Integrating Natural Medicine into Asthma and Allergy Management
اسلاید 1: Created by B.Kohn-Converse, L.Ac., M.T.O.M.Dipl.Ac.,Dipl.CHwww.tabaye.ir
اسلاید 2: Integrating Natural Medicine intoAsthma and Allergy Management Beth Kohn-Converse L.Ac. M.T.O.M, Dipl.Ac., Dipl.CH. Henry Ford Center for Integrative Medicine 40000 W 8 Mile Rd Northville,MI 48167 248-380-6201 bkohn1@hfhs.org
اسلاید 3: Complementary, Alternative, Integrative:Complementary Medicine: Systems used as an adjunct to allopathic medicineAlternative Medicine: Systems of care used in place of allopathic medical careIntegrative Medicine Blending “conventional” care using allopathic care (Western Medicine) and “alternative” methods (ie: eastern medicine, etc). Or blending many modalities of care.Created by B.Kohn-Converse, L.Ac., M.T.O.M.Dipl.Ac.,Dipl.CH
اسلاید 4: What is Wholistic/Holistic Care?Treating the whole person: mind, body and spirit togetherUndertanding that we need to address all aspects of a person in treating illnessThis creates an overall better quality of life!Created by B.Kohn-Converse, L.Ac., M.T.O.M.Dipl.Ac.,Dipl.CH
اسلاید 5: EFFECTS OF STRESS ON THE BODY:Pain (Headaches, back, neck, etc)InsomniaMore frequent asthma issuesDigestive ProblemsEmotional issues: Depression, AnxietyHypertensionChanges in reproductive healthDepresses immune system (herpes)Weight GainCreated by B.Kohn-Converse, L.Ac., M.T.O.M.Dipl.Ac.,Dipl.CH
اسلاید 6: Managing Asthma and Allergies with natural therapiesCreated by B.Kohn-Converse, L.Ac., M.T.O.M.Dipl.Ac.,Dipl.CH
اسلاید 7: TRADITIONAL CHINESE MEDICINEBIOFEEDBACKCHIROPRACTIC CAREHOMEOPATHYNUTRITION THERAPYSUPPLEMENT THERAPYEXERCISE/BREATHING THERAPIESCreated by B.Kohn-Converse, L.Ac., M.T.O.M.Dipl.Ac.,Dipl.CH
اسلاید 8: What is Traditional Chinese Medicine?Created by B.Kohn-Converse, L.Ac., M.T.O.M.Dipl.Ac.,Dipl.CHAcupuncture TherapyChinese Herbal MedicinesTai Chi and Qi Gong Massage and BodyworkDietary and Lifestyle Modifications
اسلاید 9: THE EVOLUTION OF TRADITIONAL CHINESE MEDICINEAcupuncture and Chinese Herbal Medicine- >5000 year historyNIH Acupuncture Consensus Conference:postoperative pain & chemotherapy nausea and vomitingpostoperative dental painTCM benefits are documented in peer-review western medical literatureNIH sponsored trials: IBS, osteoarthritis, cardiovascular disease, endometriosis, cancer, and many othersCreated by B.Kohn-Converse, L.Ac., M.T.O.M.Dipl.Ac.,Dipl.CH
اسلاید 10: How Popular Is Acupuncture?An Estimated 8.2 million U.S. adults have used acupunctureUsed by every class of population and from a multitude of culturesAbout.com: Holistic Healing (2008). What is Acupuncture?, About, Inc. A part of The New York Times CompanyCreated by B.Kohn-Converse, L.Ac., M.T.O.M.Dipl.Ac.,Dipl.CH
اسلاید 11: ENERGY BASED THEORY OF ACUPUNCTURECreated by B.Kohn-Converse, L.Ac., M.T.O.M.Dipl.Ac.,Dipl.CHBody’s vital life force: Energy/ “Qi”Energy travels along pathways: meridians: anatomical location of acupuncture pointsEnergetic and substance imbalance creates symptoms Acupuncture point stimulation along meridians balances energetics, herbal therapies: substanceBalancing energy helps enhance body’s ability to help in its own recovery/healing
اسلاید 12: ROOT AND BRANCH THEORY OF TREATMENTRoot- identify/understand what caused the symptomBranch – the symptom itselfTreatment handles resolution of symptom and helps to balance root causes (energetic/substance)Goal is to rebalance substance and energetics of the whole bodyCreated by B.Kohn-Converse, L.Ac., M.T.O.M.Dipl.Ac.,Dipl.CH
اسلاید 13: CONCEPTS OF YIN AND YANGComplimentary opposites/balance in nature and in body Yin: Relates to moistening, cooling, nourishing substances in body: blood, mucous, synovial fluidsYang: Relates to functions, and warming and moving properties (body temperature, peristalsis, digestion)Created by B.Kohn-Converse, L.Ac., M.T.O.M.Dipl.Ac.,Dipl.CH
