Alternative and complimentary med.

Dr. Sonal Mandhotra
Dr. Sonal MandhotraSenior Implementation expert at Hitachi Systems Micro Clinic( United Health Group) um Hitachi Systems Micro Clinic
SONAL
Hosp Mgt 2nd yr
UIAMS
• Complementary and alternative medicine as defined
by NCCAM, is a group of diverse medical and health
care systems, practices, and products that are not
presently considered to be part of conventional
medicine
• The name „complementary medicine‟ developed as
the two systems began to be used alongside (to
complement)each other.
Complementary medicine is used together with
conventional medicine.
Example using aromatherapy to help lessen a
patient‟s discomfort following surgery.

Alternative medicine is used in place of
conventional medicine.
Example using a special diet to treat cancer instead
of undergoing surgery, radiation, or chemotherapy
that has been recommended by a conventional
doctor.
MAJOR TYPES OF COMPLIMENTARY
AND ALTERNATIVE MEDICINE
BIOLOGICALLY BASED THERAPIES
MANIPULATIVE AND BODY BASED
THERAPIES
MIND- BODY INTERVENTIONS
ALTERNATIVE MEDICAL SYSTEMS
ENERGY THERAPIES
Alternative and complimentary med.
Dietary supplements A dietary supplement is a
product (other than tobacco) taken by mouth that
contains a “dietary ingredient” intended to
supplement the diet.
• Dietary ingredients may include vitamins, minerals,
herbs or other botanicals, amino acids, and substances
such as enzymes, organ tissues, and metabolites.
• Dietary supplements come in many forms, including
extracts, concentrates, tablets, capsules, gel caps,
liquids, and powders. They have special requirements
for labelling.
Omega 3 oil as an anti-inflammatory--used to
treat neuropathy
High dose vitamin, mineral and antioxidant
therapy to build immune system and slow disease
progression
Vitamin therapy--treats wasting, lack of
appetite, malabsorption of nutrients
Chinese herbs to treat diarrhea
Massage:-

therapists manipulate muscle
and connective tissue to enhance function of
those tissues and promote relaxation and
well-being.

•
•
•
•

Enhance immune function
Reduce musculoskeletal pain
Increase lymph flow
Decrease anxiety, increase self-esteem and
positive body image.
• Provide human touch
Chiropractic:- It focuses on the relationship
between bodily structure (primarily that of
the spine) and function, and how that
relationship affects the preservation and
restoration of health
It gives relief from musculo-skeletal
complaints

• Osteopathic medicine

is a form of
conventional medicine that, in part,
emphasizes diseases arising in the
musculoskeletal system.
There is an underlying belief that all of the
body‟s systems work together, and
disturbances in one system may affect
function elsewhere in the body.
• Qi gong is a component of
traditional Chinese medicine that
combines movement, meditation,
and regulation of breathing to
enhance the flow of qi (an ancient
term given to what is believed to
be vital energy) in the body,
improve blood circulation, and
enhance immune function.
• Reiki is a Japanese word representing
Universal Life Energy. Reiki is based
on the belief that when spiritual
energy is channelled through a Reiki
practitioner, the patient‟s spirit is
healed, which in turn heals the
physical body.
Homeopathic medicine. In homeopathic

medicine, there is a belief that “like cures
like,” meaning that small, highly diluted
quantities of medicinal substances are
given to cure symptoms, when the same
substances given at higher or more
concentrated doses would actually cause
those symptoms.
Ayurveda:-A medical system that has been
practiced primarily in the Indian
subcontinent for 5,000 years. Ayurveda
includes diet and herbal remedies and
emphasizes the use of body, mind, and
spirit in disease prevention and treatment.
Naturopathy:- It proposes that there is a
healing power in the body that establishes,
maintains, and restores health. Practitioners
work with the patient with a goal of
supporting this power, through treatments
such as nutrition and lifestyle counselling,
dietary supplements, medicinal plants,
exercise, homeopathy.

