Sara Warber

Between 30 and 50% of patients use complementary and alternative medicine (CAM). There is little research on the interaction between CAM and conventional providers. We investigated what messages CAM practitioners would convey to conventional medicine (CM). Thirty-four CAM practitioners participated in audiotaped interviews. A coherent message was constructed from the identified themes. CAM practitioners see CAM supporting CM rather than replacing it. Blending of CAM with CM benefits patients and CM providers. CAM reintroduces the concept of healing that technology and time pressures have reduced. The basis of healing is connection, being present in the moment, and seeing patients as whole human beings. Research validating CAM effectiveness will foster integration, as will inclusion of CAM theory and practice in the medical curricula. The messages from CAM practitioners to CM coincide with current views of integrative medicine. Collaboration in research, education, and practice can foster a high-quality health care system.

ABSTRACT The primary objective of this investigation is to compare the levels of L-dopa and the isoflavonoids, genistein and daidzein and their respective glucosyl conjugates, in seeds with ten-day-old seedlings of 24 different cultivars of fava bean (Vicia faba L.). Our working hypothesis is that the levels of these secondary metabolites will vary significantly in the different V. faba L. cultivars, and that seedlings will possess higher levels of both L-dopa and the isoflavonoids of interest than seeds of all of the cultivars used in this investigation. Here, we show that this hypothesis is correct. We discuss the importance of these findings for human medicine and nutrition, and their value for integrative medicine.

A mini-hydroponic growing system was employed for seedlings of kudzu vine (Pueraria montana) and contents of isoflavones (daidzein, genistein, daidzin, genistin, and puerarin) from shoot and root parts of seedlings were analyzed quantitatively. In addition, exogenous cork pieces, polymeric adsorbent, XAD-4, and universal elicitor, methyl jasmonate (MeJA), were used to regulate the production of these isoflavones. It was shown that cork pieces up-regulate the production of daidzein and genistein up to seven- and eight-fold greater than the levels obtained for control roots. In contrast, levels of glucosyl conjugates, daidzin and genistin, decrease up to five- and eight-fold, respectively. Cork treatment also induces the excretion of the root isoflavone constituents into the growth medium. Minimal levels of isoflavones are absorbed by the cork pieces. XAD-4 stimulates the production of glucosyl conjugates, daidzin and genistin, in root parts about 1.5-fold greater than that obtained in control roots. These are the highest amounts of daidzin and genistin that are observed (5.101 and 6.759 mg g−1 dry weight, respectively). In contrast to these two adsorbents, MeJA increases the accumulation of isoflavones in shoot rather than in root parts of seedlings, about three- to four-fold over control levels, with the exception of genistein. These studies reveal new observations on the regulation of isoflavone production in hydroponically grown Pueraria montana plants by two adsorbents (cork pieces and XAD-4) and MeJA elicitor.

Content on integrative healthcare and complementary and alternative medicine is now being taught in hundreds of educational programs across the country. Nursing, medical, osteopathic, chiropractic, acupuncture, naturopathic, and other programs are finding creative and innovative ways to include these approaches in new models of education and practice. This column spotlights such innovations in integrative healthcare and CAM education and presents readers with specific educational interventions that they can adapt into new or ongoing educational efforts at their institution or program. We invite readers to submit brief descriptions of efforts in their institutions that reflect the creativity, diversity, and interdisciplinary nature of the field. Please submit to Dr. Sierpina at or Dr. Kreitzer at . Submissions should be brief, no more than 300 to 400 words. Please include any Web site or other resource that is relevant as well as contact information.