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Fundamentals of Complementary and Alternative Medicine - E-Book

Fundamentals of Complementary and Alternative Medicine - E-Book

Marc S. Micozzi

(2014)

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Book Details

Abstract

Practitioners like you have been turning to Micozzi’s comprehensive CAM text for the past 20 years. Filled with the most up-to-date information on scientific theory and research and updated contributions from world experts, Fundamentals of Complementary and Alternative Medicine, 5th Edition gives you a solid foundation of the therapies and evidence-based clinical applications for CAM – and expands your global perspective with new and updated chapters on healing systems from around the world. Dive into interesting discussions on massage, manual therapies and bodywork, yoga, chiropractic, osteopathy, herbal medicine, aromatherapy and essential oils therapy, "nature cure," naturopathy and naturopathic medicine, and nutrition and hydration. With its wide range of topics, this 20th anniversary edition is your ideal CAM reference!

• A broad perspective traces CAM therapies from their beginnings to present day practices.

• Clinical guides for selecting therapies, and new advances for matching the appropriate therapy to the individual patient, enables you to offer and/or recommend individualized patient care.

• Expert contributors include well-known writers such as Kevin Ergil, Patch Adams, Joseph Pizzorno, and Marc Micozzi himself.

• A unique synthesis of information, including historical usage, cultural and social analysis, current basic science theory and research, and a wide range of clinical investigations and observations, makes this text a focused, authoritative resource.

• Suggested readings and references in each chapter list the best resources for further research and study.

• Coverage of CAM therapies and systems includes those most commonly encountered or growing in popularity, so you can carefully evaluate each treatment.

• An evidence-based approach focuses on treatments best supported by clinical trials and scientific evidence.

• Observations from mechanisms of action to evidence of clinical efficacy answers questions of how, why, and when CAM therapies work.

• Global coverage includes discussions of traditional healing arts from Europe, Asia, Africa, and the Americas.

• NEW! Updated chapters feature new content and topics, including: challenges in integrative medicine, legal issues, CAM in the community, psychometric evaluation, placebo effect, stress management, and much more!

• NEW! Updated guides on common herbal remedies in clinical practice, East and Southeast Asia, and native North and South America deliver the latest information.

• NEW! Revised chapters with new contributors offer fresh perspectives on these important and relevant topics.

• EXPANDED! Basic science content and new theory and research studies cover a wide range of sciences such as biophysics, biology and ecology, ethnomedicine, psychometrics, neurosciences, and systems theory.

• NEW! New and expanded global ethnomedical systems include new content on Shamanism and Neo-Shamanism, Central and North Asia, Southeast Asia, Nepal and Tibet, Hawaii and South Pacific, Alaska and Pacific Northwest, and contemporary global healthcare.


