Tài liệu The Clinical Practice of Complementary, Alternative, and Western Medicine

The Clinical Practice of Complementary, Alternative, and Western Medicine
W. John Diamond, M.D.
Pages: 376
Published: 2000-09-26
Language: English



Contents
Section I: Integrated Medicine — Background
Chapter 1
Introduction 3
A New Paradigm 3
Personal History .3
Chapter 2
Principles of Integrated Medicine 5
Definition of Integrated Medicine .5
Background Concepts 5
Holism .6
The Energetic Component of Medicine 8
Historical and Biological Concepts of Integrated Medicine .9
Who Practices or Uses Integrated Medicine? .10
Patient Issues .13
Practitioner Issues .14
Regulatory Issues 14
Chapter 3
A Brief History of Medical Thought and Politics 17
Chapter 4
Integrated Medical Biology .21
Introduction 21
Thermodynamics in Biology .21
The Current Medical Biological Model 24
The Concept of an Energetic and Functional Biological Model 28
Chaos Theory, Nonlinear Dynamics, and Fractals .28
Components of Disease .31
Disease as a Chronological Continuum 33
Disease as a Meaningful Entity .42
Section II: Traditional Chinese Medicine (TCM)
Chapter 5
Patterns of Diagnosis in Traditional Chinese Medicine 49
Introduction 49
Diagnosis In Traditional Chinese medicine 50
The Language of Chinese Medicine .50
Identification Of Patterns Of Dysharmony 51
The Eight Diagnostic Principles .51
The Five Fundamental Substances .55
Qi .55
Blood — Xue 59
Body Fluids — Jin-Ye 60
Essence — Jing .62
Spirit — Shen .63
The Pathogenic Factors or Six Evils 64
Wind 64
Cold .64
Summer-Heat .65
The Seven Internal Emotions as Disease Etiology 65
Fear — Kidneys 66
Anger — Liver 66
Joy — Heart 66
Sadness — Lung .66
Worry/Pensiveness — Spleen .66
Other Causes of Disease .67
Weak Constitution .67
Overexertion 67
Excessive Sexual Activity .67
Diet 68
Trauma .68
Zang-Fu Organ Pattern Identification .69
Lungs (LU) 69
Large Intestine (LI) .71
Spleen (SP) 72
Stomach (ST) 73
Heart (HT) .75
Small Intestine (SI) .78
Kidney (KI) .79
Bladder (BL) .82
Liver (LR) .83
Gall Bladder (GB) .87
Other Patterns of Diagnosis in TCM 88
Patterns According to the Six Stages .88
Patterns According to the Four Levels .88
Clinical Use of Six Stages and Four Levels 89
Chapter 6
Chinese Herbal Prescribing .91
Inlassification of Chinese Herbs 92
Energy and Effects 92
Element, Taste, and Color .92
Actions 92
Therapeutic Categories .93
The Eight Methods of Herbal Therapy 98
Herbal Action .101
Qualities of Herbs .101
Parts of the Herb .102
Theory of Herbal Combining .102
Herbs — Clinical Discussion 103
Chapter 7
Acupuncture .105
Introduction 105
Embryological and Energetic Anatomy .106
The Curious or Extraordinary Merdians 107
Tendinomuscular Meridians (TMM) 117
Principal Meridians .119
The Concept of Triple Heater (TH) 121
Tai Yang Subcircuit .122
Shao Yin Subcircuit .129
The Shao Yang Energy Subcircuit 135
The Jue Yin Energy Subcircuit .141
The Yang Ming Energy Subcircuit .147
The Tai Yin Energy Subcircuit .155
Extra Acupuncture Points (EX) 160
Ah Shi Points 162
Mu Subsystem of Points .162
The Distinct Meridian Subsystem 165
Special Point Groupings 167
Luo-Yuan Shunts 167
Accessory and Group Luo Points .168
Tsri or Xi–Cleft Points .168
Hui, Roe, or Influential Points 169
The Cerebral Circulation Subsystem 169
Upper and Lower He Points .170
Windows of the Sky Points 170
Special Command Points 171
Points of the Four Seas .171
The Horary, Phase, or Natural Point 171
The Five Classical Shu or Command Points 172
Activation of the Principal Meridians173
The N
→
N+1 Therapeutic Input Program 173
The Five Elements or Phases Paradigm .174
The Sheng Cycle .175
Ko Cycle 176
The Mother–Son Law .177
The Clinical Practice of Acupuncture .178
The Needle 178
The Patient 180
Complications from Acupuncture .181
Patient Results .181
Selection of Acupuncture Programs .182
Pain Problems .182
Organ Dysfunctions 182
Ventral, Lateral, and Dorsal Treatment Programs 182
Auricular Acupuncture .183
Embryology, Anatomy, and Neurophysiology of the Auricle 183
Lesional and Master Points 183
Clinical Use of Auriculotherapy .186
Indwelling Tacks, Seeds, Magnets, and Lasers 187
Substance Abuse Management .187
Korean Hand Acupuncture (KHA) 188
