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Presentation and Analysis of the Online Evidence Gap Map, "Clinical Effectiveness of Homeopathy". 顺势疗法临床疗效在线证据缺口图的呈现与分析。
IF 1.2 4区 医学 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2024-12-24 DOI: 10.1055/s-0044-1791490
Leoni V Bonamin, Ubiratan C Adler, Edgard C de Vilhena, Carla Holandino Quaresma, Adriana Passos de Oliveira, Ednar N Coimbra, Jorge K Hosomi, Carmen Veronica M Abdala, Mariana C Schveitzer, Caio F S Portella, Ricardo Ghelman
<p><strong>Introduction and objective: </strong> This study presents and analyzes the content of an online Evidence Gap Map (EGM), "<i>Clinical Effectiveness of Homeopathy, 1st Edition</i>", which graphically represents evidence from systematic reviews (SRs) of human clinical trials in homeopathy that were published from 1991 to 2021. The EGM was built according to the guidelines of the International Initiative for Impact Evaluation (3ie), adapted for complex interventions, to represent visually relevant evidence and research gaps.</p><p><strong>Presentation of evidence gap map content: </strong> The interventions, classified as rows, are characterized in the EGM not only by the homeopathic therapeutic strategy but also by individual medicines and potencies. The outcomes are listed in columns. The associations between both are represented by "bubbles" that refer to the corresponding SRs and whose colors indicate their quality level.</p><p><strong>Synthesis of evidence gap map content: </strong> From 239 citations identified, 51 SRs underwent complete characterization for the final construction of the EGM. A further in-depth quality analysis of each SR was performed to list the studied intervention/outcome associations described in each mentioned trial. At this step, those trials considered to have a high risk of bias by the authors of each SR were excluded from the EGM inputs.</p><p><strong>Analysis of evidence gap map content: </strong> The methodological quality of each of the EGM's SRs was evaluated using the AMSTAR-2 criteria for level of confidence in an SR's results. Intervention-outcome associations were categorized into one of five effects of a homeopathic intervention: <i>positive</i>, <i>potentially positive</i>, <i>ineffective</i>, <i>inconclusive</i>, or <i>negative</i>.</p><p><strong>Findings: </strong> The EGM presents research evidence across a wide range of medical conditions, with substantial heterogeneity of homeopathic interventions and clinical outcomes. Forty-two of the 51 SRs yielded inconclusive findings. AMSTAR-2 analysis identified seven high-quality SRs, in which reliable primary studies presenting positive or potentially positive results for different categories of homeopathy are cited and related to specific clinical conditions: fibromyalgia, otitis media, diarrhea, respiratory infections, menopausal syndrome, irritable bowel syndrome, and attention deficit hyperactivity disorder in children.</p><p><strong>Conclusion: </strong> The EGM "<i>Clinical Effectiveness of Homeopathy, 1st Edition</i>" presents visually relevant research evidence that is scattered across a large number of medical conditions, showing substantial heterogeneity of homeopathic interventions, clinical outcomes, and research quality. To enhance the precision and relevance of future research, we recommend that the individualized homeopathic approach under investigation be standardized to the greatest extent feasible, and to use measures of well-being
简介和目的:本研究介绍并分析了在线证据缺口图(EGM)“顺势疗法的临床有效性,第一版”的内容,该地图以图形方式表示了1991年至2021年发表的顺势疗法人体临床试验的系统综述(SRs)的证据。EGM是根据国际影响评估倡议(International Initiative for Impact Evaluation,简称3ie)的指导方针建立的,并针对复杂的干预措施进行了调整,以直观地反映相关证据和研究差距。证据缺口图内容的呈现:干预措施按行分类,在EGM中不仅以顺势疗法治疗策略为特征,而且以个体药物和效力为特征。结果以列形式列出。两者之间的关联由“气泡”表示,这些气泡指的是相应的sr,其颜色表示它们的质量水平。证据缺口图内容的合成:从239篇被鉴定的引文中,51篇ssr进行了完整的表征,最终构建了EGM。对每个SR进行进一步深入的质量分析,列出在每个提到的试验中描述的研究干预/结果关联。在这一步,那些被每个SR的作者认为具有高偏倚风险的试验从EGM输入中排除。证据差距图内容分析:使用AMSTAR-2标准评估每个EGM的SR结果的置信水平,对其方法学质量进行评估。干预与结果的关联被归类为顺势疗法干预的五种影响之一:积极的、潜在的积极的、无效的、不确定的或消极的。研究结果:EGM提供了广泛的医学条件下的研究证据,顺势疗法干预和临床结果具有实质性的异质性。51项SRs中有42项没有得出结论性的结论。AMSTAR-2分析确定了7个高质量的SRs,其中引用了对不同类别顺势疗法呈现阳性或潜在阳性结果的可靠的初步研究,并与特定的临床病症相关:纤维肌痛、中耳炎、腹泻、呼吸道感染、更年期综合征、肠易激综合征和儿童注意缺陷多动障碍。结论:EGM“顺势疗法的临床疗效,第一版”展示了视觉上相关的研究证据,这些证据分散在大量的医疗条件下,显示了顺势疗法干预、临床结果和研究质量的实质性异质性。为了提高未来研究的准确性和相关性,我们建议将正在研究的个体化顺势疗法方法最大程度地标准化,并将幸福感和生活质量作为主要结果。
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引用次数: 0
China officinalis as Possible Homeopathic Prophylaxis for the Brazilian Dengue Epidemic. 在巴西登革热流行的顺势疗法预防中,中国缬草可能是一种顺势疗法。
IF 1.2 4区 医学 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2024-12-19 DOI: 10.1055/s-0044-1792147
Ana Amélia Campos Claro Olandim, Fernanda Maria Simões da Costa Fujino, Renata Lemonica, Nilson Roberti Benites, Vagner Doja Barnabé

