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The term Integrative Medicine is used so widely and loosely that most patients and physicians are confused by what the term actually means. Often heard with the field of Integrative Medicine are the fields of Complementary Medicine and Alternative Medicine. After I moved on to private practice, I was offered the opportunity to attend an acupuncture seminar.
After my return, a physician called me and asked me to see his nurse due to a persistent cough.
Out of sheer desperation, I told her I had just returned from an acupuncture seminar and learned of an important lung point. I have since treated many who have found that acupuncture is very effective for migraine headache management, chronic nausea, respiratory problems, back pain, smoking cessation, depression and other conditions. Along this journey into Integrative Medicine, I found that the primary focus of Integrative Medicine is to prevent disease. To learn more about Integrative Medicine at Kansas City Internal Medicine, please call us at 913-451-8500. In an effort to establish some common ground this are the working definitions for the term: Alternative, Complementary and Integrative. Complementary: noun - any of a range of medical therapies that fall beyond the scope of conventional medicine but may be used alongside it in the treatment of disease and ill health. The older term Alternative Medicine seems to apply to hippies, tree huggers, granola eaters, those who wear socks with Birkenstocks kind of people.
Now comes the exciting part, the evolving term of Integrative Medicine is where the Allopathic medicine provider is trained in some of the Complementary Modalities such as Acupuncture and TCM - University of California, San Francisco. Some of the more traditional medical schools like Harvard and John Hopkins are offering programs in Integrative Medicine.
It has been my experience that clients seek out complementary practitioners because they do not feel valued, or listened to by their current healthcare provider. Now that we have a common frame of reference, let’s get to the meat and potatoes of this article - CAM practitioners being professional. Our career choices have exploded over the years; no longer are we bound to carry out the tasks our parents did like baker, tailor, soldier or sailor. Do they have a professional association you can join or can the teaching facility recommend one? Do they offer continuing education courses or do they have a list of appropriate continuing education credits (CEU) through their academic partners? When shopping around for a place of higher learning, it is no different than trying to find a great mechanic, hairdresser, dentist or building contractor. These newly graduated professionals should be familiar with the existing governmental legislation, scope of practice, ethics, therapeutic boundaries and professionalism. Back in the 1990s, times were different; these folk arts were considered harmless and safe. Normally, this involves getting business cards, brochures, joining various networking groups and maybe taking a course or two. This form contains sensitive personal information of your client: Name, Address, Phone number, Email;Does it include a health history including medication?
All this needs to be protected, in a lockable filing cabinet.If you store your records - paper copies or computer files - off site, are they secure until you get home?
Has the association requested you sign a Code of Ethics, do you follow a Code of Conduct, is there a disciplinary process established should a client wish to complain about a practitioner‘s misconduct? What does it mean to be a Professional - its’ more than a website, phone number and business card.
If CAM professionals want to be included as part of the healthcare team, then we have a lot of homework to do. This is just a snippet of some of the items discussed in Integrative Healing Merging with Modern Medicine.  Walk with me on this journey. Lorinda Weatherall BSc has been a Natural Health and Wellness Mentor in the Barrie, Ontario area since 1995. Improves the way we use ourselves in daily activity; helps prevent aches, pains, tension, fatigue.
UK publisher of rejected knowledge in areas of esoteric thought and radical streams of spirituality. This title offers a very sober and systematic approach to a wide range of alternative therapies, which can be used by nurses independently of other health care practitioners (i.e. The Open International University for Contemporary Medicines was founded in 1962 following the World Health Organization’s Alma Ata Declaration. Since 1966, more than 50 students from Nepal have completed their Masters and Doctorate degrees in contemporary medicine from the international university’s campus in Sri Lanka, the Medicinia Alternative Institute. Currently, one third of the world’s population overall and half of the population of the poor countries are dependent on traditional, alternative or complementary (local) medicine.
The knowledge and practice of such alternative medical systems are traditionally passed practically and orally from generation to generation, though some are backed up by well-established and ancient schools of learning.
Recognizing the value of alternative medicines, in 2000 the Nepal Complementing Medicine Practitioner Association was established.
