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TheHeartandSoulofMedicine
CertaintyversusEmpiricisminMedicine

AndrSaine,N.D.
OntarioAssociationofNaturopathicDoctorsToronto
November20,2011

Prelude
Youarecalledatthebedsideofadyingchild,perhapsyourown,whoisinthelatestageofmeningitiswithmultisystemorganfailureandnohope
ofrecoveryapatientwhorefusedconventionalapproachesafterherdiagnosisofmetastaticmalignantmelanomaandmetastaticbreastcancer
callsonyouanotherwithlifelong"insanity"isaskingforwhatshehasneverknownsofarinherlifeapianistcomeswithParkinsonsDiseasein
ordertoreturntohisartafouryearoldchildwithmusculardystrophywhocantclimbstairsanymorea23yearoldmanwithheartandliver
failurecomesafterhavingbeentoldthatnothingcouldbedoneforhimandisdistraughtatthethoughtoffacingsuchanearlydeparturefinally
two worried parents knock at your door after having just refused hemispherectomy, as a last resort, for their nineteenmonth old child with
intractablemalignantmigratingseizuresofinfancy.

Introduction
Today,Iaminvitingallofyouherepresenttoexaminethewaywepracticemedicine.SocratessuggestedinPlatosApology,"Theunexaminedlife
isnotworthliving."Similarlywemaysaythattheunexaminedpracticeofmedicineisnotworthpracticing.

In this examination, we will proceed step by step, and if, at any time, you have any questions regarding the validity of any part of the present
discourse,pleaseinterruptme,asanythingappearingunsoundmustbeconfrontedandironedoutatonce.

Thegoalofthisexerciseistoinsurethatourapproachtohealthanddiseaseisrational,wise,scientificandeffective.

Rationalreferstoanexpositionofprinciplesthatisbasedonsoundreasoningandaccurateobservation.

The practice of medicine is wise when it is safe and holistic, affects the fundamental causes of disease, and uses the different forces and
influencesofnaturetohealinagentlemanner.

Ourpracticeisscientificwhenwedrawprinciplesfromobservationofnature,applythemandreportourresultsandverifications.Peerreviewed
journalsalreadycontainhugeamountsofthisinformation.

Thepracticeofmedicineiseffectivewhenfewaretheoneswhocantbesignificantlyhelpedintheirhealthrecoveryfromeventhemostserious
acuteorchronicailments.

Health is a state of balance and harmony that is natural and spontaneous, as long as the conditions for life and the needs of the individual are
met.

Youdestroytheenvironment,youdegradetheconditionsoflifeandyoudestroytheorganism.

All living organisms from the plant and animal kingdoms are subject to departures from normal health in their susceptibility, function and
structure.Thebeginningofthesedeparturesisthebeginningofdisease.

Disease is not a separate entity, as it is commonly suggested by the conventional medical model, i.e., resistance to disease and it cant be
transmittedfromonepersontoanother,i.e.,AIDSisacommunicabledisease.

Disease is a dynamic process in which the force animating the living organism attempts to adapt to adverse forces, influences, or conditions of
life.Theorganismdoesntresistdiseasebuttriestoadapttothecausesofdiseaseandthechangesintheconditionsoflife.

Disease is a multifactorial phenomenon. The causes of any phenomenon are the sum of all the circumstances and conditions preceding that
phenomenon.

Thisclearlyimpliesthatphysiciansmustbekeendiagnosticians.

Theequationofdiseaselookslikethis:
Susceptibility+MaintainingandPrecipitatingCausesandFactors=Disease

Atfirstlook,thisequationofdiseaseappearstogreatlysimplifythepracticeofmedicine.

Itseemsthatifwecouldaffectanyaspectontheleftsideoftheequationitwouldaffecttheoutcome.

Thisisaverypertinentquestionwhenweacknowledgethat:

1.Iatrogenicdiseasesarealeadingcauseofdeathinoureraofmodernmedicine.

2.No studies found that mortality increased during the weeks of strikes by physicians compared to other time periods. On the contrary all
reportthatmortalityeitherstayedthesameordecreasedduringthestrike.
3.Americansspendthan50%moreperpersonthanEuropeansonhealthcarewhilelifeexpectancyhasbeendecliningsignificantlyinthelast
decadesinmanyregionsofthecountry.