Dengue, a hyperendemic arbovirus thriving in tropical and sub-tropical climates globally, has seen a significant surge in Brazil over the past 5 years. Presently, the country faces an epidemic, posing a huge challenge to Public Health authorities due to the potentially lethal nature of severe infections. Based on Hahnemannian concepts and on the historically reported efficacy of homeopathy in fighting epidemics, this study aimed to provide supporting evidence for a homeopathic genus epidemicus approach to prevent severe forms of dengue. Symptoms related to the severe phase of the disease were prioritised in the repertorisation: China officinalis (Chin) received the highest total symptoms score (43 points from 21 symptoms) followed by Arsenicum album (31/13) and Phosphorus (29/14). In the asymptomatic population exposed to the etiological agent, the use of Chin might contribute as an additional strategy in the prophylaxis of dengue.

登革热是一种在全球热带和亚热带气候中蓬勃发展的高地方性虫媒病毒,过去5年在巴西出现了显著激增。目前,该国面临一场流行病,由于严重感染的潜在致命性,对公共卫生当局构成了巨大挑战。基于Hahnemannian的概念和历史上报道的顺势疗法在对抗流行病方面的功效,本研究旨在为顺势疗法属流行病方法预防严重登革热提供支持证据。与疾病严重期相关的症状在报告中被优先考虑:中国药(Chin)获得最高的总症状评分(21个症状中有43分),其次是砷(31/13)和磷(29/14)。在暴露于病原体的无症状人群中,使用中国可能有助于作为预防登革热的额外策略。
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引用次数: 0
MONARCH Inventory for Causal Attribution in Homeopathy Case Reports: Explanation and Elaboration. 顺势疗法病例报告因果归因的君主量表:解释与阐述。
IF 1.2 4区 医学 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2024-12-19 DOI: 10.1055/s-0044-1792166
Chetna Deep Lamba, Nidhi Mahajan, Vishwa Kumar Gupta, Lex Rutten, Michael Teut, Lefteris Tapakis, Todd Hoover, Anna Gerstenhoefer, Yuen Ying Yvonne Fok, Rajkumar Manchanda, Robbert van Haselen

Background:  The Modified Naranjo Criteria for Homeopathy (MONARCH) inventory is a novel and useful tool for assessing the likelihood of a causal relationship between the homeopathic intervention and the ultimate clinical outcome.

