Alternative Health Care: Holistic

Medicine
Explore the alternative health care options with holistic medicine and choose
what is right for you.
By Michael Castleman
| June/July 2004

Naturopaths have a Western scientific understanding of the body, and treat illness with
a combination of diet changes, hot baths, and medicinal herbs or herb-derived drugs.
Photo courtesy Fotolia/olya_dn
Thirty years ago, conventional and complementary health practitioners were calling
each other nasty names and dismissing each other's treatments as useless or
dangerous. These days, many complementary health care practitioners are willing to
admit that for emergency medicine, conventional treatments usually are the best option.
Meanwhile, conventional doctors are embracing diet changes, exercise and stress
management as valuable complements to medical care and are more willing to accept
other holistic therapies as valid treatments. Because of this growing acceptance, many
people are finding they don't have to choose between complementary or conventional
medicine, but can have the best of both.

So where should you turn for your health care needs? The truth is that most medical
treatment begins in the same place. Think of health care as a ladder, with each rung
representing another option. The first rung should be self-care, when you decide
whether the aspirin — or willow bark — in your medicine cabinet will be enough to make
you feel better, or if you might have a more serious problem.

If self-care doesn't provide sufficient relief, the next rung should be conventional
medicine, which is usually best for diagnosing serious conditions. Initially, that's what
you need: a clear idea of how minor, or major, your problem is. If it's serious, you need
to get that information as soon as possible so you can begin treating the problem. If it's
minor, then you're free to decide which steps on up the ladder to take: conventional,
complementary or a combination of the two.

Many people feel most comfortable with conventional medicine, which certainly is
successful at treating many health problems. But even if you decide to go this route, it's
important to take an active interest in your medical care. Doctors have embraced many
lifestyle treatments, but they still usually rely on drugs and surgery, both of which carry
their own risks. Before accepting any prescription, be sure you understand all of the
drug's possible side effects. Ask your doctor, and then ask the pharmacist who fills your
prescription. You also might check a consumer health Web site, such
as www.webmd.com. Before opting for surgery, get more than one opinion.

If you're new to complementary therapies, you'll find any number of reasons to consider
giving them a try. For some conditions, herbal medicines can have the same result as a
conventional prescription, but with fewer side effects. Holistic treatments also can be an
especially good choice for treating stress-related diseases, as well as for managing
chronic pain.
Traditional Treatments
Scientists have been paying more attention to holistic medicine recently, but these
treatments aren't exactly breaking news. Many have a long history of use, and are still
being practiced around the world. Three of the most widely available forms of holistic
medicine in the United States are herbalism, naturopathy and Chinese medicine, all
traditional treatments.

Herbalism. Herbs continue to impact modern medicine — an estimated 25 percent of

drugs derive directly or indirectly from plants. Herbal medicines are used extensively in
naturopathy, and various traditional medicines. In addition, independent of these healing
arts, some practitioners call themselves "herbalists." They typically prescribe herbal
teas or tinctures (herb essences prepared by steeping herbs in alcohol) for a variety of
everyday ills, among them, constipation, premenstrual syndrome (PMS), insomnia,
anxiety, lethargy and weakened immune systems.

Hundreds of studies show that herbal medicines treat many conditions. Recently,
Korean researchers gave a placebo or ginseng (900 milligrams three times a day) to 45
men with erectile dysfunction. The ginseng group experienced significant improvement.
In another study published in 2002, Australian researchers gave 126 people with
chronic dandruff an ordinary shampoo or one containing 5 percent tea tree oil. Tea tree
oil is a potent herbal antiseptic that kills the fungus that causes dandruff. After four
weeks, flaking improved 41 percent in the tea tree group, and only 11 percent in the
plain-shampoo group.

Naturopathy. This branch of holistic medicine was practiced widely during the 19th
century in Europe and the United States, and despite the more recent dominance of
conventional medicine, it has never disappeared. Naturopaths have a Western scientific
understanding of the body, and treat illness with a combination of diet changes, hot
baths, and medicinal herbs or herb-derived drugs.

