CAM
31 . 3 . 2016
Dr Monem Alshok
CAM
• CAM is a group of diverse medical and health
care systems, practices, and products that are
not presently considered to be part of
conventional medicine.
• Complementary medicine is used together
with conventional medicine,and alternative
medicine is used in place of conventional
stimuli Medicine and might Relies on certain
to enhance the bodies natural healing power
Complementary and Alternative
Medicine
Complementary medicine is used together with
conventional medicine.
Alternative medicine is used in place of conventional
medicine.
Integrative medicine combines treatments
from conventional medicine and CAM for
which there is evidence of safety and
effectiveness.
25% of all pharmaceutical drugs are
derived from herbs
who was using CAM
1993 – study showed that 1 in 3
Americans sought some form of
alternative care
1997 – another follow up study revealed
that 47% of Americans were using some
form of CAM
Major Domains of CAM
Biologically based practices
Energy medicine
Manipulative and body-based practices
Mind-body medicine
Who Uses CAM?
2004 survey results:
More women than men
Higher education levels
Hospitalized in the past year
Former smokers
Back, neck, head, or joint pain suffers
Gastrointestinal disorders or sleeping problems
Manipulative and Body-Based
Methods
Chiropractic medicine
Osteopathic medicine
CAM
1 . 7 CAM:Herbs, Accupuncture,Chiropractice ,
Homeopathy ,Diet & Nutrition , Body – Mind
,Massage
2 . 70% not report its use
3 . Main complaits headache , Pains ,Anxiety ,
Backpain , Cancer
Why the use of CAM is so
Appealing ?
1 . Offers the patients the sense of
Empowerment ,Authenticity and
connection with nature.
2 . Simplicity
3 . Vitalism
4 . Relying on long history of human
experience
5 . Spirtuility , connection between health
and religion
Alternative Medicine
Alternative medicine is used in place of
conventional medicine. An example of an
alternative therapy is using a special diet
to treat cancer instead of undergoing
surgery, radiation, or chemotherapy that
has been recommended by a conventional
doctor.
Alternative Medical Systems :
Complete systems of medical theory and
practice. Example is Homeopathic
Medicine
In homeopathic medicine,
there is a belief that "like cures like,"
meaning that small, highly diluted
quantities of medicinal substances are
given to cure symptoms, when the same
substances given at higher or more
concentrated doses would actually cause
In the late 1700s, Samuel Hahnemann, a
physician, chemist, and linguist in Germany,
proposed a new approach to treating illness.”
Treatments of the time were harsh, and wanted a
less threatening way to practice medicine. –
“Like cures like”– Potentiating and holism.
“The World Health Organization noted in 1994
that homeopathy had been integrated into the
national health care systems of numerous
countries, including Germany, the United
Kingdom, India, Pakistan, Sri Lanka, and
Mexico.”
“
Naturopathic Medicine
Proposes that there is a healing power in the
body that establishes, maintains, and
restores health. Practitioners work with the
patient with a goal of supporting this
power, through treatments such as
nutrition and lifestyle counseling, dietary
supplements, medicinal plants, and
exercise.
Naturopathic Medicine
1 . diet modification and nutritional
supplements,
2 . herbal medicine,
3 . acupuncture and Chinese medicine,
4 . hydrotherapy,
5 . massage and joint manipulation
Massage and Joint manipulation
The application of controlled force to a
joint, moving it beyond the normal
range of motion in an effort to aid in
restoring health.
Manipulation may be performed as a part
of other therapies or whole medical
systems, including chiropractic
medicine, massage, and naturopathy.,
and lifestyle counseling
There are six principles that form
the basis of naturopathic practice
1. The healing power of nature
2 . Identification and treatment of the
cause of disease
3 . The concept of "first do no harm"
4 . The doctor as teacher
5 . Treatment of the whole person
6 . Prevention
TCM : Traditional Chinese
Medicine
based on a concept of balanced qi, or vital
energy, that is believed to flow throughout
the body. Qi is proposed to regulate a
person's spiritual, emotional, mental, and
physical balance and to be influenced by
the opposing forces of yin (negative
energy) and yang (positive energy).
TCM
Disease is proposed to result from the flow of qi being
disrupted and yin and yang becoming imbalanced .
Among the components of TCM are herbal and
nutritional therapy, restorative physical exercises,
meditation, acupuncture and remedial massage.
Treatment in TCM are typically tailored to the subtle
patterns of disharmony in each patient and are based on
an individualized diagnosis. The diagnostic tools differ
from those of conventional medicine
Traditional Chinese Medicine
• Health is achieved by maintaining
the body in a "balanced state”.
