integrative medicine therapies & disclosures€¦ · including all aspects of lifestyle. it...

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10/11/191

Integrative Medicine Therapies & Approaches for Asians &

Pacific Islanders

10/11/19

Helen Ye, MS, LAcUCSF Osher Center for Integrative Medicine

Sunny Pak, MDActing Medical DirectorChinatown Public Health Center

1Osher Center for Integrative Medicine

Disclosures

Integrative Medicine Therapies & Approaches for Asians & Pacific Islanders2

We have no relevant financial relationships with any companies related to the content of this course.

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Osher Center for Integrative Medicine

What is Integrative Medicine?




§Integrative Medicine (IM) is healing-oriented medicine that takes account of the whole person, including all aspects of lifestyle. It emphasizes the therapeutic relationship between practitioner and patient, is informed by evidence, and makes use of all appropriate therapies. (University of Arizona, Andrew Weil Center for Integrative Medicine)

§Integrative medicine is an approach to care that puts the patient at the center and addresses the full range of physical, emotional, mental, social, spiritual and environmental influences that affect a person's health. (Duke University Integrative Medicine)


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§Integrative medicine, as defined by the American Board of Integrative Medicine® (ABOIM) and the Consortium of Academic Health Centers for Integrative Medicine, is the practice of medicine that reaffirms the importance of the relationship between practitioner and patient, focuses on the whole person, is informed by evidence, and makes use of all appropriate therapeutic approaches, healthcare professionals, and disciplines to achieve optimal health and healing.



What is Chinese Medicine?


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What is Chinese Medicine?


1. A complete system of health care2. Has its own unique theories of anatomy, health

and treatment3. Emphasis on wellness, preventive care 4. Focused on supporting and stimulating the body’s

natural curative ability5. Goal is to achieve a level of harmony and balance6. Individualized medicine7. Practice includes: acupuncture, herbal medicine,

diet, self-care, lifestyle, bodywork/massage, exercise/movement, etc.

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Acupuncture Benefits

§Addictions§Asthma§Carpal Tunnel Syndrome

§Chemotherapy-induced N/V

§Dental Pain

§Fibromyalgia§Headache§Low Back Pain§Menstrual Cramps§Nausea/Vomiting§Osteoarthritis

§Post-Operative N/V

§Stroke Rehabilitation

§Tennis Elbow§Various Musculoskeletal Pain

The National Institute of Health (NIH) found the following conditions to be effectively treated by acupuncture. NIH Consensus statement on Acupuncture November 3-5, 1997. Vol 15 No. 5.



WHO Acupuncture Benefits (1979)§Acute Tonsilitis§Bedwetting§Bladder Dysfunction§Bronchial Asthma§Bronchitis§Cataracts§Central Retinitis§Common Cold§Conjunctivitis§Constipation

§Dental Pain§Diarrhea§Duodenal Ulcer§Dysentery§Esophageal Spasm§Facial Palsy§Frozen Shoulder§Gastric Hyperacidity§Gastritis§Gingivitis


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WHO Acupuncture Benefits (1979)§Headaches/Migraines§Hiccups§Intercostal neuralgia§Low Back Pain§Meniere’s Disease§Nearsightedness§Osteoarthritis§Paralytic Ileus§Peripheral Neuropathy

§Pharyngitis§Post-Polio Paralysis§Post-Stroke Paralysis§Sciatica§Sinusitis/rhinitis§Tennis Elbow§Thoracic Outlet Syndrome§Toothache§Trigeminal Neuralgia



Acupuncture Research Highlights§Vickers, A. J., Cronin, A. M., Maschino, A. C., Lewith, G., MacPherson, H., Foster, N. E., et al. (2012). Acupuncture for Chronic Pain. Archives of Internal Medicine, 172(19), 1444.

§MacPherson, H., Vertosick, E. A., Foster, N. E., Lewith, G., Linde, K., Sherman, K. J., et al. (2017). The persistence of the effects of acupuncture after a course of treatment: a meta-analysis of patients with chronic pain. Pain, 158(5), 784–793.

§Jackson, J. L., Cogbill, E., Santana-Davila, R., & Eldredge, C. (2015). A comparative effectiveness meta-analysis of drugs for the prophylaxis of migraine headache. PLoS ONE.


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Acupuncture Research Highlights

§Harris, R.E., Zubieta, J.K., Scott, D.., Napadow, V., Gracely, R.H., and Clauw, D.J. (2009). Traditional Chinese Acupuncture and Placebo (Sham) Acupuncture Are Differentiated by Their Effects on µ-Opioid Receptors (MORs). NeuroImage, 47(3), 1077-1085.


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Herbal Research Highlights§Arring, N.M., Millstine, D., Marks, L.A., Nail, L.M. (2018). Ginseng as a Treatment for Fatigue: A Systematic Review. Journal of Alternative and Complementary Medicine, 24(7), 624-633.

§Liu, SH, Cheng, YC. (2012) Old Formula, New Rx: The Journey of PHY906 as Cancer Adjuvant Therapy. Journal of Ethnopharmacology, 140(3), 614-623.

‒ Enhances anticancer agents for colorectal, liver, and pancreatic cancers

‒ Reduces chemotherapy toxicities, such as diarrhea, n/v, hand-foot syndrome, etc.

‒ Does not affect pharmacokinetics of chemotherapies used



Case Study 1: Pain


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Case Study 2: Cancer



Working Together: ZSFGH Collaboration§2014 conducted a study of group acupuncture for painful diabetic neuropathy with SFGH patients. Recruited patients at SFGH and provided acupuncture at community clinic a few blocks away

§2015 SFGH bylaws changed to include credentialing for LAcs for the first time in the 100+ years of the hospital. LAcs were credentialed for outpatient primary care. Integrative Health Service was established as part of the SFGH Community Wellness Program. Launched a small pilot of acupuncture in FCM with ACTCM faculty.

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Working Together: ZSFGH Collaboration (cont’d)

§ 2016 Launched Integrative Pain Management Program at Tom Waddell Urban Health Clinic – ongoing program that now accepts referrals from other SFHN clinics

§2017 Pilot of integrative nutritional counseling for Cantonese speaking patients with diabetes at Chinatown Public Health Center

§ 2019 Expanded scope of practice of LAcs to include inpatient. Launched inpatient acupuncture in March and currently providing inpatient acupuncture at ZSFG 3 afternoons/week


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Resources:


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THANK YOU!

Helen Ye, MS, [email protected]

Sunny Pak, [email protected]


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