Integrative Iranian Medicine An Introduction
description
Transcript of Integrative Iranian Medicine An Introduction
Integrative Iranian MedicineAn Introduction
Peyman AdibiProfessor of Medicine
Adjunct Professor of Medical EducationAdjunct Professor of Traditional Medicine
History of medicine
History
• Ayurveda – 1500 BC to AD 500
• Acupuncture – 5,000 years old
• Traditional Medicine (TM) – 3,000 years
• Homeopathy – 1790s
• Allopathic Medicine
History of medicine
History of medicine
History of medicine
History of medicine
AlternativeMedicalSystems
Ayurveda, Chinese, Native American, Aboriginal, African,Middle Eastern, Tibetan, Central and South American cultures,Homeopathy, Naturopathy
Mind-BodyInterventions
cognitive-behavioral approaches, meditation, hypnosis, dance,music, art therapy, prayer, mental healing
BiologicalBased Therapies
dietary supplements, herbs, orthomolecular (varying concentrations of chemicals, such as, magnesium, melatonin, and mega-doses of vitamins), individual biological therapies (use of laetrile, shark cartilage, bee pollen).
Manipulative And Body-Based Methods
chiropractic, osteopathic manipulation, massage
Energy Therapies Qi gong, Reiki, therapeutic touch, bioelectromagnetic-basedtherapies (pulsed fields, magnetic fields, or alternating currentor direct current fields)
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
IntegrativeUnitedMultidisciplinarySystematic
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 problemsBurden of disease in non-disease complaintsBurden of disease in psychosomatic problems
High NNT of medical modalitiesHigh cost of medical modalities
Why Iranian Traditional Medicine?• Towards personalized medicine• Towards narrative medicine
Why Iranian Traditional Medicine?