1. Jaung-Geng Lin WFCMS and China Medical University The role of WFCMS and evidence-based medicine in public health

2. Introduction to the WFCMS  The World Federation of Chinese Medicine Societies (WFCMS) is an international non-profit academic organization.  It is mainly composed of worldwide groups or institutions relating to Chinese medicine and pharmacy as well as the integration of Chinese medicine and Western medicine.  Currently, 195 Chinese medicine societies in 57 countries and regions are members of WFCMS. 2

3. The objectives of the WFCMS  First, to promote the exchange and cooperation among societies of Chinese medicine and other medicines throughout the world.  Second, to promote the professional level of medical practitioners of Chinese medicine by strengthening international academic exchange, dissemination of information, and the exchanging of achievements.  Third, to have Chinese medicine and pharmacy integrated into health care systems in different countries by accelerating the process of modernization, internationalization and standardization of Chinese Medicine. 3

4. 4 WHO Traditional Medicine Strategy 2002-2005  In Asia and Latin America, people continue to use TM due to historical circumstances and cultural beliefs.  In China, TM accounts for around 40% of all health care delivered.  Meanwhile, in many developed countries, complementary and alternative medicine (CAM) is becoming more and more popular.  CAM has been used at least once by 48% of people in Australia, by 70% in Canada, 42% in the USA, 38% in Belgium and by 75% in France.  Therefore, maximizing the use and potential of TM for improving health is an important task.

5.  With the increasing international attention on medical acupuncture, the World Health Organization (WHO) published a special issue on acupuncture, the "World Health", in 1979, which included 7 thesis papers and 30 photos to introduce acupuncture and the 43 kinds of indications for acupuncture.  The indications were subsequently expanded in 1996 to 64 categories, covering a vast array of topics including, for example, acute or chronic pain, fatigue, nausea, arthritis, and digestive problems. WHO & Acupuncture Medicine

6.  I am a Chinese Medical doctor and acupuncture practitioner and have been engaged in medical teaching and clinical research in Chinese medicine for more than 30 years.  I have performed acupuncture on many world leaders and have received numerous awards 6

7. International appointment Romania Visiting professor, Romania Oradea University Visiting professor, Romania Vasile Goldis University Australia Visiting professor, Victoria University of Technology, Australia Honorary Professor, Royal Melbourne Institute of Technology America Invited speaker, University of Chicago, 2008 Spain Professor, Institute of Acupuncture, University of Complutense Madrid Visiting professor,University of Barcelona Mainland China Visiting professor, Guangzhou University of Chinese Medicine Visiting professor, Fujian University of Traditional Chinese Medicine 7

8. Lead guest editor  Evidence-Based Complementary and Alternative Medicine (ecam): Moxibustion-annual special issue: Special Issue on Clinical Efficacy, Mechanisms and Safety of Acupuncture and Moxibustion (I.F.=4.771; in Integrative & Complementary Medicine; 1~10%)  Current Neuropharmacology (5-year IF=3.874)  Acta Pharmacologica Sinica (I.F.= 1.953; Chemistry, Multidisciplinary, 53/154, 20~40%) Associate Editor-in-Chief 1. Chinese Medical Journal (SCI; China, I.F.= 0.983; Medicine, General & internal 40~60%) 2. Journal of Traditional and Complementary Medicine (Taiwan; ; applying to SCI) Editor 1. American Journal of Chinese Medicine (SCI; USA) (I.F.= 1.979; Integrative & Complementary Medicine, 7/22, 20~40%) 2. Acta Pharmacologica Sinica (SCI; China) (I.F.= 1.953; Chemistry, Multidisciplinary, 53/154, 20~40%) 3. Chinese Journal of Integrative Medicine (I.F.= 0.799; Integrative & Complementary Medicine 16/22, 60~80%) 4. Chinese Medicine (Macau; applying to SCI) 5. Journal of Acupuncture and Meridian Studies (Korea; applying to SCI) 6. Journal of Pharmacopuncture (Korea; applying to SCI) 7. International Journal of Genuine Traditional Medicine (Korea; applying to SCI) Editorial membership of SCI Journals