اسلاید 14: HOW DOES ACUPUNCTURE WORK?A. Increased circulation of blood systemicallyB. Neurotransmitter release (endorphins and enkephalins) This creates the “Acupuncture analgesic” response and “relaxation response”Energetically: body “qi” movement/flow is restored= balanced body (better health)Created by B.Kohn-Converse, L.Ac., M.T.O.M.Dipl.Ac.,Dipl.CH
اسلاید 15: Diagnosis in TCMPractitioner does detailed intakePulse and tongue evaluations are done to determine TCM diagnosisAcupuncture treatment and herbal therapies are then recommended Dietary/lifestyle adjustments may also be recommendedCreated by B.Kohn-Converse, L.Ac., M.T.O.M.Dipl.Ac.,Dipl.CH
اسلاید 16: ASTHMA AND ALLERGIES IN TCMPatterns of asthma relate to Kidney, Lung and Spleen meridian energy deficienciesThese lead to difficulties with inhalation, exhalation and phlegm Allergies relate to deficient Qi/energy, thus creating vulnerability to environmental factors (pollen, dust, etc)The relaxation response and immune support benefits from acupuncture also aide in successful treatmentCreated by B.Kohn-Converse, L.Ac., M.T.O.M.Dipl.Ac.,Dipl.CH
اسلاید 17: CUPPING THERAPYCupping therapy is an adjunct modality used in TCMOriginally used to help reduce phlegm in the lungs related to colds/asthmaAlso can be used as a myofascial release techniqueCreated by B.Kohn-Converse, L.Ac., M.T.O.M.Dipl.Ac.,Dipl.CH
اسلاید 18: LOOKING AT THE TONGUESIZE AND SHAPECOLOR OF TONGUE BODYCOATINGTOPOGRAPHYALL GIVE INFORMATION ABOUT THE HEALTH OF THE ORGAN SYSTEMS- CONSIDER MEDS, TREATMENTS,SCRAPING TONGUECreated by B.Kohn-Converse, L.Ac., M.T.O.M.Dipl.Ac.,Dipl.CH
اسلاید 19: Migraine & Digestive Disorder PatientPre Tx3 mo Post TxCreated by B.Kohn-Converse, L.Ac., M.T.O.M.Dipl.Ac.,Dipl.CH
اسلاید 20: Emotions and EnergeticsUse acupuncture therapy to help balance energetics to affect emotionsEach meridian system relates to specific emotionsAcupuncture is a simple therapy which yields powerful resultsEffective for helping with depression and anxietyCreated by B.Kohn-Converse, L.Ac., M.T.O.M.Dipl.Ac.,Dipl.CH
اسلاید 21: Meridians and EmotionsLiver Meridian – Anger/FrustrationHeart Meridian – Joy/sadness, AnxietySpleen Meridian – Worry, Obsessive thoughtsLung Meridian – GriefKidney Meridian – FearCreated by B.Kohn-Converse, L.Ac., M.T.O.M.Dipl.Ac.,Dipl.CH
اسلاید 22: Chinese Herbal TherapiesCan be used safely in conjunction with prescription medications Are often a good option for people who are unable to tolerate medsHelp to harmonize and balance the system to prevent allergic reactions and asthma attacksTypically combinations of herbs, not single herb therapyCreated by B.Kohn-Converse, L.Ac., M.T.O.M.Dipl.Ac.,Dipl.CH
اسلاید 23: Considerations for Herbal TherapyPatient’s current medicationsUnderstanding of health history including information about type of cancer ie: estrogen receptive cancers, use of estrogenic like herbalsConsider patient’s compliance- best preparationConsider upcoming procedures (surgeries)
اسلاید 24: Comparing Meds to HerbsBoth work based on their biochemical propertiesNatural doesn’t always mean safe for everyoneImportant to monitor patient’s progress if using them long term and with other medicationsImportant to use therapeutic dose with herbs and NOT take extra Created by B.Kohn-Converse, L.Ac., M.T.O.M.Dipl.Ac.,Dipl.CH
اسلاید 25: BIOFEEDBACK“A learned method to monitor and gain control over autonomic reflex-regulated body functions using data obtained from a monitoring apparatus”“In one study, biofeedback appeared to lessen bronchoconstriction by inducing relaxation of the facial muscles, …..associated with a decrease in air flow resistance as evidenced by an increase in Peak Expiratory Flow Rate (PEFR) in both asthmatic and healthy children” *Created by B.Kohn-Converse, L.Ac., M.T.O.M.Dipl.Ac.,Dipl.CH
