Written by physicians who are experts in both traditional and complementary medicine, Integrative Medicine, 5th Edition, uses a clinical, disease-oriented approach to safely and effectively incorporate alternative therapies into primary care practice. Drawing on available scientific evidence and the authors’ first-hand experiences, it covers therapies such as botanicals, supplements, mind-body, lifestyle choices, nutrition, exercise, spirituality, and other integrative medicine modalities. This highly regarded reference offers practical guidance for reducing costs and improving patient care while focusing on prevention and wellness for a better quality of life.
Explains how to make the best use of integrative medicine and the mechanisms by which these therapeutic modalities work, keeping you at the forefront of the trend toward integrative health care.
Templated chapters make it quick and easy to find key information such as dosing, pearls, the Prevention Prescription, and Therapeutic Reviews that incorporates the Evidence vs Harm Icon.
Uses the reliable SORT method (Strength of Recommendation Taxonomy) to provide evidence-based ratings, grading both the evidence and the relative potential harm.
Thoroughly updated, ensuring that you remain well informed regarding the latest evidence.
Contains 10 new chapters covering clinician resilience, supporting immunity, NASH/fatty liver, hair loss, rethinking the movement prescription, compassion practices, prescribing low-dose naltrexone, psychedelics, tapering off PPIs and opioids, as well as an expanded osteopathy chapter.
Covers timely topics aimed at reducing the epidemics of polypharmacy and opioid overuse, as well as supporting immunity in the face of infectious diseases.
Provides online access to multiple-choice questions for every chapter—perfect for board exam review.
1. Cover image - p. Cover 2. Title page - p. iii 3. Table of Contents - p. iii 4. Any screen, Any time, Anywhere - p. iii 5. Copyright - p. iii 6. Dedication - p. iv 7. Contributors - p. vii 8. Foreword - p. xiii 9. Preface - p. xv 10. Using the Evidence-Versus-Harm Grading Icons - p. xxi 11. Part I: Integrative Medicine - p. xxiii 12. 1. Philosophy of Integrative Medicine - p. 1 13. 2. Optimal Healing Environments - p. 10 14. 3. The Healing Encounter - p. 18 15. 4. The Whole Health Approach - p. 25 16. 5. Clinician Resilience - p. 33 17. Part II: Integrative Approach to Disease - p. 39.e4 18. Section I: Affective Disorders - p. 39.e4 19. 6. Depression - p. 40 20. 7. Anxiety - p. 49 21. 8. Attention-Deficit/Hyperactivity Disorder - p. 56 22. 9. Autism Spectrum Disorder - p. 67 23. 10. Insomnia - p. 77 24. 11. Posttraumatic Stress Disorder (PTSD) - p. 88 25. Section II: Neurology - p. 93.e3 26. 12. Alzheimer Disease - p. 94 27. 13. Headache - p. 107 28. 14. Peripheral Neuropathy - p. 118 29. 15. Multiple Sclerosis - p. 129 30. 16. Parkinson Disease - p. 139 31. Section III: Infectious Disease - p. 146.e4 32. 17. Otitis Media - p. 147 33. 18. Chronic Sinusitis - p. 151 34. 19. Acute Respiratory Infection Cold and Flu - p. 162 35. 20. HIV Disease and AIDS - p. 171 36. 21. Herpes Simplex Virus - p. 180 37. 22. Chronic Hepatitis - p. 186 38. 23. Urinary Tract Infection (UTI) - p. 198 39. 24. Lyme Disease - p. 205 40. Section IV: Cardiovascular Disease - p. 212.e3 41. 