Integrative Medicine

Title page
Table of Contents
Copyright
Dedication
Contributors
Foreword
Preface
Acknowledgments
Using the Evidence-Versus-Harm Grading Icons
Part I. Integrative Medicine
Chapter 1. Philosophy of Integrative Medicine
A Brief History of Integrative Medicine
Integrative Medicine
Reducing Suffering
The Future
Conclusion
Chapter 2. Creating Optimal Healing Environments
The Optimal Healing Environment
Spiritual Connection
Creating an Optimal Healing Environment in the Clinical Setting
Foundations of a Healing Encounter
The Value of Creating Optimal Healing Environments
Chapter 3. The Healing Encounter
Practitioner Versus Pill
Mindfulness in Your Practice
The 3 Ps: Pause, Presence, and Proceed
Five Questions to Consider Before Prescribing a Therapy
Steps to Enhance the Healing Encounter
Conclusion
Chapter 4. The Whole Health Process
Value Over Volume
Patient-Defined Goals
Innovative Health Systems
The Circle of Health
Three Questions
Developing the Personal Health Plan
Four-Step Process for Health Planning
The Value of the Whole Health Process
Part II. Integrative Approach To Disease
Section I. Affective Disorders
Chapter 5. Depression
Pathophysiology
Integrative Therapy
Nutrition
Dietary Supplements
Botanicals
Mind–Body Therapy
Other Traditional Healing Techniques
Acupuncture
Phototherapy
Pharmaceuticals
Electroconvulsive Therapy
Therapies to Consider for Depression
Novel Treatments Having Preliminary Studies
Chapter 6. Anxiety
Definition and Diagnostic Criteria
Comorbid Conditions
Pathophysiology
Integrative Therapy
Chapter 7. Attention Deficit Disorder
Definitions, Epidemiology, and Pathophysiology
Integrative Therapy
Lifestyle
Biochemical Therapies
Chapter 8. Autism Spectrum Disorder
Prevalence, Characteristics, and Guidelines for Complementary and Alternative Medicine Therapies in Autism
Pathophysiology
Integrative Therapy
Pharmaceuticals
Supplements
Botanicals and Herbal
Mind-Body Medicine
Chapter 9. Insomnia
Definitions
Etiology
Pathophysiology
Integrative Therapy
Mind-Body Therapy
Chapter 10. Posttraumatic Stress Disorder (PTSD)
Definition and Diagnostic Criteria
Integrative Therapy
Mind-Body
Acupuncture
Repetitive Transcranial Magnetic Stimulation
Pharmacotherapies
Section II. Neurology
Chapter 11. Alzheimer Disease
Pathophysiology
Integrative Therapy
Chapter 12. Headache
Migraine Pathophysiology
Integrative Therapy
Tension-Type Headache
Integrative Therapy
Chapter 13. Peripheral Neuropathy
Pathophysiology
Integrative Therapy
Chapter 14. Multiple Sclerosis
Pathophysiology
Etiology
Diagnosis
Integrative Therapy
Chapter 15. Parkinson’s Disease
Clinical Signs and Symptoms of Parkinson’s Disease
Pathophysiology
Integrative Therapy
Acupuncture
Pharmaceuticals
Surgery
Mind-Body Connection
Section III. Infectious Disease
Chapter 16. Otitis Media
Pathophysiology
Integrative Therapy
Chapter 17. Chronic Sinusitis
Pathophysiology
Integrative Therapy
Integrative Therapy: Treating and Preventing Sinus Infections and Colds
Chapter 18. Viral Upper Respiratory Infection
Integrative Therapies
Chapter 19. HIV Disease and AIDS
Pathophysiology
Integrative Therapy
Chapter 20. Herpes Simplex Virus
Epidemiology
Clinical Manifestation
Integrative Therapy
Chapter 21. Chronic Hepatitis
Pathophysiology
Integrative Therapy
Nutrition
Chapter 22. Urinary Tract Infection (UTI)