In Nepal’s larger towns and cities, patients have several choices available to them when seeking treatment for illness. To increase the capacity and quality of manpower and centers, the leaders in each system of alternative medicine are trying their best to improve their hospitals and educational centers, with active support by the government in recent years. The term acupuncture derives from the Latin ocus, meaning needle, and pungere meaning to puncture or penetrate.
The history of acupuncture in China dates back to many centuries BC, when stone needles were used instead of today’s finely manufactured stainless steel ones. The response of a patient to acupuncture depends on the severity of the illness, the chronicity of the illness, the general health, constitution, emotional balance, diet, lifestyle along with a very open and unbiased receptive mind to the line of treatment. Acupuncture has relatively no side effects except the most common—a feeling of deep relaxation and an increased sense of well-being. Homeopathy, or homeopathic medicine, is a holistic system of treatment that originated in the late 18th century, formally founded by a German physician, Samuel Hahnemann (1755–1843).
Homoeopathy is highly scientific, logical, safe, quick and extremely effective method of healing. The Government of Nepal has been trying to make its health system simple, cheap and more systematized.
In 1953, Ram Agori Baba, a saintly yogi, requested King Tribhuvan to establish a homeopathic hospital, and on his initiative the Pashupati Homeopathic Hospital was established with outdoor patient services and a six bed facility located at Harihar Bhawan, Lalitpur. There are more than 70 homeopathic doctors in the country who have been trained and graduated from India.
Although Unani medicine has already crossed its 75th year in Nepal, the threads that comprise Unani healing can be traced all the way back to the second century of the Christian era.
In 1926, Hakim Khwaja Hasen Shah [a Nepali Muslim] completed his education in Unani medicine from Lucknow and returned to Nepal, but he did not know how to go about practicing his profession.
In the early days, under the Prime Ministership of Juddha Shamsher, Unani Medicine Nepal came under the auspices of the Department of Health. I’m the son of the late Hakim and I started practicing Unani medicine from an early age. Oct272011 Study shows probiotic foods may alter metabolism, but can they boost your health? Michelle Brandt on August 17, 2011 A Northwestern University geriatric oncologist is reminding cancer patients to be careful about their use of herbal remedies during treatment. Lia Steakley on August 2, 2011 Researchers have been gaining new insights into how practices such as meditation and prayer shape the brain and promote positive psychological changes in people. Margarita Gallardo on July 27, 2011 Women suffering from fibromyalgia may find some welcome relief in yoga. Michelle Brandt on June 16, 2011 Several years ago, I had a short-lived experience with acupuncture: After just a few sessions I discovered I was pregnant and had to stop.
Michelle Brandt on May 10, 2011 Are physicians becoming more open to complementary and alternative therapies, including meditation and yoga? Lia Steakley on May 2, 2011 As we’ve previously reported, complementary and alternative medicine (CAM) is on the rise among Americans. Integrative Medicine tries to incorporate alternative ways of treating patients with conventional medicine.


Complementary Medicine incorporates treatments less defined by the scientific community and is to be used alongside conventional medicine. All I could offer was Tylenol and reassurance or maybe physical therapy if their insurance covered it. Thinking that acupuncture was mostly some sort of pain blocking technique, I thought it would be worth checking it out. She had been on multiple antibiotics, multiple meds, steroids, inhalers and had seen specialists without help. I decided to learn acupuncture and unknowingly began my long journey into Integrative Medicine, eventually getting an Associate Fellowship degree through world-renowned Dr. These folks may not disclose to their current Allopathic healthcare provider that they are seeking treatment from a Chiropractor, Naturopath, Traditional Chinese Medicine (TCM) practitioner, Massage Therapist or Energy Therapist for fear of ridicule or being terminated as a patient.
An individual may seek out a CAM practitioner after a loved one dies, based upon the type of care the deceased had received.
This topic is huge and can cover a lot of territory from the simple such as business cards all the way to Therapeutic Boundaries and Ethics.
In some modalities like the Manipulative and Body Based and Whole Medical Systems, there is usually an apprenticeship or clinical aspect to what the students learns. It would be relatively easy for these professionals to set up or join an existing holistic practice. When I learned Ear Candling almost 20 years ago, the course was six or eight hours.  The instructor was not required to teach us the anatomy of the ear as they were not a medical professional. The instructor never mentioned that our clients needed to sign consent and release form, nor did we discuss informed consent. Most people who practise these ‘folk’ arts use them to benefit friends, family and themselves. As the practitioner gets busier their practice moves from the home office to a professional space. Or do you have the view that more tools in your healing tool box is to the client’s benefit? Feel free to contact me regarding any questions or concerns or if you have any insights I might have missed.
