northfield clinic
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Meet the Doctor
Man owes something to man. If he ignores the debt it poisons him, and if he tries to make payments the debt only increases, and the quality of his gift is the measure of man.
--John Steinbeck - Sweet Thursday, 1958
Dr. Martin is a rare find in doctors in this day and age. With the increasedpace of new discoveries in technology and the never-ending demand of patients on a doctor's existence, many doctors lack the personal touch.
Often, patients leave an office feeling uncared-for and just another
insurance form to file. Dr. Martin, however, is down to earth, visitingwith patients as they receive treatments while treating them with respectand courtesy, lacking today in many major clinics. It is no wonder thatmany of Dr. Martin's patients come from as far as Maine and California
to be under his care.
He is also a man of many talents: author, teacher and doctor, to name afew. It is Dr. Martin's desire to give people a choice when it comes tohealth care. He continually lobbies for patients' rights as others try torestrict the freedoms patients have when seeking out their health care
provider. He has served as the President of the Arkansas Association of Oriental Medicine for the last 5 years, an organization dedicated toprotecting those rights of both the patient and the doctor. -- Tawnya
Jonsek, patient
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* Naturopathic Medicine is a
distinctively natural approach to
health and healing thatrecognizes the integrity of thewhole person.
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* Naturopathic Medicine is heir tothe vitalistic tradition of medicine
in the Western world,
emphasizing the treatment ofdisease through the stimulation,
enhancement, and support of the
inherent healing capacity of theperson.
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* Methods of treatments arechosen to work with the patient's
vital force, respecting the
intelligence of the natural healingprocess. The practice ofNaturopathic Medicine emerges
from six underlying principles ofhealing.
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• The healing power of
nature.vis medicatrix naturae
• Identify and treat the cause.
tolle causam
• First do no harm.
primum no nocere
• Treat the whole person.
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* Naturopathic philosophy servesas the basis for naturopathic
practice. The current scope of
naturopathic practice includes,
but is not limited to:
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• Clinical Nutrition
• Botanical Medicine
• Homeopathic Medicine
• Physical Medicine
• Oriental Medicine
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The healing power of nature.
vis medicatrix naturae
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* The body has the inherent ability
to establish, maintain, and restore
health. The healing process isordered and intelligent; nature
heals through the response of the
life force.
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* The physician's role is to facilitate andaugment this process, to act to identify
and remove obstacles to health andrecovery, and to support the creation of ahealthy internal and external environment.
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Identify and treat the cause.
tolle causam
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* Illness does not occur without cause.Underlying causes of disease must bediscovered and removed or treated before
a person can recover completely from theillness. Symptoms are expressions of the
body's attempt to heal, but are not thecause of disease.
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* Symptoms, therefore, should not be
suppressed by treatment. Causes mayoccur on many levels including physical,mental, emotional, and spiritual. The
physician must evaluate fundamentalunderlying causes on all levels, directingtreatment at root causes rather than atsymptomatic expressions.
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First do no harm.
primum no nocere
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* Illness is a purposefulprocess of the organism.The process of healing
includes the generation ofsymptoms which are, in
fact, an expression of thelife force attempting to healitself. Therapeutic actions
should be complementaryto and synergistic with thishealing process.
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* The physician's actions can support orantagonize the actions of the vis
medicatrix naturae. Therefore, methodsdesigned to suppress symptoms withoutremoving underlying causes are
considered harmful and are avoided orminimized.
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Treat the whole person
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* Health and disease are conditions of thewhole organism, a whole involvingcomplex interaction of physical, spiritual,
mental, emotional, genetic, environmental,social, and other factors. The physician
must treat the whole person by taking allof these factors into account.
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* The harmonious functioning of all aspectsof the individual is essential to recoveryfrom and prevention of disease, and
requires a personalized andcomprehensive approach to diagnosis and
treatment.
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Clinical Nutrition
That food is the bestmedicine is a cornerstoneof naturopathic practice.
