Foundations of Naturopathic Medicine - American Association of ...

Pamela Snider ND, NPhD (Hon)Executive and Senior EditorJoseph E. Pizzorno, NDSenior EditorFoundations of Naturopathic Medicine Project1

Began as chapter in Marc Micozzi, MD’s book onalternative medicine in 1990 Invited to help Joe Pizzorno, ND expand it in the2 nd edition.. Grew to a request from Elsevier for a book; Dr.Zeff invited to write a book Blossomed (anastamosed?) into an internationalcollaboration to write the definitive textbook onnaturopathic medicine 250 authors,33 editors from 11 nations 11 Agency Liaisons, 1 Fellow, 1 History ScholarCopyright 2013, The Foundations of Naturopathic Medicine Project3

A profession must codify its uniqueknowledge to grow….the goal of the Foundations Project isto strengthen, deepen, unify andcommunicate the work, philosophy,and clinical thinking of modernnaturopathic physicianswww.foundationsproject.comCopyright 2013, The Foundations of Naturopathic Medicine Project4

Jared Zeff ND, LAC, NDNR August 2006“Our little profession went out into thewilderness over the last 40 years. Wesurvived. The young Jedis gathered bits ofwisdom and the history of our elders. We arenow in a position to articulate this to thenext generation.” We are in the midst of that process.Copyright 2013, The Foundations of Naturopathic Medicine Project5

“To catapult into the future-we have to do that from a verysolid foundation. What about new therapies like injectionsor??? You still have to have a paradigm within which you’rethinking. I think this is the most exciting thing happening innaturopathic medicine today!”Daria Love, ND, DC – former CCNM Board of Governors“The time has come to put our stake in the sand, to clearly stateand make the case for the conceptual foundations of ourmedicine. This is the most exciting thing that has happened inthe naturopathic profession in the last 100 years.”Joe Pizzorno, ND – Bastyr University President Emeritus“The project has engaged my imagination. Most exciting!”Rowan Hamilton - Boucher Institute of Naturopathic MedicineCopyright 2013, The Foundations of Naturopathic Medicine Project6

“The primary question for this text to answeris: How does the naturopathic physicianwork with nature to restore health?...…Our book takes this fundamental question,lays out the theoretic basis of our medicineand examines it in some detail.”Copyright 2013, The Foundations of Naturopathic Medicine Project7

Codify & unify Coherence & diversity Rigor & synthesis Clinical application of principles Operationalize philosophical concepts-research Policy and philosophy – healthy world Voices of the elders; student perspectives On line tools & curriculum support Recurring retreats and symposia Global collaborative naturopathic scholarshipThe full flower of naturopathic medicineCopyright 2013, The Foundations of Naturopathic Medicine Project8

“The scientific exploration of naturopathicmedical practices and principles will yieldimportant, even perhaps revolutionary, insightsinto the nature of health and healing.”“The NMRA identified three elements that will benecessary for naturopathic ‘discovery’ research…The first is “clear operational definitions ofconcepts such as the vis medicatrix naturae(the ‘vital force,’ ‘healing power of nature’)… ”The Naturopathic Medical Research Agenda (NMRA): The Future and Foundation ofNaturopathic Medical Science. Standish, L., Calabrese, C., Snider, P., et al, Report to NationalInstitutes of Health National Center for Complementary and Alternative Medicine. BastyrUniversity Press, 2005.Copyright 2013, The Foundations of Naturopathic Medicine Project9

“If the vis or the Vis Medicatrix Naturae have beenespecially relevant to naturopaths, naturopathicdoctors, naturopathic physicians and naturopathicmedicine (each of these means something slightlydifferent in etymology and domain), how is itmanifested in current practice? If it is present, awhole new set of hypotheses come to life.”Carlo Calabrese, ND MPH Executive DirectorNaturopathic Physicians Research Institutewww.nprinstitute.orgCopyright 2013, The Foundations of Naturopathic Medicine Project10

Copyright 2013, The Foundations of Naturopathic Medicine ProjectPanelists discuss the Vis Medicatrix Naturae11 11

TextbookThe Foundations of Naturopathic MedicineThe Healing Power of Nature (Vis Medicatrix Naturae)Publisher - ElsevierAcademic Home - NCNMwww.foundationsproject.comCopyright 2013, The Foundations of Naturopathic Medicine Project12

Incredible Team: Senior Editors; Associate,External and History Editors 11 Agency Liaisons 250 authors, 11 colleges International, Intergenerational: Elders,Students External thought leaders Medical Editor, Fellow, History Scholar Reviewershttp://www.youtube.com/watch?v=JWymXNPaU7gCopyright 2013, The Foundations of Naturopathic Medicine Project13

Senior Editor ReviewMedical Editor Review41%44%Science Editor Review59%Section Editor ReviewChapters Submitted byAuthors75%97%25% 50% 75% 100%Copyright 2013, The Foundations of Naturopathic Medicine Project14