Table of Contents

Section Title Page Action Price
Front Cover cover
Evolve page IFC2
Fundamentals of Complementary and Alternative Medicine, 5/e i
Copyright Page ii
Dedication and Acknowledgment iii
Contributors iv
Foreword from the Third Edition vi
Foreword from the Fourth Edition viii
Foreword x
Preface xi
Background xi
In the Field xi
Creating a Text on Complementary and Alternative Medicine xii
Benefit to All Health Professions xii
Contents and Organization xii
Covering All the Relevant Sciences xiii
Notes to the Reader xiii
About the Author xiv
Table Of Contents xv
One Foundations 1
Section 1_text 1
1 Characteristics of Complementary and Alternative Medicine 3
Role of Science and the Sciences 3
A Model For Everything 3
One Way 4
Wellness 5
Self-Healing 6
Healing Energy 6
Nutrition and Natural Products 7
Plants 7
Individuality 7
Humility 7
Functional Definition 8
Holistic 8
Eclecticism 8
Naturopathy 8
Some Fundamentals of Medical Science 8
Spheres of Influence 9
European Legacy 9
“Complementary and Alternative” Medicine in America, 1492–1942 9
Early Herbals 10
Nature, Wilderness and Civilization 10
The New Frontier 11
References 12
2 Translation from Conventional Medicine 13
Holism and Vitalism 14
Vitalism vs. Holism 15
Medical Ecology and the Adaptation Model 15
Bioenergetic Explanations for Body Work 16
Ayurveda 17
Chinese Medicine 18
Homeopathy 19
Naturopathy and Western Herbalism 19
Comparative Global Perspectives 20
References 21
Suggested Readings 21
3 Issues and Challenges in Integrative Medicine 22
Nomenclature and Philosophies of Care 23
CAM Practices 25
Availability of Services 26
Models of Integration 27
Effectiveness and Cost-Effectiveness 28
Reasons Why CAM May Not Work in Integrative Practice 28
Problems with Integrative Medical Research 30
General Limitations of Evidence-Based Medicine and Medical Research 30
“State-istics” 30
Trials on Trial 31
Specific Limitations of Evidence-Based Medicine 31
Solutions for Integrative Practice 31
Biomedical Education 32
Public and Institutional Policy 32
Regulation 32
Professional Information 32
Federal Policy 33
References 33
Suggested Readings 34
4 CAM and the Community 35
Community, Social Determinants of Health, and Health Outcomes 35
CAM, Social Work, and Community 37
Comprehensive Approaches: Healthy Community Initiatives 38
Latino Health Access, Santa Ana, CA 38
Lowell Community Health Center 39
Summary and Conclusion 39
References 40
5 Social and Cultural Factors in Medicine 41
Relativity and Models 42
Cultural Relativity 44
The Issue of Scale 45
MetaParadigms 46
Fundamental Questions Health Care Systems Try to Answer 47
Cultural Concept of the Health Care System 47
Modalities of Health Care 50
Explanatory Models 51
Concepts of the Body-Person 51
Concepts of Sickness, Disease, and Imbalance 52
Disease 53
Imbalance 53
Constitutional Types 54
Communication Issues 54
Concepts of Deep Cause 55
Developmental Nature of Illness 55
Intentional Component of Illness 56
Concepts of the Practitioner–Patient Relationship 57
Making Sense of All the Variability 57
Comparison of Care in Two Medical Systems 58
Similarities Between Biomedicine and East Asian medicine 58
Differences Between Biomedicine and East Asian Medicine 58
Conceptual Mapping of Health Care Systems 59
Why Biomedicine Finds other Systems Unconventional 59
Role of Science 60
Health Care as a Matter of Cultural Modeling 60
Users of Alternative Medicine 60
Constituency for Alternative Medicine 61
Summary and Conclusions 62
Acknowledgments 62
References 62
Two Mind, Body, and Spirit 67
Section 2_text 67
6 Vitalism 69.e1
Time and Life—the Basic Questions 69.e1
Precursors I: the Life-Breath 69.e2
Classical Antiquity 69.e2
Other Cultures and Some Generalizations 69.e3
Precursors II: the Fire of Life 69.e5
Precursors III: Animal Spirits 69.e5
Rise and Fall of Mainstream Vitalism 69.e6
Mesmer’s Fluidum 69.e7
“Fluidism” Modernized 69.e8
Healing Energy 69.e9
Osteopathy, Chiropractic, and Massage 69.e9
Acupuncture and Its Offshoots 69.e11
Acupuncture-Derived Methods Involving Patient Contact 69.e12
Acupuncture-Derived Methods—the Machine as Intermediary 69.e12
Other “Energy” Technology 69.e12
T’ai Chi, Qigong, and Yoga 69.e13
Life and Gravity 69.e13
The Mind, Trance, and Channeling 69.e13
Psychological Energies 69.e14
Homeopathy and the “Spirit-Like Vital Force” 69.e16
Herbalism, Naturopathy, and the Vis Medicatrix Naturae 69.e17
Dialectics of CAM—the Return of Vitalism 69.e18
Conclusion—Vitalism in Twenty-First-Century CAM 69.e19
Acknowledgments 69.e20
References 69.e20
Suggested Readings 69.e30
7 Mind–Body Thought and Practice: Great Britain to Early and Late America 70
From Great Britain to Early and Late America 70
American Beginnings 71
Emerson’s Immersion 71
Looking Through Thoreau 71
Opening to East Asia 72
Buddhism and Biases 72
Belief versus Practice 73
Meditation Comes to the Masses 74
Meditative Thought in Post-WWII America: From a to Zen 75
The Birth of “Wellness” 76
A 60s Watts Light 77
And the Beat Goes On 78
Zen, Beat and Boom 79
Going a Long Way to Find What Was Left at Home 80
A Time for Growth 81
Booms and Echoes 82
The Others 82
Typical Zen 82
Seven Years in Tibet 82
Historical Buddha Makes a Comeback 83
New Insight 83
