Tài liệu Complementary and Alternative Medicine and Multiple Sclerosis Second Edition - M.D. Allen C. Bowling

Complementary and Alternative
Medicine and Multiple Sclerosis
Second Edition
M.D. Allen C. Bowling Ph.D
The first edition of this authoritative book quickly became the single source for accurate and unbiased information on complementary and alternative medicine approaches for the management of MS symptoms. The second edition, completely updated throughout, reflects advances in the field since the book’s initial publication in 2001.
Therapies are organized alphabetically so that readers can easily pinpoint a specific treatment and learn about its origins, merits, and possible uses in MS. In-depth discussions cover Naltrexone, acupuncture, biofeedback, chiropractic medicine, cooling therapy, yoga, diets, the use of supplements, herbs, vitamins, and minerals, and many other topics. This invaluable guide alerts MS patients and their families to new options forrelief when conventional therapies are limited; directs them to therapies that are effective, low-risk, and inexpensive; and helps them recognize those that are ineffective, dangerous, and costly.



Contents
Foreword by Alan J. Thompson ix
Preface xi
Organization of Chapters and Reading Sequence xiii
Acknowledgments xv
Part 1 Complementary and Alternative Medicine
Chapter 1: Complementary and Alternative Medicine (CAM) 3
Chapter 2: Placebos and Psychoneuroimmunology 16
Chapter 3: Important Precautions About Complementary
and Alternative Medicine and MS 22
Part 2 Types of Therapy
Chapter 4: Acupuncture and Traditional Chinese Medicine 29
Chapter 5: Allergies 40
Chapter 6: Aromatherapy 43
Chapter 7: Aspartame 47
Chapter 8: Ayurveda 50
Chapter 9: Bee Venom Therapy and Other Forms of Apitherapy 55
Chapter 10: Biofeedback 62
Chapter 11: Candida Treatment 66
Chapter 12: Chelation Therapy 68
Chapter 13: Chiropractic Medicine 70
Chapter 14: Colon Therapy, Detoxification, and Enemas 74
Chapter 15: Cooling Therapy 76
Chapter 16: Craniosacral Therapy 80
Chapter 17: Dental Amalgam Removal 83
Chapter 18: Diets and Fatty-Acid Supplements 87
Chapter 19: Enzyme Therapy 106
Chapter 20: Exercise 110
Chapter 21: Feldenkrais 115
Chapter 22: Guided Imagery 117
Chapter 23: Herbs 120
Chapter 24: Hippotherapy and Therapeutic Horseback Riding 146
Chapter 25: Homeopathy 150
Chapter 26: Hyperbaric Oxygen 156
Chapter 27: Hypnosis 159
Chapter 28: Low-Dose Naltrexone (LDN) 163
Chapter 29: Magnets and Electromagnetic Therapy 165
Chapter 30: Marijuana 170
Chapter 31: Massage 174
Chapter 32: Meditation 178
Chapter 33: Music Therapy 182
Chapter 34: Pets 185
Chapter 35: Pilates Method and the Physicalmind Method 188
Chapter 36: Prayer and Spirituality 190
Chapter 37: Prokarin 195
Chapter 38: Reflexology 198
Chapter 39: T’ai Chi 201
Chapter 40: Therapeutic Touch 204
Chapter 41: Toxins 207
Chapter 42: Tragerwork 209
Chapter 43: Vitamins, Minerals, and Other
Nonherbal Supplements 212
Chapter 44: Yoga 240
Part 3 A Five-Step Approach: Integrating Conventional
and Unconventional Medicine
Appendix: Summary of the Effects of Popular
Dietary Supplements 263
References 267
Index 277



