Culture

Chinese Medicine in China

The massage guide here says in one clause that tuina is a branch of Chinese medicine, alongside acupuncture, herbal medicine and dietary therapy, and then covers only tuina. The health guide describes Chinese hospitals, pharmacies and international clinics without mentioning that a parallel hospital system exists in every city. This page covers the parent subject as an institution — what the law says it is, how a clinic is allowed to open, and what it has to tell you.

Its own statute
In force 1 July 2017
What it covers
Han and minority medicine alike
A TCM clinic
Files, rather than applies
It must display
Its scope and its doctors
Acupuncture
On the UNESCO list since 2010

This site has one page on Chinese medicine without saying so. The massage guide opens by noting that tuina is one branch of it, alongside acupuncture, herbal medicine and dietary therapy, and then — correctly, since that is its subject — covers only tuina. Of the other three, two now have pages of their own: dietary therapy, the branch a visitor meets at dinner rather than at a clinic, and herbal medicine, the branch that fills the drawers behind every pharmacy counter.

Meanwhile the health and safety guide walks through public hospitals, international clinics and pharmacies without mentioning that China runs a second hospital system, in parallel, in every city of any size.

This page is about the institution, not about whether any of it works. It sets out what Chinese law says the thing is, how a clinic gets to open, and what a clinic has to tell you before you sit down.

It has a statute, and the statute defines it#

Most countries treat traditional medicine as a regulatory afterthought. China wrote it a law.

The 中华人民共和国中医药法 (Zhōnghuá Rénmín Gònghéguó Zhōngyīyào Fǎ, Law of the People's Republic of China on Traditional Chinese Medicine) was adopted on 25 December 2016 at the 25th session of the Standing Committee of the 12th National People's Congress, and has been in force since 1 July 2017.

Its Article 2 does something unusual for a statute — it defines its own subject:

本法所称中医药,是包括汉族和少数民族医药在内的我国各民族医药的统称,是反映中华民族对生命、健康和疾病的认识,具有悠久历史传统和独特理论及技术方法的医药学体系。

A collective term for the medicine of all China's peoples, Han and minority alike, reflecting the Chinese nation's understanding of life, health and disease, and constituting a medical system with a long historical tradition and distinctive theory and technique.

Read the first clause again. The statutory category is not Han medicine. Tibetan, Uyghur, Mongolian and Dai medicine sit inside the same legal definition, which is why a hospital in Lhasa or Hohhot may be a Chinese-medicine hospital in the legal sense while practising a tradition that is not Han at all. That is a detail the ethnic minorities page makes sense of and one that surprises most visitors.

Why the small clinics are everywhere#

Here is the provision that changes what you see on the street, and it is a rare case of the law being less demanding than you would guess.

Article 14 splits the field in two:

举办中医诊所的,将诊所的名称、地址、诊疗范围、人员配备情况等报所在地县级人民政府中医药主管部门备案后即可开展执业活动。

Setting up a Chinese-medicine medical institution goes through the ordinary approval procedure for medical institutions. But setting up a Chinese-medicine clinic requires only that you report the clinic's name, address, scope of practice and staffing to the county-level Chinese-medicine authority — and you may begin practising as soon as the filing is made.

Not an application. A filing. Nobody has to say yes.

This inverts the pattern the site sets out elsewhere. A business licence says the entity exists and a separate permit says it may do a regulated thing — registration is not permission. Here permission is the registration, and the safeguard was moved from the front door to the wall.

Acupuncture is on the UNESCO list#

The branch the massage guide names first has a separate status of its own.

中医针灸 (zhōngyī zhēnjiǔ, acupuncture and moxibustion of Chinese medicine) was inscribed on UNESCO's Representative List of the Intangible Cultural Heritage of Humanity on 16 November 2010. China's own intangible-heritage record describes the two halves plainly: needling inserts a fine needle at a point on the body and works it by twirling, lifting and thrusting; moxibustion burns mugwort floss over a point to treat through heat.

That is a description of a technique, not a claim about outcomes, and it is worth keeping the two apart. The listing recognises a transmitted practice. It says nothing about efficacy, and neither does this page.

Where you will actually meet it#

  • A Chinese-medicine hospital is a hospital. Most cities have one in the public system, frequently attached to a university, with departments, registration desks and the same pay-before-each-step flow as any other Chinese hospital. Several of this site's city pages already name one for tuina.
  • Departments inside ordinary hospitals are common too, so a general hospital may offer both systems on different floors.
  • Pharmacies sell both. A Chinese pharmacy typically has a Western-medicine counter and a Chinese-medicine counter with drawers behind it, and the same shop dispenses from both. What is in those drawers has a binding national standard and a label that must name where the material was grown.
  • Ask what the filing says. If a clinic offers you something that is not on the wall, that is the moment to notice.
  • Do not buy anything with a protected-species ingredient. It is illegal to bring home and frequently illegal to buy — the customs categories are set out with the shopping rules, and the ingredient list is the thing to read.
  • Bringing your own medicine is a separate question with its own regime, and an ordinary Western prescription and a controlled substance are treated very differently.
  • Hong Kong and Macau regulate Chinese medicine under their own ordinances, so none of the above describes a practitioner or a clinic there.

Checked for newer, and the answer was no#

The law has not been amended since it took effect. I found no amending or repealing instrument, and no renumbering of the two articles quoted above.

One thing is moving, and it is worth naming precisely rather than overstating: a regulation on the protection of traditional Chinese medicine knowledge appears in national legislative planning as a text being prepared. A drafting plan is not a rule, and nothing in this page depends on it.

Frequently asked questions#

Is traditional Chinese medicine regulated in China?#

Yes, by its own statute. The Law on Traditional Chinese Medicine was adopted on 25 December 2016 and has been in force since 1 July 2017. It defines the field, sets out how institutions and clinics may be established, and provides for the qualification of practitioners.

Do Chinese medicine clinics need a licence?#

Not in the ordinary sense. Article 14 of the Law on Traditional Chinese Medicine lets a Chinese-medicine clinic begin practising once it has filed its name, address, scope of practice and staffing with the county-level Chinese-medicine authority. A Chinese-medicine medical institution, as opposed to a clinic, goes through the normal approval route instead.

What must a Chinese medicine clinic display?#

Its scope of practice, and the names and practising scopes of its Chinese-medicine doctors, in a conspicuous position. The same article prohibits the clinic from carrying out medical activity beyond the scope it filed, which makes the display a document you can check rather than decoration.

Does Chinese medicine include Tibetan and Uyghur medicine?#

Legally, yes. Article 2 defines the field as the medicine of all China's peoples, Han and minority alike, so Tibetan, Uyghur, Mongolian and Dai traditions fall inside the same statutory category and can be practised in institutions described in law as Chinese-medicine ones.

Is acupuncture recognised by UNESCO?#

Acupuncture and moxibustion of Chinese medicine was inscribed on the Representative List of the Intangible Cultural Heritage of Humanity on 16 November 2010. That recognises a transmitted cultural practice and its methods of transmission; it is not a statement about clinical effectiveness.

Can I see a Chinese medicine doctor as a foreign visitor?#

Nothing in the law turns on nationality, and Chinese-medicine hospitals and departments register patients the same way other hospitals do. The practical obstacles are the ordinary ones — registration in Chinese, payment before each step, and no interpreter unless you bring one — which is the same picture the health and safety guide sets out for the system generally.