Hekimlikte Alternatif ve Tamamlayıcı Tıbbi Yaklaşımlar

Year 2016, Volume: 9 Issue: 4, 363 - 371, 01.12.2016

Recep Aslan

Abstract

Medikal desteklerin hedefi selüler ve interselüler homeostatik statüyü korumak, bozulmuşsa düzeltmektir. Alternatif veya tamamlayıcı medikal yöntemler, terapotik etki mekanizmaları genellikle bilimsel olarak kanıtlanmamış yaklaşımlardır. Bir inanış veya tecrübeye dayalı bu metotların çoğu henüz önerme konumundadır. Bilimsel yöntemlerle kanıtlanmamış olmaları onların bilimsel bir mekanizmalarının olmadığı anlamına gelmez. Tüm dünyada birçok hekim, hasta, hatta sağlıklı birey bu yöntemleri merak etmekte, önemsemekte ve denemek istemektedir. Endike olmalarını sağlayacak bulgular yeterli olmasa da geleneksel ve tamamlayıcı tıbbi yöntemler yadsınamaz birer gerçeklik bazen de zorunluluk olarak vardır. Bu tip uygulamalar, hastanın kendini iyi hissederek immün sisteminin güçlendirilmesi, farmakoekonomik bilinç ve hasta tercihinin önemsenmesi gibi nedenlerle giderek yaygınlaşmaktadır. Alternatif ve tamamlayıcı tıbbi yaklaşımların hem beşeri hem de veteriner hekimlikte endike hale getirilmesi bir zorunluluktur. Bu nedenle, alternatif, geleneksel veya tamamlayıcı yöntemlerin konvansiyonel yöntemlerle konjuge edilmesi çalışmaları sürdürülebilir politikalarla desteklenmelidir. Çalışma, tamamlayıcı, holistik, alternatif ve geleneksel tıbbi yaklaşımların topluca görülebileceği bir bilinç haritası oluşturmayı da amaçlamıştır. Bu yıl Aralık ayında TUBA'nın organize ettiği Geleneksel ve Tamamlayıcı Tıp Ürünlerinin Ruhsatlandırılması Sempozyumu bu kapsamda önemli bir adım olarak görülmelidir.

Keywords

Alternatif Tıp, Tamamlayıcı Tıp, Geleneksel Tıp, Holistik Tıp, Konvansiyonel Tıp, Farmakoekonomi

Alternative and Complementary Approaches in Medicine

Abstract

The goal of medical supports is to protect the cellular and intercellular homeostatic status, and to repair if damaged. Alternative or complementary medical methods, therapeutic action mechanisms are generally the approaches which have not been scientifically proven. Most of these methods based on a belief or experience still have an assumption characteristic. Nevertheless, it doesn’t mean that they don’t have a scientific mechanism. Many physicians, patients, even healthy individuals wonder, care and want to try these methods all over the world. Traditional and complementary medical methods are undeniable reality, sometimes compulsory part of life even if the findings related to their effects are not sufficient. Such practices are becoming increasingly common because of the reasons such as strengthening the patient's immune system by making him feel well, paying attention to pharmacoeconomic consciousness and patient’s preference. It is a post-modern necessity to put the alternative and complementary medicinal approaches into practise in medicine and veterinary medicine. Therefore, studies that conjugate alternative and complementary medicinal methods with conventional methods must be supported by sustainable policies. This study also aims to develop a consciousness map for alternative, holistic and traditional medical approaches. The Symposium on Licensing of Traditional and Complementary Medical Products to be carried out by TUBA in December may be an important and first step in this context.

