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Complementary & Alternative Medicine
What is CAM?
 

What Is Complementary and Alternative Medicine (CAM)?

Complementary and alternative medicine is a group of diverse medical and health care systems, practices, and products that are not presently considered to be part of conventional medicine according to the National Center for Complementary and Alternative Medicine (NCCAM)


While the body of scientific evidence continue to build regarding CAM therapies, for many there are key questions that are yet to be answered through well-designed scientific studies--questions such as whether these therapies are safe and whether they work for the diseases or medical conditions for which they are used.

The list of what is considered to be CAM changes continually, as those therapies that are proven to be safe and effective become adopted into conventional health care and as new approaches to health care emerge.


Graphic Source:
NCCAM
http://nccam.nih.gov

NIH Model of Common CAM Practices - NCCAM groups CAM practices into five domains, recognizing that there can be some overlap among them.  Examples of CAM practices within each domain are given above.

 

How are complementary medicine and alternative medicine used?

Complementary medicine is used together with conventional medicine. An example of a complementary therapy is using aromatherapy to help lessen a patient's discomfort following surgery.

Alternative medicine is used in place of or "along side" conventional medicine. An example of an alternative therapy is using a special diet to treat cancer.  Patients may use an alternative approach simultaneously with conventional care, sequentially (before or after) or instead of conventional care.

 
Integrative medicine combines mainstream medical therapies and CAM therapies for which there is some high-quality scientific evidence of safety and effectiveness.
 

What are the major types of complementary and alternative medicine?

CAM therapies an be grouped into five categories, or domains recognizing that there can be some overlap among them.

1. Alternative Medical Systems

Alternative medical systems are built upon complete systems of theory and practice. Often, these systems have evolved apart from and earlier than the conventional medical approach used in the United States. Examples of alternative medical systems that have developed in Western cultures include homeopathic medicine and naturopathic medicine. Examples of systems that have developed in non-Western cultures include traditional Chinese medicine and Ayurveda.

2. Mind-Body Interventions

Mind-body interventions use a variety of techniques designed to enhance the mind's capacity to affect bodily function and symptoms. Some techniques that were considered CAM in the past have become mainstream including patient support groups and cognitive-behavioral therapy. Other mind-body techniques are still considered CAM, including meditation, prayer, hypnosis, and therapies that use creative outlets such as art, music or dance.

3. Biologically Based Therapies

Biologically based therapies use substances found in nature.  Examples include dietary supplements in doses outside those used in conventional medicine and herbal products.

4. Manipulative and Body-Based Methods

Manipulative and body-based methods involve manipulation or movement of one or more body parts. Examples include chiropractic osteopathic manipulation, and massage.

5. Energy Therapies

Energy therapies involve the use of energy fields. They are of two types:

Biofield therapies are intended to affect energy fields that purportedly surround and penetrate the human body. The existence of such fields has not been scientifically proven.  These forms of energy therapy manipulate biofields by applying pressure or manipulating the body by placing the hands in, or through, these fields. Examples include qi gong, Reiki and therapeutic touch.

Bioelectromagnetic-based therapies involve the unconventional use of electromagnetic fields. A common example is the wearing of low level magnets in bracelets.  Research is being conducted using powerful magnetic field manipulations with interesting results.

 

What is NCCAM's role in the field of CAM?

The National Center for Complementary and Alternative Medicine (NCCAM) is the Federal Government's lead agency for scientific research on CAM. NCCAM, a center in the National Institutes of Health, is dedicated to exploring complementary and alternative healing practices in the context of rigorous science, training CAM researchers, and disseminating authoritative information to the public and professionals.
 
 
Source: NCCAM http://nccam.nih.gov
 

 

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  Last Modified: May 16, 2006
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