Table Of ContentIntegrative
Medicine
http://avaxho.me/blogs/ChrisRedfield
Integrative
Medicine
THIRD EDITION
David Rakel, MD
Associate Professor of Family Medicine
Director and Founder
University of Wisconsin Integrative Medicine
University of Wisconsin School of Medicine and Public Health
Madison, Wisconsin
Chapter iii
Integrative
Medicine
THIRD EDITION
David Rakel, MD
Associate Professor of Family Medicine
Director and Founder
University of Wisconsin Integrative Medicine
University of Wisconsin School of Medicine and Public Health
Madison, Wisconsin
1600 John F. Kennedy Blvd.
Ste 1800
Philadelphia, PA 19103-2899
INTEGRATIVE MEDICINE ISBN: 978-1-4377-1793-8
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Library of Congress Cataloging-in-Publication Data
Integrative medicine / [edited by] David Rakel. – 3rd ed.
p. ; cm.
Includes bibliographical references.
ISBN 978-1-4377-1793-8 (hardcover : alk. paper)
I. Rakel, David.
[DNLM: 1. Integrative Medicine–methods. 2. Complementary Therapies–methods. 3. Preventive
Medicine–methods. 4. Primary Health Care–methods. WB 113]
616—dc23 2012009514
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For my wife, Denise
Contributors
Robert Abel, Jr., MD Robert Alan Bonakdar, MD
Delaware Ophthalmology Consultants Director of Pain Management
Wilmington, Delaware; Scripps Center for Integrative Medicine
Former Clinical Professor of Ophthalmology Assistant Clinical Professor
Thomas Jefferson University School of Medicine Department of Family and Preventative Medicine
Philadelphia, Pennsylvania University of California, San Diego School of Medicine
La Jolla, California
Ather Ali, ND, MPH
Assistant Director Jennifer M. Capra, OMS-IV
Integrative Medicine, Prevention Research Center; College of Osteopathic Medicine
Associate Research Scientist, Pediatrics Kansas City University of Medicine and Biosciences
Yale University School of Medicine Kansas City, Missouri
New Haven, Connecticut
Remy R. Coeytaux, MD, PhD
Patricia Ammon, MD Associate Professor
Ridgway, Colorado Department of Community and Family Medicine
Duke Clinical Research Institute
Bruce Barrett, MD, PhD Durham, North Carolina
Associate Professor
Department of Family Medicine Stephen M. Dahmer, MD
University of Wisconsin School of Medicine and Attending Family Physician
Public Health Continuum Center for Health and Healing
Madison, Wisconsin New York, New York
Iris R. Bell, MD, PhD Douglas E. Dandurand, PhD, MDiv
Department of Family and Community Medicine Spiritual Facilitator
The University of Arizona College of Medicine Allina Center for Healthcare Innovation
Tucson, Arizona The Penny George Institute for Health and Healing
Minneapolis, Minnesota
Paul E. Bergquist, MD
Clinician Alan M. Dattner, MD
Family Practice and Complementary Medicine Clinic CEO, HolisticDermatology.com
Vernon Memorial Hospital Clinics President, HealthDataLink.com
Medical Director Director, Integrative Medicine and Dermatology
Vernon Memorial Hospital Home Health and Hospice New York and New Rochelle, New York
Program
Viroqua, Wisconsin; Brian Degenhardt, DO
Medical Director Associate Research Professor
Sannes Skogdalen Nursing Home Kirksville College of Osteopathic Medicine
Soldiers Grove, Wisconsin A. T. Still University
Director
Apple A. Bodemer, MD A. T. Still Research Institute
Assistant Professor Kirksville, Missouri;
Department of Dermatology Co-Medical Director
University of Wisconsin Ridgway Integrative Medicine
Madison, Wisconsin Ridgway, Colorado
vii
viii Contributors
Ankit D. Desai, PharmD Ann C. Figurski, DO
Clinical Pharmacist Family Medicine Physician
Harper University Hospital Healdsburg Family Practice
Detroit, Michigan Sutter Medical Group of the Redwoods
Healdsburg, California
Gautam J. Desai, DO
Associate Professor Luke Fortney, MD
Department of Family Medicine Assistant Professor
College of Osteopathic Medicine Integrative Medicine Program
Kansas City University of Medicine and Biosciences Department of Family Medicine
Kansas City, Missouri University of Wisconsin School of Medicine and