Keywords

Alternative Medicine, Complementary Medicine, Traditional Medicine, Holistic Medicine, Conventional Medicine, Pharmacoeconomy

References

• Akyürek S, Önal C, Kurtman C. Use of alternative medicine in patients with lung cancer. International Journal of Hematology and Oncology. 2016; 26(2):73-77.
• Alkin K. Sürdürülebilir gelecek için bir anahtar: Farmakoekonomi. Sağlık Düşüncesi ve Tıp Kültürü Derg. 2015; 36:76-77.
• Andrews T. Renklerle Tedavi. Arıtan Yayınevi İstanbul. 1995.
• Anonim. Kanıta Dayalı Tıp ve The Cochrane Collaboration.www.ulakbim.gov. tr/cabim/ ekual/toplanti4/cochrane.ppt. 10.12.2008.
• Anonim. http://www.medimagazin.com.tr/ ana-sayfa/dis-haberler/tr-hastalklarn-maliyeti-47-trilyon-dolar-bulacak-1-76-37482.html. 30.12.2011.
• Anonim. http://www.metafizikuzmani.com/Konu. aspx?Id=150. 28.12.2014.
• Anonim. http://www.turkvet.biz/yazi/hs_vet_ holistik_yaklasim.htm 30.12.2015.
• Anonim. http://safaknakajima.com/Pages/Slider Detail?Id=4 30.12.2016.
• Astin J A. Why Patients Use Alternative Medicine Results of a National Study. JAMA. 1998; 279(19):1548-1553.
• Atiyeh BS, Ibrahim AE, Dibo SA. Cosmetic Mesotherapy: Between scientific evidence, science fiction, and lucrative business. Aesthetic Plast Surg. 2008; 32:842-849.
• Aydın S. Gelenekten Küresele Tıbbın Alternatif Serüveni. Sağlık Düşüncesi ve Tıp Kültürü Derg. 2012; 22:8-11.
• Bath GF. Practical implementation of holistic internal parasite management in sheep. Small Ruminant Research. 2006; 62(1-2):13-18.
• Baytop T. Türkiye'de Bitkilerle Tedavi. I.U Eczacılık Fak Yayınları. İstanbul. 1984.
• Bekhterev V M. General Principles of Human Reflexology. Journal of Philosophy. 1927; 24(13):355-357.
• Beksaç B, Öztaş MO. Mesotherapy and Lipolysis. T Klin J Cosm Dermatol-Special Topics. 2014; (4):31-38.
• Berggren L. Iridology. Acta Ophthalmologica. 1985; 63(1):1-8.
• Beyazit Y, Kurt M, Kekilli M, Goker H, Haznedaroglu IC. Evaluation of hemostatic effects of Ankaferd as an alternative medicine. Altern Med Rev. 2010; 15(4):329-336.
• Birch, S. Dolphin-Human interaction effects. Doctoral thesis. Dept. of Electrical and Computer Systems Engineering. Monash University. 1997.
• Birkan I. Müzikle tedavi, tarihi gelişimi ve uygulamalar. Ank Akupunktur ve Tamamlayıcı Tıp Derg. 2014; p:37-49.
• Bivins R. Alternative medicine: A history. Oxford Unv. 2010; p:3-21.
• Bocci VA. Biological and clinical effects of ozone. Has ozone therapy a future in medicine. Br J Biomed Sci. 1999; 56:270-279.
• Bocci VA. Scientific and Medical Aspects of Ozone Therapy. State of the Art. Archives of Medical Research. 2006; 37(4):425–435.
• Bodeker G. A public health agenda for traditional, complementary, and alternative medicine. Am J Public Health. 2002; 92:1582-91.
• Bodeker G, Ong CK, Grundy C, Burford G, Shein K. Global Atlas of Traditional, Complementary and Alternative Medicine World Helath Organization, Kobe. 2005; p:XII-XIII.
• Bologa AS, Charlier RH. Health tourism: tool for development: Telassotherapy. Proceeding. 101 - BSO C Leadership Seminar Using Today’s Scientific Knowledge fo r the Black Sea Area’s Development Tomorrow. 2000; p:147-165.
• Brady LH, Henry K, Luth JF. The Effects of Shiatsu on Lower Back Pain. Journal of Holistic Nursing. 2001; 19(1):57-70.