Objectives:  To explain and elaborate on the use of the MONARCH inventory to improve its consistency of use and thereby elevate the overall quality and evidentiary value of homeopathy case reports.

Explanation and elaboration:  Each of the 10 MONARCH inventory domains is explained and elaborated with the aid of references from published literature and hypothetical clinical situations. The MONARCH total score can range from -6 to +13; within that range, an arithmetic total of +6 is available from the scores of four critical domains, which should be given prominence in the overall consideration of causality. In reporting a clinical case, great importance should be placed on the narrative of the MONARCH evaluation process, domain by domain.

Conclusion:  The application of MONARCH allows us to evaluate the likelihood of a causal relationship between the intervention and the observed clinical outcomes in successfully treated cases, thereby augmenting their evidentiary value.

背景:改良的纳兰霍顺势疗法标准(MONARCH)量表是评估顺势疗法干预与最终临床结果之间因果关系可能性的一种新颖而有用的工具。目的:对君主量表的使用进行解释和阐述,以提高其使用的一致性,从而提高顺势疗法病例报告的整体质量和证据价值。解释和阐述:10个君主库存领域中的每一个都在已发表文献和假设临床情况的参考文献的帮助下进行了解释和阐述。君主的总分可以从-6到+13;在这个范围内,四个关键领域的分数的算术总数为+6,这应该在全面考虑因果关系时给予突出地位。在报告临床病例时,应高度重视君主评估过程的叙述,逐个领域。结论:君主的应用使我们能够评估干预与成功治疗病例观察到的临床结果之间因果关系的可能性,从而增强其证据价值。
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引用次数: 0
Tracking a Homeopathic Complex Formulation in the Watercourses of a Fire-Damaged State Park in Brazil. 在巴西受火灾破坏的州立公园水道中追踪顺势疗法复方制剂。
IF 1.2 4区 医学 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2024-11-11 DOI: 10.1055/s-0044-1790284
Nathalia Salles Scortegagna de Medeiros, Andréia Adelaide G Pinto, Sérgio Frana, Mônica Filomena Souza, Ana Paula Felício, Ivana Barbosa Suffredini, Steven John Cartwright, Leoni Villano Bonamin

Introduction:  In 2020, a 26,849-ha state park in Mato Grosso do Sul state, Brazil, had 30% of its area damaged by fire. A homeopathic complex formulation was applied at strategic point locations in the park's springs or watercourses, aiming to mitigate the fire damage to the flora and fauna as quickly as possible. The duration of the homeopathic signal at each point was assessed using an established solvatochromic dye technique.

Objective:  To evaluate the timing and the nature of the signal at each of nine point locations. We could thus identify the presence of any signal variations due to specified environmental features within the park.

Methods:  Water samples were harvested from each intervention point at different times, filtered, frozen, and sent to the laboratory, where they were prepared to 1cH using filtered 30% ethanol. Methylene violet was chosen among six dyes since it was found in preliminary tests that it could trace the homeopathic complex used. In addition to simple sample testing, samples were submitted to a static and unidirectional magnetic field of 2400 Gauss (240 mT) for 15 minutes immediately before reading, which enhanced the method's sensitivity. One-way analysis of variance/Tukey test was used to identify dye absorbance changes following the analysis of water samples from the watercourse system. A correlation matrix and the Spearman r test were employed to evaluate any correlation between tracking and the pre-existing anthropic interventions at harvesting points. In all cases, α = 0.05.

Results:  Four tracking patterns using the sample magnetization process were observed in relation to water samples and their effect on methylene violet solutions: no response (P2, P4), early transitory response (P5, P6, P8), late response (P1, P9), and constant response (P3, P7). P2 and P4, which could not be tracked, were correlated with permanent local anthropic disturbance.

Conclusions:  Methylene violet was the best dye to track the homeopathic complex prepared specifically for this case. Tracking was facilitated by prior magnetic treatment of samples, but anthropic disturbances to the environment seem to interfere with it.