9. A Comparative Dictionary of Chinese and Western Medical Disease Names  This book has attracted international attention.  This book is a tool book regarding integration of Western medicine and Chinese Medicine  4.5 million words  Published by People's Health Publishing House, China

10. Springer  This book was edited by Harvard University and China Medical University and published by Springer.  I am the writer  This book is the acupuncture textbook of Medical student 10 2014 與哈佛大學合作出版 Chapter 3: Jaung-Geng Lin

11.  Suggestions to WHO regarding the “WHO Standard Acupuncture Point Locations in the Western Pacific Region” 11

14. 2012

15. In 2008, the Annual Conference On CAM held by the University of Chicago and Mayo Clinic invited Prof. Jaung-Geng Lin to be the first keynote Speaker. Our research draws international attentions

16. Evidence-Based Medicine 1. Background 2. Origin 3. Name 4. Definitions 5. How do we actually practice EBM?

17. Levels of Evidence

18. Ia –Evidence from a meta-analysis of randomized controlled trials Ib –Evidence from at least one randomized controlled trial

19. IIa –Evidence from at least one well designed controlled study without randomization IIb –Evidence from at least one well designed quasi-experimental study

20. III –Evidence from well-designed non- experimental descriptive studies such as comparative studies, correlation studies or case studies

21. IV –Evidence from expert committee reports or opinions or clinical experiences of respected authorities

23. Conclusion for EBM in Acupuncture Acupuncture has best efficacy in pain relief. Topics with higher score of curative effect in evidence were centralized in muscle and skeletal system. For example: OA, low Back pain.. etc. There were topics with better score of curative effect in evidence that were not muscle and skeletal system. For example: Asthma, Vomiting…etc.

24. “Personal experience” is at lower level in EBM acupuncture analgesia, but it still provides useful information to treat patients Clinical practice experience

25. Highest golden burnoose award was conferred by the Saudi Arabia in 1980. J. G. Lin, C.M.U. 1980

28. “Academic Contribution” award conferred by the President of El Salvador, Central America in 1990. J. G. Lin, C.M.U.

29. The former US president George H.W. Bush presented an autographed picture to Dr. Jaung-Geng Lin in recognition of his contribution to the development of Traditional Chinese Medicine.

30. Suggestion for future work: WFCMS or other NGOs can work on together

31. Suggestion 1  Enhance scientific research on the clinical efficacy, mechanism and safety of traditional Chinese medicine, including acupuncture and herbal medicine. This will provide a basis whereby Chinese medicine can be established as an evidence-based medicine. 31

32. Suggestion 2  Establish standards relevant to Chinese medicine and pharmacy and cooperate with international standardization agencies to promote these standards. Such cooperation would assist different countries with the establishment of effective regulatory systems for registration, safety monitoring of herbal medicines and other measures of quality assurance. Standard acupuncture procedures and needling depth guidelines can also be developed. 32

33. Suggestion 3  Hold an international congress in order to promote the cooperation and exchange of Chinese medicine and pharmacy with regards to medical services, teaching and scientific research in all countries. This would encourage the interaction and dialogue between Chinese medicine practitioners and researchers. 33

34. Suggestion 4  Initiate international education relating to Chinese medicine and pharmacy through the establishment of training schedules, courses, distance learning, distance diagnosis and qualifications, to enhance the quality and academic level of Chinese medicine professionals. 34

35. Suggestion 5  Cooperate and collaborate with practitioners of Western medicine in order to enhance the care of patients. 35

36. Suggestion 6  Award groups or individuals that make contributions to the international communication of Chinese medicine and pharmacy. 36

37. 37 Thank you for your attention jglin@mail.cmu.edu.tw