4.Recoveryofhealthcannotbeexpectedwithveryrareexceptionsforsufferersofchronicdiseasesinthecurrentmedicalmodel.

Iscertaintyinmedicinethereforeanillusion?

Isthereanythingonwhichwecananchorourpracticetoattain,withcertainty,healinginmedicine?

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Isthisthebestwecanachievedespitemorethanthirtyfivecontinuouscenturiesofmedicalpracticeandfromtheobservationsandreflectionsof
over140generationsofphysicians?

Hascertaintyinmedicineeverexistedinthehistoryofmedicine?

Letssee.

Theoreticalmedicinegreatlydominatedthepracticeofmedicine,i.e.Hippocrateshumorstheorydominatedmedicalthinkingforclosetotwenty
fivecenturies.HistoryteachesthatNaturewasnotcharitableatalltowardsphysicianswhoimposedtheirtheoriesuponit.Thecholeraepidemics
ofthenineteencenturywereagoodwakeupcall.

Empirical medicine, which is as old as theoretical medicine, disregards theory to solely rely on experience for its knowledge, as Nature is
incomprehensibleanditisfruitlesstoseekthehiddencausesandnaturalactions.

The scientific approach has since dominated medicine. Evidencebased medicine was born when James Lind conducted in 1747 his trial of using
citrusinsailorswithscurvy.

Thepracticeofmedicinehasahugespeculativecomponent,whichhasbeenreferredasconjecturalorempirical.

Ideally scientific medicine ideally, would be strictly based on experimental evidence, and therefore on the exact knowledge of the physiological
mechanismsunderlyingaspecificdiseaseprocessorthetherapeuticeffectofadrug.

Thisapproachisinessenceverypracticalandcharacterizedbyitseclecticisminemployingwhateverisfoundtobebeneficialtopatients,which
constantlychangesaccordingtolastpublishedfindings.

AsClaudeBernardpointeditoutcloseto150yearsago,therapeuticsthatisbasedonstatisticswillalwaysremainconjectural.

Our industrydriven modern health care system is characterized by being, reductionist, nonindividualized, dysfunctional and plagued with
ubiquitousiatrogenesis,generallackofefficacy,exorbitantcost,corruption,overuse,diseasemongering,antimicrobialresistance,andpollutionof
theenvironment.

Analternativetothisisnaturopathicmedicineastaughtinitsaccreditedcollegesandpracticedbythemajorityofitspractitioners.

Iwouldliketosuggestthatthereisanotherwayofpracticingmedicinethatismostefficaciousandeffective,whichisprinciplebasedmedicine.

Incidentally, the word "principles" comes from the Latin "principium," which means beginning or fundamental truth. I would argue that the
principles elaborated below are indisputable and universal, impeccably sound, and are in fact the fundamental principles of classical medicine.
"Classical"heremeansofthehigheststandardsandtraditionallyauthoritative.

TheSevenFundamentalPrinciplesofMedicine

Thefirstprincipleappliestothephysician,theactor,whilethesixothersapplytotheactualpracticeofmedicine,theacting.

1.Audesapere:Physician,daretoknow,andbecomeatruephilosopherandscientistbutaboveall,atrueartist.Constantinquiryistheway
toknowledge.

2.Praeventum: Prevention is better than a cure. As health results mainly from healthful living, the highest mission of the physician is to
guidepeopletochoosewaysoflivingandadoptenvironmentsthatareconducivetogoodhealth.
3.Primumnonnocere:First,physician,donoharm.Inspiteofthebestprevention,peoplewillbeaffectedbynumerousinfluencesandwill
fallsick.Anyprophylactic,diagnosticortherapeuticinterventionbythephysicianshouldnotfurtherharmthepatient.

4.Tolle causam, cessat effectus: Remove the cause and the effect will cease. There are causes of sickness and above all, physician:
addressthem.

5.Vismedicatrixnaturae:Thehealingpowerofnature.Itisneitherthephysiciannorthetreatmentthathealsbutonlythelivingorganism.
Therefore, the physician must seek to encourage this innate process by first making sure that the conditions of life are met and, if
necessary,byusingthehelpofthevariousouterinfluencesandforcesofnaturetoenhancetherecoveryofhealth.

