Abstract
Chinese medicine came to Canada during the twentieth century in the hands of ethnic Chinese immigrants. This paper investigates the key features of professionalized Chinese medicine practice in the city of Vancouver, which lies in the Canadian province of British Columbia. The methodology adopted for this research involved face-to-face interviews with practitioners and the scrutinizing of webpages of various institutes and clinics offering Chinese medical services. In order to comply with regulatory requirements, the practice of Chinese medicine has been professionalized according to western biomedicine, ignoring the historical development and cultural connotations of this ancient system of health and wellness. Many practitioners in Vancouver do not speak Chinese, share Chinese culture, and have never been to China. The education and service delivery under Chinese medicine specialties have focused exclusively on curative care and have disregarded the preventive and moral regimen. A consumer class has developed across the city and the holistic content of Chinese medicine has become a selling point. This paper concludes that the commodified version of Chinese medicine that has so far been developed in Vancouver as part of its professionalization echoes neo-orientalism. The West has intervened in the formalization process of Chinese medicine practice, justifying authority through the process of non-disputed inclusion. This is, however, an ahistorical proponent fulfilling new age desires and contaminating eastern healing in the west for profit maximization.
Similar content being viewed by others
Notes
Authors have used a variety of terms such as traditional, complementary, indigenous, alternative, etc. to represent Chinese medicine, ayurveda, homoeopathy, chiropractic, etc. While various terminologies may have diverse meanings and contexts, I prefer to use the original name ‘Chinese medicine’. Other authors have also used the following terms: techniques, methods, therapies, systems, and modalities in their discussion on Chinese medicine, ayurveda, chiropractic, homoeopathy, etc. I used the term specialty.
The names of these clinics are not disclosed for privacy reasons.
Saks used the term complementary medicine.
Villanueve-Russell’s research was on chiropractic.
Retrieved from the following links: https://ctcma.bc.ca/media/1730/annual_report_2018-2019.pdf and.
https://ctcma.bc.ca/media/1044/annual_report_2004-2005.pdf accessed on May 11, 2020.
Retrieved from the following link: http://www.ctcma.bc.ca/resources/tcm-associations/ and accessed on July 13, 2016.
References
Arnold, David. 1993. Colonizing the body-State medicine and epidemic disease in nineteenth century India. Berkeley: University of California Press.
Baer, Hans A. 2006. The drive for legitimation in Australian naturopathy: success and dilemmas. Social Science & Medicine 63: 1771–1783.
Barry, Christine Ann. 2006. The role of evidence in alternative medicine: contrasting biomedical and anthropological approaches. Social Science & Medicine 62: 2646–2657.
Behdad, Ali and Juliet A. Williams. 2012. On neo-orientalism today. http://www.entekhabi.org/Texts/Neo_Orientalism_Today.htm. Accessed 7 Apr 2020.
Bode, Maarten. 2002. Indian indigenous pharmaceuticals: tradition, modernity, and nature. In Plural medicine, tradition and modernity, ed. Ernst Waltraud, 1800–2000. New York: Routledge.
Bode, Maarten. 2008. Taking traditional knowledge to the market: the modern image of the ayurvedic and unani industry. London: Oriental Longman.
Broom, Alex, and Adams Jon. 2012. The status of complementary and alternative medicine (CAM) in biomedical education: towards a critical engagement. In Handbook of the sociology of medical education, ed. Caragh Brosnan and Bryan S. Turner. London: Routledge.
Brosnan, Caragh. 2016. Epistemic cultures in complementary medicine: knowledge-making in university departments of osteopathy and Chinese medicine. Health Sociology Review 52–2: 171–186. https://doi.org/10.1080/14461242.2016.1171161.
Canadian Medical Association. 2015. Complementary and alternative medicine (CAM) policy, pp. 1–2. Canadian Medical Association, Ottawa.
Cheng X. 2013. Overview of legislation, education, and clinical practice of acupuncture and Chinese Medicine in Canada. Tianjin Journal of Traditional Chinese Medicine 9: 570 (in Chinese).
Chu, Courtney. 2020. From personal to popular: the westernization of traditional Chinese medicine. Cold Tea Collective. https://coldteacollective.com/from-personal-to-popular-westernization-of-traditional-chinese-medicine/. Accessed 25 June 2020.
College of Traditional Chinese Medicine Practitioners and Acupuncturists of British Columbia (CTCMP). 2015. Annual Report. Vancouver: CTCMP.
College of Traditional Chinese Medicine Practitioners and Acupuncturists of British Columbia (CTCMP). 2016. Education program review. CTCMP, Vancouver.
College of Traditional Chinese Medicine Practitioners and Acupuncturists of British Columbia (CTCMP). 2019. Annual Report 2018–19. CTCMP, Vancouver.
Doel, Marcus A., and Jeremy Segrott. 2004. Materializing complementary and alternative medicine: aromatherapy, chiropractic, and Chinese herbal medicine in the UK. Geoforum 35: 727–738.
Dunn, F. 1976. Traditional Asian medicine and cosmopolitan medicine as adaptive systems. In Asian medical systems: a contemporary study, ed. C. Leslie. Berkeley: University of California Press.
Eisenberg, David. 1997. Advising patients who seek alternative medical therapies. Annals of Internal Medicine 127: 61–69.
Eric, Marie. 2011. The transmission and practice of Chinese medicine—an overview and outlook. China Perspective 2011–3: 35–13.
Heelas, Paul. 1996. The new age movement: the celebration of the self and the sacralization of modernity. Cambridge: Oxford.
Hollenberg, Daniel. 2006. Uncharted ground: patterns of professional interaction among complementary/alternative and biomedical practitioners in integrative health care settings. Social Science & Medicine 62: 731–744.
