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L9 Alternative medicine :drum_with_drumsticks: (Complementary/Alternative…
L9
Alternative
medicine :drum_with_drumsticks:
Medicine is the science and practice of
Dx, Rx and prevention
of ds
Modern medicine
:star: ที่เด็ดคือ
ผ่าตัด
และ ยา esp
ATB
s
aka Mainstream med, Conventional med, แพทย์แผนปจบ
Anesthesia
- using GA for surgical procedures
Traditional
medicine (ตามประเพณีดั้งเดิม)
Sum total of Knowledge, Skills & Practices based on
theories
, beliefs, and experience indigenous to different cultures, whether explicable or not, used in maintenance of health
Theories
divided into
Systematic
traditional medicine
Non-systematic
traditional medicine
Some countries used
interchangely
with Complementary/alternative/non-conventional med
Complementary/Alternative
medicine
A broad set of health-care practices that are
not part of
that country's own tradition and
not integrated into
the dominant health-care system
Aka Natural medicine, Non-conventional medicine, Holistic medicine
Def
Complementary = Rx that are used
along with
conventional med
Alternative = Rx used
in place
of conventional med
:dog2::five:
types
Natural products 🇺🇸
Mind-Body Therapies 🇺🇸
Alternative medical systems
Manipulative and Body-Based methods
Energy therapies
In 🇺🇸 got National Center for Complementary and Alternative Medicine (NCCAM) at the National Institutes of Health (
NIH)
-- NCCAM lead agency thats charged with scientific research into CAM
NIH
classifies :two: general areas of CAM
Natural products
eg. Vitamins, minerals, herbs and other botanicals, probiotics, amino a., other dietary supplements
:!:
most common uses in 🇺🇸adults in 2012
Mind and body practices
include wide variety of procedures and techniques
eg. Acupuncture, Massage therapy, Spinal manipulation, Yoga, Tai chi(ไทเก๊ก), Qi Gong(จี้กง), Meditation, Relaxation
:dog2:
Types
systematic/non-systematic
Systematic
CAM
:pineapple:
Traditional
medicine
Ayurveda
Traditional Chinese medicine
Unani medicine
Homeopathy (ใช้ hormone)
Tibetan medicine
Siddha medicine
Chiropractic medicine
:kiwifruit:
Non-traditional
medicine
Naturopathic medicine
Osteopathic medicine
Non-systematic
CAM
Folk medicine (หมอผี vibes)
Mind-body intervention :reminder_ribbon:
Qi gong
Yoga
Meditation
Guided imaginery
Breathing exercise
Hypnothearpy
Healing touch
Movement therapies
Natural products therapy :palm_tree:
Herbal medicine
Probiotic
Enzyme therapy
Orthomolecular therapy (megavitamin, dietary restriction)
Cell therapy (eg เอารกเด็กมาฉีดเข้าเส้น)
Vitamins and minerals
Dietary supplement
Aromatherapy
Manipulative therapy :hear_no_evil:
Acupressure
Massage thearpy
Bone setting
Spinal setting
Reflexology
Guasa (ขูด)
Shiatzu (นวดของญป.)
Energy therapy :bulb:
Biological therapy
Internal therapy
External therapy
Non-biological therapy
Non-machine energy
Magnetic thearpy
Crystal therapy (eg. Amethyst)
Machine energy
Water bath (น้ำวน)
Hyperthermia
:fries:
Principle for Use
*when using CAM must consider this
Efficacy
Safety
Cost-Benefit-Effectiveness
Rationale
Omake :foggy:
Levels of evidence based
I
Ia = evidence got fr
Meta-analysis of RCT
(meta-analysis studies many RCT)
Ib = evidence got fr ≥ 1 RCT
! เจอเยอะกว่า Ia
II
IIa = evidence got fr one well-desgined controlled (NOT random)
IIb = evidence fr ≥ 1 other type of well-designed quasi-experimental study
III
III = evidence fr Well-designed Non-experimental
descriptive studies
eg comparative studies, correlation studies and case control studies
IV
IV = evidence got fr Expert committee reports or opinions and/or clinical experience of respected authorities