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Module 3 ~ Traditional Medicine: ‘Ancient Systems’ Ayurvedic and Traditional Chinese Medicine.

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Presentation on theme: "Module 3 ~ Traditional Medicine: ‘Ancient Systems’ Ayurvedic and Traditional Chinese Medicine."— Presentation transcript:

1 Module 3 ~ Traditional Medicine: ‘Ancient Systems’ Ayurvedic and Traditional Chinese Medicine

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

3 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 ?

4 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

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

6 Balance in Ayurvedic 3 doshas energies Vata or thin Pitta or muscul Kapha large BodyThin, delicate MediumHvyset MindHyperactOrderly Perfecist relaxed SoulIntuitiveLoving & passion8 forgiving

7 The Energies & bodily functions : DoshasVata ( Ecto ) Pitta ( Meso ) Kapha ( Endo ) Bodily Function Eats & sleeps Constip Cramps Loves food Ulcers, hrtburn, Eats slowly Allergies Hi chol ** see effects of tastes on the 3 doshas p. 223

8 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 re characteristics of each dosha & where you see yourself

9 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

10 The Elements & doshas & where rep in the body K P V

11 Ayurvedic Tongue Diagnosis Areas

12 Ayur Treatment : 4 step 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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15 Ayur Treatment : 4 step 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

16 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

17 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

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

19 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

20 Cdn Aids Treatment Info Exchange [ A public Health Agency of Canada web site ] Ayurvedic-based treatments

21 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

22 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

23 We need to pick a week…Feb 6 or Feb 13

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26 multiple levels of disease ~ multiple levels of interventionS

27 Asian Culture The Great Wall of China

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31 Cdn Medical Acupuncture Society

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33 Trad Ch Medicine - Acupuncture 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 th C ( Ch Mao ) did TCM become systematized into colleges/univ tr

34 TCM – Fundamental Concepts Philosophy of TCM tied to yin & yang Y&Y as paired opposites w equilibrium the quest Male/Female; Heaven/Earth; lite/dark all as ‘energies’ in human system and in our environment

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37 HEADACHES LI 4 Half way along the second metacarpal

38 DISAPPEARING TENSION (Small Intestine 12) SI 12

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

40 SORE THROAT Lung 11

41 EXAM ANXIETY Heart 7 First skin crease Thumb side of tendon at crease.

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

43 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

44 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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46 Body’s energy meridians & centers

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49 Major Meridians Lung ~ LU Large intestine ~ LI Stomach ~ ST Spleen ~ SP Heart ~ HT Small Intestine ~ SI Bladder ~ BL-UB Kidney ~ KI Pericardium ~ CX P HC Tri-heater ~ TH Gall Bladder ~ GB Liver ~ LIV Conception Vessel Governing vessel

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51 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

52 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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54 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

55 What has Acupunc shown ? 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

56 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 pain of chronic fatigue ( fibromyalgia ) Mixed results re treating headaches & asthma; widespread use in treating TMJ

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

58 Conclusions re Evidence ? 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 Also, better acceptance of case studies vs DB controlled ones

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62 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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64 Standardization of Training 3 years to become certified acupuncturist 4 years 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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66 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

67 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 6 th ***


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