Naturopathic Medicine
A Comprehensive Guide
(Sprache: Englisch)
This book offers comprehensive coverage of naturopathic medicine. The principles and values of this profession are already clearly stated (i.e., Find and Treat the Cause; Treat the Whole Person, etc.), but few are the textbooks that provide a clear...
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Klappentext zu „Naturopathic Medicine “
This book offers comprehensive coverage of naturopathic medicine. The principles and values of this profession are already clearly stated (i.e., Find and Treat the Cause; Treat the Whole Person, etc.), but few are the textbooks that provide a clear exposition of what the approach is that differs from what is described as conventional or allopathic medicine. The toolkit - herbs or nutrients - then becomes the defining feature, but this is not the most important attribute. To paraphrase the historian of medicine Harris Coulter - in this approach the body reacts creatively to stressors - and the Empirical school or natural medicine approach is more focused on supporting adaptive responses than suppressing symptoms. Or to put it another way, naturopathic physicians certainly do things to ameliorate symptoms, but their real interest is to discern what disturbances to the determining factors of health lead to imbalances, physiological dysfunction, and are generating the symptoms. This is not an attempt to argue that all health issues can get better on their own or that conventional medical interventions aren't capable of producing stellar outcomes. Conventional medicine holds great value, but there remains a concurrent need for a naturopathic approach that helps rebuild the body.There is a need for an approach in medicine that works to support adaptive responses of the body, reduce maladaptive responses, address determining factors of health, and sometimes create temporary homeostasis with agents such as drugs (or certain natural medicines) can play to maintain life when the body's healing responses are insufficient. This book takes this approach and begins by examining what health is and then what states lead to disease. In terms of the basis of disease states, the book teaches about how the lack of coordination in the body's bioregulatory systems (hormones, nervous system, cell signaling) can lead to disease, as well as the impact of irreversible
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degeneration, genetic damage, chronic stress, etc. The book takes the reader to some of the more common and well described reasons for these states of dysfunction, including the body's inability to process environmental toxins and disruptions to the human microbiome. The book then teaches how to assess a patient, and how various natural therapies impact root causes of disease, the long term consequences, and the various clinical manifestations.
The book then takes a systems approach - cardiovascular, pulmonary, etc. This is where most books on the subject start, but instead of breaking out a number of conditions and giving protocols of diet, supplements, herbs etc., the author examines how to restore stability and function to that system. There is in depth coverage of how to confront degenerative processes that make self-healing far more challenging, or perhaps not entirely attainable. The application of the model of healing outlined in previous chapters is applied to each system. Special topics are then covered, ranging from lifespan/primary care considerations to the role of research, the rise of advanced data analytics as decision assistance, to the environmental, cultural, and global determinants of health. Each chapter will additionally include tables that summarize key diagnosis or treatment points, arrayed in an order that reflects the model presented in the book.
This is an ideal guide for students in naturopathic medicine, as well as physicians and medical professionals looking to learn more about this field aimed towards maximizing patient resilience.
The book then takes a systems approach - cardiovascular, pulmonary, etc. This is where most books on the subject start, but instead of breaking out a number of conditions and giving protocols of diet, supplements, herbs etc., the author examines how to restore stability and function to that system. There is in depth coverage of how to confront degenerative processes that make self-healing far more challenging, or perhaps not entirely attainable. The application of the model of healing outlined in previous chapters is applied to each system. Special topics are then covered, ranging from lifespan/primary care considerations to the role of research, the rise of advanced data analytics as decision assistance, to the environmental, cultural, and global determinants of health. Each chapter will additionally include tables that summarize key diagnosis or treatment points, arrayed in an order that reflects the model presented in the book.
This is an ideal guide for students in naturopathic medicine, as well as physicians and medical professionals looking to learn more about this field aimed towards maximizing patient resilience.
... weniger
Inhaltsverzeichnis zu „Naturopathic Medicine “
I. The nature of health, homeostasis, adaptation, biological plasticity, repair.This introductory chapter frames the overall issues of health, disease - both health restoring therapy and disease focused therapy are necessary.
