PART ONE

INTEGRATIVE MEDICINE

Chapter 1

Philosophy of Integrative Medicine   David Ralcei, MD, and Andrew Weil, MD

2

Chapter 2

Creating Optimal Healing Environments   David Rakel, MD, and Wayne Jonas, MD

12

Chapter 3

The Healing Encounter   David Rakel, MD, and Luke Fortney, MD

20

PART TWO

INTEGRATIVE APPROACH TO DISEASE

Section I

Affective Disorders

Chapter 4

Depression   Craig Schneider, MD, and Erica A- Lovett, MD

26

Chapter 5

Anxiety   Roberts A. Lee, MD

36

Chapter 6

Attention Deficit Hyperactivity Disorder   Kathi J. Kemper, MD, MPH

43

Chapter 7

Autism Spectrum Disorder   Sanford C. Newmark, MD

54

Chapter 8

Insomnia   Rubin Naiman, PhD

65

SECTION II

NEUROLOGY

Chapter 9

Alzheimer Disease   Dharma Singh Khalsa, MD

78

Chapter 10

Headache   John Douglas Mann, MD, and Remy R. Coeytaux, MD, PhD

91

Chapter 11

Peripheral Neuropathy   SunilT. Pai, MD

102

Chapter 12

Multiple Sclerosis   Surya Pierce, MD, and Patricia Ammon, MD

114

Chapter 13

Parkinson Disease   Adam D. Simmons, MD

122

SECTION III

INFECTIOUS DISEASE

Chapter 14

Otitis Media   Lawrence D. Rosen, MD

132

Chapter 15

Chronic Sinusitis   Robert S. Ivker, DO

136

Chapter 16

Viral Upper Respiratory Infection   Bruce Barrett, MD, PhD

149

Chapter 17

HIV Disease and AIDS   Stephen M. Dahmer, MD, and Benjamin Kligler, MD, MPH

158

Chapter 18

Herpes Simplex Virus   Jeff Grassmann, DO, and Ted Wisiiink, MD

165

Chapter 19

Chronic Hepatitis   Tins M. St. John, MD

171

Chapter 20

Urinary Tract Infection   Amy B. Locke, MD

187

Chapter 21

Recurrent Yeast Infections   Ravi S. Hirekatur, MD

193

Chapter 22

Lyme Disease   Ather Ali, ND, MPH

198

SECTION IV

CARDIOVASCULAR DISEASE

Chapter 23

Hypertension   Gregory A. Plotnikoff, MD, MTS, and Jeffery Dusek, PhD

208

Chapter 24

Heart Failure   Russell H. Greenfield, MD

217

Chapter 25

Coronary Artery Disease   Stephen Devries, MD

227

Chapter 26

Peripheral Vascular Disease   Danna Park, MD

237

Chapter 27

Arrhythmias   Brian Olshansky, MD

247

SECTION V

ALLERGY/INTOLERANCE

Chapter 28

Asthma   John D. Mark, MD

258

Chapter 29

The Allergic Patient   Randy J. Horwfc, MD, PhD

268

Chapter 30

Multiple Chemical Sensitivity Syndrome   Iris R. Bell, MD, PhD

275

SECTION VI

METABOLIC/ENDOCRINE DISORDERS

Chapter 31

Insulin Resistance and the Metabolic Syndrome   Edward (Lev) tinkner, MD, and Corene Humphreys, ND

284

Chapter 32

Type 2 Diabetes   Richard Nahas, MD

297

Chapter 33

Hypothyroidism   Leslie Mendoza Temple, MD

312

Chapter 34

Hormone Replacement in Men   Alicia Stanton, MD

321

Chapter 35

Hormone Replacement in Women   Pamela W. Smith, MD, MPH

335

Chapter 36

Polycystic Ovarian Syndrome   Meiinda Ring, MD

345

Chapter 37

Osteoporosis   Louise Gagne, MD, and Victoria Maizes, MD

353

Chapter 38

An Integrative Approach to Obesity   James P. Nicolai, MD; Junelle H. Lupiani, RD; and Andrew J. Wolf, MEd

