Monday, November 26, 2007

Energies correlate with ill health

isturbances in meridian energies correlate with ill health. The amount
of light emitted by the meridians of laboratory animals decreased when
the animals were ill and increased as treatments such as acupuncture began
to improve their physical condition.4 Because disrupted meridian energies
often precede illness, meridian readings are sometimes used to predict
health vulnerabilities and prevent disease. Some government employees in
Japan, for instance, are routinely screened during their annual medical examination
by a machine that has twenty-eight electrodes attached to the
meridian endpoints. Only people with abnormal meridian readouts are required
to go through further diagnostic testing

Meridians energy

If you think of the meridians as an energy transportation system, a complex
traffic network, you have a concrete model of how meridian energies interact.
When a freeway becomes congested, it may be necessary to divert
some of the traffic onto another highway. An off-ramp may need to be cleared
or widened. If a highway or meridian becomes backed up with too much ennergy
, as occurs in the hubbub of daily life, a bottleneck forms. And the resources
needed to support the community or the body are also blocked. It becomes
difficult to provide food and remove waste products. Likewise, if a
highway is damaged in an earthquake, even the critical support services that
form the community's "immune systemo-like police, fire, and ambulance
units-cannot function properly. Because your body is in use twenty-four
hours every day, day in and day out, and because it is under continual stress
and has periodic "earthquakes," its pathways need regular maintenance and
repair as well as an occasional major renovation.

Meridians affect

Meridians affect every organ and every physiological system, including
the immune, nervous, endocrine, circulatory, respiratory, digestive, skeletal,
muscular, and lymphatic systems. Each system is fed by at least one meridian.
In the way an artery carries blood, a meridian carries energy. As the
body's '(energy bloodstream,'' the meridians bring vitality and balance, remove
blockages, adjust metabolism, even determine the speed and form of
cellular change. Their flow is as critical as the flow of blood; your life and
health depend on both. If a meridian's energy is obstructed or unregulated,
the system it feeds is jeopardized.

Saturday, November 24, 2007

OPPORTUNITY COST AND COMPARATIVE ADVANTAGE

OPPORTUNITY COST AND COMPARATIVE ADVANTAGE
There is another way to look at the cost of producing potatoes. Rather than comparing
inputs required, we can compare the opportunity costs. Recall from Chapter
1 that the opportunity cost of some item is what we give up to get that item. In
our example, we assumed that the farmer and the rancher each spend 40 hours a
week working. Time spent producing potatoes, therefore, takes away from time
available for producing meat. As the rancher and farmer change their allocations
of time between producing the two goods, they move along their production possibility
frontiers; in a sense, they are using one good to produce the other. The opportunity
cost measures the tradeoff that each of them faces.
Let’s first consider the rancher’s opportunity cost. Producing 1 pound of potatoes
takes her 8 hours of work. When the rancher spends that 8 hours producing
potatoes, she spends 8 hours less producing meat. Because the rancher needs only
1 hour to produce 1 pound of meat, 8 hours of work would yield 8 pounds of meat.
Hence, the rancher’s opportunity cost of 1 pound of potatoes is 8 pounds of meat.
Now consider the farmer’s opportunity cost. Producing 1 pound of potatoes
takes him 10 hours. Because he needs 20 hours to produce 1 pound of meat, 10
hours would yield 1/2 pound of meat. Hence, the farmer’s opportunity cost of 1
pound of potatoes is 1/2 pound of meat.

Friday, November 23, 2007

Final

Áyurveda (pronounced Aa-yer-vay-da), said to
be a world medicine, is the most holistic or comprehensive
medical system available. Before the
arrival of writing, the ancient wisdom of healing,
prevention, and longevity was a part of the spiritual
tradition of a universal religion. Healers gathered
from the world over, bringing their medical
knowledge to India. Veda Vyasa, the famous sage,
preserved the complete knowledge of Áyurveda
in writing, along with the more spiritual insights
of ethics, virtue, and Self-Realization. Others say
Áyurveda was passed down from God to his angels,
and finally to humans.

