COMPLIMENTARY &

ALTERNATIVE
MEDICINE
 A boy, Alex, 1.5 y.o had a fever. His
parents took him to a pediatrician
(M.D.) for a diagnosis. When they
asked about using herbs to treat his
infection, his doctor's response was,
"Herbs are for salads. He needs
something more sophisticated to
help him recover. Drugs."
This doctor was convinced of this fact
despite the tremendous body of
scientific research that indicates that
herbs could, in fact, help the boy
recover.
 Based on the recommendations the
parents received from a naturopathic
physician about other infections that
Alex had in the past, his parents
decided to use herbs before trying
drugs.
Within twenty-four hours of
administering the recommended
herbs to Alex, his fever disappeared
and he was markedly better.
Apa yang anda fikirkan bila anda
membaca iklan ini di sebuah
media massa:
George claimed that a tropical
animal protein supplied by a local
naturopath was effective in
lowering blood pressure, and George
was planning to invest in the product.
As evidence of his claim, George,
who had hypertension, said that he
felt much better after the treatment
and had much more energy.
A. Lack of an appropriate outcome
measure.
PRINSIP2
B. Lack of appropriate controls and lack of
an appropriate outcomeEBM measure.
C. Lack of randomization, lack of
replication, and lack of an appropriate
outcome measure.
D. Lack of replication and lack of
appropriate controls.
E. Lack of appropriate outcome measure,
replication, randomization, and controls.
 Objectives
Background why complimentary
& alternative medicine (CAM) is
learned in medical school
Basic Principles of CAM
Domains of CAM
Description of Integrative
Medicine
 Why medical doctors

?
The use of CAM in western countries
growing popular
In our countries, CAM has been very
common since hundred years ago
Medical doctors are skilled experts in
valuable system of medicine
+ expertise in CAM = a commitment
to compassionately serve the patient
as a person outstanding
performance
 Facts in USA
1995: 70 % family physician
want to training in CAM
1997: 80 % medical student
want to training in CAM
1998: 69 % Americans use
unconventional medicine (US $
27 billion out-of-pocket =
spending for all US physician
services
1999 : 67 % HMO offer at least
one form of Why
CAM dont we start ?
 PERCENTAGE OF CAM
USE BY ADULTS AND
CHILDREN
Basic Principles of
CAM
Natural Medicine
Holistic
Promote wellness
 Natural Medicine
The body was inherent ability to :
Maintain, Establish, Restore health
The physician's role is to:
Facilitate & augment this process
Act, identify & remove the obstacles
of health & recovery
Support the creation of a healthy
internal & external environment
Give the body the appropriate
tools, and it will heal it
 Holistic
Patients are helped back to wholeness
I AM NOT MY BODY- I LIVE IN MY BODY
Wholeness means that physical,
mental, emotional, and vital force
all in balance between themselves
and with the spiritual consciousness
known as the soul
Healing is the act of getting rid of
all the imbalances and creating
harmony with the soul patient
centered
 Promote wellness
Assess risk factors and
hereditary susceptibility to
disease and makes appropriate
intervention to avoid further
harm & risk to the patients
The physicians major role is to
educate & encourage the patient
to take responsibility for health
Make a commitment to their
personal & spiritual development in
order to be good teachers.
its difficult to be healthy in
an unhealthy world
 Domains of CAM
1. Alternative Medical System
2. Mind-Body Interventions
3. Biological-Based Therapies
4. Manipulative & Body-Based
Methods
5. Energy Therapies
1. Alternative Medical
System
Involve complete system of
theory & practice evolved
independent of and often prior
to conventional med.
a. Ayurveda:
diet, yoga, meditation, herbs,
massage, exposure to
sunlight
b. Homeopathy
c. Naturopathy
AYURVEDA
ACUPUNCTU
RE
Traditional oriental medicine:
Acupuncture, Herbal
Medicine, Traditional
Massage, Qi-gong
2. Mind-body
interventions
Focuses on the
interactions between
mind and body and the
powerful ways in which
emotional, mental, social
and spiritual factors can
directly affect health
 meditation,
certain uses of
hypnosis,
dance, music
and art therapy
prayer &
mental healing
 3. Biological-based
therapies
Includes natural and
biologically-based practices,
interventions and products
Included are herbal, special
dietary, orthomolecular and
individual biological therapies
 Jamu/herbs
Concentration
of chemical,
mega doses
vitamin
Aromatherapy
 4. Manipulative &
Body-Based Method
Includes methods that are based on
manipulation and/or movement of
the body
- Chiropathy : relationship between
structure & function
- Osteophaty: emphasis on the
musculoskeletal system
- Massage therapy: manipulate soft
tissues of the body to normalize those
tissue
 A P Y
H ER
Y T
ER G
EN
 5. Energy Therapies
Focus either on energy fields
originating within the body
(biofields) or those from other
sources (electromagnetic
fields)
- Qi gong
- Reiki
- Pranic healing
- Bio-magnetic therapy
QI GONG
REIKI
 INTEGRATIVE
MEDICINE
1.A partnership between
patient & practitioner in
the healing process
2.Appropriate use of
conventional & alternative
methods to facilitate the
bodys innate healing
response
3. Consideration to all factor
that influence health,
wellness and disease,
including mind, spirit and
community as well as body
4. A philosophy that neither
rejects conventional medicine
nor accepts alternative
medicine uncritically
5. Recognition that good
medicine should be based in
good science, inquiry driven
and open to new paradigm
6. Use of natural, less invasive
interventions whenever
possible
5. The broader concepts of
promoting of health and the
prevention of illness as well as
the treatment of disease
6. Practitioners as models of
health and healing, committed
to process of self-exploration
and self-development
 Conclusion
Integrative medicine is a
comprehensive, primary
care system that emphasizes
wellness and healing of
the whole person (bio-
psycho-socio-spiritual
dimensions) as major goals,
above and beyond
suppression of a specific
somatic disease.
The philosophy of integrative
medicine is compatible with
WHOs definition of health
is a state of complete
physical, mental and social
well-being and not merely the
absence of disease or
infirmity.
 AKNOWLEDMENT

Special Thanks to
dr. Dhanasari V. Trisna,
MSc.CM-FM
for sharing her knowledge
and spirit of CAM
Thank
You