Her love of science culminated in a Bachelor of Science, Specializing in Physical Anthropology from the University of Toronto - Mississauga.
Traditional medicine is usually defined as that which is based on what is practiced within the country of origin. It was accorded international recognition and charged with making alternative medical systems popular. And, as contemporary therapy has become more popular in Nepal and elsewhere around the globe, over 50 percent of chronically ill patients who have used it say it give better results and more relief compared to modern medicines, due in part to negligible side effect and better overall response. This organization’s aim is to give support and share knowledge among local and international practitioners and physicians in similar fields, and to interact with local and international NGOs to increase popularity and broaden practitioner networks. This is partly due to the spread of information about them patient to patient, and by the modern intervention of television, radio, magazines, the Internet, and other sources.
Ayurveda is supported by government and privately run hospitals, health centers and educational and research centers and for a long time has also had its own independent council. Their quality will be best judged and placed when the Alternative Medical Council Act is written. When Western sciences do not show desired results, then there is an entire range of alternative therapies. The reign of the Yellow Emperor of China saw the progression and preservation, observations and documentation of this drugless therapy.
Pain is the main syndrome of this category, including headaches, migraine, trigeminal neuralgia, low backache, sciatica, arthritis, tennis elbow, cervical spondylosis, muscular spasms, intercostal neuralgia, dysmenorrhoea, frozen shoulder, etc.
This includes insomnia, fatigue, sexual disturbance, gastritis, constipation, irritable bowel syndrome, stress related discomforts like anxiety, depression, certain allergies, certain gynaecological problems, bronchial asthma, addictions, enuresis, eczema, etc. This includes facial paralysis, Bell’s palsy, stroke-causing paralysis of lower upper body, peripheral neuropathies, etc.
I studied medicine in China under a scholarship plan and did my post graduation in acupuncture. Acupuncture does provide effective relief in many situations like low backache, cervical spondylitis, frozen shoulder, etc. It offers long lasting to permanent cure treating the disease from its roots for most of the ailments. The Health Service Act of 1996 recognizes homeopathic medicine under the national health service system. From 1955 to 1973, Dr Achyut Bahadur Shrestha was appointed as the Royal Homeopathic Physician.
There are also several private organizations, such as the Bhaktapur Homeopathic Clinic in Bhaktapur, which came into existence from a project called Bhaktapur International Homeopathic Clinic of European Doctors. The government has also organized various meetings to establish an alternative council that will bring homeopathy, naturopathy, Chinese medicine, acupuncture and unani under the umbrella of alternative council. The basic knowledge of Unani medicine as a healing system was developed by Hakim Ibn Sina (known as Avicenna in the West). Both are based on theory of the presence of the elements (in Unani: fire, water, earth and air) in the human body.
In the meantime, two Bengali doctors were taking care of a prince who was diagnosed with tuberculosis and in whom there were no signs of recovery.
I still remember someone saying that if I was not a Muslim, Unani medicine would have developed. Subundu Gupta for providing much of the information for the article, and Bidur Dongol of Vajra Books, Thamel, for providing research materials.
A new study from York University in Toronto shows that practicing yoga boosts levels of the stress hormone cortisol, helping ease some of the symptoms, which include pain, fatigue, muscle stiffness and depression. Now findings published online today in Pediatrics show nearly one in 10 babies in the United States are given herbal supplements within the first year of their life.
It is true that Integrative Medicine practitioners usually favor more natural approaches, but it is not due to lack of belief in conventional medicine, but rather that the acquisition of knowledge for natural remedies opens up other possibilities from which to choose. For example, a patient may want to use guided imagery before surgery to reduce postoperative pain.
