Integrative Iranian Medicine An Introduction
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Transcript of Integrative Iranian Medicine An Introduction
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Integrative Iranian MedicineAn Introduction
Peyman AdibiProfessor of Medicine
Adjunct Professor of Medical EducationAdjunct Professor of Traditional Medicine
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History of medicine
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History
• Ayurveda – 1500 BC to AD 500
• Acupuncture – 5,000 years old
• Traditional Medicine (TM) – 3,000 years
• Homeopathy – 1790s
• Allopathic Medicine
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History of medicine
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History of medicine
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History of medicine
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History of medicine
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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
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• Philosophy level : School of thought
• Terminology level
• Practical level
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Misunderstanding
•“cures”
•“natural”
•Patient empowered
•Spirituality
•Health Care Provider 3 T’s: touch, talk, time
Stephen Strauss, M.D., NCCAM Director
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Personalized medicine
• Tailoring versus cloth shopping– Subgroup analysis in RCT– Post-marketing research– Translational research
• Genomics• Proteomics• metabolomic
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• 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
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Evidence Based Medicine
• Originality of direct evidence
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IUMS approach
IntegrativeUnitedMultidisciplinarySystematic
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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.”
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Sir William Olser
• “While the good physician• treats the disease, the great• physician treats the patient”
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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
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Why Iranian Traditional Medicine?• Towards personalized medicine• Towards narrative medicine
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Why Iranian Traditional Medicine?