10 Overview of Integrative Medicine in Veterinary Practice

Pharmaceuticals and surgery (more evidence based medicine)

What does "western based" veterinary medicine rely on for key treatments?

Traditional Chinese veterinary medicine

What is the name of the medicine which is a balance of yin-yang, qi, and the five elements?

Fire, wood, earth, water, metal

What are the "5 elements", part of traditional chinese veterinary medicine?

Yin-Yang

What is the term in traditional chinese veterinary medicine which covers opposing elements that are complementary forces, where health is a dynamic balance?

a. joint mechanics and neuroanatomy

c. tissue dysfunction

d. neuromodulation

Select which of the following are aspects of western veterinary medicine:

a. joint mechanics and neuroanatomy

b. Qi and blood flow meridians

c. tissue dysfunction

d. neuromodulation

e. energy balance

f. pattern imbalance and stagnation/blockage

b. Qi and blood flow meridians

e. energy balance

f. pattern imbalance and stagnation/blockage

Select which of the following are aspects of traditional chinese veterinary medicine approach:

a. joint mechanics and neuroanatomy

b. Qi and blood flow meridians

c. tissue dysfunction

d. neuromodulation

e. energy balance

f. pattern imbalance and stagnation/blockage

b. tui-na

c. herbal medicine

d. food therapy

note: some slides say acupuncture is TCVM, others don't

The following are all types of integrative medicine. Select which of the following are branches of traditional chinese veterinary medicine:

a. acupuncture

b. tui-na

c. herbal medicine

d. food therapy

e. rehabilitation therapy

f. spinal manipulation

a. acupuncture

e. rehabilitation therapy

f. spinal manipulation

note: some slides say acupuncture is TCVM, others don't

The following are all types of integrative medicine. Select which of the following are branches of western veterinary medicine:

a. acupuncture

b. tui-na

c. herbal medicine

d. food therapy

e. rehabilitation therapy

f. spinal manipulation

Where Qi gathers, where needles stimulate centers of healing for rebalance

Western medicine views acupuncture as neurochemical response points located near muscles, fascial planes, blood vessels, lymph, and nerves. How does chinese traditional veterinary medicine view this?

Beta endorphin release, reduce muscle spasm and inflammation, promote circulation and healing

What effects does acupuncture have on the body in terms of western medicine view?

14

How many "meridians" are there in acupuncture?

Lung

Heart

Pericardium

Spleen

Liver

Kidney

Conception Vessels

Large Intestine

Small Intestine

Triple Heater

Stomach

Gallbladder

Bladder

Governing Vessels

What are the different meridians of acupuncture?

1. Dry needle

2. Electroacupuncture

3. Laser acupuncture

4. Acupressure

5. Aquapuncture

6. Hemoacupuncture

What are the six types of acupuncture?

hemoacupuncture

Which type of acupuncture involves releasing a few drops of blood from specific acupoints to treat "excess heat" conditions, inflammation, and pain?

Laser acupuncture

Which type of acupuncture uses low intesity cold lasers to stimulate acupuncture points instead of needles?

Acupressure

Which type of acupuncture uses firm pressure applied to acupoints to relieve pain and relax animals?

Aquapuncture

Which type of acupuncture involves injecting liquid solutions like vitamin B12 and saline into acupoints to stimulate them longer than traditional needles?

36 (dogs/cats) to 28 (horses) gauge

What size needles are typically used for acupuncture?

GV-20

Which common acupuncture point is on dorsal midline, aligned with center of the ear canals used as a calming point and to treat epilepsy?

a. shan-gen

d. mi-jiao-gan

What are the two acupuncture points which can be used to treat anorexia:

a. shan-gen

b. an-shen

c. HT-7

d. mi-jiao-gan

e. da-feng men

f. PC-6

b. an-shen

c. HT-7

e. da-feng men

f. PC-6

What are the four acupuncture points which can be used as calming points:

a. shan-gen

b. an-shen

c. HT-7

d. mi-jiao-gan

e. da-feng men

f. PC-6

b. GB-20

What acupuncture point can be used to emergency treat seizures:

a. shan-gen

b. GB-20

c. HT-7

d. mi-jiao-gan

e. da-feng men

f. PC-6

a. GV-5, 6, and 7

What acupuncture point can be used to emergency treat hemorrhage:

a. GV-5, 6, and 7

b. GB-20

c. HT-7

d. mi-jiao-gan

e. da-feng men

f. PC-6

e. er-jian

What acupuncture point can be used to emergency treat high fever:

a. GV-5, 6, and 7

b. GB-20

c. HT-7

d. mi-jiao-gan

e. er-jian

f. PC-6

Tui-na

Which form of chinese manual therapy combines massage, acupressure, and tissue manipulation to restore Qi, relax muscles, and reduce pain in "needle shy" patients?

