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Encyclopedia of Health and Medicine

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N–O<br />

Native American healing A spirituality-based<br />

approach, also called traditional North American<br />

medicine, that incorporates ceremony, ritual, <strong>and</strong><br />

symbolism. In the Native American tradition,<br />

intent is as important as action <strong>and</strong> there are no<br />

distinctions between body, mind, <strong>and</strong> spirit. The<br />

illness or health <strong>of</strong> one affects the well-being <strong>of</strong><br />

the whole. As well, traditional Native American<br />

medicine holds that HEALING takes place within the<br />

body’s sense <strong>of</strong> time <strong>and</strong> timing, <strong>and</strong> efforts to<br />

rush or otherwise influence this timing extend<br />

rather than shorten the healing process.<br />

Traditional Native American healing practices<br />

made use <strong>of</strong> the sweat lodge, a small enclosed<br />

structure in which a fire burned hot. The heat<br />

would flush the cause <strong>of</strong> the ailment to the surface,<br />

where it would manifest in the form <strong>of</strong> a<br />

vision. People stayed in the sweat lodge until the<br />

heat initiated within them the vision necessary for<br />

healing. The person might then go into the forest,<br />

desert, or mountains to be with the vision <strong>and</strong><br />

allow the natural environment to reveal its meanings.<br />

The experience also restores the balance<br />

between the individual <strong>and</strong> the natural environment,<br />

an essential component <strong>of</strong> the healing<br />

process from the traditional perspective.<br />

Some hospitals in areas where there are Native<br />

American populations are beginning to incorporate<br />

Native American healers among the complementary<br />

providers available to patients, notably in<br />

the American Southwest. Drumming, chanting,<br />

smudging, <strong>and</strong> dancing may be among the elements<br />

<strong>of</strong> healing rituals. One <strong>of</strong> the most common<br />

ceremonies is the medicine wheel, a form <strong>of</strong> ritual<br />

MEDITATION or prayer similar to a LABYRINTH. The<br />

circle <strong>of</strong> the wheel represents the continuous harmony<br />

<strong>of</strong> the universe, with the four spokes representing<br />

the four directions <strong>and</strong> their correlations<br />

91<br />

to body (north), spirit (south), mind (east), <strong>and</strong><br />

inner peace (west).<br />

See also AYURVEDA; MIND–BODY INTERACTIONS;<br />

PRAYER AND SPIRITUALITY; TRADITIONAL CHINESE MEDI-<br />

CINE (TCM).<br />

naturopathy A system <strong>of</strong> medicine that uses<br />

methods <strong>and</strong> substances found in nature to maintain<br />

<strong>and</strong> restore health. The philosophical foundation<br />

<strong>of</strong> naturopathy rejects interventions such as<br />

major surgery, RADIATION THERAPY, <strong>and</strong> drugs other<br />

than elements, minerals, <strong>and</strong> other natural compounds.<br />

Naturopathy incorporates or supports<br />

therapeutic approaches such as ACUPUNCTURE,<br />

energy medicine, NUTRITIONAL THERAPY using diagnostic<br />

testing through functional medicine,<br />

hydrotherapy, physiotherapy, MEDICINAL HERBS AND<br />

BOTANICALS, HOMEOPATHY, <strong>and</strong> manipulative therapies<br />

(such as CHIROPRACTIC, MASSAGE THERAPY, <strong>and</strong><br />

OSTEOPATHIC MANIPULATIVE TREATMENT [OMT]).<br />

Naturopathic Diagnosis <strong>and</strong> Treatment<br />

The naturopathic physician assesses symptoms<br />

<strong>and</strong> examines patients in much the same fashion<br />

as a conventional doctor, though spends considerably<br />

more time addressing lifestyle factors such as<br />

nutrition, activity, relationships, stress, <strong>and</strong> emotional<br />

well-being. The naturopathic physician may<br />

function as a consultant for botanical or nutritional<br />

therapies, or as a primary-care provider<br />

who works collaboratively with other health-care<br />

pr<strong>of</strong>essionals <strong>and</strong> refers people for specialty care as<br />

needed, as would a conventional doctor (MD or<br />

DO). The naturopathic approach considers the<br />

person holistically <strong>and</strong> incorporates therapeutic<br />

methods that both treat symptoms <strong>and</strong> restore<br />

overall health <strong>and</strong> well-being. Naturopathic physicians<br />

spend much time educating people about

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