Anthony Wong - The Chinese Medicine Specialist

17/05/2026

This AACE 2026 diabetes algorithm actually reflects something many of us in integrative and metabolic medicine have been seeing clinically for years: diabetes is no longer being viewed as “just a glucose disease,” but as a systemic metabolic disorder involving obesity, cardiovascular risk, fatty liver, sleep apnea, inflammation, and endocrine dysfunction. 

What stands out to me most is the shift from a purely glucose-centric model toward a complications- and comorbidities-centric framework.  In other words, modern diabetes care is increasingly focusing on the entire metabolic ecosystem, not just HbA1c numbers. That direction is highly relevant to how many of us in TCM approach chronic metabolic disease — pattern recognition, systemic regulation, sleep, stress, digestion, inflammation, weight, and long-term functional resilience.

Another important evolution is the recognition that obesity management is now considered a “key pillar” rather than a secondary issue.  This is a major conceptual shift. In many endocrine and fertility-related conditions — including PCOS, insulin resistance, MASLD, and metabolic syndrome — metabolic regulation is increasingly becoming the core therapeutic target.

Interestingly, the document also repeatedly emphasizes lifestyle, sleep, behavioral health, and individualized care.  That tells us modern medicine itself is moving toward a more systems-oriented direction.

The future of diabetes management may not be “Western medicine vs TCM.”
It may be about building a clinically measurable, evidence-based metabolic medicine model that integrates the strengths of both.

14/05/2026

On 12 May 2026, PCOS officially received a new name:
Polyendocrine Metabolic Ovarian Syndrome (PMOS).

I think this change is significant — not just linguistically, but conceptually.

Because for years, many clinicians have recognized that PCOS was never simply an “ovarian condition.”

In daily practice, many patients struggle far more with:
- insulin resistance
- metabolic dysfunction
- weight regulation
- chronic inflammation
- androgen excess
- fatigue
- sleep disturbance
- psychological burden

…than with ovarian cysts themselves.

The old terminology unintentionally narrowed the clinical conversation.

And in many cases, it reinforced a fragmented approach:
Gynecology manages cycles.
Endocrinology manages glucose.
Dermatology manages acne.
Fertility specialists manage ovulation.

But the patient experiences all of it simultaneously.

That is why I think the shift toward “Polyendocrine Metabolic Ovarian Syndrome” matters.

It acknowledges something important:
This is fundamentally a systemic endocrine-metabolic disorder with reproductive manifestations — not merely a localized ovarian issue.

Interestingly, this also brings the discussion closer to how Traditional Chinese Medicine has historically viewed these patients.

In TCM, many conditions are not understood as isolated organ diseases, but as network-level dysregulations involving metabolism, endocrine function, stress physiology, inflammation, digestion, sleep, and reproductive health simultaneously.

Different language.
Different framework.
But often observing the same clinical complexity.

This is where I believe integrative medicine may have an important role moving forward.

Not because TCM should replace evidence-based endocrinology.

But because PMOS is precisely the kind of condition where:
- lifestyle
- metabolism
- stress regulation
- sleep
- appetite
- inflammation
- reproductive function
- and long-term adherence

all interact together.

Modern medicine is exceptionally strong in diagnostics, risk stratification, and targeted interventions.

But many PMOS patients also need:
- sustainable behavioral support
- individualized symptom management
- long-term metabolic regulation
- and care models that address the patient beyond isolated biomarkers alone

That is where integrative approaches deserve serious research and clinical discussion.

The name change itself will not change outcomes overnight.

But perhaps it moves us one step closer toward a more complete understanding of what these patients are actually experiencing.

And that, in my opinion, is a meaningful shift.

05/11/2025

Invited to share my idea in tEDxIMU

Ancient wisdom still speaks to modern medicine — if we are willing to listen. Dr. Anthony Wong bridges East and West, showing how Traditional Chinese Medicin...

