美國中醫(yī)專家田小明的資格疑云
作者：王澄
克林頓總統(tǒng)于2000年3月7日設(shè)立了“補(bǔ)充和替代醫(yī)學(xué)政策白宮顧問小組” White House commission on Complementary and Alternative Medicine Policy， 主任是James S. Gordon, M.D，成員有19人，其中有田小明，田的英文名是Xiaoming Tian 。 該顧問小組已于2002年3月7日解散the Commission was required to terminate。 官方網(wǎng)址http://govinfo.library.unt.edu/whccamp/index.html (以下簡稱白宮顧問網(wǎng)站)
據(jù)這個白宮顧問網(wǎng)站介紹說，由于美國民眾要求使用非正統(tǒng)醫(yī)學(xué)的辦法來促進(jìn)健康和治療疾病的人越來越多，所以，克林頓總統(tǒng)建立了這樣一個顧問小組，小組成立時就確定工作兩年(據(jù)另一個文章中說)。(不是新華網(wǎng)說的“政府換屆了小組還予以保留”。) About the Commission A growing number of Americans are using alternative approaches to health promotion and medical treatment. People are looking to health care providers to treat the whole person, not only illness. Because of public interest in and use of unconventional health care, the President established the White House Commission on Complementary and Alternative Medicine Policy. Executive Order 13147 authorizing the Commission was issued on March 7, 2000.
, 百拇醫(yī)藥
白宮顧問網(wǎng)站介紹說，這個顧問小組的成員應(yīng)當(dāng)是具有雙重知識的，既有正統(tǒng)醫(yī)學(xué)conventional medicine的知識，也有補(bǔ)充和替代醫(yī)學(xué)的知識。 The Commission, which is composed of individuals knowledgeable in both conventional and complementary and alternative medicine (CAM), has been charged with addressing:
這樣一個顧問小組的工作內(nèi)容是：研究補(bǔ)充和替代醫(yī)學(xué)的實(shí)踐和產(chǎn)品，補(bǔ)充和替代醫(yī)學(xué)的公眾可及性， 與補(bǔ)充和替代醫(yī)學(xué)有關(guān)的可靠信息向醫(yī)務(wù)工作者和大眾的傳播，補(bǔ)充和替代醫(yī)學(xué)工作者的恰當(dāng)?shù)膱?zhí)照制度，教育，和訓(xùn)練。 Research on CAM practices and products Delivery of and public access to CAM services Dissemination of reliable information on CAM to health care providers and the general public Appropriate licensing, education, and training of CAM health care practioners
, 百拇醫(yī)藥
顧問小組的主任是美國的physician。成員要求既通西醫(yī)又通補(bǔ)充和替代醫(yī)學(xué)。由于knowledgeable是很強(qiáng)的詞，這樣，我就對田小明的資格產(chǎn)生了懷疑：
一.田小明什么時候?qū)W的西醫(yī)？
新華網(wǎng)在2008年介紹田小明的時候，說他已經(jīng)“年逾花甲”，說他20歲的時候轉(zhuǎn)到北京醫(yī)科大學(xué)學(xué)習(xí)西醫(yī)6年。假定田小明2008年是61歲，那么，41年以前也就是田小明20歲的時候是1967年。因?yàn)?966年到1970-71年全中國的全部學(xué)校停課，所以，田小明很可能是1965年入的北京醫(yī)科大學(xué)。不算自己補(bǔ)學(xué)的，這些人入校后只讀過一年基礎(chǔ)課，這樣的人的西醫(yī)知識是knowledgeable嗎？
二.田小明什么時候?qū)W的中醫(yī)？
從未進(jìn)過中醫(yī)學(xué)院。
三.田小明既沒有在中國也沒有在美國讀過Ph.D.，為什么說自己是Ph.D. Research Fellow？(見下面白宮顧問網(wǎng)站的介紹)
, 百拇醫(yī)藥
我也做過Research Fellow，我不明白什么是Ph.D. Research Fellow。只要你在自己的國家有醫(yī)生執(zhí)照(學(xué)位)或Ph.D.學(xué)位都可以做美國國家醫(yī)學(xué)研究課題的PI (principal investigator課題負(fù)責(zé)人)，因?yàn)獒t(yī)學(xué)博士(包括中國的醫(yī)學(xué)學(xué)士)都相當(dāng)于或高于西方的Ph.D. 學(xué)位(醫(yī)生學(xué)習(xí)的年頭比別人長)，所以，這些人畢業(yè)后幾年全職做研究都可以稱作“博士后研究”。但是，沒有外國的MD 和Ph.D.的研究人員不可以成為美國醫(yī)學(xué)研究的PI，只能成為普通人員。
作研究，田小明說自己是中國醫(yī)生就夠了，為什么要把自己的博士后研究說成是Ph.D. research fellow? 在這個白宮顧問網(wǎng)站上，田小明的頭銜是M.D., L.Ac，MD是(中國的)醫(yī)生，L.Ac 是Licensed Acupuncturist 執(zhí)照針灸師。
四.田小明的科學(xué)研究能力。