6.Nunquam pars pro toto: Never the part but always the whole. The physician considers the patient as a unique indivisible whole and,
therefore, takes into consideration all the conditions of life and pertinent aspects of each individual, including the physical, emotional,
mental,spiritual,energetic,hereditary,sociological,lifestyleandenvironmentalaspects.
7.Cito,lenis,jucunde,toto,durabile,certo,simplexettutocurare:Thehighestidealoftherapyistherapid,gentle,pleasant,complete
andpermanentrestorationofhealthinthesurest,simplestandleastharmfulway.

Incidentallythissetofprinciplesisuniversalandcanbeappliedtoallaspectsoflife,especiallywhenitis
relatedtosolvingproblems,whethertheyareinterpersonalorsocietal,materialorpsychological,orin
thefieldsofeconomics,politics,science,etc.
Nowletsapplytheseprinciplestopractice:
Thecaseinpointistheoneofanaturopathicphysicianwhograduatedlessthan10yearsagofromoneofthetwoaccreditedCanadiancollegesof
naturopathicmedicine.Letsreadthebeginningofherstory:

April 12, 2010: N. H. is a 33year old naturopathic physician who consults for emaciation related to severe malabsorption. She has been
experiencingrightlowerquadrantpainformanyyears,ishungryallthetimeandhasbeenunabletogainweightdespitebeingonastrictdiet.
Sheclaimsthatherproblemsbeganin1995whenshestartedtohaverecurrentweightloss.Shebecamemuchworsein1997,sixmonthsafter
beinginuniversity.Shewasunderhighpersonalstress,includingherparentsdivorce,andbeganexperiencingincapacitatingabdominalspasms
andhashadeversincelooseandlientericstools.

In2002,sheconsultedaNDwhileshewasanaturopathicstudent.ShethentookaChinesecompositeformulacalledClearLungs.Shehadhuge
amountsofyellowmucuscomingoutofhernoseandchestforoneweek.Thenextmorningafterreceivingamassageatherschoolshewokeup
withrightsidedswollenfacewiththrobbing.Eversinceherrightsidehasbeenmoreproblematicandremarkedthatalmostherproblemshave
alwaysbeenrightsided.Shehasbeenonabrownricedietsince2002.

Between2004andApril2009,shewouldwakeupwithherbodyhotlikeafurnacebutthebloatingwasthenminimal.Ifshewouldhavetogetup
early,like67am,shewouldexperiencenauseathewholeday,beunabletotalkandhaveaheadache.Howeveritcanhelptohaveanhournap.

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Sheisbetterlaterintheday,between811PM.Shethenhastheleastpainandcanthinkmoreclearly.Shetendstoholdherabdomenwithher
hands with the pain. She pushes only mildly and the pain reduced from a 7 down to a 4 out of 10. Her digestion and abdominal pain are much
worsetheweekbeforeherperiods.Assoonastheflowcomes,evenafterthefirstdrop,herenergy,moodandpainimprove.Sheisnotawareof
anyotherfactorsthatwouldaffectthepain.

Thepaindoesntcomesuddenlyanymore.Thefirstthinginthemorningsheexperiencesisnausea,headache,lackofappetiteandachygut.She
usually feels as if a truck has hit her. She also feels like a weight in her right lower quadrant, "like a bag of potatoes." There are no spasms
anymore.Whensheusedtogetthespasmsshewouldtakecoffeetoalleviatetheparoxysms.Appetitecomesonly23hoursafterbeingup.

Herweightwouldoscillatebetween95100poundsbutshestartedtohavemoreproblemsfromDecember2008onward.Withinfivemonthsher
weight went down to 87 pounds. It has since slowly crept up to 91. She must eat every two hours in order to satisfy her ravenous hunger. Her
stoolshavebeenveryoffensive,"putrid,"sinceApril2009.Theyarereddish,lightbrownlikechocolatemilk.

InDecember2008,shebeganhavingmorestressinherrelationshipandatworkwhereshewasputtinglonghours(50hrs/week).ByApril2009,
shebecameexhausted,atwhichtimeshedevelopedmoreintenseabdominalpain.Shedecidedtocutherofficehours,butitmadenodifference.
Shetriedmanydifferentapproachesbutinvain.InJune2009,shebeganlookingforoutsidemedicalattention.Shehadatextbookcaseofceliac
diseaseandwasfoundouttohaveeosinophilia.Shecutoutallglutencontainingproductsfromherdiet.Itmadenodifference.

