CAM 31. 3. 2016 Dr Monem Alshok
CAM CAM is a group of diverse medical and health care systems, practices, and products that are not presently considered to be part of conventional medicine. Complementary medicine is used together with conventional medicine,and alternative medicine is used in place of conventional stimuli Medicine and might Relies on certain to enhance the bodies natural healing power
Complementary and Alternative Medicine Complementary medicine is used together with conventional medicine. Alternative medicine is used in place of conventional medicine. Integrative medicine combines treatments from conventional medicine and CAM for which there is evidence of safety and effectiveness.
25% of all pharmaceutical drugs are derived from herbs who was using CAM 1993 study showed that 1 in 3 Americans sought some form of alternative care 1997 another follow up study revealed that 47% of Americans were using some form of CAM
Major Domains of CAM Biologically based practices Energy medicine Manipulative and body-based practices Mind-body medicine
Who Uses CAM? 2004 survey results: More women than men Higher education levels Hospitalized in the past year Former smokers Back, neck, head, or joint pain suffers Gastrointestinal disorders or sleeping problems
Manipulative and Body-Based Methods Chiropractic medicine Osteopathic medicine
CAM 1. 7 CAM:Herbs, Accupuncture,Chiropractice, Homeopathy,Diet & Nutrition, Body Mind,Massage 2. 70% not report its use 3. Main complaits headache, Pains,Anxiety, Backpain, Cancer
Why the use of CAM is so Appealing? 1. Offers the patients the sense of Empowerment,Authenticity and connection with nature. 2. Simplicity 3. Vitalism 4. Relying on long history of human experience 5. Spirtuility, connection between health and religion
Alternative Medicine Alternative medicine is used in place of conventional medicine. An example of an alternative therapy is using a special diet to treat cancer instead of undergoing surgery, radiation, or chemotherapy that has been recommended by a conventional doctor.
Alternative Medical Systems : Complete systems of medical theory and practice. Example is Homeopathic Medicine In homeopathic medicine, there is a belief that "like cures like," meaning that small, highly diluted quantities of medicinal substances are given to cure symptoms, when the same substances given at higher or more concentrated doses would actually cause
In the late 1700s, Samuel Hahnemann, a physician, chemist, and linguist in Germany, proposed a new approach to treating illness. Treatments of the time were harsh, and wanted a less threatening way to practice medicine. Like cures like Potentiating and holism. The World Health Organization noted in 1994 that homeopathy had been integrated into the national health care systems of numerous countries, including Germany, the United Kingdom, India, Pakistan, Sri Lanka, and Mexico.
Naturopathic Medicine Proposes that there is a healing power in the body that establishes, maintains, and restores health. Practitioners work with the patient with a goal of supporting this power, through treatments such as nutrition and lifestyle counseling, dietary supplements, medicinal plants, and exercise.
Naturopathic Medicine 1. diet modification and nutritional supplements, 2. herbal medicine, 3. acupuncture and Chinese medicine, 4. hydrotherapy, 5. massage and joint manipulation
Massage and Joint manipulation The application of controlled force to a joint, moving it beyond the normal range of motion in an effort to aid in restoring health. Manipulation may be performed as a part of other therapies or whole medical systems, including chiropractic medicine, massage, and naturopathy., and lifestyle counseling
There are six principles that form the basis of naturopathic practice 1. The healing power of nature 2. Identification and treatment of the cause of disease 3. The concept of "first do no harm" 4. The doctor as teacher 5. Treatment of the whole person 6. Prevention
TCM : Traditional Chinese Medicine based on a concept of balanced qi, or vital energy, that is believed to flow throughout the body. Qi is proposed to regulate a person's spiritual, emotional, mental, and physical balance and to be influenced by the opposing forces of yin (negative energy) and yang (positive energy).
