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

Medicine and might Relies on certain stimuli

to enhance the bodies natural healing power

Complementary and Alternative

Medicine

Complementary medicine is used together withconventional 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

Medicinebased 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 well-

being.”

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

Physical Activity

• 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

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 self-knowledge 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 oilIt has determined it has cancer defending

properties

Ocimum Bacilicum

BASIL

Useful Herbal Products

Echinacea immune stimulant

Saw Palmetto BPH

Ginkgo circulation

Milk Thistle liver

Ginger nausea

Chamomile indigestion

Fever Few migraine

St. John’s Wort mild/mod depression

Hawthorn heart/circulation

Soy menopause symptoms

Kava anxiolytic

Black cohosh menopause symptoms

Green tea stimulant (antioxidant)

Cranberry UTI prevention

Garlic hyperlipidemias, hypertension, heart

Yohimbe erectile dysfunctionValerian sleep

Thanks