顺势疗法有效吗?科学所说(+my take)

顺势疗法安全吗

我们总是使用顺势疗法出牙治疗for our kids,当然,他们似乎也有所帮助。但在出牙的时候,许多人不理解顺势疗法的广泛应用,不知道它们是否真的有效。我不能怪他们……事实是,顺势疗法药物有点混乱!我做了一些研究来弄清楚顺势疗法,它们是什么,and how they work.

I may not have 100% of the picture (because researchers don't yet,either!) but combined with my own personal experience,我准备好称重了。

什么是顺势疗法?

Many people think of homeopathy as an umbrella term for natural medicine.但是顺势疗法是它自己独特的治疗系统。

顺势疗法是由植物和矿物质等天然物质制成的。有些是由动物制品制成的(如蛇毒!).这些补救措施被稀释,直到几乎没有任何原始材料留下。药物越稀释,the more potent it is thought to be.

Confused yet?我是!继续阅读…

顺势疗法史

顺势疗法是由德国医生塞缪尔·哈内曼于1796年发明的。这个制度是基于他的“以貌取人”的学说。

在翻译医学文本时,one passage piqued Hahnemann's interest.It read that Peruvian bark was a remedy for malaria because of its bitter quality.

Hahnemann didn't believe bitterness was why it worked,since other substances are also bitter.To understand Peruvian bark better Hahnemann took a dose of it.然后他出现了类似疟疾的症状。He reasoned that a substance that causes a certain symptom in a healthy person would also cure that symptom in an ill person.

然后,他把自己的职业生涯都花在了“附加条款”上,这些都是原始的研究,他和他的同事们给健康人服用了各种物质,并记录了他们造成的症状。These recordings became the basis for what each substance could be used to cure.

为什么顺势疗法如此流行

At the time Hahnemann was studying homeopathy,同种疗法药物既粗糙又无效。Bloodletting,purging,and using multiple drugs without knowing how they might interact was standard.

Homeopathy,另一方面,是安全的(由于低剂量),并集中在病人作为一个整体,而不仅仅是病理学。这使它受到许多人的欢迎。

And it continues to be popular,实际上在受过教育的中产阶级中越来越受欢迎,for some of the same reasons.尽管轶事证据不如临床研究具有科学价值,it's still worth something.Many people swear by homeopathic medicine.

How Does Homeopathy Work?

顺势疗法药物被贴上稀释效力的标签。您可能见过带有这些标签的顺势疗法产品:

  • X(1:10比)
  • C(1:100比)
  • lm(1:50000比率)。

These potencies can be further altered by adding a number to represent how many times the remedy was diluted and succussed (shaken).例如,6C means a remedy was diluted to 1:100 and then shaken and diluted to 1:100 six times.

As you can see,药物最终被稀释了,顺势疗法说这会使药物更有效。They are so diluted that they no longer contain the original substance.

It's unclear exactly how homeopathic remedies work in the body.But there are some theories as to how homeopathy works.Here are two main theories:

  • Water memory稀释药物的水“记住”原始物质的信息。This is supported by some研究which found that a Raman and Ultra-Violet-Visible (UV-VIS) spectroscopy could distinguish between homeopathic remedies and even different dilutions
  • 水结构–水被稀释后,其结构会发生变化。Some研究from South Korea found that there are larger clusters of molecules in diluted solution than in concentrated ones.这是一个意想不到的发现,可能解释了为什么大量稀释的顺势疗法仍然有效(或更有效)。

Because we aren't sure exactly how homeopathy works,很多人很难相信这一点。

Homeopathic Safety Guidelines

顺势疗法被大多数人认为是安全的,but are they really?To monitor the growing number of homeopathic products on the market for everything from a cough to chronic illness,the FDA began a "Risk-Based Enforcement Approach" in 2016.This means some aspects of homeopathic remedies (but not all) are overseen by the FDA.

需要注意的是(根据fda.gov):

There are no homeopathic drug products marketed in the United States that are FDA-approved.这意味着FDA没有对其安全性或有效性进行评估。Thus,这些产品可能不符合现代安全标准,有效性,和质量。

This puts the burden on the consumer to research the brand and their reputation carefully (always a good idea and the reason I have a day job!).

传统医学对顺势疗法的看法

Critics of homeopathy argue that it just doesn't make sense,so it can't be real.And it's understandable.没有一个明确的行动机制是由科学共同商定和支持的。

Homeopathy defies the basic laws of physics and chemistry.例如,the amount of dilution.在某个时刻,溶液将被稀释到足以使原始物质不残留。许多顺势疗法药物都超越了这一点。它们基本上只是水或酒精。

此外,人们普遍认为,一种物质越多(而不是越少),就会产生更多的反应。顺势疗法则相反,that less is more.