• Brennan ML. Complete holistic care and healing for horses. The owner's veterinary guide to alternative methods and remedies. Kenilworth Press. ISBN 1872119344. Buckingham. 2001.
• Buchanan PA, Ulrich BD. The Feldenkrais Method: A Dynamic Approach to Changing Motor Behavior. Journal Research Quarterly for Exercise and Sport. 2001; 72(4):315-323.
• Bulduklu Y. Hedef kitle bağlamında tamamlayıcı ve alternatif tıp uygulamaları. Selçuk Üniv Türkiyat Araş Dergisi. 2015; p:607-628.
• Cameron D. Verbal Hygiene. books.google.com. 2005.
• Campion MR. Hydrotherapy: principles and practice. Butterworth-Heinemann Oxford. 1997.
• Cheek DB, LeCron LM. Clinical Hypnotherapy. Grune & Stratton. 1968.
• Cheng X. Chinese acupuncture and moxibustion. Beiijing. FL Press. 1987.
• Churchill W. Implications of evidence based medicine for complementary and alternative medicine. J of Chınese Med. 1999; 59:32-5.
• Cook B, Edzard E. Aromatherapy: a systematic review. British Journal of General Practice. 2000; 50:493-496.
• Çetin OB. Eskişehirde Tamamlayıcı ve Alternatif Tıp Kullanımı. Sosyoekonomi. 2007; 6(6):89-105.
• Çoban A. Müzikterapi Ruh Sağlığı için Müzikle Tedavi. Timaş Yayınları. 2005.
• Dalgıç A, Kavak O. Kil Mineralleri ve Sağlık. Dicle Tıp Dergisi. 2004; 31(2):73-78.
• Da Silva GD, Lorenzi-Filho G, Lage LV. Effects of Yoga and the Addition of Tui Na in Patients with Fibromyalgia. The Journal of Alternative and Complementary Medicine, 2007; 13(10):1107-1114.
• Demir BM. Therapeutic Geology: The therapeutic effects of geological materials, geological processes and geological place. Jeoloji Mühendisliği Derg. 2009; 33:(1) 63-73.
• Diederich CJ. Thermal ablation and high-temperature thermal therapy: Overview of technology and clinical implementation. International Journal of Hyperthermia. 2005; 21(8):745-753.
• Dirisu NŞ. İdroloji İçme ve Kaplıca Tedavisi. Akın Matbaası. Ankara. 1952.
• Dündar Y. Mutluluk Yönetimi. Anıt Matbaa. ISBN 978-605-87210-9-8. Ankara. 2016; pp. 4-64.
• Dündar Y. Burçlar ve Küfürler. Uyum Ajans ISBN 978-605-5142-17-9. Ankara. 2015; pp. 9-25.
• Eisenberg DM, Davis RB, Ettner SL, Appel S, Wilkey S, Van Rompay M, Kessler RC. Trends in Alternative Medicine Use in the United States, 1990-1997 Results of a Follow-up national survey. JAMA 1998; 280(18):1569-1575.
• Eldor J. Urotherapy for patients with cancer. Medical Hypotheses. 1997; 48(4):309-315.
• Ercan M. Hipnoz ve Hipnoterapi, Seha Yayınları. İstanbul. 1994.
• Eric L. Konsep Detoks. http://www.detokshop. blogspot.com/organdalam. 2007.
• Field TM. Massage therapy effects. American Psychologist. 1998; 53(12):1270-1281.
• Hauri PJ. Sleep Hygiene, Relaxation Therapy, and Cognitive Interventions. Case Studies in Insomnia Part of the series Critical Issues in Psychiatry Springer Science&Business Media New York. 1991; pp. 65-84.
• Hewson CJ. Why the Theme Animal Welfare? Journal of Veterinary Medical Education. 2005; 32(4):416-421.
• Ibis M, Kurt M, Onal İK, Haznedaroglu IC. Successful management of bleeding due to solitary rectal ulcer via topical application of Ankaferd blood stopper. The Journal of Alternative and Complementary Medicine. 2008; 14(9):1073-1074.