- The concept of health
- Scientific ways of describing a state of balance
- Healing as observed in the human body
- The reasons why our self-repair mechanisms fail
- The two pillars of medicine in the Western tradition - The Rational and Empirical Schools
- Naturopathic medicine and the Hippocratic tradition - making the flame burn more brightly
- Indigenous medicine and traditions that precede contemporary naturopathic medicine
II. Disease (Theory of)
While disease is an observable phenomenon at the cellular and biochemical level, the reasons that the human system lapses into disease and dysfunctions are more complex that the end stage pathological finding. This chapter looks at how these dysfunctions occur over time, as this is the ground of chronic ill health of the kind that patients seek help
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for.- Deviation from normal control systems
- Oscillations
- Degeneration- Neoplasm
- Sub-optimal function
- Drastic compensations - chain reactions- The extracellular matrix - the interior milieu of human cells, and it's degeneration
- Immune and human - microbiome symbiosis
III. Where does a naturopathic approach apply?
The need for and success of conventional medicine is indisputable. So where does a naturopathic approach become needed? Between pure prevention, and the suppression of pathology, what is the need for a naturopathic approach. Allopathic approaches at sub-toxic levels can work to restore balance, and in more advanced disease, naturopathic approaches can still optimize remaining function and improve quality of life.
- Why are allopathic therapies sometimes not enough?- Why are natural approaches sometimes not enough?
- What is the threshold - what happens to make repair impossible?
- What is the value of supporting the body even in incurable conditions? - The role of the naturopathic physician in setting the stage for healing
IV. Causes of ill healthThe states of dysfunction discussed in Chapter II, that lead to disease development don't always happen by random chance. What are the causes of those states, and to what degree does stressors, disturbances to determinants of health, and intrinsic/genomic factors produce the states of dysfunction.
- Disturbances
- Chronic dysfunction
- Toxins
- Mind and body
- Microbiome
- Genomic susceptibility
- Developmental influences- Suppressive treatments
- Nutritional elements in disease
- Social determinants
V. Assessment of the patient
Diagnosis is necessary in health care - even if disease states have more complex causes, the situations that are described by diagnostic categories (such as "peritonitis") require action. The assessment must start here, but go well beyond this, to overall function, identification of factors that are holding back healing, and insight into the disturbed determinants of health and stressors that are undermining the patient's total health.
- Diagnosis
- Overall Health Assessment including organ function
- Levels of function and dysfunction - limitations
- Social - emotional context
- Inventory of Determinants of Health
- Nutritional status
VI. Therapeutics
A look at naturopathic therapeutics as purposeful and how they align with a whole person approach.
- Historical roots- Indebtedness to key traditions
- Current and future scientific research
- Purposes of each type of therapy (clinical nutrition, botanical medicine, physical medicine etc.)- How they relate to reversing modes of disease
- How they relate to eliminating causes of disease
- How they relate to enhancing the healing or repair - regeneration process
VI. States of ill health - assessment and overall mitigation
These are biological states are both clinical presentations, and blanket conditions that give rise to multiple issues and usually multiple secondary diagnoses.
- Chronic pain
- Pre-cancer- Liver damage
- Mucosal immune dysfunction and Allergy
- Auto-immune conditions- Poor immune competence
- Mood disorder
- Insulin dysfunction- Mitochondrial dysfunction
- Post-viral syndromes
- PTSD and trans generational trauma- Obesity
VII. Systems Approach to Therapy
Building on the framework of fundamental causes of ill-health, chronic dysfunction, and states of permanent organ dysfunction, this chapter takes an organ system review of therapy for these systems. The reason it is grouped by system versus by condition is that the purpose of this chapter is to look at the mechanistic issues that underlie function for each system. There is discuss of specific treatments and doses. The preceding analytical approach to disease is the real basis for this chapter. Students will find it information rich, but the ability to analyze problems in these organ systems and to create actionable conclusions is the true goal of this chapter.
- Cardiovascular
- Pulmonary- Renal
- Hepatobiliary
- Gastrointestinal- Neurologic
- Hematopoeitic
- Muscuo-skeletal- Dermatologic
- Endocrine systems
- Sensory organs
VIII. Life-span considerations
This chapter focuses mainly on the challenges and opportunities for addressing the determinants of health in each of these life stages. Some of the more prominent challenges are discussed. For instance, the chronic oxidative stress, LDL intoxication, and inflammation that leads to atherosclerosis tends to assert itself in later adulthood. There are some tables and highlights such as nutritional requirements at different stages, but this chapter will not present a complete pediatric or gerontology resource.- First 2 years
- Childhood early
- Ages 8 to 12- Adolescence
- Adulthood early
- Later adulthood- Maturity - senescence
- Life extension
- The oldest old
IX. Naturopathic medicine in context
This chapter examines the roles that naturopathic physicians can perform in healthcare. This is not merely descriptive we'll look at how having a distinct and complementary model of care and skill set can make this approach welcome across a variety of settings. The degree to which a naturopathic physician can and should (in the absence of a 3 to 5 year residency learning allopathic approaches) use the upper range of the scope of practice which does include prescription medications. Is referral or co-management with other providers a better alternative than doing it all?- Primary care roles
- Adjuvant Roles
- As part of health systems and integrated practices
X. The role of research and scientific inquiry in naturopathic medicine
There are different kinds of evidence, and different questions to ask in clinical practice research. Although the double blinded, randomized control trial is powerful, it is best suited to single therapy approaches, particularly with singular substances (drugs) or a combination of these drugs in some instances. Not only outcomes, but insight into how patient resilience is increased ought to be a strong focus in naturopathic medicine.