اسلاید 26: Types of BiofeedbackThere are many types-these have been associated with successful results in treating asthmaRSA-BF- Respiratory Sinus ArrhythmiaEMG-BF – Neck/Trapezius- Electromyographic Biofeedback and Incentive Spirometry Biofeedback * Created by B.Kohn-Converse, L.Ac., M.T.O.M.Dipl.Ac.,Dipl.CH
اسلاید 27: RESPIRATORY SINUS ARRHYTHMIA Monitoring patterns of heart rate variation related to the respiratory cycle. Electrodes translate heart rate into auditory and visual form. Patients learn to control heart rate-thus improving asthmatic symptoms *Created by B.Kohn-Converse, L.Ac., M.T.O.M.Dipl.Ac.,Dipl.CH
اسلاید 28: Neck/Trapezius Electromyographic and Incentive Spirometry Patients learn abdominal breathing to help relax thoracic muscles assisted by EMG-BF training of the scalene and trapezius muscles. Incentive spirometer training of thoracic muscles during slow, even breathing. *Created by B.Kohn-Converse, L.Ac., M.T.O.M.Dipl.Ac.,Dipl.CH
اسلاید 29: Other Types of BiofeedbackElectromyogram: Uses electrodes to measure muscle tension and can promote relaxation in tense musclesTemperature biofeedback: Monitors skin temperature and patients learn to redirect blood flow to other muscles and organsGalvanic skin response: Measures electrical conductance in skin related to emotional arousal and sweat gland activity *Created by B.Kohn-Converse, L.Ac., M.T.O.M.Dipl.Ac.,Dipl.CH
اسلاید 30: CHIROPRACTIC CAREUses spinal manipulation to restore normal function to the spine and nervous systemChiropractic theory suggests that spinal misalignments cause many health problems because vertebrae pinch important nerves and restrict their effectivenessThis could effect the vasoconstriction patterns related to the lungsCreated by B.Kohn-Converse, L.Ac., M.T.O.M.Dipl.Ac.,Dipl.CH
اسلاید 31: HOMEOPATHYCreated by B.Kohn-Converse, L.Ac., M.T.O.M.Dipl.Ac.,Dipl.CH
اسلاید 32: Roots of HomeopathySamuel Hahnemann, MD. was the founder-called the “Father of Experimental Pharmacology”. Discovered the concept of the Law of Cure- known as “Similia Similibus Curentur” or “Like Cures Like”. This means that a remedy that produces symptoms in a healthy person will cure the same symptoms in a person who is diseased. **Created by B.Kohn-Converse, L.Ac., M.T.O.M.Dipl.Ac.,Dipl.CH
اسلاید 33: Primary & Secondary Actions of a RemedyThe primary action results from the first encounter between the external agent and the vital forceThe second action is the result of the vital force’s reaction to the symptoms of that primary encounter. Led to understanding the curative powers of poisonous substances.** Created by B.Kohn-Converse, L.Ac., M.T.O.M.Dipl.Ac.,Dipl.CH
اسلاید 34: Treating Allergies with HomeopathyThe focus isn’t on using the opposite approach (ie: allergies are related to histamine so take an ANTI-histamine)Focus is use of remedies that create similar symptoms: (ie: Allium cepa: red onion) to produce the same symptoms that would be related to common cold/allergies.** Created by B.Kohn-Converse, L.Ac., M.T.O.M.Dipl.Ac.,Dipl.CH
اسلاید 35: NUTRITION THERAPIESDiet therapies or nutritional advice is most common “alternative” therapyThought to be mediated through both IgE (conventional) and IgG (alternative)Epidemiologic data demonstrates association between dietary deficiencies (Omega 3, vitamin C, magnesium, selenium, Vitamin E) and asthmaPopulations with higher intake of polyunsaturated fatty acids (omega 6 fatty acids) have a higher prevalence of asthma, eczema and allergic rhinitisThought that eliminating certain “allergenic” type foods and decreasing exposure to things such as dairy products (believed to associated with increased mucus production) will help with chronic asthma symptoms and their severity. *** Created by B.Kohn-Converse, L.Ac., M.T.O.M.Dipl.Ac.,Dipl.CH