• Jeffrey Maisels M, McDonagh AF. Phototherapy for Neonatal Jaundice. N Engl J Med 2008; 358:920-928.
• Jeswani M. Are modern health worries, environmental concerns, or paranormal beliefs associated with perceptions of the effectiveness of complementary and alternative medicine? Br J Health Psychol. 2010; 15:599-609.
• Jones TA. Rolfing. Phys Med Rehabil Clin N Am. 2004; 15(4):799-809.
• Kanai T, Yamamoto K. Effect of a Japanese Energy Healing Method Known as Johrei on Viability and Proliferation of Cultured Cancer Cells In Vitro. The Journal of Alternative and Complementary Medicine 2012; 18(3):221-28.
• Karagülle Z. Hidroterapi, SPA, Balneoterapi, Talassoterapi. T Klin J Med Sci. 2008; 28(6):224-9.
• Kenji S at all. New bathing therapy in Japanese hot springs using radiation from radon. Proceedings of the first national conference on radiation awareness and detection in natural environment book. 2015; 47(6):11-83.
• Khan SA, Aktürk Z. Tamamlayıcı ve alternatif tedaviler ne kadar kanıta dayalı? SD ve Tıp Kültürü Derg. 2012; 22: 16-19.
• Koçan N. Karaca Mağarası’nın Alternatif Turizm Kapsamında Değerlendirilmesi. MAKÜ Fen Bil Enstitüsü Derg. 2012; 3(1):37-44.
• Koşalay İ. Elektromanyetik alanlar ve bioenerji olgusu. Pamukkale Üniv Müh Bilim Derg. 2013; 20(8):287-293.
• Kroger WS. Clinical and Experimental Hypnosis in Medicine, Dentistry, and Psychology. Lippincott Williams & Wilkins. London. 2008.
• Kushi M, and Kushi A. Macrobiotic Diet. Japan Publications Inc. Tokyo, Japan. 1985.
• Kutlubay Z, Pehliven Ö, Engin B. Fotodinamik Tedavi. Dermatoz 2011; 2(4):391-404.
• Lakshmipathy R, Ruckmani A, Venkatesan D, Madhusudhanan N, Pavithra R. Anxiolytic effect of homeopathic preparation of Pulsatilla nigricans in Swiss albino mice. Homeopathy. 2012;101(3):171–174.
• Lam C, Tso T, Lam K. Feng Shui and Its Impacts on Land and Property. Developments J Urban Plann Dev. 1999; 125(4):152-163.
• Linda E F. Handbook of Sociology of Emotions: Emotions and Health. Springer. USA. 2006; pp. 591-610.
• Lorna KP, Thomas KS, Albert WN. Effectiveness of Auricular Therapy on Sleep Promotion in the Elderly. Am J Chin Med. 2002; 30(4):429-35.
• Ludyanski EA. Apitherapy 1231. Poligrafist Vologda. Russia. 1994.
• Lucas WB. Regression Therapy: A Handbook for Professionals. Past-Life Therapy. Crest Park. CA. 1993.
• McNeil BJ, Pauker SG, Sox HC, Tversky A. On the Elicitation of Preferences for Alternative Therapies N Engl J Med. 1982; 306:1259-62.
• Manfred U. Islamic Medicine. Edinburgh University Press. http://hdl.handle.net/10822/778587 1978.
• Mark W, Ilan K, Sue K, Daniel W. Psychotherapeutic aspects of the martial arts. American Journal of Psychotherapy. 1995; 49(1):118-27.
• Meregillano G. Hippotherapy. Phys Med Rehabil Clin N Am. 2004; 15(4): 43-854.
• Mikirova N, Casciari J, Hunninghake R, Riordan N. EDTA chelation therapy in the treatment of toxic metals exposure. Spatula DD. 2011; 1(2):81-89.
• Mishori R, Otubu A, Jones AA. The dangers of colon cleaning. Journal of Family Practice. 2011; 60(8):454-457.
• Moskolenko Y. Bioengineering Support of the Cranial Osteopathic Treatment. Medical and Biological Engineering and Computing. 1996; 34(1):185-186.
