Complementary and Integrative Medicine in Cancer Care and Prevention : Foundations and Evidence-Based Interventions

Provide whole care to your cancer patients with: Up-to-date information on the uses of diet, nutrition, and herbs Elucidations of the use of mind-body therapies such as Guided Imagery, Expressive Therapies, and spirituality Legal and medical guidance for incorporating Naturopathy, Acupuncture, Homeopathy, and Ayurvedic Medicine in cancer care According to the U.S. National Center for Health Statistics and the U.S. Centers for Disease Control (2004), up to 80% of cancer patients undergoing treatment by oncologists and radiation therapists also supplement their treatments with complementary and integrative medicines (CIM). Dr. Marc S. Micozzi has designed this text to provide a comprehensive resource for students and practitioners on the evidence for and applications of complementary, alternative, and integrative medical therapies. This is the first integrative oncology text for health professionals, and as such, it is essential reading for the incorporation of evidence-based practice into the care of patients with cancer and toward the prevention of cancer in the general population. Contents......Page 8 List of Figures & Illustrations......Page 16 List of Tables......Page 18 Contributors......Page 20 Preface......Page 22 Part 1: Biology and Ecology of Cancer......Page 26 1 Cancer as a Cellular Phenomenon......Page 28 Etiology and Epidemiology......Page 29 Cellular Differentiation......Page 30 Carcinogenesis......Page 31 Drugs in the Treatment of Malignant Diseases......Page 32 Cancer Chemotherapy......Page 34 Summary......Page 35 Cancer and Human Biology......Page 38 Models of Carcinogenesis......Page 39 Cancer as Adaptation......Page 40 Host Factors......Page 42 Chemotherapy and Chemosensitivity......Page 43 Conclusion......Page 44 3 Antiquity and Ecology of Cancer......Page 46 Why Study Cancer in Antiquity?......Page 47 How to Study the Antiquity of Cancer......Page 48 Preservation of Human and Animal Remains......Page 49 Paleopathologic Evidence From Human and Animal Remains......Page 50 Documentary Evidence for Cancer in Antiquity......Page 54 Cancer in Contemporary Societies......Page 55 Part 2: Mind/Body Approaches......Page 60 Introduction......Page 62 Hypnosis......Page 63 Meditation......Page 73 Biofeedback......Page 76 Conclusion......Page 82 Can Guided Imagery Treat Cancer Successfully?......Page 90 What Is Imagery and Why Is It Important?......Page 92 Treatment and Self-Care Options With Imagery......Page 93 Advantages of Interactive Guided Imagery......Page 94 Specific Uses of Interactive Guided Imagery in Cancer Care......Page 95 Precautions and Contraindications for Using Imagery With Cancer Patients......Page 99 Training, Certification, and Issues of Quality Assurance......Page 100 Summary......Page 101 Introduction......Page 106 What Is Expressive Therapy?......Page 107 Origins of Expressive Therapies......Page 108 Applications of Expressive Therapy......Page 109 How Does Expression Affect Health?......Page 110 Patients as Partners in Their Treatment Process......Page 111 Releasing Creative and Sexual Energy......Page 112 Cancer as a Metaphor......Page 113 Ecologic Body......Page 114 Movement Choirs......Page 115 UCSF Cancer Support Group......Page 116 Summary......Page 117 Introduction......Page 120 Cancer in America......Page 121 Cancer Among Religious Groups......Page 122 Religious Commitment and Cancer......Page 125 Religion and Coping......Page 127 Biologic Mediating Factors......Page 131 Religion and Negative Health Outcomes......Page 136 Clinical Implications......Page 137 Summary......Page 140 Part 3: Diet, Nutrition, and Natural Products......Page 146 Introduction......Page 148 An Evolutionary Perspective on Diet and Cancer......Page 149 Cancer and Biologic Adaptation......Page 150 Energy Imbalance......Page 152 Specific Deficiencies......Page 154 Diet and Cancer in Modern Perspective......Page 155 Two-Stage Model of Cancer......Page 156 Specific Cancer Factors......Page 157 Modifying Factors......Page 160 Summary......Page 162 9 Diet, Biology, and Breast Cancer......Page 166 The Problem of Breast Cancer......Page 167 Risk Factors for Breast Cancer: Early Nutrition and Breast-feeding......Page 171 Dietary Fat Intake......Page 174 Energy Intake......Page 175 Lactose Intolerance......Page 176 Reproductive Biology and Breast-feeding......Page 177 Endogenous and Exogenous Hormones......Page 179 Body Fat and Hormones......Page 180 Breast Biology and Apocrine Gland Function......Page 181 Breast Fluid