The Other Shoes Drop 84
Half-Baked Horrors 84
“Wisdom” in Excess 84
Retreat Tricks and Treats 84
Aftermath 85
Universal Discourse 85
Another Window 85
The metaphor for seeking spirituality is a journey 86
References 86
Suggested Readings 87
8 Neurohumoral Physiology and Psychoneuroimmunology 88
Neurohumoral Mechanisms 88
Divisions of the Autonomic Nervous System 88
Segments and Synapses of the Autonomic Nerves 89
Pathophysiological and Therapeutic Significance 90
Psychoneuroimmunology 91
Autonomic and Neuroendocrine Processes 92
Molecules of Emotion 92
Evidence for Psychoneuroimmunological Mediation of the Effects of Complementary and Alternative Therapies 93
Acupuncture 93
Meditation 94
Relaxation Therapy 95
T’ai chi 95
Yoga 95
Placebo Effect and Psychoneuroimmunology 96
Summary 97
References 97
9 Mind–Body Science and Placebo Effects 100
Historical Overview 100
Evolution in Understanding 101
Role of Consciousness 102
Prior Dismissal of the Mind 102
Power of Placebo 103
Early Placebo Studies 103
The Placebo Effect 103
Evolution of the Art 104
Range of Effects 105
The Symbolism Behind the Placebo 105
Surgical Placebo 105
Drug Benefits 105
Nocebos 106
The Power of Intent 106
More on Patient Expectations 107
Provider Expectation 107
Patient Characteristics 107
Conditioned Responses 108
Other Possible Factors 108
Placebos in Research 109
Clinical Practice 110
Legal and Ethical Issues 110
Placebo and Complementary/Alternative Medicine 111
Summary 111
References 112
Further Readings 113
10 Mind–Body Therapies, Stress, and Psychometrics 114
Psychotherapy 114
Methods of Psychotherapy 114
Cost Effectiveness 115
Social Support and Psychological Counseling 116
Social Support and Mortality 117
Understanding Stress Reduction 118
Stress Reduction and Relaxation Therapies 118
Stress Management 118
The Subjective Nature of Stress 119
Relaxation Response 120
Exercise 121
Meditation 121
Asian Techniques and Transcendental Meditation 122
Western Techniques and Mindfulness Meditation 123
Hypnosis 124
Hypnotic Suggestibility and Susceptibility 124
Hypnotic States 124
Clinical Applications 125
Preoperative and Postoperative Therapy 125
Pain Control 125
Dentistry 126
Pregnancy and Delivery 126
Anxiety 126
Allergies and Asthma 126
Biofeedback 126
Five Common Forms of Biofeedback Therapy 127
Applications 127
Research and Cost-Effectiveness Considerations 127
Guided Imagery 128
Clinical Applications 129
Self-Directed Imagery 129
Research Considerations 129
Mental Healing 130
Implications of Nonlocality 131
Spirituality and Healing 131
Power of Prayer 132
Combined Approaches 134
Psychometric Approach to Selecting CAM Therapies 134
Personality Type, Susceptibility to Chronic Illness, and Appropriate Complementary and Alternative Medicine Treatments 135
Acknowledgments 136
References 136
Suggested Readings 139
11 Prayer, Religion, and Spirituality 141
Introduction 141
Spirituality and Religion in America 141
Chronic Diseases and Cancer in America 142
Chronic Diseases and Cancer among Religious Groups 142
Judaism 142
Seventh-Day Adventists 143
Church of Jesus Christ of Latter-Day Saints 143
Hutterites 144
Religious Commitment 144
Development 144
Religion and Coping 145
Religious Patterns of Coping 146
Biological Mediating Factors 148
Stress, Neuroendocrine, and Immune Status 148
Religion, Stress, and the Immune System 149
Genetic Factors and Religion 150
Breast Cancer 150
Religion and Negative Health Outcomes 150
Clinical Implications 151
Spiritual Dialogue 152
Referrals to Chaplains 152
Efficacy of Clinicians as Healers 153
Summary and Conclusion 153
Acknowledgment 154
References 154
Suggested Readings 156
12 Creative and Expressive Arts Therapies 157
Arts in Health Care, Expressive Art Therapy, and Creative Arts Therapies 157
Arts in Health Care 158
Expressive Arts Therapy 158
The Creative Arts Therapies 158
Theoretical Foundations 158
American Dance Therapy Association 160
American Art Therapy Association 160
American Music Therapy Association 160
National Association for Poetry Therapy 160
North American Drama Therapy Association 160
American Society of Group Psychotherapy and Psychodrama 161
National Coalition of Creative Arts Therapies Associations 161
Clinical and Research Literature 161
Trauma and Post-traumatic Stress Disorder 161
Children and Adolescents 163
Mental Health 164
Medical Settings 168
Scope of Studies and Practice 171
References 171
Suggested Readings 174
13 Humor, Health, and Wellness 175
Wellness—Recognizing Whole Potential 175
Health 176
Nutrition 176
Exercise 177
Emotional Life 177
Faith 177
Nature 178
Creativity 178
Service 178
Synergy 178
Humor and Laughter 179
History 179
Research 180
Context 180
Humor as Therapy 182
Humor Therapy in Practice 182
Big Apple Circus Clown Care Unit 182
In the Beginning 183
Resident Hospital Programs 183
Laughing Spirit Listening Circles 183
Laugh Mobile Program 184
The Growing World of Humor 184
Three Myths About Laughter That Keep US From Laughing 186
A Definition of Humor 187
It May be Serious, but It Needn’t be Solemn 188
Humor in Health Care 188
Humor—Antidote for Stress 189
Health care Humor in Today’s World—Update From the Field 190
Acknowledgments 190
References 190
Suggested Readings 191