Public Health
Stephen Devries, MD Madison, Wisconsin
Preventive Cardiologist
Associate Professor of Medicine Louise Gagné, MD
Division of Cardiology Clinical Assistant Professor
Northwestern University Department of Community Health and Epidemiology
Chicago, Illinois University of Saskatchewan
Saskatoon, Saskatchewan, Canada
Dennis J. Dowling, DO
Private Practice Leo Galland, MD
Osteopathic Manipulative Medicine Associates Director
Syosset, New York; Foundation for Integrative Medicine
Director of Osteopathic Manipulative Services New York, New York
Physical Medicine and Rehabilitation Department
Nassau University Medical Center Paula Gardiner, MD, MPH
East Meadow, New York; Assistant Professor
Director of Osteopathic Manipulative Medicine Department of Family Medicine
Clinical Skills Testing Center Boston Medical Center
National Board of Osteopathic Medical Examiners Boston, Massachusetts
Conshohocken, Pennsylvania
Andrea Gordon, MD
Jeffery Dusek, PhD Director of Integrative Medicine
Research Director Tufts University Family Medicine Residency Program
Integrative Health and Medicine Research Center Cambridge Health Alliance
Allina Center for Healthcare Innovation Malden, Massachusetts
The Penny George Institute for Health and Healing
Minneapolis, Minnesota Jeff Grassmann, DO
Integrative Medicine and Family Practice
Connie J. Earl, DO Martin's Point Health Care
Integrative Medicine Fellow Portland, Maine
UCSF Santa Rosa Family Medicine Residency
Santa Rosa, California Russell H. Greenfield, MD
Director
Brian Earley, DO Greenfield Integrative Healthcare, PLLC
Assistant Professor Charlotte, North Carolina;
Department of Family Medicine Clinical Assistant Professor of Medicine
University of Wisconsin School of Medicine and University of North Carolina–Chapel Hill School of
Public Health Medicine
Madison, Wisconsin Chapel Hill, North Carolina
Joseph Eichenseher, MD, MAT Steven Gurgevich, PhD
Petaluma Health Center Clinical Assistant Professor of Medicine
Petaluma, California; University of Arizona College of Medicine
Adjunct Faculty Arizona Center for Integrative Medicine
Touro University Faculty, Fellow and Approved Consultant
Vallejo, California The American Society of Clinical Hypnosis
Private Practice
Behavioral Medicine, Ltd.
Tucson, Arizona
Contributors ix
Fasih A. Hameed, MD Julia Jernberg, MD
Director of Integrative Medicine Clinical Assistant Professor of Medicine
Petaluma Health Center Department of Internal Medicine
Petaluma, California; Section of Geriatrics, General Medicine, and Palliative
Assistant Clinical Professor Medicine
UCSF Santa Rosa Family Medicine Residency University of Arizona College of Medicine
Santa Rosa, California Tucson, Arizona;
Clinical Assistant Professor of Medicine
Patrick J. Hanaway, MD Department of Internal Medicine
Chief Medical Officer University of Wisconsin Hospitals and Clinics
Genova Diagnostics Madison, Wisconsin
Asheville, North Carolina
Wayne Jonas, MD
James Harvie, PEng Associate Professor of Family Medicine
Executive Director Uniformed Services University of Health Sciences
Institute for a Sustainable Future President and Chief Executive Officer
Duluth, Minnesota Samueli Institute
Alexandria, Virginia
Michael T. Hernke, PhD
Research Fellow Amanda J. Kaufman, MD
Department of Operations and Information Management Assistant Professor
School of Business Department of Family Medicine
University of Wisconsin University of Michigan
Madison, Wisconsin Ann Arbor, Michigan
Michael J. Hewitt, PhD Kathi J. Kemper, MD, MPH
Research Director for Exercise Science Caryl J. Guth Chair for Complementary and Integrative
Department of Exercise Physiology Medicine
Canyon Ranch Health Resort Professor of Social Science/Health Policy and Pediatrics
Tucson, Arizona Wake Forest University School of Medicine
Winston-Salem, North Carolina
Ravi S. Hirekatur, MD
Clinical Assistant Professor Dharma Singh Khalsa, MD
Department of Family Medicine Founding President and Medical Director