Essentials & The VMN Throughout Time Naturopathic Medicine - History, Profession,International, Philosophy (Spirituality), Principles & Clinical Theory Clinical Applications - Nature Cure, Primary Care,Modalities, Clinical Systems, Case Management,Practice Models, Algorithms & Monographs Science and Philosophy Public Policy and Education Definition of Critical Terms 1200 PagesCopyright 2013, The Foundations of Naturopathic Medicine Project15

WorldviewMetaparadigmPhilosophy or CosmologyPrinciplesTheoriesPractice TheoryScience TheoryPublic PolicyCopyright 2013, The Foundations of Naturopathic Medicine Project16

PhilosophyPracticeCopyright 2013, The Foundations of Naturopathic Medicine Project17

Essentials•AssessmentHistoryHow the History Process NM Paradigm Physician History&(Evaluation) Professionworks & with Mgmt the -Laws working of Nature clinically (what the with physician VMN does)•Signs VMN: &•NM Symptoms Epistemology History Determinants & Profession & WorldviewsHistorical Vitalism, Meta-Paradigm•Basis Paradigm of of the Theory Healing Health Process•Laws and of Global Nature Holism, Scholarship in Naturephilosphie,Health & Dialogue Healing•“Concept•VMNorinTheoryPrimary on theVis: Neuburger’sPhenomenology,Driven”Care andResearch Doctrine of theetc.–CureVital Force•VMN in Clinical •NM Systems, Philosophy Model of Healing•Operationalizing VMN ThroughoutVMN andTimecorrelatesNM conceptsModalities,Modern(5-10(VMN)Vitalismconcepts)forCasescientificMgmt,•Therapeutic Order/Holarchy asdiscoveryAlgorithmsModern•A New scienceNM HXTherapeutic Cosmologies and Principlestheand PrinciplesProfessionalparadigmresearch Order & Worldviews ofFormationfor NM GlobalTimelineHealth•Scientific •Making Naturopathic discussion NMExploration of Education conceptsthe Truth More in NM Naturopathic•Systems •Public, & community Complexity ClinicalDiversity & Theory, rural Theoryof the health, PhysicsVis underserved of VMN, andBiology rural of health Consciousness, care, Homeopathy•NM Research economics of NM, environmentalhealth, NM wellness AgendaPractice NM in human systems, Theory principle drivenScience ScienceleadershipTheoryScience TheoryPublic PolicyPublic PolicyCopyright 2013, The Foundations of Naturopathic Medicine Project18

The Foundations ofNaturopathic Medicinetextbook represents anongoing process ofprofessional & academiccollaboration . . .International ScholarsElders &TimelineCopyright 2013, The Foundations of Naturopathic Medicine ProjectEmunctorologyThe Vis19

Thank you!Friends of theFoundations ofNaturopathicMedicineRuth WestreichFoundationSeroyal CHAMPION Vis Medicatrix NaturaeMetagenics VITAL FORCE Ecology of HealingEssiac InternationalBoiron LaboratoriesBioclinic NaturalsTxO TreatmentOptionsUS BioTekBiotics ResearchNutri (Imports &Exports)Thorne ResearchPriority OneIntegrative TherapeuticsCyto-MatrixNDNRPharmaxTorf SpaNeuroscience, IncNaturPharm, IncInnate Response Formulas20

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1948-2007 Co-Founder Bastyr University Inspiration & teacher for 26 years Our friendSlides on Bill’s philosophy used with permissionfrom Leanna Standish, PhD, ND, LAc JosephPizzorno, ND and The Foundations ofNaturopathic MedicineMitchell, W. The Vis I and II. (2006) In Snider, Zeff, Pizzorno etal (eds): Foundations of Naturopathic Medicine - The HealingPower of Nature. . In press. ElsevierCopyright 2013, The Foundations of Naturopathic Medicine Project2323

“Medicine has long grappled with the problem ofthe healing power of nature, the vis medicatrixnaturae (VMN). As Neuberger stated in 1932,“the problem of the healing power of nature isa great, perhaps the greatest of all problemswhich has occupied the physician for thousandsof years. Indeed, the aims and limits oftherapeutics are determined by its solution.”Max Neuberger MD, PhD. Journal of the American Institute of Homeopathy. Vol. 25, No.8,1932.Schor, Ervin, Coplin et al. The Healing Power of Nature Throughout Time. In P. Snider, J.Zeff et al Foundations of Naturopathic Medicine. Elsevier (in press 2012).Copyright 2013, The Foundations of Naturopathic Medicine Project24

“What physicians think medicine is profoundlyshapes what they do, how they behave indoing it, and the reasons they use to justifythat behavior….…..whether conscious of it or not, everyphysician has an answer to what he thinksmedicine is, with real consequences for allwhom he attends….the outcome is hardlytrivial…It dictates, after all, how weapproach patients, how we make clinicaljudgments.”Pellegrino E., “Medicine, Science, Art: An OldControversy Revisited,” Man and Medicine, 1979; 4.1:43-52.Copyright 2013, The Foundations of Naturopathic Medicine Project25

