#286
|
||||
|
||||
British Journal of Clinical Pharmacology
Volume 54 Issue 6 Page 577 - December 2002 A systematic review of systematic reviews of homeopathy E. Ernst Homeopathy is a therapeutic method using preparations of substances whose effects when administered to healthy subjects correspond to the manifestations of the disorder (symptoms, clinical signs, pathological states) in the individual patient. The method was developed by Samuel Hahnemann (1755-1843) and is now practised throughout the world [1]. Homeopathy is based on two main principals [1-3]. According to the 'like cures like' principle, patients with particular signs and symptoms can be helped by a homeopathic remedy that produces these signs and symptoms in healthy individuals. According to the second principle, homeopathic remedies retain biological activity after repeated dilution and sucussion even when diluted beyond Avogadro's number. Few therapies have attracted more debate and controversy than homeopathy. Throughout its 200-year history, critics have pointed out that its very principles fly in the face of science, while proponents have maintained that it is narrow minded to reject an overtly helpful approach to healing only because one cannot explain how it might work [2]. Similarly, proponents have quoted seemingly rigorous trials that suggest efficacy, while critics had little trouble citing equally rigorous studies that implied the opposite. The existence of contradicting evidence is not unusual in therapeutics. One solution to resolve such contradictions is to conduct systematic reviews and meta-analyses of rigorous studies. In 1997, Linde et al. [3] did just that. The conclusions of this technically superb meta-analysis expressed the notion that homeopathic medicines are more than mere placebos. The authors also stated that no indication was identified in which homeopathy is clearly superior to placebo. Despite this and other caveats, homeopaths worldwide celebrated this publication as the ultimate proof of their treatment. Since then, a flurry of interest in homeopathy has emerged, and several further systematic reviews have been published. This article is an attempt to critically evaluate all such papers published since 1997 with a view to defining the clinical effectiveness of homeopathic medicines. Literature searches were carried out in the following databases: Medline (via Pubmed), Embase, Amed, CISCOM (from inception to October 2001). The search terms used were homeopath . . . , homoeopath . . . , clinical trial, meta-analysis, systematic review, efficacy, effectiveness. In addition, other experts in the field (n = 5) were consulted and my own, extensive files were studied. The bibliographies of all articles thus located were scanned for further relevant references. No language restrictions were applied. Only systematic reviews (including meta-analyses) of controlled clinical trials of homeopathy with human patients or volunteers were included. Non-systematic reviews, overviews, clinical trials and reviews of non-clinical investigations were excluded. All articles were evaluated by the present author. The following information was extracted from the original articles: inclusion/exclusion criteria, total sample size, assessment of methodological quality, results of meta-analyses, overall conclusion of the authors. Six re-analyses of Linde et al.'s original meta-analysis [3] were located [4-9]. The results of these re-analyses demonstrate that the more rigorous trials are associated with smaller effect sizes which, in turn, render the overall effect insignificant [5, 6, 8]. One re-analysis suggests that the initial positive meta-analytic result [3] was largely due to publication bias [9], a notion that had been considered by the original authors but was rejected by them. Most notably, perhaps, the authors of the original meta-analysis [3] concluded that their re-analysis 'weakened the findings of their original meta-analysis' [6]. Collectively these re-analyses imply that the initial conclusions of Linde et al. [3] was not supported by critical evaluation of their data. In addition, 11 independent systematic reviews were located [10-20]. Collectively the findings do not provide strong evidence in favour of homeopathy. With the exception of postoperative ileus [10] and influenza [17] there is no condition for which homeopathy is convincingly effective [10, 11, 13, 18-20]. Arnica, the most frequently tested homeopathic remedy, is not demonstrably different from placebo [12, 15]. One homeopathic remedy (oscillococcinum) was found to be superior to placebo as a treatment and prevention of influenza but the effect size was small and therefore of debatable clinical relevance [17]. Moreover, the volume of the evidence for oscillococcinum is small and therefore not fully conclusive. Our systematic review of various homeopathic medicines for postoperative ileus produced an overall positive result [10]. Yet several caveats need to be taken into account, most importantly the fact that the definitive study designed as a multicentre trial to replicate several of smaller studies failed to demonstrate a positive effect [10]. One independent review of all homeopathic RCTs regardless of indication or type of remedy yielded a positive result [16]. Yet the statistical approach to generate this result was of debatable validity and the authors are keen to point out that their overall result is weak and not sufficient for definitive recommendations. Collectively these data do not provide sound evidence that homeopathic remedies are clinically different from placebos. However, the present analysis has several limitations that should be kept in mind when interpreting its conclusions. Even though a thorough search strategy was adopted, there is no absolute guarantee that all relevant articles were located. Many of the included reviews are from the present author's team, and this could have introduced bias. Finally the validity of conducting a systematic review of systematic reviews has its limitations; most importantly it does not create any information that was not available before. The clinical evidence summarized above is not dissimilar from the preclinical data. Vickers recently conducted a systematic review of preclinical investigations of homeopathy [21]. Even though 120 papers could be included in the evaluation, this author found that lack of independent replications, serious methodological flaws, and contradictory results precluded any firm conclusion. This systematic review therefore casts considerable doubt on one of the main assumptions of homeopathy, namely that homeopathic remedies retain biological activity even when diluted beyond Avogadro's number. Perhaps the most recent trial evidence, not yet included in systematic reviews, helps clarify the question whether homeopathic remedies are more than placebos. Since the publication of the systematic reviews, both positive, e.g. [22-24]. as well as negative clinical trials e.g. [25-27] have emerged. It seems therefore unlikely that these new findings would substantially change the results of any of the systematic reviews were they to be up-dated. The recent observation of solute clusters in highly diluted water has been interpreted by several homeopaths as increasing the plausibility of homeopathy [28]. This novel finding requires independent replication. Furthermore, this observation (if confirmed) does not lend itself to explaining how solute clusters could have any effects on human health. Thus both the clinical evidence and the basic research underpinning homeopathy remain unconvincing. If one accepts this conclusion, one might ask what its implications for future research may be. Two opposing views exist. One holds that the definitive trial of homeopathy should be conducted to once and for all settle the question [29]. The other states that 'new trials . . . are no longer a research priority' and advocates 'outcome studies to evaluate the individual treatment decisions . . . and compare outcomes to orthodox treatment' [30]. Such outcome studies exist. They are burdened with a myriad of methodological weaknesses, most importantly a proneness to selection bias, and usually report findings which are convincingly in favour of the homeopathic approach [31]. This could imply that the individualized, empathetic and time-intensive approach most homeopaths adopt to healthcare yields good clinical results. This emphasizes the importance of the therapeutic encounter and is in accordance with a wealth of information in this area [32]. It does not, however, answer the 'placebo question'. I insist that this question does require an answer - for the sake of scientific honesty and possibly in the name of clinical progress. In conclusion, the hypothesis that any given homeopathic remedy leads to clinical effects that are relevantly different from placebo or superior to other control interventions for any medical condition, is not supported by evidence from systematic reviews. Until more compelling results are available, homeopathy cannot be viewed as an evidence-based form of therapy. Conflict of interest: The author is a trained homeopath; he has no financial interests in this area. |
#287
|
||||
|
||||
Óâàæàåìûé Àëåêñàíäð Îëåãîâè÷!
