整合医药产业链知识

整合医药产业链知识第一页，共17页。ARosebyAnyOtherName...

第二页，共17页。“AlternativeMedicine”Impliesthisisbeingusedinsteadoftraditional/allopathicapproachesPotentialforharm,ifpotentiallyeffectivetreatmentisnotconsidered第三页，共17页。“Complementary”MedicineImpliesitisusedto“complement”traditional/allopathicapproachesImpliesitissecondary,oflessimportanceoreffectiveness第四页，共17页。“IntegrativeMedicine”“Thepracticeofmedicinethatreaffirmstheimportanceoftherelationshipbetweenpractitionerandpatient,focusesonthewholeperson,isinformedbyevidence,andmakesuseofallappropriatetherapeuticapproaches,healthcareprofessionals,anddisciplinestoachieveoptimalhealthandhealing.TheConsortiumofAcademicHealthCentersforIntegrativeMedicine第五页，共17页。“Integrative”Medicine=GoodMedicineFocusonwellnessaswellasdiseasemanagementIntegratesthebestofalltheavailablemodalitiesMoreoptionsforeffectivenessMoreoptionstominimizetoxicityMoreoptionstomeetpatientpreferences/providepatient-centeredcareAlittlecommentonmyownjourney...第六页，共17页。SoWhatDoYouIntegrate?TheClassicBiopsychosocialModelthatFamilyMedicineadheresto...i.e.addressingthewholepatientintheirsocialandfamilycontext.Andusinganexpandedtoolkit....第七页，共17页。TheExpandedToolkitAllopathicandosteopathicapproaches MedicalSurgicalManipulativeMind-Body(andSpirit?)NutritionalMedicine/FunctionalMedicineHerbalMedicineModalitiesfromothercultures:AcupunctureAyurvedaAndMore?....第八页，共17页。Whyhereandnow? Myownopinion:itisthefaceofmedicinetocomebecauseitworks.MainstreammedicineisfailinginchronicdiseasemanagementItis“sexy”–attractivetopatientsandtoprospectiveresidentsItistherealityofwhatourpatientsaredoingandwemightaswellofferthemsomeguidance第九页，共17页。SomeTeachingPointsforDiscussingIntegrativeMedicinewithResidents...

第十页，共17页。Keepyourmindopen,butnotsoopenthatallyourbrainsfallout....Thesameevidence-basedapproachthatweuseforevaluatinganyinterventionappliestothese Caveat:theremayonlybesmallorolderstudiesbecauseofresearchfundingpriorities/profitmotives第十一页，共17页。Physician,HealThyself MostofthechronicdiseaseswearetreatingarelifestylediseasesWecannotbegoodlifestylecoachestoourpatientsifourlifestylesarenothealthyMedicaltrainingpromotesatoxiclifestyle⁂Residentwellnesswillbeapartofthecurriculumweoffer第十二页，共17页。TheRulesofTacksIfyouaresittingonatack,ittakesalotofaspirintomakethepaingoaway.Ifyouaresittingon2tacks,removingonedoesnotleadtoa50%improvementinsymptoms. -SydBaker,M.D.Thisishelpfultoguideresidentthinkingaswellastohelpwithpatienteducationabouttheimpactoftheirownbehaviorsontheirillnesses.

第十三页，共17页。AndaSideNoteonFunctionalMedicineScience-basedPersonalizedmedicinethatdealswithprimarypreventionandunderlyingcausesinsteadofsymptomsforseriouschronicdiseaseEnvironmentalinputs-diet,nutrients(includingairandwater),exercise,andtraumaareprocessedbyone’sbody,mind,andspiritthroughauniquesetofgeneticpredispositions,attitudes,andbeliefs第十四页，共17页。PrinciplesofFunctionalMedicineBiochemicalindividualityNoteapplicationsinpharmacotherapyPatient-centeredmedicineemphasizes"patientcare"ratherthan"diseasecare""Itismoreimportanttoknowwhatpatienthasthediseasethantoknowwhatdiseasethepatienthas.”SirWilliamOslerDynamicbalanceofinternalandexternalfactors.Web-likeinterconnectionsofphysiologicalfactorsE.g.immunologicaldysfunctionscanpromotecardiovasculardiseaseDietaryimbalancescancausehormonaldisturbancesEnvironmentalexposurescanprecipitateneurologicsyndromessuchasParkinson’sdisease.Healthasapositivevitality–notmerelytheabsenceofdisease.Promotionoforganreserveasthemeanstoenhancehealthspan.第十五页，共17页。CoreClinicalImbalancesHormonalandneurotransmitterimbalancesOxidation-reductionimbalancesandmitochondropathyDetoxificationandbiotransforma