4 Jamu, Obat Herbal Terstandar dan Fitofarmaka Berdasarkan cara pembuatan serta jenis klaim penggunaan dan tingkat pembuktian khasiat, Obat Bahan Alam Indonesia dikelompokkan menjadi:JamuObat Herbal TerstandarFitofarmaka
5 JAMU Jamu Aman sesuai dengan persyaratan yang ditetapkan Klaim khasiat dibuktikan berdasarkan data empirisMemenuhi persyaratan mutu yang berlaku
6 Obat Herbal Terstandar Aman sesuai dengan persyaratan yang ditetapkanKlaim khasiat dibuktikan secara ilmiah/pra klinikTelah dilakukan standarisasi terhadap bahan baku yang digunakan dalam produk jadi
7 Fitofarmaka Aman sesuai dengan persyaratan yang ditetapkan Klaim khasiat harus dibuktikan berdasarkan uji klinikTelah dilakukan standarisasi terhadap bahan baku yang digunakan dalam produk jadiMemenuhi persyaratan mutu yang berlaku
8 Definitions“Complementary and Alternative Medicine is a Group of Diverse Medical and Health Care Systems, Practices, and Products That are Not Presently Considered Part of Conventional Medicine”NCCAM
9 Definitions“Complementary Medicine is Used Together With Conventional Medicine.”“Alternative Medicine is Used in Place of Conventional Medicine.”NCCAM
11 5 Domains of CAM Alternative Medical Systems Ayurveda, Chinese, Native American, Aboriginal, African,Middle Eastern, Tibetan, Central and South American cultures,Homeopathy, NaturopathyMind-BodyInterventionscognitive-behavioral approaches, meditation, hypnosis, dance,music, art therapy, prayer, mental healing, visual imageryBiologicalBasedTherapiesdietary supplements, herbs, orthomolecular (varyingconcentrations of chemicals, such as, magnesium, melatonin, andmega-doses of vitamins), individual biological therapies (use oflaetrile, shark cartilage, bee pollen).ManipulativeAnd Body-Based Methodschiropractic, osteopathic manipulation, massage, reflexologyEnergy TherapiesBiofield therapies: Qi gong, Reiki, therapeutic touchBioelectromagnetic-based therapies: pulsed fields, magneticfields, or alternating current or direct current fieldsAs defined by NCCAM
12 DefinitionsAyurveda - India's traditional, natural system of medicine that has been practiced for more than 5,000 years. Ayurveda provides an integrated approach to preventing and treating illness through lifestyle interventions and natural therapies. Ayurvedic theory states that all disease begins with an imbalance or stress in the individual's consciousness. Lifestyle interventions are a major ayurvedic preventive and therapeutic approach. Ayurvedic practices is to cleanse the body of substances that can cause disease, and this is believed to help reestablish harmony and balance.
13 DefinitionsHomeopathy - a system of medical practices based on the theory that any substance that can produce symptoms of disease or illness in a healthy person can cure those symptoms in a sick person. For example, someone suffering from insomnia may be given a homeopathic dose of coffee. Administered in diluted form, homeopathic remedies are derived from many natural sources—including plants, metals, and minerals.
14 DefinitionsNaturopathy – an alternative medical system. Naturopathic medicine proposes that there is a healing power in the body that establishes, maintains, and restores health. Practitioners work with the patient with a goal of supporting this power through treatments such as nutrition and lifestyle counseling, dietary supplements, medicinal plants, exercise, homeopathy, and treatments from traditional Chinese medicine.
15 DefinitionsQi gong - A component of traditional Chinese medicine that combines movement, meditation, and regulation of breathing to enhance the flow of qi (an ancient term given to what is believed to be vital energy) in the body, improve blood circulation, and enhance immune function.
16 DefinitionsReiki - A Japanese word representing Universal Life Energy. Reiki is based on the belief that when spiritual energy is channeled through a reiki practitioner, the patient's spirit is healed, which in turn heals the physical body.
