Transcript furore
furore • “Many of today’s complementary therapies are rooted in ancient traditions that intuitively understood the need to maintain balance and harmony with our minds, bodies and the natural world.” – “the ceaseless rush to modernise …” • “Medical Apartheid …” • Your future sovereign • Peter Fisher – Director of the Royal Homeopathic Hospital • Admitted not to know how it works Alternative Medicine Complementary Medicine Non Conventional Medicine • Complementary: – In addition to conventional you may prescribe • AD + tai chi or massage • Alternative – Used instead of conventional • Homeopath • naturopath Integrative Medicine/CAM Complementary and Alternative medicine • UK survey – >75% of the public want it – >45% of registered doctors have referred • >70% of hospital doctors • >93% of GP – 85% of med students, 76% of GP’s and 69% of hospitals doctors - NHS available – 20%of GP - 12% hospital drs - 58% of nurses practice Attractions • • • • • • • • Time and Continuity Personality and personal experience Patient involvement and choice Hope Touch Dealing with ill defined symptoms Making sense of illness Spiritual and existential concerns Concerns • Safety and competence • Guilt – Solely responsible for your own health • Denial – Colluding • Blame – External causes • Pollution, vaccinations, conventional drugs • Financial risk • Social factors – Middle to high socioeconomic status – Effects of poverty underplayed • good quality info - effectiveness - safety - costs - training - research • Authorities slow to act GMC • It is open for any GP to employ a complementary therapist/therapy to offer NHS treatment PROVIDED the GP/doctor retains clinical responsibility and accountability!! • By 2050 full implementation prediction Principles • Prevention + good health • Your body has the ability to heal itself – Practitioners = facilitators to encourage your natural health processes • Learning and healing go hand in hand – Guidance as teachers/mentors while your body and spirit do the rest • Holistic care – Interconnectedness (body-mind-spirit-world) Broad categories • Healing/Alternative medical systems – Complete set of their own fundamental views/theories/practices • Ayurveda - Homeopathy - Naturopathy - Ancient Medicines • Mind-Body connections – Strengthen mind and body communication/enhance mind’s influence over body – Meditation - Prayer - Yoga - Hypnosis • Biologically-based therapies/dietery supplements and herbal remedies – Herbs - Foods - Vitamines • Manipulation and touch/body based methods – Chiropractice - Osteopathy - Massage Reflexology • Energy therapies – Unblock/balance energy flows – Biofield • Reiki - Qi gong - Therapeutic touch – Bioelectromagnetic based therapies • Magnet - Polar - Light CNHC Complementary and Natural Healthcare Council • To be launched in April 2008 • By Prince’s Foundation for Integrated Health, FIH • Credible robust voluntary independent regulatory structure • Consumer’s confidence and safety • Fitness to practice - certain requirements • NHS - Dept of Health White Paper www.nhsdirectory.org/ • House of Lords Science and Technology Committee , 6th report on CAM • 3 separate groups • GP? - PCT? • PAL, Patient Advice and Liaison Coorinator or Lay member of your PCT – Difficulties on obtaining CAM via NHS Group One The big 5 • Osteopathy • Chiropractic – Regulated by Acts of Parliament • Acupuncture • Herbal Medicine • Homeopathy – Each individual diagnostic approach Group Two Aromatherapy • • Alexander technique • Body work therapies – Massage • • • • • • Counselling Stress therapy Hypnotherapy Reflexology Shiatsu Meditation and healing – complementary – Not purporting diagnostic skills Group three • Purporting to offer diagnostic info & treatment • Indifferent to Science • Philosophical • 2 sub-groups Group 3a • Ayurvedic medicine • Traditional Chinese Medicine, TCM – Long-established systems of healthcare Group 3b • • • • • Crystal therapy Iridology Radionics Dowsing Kinesiology – Any credible evidence ? Osteopathy • Andrew Taylor Stiller (US physician) • 1874 • Physical manipulation – Gentle large movements (low velocity - large amplitude) Greenman Muscle-Energy technique • Bend joint to point of resistance - hold - relax - bend again but further - … Cranio-sacral therapy skull bones put in line with rhythmic pulsations of brain&spine Today often same conventional techniques Chiropractic • David Daniel Palmer - 1895 – Cured man’s deafness by back manipulation • Spinal manipulation – Rapid short thrusts (high velocity - low amplitude) – ‘loosening’ vertebrae • “subluxated” vertebrae impedes nerve outflow - disease - so needs ‘repopping’ – Back-, neck pains, headaches, colds, … Acupuncture • Shan dynasty - 1000 BC • Yin Yang balance (TCM) • 14 meridians channeling surface with internal organs • Through them flows QI vital energy – Needles on acupuncture points removes imbalances and blockages of the Qi • Auricular acupuncture – French Dr Paul Nogier - 1957 - Vietnam – Entire body mapped into the ear (inverted fetus) • addiction • Conventional : just endorphins ? Homeopathy • Dr Samuel Christian Hahnemann - 1755 • Greek: Omio = same : Pathos = suffer • Phenomenally diluted substances with a ‘healing energy fields’ that causes certain symptoms in a healthy person can cure an ailing person with similar symptoms (vaccines-like) • Three laws – Like cure like – Law of infinitesimals (diluting makes powerful) • Conventional doses is toxic – Law of Chronic disease (conventional medicine drives disease deep - culpable) • Symptom picture matches a potion • Royal London Homeopathic Hospital merged with UCLH in April 2002 – Government commitment to integrate – Better care for NHS patients • Aromatherapy – Using the fragrant essential oils of herbs by inhalation, by mouth or topical • Alexander technique – Habits are stopped, refined or well-formed through awareness of how thinking is expressed in movements by own empirical guided study of yourself • Reflexology – The whole body is reflected in the foot - foot massage heals/deblocks that organ part • Developed by an ENT Dr W Fitzgerald -1913 • Shiatsu – Massage using fingers and palm to detect and to promptly correct the imbalances of the body (Japanese Ki - Chinese Qi) – Also preventive by stimulating immune system and natural healing power – Deep tissue massage • Naturopathy – Using non-invasive, non-synthetic, natural remedies (though use of conventional diagnostics like imaging) • Radionics – By dowsing (water witching or divining), by focusing through your own senses-thoughts, you detect imbalances in “subtle energy fields” around a body and promptly transmit healing energy/thoughts because we are all One Unity connected. • Reiki – Japanese “Life-force energy” - hand laying, – Healing Qi by holding hands in certain positions over affected body part • Kinesiology – Science of human movements to manage rehabilitate - prevent disorders Ayurveda • 2nd - 4th century BC India • Holistic (herbal/diet/massage/meditation/spirituality/cl eansing of nasal passages/…) • Links with TCM (Traditional Chinese Medicine) • 3 primal forces (tridosha) - 5 elements: – – – – VATA: space & air - movements PITTA: fire & water - digestion, metabolism KAPHA: earth & water - body’s structures Each persons is dominated by 1 or 2 doshas • You can be a Pitta-Kapha … • Each one consists of PROPER BALANCE of: – – – – – 20 attributes 5 subdoshas 7 tissues 4 agni 14 bodily systems • Disease = improper/disturbed balance – excess Vata lead to arthritis, anxiety and fatigue – excess Kapha - obesity/diabetes –… • Treatment aims to promote and maintain balance in order to prevent or, when necessary, cure disease • For instance by DIET, 1 of the primary methods – Each has unique food diet (what good is for one may be bad for another) with own seasonal variations and own optimal ways to cook/prepare it • Excess Vata: avoid raw vegetables - eat nuts and seeds • Herbs • Yoga • Shirodhara – pouring of warm oil on your 3rd eye on forehead • … ARE YOU A BELIEVER? • Thank You!! • Amen