Many medical conditionscan be treated moreeffectively with foods andnutritional supplements
than they can by othermeans, with fewercomplications and side
effects.
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Naturopathic physicians use dietetics,natural hygiene, fasting, and nutritionalsupplementation in practice.
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Botanical Medicine
Many plant substances are powerfulmedicines. Where single chemically-
derived drugs may only address a singleproblem, botanical medicines are able to
address a variety of problemssimultaneously.
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Their organic nature makes botanicals
compatible with the body's own chemistry;hence, they can be gently effective withfew toxic side effects.
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Homeopathic Medicine
Homeopathic medicine is based on theprinciple of "like cures like." It works on asubtle yet powerful electromagnetic level,
gently acting to strengthen the body'shealing and immune response.
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Physical Medicine
Naturopathic Medicinehas its own methodsof therapeuticmanipulation ofmuscles, includingultrasound, diathermy,exercise, massage,
water, heat and cold,air, and gentle
electrical pulses.
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Point Injection Therapy
Point injection therapy utilizes the injection of liquid medicine intoacupuncture points to prevent or treat diseases.
It is one of the more integrated treatment strategies available to us in the21st century. It combines the actions of acupuncture with the
pharmacological effect of Chinese medicinal herbs or biomedicalpharmaceuticals.
It uses hypodermic needle techniques at acupuncture point locations so as
to produce successful clinical outcomes.
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Any Injectable medicinal which can be used for intramuscularinjection is suitable for acupuncture point injection therapy.
Commonly used Herbal Injectables
Ye (Fo. Artemisiae Argyi)Bai Hua She Cao (Hb. Hedyotis Deffusae)
Ban Mao (Mylabris)
Bu Gu Zhi (Fr. Psoraleae)
Chai Hu (Rx. Bupleuri
Commonly Used Injectable Materials
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Western Medicinal Injectionsused in Acupuncture Point Injection…
Magnesium sulfateVitamin B1, B12,
Vitamin K3
Califerol
Procaine hydrochlorideAtropine
ReserpineNormal saline
Antibiotics
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Oriental Medicine Intravenous TherapyMyers Cocktail
The "Myers Cocktail" is an intravenous therapy consisting of various mixes
of vitamins, minerals and other nutrients.
It can be very useful in situations where oral nutrients or other therapies are notworking.
When nutrients are given intravenously, your digestive system is bypassed anda much higher level of nutrition can be delivered directly to your cells via the
bloodstream.
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The general effect of a Myers Cocktail intravenous therapy appears to be amarked improvement in the energy capacity and function of cells. If your
cells can function at their best, it's more likely you can recover from aserious health problem.
Back in the mid-1900s, Dr. John Myers was the first physician to extensivelyuse intravenous nutrient therapy to obtain positive clinical results for a
variety of medical conditions. Today, hundreds of D.O.M.’s –Doctors OfOriental Medicine offer variations of the Myers Cocktail.
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People respond differently to intravenous nutrient therapy. Some may onlyneed an occasional Myers Cocktail, while others may need one monthly or
even weekly in order to keep their chronic condition under control.
The Myers Cocktail IV therapy may be helpful for many chronic or acuteconditions, including fatigue, fibromyalgia, depression, infection, asthma,
chest pain, congestive heart failure, palpitations, migraine headaches,cardiovascular disease, respiratory problems, seasonal allergies, hives,
hyperthyroidism, and acute muscle spasms, to name a few. A MyersCocktail can even help athletes recover faster from an illness so they can
participate in an event.
If you or a loved one has a health problem that is not getting better, talk to a“D.O.M.”-Doctor of Oriental Medicine to determine if a Myers Cocktail
intravenous therapy is appropriate for you.
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Clinical Nutrition
Nutrition and the therapeutic use of foods have always been a cornerstone ofOriental Medicine.
