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A CLINICAL GUIDE TO HOLISTIC PRACTICE
by William B. Risley, D.C.
Margaret J. Risley, R.N., M.A., M.S.N.
This manual is entitled "A Clinical Guide to Holistic Practice" but it could easily have been entitled, "What to do when the adjustment does NOT solve the condition."
We all have those patients with conditions that respond quickly and completely. In fact, the general response is gratifying in chiropractic practice.
We also have those patients that do not seem to improve or get well, no matter how many adjustments they receive. This book is for that group.
The asthmatic that keep exacerbating, the allergy case that doesn't completely respond, the hyperactive kid that drives everyone crazy. We all have those patients. This text will help you help many of them.
Please note that it is not the only guide to further care. It is simply another guide. Somewhere to turn to make the difference for your particular patient.
The text approaches each of the following conditions by:
1. Name of the diagnosed disease with ICD-9-CM codes of the disease and related ailments.
2. Description of the condition.
3. Typical M.D. approach.
4. Recommended natural or "holistic" approach, inclusive of chiropractic adjustments, diets, herbs, and other remedies.
Below is a list of topics considered:
|
* Acne * Allergy * Asthma * Attention Deficit Disorder (hyperactivity, ADDH) * Bedwetting * Bursitis * Colds (flu, influenza) * Colitis * Epilepsy * Flu (colds) |
* Headaches * Hyperactivity (attention deficit disorder, ADDH) * Hypertension * Hypoglycemia (low blood sugar) * Influenza (flu) * PMS (premenstrual syndrome) * Premenstrual Syndrome (PMS) * Psoriasis * Shingles (herpes zoster) * Sinusitis |
|
APPENDIX: * Laboratory Normals * ICDA Codes * CPT Codes * Glossary PLUS:
Comments on the "Negative" Effects of Vitamin C and E.
| |
The text lists ICD-9 CM Coding for each diagnosed condition and related conditions.
ASTHMA, BRONCHIAL ICD-9-CM 493-9
| Related Diagnoses: |
Bronchiectasis Bronchitis Bronchitis, Acute or Sub-Acute with flu Emphysema Dyspnea (difficult breathing) Asthmatic Pneumonia |
494 490 466.0 487.1 492.8 786.09 493.9 |
Description of each named disease
THE TYPICAL ASTHMATIC presents with a picture of dyspnea-significant breathing distress-struggling to inhale sufficient air to satisfy his oxygen demand. If the patient is diagnosed as "extrinsic" asthma, it is generally considered to be associated with external influences, such as allergens. (Allergic asthma 493.9) "Intrinsic Asthma" is generally considered to be of an unknown etiology, with a strong emotional connection being a possible causative factor.
Typically, the patient who is experiencing an extrinsic or allergic type reaction, inhales substances such as dust, pollen, hair, etc. These substances adversely affect the hypersensitive cells lining the bronchial and lung airways. A "normal" inflammatory reaction of swelling and mucous production then occurs, with the unfortunate net result of narrowing the lumen (opening) of the airways. The patient then laboriously struggles to enhance this diminished air-exchange and presents a frightening, anxiety-ridden profile, of breathing distress.
Normally, inhalation is a somewhat more efficient maneuver than exhaling, and the asthmatic bronchial tree and lung always accept a typical volume of air on inspiration. This now narrowed and poorly functioning breathing mechanism fails to exhale as much air as it inhales, creating a "hyperinflation" of alveoli, or "air sacs"...and more.
Lab Results, if applicable
LABORATORY RESULTS
Pressure of CO2 is considered within normal ranges between 34-45 mm of Hg. Less than 20 or greater than 20 mm is serious and life-threatening. An early decrease in PCO2 occurs with resultant blood alkalinity. A later increase in PCO2 and acidosis can be expected as the attack worsens. A pH between 7.25 and 7.55 suggests a common course of the ailment. Higher or lower pH than the range suggested is serious.