Òîëüêî ïðî ñåðòèôèêàòû íå íàäî... Ýòî æå ïîëíàÿ ïðîôàíàöèÿ. Ó íàñ âñå âðà÷è, è ãðàìîòíûå è íå î÷åíü èìåþò îäèíàêîâûå ñåðòèôèêàòû. ×òî êàñàåòñÿ ìîåé óäîâëåòâîðåííîñòè, òî óäîâëåòâîðåí ÿ íå ïîëíîñòüþ, ÷òî äëÿ âðà÷à íîðìàëüíî, ò.ê. ïîêà ëþäè íå æèâóò âå÷íî. |
#288
|
|||
|
|||
Ãîñïîäà!
Äëÿ íà÷àëà. Êàê-òî äî ìåíÿ òîëüêî ÷òî äîøëî. Çäåñü çâó÷àëî ïðåäëîæåíèå ïîêàçàòü õîòü îäèí ïðèìåð ðåàëüíîé ðàáîòû ãîìåîïàòè÷åñêîãî ñðåäñòâà, ïîäòâåðæäàþùèé ýôôåêòèâíîñòü ýòîãî ñðåäñòâà. Ïîæàëóéñòà – ÍÈÒÐÎÃËÈÖÅÐÈÍ. Äóìàþ, ïðàêòè÷åñêè âñå èç Âàñ óñïåëè óáåäèòüñÿ â ýôôåêòèâíîñòè ýòîãî ïðåïàðàòà? Äðóãîå äåëî, ÷òî ïðàêòè÷åñêè íè êòî íå çíàåò, ÷òî ýòî – ãîìåîïàòè÷åñêèé ïðåïàðàò, è ïðèøåë îí â àëëîïàòè÷åñêóþ êëèíèêó èç ãîìåîïàòèè. Îá ýòîì ïðåêðàñíî ïîìíèëè â 19-ì âåêå. À â 20 – ïðî÷íî çàáûëè. Âîò ïîæàëóéñòà – òèïè÷íûé ïðèìåð ýòîãî: «Îäíàêî ìàëî êòî çíàåò, ÷òî, íà÷èíàÿ ñ 1879 ã., êîãäà ýòî ñðåäñòâî (íèòðîãëèöåðèí) áûëî âïåðâûå èñïîëüçîâàíî â êëèíè÷åñêîé ïðàêòèêå äëÿ ëå÷åíèÿ ãðóäíîé æàáû» ÌÎËÅÊÓËÀ ÂÅÊÀ: ÝÂÎËÞÖÈß ÏÐÅÄÑÒÀÂËÅÍÈÉ Èñààê ÒÐÀÕÒÅÍÁÅÐ àêàäåìèê ÀÌÍ Óêðàèíû, ÷ëåí-êîððåñïîíäåíò ÍÀÍ Óêðàèíû) [Ññûëêè äîñòóïíû òîëüêî çàðåãèñòðèðîâàííûì ïîëüçîâàòåëÿì ] Ýòî óòâåðæäåíèå óïîðíî êóðñèðóåò èç îäíîãî ó÷åáíèêà ôàðìàêîëîãèè â äðóãîé, èç îäíîé ñòàòüè – â äðóãóþ. Íî ïðè âñåì ìîåì óâàæåíèè – Ðîññèÿ – íå åñòü ðîäèíà ñëîíîâ! Èñòîðèÿ æå ãîâîðèò î äðóãîì… Â 1847 ãîäó èòàëüÿíñêèé õèìèê Ñîáðåðî ñèíòåçèðîâàë íèòðîãëèöåðèí. À óæå â ñëåäóþùåì ãîäó àìåðèêàíåö è âåëèêèé ãîìåîïàò Ê. Ãåðèíã ïðîâåë åãî èñïûòàíèÿ è ââåë â ãîìåîïàòè÷åñêóþ ïðàêòèêó ïîä íàçâàíèåì «ãëîíîèí». Ïîìèìî âñåãî ïðî÷åãî, ýòîò ïðåïàðàò èñïîëüçîâàëñÿ è äëÿ êóïèðîâàíèÿ ïðèñòóïîâ ñòåíîêàðäèè. È òîëüêî ÷åðåç 30 ëåò ñ ïîäà÷è ãîìåîïàòîâ ãëîíîèí/íèòðîãëèöåðèí ñòàë èñïîëüçîâàòüñÿ â àëëîïàòè÷åñêîé ïðàêòèêå… Ïðè÷åì – äîçà ýòîãî ïðåïàðàòà – äî ñèõ ïîð òðàäèöèîííî ãîìåîïàòè÷åñêàÿ, óðîâíÿ 3Ñ. Èñïîëüçîâàíèå – âïîëíå óêëàäûâàåòñÿ â ðàìêè çàêîíà ïîäîáèÿ (îäèí èç âàðèàíòîâ îñòðîãî îòðàâëåíèÿ íèòðîãëèöåðèíîì íà ïîðîõîâûõ çàâîäàõ – ýòî êëèíèêà ñòåíîêàðäèè). Äàæå ñàìà òðàäèöèîííàÿ ôîðìà òàáëåòîê íèòðîãëèöåðèíà áîëåå ÷åì ñõîäíà ñ ãîìåîïàòè÷åñêèìè ãðàíóëàìè… Äàæå ôîðìà ïðèåìà – ñóáëèíãâàëüíî – è òà – èç ãîìåîïàòèè… Âîò êàê çàáàâíî. Èëè ýòî íå ïðèìåð ýôôåêòèâíîñòè ãîìåîïàòè÷åñêîãî ïðåïàðàòà? Àëåêñåþ. Äîëãî äóìàë íàä ïðåäëîæåííûì Âàìè äèçàéíîì. Ñ îäíîé ñòîðîíû òàêèõ èññëåäîâàíèé óæå ïðîâîäèëîñü íå ìàëî. Ñ äðóãîé ñòîðîíû – ìíå, êàê ãîìåîïàòó ýòî íå ñëèøêîì èíòåðåñíî.  ýôôåêòèâíîñòè ñâîèõ ïðåïàðàòîâ ÿ óáåæäàþñü åæåäíåâíî – âìåñòå ñî ñâîèìè ïàöèåíòàìè. Íî ñäåëàòü òàêóþ ðàáîòó áûëî áû óâëåêàòåëüíî. Ñ äðóãîé ñòîðîíû – ïðàêòè÷åñêè íå âîçìîæíî. Ðàçâå òîëüêî ñ ïàöèåíòàìè â îñòðîì ñîñòîÿíèè. Ñ õðîíèêàìè – óâû. Ïîÿñíþ ïî÷åìó. Ýòî ðåä÷àéøèé ñëó÷àé, êîãäà õðîíèêó ìû äàåì îäèí åäèíñòâåííûé ïðåïàðàò è äîáèâàåìñÿ çíà÷èìîãî ýôôåêòà. Ðàíåå ÿ ïðèâîäèë ïðèìåðíûé àëãîðèòì ðàáîòû ãîìåîïàòà ñ õðîíè÷åñêè áîëüíûìè. Ïîõîæå, ÷òî è Âû ïðîïóñòèëè ìîé ïîñòèíã ìèìî ñîçíàíèÿ.  