Integrative Iranian MedicineAn Introduction

Peyman AdibiProfessor of Medicine

Adjunct Professor of Medical EducationAdjunct Professor of Traditional Medicine

History of medicine

History

• Ayurveda – 1500 BC to AD 500

• Acupuncture – 5,000 years old

• Traditional Medicine (TM) – 3,000 years

• Homeopathy – 1790s

• Allopathic Medicine

History of medicine

History of medicine

History of medicine

History of medicine

AlternativeMedicalSystems

Ayurveda, Chinese, Native American, Aboriginal, African,Middle Eastern, Tibetan, Central and South American cultures,Homeopathy, Naturopathy

Mind-BodyInterventions

cognitive-behavioral approaches, meditation, hypnosis, dance,music, art therapy, prayer, mental healing

BiologicalBased Therapies

dietary supplements, herbs, orthomolecular (varying concentrations of chemicals, such as, magnesium, melatonin, and mega-doses of vitamins), individual biological therapies (use of laetrile, shark cartilage, bee pollen).

Manipulative And Body-Based Methods

chiropractic, osteopathic manipulation, massage

Energy Therapies Qi gong, Reiki, therapeutic touch, bioelectromagnetic-basedtherapies (pulsed fields, magnetic fields, or alternating currentor direct current fields)

5 Domains of CAM

As Defined by NCCAM

• Philosophy level : School of thought

• Terminology level

• Practical level

Misunderstanding

•“cures”

•“natural”

•Patient empowered

•Spirituality

•Health Care Provider 3 T’s: touch, talk, time

Stephen Strauss, M.D., NCCAM Director

Personalized medicine

• Tailoring versus cloth shopping– Subgroup analysis in RCT– Post-marketing research– Translational research

• Genomics• Proteomics• metabolomic

• I think A ,so it must be A• I see A ,so it must be A• I see several As ,so it must be A• ….

• Logic in medicine

Evidence Based Medicine

• Originality of direct evidence

IUMS approach

IntegrativeUnitedMultidisciplinarySystematic

The Future of Integrative Medicine

• Definition of Integrative Medicine From the CAHCIM

“Integrative medicine is the practice of medicine that reaffirms the importance of the relationship between practitioner and patient, focuses on the whole person, is informed by evidence, and makes use of all appropriate therapeutic approaches to achieve optimal health and healing.”

Sir William Olser

• “While the good physician• treats the disease, the great• physician treats the patient”

Why Iranian Traditional Medicine?Burden of disease in functional problemsBurden of disease in non-disease complaintsBurden of disease in psychosomatic problems

High NNT of medical modalitiesHigh cost of medical modalities

Why Iranian Traditional Medicine?• Towards personalized medicine• Towards narrative medicine

Why Iranian Traditional Medicine?