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OBAT TRADISIONAL DAN CAM

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KLASIFIKASI BATTRA

(Pasal 59 ayat 1 UU 36/2009)

Battra akupunktur, chiropraksi, battra bekam, Pnta-kecantikan Dikelompokkan berdasarkan metode

yang dominan digunakan

KETERAMPILAN

Battra reiki, qigong, kebatinan

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(4)

Jamu, Obat Herbal Terstandar

dan Fitofarmaka

Berdasarkan cara pembuatan serta

jenis klaim penggunaan dan tingkat

pembuktian khasiat, Obat Bahan

Alam Indonesia dikelompokkan

menjadi:

Jamu

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JAMU

Jamu

Aman sesuai dengan persyaratan yang

ditetapkan

Klaim khasiat dibuktikan berdasarkan

data empiris

Memenuhi persyaratan mutu yang

(6)

Obat Herbal Terstandar

Aman sesuai dengan persyaratan

yang ditetapkan

Klaim khasiat dibuktikan secara

ilmiah/pra klinik

Telah dilakukan standarisasi terhadap

(7)

Fitofarmaka

Aman sesuai dengan persyaratan

yang ditetapkan

Klaim khasiat harus dibuktikan

berdasarkan uji klinik

Telah dilakukan standarisasi terhadap

bahan baku yang digunakan dalam

produk jadi

Memenuhi persyaratan mutu yang

(8)

Defnitions

“Complementary and Alternative

Medicine is a Group of Diverse Medical

and Health Care Systems, Practices,

and Products That are Not Presently

Considered Part of Conventional

Medicine”

(9)

Defnitions

“Complementary Medicine is Used

Together With Conventional Medicine.”

“Alternative Medicine is Used in Place

of Conventional Medicine.”

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Alternative Medical Systems

Ayurveda, Chinese, Native American, Aboriginal, African,

Middle Eastern, Tibetan, Central and South American cultures, Homeopathy, Naturopathy

Mind-Body

Interventions cognitive-behavioral approaches, meditation, hypnosis, dance,music, art therapy, prayer, mental healing, visual imagery

Biological Based Therapies

dietary supplements, herbs, orthomolecular (varying

concentrations of chemicals, such as, magnesium, melatonin, and mega-doses of vitamins), individual biological therapies (use of laetrile, shark cartilage, bee pollen).

Manipulative And

Body-Based Methods

chiropractic, osteopathic manipulation, massage, reflexology

Energy Therapies Biofield therapies: Qi gong, Reiki, therapeutic touch

Bioelectromagnetic-based therapies: pulsed fields, magnetic fields, or alternating current or direct current fields

5 Domains of CAM

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Defnitions

Ayurveda - India's traditional, natural system of

medicine that has been practiced for more than 5,000 years. Ayurveda provides an integrated approach to preventing and treating illness through lifestyle interventions and natural

therapies. Ayurvedic theory states that all disease begins with an imbalance or stress in the

(13)

Defnitions

Homeopathy - a system of medical practices

based on the theory that any substance that can produce symptoms of disease or illness in a

healthy person can cure those symptoms in a sick person. For example, someone sufering from

insomnia may be given a homeopathic dose of

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Defnitions

Naturopathy – an alternative medical system.

Naturopathic medicine proposes that there is a healing power in the body that establishes,

maintains, and restores health. Practitioners work with the patient with a goal of supporting this

power through treatments such as nutrition and lifestyle counseling, dietary supplements,

medicinal plants, exercise, homeopathy, and treatments from traditional Chinese

(15)

Defnitions

Qi gong - A component of traditional Chinese

medicine that combines movement, meditation, and regulation of breathing to enhance the fow of qi (an ancient term given to what is believed to be vital energy) in the body, improve blood

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Defnitions

Reiki - A Japanese word representing Universal

Life Energy. Reiki is based on the belief that when spiritual energy is channeled through a reiki

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Central Concept of

TCM

Organism as a whole

Relationships

Between organs

Between human and nature

» Diferent diseases occur during

diferent seasons

» Circadian rhythm – seasons and

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Central Concept of

TCM

Balance

Yin Yang / Wu Xing (Five Phases)

Homeostasis

Overall analysis to reach

diagnosis

Treatment principles

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Yin Yang

Yi Jing – Book of ChangesCharacter meaning

Yin

– Radical is about mound or hill,

root describe the side facing away

from the sun and mist.

