furore

1. furore • “Many of today’s complementary therapies are rooted in ancient traditions that intuitively understood the need to maintain balance and harmony with our minds, bodies and the natural world.” • “the ceaseless rush to modernise …” • “Medical Apartheid …”

2. Your future sovereign • Peter Fisher • Director of the Royal Homeopathic Hospital • Admitted not to know how it works

3. Alternative MedicineComplementary Medicine Non Conventional Medicine

4. Complementary: • In addition to conventional you may prescribe • AD + tai chi or massage • Alternative • Used instead of conventional • Homeopath • naturopath

5. Integrative Medicine/CAM Complementary and Alternative medicine • UK survey • >75% of the public want it • >45% of registered doctors have referred • >70% of hospital doctors • >93% of GP • 85% of med students, 76% of GP’s and 69% of hospitals doctors - NHS available • 20%of GP - 12% hospital drs - 58% of nurses practice

6. Attractions • Time and Continuity • Personality and personal experience • Patient involvement and choice • Hope • Touch • Dealing with ill defined symptoms • Making sense of illness • Spiritual and existential concerns

7. Concerns • Safety and competence • Guilt • Solely responsible for your own health • Denial • Colluding • Blame • External causes • Pollution, vaccinations, conventional drugs • Financial risk • Social factors • Middle to high socioeconomic status • Effects of poverty underplayed

8. good quality info - effectiveness - safety - costs - training - research • Authorities slow to act

9. GMC • It is open for any GP to employ a complementary therapist/therapy to offer NHS treatment PROVIDED the GP/doctor retains clinical responsibility and accountability!! • By 2050 full implementation prediction

10. Principles • Prevention + good health • Your body has the ability to heal itself • Practitioners = facilitators to encourage your natural health processes • Learning and healing go hand in hand • Guidance as teachers/mentors while your body and spirit do the rest • Holistic care • Interconnectedness (body-mind-spirit-world)

11. Broad categories • Healing/Alternative medical systems • Complete set of their own fundamental views/theories/practices • Ayurveda - Homeopathy - Naturopathy - Ancient Medicines • Mind-Body connections • Strengthen mind and body communication/enhance mind’s influence over body • Meditation - Prayer - Yoga - Hypnosis • Biologically-based therapies/dietery supplements and herbal remedies • Herbs - Foods - Vitamines

12. Manipulation and touch/body based methods • Chiropractice - Osteopathy - Massage - Reflexology • Energy therapies • Unblock/balance energy flows • Biofield • Reiki - Qi gong - Therapeutic touch • Bioelectromagnetic based therapies • Magnet - Polar - Light

13. CNHCComplementary and Natural Healthcare Council • To be launched in April 2008 • By Prince’s Foundation for Integrated Health, FIH • Credible robust voluntary independent regulatory structure • Consumer’s confidence and safety • Fitness to practice - certain requirements • NHS - Dept of Health White Paper

14. www.nhsdirectory.org/ • House of Lords Science and Technology Committee , 6th report on CAM • 3 separate groups • GP? - PCT? • PAL, Patient Advice and Liaison Co-orinator or Lay member of your PCT • Difficulties on obtaining CAM via NHS

15. Group OneThe big 5 • Osteopathy • Chiropractic • Regulated by Acts of Parliament • Acupuncture • Herbal Medicine • Homeopathy • Each individual diagnostic approach

16. Group Two • Aromatherapy • Alexander technique • Body work therapies • Massage • Counselling • Stress therapy • Hypnotherapy • Reflexology • Shiatsu • Meditation and healing • complementary • Not purporting diagnostic skills

17. Group three • Purporting to offer diagnostic info & treatment • Indifferent to Science • Philosophical • 2 sub-groups

18. Group 3a • Ayurvedic medicine • Traditional Chinese Medicine, TCM • Long-established systems of healthcare

19. Group 3b • Crystal therapy • Iridology • Radionics • Dowsing • Kinesiology • Any credible evidence ?

20. Osteopathy • Andrew Taylor Stiller (US physician) • 1874 • Physical manipulation • Gentle large movements (low velocity - large amplitude) Greenman Muscle-Energy technique • Bend joint to point of resistance - hold - relax - bend again but further - … Cranio-sacral therapy skull bones put in line with rhythmic pulsations of brain&spine Today often same conventional techniques

