Saturday, August 22, 2009

Alternative Medicine and Indonesia's Jamu



What Is Complementary and Alternative Medicine?

Complementary and alternative medicine (CAM) is a group of diverse medical and health care systems, practices, and products that are not presently considered to be part of conventional medicine. Conventional medicine is medicine as practiced by holders of M.D. (medical doctor) or D.O. (doctor of osteopathy) degrees and by their allied health professionals, such as physical therapists, psychologists, and registered nurses. Some health care providers practice both CAM and conventional medicine. While some scientific evidence exists regarding some CAM therapies, for most there are key questions that are yet to be answered through well-designed scientific studies--questions such as whether these therapies are safe and whether they work for the diseases or medical conditions for which they are used.

The list of what is considered to be CAM changes continually, as those therapies that are proven to be safe and effective become adopted into conventional health care and as new approaches to health care emerge.

Are complementary medicine and alternative medicine different from each other?
Yes, they are different.

* Complementary medicine is used together with conventional medicine. An example of a complementary therapy is using aromatherapy to help lessen a patient's discomfort following surgery.
* Alternative medicine is used in place of conventional medicine. An example of an alternative therapy is using a special diet to treat cancer instead of undergoing surgery, radiation, or chemotherapy that has been recommended by a conventional doctor.

What is integrative medicine?

Integrative medicine combines treatments from conventional medicine and CAM for which there is some high-quality evidence of safety and effectiveness. It is also called integrated medicine.

What are the major types of complementary and alternative medicine?

NCCAM groups CAM practices into four domains, recognizing there can be some overlap. In addition, NCCAM studies CAM whole medical systems, which cut across all domains.

Whole Medical Systems
Whole medical systems are built upon complete systems of theory and practice. Often, these systems have evolved apart from and earlier than the conventional medical approach used in the United States. Examples of whole medical systems that have developed in Western cultures include homeopathic medicine and naturopathic medicine. Examples of systems that have developed in non-Western cultures include traditional Chinese medicine and Ayurveda.

Mind-Body Medicine
Mind-body medicine uses a variety of techniques designed to enhance the mind's capacity to affect bodily function and symptoms. Some techniques that were considered CAM in the past have become mainstream (for example, patient support groups and cognitive-behavioral therapy). Other mind-body techniques are still considered CAM, including meditation, prayer, mental healing, and therapies that use creative outlets such as art, music, or dance.

Biologically Based Practices
Biologically based therapies in CAM use substances found in nature, such as herbs, foods, and vitamins. Some examples include dietary supplements, herbal products, and the use of other so-called natural but as yet scientifically unproven therapies (for example, using shark cartilage to treat cancer).

Manipulative and Body-Based Practices
Manipulative and body-based practices in CAM are based on manipulation and/or movement of one or more parts of the body. Some examples include chiropractic or osteopathic manipulation and massage.
Energy Medicine
Energy therapies involve the use of energy fields. They are of two types:

* Biofield therapies are intended to affect energy fields that purportedly surround and penetrate the human body. The existence of such fields has not yet been scientifically proven. Some forms of energy therapy manipulate biofields by applying pressure and/or manipulating the body by placing the hands in, or through, these fields. Examples include qi gong, Reiki, and Therapeutic Touch.
* Bioelectromagnetic-based therapies involve the unconventional use of electromagnetic fields, such as pulsed fields, magnetic fields, or alternating-current or direct-current fields.

What is NCCAM's role in the field of CAM?

NCCAM is the Federal Government's lead agency for scientific research on CAM. . NCCAM's mission is to explore complementary and alternative healing practices in the context of rigorous science, train CAM researchers, and disseminate authoritative information to the public and professionals.
Alternative Health Glossary

Acupuncture ("AK-yoo-pungk-cher") is a method of healing developed in China at least 2,000 years ago. Today, acupuncture describes a family of procedures involving stimulation of anatomical points on the body by a variety of techniques. American practices of acupuncture incorporate medical traditions from China, Japan, Korea, and other countries. The acupuncture technique that has been most studied scientifically involves penetrating the skin with thin, solid, metallic needles that are manipulated by the hands or by electrical stimulation.

Aromatherapy ("ah-roam-uh-THER-ah-py") involves the use of essential oils (extracts or essences) from flowers, herbs, and trees to promote health and well-being. Ayurveda ("ah-yur-VAY-dah") is a CAM whole medical system that has been practiced primarily in the Indian subcontinent for 5,000 years. Ayurveda includes diet and herbal remedies and emphasizes the use of body, mind, and spirit in disease prevention and treatment.