Hörbst, V., R. Gerrets, and P. Schirripa. 2017 Revisiting medical pluralism. L’Uomo, Vol 1: 7–26. https://www.researchgate.net/publication/322303231_Revisiting_medical_pluralism. Accessed 19 Apr 2019.
Huang Di Nei Jing (The Medical Classic of the Yellow Emperor). 2009. Translated by Zhu Ming. Chapter seven, pp.265–268. Foreign Language Press, Beijing.
International College of Traditional Chinese Medicine of Vancouver (ICTCMV). 2016. Diploma program/curriculum. Vancouver: ICTCMV.
Ijaz, Nadine, and Boon Heather. 2018. Medical pluralism and the state: regulatory language requirements for traditional acupuncturists in English-dominant diaspora jurisdictions. SAGE Open 2018: 1–15.
Islam, Md. Nazrul. 2017. Chinese and Indian medicine today-branding Asia. Singapore: Springer.
Janes, Craig R. 1999. The health transition, global modernity and the crisis of traditional medicine: the Tibetan case. Social Science & Medicine 48: 1803–1820.
Kelner, Merrijoy. 2005. The status of CAM: where are we now? Keynote Address, ACHRN Conference, University of Nottingham, UK, June 29.
Kerboua, Salim. 2016. From orientalism to neo-orientalism: early and contemporary constructions of Islam and the Muslim world. Intellectual Discourse 24–1: 7–34.
Kim, Jongyoung. 2006. Beyond paradigm: making transcultural connections in a scientific translation of acupuncture. Social Science & Medicine 62: 2960–2972.
Kleinman, A. 1978. Problems and prospects in comparative cross-cultural medical and psychiatric studies. In Culture and healing in Asian societies, ed. A. Kleinman. Boston: Schenkman Publishing Company.
Li, Shizhen. 2012. Bencao Gangmu. In Condensed compendium of materia medica, vol. 1, ed. Jingwei Li. Beijing: Foreign Languages Press.
McClean, Stuart, and Ronnie Moore. 2013. Money, commodification and complementary health care: theorizing personalized medicine within depersonalized systems of exchange. Social Theory and Health 11–2: 194–214.
Palatchie, Brittany, Alice Beban, and Barbara Andersen. 2021. The myth of medical multiculturalism: HOW social closure marginalises traditional Chinese medicine in New Zealand. Health Sociology Review. https://doi.org/10.1080/14461242.2021.1987955.
Quah, Stella R. 2003. Traditional healing systems and the ethos of science. Social Science & Medicine 57: 1997–2012.
Reddy, S. 2004. The politics and poetics of magazine medicine. In The politics of healing: histories of alternative medicine in twentieth century North America, ed. R.D. Johnston. New York: Routledge.
Said, W. Edward. 1987. Orientalism. London: Penguin Books.
Saks, Mike. 1996. From quackery to complementary medicine: the shifting boundaries between orthodox and unorthodox medical knowledge. In Complementary and alternative medicines: knowledge in practice, ed. Ursula Sarma and Sarah Cant, 27–43. London: Free Association Books.
Saks, Mike. 2001. Alternative medicine and the health care division of labour: present trends and future prospects. Current Sociology 49 (3): 119–134.
Selby, Martha Ann. 2005. Sanskrit gynecology in postmodernity: the commoditization of Indian medicine in alternative medical and new-age discourses on women’s health. In Asian medicine and globalization, ed. Joseph S. Alter. Philadelphia: University of Pennsylvania Press.
Taylor, Andrew. 2001/2002. The impact of commodification of herbal medicine by pharmaceutical and drug development companies. Nexus 15: 55–68.
Tuastad, Dag. 2003. Neo-orientalism and the new barbarism thesis: aspects of symbolic violence in the Middle East conflict (s). Third World Quarterly 24–4: 591–599.
Villanueva-Russell, Yvonne. 2005. Evidence-based medicine and its implications for the profession of chiropractice. Social Science & Medicine 60: 545–561.
Wiese, Marlene, Candice Oster, and Jan Pincombe. 2010. Understanding the emerging relationship between complementary medicine and mainstream health care: a review of the literature. Health 14–3: 326–342.
Wu, Qiong. 2014. Current situation of TCM acupuncture clinical education in Canada Clinical practice training of Chinese Medicine and acupuncture in Canada. Journal of Henan University of Traditional Chinese Medicine 9: 10–25 (in Chinese).
Xie, Z. 2002. Harmonization of traditional and modern medicine. In Traditional medicine in Asia, ed. R.R. Chaudhury and U.M. Rafel, 115–134. New Delhi: World Health Organization.
Yue Lin, Sally. 2018. White people are commodifying Chinese medicine just like they did with yoga. Wear your voice, March 2018. https://wearyourvoicemag.com/white-people-chinese-medicine/. Accessed 25 June 2020.
Acknowledgements
I acknowledge BNU-HKBU United International College for granting me a sabbatical leave from February-August 2016 and visit into Canada for pursuing this study. I also acknowledge Dr. Farah Shroff from the University of British Columbia for providing support. BNU-HKBU United International College also provided me two more College Research Grants (Code: R201728 and Code: R202049) for pursuing further study on Chinese medicine.
Author information
Authors and Affiliations
Corresponding author
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Supplementary Information
Below is the link to the electronic supplementary material.
Rights and permissions
Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
About this article
Cite this article
Islam, M.N. Professionalization of Chinese medicine practice in Canada: from medical pluralism to neo-orientalism. Soc Theory Health 21, 228–246 (2023). https://doi.org/10.1057/s41285-022-00191-7
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1057/s41285-022-00191-7