21. Chiropractic • David Daniel Palmer - 1895 • Cured man’s deafness by back manipulation • Spinal manipulation • Rapid short thrusts (high velocity - low amplitude) • ‘loosening’ vertebrae • “subluxated” vertebrae impedes nerve outflow - disease - so needs ‘repopping’ • Back-, neck pains, headaches, colds, …

22. Acupuncture • Shan dynasty - 1000 BC • Yin Yang balance (TCM) • 14 meridians channeling surface with internal organs • Through them flows QI vital energy • Needles on acupuncture points removes imbalances and blockages of the Qi • Auricular acupuncture • French Dr Paul Nogier - 1957 - Vietnam • Entire body mapped into the ear (inverted fetus) • addiction • Conventional : just endorphins ?

23. Homeopathy • Dr Samuel Christian Hahnemann - 1755 • Greek: Omio = same : Pathos = suffer • Phenomenally diluted substances with a ‘healing energy fields’ that causes certain symptoms in a healthy person can cure an ailing person with similar symptoms (vaccines-like) • Three laws • Like cure like • Law of infinitesimals (diluting makes powerful) • Conventional doses is toxic • Law of Chronic disease (conventional medicine drives disease deep - culpable)

24. Symptom picture matches a potion • Royal London Homeopathic Hospital merged with UCLH in April 2002 • Government commitment to integrate • Better care for NHS patients

25. Aromatherapy • Using the fragrant essential oils of herbs by inhalation, by mouth or topical • Alexander technique • Habits are stopped, refined or well-formed through awareness of how thinking is expressed in movements by own empirical guided study of yourself • Reflexology • The whole body is reflected in the foot - foot massage heals/deblocks that organ part • Developed by an ENT Dr W Fitzgerald -1913

26. Shiatsu • Massage using fingers and palm to detect and to promptly correct the imbalances of the body (Japanese Ki - Chinese Qi) • Also preventive by stimulating immune system and natural healing power • Deep tissue massage • Naturopathy • Using non-invasive, non-synthetic, natural remedies (though use of conventional diagnostics like imaging)

27. Radionics • By dowsing (water witching or divining), by focusing through your own senses-thoughts, you detect imbalances in “subtle energy fields” around a body and promptly transmit healing energy/thoughts because we are all One Unity connected. • Reiki • Japanese “Life-force energy” - hand laying, • Healing Qi by holding hands in certain positions over affected body part • Kinesiology • Science of human movements to manage - rehabilitate - prevent disorders

28. Ayurveda • 2nd - 4th century BC India • Holistic (herbal/diet/massage/meditation/spirituality/cleansing of nasal passages/…) • Links with TCM (Traditional Chinese Medicine) • 3 primal forces (tridosha) - 5 elements: • VATA: space & air - movements • PITTA: fire & water - digestion, metabolism • KAPHA: earth & water - body’s structures • Each persons is dominated by 1 or 2 doshas • You can be a Pitta-Kapha …

29. Each one consists of PROPER BALANCE of: • 20 attributes • 5 subdoshas • 7 tissues • 4 agni • 14 bodily systems • Disease = improper/disturbed balance • excess Vata lead to arthritis, anxiety and fatigue • excess Kapha - obesity/diabetes • …

30. Treatment aims to promote and maintain balance in order to prevent or, when necessary, cure disease • For instance by DIET, 1 of the primary methods • Each has unique food diet (what good is for one may be bad for another) with own seasonal variations and own optimal ways to cook/prepare it • Excess Vata: avoid raw vegetables - eat nuts and seeds • Herbs • Yoga • Shirodhara • pouring of warm oil on your 3rd eye on forehead • …

31. ARE YOU A BELIEVER? • Thank You!! • Amen