(The information below is from the
Institute for Functional Medicine)
Functional
medicine is personalized medicine that deals
with primary prevention and underlying causes instead
of symptoms for serious chronic disease. It is a science-based
field of health care that is grounded in the following
principles:
- Biochemical individuality describes
the importance of individual variations in metabolic
function that derive from genetic and environmental
differences among individuals.
- Patient-centered medicine emphasizes
"patient care" rather than "disease care," following
Sir William Osler’s admonition that "It is more
important to know what patient has the disease than
to know what disease the patient has."
- Dynamic balance of internal and
external factors.
- Web-like interconnections of physiological
factors – an abundance of research now supports
the view that the human body functions as an orchestrated
network of interconnected systems, rather than individual
systems functioning autonomously and without effect
on each other. For example, we now know that immunological
dysfunctions can promote cardiovascular disease, that
dietary imbalances can cause hormonal disturbances,
and that environmental exposures can precipitate neurologic
syndromes such as Parkinson’s disease.
- Health as a positive vitality –
not merely the absence of disease.
- Promotion of organ reserve as the
means to enhance health span.
Functional medicine
is anchored by an examination of the core clinical imbalances
that underlie various disease conditions. Those imbalances
arise as environmental inputs such
as diet, nutrients (including air and water), exercise,
and trauma are processed by one’s
body, mind, and spirit through a unique set of genetic
predispositions, attitudes, and beliefs. The fundamental
physiological processes include communication,
both outside and inside the cell; bioenergetics, or
the transformation of food into energy; replication,
repair, and maintenance of structural integrity, from
the cellular to the whole body level; elimination of
waste; protection and defense; and transport and circulation.
The core clinical imbalances that arise
from malfunctions within this complex system include:
- Hormonal and neurotransmitter imbalances
- Oxidation-reduction imbalances and mitochondropathy
- Detoxification and biotransformational imbalances
- Immune imbalances
- Inflammatory imbalances
- Digestive, absorptive, and microbiological
imbalances
- Structural imbalances from cellular membrane
function to the musculoskeletal system
Imbalances such as these are the precursors
to the signs and symptoms by which we detect and label
(diagnose) organ system disease. Improving balance –
in the patient’s environmental inputs and in the
body’s fundamental physiological processes –
is the precursor to restoring health and it involves
much more than treating the symptoms. Functional medicine
is dedicated to improving the management of complex,
chronic disease by intervening at multiple levels to
address these core clinical imbalances and to restore
each patient’s functionality and health. Functional
medicine is not a unique and separate body of knowledge.
It is grounded in scientific principles and information
widely available in medicine today, combining research
from various disciplines into highly detailed yet clinically
relevant models of disease pathogenesis and effective
clinical management.
Functional medicine emphasizes a definable
and teachable process of integrating
multiple knowledge bases within a pragmatic intellectual
matrix that focuses on functionality at many levels,
rather than a single treatment for a single diagnosis.
Functional medicine uses the patient’s story as
a key tool for integrating diagnosis, signs and symptoms,
and evidence of clinical imbalances into a comprehensive
approach to improve both the patient’s environmental
inputs and his or her physiological function. It is
a clinician’s discipline, and it directly addresses
the need to transform the practice of primary care. |