Traditional Medicine: Ancient Systems

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Traditional Medicine: ‘Ancient Systems’ Ayurvedic and Traditional Chinese Medicine 

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Ayuvedic Medicine ٠ ‘ayurvedic’ means the science of life & longevity * Comprehensive system combines natural therapies [ herbs, diet, ex ] with a prof approach to treatment 

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The Template for Forms of CAM & Analysis (last pg in outline): ¢ In general, what is practice of ? ۰ What supports this belief/practice ? * What can be learned fr history and variations of this form of CAM ? * Examples of diagn, use & treatm ? * What evidence and how to explore it both/either quantit & qualitatively ? ۰ What prof prep/certific needed to do? 

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Derivatives: * 8 derivative branches [ p. 221 in text chapter 10] in modern med: pediatrics, ob/gyn, opthamalogy, geriatrics, otolaryngology, toxicology, surgery and general medicine * Modern healing modalities s/a massage, diet, herbal, acupuncture etc have roots in Ayurv philosophy 

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Ayurvedic Questions * Ayurv physician asks * NOT, ‘What disease does my client have’ ? BUT... * ‘Who is my client ’ ? * Holistic then, not reductionistic 

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Balance in Ayurvedic Kapha large Hvyset relaxed forgiving Pitta or muscul Medium Orderly Perfecis t Loving Vata or thin Thin, delicate Hyperac t Intuitiv 3 doshas energie 5 Body Mind Soul 

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The Energies & bodily functions : Doshas |Vata Pitta Kapha (Meso ) | ( Endo ) ( Ecto ) Bodily |Eats & |Loves Eats Functio |sleeps ۵ slowly n Consti ۲۵ ‏عه‌زو۱۵۱۱۵۲ ,۱۳۲۵۷۲ م‎ see eff Cal tastes on the ‏ومیل‎ ددص مر 

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Conception of individual Vata, pitta & kapha factors from parents combine with season, time, quality of emotional relationship with self and others/universe ‘constellates’ the qualities of the individual our indiv constitution is made and does not vary, according to Ayurvedic Note pages 227-229 re characteristics of each dosha & where you see yourself 

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The Five Elements : ¢ Space, Air, Fire, Water & Earth are the most fundamental to Ayur science/art * Dosha energy comprised of the 5 blue elements where Air & Space is energy of movement (vata); fire & water constitute pitta with the principle of digestion; water & earth make up kapha, the energy of structure & lubrication 

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۱ has its seat in chest, 44 [ lungs, spinal fiuid Kapha 1 Water and ‏ات‎ ‎has its seat in small ۳ OD intestine, stomach, sweat glands, Pitta 3 blood, skin, eyes _—*Fire and Water سم ۳ [| Air - has its seat in +I the large intestine, pelvic cavity, bones, skin, ears and thighs 1 yy FIGURE 6-2 The Seat of the Three Doshas in the Body. 

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۳۳۵ | ۱ Large intestine Liver Rung FIGURE 6-4 ‘Tongue Diagnoses. 

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Ayur Treatment : °4step process of ~ cleansing & de-toxifying ~ palliation ~ rejuvenation ~ mental & spiritual healing ¢ Instead of going thru each step in class, have posted these steps as slides on web site for this Module 

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Be Eat em Favontes Tons Heb 3 لب - 9 3 6۵۱۵۰ سسو سر ۵ ۵ ها .۵ مس 1000 2 ۰ 3 - مهب( Google - ‏ما99 کوک 6 مسج‎ | check ~ ‏وج ق وله او ماس‎ The National Institute of Ayurvedic Medicine “The National inttte of Ayurvedic M largest ans ret aumende oso 0 ‘veda tothe ctor eld den tie medicine Dr Zing in cag tly He cuter. Soins bs 99s sarod ip nd Master tigi Tak Aiuvod Mahawdalaye and (yu), tnetighestiew! or = fed tom ners of Pune, whore he 1s actwe ‏و‎ Hels the academic fe ret Now York Medical Coleg rawr ane Prevertve Vedne Lr cerson's mesial pracice ns serbinsd auth Asuveda and stats ce ot 9 ary bey yoars mea cpenercnd Anas ۳ ۳ ners of Pune son ‏ی‎ on rian rina of cenain ayurvedic plats (Gerson, & Monnda clpfol Lim, Abst Ar Soc Microbiol Ac 12 ay 2002) ‏عا يد‎ About Scott Gerson M.D, Ph.D. (Ayuneds) 20 cae Exgerience Makes ‏ليك‎ ‎Base Pinces ct Auunede UPDATED! iueraceve Questiontire ews ener ‘Curent Reseach ‏اک‎ ‎Asunedic Day Spa Senices al 375 Filth Avenel ‏میگ‎ Ofer The Ulimste Canbosan anchskarma-ocs Relteat March 1724, 2006 ES) / له يس بسر ی هس هی و 