Sherealizedthatshehadbeenconstipatedallherlife.Asachildshehadhardstoolsaccompaniedwithbleedingevery23days.Thestoolsare
now daily but loose. From June until December 2009, she used enema to move her bowels. In July she saw another gastroenterologist who
conductedmoretests,whichwereinconclusive,asshewaspositiveforantigliadinIgGbutnegativeforIgA.

In August 2009, she left her abusive relationship and consulted a high profile ND who conducted food intolerance testing and told her to avoid
gluten, eggs, soy, corn, potato and dairy. She felt much better. She felt less hypoglycemic and the spasms disappeared but not the pain. In
Novembershewasdiagnosedwithgiardiasis.Shetookflagyl(metronidazole)andfeltmuchbetterandhadnopainforthefirsttwoorthreedays
only.Shethenbeganexperiencingthesideeffectsofflagylandwentdownhillafterward.

InJanuary2010,shebeganseeinganenergyhealerevery12weeks.Shewastoldthatshehadabowelinfectionfromwaterborneorganisms
acquiredinherchildhoodthatwasdestroyingthemucousmembraneandshehad"holesinherintestines."

Since April 2009, she has been experiencing right lower quadrant pain of a gnawing character. All the right side of her abdomen is sensitive to
touch.Shefirstexperiencedthispainin1997.Itfirstcamesuddenlyandlastedforafewhours.InApril2009,italsocamesuddenlyandlasted
only one hour. But then it soon relapsed and stayed until now. This pain is worse in the morning. She is worse the first hour after waking, the
earliertheworsesheis.ThepaincomesonceIamoutofbed.Shewakesupwithtonsofgas.

Shealsohasrightovarianpain.Shehaspaingoingdownherrightlowerlimbalongthegallbladdermeridian,whichisbetterfromrubbing(2)the
legonlyandnotthelowerabdomen.Herrightlowerlimbhasalwaysbeenheavy,achyandtinglingsinceJanuary2010.Shehasjointpaininher
rightlateralinnerknee.Itisanexcoriatingpain.Itistenderaroundherrightpatella.Itisbetterwithpressureofthehand(1).Herfatherbroke
hisrightpatellainthreedifferentoccasions.

Shecomplainsofrightarmandrightlegheavinesswhileherleftsidefeelslight.Shehasrightsidedheadacheswhicharebetterfrompressure
(1)andcoldapplications(1).Shehasanaversiontowarmapplications.Herrightgumsareearareachy.Sheneverhasanyproblemsontheleft
side.Herheadacheshavebeendailyforthelastthreemonths.Theyarelocalizedinherrighttemple.Herrighteyefeelsheavy.Sheholdsher
headalot(2).

Sheexperiencesconstrictionofherrightchest,whichistendertotouchandthepainextendsdownherrightarm.At1213yearsold,shewas
trainingfortractandlongdistanceswimming.NowshecantevenrunwithoutexperiencingSOBandpalpitation.

Her right ear clicks, as if it was plugged. "I bore my finger in my ear all the time." She remembers getting sharp shooting pain in her ears in
airplaneasakid.Nowshegetsmotionsicknesswhentheplaneislanding.Shehashadstrabismusforfiveyears

Sincea"detox,"shehashadchroniccervicalandinguinallymphadenopathy.Shehassixnodesalonghersternocleidomastoidmusclesandthree
inherposteriorcervicalarea.Theinguinalnodesarehard.Shehadseverecondylomatain19992000.Therewereremovedoveraperiodoftwo
yearswithcryosurgery."Theyweresohard."

In1997,shestartedtoexperiencepanicattacks.Shehadbeenfearlessprior.Shetravelledbybicycle.In1997,amancameintoherapartments
andheldherhostage."Hewouldholdmedownwantingmetoscream."Sherefusedtobeupsetbyit.Shewasveryintellectual."HowdoIgetout
ofthis."Sheisneverviolent.

Shehasneverbeenwellsinceherboardexamsin2004.Shecrashedandneverrecovered.

Shecriesaboutfivetimesaweek,particularlywhenshewritesherjournal.Shefeelsmoresadandlonelywhenthesungoesdown(2).Shehas
been emotionally worse in the last 6 months. She realized that she has been sad since 1997. "I am lonely. I used to be very, very shy and
reserved. I am the youngest of three siblings. We are all four years apart and none were kind to me. I was always worried to say something
wrong.Ididalotofactivities,ballet,sport,piano,workingatthelibrary,etc.Ididnthavemuchfriendsinschool.Iwasalwaysalone.Iwouldgo
out alone. I would go out because I was lonely. I could feel the void of friends. I love to dance. I would go out at night to dance, but not for
comingbackhomewithsomeone.