Treatment of nausea with ginger
Immune enhancement agents
Hyperthermia to increase immune
functioning
WHY PEOPLE USE CAM?
Changing needs and values in modern
society.
 Rise in prevalence of chronic diseases.
Increase in public access to worldwide
health information.
Reduced tolerance for paternalism.
 An increased sense of entitlement to
quality life.
 Declining
faith
that
scientific
breakthrough will have relevance for the
personal treatment of disease.
An increased interest in spiritualism.
CAM IN INDIA
Complementary and alternative medicinal systems are
popular in India, with Ayurveda being the most popular.
CAM is mostly associated with the treatment of chronic
diseases.
The term “Ayurveda” combines the Sanskrit
words ayur (life) and veda (science or knowledge).
It is one of the oldest systems of medicine in the world.
 Ayurvedic treatment is non-invasive
and non-toxic, so it can be used safely as
an alternative therapy or alongside
conventional therapies.
 It can also help stress-related,
metabolic, and chronic conditions.
 Ayurveda has been used to treat acne,
allergies, asthma, anxiety, arthritis,
chronic fatigue syndrome, colds, colitis,
constipation, depression, diabetes, flu,
heart disease, hypertension, immune
problems,
inflammation,
insomnia,
nervous
disorders,
obesity,
skin
problems, and ulcers.
TYPES OF TREATMENT
The treatment of disease can broadly be classified as
 Shodhana therapy (Purification Treatment)
 Shamana therapy (Palliative Treatment)
 Pathya Vyavastha (Prescription of diet and activity)
 NidanParivarjan (Avoidance of disease causing and
aggravating factors)
 Satvavajaya(Psychotherapy)
 Rasayana (immunomodulators and rejuvenation
medicines)
PANCHKARMA
• Panchakarma is cleansing of body according to
Ayurveda.
• Panchakarma is a therapeutic way of eliminating toxic
elements from the body.

FIVE ELEMENTS
 Vamana
Virechana
Basti
Nasya
 Raktamokshana
Significant Research Contributions
Plant / Formulations

Indication

Arogyawardhini/ kutaki

Hepatitis

Kapikacchu

Parkinson‟s Diseases

Yograj Guggulu

Rheumatoid arthritis

Amrut Bhallatak

Osteoarthritis

Haridra

Oral Submucous Fibrosis

Parijat

Malaria

Ashoka

Menorrhagia
CURRENT HEALTH CARE SCENARIO
 Western Allopathy Medicine transformed into Mainstream
Modern Medicine.
 In many developed countries, 70% to 80% of the population
has used some form of alternative or complementary medicine.

 In some Asian and African countries, 80% of the population
depend on traditional medicine for primary health care
 More than 100 countries have regulations for herbal medicines
 WHO has projected that the global herbal market will grow to
$5 trillion by 2050
• In India more than 500 million people use AYUSH medicines
• Worldwide, the Ayurvedic industry is put at US $3 billion
• Ayurvedic doctors(>500,000), Drug companies (>8,000),

Hospitals (>2500), Colleges (> 250) in India
• Standardization of Ayurvedic products, practices, training
demand more thrust in quality
Alternative and complimentary med.
Alternative and complimentary med.
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Alternative and complimentary med.

