How modern teaching technology affects the transmission of traditional Chinese medicine knowledge: reflections from educators in clinical Chinese pharmaceutical education

Traditional Chinese medicine(TCM)education plays a crucial role in cultivating TCM talents and preserving the profound cultural heritage of the Chinese nation.This paper explores the current situation and problems of TCM education and proposes philosophical reflections on this issue.The analysis shows that the current TCM education faces various challenges,including an unbalanced curriculum,a narrow teaching approach,a lack of practical experience,and an insufficient number of qualified teachers.To enhance the teaching effectiveness and foster a new generation of high-quality Chinese medicine professionals,it is necessary to reform the teaching methods of TCM and integrate the depth of humanities into the teaching process.The paper argues that a philosophical perspective can provide a more comprehensive understanding of TCM education and its role in the development of Chinese medicine.

The Making of a Health Profession:How Chinese Medicine Became a Nationally Registered Allied Health Profession in Australia

In 2012, traditional Chinese medicine(TCM) practitioners in Australia became nationally-registered allied health professionals in three categories: acupuncturist, Chinese herbal medicine practitioner, and Chinese herbal medicine dispenser. Australia was the first Western country to introduce national registration for Chinese medicine, followed by Portugal and, recently, New Zealand. The practice of TCM in Australia can be traced back to the beginning of Chinese immigration to Australia during the Victorian Gold Rush which began in the 1850s. The process which led to national registration commenced in the early 1970s with the establishment of the first acupuncture courses. Decades of gradual development of courses from unaccredited part-time diplomas to accredited bachelor degrees, and the development, by the profession, of national consensus on educational standards were essential elements in the process which led to registration. Professional associations, such as the Australian Acupuncture and Chinese Medicine Association Ltd.(AACMA), also developed a framework of professional selfregulation, including Codes of Ethics, Codes of Conduct, ongoing professional development requirements and Infection Control Guidelines, and provided leadership in the development of the profession. After decades of tribalism and division within the TCM profession, the National Academic Standards Committee brought almost all stakeholders together to reach a consensus on the Australian Guidelines for Traditional Chinese Medicine Education which were published by AACMA in 2001. Professional associations also collaborated on joint submissions to the government in support of registration, which was introduced first in the state of Victoria in 2000, and subsequently became national in 2012. Despite national registration, some barriers still remain, and professional associations continue to lobby the federal government for inclusion in Medicare, chronic disease management scheme, and Veterans Affairs.

Research on the Reform of“Traditional Chinese Medicine Nursing”Teaching Based on the Concept of Outcome-Based Education

Continuously evolving teaching concepts and the adoption of diverse teaching methods have led to outcome-oriented education becoming a fundamental focus of teaching reform in colleges and universities.In this article,the“Traditional Chinese Medicine Nursing”course is used as an example to discuss the reform of education based on the concept of outcome-based education,with the purpose of improving students'learning outcomes and practical skills.

Traditional Chinese Medicine in Malaysia:A Brief Historical Overview of Education and Research

The education and research of traditional Chinese medicine(TCM)in Malaysia started coincidentally circa Malaysia’s independence movement.Before the independence,much of the development focused on establishing treatment centers and Chinese medical halls to provide TCM treatment.Periodicals and journals advocating TCM and its advancement were published between the 1940s and 1960s,but many did not survive after a few issues.The challenge posed by the Immigration Ordinance 1952 further united TCM practitioners and TCM associations to establish the Chinese Medical Institute of Malaya.The trend gained momentum,and many educational institutes were set up in each of Malaysia.From the 1970s,Malaysia started hosting regional and international TCM conferences.In 2000,TCM education in Malaysia had finally gained recognition from the government.ATCM program standard was thus released by the Malaysian Qualifications Agency(MQA).To date,there are seven private higher education institutions which offer TCM programs based on the MQA standards and have established international collaborations with other universities.It is projected that Malaysia’s TCM education and research will grow further as a result of China’s Belt and Road initiative.

