Naturopathic medicine

Naturopathic medicine

Naturopathic medicine (also known as naturopathy) is a school of medical philosophy and practice that seeks to improve health and treat disease chiefly by assisting the body's innate capacity to recover from illness and injury. Naturopathic practice may include a broad array of different modalities, including manual therapy, hydrotherapy, herbalism, acupuncture, counseling, environmental medicine, aromatherapy, nutritional counseling, homeopathy, and so on. Practitioners tend to emphasize a holistic approach to patient care. Naturopathy has its origins in a variety of world medicine practices, including the Ayurveda of India and Nature Cure of Europe. [1] It is today practiced in many countries around the world in one form or another, where it is subject to different standards of regulation and levels of acceptance.
Naturopathic practitioners prefer not to use invasive surgery, or most synthetic drugs, preferring "natural" remedies, for instance relatively unprocessed or whole medications, such as herbs and foods. Practitioners from accredited schools are trained to use diagnostic tests such as imaging and blood tests before deciding upon the full course of treatment. If the patient does not respond to these treatments, they are often referred to physicians who utilize standard medical care to treat the underlying disease or condition.
With only a few exceptions, most naturopathic treatments have not been tested for safety and efficacy utilizing scientific studies or clinical trials. There is a concern in the scientific and medical communities that these treatments are used to replace well-studied and tested medical procedures thereby endangering the health of the patient.[citation needed]

History of naturopathic medicine

The term naturopathy was coined before 1900, by John Scheel, and used by Benedict Lust. Lust had been schooled in hydrotherapy and other natural health practices in Germany by Father Sebastian Kneipp, who sent Lust to the United States to bring them Kneipp's methods. In 1905, Lust founded the American School of Naturopathy in New York, the first naturopathic college in the United States but "according to the New York Department of State, and the Florida Report to Governor Leroy Collins, it appears that this naturopathic school was never anything but a diploma mill". [2]. Lust took great strides in promoting the profession, culminating in passage of licensing laws in several states prior to 1935, including Arizona, California, Connecticut, Hawaii, Oregon, and Washington and the founding of several naturopathic colleges.
Naturopathic medicine went into decline, along with most other natural health professions, after the 1930s, with the discovery of penicillin and advent of synthetic drugs such as antibiotics and corticosteroids. In the post-war era, Lust's death, conflict between various schools of natural medicine (homeopathy, eclectics, physio-medicalism, herbalism, naturopathy, etc.), and the rise of medical technology were all contributing factors. In 1910, when the Carnegie Foundation for the Advancement of Teaching published the Flexner Report which criticized many aspects of medical education in various institutions (natural and conventional), it was mostly seen as an attack on low-quality natural medicine education. It caused many such programs to shut down and contributed to 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. One of the most visible steps towards the profession's modern renewal was the opening in 1956 of the National College of Naturopathic Medicine in Portland, Oregon. This was the first of the modern naturopathic medical schools offering four-year naturopathic medical training with the intention of integrating science with naturopathic principles and practice.

Naturopathic physicians and traditional naturopaths

There are two groups in North America calling themselves "naturopaths" who have recently been engaged in legal battles. The term when originally coined by John Scheel, and popularized by Dr. Benedict Lust was to apply to those receiving an education in the basic medical sciences with an emphasis on natural therapies. This usage best describes modern day naturopathic physicians. In the absence of universal regulation of naturopathy, another group of practitioners (the so-called 'traditional naturopaths') has emerged.

Naturopathic Physicians

Naturopathic physicians in North America are primary care providers trained in conventional medical sciences, diagnosis and treatment, and are experts in natural therapeutics. Licensing and training requirements vary from state to state, but at least 14 states, the District of Columbia, and four Canadian provinces have formal licensing and educational requirements. [3][4] In these jurisdictions, Naturopathic Physicians must pass comprehensive board exams set by the North American Board of Naturopathic Examiners (NABNE)[5] after having completed training at a college certified by the Council on Naturopathic Medical Eductaion (CNME)[6].

Traditional Naturopaths

Traditional naturopaths are guided by the same naturopathic philosophies and principles as board-licensed Naturopathic physicians and often prescribe similar treatments but do so as alternative or complimentary practitioners rather than as primary care providers. Some may voluntarily join a professional organization, but these organizations do not acredit educational programs in any meaningful way or license practitioners per se. The training programs for traditional naturopaths can vary greatly, are less rigorous and do not provide the same basic and clinical science education as naturopathic medical schools do. The professional organizations formed by traditional naturopaths are not recognized by the U.S. Government or any U.S. State or Territory.