Sunday, November 18, 2007

Apparent dilemma

Bickenbach identifies an apparent dilemma for the
construction of health measures: they must either locate the burden of
health conditions entirely in the individual, which is unfair or misleading,
or they must take account of social and environmental contributions
to that burden, thereby ceasing to be measures of health performance
or attainment. He concludes that if policy makers are to take equality
in health care seriously, they should explore alternatives to health measures
and to the kind of cost-effectiveness analysis that employs them,
alternatives such as the “benchmarks of fairness” scheme proposed by
Norman Daniels and his colleagues.Despite their differing emphases and conflicting judgments, our contributors
develop common themes.Several of them scrutinize alleged
conceptual and empirical links between impairment and well-being,
and between health and well-being. Most claim that those links are
more tenuous or complex than is often supposed. Asch, Wasserman,
and Shakespeare, for example, argue that reproductive decision making
in its present social context is shaped by unjustified or overbroad
generalizations about the impact of impairments on well-being, ignoring
the highly variable effects of different impairments in different settings.

Saturday, November 17, 2007

Bursitis

Bursitis
Bursitis is the inflammation of the bursae, which
are fluid-filled sacs that act as cushions in reducing
the friction where muscle and tendon meet
bone. Excess fluid collects in the sacs resulting in
pain, swelling, heat, and restricted movement.
Bursitis is most often caused by overuse; other
causes include infection, injury, arthritis, or gout.
Areas most affected are the shoulder, elbow,
knees, hips, and heels. Tendonitis is a similar condition
affecting the tendons, which are the
fibrous tissues that connect muscle and bone, also
caused by overuse and responds to the same
treatments as bursitis.
Immobilize and rest the affected area, although
once the swelling has diminished, exercise is advisable
to prevent a permanent situation from developing.
Applying a cold compress (such as a bag of
frozen peas or ice pack after rubbing skin with oil
to prevent frostbite) is helpful and then alternate
or use just hot compresses when pain and swelling
subside. TENS, an electrical nerve-stimulation
unit, is beneficial in alleviating the pain.

Friday, November 16, 2007

Native American remedies

Claiming to side with nature instead was the distinguishing therapeutic philosophy
of those first alternative systems of practice that appeared in America
in the early 1800s. Systems of practice is specified because while there had
been a variety of methods available as alternatives to conventional medicine
before the nineteenth century, the practitioners of folk medicine, the so-called
root-and-herb doctors, the purveyors of Native American remedies, and other
informally trained medicos had not been professionalized to any significant
degree. They were often paid for their ministrations, to be sure, but they
generally practiced alone, using what knowledge they had acquired in their
individual ways. They did not band together with people of like mind to
prescribe the same drugs and to swear allegiance to the same theory. They
did not establish schools to train the next generation of practitioners, organize
professional societies, or publish journals. The alternative healers who came
onto the scene in the early nineteenth century did all those things, and that
is what made their practices stand out as systems.

Regular physicians

Regular physicians of the first half of the nineteenth century maintained
allegiance to their traditional drugs for other reasons as well. Doing something
active in place of waiting for nature instilled confidence in patients that the
doctor had power, and confidence stimulated recovery. Indeed, if the doctor
did not take action, more often than not the patient or his family demanded
it. “How often,” one physician complained, was he “forced by patients and
their friends to give medicine when it is not plainly indicated. . . . He must
cure quickly, or give place to a rival.” Finally, calomel, bleeding, and other
heroic treatments were the very things that gave the profession its distinctiveness
vis a` vis unconventional healers. As these enemies became ever more
strident in their attacks on traditional medicine, it was only natural for MDs
to close ranks and cling more tightly to that tradition as a badge of professional
identity, making depletive therapy the core of their self-image as medical
orthodoxy. In brief, a fair amount of lip service was paid to nature by physicians
of the mid-1800s, but when it came down to practice instead of philosophy,
they sided with art.