In the Complementary Therapies  we have Homeopaths, Naturopaths, Traditional Chinese Medicine (TCM), Ayurveda, Herbalist, Registered Massage, Bowen Technique, Cranial-sacral, Shiatsu, Reflexology, Yoga, Tai Chi , Qi Gong,  Mindfulness Meditation, Art therapy, Music therapy, Emotional Freedom Techniques (EFT), Body Talk, the Bars, a multitude of Reiki forms and the list goes on.  So which one is best for you? After attaining the required number of clinical hours and the required theory elements, the student is permitted to apply to write a professional board exam. Knowing what I know now - the client should have been made aware that Ear Candling does come with risks. On occasion, the practitioner decides to broaden their horizons and turn it into a little business, as family members have referred you to their friends and so on. My personal business was registered in 1998 and a lot of changes have happened since then.  In order to gain some kind of credibility as a Reiki practitioner I joined the Canadian Reiki Association. Unless you have the scientific research to back it up - saying that Therapy XZY will cure XYZ ailment is misleading; now you are promoting yourself as a Medical Professional without a licence. There is a term for this: it’s called therapeutic privilege or medical paternalism, and it’s wrong. We need to be clear in our message of what our CAM Therapy can do and be honest in saying what it can’t. While she was unable to pursue a career in Anthropology, it expanded her horizons to look at the world differently.
It is presented in a standardized chapter format - each therapy is defined, current research on topic is reviewed, uses and techniques are described, followed by precautions, and a list of questions for further research. There are many  options and although healing your illness is the goal of each, the diagnosis, therapy, medications and dosages differ, as do the results and even the history of each system. Among the complementary ways of practicing medicine, however, some are considered in medical circles to be equivalent to the modern or allopathic medicine that is taught at universities. The university was founded to help bring about a better understanding of human health by increasing public awareness and the popularity of alternative medicines. Some believe that by fasting on special days or time, or avoiding certain foods, reading rice positions, calling on the gods, or donating food, cloth or money, they can be healed. In Nepal, for example, besides modernn allopathic medicine, systems of Ayurvedic, Naturopathic, Homeopathic, Acupuncture and Unani healing are nationally recognized and authorized.


They tend to function well in more rural areas, where allopathic assistance is negligible, but are also popular among urban populations. The alternative approaches are very popular in Nepal, due largely to tradition and to the relative lack of modern alternatives in many parts of the country.
At first, the average person will consult a neighborhood medical shop or pharmacy (allopathic or ayurvedic).
The treatment is carried out by inserting needles at various specified points all over the body to effect specific relief from pain and for healing.
Acupuncture developed steadily in China, and between 250 and 600 AD a number of books and charts were written to describe the channels and points for the treatment of an even greater number of conditions.
The most common side effect from acupuncture is a positive feeling of deep relaxation and an increased sense of well being. After my return, I was appointed as a Senior Medical Officer at the Naradevi Hospital where I began my practice, almost 25 years ago. I have written many articles, perhaps more than anyone else, to introduce acupuncture in Nepal.
Those having good general vitality, children, and those with a less chronic illness often respond faster.
In some case it provides symptomatic relief and the patient might have to take treatment at regular intervals.
If a person is suffering from hypertension the drug therapy and acupuncture therapy will have to be closely monitored. The practitioner will ask the patient questions about lifestyle, dietary habits, and personality traits, as well as specific questions about the nature of the headache and when it occurs. It also is the most rational science with respect to its concept of health, disease and cure.
It was introduced to Nepal during the Rana Regime (in the 1920s, under Prime Minister Chandra Shamsher). The Nepal Homoeopathic Medical College is the first institute in the country to formally teach homeopathy medicine. He was primarily influenced by Greek and Islamic medicine and also by the Indian medical teachings of Sushruta and Charaka. According to followers of Unani medicine, these elements are present in different fluids and their balance leads to health and their imbalance leads to illness. Now a recent survey shows patients’ demand for such therapies are driving hospitals to begin providing complementary medicine treatments such as acupuncture. When I was a resident, the attending physician for my continuity clinic was a hardcore Evidence-Based Medicine believer.
Sure enough, she explained a history of a year and a half of coughing so hard that people would ask her if she was okay. I understand this is run by a group of volunteers as are most CAM organizations, but they haven’t kept up with changing legislation either. Ultimately, however, the choice for healing in Nepal comes down to two types, by using modern or allopathic medicine or with more traditional, alternative or complementary medicine. It was hoped that achieving this goal would be well underway by the year 2000, giving people a new holistic approach in life.In fact, dissatisfaction with the Western medical system was already being expressed by many people and as the popularity of alternative approaches grew, patients sought out practitioners who care about the health of the whole person and not merely interested in prescribing medications to treat their obvious symptoms.
