The Hierarchy of Therapeutics / Restoration of Health
 
 
Dr. Pamela Hannaman, M.S., N.D. & John Hibbs, N.D. (Version 1/23/07)
(Adapted from class notes: Naturopathic Medical Philosophy I and II by Pamela Snider, N.D. and Jared Zeff, N.D.)
 
I     ASSESSMENT/PROBLEM LIST
 
II    PATIENT MANAGEMENT/THERAPEUTIC GOALS
 
III   EMPLOY THE PRINCIPLES OF NATUROPATHIC MEDICINE
(1) Vis Medicatrix Naturae/The Healing Power of Nature (2) Tolle Causam/Find (and Treat) the Cause (3) Primum Non Nocere/First Do No Harm (4) Docere/Doctor as Teacher (5) Treat the Whole Person (6) Prevention (7) Wellness
 
IV   RE-ESTABLISH THE BASIS FOR HEALTH
A.    Identify and Remove the Cause/Obstacles to Healing
B.    Determinants of Health
• Dietary/nutritional excesses/deficiencies
• pH Balance and optimization
• Water
• Alcohol/tobacco/caffeine/other recreational or abused drugs (“habits”)
• Digestion (mouth to rectum and all organs relating to digestion)
• Exercise patterns
• Sleep
• Fresh air
• Sunshine
• Genetics and family history /miasms
• Intrauterine influences: maternal nutrition/exposures/emotions
• Illnesses/pathogens
• Medical interventions (drugs, procedures, treatments)
• Physiological injury/stress/trauma/exposure/toxemia
C.  Mental and Emotional Integrity (counseling, stress evaluation, coping skills)
D.  Spiritual Integrity (counseling, spiritual “exercise”)
 
V     STIMULATION OF THE VIS MEDICATRIX NATURAE
A.  General Stimulation
• Constitutional hydrotherapy
• Exercise (aerobic)
• Biomagnetic techniques
B.  Specific Stimulation
• Homeopathy
• Acupuncture
• BioResonance techniques
 
VI   TONIFICATION OF WEAKENED SYSTEMS
• BioResonance techniques
• Botanical medicine
• Physiotherapy
• Exercise (weight training of specific muscle groups)
• Specific nutritional/supplemental therapy (vitamins, minerals, other nutrients)
• Protomorphogens and glandulars
• Pharmacology (avoid suppression)
 
VII   CORRECTION OF STRUCTURAL INTEGRITY                                                                                                                                                                                                                                                                                                                  
• Manipulation, MES, CS, various bodywork techniques, etc.
• Therapeutic exercise
• Surgery, radiation, invasive treatments