1. Unit 8 Herbal Medicine Worldwide HW205 Melissa Dengler, ND

2. Learning Outcomes Identify the major concepts of Traditional Chinese Medicine Recognize the differences between Eastern and Western herbal medicine Identify the major concepts of Ayurvedic Medicine Recognize the ecological concerns involved in the herbal medicine market

3. Herbal Medicine Worldwide Traditional Chinese Medicine Ayurvedic Medicine Difference between Eastern and Western Medicine

4. Chinese Medicine Holistic medical system, looks at treating a patient as a whole person, looking at the mental and spiritual health, as well as the physical health, of the individual. Illness is seen as a disharmony or imbalance among these aspects of the individual.

5. Ayurvedic Medicine Integrate and balance the body, mind, and spirit to truly be a “holistic” practice of healing.

6. Principles of Naturopathic Medicine and Traditional Medicine NDs:  Do no harm  Healing power of nature  Identify and treat the cause  Heal the whole person  Physician as teacher  Prevention MDs:  Hippocratic oath  Identify and treat the cause or the symptoms??  Heal the whole person??  Use of pharmaceutical drugs

7. Focus of Seminar Physicians – To recommend herbs and vitamins or not? That is the question! Pros Natural Less costly Cons Not regulated * Not profitable

8. Let’s first define what is included in herbs and vitamins Vitamins Water Soluble Fat Soluble  What vitamins have been used therapeutically by consumers?  What vitamins are recommended by physicians to be used therapeutically?  For what conditions?

9. Vitamins and minerals used therapeutically by consumers Vitamin C Vitamin B6 Vitamin B12 Folate Niacin Calcium Magnesium Zinc What are some others???

10. Vitamins prescribed by physicians Niacin  Reduce cholesterol Folate  Prevent neural tube defects B12  Anemia, reduced absorption in the elderly Vitamin D  Bone health What are some others? How about prenatal vitamins?

11. Issues surrounding therapeutic use of vitamins Regulation  Safety  Quality Not tested for effectiveness/potency Contamination??  Scientific research It does exist for some, but not all and is limited Which vitamins have been studied for therapeutic use?

12. Are minerals used therapeutically? Iron  Anemia Calcium  Bone health  Blood pressure Magnesium  Blood pressure What are some others?

13. Herbal Medicine Common/Popular herbs  Echinacea  Ginkgo: Alzheimer’s Increased circulation  Ginger: Morning sickness Accessory Nutrients  CoQ10  Glucosamine chondroitin  Melatonin  Safe for short term use, long term effects are not known

14. Nutritional Supplements Essential Fats  Omega-3 fatty acids Probiotics/prebiotics  Acidophilus gone mainstream: Dannon Activa, etc.  FOS

15. Nutritional Supplements Fibers  Soluble: oats – heart disease and cholesterol  Insoluble: wheat – diverticulitis, diabetes, weight control Phytochemicals  Lycopene: prostate cancer  Flavonoids: heart health  5-9 servings of fruits and veggies decreases risk for many chronic diseases

16. Hmmmm…..perhaps they recommend more than they think they do! Have you ever heard physicians say:  Take a fiber supplement  Drink 2 glasses of red wine a day  Increase your fruits and vegetables  Use flaxseed oil  Take folate prior to pregnancy  Take niacin to reduce cholesterol Ok, so maybe they do, but….  Usually recommendations involve food and drink

17. Remaining issues with vitamins and herb recommendations by MDs Lack of knowledge on their part: the other herbal medicines:  Ayurvedic  Chinese  In the US considered part of CAM Prescription drug and herb interactions  Dangerous side effects  Risks outweigh the potential benefits

18. Complimentary Medicine Importance of specialized knowledge:  Registered Dietitians assess diet  Chinese herbalists practice Eastern Medicine  Herbologists have specialized knowledge and training Importance of referrals:  Reduces liability  Send to the experts

19. Integrative Medicine Combines MD treatments with natural therapies and modalities

20. If they still want to prescribe, what would you tell them to help?? How would you help them choose supplements, herbs, and accessory nutrients? What are some key factors to consider?

21. Summary and Q & A MDs do recommend a number of vitamins and minerals for therapeutic use MDs don’t generally recommend too many herbs Issues to consider: quality, regulation, research, drug/herb interactions, lack of knowledge and training Questions???