(Introduction to Integrative Medicine and Complementary and Alternative Medicine (CAM
اسلاید 1: www.tabaye.ir
اسلاید 2: Introduction to Integrative Medicine and Complementary and Alternative Medicine (CAM) Jaime Z. Galvez Tan, MD, MPHProfessor, U.P. College of MedicineHead, Traditional and Integrative Medicine Clinic, UP-PGH
اسلاید 3: Outline of PresentationHistorical Developments in CAMDefinitions of CAMGlobal Examples of CAMConcepts of Health, Illness and WellnessRationale for Learning Filipino Traditional Medicine and Integrative MedicineChallenges to Health Institutions and Health Sciences Students
اسلاید 4: Historical Developments: GlobalWorld Health Organization (WHO): 1978 Alma Ata Declaration on Primary Health Care (PHC): Integration of Traditional Medicine in PHC1999: US Congress established the National Center for Complementary and Alternative Medicine (NCCAM) in the National Institutes of Health (NIH) Bethesda, Maryland.
اسلاید 5: Philippine Experience in CAMMid-70’s: Private physicians started training in acupuncture in ChinaEarly 1980’s: DOH physicians trained acupuncture in China; herbal medicine production started1993-95: DOH established the Traditional Medicine Unit which promoted the use of medicinal plants, acupuncture and therapeutic massage
اسلاید 6: CAM Policy and Practice in the PhilippinesRepublic Act 8433 established the Philippine Institute for Traditional and Complementary Health Care (PITAHC) in 1997 as an attached agency of the DOH.Filipino physicians have organized the Philippine Association of Medical Acupuncturists Inc (PAMAI) and the Philippine College for the Advancement of Medicine (PCAM) to promote the practice of CAM.
اسلاید 7: What is Complementary and Alternative Medicine (CAM)? 1Complementary and alternative medicine is a group of diverse medical and health care systems, practices, and products that are not presently considered to be part of conventional medicine (NCCAM-NIH).
اسلاید 8: What is Complementary and Alternative Medicine (CAM)? 2CAM is a broad domain of healing resources that encompasses all health systems, modalities and practice and their accompanying theories and beliefs, other than those intrinsic to the politically dominant health systems of a particular society or culture in a given historical period (Cochrane Collaboration).
اسلاید 9: What is Complementary and Alternative Medicine (CAM)? 3The scope of alternative health care modalities as other forms of non-allopathic, occasionally non-indigenous or imported healing methods, though not necessarily practiced for centuries nor handed down from one generation to another. (PITAHC R.A. 8433)
اسلاید 10: Examples of CAM 1Traditional Chinese Medicine: yin-yang; 5 element law; acupuncture, acupressure, moxibustion, tuina, medicinal plants, chi-gong, tai chi, animal and mineral medicineAyurveda: humours (vata-pita-kapha), yoga, meditation, fasting, purification, medicinal plants, aromatic oils, urine therapyEuropean: homeopathy, iridology, health spa, psychic healing, Swedish massage, orthomolecular, anthroposopy, macrobiotics
اسلاید 11: Examples of CAM 2North American: chiropractic, osteopathy, prayer healing, nutraceuticals, music therapy, color therapy, chelation, biofeedback, native American medicineAsian: reiki, shiatzu, Kampo medicine, reflexology, Zen meditation, Buddhist meditation, Thai massage, Tibetan medicine, kalimasada
اسلاید 12: Examples of CAM 3Filipino: herbal medicines, hilot sa pilay, hilot sa panganganak, psychic surgery, biomagnetic healing, pasma, usog, babaylan, mumbaki, spiritual healing, bentosa, tawas, hiyang
اسلاید 13: Classification of CAM ModalitiesBiological therapies: herbal medicine, aromatherapy, dietary therapies Manipulation therapies: acupuncture, massage, reflexology, chiropractic, osteopathyMind-Body interventions: meditation, hypnotherapy, prayer, spiritual healing, imaging, visualizationEnergy therapy: pranic healing, reiki, crystals, bio-magnetic healingAlternative systems: traditional Chinese medicine, Ayurveda, Yunani-Tibb, naturopathy, homeopathy
اسلاید 14: Concepts of Health, Well-Being, Wellness and Illness
اسلاید 15: Biomedical or Conventional Medicine Definition circa 1878-1978Health is the absence of disease.Biomedicine is Disease-oriented; Understanding the person physically (anatomy, histology, biochemistry, physiology, pathology etc) The Medical / Conventional Model –measuring health by counting cases of diseases in populations by incidence, prevalence, morbidity and mortality.
