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Integrating Natural Medicine

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Title: Integrating Natural Medicine


1
Integrating Natural Medicine into Asthma and
Allergy Management Beth Kohn-Converse
L.Ac. M.T.O.M, Dipl.Ac., Dipl.CH.
Henry Ford Center for Integrative Medicine
40000 W 8 Mile Rd Northville,MI 48167
248-380-6201 bkohn1_at_hfhs.org
2
  • Complementary, Alternative, Integrative
  • Complementary Medicine Systems used as an
    adjunct to allopathic medicine
  • Alternative Medicine Systems of care used in
    place of allopathic medical care
  • Integrative Medicine
  • Blending conventional care using allopathic
    care (Western Medicine) and alternative methods
    (ie eastern medicine, etc). Or blending many
    modalities of care.

3
  • What is Wholistic/Holistic Care?
  • Treating the whole person mind, body and
  • spirit together
  • Undertanding that we need to address all aspects
    of a person in treating illness
  • This creates an overall better quality of life!

4
  • EFFECTS OF STRESS ON THE BODY
  • Pain (Headaches, back, neck, etc)
  • Insomnia
  • More frequent asthma issues
  • Digestive Problems
  • Emotional issues Depression, Anxiety
  • Hypertension
  • Changes in reproductive health
  • Depresses immune system (herpes)
  • Weight Gain

5
  • Managing Asthma and Allergies with natural
    therapies

6
  • TRADITIONAL CHINESE MEDICINE
  • BIOFEEDBACK
  • CHIROPRACTIC CARE
  • HOMEOPATHY
  • NUTRITION THERAPY
  • SUPPLEMENT THERAPY
  • EXERCISE/BREATHING THERAPIES

7
What is Traditional Chinese Medicine?
Acupuncture Therapy Chinese Herbal
Medicines Tai Chi and Qi Gong Massage and
Bodywork Dietary and Lifestyle Modifications
8
THE EVOLUTION OF TRADITIONAL CHINESE MEDICINE
  • Acupuncture and Chinese Herbal Medicine- gt5000
    year history
  • NIH Acupuncture Consensus Conference
  • postoperative pain chemotherapy nausea and
    vomiting
  • postoperative dental pain
  • TCM benefits are documented in peer-review
    western medical literature
  • NIH sponsored trials IBS, osteoarthritis,
    cardiovascular disease, endometriosis, cancer,
    and many others

9
How Popular Is Acupuncture?
  • An Estimated 8.2 million U.S. adults have used
    acupuncture
  • Used by every class of population and from a
    multitude of cultures
  • About.com Holistic Healing (2008). What is
    Acupuncture?, About, Inc. A part of The New York
    Times Company

10
ENERGY BASED THEORY OF ACUPUNCTURE
  • Bodys vital life force Energy/ Qi
  • Energy travels along pathways meridians
    anatomical location of acupuncture points
  • Energetic and substance imbalance creates
    symptoms
  • Acupuncture point stimulation along meridians
    balances energetics, herbal therapies substance
  • Balancing energy helps enhance bodys ability to
    help in its own recovery/healing

11
ROOT AND BRANCH THEORY OF TREATMENT
  • Root- identify/understand what caused the symptom
  • Branch the symptom itself
  • Treatment handles resolution of symptom and helps
    to balance root causes (energetic/substance)
  • Goal is to rebalance substance and energetics of
    the whole body

12
CONCEPTS OF YIN AND YANG
  • Complimentary opposites/balance in nature and in
    body
  • Yin Relates to moistening, cooling, nourishing
    substances in body blood, mucous, synovial
    fluids
  • Yang Relates to functions, and warming and
    moving properties (body temperature,
    peristalsis, digestion)

13
HOW DOES ACUPUNCTURE WORK?
  • A. Increased circulation of blood
    systemically
  • B. Neurotransmitter release
  • (endorphins and enkephalins)
  • This creates the Acupuncture analgesic
    response and relaxation response
  • Energetically body qi movement/flow is
    restored balanced body (better health)

14
Diagnosis in TCM
  • Practitioner does detailed intake
  • Pulse and tongue evaluations are done to
    determine TCM diagnosis
  • Acupuncture treatment and herbal therapies are
    then recommended
  • Dietary/lifestyle adjustments may also be
    recommended

15
ASTHMA AND ALLERGIES IN TCM
  • Patterns of asthma relate to Kidney, Lung and
    Spleen meridian energy deficiencies
  • These lead to difficulties with inhalation,
    exhalation and phlegm
  • Allergies relate to deficient Qi/energy, thus
    creating vulnerability to environmental factors
    (pollen, dust, etc)
  • The relaxation response and immune support
    benefits from acupuncture also aide in successful
    treatment