Hernextmenstrualperiodisexpectedintwodays.Shenowexperiencesrightovarianpain.

She experiences extreme fatigue. Her energy is only 45 out of 10. When she became tired she became more active. Now she is worse from
exertion(2)andfeelsbettertojustgotobedandrest.Herenergyisbetterbyjusttalkingtopeople(2)."Ifeelamazing."Howeverasakid,she
rarelygotinvolvedinconversation.Whensheisanxiousorsad,sheplaysboringgames,likesolitaire,tokeephermindbusy.Asakidsheloved
doingmonotonousactivities.Onceshecountedto720,shootingtheballonthewallwithatennisracket.Shefeelsbetterbykeepingherselfbusy
(2).

Shehashighperformanceanxiety,i.e.,beforemeetingpatients.Thisisoneofthereasonssheusedtodrink.

PastMedicalHistory:
In the fall of 2008 and winter 2009, "I had been very much in love since March 2008 and I was now grieving." She has a family history of
alcoholism.

PastHomeopathicTreatment:
In 2002, she was prescribed Carcinosin 200 at the clinic of her naturopathic college, 34 doses without much improvement. In 2003, she was

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prescribedalsointheclinicathercollegeFalcoperegrinus200(provenin1998).Shebecamelessirritableeversince,unlesssheishungry.Also
shehasnotbeenabletodrinkalcoholeversince.Thedaybeforeshecoulddrink45gins.Onemonthlatershewasgiventhe1Mpotencybut
there were no further changes. She took many doses of Silica 200 and 1 M with some improvement, especially in becoming less anxious.
Whenever she takes Silica her hair become thicker. She took on her own Ignatia 200 without any changes. She never experienced any
aggravationafterahomeopathicremedy.Tothecontrarysheexperiencesahighasarule.Similarlysheisverysensitivetoacupuncture.

ShehasbeentakingSilica6Xforthelasttwomonths,sincearightearinfection.Shehassinceexperiencedamoodshiftforthebetter."Ihad
lowselfesteem,butIwascourageoustotravelandtoopenacliniconmyown.Iamamonomaniac.Iamveryconscientiousabouttriflesand
thishasimprovedsinceSilica.Ihadsomuchperformanceanxiety."Shechallengesallherfears.Herselfconfidenceismoreaboutcertainthings
andlessaboutothers.Itis8outof10.

PhysicalGeneral:
T.:Sheisverythinandverychilly.Herhandsarecold(2)eveninthewarmestofweather(35?Candabove).Shewearssweatersevenat26?C
insideherapartment.Sheevengoestothebeachalldressedup.Shelovessittinginthesunbutnotbakinginit.Shehasenoughofthesunafter
1520 minutes. Her sister is the same. She is not affected by storms. She loves the rain. She doesnt sweat much. However, she sweats when
talkingwithpatients.Shethenhasanoffensiveodorfromheraxillae.Shehasalwayshadabadbreath,andespeciallyworseinthelast6years.

Shelikesthefreshairandshecantproperlyinawarmroom(2).However,shekeepsherapartmentat26?Cinthewinterbutkeepsawindow
openorkeepsthefanon.

Sleep:Shehasdifficultyfallingasleepbecauseherbestenergyisatnight.Shegoestobedat121am.Shehasahistoryofgrindingherteethat
nightduringstressfultime.Shehasanaversiontohavewarmfeetinbed.Shesticksthemoutabouttwiceaweeksinceatleast1997.Shesleeps
on her abdomen (2). She doesnt sweat at night. She wears light clothes with heavy covers. The temperature of the room to sleep in is not
important.Shedoesntrememberherdreams.

Appetite:Shehasapoorappetite.Evenifshewouldfeelhungrythepainisassociatedwithnausea.Shebecomesfulleasilyeversincechildhood
(3).Shelikescrunchyfood,likecornchips.Shefeelsbetteraftereatingredmeat(1).Shehashadbeefsteakdailyinthelast2months.

Shehasneverhadagoodrelationshipwithfood.Sheneveratebreakfast,wouldvomitlunchandateonlyafewbitesfordinner.Shewouldbe
hungryafewhoursafterdinner.Sheishighlysensitivetosugar(2).Afteronlyonejujube,shehasaheadache.