Sometimes strong faith works wonders but, ultimately, the sick (or family members responsible for them) may turn to other more established systems of medicine, where they are available in rural or urban areas. Interestingly, many alternative medicine practitioners do well in treating and caring for some diseases where other medical practitioners have to think twice about how to proceed.
Studies have shown that the recovery rate is good to better than average in most cases, and that in some instances, in treating some specific ailments, local systems are less successful compared with results using modern alternative medicine. If that fails, or if they are unsatisfied or are considered emergency cases, they will seek out a more costly modern (Western) medical clinic or private practitioner for help.
Many alternative health centers in Kathmandu, for example, have a good number of skilled physicians and practitioners, and global research on new alternative technologies, medicines and tools has raised their quality of service and results.
This therapy is not in contradiction to modern day allopathic treatment, but is an alternative or complementary therapy, using a holistic approach to  treatment.
Through the centuries, following the publication of these important works and with many of the traditions being passed from one generation to the next, acupuncture practice progressed. If the working disability is reduced and emotional anxiety and distress is effectively managed, we have more than won the battle of life.
Homeopathy is based on the idea that substances that produce symptoms of sickness in healthy people will have a curative effect when given in very dilute quantities to sick people who exhibit those same symptoms. The main purpose of Homeopathy is to restore the body its natural state of homeostasis, or healthy balance. Homoeopathy does not treat superficially by just driving away the symptoms but heals the patient from within. As the story goes, Hakim Shah then asked the king for two pearls which he crushed to dust, added other ingredients and used them to treat the prince. For example, a patient may choose supplements and a raw vegetable diet therapy to treat a cancer instead of undergoing chemotherapy. I felt compelled to offer some sort of relief for them but felt imprisoned by the lack of options. I was fresh out of residency and not interested in starting a whole new language of medicine all over again. Tools required: an aluminium pie plate with a hole slightly off centre to catch any ash falling from the lit fabric and wax candle, towel for head covering, a pair of scissors, lighter and a bowl of water. In 2004 the Canadian government implemented the Privacy Act and while most readers will be familiar with Doctors and Lawyers being bound by this - Complementary Health Practitioners are bound by it too. By establishing international teaching facilities, medical students could learn the variety of theories, ideologies and schools of thought on alternative medicines, from all over the world, thus broadening our approach to health. Acupuncture is as much a philosophical approach towards treating the body and the mind as it is a physical therapy for healing. A popular explanation offered for the discovery of acupuncture is a story of a warrior wounded by an arrow. The symptoms of a disease are regarded as the body’s own defensive attempt to correct its imbalance, rather than as enemies to be defeated. Mukherjee from India visited Nepal and used camphor as a homeopathic treatment for those who were afflicted. As an Integrative Medicine practitioner, it is important to understand both concepts to help advise patients what course they may want to take or not to take. The next day, the physician called me and asked what anti-cough medication I had given her because her cough had disappeared. Some countries have banned this activity saying it is invasive and therefore a medical procedure. Check with your National Government to see what kind of legislation you should be following regarding the privacy documents your client’s sign. Don’t go home and share it with your significant other, or talk about it to a friend in the grocery store. She defines Reiki as a light touch or no-touch Japanese Healing Art that helps to rebalance, restore and recharge the body to balance.  Her introduction to Reiki was the Western Takata style and is now focusing more on the Hayashi based styles of Komyo Kai and Jikiden. Through the Open University for Contemporary Medicine, students in various locations have the opportunity to become well-rounded practitioners in a variety of alternative medicines, while adopting a humanized approach to people’s ailments. In short, both systems are popular, side by side, but unfortunately many ill people postpone seeking help beyond local cures and neighborhood medical shops until their condition is very serious. The arrow was removed, the wound healed, and a disease in an unrelated part of the body was also cured. The king was pleased and at the request of Hakim Shah, he gave the doctor a tablet-compressing machine.
The cause and effect between the punctured points and the diseases it cured was worked out by an observant physician and a series of points were charted.
The prime minister was also impressed and with his help the first and perhaps the only Unani medical clinic was established in Nepal.



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