
From Mao to Main Street: Michael Regilio unravels the surprising story behind Traditional Chinese Medicine's global rise on this week's Skeptical Sunday! Welcome to Skeptical Sunday, a special edition of The Jordan Harbinger Show where Jordan and a guest break down a topic that you may have never thought about, open things up, and debunk common misconceptions. This time around, we’re joined by skeptic, comedian, and podcaster Michael Regilio! On This Week's Skeptical Sunday: The modern global presence of TCM (traditional Chinese medicine) is largely a result of political necessity rather than proven effectiveness. Surprisingly, it had been largely abandoned in China by the 1800s until Chairman Mao revived it in the 1960s as a solution to healthcare shortages — despite not personally believing in it himself. The scientific foundation of TCM's core concepts — chi, yin/yang balance, and meridians — remains unproven. Studies attempting to validate these practices face significant challenges, including the impossibility of true double-blind trials and concerns about data reliability, particularly in Chinese research where regulators found over 80% of clinical trial data to be fabricated. Acupuncture's effectiveness appears largely tied to the placebo effect, though this shouldn't be dismissed. Studies show "sham" acupuncture (needles placed randomly) produces similar results to "real" acupuncture, suggesting the specific placement of needles according to meridian theory may be less important than the overall experience and belief in the treatment. Cupping, while popularized by athletes like Michael Phelps, essentially creates controlled tissue damage through suction. Though it may temporarily increase blood flow, it can cause permanent skin damage if done repeatedly and may aggravate existing skin conditions. Chinese herbal medicine represents a bright spot in the TCM landscape, built on 500 million years of plant evolution and chemical development. Some traditional remedies have led to breakthrough modern treatments, like Artemisinin for malaria, showing how ancient wisdom can guide modern medical discoveries when subjected to rigorous scientific testing. This suggests that while we should approach traditional practices with skepticism, we shouldn't dismiss them entirely — instead, we can use modern scientific methods to identify and develop valuable treatments from traditional knowledge. Connect with Jordan on Twitter, Instagram, and YouTube. If you have something you'd like us to tackle here on Skeptical Sunday, drop Jordan a line at [email protected] and let him know! Connect with Michael Regilio at Twitter, Instagram, and YouTube,... See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
Chapter 1: What is the main topic of this episode?
Today, traditional Chinese medicine might have started in China, but these days it seems to be everywhere. Acupuncture is practiced worldwide, the ancient practice of cupping is growing in popularity, and herbal medicine is in pretty much every pharmacy. Everybody knows somebody who swears by one or maybe even all of these practices.
But is traditional Chinese medicine effective medicine passed on for millennia or ancient superstition here in the modern world? Today, skeptic and comedian Michael Regilio is here to express the Tao, or is it Tao? I would say Tao, of how traditional Chinese medicine works or doesn't work. How's it going, Michael? Hey, Jordan. How are you feeling today?
I'm feeling peachy, man. Peachy. Interesting. Did you eat peaches to become peachy? Because in traditional Chinese medicine, maybe. I don't know.
I didn't come across that. I thought you were just making a really terrible dad joke. But I know that when you eat certain things like cold or hot foods, something, something, your energy... You know what I was really getting at is, are you feeling balanced? Well, I'm not falling out of my chair. So I'm physically balanced. I have a balanced diet, a balance between work and leisure.
So I'm not exactly sure what you're asking. What do you mean? Am I feeling balanced? I simply meant your yin and your yang. Of course. How could I forget? No, I'm not so sure about that. I don't really know. I don't know what my yang is up to today.
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Chapter 2: Is traditional Chinese medicine effective or superstition?
Well, that's interesting because that is the crux of traditional Chinese medicine. A traditional Chinese healer is trying to restore balance between these two complementary forces that flow through not just your body, but throughout the entire universe. According to traditional Chinese medicine, a person is healthy when harmony exists between these two forces.
And sickness occurs when there's more yin than yang or more yang than yin.
Okay, seems like the obvious next question is, what the heck are yin and yang?
We've all seen the graphic representation on posters in teenagers' rooms and on the walls of suburban dojos. For lack of a better example, it looks like a white sperm and a black sperm positioned head to tail in a circle.
