integrative medicine recent developments in medicine

Integrative Medicine

Recent Developments in Medicine

Comparison of East & West

• Empirical Observations over Thousands of Years

• Scientific Method & Case-Based Medicine

EasEastt

WestWest

• Art of MedicineArt of Medicine• Holistic View• Circular Logic• Energetic

• Technology of Technology of MedicineMedicine

• Molecular & Organ View

• Linear Logic• Mechanistic

Science versus Art

• Over the last 10 years, there has been no change in mean life expectancy in human beings, dog or cats

• There is an increase in incidence of inflammatory diseases and cancer over our ability to detect the conditions

What’s Been Happening?

• CAVM Guideline were re-written in a less than supportive manner

• Medicine has begun to look at itself with greater scrutiny

New findings

• The basic dietary recommendations for human beings have been found lacking

• Atkin’s low-carbohydrate diet is vindicated

Obese Nation

• Recent study showed that being obese is more likely to cause a heart attack than smoking cigarettes

• We are fat!!!

New Findings

• Study (sham-controlled) showed that surgery on human knees created more damage than corrected, unless there was clear ligament damage

New Findings

• Major multi-center study showed that estrogen replacement put more women at risk for heart disease than it helped at menopause

Basic Tenets of AP

• Based upon the AP point selected

• Based upon the method of stimulation– Dry needles– Electrical AP– Aquapuncture– Hemoacupunctur

e

• Based upon the length of stimulation

• Low-rate, twisting stimulation of GV26 leads to endorphin response, while high-frequency needling of GV26 leads to epinephrine response

Effects of Acupuncture

• Using manganese-enhanced fMRI (functional magnetic resonance imaging), visual effects can be seen in human and animal neural tissues

BaselineBaseline MannitoMannitoll

Mn InfusionMn Infusion EA GB34EA GB34


• Activation of cortex is site specific

• Leads initially to specific effects

GB34GB34 ST36ST36


• Activation has temporal effects

• Longer stimulation activates more cortical structures

• Leads to broader effects

5 minutes5 minutes 20 minutes20 minutes


• In separate study, analgesic AP points were compared to non-analgesic points– Analgesic AP altered

brain regions involved in pain modulation

• PAG, MnR, hypothalamus, thalamus

– Non-Analgesic AP did not activate same areas

Method of Stimulation

• Stimulation of BL-20 (the SP association point) in horses led to analgesia using dry needles or electrical AP.

• Only EA increased release of endrophins into the blood.

Medication Timing & TCM 24-hour Clock

GB 11- 1AM

TH 9- 11 PM

PC 7- 9 PM

KID 5- 7 PM

BL 3- 5 PM SI 1- 3 PM

HT 11- 1 PM

SP 9- 11 AM

ST 7- 9 AM

LI 5- 7 AM

LU 3- 5 AMLIV 1- 3 AM

One Medicine

• Proven medicine or unproven medicine

• Scientific or unscientific

• Good or bad

What is Non-Traditional Medicine?

• Any form of medicine not taught in veterinary school

• Medicine out of the mainstream

Why Alternative Medicine?

• People are asking for it for themselves and for their pets

• Offers approaches which might work when traditional medicine fails

Use of Alternatives in Human Medicine

• Most patients are usually women who are between 35-49 years of age, affluent and well educated

• Results in around $278 billion in annual sales

Use of Alternatives in Human Medicine

• 629 million visits to alternative medicine practitioners in 1997

• Exceeds the number of visits to primary care physicians

What is Integrative Medicine?

• Term coined in Human Medicine for utilizing both traditional and non-traditional modes of therapy

• Similar to Holistic Veterinary Medicine


• Uses a bigger medicine bag

• Includes all of traditional medicine and all of alternative medicine

• Adds everything that will benefit the patient


• Treatment of MIND, BODY & SPIRIT

• Offers medical choices where choices exist


• Base your medical decisions on:– what is best for the patient– the client’s wishes– your abilities– your confidence and experience in

treating other cases

• Still starts with a strong basic understanding of traditional medicine


• Enter a partnership with client to help maintain animal’s optimal health

• Pay attention to:– Exercise– Diet– Supplement– Vaccinations

Exercise

• Need 20 minutes of constant aerobic exercise 2 times a week and 1 hour (at slower pace) once a week– Walking– Swimming

• Alternate days of hard and soft work-outs

Diet

• Let food be your medicine and medicine be your food

– Hippocrates

• Many of today’s chronic diseases can be traced to diet

• No commercial dog or cat food is as nutritious as fresh, home-prepared food

• Dogs & cats have no carbohydrate requirement

Basic Canine Diet #1

8 oz Catfish8 oz Catfish 8 oz Tofu8 oz Tofu 2 tbs Virgin Olive 2 tbs Virgin Olive