16
CUPPING THERAPY
  • Cupping therapy is an adjunct modality used in
    TCM
  • Originally used to help reduce phlegm in the
    lungs related to colds/asthma
  • Also can be used as a myofascial release
    technique

17
LOOKING AT THE TONGUE
  • SIZE AND SHAPE
  • COLOR OF TONGUE BODY
  • COATING
  • TOPOGRAPHY
  • ALL GIVE INFORMATION ABOUT THE HEALTH OF THE
    ORGAN SYSTEMS- CONSIDER MEDS, TREATMENTS,SCRAPING
    TONGUE

18
Migraine Digestive Disorder Patient
Pre Tx
3 mo Post Tx
19
Emotions and Energetics
  • Use acupuncture therapy to help balance
    energetics to affect emotions
  • Each meridian system relates to specific emotions
  • Acupuncture is a simple therapy which yields
    powerful results
  • Effective for helping with depression and anxiety

20
Meridians and Emotions
  • Liver Meridian Anger/Frustration
  • Heart Meridian Joy/sadness, Anxiety
  • Spleen Meridian Worry, Obsessive thoughts
  • Lung Meridian Grief
  • Kidney Meridian Fear

21
Chinese Herbal Therapies
  • Can be used safely in conjunction with
    prescription medications
  • Are often a good option for people who are unable
    to tolerate meds
  • Help to harmonize and balance the system to
    prevent allergic reactions and asthma attacks
  • Typically combinations of herbs, not single herb
    therapy

22
Considerations for Herbal Therapy
  • Patients current medications
  • Understanding of health history including
    information about type of cancer
  • ie estrogen receptive cancers, use of
    estrogenic like herbals
  • Consider patients compliance- best preparation
  • Consider upcoming procedures (surgeries)

23
Comparing Meds to Herbs
  • Both work based on their biochemical properties
  • Natural doesnt always mean safe for everyone
  • Important to monitor patients progress if using
    them long term and with other medications
  • Important to use therapeutic dose with herbs and
    NOT take extra

24
BIOFEEDBACK
  • A learned method to monitor and gain control
    over autonomic reflex-regulated body functions
    using data obtained from a monitoring apparatus
  • In one study, biofeedback appeared to lessen
    bronchoconstriction by inducing relaxation of the
    facial muscles, ..associated with a decrease in
    air flow resistance as evidenced by an increase
    in Peak Expiratory Flow Rate (PEFR) in both
    asthmatic and healthy children

25
Types of Biofeedback
  • There are many types-these have been associated
    with successful results in treating asthma
  • RSA-BF- Respiratory Sinus Arrhythmia
  • EMG-BF Neck/Trapezius- Electromyographic
    Biofeedback and Incentive Spirometry Biofeedback

26
RESPIRATORY SINUS ARRHYTHMIA
  • Monitoring patterns of heart rate variation
    related to the respiratory cycle. Electrodes
    translate heart rate into auditory and visual
    form. Patients learn to control heart rate-thus
    improving asthmatic symptoms

27
Neck/Trapezius Electromyographic and Incentive
Spirometry
  • Patients learn abdominal breathing to help relax
    thoracic muscles assisted by EMG-BF training of
    the scalene and trapezius muscles. Incentive
    spirometer training of thoracic muscles during
    slow, even breathing.

28
Other Types of Biofeedback
  • Electromyogram Uses electrodes to measure
    muscle tension and can promote relaxation in
    tense muscles
  • Temperature biofeedback Monitors skin
    temperature and patients learn to redirect blood
    flow to other muscles and organs
  • Galvanic skin response Measures electrical
    conductance in skin related to emotional arousal
    and sweat gland activity

29
CHIROPRACTIC CARE
  • Uses spinal manipulation to restore normal
    function to the spine and nervous system
  • Chiropractic theory suggests that spinal
    misalignments cause many health problems because
    vertebrae pinch important nerves and restrict
    their effectiveness
  • This could effect the vasoconstriction patterns
    related to the lungs

30
HOMEOPATHY
31
Roots of Homeopathy
  • Samuel Hahnemann, MD. was the founder-called the
    Father of Experimental Pharmacology.
  • Discovered the concept of the Law of Cure- known
    as Similia Similibus Curentur or Like Cures
    Like.
  • This means that a remedy that produces symptoms
    in a healthy person will cure the same symptoms
    in a person who is diseased.

