What Is Integrative Medicine?
Learn More at Our Scottsdale Integrative Medical Center
What Is Integrative Medicine? How does it relate to Homeopathic Medicine
in Arizona? Who has jurisdiction over the field of Integrative Medicine?
A major challenge for medicine in this century is the need to move beyond
the Newtonian concept of "diagnosis" of late-stage physical
ailment and the application of a label called a "disease". We
are faced with an epidemic of chronic illness which we, as allopathic
practitioners, with our limited toolkit of pharmaceutical drugs, ionizing
radiation, and surgery, are ill-equipped to treat. One has only to look
at the increasingly expensive treatments offered through standard allopathic
care, largely covered and paid for by "health" insurance, with
increasingly disappointing results to the patient who is looking for improvement
If we were equipped to treat obesity, cardiometabolic syndrome, heart disease,
diabetes, autoimmune disease and cancer, our population would be healthy.
Instead, we see increasing rates of obesity, hyperlipidemia, hypertension,
diabetes, autoimmune disease and cancer, despite the very best of medical
care that allopathic medicine has to offer.
Call (480) 418-0220 today to speak with the
staff at our Scottsdale integrative medical center.
The State of Affairs in Traditional Medicine
Some of the patients who choose to see an "alternative" or "integrative"
or "homeopathic" practitioner do so because their regular insurance-based
allopathic practitioner is unable to give them a physical diagnosis, or
simply gives them a pill to mask their symptoms rather than actually digging
for the cause of the symptoms, or gives them a pill which causes "side
effects" for which more pills are given, in a vicious cycle.
Others of these patients come to the "alternative" or "integrative"
or "homeopathic" practitioner because they have been told that
all their tests are negative, and they were offered a pill - generally
an anti-depressant - to help them "feel better." We call such
patients the "Expensive Clinic Rejects".
And now that some conventional allopathic medicine organizations like the
American Society of Clinical Oncology (ASCO) are beginning to use the
term "Integrative Medicine" to mean conventional medicine plus
some supplements or yoga, the field becomes even more confusing for patients.
Shifting the Paradigm
To be told that the cause of one's symptoms is psychological rather
than physical is deeply offensive to some people - particularly to those
who have a clear albeit undiagnosed functional disturbance. The fact that
an article on this very topic appeared in the Annals of Internal Medicine
in 2002 - calling for a "paradigm shift" - is instructive.
"We propose a paradigm shift in which unexplained symptoms are remedicalized
around the notion of a functional disturbance of the nervous system and
treatments currently considered "psychiatric" are integrated
into general medical care."
Functional disturbances are all very well and good, but if they cannot
be tested because the patient cannot afford the tests (since their "health"
insurance often does not cover the testing), of what utility is identifying
the potential for such disturbance?
The History of Homeopathic Medicine
Homeopathic medicine came into being in the 19th century with Dr. Samuel Hahnemann, who stopped
using the standard allopathic treatments of his day because he felt the
effect of the treatments was worse than the effect of the disease. From
the perspective of advanced homeopathic medicine, all disease or dysfunction
is considered to be an external manifestation of an internal bio-energetic
disorder unique to the individual. Homeopathic medicine looks for that
substance which will correct the energetic defects or dysfunctions unique
to a given individual, and restore that individual to the original template
of full health.
As technology has advanced, we have learned how to measure energetic dysfunctions
and departures from the original template. We are now able to treat with
substances which can restore the harmony of the information systems which
subtend the body's cellular function, right down to the level of the
DNA. These substances may include things like electromagnetic energy,
homeopathic remedies, combination remedies, and even physical remedies
such as vitamins, minerals, amino acids and fatty acids.
Functional Medicine teaches us how to modify our diet and lifestyle in
order to reconfigure those epigenetic DNA switches.
Speak to a member of our Scottsdale integrative medical center by calling
About Homeopathic Treatments
Homeopathic medicine carries the potential to modify these switches, and
can thus restore full functionality to the physical organism.*
Chiropractic Medicine teaches their "Diagnosis and Internal Disorders"
diplomates the art of diagnosis and nutritional treatment of chronic disease
through the use of nutrition, nutritional supplements and spinal manipulation.
Allopathic medicine has not yet put into clinical practice the ability
to modify DNA switches which have been turned off or on by environmental
toxins. An open access article published as recently as 2012 talks about
epigenetic modification, but appears to consider only pharmaceutical "tailor
made" molecules in its description of potential treatments.
Not once is the word "sulforaphane" mentioned, although we can
read about its effectiveness in the allopathic scientific literature.