Health and Humor Resources: Individuals, Organizations, and Publications 192
Three Energetics, Manual Healing, Bodywork, and Yoga 195
Section 3_text 195
14 Energy Medicine 197
Energy and Energy Medicine 197
Subtle and Vital Energy 198
Standards and Quality 199
How Good is Good Enough? 200
Orthodoxies and Placebo 201
Magnetic Therapy 201
Distant Healing 202
Therapeutic Touch, Healing Touch, and Energy Therapies 203
Light, Healing, and Biophotons 206
The Quantum Enigma 206
Inverse Square Law 208
Homeopathy as Energy Medicine 208
Placebo and Biofield 209
References 210
15 Biophysics: 213
Western Schools of Thought and Practice 213
Individual Practitioners 214
Empirical Assumptions of Biophysically Based Modalities 214
Light 214
The Identity of Light 216
The Effects of Light 217
Tissue Optical Properties 218
Penetration, Pain, and Thresholds 218
Effects on Cellular Functions 218
Animal Studies 219
Human Trials 219
Carpal tunnel syndrome 219
Other nerve pain 220
Arthritis 220
Sports medicine 220
Low back pain 221
Cerebral circulation, migraine, and auditory and vestibular function 221
Lower limbs 221
Precautions 221
Appeal of Phototherapy 221
Sound 222
Magnetism 223
The Word Magnet 223
Herculean Stones 223
Medieval Myths 224
Enlightenment about Magnetism 224
Benjamin Franklin Again 224
Back to Europe 224
Revolutionary Developments 225
Amping up Research 225
Magnetic Healing in the United States 225
Post-WW II Research Worldwide 225
Modern Medical Magnetism 225
Terminology and Principles 226
The Chemistry of Magnetism 226
Magnetic Fields 226
Biologic Effects and Pain 227
Pulsed Electromagnetic Fields 229
Bone Repair 229
Pain Relief 229
Mechanism of action 230
Transcranial Magnetic Stimulation 230
Neurological Disorders and Procedures 230
Side Effects 231
Professionalization 231
Noninvasive Devices for Diagnosis and Treatment 232
Electrical and Magnetic Devices Used Conventionally in Biomedicine 232
Conventional Biomedical Devices in Innovative Applications 232
Conventional Devices Used for Treatment in Both Biomedicine and Biophysical Medicine 232
Superconducting quantum interference device 233
Transcutaneous electrical nerve stimulation unit 233
Electro-Acuscope 233
Diapulse 233
Unconventional Devices Used in Biophysical Medicine 233
Electroacupuncture Devices 233
Dermatron 233
Vega 233
Mora 233
Other devices 233
Devices Using Light and Sound Energy 233
Cymatic instruments 233
Sound probe 233
Light beam generator 233
Infratronic QGM 233
Teslar watch 233
Kirlian camera 234
References 234
Suggested Readings 238
Resources 239
Professional Organizations 239
Websites 239
16 Principles of Bodywork 240
Concepts of Bodywork and Manual Healing 240
Concept 1: Bilateral Symmetry 240
Concept 2: Gravity 240
Concept 3: Tensegrity 241
Concept 4: Postural Maintenance and Coordinated Movement 241
Concept 5: Connective Tissue (Fascia) 241
Concept 6: Segmentation (Functional Spinal Unit) 242
Concept 7: Reflexes and Autonomic Nervous System 243
Concept 8: Pain and Guarding, Muscle Spasm, and Facilitation 244
Concept 9: Compensation and Decompensation 244
Concept 10: Range of Motion and Barrier Concept 245
Concept 11: Active Versus Passive and Direct Versus Indirect 245
Summary 245
References 246
17 Massage, Bodywork, and Touch Therapies 247
The Body’s Matrix—Fascia 247
Massage Application 248
Development of Essential Theories of Massage 250
Massage Techniques 250
Variations in Application of Techniques 252
Acupressure and Jin Shin Do 254
Ayurvedic Manipulation 255
Craniosacral Therapy 256
Energy Work 257
Feldenkrais Method® (Awareness Through Movement, Functional Integration) 259
Hydrotherapy and Thermal Therapy 259
Special Applications (Infant, Elderly, Oncology, and Hospice-Care Massage) 260
Lymph Drainage Techniques 261
Muscle Energy Technique 262
Myofascial Release 263
Myofascial–Soft Tissue Technique 263
Neural Mobilization/Manipulation 263
Neuromuscular Therapy (Neuromuscular Techniques) 264
Orthopedic Massage/ Medical Massage 265
Reflexology 266
Rolfing and Other Structural Integration Methods 266
Shiatsu (Zen Shiatsu) 267
Sports Massage 268
Strain-Counterstrain (Positional Release Technique) 269
Spa-Resort Therapies 269
The Trager Approach® (Psychophysical Integration and Mentastics®) 269
Tui Na 270
Visceral Manipulation 271
Osseous Techniques 271
Articulatory Technique 271
Cranial Osteopathy 271
High-Velocity Low-Amplitude Technique 272
Practice Settings 272
Summary 272
References 273
Suggested Readings 274
18 Osteopathy 275
Central Concept 278
Offshoots of Osteopathy 279
Osteopathic Philosophy 280
Classical Osteopathy 280
Evolution 282
Contemporary Osteopathy 283
Osteopathic Principles 284
Osteopathic Techniques 285
Soft Tissue and Lymphatic Treatments 285
High-Velocity Low-Amplitude Thrust 286
Articulatory Technique 286
Still Technique and Facilitated Positional Release (FPR) 286
Muscle Energy Technique 286
Counterstrain Technique 286
Myofascial Release 286
Osteopathy in the Cranial Field 286
Visceral Techniques 287
Diagnosis and Treatment 287
Manipulation 288
Levels of Implementation 289
Current Status 290
Practice Regulations 290
Requirements for Matriculation 290
U.S. Osteopathic Medical Schools 291
Postgraduate Education 293
Research 294