Advantages of KHA 190
Clinical Applications of KHA 190
Yamamoto New Scalp Acupuncture 190
YNSA Acupuncture Points .191
YNSA Basic Points (A–I) 191
YNSA Sensory Points (1-4) .193
YNSA Brain Points .193
YNSA Ypsilon Points .193
YNSA Abdominal Diagnostic Zones .193
YNSA Neck Diagnostic Zone 194
YNSA Clinical Practice 194
Neuroanatomical Acupuncture .194
Percutaneous Nerve Stimulation (PENS) .194
Periosteal Acupuncture Stimulation 197
Other Reflex Acupuncture Systems .198
Other Energetic Acupuncture Systems 198
Electroacupuncture .198
The Physiology of Needle Insertion .199
Electric Parameters of Acupoints .199
Basic Electricity 200
Body Electricity 201
Cell Membrane Electronics .201
The Electronics of Cell Injury 201
Electronic Healing .202
Electrotherapeutic Techniques 202
Physiological Responses to Electrical Stimulation 202
Electrical Frequencies Used in Treatment 203
Milli- vs. Microamperage Acupuncture .203
Celluar Effects of Microcurrents 204
Techniques and Applications of Electroacupuncture .204
Electrical Auriculotherapy 205
Clinical Uses .205
General Guidelines for Using Electroacupuncture .206
Acupuncture Circuits for Electrostimulation 207
Other Methods of Tonification .208
Moxibustion .209
Radiant Heat Lamp .209
Section III: Other Forms of Alternative Medical Treatment
Chapter 8
Homeopathy .213
History 213
Homeopathic Concepts 213
The Law of Similars .213
The Law of the Minimum Dose .213
The Totality of Symptoms 214
The Law of the Single Remedy 214
The Law of Cure .214
Homeopathic Provings and Therapy .215
Materia Medica and Repertory 216
Homeopathic Schools of Practice 217
Classical Homeopathy .217
Complex Homeopathy 218
French Pleuralistic and Constitutional Therapy .218
Homotoxicology by H. H. Reckeweg .219
Electronic Homeopathy .222
The Homeopathic Pharmacy 223
Preparation of a Homeopathic Medicine 223
The Science of Homeopathy 223
The Practice of Homeopathy .224
Posology — Homeopathic Dosing .224
Chapter 9
Anthroposophical Medicine .227
Chapter 10
Neural Therapy .229
History of Neural Therapy .229
Neural Therapy Theory 229
Interference Fields .229
The Nervous System Theory 230
The Fascial Continuity Theory .231
The Matrix–Ground System Theory .231
The Lymphatic System Theory .231
The Tooth–Fuse Box Theory 231
The Clinical Practice of Neural Therapy 233
Chapter 11
Bioenergetic Medicine .235
Bioenergetic Measurements .235
The Electrical Approach .235
The Indirect Approach 241
The Clinical Applications of Biokinesiology 242
Bi Digittal O-Ring vs. Straight Arm Muscle Testing 242
The Practitioner .242
Bi-Digital O-Ring Muscle Testing .243
Disorder Control .243
Polarity Check — Switching 243
Hand Electrode and Testing Block .243
Testing Energetics .244
Energetic Pattern Modification 249
Allergy Desensitization by Autonomic Nervous System Repatterning
(ALR-G-ANSR) 250
Chapter 12
Ayurvedic Medicine 257
History and Concepts .257
The Five Fundamental Elements .257
The Three Energy Types 257
Etiology and Diagnosis of Disease 258
Pathophysiology of Disease .259
Treatment Options 259
Clinical Use 260
Chapter 13
Western Herbology or Phytotherapy .261
History and Background261
Terms Used in Phytotherapy 261
Pharmacology of Western Herbs 261
Herbal Preparations .263
Therapeutic Actions of Herbs .264
Popular Herbs, Their Uses, Interactions, and Toxicity .266
Chapter 14
Therapeutic Nutrition .279
Introduction 279
Historical Aspects of Food .279
Changes in Food Production 280
Patient-Centered Nutrition .280
Hereditary Predispostion .280
Childhood Patterning 282
Cultural Issues .283
Geographical Issues 284
Food Allergy .284
Food Groups .286
Carbohydrates 286
Insulin and the Glycemic Index 286
Protein .287
Lipids and Fats 288
The Gastrointestinal Tract 288
Detoxification Reactions .290
Regulation of Detoxification .290
Dieting 291
High Fiber, High Carbohydrate, Low Fat Diets .291
High-Protein, Low Carbohydrate Diets 291
Nutritional Supplementation 292
Chapter 15
More Specialized Complementary Therapies 295
Flower Remedies and Essences .295
Myofascial and Body Work .295
Craniosacral Therapy .295
Massage Therapy .296
Acupressure and Jin Shin Jyutsu 296
Rolfing .296
Aston Patterning 296
Osteopathic Medicine 297
