Saudi Diploma in Family Medicine Center of Post Graduate Studies i n F amily M edicine

1. Complementary and Alternative Medicine Saudi Diploma in Family Medicine Center of Post Graduate Studies in Family Medicine Dr. Zekeriya Aktürk zekeriya.akturk@gmail.com www.aile.net / 37

2. Objectives • At the end of this session, the participants should be able to; • explain the concepts, assumptions and beliefs of complementary medicine • understand and appreciate cultural factors and health related beliefs of the community • appreciate health resources of the community and relate it with health cost • review the evidence behind complementary therapies • describe common complementary therapies including • Acupuncture • Ayurveda • Herbal therapy • Bioenergy / 37

3. Definitions • Alternative medicine includes practices that differ from conventional medicine. A typical definition is "every available approach to healing that does not fall within the realm of conventional medicine" • The term Complementary medicine refers to nonconventional treatments used in addition (complementary) to conventional medicine prescribed by a physician. / 37 http://www.medterms.com/script/main/art.asp?articlekey=31077

4. What kind of… • Acupuncture • Chiropractic • Ayurveda • Herbal therapy • Bioenergy • Cupping • حِجَامَة / 37

5. Acupuncture / 37

6. Acupuncture • is a technique of inserting and manipulating filiform needles into points on the body with the aim of relieving pain and for therapeutic purposes. • The idea is to establish a smooth flow of the vital energy “Chi” in the Yin and Yang channels of the body. Acupuncture: the Chinese practice of piercing specific areas of the body along peripheral nerves with fine needles to relieve pain, induce surgical anesthesia, and for therapeutic purposes. Dorland's Pocket Medical Dictionary, 25th ed. W. B. Saunders Co., 1995. ISBN 0-7216-5738-9 / 37

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8. Ear acupuncture / 37

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10. Chiropractic • is a complementary and alternative medicine health care profession that focuses on diagnosis, treatment and prevention of mechanical disorders of the musculoskeletal system and the effects of these disorders on the functions of the nervous system and general health. • It emphasizes manual therapy including spinal adjustment and other joint and soft-tissue manipulation. Council on Chiropractic Education (2007). Standards for Doctor of Chiropractic programs and requirements for institutional status / 37

11. Chiropractic / 37

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14. Ayurveda • Ayurvedic medicine is an ancient system of health care that is native to the Indian subcontinent. • the word āyus meaning "life," "life principle," or "long life" and the word veda, which refers to a system of "knowledge." Thus "Ayurveda" roughly translates as the "knowledge of life," / 37

15. Three-Dosha system • Vata • Pitta • Kapha / 37

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17. Pancha Karma: Five actions • Vamana is a special medicated vomiting procedure to remove Kapha toxins (mucus, phlegm) from the sinuses, lungs and mainly the stomach. • Virechana is a process of purgation used to flush Pitta toxins from the small intestine • Basti is a medicated enema to remove toxins from the colon and to tone and rejuvenate the colon. • Nasya is a group of herbal therapies applied through the nose. • Blood letting removes the excess toxins in the bloodA modern listing includes Shiro Dhara or hot-oil head massage. / 37

18. Bioenergy • "bio-energy" - the energy of life. • Every cell is surrounded and supported by this energy which also acts like a miniature wire, providing both a blueprint for the physical body and also as an information network between the body, mind and spirit. / 37

19. The Chakra’s in Bioenergy / 37

20. How does itwork? • Practitioners use the enhanced sensitivity of their hands to scan the energy field surrounding the body with the purpose of determining where energy is flowing and where it may be blocked. • They then work to clear these interruptions and restore a healing flow of energy to the bio-energy field. This allows the body's self healing mechanisms to kick in. / 37

21. Cupping • Fire cupping is a method of applying acupressure by creating a vacuum next to the patient's skin / 37

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23. حِجَامَة / 37

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25. Anas ibn Maalik (may Allaah be pleased with him) reported that the Messenger (Sallallaahu Álayhi Wasallam ) said, “Indeed the best of remedies you have is cupping…” [Saheeh al-Bukhaaree (5371)]. / 37

26. Abu Hurairah (may Allaah be pleased with him) reported that the Messenger (Sallallaahu Álayhi Wasallam ) said, “If there was something excellent to be used as a remedy then it is cupping.” [Saheeh Sunan Abi Dawud (3857), Saheeh Sunan ibn Maajah (3476)]. / 37

27. In the narration reported by Abdullah ibn Mas’ud (may Allaah be pleased with him) the angels said, “Oh Muhammad, order your Ummah (nation) with cupping.” [Saheeh Sunan Tirmidhee (3479)]. / 37

28. Abdullah ibn Abbas (may Allaah be pleased with him) reported that the Messenger (Sallallaahu Álayhi Wasallam ) said, “I did not pass by an angel from the angels on the night journey except that they all said to me: upon you is cupping, O Muhammad.” [Saheeh Sunan ibn Maajah (3477)]. / 37

29. Jaabir ibn Abdullah (may Allaah be pleased with him) reported that the Messenger (Sallallaahu Álayhi Wasallam) said, “Indeed in cupping there is a cure.” [Saheeh Muslim (5706)]. / 37