Composition......Page 182 Breast Tissue Microenvironment......Page 183 Summary......Page 184 Introduction......Page 192 Prevention of Cancer by Nutrients......Page 193 Process of Carcinogenesis......Page 195 Vitamin A and Retinoids......Page 196 Beta-Carotene and Carotenoids......Page 202 Vitamin C (Ascorbic Acid)......Page 203 Vitamin D and Calcium......Page 212 Vitamin E (Alpha-Tocopherol)......Page 213 B Vitamins and Choline......Page 218 Selenium......Page 219 Dietary Fiber......Page 223 Other Dietary Constituents......Page 228 Whole Foods......Page 229 Epidemiological Studies......Page 230 Summary......Page 234 Vitamins A, C, and E Supplements......Page 238 Vitamin A (Including Beta-Carotene and Retinoids)......Page 239 Vitamin C......Page 241 Vitamin E......Page 244 Summary: Use and Combination of Vitamins......Page 245 Macrobiotic Diet......Page 250 Gerson Diet......Page 255 Other Perspectives......Page 258 Adjunctive Treatment......Page 259 Livingston-Wheeler Diet......Page 260 Kelley-Gonzalez Diet......Page 263 Other Alternative Nutritional Treatments......Page 266 Iscador (Mistletoe)......Page 268 Green Tea......Page 273 Pacific Yew and Hazelnut......Page 275 Garlic......Page 277 Camphor......Page 280 Essiac......Page 283 Red Clover......Page 287 Chinese Herbal Mixtures......Page 289 Safety and Herb/Drug Interactions......Page 290 Mushrooms and Mushroom Extracts......Page 294 Essential Oils Therapy......Page 295 Part 4: Alternative Systems of Medicine......Page 304 Introduction......Page 306 History of Natural Medicine......Page 308 Medical Eclecticism......Page 309 Naturopathy and Cancer......Page 317 Naturopathic Principles in Practice......Page 319 Management of Preneoplastic Conditions......Page 325 Summary......Page 326 15 Chinese Medicine and Cancer Care......Page 328 Why History Matters......Page 330 Western References......Page 331 Current Utilization......Page 332 Chinese Traditional Medicine on Its Own Terms......Page 333 Chinese Medicine and Cancer: Ancient and Modern Concepts......Page 336 Cancer Types: Diagnostic Patterns......Page 339 Chemotherapy and Radiation: A Yin-Yang Perspective......Page 340 Acupuncture......Page 341 Modern Chinese Herbal Research......Page 344 Individual Herbs......Page 345 Research Investigations......Page 354 Enhancing Conventional Protocols......Page 355 Safety and Herb/Drug Interactions......Page 359 Anecdotal Reports......Page 361 Acknowledgments......Page 363 Free Radicals, Cancer, and Transcendental Meditation......Page 370 Clinical Results......Page 372 Diet and Digestion......Page 374 Behavioral Rasayanas......Page 376 Active Ingredients, Free Radicals, and Herbal Medicines......Page 377 Herbal Formulations as Anticancer Agents......Page 378 Free-Radical Defenses......Page 380 Finding Balance......Page 381 Herbal Rasayanas......Page 382 Synergism......Page 384 Free-Radical Scavenging Effects......Page 385 Controlling Free-Radical Effects on the Immune System......Page 387 Cancer Prevention and Regression......Page 388 Reduced Chemotherapeutic Toxicity......Page 390 Aging......Page 392 Complications of Cancer......Page 393 Other Herbs......Page 395 Ayurvedic Clinical Approach......Page 397 Summary......Page 399 Background......Page 402 The Medicines......Page 403 Remedy Selection......Page 404 The Cancer Prescription......Page 405 Palliation......Page 407 Summary......Page 408 Part 5: Alternative Therapies and Practices......Page 410 Antineoplastons for Cancer Treatment......Page 412 Hydrazine Sulfate......Page 416 Additional Alternative Treatments......Page 419 Introduction......Page 424 Some Historical Notes......Page 426 Barriers to Access......Page 432 Bias in Research Design, Interpretation, and Funding......Page 436 Judicial Reluctance to Recognize Health Care Freedom......Page 440 Direct Barriers to Practice......Page 448 Personal Import......Page 454 Federal, State, and Private Regulation of Payment......Page 458 State Regulation of Medical Practitioners......Page 462 Summary......Page 465 20 A Patient’s Experience and Perspective......Page 470 Choosing Between Conventional and Alternative Cancer Treatments......Page 472 Getting Started......Page 473 Leaving the United States for Treatment......Page 474 Off to the Bahamas......Page 477 Complete Remission and Cure......Page 479 A......Page 482 B......Page 483 C......Page 484 E......Page 488 F......Page 489 G......Page 490 H......Page 491 I......Page 492 J......Page 493 L......Page 494 M......Page 495 N......Page 496 O......Page 497 P......Page 498 R......Page 499 S......Page 500 T......Page 501 V......Page 502 Z......Page 503