Sixty-nining? Oh, God. Okay. You couldn't have thought for, like, one second longer and come up with a less crass description? Tadpole would have worked. You could have added the word whale. A sperm whale looks close enough, like a beluga thing. All right, that's totally different, but whatever. And you could have left out the other bit.
Fine. Okay. But even then, these cliched posters I'm talking about, they're just graphic representations of something actually unseen, an invisible life force. Yin is considered the female of these two forces.
For an ancient, highly patriarchal culture, I'm actually kind of impressed they chose to represent females. The female Force Yin is considered cold, dark, and passive. Just once, I'd like to be surprised by an ancient patriarchal culture, but not this time, apparently.
Yin's opposite won't surprise you either, then, because Yang represents masculinity. Light and warmth actually sound more female than male. Yeah, ironically, they got yin and yang mostly backwards, although the female yin does also represent earth, softness, and rain. So those are nice. As well as blackness, evil, smallness, and even numbers.
Okay, even numbers. So the ancient Chinese also had an opinion on even numbers?
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Chapter 3: How did Mao revive traditional Chinese medicine?
Even though Reston was clear in the op-ed about the fact that the acupuncture was just a post-procedure addition to his medical care, the rumor mill did what the rumor mill always does. And it churned out these fantastical stories here in the US about how only acupuncture was used and no Western medicine. And as a result, TCM in America became all the rage. Yeah. Which it remains.
With roughly 38,000 licensed acupuncturists in the US, it's safe to say they are everywhere. In fact, it's so easy to find one that just out of curiosity, I asked my phone where the nearest one was. Can you do the same? I'd be curious. Where's your nearest acupuncturist?
Sure, I don't even necessarily need to use my phone. My wife's parents know plenty of these folks and I've had it done for pain and I've done an entire Skeptical Sunday episode on acupuncture alone. It's everywhere. I live in the Bay Area here in California.
There are literally hundreds of places to get it around here, but I last had it next door to my house because this friend of my wife's parents just happened to roll through and I was like, sure, I'll do it. Wow. Okay. So you're like 15 yards away.
Mine says 0.3 miles away is the closest acupuncturist, but then it tells me 0.4 miles away, there are three and a half mile away, there's even more acupuncturists. And when I hit the button for directions, the phone defaults to walking directions. That's how close my nearest acupuncturist is.
Okay, but in truth, you're in L.A., and I'm guessing that's not the national norm to have acupuncture within walking distance of your house.
Yes, I anticipated that you might say that, so I had a friend in Iowa do the same, and he said there are four in his zip code. The nearest one is under a mile from his house. Wow. Point taken, I guess. There's a lot of acupuncturists in America. Sheesh. Yeah, that was a good one. Compare the 38,000 acupuncturists we have here to the measly 18,000 podiatrists in the US.
It's really wild how many acupuncturists there are in the US. Could you imagine if you went to China and there was a Navajo medicine man on every corner in China?
Right. Like nearest Navajo medicine, man. I need some burning herbs blown in my face. Oh, you just walk down the road that way. And if you go up to the third floor, that guy's a little bit better, in my opinion. Wow. So it sounds like it's big business giving people little pokes.
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Chapter 4: What role did Richard Nixon play in popularizing TCM in the US?
organs, tissue, veins, nerves, cell, atoms, and mother-freaking-consciousness itself. And so then the needles are inserted into the meridians to readjust the flow of the qi in order to readjust the balance between the yin and the yang.
Okay, so is any of it real? Are the meridians, did they turn out to be nerve pathways that everybody has? Does the human body have 12 of those? Can scientists see those on a cadaver or measure or detect any of this stuff? Short answer, no. Okay, that's a really short answer.
Fine. Longer answer, hell no. Am I being snarky? Hell yes. Is there more to it? Yes. The big question is if the acupuncture is doing anything or is the relief people receive, is it all in the brain?
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First of all, if I'm not mistaken, my health insurance when I lived in L.A. covered acupuncture. And I know that there have been studies showing some merit. And of course, there's all the people I know who swear by it. We did the episode on acupuncture. A lot of people emailed in and were like, OK, OK, but you're wrong about a few things. And I use it for my pets or whatever.