15/09/2024

男性精子數量和質量再過去到半個世紀已經下降了50%，其中塑化劑是主要的罪魁禍首。

近期由Environmental Science and Technology journal公布的一项研究显示，在109个国家当中，马来西亚为微塑料（即小于5毫米的塑料颗粒）摄入量最高的国家。

据该报告指出，马来西亚也被记录为消耗最多微塑料颗粒的前10名国家，每日估计（人均）消耗494,000颗微塑料颗粒。

26/07/2024

在一个阳光明媚的下午，我的心情就像天气一样温暖，迎来了一对夫妻看诊。他们的气氛似乎有点紧张，尤其是丈夫王先生，面色有些潮红。

王先生上来就被我测了血压，结果显示200/100mmHg，这个数字足以让任何医生的眉头紧锁。这已经属于高血压的高危阶段了，需要立即采取措施。我拿起血压单，关心地询问王先生是否有在服用西药来控制血压。

然而，王先生的回答令人意外，他说自己没有服用任何西药，甚至坚决拒绝使用。他坚信西药会导致肾病，一旦开始服用，就要一辈子依赖药物。他更倾向于采用中医的治疗方式，并坚信中医可包治百病。

我只好耐心地向王先生解释，虽然中医治疗有其独到之处，但在处理如此严重的高血压问题时，现代医学的介入是非常必要的。我尝试从各种角度劝解王先生，希望他能理解这是为了他的健康考虑。

突然，王先生的情绪变得激动，他指着我说：“我很怀疑你的医德！”这句话让在场的人都惊呆了。我很无奈地摇了摇头，他知道自己已经尽力，但面对这样固执的拒绝，实在是无能为力。

王先生的情绪并未平息，反而越来越激动，我只能选择让助理将他们列入诊所的黑名单，这在我的职业生涯中是极为罕见的决定。但为了保护其他病人和诊所的正常运作，我别无选择。

事情之后，我坐在办公室里，望着窗外的阳光，心里五味杂陈。因为我始终相信医生的职责是救死扶伤，但今天，我感受到了医生职业道德的复杂性和挑战。有时候，即使心怀善意，也难以打破病人的偏见和恐惧。这个下午，不仅是阳光明媚，也留下了一丝难以驱散的阴影。

#中医 #医德

26/07/2024

20年前刚毕业回马行医那段时间，我们年轻中医常遇到对我们专业能力抱有怀疑的患者。尤其是看着你长相年轻，就开始上下打量。至今20年后我还是会有患者踏入诊室见到我时，很诧异的反复说我太年轻。这样的患者，我都会用我的专业技能来教育教育他们。
一天下午，记得是一位中年男子推开了诊所的门，步态匆忙，面露不悦。这位患者坐下后，没有多言，直接伸出手让我把脉来断他病情。我当下感到对方似乎在用这个方式测试我，心中不禁有些好笑，但还是认真地进行了脉诊。
五分钟过去了，我故作深沉，皱着眉头，摇头叹气，似乎在思考着什么重大的问题。患者看得心里直打鼓，心想我这年轻人真有两下子？又过了五分钟，我才缓缓开口，详细地说明了患者的体质问题和日常生活中的不良习惯，患者不得不点头承认这些确实是他的真实情况。
就在患者几乎要对我五体投地时，我突然来了一句：“按照您现在的情况，如果不改变生活习惯，三年后会患上癌症。你是信还是不信？”患者听后大吃一惊，我却是一脸平静，接着说道：“虽然通过脉象可以了解一些情况，但中医断病不是仅凭脉诊就能完全确定疾病，我们还需要详细的询问和辨证施治，要不然我可以在获得你相信我之后，开始添加没有的问题来让你花钱消灾。”
我的话让患者恍然大悟，他笑了笑，表情中带着一丝尴尬。我趁机教育道：“在您们去中国旅游时，会遇到被旅行团带去一些所谓的中医老字号，通过那里的医师把脉后，会让你们花钱购买的名贵中药。这其实是一种误导，真正的中医是需要通过多方面的诊断来综合判断的。”

患者听后深受启发，感谢我的诚恳和专业，不仅对中医有了新的认识，也对这位年轻医师充满了敬意。他走出诊所时，心情已大为不同，对未来的治疗充满了期待和信心。而我则微笑着目送他离开，心中暗自庆幸，又帮助一个患者认清了中医的真正价值。

#中医

21/03/2024

19/03/2024

15/03/2024

15/03/2024