- The use of aggregated clinical trials as a guide to therapy selection
- Mechanisms of injury, disease, repair, and homeostasis - how does this knowledge guide practices
- What kinds of scientific investigations are more relevant to naturopathic medicine
- How practitioners can contribute to knowledge creation - and need to
XI. The role of informatics and artificial intelligence in naturopathic medicine
The aggregation and searching of data is becoming more powerful all the time. Assisted decision making is here now, and will only become more relevant. Its fallacious to presume that a simple query of the vast amount of scientific publications can always tell a doctor what to do, but it can strongly inform decisions. The "Garbage In - Garbage Out" principle of computing is still at work today.
· Organized citations· Hierarchies of researches
· Statistical interpretations - power and limitations
· Individualized medicine in the 21st century
· Assisted decision making
XII. Societal, global, environmental impact that naturopathic physicians can have.
All human beings are a part of, and influenced by their cultural, socioeconomic, environmental and ecology milieu. Naturopathic physicians need to understand these powerful drivers of health, and to what degree physicians should be actively seeking to improve these factors as part of their actual professional responsibility.
- Cultural impacts on health
- Socio-economic drivers
- Environmental toxins
- Ecological factors - deforestation, green space, drinkable water, food availability.
Appendix A: Recommended resources for clinical/scientific information.
Appendix B: Professional associations and public interest groups related to whole health, complementary and integrative medicine, naturopathic medicine, etc.
- Oscillations
- Degeneration- Neoplasm
- Sub-optimal function
- Drastic compensations - chain reactions- The extracellular matrix - the interior milieu of human cells, and it's degeneration
- Immune and human - microbiome symbiosis
III. Where does a naturopathic approach apply?
The need for and success of conventional medicine is indisputable. So where does a naturopathic approach become needed? Between pure prevention, and the suppression of pathology, what is the need for a naturopathic approach. Allopathic approaches at sub-toxic levels can work to restore balance, and in more advanced disease, naturopathic approaches can still optimize remaining function and improve quality of life.
- Why are allopathic therapies sometimes not enough?- Why are natural approaches sometimes not enough?
- What is the threshold - what happens to make repair impossible?
- What is the value of supporting the body even in incurable conditions? - The role of the naturopathic physician in setting the stage for healing
IV. Causes of ill healthThe states of dysfunction discussed in Chapter II, that lead to disease development don't always happen by random chance. What are the causes of those states, and to what degree does stressors, disturbances to determinants of health, and intrinsic/genomic factors produce the states of dysfunction.
- Disturbances
- Chronic dysfunction
- Toxins
- Mind and body
- Microbiome
- Genomic susceptibility
- Developmental influences- Suppressive treatments
- Nutritional elements in disease
- Social determinants
V. Assessment of the patient
Diagnosis is necessary in health care - even if disease states have more complex causes, the situations that are described by diagnostic categories (such as "peritonitis") require action. The assessment must start here, but go well beyond this, to overall function, identification of factors that are holding back healing, and insight into the disturbed determinants of health and stressors that are undermining the patient's total health.
- Diagnosis
- Overall Health Assessment including organ function
- Levels of function and dysfunction - limitations
- Social - emotional context
- Inventory of Determinants of Health
- Nutritional status
VI. Therapeutics
A look at naturopathic therapeutics as purposeful and how they align with a whole person approach.
- Historical roots- Indebtedness to key traditions
- Current and future scientific research
- Purposes of each type of therapy (clinical nutrition, botanical medicine, physical medicine etc.)- How they relate to reversing modes of disease
- How they relate to eliminating causes of disease
- How they relate to enhancing the healing or repair - regeneration process
VI. States of ill health - assessment and overall mitigation
These are biological states are both clinical presentations, and blanket conditions that give rise to multiple issues and usually multiple secondary diagnoses.