Provide whole care to your cancer patients with:

Up-to-date information on the uses of diet, nutrition, and herbs

Elucidations of the use of mind-body therapies such as Guided Imagery, Expressive Therapies, and spirituality

Legal and medical guidance for incorporating Naturopathy, Acupuncture, Homeopathy, and Ayurvedic Medicine in cancer care

According to the U.S. National Center for Health Statistics and the U.S. Centers for Disease Control (2004), up to 80% of cancer patients undergoing treatment by oncologists and radiation therapists also supplement their treatments with complementary and integrative medicines (CIM).

Dr. Marc S. Micozzi has designed this text to provide a comprehensive resource for students and practitioners on the evidence for and applications of complementary, alternative, and integrative medical therapies.

This is the first integrative oncology text for health professionals, and as such, it is essential reading for the incorporation of evidence-based practice into the care of patients with cancer and toward the prevention of cancer in the general population.

Doody Review Services

Reviewer:Theri Griego-Raby, MD(Northwestern Memorial Hospital)
Description:Dr. Micozzi captures the essence of what it takes to truly integrate multiple medical philosophies. I am elated that he refrains from using the term "alternative." Bottom line -- western medical doctors must educate themselves on how to responsibly use these various healing practices and the only way to do that is to invest time in researching the literature that supports the integration and encourages self care.
Purpose:The purpose of this book is to educate oncologists and any western medical physicians about appropriate complementary and integrative medicine in cancer care and prevention. The author eloquently meets these worthwhile objectives.
Audience:The intent is to educate oncologists and other western medical physicians. Oncology fellowship programs should make this required reading.
Features:This book thoroughly reviews cancer biology and ecology and details many appropriate integrative modalities and the evidence-based research that supports the integration. The book concisely and thoroughly reviews history, description, and use of common integrative cancer care modalities. Unique inclusions are the last two chapters on a patient's perspective and the legal and regulatory issues surrounding access to alternative cancer treatments. Shortcomings include simplified sketches of the herbs and the failure to list the credentials of the authors of the chapters.
Assessment:I am encouraged and elated that Dr. Micozzi has taken on the task of educating western medical physicians who are caring for those with cancer or at risk for cancer on the use of complementary and integrative medicine. Over the past 10 years as a practicing integrative internist at a tertiary care academic university medical setting, I have experienced how the lack of physician education is a major barrier to moving integrative care, research, and education to a level where these interventions are being used with consistent accountability, safety , responsibility, and, ultimately, the patient's best interest in mind. This book achieves its objective elegantly. I would encourage any physician to read it.

Cancer as a cellular phenomenon / Marc S. Micozzi Cancer as a biological phenomenon / Marc S. Micozzi The antiquity and ecology of cancer / Marc S. Micozzi Mind-body modalities / Carolyn Fang Guided imagery / Martin L. Rossman Expressive therapies / Ilene Serlin Religion and spirituality / Kent C. Shih and David Larson History of diet and cancer in human evolution / Marc S. Micozzi Diet, biology, and breast cancer / Marc S. Micozzi Prevention of cancer with nutrients and whole foods / Marc S. Micozzi Treatment of cancer with nutrients / Marc S. Micozzi History of alternative cancer diets / Marc S. Micozzi Herbs in cancer care and treatment / Marc S. Micozzi Naturopathy / Marc S. Micozzi Chinese medicine / Harriet Beinfield, Efrem Korngold, Marc S. Micozzi Ayur Vedic medicine / Marc S. Micozzi Homeopathy / Joyce Frye Controversial therapies / Marc S. Micozzi Legal and regulatory access / Alan Dumoff Patient perspectives. This new book written by physicians and CIM experts from many disciplines, offers health care professionals the medical guidance needed to effectively learn and apply CIM modalities to cancer prevention, treatment and control. From a detailed presentation of the underlying science of cancer to a comprehensive review of therapies, history and legal aspects of CIM, this book is a must-have for all involved in the care of cancer patients. By presenting current evidence that CIM modalities may help improve quality of life and even help prolong survival in cancer patients, Dr. Marc S. Micozzi, presents a wide-range of solutions for managing the effective use of CIM as an adjunctive and supportive treatment Written by physicians and complementary and integrative medicine (CIM) experts from many disciplines, this book offers health care professionals the medical guidance needed to effectively learn and apply CIM modalities to cancer prevention, treatment and control. It is useful for those involved in the care of cancer patients.