History repeats itself: Evidence Based Treatments

repeatOne of the most important judges of whether a treatment method are working or not is history. Through-out the history of mankind, there are various methods of healing practices some disappeared and some still remain to this day. One of the curious things about the history of healing arts is that humankind wanted to affirm itself that it is able to heal the body using his own skill. As such there are periods in history in which health care practice is restricted those only approved by a higher power, but to be proven by history to be limited and as such usually reverts back to the time proven methods.

Taking a look at the Chinese medical history, which is approximately 4,000 years old. The treatments started with the Yellow emperor’s manual and the monks healing arts. These medical practices flourished and have various other methods in which medical practitioners healed other people, namely using acupuncture, diet and understanding the disease. The methods stated above were eventually challenged, but these methods still remained even until now. These are a testament to how these healing methods is a viable way of healing a person. One of the things that intrigued me is the presence of a healing technique developed from the monks healing method which is integrated in the practice of Tai Chi Chuan which involved the stopping of the body’s invisible movements so as to bring back the natural balance of the body and is an integral part in the practice of the art which focuses on using forms so as to improve the mind and body connection so as to be able to move better and live longer.

Taking note of the Japanese Medical history, which is practically partly based on the Chinese and Indian arts. Healing itself is initially been given by families that study the art of healing and they develop their own way of being able to approach the problem and solve the cause of the problem itself. Eventually this was challenged by the western thinking approaches which tend to organize the procedures into generic names and limit the treatment to the “new” knowledge of medicine back then. Science as you know is just pretty new and up until now is not able to answer the how the method works. These thinking methods challenged the healing methods of the time, but those time tested healing methods still remain until today even though science was still not able to explain them. The methods noted here are the Judo Kappa and the Shiatsu methods in which they still remain up until now. The things that interest me specifically is that almost everything can be treated through the stomach which is being seen in the visceral manipulation methods being seen today and the ability of the practitioner to find the main cause with the use of the hands and gravity. These things are not yet fully explained but are pretty much used until today and are still helping therapist treat people.

The thing is back then clinical reasoning, knowledge about the disease and the skills of the practitioner were integral to the treatment of the client. This is pretty much a step down to the method of seeing this worked on some random guy this might work on this other random guy. The clinical reasoning, ability to analyze the condition and the need for the practitioner to keep polishing his skills were being undermined for treatment’s that only seem to work for these certain people based on some random study done by some random practitioner somewhere in the world. Personally I am not against Evidences and the studies of whether techniques work or not. This is pretty much for the safety of the client and therapist.  There are more things to consider in treating the person also if you rely too much on some paper works which are done by some practitioner somewhere where is the capability of the therapist to choose which one works and the capability to analyze the condition which was developed through the years will not be of use as such without these why is a practitioner needed.

The point is to keep a balance on having evidences to support your practice and knowing which of your abilities as a therapist work on making the client reach their optimal capabilities. After all, this is our job as practitioners. We put people back to doing what they want to do at that specific time.

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