Luke Rickards wrote:Do you think that we have received this legacy with an inherent system of checks and balances so that continued knowledge may be developed while ensuring internal validity?
Luke Rickards wrote:If not, do you think it is appropriate to import another system of error correction to do this job (of course, this assumes that internal validity is desirable)?
I'm not actually referring to the biomedicalisation of CM here. I'm referring to internal validity of CM and how that might be ensured in a system that has been and continues to be dominated by subjective data collection and dissemination.If you want to "scientificise" acupuncture by researching the biomedical mechanisms, for example, then its unavoidable isn't it? But then, is it still acupuncture?
For example, how do you know that you have made an error in the application of CM when your patients don't respond. Perhaps it is an error that has been past down through history but has been hidden by all kinds of other effects- natural progression/resolution, placebo, additional things that have done to people who did respond, luck etc, and hasn't poked its head up consistently with the right people to be eliminated?If I make a clinical error, ie the patient doesn't respond to treatment
This is certainly one way to respond to an error if it was yours, but it won't actually tell you the origin of the error. To keep "trying a different approach" doesn't demonstrate a strength in the application of CM principles and implies a hope that one might simply get lucky.then you go back and reassess the diagnosis and/or try a different approach.
Luke Rickards wrote:Any input on a public forum is an act of courage (especially so for those who choose not be anonymous) and I didn't see anything terrible about your response.
Luke Rickards wrote:Sean Walsh's work on the inter-examiner reliability of pulse diagnosis is a good example of what I mean here. Mark Aird's work is another. Neither are attempting to biomedicalise CM, but both have used scientific methods to forward the internal knowledge of the system.
Luke Rickards wrote:I am aware Peter has some well-formed views on this subject and I eagerly await his input. No doubt AcuMed will also enlighten us - I can't wait!
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