Study on Current Trends in the Development of Traditional Chinese Medicine in Australia and Policy Proposals of Internationalization of Traditional Chinese Medicine Education in Future

With the rapid rise of China’s economy and the deployment of the Belt and Road Initiative,traditional Chinese medicine(TCM),one of the main components of Chinese culture,has become an important aspect of foreign exchange.Therefore,recent research has focused on how to effectively spread TCM culture internationally and improve TCM acceptance.Australia is currently a representative region with decent TCM development.Taking TCM development in Australia as a starting point,this article analyzes the challenges in TCM development,discusses countermeasures to address these issues,and provides recommendations for improving the international development and dissemination of TCM.

Development of Chinese Medicine Education in the United States:Two Examples of Pacific College of Health and Science New York and Eastern School of Acupuncture and Traditional Medicine

Chinese medicine originated in China and has taken root all over the world.In the United States,Chinese medicine belongs to the category of complementary and alternative medicine and has a history of over 50 years as a recognized profession.The education of Chinese medicine is undoubtedly the foundation for the development and growth of Chinese medicine practice.In this article,we briefly introduced the history of acupuncture profession and its development in the United States.Pacific College of Health and Science New York and Eastern School of Acupuncture and Traditional Medicine were discussed and analyzed.This article aims to discuss two examples of acupuncture schools in the United States to provide an overview of the history and current development of Chinese medicine education in the United States.

Comparison of Chinese medicine higher education programs in China and five Western countries

Object:Traditional Chinese medicine(TCM)has been taught widely in the both Eastern and Western world countries.This study compared the origin,student source,duration,and curriculum design of TCM higher education programs in China and five Western countries.Method:We searched the Internet and the China National Knowledge Infrastructure(CNKI)database to gather relevant information.Result:All the six countries offer acupuncture and/or Chinese herbal medicine programs at universities and/or private schools.However,there are great large differences among them in the education of curriculum and TCM students enrollment and curriculum policies of TCM courses.Conclusions:There are large differences among their curriculum and enrollment policies.This comparison should provide information about the further development of international standards in TCM education.

Historical Legacy of Traditional Chinese Medicine Education in Canada:The Case of Henry C.Lu

This article begins with a review of the publications by Dr.Henry C.Lu,a Canadian-Chinese traditional Chinese medicine(TCM)scholar,educator and writer,and founder of a Vancouver-based TCM college.Dr.Lu has translated many TCM classics and written books extensively on TCM education,TCM clinical practice and Mandarin-Chinese grammar.Aside from his widespread prominence as one of the representative English translators of Huangdi Neijing(The Yellow Emperor’s Inner Classic),Dr.Lu is also noted for his pioneering role in the promotion of TCM education in British Columbia,where he lived and worked for more than half of his life.By making references to and drawing lessons from Dr.Lu’s four-decade-long efforts to help TCM gain legal status and to promote wider application of TCM in Canada,this article also puts forth suggestions for overseas TCM education and international TCM standards for building a global community with a shared future.

Learning, understanding, trusting and applying-Promoting development of traditional Chinese medicine from medical education

From the end of the Qing dynasty to the establishment of Republic of China until the present day, traditional Chinese medicine (TCM) has declined from the original medical system parallel to western medicine to a supplementary medicine in China. During the long time, western medicine has gradually become the dominate medical system forming the situation of 'western medicine in the north, TCM in the wild'. On July 1, 2017, China's TCM law has been officially implemented ensuring a time of great opportunity for TCM in the future. The current situations are: 'western medicine is dominated, TCM are supplementary for use'. Some people insist that TCM should be weakened others suppose that Chinese medicine should be evaluated with biomedical standards and are lack of scientificity. Facing the disadvantages of degradation of Chinese medicine, lack of characteristics, the development of TCM still has a long way to go. This paper puts forward the 'education of medical students', so that medical students can learn, understand, believe and use TCM in order to carry forward the career of TCM.