She has been thirsty all the time since 2004, but doesnt think of drinking. If she does, she drinks liter at the time. She gulps it every time,
makingswallowingnoiseinherthroat.Sheobservedthatitischaracteristicofherofnotattendingtoherneeds.

Menses:Shehadhermenarcheat16.ShehasoneweekofPMScharacterizedbysadnesswithaversiontoconsolation(2),rightovarianpainand
constipation.Hersexualdesirewasnotveryhighuntilshereachedher30s.

Sensitivity:Shedescribesherselfasbeingverysensitive,especiallytoothersreactionsandmoods."Icanfeelothersfeelings."Shewastheone
to console others in her family. Her parents separated in 1997 and she took care of them separately. "I am always there for others. She cant
watchthenews(2),shegetssickandhasnightmares.ShehasnotwatchedTVuntilthisyear.Shelikesthebindingofclothes(2),liketurtlenecks.
Shewearstightpants.

"Iwouldgooutatnightbecauseoflonelydesperation.Itendtofeelguilty(1.5)."Shetendstobeimpatient,i.e.,waitinginline(1).Shehasbeen
anxiousallherlife(3).Sheworrieswhethershewilleverhaveafamily.Sheisnotaveryenviousorjealousperson.Asakidshehadfearat
night,fearthatsomebodywasintheroom.Shewouldfreezewithfear,thinkingthatifshedidntmoveshemightnotbenoticed.Thiswasmuch
presentuntilabout12yearsold.

Asakidshewasafraidofsayingsomethingwronganditisstillthere."IfearIwillnotfindtherightword,especiallyifIhavetodefendmyself."
Thisseemstohaveimprovedinthelasttwoweeks.

Stress:Everythingisstressfulforher,buttheworsestressisaroundrelationshipwithmen.

Trauma:1)Thelastyear.
2)1997:Herparentsseparatedandbeginninguniversity.
3)2005:establishingherpractice.

ObjectiveSymptoms:ItwasdiscoveredbyUSthatshehasasmallhemorrhagiccystinherrightovary.Shehashadmildacnesinceher20s.All
hernailshaveridges.Itstartedwithherthumbswheninnaturopathiccollege.Shehasverystrongnailsandverygoodteeth.Shehasneverhad
anycavities.Shehasawidebutsuperficialcrackinthemiddleofhertongue.Hertongueisindentedwithawhitecoating.Shehasdevelopeda
yellowfungalnailonherfirstrighttoeoversixmonthsago.ShedidaCDSAin2007thatwasnegativeandin2009shedidaconventionalstool
testthatwasalsonegative.Shehashadendoscopy,colonoscopy,CTscanswithcontrast,capsuleendoscopy,withoutanydiagnosis.

Assessment: It is a clear case: Feeling forsaken, heaviness of the abdomen better from holding it, heaviness of the body worse right side,
gnawing pain in her right ovary, timidity, lump in the rectum, chest pain extending her right arms, worse form the warm room, general
ameliorationfrompressure,thebindingofclothesandrubbing,betterfromexertion,beingoccupied,desiretotalk,feartosaysomethingwrong,
uncoveringherfeet,desireformeatandworsefromconsolation.

Plan:RX200C,onedose.

Endresult:SinceApril2010untilOctober2011,thispatientexperiencedacontinuousrecoveryofhealth,withmanyreturnofoldsymptomsand
improvement on all levels, such as greatly increased energy, disappearance of the abdominal pain, return of heat to her body, happiness
returning,normalizationofherappetite,digestion,stoolsandweight,etc.Soonafterinitiatingtreatmentshehadherfirstformedstoolinovera
year,andshewrote,"thisisaBIGDEAL!"Shewasabletoresumevigorousactivity,likeonehouroftennis,"whenwestarteditwasastruggleto
justwalktomycar."ByOctober2010,shewrote,"OverallIamdoingfantastic!Iamhavingafeelingofdisbeliefandthinkingtomyself:Inever
knewlifelikethiswaspossible."Onyearafterthefirstdose,shehadgained8poundsbackto97pounds,and"mostlyanxiety,sorrowandpain
free."

Shewasseenonlyonceintheofficewhileallthevisitwerewithemailreportsandexchangeonthephone,asshelivescloseto1500milesaway.
Asyoucanseeitisveryenvironmentalfriendly.

