Naturopathic Medicine: An Overview

Naturopathic medicine (or naturopathy) is based on the belief that the body can heal itself naturally. Naturopathic medicine attempts to improve health, prevent disease, and treat illness by promoting the use of organic foods and exercise; encouraging a healthy, balanced lifestyle; and applying concepts and treatments from other areas of complementary medicine (such as ayurveda, homeopathy, and herbal therapies).

Naturopathy was developed in the late 1800s in the United States. Today, a licensed naturopathic doctor (ND) attends a 4-year, graduate-level naturopathic medical school and studies the same basic sciences as a medical doctor (MD). However, the ND also studies alternative approaches to therapy, such as herbal medicine, acupuncture, and bodywork.

Most traditional naturopathic physicians (naturopaths) believe in natural therapies, such as nutritional and lifestyle counseling. They generally avoid prescribing medicines or performing surgery. Some naturopaths prescribe herbal medicines, homeopathic dilutions, nutritional supplements, or perform minor surgeries. The disagreement over specific practice guidelines and licensing requirements in different states has led to some public confusion about the role of the naturopath.
What is naturopathy used for?

People use naturopathic medicine for promoting good health, preventing disease, and treating illness. Most naturopaths can treat earaches, allergies, and other common medical problems. Naturopathic medicine tries to find the underlying cause of the condition rather than focusing solely on treating symptoms. A properly trained naturopathic physician works with other health professionals, referring people to other practitioners for diagnosis or treatment when appropriate.
Is naturopathy safe?

Two common concerns about naturopathic medicine are the use of dietary fasting and a bias against immunization (vaccinations).

    * Talk with your medical doctor before fasting (not eating or drinking, or consuming only liquids for a period of time). Fasting can be dangerous, especially if you have a disease such as diabetes.
    * Some naturopaths do not believe that immunization is necessary. Before immunizations became available, childhood illnesses caused large numbers of deaths and long-term health problems but provided survivors with natural immunity. The benefits of immunization greatly outweigh the risks.1

Always tell your doctor if you are using an alternative therapy or if you are thinking about combining an alternative therapy with your conventional medical treatment. It may not be safe to forgo your conventional medical treatment and rely only on an alternative therapy.

Naturopathy licensing varies from state to state. Not all states require naturopaths to be licensed. Also, not all naturopathic educational programs are the same. Some schools grant degrees that are not accepted by state licensing boards. In the United States, the Council on Naturopathic Medical Education (CNME) is the only agency recognized by the U.S. Department of Education to accredit naturopathic programs and colleges.

Before you choose a naturopath, find out whether the person graduated from an accredited college. Also check to see whether your state has licensing laws that govern the practice of NDs. If your state licenses NDs, ask your prospective ND whether he or she is licensed.

AIDS Cured By Bone Marrow Transplant?

An American man who suffered from AIDS appears to have been cured of the disease 20 months after receiving a targeted bone marrow transplant normally used to fight leukemia, his doctors said.

While researchers — and the doctors themselves — caution that the case might be no more than a fluke, others say it may inspire a greater interest in gene therapy to fight the disease that claims 2 million lives each year. The virus has infected 33 million people worldwide.

Dr. Gero Huetter said Wedneday his 42-year-old patient, an American living in Berlin who was not identified, had been infected with the AIDS virus for more than a decade. But 20 months after undergoing a transplant of genetically selected bone marrow, he no longer shows signs of carrying the virus.

"We waited every day for a bad reading," Huetter said.

It has not come. Researchers at Berlin's Charite hospital and medical school say tests on his bone marrow, blood and other organ tissues have all been clean.

However, Dr. Andrew Badley, director of the HIV and immunology research lab at the Mayo Clinic in Rochester, Minn., said those tests have probably not been extensive enough.

"A lot more scrutiny from a lot of different biological samples would be required to say it's not present," Badley said.

This isn't the first time marrow transplants have been attempted for treating AIDS or HIV infection. In 1999, an article in the journal Medical Hypotheses reviewed the results of 32 attempts reported between 1982 and 1996. In two cases, HIV was apparently eradicated, the review reported.

Huetter's patient was under treatment at Charite for both AIDS and leukemia, which developed unrelated to HIV.

As Huetter — who is a hematologist, not an HIV specialist — prepared to treat the patient's leukemia with a bone marrow transplant, he recalled that some people carry a genetic mutation that seems to make them resistant to HIV infection. If the mutation, called Delta 32, is inherited from both parents, it prevents HIV from attaching itself to cells by blocking CCR5, a receptor that acts as a kind of gateway.

"I read it in 1996, coincidentally," Huetter told reporters at the medical school. "I remembered it and thought it might work."

Roughly one in 1,000 Europeans and Americans have inherited the mutation from both parents, and Huetter set out to find one such person among donors that matched the patient's marrow type. Out of a pool of 80 suitable donors, the 61st person tested carried the proper mutation.

Before the transplant, the patient endured powerful drugs and radiation to kill off his own infected bone marrow cells and disable his immune system — a treatment fatal to between 20 and 30 percent of recipients.

He was also taken off the potent drugs used to treat his AIDS. Huetter's team feared that the drugs might interfere with the new marrow cells' survival. They risked lowering his defenses in the hopes that the new, mutated cells would reject the virus on their own.

Anthony Fauci, director of the National Institute of Allergy and Infections Diseases in the U.S., said the procedure was too costly and too dangerous to employ as a firstline cure. But he said it could inspire researchers to pursue gene therapy as a means to block or suppress HIV.

"It helps prove the concept that if somehow you can block the expression of CCR5, maybe by gene therapy, you might be able to inhibit the ability of the virus to replicate," Fauci said.

David Roth, a professor of epidemiology and international public health at the London School of Hygiene and Tropical Medicine, said gene therapy as cheap and effective as current drug treatments is in very early stages of development.

"That's a long way down the line because there may be other negative things that go with that mutation that we don't know about."

Even for the patient in Berlin, the lack of a clear understanding of exactly why his AIDS has disappeared means his future is far from certain.

"The virus is wily," Huetter said. "There could always be a resurgence."

This article is culled from associated press: