Naturopathic Medicine
History
The term naturopathy was coined before 1900 by John Scheel, and used by
Benedict Lust. Father Sebastian Kneipp had schooled Lust in hydrotherapy
and other natural health practices in Germany and subsequently Lust brought
Kneipp's methods to the United States. In 1905 Lust founded the first
naturopathic college in the United States. Prior to 1935, Lust promoted
the profession, including establishing both licensing laws in several
states including Arizona, California, Connecticut, Hawaii, Oregon, and
Washington and several naturopathic colleges.
Penicillin and synthetic drugs such as antibiotics and corticosteroids keyed
the decline of naturopathic medicine after the 1930s. In the post-war era,
conflicts between schools of natural medicine, increasing medical technological
advances, the consolidation of political power in conventional medicine, and
Lust's death all contributed to this decline. In 1910 the Flexner Report was
published by the Carnegie Foundation for the Advancement of Teaching. This
report criticized contemporary medical education in both natural and conventional
institutions, but it was perceived more as a condemnation of low-quality natural
medicine education and it caused many such programs to shut down. The loss of
these programs propelled a major increase in the perception of allopathic medicine
as more effective than natural medicine and fueled the popularity of conventional
medicine.
Naturopathic medicine never completely ceased to exist however, as there
were always a few states in which licensing laws existed—though at one point
there were virtually no schools. The opening of the National College of
Naturopathic Medicine in Portland, Oregon in 1956 was one of the most
tangible acts toward the profession's renaissance. This was the first
of the modern naturopathic medical schools. Its naturopathic medical training was geared toward the integration of mainstream medical science
with naturopathic principles and practice, the very same mission offered by
John Thomas College.
Licensure and Training
Naturopathic physicians in the United States are independent providers with training in
conventional medical sciences, diagnosis and treatment, and natural therapeutics with
licenses or registration granted by an individual state Naturopathic Board of Medical
Examiners. They graduate from four-year naturopathic medical programs. Naturopathic
physicians training with respect to modalities is different, with a focus on nutrition,
botanical medicine, homeopathy, hydrotherapy, manipulative therapy, pharmacology, and
minor surgery. Some naturopathic physicians have additional training in the following:
natural childbirth, acupuncture, and Chinese medicine. These subspecialties often involve
additional years of study. Naturopathic physicians are required to attend continuing
education yearly in order to maintain and renew their license. Naturopathic physicians
are licensed to diagnose and treat disease in Alaska, Arizona, California, Connecticut,
District of Columbia, Hawaii, Idaho, Kansas, Maine, Montana, New Hampshire, Oregon,
Utah, Vermont, Washington, and the US Territories of Puerto Rico and the Virgin Islands.
Naturopathic physicians are working in cooperation with both conventional and
alternative practitioners to provide patients with complete medical care.
Naturopathic physicians can bridge disparate fields with their training in both
conventional and non-conventional treatment. Naturopathic physicians are able to
identify and prescribe treatment to the limit of their state licensure authority.
The referral to conventional medical doctors and specialists is undertaken when appropriate.
For licensure as a naturopathic physician in one of those licensing U.S. states or
Canadian provinces, candidates must have the degree Doctor of Naturopathic Medicine
(abbreviated as N.D. or N.M.D.) from an institution in the U.S. or Canada and pass licensing
board examinations. The abbreviation N.D. or N.M.D. may also denote the professional title
and status Naturopathic Doctor that is conferred by the licensing body in the state or province.
The Principles of Naturopathy
Naturopathy is based on six tenets or principles:
- "The healing power of nature"
- "Identify and treat the cause"
- "First do no harm"
- "Treat the whole person"
- "The physician as teacher"
- "Prevention"
The healing power of nature (Vis medicatrix naturae).
The healing power of nature has two aspects: first that the body has the ability
to heal itself and it is the physician's role to facilitate the natural processes
within the body, and also, secondly, that natural items aid in healing.
Following the first part of this principle includes getting adequate sleep,
exercise, nutrition and, if needed, specialized items geared toward healing.
The ideas that natural substances can gently move the body toward healing with
fewer side effects than those found in some synthetic pharmaceuticals is part
of the latter idea. To some large degree this is true, however we continue to
learn that it is dangerous to over-generalize regarding this concept and some
very persuasive arguments point out seeming contradictions to this idea.
Identify and treat the cause (Tolle causam).
The doctor's role is to identify the cause of a problem, in addition
to alleviate suffering by treating symptoms. The underlying causes of
disease must be removed for complete healing to take place. Seeking first
causes is not limited to the naturopathic profession, but rather is perfected
in this profession. First causes are often difficult to discern and the
naturopath persists in the asking of pertinent questions in order to bring
out the possible first causes in many cases. These first causes can exist at
many levels: physical, mental, emotional/spiritual or electrical.
The modalities employed by the naturopath and his/her experience
contribute significantly to asking the questions pertinent to any
potential case.
First do no harm (primum non nocere).
This statement is equivalent and equally as regarded as the identical
medical statement – do nothing to harm the patient. The process of healing
includes the manifestations of symptoms. Any therapy that interferes with
this natural healing process by masking symptoms is considered suppressive and
should be avoided according to naturopathic principles. The natural physical
processes of the individual facilitate healing and should therefore be supported
rather than restricted or suppressed.
Treat the whole person
A core tenet of naturopathy is the belief that health must go beyond
treatment of immediate symptoms. It is often said that a sick mind cannot
long exist in a healthy body. The naturopathic doctor considers all of the
possible causes of illness. That means treating the entire person: body, mind,
soul/spirit, and electrical system. This approach is usually called the holistic or
“wholistic” method.
The physician as teacher
The word doctor is derived from the Latin verb “docere” which is translated as “to lead”.
It is the role of the naturopath to educate an individual in proper and healthy
lifestyles and encourage individuals to be responsible for their health.
This healthy, intimate symbiotic relationship between doctor and patient is
essential to naturopathic philosophy.
Prevention
The ultimate goal of the naturopathic physician is preventing loss of health.
Fighting illness indicates that health has already been lost.
The emphasis on building health is implemented by fostering healthy lifestyles,
healthy beliefs, and healthy relationships.