Integrative Therapies
Chapter 23. Lyme Disease
Epidemiology
Integrative Therapy
Acute Infection
Chronic Persistent Symptoms
Section IV. Cardiovascular Disease
Chapter 24. Hypertension
Integrative Therapy
Therapies to Consider
Chapter 25. Heart Failure
Integrative Therapy
Chapter 26. Coronary Artery Disease
Integrative Approaches to Cardiovascular Disease
Pathophysiology
Integrative Therapy
Supplements
Other Therapies
Chapter 27. Dyslipidemia
Introduction
Pathophysiology
Testing
Integrative Therapy
Chapter 28. Arrhythmias
Pathophysiology
Integrative Therapy
Conclusion
Section V. Allergy/ Intolerance
Chapter 29. Asthma
Pathophysiology
Integrative Therapy
Chapter 30. The Allergic Patient
Pathophysiology
Integrative Therapy
Chapter 31. Food Allergy and Intolerance
Nomenclature
Pathophysiology
Research Validation
Diagnosis
Integrative Therapy
Section VI. Metabolic/Endocrine Disorders
Chapter 32. Insulin Resistance and the Metabolic Syndrome
Defining Metabolic Syndrome
Prevalence
Pathophysiology
Diagnosis
Integrative Therapy
Chapter 33. Diabetes Mellitus
Pathophysiology
Integrative Therapy
Chapter 34. Hypothyroidism
Pathophysiology
Integrative Therapy
Chapter 35. Polycystic Ovarian Syndrome
Pathophysiology
Integrative Therapy
Chapter 36. Osteoporosis
Epidemiology and Pathophysiology
Integrative Therapy
Chapter 37. An Integrative Approach to Obesity
Introduction
Pathophysiology
Integrative Therapy
Chapter 38. MTHFR, Homocysteine and Nutrient Needs
Pathophysiology
Integrative Therapy
Chapter 39. Adrenal Fatigue
The Natural Stress Response
Diagnosing Adrenal Fatigue
Integrative Therapy
Section VII. Nephrology
Chapter 40. Chronic Kidney Disease
Introduction
Integrative Therapy
Section VIII. Gastrointestinal Disorders
Chapter 41. Irritable Bowel Syndrome
Pathophysiology
Integrative Therapy
Chapter 42. Gastroesophageal Reflux Disease
Pathophysiology
Integrative Therapy
Chapter 43. Peptic Ulcer Disease
Pathophysiology
Integrative Therapy
Chapter 44. Cholelithiasis
Pathophysiology
Integrative Therapy
Chapter 45. Recurring Abdominal Pain in Pediatrics
Pathophysiology
Integrative Therapy
Chapter 46. Constipation
Pathophysiology
Integrative Therapy
Section IX. Autoimmune Disorders
Chapter 47. Fibromyalgia
Pathophysiology
Integrative Therapy
Chapter 48. Chronic Fatigue Syndrome
Pathophysiology
Integrative Therapy
Chapter 49. Rheumatoid Arthritis
Pathophysiology
Integrative Therapy
Chapter 50. Inflammatory Bowel Disease
Introduction and Pathophysiology
Integrative Therapies for Inflammatory Bowel Disease
Section X. Obstetrics/Gynecology
Chapter 51. Preconception Counseling and Fertility
Overview
Introduction
Integrative Therapy
Chapter 52. Labor Pain Management
Physiology
Integrative Therapy
Chapter 53. Postdates Pregnancy
Pathophysiology
Integrative Therapy
Chapter 54. Nausea and Vomiting in Pregnancy
Pathophysiology
Integrative Therapy
Chapter 55. Managing Menopausal Symptoms
Introduction
Physiology of the Female Reproductive Life Cycle
Integrative Therapy
Chapter 56. Premenstrual Syndrome
Pathophysiology
Integrative Therapy
Chapter 57. Dysmenorrhea
Pathophysiology
Integrative Therapy
Chapter 58. Uterine Fibroids (Leiomyomata)
Pathophysiology
Integrative Therapy
Chapter 59. Vaginal Dryness
Description and Prevalence
Physiology of Vaginal Lubrication
Pathophysiology of Vaginal Epithelium
