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 …”

• Your future sovereign

• Peter Fisher– Director of the Royal Homeopathic Hospital

• Admitted not to know how it works

Alternative MedicineComplementary Medicine

Non Conventional Medicine

• Complementary:– In addition to conventional you may

prescribe• AD + tai chi or massage

• Alternative– Used instead of conventional

• Homeopath• naturopath

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

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

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

• good quality info - effectiveness - safety - costs - training - research

• Authorities slow to act

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

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)

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

• 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

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

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

Group OneThe big 5

• Osteopathy• Chiropractic

– Regulated by Acts of Parliament

• Acupuncture• Herbal Medicine• Homeopathy

– Each individual diagnostic approach

Group Two• Aromatherapy• Alexander technique• Body work therapies

– Massage

• Counselling• Stress therapy• Hypnotherapy• Reflexology• Shiatsu• Meditation and healing

– complementary– Not purporting diagnostic skills

Group three• Purporting to offer diagnostic info &

treatment

• Indifferent to Science

• Philosophical

• 2 sub-groups

Group 3a• Ayurvedic medicine

• Traditional Chinese Medicine, TCM

– Long-established systems of healthcare

Group 3b• Crystal therapy

• Iridology

• Radionics

• Dowsing

• Kinesiology

– Any credible evidence ?

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 therapyskull bones put in line with rhythmic pulsations of brain&spine

Today often same conventional techniques

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, …

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 ?

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)

• Symptom picture matches a potion

• Royal London Homeopathic Hospital merged with UCLH in April 2002– Government commitment to integrate– Better care for NHS patients

• 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

• 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)

• 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

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 …

• 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– …

• 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

• …

ARE YOU A BELIEVER?

• Thank You!!

• Amen