I did it for pain in my shoulder. And I am open to the idea that it's just placebo. But first of all, the placebo effect is certainly real and measurable and well studied. It certainly sounds like there's a there there because I will say my shoulder pain was remarkably degraded and I assumed it was placebo, but I'll take it. Fine.
Sign me up. Absolutely. I get that. I understand that. But you mentioned the studies and I want to talk about them. Let's start with those studies because you're right. There have been studies and studies do show acupuncture to be effective, but there's a problem and it's a big problem. Most of the studies that prove a benefit were conducted in China.
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Chapter 5: How reliable are studies on acupuncture?
Chapter 6: What is qi and how does it relate to acupuncture?
So if placebos convince our brains to release endorphins, which relieve pain, the pain relief is as real as if you'd taken a pharmaceutical drug without the risks of taking pharmaceutical drugs. Hey, placebos, like seriously, no disrespect. I get you.
Yeah, I mean, you can't be allergic to your placebo. I don't even know. Maybe I spoke too soon. It seems like that could be one of the things that triggers his allergies, but whatever. So you asked if acupuncture might be doing something more. What would be the more if the idea is to treat the pain?
Yeah. So it actually, this is where it gets murky because serious professionals who I respect haven't ruled out that causing micro injuries might be triggering an immune response or sending anti-inflammatory proteins and other infection fighting and wound healing chemicals to these micro injured areas.
Okay, I can get behind that, right? You're sticking a needle into something and maybe your body's like, hey, send more blood there. Because I'll tell you, the areas where I got poked by these little needles definitely turned red and some of them got a little sore and yada yada. But also, on the other hand, the words might be in those sentences that you just previously spoke.
It seems like they're doing a little bit of heavy lifting there.
Yeah. Some also propose that these micro injuries might, and you said it, increase blood flow to the area or might activate nerve receptors. Like they're still hypothesizing about it, but there's not a lot of evidence. Gotcha. Yeah. And you're still using the word might quite a bit. Yeah, look, in this case, might definitely doesn't make right. So what if they haven't ruled it out?
They also haven't ruled it in. Reputable people do wonder if acupuncture is doing something more than the placebo effect. But the fact is, all the evidence suggests that on a neurological level, it's treating pain just like a placebo does. So for pain relief, it sounds like acupuncture gets a solid maybe. Yeah, I don't know.
I'd go so far as to say a solid yes for pain treatment, as long as you believe. For skeptics, I couldn't help but wonder if the placebo effect is less or even null. That might be the study we're looking for. That's the control group. I'd be interested to see in believers versus skeptics.
So maybe that's the control group they're looking for. And then again, look, I don't believe that much in acupuncture at all. I did the episode on it and I'm extremely skeptical. So when I, like I said earlier in the show, I got a chance to have a university professor from China who teaches acupuncture at like a big respected institution of Eastern medicine or Chinese medicine.
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Chapter 7: Is the effectiveness of acupuncture real or just the placebo effect?
Chapter 8: What are the criticisms of acupuncture studies?
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It's that important that you support those who support the show. Now for the rest of Skeptical Sunday. Things are safe in the U.S., aside from that place, Cupertino, due in large part to regulations and certification, I would imagine. And how exactly is acupuncture regulated? What training do you need? What certification goes into becoming an acupuncturist?
Certainly, you can't just tell people that you are one and start hammering needles in. There's no way that we allow that. Except for that place in Cupertino, yeah.
I would like to see their certification because most states require a master's degree in acupuncture and Eastern medicine. And then there's the state exams and the actual certification process. So yes, it is a process.
Good. Okay. So most states, you said, are there states where just anybody can poke you with needles and call it acupuncture?
Absolutely not. A few states, when I say that you have to get the certification, in a few states, there is no certifications. Only doctors and nurse practitioners are allowed to administer acupuncture. In Oklahoma, they allow chiropractors. Plus, the needles are highly regulated by the federal government.
They are coming out of sterile packages for one use only, unless you go to the place you went to.
except for that place in Cupertino where who knows. So a person wanting to try acupuncture, it sounds like they're in good hands if they're in the United States.
Yes. In fact, I am not trying to belittle acupuncturists. I've been to a few. They were lovely people. I even allowed students to practice on me at an accredited college here in LA.
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