顺势疗法治疗效果怎么样?在何种情况下适合使用?

顺势疗法治疗效果怎么样?在何种情况下适合使用?

此答案仅基于原引文章进行阐述,若有错误请多指正。

文章出处:【New Scientist magazine - 30 January 2010】

地址:

因为需要付费才可观看,便于梳理,将其部分必要信息进行摘抄并说明。

The discipline is based on three "laws"; the law of similars, the law of infinitesimals and the law of succussion. The law of similars states that something which causes your symptoms will cure your symptoms, so that, for example, as caffeine keeps you awake, it can also be a cure for insomnia. Of course, thatmakes little sense, since drinking caffeine, well, keeps you awake.Next is the law of infinitesimals, which claims that diluting a substance makes it more potent. Homeopaths start by diluting one volume of their remedy - arsenic oxide, in the case of arsenicum album - in 99 volumes of distilled water or alcohol to create a "centesimal". They then dilute one volume of the centesimal in 99 volumes of water or alcohol, and so on, up to 30 times. Application of Avogadro's constant tells you that a dose of such a "30C" recipe is vanishingly unlikely to contain even a single molecule of the active ingredient.The third pillar of homeopathy is the law of succussion. This states - and I'm not making this up - that by tapping the liquid in a special way during the dilution process, a memory of the active ingredient is somehow imprinted on it. This explains how water is able to carry a memory of arsenic oxide, but apparently not of the contents of your local sewer network.

首先顺势疗法的机理遵循三个"法则":1.相似性;2.无限性;3.连续性

1.相似性:相似性表明,引起症状的某种物质也会治疗此症状。比如说咖啡因使人保持清醒,从某个角度来说也能治疗失眠。(其意义在于把想睡觉睡不着变成不想睡觉)当然这没什么意义,因为咖啡因让人保持清醒。

2.无限性:稀释物质会使之更有效。顺势治疗首先西式一体机的治疗物质(比如砷酸中的砷氧化物),配以99体积的蒸馏水或者酒精形成"百分比",然后再稀释这种一体机的百分比溶液,配以99体积的水或酒精以此类推,到达三十次。阿伏伽德罗常数的运用告诉你一剂30C的处方不大可能含有哪怕单个分子的有效成分。

3.连续性:表明在稀释的过程当中给以一种特殊方式轻敲液体,有效成分也就印在上面了。这解释了谁是如何运载砷氧化物的。

Bonus:由此对比一下安慰剂的作用机理(暂且仅讨论正向的Placebo,忽略Nocebo):

1.病人期望效应(Subject-expectancy effect):

病人期望效应引导病人有意识或无意识地报告病情得到改善,因此导致安慰剂效应的出现。Asbjørn Hróbjartsson 及Peter C. Götzsche 于文章中质疑“大部份病人有礼貌地倾向为迎合实验人员而报告病情得到改善,即使他们并不感到改善。”主观的偏见亦可能使病人潜意识相信病情因为得到关注及照料而改善。

2.条件反射:

关联学习模式,使受训者学习到特定情况下作出特定的反应。

相关问题:

AT 10.23 am on 30 January, more than 300 activists in the UK, Canada, Australia and the US will take part in a mass homeopathic "overdose". Sceptics will publicly swallow an entire bottle of homeopathic pills to demonstrate to the public that homeopathic remedies, the product of a scientifically unfounded 18th-century ritual, are simply sugar pills.

Many of the sceptics will swallow 84 pills of arsenicum album, a homeopathic remedy based on arsenic which is used to treat a range of symptoms, including food poisoning and insomnia.The aim of the "10:23" campaign, led by the Merseyside Skeptics Society, based in Liverpool, UK, is to raise public awareness of just exactly what homeopathy is, and to put pressure on the UK's leading pharmacist, Boots, to remove the remedies from sale.The campaign is called 10:23 in honour of the Avogadro constant (approximately 6 × 1023, the number of atoms or molecules in one mole of a substance), of which more later.That such a protest is even necessary in 2010 is remarkable, but somehow the homeopathic industry has not only survived into the 21st century, but prospered. In the UK alone more than £40 million is spent annually on homeopathic treatments, with £4 million of this being sucked from the National Health Service budget. Yet the basis for homeopathy defies the laws of physics, and high-quality clinical trials have never been able to demonstrate that it works beyond the placebo effect.