, http://www.www.srpcoatings.com 田小明用NIH(美國國家醫(yī)學(xué)研究院)的錢研究中醫(yī)藥和針灸對關(guān)節(jié)炎，運(yùn)動傷和纖維肌痛癥arthritis, sports injuries, and fibromyalgia 的作用�，F(xiàn)代醫(yī)學(xué)對這三種病的治療比中醫(yī)藥和針灸強(qiáng)得太多。田小明到美國之前，(和我一樣)根本就不知道什么是fibromyalgia。
我們看到的是，國內(nèi)的中醫(yī)認(rèn)為中醫(yī)藥和針灸治療這三種病是中醫(yī)里強(qiáng)項(xiàng)的強(qiáng)項(xiàng)，我敢打賭，如果人人都知道了中醫(yī)藥治不了這三種病，那么中醫(yī)就會沒臉見人，去下田種地。我今天把Xiaoming Tian打入PubMed，結(jié)果是零。我只找到作者是Tian X的 2005年的一篇文章，因?yàn)樽髡呤荱niversity of Michigan的，和華盛頓隔著很遠(yuǎn)，所以不可能是Xiaoming Tian 或 Tian, XM。(該文章否定了穴位的作用，所以我把它放在附錄里，也讓田小明認(rèn)一認(rèn)，這是不是他的文章。)
田小明來美國27年，在NIH鬼混多年，“他已經(jīng)完成了很多研究課題He has completed many research projects”，竟然沒有出過一篇文章，我不知道田小明在美國拿什么去鼓吹中醫(yī)藥？拿嘴？我也不知道為什么田小明的科研能力這樣糟糕而臨床針灸會那樣神奇？我還想問一個問題，田小明在美國NIH作研究的時候到底做沒做過PI? 還是一直跟在別人的屁股后面給人跑腿？
, 百拇醫(yī)藥
結(jié)論：田小明沒有接受過正規(guī)的西醫(yī)和中醫(yī)的大學(xué)教育，當(dāng)然不會做研究了。這種人怎么能叫做knowledgeable？
附錄1 白宮顧問網(wǎng)站介紹田小明 Dr. Xiaoming Tian, of Bethesda, Maryland, is Director of the Academy of Acupuncture and Chinese Medicine and Wildwood Acupuncture Center. Dr. Tian is currently conducting a National Institute of Health (NIH) supported clinical trial with Georgetown University Medical School to treat fibromyalgia patients using acupuncture. He has completed many research projects on the use of Chinese herbal medicine and dietary supplements to treat and prevent arthritis, sports injuries, and fibromyalgia, in collaboration with NIH and the U.S. Department of Agriculture Nutrition Center. In 1991, Dr. Tian was the first person to be appointed a Clinical Consultant of Acupuncture to the NIH medical staff. He is an Adjunct Assistant Professor of Preventive Medicine at the United States Uniformed Health Service. Dr. Tian is the President of the American Association of Chinese Medicine. He is also the Honorary Director of the China Association of Traditional Chinese Medicine and Vice President of The International Academy of Medical Qigong, both in Beijing, China. He currently serves as an advisor to World Health Organization and Pan-American Health Organization on traditional medicine. Dr. Tian received his Medical Degree from Beijing Medical University and was a Ph.D. Research Fellow at NIH.
, http://www.www.srpcoatings.com
Xiaoming Tian, M.D., L.Ac Director, Wildwood Acupuncture Center Director, Academy of Acupuncture & Chinese Medicine Wildwood Medical Center 10401 Old Georgetown Road, Suites 102/104 Bethesda, Maryland 20814
附錄2 Tian X否定針灸穴位的文章摘要： 1: Treatment of fibromyalgia with formula acupuncture: investigation of needle placement, needle stimulation, and treatment frequency. Harris RE, Tian X, Williams DA, Tian TX, Cupps TR, Petzke F, Groner KH, Biswas P, Gracely RH, Clauw DJ. J Altern Complement Med. 2005 Aug;11(4):663-71. 文章題目：針灸針的位置，針的刺激，和治療的次數(shù)對纖維肌痛癥的作用。結(jié)論是：盡管針灸可以對纖維肌痛癥有止痛和癥狀改善作用，但是穴位準(zhǔn)確性和刺激的改變并不是很重要。 Although needle insertion led to analgesia and improvement in other somatic symptoms, correct needle location and stimulation were not crucial.