32
Primary Secondary Actions of a Remedy
  • The primary action results from the first
    encounter between the external agent and the
    vital force
  • The second action is the result of the vital
    forces reaction to the symptoms of that primary
    encounter.
  • Led to understanding the curative powers of
    poisonous substances.

33
Treating Allergies with Homeopathy
  • The focus isnt on using the opposite approach
    (ie allergies are related to histamine so take
    an ANTI-histamine)
  • Focus is use of remedies that create similar
    symptoms (ie Allium cepa red onion) to produce
    the same symptoms that would be related to common
    cold/allergies.

34
NUTRITION THERAPIES
  • Diet therapies or nutritional advice is most
    common alternative therapy
  • Thought to be mediated through both IgE
    (conventional) and IgG (alternative)
  • Epidemiologic data demonstrates association
    between dietary deficiencies (Omega 3, vitamin C,
    magnesium, selenium, Vitamin E) and asthma
  • Populations with higher intake of polyunsaturated
    fatty acids (omega 6 fatty acids) have a higher
    prevalence of asthma, eczema and allergic
    rhinitis
  • Thought that eliminating certain allergenic
    type foods and decreasing exposure to things such
    as dairy products (believed to associated with
    increased mucus production) will help with
    chronic asthma symptoms and their severity.


35
Studies say
  • Few studies to support dietary claims-mixed
    results
  • One positive long term study of vegan diet
    (Lindahl 1985)
  • 1 year prospective study, 25 subjects
  • Diet excluded meat, fish, eggs, dairy, coffee,
    tea, chocolate, sugar and salt
  • Decreased cost and use of medications
  • 92 improvement in biochemical and clinical
    markers

36
Elimination Diet
  • Elimination diet- pick a food that the patient
    appears to be sensitive to, such as nuts or eggs,
    and then eliminate it from the diet for 2 weeks
  • At the end of the 2 weeks, gently reintroduce the
    food into the diet
  • If there is significant change, such as bloating
    or headaches, the patient may indeed be sensitive
    to that particular food

37
More Nutrition Information
  • Eliminate allergens (dairy, preservatives (MSG),
    sulfites, additives
  • Increase fresh fruits and vegetables
  • Increase fish in the diet (to increase omega 3
    fatty acids)
  • Use healthier oils (ie olive)

38
Allergy Testing/Food Sensitivity Testing
  • Classic back scratch test Can identify
    allergens, not always accurate
  • Food sensitivity testing Measures bodys
    cellular response to various foods, additives,
    colorings and chemicals. The individuals
    cellular reactivity after exposure of the blood
    to the various test agents, versus the persons
    own baseline control, tells the healthcare
    provider which substances may be causing a
    sensitivity-related response in the body.

39
SUPPLEMENT THERAPY
  • Strong epidemiologic evidence demonstrates
    association between poor dietary intake and
    asthma
  • Omega 3 fatty acids
  • Anti-oxidants and cofactors (Vitamin A, C,E,
    Zinc, selenium and copper)
  • Vitamins and Minerals (Magnesium, B6 and B12)
  • Specific supplementation of nutrients has yielded
    mixed results at best
  • Nonetheless, very common integrative medicine
    strategy

40
Exercise and Breathing Techniques
  • Numerous studies have shown improvement in asthma
    is patients who exercise regularly
  • Yoga Helps to decrease medication use and lowers
    anxiety (Vedanthan 1996).
  • Reduces airway hyper responsiveness and improved
    some aspects of quality of life (Menocha 2002)
  • Qi gong- deep diaphragmatic breathing in TCM can
    help to relax musculature-creating more systemic
    relaxation

41
Center for Integrative Medicine, Novi
42
Center for Integrative Medicine40000 W 8 Mile,
Novi
  • Services Offered
  • Acupuncture and Oriental Medicine
  • Chiropractic Care
  • Massage
  • St John Neuromuscular Therapy

43
References
  • The Role of Biofeedback in Asthma, Georges
    Ramalanjaona, MD., DSc, MBA, FACEP Alternative
    Medicine Alert, July 2003
  • Dr. Luc. Com website
  • Integrative Medicine Management of Asthma
    lecture, Andrew Heyman, MD, MHSA. Adjunct
    Assistant Professor, Department of Family
    Medicine, University of Michigan
  • ALCAT Worldwide Testing brochure-Cell Science
    Systems, 852 South Military Trail, Deerfield
    Beach, FL 33442 (Fell P. Brostoff, J, et.cal
    (1988), ALCAT, A New Test for Food Induced
    Problems in Medicine?. Presented at the Annual
    Meeting of the American Academy of Otolaryngic
    Allergy on Oct 1, 1988.
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