该文发布的当周来自过节看以团体打算证明关于顺势疗法的真相,即药里实际上什么都没有。

2010年1月30日早上10:23,300多名来自多个国家的激进分子参加一场大规模顺势疗法“配药过量”的抗议活动。怀疑者将公开吞下一整瓶顺势疗法药片,以证明其只是糖片。吞下的是基于砷的顺势治疗法的药物,砷用来治疗多数病症包括食物中毒和失眠。虽然2010年的抗议时十分必要的但莫名其妙的是顺势疗法不仅存活到21世纪,而且繁荣。当然,顺势疗法的原则公然挑衅物理学原则,高质量的临床试验从未能证明它比安慰剂更有效果。(其三大原则见上段)

The final preparation is generally dropped onto a sugar pill which the patient swallows.Homeopaths claim that the application of these three laws results in a remedy that, even though it contains not a single molecule of the original ingredient, somehow carries an "energy signature" of it that nobody can measure or detect.(1)Unsurprisingly, when tested under rigorous scientific conditions, in randomised, controlled and double-blind trials, homeopathic remedies have consistently been shown to be no better than a placebo. Of course, the placebo effect is quite powerful, but it's a bit like justifying building a car without any wheels on the basis that you can still enjoy the comfy leather seats and play with the gear shift.(2)Even some retailers who sell the treatments have admitted there is no evidence that they work. In November, Paul Bennett, the superintendent pharmacist at Boots, appeared before the UK parliament's Commons Science and Technology Committee's "evidence check" on homeopathy. He was questioned by Member of Parliament Phil Willis, who asked: "Do they work beyond the placebo effect?"(3)"I have no evidence before me to suggest that they are efficacious," Bennett replied. He defended Boots's decision to sell homeopathic remedies on the grounds of consumer choice. "A large number of our consumers actually do believe they are efficacious, but they are licensed medicinal products and, therefore, we believe it is right to make them available," he said.

这两段就是关于其的一些争论和答记者问(囧),只说三点重要的加黑体字:

1.当在严格科学条件下随机抽样测验,结果则是其不比安慰剂效果好。当然安慰剂效果给力。

2.甚至一些卖这种药的零售商坦言没证据证明这种药有效。

3.Boots首席药剂师在答记者问时候表示没证据证明其有效。(当然他有辩解说很多消费者觉得有效并且得到许可,所以买这种药是正确的。)

You might agree. You might also argue that homeopathy is harmless: if people want to part with their money for sugar pills and nobody is breaking the law, why not let them? To some extent that's true - there's only so much damage you can do with sugar pills short of feeding them to a diabetic or dropping a large crate of them on someone's head.However, we believe there is a risk in perpetuating the notion that homeopathy is equivalent to modern medicine. People may delay seeking appropriate treatment for themselves or their children.

依然只说黑体字:顺势疗法等效于现代药物的想法是危险的,人们也许会延迟为自己或后代寻找合适治疗方法的时机。

以下是剩余全文,不译。

啰嗦这么多,最后Wikipedia的话作为结论:

The scientific community regards homeopathy as nonsense, quackery or a sham, and homeopathic practice has been criticized as unethical. The axioms of homeopathy are long refuted and lack any biological plausibility. Although some clinical trials produce positive results, systematic reviews reveal that this is because of chance, flawed research methods, and reporting bias. The postulated mechanisms of action of homeopathic remedies are not only scientifically implausible but precluded by the laws of physics.

科学界视为废话、骗术或深水的顺势疗法和顺势疗法实践一直被批评为不道德。顺势疗法的原理是被长期驳斥的且缺乏任何生物学依据的。虽然一些临床试验取得积极的成果,但在系统评价上仅证明这是由于偶然、 有缺陷的研究方法和报告偏差。顺势疗法的假设效用机制不只是科学上的无说服力并且也排除由物理规律产生的效果。