Integrative Therapy
Section XI. Urology
Chapter 60. Benign Prostatic Hyperplasia
Pathophysiology
Integrative Therapy
Chapter 61. Urolithiasis (Kidney and Bladder Stones)
Pathophysiology
Integrative Therapy
Chapter 62. Chronic Prostatitis/Chronic Pelvic Pain Syndrome
Pathophysiology
Diagnosis
Integrative Therapy
Chapter 63. Erectile Dysfunction
Pathophysiology
Integrative Therapy
Chapter 64. Testosterone Deficiency
Pathophysiology
Integrative Therapy
Section XII. Musculoskeletal
Chapter 65. Osteoarthritis
Pathophysiology
Integrative Approaches
Chapter 66. Myofascial Pain Syndrome
Epidemiology
Diagnosis
Pathophysiology
Integrative Therapy
Chapter 67. Chronic Low Back Pain
Introduction
Pathophysiology
Evaluation
History
Physical Examination
Red Flags
Yellow Flags
Subgrouping
Imaging
Integrative Therapy
Chapter 68. Neck Pain
Pathophysiology
Integrative Therapy
Chapter 69. Gout
Pathogenesis and History
Integrative Therapy
Chapter 70. Carpal Tunnel Syndrome
Pathophysiology
Integrative Therapy
Chapter 71. Epicondylosis
Pathophysiology
Integrative Therapy
Section XIII. Dermatology
Chapter 72. Atopic Dermatitis
Pathophysiology and Diagnosis
Integrative Therapy
Lifestyle and Supportive Care
Nutrition
Chapter 73. Psoriasis
Pathophysiology and Clinical Background
Integrative Therapy
Chapter 74. Urticaria
Pathophysiology
Integrative Therapy
Chapter 75. Aphthous Stomatitis
Pathophysiology
Integrative Therapy
Chapter 76. Seborrheic Dermatitis
Pathophysiology
Integrative Therapy
Chapter 77. Acne Vulgaris and Acne Rosacea
Acne Vulgaris
Integrative Therapy
Rosacea
Pathophysiology of Rosacea
Integrative Therapy
Section XIV. Cancer
Chapter 78. Breast Cancer
Pathophysiology
Risk Factors
Screening
Integrative Therapies
Integrative Management of Side Effects From Breast Cancer Treatment
Chapter 79. Lung Cancer
Introduction
Pathophysiology
Integrative Therapy
Chapter 80. Prostate Cancer
Background
Prostate Cancer Screening
Prostate Cancer Diagnosis and Staging
Integrative Therapy
Chapter 81. Colorectal Cancer
Natural History
Incidence and Prevalence
Screening
Risk Factors
Primary and Secondary Prevention
Medications
Treatment
Survivorship and Tertiary Prevention
Chapter 82. Palliative and End-of-Life Care
Pathophysiology
Common Issues in Palliative Care
Pain Management
Nausea, Vomiting, and Constipation
Dyspnea
Anxiety and Depression
Anxiety and Depression
Delirium
Spiritual Care
Bereavement
Integrative Therapies
Section XV. Substance Abuse
Chapter 83. Alcoholism and Substance Abuse
Pathophysiology
Integrative Therapy
Section XVI. Ophthalmology
Chapter 84. Cataracts
Pathophysiology
Screening
Epidemiology
Risk Factors
Integrative Therapy
Nutrition
Supplements
Botanicals
Surgery
Chapter 85. Age-Related Macular Degeneration
Pathophysiology
Screening
Risk Factors
Integrative Therapy
Part III. Tools For Your Practice
Section IA. Lifestyle: Nutrition
Chapter 86. The Elimination Diet
Pathophysiology of Nonallergic Food Intolerances
Pathophysiology of Leaky Gut Syndrome: Gut-Immune Barrier
Summary of a Pragmatic Approach for Recommending an Elimination Diet
Chapter 87. Glycemic Index and Glycemic Load
Glycemic Index
Glycemic Load
Disease Prevention and Management
Conclusion
Chapter 88. Antiinflammatory Diet
Introduction
Conclusion
Chapter 89. The DASH Diet
What is the DASH Diet?