اسلاید 36: Studies say:Few studies to support dietary claims-mixed resultsOne positive long term study of vegan diet (Lindahl 1985)1 year prospective study, 25 subjectsDiet excluded meat, fish, eggs, dairy, coffee, tea, chocolate, sugar and saltDecreased cost and use of medications92% improvement in biochemical and clinical markers ***Created by B.Kohn-Converse, L.Ac., M.T.O.M.Dipl.Ac.,Dipl.CH
اسلاید 37: Elimination DietElimination diet- pick a food that the patient appears to be sensitive to, such as nuts or eggs, and then eliminate it from the diet for 2 weeksAt the end of the 2 weeks, gently reintroduce the food into the dietIf there is significant change, such as bloating or headaches, the patient may indeed be sensitive to that particular food ***Created by B.Kohn-Converse, L.Ac., M.T.O.M.Dipl.Ac.,Dipl.CH
اسلاید 38: More Nutrition InformationEliminate allergens (dairy, preservatives (MSG), sulfites, additivesIncrease fresh fruits and vegetablesIncrease fish in the diet (to increase omega 3 fatty acids)Use healthier oils (ie: olive) ***Created by B.Kohn-Converse, L.Ac., M.T.O.M.Dipl.Ac.,Dipl.CH
اسلاید 39: Allergy Testing/Food Sensitivity TestingClassic back scratch test: Can identify allergens, not always accurateFood sensitivity testing: “Measures body’s cellular response to various foods, additives, colorings and chemicals. The individual’s cellular reactivity after exposure of the blood to the various test agents, versus the person’s own baseline control, tells the healthcare provider which substances may be causing a sensitivity-related response in the body.” ****Created by B.Kohn-Converse, L.Ac., M.T.O.M.Dipl.Ac.,Dipl.CH
اسلاید 40: SUPPLEMENT THERAPYStrong epidemiologic evidence demonstrates association between poor dietary intake and asthma Omega 3 fatty acidsAnti-oxidants and cofactors (Vitamin A, C,E, Zinc, selenium and copper)Vitamins and Minerals (Magnesium, B6 and B12)Specific supplementation of nutrients has yielded mixed results at bestNonetheless, very common integrative medicine strategy ***Created by B.Kohn-Converse, L.Ac., M.T.O.M.Dipl.Ac.,Dipl.CH
اسلاید 41: Exercise and Breathing TechniquesNumerous studies have shown improvement in asthma is patients who exercise regularlyYoga: Helps to decrease medication use and lowers anxiety (Vedanthan 1996). Reduces airway hyper responsiveness and improved some aspects of quality of life (Menocha 2002)Qi gong- deep diaphragmatic breathing in TCM can help to relax musculature-creating more systemic relaxation *** Created by B.Kohn-Converse, L.Ac., M.T.O.M.Dipl.Ac.,Dipl.CH
اسلاید 42: Center for Integrative Medicine, NoviCreated by B.Kohn-Converse, L.Ac., M.T.O.M.Dipl.Ac.,Dipl.CH
اسلاید 43: Center for Integrative Medicine 40000 W 8 Mile, NoviServices Offered:Acupuncture and Oriental MedicineChiropractic CareMassageSt John Neuromuscular TherapyCreated by B.Kohn-Converse, L.Ac., M.T.O.M.Dipl.Ac.,Dipl.CH
اسلاید 44: References*The Role of Biofeedback in Asthma, Georges Ramalanjaona, MD., DSc, MBA, FACEP Alternative Medicine Alert, July 2003** Dr. Luc. Com website***Integrative Medicine: Management of Asthma lecture, Andrew Heyman, MD, MHSA. Adjunct Assistant Professor, Department of Family Medicine, University of Michigan****ALCAT Worldwide Testing brochure-Cell Science Systems, 852 South Military Trail, Deerfield Beach, FL 33442 (Fell P. Brostoff, J, et.cal (1988), ALCAT, “A New Test for Food Induced Problems in Medicine?”. Presented at the Annual Meeting of the American Academy of Otolaryngic Allergy on Oct 1, 1988. Created by B.Kohn-Converse, L.Ac., M.T.O.M.Dipl.Ac.,Dipl.CH
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