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Complementary and alternative medicine, also known as CAM, has had a long and controversial history. There are different types of CAM (see Figure 1), placed into discrete categories according to how they work: biologically-based therapies that involve the consumption of products, energy therapies that consist of channelling healing energy, mind-body interventions that use the mind to create a positive effect on the body and manipulative therapies that involve the movement or manipulation of the body. Traditional Chinese Medicine, or TCM, is a whole medical system that has received controversy recently (see Figure 2) due to an absence of regulation, lack of scientific basis, use of animal products in its medicinal treatments and the toxicity of some of the herbal medicines used. Amidst all the controversy, according to the Oxford Handbook of Palliative Care and the Nursing Times, it is becoming more frequently used by patients (Ernst & White, 2000), especially terminally ill patients, for pain relief, for many reasons, including desperation and the many side effects of conventional medicine.
Palliative care is a branch of medicine that aims to prevent and relieve suffering and to support the best possible quality of life for patients with advanced, progressive or life-limiting conditions, many of whom are terminally ill.
Although there are many different types of pain, the one thing, however, that is common in all patients with pain is that pain limits the patient’s quality of life, and this is why it is very important for patients to achieve analgesia, the state of being pain-free. Pain can also be controlled by CAM, the main principles of which usually involve a holistic therapy (the whole body is being treated, not just the cause of an ailment) and the support of physical, psychosocial and emotional factors. These holistic principles make CAM increasingly popular with patients, with an average of 40% of patients with life-threatening or chronic illness using CAM compared to 28% of the general UK population (Watson, et al., 2005). Some reasons for an increased reliability on CAM include the holistic nature of the therapy, dissatisfaction with conventional medicine being ineffective, side effects of conventional medicine, poor patient-physician relationship, long waiting lists, desperation and rejection of orthodox medicine (see Figure 4). Information such as evidence for the efficacy or the QALY of a therapy would be considered. For example, acupuncture, which is part of Traditional Chinese Medicine, has already been approved to be used in the NHS for the early management of persistent non-specific low back pain. This study has been done to determine the extent to which Traditional Chinese Medicine should be available in the NHS as a complementary and alternative therapy to treat pain in palliative care patients. This will involve researching how TCM is used in pain relief, including its risks and benefits; how cost-effective TCM is, including a comparison between conventional medicines and whether freedom of choice of therapy is more important in palliative care pain relief than the cost of the drug. From early on in the project, I predicted that TCM will be more expensive and less cost-effective than conventional medicine and that this has been a barrier for its acceptance onto the NHS, but that people will feel that freedom of choice is very important. Biologically based complementary and alternative medicine (CAM) approaches include herbal medicines, 'megadoses' of vitamins and SPECIAL DIETS107, such as those proposed by Drs Atkins108 and Ornish109.
Wellness Guide and Consultancy by Dr Prem Jagyasi Comprehensive Wellness Guide Book including – how to, tips, tricks, information, manual, reference and instructions about wellness, therapy, alternative medicine, integrative medicine and wellness tourism. The CAM or the complementary and alternative medicine is a diverse group of heath care and medical systems, products and practices are usually not considered as a part of the conventional medicine, otherwise known as allopathic or western medicine. These forms of treatments use different techniques for enhancing the mind’s capacity to affect the symptoms and functioning of the body. These treatments include the use of various items found in nature like foods, herbs, vitamins, etc. With so many options available, people have a lot of options to choose from the kind of treatment that is more suitable to them.
To be termed scientific, a method of inquiry must be based on gathering observable, empirical and measurable evidence subject to specific principles of reasoning. When was the last time your family doctor tested your citric acid cycle intermediaries to see if there were problems with production of ATP, the fuel that drives life?  Has your cardiologist measured your carnitine, CoQ10, glutathione and taurine levels, which are essential for heart function?  This attention to scientific detail is not the bread and butter of conventional practitioners, because we conventionally trained doctors are not taught to think physiologically.  We are trained to think pathologically, which entails making a diagnosis and prescribing a drug, a surgical or a radiological procedure to offset the disorder diagnosed, and which is often the right approach for many problems, especially acute, life-threatening disorders when thoughtful, time consuming biochemical analysis is impossible. However, in the treatment of chronic disorders, where there is time to investigate the root causes of symptoms and the presumptive diagnoses, conventional medicine’s accepted standards of care are becoming increasingly obsolete.