(Postscriptnote:Herhealthcontinuedtoimprovebyleapsandboundsonalllevels.Whenshewasfirstseenshewasexhaustedbyjustwalking
tohercarwhileshecannowexercisesregularlyatthegym,andhasplentifulofenergy.May2013)

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Ifsuchresultwasarareexceptioninpractice,ofwhichonewasboastfulaboutthenwecouldthenbesurethatthereisnocertaintyinmedicine
andcontinuetohopefortheoccasionalsuccessliketheblindhenpeckingforfood.

HoweverthisisnotcaseasIcantestifywhentheaboveprinciplesaremeticulouslyabidedby,certaintyinmedicinebecomesareality.

WhilepreparingthislectureIlookedatmyscheduleforaperiodofthreeconsecutiveweeksandthegreatbulkofthecasesIscheduledhaveone
ofthefollowingconditionsortheirsequelae:

Cancer
Autoimmunediseases(multiplesclerosis,ankylosingspondilitis,polymyositis,etc.)
Chronicdegenerativediseases(ParkinsonsDisease,diabetes,CHF,kidneyfailure,amyotrophiclateralsclerosis,etc.)
Psychiatric conditions (PDD (pervasive developmental disorders), OCD (obsessive compulsive disorders, ODD (oppositional defiant
disorders),SRD(substancerelateddisorders),schizophrenia,bipolarandotherpsychoticdisorders,antisocialpersonality,etc.)
Geneticdiseases(dystonia,ataxia,neurofibromatosis,cysticfibrosis,musculardystrophy,etc.)
Hypersensitivity(multiplechemical,environmentalandfoodssensitivities,malabsorptionsyndrome)
Traumaticdiseases(cerebralpalsy,stroke,epilepsy)
Surgicaldiseases(decubitusulcers,ileus)
Acuteandchronicinfectiousdiseases(AIDS,syphilis)

Whatallthesecaseshaveincommon?Allhavepoorprognosesfromauthoritiesinconventionalmedicine.

Whydothesepatientsknockatourdoors?Partlybecausetheyarefailuresoftheconventionalmodelandbecauseweoffersoundalternatives
withtrueopportunitiesforthenaturalrecoveryofhealth.

Itisinterestingtonote,thatthegreatmajorityofthesepatientsexperiencedarecoveryofhealththatispredictable,quickandlonglasting,and
thisdespitethefacttheywereseenonlyonceintheirlife,astheyaretreatedlongdistanceafterthefirstexamination.

Thenaturopathicprofessionabidestocertainfixedfundamentalprinciplesofmedicine.However,similarlytoconventionalmedicine,itspracticeis
a far cry from these fundamental principles. Conventional medicine has an excuse, as it is said to have no philosophy. Naturopathic medical
studentsareeithernotreceivinganeducationthatreflectstheidealsandstateoftheartoftheprofessionoronceinpracticetheystopabidingto
them.

SamuelHahnemannsaidbeforehiscolleaguesinParisin1835,"Whenwehavetodowithanartwhoseaimisthesavingoflife,any neglect to
makeourselvesmastersofitbecomesacrime."

Whatshallwethinkifonlyaverysmallnumberofgraduatesofdentalschoolscouldsuccessfullypracticethestateoftheartoftheirprofession?
Whatshallwedowhenonlyaverysmallnumberofgraduatesofnaturopathicmedicalcollegesareabletosuccessfullypracticethestateofthe
artofitsprofession?

I hope I have clearly emphasized the importance of first, addressing the fundamental causes of diseases, namely the susceptibility and/or the
many maintaining and precipitating causes and factors of diseases, and second, to encourage the innate regulating and healing force of life by
making sure that the conditions of health are met and by using, if necessary, the help of the various outer forces and influences of nature to
enhancetherecoveryofhealth.

InhisArslonga,vitabrevis,iudiciumdifficile,Hippocrateslamentedthatjudgmentwasalwaysadifficulttask,aslifeappearedtooshorttoenable
thephysiciantomastertheartofmedicine.However,whenmedicineispracticedaccordingtoitsmostfundamentalprinciplesitbecomesrational,
wise, scientific and effective. Recovery of health of the whole person is therefore gentle, rapid and durable. Certainty in medicine becomes a
reality,thesickonesdontsufferunnecessarily,andphysiciansfulfilltheirmission.

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