The provings that Hahnemann performed as much as 200 years ago are also hard to take seriously.这些研究并不像今天的质量研究那样受到控制。

Critics also say that homeopathy simply doesn't work.没有任何重要的医学研究支持顺势疗法。事实上,a systematic reviewof the systematic reviews conducted (yes,你读对了)发现顺势疗法并不比安慰剂好。

不难理解为什么顺势疗法的批评者们有强烈的感觉,认为顺势疗法只不过是江湖骗子。

为什么顺势疗法不一致

顺势疗法的支持者不同意,尽管有上述该死的证据。他们也有很好的论据。

Clinical Studies Not Reliable

According to an文章来自明尼苏达大学,clinical studies are not as valuable when studying homeopathy.实验室研究着眼于一种疾病和一种药物。Homeopathy never does a one-size-fits-all treatment.例如,患有关节疼痛的人将被纳入临床研究。But homeopathy sees each of these people (with the same symptom) individually.他们都有不同的整体介绍,宪法,levels of vital force,etc.然后用不同的顺势疗法治疗。

研究这个个性化的“处方”发现顺势疗法的好处。一1989study仅包括那些顺势疗法评估表明治疗rhus毒性的患者。结果表明,在这些条件下,安慰剂有显著改善。

作用机理

Critics say homeopathy is impossible.But proponents say that the mechanism of action is not impossible because the explanation for how homeopathy works is reliant on quantum physics,不是基础(经典)物理。

如果你对量子物理有任何了解,你会知道这很奇怪(很迷人)。One of its cornerstone ideas is that one particle can be in two places at once.量子物理,在很多方面,is impossible according to classical physics.Therefore,顺势疗法的支持者认为,作用机制还没有完全理解。

此外,他们认为一些药物的作用机制也不清楚,但无论如何都是处方药。根据维基百科,有67种药物的作用机制不明。

Dilution Does Not Make a Substance Less Beneficial

Homeopaths argue that there are many pharmaceuticals that work in a similar way to homeopathy,但没有人说,这些都是骗子的行为。一些药物在小剂量时有一种效果,而在大剂量时则有相反的效果,正如一些2009年发表的研究所表明的那样。

顺势疗法尽管缺乏研究

More tailored research is needed to know for sure if homeopathy really works,但这并不能阻止人们使用它。

哈佛大学研究2016年(在本文中解释) found that Americans who use homeopathic remedies see a benefit from homeopathic remedies.如果他们看到自己的治疗方法是顺势疗法,这一点尤其正确。But critics might argue that it's a placebo effect.

Another point to weigh:根据NBC的文章, 13 percent of doctors use antibiotics as placebos.顺势疗法,即使他们根本不工作,是一个安慰剂的选择,至少不会对重要的肠道微生物群.

此外,many people use homeopathic remedies as a last resort when other things aren't working.Other times people use homeopathic remedies as part of a holistic natural health regime they come up with after deciding to avoid conventional treatments (like vaccines or chemotherapy).他们已经做出了避免这些治疗的选择(不管顺势疗法是否存在或有效)。Choosing to use homeopathic remedies is usually only one part of a holistic health regime.

一些批评者认为顺势疗法是危险的,因为它能阻止人们使用传统疗法。但在这种情况下,我们应该考虑这些人是否无论如何都不会使用传统疗法。

我接受顺势疗法

We may not know for sure if homeopathy works until there is more research that looks at homeopathy as a system of medicine that can't be measured the way conventional medicine can.同时,双方意见都很强烈。

对于轻微的疾病或其他治疗失败,有些人会说,尝试一下没有什么损失。

作为6个孩子的母亲,I'm confronted daily with toothaches,growing pains,rashes,擦伤,stomachaches,and otherwise mysterious ailments.如果我能给他们一些长期以来的安全记录,帮助他们冷静下来,go to sleep,or feel better,我更愿意这么做!

我现在对这个话题的看法是:即使我们不了解顺势疗法是如何工作的,in my experience they seem to help.And science does show that placebos can have real physical effects if we believe they will.That being said,我做了我的研究(并且总是推荐每个人也做他们自己的),并确保购买一个优质的品牌。

在我们的房子里,我们使用GENEXA公司的睡眠学Arnica(疼痛/擦伤)andCold Crushwhen needed.They're chewable,safe for kids over 3,有机认证,and definitely make a difference for us.

你怎么认为?顺势疗法有效吗?你有什么经验?

资料来源:

  1. 拉奥ML.,Roy,R.,贝儿I.R.,胡佛,R.(2007,July).The defining role of structure (including epitaxy) in the plausibility of homeopathy.Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/17678814
  2. 萨马尔S.& Geckeler,K.E.(2001)十一月07)。稀释时水中意外的溶质聚集。检索自https://www.ncbi.nlm.nih.gov/pubmed/12240122
  3. 顺势疗法系统综述。(N.D)。Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1874503/
  4. 顺势疗法有很好的科学证据吗?(N.D)。检索自https://www.takingcharge.csh.umn.edu/explore-healing-practices/homepathy/-there-good-scientific-evidence-homepathy
  5. Effect of homeopathic treatment on fibrositis (primary fibromyalgia).(N.D)。Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1837216/
  6. Category:Drugs with unknown mechanisms of action.(2014)11月21日)。Retrieved from https://en.wikipedia.org/wiki/Category:Drugs_with_unknown_mechanisms_of_action
  7. Aspects of the Relationship Between Drug Dose and Drug Effect.(N.D)。检索自https://www.ncbi.nlm.nih.gov/pmc/articles/pmc2695574/
  8. Harvard Study Has Good News for Homeopathic Medicine.(N.D)。检索自https://www.integrative practitioner.com/topics/news/harvard-study-has-good-news-for-homepathic-medicine
  9. 美国的一半医生常开安慰剂。(2008,October 23).检索自http://www.nbcnews.com/id/2734269/ns/health-health-care/t/half-us-documents-frequent-prescribe-placebos/

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