Thousands of medical research studies and articles have validated the OrientalMedicine / Natural approach to diet and nutrition.
Many health problems can be treated as effectively with foods and nutritionalsupplements as with drugs, but with fewer complications and side effects.
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Botanical / Herbal Medicine
Many plant substances are effective natural medicines.
They are effective and safe when used properly, in the right doses and inproper combination with other herbs or treatments.
Recent medical research is demonstrating that some plant substances
are superior to synthetic drugs in certain clinical situations, and havefewer side effects.
Doctors of Oriental Medicine –D.O.M.’s are uniquely trained in the art
and science of botanical medicine.
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Functional Medicine Diagnostic Testing
• The lab tests you are accustomed to generally assess the degree ofpathology (signs of something gone wrong).
• Functional medicine diagnostic testing goes much deeper. It measures thelevel of function of your body, thus revealing what may be CAUSING thingsto go wrong. If some aspect of your metabolism or bodily function is notworking properly, disease conditions may eventually result.
• Need to find out more?
• Speak to your Doctor Of Oriental Medicine-D.O.M.
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Lifestyle Counseling
• Lifestyle habits are a crucial component of good health and a happier life.
• We advise you about regular exercise, stretching and flexibility, rest andrelaxation, smoking and recreational drug cessation, cleaning up yourpersonal environment, and living a balanced life.
Counseling and Stress Management.
• Improvement in attitudes and emotions can be important elements inhealing from disease.
• Many Doctors of Oriental Medicine- D.O.M. are trained in various
psychological techniques, including counseling, nutritional balancing, stressmanagement methods, hypnotherapy, biofeedback, and meditation.
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Homeopathic Medicine.
• Homeopathic Medicine.
• Homeopathy is more than 200 years old, and is widely accepted in othercountries.
• Homeopathic medicines act to strengthen the body’s innate immuneresponses.
• They rarely have any side effects.
• Some conditions that are resistant to conventional medical treatment may
respond well to homeopathy.
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Physical Medicine
In the last 100 years, various methods of treatment involvingthe manipulation of the muscles, bones have beendeveloped in Oriental Medicine.
• Oriental Medicine has its own techniques, collectively known as OrientalMedicine Manipulative Therapy, Oriental Medicine Body Work & Tunia.
• Oriental Medicine-Physical medicine may include physiotherapy, heat andcold applications, gentle electrical impulses, ultrasound, diathermy,hydrotherapy and exercise therapy.
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Oriental Medicine
Oriental medicine theory offers an
important understanding of the unity ofthe body and mind, and adds to the
Western understanding of physiology.
f
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Acupuncture provides a method oftreatment which can unify and harmonize
the imbalances present in diseaseconditions, which, if untreated, can result inillness.
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Acupuncture’s Role
in the Integrative Medical Careof Cancer Patients
Dan Martin, O.M.D., D.O.M.
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A Brief History of Acupuncture
• Acupuncture is one branch of a complete system of
medicine known as Oriental Medicine, which has
developed over the course of thousands of years.
• Theories underlying traditional Oriental Medicine
are largely based on observing the natural world.
• Oldest written medical information ~ 168 BCE
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• Most important text – Yellow Emperor’sCanon of Internal Medicine – (300-100 BCE)
• Historically, people learn by being part of alineage of practitioners - leads to the practice
of many different styles.
• Western/Biomedicine comes to China in the
early 1900s. Begins long process of Westernizing traditional Chinese medicine.
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• 1950s - Mao Zedong has leading medical peoplestandardize and Westernize traditional medicine.
Becomes known as “TCM” (Traditional ChineseMedicine) – taught today in many Westernacupuncture schools.
• In China today, many hospitals are integrated – Biomedicine/Western & Traditional medicine in thesame hospital.
• Standard practice in Chinese TCM hospitals forcancer patients to receive Biomedical and traditionalmedicine (includes herbs) treatment simultaneously.