How Much Can I Expect My Blood Pressure to Come Down?
Besides Lowering Sodium, by What Other Means Might the DASH Diet Benefit Health?
Besides Lowering Blood Pressure, How Else Does this Diet Affect Cardiovascular Health?
Does this Diet Reduce the Risk for Cancer?
How does this Diet Affect Bone Health?
Can the DASH Diet Slow Cognitive Decline?
What Foods are Emphasized in this Diet, and How Do they Influence One’s Health?
Chapter 90. The FODMaP Diet
What Does FODMaP Stand For?
What is the Mechanism of Action?
What Type of Condition is FODMaP Best Used For?
Which IBS Symptoms are Reduced the Most?
Is it the Elimination of Sugar or Food Proteins that Results in the Greatest Benefit?
What to Tell Your Patients When Placing them on the FODMaP Diet
What are the Limitations of the FODMaP Diet?
Section IB. Lifestyle: Exercise
Chapter 91. Writing an Exercise Prescription
Basic Principles
The Five Components of Fitness
The FITT Principle for Exercise Programming
Cardiorespiratory Training
Resistance Training
Levels of Exercise Prescription
The Key Three Strength Program
Flexibility Versus Stability
Balance and Agility
Chapter 92. Therapeutic Breathing
What is Therapeutic BreathING?
The Mechanism of Breathing
Paced and Patterned Breathing
Muscle/Body Emphasis in Breath Work
Airway Resistance in Breath Work
Resources for Practicing Therapeutic Breathing
Chapter 93. Low Back Pain Exercises
Breathing and Relaxation Training
Flexibility Training
Strength Training
Coordination Training
Section II. Mind-Body
Chapter 94. Relaxation Techniques
Introduction
Chapter 95. Self-Hypnosis Techniques
The Six Main Steps
Homework for the Patient
What to Look for in a Consultant
Chapter 96. Enhancing Heart Rate Variability
Background
Polyvagal Theory
Physiology and Measurement of Heart Rate Variability
Heart Rate Variability and Health
The Basics Matter
Making Recommendations to the Patient
Steps to Enhance Heart Rate Variability
A Simple Beginning
Chapter 97. Guided Imagery and Interactive Guided Imagery
What is Guided Imagery?
Applications in Medicine
How does Imagery Work?
Commonly Used Treatment Techniques
How to Get Started with Guided Imagery
The Structure of a Typical Interactive Guided Imagery Session
Precautions and Contraindications
Resources
Chapter 98. Journaling for Health
Pathophysiology of Disclosure
Journaling After a Stressful Event
Key Areas of Research
Writing Characteristics Associated with Health
Precautions
Relationship-Centered Care
Chapter 99. Forgiveness
The Health Effects of Forgiveness
The Nature of Forgiveness
Guidelines for Helping People to Forgive
Conclusion
Chapter 100. Recommending Meditation
What is Meditation?
Why Meditate?
Review of Meditation Research
Mindfulness in Medical Practice
Types of Meditation
Movement as Meditation
Chapter 101. Motivational Interviewing
Three Helping Styles
Foundation or Spirit of Motivational Interviewing
What Difference May it Make if a Motivational Interviewing Approach is Used?