简介2020 年,巴西南马托格罗索州一个占地 26,849 公顷的州立公园有 30% 的面积遭到火灾破坏。为了尽快减轻火灾对动植物造成的破坏,我们在公园的泉水或河道等战略要点位置施用了顺势疗法复方制剂。使用成熟的溶解变色染料技术对每个点的顺势疗法信号持续时间进行了评估:评估九个点中每个点的信号时间和性质。因此,我们可以确定公园内是否存在因特定环境特征而导致的信号变化:方法:在每个干预点的不同时间采集水样,过滤、冷冻后送至实验室,使用过滤后的 30% 乙醇将水样处理为 1cH。在六种染料中选择了亚甲基紫,因为在初步测试中发现它可以追踪所使用的顺势疗法复合物。除了简单的样品测试外,在读取样品前,还将样品置于 2400 高斯(240 mT)的静态单向磁场中 15 分钟,从而提高了该方法的灵敏度。采用单因子方差分析/Tukey 检验来确定水道系统水样分析后染料吸光度的变化。采用相关矩阵和 Spearman r 检验来评估跟踪与采样点预先存在的人为干预之间的相关性。在所有情况下,α = 0.05:利用样品磁化过程观察到了与水样及其对亚甲基紫溶液的影响有关的四种跟踪模式:无响应(P2、P4)、早期短暂响应(P5、P6、P8)、晚期响应(P1、P9)和恒定响应(P3、P7)。无法跟踪的 P2 和 P4 与当地长期的人为干扰有关:结论:亚甲紫是追踪专为该病例配制的顺势疗法复合物的最佳染料。事先对样本进行磁处理有助于追踪,但人为环境干扰似乎会干扰追踪。
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引用次数: 0
Association between Acute and Chronic Inflammatory States: A Case-Control Study. 急性和慢性炎症状态之间的关联:病例对照研究
IF 1.2 4区 医学 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2024-11-01 Epub Date: 2024-02-09 DOI: 10.1055/s-0043-1777119
Seema Mahesh, Mahesh Mallappa, Vitalie Vacaras, Viraj Shah, Elena Serzhantova, Nadezhda Kubasheva, Dmitriy Chabanov, Dionysios Tsintzas, Latika Jaggi, Atul Jaggi, George Vithoulkas

Background: Fever is the hallmark of efficient acute inflammatory response, which may be disrupted in chronic inflammatory conditions. The "continuum theory" proposes that the return of acute inflammatory states with high fever predicts improvement in chronic diseases during treatment. Our objective was to investigate the observation made, during classical homeopathic treatment, that such an association exists between chronic inflammation and efficient acute inflammation.

Methods: In a case-control study, the reports of patients diagnosed with chronic inflammatory conditions with at least 6 months of follow-up under homeopathic treatment were retrospectively sampled from homeopathic medical practices from Greece, India, Romania and Russia. Twenty patients who improved under homeopathic treatment and 20 age-matched controls of those who did not improve were selected. The occurrence of common acute infectious diseases with fever during the follow-up period was investigated.

Results: The average age of the cases and controls was 28.4 (SD: 16.64) and 27.9 (SD: 17.19) years respectively. 18/20 cases and 4/20 controls developed common infectious diseases with fever. Cramer's V co-efficient value was found to be 0.551 (p < 0.01), indicating that improvement was more in patients with fever than without. Odds ratio of improving with respect to development of acute infectious diseases was 36.0 (95% CI: 5.8 to 223.5). The binary logistic regression model indicated significant contribution of occurrence of acute infections with fever as a predictor for improvement in chronic inflammatory disease.

Conclusions: Classical homeopathic clinical observations indicate an association between chronic inflammatory status in the body and the ability to mount efficient acute inflammation. In this case-control study, the occurrence of common infections with fever during treatment heralded improvement in chronic inflammatory disease. Further powered studies are necessary to substantiate this finding.

