Etat des lieux


La médecine conventionnelle ou traditionnelle est reine en  France. Elle a l’aval d’organismes comme : CNAM, Ministères de la santé, Ordres médicaux.  L’allopathie et les examens biomédicaux sont les principaux éléments de la pratique de la médecine conventionnelle qui considère l’individu comme un ensemble d’organes. En son centre le médecin généraliste oriente les patients en cas de besoin vers le spécialiste d’un organe considéré comme défaillant. Les connaissances sont acquises par validation scientifique et toutes les pathologies sont ciblées par cette médecine, quelques soient les caractéristiques sociales du patient.

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Médecine non conventionnelle est le terme officiel utilisé par le parlement européen pour désigner les médecines ou pratiques thérapeutiques que l’on qualifiaient auparavant de douces, complémentaires ou alternatives. En 1997, le parlement européen a voté la résolution A4-0075/97 sur le statut des médecines non conventionnelles. Le texte de la résolution exprime très bien la terminologie choisie :… considérant que l’ensemble des systèmes médicaux et disciplines thérapeutiques couverts par la dénomination «médecines non conventionnelles» ont en commun le fait que leur validité n’est pas reconnue ou n’est que partiellement reconnue; qu’on peut qualifier d’«alternatif» un traitement médical ou chirurgical qui peut être appliqué en lieu et place d’un autre traitement, et de «complémentaire» un traitement donné en supplément d’un autre traitement; qu’il est équivoque de parler de discipline médicale «alternative» ou «complémentaire», dans la mesure où seul le contexte précis dans lequel la thérapie est utilisée permet de déterminer si celle-ci est en l’occurrence alternative ou complémentaire; qu’une discipline médicale alternative peut également être complémentaire; que, dans la présente résolution, le terme «médecines non conventionnelles» recouvre les notions de «médecines alternatives», «médecines douces» et «médecines complémentaires» indistinctement utilisées dans certains États membres pour désigner les autres disciplines médicales que la médecine conventionnelle,

Le terme MAC (médecine alternative ou complémentaire) ou CAM en anglais constitue un amalgame d’autant plus problématique que alternative et complémentaire constituent des adjectifs sur lesquels on s’est beaucoup battu. En effet, si une médecine est complémentaire, elle vient en soutenir une autre, en principe la médecine occidentale alors que si elle est alternative elle représente une autre solution qui peut venir, éventuellement en remplacement de la médecine officielle. On comprend rapidement que complémentaire a été mieux apprécié qu’alternative.

La médecine parallèle est sporadiquement reconnue par les organismes de la médecine conventionnelle. Elle recouvre un ensemble de pratiques dont le but est de renforcer les défenses naturelles de l’organisme. Le savoir est un savoir hérité, transmis, souvent d’origine étrangère (ou populaire parfois). La science n’est pas la base du savoir, mais l’expérience acquise et partagée. L’individu est considéré dans son entièreté et n’est pas subdivisé en différents organes.

Ce regard rapide sur les définitions qui régissent notre recherche de la santé est suffisant pour dégager les lignes du légal, du conforme, du consensus, de l’efficacité prouvée et éprouvée. La démarcation semble nette mais est ce une vérité absolue ?

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