Going Beyond Allopathic Medicine
Allopathic medicine uses various measurable forms of bioenergetics medicine:
It even utilizes sometimes the metabolic processes of the cells themselves
for diagnosis - as with PET scan which uses radioactively labeled glucose
incorporation into rapidly metabolizing cells. But allopathic medicine
has not yet stepped forward into the realm of more subtle manifestations
of bioenergetic medicine, including:
- Homeopathic remedies
- Rife frequencies
Allopathic medicine also hasn't admitted that there may be energies
which are invisible to the eye beyond those few that are considered acceptable
to the establishment and covered by "health" insurance.
At the most, we talk about "laying on of hands" which has become
marginally acceptable - although not covered by insurance - if it doesn't
get in the way of our more profitable and sometimes more damaging treatments
like surgery or pharmaceutical treatment.
The American Medical Association
The American Medical Association was established in 1846, two years after
the founding of the American Institute of Homeopathy, the nation's
very first national medical society. Allopaths were called quacks in the
19th century and even before, because they used "quicksilver,"
(which we now call mercury) or "quack silver", as medicine.
Homeopaths did not support the use of caustic or poisonous pharmaceuticals;
homeopathy was the predominant form of medicine at the start of the 20th
century. Allopaths continue to use mercury and aluminum to this very day,
in the form of adjuvants and preservatives in many medications called
vaccines. And yet the sobriquet of "quack" has been transferred
to those who practice homeopathic and/or integrative medicine.
In 1855, the AMA incorporated a code of ethics that included expulsion
of physicians who even consulted with homeopaths or other "un-scientific"
practitioners. In 1996, almost 150 years later, Dr. Grout was instructed
by a hospital administrator and a director of Emergency Medicine that
she was NOT to refer patients outside the bounds of traditional allopathic
medicine. She had been referring patients with chronic back pain to a
neuromuscular massage therapist because those patients she saw in the
ER were tired of being given narcotics - which was the form of therapy
apparently preferred by the hospital establishment.
The Council on Medical Education
In 1908 the newly formed AMA Council on Medical Education wrote to Andrew
Carnegie to propose a collaboration with the purpose of reforming medical
education. The Carnegie Foundation was allied with the Rockefellers, who
heavily invested first in oil, then in pharmaceutical companies. It was
decided to hire Abraham Flexner to investigate the 155 U. S. and Canadian
Abraham Flexner was an unemployed schoolmaster in 1908, with depleted resources,
looking for a job. He was employed by the Carnegie Foundation, with the
help of his brother, the director of the Rockefeller Institute for Medical
Research, and President Ira Remsen of the Johns Hopkins University. His
task was to make a report on the state of medical education in the United
States. Flexner himself had no experience with medical schools or medical
education. Sir William Osler, on the faculty of Johns Hopkins, expressed
the opinion that Flexner was unqualified to make any judgment of the adequacy
of any medical education.
Flexner began his duties in 1908. Visits to facilities were rushed (in
most cases, less than one day was spent), and sometimes unaccompanied
by school officials (at one school rooms were unlocked for Flexner by
a janitor). His findings, not surprisingly, heavily favored the allopathic
medical schools, and decried preceptorships and all other forms of medical
Flexner's findings, not surprisingly, heavily favored the medical schools
which supported the use of pharmaceutical medicine and "science-based"
medicine. The Journal of the American Medical Association announced that
"[a]lthough there may be statements of detail which might be criticized
in the Foundation's report, generally speaking the statements made
are recognized as the truth by those who are in a position to judge."
The New York State Journal of Medicine berated the Carnegie Foundation
for attempting to "dictate the policies ... to wipe out institutions
with the stroke of a pen" and thereby "threaten the freedom"
of medical schools."
Despite (or perhaps because of) the clear bias against all forms of medical
treatment other than allopathic, the report was widely acclaimed by the
allopathic medical community. Medicine in America was shifting from its
early emphasis on prevention and health (through the homeopathic model)
to a model of disease management. Influential forces promoted "allopathic"
medicine, the suppression of symptoms through the use of substances foreign
to the body.
Tody's Bias in Medicine
We have experienced that bias in the allopathic treatment of chiropractic
practitioners. The chiropractic profession was finally able to achieve
governmental (and, more importantly for them, insurance) recognition after
long court battles. However, to this day, a lecture given by a chiropractor
with years of experience in metabolic and nutritional medicine is not
counted for "AMA Category I" credit when Medical Doctors report
their continuing medical education hours to their allopathic medical boards
and specialty associations.
Americans are beginning to demand more than symptom management. They are
realizing that the "disease management" model is not providing
anything to re-establish their health. The famous "war on cancer"
has not fared much better than the equally famous "war on drugs".