背景:发热是高效急性炎症反应的标志,在慢性炎症中可能会被破坏。连续体理论 "认为,急性炎症状态恢复并伴有高烧,预示着慢性疾病在治疗过程中会得到改善。我们的目的是研究在经典顺势疗法治疗过程中观察到的慢性炎症与有效急性炎症之间存在这种关联:在一项病例对照研究中,我们从希腊、印度、罗马尼亚和俄罗斯的顺势疗法医疗机构中回顾性地抽取了被诊断为慢性炎症且接受顺势疗法治疗至少 6 个月的患者报告。研究选取了 20 名接受顺势疗法治疗后病情好转的患者和 20 名与未好转患者年龄相匹配的对照组。对随访期间发热的常见急性传染病的发生情况进行了调查:结果:病例和对照组的平均年龄分别为 28.4 岁(标准差:16.64 岁)和 27.9 岁(标准差:17.19 岁)。18/20例病例和4/20例对照组患常见传染病并伴有发热。Cramer's V 系数值为 0.551(p):经典顺势疗法的临床观察表明,体内的慢性炎症状态与发起有效急性炎症的能力之间存在关联。在这项病例对照研究中,治疗期间出现发热的常见感染预示着慢性炎症的改善。有必要进一步开展有动力的研究来证实这一发现。
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引用次数: 0
Homeopathy's Enhanced Scope and Recognition. 顺势疗法的扩大范围和认可度。
IF 1.2 4区 医学 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2024-11-01 Epub Date: 2024-10-21 DOI: 10.1055/s-0044-1791285
Robert T Mathie
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引用次数: 0
Individualized Homeopathic and Organopathic Supportive Management of Sickle Cell Disorder: A Case Series of Six Patients from a Particularly Vulnerable Tribal Group in India. 镰状细胞病的个性化顺势疗法和有机疗法辅助治疗:来自印度一个特别弱势部落群体的六名患者的病例系列。
IF 1.2 4区 医学 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2024-11-01 Epub Date: 2024-01-30 DOI: 10.1055/s-0043-1776908
Nisanth K M Nambison, Narendra Sharma, Abhishek D Dwivedi, Nisha Chakravarty

Background: Sickle cell disorder (SCD) is a hereditary blood disease characterized by an abnormality in the oxygen-carrying protein hemoglobin present in red blood cells. Genetic abnormality causes these cells to become sickle-shaped, with shorter lifespan. Vaso-occlusive crisis is a major symptom of SCD: it is a sudden and severe episode of pain, and occurs when sickle-shaped cells block blood flow. This blockage can lead to tissue damage, inflammation and pain.

Objectives: This case series aims to observe the clinical outcomes from prescribing individualized homeopathic medicines along with organopathic supportive medicine in the management of SCD through the analysis of case studies of six patients from a particularly vulnerable tribal group (PVTG) in India that manifests genetic predisposition for the disease.

Method: The patients were administered individualized homeopathic and organopathic supportive medicines, after a comprehensive door-to-door survey and subsequent screening, conducted between October 2020 and May 2023 in the Dindori and Mandla districts of the central Indian state, Madhya Pradesh. Clinical symptoms, laboratory parameters including hemoglobin, along with scores from a visual analogue scale (VAS) for pain and from the World Health Organization Quality of Life (WHOQoL) Questionnaire, were determined.

Results: Individualized homeopathic and organopathic supportive management led to improvements in clinical symptoms for all six patients. Laboratory test results showed a statistically significant increase in hemoglobin level associated with treatment. The VAS for pain indicated decreased pain frequency and severity. WHOQoL scores also improved, indicating enhanced well-being for each patient. No adverse effects were reported during treatment.

Conclusion: This study suggests that individualized homeopathic medicine and organopathic supportive management have a beneficial role in managing SCD and may be valuable in the context of PVTGs in India. To establish a more comprehensive understanding of its efficacy, further studies should involve larger cohorts to allow for a thorough evaluation, including comparative analyses with standard therapies.