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The Holistic Nature of
Oriental Medicine• Oriental medicine takes all aspects of a person’s
health into account.
• Able to treat patient as a whole – body, mind, spirit
(especially important for cancer patients).
• Aims to treat the root causes of disease, while also
addressing the symptoms.• Pattern oriented – try to ID the overall pattern of
disharmony in the body which is causing disease.
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The Theoretical Foundationsof Acupuncture
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The Human Body
• Acupuncture theory sees the body as a
microcosmic representation of the universe
(e.g. meridians of the body are analogous to
the waterways of the earth).
• Organs of the body are considered more fortheir functions than for their structure.
Th C f Qi
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The Concept of Qi
• Translated as “life energy” or “vitalenergy”, a dynamic construct.
• OM defines Qi by the function it performs
in the body. Qi is responsible for allphysiological functioning in the body.
• Qi is derived from three main sources: airwe breathe, food we eat, & inherited.
• Qi flows through the body via channels, ormeridians, that correspond to particularorgans or organ systems.
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Qi
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The Concept of Blood
• Different than Western idea of blood – though there is overlap. Also defined
functionally.
• Blood nourishes the body, moistens bodytissues.
• Blood contains the Shen, or spirit, which
corresponds roughly to the psyche.• Blood and qi perform many of the same
functions, yet are interdependent.
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Meridians & Acupoints
• Meridians are pathways which qi follows as it flowsaround the body.
• Analogous to, but not the same as, circulatory,lymphatic, and nervous systems.
• 12 regular meridians, named for internal organs.
• Meridians contain 365 acupuncture points.
• Points have Chinese names which often relate to their
function or location.• Acupoints are discrete and specific sites through
which the Qi of the organs communicates with the
surface of the body.
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Stomach
MeridianGraphics reprinted with permissionCopyright 2002-2005 Yin Yang House – all rights reserved http://www.yinyanghouse.com/
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Organ Systems
• Each organ system associated with different levelsof influence - physical, energetic, mental,emotional. Mind-body continuum.
• Again, organs seen more for their functions thanfor their physical structure.
• Example - we say in Chinese medicine that the“Spleen” keeps blood within the blood vessels.
The “Spleen” also transforms food into qi that thebody can use (i.e. digestion and assimilation).
• OM organs Biomedical organs.
C f Di
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• Generally disease is caused by dysfunction
in flow of qi and/or blood in the body.
• Three causes of disease:
1) External causes of disease:
» Six Exogenous Factors
2) Internal causes of disease:
» Seven Emotions3) Other causes of disease:
» Miscellaneous
Causes of Disease
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Exogenous Factors
• Environmental conditions behave the sameway in the body as they do in nature.
»Wind
»Dryness»Heat
»Cold
»Dampness»Summer-heat
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– Genetic Predisposition – Constitutional
issues
– Improper diet – includes overeating, eatingthe wrong foods, poor eating habits
– Overwork – physical and/or mental
– Trauma – Parasites
Miscellaneous Factors
Di i
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Diagnosis
• Goal is to locate and describe a pattern of disharmony.
• Based on the “4 Examinations”1) Asking
2) Looking
3) Listening4) Palpating
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• Tongue Diagnosis
– Observe color, coating, size, shape,moisture. Organs mapped on tongue surface.
• Pulse Diagnosis: – Assess: rate, quality, strength. Different
positions correspond to internal organs.
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Treatments
• Only sterile, single-use needles.
• May have mild discomfort with needles, but
generally well tolerated.
• Treatments are usually very relaxing.• Treatment course depends on nature of disease,
cancer patients may need ongoing treatment.
• Simultaneously treat the symptoms whileaddressing the root cause and/or the constitution
of the patient.
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Biomedical Theories of How
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Biomedical Theories of How Acupuncture Works
• “Gate Control theory” – acupuncture stimulates nerve
fibers which signal for inhibition of pain.