Nobody would deny that when gangrene sets in, it may be necessary to amputate
the leg in order to save the patient's life. When the appendix is
acutely inflamed and ready to burst, it is certainly in the patient's
best interests at that moment to remove it surgically. When there is overwhelming
infection, antibiotics are the best way to treat - if the organism is
sensitive to them. However, when we begin to treat "prophylactically"
with antibiotics, we risk the development of antibiotic-resistant organisms
- which we are currently seeing, both in our hospitals and on our farms
We see patients with metabolic syndrome and diabetes, and are now recommending
bariatric surgery to these patients - ignoring the current medical literature
which outlines the major metabolic disturbances which occur in many of
these patients months or years after their intestinal tracts have been
The images of war are no longer acceptable. Our patients are realizing
that it is long past time for us to stop treating our bodies and the organisms
which cohabit with our bodies as though they were the enemy. We are beginning
to realize that we are all in this existence together, and that if one
part is unhealthy, all parts suffer.
What Patients Need
The patients who come to a doctor increasingly want to find out what went
wrong and how to fix it at the fundamental level. And when they are given
brief office visit and a prescription for pharmaceuticals by their "insurance"
doctor, they start looking around for doctors who are not beholden to
insurance companies for their livelihood, and who are willing to spend
the time that it takes to re-learn basic biochemistry and physiology so
that they can provide more effective treatment for their patients.
By 2009, it was estimated that 38% of all Americans spent almost $39 billion
on various non-allopathic treatments. Medical schools started to take
notice, incorporating some version of "alternative medicine"
into their curricula. One Institution, the University of Arizona, began
to offer a Fellowship in Integrative Medicine in the year 2000. It seems
curious that the faculty involved with this fellowship program has not
participated in the Arizona Board of Homeopathic and Integrated Medicine
Examiners, or in the professional society, the Arizona Homeopathic and
Integrative Medicine Association.
In 2010 or thereabouts, the Arizona Medical Board published a document
on their website entitled: The Arizona Medical Board's Guidelines
For Physicians Who Incorporate Or Use Complementary Or Alternative Medicine
In Their Practice. The gist of the document lies in the second paragraph:
"developed these guidelines for physicians who use CAM to assist
them in doing so in a manner that is consistent with the Board's expectations
and to inform the public of CAM and its uses in Arizona." This, despite
the fact that already in 2009 almost 40% of Americans admitted to using
some form of "alternative" or "complementary" therapy
without the guidance of the allopathic medical boards.
Contact our Scottsdale integrative medical center to get comprehensive care.
According to the Arizona Medical Board's document, all allopathic physicians
who utilize any form of complementary or alternative modality in their
practice must first make a diagnosis of the patient's condition -
in other words, they are obligated to adhere to the Newtonian concept
of "diagnosis" of late-stage physical ailment and application
of a label called a "disease". Already, unwittingly or by design,
the Board of Medicine has eliminated the concept of functional alteration
of metabolic processes as the most appropriate means of determining dysfunction
and enabling restoration of health. There appears to be little understanding
of the concept promulgated in the 19th century by Antoine Beauchamp that
the biologic terrain of the patient who has the disease (i.e. the metabolic
dysfunction) is far more important to treat than the organ system which
is affected (i.e. the diagnosis).
In the Textbook of Functional Medicine published in 2005, we read:
Functional medicine is a dynamic approach to assessing, preventing, and
treating complex chronic disease... Functional medicine acknowledges that
chronic disease is almost always preceded by a lengthy period of declining
function in one or more of the body's systems. Returning patients
to health requires reversing (or substantially improving) the specific
dysfunctions that have contributed to the disease state. Those dysfunctions
are, for each of us, the result of lifelong interactions among our environment,
our lifestyle, and our genetic predispositions"
Focusing predominantly on organ system diagnosis without examining the
underlying physiology that produced the patient's signs, symptoms,
and disease often leads to managing patient care by matching diagnosis
to pharmacology. The job of the healthcare provider then becomes a cookbook
exercise in finding the right "recipe"- the drug or procedure
that best fits the diagnosis (not necessarily the patient). Every medical
problem thus becomes a personal health issue in search of a pharmacological
agent or surgical procedure.
Physicians never went to medical school to learn cookbook recipes, but
that is how we are impelled to practice in the 21st century. It is no
wonder that patients are moving their allegiance to physicians who see
and treat them as individuals with functional deficiencies, rather than
as patients with one of a limited number of diagnoses requiring one or
two or three of a limited number of drugs (or surgery) for treatment.
Treatment for one patient with migraine headaches may be completely different
from another patient with exactly the same symptoms, based on their biochemical
What Integrative Medicine Can Do For You
Integrative Medicine combines the best of allopathic medicine with the
best of homeopathic and bioenergetic medicine, in an effort to describe
functionally the altered metabolic processes that subtend the onset of
histopathologically defined disease, and to treat dysfunction based on
restoration of normal metabolic processes.
Integrative Medicine combines the best of allopathic medicine with the
best of homeopathic and bioenergetic medicine.
In treating such dysfunction, it is not always possible to rely upon what
the American Medical Association calls "evidence based medicine",
as required by the recent Arizona Medical Board document mentioned previously.