TCM Disease is proposed to result from the flow of qi being disrupted and yin and yang becoming imbalanced. Among the components of TCM are herbal and nutritional therapy, restorative physical exercises, meditation, acupuncture and remedial massage. Treatment in TCM are typically tailored to the subtle patterns of disharmony in each patient and are based on an individualized diagnosis. The diagnostic tools differ from those of conventional medicine
Traditional Chinese Medicine Health is achieved by maintaining the body in a "balanced state. Imbalance leads to blockage in the flow of qi. TCM practioners typically use herbs, acupuncture, and massage to help unblock qi in an attempt to bring the body back into harmony and wellness
There are three main therapeutic modalities in TCM: 1. Acupuncture and moxibustionin traditional Chinese medicine, the use of heat from burning the herb moxa on or near the skin at an acupuncture point. Intended to stimulate the flow of qi and restore health. (moxibustion is the application of heat from the burning of the herba plant or part of a plant used for its flavor, scent, or potential therapeutic properties. Includes flowers, leaves, bark, fruit, seeds, stems, and roots. moxa at the acupuncture point)
There are three main therapeutic modalities: 2. Chinese Materia Medica is a standard reference book of information on medicinal substances that are used in Chinese herbal medicine 3. Massage and manipulation
Acupuncture A. is the stimulation of specific points on the body by a variety of techniques, including the insertion of thin metal needles though the skin. It is intended to remove blockages in the flow of qi and restore and maintain health
Acupuncture Significantly relieves pain Significantly improves function Effective complement to standard care
Massage in TCM Pressing, rubbing, and moving muscles and other soft tissues of the body, primarily by using the hands and fingers. The aim is to increase the flow of blood and oxygen to the massaged area. to help unblock qi and blood in patients in an attempt to bring the body back into harmony and wellness.
Ayurvedic Medicine Ayurvedic medicine has been practiced primarily in the Indian subcontinent for 5,000 years. Ayurveda includes diet and herbal remedies and emphasizes the use of body, mind, and spirit in disease prevention and treatment.
Ayurveda A comprehensive system of medicine developed in India that places equal emphasis on the body, mind, and spirit, and strives to restore innate harmony of the individual. Primary treatments include diet, exercise, meditation, herbs, massage, and controlled breathing.
Biologically Based Therapies Therapies Using substances found in nature, such as herbs, foods, and vitamins. Herbalism, Nutritional Counseling and Folk Medicine Aromatherapy involves the use of essential oils (extracts or essences) from flowers, herbs, and trees to promote health and wellbeing.
The use of CAM
WHO statistics show up to 80% of heart disease can be prevented by a healthy diet and lifestyle Let Food be your medicine and Medicine is your Food Hippocrate
It s All Connected Principles
1/3 of adult women are obese and 60% of women have no regular physical ac/vity. Most studies suggest that ac/ve women have a 50% risk reduc/on in developing heart disease. Improves mood. May reduce risk of colon and breast by improving energy metabolism and reducing concentra/ons of insulin and related growth factors Physical Activity
Mind Heart Connec/on Review of 37 studies found patients who received mind body therapies and stress management had: 34% reductionon in cardiac mortality 29% reduction in recurrence of heart attack Significant positive effects on cholesterol, blood pressure and weight.
Mind Body Medicine Belief that emotional, mental,social, spiritual, and behavioral factors affect health Respects and encourages individual s capacity for selfknowledge and self care Yoga or tai chi Relaxation therapies Cognitive behavioral therapies Group support Meditation Creative arts therapy
Mind Body Medicine Review by Astin, et al. Concluded that there is considerable evidence that MBT are beneficial for: Coronary artery disease Headaches Insomnia Chronic low back pain Treatment related symptoms of cancer
Complementary and Alternative Medicine Decreases platelet aggregation over a period of 3-7 days Bacterialcidal but no evidence of an effect on viruses or fungi Fights Salmonella and staph Terpenoid effect- membrane disruption Essential oil It has determined it has cancer defending properties BASIL Ocimum Bacilicum
Useful Herbal Products Echinacea Saw Palmetto Ginkgo Milk Thistle Ginger Chamomile Fever Few St. John s Wort Hawthorn Soy Kava Black cohosh Green tea Cranberry Garlic Yohimbe Valerian immune stimulant BPH circulation liver nausea indigestion migraine mild/mod depression heart/circulation menopause symptoms anxiolytic menopause symptoms stimulant (antioxidant) UTI prevention hyperlipidemias, hypertension, heart erectile dysfunction sleep
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