Helping Clients Find and Use Their Motivation
Helping the Client Access His or Her Motivation for Change
Enhancing Your Motivational Interviewing Skills
Chapter 102. Emotional Awareness for Pain
Introduction
Their Pain is Real
The Psychology of Pain
Diagnosis of Psychophysiologic Disorders
Treatment Approach
Conclusion
Chapter 103. Energy Psychology
Case Study 1: Fear of a Flu Shot
Case Study 2: Bloating, Weight Gain, and Anxiety
What is Energy Psychology?
What is the Evidence for Energy Psychology?
How Does Energy Psychology Work?
How Do I Get Started?
How Do I Get Trained?
Importance of Personal Practice and Development
Energy Psychology as a First-Line Treatment
Section III. Biochemical
Chapter 104. Prescribing Botanicals
Overview
Who Uses Herbs?
What Else are they Taking?
Talking About Herbs with Patients
Efficacy
Safety Considerations
Choosing a Brand or Product: a Question of Quality
Dosing
Conclusion
Chapter 105. Prescribing Probiotics
Why Probiotics?
How the Human Microbiota is Established and Altered
What are Probiotics, Prebiotics, and Synbiotics?
How Do Probiotics Work? Potential Mechanisms
What are the Clinical Indications for Prebiotics and Probiotics?
Prescribing Probiotics: Which Ones, What Dose, and How Should They be Taken?
Do Natural Food Sources Provide Probiotics?
How Safe are Probiotics?
Conclusion
Chapter 106. Detoxification
What is Detoxification and Why Do it?
Testing for Toxins
Chelation Therapy
Sauna Therapy
Exercise
Nutrition
Manual Therapies
Chapter 107. Chelation Therapy
Introduction
History of Chelation Uses
The Trial to Assess Chelation Therapy
Clinical Use of Chelation Therapy
Treatment of Heavy Metal Intoxication
Pharmacological Approaches
Natural Products
Summary
Chapter 108. Integrative Strategies for Planetary Health
A Systems Approach
The Precautionary Principle
Pressing Ecological Problems in Today’s World: Three Examples
Personal and Planetary Health in Everyday Life
Conclusion
Section IV. Biomechanical
Chapter 109. Strain/Counterstrain
History and Theory of Counterstrain Therapy
Practical Applications of Counterstrain Therapy
Examples of the Technique
Benefits
Limitations
Chapter 110. Acupuncture for Headache
Overview
Mechanism of Action
Safety of Acupuncture
Training in Acupuncture
Techniques
Evidence for Acupuncture in Headache
Selecting Acupuncture and Acupressure Points
During an Acupuncture Treatment
Posttreatment Home Program
What to Look for in an Acupuncturist
Conclusion
Chapter 111. Acupuncture for Nausea and Vomiting
Overview
Postoperative Nausea and Vomiting
Chemotherapy-Induced Nausea and Vomiting
Pregnancy-Related Nausea and Vomiting
Motion Sickness
Acupuncture Points for Nausea and Vomiting
During an Acupuncture Treatment
Posttreatment Home Program
What to Look for in an Acupuncturist
Conclusion
Chapter 112. Prolotherapy for Chronic Musculoskeletal Pain
Introduction and History
What Is Prolotherapy?
Basic Science
Clinical Research
Contraindications
Common Side Effects
Adverse Events
Practical Considerations
A Case Example: Lateral Epicondylosis
Insurance Coverage
Chapter 113. Nasal Irrigation for Upper Respiratory Conditions
The Science
Technique Variations
Irrigant Variations
Pediatric Use
Recommended Dose for Treatment and Prevention
Safety
Practical Use of Sni
Section V. Bioenergetics
Chapter 114. Integrating Spiritual Assessment and Care
The Five Clinical Goals of Spiritual Assessment and Care
Chapter 115. Therapeutic Homeopathy
Why homeopathy?
What is Homeopathy?
How are Homeopathic Remedies Prepared?
How do Homeopathic Remedies Work?
How are Homeopathic Medicines Prescribed?
