Evidence Based Medicine (EBM) has not eliminated the need for the somewhat elusive clinical mental activity called “problem-solving.” Every systematic review presents the interpretation of an “expert,” whose biases remain largely invisible to the consumer of the review. In addition, meta-analyses cannot generate evidence where there are no adequate randomized trials, and most of what clinicians face will never be thoroughly tested in a randomized trial.
Herbal medicine plays a mainstream role in insurance-reimbursed, government regulated, medical care in China and Japan. An estimated eighty five percent of Western trained allopathic physicians in Japan and China, use Kampō (Japanese traditional medicine) and traditional Chinese medicine respectively in daily practice. The standard of medical care is the same in Japan and China as it is in the United States.