25. Non-Pharmaceutical Approaches to Hypertension - p. 213 42. 26. Heart Failure - p. 222 43. 27. Coronary Artery Disease - p. 233 44. 28. Nutrition and Nutritional Supplements in the Management of Dyslipidemia - p. 242 45. 29. Arrhythmias - p. 255 46. Section V: Allergy/Immunology - p. 265.e4 47. 30. Asthma - p. 266 48. 31. The Allergic Patient - p. 276 49. 32. Food Allergy and Intolerance - p. 287 50. 33. Integrative Medicine and Immune Support - p. 294 51. Section VI: Metabolic/Endocrine Disorders - p. p301.e3 52. 34. Prediabetes - p. 302 53. 35. Diabetes Mellitus - p. 311 54. 36. Hypothyroidism - p. 322 55. 37. Polycystic Ovarian Syndrome - p. 334 56. 38. Osteoporosis - p. 344 57. 39. An Integrative Approach to Obesity - p. 354 58. 40. MTHFR Polymorphisms, Homocysteine, and Nutrient Needs - p. 364 59. 41. Stress-Induced Hypothalamic–Pituitary–Adrenal Axis Dysfunction - p. 372 60. Section VII: Nephrology - p. p382.e3 61. 42. Chronic Kidney Disease - p. 383 62. Section VIII: Gastrointestinal Disorders - p. 391.e7 63. 43. Irritable Bowel Syndrome - p. 392 64. 44. Gastroesophageal Reflux Disease and Functional Dyspepsia - p. 400 65. 45. Peptic Ulcer Disease - p. 407 66. 46. Recurring Abdominal Pain in Pediatrics - p. 412 67. 47. Constipation - p. 420 68. 48. Nonalcoholic Steatohepatitis/Fatty Liver - p. 427 69. Section IX: Autoimmune Disorders - p. 431.e2 70. 49. Fibromyalgia - p. 432 71. 50. Chronic Fatigue Syndrome - p. 440 72. 51. Rheumatoid Arthritis - p. 449 73. 52. Inflammatory Bowel Disease - p. 456 74. Section X: Obstetrics/Gynecology - p. 469.e11 75. 53. Preconception Counseling and Fertility - p. 470 76. 54. Perimenopause to Menopause - p. 477 77. 55. Premenstrual Syndrome - p. 484 78. 56. Dysmenorrhea - p. 492 79. 57. Uterine Fibroids (Leiomyomata) - p. 500 80. 58. Vaginal Dryness - p. 511 81. Section XI: Urology - p. 517.e4 82. 59. Benign Prostatic Hyperplasia - p. 518 83. 60. Urolithiasis (Kidney and Bladder Stones) - p. 524 84. 61. Chronic Prostatitis - p. 532 85. 62. Erectile Dysfunction - p. 538 86. 63. Testosterone Deficiency - p. 543 87. Section XII: Musculoskeletal - p. 549.e2 88. 64. Osteoarthritis - p. 550 89. 65. Myofascial Pain Syndrome - p. 560 90. 66. Chronic Low Back Pain - p. 571 91. 67. Neck Pain - p. 579 92. 68. Gout - p. 593 93. 69. Carpal Tunnel Syndrome - p. 601 94. Section XIII: Dermatology - p. 609.e2 95. 70. Atopic Dermatitis - p. 610 96. 71. Psoriasis - p. 620 97. 72. Urticaria - p. 631 98. 73. Hair Loss - p. 638 99. 74. Acne Vulgaris and Acne Rosacea - p. 645 100. Section XIV: Cancer - p. 653.e4 101. 75. Breast Cancer - p. 654 102. 76. Lung Cancer - p. 672 103. 77. Prostate Cancer - p. 677 104. 78. Colorectal Cancer - p. 685 105. 79. Palliative and End of Life Care - p. 690 106. Section XV: Substance Abuse - p. 701.e5 107. 80. Addiction Treatment - p. 702 108. Section XVI: Ophthalmology - p. 710.e3 109. 81. Cataracts - p. 711 110. 82. Macular Degeneration - p. 718 111. Part III: Tools for Your Practice - p. p723.e2 112. Section IA: Lifestyle: Nutrition - p. p723.e2 113. 83. The Elimination Diet - p. 724 114. 84. The Glycemic Index/Load - p. 733 115. 85. The Antiinflammatory Diet - p. 738 116. 86. The DASH Diet - p. 746 117. 87. The FODMaPs Diet - p. 749 118. Section IB: Lifestyle: Exercise - p. 751.e1 119. 88. Rethinking the Movement Prescription - p. 752 120. 89. Therapeutic Breathing - p. 762 121. 