Purposefulmoving toward healthDynamicrange ofdirectionalactivityUnintelligentaimlessly in motionCopyright 2013, The Foundations of Naturopathic Medicine Project

Three schools of thought emerged as early asantiquity and in the middle ages. Each physician fits on the continuum of agradient of considering the role of thephysician as being somewhere betweenservant and master of the process of nature. Physician as Servant Physician as Observant Participant Physician as MasterCopyright 2013, The Foundations of Naturopathic Medicine Project27

Process Force Natural Systems - Nature Natural Law - Equation Physiological Consciousness & Spirit Physics Complex Systems ThinkingCopyright 2013, The Foundations of Naturopathic Medicine Project28

The question of Upward vs. Downward Causationruns through all domains of the discussion and &engages, spirit, consciousness, nature,biology, physiology, physicsCopyright 2013, The Foundations of Naturopathic Medicine Project29

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Imbalance in elements and humors(humoral theory) disturbs the organism• Changing seasons• Daily habits - work, sleep, exercise, geographicchanges, climate bar effect upon humorsProcess of disease/healing - three stages• Disturbance• Coction (“cooking”)• Discharge/resolutionCopyright 2013, The Foundations of Naturopathic Medicine Project

DisturbingFactorsNormal HealthDisturbance ofFunctionReaction(fever, inflammation, etc.)Chronic ReactionDegenerationDischargeProcessCopyright 2013, The Foundations of Naturopathic Medicine Project

The healing power of nature is the inherent selforganizingand healing process of living systemswhich establishes, maintains and restores health.Naturopathic medicine recognizes this healingprocess to be ordered and intelligent. It is thenaturopathic physician's role to support,facilitate and augment this process by identifyingand removing obstacles to health and recovery,and by supporting the creation of a healthyinternal and external environment.Snider, P., & Zeff, J.L. (1989). Definition of Naturopathic Medicine. American Associationof Naturopathic Medicine Position Paper. Select Committee on the Definition ofNaturopathic Medicine. AANP House of Delegates, Rippling River, Oregon.www.naturopathic.orgCopyright 2013, The Foundations of Naturopathic Medicine Project33

"The body "unwinds" as it heals,protecting the internal organs, thusproviding the organs that are responsiblewith sustaining life with the resourcesthey require."Lloyd, I. The Energetics of Health, A Naturopathic Assessment. Elsevier.2009Copyright 2013, The Foundations of Naturopathic Medicine Project34

“To examine the VMN is to raise questions aboutthe nature of life itself..” “…the vis at work is an inherent, purposiveprocess of restoring normality in the body that isfundamentally the same whatever thechallenge” Mitchell acknowledges the “ the vis is thataspect of our nature…that drives us to realizeour visions, to become more what we are now…”Newman Turner, R. The Healing Power of Nature, A Commentary. In Snider P., ZeffJ.et al (eds). Foundations of Naturopathic Medicine . In press 2012. Elsevier.Copyright 2013, The Foundations of Naturopathic Medicine Project35

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Archeus (vital force) - “inner alchemist”; archprinciple dominating life processes in a biologicalentity; all pervading and powerful within thatmilieu; yet invisible to the material eye; knownonly through its effects; life was governed by aself-regulating and self-healing intelligence; itsfunction is to assimilate healthy material intoorganism and defend it against invasions fromoutside; sympathy and and antipathy; attractionand repulsionSeated in the stomach; likened to fireArcheus of physician could comprehend andinterpret archeus of patientCopyright 2013, The Foundations of Naturopathic Medicine Project

The power possessed by the human body ofresisting disease and of restoring health. Theprimary force of all forces, coming from thegreat central source of all life; an expressionof divine intelligence.Lindlahr, H. Nature Cure, Philosophy & Practice Based on the Unity ofDisease & Cure.1913Copyright 2013, The Foundations of Naturopathic Medicine Project38

“In order to take ourselves seriously we need todefine these terms that have been usedinterchangeably more precisely: Vis MedicatrixNaturae, vital force, the Vis, vitality-even energy,and spirit. Do we mean to be saying that all of these thingsare the same?” Supports Lindlahr’s definition of the VMN,including divine origin..Sensenig, J. A Proposed Naturopathic Metaparadigm. In Snider, P., Zeff, J.Foundations of Naturopathic Medicine Project. I(n press 2012)ElsevierCopyright 2013, The Foundations of Naturopathic Medicine Project39

The healing power of nature refers to the‘animating life force’.Milliman, B. Lifeforce – A Synergetic Model of Health Care. (2006) In Snider, Zeff,Pizzorno et al: Foundations of Naturopathic Medicine. In press. ElsevierOriginally Published in 1989 in Claymont JournalCopyright 2013, The Foundations of Naturopathic Medicine Project40

“I have been involved in naturopathicmedicine for 35 years, and I still can’t defineit. Nonetheless, we can see the Vis inothers—it is something we all sense. As aclinician, you watch the level of a patient’svitality; when it increases you know you areon the path to cure, but if it decreases thenyou are only palliating symptoms andsuppressing the individual’s expression ofthe Vis.”Copyright 2013, The Foundations of Naturopathic Medicine Project41