Chiropractic ("kie-roh-PRAC-tic") is a CAM whole medical system. It focuses on the relationship between bodily structure (primarily that of the spine) and function, and how that relationship affects the preservation and restoration of health. Chiropractors use manipulative therapy as an integral treatment tool.

Dietary supplements. Congress defined the term "dietary supplement" in the Dietary Supplement Health and Education Act (DSHEA) of 1994. A dietary supplement is a product (other than tobacco) taken by mouth that contains a "dietary ingredient" intended to supplement the diet. Dietary ingredients may include vitamins, minerals, herbs or other botanicals, amino acids, and substances such as enzymes, organ tissues, and metabolites. Dietary supplements come in many forms, including extracts, concentrates, tablets, capsules, gel caps, liquids, and powders. They have special requirements for labeling. Under DSHEA, dietary supplements are considered foods, not drugs.

Electromagnetic fields (EMFs, also called electric and magnetic fields) are invisible lines of force that surround all electrical devices. The Earth also produces EMFs; electric fields are produced when there is thunderstorm activity, and magnetic fields are believed to be produced by electric currents flowing at the Earth's core.

Homeopathic ("home-ee-oh-PATH-ic") medicine is a CAM whole medical system. In homeopathic medicine, there is a belief that "like cures like," meaning that small, highly diluted quantities of medicinal substances are given to cure symptoms, when the same substances given at higher or more concentrated doses would actually cause those symptoms.

Massage ("muh-SAHJ") therapists manipulate muscle and connective tissue to enhance function of those tissues and promote relaxation and well-being.

Naturopathic ("nay-chur-o-PATH-ic") medicine, or naturopathy, is a CAM whole 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 medicine.

Osteopathic ("ahs-tee-oh-PATH-ic") medicine is a form of conventional medicine that, in part, emphasizes diseases arising in the musculoskeletal system. There is an underlying belief that all of the body's systems work together, and disturbances in one system may affect function elsewhere in the body. Some osteopathic physicians practice osteopathic manipulation, a fullbody system of hands-on techniques to alleviate pain, restore function, and promote health and well-being.

Qi gong ("chee-GUNG") is a component of traditional Chinese medicine that combines movement, meditation, and regulation of breathing to enhance the flow of qi (an ancient term given to what is believed to be vital energy) in the body, improve blood circulation, and enhance immune function.

Reiki ("RAY-kee") is a Japanese word representing Universal Life Energy. Reiki is based on the belief that when spiritual energy is channeled through a Reiki practitioner, the patient's spirit is healed, which in turn heals the physical body.

Therapeutic Touch is derived from an ancient technique called laying-on of hands. It is based on the premise that it is the healing force of the therapist that affects the patient's recovery; healing is promoted when the body's energies are in balance; and, by passing their hands over the patient, healers can identify energy imbalances.

Traditional Chinese medicine (TCM) is the current name for an ancient system of health care from China. TCM is based on a concept of balanced qi (pronounced "chee"), or vital energy, that is believed to flow throughout the body. Qi is proposed to regulate a person's spiritual, emotional, mental, and physical balance and to be influenced by the opposing forces of yin (negative energy) and yang (positive energy). Disease is proposed to result from the flow of qi being disrupted and yin and yang becoming imbalanced. Among the components of TCM are herbal and nutritional therapy, restorative physical exercises, meditation, acupuncture, and remedial massage.

Source :Everyday Health

Traditional Indonesia Medicine
JAMU

'Back to nature' is not merely a slogan in Java and Indonesia. The visible proof is the use of traditional herbal medicine of various type of 'medical plants', either from the leaves, the fruits, the roots, the flowers or the barks, etc.

These herbal medicine had been used since the ancient time up to now, it is largely consumed by people of different level; lower, middle and upper, in the villages and in the big cities.

The study of jamu had been conducted by Rumphius, a botanist as early as the year 1775 AD by publishing a book 'Herbaria Amboinesis'. A scientific research for jamu by the research center of herbal medicine in Bogor Botanical Garden, resulting a publication of a book 'Medical Book for Children and Adults', composed by E. Van Bent.

The first seminar about jamu has been held in Solo in 1940, followed by a Formation of Indonesia's Jamu Committee in 1944. In the 1966, a seminar on jamu was held again. In 1981, a book by title of 'The use of Medical Plants' was established to support the jamu industry in the country.

The method of using the jamu remains the same as the ancestors did. Some are consumed by drinking it and some are for outside application.

At present one could buy easily ready made jamu packed modernly in the form of powder, pills, capsules, drinking liquid and ointments. Of course there are still jamu shops, which sell only ingredients or prepare the jamu on spot as required by buyers. Some women are roaming the street to sell jamu, is a common view across the country.

