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Complementary therapies in family medicine

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Title: Complementary therapies in family medicine


1
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  • ??????????????????????? ??????????????????????????
    ???
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  • ??????????????????????????
  • ??????????????????????????????????????????????????
    ?????
  • ??????????????????????????????????????????????????
    ???????

2
???????????????? alternative Medicine
  • ??.??.??? ???????
  • ?????????????????????
  • ???????????????????????????????? 2551-
  • ?????????????????????????????? 2553-

3
????????????
  • To be able to explain
  • What are Alternative Medicine and CAM
  • Overview of CAM
  • Some CAM
  • Energy medicine
  • Homeopathy
  • Role of MD in CAM/ Integrative Medicine

4
  • ???????????????? ?????????????????????????????????
    ????????? (Conventional Medicine)
  • Complementary med is used together with
    conventional
  • Aromatherapy
  • Alternative used in place of conventional
    med.
  • a special diet to treat cancer

5
The rising of number of consumers
6
Characteristic of CAM user (Astin JA
,JAMA1998279(19)1548-53
  • Still accept conventional med
  • Higher education
  • More severe symptom
  • chronic pain, anxiety,
  • renal ,back pain
  • Still used conventional med

7
CAM ?????????????? 5 ?????
1.Alternative Medical Systems Ayurveda, Chinese, Native American, Aboriginal, African, Middle Eastern, Tibetan, Central and South American cultures, Homeopathy, Naturopathy
2.Mind-Body Interventions cognitive-behavioral app, meditation, hypnosis, dance, music, art therapy, prayer, mental healing
8
3.Biological Based Therapies Dietary supplements, Herbs, Orthomolecular, Magnesium, Melatonin, Mega-doses of vitamins , individual biological therapies (laetrile, shark cartilage, bee pollen).
4. Manipulative ,Body-Based Chiropractic, Osteopathic, Manipulation, Massage
5. Energy Therapies Qi gong, Reiki, Therapeutic touch, Bioelectromagnetic-based therapies (pulsed fields, magnetic fields, or alternating or direct current )
9
1800 different CAM modalities
Reiki
Humor
Hypnosis
Naturopathy
acupuncture
Chi gong
Ayurveda
Tai chi
Imagery
music
herbal medicine
magnets
distraction
Yoga
aromatherapy
Meditation
natural products
reflexology
Orthomolecular
10

???????? (Ayurveda)
  • Indian alternative medical system 5,000 years.
  • emphasizes the use of body, mind, and spirit in
    prevention and treatment
  • includes diet and herbal

11
Ayurveda Sickness
  • Absence of a balanced
  • dietary habits,
  • seasonal
  • improper exercise
  • erratic of sense organs
  • incompatible body .... mind
  • disturbed body-mind , diet, behaviour, drugs

12

Homeopathy
  • Aged ..230 years Dr. Samuel Hahnemann
  • based on the principle of similars, Like cure
    like
  • Remedies in high dilutions information is
    stored.
  • may not contain any molecules of the original
    agents

13
Homeopathy
  • not by pharmacological means. .
  • assessment of the deficits in vital force to
    guide dose
  • energy medicine
  • information on the vital force into local
    physical changes that lead to recovery .. acute
    and chronic

14
Examples of the similia principle in homeopathy
  • Peeling an onion ? sore, runny eyes, itchy nose
    and sneezing
  • Allium cepa
  • arsenic poisoning causes severe vomiting and
    diarrhoea with burning pains and chilliness
  • Arsenicum alb. V.

15
Examples of the similia principle in conventional
medicine
  • Radiotherapy which is used to treat cancer also
    causes it
  • Amphetamines which produce hyperactivity, are
    used to treat hyperactive children
  • Immunisation

16
Origins
  • This principle was first described in Hindu
    writings over 3000 years ago
  • Also mentioned by Hippocrates , Galen in the 2nd
    century and Paracelsus in16th century
  • More recently researched by a German physician
    Samuel Hahnemann who developed Homoeopathy

17
2. Mind-Body Interventions
  • Enhance the mind's capacity to affect bodily
    function symp .
  • meditation, prayer, mental healing,
  • therapies that use art, music, or dance.

18
3. Biologically Based Therapies
  • Use substances found in nature
  • Diet/nutritional herbs, foods, and vitamins.
  • Aroma therapy
  • Stem cell
  • Other shark cartilage .cancer.

19
4. Manipulative and Body-Based Methods
  • manipulation / movement of one or more parts
    of the body.
  • chiropractic
  • osteopathic
  • massage.

20
5. Energy Therapies
  • Biofield therapies affect energy fields
    ,surround penetrate the body..
  • Qi gong, Reiki,
  • Therapeutic Touch
  • Universal energy ???????????
  • Bioelectromagnetic-based
  • electromagnetic fields, such as pulsed
    fields, magnetic fields,

21
??????????????CAM?????
  • ?? Efficacy . proven by RCT
  • ????????????? Safety
  • Quality
  • (NCCAM states that formerly unproven remedies may
    be incorporated into conventional medicine if
    they are shown to be safe and effective.)
  • The boundaries between CAM and conventional
    medicine are not absolute, and specific CAM
    practices may, over time, become widely accepted.