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“ We are natural organisms, with our genomesdeveloped and expressed in the natural world.The patterns and processes inherent in nature areinherent in us, and in the Vis medicatrix naturae.We exist as a part of complex patterns of matter,energy, and spirit.”Pizzorno, & Snider. Naturopathic Medicine. In Micozzi (ed) Fundamentals of CAM .2003. Elsevier.Zeff, et al. A Unifying Theory of Naturopathic Medicine -The Therapeutic Order. In Pizzorno and Murray.Textbook of Natural Medicine. 2011 (in press). Elsevier.Copyright 2013, The Foundations of Naturopathic Medicine Project43

“…It seems entirely within the realms of complexityand chaos theory to scientifically grasp suchphenomena. Clearly much more work remains in thisfield, such as to explain the results of experimentsthat continue to defy existing understandings of thenatural world, such as experiments appearing to showinstantaneous transmission of information betweenpeople with no obvious connections between them(Achterberg, et al. 2005).”Yarnell, E. Complexity Theory as a Materialist Explanation of the Vital Force.(2006) InSnider, Zeff, Pizzorno et al: The Healing Power of Nature. Foundations of NaturopathicMedicine. In press. ElsevierCopyright 2013, The Foundations of Naturopathic Medicine Project44

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“The interactions of the body, mind, andspirit function within the matrix of verycomplex equations that govern the optimalpractice of naturopathic medicine.Naturopathic medicine attempts to bothdiscover the nature of the equations (the Vis)and amplify the positive effects of theaspects of the equation. Amplifying thepositive is the same thing as increasing thevitality of an aspect of the equation.”Mitchell, W. The Vis I and II. (2006) In Snider, Zeff, Pizzorno et al: The HealingPower of Nature. Foundations of Naturopathic Medicine. In press. ElsevierCopyright 2013, The Foundations of Naturopathic Medicine Project46

“The ‘Vis’ is an equation.” The result of theharmonious balanced functioning of allsystems at all levels.Mitchell, W. The Vis I and II. (2006) In Snider, Zeff, Pizzorno et al: The HealingPower of Nature. Foundations of Naturopathic Medicine. In press. ElsevierCopyright 2013, The Foundations of Naturopathic Medicine Project47

VMN = the healing power of natureVNM = the self-organizing property“The VNM functions in any given living system asthe tendency to organize that system so as tomaintain existence.”“The Vis is universal.”“A fascinating assumption… is that life on othersystems contains an internal intelligence for selfmaintenanceas well, meaning that the Vis existsuniversally and is a cosmological reality.”Copyright 2013, The Foundations of Naturopathic Medicine Project48

“The Vis is not weakened or strengthenedby the weakness or strength of theindividual. The VMN exists internally anduniversally.“This is best thought of as an equation thatexists during the life of the system….”“And while the inputs into an equation…canchange the value of X, Y, or Z, theequation itself exists as a structure inwhich these values interact with eachother.”Copyright 2013, The Foundations of Naturopathic Medicine Project49

Example:Force = Mass x Acceleration (F = MA)Both mass and acceleration can be changed,and thus the force is affected; however, theequation F= MA does not change. It exists asa law of nature. In the same way, thehealing power of nature exists as an eternallaw of nature.Copyright 2013, The Foundations of Naturopathic Medicine Project50

“Values in the equation can change, thusaffect how strong an individual is, or howlong an individual lives…but the law ofnature simply exists. The level or vitality ofany part of the equation can change;however, the Vis is the equation itself.”Copyright 2013, The Foundations of Naturopathic Medicine Project51

“Confusion arises when one equates vitalitywith the VMN. The Vis is the framework inwhich vitality has significance. Vitality hasno inherent value unless it can be integratedinto the equation of the Vis.”Example: “..a perfectly vibrant and healthykidney that exists in a man who has just diedof a heart attack.”Copyright 2013, The Foundations of Naturopathic Medicine Project52

“The Vis defines the effects of the variableswith respect to each other…The Vis is thelaw defining the rules and interactions of theaspects of all systems, including the body,the mind, and what we may call the spirit.”“The implications are startling, but made evenmore complex by the fact that the equationsare evolving.”Copyright 2013, The Foundations of Naturopathic Medicine Project53

Healthy air + healthy water + healthy food +good friends + a beautiful environment +adequate health care + a meaningful beliefsystem = Health.Copyright 2013, The Foundations of Naturopathic Medicine Project54

PhosphoslipidsCell MembranesPhospholipaseArachidonic AcidCyclooxygenasesLiopxygenasesEndoperoxidesHPETEs(Hydroperoxy eicosatetraenoic acids)Prostaglandins Thromboxanes ProstacyclinsLipoxinsHETEs LeukotrienesDHETEsCopyright 2013, The Foundations of Naturopathic Medicine Project55

