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Vagus nerve.osteo


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Vagus nerve.osteo

  1. 1. ASEMIPFunctional considerationsof the Vagus nerve:An Endobiogenic perspectiveKamyar M. Hedayat, MDPresident, American Society of EndobiogenicMedicine and Integrative Physiology
  2. 2. ASEMIPOverview• Endobiogeny: A theory of terrain• Types of Adaptation• Function of the Vagus nerve• Vagotonia and foundation of disease• ANS and Adaptation• Assessment of vagal excess• Conclusions
  3. 3. ASEMIPEndobiogeny: A theory of terrain• Presented by French physician ChristianDuraffourd, MD in the early 1980’s• Terrain: functional expression of structuralconstitution in its internal equilibrium– Dynamic and Ceaseless– Consists of Inductive and Reactive elements
  4. 4. ASEMIPEndobiogeny: A theory of terrain• Terrain– Constitution: Genetic heritage, potential capacityof the structure– Structure: materialized constitutive elements thatassure life. The achievement of constitution– Function: all the biologic and metabolicmechanics that assure functioning of structureand dynamics of the organism
  5. 5. ASEMIPEndobiogeny: A theory of terrain• Morphology: Exterior configuration of structure in its functionVagotonic 18 yo female withMigrainesseizuresceliacVagotonic 6 yo male withmoderately severe asthma, eczema
  6. 6. ASEMIPStates of adaptation• Adaptation: Momentary adjustment ofequilibrium• General adaptation syndrome (GAS): responseto a non-recognized attack;progressive, ordered, and chronologic• Adaptability: Adaptation to a new level offunctioning without invoking GAS• Adaptative states: Adaptation that does notreturn to the prior state of equilibrium
  7. 7. ASEMIPANS and Adaptation• Parasympathetic– Origin: Cranial nerve: Pons– Nerve: Vagus nerve– Neurotransmitter: Acetyl Choline– Functions: Rest and digest:• Basal physiologic state• Increases the rate of production and volume of allsecretions, facilitates sleep and stillness• Solicits alpha-sympathetic activity
  8. 8. ASEMIPVagotonia and disease• Vagotonic individuals susceptible to disordersdue to parasympathetic hyper-functioning– DERM: Eczema, Psoriasis– PULM: Asthma, Bronchitis– CNS: Migraines– GI: Crohn’s disease, Ulcerative colitis, Gastritis
  9. 9. ASEMIPANS and Adaptation• Alpha-sympathetic– Origin: Locus ceruleus, Pons– Nerve: Sympathetic Ganglion– Functions: Initiates, calibrates and/or maintains eachtype of adaptation state, installs tension• Beta-sympathetic– Origin: Adrenal medula, Adrenal gland– Nerve: N/A, neurohoromone– Functions: facilitates movement, relieves tensionthrough the excretion of secretions, regulates serumglucose levels
  10. 10. ASEMIPGlobal ANS Function
  11. 11. ASEMIPANS Dynamism and EntrainmentAlphaSympatheticBetaSympatheticParaSympatheticSEROTONIN CORTISOLHISTAMINEAUTONOMICNERVOUSSYSTEM
  12. 12. ASEMIPAltered ANS equilibrium: POTSAlpha SympatheticParaSympatheticSEROTONINHISTAMINEANXIETYBetaSympatheticCORTISOLTACHYCARDIAVOMITINGVenodilation
  13. 13. ASEMIPAssessment of Para: History• Infancy: Quiet, easy baby, good eater• Toddler: Shy, timid; ENTpathologies, Pulmonary pathologies• Adolescence: Sweats easily and throughoutbody, falls asleep easily• General: Hungry first thing inmorning, abundant saliva
  14. 14. ASEMIPAssessment of Para: Exam• General: Round face• General signs ofdigestive insufficiency– Enlargedparotids, dilated canal ofStenon, tenderness ofpancreas• Signs of post-pubertalgrowth hormonerelated to the above– Bulbous nose, fleshy earlobes, large chin
  15. 15. ASEMIPConclusions• 10thcranial nerve has an impact on nearlyevery aspect of basal and adaptive physiologicactivity• Contextualize Vagus nerve activity within thescheme of global functioning of the patient• Endobiogeny offers a sophisticated method ofevaluating functional implications of vagusdysfunction in psychological, mental andphysical spheres
  16. 16. ASEMIPOpportunities for learning• ASEMIP offers fellowship in Endobiogeny:– History taking and physical exam skills– Systems-based evaluation of biomarkers– Phytotherapy, Aromatherapy, Diet, lifestyle guidance• Applications being considered for 2014-2016teaching cycle:• To learn more and receive a free copy of thislecture:– Text: “Endo” to 619-456-0155– Email:– Call: 858-455-9726
  17. 17. ASEMIPQuestions and Answers