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Integrative 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 Copyright © 2012, 2007, 2003 by Saunders, an imprint of Elsevier Inc. All rights reserved. No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or any information storage and retrieval system, without permission in writing from the publisher. Details on how to seek permission, further information about the Publisher's permissions policies, and our arrangements with organizations such as the Copyright Clearance Center and the Copyright Licensing Agency can be found at our website: www.elsevier.com/permissions. This book and the individual contributions contained in it are protected under copyright by the Publisher (other than as may be noted herein). Notices Knowledge and best practice in this field are constantly changing. As new research and experience broaden our understanding, changes in research methods, professional practices, or medical treatment may become necessary. Practitioners and researchers must always rely on their own experience and knowledge in evaluating and using any information, methods, compounds, or experiments described herein. In using such information or methods they should be mindful of their own safety and the safety of others, including parties for whom they have a professional responsibility. With respect to any drug or pharmaceutical products identified, readers are advised to check the most current information provided (i) on procedures featured or (ii) by the manufacturer of each product to be administered to verify the recommended dose or formula, the method and duration of administration, and contraindications. It is the responsibility of practitioners, relying on their own experience and knowledge of their patients, to make diagnoses, to determine dosages and the best treatment for each individual patient, and to take all appropriate safety precautions. To the fullest extent of the law, neither the Publisher nor the authors, contributors, or editors assume any liability for any injury and/or damage to persons or property as a matter of products liability, negligence, or otherwise or from any use or operation of any methods, products, instructions, or ideas contained in the material herein. 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 Senior Content Strategist: Kate Dimock Content Development Specialist: Julie Mirra Publishing Services Manager: Anne Altepeter Senior Project Manager: Doug Turner Designer: Steve Stave Printed in the United States of America Last digit is the print number: 9 8 7 6 5 4 3 2 1 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
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