‫מצגת מתוך האתר‬
"‫"המרכז לבריאות הלב‬
Naturopathy
By vogel ofir, Naturopath
Presentation from the site
“Heart Center"
Objectives:
to understand what is naturopathy – main
principles and philosophy,diagnose, techniques.
2. to get acquainted with some naturopathic
principles and tools – that might help you in your
work.
3. to understand when naturopathy can help –
when a naturopath can help you give a better
treatment to your patient by working together,
and when he can work alone.
1.
2
Smart cooperation is the future,
and in many places – the future is already here
Structure:
1.
2.
3.
history & development (in brief).
the main principles and philosophy
Technique:
a. nutrition and supplements
b. herbal medicine
c. mind – body
d. physical therapy
e. exercise
4.
5.
naturopathic anamnesis
common disease and health condition treats
by naturopathy.
6.case study(if time allows )
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history & development
• tribe healer (shaman)
• the great teachers, healers and doctors of
our recent human history
• The term “naturopathy”( “nature cure”
or “nature path”) was first used in the US
(early 19’s century).
• European influence
• “scientific medicine” vs “miracle
medicine”
• From the 70’s changes to today:
“scientific nature”
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I - The healing power of nature
“nature acts powerfully through healing
mechanisms in the body and mind to maintain
and restore health. Naturopathic physician work
to restore and support these inherent healing
systems when they have broken down, by using
methods, medicines, and techniques that are in
harmony with natural processes”. (Textbook of
Natural Medicine)
II - Treat the whole person
“Health or disease comes from a complex
interaction of physical, emotional,
dietary, genetic, environmental, lifestyle
and other factors. Naturopathic
physicians treat the whole person, taking
these factors into account” (TNM)
“an individual is a whole made up of
interdependent parts, which are the
physical, mental, emotional and
spiritual. When one part is not
working at its best, it will impact all
other parts of the person.” (TNM)
The whole is greater than the sum of its parts
III - Treat the cause
“every illness has an underlying
cause, often in aspects of the
lifestyle, diet or habits of the
individual. A naturopathic
physician is trained to find and
remove the underlying cause of a
disease” (TNM)
Treat the cause ?
Hypertension 1
Hypertension 2
Male, 58.
Works as a clerk in the Post Office
From 08:00 – 16:00.
Children have move out of the house.
Great sex life (with his wife…)
No exercise. coffee 6-8/d, one
“goodnight – drink”/d.
Loves to eat internal parts of
animals…
Enjoys the great cakes his wife makes
with a lot of love…
Female, 28,
Works in “hi-tech”company. All the
time under pressure.
Can’t sit for a minute, aerobic exercise
3XW.
No boy-friend, still leaving with her
parents, they fight all the time…
Her younger sister got married a
few months ago with a successful
Lawyer…
Vegetarian
.
Also suffers from constipation and
some kind of arthritis.
9
Also suffers from irritable bowel,
Amenorrhea, Migraines.
IV - First do not harm
“ naturopathic physicians prefer noninvasive treatments that minimize the
risk of harmful side-effects. They are
trained to know which patients they
can treat safely, and which they need
to refer to other health care
practitioners”. (TNM)
“ it is a natural remedy – if it
doesn’t help, it surely won’t do
any harm…!?”
Dangerous bullshit !!!
“poisons and medicines are
oftentimes the same substances
given with different intends .”
“contraindication between drugs and
herbs” The Lancet, 2000,
V - Doctor as teacher
“a principle objective of naturopathic
medicine is to educate the patient and
emphasize self responsibility for health.
Naturopathic physician also recognize
and employ the therapeutic potential of
the doctor-patient relationship” (TNM)
VI – Preventive medicine
“the naturopathic approach to health
care can prevent minor illnesses from
developing into more serious or chronic
degenerative disease. Patients are
taught the principles with which to
live a healthy life; by following these
principles they can prevent major
illnesses”. (TNM)
The common cold as an example
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Talking, talking, talking…
A naturopath is a physician
who uses natural medicines and
therapies according to the
naturopathic main principles
and philosophy
nutrition and supplements
deficiency disorders /
abundance disorders
“Let your food be your medicine, and your medicine will
become your food.”. Hypocrates
Deficiency disorders
• Iron most common deficiencies in the world (including the US) =>
anemia.
• A => leading cause of blindness in many parts of the world.
• D =>Rickets: bones disorder observed in children living in countries
where smog and overcast skies are common.
• C => scurvy – fatal disease (bleedings, musculoskeletal aches, fatigue,
emotional lability) mainly to sailors.
