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Reiki, Qi Gong, Hawthorn:
The New Language of American Medicine?

A $6.7 million five-year grant from the National Institutes of Health to the University of Michigan will allow Steven F. Bolling, M.D. and Sara L. Warber, M.D. to begin answering a $20 billion question: Are the Americans who happily spend enormous amounts of their hard-earned cash for herbs, vitamins, bio-energy recovery techniques and a host of other health aids that have come to be known as "complementary and alternative medicine" getting their money's worth?

The U-M Health System's new NIH-funded Complementary and Alternative Medicine Research Center is one of 13 such centers around the country and the only one dedicated to understanding the effects of complementary and alternative medicine on cardiovascular disease.

"We want research studies on these therapies with good, statistically analyzable data that are publishable," says Bolling, who is a professor of cardiac surgery in the Medical School. "Whether we show that it works or not, it's good for Western medicine.

Four research projects will be launched in the first year to study the effects of complementary and alternative medicine on:

  • Wound healing and post-operative pain in coronary bypass surgery
  • Post-operative recovery following cardiac surgery
  • Congestive heart failure
  • Ability to walk in diabetic patients with autonomic and peripheral neuropathy who have cardiovascular disease

The complementary and alternative practices to be examined include a traditional Chinese medical practice known as Qi Gong, which is the transfer of energy fields to promote faster healing. Researchers will look at Qi Gong as a healing procedure after coronary by-pass surgery.

Researchers will also investigate the effect of spirituality and religiosity following cardiac surgery on post-operative recovery. Earlier preliminary research on this subject at Michigan indicated that patients with strong belief systems had better recovery outcomes.

A dietary supplement extracted from the flowers and leaves of the hawthorn tree will be evaluated as a treatment for congestive heart failure. Hawthorn is widely used in Europe and preliminary studies indicate that it is both safe and effective.
A bio-energy transfer technique known as Reiki will be studied for its effects on diabetic patients.

The NIH grant includes funds for publication of results, creation of statistical databases, curriculum development, research fellowships and a national symposium in the fourth year of the study.

"The reality of complementary and alternative medicine is two-fold in the U.S. right now," Bolling says. "We know that people are using it — to the tune of $10-$20 billion a year — and that they often don't inform their doctors. We also know that there is little good, hard scientific data to document whether these treatments work, whether they cause harm, whether they do nothing at all. We want to study them, examine mechanisms and publish results using sound scientific methods."

"Probably 30-40 percent of all the patients a physician sees are using some type of complementary or alternative medicine," says Warber, who is a Robert Wood Johnson Clinical Scholar and a lecturer in internal medicine in the Medical School. "We want to be able to provide evidence-based education for these health care professionals so that they can counsel their patients in a sensitive and responsible manner."

You may contact Steven Bolling at sbolling@umich.edu

You may contact Sara Warber at swarber@umich.edu

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