Chiropractic Medicine 297
Hypnosis .298
Use of Low Intensity Lasers 298
Use of Therapeutic Magnets 299
Section IV: The Practice of Integrated Medicine
Ch apter 16
The Practice of Integrated Medicine .303
The Integrated Medical Exam .303
The Integrated Patient History .303
Prenatal and Perinatal History 304
Infancy and Childhood History 305
Puberty and the Teenage Years .306
Adult History .307
The Later Years .309
The Integrated Review of Systems .309
The Integrated Physical Exam .315
The Integrated Energetic Exam .320
The Integrated Patient Assessment 322
Selection of Modalities and Treatments 323
The Assessment of the Biological Terrain 324
Bioelectronics of Vincent — BTA S-2000 .324
The Integrated Bioenergetic Score Index (IBS) .326
Doctor Issues 326
Patient Issues 327
The Integrated Office and Staff .332
The Integrated Pharmacy .332
Professional Issues and Relations 332
Integrated Medicine, HMOs, and Managed Care .333
Chapter 17
Example of the Integrated Management of a Disease: Acute and Chronic Sinusitis 335
Overview 335
Physical and Energetic Exam 335
Treatment and Follow-up .336
Root Treatment 336
Acute Treatment 337
Homeopathy 339
Western Approach .339
Integrated Treatment 339
Conclusion 339
References
.341
Index
343



Acknowledgments
There are many people to thank for their interest, help, and encouragement. I wish to thank the
following people who did more than they had to, and were key to formulating my thinking and
outlook on life and medicine: Elliot Wolfe, my English and Latin teacher, for standing by me when
things looked grim; Professor Phillip Tobias, for teaching me the scientific method; Dr. John Cosnett
for teaching me clinical medicine and to appreciate the human body; Professor Leopold Koss for
teaching me pathology and being my first mentor; Dr. Bob Milne and Dr. Yiwen Y.Tang for teaching
me energetic medicine; Dr. David Tansley for opening my mind to the possibilities of esoteric
medicine; and Professor William A. Tiller for showing me that it was real; Dr. Joseph Helms, for
teaching me acupuncture; and Joe Daley and Lynn Amara, for teaching me homeopathy.
I am deeply indebted to Anastacia White, Master Herbalist, for her years of insightful tuition
and guidance, without whom the reflections of TCM and herbal prescribing found in Chapter 6
would not have been possible. The bulk of the herbal patterns discussed there are taken from her
detailed lectures, which I encourage all serious students to attend.
I need to offer great thanks and kudos to Dr. Gary Holt, my very supportive partner, who was
the first doctor to experience if the system could be taught. He must be a good learner, because he
is great at it! Thanks also to his assistants Joanne and Darlena.
I could not have written this book without the help and encouragement of two wonderful friends:
Ron Kendall, who rescued my crashed computer disk multiple times and supplied me with jokes
on e-mail to keep me going, and my dear late friend Stephen Poe, who dared and challenged me
to write this book and egged me on even when he was not feeling well.
I want to thank my clinic staff, receptionists Judy and Cathy and my extremely efficient, loyal,
and long-suffering medical assistant Patty, who have come along for the whole journey. Without
them it would not have been possible, and the patient healing would not have been as complete.
To Vauna, thanks for teaching me about allergy.
Mothers hold the world together, and I wish to thank mine for always seeing the best in me
and allowing me to be an inquisitive child.
Children are the future of the world, and I wish to thank David, Jane, and Rory, my wonderful
children, for teaching me what it was all about. I apologize for always having a book in my hand
and a faraway look in my eye. To my beloved wife, Barbara, who never faltered one step of the
way, but has been heard to say, “There must be a special place in heaven for wives of homeopaths.”
To Barbara Norwitz, Publisher, and CRC Press for having the courage, patience, and foresight
to publish this book.
Last, but not least, to the State of Nevada, Board of Medical Examiners, thank you for being
open-minded and nonjudgmental.