• Naika GH, Priyadarsinia KI, Satavb JG, Banavalikarc MM, Sohonic DP, Biyani MK, Mohan H. Comparative antioxidant activity of individual herbal components used in Ayurvedic medicine. Phytochemistry. 2003; 63 (1):97–104.
• Nazlıkul H. Nöral Terapi Teknikleri ve Bozucu Alan Terapisi. Nobel Tıp Kitabevleri. 2010.
• Neri I, Airola G, Contu G, Allais G, Facchinetti F, Benedetto C. Acupuncture plus moxibustion to resolve breech presentation: a randomized controlled study. The Journal of Maternal-Fetal & Neonatal Medicine. 2004; 15(4):247-252.
• Norheim JA, Fennebe V. Adverse effects of acupuncture. Lancet. 1995; 345:1576.
• Okka B. Hirudotherapy from Past to Present. Eur J Basic Med Sci. 2013; 3(3):61-65.
• Orel VE. Singlet Oxygen Therapy. Klinichna Khirurhiia EuropePMC. 1997; 1:47-48.
• Özler M, Öter Ş, Korkmaz A. The Use of Ozone Gas for Medical Purposes. TAF Prev Med Bull. 2009; 8(1):69-74.
• Özmen S, Demir HY, Yavuzer R, Latifoğlu O. Alternatif estetik uygulamaları: Karboksiterapi ve Oksiterapi. Turkish Journal of Plastic Surgery. 2006; 14(1):29-34.
• Pascual J. Reflections on Parapsychology, Psychoanalysis and Atomic Physics. Journal of Parapsychology. 1951; 15(4):278-281.
• Patwardhan B, Warude D, Pushpangadan P, Bhatt N. Ayurveda and Traditional Chinese Medicine: Evidence-Based Complementary and Alternative Medicine. 2005; 2(4):465-473.
• Rossi E, Crudeli L, Endrizzi C, Garibaldi D. Cost-benefit evaluation of homeopathic versus conventional therapy in respiratory diseases. Homeopathy. 2009; 98(1):2-10.
• Schulz V, Hänsel R, Tyler VE. Rational phytotherapy: a physician's guide to herbal medicine. Springer. 2001.
• Sağkal T, Eşer İ, Uyar M. The Effect of Reiki Touch Therapy on Pain and Anxiety. Spatula DD 2013; 3(4):141-146. Salman FT. Enfeksiyon ve Cerrahlar. ANKEM Derg. 2010; 24(2):1-11.
• Şahne BS, Arslan M, Şar S. From Past to Present: The Uses of Clay Minerals in the Field of Health. Mersin Ünv. Lokman Hekim Tıp Tarihi ve Folklorik Tıp Derg. 2013; 3(3):13-20.
• Salvador J. Quinoterapia. Barcelona: Lumen. 1985.
• Şarışen Ö, Çalışkan D. Fitoterapi: Bitkilerle Tedaviye Dikkat. STED. 2005; 14(8):185-187.
• Serin M, Uğurluel G. Hyperthermia. T Klin J Radiat Oncol-Special Topics 2015; 1(3):57-63.
• Sert E, Sakarya AA, Yüksel ŞB, Sert A, Kalaycı MZ. Kupa uygulaması ve kupa uygulamasının klinik araştırmaları. Integr Tıp Derg. 2015; 3(2):19-25.
• Sezika E, Yeşilada E, Hondab G, Takaishic Y, Takedad Y, Tanakae T. Traditional medicine in Turkey. Folk medicine in Central Anatolia. Journal of Ethnopharmacology 2001; 75(2–3):95-115.
• Sidney L. Medical Hydrology. Elizabeth Licht Publ. New Haven. 1963.
• Sinmez Ç. Bozlak Kültüründe Veteriner Hekimliği ve Hayvancılık Üzerine Araştırma. Doktora Tezi. Selçuk Üniv Sağlık Bil Enst. Konya. 2011.
• Smith-Schalkwijk MJ. Veterinary phytotherapy An overview. Can Vet J. 1999; 40:891-92.
• Souza MS, Vieira CB. Who are the people looking for the Pilates method? Journal of Bodywork and Movement Therapies. 2006; 10(4):328-34.
• Subbarayappa BV. Siddha medicine: an overview. Lancet. 1997; 350:1841-44.
• Swenson C, Swärd L, Karlsson J. Cryotherapy in sports medicine. Scandinavian J of Medicine & Science in Sports. 1996; 6(4):193-258.
• Syed İB. Islamic medicine: 1000 years ahead of its times. JISHIM 2002; 2:2-9.