90. Low Back Pain Exercises - p. 766 122. Section II: Mind–Body - p. 772.e1 123. 91. Relaxation Techniques - p. 773 124. 92. Self-Hypnosis Techniques - p. 778 125. 93. Enhancing Heart Rate Variability - p. 787 126. 94. Guided Imagery and Interactive Guided Imagery* - p. 796 127. 95. Journaling for Health - p. 802 128. 96. Forgiveness - p. 805 129. 97. Recommending Meditation - p. 810 130. 98. Motivational Interviewing Techniques - p. 817 131. 99. Emotional Awareness for Pain - p. 824 132. 100. Compassion Practices - p. 831 133. Section III: Biochemical - p. 835.e2 134. 101. Prescribing Botanicals - p. 836 135. 102. Prescribing Probiotics - p. 842 136. 103. Prescribing Low-Dose Naltrexone - p. 851 137. 104. Detoxification - p. 855 138. 105. Chelation Therapy - p. 863 139. 106. Psychedelic-Assisted Psychotherapy for Health - p. 873 140. 107. Tapering Off a Proton Pump Inhibitor - p. 879 141. 108. Tapering Off Opioids - p. 882 142. 109. Integrative Strategies for Planetary Health - p. 887 143. Section IV: Biomechanical - p. 895.e5 144. 110. Osteopathic Manipulative Treatment - p. 896 145. 111. Prolotherapy for Chronic Musculoskeletal Pain - p. 909 146. Section V: Bioenergetics - p. 914.e2 147. 112. Integrating Spiritual Assessment and Care - p. 915 148. 113. Biofield Therapies - p. 921 149. Section VI: Caring for Communities - p. 928.e2 150. 114. Integrative Medicine for the Underserved - p. 929 151. Answers - p. e1 152. Index - p. 936 153. Confidence is ClinicalKey - p. 968
Written by physicians who are experts in both traditional and complementary medicine, Integrative Medicine, 5th Edition, uses a clinical, disease-oriented approach to safely and effectively incorporate alternative therapies into primary care practice. Drawing on available scientific evidence and the authors’ first-hand experiences, it covers therapies such as botanicals, supplements, mind-body, lifestyle choices, nutrition, exercise, spirituality, and other integrative medicine modalities. This highly regarded reference offers practical guidance for reducing costs and improving patient care while focusing on prevention and wellness for a better quality of life.
Explains how to make the best use of integrative medicine and the mechanisms by which these therapeutic modalities work, keeping you at the forefront of the trend toward integrative health care.
Templated chapters make it quick and easy to find key information such as dosing, pearls, the Prevention Prescription, and Therapeutic Reviews that incorporates the Evidence vs Harm Icon.
Uses the reliable SORT method (Strength of Recommendation Taxonomy) to provide evidence-based ratings, grading both the evidence and the relative potential harm.
Thoroughly updated, ensuring that you remain well informed regarding the latest evidence.
Contains 10 new chapters covering clinician resilience, supporting immunity, NASH/fatty liver, hair loss, rethinking the movement prescription, compassion practices, prescribing low-dose naltrexone, psychedelics, tapering off PPIs and opioids, as well as an expanded osteopathy chapter.
Covers timely topics aimed at reducing the epidemics of polypharmacy and opioid overuse, as well as supporting immunity in the face of infectious diseases.
Provides online access to multiple-choice questions for every chapter—perfect for board exam review.
