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COMPLIMENTARY &ALTERNATIVE MEDICINE
ISTI ILMIATI FUJIATI
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A boy, Alex, 1.5 y.o had a fever. His parents
took him to a pediatrician (M.D.) for a
diagnosis. When they asked about usingherbs to treat his infection, his doctor's
response was, "Herbs are for salads. He
needs something more sophisticated tohelp him recover. Drugs."
This doctor was convinced of this fact
despite the tremendous body of scientificresearch that indicates that herbs could, in
fact, help the boy recover.
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Based on the recommendations theparents received from a naturopathic
physician about other infections that Alex
had in the past, his parents decided to
use herbs before trying drugs.
Within twenty-four hours of
administering the recommended herbs to
Alex, his fever disappeared and he wasmarkedly better.
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Apa yang anda fikirkan bila anda membaca
iklan ini di sebuah media massa:
George claimed that a tropical animal
protein supplied by a local naturopath
was effective in lowering blood pressure,and George was planning to invest in the
product. As evidence of his claim,
George, who had hypertension, said thathe felt much better after the treatment
and had much more energy.
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A. Lack of an appropriate outcome measure.
B. Lack of appropriate controls and lack of an
appropriate outcome measure.
C. Lack of randomization, lack of replication,
and lack of an appropriate outcome measure.
D. Lack of replication and lack of appropriate
controls.
E. Lack of appropriate outcome measure,
replication, randomization, and controls.
PRINSIP2 EBM
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Objectives
Background why complimentary &alternative medicine (CAM) is
learned in medical school
Basic Principles of CAM
Domains of CAM
Description of Integrative Medicine
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Why medical doctors ?
The use of CAM in western countriesgrowing popular
In our countries, CAM has been very
common since hundred years ago Medical doctors are skilled experts in
valuable system of medicine
+ expertise in CAM = a commitment tocompassionately serve the patient as a
person outstanding performance
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Facts in USA
1995: 70 % family physician want totraining in CAM
1997: 80 % medical student want to
training in CAM 1998: 69 % Americans use
unconventional medicine (US $ 27billion out-of-pocket = spending for
all US physician services 1999 : 67 % HMO offer at least one
form of CAM
Whydont
we start ?
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PERCENTAGE OF CAM USEBY ADULTS AND CHILDREN
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Natural Medicine The body was inherent ability to :
Maintain, Establish, Restore health
The physician's role is to: Facilitate & augment this process Act, identify & remove the obstacles of
health & recovery
Support the creation of a healthyinternal & external environment
Give the body the appropriate tools,
and it will heal it
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Promote wellness Assess risk factors and hereditary
susceptibility to disease and makesappropriate intervention to avoid furtherharm & risk to the patients
The physicians major role is to educate &encourage the patient to take responsibilityfor health
Make a commitment to their personal &
spiritual development in order to be goodteachers.
its difficult to be healthy in anunhealthy world
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Domains of CAM
1. Alternative Medical System
2. Mind-Body Interventions
3. Biological-Based Therapies4. Manipulative & Body-Based
Methods
5. Energy Therapies
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1. Alternative Medical System
Involve complete system of theory &practice evolved independent ofand often prior to conventional med.
a. Ayurveda:
diet, yoga, meditation, herbs,massage, exposure to sunlight
b. Homeopathy
c. Naturopathy
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AYURV
EDA
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ACUPUNCTURE
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Traditional oriental medicine:
Acupuncture, Herbal Medicine,Traditional Massage, Qi-gong
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2. Mind-body interventions
Focuses on the interactionsbetween mind and bodyand thepowerful ways in which
emotional, mental, social andspiritual factors can directlyaffect health
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meditation,
certain uses of
hypnosis,
dance, musicand art therapy
prayer & mental
healing
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3. Biological-based therapies
Includes natural and biologically-
based practices, interventions and
products
Included are herbal, special dietary,
orthomolecular and individual
biological therapies
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Jamu/herbs Concentration of
chemical, mega
doses vitamin
Aromatherapy
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4. Manipulative & Body-Based
Method
Includes methods that are based onmanipulation and/or movement of the
body
- Chiropathy : relationship between structure &
function
- Osteophaty: emphasis on the musculoskeletal
system
- Massage therapy: manipulate soft tissues of
the body to normalize those tissue
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5. Energy Therapies
Focus either on energy fields
originating within the body (biofields)
or those from other sources
(electromagnetic fields)- Qi gong
- Reiki
- Pranic healing- Bio-magnetic therapy
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QI GONGREIKI
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INTEGRATIVE MEDICINE
1. A partnership between patient &practitioner in the healing
process
2. Appropriate use of conventional& alternative methods to
facilitate the bodys innate
healing response
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3. Consideration to all factor that
influence health, wellness and
disease, including mind, spirit and
community as well as body
4. A philosophy that neither rejects
conventional medicine nor accepts
alternative medicine uncritically
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5. Recognition that good medicine
should be based in good science,
inquiry driven and open to new
paradigm
6. Use of natural, less invasive
interventions whenever possible
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5. The broader concepts of promoting of
health and the prevention of illness as
well as the treatment of disease
6. Practitioners as models of health andhealing, committed to process of self-
exploration and self-development
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Conclusion Integrative medicine is a
comprehensive,primary caresystem that emphasizes wellnessand healing of the whole person
(bio-psycho-socio-spiritualdimensions) as major goals, aboveand beyond suppression of a specific
somatic disease.
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The philosophy of integrativemedicine is compatible with WHOsdefinition of health is a state ofcomplete physical, mental and social
well-being and not merely theabsence of disease or infirmity.
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AKNOWLEDMENT
Special Thanks to
dr. Dhanasari V. Trisna, MSc.CM-FMfor sharing her knowledge and spiritof CAM
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ThankYou