Clinical Trials Research 295
International Impact 295
United Kingdom 296
France and Quebec 296
International Diversity 296
Summary and Conclusion 298
References 299
Suggested Readings 299
19 Chiropractic 300
Historical Roots, Evolutionary Process 300
Precursors in Western Traditions 300
Beginnings of a New Profession 301
Putting Down of Hands 302
Legacy of Contention with Allopathic Medicine 303
Interprofessional Cooperation 303
AHCPR Guidelines: Historic Breakthrough 304
Intellectual Foundations 305
Divergent Interpretations: Traditionalists and Modernists 305
Theoretical Constructs and Practical Applications 306
Bone-out-of-Place Theory 306
Motion Theory and Segmental Dysfunction 306
Segmental Facilitation 307
Rationale for Chiropractic Adjustment 307
Indications and Contraindications 307
Types of Manual Interventions Used by Chiropractors 308
Clinical Settings and Methodologie 308
Movements Toward “Integration” 308
Diagnostic Logic 310
Chiropractic and Medical Approaches to Pain 310
Regional and Whole-Body Context: Neurology and Biomechanics 310
Criteria for Referral to Medical Physicians 311
Ethics of Referral 311
Research 311
University of Colorado Project 311
Low Back Pain 311
Evidence for Manual Methods: A Basis for Referral to Chiropractors 311
Preventing Acute Cases from Becoming Chronic 313
Benefits of SMT for Low Back Pain Patients with Leg Pain 314
Maintenance Spinal Manipulation 314
Cost Effectiveness of Spinal Manipulation for Low Back Pain 315
Neck Pain 315
World Health Organization Bone and Joint Decade Report (2008) 315
Neck Pain Research: Key Studies 315
Headaches 316
Extremity Conditions 316
Shoulder 317
Hip 317
Knee 317
Ankle 317
Somatovisceral Disorders 317
Infantile Colic 318
Hypertension 318
Other Visceral Disorders 318
Methodological Challenges in Chiropractic Research 318
What Constitutes an Appropriate Placebo? 318
Active Controls 319
Safety of Spinal Manipulation 319
Research on Stroke 320
Chiropractic in the Health Care System 320
References 321
Suggested Readings 324
Resources 324
Other Informative Websites 325
20 Reflexology 326
Theory 326
Conventional Zone Theory 326
Internal Organs and the Three-Dimensional Body 327
Exception to the Zone Theory 327
Zone-Related Referral 327
Negative Feedback Loop 327
Benefits and Scope 330
Adverse Effects 330
Credentialing and Training 330
Summary 331
References 331
Suggested Readings 331
21 Yoga 332
Philosophy of Yoga 332
Patanjali’s Yoga Sutra 332
Branches (Schools) of Yoga 333
Energy Anatomy 334
Nadis 334
Vayus 334
Chakras 334
Locks (Bandhas) and Mudras 335
Energy Flow 335
Elements of Physical Yoga Practice 336
Postures (Asanas) 336
Control of Prana through Breathing Practices (Pranayama) 336
Long Deep Breathing 336
Individual Nostril Breathing/Alternate Nostril Breathing 337
Fast Breathing 338
Other Breathing Techniques 338
Meditation 338
Mantra 339
Yoga Therapy and Health Benefits 339
Summary 341
References 341
Four Natural and Alternative Western Therapies 345
Section 4_text 345
22 Nature Cure, Naturopathy, and Natural Medicine 347
History of “Regular” Medicine and Naturopathic Medicine* 347
“Regular” Medicine 347
Emergence of Naturopathic Medicine Proper 350
Founding of Naturopathy 351
Benedict Lust 351
Schools of Thought: Philosophical Basis Of Naturopathy 353
Hippocratic School 354
Hydrotherapy 354
Nature Cure 355
The Hygienic System 355
Influence on Public Health 357
Autotoxicity and Autointoxication 357
Thomsonianism 357
Eclectic School of Medicine 358
Homeopathic Medicine 358
Manipulative Therapies: Osteopathy and Chiropractic 359
Christian Science and the Role of Belief and Spirituality 359
Physical Culture 359
Halcyon Days 359
Suppression and Decline 360
Re-emergence 361
Recent Influences 362
Therapeutic Nutrition 362
Functional Medicine 362
Environmental Medicine and Clinical Ecology 362
Spirituality, Health, and Medicine 363
Contemporary Laboratory Methods 363
Genomics and Epigenetics 363
Conclusion 363
References 364
Suggested Readings 365
23 Contemporary Naturopathic Medicine 366
Principles 367
The Healing Power of Nature (vis Medicatrix Naturae) 368
First Do No Harm (Primum Non Nocere) 368
Find the Cause (Tolle Causam) 369
Treat the Whole Person (Holism) 369
Preventive Medicine 369
Wellness and Health Promotion (Emerging Principle) 370
Doctor as Teacher (Docere) 370
Contemporary Practice 370
Unifying Theory: Healing Power of Nature and Therapeutic Order 371
Diagnosis 372
Case Analysis and Management 372
Therapeutic Modalities 373
Therapeutic Approach 375
Respect Nature 375
Naturopathic Approaches to Disease 376
Cervical Dysplasia 376
Migraine Headache 376
Hypertension 377
Accountability 377
Scope of Practice, Licensing, and Organization 377
Meaningful Integration 378
Integrative Steps 378
Reimbursement: “Every Category of Provider” Law, Medicaid Coverage, Loan Forgiveness, Inclusion in Medical Homes, and Non-Discrimination 379
Health Professional Loan Repayment and Scholarship Programs: Oregon and Washington 379
King County, Washington, Natural Medicine Clinic 379
Co-management and Integrative Health Care 379
Residency Training 380
Hospitals and Hospital Networks 380
Education 380
Research 381
Naturopathic Medicine in the Healthcare System 383
References 384
