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Also known as "natural medicine" or "nature cure," Naturopathy developed in the late 19th century, founded on an ancient belief in the power of the body to heal itself, Naturopaths believe that the body's natural state is one of equilibrium, which can be disturbed by an unhealthy lifestyle. They look for the underlying causes of a problem rather than treating symptoms alone, combining diet and noninvasive therapies where possible to stimulate the healing process. Naturopathy is practiced throughout the Western world and some of its principles have been adopted by conventional medicine.


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HISTORY

Some aspects of naturopathy have common ground with other ancient holistic health systems, such as Traditional Chinese Medicine and Ayurveda, which share the belief that the body has an innate power to heal itself. In Naturopathy this power is known as the "vital force." Many of the principles of Naturopathy can be found in the work of the Greek physician Hippocrates. Writing in the 5th century B.C., he said that health could be maintained by a balance of rest, exercise, and plain food in moderation, while cures should be as natural as possible to stimulate the body's ability to heal itself.  

The term "naturopathy" was coined in 1895 by Dr. John Scheel of New York, but the system grew out of the "nature cures" popular in 19th-century spa towns in Austria and Germany. These emphasized the benefits of hydrotherapy, fresh air, sunlight, and exercise. Naturopathy was also influenced by the work of the French physiologist Claude Bernard in the 1850s. Bernard developed the concept of le milieu interieur (the body's internal environment), the equilibrium of which, he maintained, was vital for good health, or "homeostasis".  
 
Naturopathy was introduced in the US in the 1890s by Benedict Lust, a follower of the German monk Father Sebastian Kneipp, who had established health spas in Europe. Lust founded the American School of Naturopathy in New York in 1896. The practice flourished in the US and in 1909 California became the first state to recognize it as a therapy. By the late 19th century, John Kellogg (famous for his breakfast cereals) was using natural therapies at his sanatorium in Battle Creek, Michigan. In 1918-19, the naturopath Henry Lindlahr set out the principles of naturopathy in his Philosophy of Natural Therapeutics. Advances in pharmaceuticals and surgery in the 1930s swept natural methods aside in the US, and it was not until the 1960s that interest revived.
 
Naturopathy is widely practiced in many countries. In Germany, there are several thousand state-licensed naturopaths, or Heilpraktiher (health practitioners), and, as in the US, Canada, the UK, Australia, and the Netherlands, they are reasonably autonomous. In some states, naturopaths are recognized as family practitioners. Italy, Spain, and Israel also have growing numbers of naturopaths. 
 
KEY PRINCIPLES
 
Modern naturopaths believe the body will always strive toward good health, or homeostasis, and that the body is its own best healer. They maintain that many factors, such as an unhealthy diet, a lack of sleep, exercise, or fresh air, any emotional or physical stress, pollution in the environment, even negative attitudes, allow waste products and toxins to build up in the body and upset self­regulation. This in turn can overload the immune system and weaken the vital force, the body's innate ability to maintain good health. If this vital force is weakened, the body becomes susceptible to viruses, bacteria, and allergens.  
 
Naturopaths believe that symptoms such as fever or inflammation are signs of the body's self-healing powers at work, and advise against suppressing such symptoms, since that can cause disorders to "go underground," becoming chronic and causing further degeneration. Rather than treating symptoms directly, naturopaths work to improve underlying health so that the patient is less susceptible to infection.  
 
Naturopathic treatments are as non­invasive as possible. Some practitioners specialize in a particular approach, while others draw on a wide range of techniques. Some of the most commonly used treatments include clinical nutrition and fasting (diet is a very important part of naturopathic medicine); hydrotherapy; physical therapies, including osteopathy or chiropractic, massage, and physiotherapy; counseling and lifestyle modification; herbal medicine; homeopathy; Traditional Chinese Medicine; light therapy; touch therapies including massage, acupressure, shiatsu, and reflexology; and yoga. 
 
EVIDENCE & RESEARCH
 
The therapeutic benefits of a whole-foods diet and other naturopathic practices, such as regular exercise, relaxation, and the use of massage for stress relief, have been endorsed by medical research.
 
In 1991, a study of ear infections in children, undertaken by the American Association of Naturopathic Physicians, claimed that naturopathy was an effective alternative to antibiotics and surgery. At the Bastyr University Clinic in Seattle, the Healing AIDS Research Project treated 16 HIV-positive patients along naturopathic lines for a year, using vitamin supplements, hydrotherapy, homeopathy, and herbal remedies. The results of their trial, published in 1992, revealed that 12 of the 16 reported improved well-being and none of the group developed AIDS.
 
MEDICAL OPINION

Many long-held naturopathic notions, such as the importance of a diet that is high in fiber and antioxidants, and low in salt and fat, have since been adopted by conventional medicine. Stress management and exercise, now accepted by doctors as important to health, have been stock-in-­trade in naturopathy for most of the 20th century. Conventional preventive medicine, though it might not admit it, owes a lot to the naturopathic tradition.

CONSULTING A PRACTITIONER
 
The first visit to a naturopath may last up to an hour as he will want to build up a complete picture of your physical and emotional well-being. He will probably give you a routine medical examination, including tests on your blood pressure, lungs and heart, spinal joints, and reflexes. The practitioner may also arrange for X rays, blood, urine, and other tests. In addition, he may carry out nonconventional tests, examining your irises, analyzing your sweat or hair, or using kinesiology muscle tests. A naturopath may diagnose your condition in terms unfamiliar to conventional doctors, such as "toxic accumulation" and "leaky gut."
 
Treatment falls into two broad categories. Catabolic (cleansing) treatment is given for conditions caused by a buildup of waste products, and may include fasting to assist detoxification. Anabolic (strengthening) treatment is aimed at building up a weakened constitution with nutritional supplements and changes in diet. The practitioner may give advice about breathing patterns, exercise, and relaxation. Some naturopaths are also trained in counseling skills and techniques such as hypnotherapy. Advice is tailored to individual needs, and willing participation in treatments and a positive mental attitude are crucial. Your health should improve steadily, possibly with temporary relapses known as "healing crises" as detoxification takes effect.
 
PRECAUTIONS
 
•    Do not fast or follow a restricted diet without supervision by a qualified naturopath.

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