- Chronic pain
- Pre-cancer- Liver damage
- Mucosal immune dysfunction and Allergy
- Auto-immune conditions- Poor immune competence
- Mood disorder
- Insulin dysfunction- Mitochondrial dysfunction
- Post-viral syndromes
- PTSD and trans generational trauma- Obesity
VII. Systems Approach to Therapy
Building on the framework of fundamental causes of ill-health, chronic dysfunction, and states of permanent organ dysfunction, this chapter takes an organ system review of therapy for these systems. The reason it is grouped by system versus by condition is that the purpose of this chapter is to look at the mechanistic issues that underlie function for each system. There is discuss of specific treatments and doses. The preceding analytical approach to disease is the real basis for this chapter. Students will find it information rich, but the ability to analyze problems in these organ systems and to create actionable conclusions is the true goal of this chapter.
- Cardiovascular
- Pulmonary- Renal
- Hepatobiliary
- Gastrointestinal- Neurologic
- Hematopoeitic
- Muscuo-skeletal- Dermatologic
- Endocrine systems
- Sensory organs
VIII. Life-span considerations
This chapter focuses mainly on the challenges and opportunities for addressing the determinants of health in each of these life stages. Some of the more prominent challenges are discussed. For instance, the chronic oxidative stress, LDL intoxication, and inflammation that leads to atherosclerosis tends to assert itself in later adulthood. There are some tables and highlights such as nutritional requirements at different stages, but this chapter will not present a complete pediatric or gerontology resource.- First 2 years
- Childhood early
- Ages 8 to 12- Adolescence
- Adulthood early
- Later adulthood- Maturity - senescence
- Life extension
- The oldest old
IX. Naturopathic medicine in context
This chapter examines the roles that naturopathic physicians can perform in healthcare. This is not merely descriptive we'll look at how having a distinct and complementary model of care and skill set can make this approach welcome across a variety of settings. The degree to which a naturopathic physician can and should (in the absence of a 3 to 5 year residency learning allopathic approaches) use the upper range of the scope of practice which does include prescription medications. Is referral or co-management with other providers a better alternative than doing it all?- Primary care roles
- Adjuvant Roles
- As part of health systems and integrated practices
X. The role of research and scientific inquiry in naturopathic medicine
There are different kinds of evidence, and different questions to ask in clinical practice research. Although the double blinded, randomized control trial is powerful, it is best suited to single therapy approaches, particularly with singular substances (drugs) or a combination of these drugs in some instances. Not only outcomes, but insight into how patient resilience is increased ought to be a strong focus in naturopathic medicine.
- The use of aggregated clinical trials as a guide to therapy selection
- Mechanisms of injury, disease, repair, and homeostasis - how does this knowledge guide practices
- What kinds of scientific investigations are more relevant to naturopathic medicine
- How practitioners can contribute to knowledge creation - and need to
XI. The role of informatics and artificial intelligence in naturopathic medicine
The aggregation and searching of data is becoming more powerful all the time. Assisted decision making is here now, and will only become more relevant. Its fallacious to presume that a simple query of the vast amount of scientific publications can always tell a doctor what to do, but it can strongly inform decisions. The "Garbage In - Garbage Out" principle of computing is still at work today.
· Organized citations· Hierarchies of researches
· Statistical interpretations - power and limitations
· Individualized medicine in the 21st century
· Assisted decision making
XII. Societal, global, environmental impact that naturopathic physicians can have.
All human beings are a part of, and influenced by their cultural, socioeconomic, environmental and ecology milieu. Naturopathic physicians need to understand these powerful drivers of health, and to what degree physicians should be actively seeking to improve these factors as part of their actual professional responsibility.
- Cultural impacts on health
- Socio-economic drivers
- Environmental toxins
- Ecological factors - deforestation, green space, drinkable water, food availability.
Appendix A: Recommended resources for clinical/scientific information.
Appendix B: Professional associations and public interest groups related to whole health, complementary and integrative medicine, naturopathic medicine, etc.
... weniger
Autoren-Porträt von Fraser Smith
Fraser Smith, MATD, ND is a professor at the National University of Health Sciences. He is a naturopathic physician and has taught, practiced, and written on this subject since 1997. He helped found the naturopathic medicine program at National University in Chicago area and serves as the Vice President of the North American Board of Naturopathic Examiners.
Bibliographische Angaben
- Autor: Fraser Smith
- 2022, 1st ed. 2022, XXIII, 518 Seiten, 106 farbige Abbildungen, Maße: 15,5 x 23,5 cm, Gebunden, Englisch
- Verlag: Springer, Berlin
- ISBN-10: 3031133870
- ISBN-13: 9783031133879
Sprache:
Englisch
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