364

Chapter 39

Dyslipidemias   Gail Underbakke, RD, MS, and Patrick E. McBride, MD, MPH

376

SECTION VII

GASTROINTESTINAL DISORDERS

Chapter 40

Irritable Bowel Syndrome   Patrick J, Hanaway, MD

392

Chapter 41

Gastroesophageal Reflux Disease   David Kiefer, MD

400

Chapter 42

Peptic Ulcer Disease   Joseph Eichenseher, MD, MAT

406

Chapter 43

Cholelithiasis   Ann C. Figtirski, DO

415

Chapter 44

Recurring Abdominal Pain in Pediatrics   Joy A. Weydert, MD

422

Chapter 45

Constipation   Tan meet Sethi, MD

430

SECTION VIII

AUTOIMMUNE DISORDERS

Chapter 46

Fibromyalgia   Nancy J, Selfridge, MD, and Daniel Muller, MD, PhD

438

Chapter 47

Chronic Fatigue Spectrum   Jacob Teitelbaum, MD

447

Chapter 48

Rheumatoid Arthritis   Daniel Muller, MD, PhD

456

Chapter 49

Inflammatory Bowel Disease   Leo Galland, MD

464

SECTION IX

OBSTETRICS/GYNECOLOGY

Chapter 50

Postdates Pregnancy   D. Jill Mallory, MD

476

Chapter 51

Labor Pain Management   Michelle j. Mertz, MD, and Connie J. Earl, DO

482

Chapter 52

Nausea and Vomiting in Pregnancy   Andrea Gordon, MD, and Judy Pfatt, MD

491

Chapter 53

Premenstrual Syndrome   Tieraona Low Dog, MD

498

Chapter 54

Dysmenorrhea   Greta J. Kuphal, MD

507

Chapter 55

Uterine Fibroids (Leiomyomata)   Allan Warshowsky, MD

515

Chapter 56

Vaginal Dryness   Myrtle Wilhite, MD

529

SECTION X

UROLOGY

Chapter 57

Benign Prostatic Hyperplasia   David Rakel, MD

538

Chapter 58

Urolithiasis   Jimmy Wu, MD

544

Chapter 59

Chronic Prostatitis   Mark W. McClure, MD

552

Chapter 60

Erectile Dysfunction   Luke Fortney, MD

560

SECTION XI

MUSCULOSKELETAL DISORDERS

Chapter 61

Osteoarthritis   Adam I. Perlman, MD, MPH; Lisa Rosenberger, ND, LAc; and Ather Alt, ND, MPH

568

Chapter 62

Myofascial Pain Syndrome   Robert Alan Bonakdar, MD

579

Chapter 63

Chronic Low Back Pain   Joei M. Stevans, DC, and Robert B. Saper, MD, MPH

588

Chapter 64

Neck Pain   J. Adam Rindfleisch, MD, MPhii, and Brian Earley, DO

599

Chapter 65

Gout   Fasih A. Hameed, MD

610

Chapter 66

Carpal Tunnel Syndrome   Gautam J. Desai, DO; Dennis J. Dowling, DO; Jennifer M. Capra, OMS-IV; and Ankit D. Desai, PharmD