The traditional methods of making jamu such as by boiling the prepared herbal ingredients (jamu godok) still prevail in Javanese society. The popular traditional tools of making jamu are still available in many Javanese houses such as; Lumpang (small iron Mortar), pipisan, parut (grater), kuali (clay pot), etc.

What kind of disease could jamu cure?
The reply is almost every disease, jamu could cure. There are various kinds of jamu to combat different kind of illness. In Principle there are two types of jamu; the first is jamu to maintain physical fitness and health, the locally popular are Galian Singset (to keep women body fit and slim) and Sehat Lelaki (to keep men body healthy). The second is jamu to cure various kinds of illness. Except the above, there are special jamu created with the purpose to maintain a loving family harmony. The popular products among other are Sari Rapet, which makes a women sexual organ in a good condition, as for the man the matched product is jamu Kuat Lekaki (strong man). The Javanese are also taking a great care to pregnant women during pre and postnatal period by producing the related jamu. There are also jamu for the babies.

The Herbs for Jamu
There are hundreds of herbs for jamu prescriptions, among other are:

Spices
Ginger (Zingiber Officinale)
Lempuyang (Zingiber Oronaticum)
Temu Lawak/ Wild Ginger (Curcuma Cautkeridza)
Kunyit/ Tumeric (Curcuma Domestica)
Kencur/ Greater Galingale (Kaemferi Galanga)
Lengkuas/ Ginger Plant (Elpina Galanga)
Bengle (Zingiber Bevifalium)

Leaves
Secang (Caesalpinia Sappan Hinn)
Sambang Dara (Rexco Ecaria Bicolar Hassk)
Brotowali (Tiospora Rumpii Boerl)
Adas (Foeniculum Vulgare Mill)

Fruits
Jeruk Nipis/ Calamondin (Citrae Aurantifalia Sivingle)
Ceplukan (Physalic Angulata Him)
Nyamplung (Calophylum Inaphyllu)

Barks
Kayu Manis/ Cinamon (Gijeyzahyza Glabra)

Flowers
Melati/ Yasmin (Jataninum Sunbac Ait)
Rumput Alang-alang (Gramineae)

It is worth to note that some jamu factories in Java are exporting its products. Besides the export of ready made jamu, 25 kinds of herbal plants and ingredients are also in the list of export to Europe, Australia, USA, Japan, etc.

No Side Effects
The people like to consume jamu due to :

* Availability in many places
* Comparatively cheap price
* No side effects



TRADITIONAL COSMETICS


The Natural Beauty of Woman
A Javanese woman is very much concern for her physical appearance to be always slim, beautiful with an alluring bright smiling face.

As a Javanese idiom says "Ngadi Sarira" to maintain the body to be always in perfect condition is of prime important. The way of life of a Javanese is greatly influenced by the royal culture. Not surprisingly that the art of "Keeping Beauty' is originated from the court palaces.

The Secret of a Princess Beauty
The Ladies of the Royal Families have a reputation to inherit the beauty of goddesses from paradise.

As told in the story of wayang (leather puppet) by the dalang (puppet master) , all parts of a princess body is always perfect and alluring: the beautiful black thick hair, a smooth skin, bright eyes, charming eye brows, eye lids and nose, bright reddish lips, white nicely teeth, wonderful built neck and shoulder, beautiful hands and arms, a waist like the one of a bee meanings slim and perfectly built.

The dalang with a clear deep voice, like in the poem reading adores the beauty of a princess with a thousands of words. It seems that all words of a complete dictionary are not enough to express of what a wonderful beauty a princess has.

The use of Traditional Jamu and Cosmetics
Nowadays, some secrets of this Karaton (Palaces) culture of "Ngadi Sarira" are known by many women from outside the Karaton walls. The Jamu is widely used to give an inner beauty, due to a good physical health.

Some of the products are consumed directly by eating it, for instance Kepel Fruit (a brown fruit of a chicken egg size), it's a natural deodorant. By eating it that would fragrant the odor of the body even the urine smells the fragrance of that fruit.

Jambu Mawar ( a kind of rose apple, mawar means a flower of rose) gives a fresh smell of breath. Some cosmetics are for outside application such as bedak dingin (cool powder) and lulur (scrubbing powder).

Beauty Care
Every woman is always proud of her hair – thick and shining, color and style. For natural shampooing, the ash of rice stalks work as a shampoo to clean the hair. After being washed by water, ingredients consist of
coconut milk, jeruk purut (a kind of citrus fruit smells like a lime ) and pandanus leaves are to be applied. It functions as a conditioner to clean the dandruff. The hair then washed by water again, to be dried while vaporizing with ratus fragrance.