  • 2. • Complementary and alternative medicine as defined by NCCAM, is a group of diverse medical and health care systems, practices, and products that are not presently considered to be part of conventional medicine • The name „complementary medicine‟ developed as the two systems began to be used alongside (to complement)each other.
  • 3. Complementary medicine is used together with conventional medicine. Example using aromatherapy to help lessen a patient‟s discomfort following surgery. Alternative medicine is used in place of conventional medicine. Example using a special diet to treat cancer instead of undergoing surgery, radiation, or chemotherapy that has been recommended by a conventional doctor.
  • 4. MAJOR TYPES OF COMPLIMENTARY AND ALTERNATIVE MEDICINE BIOLOGICALLY BASED THERAPIES MANIPULATIVE AND BODY BASED THERAPIES MIND- BODY INTERVENTIONS ALTERNATIVE MEDICAL SYSTEMS ENERGY THERAPIES
  • 6. Dietary supplements A dietary supplement is a product (other than tobacco) taken by mouth that contains a “dietary ingredient” intended to supplement the diet. • Dietary ingredients may include vitamins, minerals, herbs or other botanicals, amino acids, and substances such as enzymes, organ tissues, and metabolites. • Dietary supplements come in many forms, including extracts, concentrates, tablets, capsules, gel caps, liquids, and powders. They have special requirements for labelling.
  • 7. Omega 3 oil as an anti-inflammatory--used to treat neuropathy High dose vitamin, mineral and antioxidant therapy to build immune system and slow disease progression Vitamin therapy--treats wasting, lack of appetite, malabsorption of nutrients Chinese herbs to treat diarrhea
  • 8. Massage:- therapists manipulate muscle and connective tissue to enhance function of those tissues and promote relaxation and well-being. • • • • Enhance immune function Reduce musculoskeletal pain Increase lymph flow Decrease anxiety, increase self-esteem and positive body image. • Provide human touch
  • 9. Chiropractic:- It focuses on the relationship between bodily structure (primarily that of the spine) and function, and how that relationship affects the preservation and restoration of health It gives relief from musculo-skeletal complaints • Osteopathic medicine is a form of conventional medicine that, in part, emphasizes diseases arising in the musculoskeletal system. There is an underlying belief that all of the body‟s systems work together, and disturbances in one system may affect function elsewhere in the body.
  • 10. • Qi gong is a component of traditional Chinese medicine that combines movement, meditation, and regulation of breathing to enhance the flow of qi (an ancient term given to what is believed to be vital energy) in the body, improve blood circulation, and enhance immune function. • Reiki is a Japanese word representing Universal Life Energy. Reiki is based on the belief that when spiritual energy is channelled through a Reiki practitioner, the patient‟s spirit is healed, which in turn heals the physical body.
  • 11. Homeopathic medicine. In homeopathic medicine, there is a belief that “like cures like,” meaning that small, highly diluted quantities of medicinal substances are given to cure symptoms, when the same substances given at higher or more concentrated doses would actually cause those symptoms. Ayurveda:-A medical system that has been practiced primarily in the Indian subcontinent for 5,000 years. Ayurveda includes diet and herbal remedies and emphasizes the use of body, mind, and spirit in disease prevention and treatment.
  • 12. Naturopathy:- It proposes that there is a healing power in the body that establishes, maintains, and restores health. Practitioners work with the patient with a goal of supporting this power, through treatments such as nutrition and lifestyle counselling, dietary supplements, medicinal plants, exercise, homeopathy. Treatment of nausea with ginger Immune enhancement agents Hyperthermia to increase immune functioning
  • 13. WHY PEOPLE USE CAM? Changing needs and values in modern society.  Rise in prevalence of chronic diseases. Increase in public access to worldwide health information. Reduced tolerance for paternalism.  An increased sense of entitlement to quality life.  Declining faith that scientific breakthrough will have relevance for the personal treatment of disease. An increased interest in spiritualism.
  • 14. CAM IN INDIA Complementary and alternative medicinal systems are popular in India, with Ayurveda being the most popular. CAM is mostly associated with the treatment of chronic diseases. The term “Ayurveda” combines the Sanskrit words ayur (life) and veda (science or knowledge). It is one of the oldest systems of medicine in the world.
  • 15.  Ayurvedic treatment is non-invasive and non-toxic, so it can be used safely as an alternative therapy or alongside conventional therapies.  It can also help stress-related, metabolic, and chronic conditions.  Ayurveda has been used to treat acne, allergies, asthma, anxiety, arthritis, chronic fatigue syndrome, colds, colitis, constipation, depression, diabetes, flu, heart disease, hypertension, immune problems, inflammation, insomnia, nervous disorders, obesity, skin problems, and ulcers.
  • 16. TYPES OF TREATMENT The treatment of disease can broadly be classified as  Shodhana therapy (Purification Treatment)  Shamana therapy (Palliative Treatment)  Pathya Vyavastha (Prescription of diet and activity)  NidanParivarjan (Avoidance of disease causing and aggravating factors)  Satvavajaya(Psychotherapy)  Rasayana (immunomodulators and rejuvenation medicines)
  • 17. PANCHKARMA • Panchakarma is cleansing of body according to Ayurveda. • Panchakarma is a therapeutic way of eliminating toxic elements from the body. FIVE ELEMENTS  Vamana Virechana Basti Nasya  Raktamokshana
  • 18. Significant Research Contributions Plant / Formulations Indication Arogyawardhini/ kutaki Hepatitis Kapikacchu Parkinson‟s Diseases Yograj Guggulu Rheumatoid arthritis Amrut Bhallatak Osteoarthritis Haridra Oral Submucous Fibrosis Parijat Malaria Ashoka Menorrhagia
  • 19. CURRENT HEALTH CARE SCENARIO  Western Allopathy Medicine transformed into Mainstream Modern Medicine.  In many developed countries, 70% to 80% of the population has used some form of alternative or complementary medicine.  In some Asian and African countries, 80% of the population depend on traditional medicine for primary health care  More than 100 countries have regulations for herbal medicines  WHO has projected that the global herbal market will grow to $5 trillion by 2050
  • 20. • In India more than 500 million people use AYUSH medicines • Worldwide, the Ayurvedic industry is put at US $3 billion • Ayurvedic doctors(>500,000), Drug companies (>8,000), Hospitals (>2500), Colleges (> 250) in India • Standardization of Ayurvedic products, practices, training demand more thrust in quality