Archive for the 'General' Category

Who defines holistic medicine?

Posted by Iris Bell on May 31st, 2008

The field of holistic medicine can confuse newcomers and experts alike. At the most basic level, people use the term “holistic” to mean different things. Sometimes they mean that any natural product that they use instead of a drug is “holistic.” But, that may not always be a valid way to think about it.

In my opinion, “holistic” means the effects on the person as a whole matter. If a treatment improves a person’s health without causing deterioration in other aspects of health in the short term and — especially in the long term (years) — (no side effects), it is a more ideal type of holistic medicine.

It is possible to use many alternative medicine treatments in a drug-like, non-holistic way. Most drugs target a specific body part, not the whole person’s health and well-being.

Even within the field of alternative medicine, a treatment may be frontier, middle-of-the-road, or conservative. Different people often disagree on what treatments belong in any one of those broad categories. For example, where would you place acupuncture? Packages of conventional drugs used in FDA-non-approved ways for problems that are themselves controversial, e.g., to treat chronic fatigue syndrome? Prayer?

Belief systems and culture often underlie the opinions that we each hold concerning a specific type of therapy.

Are You Addicted to your Favorite Food?

Posted by Iris Bell on May 28th, 2008

Food addiction appears to be very real. Studies with sugar (sucrose) have shown that it has effects on the reward centers of the brain similar to those of drugs like morphine or heroin or even cocaine. Foods that contain wheat or milk are themselves digested into opiate-like peptides. In animals that have had binge-like exposures to sugar, they go into physical withdrawal symptoms that look exactly like those of a heroin addict! Years ago, some food allergists observed the same thing in their patients who had various chronic health problems. They fasted them under medical supervision for 4-7 days, saw the withdrawal symptoms (unmasking), and then challenged them with a large meal of the suspect food. After withdrawal has ended, foods that are triggering low grade chronic symptoms will instead trigger obvious, big adverse reactions. Don’t try this on your own without medical supervision - but be aware that it is a simple way to find out if you are addicted to a food…and if it is actually triggering symptoms. Simple holistic tip - start with foods that you crave and can’t imagine doing without them.

When people with chronic illnesses like type 2 diabetes think about their treatment options, about half choose to include complementary and alternative medicine therapies in their overall package. However, like most people who use holistic approaches, they usually combine the CAM with conventional medicines.

There is a new finding that confirms an old finding about the established drugs used to lower blood sugar in type 2 diabetes - and it is worrisome. It seems that using the drugs to lower blood sugar as much as possible leads to increased rates of cardiovascular deaths. Similar findings were reported in the late 1960’s about related drugs.

Holistic medicine offers some reasonable options. Obviously in all systems of care, weight loss and exercise are the core strategies. If you want to take supplements, though, the options are interesting to explore - chromium, vanadium, alpha lipoic acid, Gymnema sylvestre, and prickly pear, as well as the spice cinnamon, all have evidence that they can help out with lowering blood sugar and/or reducing symptoms (e.g., lipoic acid may help with diabetic peripheral neuropathy - terrible nerve pain). In balancing potential risks and benefits, right now, the CAM supplements seem to have a significant advantage over the drugs.

Holistic Programs - Tai Chi for People with Heart Failure

Posted by Iris Bell on February 21st, 2008

A recent study suggests that practice of the Chinese medicine exercise modality known as tai chi can help people with moderate heart failure - and without causing adverse effects. Here is the abstract below:

Postgrad Med J. 2007 Nov;83(985):717-21.

An evaluation of the effects of Tai Chi Chuan and Chi Kung training in patients with symptomatic heart failure: a randomised controlled pilot study.

Barrow DE, Bedford A, Ives G, O’Toole L, Channer KS.

Department of Cardiology, Royal Hallamshire Hospital, Glossop Road, Sheffield S10 2JF, UK.

OBJECTIVE: To study the effect of Tai Chi on exercise tolerance in patients with moderate heart failure. DESIGN: Randomised parallel group study balanced for baseline variables. SETTING: Cardiology Department, Royal Hallamshire Hospital. PATIENTS AND METHODS: 52 patients (42 men, mean age (68.9 years), range (46-90 years), and 10 women, mean age (70.0 years), range (58-82)) with chronic heart failure (New York Heart Association symptom class II-III) were studied. Patients were randomised to Tai Chi Chuan twice a week for 16 weeks or to standard medical care without exercise rehabilitation. MAIN OUTCOME MEASURES: The primary outcome measure was the change in the distance walked in the shuttle walk test. Secondary outcome measures were changes in symptom scores and quality of life indices. RESULTS: Objective measures of exercise tolerance did not improve significantly with Tai Chi, but patients having Tai Chi exercise had an improvement in symptom scores of heart failure measured by the Minnesota Living with Heart Failure Questionnaire (comparison of deltas, -2.4 control vs -14.9; p = 0.01), and depression scores measured by the SCL-90-R questionnaire (-2.9 vs -6.8; p = 0.12) compared with those patients in the control group. CONCLUSION: In patients with chronic heart failure, 16 weeks of Tai Chi training was safe, with no adverse exercise related problems. It was enjoyed by all taking part and led to significant improvements in symptoms and quality of life.