Clinical Research on the Treatment of Simple Obesity by Oral Chinese Medicine Combined with Health Education to Improve Phlegm Dampness Constitution

OBJECTIVE: To observe the clinical effect of oral traditional Chinese medicine granules combined with health education to regulate phlegm constitution and treat simple obesity. METHODS: According to the method of constitution evaluation in TCM Constitution Classification and Evaluation(Chinese Association of Chinese Medicine), the TCM classification of Chinese medicine was performed on patients who came to the outpatient department of the Traditional Chinese Medicine Hospital of Pinggu District of Beijing and met the diagnostic criteria of simple obesity. One hundred patients with phlegm constitution were selected and those in accordance with the standards, were randomly divided into group with oral TCM granules combined with health education(refer to as treatment group) and health education group(refer to as control group) according to 1:1 ratio. The control group was given health education including diet and exercise instruction. Treatment group:(1) Health education includes diet and exercise instruction.(2) Oral Chinese medicine granules: ingredients: atractylodes rhizome 15g, raw barley 30g, Folium Nelumbinis 10g, Chinese hawthorn fruit 10g, Chinese waxgourd peel 15g, milk-vetch root;15g, kudzuvine root 15g, danshen root10g, 2 times/d. The two groups were intervened for 12 weeks each time, and obesity evaluation indicators such as body weight, body fat, waist circumference, hip circumference, weight index, and score table of TCM constitutional were observed before and after the intervention. Statistical software was used for statistical analysis. RESULTS: The total curative effect of the treatment group was better than that of the control group(P<0.001). The weight index, body weight, waist and hip circumference decreased significantly after treatment(P <0.01). Compared with the two groups, the treatment group is better than the control group in terms of dampness constitution improvement, weight and fat losing and waist and hip circumference reducing.(P<0.01). CONCLUSION: Oral Chinese medicine granules Jiangzhuo Fang(combined with health education) and simple health education can improve phlegm constitution, and improve the body weight, body fat percentage and other indicators of the patients, but oral granules combined with health education to improve the physical fitness of phlegm is better than simple health education. The thoughts and methods of Chinese medicine granules combined with health education to regulate phlegm constitution is effective for weight losing and is worthy of further research and promotion.

Reflections on Traditional Chinese Medicine Culture Teaching in the Context of International Chinese Education

With the development of the times,both international Chinese education and traditional Chinese medicine have ushered in not only great potential development opportunities,but also various challenges.Traditional Chinese medicine culture has gradually gained international recognition,and many foreign students are now choosing to study traditional Chinese medicine.Therefore,the development of international Chinese education needs to embody traditional Chinese medicine culture teaching,which can promote the internationalization of traditional Chinese medicine.At the same time,encountering problems such as cultural differences ensue the need for improving the teaching system,which lacks teaching practice.On this basis,strategies such as exploring the teaching mode of traditional Chinese medicine culture,cultivating a team of high-quality international Chinese teachers,and creating experience courses with characteristics of traditional Chinese medicine culture have been put forward,so as to enhance the teaching of traditional Chinese medicine culture and promote the development of international Chinese education.

Retrospection and Reflection on the Role of Henry C.Lu as a Traditional Chinese Medicine Writer,Educator,and Translator

This paper respectfully commemorates the life of Dr.Henry C.Lu(1936-2022),who was the founding president of International College of Traditional Chinese Medicine of Vancouver.Dr.Lu was an active educator,a prolific writer and translator of traditional Chinese medicine(TCM)in the West and an influential figure during the initial stage of the international dissemination of TCM.By comprehensively searching,referencing,and cross-validating the literature,this article reviewed Dr.Lu’s major life events,bibliography,and,most importantly,his contribution to TCM education and translation.Dr.Lu should be given more credit for his achievements,and further studies are needed in future.