OilOil 2 Whole Carrots2 Whole Carrots ½ cup Spinach½ cup Spinach ¼ cup Green ¼ cup Green

PepperPepper

½ cup Broccoli½ cup Broccoli ¼ tsp Dry Ginger¼ tsp Dry Ginger 1 Raw Garlic 1 Raw Garlic

ClovesCloves ¼ tsp Dry Mustard¼ tsp Dry Mustard 2½ tab Flintstones 2½ tab Flintstones

plus Calciumplus Calcium

Contains 1355 Calories with a Contains 1355 Calories with a 27/13/60 percent 27/13/60 percent protein/carbohydrate/fat contentprotein/carbohydrate/fat content


4 Strips Bacon4 Strips Bacon 4 Large Eggs 4 Large Eggs 8 oz Tofu8 oz Tofu 1 tbs Virgin Olive 1 tbs Virgin Olive


PepperPepper


ClovesCloves ¼ tsp Dry Mustard¼ tsp Dry Mustard 1 tab Flintstones 1 tab Flintstones




1 oz Beef Tallow1 oz Beef Tallow 4 Large Eggs 4 Large Eggs 8 oz Tofu8 oz Tofu 1 tbs Virgin Olive 1 tbs Virgin Olive


PepperPepper


ClovesCloves ¼ tsp Dry Mustard¼ tsp Dry Mustard ½ tab Flintstones ½ tab Flintstones



Canine Diet for Athletes

• 2 oz Pork Chop • 4 oz Tofu• 8 oz Brown Rice• 2 tsp Virgin Olive

Oil• ¼ cup Honey• 2 Whole Carrots

• 1 cup Spinach• 4 Tbs Green

Pepper• 4 Broccoli Spears• ¼ tsp Dry Ginger• 1 Raw Garlic

Cloves• ¼ tsp Dry Mustard• 1 tsp Bone Meal

Basic Cat Food

3 oz Salmon3 oz Salmon 2 oz Chicken Heart2 oz Chicken Heart 4 oz Beef Kidney4 oz Beef Kidney 2 oz Turkey Breast2 oz Turkey Breast 2 oz Chicken Liver2 oz Chicken Liver 1 oz Sardines1 oz Sardines 1 tbs Virgin Olive 1 tbs Virgin Olive

OilOil ¼ cup Broccoli¼ cup Broccoli

¼ cup Spinach¼ cup Spinach ½ tab Vitamin B ½ tab Vitamin B

complex complex (B-50)(B-50)

1 tab Vitamin C 1 tab Vitamin C (500 (500 mg)mg)

1½ tab One-a-Day 1½ tab One-a-Day plus Calciumplus Calcium

400 IU Vitamin E400 IU Vitamin E 250 mg Taurine250 mg Taurine

Contains 737 Calories with a 45/4/51 Contains 737 Calories with a 45/4/51 percent protein/carbohydrate/fat percent protein/carbohydrate/fat contentcontent

Vaccinations

• Vaccinations should be based upon scientific verification of efficacy, not upon the manufacturers recommendation (unless based upon such science)

• Give only vaccinations that are truly necessary

• Give them based upon titers

• Support research

NIH Classification of Alternative Therapies

• Mind-Body Interventions• Bioelectromagnetics• Alternative Systems of Medical

Practice• Manual Healing Methods• Alternative Pharmaceutics and

Biologics• Herbal Medicine

Mind-Body Interventions

• Meditation• Biofeedback• Hypnosis• Mental Healing

(Distant Intentionality)

Distant Intentionality

• Prayer reduces ICU stay and complications from other diseases

• Our intention may affect the outcome of our treatment

Bioelectromagnetics

• Effects of nonthermal, nonionizing radiation on the body

• Bone repair, nerve regeneration, wound healing and immune stimulation

Static Magnet Therapy

• As old as the earth• Egyptian scrolls

(circa 2800 BC) contained references to loadstones– Cleopatra used them

on her forehead to prevent aging

• Hindus used magnets 1000s of years BC

N

S


• Magnetism is defined as the alignment of a permeable material so that the molecules face in a uniform direction (i.e., north facing one direction and south facing the opposite).

Bar Magnet (unipolar)


• North Pole– alkaline ( pH)– suppresses

mitosis– (–) energy pole bacteria &

viruses– stops bleeding– shrinks tumors bone healing inflammation

• South Pole– acid ( pH)– stimulates

mitosis– (+) energy pole bacteria &

viruses– vasodilation tumor growth bone healing inflammation

Alternative Systems of Medical Practice

• Traditional Chinese Medicine

• Ayurvedic Medicine

• Homeopathy• Naturopathy

Homeopathy

• 200 years old• Sam Hahnemann • “Like treats Like”• Dilute, potentized

remedies• One remedy has

recently been FDA approved to treat certain forms of Asthma

Manual Healing Methods

• Chiropractics• Massage• T Touch• Healing Touch

Healing Touch

• Hippocrates called magnetism “the force that flows from many people’s hands”

• Galen stated, “a sick body can gain strength from the unbroken contact with a healthy body”

Alternative Pharmaceutics and Biologics

• Medicines and Vaccines which are not yet Mainstream– Bee venom

therapy– Plant extracts

(mistletoe, Venus fly trap, etc.

