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۱ 02 a
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LRELCW SE EECECEVY UV
Integrative
Medicine
72 ۱۶
2
7
—
Ron Mosiello D.O.
Osteopathic Manipulative
۱
Neuromuscular Medicine
Southern Maine Medical
ا ال ا ۲
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Alternative Medicine:
Objectives
* Grown out of “grass roots” or popular
desire for a different approach to healing
* Has many forms, (Plant/Herb, Energy,
Structural Manipulation,
Subconscious/Mind)
* Traditional Allopathic Medicine does not
have a monopoly on healing
° Difference between SERVING and
FIXING a patient
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الكت a a ne SI سس
Reactions in Hospitalized
Patients. JAMA
1996;279(13):1200-1205.
* 106,000 hospitalized
patients die from
properly prescribed
drugs
* Greater than two million
suffer “serious” side
effects
صفحه 7:
Geriatric Challenges and
Pharmaceuticals
° Polypharmacy
*Decrease in GFR and liver metabolism
with age
*Increase in medication with age
*Acute changes in mental status
New med vs. infection, CVA,
*Pain medication: Dizziness/Falls/Mental
Status changes/Liver-Kidney
toxicity/GI upset
NSAIDs, Muscle relaxants,
Narcotics
Acetaminophen (Liver)
*Financial stress (fixed income)
صفحه 8:
heport, number 124, Vec 1U,
2008
Complementary and
Alternative Medicine Use
Among Adults and
Children: United States,
* In 2007, the C تت
20
commonly use .5. عط مذ 01185ة
past 12 months were nonvitamin,
nonmineral, natural products (17.7%),
deep breathing exercises (12.7%),
meditation (9.4%), chiropractic or
osteopathic manipulation (8.6%),
massage (8.3%), and yoga (6.1%).
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Adults. Children
(2007) (2007)
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‘Therapies with significant increases
between 2002 and 2007 are
2002 017
Deep 116% 127%
16% ۷
50% 83%
<<
10 Most Common CAM Therapies Among Adults - 2007
1%
»
صفحه 11:
History of Medicine
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History of Medicine
Medicine and the Ancient World
China, Egypt, Rome, Greece, Medieval
Europe,
Africa, South and North American Indians,
India, Middle East
“Bone Setting” in early colonial and early
America: folk tradition dating from 1500’s
Pasture (germ theory) vs. Beauchapms (host
theory of disease)
1900 Medical philosophies
Allopathic, Homeopathic, Osteopathic,
Chiropractic, Naturopathic, Sylvester Graham.
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History of Medicine
* Allopathic Medicine in 1900: Medications
Calomel (contained mercury) rapid cathartic
Lead, Arsenic, Opium, Belladonna
*Source: Merk Manual 1899
* Rockefeller, Carnegie, Vanderbilt invest in
allopathic medicine in late 1800’s early 1900’s
» Abraham Flexner’s report to US congress 1907
Financed by the Carnegie foundation
Standardized medical education and practice
1904 160 medical schools in US, 1935 only 66
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Ea at tere te tel
French
Chemist/Microbiologist
enw.
eee ere
اصمصصصه وه
* Disease invades body
through harmful Germ
* GERMS primary
1۷۵9176/6۵
cause of disease
* Adopted contemporary
medical model
« 0۲۵۵۵4 تاعتط
vaccinations for Rabies
and Anthrax
صفحه 15:
هک ی سم م سم اير سي مي انس
Beauchamp (1816-1908)
Chemist Biologist Physician
5557 ۰ Ceilneyarotcstteetecvonntet:)
to germ infection
* “Biological Terrain”
* Germs are Opportunists
| لوت 1ت
and wellbeing
Nutrition/Rest/Hygiene
Exercise/Emotional
wellbeing
° “The primary cause
of disease is in us,
always in us.”
Antoine Beauchamp,
1883
* Theory ignored and feel
into obscurity
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° Have you ever wondered why only
a few people get a cold after
coming in contact with someone
that already has one?
° If Pasteur’s theory was right
surely we would all ‘catch’ a cold
with no exception?
صفحه 17:
۵
AT
Genetics
Toxic Influence
فاصم رز
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نا 01 11151001
اا
* Question/Distrust
authority
* Take responsibility
for ones own health
° Influx of Eastern
Philosophy/Culture
* Looked to Native a
Americans guidance#-,
*plant based
medicine
*organic farming é
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Numan Sody mensions
hs
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History of Medicine
(Ancient Cultures.