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- 8 3 ۵۰ 6۱ سس ‎Be us‏ « و موه وی - سای مق هم 2 Namastét Quality Ayurvedic Alternative Herbal “Dietary Supplements” Since 1986 

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Ayur Treatment : °4step process of ~ cleansing & de-toxifying ~ palliation ~ rejuvenation ~ mental & spiritual healing ¢ Instead of going thru each step in class, have posted these steps as slides on web site for this Module 

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Ayur Treatment : Step 1 * Cleansing and Detox involves anything from induced vomiting, bowel enema, blood cleansing * Use herbal steam saunas for skin detox ¢ After this, preparations of yogurt & herbs used to replenish intestinal bacteria 

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Ayur Treatment : Step 2 Palliation used to balance the doshas Combo of herbs, yoga stretches, breathing exercises, meditation Palliation is treatment as well as daily practice for healthy folk Want daily discipline and good assimilation of food 

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Ayur Treatment : Step 3 ° Rejuvenation is basically body/mind/spirit tune-up thru ° Herbal treatments * Mineral preparations suited to affected dosha ° Yoga exercises 

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Ayur Treatment : Step 4 * Mental hygiene & spiritual healing attempts to improve mind to hier level of spiritual functioning thru: * Sound therapy or use of mantras ° Meditation & yoga ¢ Pharmaceutics or remedies 

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ساسا رگ Be Eat em Favontes Tons Heb a “9 « - وا موی و ی مر ماه ممه نر له لها > ‎serch‏ ‏# مسو فقا مدنت + نسم 6 - مه 9 | ساد ف ۱ sage ‘Practical Guide to Herbal Therapies for People Living with HIV Revised 2004 Table of Contents ‎crete‏ اوه جنسامد ‎urvedic-based treatments ‎Alcs srs ‎[ A public Health Agency of Canada web site ] ‎ ‎ ‎ ‏سس هن ‎ ‎۱۰ ۰ © - ‏ها ها‎ © P= sree O/B ‏ع ههه مم ‎ ‎ ‎ ‎8 ‎aon ‎ ‎ ‎ ‎ 

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Conclusions re Ayurvedic System: Sophisticated and ancient system from India ( & Tibet ) Focuses on whole organism & reln to external world Seeks to estab/maintain harmonious balance within/outside the body Texts are in Sanskrit but Columbia Univ in NY devoted to inquiry & educ about ancient Indian medicine/healing 

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Module 3: Ancient Systems: Traditional Chinese Medicine ¢ In China, TCM is under the administration of State Administration of TCM and Pharmacology * TCM is defined as a medical science governing the theory and practice of traditional Chinese medicine ¢ it includes Chinese medication, pharmacology/herbology, acupuncture, massage, and Qigong 

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0 7 ه١‎ © ‏عمسيو سدم © ها ها‎ | BB ‎Sew»‏ سس ‎ ‎We need to pick a week...Feb 6 or Feb 13 ‎maksha youa london / ‎http://www.mokshayogalondon.com/ ‎ ‎ 

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NATURAINGURES TE” DON'T WANT YOU To Kavow ۱ ۱۱/۱۹۱۹ ۴ ۱۱۸۲۵۲۸۱ 7۷۴ ۱۱۸۵۱۱۵۴5 ۸۸۹۱ ل 

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DR 5 HOLISTIC 9۴ 

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iultiple levels of disease ~ multiple levels of interventionS Level of disease ‘Examples of intervention Global community ~—— International health and environmental policy 0 ‎National immunisation policy‏ سیب ما 4 ‎Community < Local environmental policy‏ ۸ ‎therapy |‏ الاو سه ا ‎Spirtual healing |‏ ۱ ‎SS _ Spirit Meditation |‏ ‎[Human being ۳ ie | Cognitive-behavioural therapy‏ ‎Homoe‏ ۷ ‎‘Traditional Chinese medicine‏ \ ‎sien _ Physiotherapy‏ ‎Osteopathy and chiropractic‏ ا ‎eee Transplantation |‏ | ‎Tissue oe ‘Tissue grafting‏ ۲ ‎In vivo fertiisation‏ سه 08 ‏۲ ‏۷ ال سس ‎Organelle‏ ‎Genetic manipulation ‎Molecule ‏سه‎ tional supplementation 

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Asian Culture The Great Wall of China 

