Medical Schools offering electives in Integrative Medicine

Yay! I was really excited to read this article in Acupuncture Today.

More and more biomedical schools are teaching elective courses on integrative medicine. As of November 2008, 113 of the nation's 126 medical school have such electives available! These courses are designed to bring to our future doctors information about what types of therapies their future patients are going to be using to improve their health.

Integrative medicine is the practice of combining the best of all of the medical fields (biomedicine, acupuncture, massage, chiropractic, etc.) in order to get the best results for a patient with the least amount of intervention.

If acupuncture will help your back pain? Great! If not, maybe another therapy will. Maybe your only answer will be pain medications. However, let's start with something like acupuncture, massage or chiropractic medicine to see if they'll work.

If you've got pneumonia, let's not mess around with herbs (while they CAN work, they're not as effective as antibiotics), let's go straight to antibiotics, get you better, then use acupuncture and Chinese herbs to help your recovery time and address underlying deficiencies that may have predisposed you to illness in the first place.

These electives are not used to teach students HOW to use complimentary therapies, but rather when to refer to the appropriate complimentary medical specialist. Kudos to these medical schools for finally getting it. No one can be the Jack-of-all-trades healer. We WANT practitioners who are experts in their field who communicate with other experts.

It's all about the communication and knowing that there are many ways to help people thrive. We all need to help our patients find the treatments that work best for them.

Problems with Chinese medicine scientific studies

We've all seen the contradicting studies: acupuncture does work for this condition. Acupuncture doesn't work for the same condition. What's going on?

The problem with these scientific studies is that many of them are not being designed properly to match how the medicine works. Science is FABULOUS for pulling things apart to understand how every little cog works. However, Chinese medicine is about the whole machine. You can't remove one piece and study it alone.

In many studies I see have a conclusion that sounds something like this: "Acupuncture shown to be ineffective for treating X, Y or Z." Then, when I read farther into the study, it's because they used a single acupuncture point in all of their study participants. I always have to giggle at this. Acupuncture is not a system where all people with X biomedical disease end up having the same Chinese medical diagnosis. For example, knee pain isn't just knee pain. It could be due to Kidney Qi Deficiency, Kidney Yang Deficiency, Kidney Yin Deficiency, Cold Bi Syndrome, Hot Bi Syndrome, Qi and Blood Stagnation among the basic few. What one needle may work great for Kidney Qi Deficiency knee pain may actually exacerbate knee pain due to Qi and Blood Stagnation! So of course, when all of these patients with knee pain are grouped together and treated like they have the same disease, the researchers get poor/mixed results! Not to mention that most styles of acupuncture do not use a single-needle approach (there is a Japanese style in which a single needle is used - the PERFECT needle for that patient on that day at that moment).

I'm not saying get rid of the science. We need the science in order to validate our medicine in this society. We need the science to validate our medicine so that insurance companies will be willing to cover services that could greatly benefit a huge number of Americans suffering from debilitating disease processes. But what we need most of all is studies that are designed with the idea of how Chinese medicine works in mind, otherwise we're just wasting time and money on studies that aren't actually testing the medicine as it is used.

Researchers out there who may stumble upon this blog (okay, so I may be dreaming big here ;) ), please make sure you have an acupuncturist help you design your study. And I'm not talking about a biomedical doctor who has gone through "medical acupuncture" training, because that's not the same thing as an acupuncturist. An acupuncturist will be able to help point out when you're missing an aspect of how Chinese medicine works so that you can get the most true-to-life results possible!

Lastly, I want to point out that if/when a drug is shown to be ineffective, it isn't concluded that pharmacology, as a whole, doesn't work. Why, then, do we say that acupuncture, as a whole, doesn't work, when one point is found to be ineffective for a single diagnosis?

Just because it's natural doesn't mean it's always safe!

I hear it ALL the time. "It's natural, so it's safe, unlike 'x,' 'y' or 'z' medication." Just because it's natural doesn't mean that it's safe. Many natural substances are, in fact, poisonous. Occasionally we have learned a safe dose range, but that still doesn't mean that it should be used by everyone for everything.

For example, Foxglove is a very poisonous plant - beautiful, but poisonous. It has been used for many years, in the form of digitalis, to correct some heart rhythm problems. However, digitalis has a VERY narrow range of safe dosing, and isn't appropriate for all people with heart problems.

It makes me very nervous when I over hear people talking about how excited they are that they're treating themselves with "such and such" herb, without their doctor's consent, without discussing their use with any herbal professional and often without telling any of their health care providers that they are using said substance.

Some herbs have interactions with medications and these interactions can be very dangerous. Some medications may have their effects negated. Some medications may have their effects multiplied. In both cases, imagine the consequences being equivalent to not taking the medication or taking more than the prescribed amount. The results could be catastrophic for some patients!

Some herbs are not meant for all presentations of a symptom. For example: ginger. Read my personal story of Why you have to be careful with home herbal remedies, and you'll see how the side effects can be very uncomfortable and avoidable. I was lucky that I eventually recognized the problem, but what if you weren't aware of the possible side effects? You might suffer needlessly! Some people are even prescribed medications to counteract such side effects. This is so unnecessary!