Hypertension knowledge in urban elderly patients:compari-son between adherents to traditional Chinese medicine and Western medicine

Objective To compare knowledge about hypertension between elderly Chinese urban patients with preferences for either traditional Chinese medicine (TCM) or Western medicine (WM). Methods Elderly (≥ 65 years old) patients with hypertension who prefer TCM treatment (n=112) or WM (n=126) were questioned about hypertension. Their answers were compared. Results Only 32.6% of participants correctly identified hypertension as a main risk factor of coronary heart disease and stroke, 22.3% of patients answered that the main purpose of hypertension control was preventing cardiovascular disease. Other major reasons for these patients to seek medical treatment for their hypertension included: persuasion by physicians or their family members (21.6%), alleviating symptoms such as headache and dizziness (16.8%), lowering blood pressure without knowing specific reason (12.4%). The predictors for poor knowledge of hypertension were similar irrespective of preference for WM or TCM treatment, and included those with lower levels of education and older age. Television and newspaper (46.8%) were the most frequent sources of hypertension information for both groups. Among those who preferred TCM treatment, "TCM has fewer side effects than WM" and"TCM cures disease while WM only alleviates symptoms" were common beliefs held. Conclusion This study shows that knowledge of hypertension is similar among Chinese urban patients with preferences for either WM or TCM treatment and that misunderstandings about hypertension are common among the elderly patients. In order to control hypertension effectively, public health education is necessary. This should target those with a lower level of education and older age.

Development of Specialized Courses and Establishment of Teaching Materials in Nursing of Integrated Chinese and Western Medicine

Since the Third Plenary Session of the 11 thCentral Committee of the Communist Party of China( CPC),with the promotion and development of traditional Chinese medicine(TCM),the pace of TCM nursing work has been accelerated in nationwide,and a group of integrated Chinese and western medicine nurses have been cultivated preliminarily. However,professional nurses of integrated Chinese and western medicine are still deficient extremely. The target of talent cultivation,based on the theory of "focusing on humanism,expanding diathesis,and enhancing practice to highlight the accommodation and integration of nurses of integrated traditional Chinese and western medicine",is to cultivate competent,practical and interdisciplinary senior nursing talents with strong professional basis,skilled operations,rich humanistic literacy,and sharp innovative spirit who not only master modern nursing knowledge and skills,but also can perform comprehensive nursing under the guidance of TCM theory of holistic concept and syndrome differentiation and nursing. This study,through investigating and analyzing the settings of3-year nursing professional courses in about 20 senior medical colleges,including senior nursing education of TCM,reformed the development of professional nursing courses of integrated Chinese and western medicine and the establishment of educational materials according to the course settings and educational work modes,so as to analyze the current status of nursing education of integrated Chinese and western medicine,determine course targets,and establish course system and educational work modes.

Comparison of traditional Chinese medicine education between China's Mainland and Australia —a case study

OBJECTIVE： To analyze and compare the curriculum and delivery of a Chinese and Australian university-level Chinese medicine program.METHODS： A review of PubMed and the Chinese National Knowledge Infrastructure for relevant educational papers was undertaken. Online and paper documents available at the University of Technology Sydney （UTS） and the Chengdu University of Traditional Chinese Medicine （CDUTCM） were read and analyzed. In addition, in-depth interviews with academics from the two universities were conducted during 2014 to 2015.RESULTS： The two Chinese medicine programs share the common goal of providing health services to the local community, but differ in some aspects when the curricula are compared. Areas such as student profile, curriculum structure, teaching approaches and education quality assurance were found to be different. The UTS program adopts a ＂flipped learning＂ approach with the use of educational technology aiming at improving learning outcomes. On the other hand, the CDUTCM has better clinical facilities and specialist physician resources.CONCLUSION： A better understanding of the different curricula and approaches to Chinese medicine education will facilitate student learning and educational outcomes.

Chinese Medicine Education and Its Challenges in the United States

Over the past 4 decades Chinese medicine （CM） has comeincreasingly into the spotlight in the United States as the clinical effectiveness ofCM has been not only empirically well-tested over a long period of time but alsoproven by recent scientific research. It has proven cost effectiveness, safety, andis authorized for natural and holistic approaches. In consideration, CM is one of theunderutilized health care professions in the United States with a promising future.However, CM faces many challenges in its education and system, its niche in thehealth care system as an independent profession, legal and ethical issues. This paperdiscusses the confronting issues in the United States： present education, standardsof CM education with shifting first professional degree level, new delivery systemsof CM education. Development of new research models, training of evidence-basedpractice, and implementation of integrative medicine into CM education also are the key issues in the currentCM profession. This paper also discusses opportunities for the CM profession going beyond the current status,especially with a focus on fusion medicine.