ëå÷åíèå õðîíèêîâ ÂÑÅÃÄÀ (çà ðåä÷àéøèì èñêëþ÷åíèåì) èñïîëüçóåòñÿ ñåðèÿ ïðåïàðàòîâ îò 3 äî 5 è áîëåå ïîñëåäîâàòåëüíî. Ýòî êàê ïîäúåì ïî ëåñòíèöå – ñî ñòóïåíüêè íà ñòóïåíüêó. È íåëüçÿ ïåðåïðûãèâàòü. Âàæíà ïîñëåäîâàòåëüíîñòü. È ýòà ïîñëåäîâàòåëüíîñòü – âñåãäà (ÂÑÅÃÄÀ!!!) ñóãóáî ôåíîìåíîëîãè÷íà, ñóãóáî èíäèâèäóàëüíà. Ïðè÷åì íóæíî ó÷èòûâàòü åùå è èíäèâèäóàëüíóþ ðåàêòèâíîñòü ïàöèåíòà – à îò ýòîãî çàâèñèò äîçà. Îäèí è òîò æå ïðåïàðàò â äîçå 6Ñ, 12Ñ íå äàñò íèêàêîãî ýôôåêòà. À â äîçå 200Ñ – âûçîâåò ñèëüíåéøåå ëåêàðñòâåííîå îáîñòðåíèå, ñëåäñòâèåì êîòîðîãî ìîæåò áûòü äàæå ãîñïèòàëèçàöèÿ ïàöèåíòà. Ýòîìó ñòðàäàëüöó íóæåí ïðåïàðàò òîëüêî â äîçå 30Ñ èëè 50Ñ. È ïîäîáðàâ ïðåïàðàò – íå ìåíüøå âðåìåíè, à ÷àñòî – áîëüøå – ïðîâîäèøü â ïîèñêàõ íóæíîé äîçû. Íà ýòî ÷àñòî óõîäÿò íåäåëè. Êñòàòè, âîò íà ýòèõ ôàêòàõ, èçâåñòíûõ ËÞÁÎÌÓ ãîìåîïàòó-êëàññèêó, êðîåòñÿ ìîå íåäîâåðèå ê îáçîðàì, îïóáëèêîâàííûì ÷óòü âûøå.  îáçîðàõ, àâòîð êîòîðûõ ïðåäñòàâëÿåòñÿ, êàê îïûòíûé ãîìåîïàò, íî îá ýòîé àçáóêå ãîìåîïàòèè, åìó, ïîõîæå, íå èçâåñòíî... Âîîáùå, áîëüøèíñòâî ðàáîò ýòîé íàïðàâëåííîñòè, äàæå íàïèñàííûõ ãîìåîïàòàìè, ñ ýòîé òî÷êè çðåíèÿ âûçûâàþò íåäîóìåíèå. Öåëü ýòèõ èññëåäîâàíèé ïîíÿòíà – õîòü êàê-òî íàóêîîáðàçèòü ãîìåîïàòèþ, äîáèòüñÿ åå ïðèçíàíèÿ â íàó÷íîì ñîîáùåñòâå. È âñå æå íàñòîëüêî óïðîùàòü ìåòîä, âïëîòü äî íåýôôåêòèâíîñòè – ýòî íå äåëî. È êàê âûâîä èç âñåãî ñêàçàííîãî. Åäèíñòâåííî âîçìîæíûé äèçàéí èññëåäîâàíèÿ – ýòî òùàòåëüíîå èçó÷åíèå ïàöèåíòà ïåðåä íà÷àëîì ãîìåîïàòè÷åñêîãî ëå÷åíèÿ, â õîäå ýòîãî ëå÷åíèÿ è ïîñëå åãî îêîí÷àíèÿ. Ìîæíî ïàðàëëåëüíî ïðîâîäèòü ãðóïïó ñ ïëàöåáî. Íî – ñòîèò ëè – ýôôåêò ïëàöåáî äàâíî èçó÷åí, è ÷òî íîâîãî äàñò ïðîâåäåíèå åùå îäíîé ãðóïïû? Âïðî÷åì, âîçìîæíî è çäåñü, íà ýòîé áàçå ìîæíî áóäåò êàê-òî èçâåðíóòüñÿ? Íî ãëàâíîå – ãîìåîïàò íå ìîæåò ðàáîòàòü ñ ãðóïïîé, îí ìîæåò ðàáîòàòü òîëüêî ñ ëè÷íîñòüþ. Âî âñÿêîì ñëó÷àå, êîãäà ðå÷ü èäåò î õðîíèêàõ. Ñ óâàæåíèåì – Îëåãîâè÷. |
#289
|
|||
|
|||
Äàìû è ãîñïîäà, áûëà çàïðîøåíà õîòÿ áû îäíà ïóáëèêàöèÿ, ïîäðîáíî îïèñûâàþùåå ïðîâåäåííîå èññëåäîâàíèå, ïîêàçàâøåå, ÷òî âîçäåéñòâèå ãîìåîïàòè÷åñêèõ ïðåïàðàòîâ îòëè÷íî îò ïëàöåáî. ß ïðèâåë òàêóþ ññûëêó íà ïóáëèêàöèþ â BMJ. Åå êòî-íèáóäü ïðî÷èòàë?
|
#290
|
||||
|
||||
Are the results of placebo controlled trials in homoeopathy convincing? Linde et al's meta-analysis of 89 trials suggests an effect of homoeopathic medicines greater than placebo. The aggregated effect size of homoeopathic treatments, when possible publication bias is taken into account or only high quality trials are included, is modest. How seriously clinicians take these findings depends on their prior beliefs. If you cannot conceive of highly diluted solutions with undetectable drug concentrations having a biological effect, then no matter how well designed the trial or robust the meta-analysis, a positive result will not change your view. If you are less concerned about the integrity of our model of the universe or are intrigued by controversial laboratory work showing the activity of highly diluted histamine solutions than the overall positive result of the trials makes it easier to take homoeopathy seriously...