It's great to use natural products, because the chance of side effects, when used properly and under knowledgeable supervision, is greatly reduced when compared to biomedicines. However, natural substances should be considered as medications, something that is prescribed with assistance from a trained professional.

Feel free to talk with your acupuncturist about any natural substances that you are taking or are considering taking. At least, you may save yourself some unnecessary side effects, at most you may save your life.

Leave the magic alone!

So I did a search on Google for acupuncture today and was reading through some articles. Some were on the latest research. Some were on a new clinic that just opened up somewhere on the east coast. Some were written by acupuncturists who went through "Medical Acupuncture" training. This last group were the ones that caught my eye today and have spurred on this post. First off, I want to write a little bit of a disclaimer. I'm getting ready to hop up on my soapbox here, so if you're not interested, just close your browser window now ;)

And now, let the games begin!

First off, a little background on "Medical Acupuncture." Medical acupuncture is the result of biomedicine taking acupuncture and using it for their own purposes. They've seen that huge amounts of people get acupuncture done on a regular basis. They've seen that these people have had sometimes miraculous results. They've taken acupuncture and stripped it of its system (because Qi, Yin and Yang are faniciful, magical theories that can't exist) and turned it into a set of recipes. For pain you do this set of points. For nausea - this set. For diarrhea yet another set. There isn't a great amount of attention paid to the Chinese medical diagnosis, as there is to the symptoms. Biomedicine has found through research that certain points are used often in treating certain conditions and feels that all of the "magical" theory of Qi, Yin and Yang can be discarded. Sounds familiar, right? That's what biomedicine does! They want to find the active ingredient in order to turn it into a marketable pill. Forget that there may be other ingredients that are working with the active ingredient to make it even more powerful!

For the record, I don't actually have a problem with "Medical Acupuncture." People who practice this style of acupuncture get results and patients DO feel better!

However. Yes, there's a however. (You should know me by now!) This system of acupuncture has been watered down, and I think the results get watered down in the process as well. By ignoring the theories of Chinese medicine, you leave out its main purpose - to treat not just the symptoms, but the body as a whole.

Chinese medicine has been in existence for at least 5000 years. The system has been tried and true and is still used as a MAJOR form of healthcare in China. Can't we just leave it at that? Do we HAVE to know HOW it works? We know from reasearch that acupuncture releases endorphins. We know that it effects our nervous system. However, science still can't explain HOW it works. Acupuncture may effect nerves and endorphins, but it goes beyond that, and science can't figure out what "that" is!

I'm not saying stop the research. Not at all. What I'm saying is that researchers and those reading the studies need to understand that there's more working here than endorphins and neurons, and that the system doesn't work by using just one point! When you read a study that says, "this point doesn't work for that symptom," please keep in mind that no point is meant to work in isolation. Acupuncture is a system, not a pill. Also, "that point" may not work on everyone with "that symptom," because not every patient has the Chinese medical diagnosis that calls for "that point;" they may need another point that is also good for "that symptom."

When you take a system that is not based on science (though science often CAN support that it works) and try to look at it through your scientific lens, you might not get to see it for what it is. When you boil that system down to try to find what makes it tick, you lose the magic that holds it together. You lose that which makes it work. Don't ignore the stuff that makes it work. Let's not forget that Qi and Yin and Yang and all of the theories of Chinese medicine ARE Chinese medicine. Let there be some scientific unknowns. Let there be magic!

Your Body has not failed you!

I've decided that I need to help people change the way they feel about their bodies. Living in a society where biomedicine is the norm, it seems like when people get sick, they decide their bodies have failed them. Biomedicine has changed and evolved by pulling the body apart, looking super closely at its parts and trying to figure out every mechanism by which it works. Because of this we've gained some REALLY great techniques for saving and bettering lives! Look at all that biomedicine is able to do! Transplants, surgeries to repair ALL kinds of things, in vitro fertilization, cloning and SO much more is on the horizon. Science and biomedicine are pretty freakin' cool!

My problem with biomedicine comes when it leads people to think of the body as a bunch of replaceable parts - like your car. Our bodies are not machines that are prone to breaking down. Our bodies want to function properly! They strive to be healthy, even with all of the unhealthy things that are thrown at them!

Our bodies are incredibly stoic, and when they finally cry out for help, it's because the situation has become too much for our bodies to deal with. This is a time when we need to take a look at the lifestyle choices we've made. Do we consume alcohol? Do we consume lots of sugar? Do we smoke? Do we not exercise? Are we living an incredibly stressful life?

I'm not saying not to get biomedical help. Quite the contrary. Once a body has cried out, it's important to do whatever is necessary to reverse the situation. What I'm saying is that we need to be more proactive and preventive about our health, to prevent our bodies from having to cry out in the first place. We also need to change the environment that caused our bodies to cry out, so that it doesn't keep happening.

I want you to start by respecting your body and it's ability to persevere. Give it what it needs to function well. Don't give your body anything that won't allow it to flourish. But most of all, I want you to love your body and everything it does for you!

Photo Courtesy of: Health Right