اسلاید 16: W.H.O. Definition 1978W.H.O. Definition of Health: It is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity
اسلاید 17: Filipino Traditional Medicine Definition Health and wellness is the state of harmony, balance and synergy between humankind and the universe, between humankind and the environment, between and among humankind and within the human body, mind and soul.ttt(J.Z. Galvez Tan from interviews with hundreds of traditional healers)
اسلاید 18: Integrative or Holistic MedicineHealth and wellness is the state of complete physical, mental, social, spiritual, emotional and environmental well-being. Quality of life and quality of daily living is primordial.It is the fusion of the best of Asian and Filipino Traditional Medicine with the best of North American and European Medicine
اسلاید 19: Six Dimensions of Health, Wellness and Well-BeingPhysicalMentalSpiritualEmotionalSocialEnvironmental
اسلاید 20: Six Dimensions of Health, Wellness and Well-BeingBodyMindSoulHeartHandsFeet
اسلاید 21: Six Dimensions of National Health, Wellness and Well-BeingPoliticalCulturalEconomicSocialEnvironmentalSecurity
اسلاید 22: Why Filipino Traditional Medicine and Integrative Medicine and Complementary Medicine in Medical and Health Sciences Education?
اسلاید 23: Why Study Filipino Traditional Medicine? #1Cultural and ethnolinguistic competency of the Filipino Physicians, Nurses, Dentists and other Health ProfessionalsW.H.O. recommendation of integration of Traditional Medicine in Medical and Health Sciences Education and Primary Health Care since 1978World Health Assembly resolutions since 1981 called upon member-states to integrate Traditional Medicine in their health care systems
اسلاید 24: Why Study Filipino Traditional Medicine? #2Filipino Physicians and Filipino Health Professionals who manifest the rich heritage, self-respect and uniquely Filipino character and identity of more than thousand year old healing traditions of our country, are truly able to express the genuine Filipino soul in their health care practicePhilippine government policies and laws supportive through the Philippine Institute of Traditional and Alternative Health Care (PITAHC, Republic Act 8433, 1997)
اسلاید 25: Why Integrative and Complementary Medicine in the Medical and Health Sciences Curricula?Evidence Based Medicine already being applied in Complimentary and Alternative MedicineNIH Bethesda actively promoting through the National Center for Complementary and Alternative MedicineNorth American, European and Asian Medical and Health Sciences Schools already incorporating Integrative Medicine and Complementary and Alternative MedicinePatients already inquiring if not requesting their physicians and health care professionals for complementary and alternative medicine
اسلاید 26: Global Uses of Medicinal PlantsPhytomedicines and phytochemicalsNutraceuticalsPersonal Care Products and CosmeticsSpa Health and Spa MedicineCulinary: Flavors and spicesFragrance and perfumerBio-pesticides
اسلاید 27: Challenges to the Research Community and Business Sector1. Majority of Philippine medicinal plants with centuries of ethnomedical history, remain untapped.2.The Philippine herbal industry is still in the early developmental stage and its potential has not been fully exploited.3. Lack of collaboration among research institutions, private sector and academe
اسلاید 28: More Challenges to the Research Community & Business Sector4.Lack of investments in research and development, raw material production, post harvest processing and herbal manufacturing.5.Low level of scientific technology in herbal medicine research and manufacture among small and medium enterprises.6. No standardized procedures in local manufacture of most herbal products.
اسلاید 29: More Challenges to the Research Community and Business Sector7. Need for market and government incentives like the ones given to rice, corn, coconut, sugar, bananas, pineapples and mangoes.
اسلاید 30: Challenges to Expanding the MarketRaw material production Quality processing and production Attitude of “Competition is good” versus crab mentality Investments in research and development Regulatory frameworkWildlife Act of 2002Market and government incentives
اسلاید 31: Most Marketable Medicinal PlantsLagundi (Vitex negundo)Sambong (Blumea balsamifera)Ampalaya (Momordica charantia)Herba buena (Mentha cordifolia)Tsaang Gubat (Carmina retusa)Malunggay (Moringa olifera)Balbas pusa (Orthosiphon aristatus)Banaba (Lagerstroema speciosa)Takip-Kuhol (Centella asiatica)Saluyot (Corchorus olitorius)Pansit-pansitan (Peperonia pellucida)Akapulko (Cassia alata)
اسلاید 32: The Future of Complementary and Alternative Medicine and Integrative Medicine in the PhilippinesThe Future is Good!The Future is Great!
اسلاید 33: Philippines - The Heart of AsiaPhilippines - Islands of Wellness and the Center of Health and Wellness in AsiaPhilippines - The Global Capital for Tropical Medicinal PlantsThe Filipino Hilot Traditional Massage - a brand name in all spas of the world in the next 5 yearsPhilippine Health Care - the Best of Asia with the Best of Europe and North America
اسلاید 34: Maraming Salamat Po! Thank You Very Much!Jaime Z. Galvez Tan M.D., M.P.H.Mobile: 0928 507 4479E-mail: jzgalveztan@gmail.com
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