, http://www.www.srpcoatings.com
Department of Internal Medicine, Division of Rheumatology, University of Michigan, Ann Arbor, MI 48106, USA. reharris@med.umich.edu
OBJECTIVES: The objective of this study was to investigate whether typical acupuncture methods such as needle placement, needle stimulation, and treatment frequency were important factors in fibromyalgia symptom improvement. DESIGN/SETTINGS/SUBJECTS: A single-site, single-blind, randomized trial of 114 participants diagnosed with fibromyalgia for at least 1 year was performed. INTERVENTION: Participants were randomized to one of four treatment groups: (1) T/S needles placed in traditional sites with manual needle stimulation (n = 29): (2) T/0 traditional needle location without stimulation (n = 30); (3) N/S needles inserted in nontraditional locations that were not thought to be acupuncture sites, with stimulation (n = 28); and (4) N/0 nontraditional needle location without stimulation (n = 2 7). All groups received treatment once weekly, followed by twice weekly, and finally three times weekly, for a total of 18 treatments. Each increase in frequency was separated by a 2-week washout period. OUTCOME MEASURES: Pain was assessed by a numerical rating scale, fatigue by the Multi-dimensional Fatigue Inventory, and physical function by the Short Form-36. RESULTS: Overall pain improvement was noted with 25%-35% of subjects having a clinically significant decrease in pain; however this was not dependent upon "correct" needle stimulation (t = 1.03; p = 0.307) or location (t = 0.76; p = 0.450). An overall dose effect of treatment was observed, with three sessions weekly providing more analgesia than sessions once weekly (t = 2.10; p = 0.039). Among treatment responders, improvements in pain, fatigue, and physical function were highly codependent (all p < or = 0.002). CONCLUSIONS: Although needle insertion led to analgesia and improvement in other somatic symptoms, correct needle location and stimulation were not crucial., http://www.www.srpcoatings.com
克林頓總統(tǒng)于2000年3月7日設(shè)立了“補(bǔ)充和替代醫(yī)學(xué)政策白宮顧問小組” White House commission on Complementary and Alternative Medicine Policy， 主任是James S. Gordon, M.D，成員有19人，其中有田小明，田的英文名是Xiaoming Tian 。 該顧問小組已于2002年3月7日解散the Commission was required to terminate。 官方網(wǎng)址http://govinfo.library.unt.edu/whccamp/index.html (以下簡稱白宮顧問網(wǎng)站)
據(jù)這個白宮顧問網(wǎng)站介紹說，由于美國民眾要求使用非正統(tǒng)醫(yī)學(xué)的辦法來促進(jìn)健康和治療疾病的人越來越多，所以，克林頓總統(tǒng)建立了這樣一個顧問小組，小組成立時就確定工作兩年(據(jù)另一個文章中說)。(不是新華網(wǎng)說的“政府換屆了小組還予以保留”。) About the Commission A growing number of Americans are using alternative approaches to health promotion and medical treatment. People are looking to health care providers to treat the whole person, not only illness. Because of public interest in and use of unconventional health care, the President established the White House Commission on Complementary and Alternative Medicine Policy. Executive Order 13147 authorizing the Commission was issued on March 7, 2000.
