscience #1: Acupuncture 针刺 - Part 1: History

in #steemstem7 years ago

We all know that Americans are kind of the laughing stock when it comes to weird conspiracies and dangerous beliefs (though it's obviously everywhere), from cancer-causing phones to deadly aluminium in vaccines on a flat earth. But I noticed a lot of the Chinese pseudosciences aren't very widely addressed on Steemit, and since I live here, who better to debunk than yours truly?

Now, acupuncture is a good one to start with because not only is it a classic method to treat literally everything, but it's largely accepted and widespread across the world. It's also fake and definitely doesn't work.

So for this series, we're going to come across the placebo effect quite a lot, the healing ability from a psychological belief that something works. This is very real and sometimes quite powerful, but in the cases where medicine used is a placebo effect, it's not a justification to continue using it, because more often than not the practice is also quite dangerous. That being said, never underestimate the power of placebo.

So first, let's take a look at the false history behind acupuncture.

History

China loves to romanticize its history, often claiming that China on the whole has 5,000 years of connected history and culture. This in itself is false, with the evidence going, at most, back 3,000 years, and even then there are some speculative claims, with just perhaps a small town here, a disconnected tribe there. But nonetheless, Acupuncture is often claimed to have been around for 5,000 years, since the very dawn of Chinese history.

There's no evidence for this, obviously. The closest evidence comes is a European mummy, Otzi the Iceman 5,000 years ago, which had some tattoos that happened to be in the same location as some Qi points used in acupuncture. If this was true, which let's face it, is speculative at best, it's not exactly confirmation that it's an effective medicine. Likewise, the 'evidence' in the Chinese medical book 黄帝内经, Huangdi Neijing, shows that there are puncture marks in specimens from the Neolithic era, which could just as easily be efforts to burst pus-filled growths from disease and infection.

To be honest, there was no real mention of acupuncture the way we know it (with precise points around the body being noted) until around 100BC, barely 2,000 years ago. That's still pretty old, but it didn't even remain popular, in persistent decline for 1,000 years, until the Mao era.

The Death of Acupuncture

Emperor Dao Guang
Around 1822, A court commission of specialists, physicians and scholars collectively and carefully decided - note, 200 years ago! - that it had no medical value and was eventually banned by 道光帝, Emperor Dao Guang. We don't know the true details of what was discussed, but we can say that there was no outcry, being barely practiced or heard about by this point anyway, and it was called out as a 'lost tradition' by 徐大椿, *Xu Dachun*, some 80 years prior to the ban.

In fact, there is no proof that acupuncture was widely used at all, with scant evidence and severe lack of mentions of it throughout the time of 400 emperors. You see, the Chinese knew what they were doing back then more than we give them credit for.

The 鹽鐵論, or the Yan Tie Lun, a state policy debate in imperial courts, noted back in 81BC that acupuncture practitioners:

...stab in their needles at random, without the least beneficial influence on the illness, and only succeed in injuring the flesh and the muscles

Well, that sounds an awful lot like what modern researchers conclude after 3,000 trials! (more on that in part 2). So, after 1822, Acupuncture was dead.

Enter 毛泽东, Mao Zedong


Fast forward to 1949, an good old Mao gained power and became the most powerful (and brutal) leader in Chinese history (probably). With nothing but politics in mind, Mao united Traditional Chinese Medicine (TCM), reviving it into its new form.

Utter nonsense

Now, it should be well known that Mao's physician, 李志绥, Li Zhisui was 'baffled' by TCM and the unfounded relation between the five elements. Not only that, but a conversation between him and Mao showed that Mao himself didn't believe in it either:

Even though I believe we should promote Chinese medicine, I personally do not believe in it. I don’t take Chinese medicine - Mao Zedong

His support was, therefore, entirely political. In a speech in 1950, Mao explains that, with 500 million citizens sick and in need of medical help, there simply wasn't enough supply of trained professionals and useful western medicine. With no other choice at hand, 'peasants' had to rely on TCM, regardless of its ineffectiveness, and so Mao was there to unite and support it.