For which Conditions can Homeopathic Treatments be Used?
Conclusion
Chapter 116. Biofield Therapies
Defining Energy Medicine
Energy Medicine Research
Guidelines for Making an Energy Medicine Referral
Incorporating Energy Medicine Approaches Into One’s Own Practice
Section VI. Other
Chapter 117. Creating a Greener Clinic: The Impact of Global Warming on Health
A Primer on Life Cycle Assessment
Conclusion
Chapter 118. Integrative Medicine for the Underserved
Introduction
Health Inequities
Social Determinants of Health (SDH)
Why Integrative Care is Especially Valuable with the Underserved
Facilitating Behavioral Change
Provider Characteristics for Healing the Underserved
Affordable Approaches and Sustainable Programs
Examples of Affordable Services by Intervention Type
Characteristics of Successful Integrative Programs for the Underserved
An Example of a Sustainable Alternative Medicine Hospital Practice
Example of Group Visit at a Federally Qualified Community Health Center
Achieving Buy-In from Administration
Outside the Exam Room: Activism
Index
Copyright
Title Page
Dedication
Contents
Chapter 1: ‘I’m thinking’ – Oh, but are you?
Chapter 2: Renegade perception
Chapter 3: The Pushbacker sting
Chapter 4: ‘Covid’: The calculated catastrophe
Chapter 5: There is no ‘virus’
Chapter 6: Sequence of deceit
Chapter 7: War on your mind
Chapter 8: ‘Reframing’ insanity
Chapter 9: We must have it? So what is it?
Chapter 10: Human 2.0
Chapter 11: Who controls the Cult?
Chapter 12: Escaping Wetiko
Postscript
Appendix: Cowan-Kaufman-Morell Statement on Virus Isolation
Bibliography
Index
Copyright
Title Page
Dedication
Contents
Chapter 1: ‘I’m thinking’ – Oh, but are you?
Chapter 2: Renegade perception
Chapter 3: The Pushbacker sting
Chapter 4: ‘Covid’: The calculated catastrophe
Chapter 5: There is no ‘virus’
Chapter 6: Sequence of deceit
Chapter 7: War on your mind
Chapter 8: ‘Reframing’ insanity
Chapter 9: We must have it? So what is it?
Chapter 10: Human 2.0
Chapter 11: Who controls the Cult?
Chapter 12: Escaping Wetiko
Postscript
Appendix: Cowan-Kaufman-Morell Statement on Virus Isolation
Bibliography
Index
Copyright
Title Page
Dedication
Contents
Chapter 1: ‘I’m thinking’ – Oh, but are you?
Chapter 2: Renegade perception
Chapter 3: The Pushbacker sting
Chapter 4: ‘Covid’: The calculated catastrophe
Chapter 5: There is no ‘virus’
Chapter 6: Sequence of deceit
Chapter 7: War on your mind
Chapter 8: ‘Reframing’ insanity
Chapter 9: We must have it? So what is it?
Chapter 10: Human 2.0
Chapter 11: Who controls the Cult?
Chapter 12: Escaping Wetiko
Postscript
Appendix: Cowan-Kaufman-Morell Statement on Virus Isolation
Bibliography
Index
Copyright
Title Page
Dedication
Contents
Chapter 1: ‘I’m thinking’ – Oh, but are you?
Chapter 2: Renegade perception
Chapter 3: The Pushbacker sting
Chapter 4: ‘Covid’: The calculated catastrophe
Chapter 5: There is no ‘virus’
Chapter 6: Sequence of deceit
Chapter 7: War on your mind
Chapter 8: ‘Reframing’ insanity
Chapter 9: We must have it? So what is it?
Chapter 10: Human 2.0
Chapter 11: Who controls the Cult?
Chapter 12: Escaping Wetiko
Postscript
Appendix: Cowan-Kaufman-Morell Statement on Virus Isolation
Bibliography
Index