1. Cover image - p. Cover 2. Title page - p. iii 3. Table of Contents - p. iii 4. Any screen, Any time, Anywhere - p. iii 5. Copyright - p. iii 6. Dedication - p. iv 7. Contributors - p. vii 8. Foreword - p. xiii 9. Preface - p. xv 10. Using the Evidence-Versus-Harm Grading Icons - p. xxi 11. Part I: Integrative Medicine - p. xxiii 12. 1. Philosophy of Integrative Medicine - p. 1 13. 2. Optimal Healing Environments - p. 10 14. 3. The Healing Encounter - p. 18 15. 4. The Whole Health Approach - p. 25 16. 5. Clinician Resilience - p. 33 17. Part II: Integrative Approach to Disease - p. 39.e4 18. Section I: Affective Disorders - p. 39.e4 19. 6. Depression - p. 40 20. 7. Anxiety - p. 49 21. 8. Attention-Deficit/Hyperactivity Disorder - p. 56 22. 9. Autism Spectrum Disorder - p. 67 23. 10. Insomnia - p. 77 24. 11. Posttraumatic Stress Disorder (PTSD) - p. 88 25. Section II: Neurology - p. 93.e3 26. 12. Alzheimer Disease - p. 94 27. 13. Headache - p. 107 28. 14. Peripheral Neuropathy - p. 118 29. 15. Multiple Sclerosis - p. 129 30. 16. Parkinson Disease - p. 139 31. Section III: Infectious Disease - p. 146.e4 32. 17. Otitis Media - p. 147 33. 18. Chronic Sinusitis - p. 151 34. 19. Acute Respiratory Infection Cold and Flu - p. 162 35. 20. HIV Disease and AIDS - p. 171 36. 21. Herpes Simplex Virus - p. 180 37. 22. Chronic Hepatitis - p. 186 38. 23. Urinary Tract Infection (UTI) - p. 198 39. 24. Lyme Disease - p. 205 40. Section IV: Cardiovascular Disease - p. 212.e3 41. 25. Non-Pharmaceutical Approaches to Hypertension - p. 213 42. 26. Heart Failure - p. 222 43. 27. Coronary Artery Disease - p. 233 44. 28. Nutrition and Nutritional Supplements in the Management of Dyslipidemia - p. 242 45. 29. Arrhythmias - p. 255 46. Section V: Allergy/Immunology - p. 265.e4 47. 30. Asthma - p. 266 48. 31. The Allergic Patient - p. 276 49. 32. Food Allergy and Intolerance - p. 287 50. 33. Integrative Medicine and Immune Support - p. 294 51. Section VI: Metabolic/Endocrine Disorders - p. p301.e3 52. 34. Prediabetes - p. 302 53. 35. Diabetes Mellitus - p. 311 54. 36. Hypothyroidism - p. 322 55. 37. Polycystic Ovarian Syndrome - p. 334 56. 38. Osteoporosis - p. 344 57. 39. An Integrative Approach to Obesity - p. 354 58. 40. MTHFR Polymorphisms, Homocysteine, and Nutrient Needs - p. 364 59. 41. Stress-Induced Hypothalamic–Pituitary–Adrenal Axis Dysfunction - p. 372 60. Section VII: Nephrology - p. p382.e3 61. 42. Chronic Kidney Disease - p. 383 62. Section VIII: Gastrointestinal Disorders - p. 391.e7 63. 43. Irritable Bowel Syndrome - p. 392 64. 44. Gastroesophageal Reflux Disease and Functional Dyspepsia - p. 400 65. 45. Peptic Ulcer Disease - p. 407 66. 46. Recurring Abdominal Pain in Pediatrics - p. 412 67. 47. Constipation - p. 420 68. 48. Nonalcoholic Steatohepatitis/Fatty Liver - p. 427 69. Section IX: Autoimmune Disorders - p. 431.e2 70. 49. Fibromyalgia - p. 432 71. 50. Chronic Fatigue Syndrome - p. 440 72. 51. Rheumatoid Arthritis - p. 449 73. 52. Inflammatory Bowel Disease - p. 456 74. Section X: Obstetrics/Gynecology - p. 469.e11 75. 53. Preconception Counseling and Fertility - p. 470 76. 54. Perimenopause to Menopause - p. 477 77. 