Finally, a hair oil by the name of cemceman, made of coconut oil with pandanus , kenanga flower, jeruk purut etc. is applied.

Skin Care
For face caring, bedak dingin (cool powder) is applied. It's made from tendered rice with special ingredients, such as pandanus, kenanga flower etc.

For other parts of the body, lulur is applied, popularly known as mandi lulur (lulur bathing).

Lulur is also made from tendered rice, pandanus, some leaves of kemuning (with yellow color) and some medicinal roots. The lulur should stimulate the body to throw out the dead cells, replace it with new ones, stimulate blood circulation under the skin, smooth the skin and at the same time scents it.

Steaming the body
Steams of several boiled herbs are applied to ensure body freshness, including the woman organ. The steaming took about a ½ hour.

Producers
Besides the traditional cosmetics made by hand, in the country there are some big and well known manufactures of cosmetics, using modern machinery. These products are used widely across the country, even this cosmetics have been exported to many countries of the world.

Source: Traditional Indonesia Medicine



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Thursday, August 6, 2009

Shy Kids - Samuel Gultom

What is Shyness?

Outward Signs - One of the difficulties of being shy is that it is very often impossible to hide your shyness from other people. Signs of shyness include frequent trouble talking, stammering, stuttering, blushing, shaking, sweating hands.When these things start to happen, the shy person often becomes more upset and less able to deal with the current conversation or situation. Please keep in mind that these things happen to everyone sometimes. We all get nervous in new situations and then the more the nervousness is thought about, the more nervous we may become.

Inward Signs - Many shy people have both inward and outward signs of shyness. However some people can act confident on the outside, but feel miserable on the inside. While these people act very self-assured on the outside, inside they have a racing heart and almost constant thoughts on how the conversation is going, how they look, if the other people in the room like them, and how quickly they can leave the situation and return home.

source: shykids.com


Some children are naturally outgoing while others are more selective in their friendships. Most parents accept that. But how do you know if shyness is a problem for your child, and what are some strategies for overcoming shyness?

“Shyness is a combination of basic genetic makeup and your life experience,” says psychiatrist Andrew Harper, MD, associate professor of psychiatry and behavioral sciences at the University of Texas Medical School at Houston and medical director at the UT Harris County Psychiatric Center. “There are always going to be people who are less comfortable around new folks or less likely to initiate conversation.”

Overcoming Shyness

Dr. Harper says that he is concerned about shyness in a child if:

  • It is causing a problem for the child, such as preventing them from making friends.
  • There is reason to believe it is a sign of underlying anxiety or depression.

In those instances, you should probably seek professional medical help to understand the situation and develop coping strategies.

But otherwise, you and your child might be able to find ways to overcome shyness at home with the following tips:

  • Shift the focus. Talk about your shy child’s special strengths. Your child might not be a social butterfly but may be a great listener who is always there for friends. Take time to emphasize strengths that may be underappreciated.
  • Assess the shyness. Find out if the shyness appears to others to be something more negative, like snobbery, and come up with ways to address that misunderstanding.
  • Practice new situations. Help kids anticipate situations with new people — have your child practice strategies to use during these situations with you.
  • Plan conversations. Work together to come up with some ideas for things your child can talk to other children about.
  • Highlight body language. Encourage your child to make eye contact and smile when talking to people.
  • Rehearse overcoming shyness. Urge shy kids to write down what they want to say in a phone call, conversation, or presentation, and practice saying it out loud.
  • Join the club. Find groups that are doing things your child enjoys, such as sports, art, drama, or outdoors activities. Sharing a common interest will give your child a way to meet new people in a low-pressure environment.

It also helps just to let your child know that everyone feels a bit shy or awkward sometimes. “Acknowledge it a bit,” says Harper. “Everyone feels awkward in new situations, like a new school. It’s okay to feel a little bit awkward, but realize it’s likely to pass.”

Signs of Abnormal Shyness

Shyness can be part of a social anxiety disorder. Talk to a professional if your child’s shyness cannot be overcome and has any of the following qualities:

  • Physical symptoms, such as sweating, nausea, or shaking.
  • Forgetfulness during conversations and difficulty speaking around other people.
  • Intense fear of being watched or judged by others.
  • Fear of embarrassment that leads to avoidance of activities.

Keep in mind that some shyness and social anxiety may be permanently a part of your child’s brain chemistry. A study published in the online journal PLoS One showed that the brains of very anxious individuals may actually function differently from people who are less anxious and shy — and this brain chemistry does not change over time.

But remember that while anxiety and paralyzing shyness may need to be treated, garden-variety shyness is no cause for concern.

Source:EverydayHealth




Regards,

Samuel Gultom
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