• “Endorphin theory” – stimulates release of endorphins, serotonin, norepinephrine and ACTH – all
implicated in pain relief.
• “Connective Tissue theory” – acupuncture createschanges in connective tissue which impact the body at
the cellular level via mechanotransduction.1
1. Langevin HM, Churchill DM, Cipolla MJ. Mechanical signaling through connective tissue: a mechanism for the therapeutic
effect of acupuncture. FASEB J. 2001;15:2275-2282.
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Acupuncture andthe Integrative
Treatment of Cancer
Here Are Nine Effective Natural
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Here Are Nine Effective NaturalStrategies …
Finding out that you or a loved one has cancer canbe absolutely terrifying. However, once youunderstand the causes of cancer and what you can
do about it, you or your loved one can have morethan a fighting chance of beating cancer.Unfortunately, these strategies can't help everyonesurvive, but if you have enough time for them to
work, and apply them, your odds certainlyimprove.
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What Exactly Is Cancer And Why
Does It Develop In Your Body?
• Cancer cells are always being created in the body.
It's an ongoing process that has gone on for eons.
In fact, the immune system developed
components whose job it is to seek out and
destroy cancer cells.
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• Cancer has been around as long as mankind, butonly in the second half of the 20th century did the
number of cancer cases explode. Contributing tothis explosion are the huge amounts of toxins andpollutants we are exposed to, high stress lifestylesthat zap the immune system, poor quality junk food that's full of pesticides, irradiated and nowgenetically modified, pathogens, electromagneticstress, lights and just about anything that wasn'taround 200 years ago.
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• All these weaken the immune system, and alterthe internal environment in the body to anenvironment that promotes the growth of cancer.
• Cancer is not a mysterious disease that suddenlyattacks you out of the blue, something that youcan't do anything about. It has definite causes thatyou can correct if your body has enough time, and
if you take action to change the internalenvironment to one that creates health, not cancer,while at the same time attacking cancerous cellsand tumors by exploiting their weaknesses.
• Cancer tumors begin when more cancerous cellsare being created than an overworked, depletedimmune system can destroy.
• Constant exposure to tens of thousands of
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• Constant exposure to tens of thousands of manmade chemicals from birth onward,chlorinated and fluoridated water,
electromagnetic radiation, pesticides and othertoxins, leads to the creation of too many freeradicals and excessive numbers of cancerouscells.
• Alone this would be enough to raise cancer levels,but combined with an immune system weakenedby a diet of refined and over processed food,
mineral depleted soils, and too much exposure toartificial light at night, the immune system atsome point no longer is able to keep cancer incheck and it starts to grow in your body.
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• DID YOU KNOW: Research shows that theimmune system needs 9 1/2 hours of sleep in total
darkness to recharge completely -- the authors of the book Lights Out explain. When was the lasttime you had enough sleep?
• As a result of all this stress on our bodies and theoverload of toxins, what you get is amalfunctioning immune system and a body that isnot capable of destroying the excessive numbers
of cancerous cells that develop. Some, sooner orlater, survive and multiply. And then you have
cancer.
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• Overcoming cancer is a process of reversing theconditions that allowed the cancer to develop, and
going after and killing cancerous cells.• The exact causes don't have to be known, though
certainly the more varied the approaches taken tocorrect those conditions, the more likely you are
going to hit on what works best in a particularcase. What needs to be done is to strongly anddramatically interrupt and reverse thesecancer-causing conditions so that the body
becomes healthier, and no longer capable of breeding cancer.
• The more cancer there is the more serious the
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• The more cancer there is, the more serious the
condition -- meaning much has to be done -- fast.
In your personal situation it may be too late, or it
may not. No one knows where that cutoff point is
as even advanced cases can turn around.
• Now, what you are reading isn't about a cure for
cancer. It isn't medical advice. It is sort of likeinformation from the National Cancer Society that
one of the most important things you can do for
your health is to eat five servings of fruits andvegetables a day. But much, much more potent.
