COMPLIMENTARY & ALTERNATIVE MEDICINE

ISTI ILMIATI FUJIATI

 A boy, Alex, 1.5 y.o had a fever. His parents took him to a pediatrician (M.D.) for a diagnosis. When they asked about using herbs to treat his infection, his doctor's response was, "Herbs are for salads. He needs something more sophisticated to help him recover. Drugs." This doctor was convinced of this fact despite the tremendous body of scientific research that indicates that herbs could, in fact, help the boy recover.

 Based on the recommendations the parents received from a naturopathic physician about other infections that Alex had in the past, his parents decided to use herbs before trying drugs. Within twenty-four hours of administering the recommended herbs to Alex, his fever disappeared and he was markedly better.

Apa yang anda fikirkan bila anda membaca iklan ini di sebuah media massa:
George claimed that a tropical animal protein supplied by a local naturopath was effective in lowering blood pressure, and George was planning to invest in the product. As evidence of his claim, George, who had hypertension, said that he felt much better after the treatment and had much more energy.

A. Lack of an appropriate outcome measure. B. Lack of appropriate controls and lack of an appropriate outcome PRINSIP2 measure. EBM C. Lack of randomization, lack of replication, and lack of an appropriate outcome measure. D. Lack of replication and lack of appropriate controls. E. Lack of appropriate outcome measure, replication, randomization, and controls.

Objectives
Background why complimentary & alternative medicine (CAM) is learned in medical school Basic Principles of CAM Domains of CAM Description of Integrative Medicine

Why medical doctors ?

The use of CAM in western countries growing popular In our countries, CAM has been very common since hundred years ago Medical doctors are skilled experts in valuable system of medicine + expertise in CAM = a commitment to compassionately serve the patient as a person outstanding performance

Facts in USA
1995: 70 % family physician want to training in CAM 1997: 80 % medical student want to training in CAM 1998: 69 % Americans use unconventional medicine (US $ 27 billion out-of-pocket = spending for all US physician services 1999 : 67 % HMO offer at least one form of CAM Why dont we start ?

 PERCENTAGE OF CAM USE BY ADULTS AND CHILDREN

Basic Principles of CAM

Natural Medicine Holistic Promote wellness

Natural Medicine
The body was inherent ability to : Maintain, Establish, Restore health The physician's role is to:
Facilitate & augment this process Act, identify & remove the obstacles of health & recovery Support the creation of a healthy internal & external environment

Give the body the appropriate tools, and it will heal it

 Patients are helped back to wholeness

I AM NOT MY BODY- I LIVE IN MY BODY

Holistic

Wholeness means that physical, mental, emotional, and vital force all in balance between themselves and with the spiritual consciousness known as the soul Healing is the act of getting rid of all the imbalances and creating harmony with the soul patient centered

Promote wellness
Assess risk factors and hereditary susceptibility to disease and makes appropriate intervention to avoid further harm & risk to the patients The physicians major role is to educate & encourage the patient to take responsibility for health Make a commitment to their personal & spiritual development in order to be good teachers.

its difficult to be healthy in an unhealthy world

Domains of CAM
1. 2. 3. 4. Alternative Medical System Mind-Body Interventions Biological-Based Therapies Manipulative & Body-Based Methods 5. Energy Therapies

1. Alternative Medical System

Involve complete system of theory & practice evolved independent of and often prior to conventional med.
a. Ayurveda: diet, yoga, meditation, herbs, massage, exposure to sunlight b. Homeopathy c. Naturopathy

AYURVEDA

ACUPUNCTURE

Traditional oriental medicine: Acupuncture, Herbal Medicine, Traditional Massage, Qi-gong

2. Mind-body interventions Focuses on the interactions between mind and body and the powerful ways in which emotional, mental, social and spiritual factors can directly affect health

 meditation, certain uses of hypnosis, dance, music and art therapy prayer & mental healing

3. Biological-based therapies
Includes natural and biologicallybased practices, interventions and products Included are herbal, special dietary, orthomolecular and individual biological therapies

 Jamu/herbs Concentration of chemical, mega doses vitamin Aromatherapy

4. Manipulative & Body-Based Method

Includes methods that are based on manipulation and/or movement of the body
- Chiropathy : relationship between structure & function - Osteophaty: emphasis on the musculoskeletal system - Massage therapy: manipulate soft tissues of the body to normalize those tissue

5. Energy Therapies
Focus either on energy fields originating within the body (biofields) or those from other sources (electromagnetic fields)
Qi gong Reiki Pranic healing Bio-magnetic therapy

QI GONG REIKI

INTEGRATIVE MEDICINE
1. A partnership between patient & practitioner in the healing process 2. Appropriate use of conventional & alternative methods to facilitate the bodys innate healing response

3. Consideration to all factor that influence health, wellness and disease, including mind, spirit and community as well as body 4. A philosophy that neither rejects conventional medicine nor accepts alternative medicine uncritically

5. Recognition that good medicine should be based in good science, inquiry driven and open to new paradigm

6. Use of natural, less invasive interventions whenever possible

5. The broader concepts of promoting of health and the prevention of illness as well as the treatment of disease 6. Practitioners as models of health and healing, committed to process of selfexploration and self-development

Conclusion
Integrative medicine is a comprehensive, primary care system that emphasizes wellness and healing of the whole person (bio-psycho-socio-spiritual dimensions) as major goals, above and beyond suppression of a specific somatic disease.

The philosophy of integrative medicine is compatible with WHOs definition of health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity.

AKNOWLEDMENT
Special Thanks to dr. Dhanasari V. Trisna, MSc.CM-FM for sharing her knowledge and spirit of CAM

Thank You