Date post: | 27-Jun-2015 |
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East meets West
Robert Bennett, MD
Professor of Medicine and Nursing OHSU
Integrative Medicine:
Examples:Traditional Chinese medicine (herbs, acupuncture, gigong)Hands–on therapy (osteopathy, massage), Lifestyle(education, nutrition, exercise)Mind-body therapies (yoga, Tai Chi).
East meets West
A marriage of conventional Western medicine with other healing modalities, including complementary and alternative medicine (CAM), for which there is evidence of safety and effectiveness.
1)The Myofascial
Web
2)Mindful
Movement
3)Eastern
Treatments
4)Optimal
Nutrition
The Topics
1)The Myofascial
Web
2)Mindful
Movement
3)Eastern
Treatments
4)Optimal
Nutrition
The Topics
Myofascial Trigger Points
Why is it important to
eliminate myofascial
trigger points ?
Pain generatorsSpinal cord
BrainAnatomyof Pain Central
sensitization
Trigger Point Therapy
1)The Myofascial
Web
2)Mindful
Movement
3)Eastern
Treatments
4)Optimal
Nutrition
The Topics
The raisins sitting in my sweaty palm are getting stickier by the minute. They don't look particularly appealing, but when instructed by my teacher, I take one in my fingers and examine it
Time Magazine, February 2, 2014
The ability to focus for a few minutes on a single raisin isn't silly if the skills it requires are the keys to surviving and succeeding in the 21st century
Conclusion: Eight weeks of daily yogic meditation reversed the pattern of increased expression of genes associated with inflammation
Science meets Meditation
Epigenetics:Changes in gene
expression related to
environmental factors
1)The Myofascial
Web
2)Mindful
Movement
3)Eastern
Treatments
4)Optimal
Nutrition
The Topics
Traditional Chinese Medicine
Yin and yang symbol for balance. In Traditional Chinese Medicine, good health is believed to be achieved by a balance between yin and yang
Main components: Herbal medications Acupuncture Massage (Tui na) Exercise (qigong)
AcupunctureA 5000-year old medical
system based on the theory
that“Qi” (the life force which flows throughout our body) is out of balance
Deare, JC, et al. Acupuncture for treating fibromyalgia. Cochrane database review. 2013, May 31
1.There is low to moderate-level evidence that acupuncture improves pain and stiffness
2.The effect lasts up to one month
Reviewed 9 randomized controlled studies (i.e. sham acupuncture) involving 321 subjects:
Cochrane database review 2013
3. Electro acupuncture is probably more effective than manual acupuncture
4. The effect of acupuncture does not differ from sham acupuncture in reducing pain or fatigue
1)The Myofascial
Web
2)Mindful
Movement
3)Eastern
Treatments
4)Optimal
Nutrition
The Topics
Probiotics
Elie Metchnikoff first suggested the possibility of colonizing the gut with beneficial flora in the early 20th century.
WHO definition: micro-organisms which, when administered in adequate amounts, confer a health benefit on the host
1845 - 1916
Kefir
A new era in medical science has dawned with the realization of the critical role of the "forgotten organ", in generating a variety of functions which sustain health and, when disrupted, leads to disease.
Quigley, EM. Prebiotics and probiotics; modifying and mining the microbiota. Pharmacology Research. March 2010
Recent Review
Your gut harbors 100
trillion organisms
Prevotella copri – rheumatoid arthritisBacteroides prevotella – obesityClostridium perfringens – multiple sclerosisLactobacilli & Bifidobacteria– irritable bowel
Patients with recurrent Clostridium difficile infection underwent therapy with donor feces that were infused, through a naso-duodenal tube.This treatment was compared to a a group of patients treated with a conventional 14 day vancomycin regime.
Coprophagy ?
Results of fecal transplantation study
After 2 fecal transplantations there was a 94% cure
rate
The good microbes, such as Bifidobacterium and lactic acid bacteria, feast on chocolate
When you eat dark chocolate, they grow and ferment it, producing compounds that are anti-inflammatory
A prebiotic?
Are you a chocolate lover?
What about the descending
inhibitory pain system ?
Descending Inhibition
RememberActivate your descending
inhibitory system every day