The legendary life of Dr.Gim Shek Ju, the founding father of the education of acupuncture and Chinese medicine in the United States

Several stories of various pioneers establishing acupuncture and Chinese medicine （ACM） practices in the United States （U.S.） have been documented. However, the establishment of schools for ACM signaled the establishment of ACM as an established profession in the U.S. One of the first persons who wanted to set-up a school for Chinese medicine in the U.S. was Dr. Tom Foo Yuen （谭富园, August 7, 1858 - July 10, 1947） during the late 1800s in Los Angeles （LA）, California. However, it was not until 1969 or 1970 that the first informal ACM school was actually established in the U.S. This school was called the Institute for Taoist Study, and was located in LA. However, this school was not registered with the local government and Dr. Gim Shek Ju was the sole teacher at that time.

Traditional Chinese Medicine Education in Canada

The history of education and legislation of traditional Chinese medicine（TCM） and acupuncture in Canada is short.The first school of TCM opened its door to the general public in Canada in 1985 and the first legislation of acupuncture was introduced in Alberta,Canada in 1988.Currently,TCM and/or acupuncture have been regulated in five provinces in Canada.The legislation and regulation,as well as education of TCM and acupuncture vary among the five provinces in Canada.Opportunities and challenges facing TCM education exist simultaneously.Strategies are proposed to develop an international standard for TCM education in Canada,and possibly in other English speaking countries as well.

Effect of Health Education Based on Integrative Therapy of Chinese and Western Medicine for Adult Patients with Type 2 Diabetes Mellitus： A Randomized Controlled Study

Objective： To investigate the effects of health education based on integrative therapy of Chinese and Western medicine for type 2 diabetes mellitus（T2DM） from the aspects of knowledge, attitude and practice（KAP）, health-related quality of life（HRQo L）, body mass index（BMI） and glucose control. Methods： Patients were individually randomized into intervention group（receiving integrative education, n=120） and control group（receiving usual education, n=120）. The primary outcome was the changes in glycosylated hemoglobin A1c（HbA1c） levels after 3, 6, 9 and 12 months from baseline. Hierarchical linear models（HLMs） were used to assess within-group changes in outcomes over time and between-group differences in patterns of change. Secondary outcomes were KAP scores, HRQo L scores and BMI after 6 and 12 months, paired-sample t test was used to assess within-group changes in outcomes in 6 and 12 months, independent-sample t test was used to assess between-group differences in patterns of change. Results： HbA1c decreased statistically from baseline to 3 months, from 3 to 6 months, from 6 to 9 months and from 9 to 12 months in the intervention group（all P〈0.01）; and decreased significantly from baseline to 3 months, and from 3 to 6 months in the control group（P〈0.01）. There were significant between-group differences from baseline to 3 months（P=0.044）, from 6 to 9 months（P〈0.01） and from 9 to 12 months（P〈0.01）. Significant improvements in the intervention group along with significant between-group differences were found in KAP and HRQo L scores respectively（all P〈0.05）. The number in the intervention group of normal weight increased from 56 at baseline to 81（6 months）, 94（12 months）, the number in the control group were 63（baseline）, 69（6 months）, 70（12 months）, the χ~2 of hierarchical analysis of BMI were 6.93（P=0.075）, 10.31（P=0.016）, 15.53（P〈0.01）, respectively. Conclusion： Health education based on integrative therapy of Chinese and Western medicine is beneficial to the control of T2DM and should be recommended for T2DM.

Characteristics of Chinese Medicine Education Under British Education System in New Zealand

With the globalisation of Chinese medicine(CM), the local CM education institutions were established in many other countries outside of China. These CM education institutions have formed a new mode in CM education after integrating with local culture, law and national conditions. This article takes New Zealand CM education institutions as an example to discuss the characteristics of CM education under the British education system, aiming to provide ideas on CM education in China and other countries.