With a romanticized view of a mysterious, ancient China, the western world also fell into the propaganda trap. Any skeptic was, naturally, shot down as some kind of racist, or an ignorant fool, foolishly applying western thought to Chinese medicine, which somehow is entirely unique among the Universe.

And so here we are, with TCM spread all over the world, from South Korea to Finland, USA to Australia, even though we've known, for literally thousands of years, that it's nonsense. Enjoy the pinpricks, cause that's all they are.

Still not convinced? In part 2 I'll dig into the actual 'science' of it all, and see if practitioners actually have any ground to stand on (spoiler: nope).



Thanks for reading! If you want to be a part of the science community on steemit, join the steemstem group on steemit.chat!

WhYkkh9.gif

Image sources CC0 usage

Sources

Huangdi Neijing
Acupuncture Wiki
Yan Tie Lun
Emperor Daoguang
Importance of acupuncture in history
TCM Origins

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Debunking pseudoscience - now that's a good cause worth backing!

Since i am practicing acupuncture i have to say that it doesn't has to do if you believe it or not. It works.
It is not a Pseudoscience . It's working and i have many people who have cured by many health problems.

As briefly mentioned, placebo is a powerful effect and can legitimately have medical benefits. But Placebo isn't an indicator of effective medicine, only psychological significance. If acupuncture helps relieve pain via placebo, then all the power to them, but it's certainly not the acupuncture itself doing it, which I'll discuss in part 2

I am wondering many times myself about if it is a placebo or not. The results of the people I work with are amazing. Most of them do have the same reaction with you before they come to me but the results are amazing.
I believe that effective medicine is everything that causes someone to get healed. I am sure that both systems have pros and cons. It needs many years of studying and practicing in order to be an acupuncturist as the same happens for classic doctors also.
Most people in western societies know acupuncture as a system to cure allergies or quit smoking and it is understandable, because classic medicine has limits also and these two parts allergies and smoking, has a lot of profit potential.
It's very easy to under valuate a system or a thought before you spend time to learn more about it by the best teacher.
The same happens for the classic medicine also.
You can say of course "I don't believe in that so why do i have to spend a time to learn about it".
If that is true then you can't have a clear opinion about the subject.
Of course acupuncture is far more than that and I believe that is very unprofessional, even for a classic doctor to treat it as a Pseudoscience.

I'm curious, did you read the post I wrote?

:) Twice... What do you think i haven't noticed ?
No hard feelings.

It's just odd because you haven't actually countered any part of what's in the post, you just say 'it works'. If you can provide evidence i'd love to see, but you only really needed to read the title to respond with what you said - which is fine, i suppose

Well, it is no placebo. If you yourself have a problem once, go try acupuncture. You may change your mind.

I trust research, not anecdote, but thanks for the suggestion

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China does have pretty extensively studied pre-literate archaeological sites, so their claim of having a 5000 year history isn't entirely bunk, and they do legitimately have more in the way of historical and cultural continuity than basically anyone except maybe Egypt, and that's a convoluted discussion, to say the least. Outright claiming 5000 years of history is somewhat problematic, but I wouldn't call it wrong. John Keay, notably, covers 5 millenia in his almost peerless China: A History.

As far as the acupuncture bit goes, yeah, you're spot on.

Certainly Chinese history in terms of a continuous lineage of culture surpasses even that of the Egyptians (they don't exactly write in hieroglyphics nowadays), but '5,000 years' is a little of an overstatement, nonetheless.

The earliest evidence of writing, for example, is about 3,500 years ago, and before that, the Xia dynasty was little more than legend. Scholars found that the stories about the Xia was the total opposite of the Shang (the first dynasty with evidence), which comes across more like folktale propaganda, making the past look bad sorta thing.