Gene Feder, professor of primary care research and development. Department of General Practice and Primary Care, Queen Mary's School of Medicine and Dentistry, London Tessa Katz, general practitioner. Lower Clapton Group Practice, London Clinicians must decide whether to prescribe effective active treatment that is significantly better than placebo or homoeopathy. For mild illness, where the active treatment leads to small benefits or high risks, a placebo or homoeopathy can be chosen. For severe illness, where the active treatment leads to large benefits, the active treatment can be chosen... John Weiner, visiting allergist. St Vincent's Hospital, Fitzroy, Victoria 3065, Australia Homoeopathy treats the person. If a person has asthma a homoeopath will generally spend at least one hour on a first visit, getting an idea of the person's history and lifestyle. What is his/her diet like? What other problems has s/he been treated for in the past? Are there any emotional issues? Then, and only then, will a remedy be prescribed, based not on the symptoms that the patient has but on what the homoeopath thinks is causing those symptoms. Only then can someone truly be cured... if you took 242 people with asthma and treated them homoeopathically you might well find that they would require 242 different remedies. Meryl Dorey, national president. Australian Vaccination Network Inc, PO Box 177, Bangalow NSW 2479, Australia From BMJ 2002;325:41 ( 6 July ) |
#291
|
|||
|
|||
Öèòàòà:
|
#292
|
|||
|
|||
Homoeopathy treats the person. If a person has asthma a homoeopath will generally spend at least one hour on a first visit, getting an idea of the person's history and lifestyle. What is his/her diet like? What other problems has s/he been treated for in the past? Are there any emotional issues? Then, and only then, will a remedy be prescribed, based not on the symptoms that the patient has but on what the homoeopath thinks is causing those symptoms. Only then can someone truly be cured... if you took 242 people with asthma and treated them homoeopathically you might well find that they would require 242 different remedies.
Meryl Dorey, national president. Australian Vaccination Network Inc, PO Box 177, Bangalow NSW 2479, Australia Ïîä ýòèì ãîòîâ ïîäïèñàòüñÿ. Ïîõîæå, àâòîð õóäî-áåäíî ðàçîáðàëñÿ, î ÷åì ïèøåò Îëåãîâè÷. |
#293
|
|||
|
|||
Homoeopathy treats the person. If a person has asthma a homoeopath will generally spend at least one hour on a first visit, getting an idea of the person's history and lifestyle. What is his/her diet like? What other problems has s/he been treated for in the past? Are there any emotional issues? Then, and only then, will a remedy be prescribed, based not on the symptoms that the patient has but on what the homoeopath thinks is causing those symptoms. Only then can someone truly be cured... if you took 242 people with asthma and treated them homoeopathically you might well find that they would require 242 different remedies.