• Imbalance leads to blockage in the
flow of qi.
• TCM practioners typically use herbs,
acupuncture, and massage to help
unblock qi in an attempt to bring
the body back into harmony and
wellness
There are three main therapeutic
modalities in TCM:
1 . Acupuncture and moxibustionIn traditional Chinese
medicine, the use of heat from burning the herb moxa
on or near the skin at an acupuncture point. Intended to
stimulate the flow of qi and restore health. (moxibustion
is the application of heat from the burning of the herbA
plant or part of a plant used for its flavor, scent, or
potential therapeutic properties. Includes flowers,
leaves, bark, fruit, seeds, stems, and roots. moxa at the
acupuncture point)
There are three main therapeutic modalities:
2 . Chinese Materia Medica is a standard
reference book of information on
medicinal substances that are used in
Chinese herbal medicine
3 . Massage and manipulation
Acupuncture
A . is the stimulation of specific points
on the body by a variety of techniques,
including the insertion of thin metal
needles though the skin. It is intended
to remove blockages in the flow of qi
and restore and maintain health
Acupuncture
– Significantly relieves pain
– Significantly improves
function
– Effective complement to
standard care
Massage in TCM
Pressing, rubbing, and moving muscles
and other soft tissues of the body,
primarily by using the hands and
fingers. The aim is to increase the flow
of blood and oxygen to the massaged
area. to help unblock qi and blood in
patients in an attempt to bring the body
back into harmony and wellness.
Ayurvedic Medicine
Ayurvedic medicine has been practiced
primarily in the Indian subcontinent for
5,000 years.
Ayurveda includes diet and herbal
remedies and emphasizes the use of
body, mind, and spirit in disease
prevention and treatment.
Ayurveda
• A comprehensive system
of medicine developed in
India that places equal
emphasis on the body,
mind, and spirit, and
strives to restore innate
harmony of the individual.
• Primary treatments include
diet, exercise, meditation,
herbs, massage, and
controlled breathing.
Biologically Based Therapies
Therapies Using substances found in nature,
such as herbs, foods, and vitamins.
Herbalism, Nutritional Counseling and Folk
Medicine
Aromatherapy “involves the use of essential
oils (extracts or essences) from flowers,
herbs, and trees to promote health and wellbeing.”
The use of CAM
WHO statistics show up to 80% of heart disease can be
prevented by a healthy diet and lifestyle “Let Food be your
medicine and Medicine is your Food Hippocrate”
It’s All Connected Principles
Physical Activity
• 1/3 of adult women are obese
and 60% of women have no
regular physical ac/vity.
• Most studies suggest that ac/ve
women have a 50% risk
reduc/on in developing heart
disease.
• Improves mood.
• May reduce risk of colon and
breast by improving energy
metabolism and reducing
concentra/ons of insulin and
related growth factors
Mind‐Heart Connec/on
• Review of 37 studies found
patients who received mind‐body
therapies and stress management
had:
• 34% reductionon in cardiac
mortality
• 29% reduction in recurrence of
heart attack
• Significant positive effects on
cholesterol, blood pressure and
weight.
“Mind‐Body” Medicine
• Belief that emotional, mental,social,
spiritual, and behavioral factors
affect health
• Respects and encourages
individual’s capacity for selfknowledge and self‐care
– Yoga or tai chi
– Relaxation therapies
– Cognitive‐behavioral therapies
– Group support
– Meditation
– Creative arts therapy
Mind‐Body Medicine
Review by Astin, et al. Concluded that there is
considerable evidence that MBT are beneficial
for:
– Coronary artery disease
– Headaches
– Insomnia
– Chronic low back pain
– Treatment related symptoms of cancer
Complementary and Alternative
Medicine
BASIL
Decreases platelet aggregation over
a period of 3-7 days
Bacterialcidal but no evidence of an
effect on viruses or fungi
Fights Salmonella and staph
Terpenoid effect- membrane
disruption Essential oil
It has determined it has cancer defending
properties
Ocimum
Bacilicum
Useful Herbal Products
Echinacea
Saw Palmetto
Ginkgo
Milk Thistle
Ginger
Chamomile
Fever Few
St. John’s Wort
Hawthorn
Soy
Kava
Black cohosh
Green tea
Cranberry
Garlic
Yohimbe
Valerian
immune stimulant
BPH
circulation
liver
nausea
indigestion
migraine
mild/mod depression
heart/circulation
menopause symptoms
anxiolytic
menopause symptoms
stimulant (antioxidant)
UTI prevention
hyperlipidemias, hypertension, heart
erectile dysfunction
sleep
Thanks