– Orthomolecular medicine

Orthomolecular Medicine

• The preservation of health and prevention of disease through the provision of the optimum molecular constituents of the body

Basic Principles of OM

• Nutrition First• Biochemical

Individuality• Drugs can be

Toxic• Inescapability of

Pollution• Hope reigns

Supreme

OM Therapy

• Prescribed in quantities sufficient to prevent, treat or control certain diseases.

• Includes– Antioxidants– Membrane Stabilizers– Cofactors

Antioxidants

• Vitamin E• Vitamin C• Selenium• Beta Carotene (Vitamin

A)• Superoxide dismutase• Glutathione peroxidase• Acetylcysteine• L-methionine

Membrane Stabilizers

• Omega-3 fatty acids

• Gamma-linolenic acid

• Coenzyme Q-10• L-carnitine• L-taurine

Cofactors

• B Vitamins– niacin– folic acid– thiamin– cyanocobalamin

• Trace Minerals– zinc– iron– copper– cobalt

Vitamin E

• antioxidant against lipid peroxides

• also a membrane stabilizer

• boosts immune defenses

• can affect primary hemostasis

• therapeutic dose is around 20-50 IU/kg

Vitamin C

• regenerates vitamin E

• stimulates synthetic enzymes (for repair)

• antioxidant against nitrosamines and many free radicals

• can cause flatulence and diarrhea

• 4-8 mg/kg or to gastric tolerance level

Basic Antioxidants

• Vitamin E 10 IU/lb daily

• Vitamin C 5-10 mg/lb twice a day

• Selenium 2 µg/lb daily

• Beta carotene 250 IU/lb daily

• Vitamin E 100-400 IU daily

• Vitamin C 100-250 mg twice a day

• Selenium 50 µg daily

• Vitamin A 1000-5000 IU daily

DogsDogs CatsCats

Western Herbal Medicine

• 3000 BC (Bronze Age)– Sumerians used laurel, caraway and

thyme

• 2700 BC– Oldest herbal book- -China

• 300 BC– Hippocrates taught that health could

be maintained using a few simples herbs, with rest and with proper diet

Western Herbal MedicineRegulatory Status

• Drugs– must meet strict requirements

• ingredients must be identified•safety must be demonstrated•effectiveness must be shown

– regulated by the FDA

Western Herbal MedicineRegulatory Status

• Herbs– harder to meet drug requirements

• ingredients may not all be known• safety may not be established• efficacy may not be shown

– sold as dietary supplements under the Dietary Supplement Health and Education Act of 1994- - ONLY AFFECTS HUMANS

– must be proven unsafe by the FDA

FDA Regulation of Animal Supplement

• FDA regulates all animal supplements

• Any that is not a food additive (in quantities established by NRC & AAFCO) are considered drugs

• Prescribing supplements is considered “extra-label” drug usage

• FDA primarily prosecutes cases of adulteration (having wrong ingredients or improper claims)

GingerZingiber officinale

• Common Uses– nausea & vomiting– stomach problems– anti-inflammatory– appetite stimulant

• Dosage– morning sickness

• 250 mg 4 times a day

– rheumatoid arthritis• 0.1-1 gm dry or 5 gm fresh

Ginkgo biloba

• Common Uses• improve memory and concentration

• Cognitive benefits•can stabilize or improve cognitive

function and social behavior in Alzheimer’s disease

• improves cerebral blood flow

• Dosage•2-4 mg/kg (dog & cat)•350 mg/kg was non-toxic to rats

HawthornCrataegus oxyacantha

• Common Uses– heart tonic

• lower blood pressure• reduce incidence of chest pain• treat tachycardia or arrhythmias•control atherosclerosis

• Effectiveness– increases coronary circulation 20-

140% after 1 mg of dry extract

Hawthorn

• Actions– inhibits vasoconstriction and dilates

blood vessels– proanthocyanidins (bioflavonoid)

inhibits angiotensin-converting enzyme– antiarrhythimic– inotropic effect

• Dosage– 1-2 mg/kg 2-3 times a day


• Base your medical decisions on:– what is best for the patient– the client’s wishes– your abilities– your confidence and experience in

treating other cases• Still starts with a strong basic

understanding of traditional medicine

TCM Prayer

• Just for today, I will let go of my anger.

• Just for today, I will let joy in my heart.

• I will not worry or be sad.

• Just for today, I will embrace life.

• I will live without fear, in harmony with myself and the Universe.

integrative medicine recent developments in medicine

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