Yang

- Radical is about mound or hill,

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Yin Yang

Yin – cold, weak, restricted, dark,

visible, heavy, turbid, downward,

inward.

Yang

– hot, excited, moving,

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Yin Yang

Opposition and Interdependence

Relative: Back / Chest

Concept of health – plant analogy

Rise and Decline

Transformation - Extreme decrease in Yin

leads to a Yang condition and vice versa

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Wu Xing - Five Phases

(Elements)

Fire, Earth, Metal, Water, Wood.

Categorizing tool

Separate according to innate

qualities.

Related to Yin and Yang.

More concrete categorization.Synthesize and summary with

observation of nature.

Xing = Phases

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23 FIRE

EARTH

METAL

WATER

WOOD

Wu Xing

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Five Phases and

Human Body

Viscera Bowels Sense

Organs Seasons Emotions

Wood Liver Gall Bladder Eyes Spring Anger

Fire Heart Small

Intestine Tongue Summer Joy

Earth Spleen Stomach Mouth Long

Summer Concern

Metal Lung Large

Intestine Nose Autumn Grief

Water Kidney Urinary

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Zang Fu

(Organ Systems)

To Summarize…

Categorizes and unifes diferent

parts of the body

Spans diferent systems in Western

anatomy

Need clarifcation during interpretation

& translation

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Qi

Qi

»

Energy

Different types with different

functions

– Derive from two major

sources:

Food (Gu) and Fresh Air (Qing)

Nutrient & oxygen metabolism

Functions: Promote movements,

warmth, immunity, consolidation, control, metabolism, and transformation.

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Blood

Body Fluids

Blood – Xue

Formation from food essence, and

essence transformation through bone

marrow.

Main function: Nourish

Body Fluids – Jin Ye

Function also to nourish and moisten.

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Meridians

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What is Acupuncture?

• Many studies in animals and humans have demonstrated that acupuncture can cause multiple biological responses…

mediated mainly by sensory neurons to many structures within the central nervous system. This can lead to activation of

pathways afecting various physiological systems in the brain as well as in the periphery... Considerable evidence supports the claim that opioid peptides are released during acupuncture and that the analgesic efects of acupuncture are at least partially explained by their actions. That opioid antagonists such as naloxone reverse the analgesic efects of acupuncture further strengthens this hypothesis.

• Stimulation by acupuncture may also activate the

hypothalamus and the pituitary gland, resulting in a broad spectrum of systemic efects.

Alteration in the secretion of neurotransmitters and

neurohormones and changes in the regulation of blood fow, both centrally and peripherally, have been documented.

• There is also evidence of alterations in immune functions produced by acupuncture. Which of these and other

physiological changes mediate clinical efects is at present unclear.

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What are Meridians?

• Despite considerable eforts to understand the anatomy and physiology of the "acupuncture points," the defnition and

characterization of these points remain controversial. Even more elusive is the scientifc basis of some of the key traditional Eastern medical concepts … and other related theories, which are difcult to reconcile with contemporary biomedical information but

continue to play an important role in the evaluation of patients and the formulation of treatment in acupuncture.

• The acupuncture points or biological active points (BAP), also known as low-resistance spots or good electro-permeable points, have relative lower electric resistance than the surrounding

tissues… This preliminary study presented here shows there exists a bilateral symmetry of the skin resistance of the corresponding BAPs from the left and the right hands of all chosen subjects over a range of measuring pressure. .

Acupuncture. NIH Consensus Statement Online 1997 Nov 3-5; month, day]; 15(5):1-34.

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Questions & Discussion

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