PMID: 17989272 [PubMed - indexed for MEDLINE]

Holistic Tip of the Day - non-drug antiinflammatory products

Posted by Iris Bell on February 1st, 2008

When assembling a holistic program of foundational products, an antiinflammatory diet program is basic. In addition, especially if you already suffer from a chronic condition in which inflammation plays a role (most of them), there may be times when a package of herbs and nutrients will make sense for you - these might include tumeric derivatives, ginger, and boswellia.

Holistic Prevention of Colds

Posted by Iris Bell on January 29th, 2008

When you put together the available information, preventing colds even in elderly people or people with chronic health problems is improved by taking a few nutritional supplements regularly: In addition to a good multivitamin/multimineral and vitamin D (preferably as vitamin D3 form), adding vitamin E at 200 units/day to the total program seems to help ward off colds.

As with so many tips that we discuss here, it is important to think holistically and understand the need not to use one vitamin or mineral in isolation from others. The human body involves a biochemical network - and no one nutrient or biochemical is more important than another in that they all work together in an intricate dance.

The safest bet is to take reasonable amounts of a multi-nutrient program. For vitamin E, with available evidence, the upper limit seems to be around 200 IU.

Holistic Treatments for Colds and Flu

Posted by Iris Bell on January 17th, 2008

During the winter cold season, most people who prefer to use natural treatments and holistic approaches to health issues look for options for treating colds and flu. Here is a short list of items to consider:

  • vitamin C supplements shorten colds, though may not prevent them
  • research on zinc lozenges and nasal products is mixed - but zinc may help reduce severity of colds
  • elderberry products can help with some of the symptoms
  • common homeopathic remedies for flu include Oscillococcinum (from duck liver, one vector for carrying flu virus), gelsemium, bryonia, and eupatorium. Various over-the-counter products are either single remedies or mixtures of remedies like these
  • cat’s claw as an herbal capsule or tea may have immune boosting capabilities against viruses, bacteria, and other infectious agents

Holistic Medicine Self-Help

Posted by Iris Bell on January 6th, 2008

People often find that other people who carry a diagnosis similar to their own can help them with everyday practical tips and support to get through the long haul of chronic illness.

One site that has formed forums or discussion boards just for patients with certainĀ  diagnoses such as multiple sclerosis is the following:

http://www.patientslikeme.com/

Getting Whole, Getting Well Book

Posted by Iris Bell on December 27th, 2007

There are a lot of alternative therapies out there. Which ones make sense for you as an individual? The first step in sorting out your answer to this question is to take a big picture look at the situation.

That’s where my book (and e-book version) and bonus workbook can come in for you. The book is called “Getting Whole, Getting Well: Healing Holistically from Chronic Illness.” People with chronic disorders and chronic diseases will find the book valuable. Health care practitioners may find it a useful educational tool for their patients and clients.

I wrote the book and workbook to fill a gap in information for people with chronic disorders and diseases. Many authors in alternative medicine emphasize good public health recommendations on diet, exercise, and lifestyle change, but those are often not enough to really help people with established health problems. Many other authors in alternative medicine give good summaries of the various modalities and treatment options available, but they don’t offer a usable system for deciding how to pick and choose between options.

Too many people with chronic conditions just try whatever a friend or family member recommends - sometimes it helps, sometimes not. This e-book and newsletter information is intended to help people get a better overview of how the options might fit together when they make their own decisions about trying any particular treatment option.

In the book, you’ll find the big picture story of how to sort through your options. With inspirational quotes, colorful illustrative photos on which to meditate, summaries of key points at the end of each chapter, you’ll find yourself getting hope that there is big picture and you can use it to help yourself.

The e-book is available at: http://www.gettingwhole.com.

The paperback version of the book is coming out soon, available both in bookstores and online.

At our website http://www.gettingwhole.com, the offer includes the “Getting Whole, Getting Well” bonus workbook and downloadable meditation audio MP3 to help you get started in sorting through your individual options.

Until next time, keep healing!

http://www.gettingwhole.com

You can download the e-book version immediately and start making your own
plans for getting whole and getting well.

Iris R. Bell, MD PhD
Alternative medicine information from a doctor who is also a patient.

Stress management for recurrent colds?

Posted by Iris Bell on December 26th, 2007

Mind-body medicine is part of any holistic treatment program. A 2001 study found that children who received training in stress management and guided imagery had shorter colds and flu infections, as well as improved psychological state measured one year later, compared with controls who were on the wait list. Conclusion - stress management may help shift the tendency to catch colds and might work synergistically with other treatments such as vitamin C to shorten the duration of a given cold.

Source in http://www.pubmed.com

Hewson-Bower and Drummond, J Psychosomatic Research 2001