17 Central Concept of TCM Organism as a whole Relationships Between organsBetween human and natureDifferent diseases occur during different seasonsCircadian rhythm – seasons and insomnia
18 Central Concept of TCM Balance Overall analysis to reach diagnosis Yin Yang / Wu Xing (Five Phases)HomeostasisOverall analysis to reach diagnosisTreatment principlesFinding the “root” cause
19 Yin YangYi Jing – Book of ChangesCharacter meaningYin – Radical is about mound or hill, root describe the side facing away from the sun and mist.Yang - Radical is about mound or hill, root describe the side facing toward the sun.
21 Yin Yang Opposition and Interdependence Relative: Back / ChestConcept of health – plant analogyRise and DeclineTransformation - Extreme decrease in Yin leads to a Yang condition and vice versaInsomnia
22 Wu Xing - Five Phases (Elements) Fire, Earth, Metal, Water, Wood.Categorizing toolSeparate according to innate qualities.Related to Yin and Yang.More concrete categorization.Synthesize and summary with observation of nature.Xing = PhasesDenotes movement of energies
23 Wu Xing Five Phases Cycle FIREEARTHWOODWATERMETAL
24 Five Phases and Human Body VisceraBowelsSense OrgansSeasonsEmotionsWoodLiverGall BladderEyesSpringAngerFireHeartSmall IntestineTongueSummerJoyEarthSpleenStomachMouthLong SummerConcernMetalLungLarge IntestineNoseAutumnGriefWaterKidneyUrinary BladderEarWinterFear
25 Zang Fu (Organ Systems) To Summarize…Categorizes and unifies different parts of the bodySpans different systems in Western anatomyNeed clarification during interpretation & translationExample: Liver Qi stagnation
26 QiQi » EnergyDifferent types with different functions – Derive from two major sources:Food (Gu) and Fresh Air (Qing)Nutrient & oxygen metabolismFunctions: Promote movements, warmth, immunity, consolidation, control, metabolism, and transformation.Example: Peristalsis
27 Blood Body Fluids Blood – Xue Body Fluids – Jin Ye Formation from food essence, and essence transformation through bone marrow.Main function: NourishBody Fluids – Jin YeFunction also to nourish and moisten. It is considered a component of blood.
28 MeridiansJing Luo – Main Route and Net (Network)
29 What is Acupuncture?Many studies in animals and humans have demonstrated that acupuncture can cause multiple biological responses… mediated mainly by sensory neurons to many structures within the central nervous system. This can lead to activation of pathways affecting various physiological systems in the brain as well as in the periphery... Considerable evidence supports the claim that opioid peptides are released during acupuncture and that the analgesic effects of acupuncture are at least partially explained by their actions. That opioid antagonists such as naloxone reverse the analgesic effects of acupuncture further strengthens this hypothesis.Stimulation by acupuncture may also activate the hypothalamus and the pituitary gland, resulting in a broad spectrum of systemic effects.Alteration in the secretion of neurotransmitters and neurohormones and changes in the regulation of blood flow, both centrally and peripherally, have been documented.There is also evidence of alterations in immune functions produced by acupuncture. Which of these and other physiological changes mediate clinical effects is at present unclear.Acupuncture. NIH Consensus Statement Online 1997 Nov 3-5; month, day]; 15(5):1-34.
30 What are Meridians?Despite considerable efforts to understand the anatomy and physiology of the "acupuncture points," the definition and characterization of these points remain controversial. Even more elusive is the scientific basis of some of the key traditional Eastern medical concepts … and other related theories, which are difficult to reconcile with contemporary biomedical information but continue to play an important role in the evaluation of patients and the formulation of treatment in acupuncture.The acupuncture points or biological active points (BAP), also known as low-resistance spots or good electro-permeable points, have relative lower electric resistance than the surrounding tissues… This preliminary study presented here shows there exists a bilateral symmetry of the skin resistance of the corresponding BAPs from the left and the right hands of all chosen subjects over a range of measuring pressure. .Acupuncture. NIH Consensus Statement Online 1997 Nov 3-5; month, day]; 15(5):1-34.Conf Proc IEEE Eng Med Biol Soc. 2004;4:2995-8