Suggested Reading 386
24 Ethnobotany and Western Herbalism 387
Definitions 387
Classifications of Herbalists 389
Professional Herbalist 389
Lay Herbalist 390
Plant Gatherer, Plant Grower, and Medicine Maker 390
Herbs and Medicinal Plants 390
Characteristics and Composition 390
Physiological Activities 390
Herbal Therapeutics 391
Safety 392
Pregnancy and Breastfeeding 394
Children 394
Aging 394
General Considerations 394
Research 396
Economic Issues 396
Summary 397
Appendix: Mainstream Research on Herbal Remedies 399
Suggested Readings 410
References 397
Suggested Readings 398
Websites 399
25 Aromatherapy and Plant Essential Oils 411
Theoretical Foundations 411
Evolving Therapy 412
Holistic Aromatherapy 412
The Holistic Aromatherapist 412
Medical Aromatherapy (Aromatic Medicine) 413
The Medical Aromatherapist 413
Clinical Aromatherapy 413
The Clinical Aromatherapist 413
Aesthetic Aromatherapy 414
Therapeutic Potential 414
Evaluation 416
Clinical Applications 416
Midwifery 416
Cancer and Palliative Care 417
Elder Care 417
Special Needs 418
Mental Health 418
Safety 419
Risks 419
Risk to the Therapist 419
Quality 419
Potential Conflict with Medications 420
Individuals at Higher Risk 420
Future Potential 420
Public Policy 421
References 421
Suggested Readings 426
26 Nutrition, Hydration, and Diet Therapies 427
Eating Habits of Early Humans 427
Modern Era: Fooling Mother Nature 428
Agriculture and Farming 428
East-West Cultural Comparison 429
Foods, Nutrition, and Diet 430
Four Sacred Grains 430
Adding a Fifth “Grain” 430
Diet As Therapy 431
Digestion 431
Food or Herbal Medicine? 432
The Five Flavors 432
Four Natures, Directions, And Channel Propensity 432
Seasonality 432
Preparation 433
Diseases of Western Affluence and Diet 433
What are We Eating? 434
Carbohydrates 434
Proteins 435
Fats 435
Vitamins 437
Vitamin C Controversies 438
Vitamin A 438
Vitamin A metabolism 438
Toxicity 439
Micronutrient interactions 439
B Vitamins 441
Vitamin C 441
Vitamin D 441
Versatility of vitamin D 442
Vitamin E (tocopherols and tocotrienols) 445
Minerals 445
Hydration: Water, Fluid and Electrolyte Balance 446
A Unique Liquid 446
Vibrational Energy and “Memory of Water” 446
The Fluid of the Body 446
Cellular Hydration 447
Nitrogen 447
Water Loss 447
Diet as Therapy 448
Chinese Medicine 448
Ayurveda 448
Nature Cure and Naturopathic Medicine 448
Macrobiotics 448
Reversal of Heart Disease 448
Vegetarian and Vegan Diets 449
Raw Foods 449
Detoxification 449
High-Protein Diet 449
The “Zone” Diet 449
Food or Drug? 449
Teas and Infusions 450
Food Allergies 450
Start With the Usual Suspects 451
Functional Foods 451
Nutrition Versus Nourishment 451
References 452
Suggested Readings 452
27 Ecological Pharmacy: Molecular Biology to Systems Theory 455
Gaia Theory: Interdependence of Organism and Environment 455
Coherent Coupling, Expanding the Coevolution Construct, Adaptation to the Environment 458
Coupling of Humans with Phytochemistry: Plant–Human Coalitions 459
Hormesis and Xenohormesis—Adaptation to the Phytochemical Environment 461
Hormesis Defined 461
History of Hormesis: Politically Suspect but Scientifically Solid 462
Utility of Hormesis: Understanding Humans and Relations to the Environment 463
Xenohormesis 464
Danger of a Second Rejection by the Politics of Science 465
Ecological Pharmacy and the Basis of Pharmacology 465
Molecular Models of Activity 466
Cellular Membrane and Signal Transduction 466
Cooperative Binding by Receptors: Receptor Mosaics 467
Shifts in Membrane Electronics and/or Shape: Nonspecific Membrane Interactions by Exogenous Molecules 467
Polyvalent Activity: Biochemical Convergence 468
Summary and Conclusion 470
References 471
Five Global Ethnomedical Systems: Asia and the Middle East 475
Section 5_text 475
28 Traditional Medicine of China and East Asia 477
China’s Traditional Medicine in Cultural Perspective 477
Dynastic Medicine 479
Legendary and Semi-Mythical Origins 480
Ancient Medicine: 2205 to 206 bc 480
Flowering of Chinese Medicine: 206 bc to ad 907 481
Learned Medicine and Systematic Therapeutics: ad 960 to 1368 482
Medicine in Ming and Qing Dynasties: ad 1368 to 1911 483
So-Called Chinese Medicine 483
Fundamental Concepts 484
Yin and Yang 484
The Inner Classic on Yin and Yang 484
The Five Phases 485
Qi and the Essential Substances of the Body 485
Essence and Spirit 486
Viscera and Bowels (Zang and Fu) 487
Causes of Disease 488
Diagnostics 489
Therapeutic Concepts 492
Therapeutic Methods 492
Acupuncture and Moxibustion 492
Moxibustion (Jiu Fa) 493
Combined Therapy with Acupuncture 494
Cupping and Bleeding 495
Chinese Massage (Tui Na) 495
Qi Cultivation (Qigong) 496
Fundamental Concepts 496
Chinese Herbal Medicine (Zhong Yao) 497
Dietetics 498
East Asia: Chinese Medicine “Overseas” 498
Chinese Medicine in Korea 498
Chinese Medicine in Japan 499
Chinese Medicine in Europe 499
Chinese Medicine in the United States 500
Practice Settings 500
Research and Evaluation 501
Research into Specific Areas of Chinese Medicine 501
Materia Medica and Traditional Pharmacology 502
Acupuncture 503
Acknowledgments 503
References 504
Suggested Readings 505
29 Classical Acupuncture 508
The Idea of Acupuncture 508
Core Acupuncture Theory and Practice 509