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How the Bar Reveals the Body 

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Trad Ch Medicine Oo Acupuncture’ ‏سیگ‎ ‎* Origins of TCM shrouded in mystery; perhaps BCE origins * Best trace is to origins at start of CE with rudiments of acupuncture and herbal medicine * TCM stymied in devel by political ravages; not until mid 20** C ( Ch Mao ) did TCM become systematized into colleges/univ tr 

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TCM - Fundamenta 7 Concepts * Philosophy of TCM tied to yin & yang * Y&Y as paired opposites w equilibrium the quest ٠ Male/Female; Heaven/Earth; lite/dark all as ‘energies’ in human system and in our environment y - ACU i COM 

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‎Yangxi (L15)‏ تحت تست اس بت ‎Half way‏ ‎——-— Hegu (LI 4) ‎along the ‏اه سس‎ (112 ‏دسو هد .م ‎second‏ ‎metacarpal ‎et — ——— Shangyang (LI 1) ۱ 

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SPLEEN 6 just above tip of medial malleolus, behind the tibia. 

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۳ Lung 11 ۹ ۱ ~ ۱ \ ae 2 << ۳ ٠ ۰ a ٠. : 6 ‏و"‎ ‎. 3 ا 

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EXAM ANXIETY 

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What does Acupuncture treat * what is treated is daily life, chronic kinds of irritants, illnesses * Balance restoration is key 

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Most common Acu- treatable conditions: ¢ Nausea & vomiting * Tendinitis * Insomnia * Dysmenorrhea; Fibromyalgia * Headache, neck pain; TMJ pain; post surgical pain; back pain; osteoarthritis ¢ Strokes; arthritis; dental procedures 

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What’s the Evidence ? * WHO lists 40 conditions for which qualitative claims have been made for effectiveness * By gold standard science, ev is inconclusive whether acupuncture is effective 

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6 تا ىت ‎aA‏ ‎fave Seach _netowe Fisk Seouty Shep‏ اسم ‎ ‎ates ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎a ‏ردم عو 75 اا وماد 15 كا +۱6 ز‎ (3) Ena Suse How iol. ‏مووي لا قنك لقا‎ IP) RovPign ‎ ‎ ‎ACUPUNCTUREcom, ‎ ‎Treatment Nothing speaks louder than personal experience. On this page, we tum. up the volume and let patients speak on behalf of traditional Chinese ‎.stimonials ieee ‎+ Now, Letie Tell Vou About My Appendectomy in Peking... ‘The vory fst "treatment testimonial” ‘rom The New York Times, Jay 26,1971 ‎Ame Rosacea ‏تمعن‎ ‎Allergies ‎x ‎ee epee ‎ ‎ae‏ أده ‎ ‎ 

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ans & centers Body’s energy me 

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ACUPUNCT! | ‘ASSOCIATES 

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just a t 5 1 1 ACUPUNCTURE! 

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Governing Vessel Kidney ~ KI Pericardium CX P HC Tri-heater ~ TH Gall Bladder GB Copii 16 oF.ba Ano * Liver ~ LIV Conception Vessel Governing vessel Major Meridi Lung ~ LU Large intestine ~ Li Stomach ~ ST Spleen ~ SP Heart ~ HT Small Intestine ~ SI Bladder ~ BL-UB 

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Conception Vessel 

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Sham, single-blind ¢ In these studies, ac practitioner puts needles in ‘fake’ location ¢ Problems ? * Consider too, standardized point when acu treats indivs differently ¢ Are now trying to used trained acup actors to deliver the sham treatment 

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The Literature re Ac Effectiveness Many of the studies done in China Systematic bias in that literature bec meta analyses show very hi eval of effectiveness in Chinese med lit, 99% effective vs 80-85% in western countries’ med lit Many of the Chinese studies used no placebo, no control group at all Thus, great skepticism 

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What has Acupunc shown ? * Most positive results in studies re nausea and vomiting * Use P6, about 2 inches above wrist crease using wrist band w pearl-sized bead; thus can standardize treatment & self-stim P6 Effectiveness of P6 stim for anesthesia-induced nausea using double and single blind studies 

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What has Acupunc shown ? ۰ Tendinitis treated well in single-blind, placebo control studies where treatm shown to be slightly more effective than placebo group Tennis elbow double-blind study using sham acupuncture showed greater tolerance of pain & elbow use for treatment group 

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Others * Success re treating insomnia - but imagine practical problems here * Some success in DB study treating dysmenorrhea with a 41% reduction in use of pain medication by treatm group * Being used more now to alleviate Bain of chronic fatigue ( fibromyalgia ) * Mixed results re treating headaches & asthma; widespread use in treating TMJ 