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Vis Medicatrix Naturae Health as Balance Suppression Individualization Signature Minimum Dose Dual Effect Unity of Cause and Cure? Therapeutic Order?Sensenig, J. A Proposed Naturopathic Metaparadigm.In Snider, P., Zeff, J. Foundations of Naturopathic MedicineProject. ElsevierThe action of the VMN is predictable through thesenatural phenomena or laws of nature…subsets of theoverarching law – the vis medicatrix naturae.(Snider)Copyright 2013, The Foundations of Naturopathic Medicine Project57

“The Vis Medicatrix Naturae, the Healing Powerof Nature, is the harmony of the natural universewith Divine Law.”Godfrey, A. Mystic Traditions, Science and Healing. Foundations of NaturopathicMedicine. In press 2012. ElsevierCopyright 2013, The Foundations of Naturopathic Medicine Project58

Three concepts of most value to Dr. Jonas: First the Vis is not the same as “vitality.” Second, the Vis is like an equation– but onlymetaphorically. Third, the Vis goes beyond physiology andchemistry (the usual way we express equationsin the body) to include the “metaphors” of mindand spirit.Jonas, W. The Vis Medicatrix Naturae. In P. Snider; J. Zeff. Foundations ofNaturopathic Medicine. Elsevier in press 2012Copyright 2013, The Foundations of Naturopathic Medicine Project59

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“ We are natural organisms, with our genomesdeveloped and expressed in the natural world.The patterns and processes inherent in nature areinherent in us, and in the Vis medicatrix naturae.We exist as a part of complex patterns of matter,energy, and spirit.”Pizzorno, & Snider. Naturopathic Medicine. In Micozzi (ed) Fundamentals of CAM .2003. Elsevier.Zeff, et al. A Unifying Theory of Naturopathic Medicine -The Therapeutic Order. In Pizzorno and Murray.Textbook of Natural Medicine. 2011 (in press). Elsevier.Copyright 2013, The Foundations of Naturopathic Medicine Project61

The healing power of nature refers to the‘animating life force’.Milliman, B. Lifeforce – A Synergetic Model of Health Care. (2006) In Snider, Zeff,Pizzorno et al: Foundations of Naturopathic Medicine. In press. ElsevierOriginally Published in 1989 in Claymont JournalCopyright 2013, The Foundations of Naturopathic Medicine Project62

All physiological function is the result ofenzymatic activity All enzymes are dependent on ATP Huge genetic variation in ATP production ATP production greatly modifiable byenvironment, diet, lifestyle andsupplementation Is it simply all about ?Joseph E. Pizzorno, ND. Vis Medicatrix Naturae; The Stewardship of Healing.Vitalism Conference 2009. Octagon InstituteCopyright 2013, The Foundations of Naturopathic Medicine Project63

High organ reserve results in increasedhealth and vitality and resistance to disease Disease is simply loss of organ functionJoseph E. Pizzorno, ND. Vis Medicatrix Naturae; The Stewardship of Healing.Vitalism Conference 2009. Octagon InstituteCopyright 2013, The Foundations of Naturopathic Medicine Project64

High VitalitySigns & SymptomsHigh energyFatigueAtherosclerosisAnginaHeart attackAging, stress, toxins,nutritional deficienciesVis medicatrix naturaeOptimal functionImbalanced physiologyCellular pathologyOrgan pathologyOrgan failureMetabolic FunctionDeathPizzorno J. Total Wellness LectureCopyright 2013, The Foundations of Naturopathic Medicine Project65

“To examine the VMN is to raise questions aboutthe nature of life itself..” “…the vis at work is an inherent, purposiveprocess of restoring normality in the body that isfundamentally the same whatever thechallenge” Mitchell acknowledges the “ the vis is thataspect of our nature…that drives us to realizeour visions, to become more what we are now…”Newman Turner, R. The Healing Power of Nature, A Commentary. In Snider P., ZeffJ.et al (eds). Foundations of Naturopathic Medicine . In press 2012. Elsevier.Copyright 2013, The Foundations of Naturopathic Medicine Project66

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The Vis is our expression of the universalConsciousness Life is the manifestation of Vis in a biologicalstructureJoseph E. Pizzorno, ND. Vis Medicatrix Naturae; The Stewardship of Healing.Vitalism Conference 2009. Octagon InstituteCopyright 2013, The Foundations of Naturopathic Medicine Project68

In the world of physics, all of energy runsdownhill to waste heat Life is not logical in a universe ruled byentropy Something is causing energy/matter toimprobably organize into lifeJoseph E. Pizzorno, ND. Vis Medicatrix Naturae; The Stewardship of Healing.Vitalism Conference 2009. Octagon InstituteCopyright 2013, The Foundations of Naturopathic Medicine Project69

Almost everyone would agree thatthe Zen/Yogi/etc. masters haveadvanced consciousness Research shows that masters have:• Stronger and more frequent alpha waves (as opposed tothe average person whose brain primarily shows betaand gamma waves)• Their alpha waves occur at the same time in all 4 lobesof the brain and on the left and right sides (as opposedto the average person whose limited alpha occursindependently)• They even synchronize their wave patterns.Joseph E. Pizzorno, ND. Vis Medicatrix Naturae; The Stewardship of Healing. VitalismConference 2009. Octagon InstituteCopyright 2013, The Foundations of Naturopathic Medicine Project70