背景:镰状细胞病(Sickle cell disorder,SCD)是一种遗传性血液病,其特点是红细胞中的携氧蛋白血红蛋白异常。遗传异常会导致这些细胞变成镰刀状,寿命缩短。血管闭塞危象是 SCD 的一个主要症状:当镰状细胞阻塞血流时,患者会突然感到剧烈疼痛。这种阻塞可导致组织损伤、炎症和疼痛:本病例系列旨在通过对来自印度一个特别脆弱的部落群体(PVTG)的六名患者的病例研究分析,观察在治疗 SCD 的过程中处方个体化顺势疗法药物和有机疗法支持药物的临床效果:方法:2020 年 10 月至 2023 年 5 月期间,在印度中部中央邦的丁多里区和曼德拉区进行了一次全面的上门调查和随后的筛查,之后为患者提供了个性化的顺势疗法和有机疗法支持药物。筛查结果包括临床症状、包括血红蛋白在内的实验室参数、疼痛视觉模拟量表(VAS)评分以及世界卫生组织生活质量(WHOQoL)调查问卷评分:结果:个性化的顺势疗法和有机疗法辅助治疗改善了所有六名患者的临床症状。实验室检测结果表明,血红蛋白水平在治疗后有了统计学意义上的显著提高。疼痛 VAS 显示疼痛频率和严重程度均有所下降。WHOQoL 评分也有所改善,表明每位患者的健康状况都有所改善。治疗期间未出现不良反应:本研究表明,个体化顺势疗法和有机疗法支持性管理在管理 SCD 方面发挥着有益的作用,在印度的 PVTGs 中可能很有价值。为了更全面地了解顺势疗法的疗效,进一步的研究应涉及更大的群体,以便进行全面评估,包括与标准疗法进行比较分析。
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引用次数: 0
Association between Usage of Prophylactic AYUSH Medicines and Disease Severity in COVID-19 Patients: A Retrospective Cohort Study. COVID-19 患者使用预防性 AYUSH 药物与疾病严重程度之间的关系:回顾性队列研究
IF 16.4 4区 医学 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2024-11-01 Epub Date: 2024-05-07 DOI: 10.1055/s-0044-1779693
Anupriya Chaudhary, Debadatta Nayak, Swati Pandey, Vipul Shastri, Madhuri Kamble, Vidya Pendse, Vismay Prajapati, Brijesh Vaidya, Heenal Rohit, Swaroopa Beedmani, Nutan Presswala, Tejaswini Patole, Ramesh Bawaskar, Vaishali Shinde, Mohua Datta, Gunjan Rai, Umakanta Prusty, Partha Pratim Pal, Siva Prasad Goli, Amulya Ratna Sahoo, K C Muraleedharan, Pooja Prakash, Ashish Mahajan, Anuradha Singh, Reetha Krishnan, Navin Pawaskar, Amit Srivastava, Gouri Devi Ningthoujam, Ravi Kumar Sadarla, Ranjit Sonny, Liyi Karso, Subhamoy Sarkar, Sunil Prasad, Ashish Kumar Shrivastava, Avinash Kumar, Nitesh Kumar, Ch Raveendar, Bsj Raja Kumar, Vspk Sastry, Asha Dasari, K Samson Sundeep, Subhash Kaushik, Padmalaya Rath, Shweta Gautam, Ratan Chandra Shil, Trupti Laxmi Swain, G Ravi Chandra Reddy, S Pradeep, S Stevenson, Gurudev Choubey, Lipipushpa Debata, Anil Khurana

Background: Prior vaccination is often studied for its impact on individuals' post-infection prognosis. Ayurveda, Yoga, Unani, Siddha and Homeopathy (AYUSH) medicines, advised by the Government of India as prophylaxis during the first wave of the coronavirus disease 2019 (COVID-19) pandemic, were consumed by the masses in 2020. A study was therefore undertaken to observe any association between the prior usage of AYUSH prophylactic medicines and post-infection severity as reported by recovered COVID-19 individuals.

Methods: This was a retrospective, multi-centre, cohort study conducted in 21 cities of India from 5th August to 30th November 2020. Data from recovered COVID-19 patients, of either sex or any age, captured information about AYUSH prophylactic medicines intake prior to infection, disease severity, symptomatology, duration of complaints, etc. The study participants were grouped into AYUSH intake and non-intake. Primary composite outcome was the disease clinical course. Secondary clinical outcomes were the rate of and time to clinical recovery.