, 百拇醫(yī)藥
白宮顧問網(wǎng)站介紹說，這個顧問小組的成員應(yīng)當(dāng)是具有雙重知識的，既有正統(tǒng)醫(yī)學(xué)conventional medicine的知識，也有補(bǔ)充和替代醫(yī)學(xué)的知識。 The Commission, which is composed of individuals knowledgeable in both conventional and complementary and alternative medicine (CAM), has been charged with addressing:
這樣一個顧問小組的工作內(nèi)容是：研究補(bǔ)充和替代醫(yī)學(xué)的實(shí)踐和產(chǎn)品，補(bǔ)充和替代醫(yī)學(xué)的公眾可及性， 與補(bǔ)充和替代醫(yī)學(xué)有關(guān)的可靠信息向醫(yī)務(wù)工作者和大眾的傳播，補(bǔ)充和替代醫(yī)學(xué)工作者的恰當(dāng)?shù)膱?zhí)照制度，教育，和訓(xùn)練。 Research on CAM practices and products Delivery of and public access to CAM services Dissemination of reliable information on CAM to health care providers and the general public Appropriate licensing, education, and training of CAM health care practioners
, 百拇醫(yī)藥
顧問小組的主任是美國的physician。成員要求既通西醫(yī)又通補(bǔ)充和替代醫(yī)學(xué)。由于knowledgeable是很強(qiáng)的詞，這樣，我就對田小明的資格產(chǎn)生了懷疑：
一.田小明什么時候?qū)W的西醫(yī)？
新華網(wǎng)在2008年介紹田小明的時候，說他已經(jīng)“年逾花甲”，說他20歲的時候轉(zhuǎn)到北京醫(yī)科大學(xué)學(xué)習(xí)西醫(yī)6年。假定田小明2008年是61歲，那么，41年以前也就是田小明20歲的時候是1967年。因?yàn)?966年到1970-71年全中國的全部學(xué)校停課，所以，田小明很可能是1965年入的北京醫(yī)科大學(xué)。不算自己補(bǔ)學(xué)的，這些人入校后只讀過一年基礎(chǔ)課，這樣的人的西醫(yī)知識是knowledgeable嗎？
二.田小明什么時候?qū)W的中醫(yī)？
從未進(jìn)過中醫(yī)學(xué)院。
三.田小明既沒有在中國也沒有在美國讀過Ph.D.，為什么說自己是Ph.D. Research Fellow？(見下面白宮顧問網(wǎng)站的介紹)
, 百拇醫(yī)藥
我也做過Research Fellow，我不明白什么是Ph.D. Research Fellow。只要你在自己的國家有醫(yī)生執(zhí)照(學(xué)位)或Ph.D.學(xué)位都可以做美國國家醫(yī)學(xué)研究課題的PI (principal investigator課題負(fù)責(zé)人)，因?yàn)獒t(yī)學(xué)博士(包括中國的醫(yī)學(xué)學(xué)士)都相當(dāng)于或高于西方的Ph.D. 學(xué)位(醫(yī)生學(xué)習(xí)的年頭比別人長)，所以，這些人畢業(yè)后幾年全職做研究都可以稱作“博士后研究”。但是，沒有外國的MD 和Ph.D.的研究人員不可以成為美國醫(yī)學(xué)研究的PI，只能成為普通人員。
作研究，田小明說自己是中國醫(yī)生就夠了，為什么要把自己的博士后研究說成是Ph.D. research fellow? 在這個白宮顧問網(wǎng)站上，田小明的頭銜是M.D., L.Ac，MD是(中國的)醫(yī)生，L.Ac 是Licensed Acupuncturist 執(zhí)照針灸師。
四.田小明的科學(xué)研究能力。
, http://www.www.srpcoatings.com 田小明用NIH(美國國家醫(yī)學(xué)研究院)的錢研究中醫(yī)藥和針灸對關(guān)節(jié)炎，運(yùn)動傷和纖維肌痛癥arthritis, sports injuries, and fibromyalgia 的作用�，F(xiàn)代醫(yī)學(xué)對這三種病的治療比中醫(yī)藥和針灸強(qiáng)得太多。田小明到美國之前，(和我一樣)根本就不知道什么是fibromyalgia。
我們看到的是，國內(nèi)的中醫(yī)認(rèn)為中醫(yī)藥和針灸治療這三種病是中醫(yī)里強(qiáng)項(xiàng)的強(qiáng)項(xiàng)，我敢打賭，如果人人都知道了中醫(yī)藥治不了這三種病，那么中醫(yī)就會沒臉見人，去下田種地。我今天把Xiaoming Tian打入PubMed，結(jié)果是零。我只找到作者是Tian X的 2005年的一篇文章，因?yàn)樽髡呤荱niversity of Michigan的，和華盛頓隔著很遠(yuǎn)，所以不可能是Xiaoming Tian 或 Tian, XM。(該文章否定了穴位的作用，所以我把它放在附錄里，也讓田小明認(rèn)一認(rèn)，這是不是他的文章。)
田小明來美國27年，在NIH鬼混多年，“他已經(jīng)完成了很多研究課題He has completed many research projects”，竟然沒有出過一篇文章，我不知道田小明在美國拿什么去鼓吹中醫(yī)藥？拿嘴？我也不知道為什么田小明的科研能力這樣糟糕而臨床針灸會那樣神奇？我還想問一個問題，田小明在美國NIH作研究的時候到底做沒做過PI? 還是一直跟在別人的屁股后面給人跑腿？
, 百拇醫(yī)藥
結(jié)論：田小明沒有接受過正規(guī)的西醫(yī)和中醫(yī)的大學(xué)教育，當(dāng)然不會做研究了。這種人怎么能叫做knowledgeable？
附錄1 白宮顧問網(wǎng)站介紹田小明 Dr. Xiaoming Tian, of Bethesda, Maryland, is Director of the Academy of Acupuncture and Chinese Medicine and Wildwood Acupuncture Center. Dr. Tian is currently conducting a National Institute of Health (NIH) supported clinical trial with Georgetown University Medical School to treat fibromyalgia patients using acupuncture. He has completed many research projects on the use of Chinese herbal medicine and dietary supplements to treat and prevent arthritis, sports injuries, and fibromyalgia, in collaboration with NIH and the U.S. Department of Agriculture Nutrition Center. In 1991, Dr. Tian was the first person to be appointed a Clinical Consultant of Acupuncture to the NIH medical staff. He is an Adjunct Assistant Professor