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Vis is the manifestation of the universalConsciousness in biological form. Ourenvironment, beliefs, interactions with others,actions, lifestyle, diet, etc. modulate themanifestation of Vis as our vitality, but Visitself is immutable. As we harmonize with theVis, our consciousness expands.Joseph E. Pizzorno, ND. Vis Medicatrix Naturae; The Stewardship of Healing. Vitalism Conference2009. Octagon InstituteCopyright 2013, The Foundations of Naturopathic Medicine Project72

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“…It seems entirely within the realms of complexityand chaos theory to scientifically grasp suchphenomena. Clearly much more work remains in thisfield, such as to explain the results of experimentsthat continue to defy existing understandings of thenatural world, such as experiments appearing to showinstantaneous transmission of information betweenpeople with no obvious connections between them(Achterberg, et al. 2005).”Yarnell, E. Complexity Theory as a Materialist Explanation of the Vital Force.(2006) InSnider, Zeff, Pizzorno et al: The Healing Power of Nature. Foundations of NaturopathicMedicine. In press. ElsevierCopyright 2013, The Foundations of Naturopathic Medicine Project74

Classical vs modern physics (‘quantumfield theory’).The Vis refers to the organizing fields thatgive rise to the body. The body, matteritself, is viewed as local condensations ofpotential energy fields that existthroughout the universe.Cage, A., Standish, L. Physics of the Vis Medicatrix Naturae (2006) In Snider, Zeff,Pizzorno et al: The Healing Power of Nature. Foundations of Naturopathic Medicine.In press. ElsevierCopyright 2013, The Foundations of Naturopathic Medicine Project75

Naturopathic medicine distinguishes itselfphilosophically from mainstream medicine by itscore principle Vis medicatrix naturae, thehealing power of nature. Its insistence onreferring to the ‘vital force’ has served toisolate, and perhaps sideline, naturopathicmedicine from the mainstream conventional andpharmaceutical medicine of the second half ofthe 20th century, which has been historicallybased exclusively on scientific materialism.Standish, L., Grontkowski, C. Louise, C. Naturopathic Medicine’s Place in the History and Philosophy of MedicalScience (2010) In Snider, Zeff, Pizzorno et al: The Healing Power of Nature. Foundations of Naturopathic Medicine. Inpress. ElsevierCopyright 2013, The Foundations of Naturopathic Medicine Project76

However, the experimental findings fromquantum mechanics in physics, neuroscience,and the distant healing literature suggest thatscientific materialism is an incompletedescription of realty and thus cannot be thesole philosophy of modern medicine. Thefindings of the ‘new science’ support theconcept of biological field effects, macroentanglement,non-local interaction, anddownward causation. A ‘new medicine’ isemerging in the 21st century.Standish, L., Grontkowski, C. Louise, C. Naturopathic Medicine’s Place in the History and Philosophy ofMedical Science (2010) In Snider, Zeff, Pizzorno et al: The Healing Power of Nature. Foundations ofNaturopathic Medicine. In press. ElsevierCopyright 2013, The Foundations of Naturopathic Medicine Project77

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• The Vis of Naturopathic medicine is a selforganizing system…• The Vis is the operative intelligence ofself organizing systems in nature.Stargrove, M. Vital Systems. In Snider, P. Zeff, J.et al Foundations of NaturopathicMedicine. Elsevier. ICopyright 2013, The Foundations of Naturopathic Medicine Project79

“Mitchell’s Vis… is not identical to the… vital force..it is all encompassing, inclusive, interactive…”“Although he does not explicitly define the Vis interms of a complex adaptive system, many ofMitchell’s points about the properties of the Visimply characteristics that belong in theconceptual realm of complex systems thinking.”Bell, I. The Challenge of Scientific Study of the VMN or the Vital Force.Snider P., Zeff J. et al(eds.). Foundations of Naturopathic Medicine (inpress 2012Copyright 2013, The Foundations of Naturopathic Medicine Project80

“ Once the paradigm has shifted from that of‘normal science’ to an acceptance of complexityscience, the vis can be advanced as theorganizing principles of all the subsystems withinthe system..”We can use systems theory principles (system &holarchy; organizing principles; energy &information; emergence) to develop a testablemodel for Bill’s equation of the Vis.Louise, C. The Vis: Science or Vitalism: In Snider, P., Zeff ,J., et al (eds.) Foundationsof Naturopathic Medicine . In Press 2012. Elsevier.Copyright 2013, The Foundations of Naturopathic Medicine Project81