Foreword
Few areas in medicine raise as much controversy and debate as the use
of the wide range of interventions contained under the banner heading of
complementary and alternative medicine (CAM). However, it is important
from the outset to appreciate that many approaches are grouped under this
heading and that they often differ fundamentally from one another. One
thing all these approaches do have in common is that they raise great interest
and enthusiasm among people with medical conditions, and they are
used by many who believe they derive benefit from them.
Taking a more critical view, major differences exist in the quality and
quantity of evidence supporting the use of approaches contained within
CAM. Furthermore, although such evidence is considered essential by most
medical practitioners and those who seek to guide them, it can be less of an
issue to those with chronic disabling conditions with no cure and inadequate
symptom management. This is precisely the case with multiple sclerosis
(MS), a variable condition that may result in progressive disability and
cause a plethora of interacting and distressing symptoms. Many of those
with MS are prepared to consider any possible remedy, and they certainly
want accurate and up-to-date information about all possible therapeutic
approaches.
It is, therefore, not surprising that many people with MS have tried at
least one (and often many more than one) of the approaches constituting
CAM. They require accurate and accessible information, provided in an
objective and clear style, to inform and guide their decision to take (or not
to take) these treatments. This is precisely what Dr. Allen Bowling has
achieved in this comprehensive book on CAM. In his clear and authoritative
style, he presents what is currently known on a wide range of potential
treatments. He cites evidence where it exists, and discusses treatment
options clearly and objectively. His approach is firmly based on his clinical
experience and extensive interactions with people with MS. As a result, the
book has a clear patient focus. It is an essential resource for people with
MS and for all those who are involved in their care, and it will become an
invaluable guide in their joint decision-making.
Alan J. Thompson, MD, FRCP, FRCPI.
Garfield Weston Professor of Clinical Neurology and Rehabilitation
Institute of Neurology
University College London
Clinical Director
National Hospital for Neurology and Neurosurgery
London, United Kingdom


Preface
This book was written to provide accurate and helpful information about
complementary and alternative medicine (CAM) to people with multiple
sclerosis (MS). The term CAM refers broadly to medical approaches, such as
acupuncture or herbal medicine, that are not typical components of conventional
medicine. Despite the fact that the majority of people with MS appear
to use CAM, it may be difficult to find reliable information about the
relevance and usefulness of these therapies in MS. Those who practice a therapy
or who are selling products may not understand MS or may exaggerate
claims in order to make sales. On the other hand, physicians and other
health care professionals often have little or no information or experience in
CAM and may not have the resources to provide accurate information to
their patients. This book was written to fill the information gap in this area.
The first edition of this book was published in 2001. About four years
later, I was told by Dr. Diana Schneider and others at Demos Medical
Publishing that a second edition needed to be written and that it was “not
a big deal” to write a second edition. After my experiences of the past several
months, I would respectfully disagree with this statement. In a way, it
is exciting that it was a huge task to write the second edition. This indicates
that the area of CAM and MS is dynamic and growing, that new
research is underway, and that ongoing interest persists in the subject.
Certainly, my own experience indicates that people with MS continue to
use and be interested in CAM and that MS health professionals are increasingly
interested in and open to discussing the subject.
Providing CAM information has many potential benefits. People with
MS may realize that unconventional treatment options may offer relief and
hope for situations in which limited conventional medical therapies are
available. Providing access to reliable CAM information also should allow
people to avoid potentially dangerous interactions between CAM therapies
and conventional medicine and to distinguish CAM therapies that are
possibly effective, low risk, and inexpensive from those that are ineffective,
dangerous, or costly. Finally, it is hoped that the objective information in
this book will remove some of the prejudices and misperceptions that are
rampant in this area, stimulate serious thought and discussion about CAM
and MS, and lead to further study of those therapies that are widely used
or appear promising.
This book is divided into three main sections. The first section provides
a general introduction to MS and CAM. The second section, which is
the main portion of the book, presents detailed information on a large
number of CAM modalities. This section is organized alphabetically, which
should allow the reader to quickly find information on a particular CAM
therapy. The final section includes a chapter that outlines a five-step strategy
for integrating conventional and unconventional medicine. At the end
of the book, a Glossary of Popular Supplements provides a quick source of
MS-relevant information about commonly used supplements.
A large number of references were used to write this book. More than
80 books and more than 2,000 scientific and clinical journal articles were
reviewed. The most relevant books and journal articles are listed under an
Additional Resources section at the end of the chapters. These resources
include technical as well as nontechnical material. In addition, when specific
data are mentioned in the text, a numerical reference is given that may
be found in a detailed reference section at the end of the book. Most of the
books referenced should be available through public libraries, medical
libraries, or bookstores. Summaries or abstracts of the journal articles may
be found by using Medline searches, available through the website of the
National Library of Medicine (www.nlm.nih.gov). The entire articles may
be obtained from medical libraries.