Channel and Network Theory 509
Functions of the Channel and Network System 509
Structure of the Channel and Network System 509
The 12 Regular Channels 509
Pathology and treatment of the 12 regular channels 512
The 12 Cutaneous Regions 513
The 12 Channel Sinews 514
The 12 Channel Divergences 514
The Eight Extraordinary Vessels 515
The Network Vessels 516
Network divergences 516
Grandchild network vessels 516
Summing Up Channel Theory 516
Acupuncture Point Categories, Groupings, and Associations 518
Special Point Categories and Groups 518
Five transport points (five-phase points) 518
Alarm mu points 521
Back transport points 522
Acupuncture Treatment Planning 522
Point Selection 524
Adjunctive Techniques 525
Moxibustion 525
Cupping 525
Gua sha 526
Bleeding 526
Electroacupuncture 526
Plum blossom needling (seven-star needling) 526
Tui na 526
Microsystems 526
Auricular Acupuncture 527
Scalp Acupuncture 527
Traditions, Schools, Styles, and Systems 527
Chinese Acupuncture Styles and Systems 528
Japanese Acupuncture Schools and Systems 529
Meridian Therapy 529
Toyohari 529
Yoshio Manaka 529
Korean Schools and Systems 529
Western European Traditions and Styles 530
French Energetic Acupuncture 530
Five-Element Acupuncture 530
Acupuncture Research 531
Anatomy and Physiology of Acupuncture Effects 531
Are Channels and Points “Real”? 532
How Does Acupuncture Work? 534
Safety of Acupuncture 535
Clinical Efficacy of Acupuncture 536
Acupuncture and Pain 538
Other Clinical Applications 539
What Acupuncture Can Treat 539
Looking Forward 540
References 541
Suggested Readings 543
30 Tibetan Medicine 544.e1
Perspective 544.e1
Buddhism and the Four Tantras 544.e4
The Four Tantras in Tibet 544.e6
Organization and Content of the Four Tantras 544.e7
Later Developments 544.e7
A Culture in Exile 544.e8
Theory and Practice 544.e9
The Five Elements: Sources of Phenomena 544.e9
The Situation of the Body 544.e11
Other Features of Traditional Anatomy and Physiology 544.e13
The Two Flowers and Three Fruits 544.e13
The Body in Disorder 544.e13
The Root of Recognizing Signs: Diagnosis 544.e17
Observation of Urine 544.e17
Pulse Diagnosis 544.e19
Questioning 544.e21
Therapeutics: The Root of Healing 544.e21
Foods 544.e22
Behavior 544.e22
Medicines 544.e23
Tastes, Powers, Potencies, and Qualities 544.e23
External Therapeutics 544.e27
Contemporary Practice and Training 544.e28
Research and Evaluation 544.e30
Acknowledgments 544.e30
References 544.e31
Suggested Readings 544.e31
Websites 544.e31
31 Traditional Medicines of India: Ayurveda and Siddha 545
The Science of Life 545
Four Phases 545
The Five Elements 546
The Three Doshas 546
The Seven Dhatus 546
The Three Malas 547
The Importance of Digestion 547
The Three Agnis 547
Ama 548
The Thirteen Kinds of Srotas 548
Constitutional Types 548
Prakriti 548
Mental States 549
The Naming of Disease 549
Diagnosis and Treatment 550
Feeling the Pulse: Snake, Frog, and Bird 550
Urine Examination: The Shapes of Drops 550
Examining the Body 550
Five Steps 550
Continuous Healing 551
Purification: The Five Actions 551
Herbal Remedies 551
Compounding 552
Siddha Medicine of South India 553
Southern Sources 553
Middle East Connections 554
Buddhist Connections 554
Divine Sources 554
Shiva and Shakti 554
Diagnosis: The Eight Features 555
Treatment 556
General Medicine 556
Toxicology 556
Ophthalmology 557
Rejuvenation Therapy 557
Pharmacopoeia 557
Plant Products 559
Animal Products 559
Herbs Commonly Used in South and Southeast Asia 559
Allium sativum (Garlic) 559
Bosweillia serrata (Frankincense) 560
Capsicum annuum (Chili Pepper) 560
Curcuma longa (Tumeric) 560
Withania somnifera (Winter Cherry) 560
Zingiber officinale (Ginger) 560
Memory, Cognitive Improvement, and “Anti-Aging” Effects 561
Clinical Treatments 561
Allergies and Asthma 561
Arthritis 561
Cancer 562
Headache 563
High Blood Pressure (Hypertension) 563
Fever 564
Peptic Ulcer (Stomach and Duodenum) 564
Individualized Medical Profile According to Ayuveda 564
Acknowledgments 565
References 565
Suggested Readings 565
32 Unani Medicine 567
Theoretical Basis of Unani Medicine 568
The Naturals of Unani (Tabie’iat) 568
The Elements or Phases (Arkan) 568
The Temperaments (Mizaj) 569
The Humors (Akhlat) 569
The Organs (A’dha) 570
The Spirits: Life Energies (Arwah) 570
The Faculties (Quwa): Psychophysical Drives 570
The Functions (Af ’al) 571
Unani View of Disease 571
Causes (Mousabibat/Alasbab) 571
Signs of Imbalance (‘Alamat) 572
Imbalance of temperaments (dystemperament). 572
Imbalance of humors. 572
Practical Basis of Unani Medicine 573
Unani Diagnosis (Tashkhees) 573
Determination of the Patient’s Temperament 573
Examination of Bodily Functions 573
Pulse (nabd). 574
Tongue (lisan). 574
Urine (boul). 574
Feces or Stool (bouraz). 575
Pain (waja’). 575
Fever (homa [sing.], homiat [pl.]). 575
Health Maintenance, Prevention, and Treatment of Disease 576
Exercise (Riyadhah) 577
Diet for Health and Healing (Alghitha’) 577
Medicinal products (Dawa’) 577
Applied and Manual Therapy (‘elaj) 577
Unani View on Tumors (Awram) and Cancer (Saratan) 578
Unani Medicine, Cam and Contemporary Biomedical Science 579
Summary and Conclusion 579
References 580
33 Sufism and Healing in The Middle East 581
