Traditional Medicine: Ancient Systems

Traditional Medicine: Ancient Systems

اسلاید 1: www.tabaye.ir

اسلاید 2: Traditional Medicine: ‘Ancient Systems’Ayurvedic and Traditional Chinese Medicine

اسلاید 3: Ayuvedic Medicine‘ayurvedic’ means the science of life & longevityComprehensive system combines natural therapies [ herbs, diet, ex ] with a prof approach to treatment

اسلاید 4: The Template for Forms of CAM & Analysis (last pg in outline):In general, what is practice of ____?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 ?What prof prep/certific needed to do ?

اسلاید 5: 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

اسلاید 6: Ayurvedic QuestionsAyurv physician asksNOT, ‘What disease does my client have’ ? BUT. . . ‘Who is my client ’ ?Holistic then, not reductionistic

اسلاید 7: Balance in Ayurvedic

اسلاید 8: The Energies & bodily functions :** see effects of tastes on the 3 doshas p. 223

اسلاید 9: Conception of individualVata, 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 AyurvedicNote pages 227-229 re characteristics of each dosha & where you see yourself

اسلاید 10: The Five Elements :Space, Air, Fire, Water & Earth are the most fundamental to Ayur science/artDosha 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

اسلاید 11: The Elements& doshas& whererep in the bodyKPV

اسلاید 12: AyurvedicTongueDiagnosisAreas

اسلاید 13: Ayur Treatment :4 step process of~ cleansing & de-toxifying~ palliation~ rejuvenation~ mental & spiritual healingInstead of going thru each step in class, have posted these steps as slides on web site for this Module

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اسلاید 16: Ayur Treatment :4 step process of~ cleansing & de-toxifying~ palliation~ rejuvenation~ mental & spiritual healingInstead of going thru each step in class, have posted these steps as slides on web site for this Module

اسلاید 17: Ayur Treatment : Step 1Cleansing and Detox involves anything from induced vomiting, bowel enema, blood cleansingUse herbal steam saunas for skin detoxAfter this, preparations of yogurt & herbs used to replenish intestinal bacteria

اسلاید 18: Ayur Treatment : Step 2Palliation used to balance the doshasCombo of herbs, yoga stretches, breathing exercises, meditationPalliation is treatment as well as daily practice for healthy folkWant daily discipline and good assimilation of food

اسلاید 19: Ayur Treatment : Step 3Rejuvenation is basically body/mind/spirit tune-up thruHerbal treatmentsMineral preparations suited to affected doshaYoga exercises

اسلاید 20: Ayur Treatment : Step 4Mental hygiene & spiritual healing attempts to improve mind to hier level of spiritual functioning thru:Sound therapy or use of mantrasMeditation & yogaPharmaceutics or remedies

اسلاید 21: Cdn AidsTreatmentInfo Exchange[ A public Health Agency of Canada web site ]Ayurvedic-based treatments

اسلاید 22: Conclusions re Ayurvedic System:Sophisticated and ancient system from India ( & Tibet )Focuses on whole organism & reln to external worldSeeks to estab/maintain harmonious balance within/outside the bodyTexts are in Sanskrit but Columbia Univ in NY devoted to inquiry & educ about ancient Indian medicine/healing

اسلاید 23: Module 3: Ancient Systems: Traditional Chinese MedicineIn 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 medicineit includes Chinese medication, pharmacology/herbology, acupuncture, massage, and Qigong

اسلاید 24: http://www.mokshayogalondon.com/We need to pick aweek…Feb 6 or Feb 13

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اسلاید 27: multiple levels of disease ~ multiple levels of interventionS

اسلاید 28: Asian CultureThe Great Wall of China

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اسلاید 32: Cdn MedicalAcupunctureSociety

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اسلاید 34: Trad Ch Medicine - AcupunctureOrigins of TCM shrouded in mystery; perhaps BCE originsBest trace is to origins at start of CE with rudiments of acupuncture and herbal medicineTCM stymied in devel by political ravages; not until mid 20th C ( Ch Mao ) did TCM become systematized into colleges/univ tr

اسلاید 35: TCM – Fundamental ConceptsPhilosophy of TCM tied to yin & yangY&Y as paired opposites w equilibrium the questMale/Female; Heaven/Earth; lite/dark all as ‘energies’ in human system and in our environment

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اسلاید 38: HEADACHESLI 4Half way along the second metacarpal

اسلاید 39: DISAPPEARING TENSION(Small Intestine 12)SI 12

اسلاید 40: INSOMNIASPLEEN 6just above tip of medial malleolus, behind the tibia.