Meryl Dorey, national president. Australian Vaccination Network Inc, PO Box 177, Bangalow NSW 2479, Australia Ïîä ýòèì ãîòîâ ïîäïèñàòüñÿ. Ïîõîæå, àâòîð õóäî-áåäíî ðàçîáðàëñÿ, î ÷åì ïèøåò Îëåãîâè÷. |
#294
|
|||
|
|||
Íó, â íà÷àëå, óâ. Åâã, ÿ ðàä ÷òî Âû îòêðûëè äëÿ ñåáÿ áðèòàíñêèé ìåäèöèíñêèé æóðíàë.
Äà ÷èòàëè, ÷èòàëè... Äåëî â òîì, ÷òî ñàìà ðàáîòà âûçûâàåò ñîìíåíèÿ, ïîñêîëüêó ïóáëèêóåòñÿ îäíèìè è òåìè æå àâòîðàìè, ñàì ìåòîä íå ãîìåîïàòè÷åñêèé, à ñêîðåå èçîïàòè÷åñêèé, áîëüøå ïîõîæå íà ñïåöèôè÷åñêóþ èììóíîòåðàïèþ, êîòîðàÿ äàâíî èñïîëüçóåòñÿ â ìåäèöèíå, ÷òî ïðîòèâîðå÷èò Âàøèì ïðèíöèïàì. Êðîìå òîãî, â ïîñëåäóþùåé ðàáîòå, ïîñâÿùåííîé ïî ñóòè ïðîâåðêå ïî àíàëîãè÷íîé ìåòîäå, ðàçëè÷èé ìåæäó ïëàöåáî è óëüðàðàçâåäåíèÿìè íå âûÿâëåíî. Òàê ÷òî... [Ññûëêè äîñòóïíû òîëüêî çàðåãèñòðèðîâàííûì ïîëüçîâàòåëÿì ] Äà... Íè î êàêîì âûçäîðîâëåíèè â ðàáîòàõ ðå÷è íå âåäåòñÿ... À ÷òî ãîâîðÿò íàøè ãîìåîïàòû? È îïóõîëè, è àñòìû, è èíôàðêò, è àóòèçì, Èçðàýëþ óäàâàëîñü è àðòåðèàëüíóþ ãèïåðòåíçèþ.. Íàñêîëüêî ÿ ïîíÿë, òîëüêî íîãè íå âûðàñòàþò?  ìåõàíèçìàõ ïîëíûé ìðàê... À âîò ïî ïîâîäó íèòðîãëèöåðèíà, âîò óæ ÷åãî íå ñëûøàë, òàê ýòî ÷òîáû íèòðîãëèöåðèí âûçûâàë ñòåíîêàðäèþ - ïîïðîáóéòå Îëåãîâè÷ ïîëîæèòü øòó÷åê 5 (ãîìåîïàòè÷åñêèõ) ïîä ÿçûê... Ïî ïîâîäó äèçàéíà... Äûê, ÿ æå è ïðåäëàãàë - "ëå÷èòå êàê õîòèòå", ïîëîâèíà ïîëó÷àåò ðåàëüíûå ïðåïàðàòû, ïîëîâèíà ñàõàð. Ñðàâíèâàåòñÿ íå ïðåïàðàò, à ìåòîä. Äåëî â òîì, ÷òî ïî÷òè âñå Âàøè ïàöèåíòû, "ïðèñëóøàâøèñü ê ñâîåìó îðãàíèçìó" áóäó îùóùàòü òå èëè èíûå ïîêàëûâàíèÿ, ïîõîëîäàíèÿ è ò.ä. Êîíòèíãåíò ó Âàñ ñïåöèôè÷åñêèé. |
#295
|
|||
|
|||
Àëåêñåþ.
> À ÷òî ãîâîðÿò íàøè ãîìåîïàòû? È îïóõîëè, è àñòìû, è èíôàðêò, è àóòèçì, Èçðàýëþ óäàâàëîñü è àðòåðèàëüíóþ ãèïåðòåíçèþ.. Íàñêîëüêî ÿ ïîíÿë, òîëüêî íîãè íå âûðàñòàþò? Íîãè íå âûðàñòàþò. Îïóõîëè - äîáðîêà÷åñòâåííûå - äà, îáû÷íî âûëå÷èâàåì; òå æå ìèîìû, (âî âñÿêîì ñëó÷àå ìíå äîâîäèëîñü èçëå÷èâàòü òîëüêî èõ è ëèïîìàòîç), à àñòìà, ñòåíîêàðèè, àóòèçì, àðòåðèàëüíóþ ãèïåðòåíçèþ - ýòî ïðîñòèòå, áàíàëüíîñòü. Îáû÷íàÿ ðàáîòà. À âîò ïî ïîâîäó íèòðîãëèöåðèíà, âîò óæ ÷åãî íå ñëûøàë, òàê ýòî ÷òîáû íèòðîãëèöåðèí âûçûâàë ñòåíîêàðäèþ - ïîïðîáóéòå Îëåãîâè÷ ïîëîæèòü øòó÷åê 5 (ãîìåîïàòè÷åñêèõ) ïîä ÿçûê... Íó ÷òî íå ñëûøàëè - ýòî íå óäèâèòåëüíî. Äëÿ ýòîãî íóæíî çíàòü, íàïðèìåð òîêñèêîëîãèþ... Èëè Âû ñåðüåçíî äóìàåòå, ÷òî íèòðîãëèöåðèí (åñëè Âû íå â êóðñå - ñèëüíåéøåå âçðûâ÷àòîå âåùåñòâî - íèòðîãëèöåðèí+êèçåëüãóð=äèíàìèò) ïðîèçâîäèòñÿ è