a. Mo-fa (soft touching)

What is the term for a light petting technique, part of Tui-Na foundation, which warms and increases circulation in pets, ideal for sensitive areas?

a. Mo-fa

b. Tui-fa

c. An-fa

b. Tui-fa (pushing)

What is the term for a pushing technique, part of Tui-Na foundation, which uses gentle, unidirectional movement to clear obstructions in the meridians and relieve tension?

a. Mo-fa

b. Tui-fa

c. An-fa

c. An-fa (pressing)

What is the term for a pressing technique, part of Tui-Na foundation, which uses sustained pressure of the fingertips and palms to alleviate tension, pain, and reduce localized pain and inflammation?

a. Mo-fa

b. Tui-fa

c. An-fa

Cooling foods (Yin) that decrease metabolism and clear "heat"

If an animal has a "fire constitution", meaning they are high energy, what type of food therapy will you reach for?

Yang (warm foods), neutral foods, Yin (cooling foods)

What are the different categories of food therapy? What are the different types of foods?

1. manual therapy (joint and soft tissue mobilization)

2. physical modalities (laser, shockwave, acupuncture)

3. therapeutic exercises (physical exercise, aquatherapy)

What are the different rehabilitation tools which can be used in animals?

Laser therapy (Photobiomodulation)

Which rehabilitation tool used in animals applies light energy to tissues to decrease pain and inflammation?

Class III: cold laser (low, superficial power)

Class IV: high power (deeper, faster treatment)

What are the different types of laser therapy?

Red Light therapy (RLT, LED photobiomodulation)

Which rehabilitation tool used in animals applies low level red and near infrared light via LED array (NOT LASERS) to decrease inflammation with muscle soreness, superficial wounds, or chronic pain adjunct?

Red light therapy

Which is lower cost and accessible for home use, extremely safe and noninvasive, Red light therapy OR Laser therapy

Shockwave therapy

Which rehabilitation tool used in animals (mainly horses) uses high energy acoustic sound waves to decrease pain in tissues and increase blood flow?

c. shockwave therapy

Which rehabilitation modality has the strongest evidence for efficacy in improving lameness, tissue healing, and pain relief?

a. laser therapy

b. red light therapy

c. shockwave therapy

d. PEMF

Shockwave therapy

Which rehabilitation method is very commonly indicated for tendinopathy and soft tissue injury, but may also be used for OA and back pain?

PEMF (Pulsed electromagnetic field therapy)

Which rehabilitation modality uses low frequency electromagnetic fields applied via loops, pads, or blankets to increase circulation, mainly for chronic pain?

PEMF (Pulsed electromagnetic field therapy)

What is this modality, used for post op healing, delayed union fractures, and chronic inflammation?

TENS (transcutaneous electrical nerve stimulation)

What is this modality, using low level electrical current delivered via electrodes to stimulate endorphin release, providing IMMEDIATE analgesia for a short duration (1 hour)?

Therapeutic exercises

What kind of therapeutic model uses structured programs to restore neuromuscular strength, function, and control using passive range of motion, balancing tests, underwater treadmill, and gait retraining?

Therapeutic exercises

What therapeutic modality is the most IMPORTANT foundation of rehab?

1. weight reduction

2. hydrostatic pressure

3. viscosity (resistance)

4. thermal effects

How does aquatic therapy underwater treadmill help animals?

Spinal Manipulative therapy, veterinary spinal manipulation (aka chiropractic)

What therapeutic uses controlled, high velocity, low amplitude (HVLA) thrusts applies to the joints in order to restore normal joint mobility/range of motion and reduce tension in cases of back and neck pain and postural dysfunction often in sport horses and dogs?

a. holistic healing

b. enhance patient outcome

e. reduce reliance on pharmaceuticals

What are the overall goals of combining western and complementary modalities of therapeutics in integrative medicine:

a. holistic healing

b. enhance patient outcome

c. decrease workload of medication administration at home for owners

d. decrease owner cost

e. reduce reliance on pharmaceuticals

f. decrease treatment duration