University of Wisconsin Urgent Care Alzheimer's Research and Prevention Foundation
University of Wisconsin Medical School Tucson, Arizona
Madison, Wisconsin
Sarah K. Khan, RD, MPH, PhD
Randy J. Horwitz, MD, PhD Adjunct Professor
Medical Director University of Wisconsin School of Medicine and
Arizona Center for Integrative Medicine; Public Health
Assistant Professor of Medicine Founder and Director
University of Arizona College of Medicine Institute of Food, Healing, and Culture
Tucson, Arizona Madison, Wisconsin
Corene Humphreys, ND David Kiefer, MD
Director Clinical Assistant Professor of Medicine
Nutritional Medicine Ltd Arizona Center for Integrative Medicine
Medical Research Consultant University of Arizona
Faculty Wellpark College of Natural Therapies Tucson, Arizona;
Auckland, New Zealand Research Fellow
Department of Family Medicine
Robert S. Ivker, DO University of Wisconsin School of Medicine and
Co-Founder and Former President Public Health
American Board of Integrative Holistic Medicine Madison, Wisconsin
Medical Director
Fully Alive Medicine
Boulder, Colorado
x Contributors
Benjamin Kligler, MD, MPH Erica A. Lovett, MD
Vice Chair and Research Director Integrative Family Medicine Physician and Faculty
Beth Israel Department of Integrative Medicine Central Maine Medical Center Family Medicine
Continuum Center for Health and Healing Residency
New York, New York Portland, Maine;
Clinical Assistant Professor of Family Medicine
Wendy Kohatsu, MD Boston University
Assistant Professor of Family Medicine Boston, Massachusetts;
Oregon Health & Science University Associate Faculty
Portland, Oregon; University of New England College of Osteopathic
Visiting Assistant Professor Medicine
University of Arizona College of Medicine Biddeford, Maine
Tucson, Arizona
Tieraona Low Dog, MD
Greta J. Kuphal, MD Fellowship Director
Clinical Assistant Professor Arizona Center for Integrative Medicine
University of Wisconsin Integrative Medicine Clinical Associate Professor of Medicine
Department of Family Medicine University of Arizona Health Sciences
University of Wisconsin School of Medicine and Tucson, Arizona
Public Health
Madison, Wisconsin Michael Lumpkin, PhD
Chair
Roberta A. Lee, MD Department of Physiology and Biophysics
Vice Chair Georgetown University
Department of Integrative Medicine Washington, District of Columbia
Beth Israel Medical Center
New York, New York Junelle H. Lupiani, RD
Registered Dietician and Nutrition Expert
David M. Lessens, MD, MPH Miraval Spa and Resorts
Integrative Medicine Fellow Tucson, Arizona
University of Wisconsin Integrative Medicine
Department of Family Medicine Victoria Maizes, MD
University of Wisconsin School of Medicine and Executive Director
Public Health Arizona Center for Integrative Medicine
Madison, Wisconsin Professor of Clinical Medicine, Family Medicine,
and Public Health
Edward (Lev) Linkner, MD University of Arizona
Founding Member Tucson, Arizona
American Board of Integrative Holistic Medicine
Clinical Associate Professor Geeta Maker-Clark, MD
Department of Family Medicine Integrative Family Physician
University of Michigan Medical School NorthShore University HealthSystem
Faculty, Department of Family Practice Evanston, Illinois
St. Joseph Mercy Hospital
Private Practice D. Jill Mallory, MD
Ann Arbor, Michigan Physician
Wildwood Family Clinic
Yue Man Onna Lo, MD Madison, Wisconsin
Family Physician
Asian Health Services John Douglas Mann, MD
Oakland, California Professor of Neurology
Department of Neurology
Amy B. Locke, MD University of North Carolina
Assistant Professor Chapel Hill, North Carolina
Integrative Medicine Wellness Center
Department of Family Medicine
University of Michigan Medical School
Ann Arbor, Michigan
Description:Integrative Medicine, by Dr. David Rakel, provides the practical, evidence-based guidance you need to safely and effectively integrate complementary and alternative medical treatments into your practice. This medical reference book lays the framework for making the best use of these therapeutic moda