Wednesday, November 14, 2007

nature versus art

The resultant debate of “nature versus art” (“art” denoting the doctor’s
pharmaceutical armamentarium) was a hotly contested issue among America’s
regular physicians from the 1830s into the 1860s. But the fact that Oliver
Wendell Holmes, the profession’s most articulate spokesman for therapeutic
humility, described “nature-trusting” as a “heresy” indicates that the majority
of doctors denied nature’s power to heal unassisted, and stayed on the side of
active intervention. Some of the orthodox actually denied there was any such
thing as the vis medicatrix naturae. (“Obscure and incomprehensible,” one
doctor called it; “only an inference—a theory,” stated another.) Most acknowledged
that when the body was attacked by disease it did make efforts
to reverse the injury and reclaim health but believed that generally the aid of
the physician was required nonetheless. To have concluded otherwise would
have been a form of professional suicide, an admission that the doctor was
redundant. Even Holmes and other nature-trusters hardly abandoned drugs
altogether. They simply called for a more moderate and discriminating use of
those that seemed to have some clinical evidence in their favor, rationalizing
their use as agents that removed obstacles to nature’s reparative activity.
Judged that way, even calomel could be identified as a friend of nature; used
judiciously, the purgative eliminated constipation, which might otherwise cause
discomfort, weakness, and sleeplessness.

Tuesday, November 13, 2007

Attention

At first, attention was motivated primarily by the recognition that practitioners
needed to know more about unconventional systems of care in order to engage
their alternatively inclined patients in open discussion of their habit (in contrast
to shaming them in the manner of the cartoon physician). Eisenberg had found

New Yorker medicine

Yet in just the few years since the publication of that New Yorker cartoon,
mainstream medicine’s historic disdain for alternative medicine has softened
remarkably. The decision by the U.S. Congress in 1991 to establish an Office
of Alternative Medicine at the National Institutes of Health was, to be sure,
a political act, and one that enraged many MDs.

Systems of healthy treatment

Systems of treatment as a grab-bag of inert (when not dangerous) therapies
foisted upon gullible hypochondriacs by scientifically uncritical quacks. Alternative
doctors, Spalding Gray has joked on behalf of physicians, believe that
“everything gives you cancer,” but there’s no need to worry, because they also
believe that “everything else heals you of it.” (The emphasis is Gray’s; italicized
words in quoted passages throughout this book were italicized in the
original.)

Another alternative methods

That alternative methods were so widespread in the presumably enlightened
1990s was a startling realization for the medical profession. It shouldn’t
have been, for there’s nothing at all new in the current enthusiasm for unconventional
therapies. Comparable levels of support have been the norm for
most of the last two centuries: Americans, in short, have been fooling around
with alternative medicine for a long time.
That such activity has been mere foolishness has been the opinion, of
course, of orthodox practitioners. From the start, MDs have scorned alternative

Eighteenth-century medicine

Eighteenth-century medicine had gone overboard in its reliance on highly
speculative theoretical constructs as the basis for therapeutic decisions, suffering
an imbalance that encouraged a search for more empirical approaches. The
increasingly heroic therapeutic interventions that the theories encouraged likewise
created a backlash, and the resultant desire to place more trust in the
body’s natural restorative powers was reinforced by the appeals of Romantic
philosophers and poets to return to nature as the source of all truth and beauty.
Further, the quickening pace of professionalization of American medicine that
was evident by 1800 generated opposition. Eighteenth-century medical practice
had been only loosely organized and regulated, an activity in which just about
anyone was free to participate.

Friday, November 9, 2007

Interesting facts about alternative medicine in America

In the autumn of 1994, a New Yorker cartoonist imagined a clinical scene
in which a patient who is literally radiant with health, his body throwing
off a nearly blinding aura of wellness, is nevertheless being sternly admonished
by his physician because he has achieved his health the wrong way:
“You’ve been fooling around with alternative medicines, haven’t you?” the
doctor scolds.1
New Yorker cartoons constitute the most sensitive of barometers to shifting
currents in America’s cultural atmosphere. And in truth, whatever one
chooses to call it—alternative medicine, unconventional medicine, holistic
medicine, complementary medicine, integrative medicine (some even like the
term vernacular medicine)—a lot of people have been fooling around with
unorthodox forms of therapy in recent years. In a now legendary survey
published in 1993, Harvard’s David Eisenberg reported that one in three
Americans had used one or more forms of alternative medicine in 1990, and
expressed surprise at the “enormous presence” of healing alternatives in American
society. When Eisenberg and colleagues repeated the survey in 1997,
furthermore, they found that “alternative medicine use and expenditures have
increased dramatically” since the first study: now 40 percent of the population
employed such procedures