° Ayurveda (INDIA)
* Chinese Medicine
* Egyptian Medicine
* African Medicine
* American Indian
° Aborigines
COMMON
APROACHES
*Herbal Medicine
*Manual Medicine
*Energy Medicine
صفحه 22:
Manual Medicine
* Osteopathy/Cranial-
92
توج وده :”د 5لهنه مد
- 0
(muscles/fascia)
* Chiropractic
(Spinal
articulations)
* Rolfing (Fascia)
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Manual Medicine
° “The rule of the artery must be absolute,
universal, and unobstructed or disease
will be the result” - A.T. Still
* Lymphatic return
* Immune function
* Neuroendocrine System/Homeostasis
* Sympathetic and Parasympathetic (ANS)
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Right
Vagus
<<
Parasympathethic
Innervation of
The Vagus Nerves
And
Pelvic Splanchnic Nerve
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Manual Medicine:
Structure and Function
» “Disease is the result of anatomical
abnormalities followed by physiologic
discord” - A.T. Still M.D.
* Macroscopic vs. Microscopic
*sickle cell, Atherosclerosis
*cytoskeleton
*Somatic Dysfunction
(musculoskeletal or visceral
restriction)
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Somatic Dysfunction
° “Impaired or altered function of
related components of the somatic
(body framework) system: skeletal,
authorial, and myofascial structures
and related vascular, lymphatic,
visceral and neural elements”
Foundations for Osteopathic Medicine,
glossary.
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Osteopathic Treatment and
other Manual Medicines
* Remove fascial restrictions
* Fascia is connective tissue
ligaments, tendons, durra, omentum,
mesentery, all body membranes
» ALL nerves, blood vessels, lymphatic
vessels, are carried throughout the body in
1
* ALL organs (Brain, lungs, hart, intestines,
stomach, liver, ect...) are incased in fascia
° FASCIA attaches to BONE
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عالا اماة ل ال ال تل رم مت
REMOVE RESTICTIONS TO
MOTION
> improves RANGE OE MOmMON للك تن 01
clorencilizeg envigcle ceric chectrnicl <i jeter
۱۶۱۲۱۶۱22 امین ۱ ۱۱۱۱۲/۱۱۱ زا رو ای 2 joint
) Remove restmctions 10) proper llood tov,
Venous/areiial mechallicall resticwons:
ATLOnOMuC MELyVOUSs ل
| Remove restmctions 10 Lymphatic) FLOW,
۱۶۲ 21۱۱۱۱۴ ۲۱۱۱ ۳۶۱
106۱9۶۱۲۲۶۱۵ Sy Sven 16001165
Unwanted tabverials) (ine chOusy daiidged,
را
صفحه 36:
Types of OMT
* Balanced Ligamentous Tension (BLT)
* Soft Tissue Manipulation: Myofascial
۱5:2 رات
Facilitated Positional Release (FPR)
Counterstrain
° Articulatory: High Velocity Low Amplitude
ana 17 g 7
* Cranial Manipulation
* Visceral Manipulation
* Muscle Strain: Muscle Energy, Trigger Point
(01۵
* Biodynamic: Fluid fields, Membranes, fascia
and fluid as one hole component
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Energy
2۹ Medicin 010
be scsi)
«۰ 10
۱ 6اة
|”
(Biodynamic)
* Homeopathy
۴ 7 ۱۱
0 وم 7 ۱ .
7 12 ۱ ۱
سس كل
صفحه 39:
Energy Medicine
* Channels conducting
energy (Qi or Ki) life
force energy occur
through out the body
Blocking energy
channels limits
energy and enhances
entropy and DIS-
EASE
Re-establishing
energy channel flow
will promote proper
function
صفحه 40:
Numan Sody mensions
hs
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Energy Medicine
* Scientific/Specific placement of
Acupuncture needles
* Direction of Energy through trained
touch and intention
* Touch is light/soft
* May be augmented by specific
breathing and posture by the recipient
صفحه 42:
Energy Medicine
° American Cancer Society promotes
Therapeutic Touch for cancer patients
* Therapeutic touch abstracts for
anxiety/tension headaches/pain
۰ فحصتصصمی طمتعووو۲ متاصونمو صتواوع۱۷ eels
Qigong reduces hypertension and the
incidence of falling in the aged population.
° The Effect of Reiki on Pain and Anxiety
in Women With Abdominal
Hysterectomies: A Quasi-experimental
Pilot Study:- Holistic Nursing Practice,
2006 - journals.lww.com
° Acupuncture is the most widely researched of
all of the energy medicine modalities
صفحه 43:
Herbal Medicine/Plant
Medicine
* Common in all
Cultures
* Developed from a
different
view/understandin
g of Reality/Nature
صفحه 44:
Modern Science
Medicine
° Objective fact Only P
* Scientific Trials
* Consensus Opinion
صفحه 45:
Native Natural Medicine
* Dialogue of the 1
INNER and OUTER SS
worlds aa
* Subjective Faculties
*Intuition.