• Şahinoğlu Pelin S, Oğuz NY. Tıbbi Etik Açısından Hekim Sorumluluğu. T Klin Tıbbi Etik 1994; 2:161-163.
• Şar S. Anadolu'da Halk Hekimliği Uygulamaları T Klin J Med Ethics. 2005; 13(2):131-6.
• Tafur J, Van Wijk EPA, Van Wijk R, Mills PJ. Biophoton Detection and Low-Intensity Light Therapy. Photomedicine and Laser Surgery. 2010; 28(1):23-30.
• Tang KC. Qigong Therapy: Its Effectiveness and Regulation. J Chin Med. 1994; 22(3,4):235.
• Tamaki T, Kanno S, Soda J. Radionic nonuniform black strings. Phys Rev. 2004; 69(2):8-13.
• Taylor MJ. What is yoga therapy? IAYT offers a definition for the field. Yoga Therapy in Practice. 2007; 3(3):3-7.
• Tekeoğlu İ, Hız Ö. Elektroakupunktur Uygulamaları. Türkiye Klinikleri J PM&R-Special Topics 2010; 3(1):63-70.
• Tekeoğlu İ, Adak B, Göksoy T. Effect of transcutaneous electrical nerve stimulation (TENS) on Barthel Activities of Daily Living (ADL) index score following stroke. Clinical Rehabilitation 1998; 12(4):277-280.
• Tindle HA, Davis RB, Phillips RS, Eisenberg DM. Trends in use of complementary and alternative medicine by US adults: 1997-2002. Altern Ther Health Med. 2005; 11(1):42-9.
• Tokaç M. Geleneksel tıbba akademik yaklaşım: GETTAM. Sağlık Düşüncesi ve Tıp Kültürü Derg. 2013; 28:82-85.
• Tsaia JF, Hsiaob S, Wangb SY. Infrared irradiation has potential antidepressant effect. Progress in Neuro-Psychopharmacology and Biological Psychiatry 2007; 31(7):1397–1400.
• Tubergen A, Linden S. A brief history of spa therapy. Ann Rheum Dis Mar. 2002; 61(3):273-5.
• Tümer G, Çolak R. Medical nutrition therapy in type II diabetes mellitus. J of Experimental and Clinical Medicine 2012; 29:12-15.
• Upledger JE, Vredevoogd JD. Craniosacral Therapy. Eastland Press. Chicago. 1983.
• Vähävihu K, Ylianttila L, Salmelin R, Lamberg-Allardt C, Viljakainen H, Tuohimaa P, Reunala T, Snellman E. Heliotherapy improves vit D balance and atopic dermatitis. British J of Dermatology. 2008; 158(6):1323-8.
• Volpea P. Interactions of zero-frequency and oscillating magnetic fields with biostructures and biosystems. Photochem Photobiol Sci 2003; 2:637-648.
• Walid F, James D. Bioengineering for Surgery: The Critical Engineer Surgeon Interface Elsevier ISBN 978-8-08-100130-1 2016. pp. 51-52.
• Wallace RK. Physiological Effects of Transcendental Meditation. Science. 1970; 167:1751-1754.
• Wang S, Gao R, Zhou F, Selke M. Nanomaterials and singlet oxygen photosensitizers: potential applications in photodynamic therapy. J Mater Chem. 2004; 14:487-493.
• Whelan Kathleen M, Wishnia, Gracie S. Reiki Therapy: The Benefits to a Nurse/Reiki Practitioner. Holistic Nursing Practice. 2003; 17(4):209-217.
• Whittaker P. Laser acupuncture: past, present, and future. Lasers in Med Sci. 2004; 19(2):69-80.
• Wong KC, Wu LT. History of Chinese medicine. Tientsin Press, Tientsin, China. 1932.
• Woodman JP. Evidence for the effectiveness of Alexander Technique lessons in medical and health-related conditions: a systematic review. Int J Clin Pract. 2012; 66(1):98-112.
• Yeşilçimen K. Bilimsel Tip ModernTip-Hangisi? http://www.gidahareketi.org/BilimselTıp Modern Tip-Hangisi? 820-yazisi.aspx. 2015.
• Yiğit A, Sinmez Ç, Aşkın Y. Veteriner Hekimliği Uygulamalarında Kan Akıtma Üzerine Bir Araştırma. Lokman Hekim Derg. 2015; 5(3):90-98.