èñïîëüçóåòñÿ èñêëþ÷èòåëüíî â ôàðìàêîëîãè÷åñêèõ öåëÿõ? À ïîêà åñòü êðóïíîìàñøòàáíîå ïðîèçâîäñòâî - áóäóò è ïðîèçâîäñòâåííûå îòðàâëåíèÿ. È ýòè îòðàâëåíèÿ êòî-òî äîëæåí èçó÷àòü è ëå÷èòü. À äàííûå òîêñèêîëîãèè ãîìåîïàòû èñïîëüçîâàëè âñåãäà! È äîëãî åùå áóäóò èñïîëüçîâàòü. È íå ñìóùàéòåñü òîãî, ÷òî Âû îá ýòîì íå ñëûøàëè... Ðàçâå ìàëî òîãî, î ÷åì Âû è íå ïîäîçðåâàåòå? È ÿ íå ïîäîçðåâàþ... Ïî ïîâîäó äèçàéíà... Äûê, ÿ æå è ïðåäëàãàë - "ëå÷èòå êàê õîòèòå", ïîëîâèíà ïîëó÷àåò ðåàëüíûå ïðåïàðàòû, ïîëîâèíà ñàõàð. Ñðàâíèâàåòñÿ íå ïðåïàðàò, à ìåòîä. È ÷òî õàðàêòåðíî - è òå è äðóãèå - ïëàòÿò çà ëå÷åíèå àáñîëþòíî îäèíàêîâûå äåíüãè... Ýòèêó óæå îòìåíèëè? Äåëî â òîì, ÷òî ïî÷òè âñå Âàøè ïàöèåíòû, "ïðèñëóøàâøèñü ê ñâîåìó îðãàíèçìó" áóäó îùóùàòü òå èëè èíûå ïîêàëûâàíèÿ, ïîõîëîäàíèÿ è ò.ä. Êîíòèíãåíò ó Âàñ ñïåöèôè÷åñêèé. Ìîåé ñîáàêå, 12-ëåòíåé íüþôèõå, 4 íåäåëè íàçàä ïðèøëîñü ñîâñåì ëèõî. Âñå íà÷àëîñü ñ íàïðÿæåííîé ãåìàòîìû ïðàâîé óøíîé ðàêîâèíû íà ôîíå îòîäåêîçà. ß íåäåëþ áûë â áåãàõ, è êîãäà íàêîíåö îáðàòèë âíèìàíèå íà ñîáàêó - äåëî áûëî ñîâñåì ïëîõî. Ãåìàòîìà íàãíîèëàñü, ñîáàêà îñëàáëà è åå àòàêîâàëè ìÿñíûå ìóõè. Âñå ðàçâèëîñü áóêâàëüíî çà 2-3 äíÿ. Äóìàë - ïîãèáíåò ìîÿ ñòàðóøêà. Êîãäà îñòðèãëè øåðñòü - íà êîæå áîëåå äåñÿòêà ÿçâ äî 5-6 ñì â äèàìåòðå, â êîòîðûõ êàê ñåìå÷êè â ïîäñîëíóõå ñèäåëè ÷åðâè - ëè÷èíêè ìÿñíîé ìóõè. Îíè áûëè âåçäå - â óøàõ, â ãëàçàõ ïîä âåêàìè, â çàäíåì ïðîõîäå, â ïîëîâûõ îðãàíàõ. Ñëàáîñòü, ñóõîñòü êîæíûõ ïîêðîâîâ, îäûøêà, âûñîêàÿ òåìïåðàòóðà, ñìåíèâøàÿñÿ ãèïîòðåìèåé, äåãèäðàòàöèÿ, àíóðèÿ â òå÷åíèå 3-õ ñóòîê. Íå ïüåò, íå åñò. Âåòåðåíàðû ñî÷ëè åå ñîâåðøåííî áåñïåðñïåêòèâíîé â ïëàíå ëå÷åíèÿ. Ïðèøëîñü ñàìîìó îòäóâàòüñÿ. Íà÷àë ñ êàðáî âåãåòàáèëèñ, ïîòîì àðåñåí, ïîòîì - ïñîðèíóì è íàêîíåö - ñóëüôóð. Åñòåñòâåííî - òóàëåò ðàí ñ îáðàáîòêîé ðàñòâîðîì êàëåíäóëû. Íà ñëåäóþùèé äåíü óòðîì ñîáàêà íà÷àëà ïèòü, ê âå÷åðó - âïåðâûå âûäàëà ïîðöèþ ìî÷è. Íà ñëåäóþùèé äåíü - íà÷àëà êóøàòü. ×åðåç íåäåëþ - óæå õîäèëà. ×åðåç äâå íåäåëè - óäðàëà èç äâîðà - çàõîòåëîñü ïî ñîñåäÿì ïîøëÿòüñÿ. Åäâà íàøåë. Îòñòàòî÷íàÿ ýêçåìà åùå ñîõðàíÿåòñÿ. ×òî íå ìåøàåò åé ñêàêàòü, êàê îáû÷íî (îíà âîîáùå èçëèøíå ïîäâèæíà äëÿ âîäîëàçîâ). Åñëè æåëàåòå, ìîãó îïóáëèêîâàòü ôîòîãðàôèè ìîåé îñòðèæåííîé ñîáàêè, íà êîæå åùå ðàçëè÷èìû ñëåäû ÿçâ (ñòðóïû åùå íå îòîøëè), è ýêçåìà. Íî âåñåëèòüñÿ ýòî åé óæå íå ìåøàåò... Âàøè ïàöèåíòû, "ïðèñëóøàâøèñü ê ñâîåìó îðãàíèçìó" áóäóò îùóùàòü òå èëè èíûå ïîêàëûâàíèÿ, ïîõîëîäàíèÿ è ò.