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Integrative Iranian Medicine An Introduction. Peyman Adibi Professor of Medicine Adjunct Professor of Medical Education Adjunct Professor of Traditional Medicine. History of medicine . History. Ayurveda – 1500 BC to AD 500 Acupuncture – 5,000 years old
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Integrative Iranian MedicineAn Introduction PeymanAdibi Professor of Medicine Adjunct Professor of Medical Education Adjunct Professor of Traditional Medicine
History • Ayurveda – 1500 BC to AD 500 • Acupuncture – 5,000 years old • Traditional Medicine (TM) – 3,000 years • Homeopathy – 1790s • Allopathic Medicine
5 Domains of CAM As Defined by NCCAM
Philosophy level : School of thought • Terminology level • Practical level
Misunderstanding “cures” “natural” Patient empowered Spirituality Health Care Provider 3 T’s: touch, talk, time Stephen Strauss, M.D., NCCAM Director
Personalized medicine • Tailoring versus cloth shopping • Subgroup analysis in RCT • Post-marketing research • Translational research • Genomics • Proteomics • metabolomic
I think A ,so it must be A • I see A ,so it must be A • I see several As ,so it must be A • …. • Logic in medicine
Evidence Based Medicine • Originality of direct evidence
IUMS approach Integrative United Multidisciplinary Systematic
The Future of Integrative Medicine • Definition of Integrative Medicine From the CAHCIM “Integrative medicine is the practice of medicine that reaffirms the importance of the relationship between practitioner and patient, focuses on the whole person, is informed by evidence, and makes use of all appropriate therapeutic approaches to achieve optimal health and healing.”
Sir William Olser • “While the good physician • treats the disease, the great • physician treats the patient”
Why Iranian Traditional Medicine? Burden of disease in functional problems Burden of disease in non-disease complaints Burden of disease in psychosomatic problems High NNT of medical modalities High cost of medical modalities
Why Iranian Traditional Medicine? • Towards personalized medicine • Towards narrative medicine