• Iodine (for those living far from the sea)=> goiter (hyperthyroid).
First recognized in Egypt 5000 years ago.
• B1 (thiamine) => beriberi – a disease affecting the heart and nervous
system – was common among wealthy Indonesians who ate polished
white rice.
• Niacin => pellagra (skin rash -> mental illness -> death)
19
Diet differences
Variable
China
US
Fat % of kcal
14.5
38.8
P/S ratio
Carbohydrates g/d
473
245
Refined/com
plex
Total protein g/d
64.1
91
Animal
protein X10
Dietary fiber g/d
33.3
11.1
X3
Energy kcal/d
2641
2360
Obesity rates
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Animal / plant based foods
The “China study”
•
•
a comprehensive study of human diet, lifestyle,
and disease mortality, from 65 counties (130
villages, 6500 adults) of rural China (Chen et al.,
1990)
Blood, urine, food samples, and detailed dietary
data were collected from 50 adults in each
village and analyzed for a variety of nutritional,
viral, hormonal, and toxic chemical factors
References:
•
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1: Toxicol Sci 1999 Dec;52(2 Suppl):87-94 Energy balance: interpretation of data from rural
China.Campbell TC, Chen J. 2: Am J Clin Nutr 1994 May;59(5 Suppl):1153S-1161S Diet and chronic
degenerative diseases: perspectives from China.Campbell TC, Junshi C.Division of Nutritional Sciences,
Cornell University, Ithaca, NY 14853. 3: Int J Epidemiol 1992 Aug;21(4):625-35 Antioxidant status and
cancer mortality in China.Chen J, Geissler C, Parpia B, Li J, Campbell TC.Institute of Nutrition and Food
Hygiene, Chinese Academy of Preventive Medicine, Beijing. And many more…
Coronary heart disease
(no’ 1 killer)
• Coronary artery disease mortality was 16.7-fold greater for
US men and 5.6-fold greater for US women than for their
Chinese counterparts.
• “The combined coronary artery disease mortality rates for
both genders in rural China were inversely associated with
the frequency of intake of green vegetables and plasma ()
monounsaturated fatty acids, but positively with a
combined index of salt intake plus urinary sodium and
plasma apolipoprotein B …which are positively associated
with animal protein intake…and inversely associated with
plant protein, legume, and light-colored vegetable intake”
•
Am J Cardiol 1998 Nov 26;82(10B):18T-21T Diet, lifestyle, and the etiology of coronary artery disease: the Cornell
China study.Campbell TC, Parpia B, Chen J.
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Cancer (no’ 2 killer)
• Breast cancer: (China 1/6 compared to England)
“breast cancer is positively associated with total fat
intake (more important than total calories.)”
• Stomach, liver, lung, colorectum, breast and cervix
cancers:
“plasma levels of dietary antioxidants were
constantly negatively correlated with cancer
mortality rate. Ascorbic acid was most strongly
negatively associated with most cancers and selenium
with oesophageal and stomach cancers. Betacarotene was fount to have a protective effect
independent of retinol, particularly for stomach
cancer.”
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And if it is not enough:
• “We find that current data support previous
finding that inappropriate diets cause one third
of all cancer deaths. … We estimate that
recommended diets, together with maintenance
of physical activity and appropriate body mass,
can in time reduce cancer incidence by 30-40%
(3-4 million cases per year). “
• “Food, Nutrition and the prevention of Cancer:
a global perspective”. World cancer research
fund, American Institute for cancer Research.
1997
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The westernization Sequences
• Denis Burkitt MD & Hogh Trowell MD: “western
disease: their emergence and prevention”.
Harvard university press 1981.(Many articles where
followed in the medical press journals.)
• Norman J. temple, PhD & Denis P. Burkitt, MD:
“western diseases – Their Dietary Prevention
and Reversibility”, Humana Press, 1994.
• Weston A. Price: “nutrition and physical
degeneration”. La Mesa, CA: Price-Pottinger
Foundation. 1970.
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The westernization Sequences
phase I and phase II
• 1. Primal diet of plant eaters contains large
amounts of unprocessed starch staples.
Few examples of chronic degenerative
diseases like osteoarthritis, heart disease,
diabetes and cancer.
• 2. Commencing westernization of diet,
obesity and diabetes commonly appears in
privileged groups.
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The westernization Sequences
phase III and phase IV
• 3. With moderate westernization of the diet,
constipation, hemorrhoids, varicose veins
and appendicitis become common
complaints.