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Back Pain & Acupuncture * Western society fascinated by possible use of acu in LBP treatm ٠ All kinds of studies comparing acu with physical therapy, massage, chiro treatments ¢ In most studies, hier rate of effectiveness in PT, mass, chiro 

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Conclusions re Evidence ? ٠ Now working to standardize and do well administered studies * Ex: in US, acu needles now classed by FDA as legit medical device rather than experimental device * Greater funding for res now in the West which should help ۰ Also, better acceptance of case studies vs DB controlled ones 

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Ea Wew Go Comedy Hee 10 ‏ع هب | نها 1۳۳۳۳5 کب‎ 2 6 Rao Chinese Modiofe and Acupuncture in Canada pean Resources What is TCM Canadian “e chat ont ينارو هه وود <<« ۳2 أده 

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Acupuncture in Canada ¢ Variety of institutes and colleges * Most well known is Academy of Clinical Chinese Medicine of Toronto * Also, Grant MacEwan College in Edmonton offers Prov government-sanctioned diploma program ¢ And, on West Coast... 

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سوه در 6۵ ۵ ها 0 -سق ‎Eee‏ ‎Gale &‏ ۶ ۰ ۹۶۱ - مهار Google - stir dines medina @) (Seach صمل سس سا «ه وا | وو 9 ‎Cottage of Traditicha) Chinese Medicine of Victoria‏ م۱۱ ‎por ee‏ ‎ ‎Free Trip to China! ۹‏ خخ ‎eS Scholarship! We‏ / م 99 ‎*5 Year Condensed DTCM ‏.قلاعم‎ ‎Diploma Program : Finished within 36 months! es ‎china Medeine can ‎Tuition Cost: $400 Per Credit cin ‎pao ‎*3 Year Special ‏سس‎ ‏و‎ ‎Acupuncture Diploma Program ac | ‎ ‎ ‎ ‎ ‎ ‎ ‎ 

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Standardization of Training * 3 years to become certified acupuncturist ۰ 4 ۷۵۵۲5 to become TCM Practitioner * 5 years to become Doctor of TCM * Still up to cities to license and regulate TCM; most provinces are pending but fully regulated in Alberta, BC and Quebec * And, right here in London Ont is .. 

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سس He £6 Yew Go Gown Hee Lf tokeets Bileedeniptinwnorenc THE CHINESE MEDICINE AND ACUPUNCTURE ASSOCIATION oF CANADA. > (7 6 8 ‎INTRODUCTION‏ مج ‎MARC.‏ ‎ ‎ ‎Frogresr =), The chinese Mecicine and Acupuncture association of canadavas teceraly incorporate in 1989 n order to ine and Acupuncture incanada, There are CMAAG Chapter offices all across ‏لیا‎ ‘ocletyof the World Federation otacupuncture-Moxibustion Societies In 1987. The “Apply For) WFAS is the onlyTraditional Chinese Medicine and Acupuncture society officiallyrecognized by the Werid Health, ‎Membership | Organization. ‎ ‎ ‎ ‎ ‎ ‎ ‎News OBJECTIVES 5۳7775 —) _The OMAAC was established in order to unite practitioners ancto lobby the government for regulation of Tractional Collage | chinerehtedicine ana Acupuncture, ‎ ‎(Cais) tne crane’ ‏مهرد‎ neu: Unie racine of ase and Ween Meee ‏هود شط تمه تله ا اماس يتاه سات ل‎ Pama and ‏عماس‎ tina cnc ‎4 Assbtngin Me exchange of ‏دنه فص‎ ‎ ‎Internationalreputation, members are able to purchase excellent ProtessionalLiabity Insurance. The CMAAC endorsed the ‘establishment of a 4year traning program in order to create a high standard ofeducation for practitioners. The CMAAC has ‘Worked on regulationfor Traditional Ghinese Medicine and Acupuncture in Ontario Briish Columbia, and other provinces. ‎ ‎tei‏ اش ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ 

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Final Thoughts * Typical CAM area ¢ Will never meet DB standards * Need more longitudinal studies to mount evidence * Viable ‘alternative’ * Tough to form decision basis for health consumer but note the ‘commonization’ of acupuncture and herbs via web sites 

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Thursday Feb 2/06 No Class !!! However: Tues Feb 7 - Dr Robert Dronyk, ND Instead of class, read: Links: Naturopathy Therapies Links: Naturo Res Article Text chapter 12 re Homeopathy Links: 1997 Meta Analysis re Homeopathic Effectiveness *** See main page of web site for link re yoga sessions starting Feb 6th ***