ä. Âîïðîñ: íó ñîáàêà ëàäíî... À äåòè ñ àóòèçìîì? Îíè òîæå "ïðèñëóøèâàþòñÿ"? È, âåðíî, òàê ÿðêî è êðàñî÷íî îïèñûâàþò ñâîè îùóùåíèÿ? Êîíòèíãåíò ó Âàñ ñïåöèôè÷åñêèé. Òóò Âû ïðàâû. Ñ îäíîé ñòîðîíû - ìîÿ ñîáàêà - ÿâíî íå ïóäåëü. Ñ äðóãîé ñòîðîíû - øèáêî "óìíûå" è øèáêî ãëóïûå ó íàñ íå ëå÷àòñÿ. Íî îíè è ó Âàñ ëå÷èòüñÿ íå ìîãóò - îíè æå âñå ëó÷øå ëþáîãî âðà÷à çíàþò... È ÷òî ñàìîå èíòåðåñíîå... Âû òàê óâåðåííî ãîâîðèòå î íàøåì êîíòèíãåíòå... Âû, íàâåðíîå, íå îäèí ãîä îáùàëèñü èñêëþ÷èòåëüíî ñ òåìè, êòî ëå÷èëñÿ ó ãîìåîïàòîâ? Ñ Ïóòèíûì, íàïðèìåð? Ñ Êîëëåì? Ñ Åëèçàâåòîé II? Íàðîä âñå òàêîå - ñïåöèôè÷åñêèé... È ÿ íå óòâåðæäàþ, ÷òî ó ãîìåîïàòîâ ëå÷àòñÿ èñêëþ÷èòåëüíî ïåðâûå ëèöà... Íî, âîò Á.Åëüöèí - ëå÷èòüñÿ ó ãîìåîïàòîâ îòêàçàëñÿ íàîòðåç! Ðåçóëüòàò çàìåòåí, îñîáåííî êîãäà îí îáíèìàëñÿ ñ äðóãîì Ãåëüìóòîì, êîòîðûé ïðèëè÷íî ñòàðøå Á.Í., íî åãî ñ þíîñòè ïîëüçóþò ãîìåîïàòû. Âñå-òàêè õîðîøî çíàòü èñòîðèþ, äàæå íîâåéøóþ. Òàê ïîó÷èòåëüíî. Îëåãîâè÷. |
#296
|
|||
|
|||
Äëÿ Dobro.
Dobro íå îäîáðèë(à): Ýêçàìåí íà ñåðòèôèêàò ìîæíî ñäàòü è ñî çíàíèÿìè ñòîëåòíåé äàâíîñòè. Äà, íà÷àëè Âû çà çäðàâèå, êîí÷èëè çà óïîêîé... Âîò èíòåðåñíî, ñàìè Âû ãîòîâû ïîäòâåðäèòü ýêñïåðèìåíòàëüíî ñâîå ñîáñòâåííîå óòâåðæäåíèå? Ïðèéòè íà ñëåäóþùóþ ñåðòèôèêàöèþ ñî çíàíèÿìè ñòîëåòíåé äàâíîñòè? Ñëîâî-òî - íå âîðîáåé? Ãîòîâû? Êàê ñåé÷àñ ïðèâûêëè ãîâîðèòü: "Çà áàçàð, ÷èñòî êîíêðåòíî, îòâåòèøü?!" Èëè Âàøà ïðèâû÷íî-ñíèñõîäèòåëüíàÿ èíòîíàöèÿ íà ÷ëåíîâ ýêçàìåíàöèîííîé êîìèññèè íå ðàñïðîñòðàíÿåòñÿ? Îëåãîâè÷. |
#297
|
|||
|
|||
Öèòàòà:
Äîçà 0,5-1 ìã ãîìåîïàòè÷åñêàÿ? Òîãäà äåéñòâèòåëüíî íåìàëî «àëëîïàòè÷åñêèõ» ëåêàðñòâ ÿâëÿþòñÿ ãîìåîïàòè÷åñêèìè. Êðîìå òîãî, àíàëîãè÷íûì äåéñòâèåì, â òîì ÷èñëå òîêñè÷íûì, îáëàäàþò ëþáûå íèòðèòû. Ìîãóò ëè íèòðèòû íàòðèÿ, êàëèÿ èëè àììîíèÿ â ãîìåîïàòè÷åñêèõ äîçèðîâêàõ çàìåíèòü «ãëîíîèí»? |
#298
|
|||
|
|||
Öèòàòà:
Ïðè÷åì, ïðîøó íå ïóòàòü, çàêîí ïîäîáèÿ - ñõîäñòâî ñèìïòîìîâ. Î ìåõàíèçìàõ â íåì íè÷åãî íå ãîâîðèòñÿ. Ãîìåîïàòèÿ -íàïîìèíàþ - ýòî ëå÷åíèå ïîäîáíîãî - ïîäîáíûì. Òîëüêî ýòî - ãîìåîïàòèÿ. Âîïðîñ äîçû - áîëåå ÷åì âòîðè÷åí, õîòÿ è çíà÷èì.  ÑÌÄ óæå ïîêàçàíî, ÷òî ÁÀ â ðàçíûõ äîçàõ äåìîíñòðèðóþò ðàçíûå ñâîéñòâà. Íî ïðèìåíåíèå ïðåïàðàòà ãîìåîïàòè÷åñêè - ýòî òîëüêî ïðèìåíåíèå åãî ïî ïîäîáèþ. Äà, óðîâåíü äîçû ìíîãèõ àëëîïàòè÷åñêèõ ïðåïàðàòîâ ïðèáëèæàåòñÿ ê óðîâíþ äîç ãîìåîïàòè÷åñêèõ ïðåïàðàòîâ. Íî - ñàì ïðèíöèï ïðèìåíåíèÿ èõ - íå ãîìåîïàòè÷åí. È, Âû ïðàâû, ëþáîå àëëîïàòè÷åñêîå ñðåäñòâî ìîæåò ñòàòü ãîìåîïàòè÷åñêèì, åñëè ïðîâåñòè åãî ñîîòâåòñòâóþùåå èñïûòàíèå, è íàçíà÷àòü ãîìåîïàòè÷åñêè, ïî ïîäîáèþ. Ôàðìàêîëîãè èññëåäóþò êëèíè÷åñêóþ àêòèâíîñòü ëþáîãî àëëîïàòè÷åñêîãî ñðåäñòâà, èçó÷àÿ åãî àêòèâíîñòü ñòðîãî öåëåíàïðàâëåííî - îêàçûâàåò îí òî èëè èíîå ñòðîãî çàäàííîå äåéñòâèå. È ïî óðîâíþ åãî îáùåé òîêñè÷íîñòè. Íàñ, ãîìåîïàòîâ íå ìåíüøå, åñëè íå áîëüøå, áóäåò èíòåðåñîâàòü èìåííî òîêñè÷åñêîå äåéñòâèå èññëåäóåìîãî ïðåïàðàòà, òî, ÷òî èçíà÷àëüíî îñòàåòñÿ çà ïðåäåëàìè èíòåðåñîâ ôàðìàêîëîãîâ-àëëîïàòîâ. È êòî çíàåò, ñêîëüêî ìîùíåéøèõ ãîìåîïàòè÷åñêèõ ñðåäñòâ æäóò ñâîåãî ÷àñà ñðåäè áàíàëüíûõ è ïðèâû÷íûõ àëëîïàòè÷åñêèõ ïðåïàðàòîâ? Êðîìå òîãî, àíàëîãè÷íûì äåéñòâèåì, â òîì ÷èñëå òîêñè÷íûì, îáëàäàþò ëþáûå íèòðèòû. Ìîãóò ëè íèòðèòû íàòðèÿ, êàëèÿ èëè àììîíèÿ â ãîìåîïàòè÷åñêèõ äîçèðîâêàõ çàìåíèòü "ãëîíîèí" Çäåñü Âû íå ïðàâû. Äîñòàòî÷íî çàãëÿíóòü â õîðîøèé ñïðàâî÷íèê ïî òîêñèêîëîãèè. È íèòðèòû íàòðèÿ, êàëèÿ èëè àììîíèÿ çàìåíèòü ÃËÎÍÎÈÍ íè êàê íå ìîãóò. Ìàëî òîãî, êàæäàÿ èç ýòèõ ñîëåé èñïîëüçóåòñÿ â ãîìåîïàòèè - ïî ñâîèì ñîáñòâåííûì ïîêàçàíèÿì. È ïóòàòü èõ - íåïðîôåññèîíàëüíî, äëÿ ãîìåîïàòà, âî âñÿêîì ñëó÷àå. Îëåãîâè÷. |
#299
|
|||
|
|||
Óâàæàåìûé Àëåêñàíäð Îëåãîâè÷!
Ïðîñòèòå, íî â Âàøèõ îòâåòàõ î÷åíü ðàñïðîñòðàíåííàÿ òåíäåíöèÿ, ïðèñóùàÿ ýòîìó ôîðóìó. Âû íå â÷èòàëèñü èëè íåäîïîíÿëè âîïðîñû, êîòîðûå âîçíèêëè èç öèòèðóåìîãî ìíîþ àáçàöà. Ïîýòîìó Âàøè îòâåòû èç ïîñëåäíåãî ïîñòà ñóùåñòâóþò êàê áû îòäåëüíî îò çàäàííûõ âîïðîñîâ. À âåäü îíè (âîïðîñû) áûëè äîñòàòî÷íî êîíêðåòíû. Ïîñëå Âàøåãî ïîñëåäíåãî ïîñòà âîçíèêëè ëèøü íîâûå âîïðîñû. Ê ïðèìåðó, ïî íèòðèòàì: «Çäåñü Âû íå ïðàâû. Äîñòàòî÷íî çàãëÿíóòü â õîðîøèé ñïðàâî÷íèê ïî òîêñèêîëîãèè». È ÷òî æå òàì íàïèñàíî? Ññûëêà íà Èñààê ÒÐÀÕÒÅÍÁÅÐ íå îòêðûâàåòñÿ, ïîýòîìó îñòàþñü â íåâåäåíüå, ÷òî åñòü «ÑÎÂÐÅÌÅÍÍÎÅ ïðåäñòàâëåíèå î ìåõàíèçìå äåéñòâèÿ íèòðîãëèöåðèíà». À íà ñ÷åò, ÷òî ïðèìåíÿåìûå äîçû íèòðîãëèöåðèíà äî ñèõ ïîð òðàäèöèîííî ãîìåîïàòè÷åñêèå – ýòî ÿ Âàñ öèòèðîâàë. P.S. Åù¸ ðàç íàïîìíþ ñâîþ ïîçèöèþ. Íå ìíå ñóäèòü îá ýôôåêòèâíîñòè ãîìåîïàòèè. Íî âîò êîãäà ïûòàþòñÿ «îáúÿñíÿòü» ìåõàíèçìû – âûãëÿäèò ýòî êðàéíå ñîìíèòåëüíî. |
#300
|
|||
|
|||
Äà íó ÷òî Âû, Îëåãîâè÷! Íèòðîãëèöåðèí ó ðàáîòàþùèõ íà ïðîèçâîäñòâå äèíàìèòà âûçûâàåò ïðèâûêàíèå. À åãî îòìåíà îáóñëàâëèâàåò îáîñòðåíèå ñóùåñòâóþùåé èøåìè÷åñêîé áîëåçíè ñåðäöà. Êñòàòè, ïî ñëóõàì, èìåííî Íîáåëü ïåðâûì çàìåòèë óìåíüøåíèÿ ñèìïòîìîâ ñâîåãî çàáîëåâàíèÿ (ÈÁÑ), âî âðåìÿ íàõîæäåíèÿ íà ðàáîòå.
|