Medicines commonly prescribed and why, with their side effects
USUAL MEDICAL TREATMENT AND RATIONALE
Medically, the approach to asthma relief and control utilizes a variety of drugs for the following common reasons:
1. Epinephrine: This drug relaxes smooth muscles of the bronchial airways preventing constriction of the passage diameter, allowing more air to pass into the lungs.
2. Atropine: Prevents chemical messages that would order constriction of the bronchial pathways.
3. Steroids...and more.
Chiropractic adjustments always recommended as primary
HOLISTIC RECOMMENDATIONS
1. Chiropractic Spinal Adjustments. Your expertise in chiropractic care should be applied where indicated to the spine. Adjustments on a regular basis, judiciously applied, enable the system to recover and heal diseased tissue. The asthmatic patient commonly experiences equally rapid and dramatic relief of a breathing crisis, with spinal adjustments. Side effects are absent...and more.
2. Low Blood Sugar (Hypoglycemia). Functional hypoglycemia is common in this condition. See section on Low Blood Sugar (Page 47) and recommend elimination of most sugars of a refined or unrefined nature for this...and more.
3. Castor Oil Packs...and more.
4. See Oxidation Rates, (Page 5). Slow Oxidation is most likely with this condition. Nutritional supplementation...and more.
5. Avoid obvious allergens early in the treatment. It is impossible to eliminate all allergic substances from the patient's environment...and more.
Dietary Recommendations
There are certain dietary rules that are beneficial to all patients, over and above specific programs for diabetes mellitus, cholesterol, etc. For the asthmatic, elimination of milk and milk products is frequently a major factor...and more.
Eliminate pork and pork products for the diet. Crisp bacon on occasion is acceptable.
Refined sugar, white flour, pastries, etc., are unacceptable. Honey is a possible substitute rarely and in small amounts. Pure maple syrup in small amounts, as well. Pure does NOT mean commercial pancake syrups.
Fried foods are discouraged as they are potentially toxic and abnormally stress the digestive system . . .and more.
There are three (3) generally available texts on proper food combining, available at health food stores or other book stores...and more.
More ancillary recommendations for each condition
Use of "Steam Inhalant" of natural ingredients is extremely valuable in the lung impaired patient. Ask for Aromatherapy® at the following outlet...and more.
The lungs function as an elimination organ, along with bowels, kidneys, and skin. Dietary discretion eases the elimination burden of all the organs, but additional eliminatory assistance is often needed...and more.
Specific nutritional recommendations
Vitamin "E" of good quality, decreases the system's oxygen need by an estimated 60%. It increases oxidation as well, slow oxidation being common in asthma. (See Slow Oxidation, page 5).
Use of 400 to 1200 units of "E" per day during the acute stage is indicated along with Vitamin "A," for prevention of mucus buildup. Reduce the "E" to 400 units per day after the acute stage is in remission...and more.
Judicious use of 200,000 units of "A" for ten (10) days or less, reducing to 25,000 I.U. per day for maintenance is sometimes helpful. These fat-soluble vitamins frequently cause intestinal distress due to gallbladder upset. Discretion is indicated. Enzymes and Hydrochloric acids tables are helpful in this scenario.
Vitamin "C" in large quantities, 10,000 mgs. or more, in acute attacks can be helpful. Vitamin "C" supports the failing...and more.
50,000 to 150,000 mgs. of Vitamin "C" used at one time (oral or I.V.) has been reported helpful without harm, in acute attacks...and more.
Manganese is commonly deficient in...and more.
A complete nutritional evaluation is enhanced by use of Hair Analysis.
See section on Hair Analysis (page 7)...and more.
Zinc is indicated to counteract the toxic levels of copper, and this mineral is classically indicated in inflammations and infections.
See comments on negative effects on Vitamin "C" and "E" (page 10).
The Clinical Guide to Holistic Practice should be on the desk of every chiropractic doctor. Order yours today!
The Clinical Guide to Holistic Practice $59.95
Chirobooks
Dr and Mrs William Risley
10475 N 105th Way
Scottsdale, AZ 85258
480-451-9746
orders@chirobooks.com
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