You'll clearly understand what I mean as you read
on.
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• One of the basics of fighting cancer is going on a
fairly low carbohydrate diet, especially sugars andrefined carbohydrates, because they digest
extremely fast and flood the body. Your body
must then produce a lot of insulin to get the sugar
into cells fast, and this feeds the cancer cells just
what they like to eat.
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Cancer Weakness #1: HighOxygen Levels Kill Cancer -
Low Oxygen Levels BreedCancer
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Cancer Weakness #2: High Acidity In The Body Fosters
Development Of Cancer
While A More AlkalineEnvironment Keeps The
Body Cancer Free
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Cancer Weakness #3:Methylglyoxal Stops Cancer
Cells From Proliferating While A Lack Of
Methylgyloxal AllowsCancer Cells To Multiply
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Cancer Weakness #4: A Weakened Immune System
Leads To Cancer While A Strong Immune System
Conquers Cancer
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Cancer Weakness#5: Candida and Fungal
Infections Related ToCancer Development
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Cancer Weakness #6: A Buildup Of Toxins And
Chlorine Exposure PromoteCancer
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Cancer Weakness #7: FreeRadical Scavengers Protect
Cells From Cancer WhileToo Many Free RadicalsCan Be Cancer Causing
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Cancer Weakness#8: Enzymes Kill CancerCells While Low Levels Of
Enzymes Are Implicated InCancer
P th l f C i OM
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Pathology of Cancer in OM
• Any/all of the 3 causes of disease areimplicated.
• Four common patterns of disharmony: – Phlegm accumulation
– Heat/Fire Toxins
– Qi & Blood Deficiency – Qi & Blood Stagnation
How Can Acupuncture
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How Can AcupunctureHelp Cancer Patients?
• It is safe to use acupuncture concurrently withBiomedical cancer treatments. It will notinterfere with pharmaceutical/radiation
treatment.
• Generally used as supportive treatment, to helpalleviate side effects of Biomedical treatments.
• Literature review of cancer-relatedacupuncture research – Cohen and colleagues.
2
2. Cohen AJ, Menter A, Hale, L. Acupuncture: Role in Comprehensive Cancer Care – A Primer for the Oncologistand Review of Literature. Integr Cancer Ther. 2005 Jun;4(2):131-43.
Cancer-Related Acupuncture Research
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Cancer Related Acupuncture Research
• MSKCC – Integrative Medicine – leader inresearch
• Antiemetic effects – well documented, 1997 NIHconsensus statement
3
• Pain Control• Fatigue
• Breathlessness
• Mood Disorders, QOL Issues
• Xerostomia
• Flushing (Breast and Prostate cancers)
3. Acupuncture. NIH Consensus Statement . 1997;15(5):1-34
P i C t l
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• Pain Control
– 48 patients with axillary pain after axillary node
dissection for breast cancer – acupuncturegroup showed significantly more complete arm
abduction and less pain than control group.4
– Alimi and colleagues – cancer patients w/stable
analgesic treatment with neuropathic pain – 90
patients, auricular acupuncture – 36% still had
reduced pain intensity at two months.5
4. He JP, Friedrich M, Ertan AK, Muller K, Schmidt W. Pain-relief and movement improvement by acupuncture after ablation and
axillary lymphadenectomy in patients with mammary cancer. Clin Exp Obstet Gynecol. 1999;26:81-84.
5. Alimi D, Rubino C, Pichard-Leandri E, Fermand-Brule S, Dubreuil-Lemaire M-L, Hill C. Analgesic effect of auricular acupuncture
for cancer pain: a randomized, blinded, controlled trial. J Clin Oncol. 2003;21:4120-4126.