22
5 CAM used widely
  • Traditional Chinese Medicine
  • Ayurveda
  • Chiropractic
  • Homeopathy
  • Unani

23
Acupuncture
  • the most prominent therapy to promote qi flow
    along the meridians.
  • has been extensively studied effective in
    certain forms of pain
  • its mechanism to be elucidated.
  • effects on neurotransmitter expression

24
Energy Medicine The Scientific Basis
25
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26
Mechanism vs Vitalism 
  • Mechanism the laws of physics and chemistry
  • Vitalism
  • mysterious life force
  • separate from the normal laws of nature
  • distinguishes living from non living.

27
A Brief History
  • electric eels electricity for healing 2700 BC
  • Magnet healing
  • African mine gt 100,000 years old
  • bloodstone red iron ore
  • Magnetite Egypt, Chinese, Greeks

28
Mesmer
  • 1773 Mesmer began using magnets for healing
  • unusual currents flowing through their bodies
    prior to an illness
  • produce the change without the magnets just
    using his hands

29
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30
Early electrotherapy
  • Medical electricity has it golden era between the
    late 1700 and early 1900
  • Clinical electrotherapy was thriving at the same
    time that vitalism was being rejected by
    mainstream.
  • By 1884 10000 MDs were using electricity for
    therapeutic purposes

31
The rising of sciences
  • Discovery of cellular and molecular basis of life
  • Bacterial origin of infectious disease
  • Darwins theory of evolution

32
Flexner report (1910)
  • Energy med absence of standards for medical
  • Established Science as the basis for medicine and
    clinical practice.
  • The triad of academic institution
    Research/Education/Clinical practice
  • Led to the passage of Pure Food and Drugs Act
    1906

33
Fields in Diagnosis 
  • Changes in electrical resistance
  • Every pathological (normal) event produces an
    electrical disturbance. Ovulation
  • Burr detected electrical changes 10 days to 2
    weeks prior to the development of tumors 

34
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35
Measuring the Fields of Life 
  • Heart Electricity
  • Brain Electricity
  • SQUID

36
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37
quantum theory Josephson effects
  • tunneling the movement of pairs of electrons
    through a material (called an insulator)
    (Anderson Rowell 1963, Shapiro 1963)
  • electrons are waves
  • Josephson effects.. ?????????????????????(tunneli
    ng)?????????????
  • (In 1973 Josephson received a Nobel Prize for his
    work.)

38
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39
Fields projected from the hands
In the early 1980s, Zimmerman studies on
therapeutic touch with a SQUID / magnetometer at
the University of Colorado School of Medicine in
Denver (Zimmerman 1990).
40
the SQUID detected
  • a large biomagnetic field a variable frequency,
    0.3 to 30 Hz, In other words, the signal
    'sweeps' or 'scans'
  • Seto et al (1992) hands of healing and
    martial arts QiGong, Yoga, Meditation, Zen,
    etc. 1000 times stronger

41
Properties of the living matrix
  • ??????????????????????? ??????????????????
    .....created tensions carried through
  • ????? ??? ?????????? gtgtgt the crystalline lattice
    (connective tis) gtgt -----gt ????????????????(bio
    electronic signals)
  • ???????????????????????? ??????????
    semiconducting communication network carry the
    bioelectronic signals every part

42
Movement generate electricity
43
Cybernetics
  • Kybernetes ????????????????/??????
  • ????????????????????????????????????????????????
    ?????????????????????????????????????????
  • a small energy field at the appropriate place
    and time can shift the course of an organism.
  • Receptors ??????????......the primary sites of
    action

44
  • ??????????????????????????????????????????????
    ? ???????????????????????? ???????????????????
  • the circuitry and machinery is there the problem
    is simply to discover how to turn on the right
    switches (Weil 1995).
  • CAM ?????????????????????????????????????????????
    ???????

45
  • Hormones , neurotransmitters,
  • Taste and smell
  • Pheromones,
  • Light ,electromagnetic signals.
  • eg. Iymphocytes
  • 3 Hz sharply reduced calcium influx
  • 60 Hz signal, under identical conditions
    increased calcium influx (Adey 1996)

46
'The scientist knows that in the history of ideas, magic always precedes science, that the intuition of phenomena anticipates their objective knowledge(Gauguelin 1974).
47
Integrative medicine piechart
Body
Community
Spirit
48
Defining Integrative care
Relationship-centered care
Integration CAM ..treatment and prevention
Invoves removeing barriers .activated the bodys innate healing process
Use natural, less invasive interventions before costly,invasive
Engages mind,body,spirit,and community to facilitate healing
Healing is possible ,even when curing is not
49
The best practice is integrative medicine
50
References
David Rakel. Integrative Medicine.Second Edition 2007. Sanders James L. Oschman Energy Medicine The ScientificBasis CHURCHILL .LlVINGSTONE New Hampshire, USA Energy Medicine An Overview. NCCAM Health Information.httm.
51

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