Module 3 ~ Traditional Medicine: ‘Ancient Systems’ Ayurvedic and Traditional Chinese Medicine
Jan 22, 2016
Module 3 ~ Traditional Medicine: ‘Ancient
Systems’Ayurvedic and Traditional
Chinese Medicine
Ayuvedic Medicine
• ‘ayurvedic’ means the science of life & longevity
• Comprehensive system combines natural therapies [ herbs, diet, ex ] with a prof approach to treatment
The Template for Forms of CAM & Analysis (last pg in
outline):
• In general, what is practice of ____?• What supports this belief/practice ?• What can be learned fr history and
variations of this form of CAM ?• Examples of diagn, use & treatm ?• What evidence and how to explore it
both/either quantit & qualitatively ?• What prof prep/certific needed to do
?
Derivatives:
• 8 derivative branches [ p. 221 in text chapter 10] in modern med: pediatrics, ob/gyn, opthamalogy, geriatrics, otolaryngology, toxicology, surgery and general medicine
• Modern healing modalities s/a massage, diet, herbal, acupuncture etc have roots in Ayurv philosophy
Ayurvedic Questions
• Ayurv physician asks• NOT, ‘What disease does my
client have’ ? BUT. . .
• ‘Who is my client ’ ?• Holistic then, not reductionistic
Balance in Ayurvedic
3 doshas energies
Vata or thin
Pitta or muscul
Kaphalarge
Body Thin, delicate
Medium Hvyset
Mind Hyperact
OrderlyPerfecist
relaxed
Soul Intuitive
Loving & passion8
forgiving
The Energies & bodily functions :
Doshas Vata ( Ecto )
Pitta ( Meso )
Kapha ( Endo )
Bodily Function
Eats & sleeps ConstipCramps
Loves foodUlcers, hrtburn,
Eats slowly
AllergiesHi chol
** see effects of tastes on the 3 doshas p. 223
Conception of individual
• Vata, pitta & kapha factors from parents combine with season, time, quality of emotional relationship with self and others/universe
• ‘constellates’ the qualities of the individual
• our indiv constitution is made and does not vary, according to Ayurvedic
• Note pages 227-229 re characteristics of each dosha & where you see yourself
The Five Elements :
• Space, Air, Fire, Water & Earth are the most fundamental to Ayur science/art
• Dosha energy comprised of the 5 blue elements where Air & Space is energy of movement (vata); fire & water constitute pitta with the principle of digestion; water & earth make up kapha, the energy of structure & lubrication
The Elements& doshas& whererep in the body
K
P
V
Ayurvedic
Tongue
Diagnosis
Areas
Ayur Treatment :
• 4 step process of ~ cleansing & de-toxifying ~ palliation
~ rejuvenation ~ mental & spiritual healing
• Instead of going thru each step in class, have posted these steps as slides on web site for this Module
Ayur Treatment :
• 4 step process of ~ cleansing & de-toxifying ~ palliation
~ rejuvenation ~ mental & spiritual healing
• Instead of going thru each step in class, have posted these steps as slides on web site for this Module
Ayur Treatment : Step 1
• Cleansing and Detox involves anything from induced vomiting, bowel enema, blood cleansing
• Use herbal steam saunas for skin detox
• After this, preparations of yogurt & herbs used to replenish intestinal bacteria
Ayur Treatment : Step 2
• Palliation used to balance the doshas• Combo of herbs, yoga stretches,
breathing exercises, meditation• Palliation is treatment as well as daily
practice for healthy folk• Want daily discipline and good
assimilation of food
Ayur Treatment : Step 3
• Rejuvenation is basically body/mind/spirit tune-up thru
• Herbal treatments• Mineral preparations suited to
affected dosha• Yoga exercises
Ayur Treatment : Step 4
• Mental hygiene & spiritual healing attempts to improve mind to hier level of spiritual functioning thru:
• Sound therapy or use of mantras• Meditation & yoga• Pharmaceutics or remedies
Cdn AidsTreatmentInfo Exchange
[ A public Health Agency of Canada web site ]
Ayurvedic-based treatments
Conclusions re Ayurvedic System:
• Sophisticated and ancient system from India ( & Tibet )
• Focuses on whole organism & reln to external world
• Seeks to estab/maintain harmonious balance within/outside the body
• Texts are in Sanskrit but Columbia Univ in NY devoted to inquiry & educ about ancient Indian medicine/healing
Module 3: Ancient Systems: Traditional Chinese
Medicine
• In China, TCM is under the administration of State Administration of TCM and Pharmacology
• TCM is defined as a medical science governing the theory and practice of traditional Chinese medicine
• it includes Chinese medication, pharmacology/herbology, acupuncture, massage, and Qigong
http://www.mokshayogalondon.com/
We need to pick aweek…Feb 6 or Feb 13
multiple levels of disease ~ multiple levels of interventionS
Asian Culture
The Great Wall of China
Cdn MedicalAcupunctureSociety
Trad Ch Medicine - Acupuncture
• Origins of TCM shrouded in mystery; perhaps BCE origins
• Best trace is to origins at start of CE with rudiments of acupuncture and herbal medicine
• TCM stymied in devel by political ravages; not until mid 20th C ( Ch Mao ) did TCM become systematized into colleges/univ tr
TCM – Fundamental Concepts
• Philosophy of TCM tied to yin & yang• Y&Y as paired opposites w equilibrium
the quest• Male/Female; Heaven/Earth; lite/dark all
as ‘energies’ in human system and in our environment
HEADACHES
LI 4Half way along the second metacarpal
DISAPPEARING TENSION
(Small Intestine 12)
SI 12
INSOMNIA
SPLEEN 6
just above tip of medial malleolus, behind the tibia.