30. Abdullah ibn Abbas (may Allaah be pleased with him) reported that the Messenger (Sallallaahu Álayhi Wasallam ) said, “Healing is in three things: in the incision of the cupper, in drinking honey, and in cauterizing with fire, but I forbid my Ummah (nation) from cauterization (branding with fire).” [Saheeh al-Bukhaaree (5681), Saheeh Sunan ibn Maajah (3491)]. / 37

31. Abu Hurairah (may Allaah be pleased with him) reported that the Messenger (Sallallaahu Álayhi Wasallam ) said, “Whoever performs cupping on the 17th, 19th or 21st day (of the Islamic month) then it is a cure for every disease.” [Saheeh Sunan Abi Dawud (3861)]. / 37

32. Cupping is used for • Headaches • Salma (may Allaah be pleased with him), the servant of the Messenger of Allaah (Sallallaahu Álayhi Wasallam ) said, “Whenever someone would complain of a headache to the Messenger of Allaah (Sallallaahu Álayhi Wasallam), he (Sallallaahu Álayhi Wasallam) would advise them to perform cupping.” [Saheeh Sunan Abi Dawud (3858)]. / 37

33. Magic • Ibn al-Qaiyum (may Allaah have mercy on him) mentions that the Messenger (Sallallaahu Álayhi Wasallam ) cupped his head when he was afflicted with magic and that it is from the best of cures for this if done correctly. [Zaad al Ma’aad (4/125-126)]. / 37

34. Poison • Abdullah ibn Abbas (may Allaah be pleased with him) reported that a Jewish woman gave poisoned meat to the Messenger of Allaah ( Sallallaahu Álayhi Wasallam) so he (Sallallaahu Álayhi Wasallam) sent her a message saying, “what caused you to do that?” She replied, “If you really are a Prophet then Allah will inform you of it and if you are not then I would save the people from you!” When the Messenger (Sallallaahu Álayhi Wasallam) felt pain from it, he (Sallallaahu Álayhi Wasallam) performed cupping. Once he travelled while in Ihram and felt that pain and hence performed cupping. [Ahmed (1/305)]. / 37

35. Strengthening One’s Intelligence And Memory • Ibn Umar (may Allaah be pleased with him) reported that the Messenger (Sallallaahu Álayhi Wasallam ) said, “Cupping on an empty stomach is best. In it is a cure and a blessing. It improves the intellect and the memory. So cup yourselves with the blessing of Allaah on Thursday. Keep away from cupping on Wednesday, and Friday, Saturday and Sunday to be safe. Perform cupping on Monday and Tuesday for it is the day that Allaah saved Ayoub from the trial. He was inflicted with the trial on Wednesday. You will not find leprosy except (by being cupped) on Wednesday or Wednesday night.” [Saheeh Sunan Ibn Majah (3487)]. / 37

36. The Best Days For Cupping • The 17th, 19th and 21st of the Islamic month which coincides with Monday, Tuesday or Thursday. Anas ibn Maalik (may Allaah be pleased with him) reported that the Messenger (Sallallaahu Álayhi Wasallam) said, “Whoever wants to perform cupping then let him look for 17th, 19th and 21st…” [Saheeh Sunan Ibn Majah (3486)]. / 37

37. Areas of Cupping • Anas ibn Maalik (may Allaah be pleased with him) reported that the Messenger (Sallallaahu Álayhi Wasallam ) was treated with cupping three times on the two veins at the side of the neck and the base of the neck. [Saheeh Sunan Abi Dawud (3860), Ibn Maajah (3483)]. • Abdullah ibn Abbas (may Allaah be pleased with him) reported that the Messenger (Sallallaahu Álayhi Wasallam ) was cupped on his head. [Saheeh al-Bukhaaree (5699)]. • Abdullah ibn ‘Umar (may Allaah be pleased with him) reported that the Messenger (Sallallaahu Álayhi Wasallam ) used to cup his head and would call it (the place at the top of the head) “Umm Mugheeth.” [Saheehah (753), Saheeh al-Jaami’ (4804)]. • Jaabir ibn Abdullah (may Allaah be pleased with him) reported that the Messenger (Sallallaahu Álayhi Wasallam) was treated with cupping on his hip for a pain in that area. [Saheeh Sunan Abi Dawud (3863)]. • Anas ibn Maalik (may Allaah be pleased with him) reported that the Messenger (Sallallaahu Álayhi Wasallam) was treated with cupping when he was in Ihram, on the top of his foot, for a pain in that area. [Saheeh Sunan Abi Dawud (1836)]. • Ibn al-Qayyim (may Allaah have mercy on him) said, “Cupping under the chin is beneficial for pain in the teeth, face and throat, if it is done in its proper time. It purifies the head and the jaws. • Cupping on the top of the foot is a substitution for the puncturing of the Saphena, which is a large vein in the heel. It is beneficial for treating ulcers that occur on the thighs and calves, the interruption of menses and skin irritation on the testicles. • Cupping at the bottom of the chest is beneficial for the treatment of sores, scabies and mange on the thighs. It helps against gout, hemorrhoids, elephantiasis and itchiness on the back.” [Zaad al-Ma’aad, 4/58]. / 37