Some common, stubborn health conditions primary care providers can treat through naturopathic medicine. This is a presentation I did at the Washington Academy of Physician Assistants conference in Oct 2013.

1. NATUROPATHIC PEARLS FOR FAMILY
MEDICINE
Michael Corsilles, PA-C, ND1

2. CAM: WHO CARES?
 What is a naturopath?
 Herbs, mason jars,
magic rocks, and bird
masks?
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3. 3
 Primary Care Providers
emphasizing:
 Prevention, treatment and
optimal health
 through the use of
therapeutic methods and
substances
 which encourage the
person's inherent self -
healing process.
 In WA: NDs have full
prescriptive rights, with the
 exception of schedule I, II,
and IIIs
 Via various modalities…
 Schooling, boards, annual
CME, sigh
 In 16 states so far

4. HOMEOPATHY
 Most remedies have very little or none of the original crude material left
by the end of its processing. This is the process we use.
 Creating a Mother Tincture: Made from a specific plant source is
processed by macerating the plant, then letting it soak in an alcohol
water solution. Draws the properties of the plant into the water and
alcohol. This tinctured solution is now called the mother tincture.
Potentiation By Succussion: The mother tincture is put through the
basic process of being potentised. One drop of the mother tincture is
put into a vial and then nine drops of a diluting material is added
(again an alcohol and water solution). This mixture is succussed (shaken
with impact). Succussion is essential.
*What is acting is not the remedy. It’s the person’s immune system, their
energy and body processes which are responding. A dilution that small
cannot push your body to do anything. It can only suggest, which gives
your body the choice to change or not.
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5. A HOMEOPATHIC ER SPOOF
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 http://www.youtube.com/watch?v=HMGIbOGu8q0

6. PEARLS FOR 5 COMMON BUT NOT ALWAYS
SIMPLE ISSUES
 IBS
 Obesity
 URIs/Abx
 Eczema
 Burnout
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7. URI: BOOST THE IMMUNE SYSTEM
 Airborne, Vitamin C, Echinacea…
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8. IBS: BATHROOM BREAKS AGAIN?
 Fiber &
antispasmodics
 Triggers – foods,
stress.
 My own triggers:
 My clinical
rotations!
 Certain patients?
 IBS Testing?
 ND treatments
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9. ECZEMA: THE SKIN STORY
 Creams,
 steroid creams,
 then stronger
steroid creams.
 Triggers!
 R/O foods.
 Probiotics again
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10. 1 IN 3 ARE OBESE! EVER FEEL LIKE THIS GUY?
 Phentermine,
Qsymia, Belviq,
Gastric Bypass,
HCG
 Triggers: Stress,
boredom, social
events, hormones,
laziness?
 Diet vs Exercise
 “Microwave”
society
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11. EMPHASIZE THE PORTION DISTORTION:
PATIENTS ARE VISUAL
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12. 12

13. RULE OF THE HAND
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ND treatments?
Knowledge is Power.
Accountability.
Books. Food journaling.

14. BURNOUT: I’M EXHAUSTED ALL DAY, SO WHY
CAN’T I SLEEP?
 Fight or Flight
 Cortisol
 Melatonin
 Tech effects
 Antioxidants and
stress. The aging
of the President!
 ND treatments
 Tech and ADD:
Multitasking
exercise 14

15. SIDE NOTE (MY ADD ACTING IN)
 Multitasking is shifting attention
 Count 1-10
 Alphabet A-J
 Now alternative between #s and letters
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16. SUPPLEMENTS: DON’T WE POOP AND PEE
OUT VITAMINS?
 Costco vs Rite Aid vs
Provider’s office Vitamin D
 Rx Vitamins:
 Iron
 topical Vitamin D
 L-methylfolate (Deplin)
 Probiotics
 Cerefolin (N-Acetyl Cysteine)
 Zenpep (digestive enzymes)
 Lovaza (omega 3s)
 Niaspan (niacin)
 Statins (Red Yeast
Rice…Monacolin K)
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17. DO WE REALLY NEED VITAMINS?
 My Fab 5:
 Multivitamin
 Omega3
 Probiotic
 Vitamin D
 Adrenal and extra
antioxidant support for
me
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18. 4 TAKE HOME NATUROPATHIC PEARLS
 1. URIs: Support the immune system
 2. IBS and Eczema: Food allergy/sensitivity testing: Foods act as medicine
but also as toxins (inflammation)
 3. Supplements: Look at brand of supplements used in the studies (Pfizer
owns Centrum and bought Alacer/Emergen-C), Bayer owns One A Day),
Proctor & Gamble bought New Chapter).
 4. Obesity and Burnout: How to get those patients to change their Lifestyle!
Tortoise and the Hare/Microwave society, stress reduction, adrenal support.
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19. SHOW ME THE STUDY
Weight:
 Dr. Oz and HCG. No good study on HCG yet with weight loss.
Probiotics and IBS and skin:
 Rautava S, Isolauri E. The development of gut immune responses and gut microbiota: effects of probiotics in
prevention and treatment of allergic disease. Curr Issues Intest Microbiol. 2002 Mar;3(1):15-22.
 Dong Hyun Sinn, Ji Hyun Song, Hoi Jin Kim. Therapeutic Effect of Lactobacillus acidophilus-SDC 2012, 2013 in
Patients with Irritable Bowel Syndrome. Digestive Diseases and Sciences. October 2008, Volume 53, Issue 10,
pp 2714-2718
Adrenals, cortisol and burnout:
 Methlie P, Husebye EE, Hustad et al. Eur J Endocrinol. Grapefruit juice and licorice increase cortisol availability in
patients with Addison’s disease. 2011 Nov;165(5):761-9. doi: 10.1530/EJE-11-0518. Epub 2011 Sep 6.
URIs and natural remedies:
 Bergman P, Lindh AU, Björkhem-Bergman L, Vitamin D and Respiratory Tract Infections: A Systematic Review
and Meta-Analysis of Randomized Controlled Trials. PLoS One. 2013 Jun 19;8(6).
 Hemilä H, Chalker E. Vitamin C for preventing and treating the common cold. Cochrane Database Syst Rev.
2013 Jan 31;1
 Shah SA, Sander S, White CM, Evaluation of echinacea for the prevention and treatment of the common cold: a
meta-analysis. Lancet Infect Dis. 2007 Jul;7(7):473-80.
 Cohen HA, Rozen J, Kristal H, et al. Effect of honey on nocturnal cough and sleep quality: a double-blind,
randomized, placebo-controlled study. Pediatrics. 2012 Sep;130(3):465-71
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