of Preventive Medicine at the United States Uniformed Health Service. Dr. Tian is the President of the American Association of Chinese Medicine. He is also the Honorary Director of the China Association of Traditional Chinese Medicine and Vice President of The International Academy of Medical Qigong, both in Beijing, China. He currently serves as an advisor to World Health Organization and Pan-American Health Organization on traditional medicine. Dr. Tian received his Medical Degree from Beijing Medical University and was a Ph.D. Research Fellow at NIH.
, http://www.www.srpcoatings.com
Xiaoming Tian, M.D., L.Ac Director, Wildwood Acupuncture Center Director, Academy of Acupuncture & Chinese Medicine Wildwood Medical Center 10401 Old Georgetown Road, Suites 102/104 Bethesda, Maryland 20814
附錄2 Tian X否定針灸穴位的文章摘要： 1: Treatment of fibromyalgia with formula acupuncture: investigation of needle placement, needle stimulation, and treatment frequency. Harris RE, Tian X, Williams DA, Tian TX, Cupps TR, Petzke F, Groner KH, Biswas P, Gracely RH, Clauw DJ. J Altern Complement Med. 2005 Aug;11(4):663-71. 文章題目：針灸針的位置，針的刺激，和治療的次數(shù)對纖維肌痛癥的作用。結(jié)論是：盡管針灸可以對纖維肌痛癥有止痛和癥狀改善作用，但是穴位準(zhǔn)確性和刺激的改變并不是很重要。 Although needle insertion led to analgesia and improvement in other somatic symptoms, correct needle location and stimulation were not crucial.
, http://www.www.srpcoatings.com
Department of Internal Medicine, Division of Rheumatology, University of Michigan, Ann Arbor, MI 48106, USA. reharris@med.umich.edu
OBJECTIVES: The objective of this study was to investigate whether typical acupuncture methods such as needle placement, needle stimulation, and treatment frequency were important factors in fibromyalgia symptom improvement. DESIGN/SETTINGS/SUBJECTS: A single-site, single-blind, randomized trial of 114 participants diagnosed with fibromyalgia for at least 1 year was performed. INTERVENTION: Participants were randomized to one of four treatment groups: (1) T/S needles placed in traditional sites with manual needle stimulation (n = 29): (2) T/0 traditional needle location without stimulation (n = 30); (3) N/S needles inserted in nontraditional locations that were not thought to be acupuncture sites, with stimulation (n = 28); and (4) N/0 nontraditional needle location without stimulation (n = 2 7). All groups received treatment once weekly, followed by twice weekly, and finally three times weekly, for a total of 18 treatments. Each increase in frequency was separated by a 2-week washout period. OUTCOME MEASURES: Pain was assessed by a numerical rating scale, fatigue by the Multi-dimensional Fatigue Inventory, and physical function by the Short Form-36. RESULTS: Overall pain improvement was noted with 25%-35% of subjects having a clinically significant decrease in pain; however this was not dependent upon "correct" needle stimulation (t = 1.03; p = 0.307) or location (t = 0.76; p = 0.450). An overall dose effect of treatment was observed, with three sessions weekly providing more analgesia than sessions once weekly (t = 2.10; p = 0.039). Among treatment responders, improvements in pain, fatigue, and physical function were highly codependent (all p < or = 0.002). CONCLUSIONS: Although needle insertion led to analgesia and improvement in other somatic symptoms, correct needle location and stimulation were not crucial., http://www.www.srpcoatings.com
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