In this form of rating of various treatments, the lowest grade is given
to that evidence which is based on "Expert opinion without explicit
critical appraisal, or based on physiology, bench research or first principles".
And yet, treatment based on physiology is what is most conducive to restoration
The Arizona State Board of Homeopathic and Integrated Medicine well understands
the biochemical and energetic individuality of each patient. The Arizona
State Board of Medical Examiners states in the CAM position paper that
"the standards used in evaluating health care practices must be consistent,
whether such practices are regarded as conventional or CAM."
The document continues: "The physician must design the treatment plan
to timely and effectively treat the patient's diagnosis, [please note
that the document does not mention treating the actual patient] provide
for continued monitoring of the patient's condition or illness and
perform all further testing, consultations, and referrals consistent with
the standard of care."
And most curiously, "A physician's personal experience, patient
testimony and other anecdotal evidence is not sufficient evidence to support
a claim of a treatment's efficacy and safety."
Call our Scottsdale integrative medical center at (480) 418-0220 to reach
Addressing Every Aspect of Health
Integrative medicine - true integrative medicine - uses many modalities
to diagnose dysfunction and effect treatment. These modalities may range
from conventional allopathic, surgical and pharmaceutical to homeopathic
to bioenergetic to bioelectrical to orthomolecular (functional biologic
terrain assessment) to manipulative (chiropractic, osteopathic, massage,
Tai Qi, massage) to neural injection therapies with homeopathic remedies.
All of these modalities may be effective in certain patients. None is
necessarily effective in all patients. And until we realize that one size
does not fit all, and that standards of care are not necessarily applicable
to all patients, we will continue to have the struggle between conventional
allopathic medicine and those practitioners who espouse other forms of
the healing arts.
Homeopathic medical licensure in the State of Arizona includes all the
above modalities to varying degrees.
Homeopathic medicine recognizes that medicine is an art much more than
Not all homeopathic practitioners utilize all the modalities available
to them in their care of patients. All the modalities require special
training in addition to what was received during medical school, internship
and residency training. Most practitioners have undergone hundreds of
hours of additional training in order to be able safely to utilize these
additional modalities. For some of the modalities there is no accepted
training program. The modalities may be developed as the treatment progresses,
based on patient response and practitioner ability, knowledge and intuition.
Finding a Unique Solution
There is no "one size fits all" in good medicine. That is both
the beauty and the curse of the human condition. But let there be no doubt
that to limit "integrative medicine" to the realm of "alternative",
something to use incidentally or on the side, is to severely limit both
the potential for healing and the potential for development of new modalities
of healing. We recognize that there may be unintended effects along the
way - just as there are in the allopathic version of medicine. But that
is part of the human condition, and part of the risk taken when new paths
In the Baghavad Gita chapter 2 we read: "You have a right to perform
your prescribed duty, but you are not entitled to the fruits of action.
Never consider yourself the cause of the results of your activities, and
never be attached to not doing your duty."
In other words, we are responsible for taking what seems to us to be the
right course on the river, but we do not necessarily have control over
where the river winds while finding its destination.
Medicine is an art, as well as a science. And no matter how hard we try
to force medicine into the box of the Newtonian paradigm, it keeps escaping
from that box.
Epigenetics, genetic mutations, environmental changes and pollutants, food
quality and kind - all these things affect each of us differently, and
may result in different results of therapy for apparently identical conditions
in different patients.
That is the essence of Homeopathic and Integrative Medicine.
If you would like to schedule an appointment at the Arizona Center for
Advanced Medicine, a Scottsdale integrative medical center
contact us at (480) 418-0220 today.
*Disclaimer: There is no guarantee of successes for any given medical treatment.
Each individual is unique and may respond differently to our medical services,
meaning results may vary for each person.
 9th Annual Integrative Oncology Training Conference for Acupuncturists,
Massage Therapists, and Yoga Teachers. ASCO 2013
 Sharpe M, Carson A. "Unexplained" somatic symptoms, functional
syndromes, and somatization: do we need a paradigm shift? Ann Intern Med.
2001 May 1;134(9 Pt 2):926-30.
 Pardian GN, Sugiyama H. Strategies To Modulate Heritable Epigenetic
Defects in Cellular Machinery: Lessons from Nature. Pharmaceuticals 2013,
6(1), 1-24; doi:10.3390/ph6010001
 Ho E, Clarket JD, Dashwood RH. Dietary Sulforaphane, a Histone Deacetylase
Inhibitor for Cancer Prevention. J Nutr. 2009 December; 139(12): 2393-2396.
 CAM = Complementary and Alternative Medicine
 Ely JW, Osheroff JA et al. A taxonomy of generic clinical questions:
classification study. BMJ 2000;321:429.1.