Consulting a naturopath is similar to seeing a conventional doctor. Naturopaths typically

take the same type of medical history and perform a physical exam. Different
naturopaths have different therapeutic proclivities. Some favor supplements or herbs;
others prefer Chinese medicine.

Naturopaths helped develop the modern pharmaceutical industry, being among the first
to extract medicinal compounds from herbs. Ironically, the pharmaceutical industry
turned to synthetic drugs, which eclipsed naturopathy and just about put it out of
business. Most physicians embraced pharmaceuticals, but a small group, mainly in the
Pacific Northwest, continued to prescribe more natural treatments. In recent years,
disenchantment with drug side effects has spurred a naturopathy revival.

Chinese medicine. Mention Chinese medicine and most people think of acupuncture,
which is based on the idea that life energy, or Qi, flows around the body along invisible
pathways called meridians. Qi flows freely through a healthy body, but illness comes
from a blocked energy flow. Acupuncture treatments counter this problem by releasing
blocked energy to restore health.

Western physicians remain skeptical of Qi and the meridian theory, but there is no
denying that acupuncture works for many conditions, especially pain problems. In a
2002 study, Swedish researchers gave 90 women in labor either standard anesthesia or
acupuncture instead of or in addition to the standard treatment. The acupuncture group
reported significantly less labor pain.

Other recent studies show that acupuncture helps treat urinary tract infections, infertility,
arthritis and even cocaine addiction. Assuming the needles are sterilized, acupuncture
also is remarkably safe. In 1997, officials with the National Institutes of Health
concluded: "The data in support of acupuncture are as strong as those for many
accepted Western medical therapies. ... [and] the occurrence of adverse events has
been documented to be extremely low."

In addition to acupuncture, Chinese medicine also makes extensive use of diet changes
and herbal medicines based on a philosophy completely distinct from Western
medicine. Traditional Chinese medical practitioners make diagnoses based on what
they hear, see and feel, without the aid of high-tech, Western-style diagnostic tests;
many diagnoses are made by studying the patient's pulse.

Relaxation Therapies
Some of the most common complementary treatments are methods to help you relax.
These therapies can be a good entry point into holistic medicine if you don't let their
simplicity fool you into thinking they won't be effective.

The effects stress has on health are well documented. For those who are already ill,
anxiety aggravates symptoms, particularly pain. Anxiety also causes or contributes to
many health conditions, including asthma, insomnia, headaches, low back pain and
upset stomach. For any of these ailments, relaxation therapies can provide significant
relief by reducing anxiety.

Meditation. Until the 1970s, most Americans viewed meditation as something Indian
gurus did on remote mountain tops. Then Harvard cardiologist Herbert Benson showed
that the profound relaxation produced by meditation emerged not from religious
experience, but rather from natural, easily accessible physiological changes. His 1975
best seller, The Relaxation Response, secularized meditation and popularized it in the
United States.

Today, meditative breathing and mental focus exercises have been incorporated into
everything from childbirth classes to diabetes education, and studies show meditation
not only helps control anxiety and pain, but also can boost the immune system. Though
meditation can have a powerful effect on your health, it's one therapy that doesn't
require the supervision of a health professional. All that's necessary to meditate is
taking the time to sit quietly and empty your mind by focusing on your breathing or on a
single word or phrase, called a mantra. Work up to 20 minutes a day over a few months.

Massage. Even a simple back or shoulder rub can be relaxing, but it's really no
substitute for a professional massage, which works wonders on stress and muscle
tension. Several studies have shown massage can produce remarkable health benefits.
In a 1998 study at the University of Miami's Touch Research Institute (TRI), researchers
had the parents of 32 children with severe asthma either coach relaxation exercises or
give 20-minute massages. After 30 days, children who received the massage treatment
had significantly easier breathing compared to the other group. A TRI study conducted
in 2000 found that massage helps relieve PMS.

