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Encyclopedia of Health and Medicine

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90 Alternative <strong>and</strong> Complementary Approaches<br />

health experts recommend BREASTFEEDING mothers<br />

do not use milk thistle or silymarin extract.<br />

Milk thistle is available in dried plant form in<br />

teas, <strong>and</strong> also in preparations <strong>of</strong> silymarin extract<br />

in tablet form. People who are allergic to common<br />

thistle, daisies, artichokes, or kiwi (all <strong>of</strong> which are<br />

in the same plant family as milk thistle) should<br />

not take milk thistle or silymarin in any form.<br />

Milk thistle or silymarin extract may cause digestive<br />

upset including NAUSEA <strong>and</strong> DIARRHEA. Because<br />

<strong>of</strong> its enzymatic inhibitory actions, milk thistle<br />

may interfere with INSULIN–GLUCOSE processes. People<br />

who have DIABETES should consult with their<br />

doctors before using milk thistle or silymarin.<br />

MILK THISTLE (Silybum marianum)<br />

Uses Risks/Side Effects Interactions<br />

CIRRHOSIS allergic reaction INSULIN therapy<br />

chronic HEPATITIS digestive upset<br />

mushroom<br />

poisoning<br />

DRUG poisoning<br />

See also HEPATOTOXINS.<br />

mind–body interactions Approaches <strong>of</strong> care that<br />

engage the interrelationships between the mind<br />

<strong>and</strong> the body for HEALING <strong>and</strong> health. Healers have<br />

known for centuries that the state <strong>of</strong> the mind<br />

influences the condition <strong>of</strong> the body. Contemporary<br />

physicians will not hesitate to say that the<br />

patient’s attitude <strong>and</strong> outlook are at least as<br />

important as any technology modern medicine<br />

has to <strong>of</strong>fer. Though the mind alone cannot prevent<br />

or heal significant physical conditions such as<br />

CANCER or CARDIOVASCULAR DISEASE (CVD), an individual’s<br />

mindset shapes the determination with<br />

which he or she approaches treatment <strong>and</strong> treatment’s<br />

ultimate success or failure.<br />

AROMATHERAPY<br />

BIOFEEDBACK<br />

HYPNOSIS<br />

MEDITATION<br />

REIKI<br />

VISUALIZATION<br />

MIND–BODY THERAPIES<br />

ART THERAPY<br />

CRANIOSACRAL MASSAGE<br />

MASSAGE THERAPY<br />

PRAYER AND SPIRITUALITY<br />

TAI CHI<br />

YOGA<br />

At the most basic level, perceptions about<br />

health, illness, <strong>and</strong> the success or failure <strong>of</strong> treatment<br />

influence a person’s compliance with the<br />

doctor’s recommendations from the taking <strong>of</strong> prescription<br />

medications to lifestyle modifications<br />

such as weight loss or SMOKING CESSATION. At a<br />

more sophisticated level, clinical studies demonstrate<br />

the ability <strong>of</strong> some people to consciously<br />

alter body functions such as HEART RATE <strong>and</strong> BLOOD<br />

PRESSURE through methods such as BIOFEEDBACK<br />

<strong>and</strong> MEDITATION. Cancer treatment programs use<br />

healing visualization, in which the person in treatment<br />

meditates to visualize his or her cancer gone<br />

<strong>and</strong> the body strong <strong>and</strong> healthy. Surgeons <strong>and</strong><br />

anesthesiologists <strong>of</strong>ten recommend visualization<br />

before <strong>and</strong> after surgery, encouraging people to<br />

“see” the surgery succeed <strong>and</strong> the body restore<br />

itself to health.<br />

See also BEHAVIOR MODIFICATION THERAPY; LIFESTYLE<br />

AND HEALTH; ORNISH PROGRAM.

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