Complementary and Alternative Medicine, 2nd Edition

634 Pages·2010·2.44 MB·English

by  Steven B. Kayne

Complementary and Alternative
Medicine

Complementary and
Alternative Medicine
Second edition
Edited by
Steven B Kayne
PhD, MBA, LLM, MSc(SpMed), DAgVetPharm, FRPharmS, FCPP,
FIPharmM, FFHom, MPS(NZ), FNZCP
Honorary Consultant Pharmacist, Glasgow Homeopathic Hospital, UK
Honorary Lecturer, University of Strathclyde School of Pharmacy, UK
(cid:2)
London Chicago
Published by the Pharmaceutical Press
An imprint of RPS Publishing
1 Lambeth High Street, London SE1 7JN, UK
100 South Atkinson Road, Suite 200, Grayslake, IL 60030-7820, USA
© Pharmaceutical Press 2009
is a trade mark of RPS Publishing
RPS Publishing is the publishing organisation of the
Royal Pharmaceutical Society of Great Britain
First edition published in 2001
Second edition published in 2009
Typeset by J&LComposition, Filey, North Yorkshire
Printed in Great Britain by TJ International, Padstow, Cornwall
ISBN 978 0 85369 763 3
All rights reserved. No part of this publication may be reproduced,
stored in a retrieval system, or transmitted in any form or by any
means, without the prior written permission of the copyright holder.
The publisher makes no representation, express or implied, with
regard to the accuracy of the information contained in this book and
cannot accept any legal responsibility or liability for any errors or
omissions that may be made.
The right of Steven B Kayne to be identified as the editor of this
work has been asserted by him in accordance with the Copyright,
Designs and Patents Act, 1988.
A catalogue record for this book is available from the British Library.
Contents
Preface vii
About the editor ix
Contributors x
Abbreviations xii
Part 1 Introduction to complementary and
alternative medicine 1
1 Introduction to the complementary concept of healthcare 3
2 Integrative medicine – incorporating complementary and
alternative medicine into practice 23
3 Delivering complementary and alternative medicine 43
4 Complementary and alternative medicine in the USA 93
5 The evidence base for complementary and alternative
medicine 121
6 Pharmacovigilance of complementary medicines 145
Part 2 Therapies involving use of medicines 185
7 Homeopathy and anthroposophy 187
8 Medical herbalism 269
9 Aromatherapy 341
10 Flower remedy therapy 383
Part 3 Traditional medicine 393
11 The traditional healthcare environment 395
12 Traditional Chinese medicine 415
13 Indian ayurvedic medicine 449
Part 4 Other therapies and diagnostic techniques 473
14 Naturopathy and its associated therapies 475
v
vi Contents
15 Diagnostic therapies 511
16 Manual therapies 517
17 Mind and body therapies 561
Index 597
Preface
Much has happened since the first edition of this book appeared in 2002.
Despite the continuing paucity of robust scientific evidence to support
most of its constituent therapies, complementary and alternative medicine
(CAM) remains popular with clients who appreciate the holistic approach
and have a belief in its effectiveness. Some elements of CAM such as
aromatherapy and herbalism have acquired a more dedicated following,
whereas others including homeopathy have been subjected to a campaign
of scepticism in the UK in recent years, resulting in a reduction in the
services available under the country’s National Health Service. Interest in
traditional medicine, in particular Chinese and Indian medicine has
increased both by the arrival of immigrants, making it important for
health providers to have some knowledge of the principles and treatments
involved, and by host communities, resulting in the opening of Chinese
herbal medicine shops on the high streets of British cities.
Among healthcare providers there is an increasing realisation that
CAM is here to stay and must at least be acknowledged as a credible
option in appropriate circumstances. The concept of integrative medi-
cine is gaining ground. As statutory control of practitioners in many CAM
therapies and licensing of medicines becomes established full recognition
must surely follow.
This second edition has been reorganised and expanded with three
importantnewchapterscoveringintegrativemedicine,pharmacovigilance
and the marketing of CAM products in the USA. I am grateful to three
highly experienced colleagues from New Zealand and the USA for agree-
ing to contribute to these chapters, thus strengthening the content. The
book also provides an introduction to a much wider range of CAM
therapies. It is divided into four parts:
1. The first part serves as an introduction and deals with the
concepts that underpin CAM practice
2. The second part looks at therapies that generally, but not ex-
clusively, involve the use of medicines after a consultation or
through self-treatment
vii
viii Preface
3. The third part gives information on traditional medicine
4. Thefourthpartcoversarangeofothertherapiesanddiagnostic
procedures.
An abbreviated FASTtrackversion of this book, covering the major top-
ics and providing self-assessment exercises, was also published by the
Pharmaceutical Press in 2008. It has been designed as a resource to as-
sist students preparing for examinations
Steven B Kayne
Glasgow, August 2008
[email protected]
About the editor
Dr Steven B Kaynepractised as a Community Pharmacist in Glasgow for
more than 30 years before retiring from active practice in 1999. He is
currently Honorary Consultant Pharmacist at Glasgow Homeopathic
Hospital and Honorary Lecturer in CAM at the University of Strathclyde
School of Pharmacy. Steven was a member of the UK Advisory Board on
the Registration of Homeopathic Products from its formation in 1994
until he retired in 2008, and currently serves on two other UK
Government Expert Advisory Bodies: the Herbal Medicines Advisory
Committee and the Veterinary Products Committee. He has also acted as
an adviser to the WHO Collaborating Centre for Traditional Medicine
and chaired the European Committee on Homeopathy Pharmacy sub-
committee. Steven’s current interests are in patient communication and
the application of CAM in sports care and veterinary medicine
He has written numerous papers and journal articles and has pre-
sented as an invited speaker at conferences around the world on a vari-
ety of topics associated with complementary and alternative medicine.
Steven is a member of the editorial advisory board of several journals
and has authored, edited and contributed chapters to many books.
ix