The interactions of the body, mind, and spiritfunction within the matrix of very complexequations that govern the optimal practice ofnaturopathic medicine.Naturopathic medicine attempts to bothdiscover the nature of the equations (the Vis)and amplify the positive effects of theaspects of the equation. Amplifying thepositive is the same thing as increasing thevitality of an aspect of the equation.’Mitchell, W. The Vis I and II. (2006) In Snider, Zeff, Pizzorno et al: The HealingPower of Nature. Foundations of Naturopathic Medicine. In press. ElsevierCopyright 2013, The Foundations of Naturopathic Medicine Project82

VMN is the equation; natural law & complex system ofhealing. VMN is based in and affected by a unified field createdthrough both upward and downward causation..originatingin Spirit This natural law (VMN) behavior can be observed throughphenomena of traditional laws of healing (eg: dual effect,similars, unity of disease and cure, sevens, suppression,healing reaction, therapeutic order, Hering’s Rules..etc) It may be called the healing power and process of nature Both consciousness and material inputs affect the VMN Vis (not VMN) = life force. Vital force and life force may bethe same. The vital force is not same as VMN. The vital force powers the VMN within the human organismSnider, P., Pizzorno, J., Zeff, J., Sensenig, J., Myers, S., Turner, R. N., Warren, D. Diversity of the Vis. InSnider, P., Zeff, J. Foundations of Naturopathic Medicine Project. (In press 2012) ElsevierCopyright 2013, The Foundations of Naturopathic Medicine Project83

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It is ineffable..still a mystery…has unpredictableemergent properties…transformative Difficult to define but can characterize andunderstand it through its effectsoperationalize.. We know it ourselves, through experience andobservationSnider, P., Pizzorno, J., Zeff, J., Sensenig, J., Myers, S., Turner, R. N., Warren, D. Diversity of the Vis. InSnider, P., Zeff, J. Foundations of Naturopathic Medicine Project. (In press 2012) ElsevierCopyright 2013, The Foundations of Naturopathic Medicine Project85

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“I have given each beinga separate and unique wayof seeing andknowing and saying these things.”Rumi(Moses and the Shepherd) The Map Is Not the Territory, TheMany Voices.Copyright 2013, The Foundations of Naturopathic Medicine Project87

Joseph E. Pizzorno, NDmail2@drpizzorno.comPamela Snider, NDplsnider@comcast.net425-292-9571foundationsproject@comcast.netwww.foundationsproject.comCopyright 2013, The Foundations of Naturopathic Medicine Project88

Copyright 2013, The Foundations of Naturopathic Medicine Project

• Pamela Snider ND - Executive Editor, USA• Jared Zeff ND, LAc – Chair, USA• Jim Sensenig ND - USA• Joseph Pizzorno ND - USA• Don Warren ND, DHANP - Canada• Stephen P. Myers PhD, B. Med, ND - Australia• Roger Newman Turner, ND, DO, BAc - UKCopyright 2013, The Foundations of Naturopathic Medicine Project

• William A. Mitchell, Jr.,ND (in memoriam)• David Schleich, PhD• Christa Louise, MS, PhD• Thomas Kruzel, ND• Cathy Rogers, ND• Rita Bettenburg, ND• Letitia Dick-Kronenberg, ND• Bruce Milliman, ND• Iva Lloyd, ND• Fraser Smith, ND• Jon Wardle, ND, MPH, PhD• Paul Orrock, ND, DO, RN• Christina Arbogast Woolard,ND• Herb Joiner Bey, ND, DHANP• Leanna Standish, ND, PhD,LAc• Patricia Herman, ND, MS• Brian Henderson, M.Ed• Emma Bezy, MSW(in memoriam)• Zora DeGrandpre ND, MS• Airdre Grant ND, PhD• Pamela Jeanne ND• Kelsi Ervin ND (BU 2011)• Serron Wilkie ND, LAc (NCNM2009)• Patricia Wales, NDCopyright 2013, The Foundations of Naturopathic Medicine Project

• William J. Keppler, PhD• Christine R. Grontkowski,PhD• Hans Baer, PhD• George Cody, JD, MPA• Mitchell Bebel Stargrove,ND, LAcAgency Liaisons• Thomas Kruzel, ND | AANP• Sean O’ Reilly | CAND• Christa Louise, PhD | NPLEX• Rita Bettenburg, ND| CNME• Letitia Dick-Kronenberg ND|NWNPA• Tabatha Parker, ND | NDICopyright 2013, The Foundations of Naturopathic Medicine Project• Beth Pimentel, ND, LM|AANMC-CCACO• Joe Holcomb, ND | NSI• William Franklin | NS-SCNM• Julia O’Sullivan | NS-UBCNM• NMSA |Hunter Peterson(NCNM); Lilly Jain (CCNM)

