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A user's guide to four types of treatment

Here is a primer on alternative medicine and some questions to ask your potential provider. We focused on four alternative medical systems — naturopathy, homeopathy, Chinese medicine and Ayurveda — all listed as comprehensive approaches to health by the National Center for Complementary and Alternative Medicine.

Naturopathy

What it is: First developed in the late 1800s by Germany's Dr. Benedict Lust, who believed all organisms have an innate and powerful ability to heal. Naturopathy looks not at symptoms but the whole person and tries to find underlying causes for illnesses, said naturopath Jane Guiltinan, dean of clinical affairs for the Bastyr Center for Natural Health and a member of the Harborview Medical Center board. "Conventional medicine typically uses a more symptom- or disease-based approach. They identify the disease and use either a drug or surgical intervention to address the symptom," Guiltinan said. "Naturopathic physicians look at body, mind and spirit causes for why somebody may not be well."

Typical patients: About 75 percent go to a naturopath for chronic conditions such as back pain, fatigue or headaches, according to Group Health's Center for Health Studies. Others go for common conditions such as colds or life-threatening illnesses such as cancer, said Guiltinan.

Treatments: Include hydrotherapy — a treatment that applies water in different forms and temperatures — homeopathy, nutrition and herbs. Costs typically range from $50 to $200.

Checking them out: Naturopaths are licensed in Washington and have attended one of five accredited North American naturopathic schools — including Bastyr University in Kenmore and the National College of Naturopathic Medicine in Portland.

For more information


• Bastyr University — a leading natural-health university in Kenmore: 425-823-1300 or www.bastyr.edu

• Dr. Weil — an online resource about herbs, health and wellness sponsored by Harvard Medical School graduate and author of eight books on health, Dr. Andrew Weil: www.drweil.com • National Center for Complementary and Alternative Medicine — a branch of the National Institutes of Health: 888-644-6226 or www.nccam.nih.gov

• Quackwatch — a watchdog Web site to investigate fraudulent or dangerous health-care practices including some quick, alternative cures that have no scientific basis: www.quackwatch.org

Finding one: The Washington Association of Naturopathic Physicians licenses state practitioners (877-788-8882 or www.wanp.org). The American Association of Naturopathic Physicians licenses practitioners nationwide (866-538-2267 or www.naturopathic.org).

Homeopathy

What it is: Founded in the 1800s by Dr. Samuel Hahnemann in Germany, homeopathy means "the law of similars" in Latin. The main premise is that symptoms are natural defenses and if similar symptoms can be created by taking small doses of plant, animal or mineral matter, then the natural defenses can be strengthened to ward off disease and illness.

Although like vaccines in rationale, homeopathy differs in that doses are smaller than those found in vaccines and treatment is individualized to each person, said Dana Ullman, the founder of Homeopathic Educational Services in Berkeley, Calif.

Typical patients: Have a broad range of illnesses but mainly chronic ailments such as allergies, asthma, arthritis or infections.

Treatments: Include lifestyle recommendations and individualized medicines. Costs can range from $75 to $500 depending if the practitioner is also a medical doctor.

Checking them out: There are homeopathic training schools and courses, as well as separate professional homeopathic organizations for medical doctors, health professionals such as nurses, naturopaths and finally, people who have passed certain homeopathic exams. However, there are no national standards for practice, and no agencies or organizations that certify or license homeopaths.

Finding someone: The National Center for Homeopathy, a homeopathic educational organization, lists homeopathic practitioners including medical doctors and other health professionals (703-548-7790 or www.homeopathic.org). The Web site also lists homeopathic schools.

Chinese medicine

What it is: Dating back at least 3,000 years, the tradition is based on the polar principles of yin and yang. If an imbalance exists, illness results, according to its principles.

"Much of Chinese medicine is about preventing disease or treating problems early when they're not big problems," said Steve Given, the chief administrator for acupuncture and Oriental medicine at the Bastyr Center for Natural Health in Seattle, which is associated with Bastyr University in Kenmore. "So the Western cardiac surgeons get a lot of press for the very clear, dramatic and wonderful things they do like transplanting hearts. But the Chinese surgeon would say, 'Why is the heart bad? What was missing? Was the patient not eating healthy? Was he not getting enough exercise?' "

What to ask alternative providers: • Background: Where did you get your education? How long have you been practicing? (Be wary of practitioners who were certified via the Internet. Check the school's Web site or call the relevant professional association, such as those listed in this story, to get an indication whether the school is accredited or respected.) • Specialty: What conditions have you been most successful treating? Do you have experience with my condition? • Referrals: Do you have colleagues in conventional medicine to whom you regularly refer patients? (Check if the practitioner is open to a collaborative approach to your care and is willing to work with your primary-care physician and conventional specialists if needed. Some clinics and hospitals have conventional doctors as well as alternative therapists such as acupuncturists and naturopaths.) • Cost: How much do you charge? What will be the total cost of treatment? Do you bill insurance companies? • Treatment: What will my treatment entail? • Time: How long until I should see results for my condition? • References: May I have the names and phone numbers of a few patients who can tell me about their experiences with you?

Treatments: Include acupuncture, herbal remedies, diet, exercise and massage. Some treatments, including acupuncture, can require weekly visits. Costs range from $40 to $140.

Checking them out: Most practitioners have attended an accredited school of Chinese medicine or completed an apprenticeship approved by the licensing agencies. Practitioners are also trained in acupuncture. Acupuncturists are licensed in Washington, but practitioners of Chinese medicine are not.

Finding someone: The

Acupuncture Association of Washington licenses practitioners in the state (253-851-4756 or www.acupuncturewashington.org). The National Certification Commission for Acupuncture & Oriental Medicine certifies acupuncture practitioners nationwide (703-548-9004 or www.nccaom.org).

Ayurveda

What it is: Originating in India more than 5,000 years ago, Ayurveda (ah-yoor-vay-duh) means the "Science of Life" in Sanskrit. The practice focuses on maintaining a balance of the body, mind and spirit.

Each person is believed to have a unique combination of three energies — the vata, pitta and kapha.

If those proportions are maintained, the person will stay in optimal health; if they change, the person is susceptible to illness, according to Wynn Werner, the administrator of the Ayurvedic Institute in Albuquerque, one of the largest of about a dozen Ayurvedic schools in the country.

Typical patients: Have a wide range of ailments, but especially chronic illnesses such as arthritis, high blood pressure and diabetes, said Werner.

Treatments: Include Indian herbs and massage, diet, exercise and meditation. Costs range from $50 to $200, said Werner.

Checking them out: There are no licensing agencies to regulate therapists and no national standards, meaning anyone can say they practice Ayurveda.

"You have to go in there with your eyes open," said Werner.

Finding someone: The Ayurvedic Institute, established in 1984, will refer callers to alumni practitioners (505-291-9698 or www.ayurveda.com). The local Ayurvedic Natural Medicine Clinic, which also has an Ayurvedic academy, can also give information (206-729-9999 or www.ayurvedaonline.com).