Dr. Ali’s Textbook Volume 1 – Scientific Basis of Integrative Medicine Nature’s Preoccupation
Volume 1 of Majid Ali, M.D.’s Principles and Practices of Integrative Medicine.
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NTEGRATIVE MEDICINE: The faith in the fixedness in human biology has created apernicious belief system among the ‘academic thought leaders’ of the pharmacologic medicine: that only the ‘facts’ of medicine established by blinded and controlled trials of individual drugs can be relied upon, and that the ‘opinions’ of physicians who toil for decades in the clinical trenches of medicine are of no value, and hence must be dismissed.
It continues to amaze me how otherwise intelligent physicians continue to be so dogmatic about nondrug therapies which they have no experience with. The editors o f medical journals speak of evidence-based medicine with loud voices. They pride in their medical ‘facts’ and deride the ‘opinions’ of integrative practitioners.
In their myopic view of medicine, they assert that what cannot be investigated with their blessed double-blind cross-over methodology is not scientific, hence of no clinical value. They fail to see the glaring disconnect between the needs of the sick and their notions of science in medicine. The sick needs robust nutritional, environmental, and spiritual measures for healing. None of those measures can be examined with their double-blind cross-over methodology for establishing drug therapies.
Consider this: Pathologists make the decisions with gravest consequences — who loses her breast, whose brain gets radiated, whose marrow is wiped out by chemotherapy. Yet, when an experienced pathologist renders a pathologic diagnosis to his peers, he considers that diagnosis his opinion, albeit based on his evaluation of all the microscopic findings. I know that to be true. I served as a hospital pathologist for twenty nine years. All astute clinicians do the same — make therapeutic decisions based on their clinical sense o f the case — read clinical opinion — notwithstanding their lip service to the so-called evidence-based medicine built on blinded studies. Yet, the editors of medical journals persist with their mantra of every therapy that cannot be blinded — read nutritional, environmental, and spiritual approaches — being unscientific. Those who champion the label of evidence-based medicine — a euphemism for drug medicine and suppression o f nondrug therapies — refuse to recognize the core problem with their blessed double-blind cross-over model: individual drugs are blindly evaluated as single agents for some months and then are administered concurrently with multiple other drugs for decades. No drug manufacturer, of course, ever conducts trials of its drugs when prescribed in combination with the drugs of its competitors. Yet, they are eager to dismiss the true-to-life experiences o f thoughtful physicians, who work in ‘clinical trenches’ for decades. They dismiss all nondrug therapies as ‘unproven,’ all in the name of their favored evidence-based medicine slogan. They stubbornly refuse to see the fundamental difference between the use of drugs for rapid symptom suppression and the value of nutritional, herbal, and self-regulatory approaches for slow but sustained improvements in oxygen homeostasis and redox dynamics. The frivolous ‘fact and opinion’ mantra continues. Coming to the subjects of ‘facts’ in medicine, is it a fact that cholesterol is an antioxidant? Is it a fact that coronary artery disease is, first and foremost, an oxidative disorder? Is it a fact that when one is subjected to incremental oxidative stress, one’s antioxidant responses are upregulated? Is it a fact that some people show marked increases in their blood cholesterol levels when they are under unremitting stress? Is it a fact that blood cholesterol levels so raised begin to fall when those issues of oxidative stress — including relentless anger and unrelenting sense of being a victim — are effectively addressed? In light of that, what can be made of the guidelines for statin usage promulgated by the ‘cholesterol experts’ paid by makers of those drugs? In view of those considerations, may we ask, how many physicians view blood cholesterol levels in that light when prescribing statin drugs? In this first volume o f The Principles and Practice o f Medicine, I assert that no minerals, proteins, enzymes, receptors, mediators, genetic sequences, or cellular colonies have any fixed biologic roles. I marshall a very large body of clinical and biochemical data to support that view. Drawing on that strength, I challenge the prevailing ‘science’ of drug medicine. I reject the the pernicious belief o f the editors of medical journals that nondrug therapies are unscientific simplybecause they cannot be blinded. All elements in human biology are components of a vastandever-changing kaleidoscope of energetic-molecular mosaics. 1. 450 Pages