• 4. Finally, with full westernization of the
diet, chronic degenerative diseases like
osteoarthritis, rheumatoid arthritis, gout,
heart disease, cancer, etc., are extremely
common. .
27
Examples…
• The japanese in Japan have rate of colon
cancer less than one fifth that in the US . their
descendants in the US now approach American
whites in their rate of this disease.
• Same with immigrants from Taiwan to the US
and breast cancer.
• Ethiopian who came to Israel had 0.4%
diabetes in their homeland, and now its 17% !!!
• Same with people who came from Yaman to
Israel and heart disease.
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Herbal medicine
Echinacea
Ginkgo Biloba
Panax Spp.
Ginsing
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Mind – body medicine
• Compliance as the greatest challenge
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It starts from the doctor-patient relationship.
Un-verbal communication
Motivation resources
Time, support, patience
• Stress management:
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Breathing
Meditation
Guided imaginary
Yoga
and more
And sometimes we go deeper…
• Thoughts, emotions, will, love, intimacy, self actualization, spiritual development … (“do you live
your own life as they were supposed to be for you? “).
The scientific proof:
• “love and survival – the scientific basis to the healing
powers of intimacy”, Dean Ornish MD.
• “love, medicine & miracles”, Bernie S. Siegel, M.D.
• “cancer as a turning point”, Lawrence LeShan, Ph.d
• “head first – the biology of hope”, Norman cousins.
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“The right treatment in many diseases is unclear to
most doctors….since they do not acknowledge the
importance of the “whole” – an issue that should
receive attention and education: for the “part” can
not heal as long as the “whole” is unhealthy…that
is the biggest mistake of our days regarding the
healing process of the human body – the fact that
doctors separate the body from the mind”
Aplaton, 347-427 BC
32
Physical /manual medicine
“manual therapy is the best way to help the
body heal itself”. Hypocrates
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Physiological effects
The healing powers of touch …
•
•
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muscle release
enhance blood flow
enhancing toxic drainage(mainly by the lymph system).
elevation in hemoglobin
pain relief
immune system support:
• Enhancing T cells production
• Elevating NK in breast cancer and AIDS patients
• Improved WBC count Neutrophils in luikemia
• And more…
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The Touch Research Institutes, MIAMI University, Florida
http://www.miami.edu/touch-research/List%20of%20Studies.html
Diseases with documented
scientific benefits
• Asthma
• Breast cancer,
Leuikemia
• AIDS
• LBP
• ADHD
• Important impact on
infants growth
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•
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•
•
•
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CHD
HTN
Diabetes
Parkinson
Depression
Migraine
JRA
CFS , fibro’
Anorexia, Bolimia N.
“As
technology around us develops ,
the need for human touch emerses “
Joun Nicebit in his book:
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“Megatrends”
Exercise…
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“move for health”
The WHO annual health day (April 2002)
• It was declared that lack of exercise is
responsible for about 2 million deaths a
year though it is now regarded as one of
the 10 leading causes of death in the
world.
• prakashr@who.int
http://www.who.int/inf/en/pr-2002-23.html
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Exercise as a therapy
in the clinic scene
In an Israeli study 793 patients (45-75 of
age) were asked whether their physician
talked to them about exercise:
–22% where asked
–16% where advised to do more physical
activities.
–Only 7% received any help in planning the right
activity for them.
39
Naturopathic anamnesis
• Conventional clinical laboratory, physical
diagnosis and imaging techniques
• Lifestyle’s factors: diet, exercise, stress
• digestion quality: problems, side effects, how
does it comes out in the toilet…
• Individualization
• what went wrong in this patient’s life ? why did
he got sick and nobody else ? why now ?
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sensitive host or strong pathogen
When can we help ?
prevention, controlling, secondary prevention
• Chronic diseases:
Coronary heart disease, cancer, diabetes, HTN,
obesity, psoriasis, osteoporosis, PMS…
• Gastrointestinal disease:
IBS, IBD, constipation, ulcers, hemorrhoids…
• Immune support/allergic/autoimmune:
Atopic dermatitis, asthma, RA, hepatitis, acne,
urinary tract infections, otitis media,
pharyngitis, MS…
41
Smart cooperation is the future,
and in many places – the future is already here
Any questions ???
42
“ nature will always be stronger
than the substitute man can offer”
LEUNARDO DE – VINCHI
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‫המטען הגנטי של האדם המודרני‬
‫‪45‬‬
“If man had preserved his ability to
choose his nutrition according to his
altered health and disease condition –
we wouldn’t have the need to invent
the medical science.“
Hypocrates