As a functional medicine practitioner, I simply strive to not ignore the science, and as a result I am privy to looking much more deeply into the very substance of my patient’s biochemistry, physiology and genetic makeup and determine the actual cause of their symptoms.  Knowing causes allows me to formulate rational treatments. Based on the proven fact that human beings all share a similar genetic code, and the proven fact that all human beings have a similar biochemistry, anatomy and physiology in a healthy state, any laboratory results which deviate significantly from the healthy norms, especially those which have been proven in amassed scientific studies to be risk factors for the presumptive diagnosis made on initial assessment, are taken seriously as potentially causative abnormalities. This testing of a hypothesis via scientific method constitutes a revolutionary advance in medicine, and defines the uniqueness of functional medicine.  If the hypothesis is proven to be true, and the symptoms or diagnosed disorder vanish, then the “experiment” so to speak has come to a successful conclusion and my patient is usually discharged.
If that hypothesis is found to be invalid, an unusual occurrence in my experience, then a third round of diagnostic testing is warranted to repeat the cycle again or as many times as necessary.  At each stage, a hypothesis is tested and found to be valid or not.


I rely on the expertise of my alternative and conventional medicine colleagues and frequently refer my patients to them to benefit from their expertise.  In fact, the massive quantity of biochemical, toxicological, metabolic, anatomical and genetic information which results from a thorough functional medicine evaluation helps to define which conventional or alternative medicine interventions would be more likely to be effective. I trust that educated and informed consumers and practitioners alike will eventually be able to separate the wheat from the chaff.  Any form of medicine based on a more rigorous code of scientific method will by definition achieve better results because the universe we live in follows predictable laws of cause and effect.
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The Oxford Handbook of Complementary Medicine states that if CAM is used alongside conventional medical treatment, then the therapy or treatment is used as a complementary treatment. Palliative care also involves enhancing the quality of life and helping patients to live as actively as possible, and alleviating the side effects of medication, like chemotherapy. This can be achieved using analgesics, painkilling drugs, which are given on an analgesic ladder (as pain increases, the medication given is also increased and adjuvants, additional medication to increase the benefits of the analgesics are given). However, there are many reasons, more than just the treatment’s efficacy (how well it works), which allows a therapy to be approved on to the NHS by the National Institute for Health and Clinical Excellence (NICE).
The QALY or the quality-adjusted life year is a measure of how much long a quality life a patient can be expected to gain from having the therapy, taking into account a patient’s well-being, independence and other factors. But why is not Traditional Chinese Medicine approved, especially for something as important to quality of life as for pain relief? This will be done through surveys, interviews and careful consideration of existing literature. We run network of high quality 50+ high niche websites with millions of regular visitors, Please connect with us. These systems have evolved earlier than the conventional approach of treatment used in the United States. Certain techniques that were believed to be alternative like the cognitive behavioral therapy, has become a main type of treatment today. However, along with many other kinds of body-based therapies, they are known to be healing too.
Some people are more comfortable using the alternative medicine than the conventional treatments.
Aside from publishing a bevy of life improvement guides, Dr Prem runs a network of 50 niche websites that attracts millions of readers across the globe. A scientific method consists of the collection of data through observation and experimentation, and the formulation and testing of hypotheses.  Once a hypothesis has been proven, the new information can be added to that of previous amassed studies and provide a predictable model which can then be used to formulate further hypotheses and experimentation. Essentially, the vast knowledge which has emerged from centuries of amassed scientific inquiry into the biological and basic sciences is used to investigate the unique biological, biochemical, toxicological, genetic and physiological situation in each and every patient I see. The process of formulating a presumptive diagnosis based on an exam and history, and perhaps ordering a few superficial laboratory tests, while ignoring the astonishing advances in the basic sciences which are listed above and in the diagram below, becomes increasingly ridiculous.  Then to make wild guesses about treatments with potentially toxic, pharmacological substances, with very little attention paid to the unique biochemical, genetic, hormonal, toxicological and metabolic makeup of each patient, is frankly dangerous. Their way of practicing healthcare may not ascend to my standards of what I believe science-based medicine should be, but I will defend “to the death” so to speak their right to practice in a manner which they believe is ethically in the best interests of their patients. A denial of this fact (4), as I observe increasingly occurring in both alternative and conventional medicine, threatens to take civilization back down a dark path of superstition and witchcraft.