617

Chapter 67

Epicondylitis   David Rabago, MD, and Aleksandra Zgierska, MD, PhD

627

SECTION XII

DERMATOLOGY

Chapter 68

Atopic Dermatitis   Amanda J, Kaufman, MD

636

Chapter 69

Psoriasis   Apple A. Bodemer, MD

645

Chapter 70

Urticaria   Apple A. Bodemer, MD

657

Chapter 71

Recurrent Aphthous Ulceration   David Rakel, MD

664

Chapter 72

Seborrheic Dermatitis   Alan M. Dattner, MD

670

Chapter 73

Acne Vulgaris and Acne Rosacea   Sean H. Zager, MD

676

Chapter 74

Human Papillomavirus and Warts   Yue Man Onna Lo, MD

684

SECTION XIII

CANCER

Chapter 75

Breast Cancer   liicille R. Marchand, MD, BSN

692

Chapter 76

Lung Cancer   iiyadie I. Nairn, MD, MSEd

704

ghapter 77

Prostate Cancer   ftfarkW. McClure, MD

710

Chapter 78

Colorectal Cancer   Watt P. Mumber, MD

718

Chapter 79

Skin Cancer   fcdie I. Najm, MD, MSEd

726

Chapter 80

End-of-Life Care   |uciile R. Marchand, MD, BSN

732

SECTION XIV

SUBSTANCE ABUSE

chapter 81

Alcoholism and Substance Abuse   Donald Warne, MD, MPH

746

SECTION XV

OPHTHALMOLOGY

Chapter 82

Cataracts   RobertAbel, Jr., MD

758

chapter 83

Age-Related Macular Degeneration   iobert Abel, Jr., MD

766

PART THREE

TOOLS FOR YOUR PRACTICE

SECTION I

LIFESTYLE NUTRITION

Chapter 84

Food Intolerance and Elimination Diet   J. Adam Rindfletsch, MD, MPhii

776

Chapter 85

The Glycemic Index/Load   Sarah K. Khan, RD, MPH, PhD

789

Chapter 86

The Antiinflammatory Diet   Wendy Kohatsu, MD

795

Chapter 87

The DASH Diet   David M. Lessens, MD, MPH, and David Rakel, MD

803

EXERCISE

Chapter 88

Writing an Exercise Prescription   Michael J. Hewitt, PhD

806

Chapter 89

Breathing Exercises   Geeta Maker-Clark, MD

814

Chapter 90

Prescribing Movement Therapies   Patrick B. Massey, MD, PhD

821

Chapter 91

Low Back Pain Exercises   Brian Degenhardt, DO, and Coleen Smith, DO

828

SECTION II

MIND-BODY

Chapter 92

Self-Hypnosis Techniques   Steven Gurgevich, PhD

836

Chapter 93

Relaxation Techniques   Michje! Lursipkin, PhD, and David Rdkei, MD

843

Chapter 94

Enhancing Heart Rate Variability   Malynn L. Utzinger-Wheeler, MD, MA

849

Chapter 95

Guided Imagery and Interactive Guided Imagery   Martin L. Rossman, MD

856

Chapter 96

Journaling for Health   David Rakel, MD

863

Chapter 97

Healing Through Forgiveness   J. Adam Rindfleisch, MD, MPhil, snd Gayle Reed, PhD, RN

867

Chapter 98

Recommending Meditation   Luke Fortney, MD

873

Chapter 99

Motivational Interviewing   Robert Rhode, PhD

882

Chapter 100

Emotional Awareness for Pain   Howard Schubiner, MD

891

Chapter 101

Energy Psychology   Larry Stoler, PhD, MSSA

898

SECTION III

BIOCHEMICAL

Chapter 102

Prescribing Probiotics   J. Adam Rindfleisch, MD, MPhil

906

Chapter 103

Prescribing Botanicals   Paula Gardiner, MD, MPH, and Tieraona Low Dog, MD

913

Chapter 104

Detoxification   Luke Fortney, MD

922

Chapter 105

Integrative Strategies for Planetary Health   Nancy L. Sudak, MD, and James Harvie, PEng

930

SECTION IV

BIOMECHANICAL

Chapter 106

Counterstrain   Harmon Myers, DC, and Julia Jernberg, MD

940

Chapter 107

Acupuncture for Headache   Aaron J. Micheifelder, MD

950

Chapter 108

Acupuncture for Nausea and Vomiting   Aaron J. Michelieider, MD

956

Chapter 109

Saline Nasal Irrigation   David Rabago, MD, and Aleksandra Zgierska, MD, PhD

960

SECTION V

BIOENERGETICS

Chapter 110

Integrating Spiritual Assessment and Care   Gregory A, Piomikoff. MD, MTfi, and Douglas E. Dandunand, PhD, MDiv

964

Chapter 111

Therapeutic Homeopathy   Pain I. Bercjciuist, MD

970

Chapter 112

Human Energetic Therapies   J. Adam Rindfleisch, MD, IViPhi!

980

SECTION VI

OTHER THERAPEUTIC CONSIDERATIONS

Chapter 113

Creating a Greener Clinic: The Impact of Global Warming on Health   Rian J. Podein, MD,. and Michael T. Hernke, PhD

990

Chapter 114

Creating Ceremony and Ritual in the Medical Encounter   Howard Silverman, MD

997

Appendix

Laboratory Testing Resources in Integrative Medicine   David Rskel, MD

1004