55. Premenstrual Syndrome - p. 484 78. 56. Dysmenorrhea - p. 492 79. 57. Uterine Fibroids (Leiomyomata) - p. 500 80. 58. Vaginal Dryness - p. 511 81. Section XI: Urology - p. 517.e4 82. 59. Benign Prostatic Hyperplasia - p. 518 83. 60. Urolithiasis (Kidney and Bladder Stones) - p. 524 84. 61. Chronic Prostatitis - p. 532 85. 62. Erectile Dysfunction - p. 538 86. 63. Testosterone Deficiency - p. 543 87. Section XII: Musculoskeletal - p. 549.e2 88. 64. Osteoarthritis - p. 550 89. 65. Myofascial Pain Syndrome - p. 560 90. 66. Chronic Low Back Pain - p. 571 91. 67. Neck Pain - p. 579 92. 68. Gout - p. 593 93. 69. Carpal Tunnel Syndrome - p. 601 94. Section XIII: Dermatology - p. 609.e2 95. 70. Atopic Dermatitis - p. 610 96. 71. Psoriasis - p. 620 97. 72. Urticaria - p. 631 98. 73. Hair Loss - p. 638 99. 74. Acne Vulgaris and Acne Rosacea - p. 645 100. Section XIV: Cancer - p. 653.e4 101. 75. Breast Cancer - p. 654 102. 76. Lung Cancer - p. 672 103. 77. Prostate Cancer - p. 677 104. 78. Colorectal Cancer - p. 685 105. 79. Palliative and End of Life Care - p. 690 106. Section XV: Substance Abuse - p. 701.e5 107. 80. Addiction Treatment - p. 702 108. Section XVI: Ophthalmology - p. 710.e3 109. 81. Cataracts - p. 711 110. 82. Macular Degeneration - p. 718 111. Part III: Tools for Your Practice - p. p723.e2 112. Section IA: Lifestyle: Nutrition - p. p723.e2 113. 83. The Elimination Diet - p. 724 114. 84. The Glycemic Index/Load - p. 733 115. 85. The Antiinflammatory Diet - p. 738 116. 86. The DASH Diet - p. 746 117. 87. The FODMaPs Diet - p. 749 118. Section IB: Lifestyle: Exercise - p. 751.e1 119. 88. Rethinking the Movement Prescription - p. 752 120. 89. Therapeutic Breathing - p. 762 121. 90. Low Back Pain Exercises - p. 766 122. Section II: Mind–Body - p. 772.e1 123. 91. Relaxation Techniques - p. 773 124. 92. Self-Hypnosis Techniques - p. 778 125. 93. Enhancing Heart Rate Variability - p. 787 126. 94. Guided Imagery and Interactive Guided Imagery* - p. 796 127. 95. Journaling for Health - p. 802 128. 96. Forgiveness - p. 805 129. 97. Recommending Meditation - p. 810 130. 98. Motivational Interviewing Techniques - p. 817 131. 99. Emotional Awareness for Pain - p. 824 132. 100. Compassion Practices - p. 831 133. Section III: Biochemical - p. 835.e2 134. 101. Prescribing Botanicals - p. 836 135. 102. Prescribing Probiotics - p. 842 136. 103. Prescribing Low-Dose Naltrexone - p. 851 137. 104. Detoxification - p. 855 138. 105. Chelation Therapy - p. 863 139. 106. Psychedelic-Assisted Psychotherapy for Health - p. 873 140. 107. Tapering Off a Proton Pump Inhibitor - p. 879 141. 108. Tapering Off Opioids - p. 882 142. 109. Integrative Strategies for Planetary Health - p. 887 143. Section IV: Biomechanical - p. 895.e5 144. 110. Osteopathic Manipulative Treatment - p. 896 145. 111. Prolotherapy for Chronic Musculoskeletal Pain - p. 909 146. Section V: Bioenergetics - p. 914.e2 147. 112. Integrating Spiritual Assessment and Care - p. 915 148. 113. Biofield Therapies - p. 921 149. Section VI: Caring for Communities - p. 928.e2 150. 114. Integrative Medicine for the Underserved - p. 929 151. Answers - p. e1 152. Index - p. 936 153. Confidence is ClinicalKey - p. 968