CAM comprises a group of diagnostic or therapeutic systems of healthcare that is separate from conventional medicine (also known as western medicine).
However, if CAM is used instead of conventional treatment, then the therapy is described as alternative medicine.
Palliative care neither aims to prolong or curtail the lifespan of the patient (Watson, et al., 2005), but is mainly concerned with maximising the quality of life of patients through the management of symptoms (see Figure 3), especially pain, which is the most frequently seen symptom in palliative care. These medications do, however, carry side effects, which often push people away from conventional medicine.
Other factors are taken into account including the benefit to the patient, cost and cost-effectiveness and whether the therapy would help the NHS achieve set targets, gaining information and evidence from doctors, drug companies and patients. Indeed, TCM does have its own system of diagnosing and treating pain that is vastly different to conventional medicine, but if palliative care is all about reducing symptoms like pain, then perhaps TCM should be approved as a method of pain relief in the NHS.


Mind–body interventions use various techniques that are designed to facilitate the capacity of the mind to affect bodily function and symptoms, including yoga, prayer, meditation, spirituality and guided imagery. The National Center for Complementary and Alternative Medicine has classified the alternative and complementary treatments under five huge categories. Most popular systems include acupuncture, ayurveda, homeopathy, naturopathic medicine and traditional Chinese medicine. Various other mind and body techniques are considered to be a part of the complementary and alternative therapy such as the biofeedback, mindfulness meditation, music therapy, progressive muscle relaxation, relaxation response and yoga.
The techniques used are based on manipulation and movement of the various parts of the body.
Many people who feel that the conventional treatment is not bringing any relief to their disease may look forward to use one of these alternative medicines for finding a cure for their ailments. Thus far, Dr Prem has traveled to more than 40 countries, addressed numerous international conferences and offered his expert training and consultancy services to more than 150 international organizations. Gant) have practiced functional medicine since the term was coined over 30 years ago and during these decades I have reluctantly overlooked being mislabeled as an “alternative medicine ” (1) doctor.  Healthcare consumers and practitioners alike often fail to recognize that functional medicine has virtually nothing to do with alternative medicine practices such as homeopathy, acupuncture, herbal medicine or hands-on-healing. These basic sciences are also referred to as “pure sciences” because they conform more rigorously to scientific method.  Scientific method refers to a body of techniques for investigating phenomena, acquiring new knowledge, or correcting and integrating previous knowledge.
Intrusion by draconian government regulations and insane healthcare political manipulations threatens the very foundations of freedom and scientific method in healthcare and must not be allowed to stand in the way of innovation and practitioner liberty. As long as healthcare consumers have the liberty to choose the care they want, and practitioners have the liberty to keep perfecting their standards of care, consumers will gradually and naturally gravitate to those delivering care which achieve superior outcomes. Conventional medicine is distinct from CAM because of its evidence-based or scientific nature as opposed to a set of cultural practices that may be seen in CAM.
Others may refer to CAM being used to help maximise the benefits of conventional treatment, and this is known as integrative medicine. 50% of all cancer patients experience some level of pain (Running & Turnbeaugh, 2011) and many patients are increasingly relying on an integrative approach of CAM to achieve a state of analgesia. Energy therapies are intended to affect energy fields (biofields) that purportedly surround and penetrate the human body, using REIKI and therapeutic touch. The techniques include Alexander technique, Feldenkrais, massage therapy, reflexology, rolfing and Shiatsu.
They are intended for affecting the energy fields that penetrate and surround the human body.
So, it depends on the kind of treatment and how effective it is that people begin to turn towards these alternative treatments. He also owns and leads a web services and technology business, supervised and managed by his eminent team.
Alternatively, energy therapies can involve the unconventional use of ELECTROMAGNETIC FIELDS, such as pulsed fields, magnetic fields, or alternating- or direct-current fields. Some forms manipulate the biofields by applying pressure or sing the hands through or in the fields. According to the telephone interview conducted by researchers on alternative medicines, the highest number of people who used such treatments belongs to the age group of 25-49 years. Alternative medical systems involve complete systems of theory and practice that have evolved independently of, and often before, the conventional biomedical approach.
The second is the bioelectromagnetic-based therapy that involves unconventional use of the electromagnetic fields. So the treatments chosen by the people depend on various factors including availability, cost and treatment methods among others.



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