• Fatigue
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Fatigue
– Phase II pilot study (MSKCC) – post-
chemotherapy fatigue – mean improvementwas 31.1%.6
• Breathlessness
– Open Plot - Filshie and colleagues – 20 patients
with cancer-related breathlessness – 14 reported
marked symptomatic benefit with
commensurate physiological changes.7
6. Vickers AJ, Straus DJ, Fearon B, Cassileth BR. Acupuncture for post-chemotherapy fatigue: a phase II study. J Clin Oncol.
2004;22:1731-1735.
7. Filshie J, Penn K, Ashley S, Davis CL. Acupuncture for the relief of cancer-related breathlessness. Palliat Med . 1996;10:145-150.
I Eff t
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Immune Effects
• Studies not specific to cancer, but have
shown:
– Increases in CD3+, CD4+ lymphocytes and
CD8+ cells.8
– Increases in B lymphocytes & NK cell activity.
– Modulation of B and T cells that favors
antibody production.
9
8. Spiegel D, Stroud P, Fyfe A. Complementary medicine. West J Med . 1998;168:241-247.
9. Petti F, Bangrazi A, Liquori A, Reale G, Ippoliti F. Effects of acupuncture on immune response related
to opioid-like peptides. J Tradit Chin Med . 1998;18(1):55-63.
C t Cli i l T i l
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Current Clinical Trials
• Head and neck pain related to head and neck cancer surgery – Phase III (MSKCC)
• Hot flashes from breast cancer – Phase III(MSKCC)
• Reducing symptoms in advanced colorectalcancer – Phase I (Univ. of Pittsburgh Med.
Center)
Source: http://nccam.nih.gov/clinicaltrials/acupuncture.htm
R h C l i
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Research Conclusions
“As for oncologists in the community or in academic
centers, in light of our current understanding of
acupuncture and its efficacy, it seems reasonable to suggest
its use for patients with difficult-to-control chemotherapy-
induced side effects such as pain, fatigue, nausea and
vomiting, xerostomia and mood disorders. There may be
additional benefits to patients in terms of quality of life,
hot flashes, peripheral neuropathy, alopecia, neutropenia,
anorexia, constipation and spiritual connection, but thesehave not yet been well documented in the literature.”
(Cohen, Menter, Hale, p. 141)
Other Reasons to Refer for
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• Any of the following:
– Digestive complaints
– Bowel and/or Urinary problems – Depression, anxiety
– Other pain issues
– General immune support – low blood
counts
Other Reasons to Refer for Acupuncture Treatment
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References
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1. Langevin HM, Churchill DM, Cipolla MJ. Mechanical signaling throughconnective tissue: a mechanism for the therapeutic effect of acupuncture.FASEB J. 2001;15:2275-2282.
2. Cohen AJ, Menter A, Hale, L. Acupuncture: Role in Comprehensive CancerCare – A Primer for the Oncologist and Review of Literature. Integr Cancer Ther. 2005 Jun;4(2):131-43.
3. He JP, Friedrich M, Ertan AK, Muller K, Schmidt W. Pain-relief and movementimprovement by acupuncture after ablation and axillary lymphadenectomy inpatients with mammary cancer. Clin Exp Obstet Gynecol. 1999;26:81-84.
4. Alimi D, Rubino C, Pichard-Leandri E, Fermand-Brule S, Dubreuil-Lemaire M-L, Hill C. Analgesic effect of auricular acupuncture for cancer pain: arandomized, blinded, controlled trial. J Clin Oncol. 2003;21:4120-4126.
5. Vickers AJ, Straus DJ, Fearon B, Cassileth BR. Acupuncture for post-chemotherapy fatigue: a phase II study. J Clin Oncol. 2004;22:1731-1735.
6. Filshie J, Penn K, Ashley S, Davis CL. Acupuncture for the relief of cancer-related breathlessness. Palliat Med . 1996;10:145-150.
7. Spiegel D, Stroud P, Fyfe A. Complementary medicine. West J Med .1998;168:241-247.
8. Petti F, Bangrazi A, Liquori A, Reale G, Ippoliti F. Effects of acupuncture on