*Imagination
* Humans are apart of
Nature and the
Natural Environment
صفحه 46:
Doctrine of Signatures
(Intuition and Imagination)
* Nicolas Culpepper 1616-1654 (Botanist,
Herbalist, Physician, Astrologer) English
° Paracelsus 1493-1541(Physician, Botanist,
Astrologer, Alchemist) German-Swiss
° Emanuel Swedenborg 1688-1772
(Philosopher, Theologian, Scientist)
Swedish
° Samuel Hahnemann 1755-1848
(Homeopathy, Physician) German
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Doctrine of Signatures
(intuition and ۳
* INTUITION (helps us 9
see patterns in the :
world)
*Connect Herbs from
۱۱2۱۱۵۰۱۱۱۵
disordered condition
* IMAGINATION
*Images generated with
oneself (Fantasies) vs. -
images that come ۲
from beyond us 5
(Visions)
صفحه 48:
Angelica
* Found in damp
9۳۵07 1
° Effect is warming
and drying
» Removes damp and
cold from the
system
* Notable for long
hollow tube of stalk
* Resembles Tubes of
the body
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Angelica (Treatment
Use)
* Remedy for bronchial
tubes and blood vessels
(red/purple stalks)
» Removes stagnant
blood and warms and
stimulates the
circulation
* Delayed
menstruation/cramping
* UTl/urinary antiseptic
۰ Intestine peristalsis
صفحه 50:
Albert Einstein
oA
en
ا
IMAGINATION
۱
AT
Pea
* “Imagination is
more important
than knowledge.
For knowledge is
limited to all we
now know and
understand, while
imagination
embraces the
entire world, and
للا" تدعت عتدعط] للد
be to know and
understand.” TS.
صفحه 51:
Quantum Physics
۶
Theory
*All matter was 7
“Entangled” or ۱
connected at the | سس بت تس تست
moment of the “Big
9
Affected ی مه
the illusion that ۷ 5 0
there are separate here’ over there
objects
صفحه 52:
Quantum Physics
* Heisenberg
Uncertainty
ت۱۵
*by observing 7
something you change —
1
*What is
Consciousness?
*Is all Consciousness
interconnected?
صفحه 53:
ان
۰ ۱۷:۲۵ Subconscious Mind
emotions, imagination, memories, and
autonomic nervous system (all are very
closely interlinked)
*very powertul at dealing with many
complex instructions at one time but is not
۱۱۱ “دعن
*has the reasoning of a four year old
*has a strong desire to help and facilitate
change but is very naive a to the proper way
to do so.
صفحه 54:
The Subconscious Mind
* Capable of running multiple tasks
simultaneously
° IT DOES NOT JUDGE, CRITICIZE,
ANALYZE OR REJECT!
* It excepts all thoughts the conscious
mind thinks into it AND ACTS ON THEM
* Repetition reinforces the suggestion
* It is a Super computer
صفحه 55:
Have you ever been
۱۶ ۱
* We are constantly given suggestions by
Parents, teachers, peer pressure from
friends
politicians, religion,
*Newspaper and TV: advertising tries to
persuade us to do things...vote for someone,
buy something
*If you bought something from a salesman or
an ad that you never thought of buying
before or don’t really need - then you where
hypnotized
صفحه 56:
What is Hypnosis
° Being open to suggestions
A intense state of relaxation and
concentration, in which the mind
becomes detached from everyday cares
and concerns
* In this relaxed state the subconscious
mind is best able to respond creatively
to suggestion and imagery.
° A state of deep relaxation and
heightened responsiveness to
suggestion
صفحه 57:
So What is Hypnosis
Good For?
° Reprogramming negative
conditioning
irrational fears
smoking/addictions
anxiety
recalling forgotten memories
صفحه 58:
Problems with “Alternative”
ع1 5
* Lack of Research and Research funding
* What works for one person may not
work for everyone
° Out of pocket expense
* Have an idea about the
treatment/therapy that you refer a
patient to
° Lack of “Alternative” practitioners in a
community
صفحه 59:
Serving vs. Fixing
Maximize homeostasis
and function
Support Mental/
Emotional wellbeing
Teach and Nurture
Encourage independence
as much as possible
LISTEN
صفحه 60:
Alternative Medicine
* Grown out of “grass roots” or popular
desire for a different approach to healing
* Has many forms, (Plant/Herb, Energy,
Structural Manipulation,
Subconscious/Mind)
* Traditional Allopathic Medicine does not
have a monopoly on healing
° Difference between SERVING and
FIXING a patient
صفحه 61: