整合医药产业链知识.ppt

1、Integrative Medicine,What is it? Why do we care?,A Rose by Any Other Name. . .,“Alternative Medicine”,Implies this is being used instead of traditional/allopathic approaches Potential for harm, if potentially effective treatment is not considered,“Complementary” Medicine,Implies it is used to “compl

2、ement” traditional/allopathic approaches Implies it is secondary, of less importance or effectiveness,“Integrative Medicine”,“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 u

3、se of all appropriate therapeutic approaches, healthcare professionals, and disciplines to achieve optimal health and healing. The Consortium of Academic Health Centers for Integrative Medicine,“Integrative” Medicine = Good Medicine,Focus on wellness as well as disease management Integrates the best

4、 of all the available modalities More options for effectiveness More options to minimize toxicity More options to meet patient preferences/provide patient-centered care A little comment on my own journey. . .,So What Do You Integrate?,The Classic Biopsychosocial Model that Family Medicine adheres to

5、. . . i.e. addressing the whole patient in their social and family context. And using an expanded toolkit. . . .,The Expanded Toolkit,Allopathic and osteopathic approaches Medical Surgical Manipulative Mind-Body (and Spirit?) Nutritional Medicine/Functional Medicine Herbal Medicine Modalities from o

6、ther cultures: Acupuncture Ayurveda And More?. . . .,Why here and now?,My own opinion: it is the face of medicine to come because it works. Mainstream medicine is failing in chronic disease management It is “sexy” attractive to patients and to prospective residents It is the reality of what our pati

7、ents are doing and we might as well offer them some guidance,Some Teaching Points for Discussing Integrative Medicine with Residents. . .,Keep your mind open, but not so open that all your brains fall out. . . .,The same evidence-based approach that we use for evaluating any intervention applies to

8、these Caveat: there may only be small or older studies because of research funding priorities/profit motives,Physician, Heal Thyself,Most of the chronic diseases we are treating are lifestyle diseases We cannot be good lifestyle coaches to our patients if our lifestyles are not healthy Medical train

9、ing promotes a toxic lifestyle Resident wellness will be a part of the curriculum we offer,The Rules of Tacks,If you are sitting on a tack, it takes a lot of aspirin to make the pain go away. If you are sitting on 2 tacks, removing one does not lead to a 50% improvement in symptoms. -Syd Baker, M.D.

10、 This is helpful to guide resident thinking as well as to help with patient education about the impact of their own behaviors on their illnesses.,And a Side Note on Functional Medicine,Science-based Personalized medicine that deals with primary prevention and underlying causes instead of symptoms fo

11、r serious chronic disease Environmental inputs - diet, nutrients (including air and water), exercise, and trauma are processed by ones body, mind, and spirit through a unique set of genetic predispositions, attitudes, and beliefs,Principles of Functional Medicine,Biochemical individuality Note appli

12、cations in pharmacotherapy Patient-centered medicine emphasizes patient care rather than disease care It is more important to know what patient has the disease than to know what disease the patient has.” Sir William Osler Dynamic balance of internal and external factors. Web-like interconnections of

13、 physiological factors E.g. immunological dysfunctions can promote cardiovascular disease Dietary imbalances can cause hormonal disturbances Environmental exposures can precipitate neurologic syndromes such as Parkinsons disease. Health as a positive vitality not merely the absence of disease. Promo

14、tion of organ reserve as the means to enhance health span.,Core Clinical Imbalances,Hormonal and neurotransmitter imbalances Oxidation-reduction imbalances and mitochondropathy Detoxification and biotransformational imbalances Immune imbalances Inflammatory imbalances Digestive, absorptive, and micr

15、obiological imbalances Structural imbalances from cellular membrane function to the musculoskeletal system,Psychological and Spiritual Equilibrium,Hormone andNeurotransmitter Regulation,Detoxification and Biotransformation,Structural/Boundary/ Membranes,Immune Surveillanceand Inflammatory Process,Digestion and Absorption,Oxidative/Reductive