Medicina natural

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2 Integrative Medicine
David Rakel, M.D. Assistant Professor, Department of Family Medicine Medical Director, Integrative Medicine Program, University of Wisconsin Medical School, Madison, WI Dedication For my sister Cindy, whose memory continues to, teach me about the beauty and challenges of life. SAUNDERS An Imprint of Elsevier Science, The Curtis Center Independence Square West,Philadelphia, PA 19106 Philadelphia • London • New York • St. Louis • Sydney • Toronto Integrative Medicine ISBN 0-7216-9288-5 Copyright 2003, Elsevier Science (USA). All right reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic or mechanical, including photocopy, recording, or any information storage and retrievalsystem, without permission in writing from the publisher.

Notice Medicine is an ever-changing field. Standard safety precautions must be followed, but as new research and clinical experience broaden our knowledge, changes in treatment and drug therapy may become necessary or appropriate. Readers are advised to check the most current product information provided by the manufacturer of each drugto be administered to verify the recommended dose, the method and duration of administration, and contraindications. It is the responsibility of the treating physician, relying on experience and knowledge of the patient, to determine dosages and the best treatment for each individual patient. Neither the Publisher nor the author assume any liability for any injury and/or damage to persons ofproperty arising from this publication. Library of Congress Cataloging-in-Publication Data Integrative medicine/[edited by] David Rakel].– 1st ed. p. cm. Includes index. ISBN 0-7216-9288-5 1. Alternative medicine. 2. Medicine–Practice. I. Rakel, David. R733.I5755 2003 615–dc21 2002066973 Publisher's Team Acquisitions Editors: Lisette Bralow, Steven Merahn Book Designer: Steven Stave AB/MVB Printed inthe United States of America. Last digit is the print number: 9 8 7 6 5 4 3 2 1

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Contributors
Robert Abel Jr., M.D. Clinical Professor of Ophthalmology, Thomas Jefferson University, Philadelphia, PA; Senior Attending, Christiana Care Health System, Wilmington, DE Preventing Cataracts, Preventing Age-Related Macular Degeneration Patricia Ammon, M.D. Clinical Faculty, Department of FamilyMedicine, University of Colorado School of Medicine, Denver, CO Multiple Sclerosis Louis J. Aronne, M.D., F.A.C.P. Clinical Associate Professor of Medicine; Medical Director, Comprehensive Weight Control Program, Weill Medical College of Cornell University, New York, NY Obesity Iris R. Bell, M.D., Ph.D. Associate Professor Psychiatry and Psychology; Director of Research, Program in IntegrativeMedicine, The University of Arizona College of Medicine, Tucson, AZ Detoxification William Benda, M.D. Adjunct Associate Research Scientist, Institute for Children, Youth, and Families, The University of Arizona, Tucson, AZ Integrative Approach to Cancer Bhaswati Bhattacharya, M.D.H., M.D., M.A. Attending Physician, Department of Family Practice and Community Medicine; Director of Research,Development, and Education, Wyckoff Heights Medical Center, New York-Presbyterian Health Care System, Brooklyn, NY Prevention of Breast Cancer; Prevention of Urinary Tract Infections Mary Martin Bunker, D.O. Highland, MI Therapeutic Homeopathy Opher Caspi, M.D., M.A. Research Assistant Professor, The University of Arizona, Tucson, AZ Activating the Healing Response Remy Coeytaux, M.D. Assistant Professor ofFamily Medicine, University of North Carolina School of Medicine; Attending Physician, University of North Carolina Hospitals, Chapel Hill, NC Migraine and Tension-Type Headache Michael W. Cohen, M.D. Clinical Professor of Pediatrics, The University of Arizona College of Medicine; Medical Consultant, The Attention Disorder Center of Tucson, Tucson, AZ Attention Deficit Disorder Alan M. Dattner,...