اسلاید 41: SORE THROATLung 11

اسلاید 42: EXAM ANXIETYHeart 7First skin creaseThumb side of tendon at crease.

اسلاید 43: What does Acupuncture treatwhat is treated is daily life, chronic kinds of irritants, illnessesBalance restoration is key

اسلاید 44: Most common Acu-treatable conditions:Nausea & vomitingTendinitisInsomniaDysmenorrhea; FibromyalgiaHeadache, neck pain; TMJ pain; post surgical pain; back pain; osteoarthritisStrokes; arthritis; dental procedures

اسلاید 45: What’s the Evidence ?WHO lists 40 conditions for which qualitative claims have been made for effectivenessBy gold standard science, ev is inconclusive whether acupuncture is effective

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اسلاید 47: Body’s energy meridians & centers

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اسلاید 50: Major MeridiansLung ~ LULarge intestine ~ LIStomach ~ STSpleen ~ SPHeart ~ HTSmall Intestine ~ SIBladder ~ BL-UBKidney ~ KIPericardium ~ CX P HC Tri-heater ~ THGall Bladder ~ GBLiver ~ LIVConception Vessel Governing vessel

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اسلاید 52: Sham, single-blindIn these studies, ac practitioner puts needles in ‘fake’ locationProblems ?Consider too, standardized point when acu treats indivs differentlyAre now trying to used trained acup actors to deliver the sham treatment

اسلاید 53: The Literature re Ac EffectivenessMany of the studies done in ChinaSystematic 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 allThus, great skepticism

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اسلاید 55: What has Acupunc shown ?Most positive results in studies re nausea and vomitingUse P6, about 2 inches above wrist crease using wrist band w pearl-sized bead; thus can standardize treatment & self-stim P6Effectiveness of P6 stim for anesthesia-induced nausea using double and single blind studies

اسلاید 56: What has Acupunc shown ?Tendinitis treated well in single-blind, placebo control studies where treatm shown to be slightly more effective than placebo groupTennis elbow double-blind study using sham acupuncture showed greater tolerance of pain & elbow use for treatment group

اسلاید 57: OthersSuccess re treating insomnia – but imagine practical problems hereSome success in DB study treating dysmenorrhea with a 41% reduction in use of pain medication by treatm groupBeing used more now to alleviate pain of chronic fatigue ( fibromyalgia )Mixed results re treating headaches & asthma; widespread use in treating TMJ

اسلاید 58: Back Pain & AcupunctureWestern society fascinated by possible use of acu in LBP treatmAll kinds of studies comparing acu with physical therapy, massage, chiro treatmentsIn most studies, hier rate of effectiveness in PT, mass, chiro

اسلاید 59: Conclusions re Evidence ?Now working to standardize and do well administered studiesEx: in US, acu needles now classed by FDA as legit medical device rather than experimental deviceGreater funding for res now in the West which should helpAlso, better acceptance of case studies vs DB controlled ones

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اسلاید 63: Acupuncture in CanadaVariety of institutes and collegesMost well known is Academy of Clinical Chinese Medicine of Toronto Also, Grant MacEwan College in Edmonton offers Prov government-sanctioned diploma programAnd, on West Coast…

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اسلاید 65: Standardization of Training3 years to become certified acupuncturist4 years to become TCM Practitioner5 years to become Doctor of TCMStill up to cities to license and regulate TCM; most provinces are pending but fully regulated in Alberta, BC and QuebecAnd, right here in London Ont is ..

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اسلاید 67: Final ThoughtsTypical CAM areaWill never meet DB standardsNeed more longitudinal studies to mount evidenceViable ‘alternative’Tough to form decision basis for health consumer but note the ‘commonization’ of acupuncture and herbs via web sites

اسلاید 68: Thursday Feb 2/06 No Class !!!However: Tues Feb 7 – Dr Robert Dronyk, NDInstead of class, read:Links: Naturopathy TherapiesLinks: Naturo Res ArticleText chapter 12 re HomeopathyLinks: 1997 Meta Analysis re Homeopathic Effectiveness*** See main page of web site for link re yoga sessions starting Feb 6th ***