Australia, Canada, USA, United Kingdom(England,Scotland), Israel, New Zealand, France, Nicaragua,India, Africa Colleges: CCNM, Bastyr, NCNM, NUHS, SCNM, BINM,SCU, UBCNM, University of Arizona, UK Agencies: CAND, AANP, CNME, NPLEX, AANMC,Naturopathic Societies, Naturopathic DoctorsInternational, Northwest Naturopathic Physicians Student organizations: Naturopathic MedicalStudents Association (NMSA)-Student Editors,Naturopathic Societies at UBCNM, SCNM haverepresented student philosophy clubs; authors,researchers, transcribers, reviewersCopyright 2013, The Foundations of Naturopathic Medicine Project

o Editors (and Foundations Fellow)Kelsi Ervin (BU 2011); Serron Wilkie (NCNM 2010)o AuthorsStudent River - Ervin, Wilkie;40 studentsThe Doctrine of the VMN Throughout Time –Marcus Coplin & Kelsi Ervin w/ Schor et alBiology of Consciousness - Forest Dobbs et alNaturopathic History and Professional FormationTimeline - Hunter Peterson (NCNM) w/ Stargrove et alo Retreats, Research, Transcription, OrganizingBrewster Scott (BINM);Julia O’ Sullivan (UBCNM); WilliamFranklin (SCNM);Deborah Epstein (BU), many more….o Agency Liaisons - Philosophy clubs and NMSA(invited)o Friedhelm Kirchfeld History ScholarHunter Peterson (NCNM 2013)Inspiration from The GatheringCopyright 2013, The Foundations of Naturopathic Medicine Project

Modern NM History Timeline - Beautiful 40 footinteractive color timeline touring Conventions, in reviewVis Medicatrix Naturae - Rigorous explorationthrough chapter and dialogue on The VMN: Science andPhysics of the Vis, Bill Mitchell’s Equation, SystemsTheory and VMN, clinical applications, research modelsEmunctorology - An old clinical science brought to anew generation of naturopathic physiciansManuscript submitted 2013Textbook published 2014FNM International Clinical Symposium 2014-15Copyright 2013, The Foundations of Naturopathic Medicine Project95

WorldviewPhilosophy or CosmologyMetaparadigmPrincipleTheoriesPractice TheoryScience TheoryPublic PolicySenior Editors. Towards A Naturopathic Metaparadigm. In Snider, P., Zeff, J.Foundations of Naturopathic Medicine Project. (In press 2012)ElsevierCopyright 2013, The Foundations of Naturopathic Medicine Project96

Practice TheoryClinical algorithm? Case Management?Science TheoryPublic PolicyNCCAM study specific aim: observational, orbiomarkers of return of old symptoms?Should CDC data be collected and interpreteddifferently ? Why or why not? When are acuteinfections an adaptive restoration of health? Shouldthese symptoms be managed and classifieddifferently? Suppressed? Impact of suppression ofacute illness on rate of chronic disease?Copyright 2013, The Foundations of Naturopathic Medicine Project97

Paradigm: Sensenig, Grontkowski, Senior EditorsHistory: Schor, Stargrove, Lloyd…Philosophy: Godfrey Proctor, Marier (Ecopsychology);Nigh, Donovan, Sutherland, Bezy, Herdmann, Shelton,Myers..moreSpirituality: Grant, Bezy, Lee-Engel, Godfrey, Rayne,Principles: Brammer, Cropley, Lucille, Donovan, moreClinical Theory: Zeff et al (44); Stargrove, Myers, Lloyd;Smith, Biel, Bezruchka, Pizzorno, D’Adamo,Sensenig..others.Practice Theory: (Newman Turner, Dick Kronenberg andRogers): Vis in Nature Cure, Least Force and HealthPromotion in Primary Care (El Hashemy); PhilosophyBased Clinical Algorithms & Case Management;Modalities (Nadia Bakir) Interrelated Clinical Systemsand Applied Naturopathic TheoryCopyright 2013, The Foundations of Naturopathic Medicine Project

Science - Standish et al; Louise and Bell-Systems TheoryModels ; Cage and Standish-The Physics of the Vis;Student authors - Biology of Consciousness; Curry-Healing Presence: Kail, Standish, De Grandpre -EnergyMedicinePolicy – Changing the Therapeutic Order of Our Nations:Global Health (Parker et al); CAND: Saunders & O’Reilly;AANP: Howard et al: The Vis in Political Action; Wellnessin Human Systems; Ecology and Policy…Education – Making Curriculum Naturopathic; StudentsVision (Warren et al)Definitions -VMN, vital force, vitality, life force, energy,spirit …..Copyright 2013, The Foundations of Naturopathic Medicine Project

Mitchell: The Vis is an equationYarnell: Material complex system: VMN is emergentpropertyBell, Louise: A complex system –energetic & materialsynthesis modelSensenig, Godfrey: Divine origins, governed by naturallawZeff, Snider, Stansbury, Smith, Lloyd: Divine/materialorigins, unified by natural systems, explained bynatural lawStandish and Cage: Downward vs. upward causation –the physics of the vis, unified field theoryCalabrese: You propose, we test (wound healing model)Pizzorno: Physiological and consciousness modelCopyright 2013, The Foundations of Naturopathic Medicine Project

DisturbingFactorsNormal HealthDisturbance ofFunctionReaction(fever, inflammation, etc.)Chronic ReactionDegenerationDischargeProcessCopyright 2013, The Foundations of Naturopathic Medicine Project101

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