SORE THROAT
Lung 11
EXAM ANXIETY
Heart 7
First skin crease
Thumb side of tendon at crease.
What does Acupuncture treat
• what is treated is daily life, chronic kinds of irritants, illnesses
• Balance restoration is key
Most common Acu-treatable conditions:
• Nausea & vomiting• Tendinitis• Insomnia• Dysmenorrhea; Fibromyalgia• Headache, neck pain; TMJ pain; post
surgical pain; back pain; osteoarthritis
• Strokes; arthritis; dental procedures
What’s the Evidence ?
• WHO lists 40 conditions for which qualitative claims have been made for effectiveness
• By gold standard science, ev is inconclusive whether acupuncture is effective
Body’s energy meridians & centers
Major Meridians
• Lung ~ LU• Large intestine ~
LI• Stomach ~ ST• Spleen ~ SP• Heart ~ HT• Small Intestine ~
SI• Bladder ~ BL-UB
• Kidney ~ KI• Pericardium ~
CX P HC • Tri-heater ~
TH• Gall Bladder ~
GB• Liver ~ LIV• Conception
Vessel • Governing
vessel
Sham, single-blind
• In these studies, ac practitioner puts needles in ‘fake’ location
• Problems ?• Consider too, standardized
point when acu treats indivs differently
• Are now trying to used trained acup actors to deliver the sham treatment
The Literature re Ac Effectiveness
• Many of the studies done in China• Systematic bias in that literature
bec meta analyses show very hi eval of effectiveness in Chinese med lit, 99% effective vs 80-85% in western countries’ med lit
• Many of the Chinese studies used no placebo, no control group at all
• Thus, great skepticism
What has Acupunc shown ?
• Most positive results in studies re nausea and vomiting
• Use P6, about 2 inches above wrist crease using wrist band w pearl-sized bead; thus can standardize treatment & self-stim P6
• Effectiveness of P6 stim for anesthesia-induced nausea using double and single blind studies
What has Acupunc shown ?
• Tendinitis treated well in single-blind, placebo control studies where treatm shown to be slightly more effective than placebo group
• Tennis elbow double-blind study using sham acupuncture showed greater tolerance of pain & elbow use for treatment group
Others
• Success re treating insomnia – but imagine practical problems here
• Some success in DB study treating dysmenorrhea with a 41% reduction in use of pain medication by treatm group
• Being used more now to alleviate pain of chronic fatigue ( fibromyalgia )
• Mixed results re treating headaches & asthma; widespread use in treating TMJ
Back Pain & Acupuncture
• Western society fascinated by possible use of acu in LBP treatm
• All kinds of studies comparing acu with physical therapy, massage, chiro treatments
• In most studies, hier rate of effectiveness in PT, mass, chiro
Conclusions re Evidence ?
• Now working to standardize and do well administered studies
• Ex: in US, acu needles now classed by FDA as legit medical device rather than experimental device
• Greater funding for res now in the West which should help
• Also, better acceptance of case studies vs DB controlled ones
Acupuncture in Canada
• Variety of institutes and colleges
• Most well known is Academy of Clinical Chinese Medicine of Toronto
• Also, Grant MacEwan College in Edmonton offers Prov government-sanctioned diploma program
• And, on West Coast…
Standardization of Training
• 3 years to become certified acupuncturist
• 4 years to become TCM Practitioner
• 5 years to become Doctor of TCM• Still up to cities to license and
regulate TCM; most provinces are pending but fully regulated in Alberta, BC and Quebec
• And, right here in London Ont is ..
Final Thoughts
• Typical CAM area• Will never meet DB standards• Need more longitudinal studies
to mount evidence• Viable ‘alternative’• Tough to form decision basis
for health consumer but note the ‘commonization’ of acupuncture and herbs via web sites
Thursday Feb 2/06
• No Class !!!• However: Tues Feb 7 – Dr Robert
Dronyk, ND• Instead of class, read:- Links: Naturopathy Therapies- Links: Naturo Res Article- Text chapter 12 re Homeopathy- Links: 1997 Meta Analysis re
Homeopathic Effectiveness- *** See main page of web site for
link re yoga sessions starting Feb 6th ***