If you've never had a professional massage, here's what to expect. At an appointment,

you typically lie on a padded table in a warm room, wearing only underwear and
covered by a sheet. The two main schools of massage are Swedish and deep-tissue.
Swedish massage involves long, gliding strokes or muscle kneading. Deep-tissue
massage presses into muscle and connective tissue. Neither Swedish massage nor
deep-tissue work should hurt, but the latter can feel intense. If intensity crosses over
into pain, say so, and the masseuse will ease the pressure. Swedish massage therapy
uses lotion, scented with aromatic plant oils, to help the practitioners" hands glide more
smoothly.

Biofeedback. Another door into deep, meditative relaxation is biofeedback. Effective for
relaxing specific muscle groups, biofeedback involves small machines with visual
displays that look like speedometers. Say you suffer from tension headaches, a
condition caused by chronic muscle tension in the head, neck and shoulders. At a
biofeedback office, you sit in a chair, and the trainer pastes small tension-sensing
electrodes to the muscles that need to relax. The dial on the visual display shows you
how tense those muscles are. As you relax, the dial moves. Using meditative deep
breathing and conscious relaxation, it usually doesn't take long before people can move
the dial into the deep-relaxation zone. Eventually biofeedback clients can dispense with
the machinery and relax their muscles as needed.

Biofeedback helps treat a variety of conditions, including migraine headaches and

constipation (a prevalent medical condition).

In a 2000 study at Cincinnati Children's Hospital, 20 children with migraines, average

age 11, used biofeedback to control their headaches. Five months later, their migraines
were significantly less frequent and severe.

Researchers at the University of Iowa use biofeedback to teach chronic constipation

sufferers to relax their anal sphincters. In a recent study involving 80 patients, the
training helped all of them, and a year later, 90 percent continued to report benefits.

Homeopathy
Homeopathy is one of the most controversial complementary therapies because it's
Western, yet it defies the known laws of chemistry, physics and pharmacology. No one
knows how or why it works — neither homeopaths who swear by it, nor conventional
doctors, many of whom often swear at it.

Homeopathy was the brainchild of a German doctor, Samuel Hahnemann (1755-1843),

who became disenchanted with the treatments typical of 18th-century medicine:
bleeding, mercury, powerful laxatives (cathartics) and drugs that induced vomiting
(emetics). He correctly believed that these treatments did more harm than good.
Hahnemann did not reject all of the then-standard treatments. He was impressed with
several, including cinchona bark, the first effective treatment for malaria (and source of
the antimalarial drug quinine). In 1790, Hahnemann ingested some cinchona bark, and
quickly felt cold, achy, anxious, thirsty and ill — the symptoms of malaria. That
experience led him to postulate his Law of Similars, the idea that illnesses can be
treated with the substances that cause the same symptoms in healthy people.

Hahnemann tested hundreds of substances on himself — herbs, minerals, animal parts

— and catalogued their effects. Eventually, he began treating people homeopathically,
and attracted a large following. Homeopathy came to the United States in the 1830s
and quickly won many supporters, including Daniel Webster, John D. Rockefeller and
Mark Twain.
But conventional medicine vilified it, largely because of Hahnemann's Law of
Potentization that says homeopathic medicines grow stronger as they are diluted. This
defied the dose-response principle of pharmacology, which says the larger the dose, the
greater the effect. But starting in the mid-1970s, interest in complementary therapies,
including homeopathy, took off again.

Among the research showing homeopathic treatments can be beneficial is a 1994 study
conducted in Nicaragua by researchers from the University of Washington, Seattle.
They treated 81 children younger than age 5 with infectious diarrhea, a major cause of
childhood death worldwide. Half received standard treatment (rehydration fluid), while
half received rehydration fluid plus a homeopathic medicine. The homeopathy group
experienced significantly faster recovery.