Recently they discovered what appears to be like, a hut by a river where the Xia dynasty was said to be, and evidence of the fabled flood, though the dates of these were closer to 3900 years ago.

It may be picky to knock off merely 1,000 years but that's the equivalent of all modern history in the west pretty much.

Aside from that, given that there was no written document and only fables from those times, and perhaps a small village at best, it's no different from any other of the numerous civilisations that had been around at least 10,000 years ago such as in Turkey. China can join the dots based on proximity alone if they want, but I can do that with Cheddar man, found in the UK from 9,000 years ago. It's a little disingenuous.

Realistically, they have about 3,500 years of solid history, I'd say. Which is still impressive.

good post.

Well, I cannot say acupuncture is useless, i mean it definitely cannot cure everything (Scammy doctors are everywhere), but surely this can be a form of medical treat regardless whether it is a placebo or a destress (especially for muscle related issue, of course not those cure cancer, preserve your liver function crap).

Another thing with TCM which i believe is that it acts more like a preventive methods, but only if you follow strictly to it (which somehow makes you live a healthy life in modern health definition, making it scammy)

I accept the part where TCM is a pseudoscience as we cannot pinpoint the active ingredient (or it may involve multi active ingredients operating in a complex interaction which we cannot decipher with current science method), but it doesn't mean it doesn't work as a form of non-emergency medical option~

Well, as said I think the placebo effect that comes from acupuncture, like homeopathy, is very valid and can do wonders. I might actually do a post praising the potential powers of placebo at some point because it's really quite fascinating.

As for what is and isn't true and what does and doesn't work, well I'm not a scholar in the matter myself so the nuances will be researched thoroughly for the second part tomorrow or the next day. I'm sue you'll have some good counter-arguments for what I uncover =)

This is a breath of fresh-air in a community of anti-vaxxers, religion-posts-tagged-as-science and flat earthers. Thank you mate.

Follow all the #steemstem posters if you wanna be in an informed community =)

I never tried it myself, but always believed it has some therapeutic value.
You made bold statements @mobbs here, you gotta live up to them in part 2 ;) Let's see if you get us convinced with your point of view lol

Oh just you wait. It's somewhat a bigger task than this one though, not sure if I can get it out tonight or tomorrow... oh well, keep an eye out!

Wow. This is really fascinating, since I'm surrounded by TCM believers, especially concerning the five elements. I don't believe it, but I don't believe the practice to be life threatening. But maybe you are talking about when people reject real research for curing the trickier diseases in favor of TCM?

The placebo effect though, very powerful for sure. Tricky with me, I wonder if my deep rooted disbelief prevents meet from reading placebo benefits. Actually I think it's partial-- I believe that there could be a placebo effect from a treatment, and that belief might be enough? Ha....

I am definitely surprised to find out about its timeliness and popularity spurred mainly by propaganda. Well, not surprised that it could happen, as their censorship gives them full power on fake news, but this is news to me.

The last question I had is whether or not there is something about relieving "pressure points", since it seems to at least have the perception of "something changing". Sometimes the needles play with sensitive nerves.

Thanks for the big comment!

I will answer your first question in the next post =P

I do believe placebo works even when a person knows its a placebo, there was some fairly recent research on the matter! Can't remember where though... I'll dig it up at some point.

The feeling of relief may again have some psychological effect, and acupuncture can work as a light painkiller of sorts (placebo-wise), but don't expect those pressure points to fix leprosy...

I have never heard anything about the story behind acupuncture.

Do you know I experienced it once (the doctor puts needles in me before I could react)? My reaction was simple: laughing as looking like a hedgehog (in short, I don't believe in needles, except when they are in haystacks).

Yeah for some reason this is one of the alternative medicines that seems to have gotten through the cracks, possibly permitted due to its placebo qualities and now even the NHS funds it! (Alongside homeopathy until a few months ago I think?) I wish I could see you as a hedgehog!

No way. I have changed my doctor after this incident (this was like 8 years ago :p )

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