According to the National Center for Complementary and Integrative Health, integrative medicine brings together complementary therapies (eg, supplements, natural products, and mind-body therapies) into mainstream health care. It is evidence-based and patient-centered because it considers the clinician's relationship with the patient as the central therapeutic element. It is comprehensive in its approach, assessing the patient's mind, body, and spirit, and the social, community, and environmental dimensions of health. It strongly emphasizes foundational health practices such as nutrition, exercise, sleep, and stress management. In addition, it recognizes that the human being has a powerful, innate capacity for healing. Finally, it incorporates complementary modalities when clinically indicated so that it is safe and synergistic with conventional therapies.
Complementary and integrative therapies (CIT) can be divided into five categories:
Biologically based therapies (eg, use of natural products such as fish oil, probiotics, botanical medicines)
Mind-body medicine (eg, biofeedback, meditation, hypnosis, guided imagery)
Manual medicine (eg, osteopathy, chiropractic, massage therapy)
Energy medicine (eg, reiki, therapeutic touch)
Whole systems (eg, traditional Chinese medicine, Ayurveda, homeopathy)
Some of these therapies, especially some of the whole systems, are several thousand years old, and as complete systems, they include elements from all other categories. For example, traditional Chinese medicine uses acupuncture (which might be energy medicine or manual medicine), botanical medicines (biologically based therapies), tui na (manual medicine), and qigong (mind-body medicine).
The use of CIT is common in the United States and around the world. To maintain effective patient-provider communication and ensure responsible clinical practice, clinicians should learn some theory, practice, and scientific evidence associated with these therapies. This chapter summarizes three CIT modalities: herbal and dietary supplements (HDS), acupuncture, and mind-body medicine, as they represent the commonly used therapies studied in research and used in clinical practice.