Sufism and Rapid Healing 581
No One Knows 582
Early Research 582
“Others Healing” Phenomenon 582
Suggestibility 583
Laboratory Studies 583
Field Investigations 583
Biomedical Perspectives 584
Experience of Rapid Wound Healing 585
Biophysical Perspectives 585
Current Research 586
Tariqa Kasnazaniyah Spiritual Healing (Clinical Applications of Sufi Rapid Healing without DCBD) 586
Meditation 587
Water and Healing 587
How Does Sufism Explain How Spiritual Healing Can Occur? 587
Sufism and Complementary and Alternative Medicine 588
Acknowledgments 588
References 588
Suggested Readings 589
Six Global Ethnomedical Systems: Africa, the Americas, and the Pacific 591
34 Traditional Healing: 593
Scientific Study of Ethnomedicine and Shamanism 593
Study of “Pre-Historic” Practices 593
Capturing Cultural Traditions 594
Theory and Methodology 594
Applying Medical Anthropology 595
Alternative Medicine as Ethnomedicine 595
Mind–Body Singularity Versus Dualism 596
Health Care as a Social–Cultural System 596
Hierarchy of Resort 597
Medical Pluralism 597
Government-Industrialized Medicine as an Economic System 598
Origins of Shamanism: Central Asia and Ancient China 599
References 601
35 Southeast Asia: 602
Introduction 602
(Hemi) Spheres of Influence 603
Going Dutch (and Other Europeans) 603
Persistent Influences of China 604
The Malay Peninsula 604
Natural Boundaries: The Wallace Line 604
Malay Peninsula and Indonesian Archipelago 605
Written on the Wind 605
Healers and Healing Rituals 606
Healing Sounds in the Rainforest 606
Indonesia 607
The Persistent Influences of Ayurveda and Islam 607
Vietnam 607
Turning Back to Find a Way Forward 607
Appropriate Medical Technology 609
References 609
Suggested Readings 609
36 Blending of Chinese, Ayurvedic, Islamic, and Shamanic Healings: 611
Burma 611
On the Burmese–Thai Border 611
Thailand 612
Thai Medical Concepts 612
Thai Herbalism: Treating the Body 613
Thai Massage: Treating the Energy 614
Combining Formal and Folk Practices 615
Nepal 616
Traditional Healing Versus Allopathic Medicine in Rural Nepal 619
References 622
Suggested Readings 622
37 Native North American Healing and Herbal Remedies 623
Ancient Lifeways and Medicine in the Americas 623
Early Descriptions of Native American Healing 624
Healers and Nature 627
Healing Practices 628
The Circle is Broken 630
Plagues and Epidemics 631
Native American Medicine in the “New Age” 632
Native American Medicinal Plants 632
Treating Disease, Illness and Injury 634
Botanical Pharmacopeia 635
Abundance 635
Distribution 635
Growth Habits and Forms 635
Flavor 635
Showiness 635
Common Native American Medicinal Plants 636
Daucus carota (Queen Anne’s Lace) 636
Echinacea angustifolia (Coneflower) 636
Geranium maculatum (Wild Geranium) 636
Serenoa repens (Saw Palmetto) 636
Toxicodendron radicans (Poison Ivy) 637
Note on Further Reading 637
References 637
Suggested Readings 638
38 Central and South American Healing and Herbal Remedies 639
Peyote 639
Ayahuasca of the Rain Forest 640
Healing Interactions 640
Brain, biology, and chemistry 641
Tale of the Shaman’s Apprentice 641
References 641
Suggested Readings 642
39 Latin American Curanderismo 643
Natural and Supernatural 644
Three Levels 645
Natural Illnesses and Natural Cures 646
Supernatural Illnesses and Ceremonial Cures 646
Sweeping, “Smoking,” and Conjuring 646
The Spiritual Level (Nivel Espiritual) 648
The Mental Level 649
Where Healing Happens 650
Home Remedies 650
Four Common Folk Illnesses 651
References 651
Suggested Readings 652
40 Hawaii, South Pacific, and Philippine Islands; Alaska and Pacific Northwest 653
Hawaii 653
Samoa 653
The Philippine Islands 655
Spanish and Roman Catholic Syncretism 655
Spiritual Healing 655
Skin Deep 656
Healing Rituals 656
Healing Herbs 656
Alaska and the Pacific Northwest 657
The Land Bridge 657
At the Edge of the World 657
The “Lost Expedition” 657
The Lost “Noble Savage” 658
Revolutionary Developments 658
Reference 659
Suggested Reading 659
41 African Healing and Becoming a Traditional Healer 660
Concepts of Health, Illness, and Healing 660
Origins 660
Traditional Healing Processes 661
The Call to Become a Healer 662
Apprenticeship 663
Gathering Together 664
The Archetypal Healer 665
Spiritual Context 665
Psychosocial Relations 665
Lifelong Healing 666
Hardship and Humility 666
References 666
Suggested Readings 666
42 Magico-Religious Traditions and Neo-Shamanism 667
The Ambiguity of Djambe 667
Balance, Potency and Power 668
Image of Limited Good 669
Magic and “Anti-Witchcraft” 669
Ritual and Religion 669
Sorcery and Witchcraft in the West 670
Perceptions of Shamanism in the West 671
The Meanings of Shamanism 672
“Neo-Shamanism” 672
References 673
Suggested Readings 673
43 Modern Asia, Africa, the Americas, and the Pacific 674
The Americas 674
National Crises 675
Africa 676
AIDS 676
Malaria 677
Drug resistance, synergism, and traditional medicines 677
World Health Organization 677
Conserving International Biodiversity 678
Global Ethnomedicine in the Twenty-First Century 679
References 679
Suggested Readings 680
Website 681
Index 682
A 682
B 684
C 685
D 687
E 688
F 689
G 690
H 690
I 691
J 692
K 692
L 692
M 693
N 694
O 696
P 696
Q 697
R 697
S 698
T 699
U 700
V 701
W 701
X 701
Y 701
Z 702