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Modern
medicine is being corrupted by greed and fear of litigation. The patient
is taking second place. Most doctors want to practice ethically but it
is becoming increasingly difficult with third party payers dictating our
choices. The medical profession claims that only diagnostic technology
and treatment that's supported by scientific data is valid and everything
else is quackery. Yet a 1991 editorial in the British Medical Journal
estimated that only 15% of medical practices are supported by valid scientific
studies.1
In spite of our advanced technology most
of what we see as physicians is chronic disease. We do a poor job with
that and the treatments are loaded with side effects. A recent JAMA article
reported that drug side effects are between the fourth and sixth leading
cause of death in the US.2 JAMA also reported
in Nov. 1996 that over one third of the US population suffers from one
or more chronic diseases, accounting for over two thirds of total US health
expenditures.3 Throwing money into the health
care industry isn't easing people's suffering.
As physicians we have promised to "do
no harm" and to offer our patients the highest standard of medical
care. It's my job to make sure that my own awareness is as settled and
clear as possible through regular meditation and a healthy daily routine.
And I need to understand medicine in a larger context than finances and
fear, paperwork and pills.
In the mid-80s I heard about a comprehensive
natural health care system which comes from the same 5,000 year old Vedic
tradition as the well-researched Transcendental Meditation®
technique. I learned TM® in 1972 to help me cope with the
stress and fatigue of medical school and have continued meditating twice
a day ever since. I took the first Maharishi Ayur-Veda®
physicians training course in 1985 and use simple Ayur-Vedic principles
in my practice. Vedic medicine gives me a practical framework for understanding
myself, the patient, the world, and modern medicine.
Many of my patients with chronic diseases
are becoming interested on their own in diet, massage, aromatherapy, herbal
supplements, etc. Ayur-Veda is a comprehensive paradigm from which to
make safe and effective choices of "alternative" therapies.
The first thing I do when I walk into the
exam room is to take the patient's pulse. There's much more to the pulse
than heart rate. Ayur-Vedic pulse is taken with three fingers on the radial
pulse at three different levels of pressure and can be systematically
learned. Information gained from the pulse includes the body type, specific
imbalances and location of impurities. The recommendations I give patients
after taking the pulse are personal, easy to follow and effective.
Vedic medicine meets the three tests of
validity for knowledge: it makes sense, it can be looked at scientifically,4
and it has withstood the test of time. Practicing Western medicine in
the context of Vedic medicine gives me a bigger picture, gives me more
success with chronic disease, and keeps the patient primary. Ayur-Veda
brings the heart back to medicine.
1Smith
R. Where is the wisdom
? The poverty of medical evidence. Br Med J
1991;303:798-799.
2Lazarou j, Pomeranz B, Corey P, Incidence of
Adverse Drug Reactions in Hospitalized Patients. A Meta-analysis of Prospective
Studies. JAMA 1998;279:1200-1205 (see also editorial on p. 1216)
3Hoffman C, Rice D, Sun, HY. Persons with Chronic
Conditions. Their Prevalence and Costs. JAMA 1996;276:1473-1479
4Sharma H, Clark C. Contemporary Ayurveda. Medicine
and Research in Maharishi Ayur-Veda. New York: Churchill Livingstone, 1998.
®Maharishi
Ayur-Veda, Transcendental Meditation and TM are registered trademarks, licensed
to Maharishi Vedic Education Development Corporation.
John C. Peterson M.D. Diplomat, American Board of
Family Practice, Assistant Clinical Professor of Medicine, IU Medical
School, Fellow of American Academy of Family Physicians, Medical Director
for Expectations Birthing Center, Delaware County Board of Health, founding
member of the Physicians Association for the Eradication of Chronic Diseases,
member of the new ISMA task for Alternative Medicine.
1998 IHEN newsletter on alternative medicine.
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