Results: Data of 5,023 persons were analysed. Ayurveda or homeopathic prophylactic medicines were consumed by more than half of the study participants: that is, 56.85% (n = 1,556) and 56.81% (n = 1,555) respectively. The overall adjusted protective effect (PE) of AYUSH prophylactic intake against moderate/severe forms of COVID-19 disease was 56.7% (95% confidence interval [CI], 48.7 to 63.50; p < 0.001). Adjusted PE for homeopathy and Siddha was 52.9% (95% CI, 42.30 to 61.50; p < 0.001) and 59.8% (95% CI, 37.80 to 74.10; p < 0.001), respectively. A statistically significant association was found between AYUSH prophylactic medicine intake and clinical recovery more frequently by the 3rd day of illness (χ2 = 9.01; p = 0.002). Time to resolution of symptoms in the AYUSH intake group was on average 0.3 days earlier than in the non-intake group (p = 0.002).

Conclusion: AYUSH prophylactics were associated with statistically significant levels of protection against COVID-19 disease severity. Amongst these, previous intake of homeopathy or Siddha medicines was associated with some protection against moderate/severe illness and with a somewhat quicker clinical recovery. Prospective studies with experimental research design are needed to validate the findings of this study.

Study registration: Clinical Trials Registry-India (CTRI/2020/08/027000).

背景:人们经常研究事先接种疫苗对个人感染后预后的影响。印度政府建议在 2019 年冠状病毒病(COVID-19)第一波大流行期间使用阿育吠陀、瑜伽、尤那尼、悉达和顺势疗法(AYUSH)药物进行预防,这些药物在 2020 年被大众使用。因此,我们开展了一项研究,以观察之前使用阿育王预防药物与 COVID-19 康复者报告的感染后严重程度之间是否存在关联:这是一项回顾性、多中心、队列研究,于 2020 年 8 月 5 日至 11 月 30 日在印度 21 个城市进行。COVID-19康复者的数据不分性别和年龄,采集的信息包括感染前摄入的AYUSH预防药物、疾病严重程度、症状、主诉持续时间等。研究参与者被分为服用和未服用 AYUSH 药物两组。主要的综合结果是疾病的临床过程。次要临床结果是临床康复率和临床康复时间:分析了 5,023 人的数据。半数以上的研究参与者服用了阿育吠陀或顺势疗法预防药物:即分别为 56.85%(n = 1,556 人)和 56.81%(n = 1,555 人)。针对中度/重度 COVID-19 疾病,AYUSH 预防性摄入的总体调整保护效应 (PE) 为 56.7%(95% 置信区间 [CI],48.7 至 63.50;P P 2 = 9.01;P = 0.002)。摄入印度草药组的症状缓解时间比未摄入组平均早 0.3 天(p = 0.002):结论:AYUSH预防剂对COVID-19疾病严重程度的保护具有统计学意义。结论:AYUSH预防性药物对COVID-19疾病的严重程度有明显的统计学保护作用,其中,曾服用顺势疗法或悉达(Siddha)药物对中度/重度疾病有一定的保护作用,并能加快临床康复。要验证本研究的结果,还需要进行实验研究设计的前瞻性研究:研究注册:印度临床试验注册中心(CTRI/2020/08/027000)。
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引用次数: 0
Homeopathic Pyrogenium Ointment as Adjuvant in Treatment of Traumatic and Infected Myiasis by Cochliomyia Hominivorax (Diptera: Calliphoridae) in Sheep: A Case Series. 顺势疗法火碱软膏作为辅助药物治疗绵羊的外伤性和感染性绵羊蜱螨病(Diptera: Calliphoridae):病例系列。
IF 1.2 4区 医学 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2024-11-01 Epub Date: 2024-03-28 DOI: 10.1055/s-0043-1778066
Giuliano Pereira de Barros, Denise Pereira Leme, Patrizia Ana Bricarello

Background: The blowfly Cochliomyia hominivorax (Diptera: Calliphoridae) causes traumatic myiasis in farm animals, with deeply embedded larvae that lead to serious tissue damage and sometimes death. Treating this form of myiasis is difficult, often resulting in poor outcomes. As a homeopathic preparation that can mimic traumatic myiasis symptoms, Pyrogenium could potentially supplement treatment. This study aimed to describe the adjuvant effect that a Pyrogenium ointment might have in the treatment of sheep with traumatic myiasis.

Patients: The study reports a homeopathic adjuvant treatment with Pyrogenium 12cH ointment in six sheep with traumatic and infected myiasis. Daily clinical examinations were performed to monitor the evolution of the health of animals. Pyrogenium 12cH ointment was applied topically on the wounds, after cleaning and mechanical removal of the larvae from the lesion. Blood samples were collected for blood counts, and wound exudate samples were obtained for bacteriological examination before and after wound treatment.

Results: The ointment of Pyrogenium 12cH limited the development of parasitic larvae and was associated with the repair of tissue losses resulting from the myiases and with subsequent wound healing, together with control of fever and local inflammation.

Conclusion: Homeopathic Pyrogenium 12cH, formulated as an ointment, may be a useful new and adjuvant therapeutic option for treating traumatic and infected myiasis in animals.

背景:吹蝇(Cochliomyia hominivorax)(双翅目:Calliphoridae)会导致农场动物患上创伤性肌炎,其幼虫会深深地嵌入体内,导致严重的组织损伤,有时甚至死亡。治疗这种形式的绵蛆病很困难,往往效果不佳。作为一种能够模拟创伤性肌炎症状的顺势疗法制剂,Pyrogenium 有可能对治疗起到辅助作用。本研究旨在描述派罗欣软膏在治疗绵羊外伤性肌炎时可能产生的辅助效果:研究报告称,对六只患有外伤性和感染性肌炎的绵羊使用了 12cH Pyrogenium 软膏进行顺势疗法辅助治疗。每天进行临床检查,以监测动物的健康状况。在清洗并用机械方法清除病灶中的幼虫后,在伤口上局部涂抹 12cH Pyrogenium 软膏。在伤口处理前后,采集血液样本进行血细胞计数,并采集伤口渗出液样本进行细菌学检查:结果:12cH Pyrogenium 软膏限制了寄生幼虫的发育,修复了肌瘤造成的组织损失,促进了随后的伤口愈合,并控制了发烧和局部炎症:顺势疗法 Pyrogenium 12cH 软膏可能是治疗动物外伤性和感染性肌炎的一种有用的新辅助疗法。
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引用次数: 0
Homeopathy for Chronic Non-specific Low Back Pain: Study Protocol for a Randomized, Double-Blind, Crossover, Placebo-Controlled Clinical Trial Investigating the Efficacy of the Biotherapic Lumbar Vertebra (The BIOVERT Trial). 顺势疗法治疗慢性非特异性腰痛:调查生物疗法腰椎疗效的随机、双盲、交叉、安慰剂对照临床试验(BIOVERT 试验)研究方案。
IF 16.4 4区 医学 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2024-11-01 Epub Date: 2024-03-20 DOI: 10.1055/s-0043-1778062
Ubiratan Cardinalli Adler, Maristela Schiabel Adler, Helen Nogueira Carrer, Deise Lilian Costa Dias, José Nelson Martins Diniz, Manoela Gomes Grossi, Neli Aparecida Martins Sugimoto, Edson Zangiacomi Martinez

Background: Chronic non-specific low back pain (CNSLBP) lacks identifiable anatomical pathology and effective pharmacological treatment. Alternative approaches in homeopathy, specifically clinical homeopathy, utilize ultra-diluted (potentized) biological products. In Brazil, standardized biotherapics from sheep tissues, particularly fifty-millesimal (LM) potencies of sheep Lumbar Vertebra, have shown promise in alleviating CNSLBP.

Objectives: Our objective is to present the study protocol of a clinical trial that will assess the efficacy and safety of the biotherapic Lumbar Vertebra LM2 in the short-term management of CNSLBP and to estimate its therapeutic duration.

Methods: A randomized, double-blind, crossover, placebo-controlled clinical trial spanning 8 weeks per participant was designed. Participants will include 120 individuals (aged 20 to 60 years) with clinically diagnosed CNSLBP by the study's physiotherapist. Exclusion criteria are radicular pain, signs of radiculopathy, specific lumbar spine disorders, pregnancy, or puerperium (up to 60 days after delivery). The medical intervention includes participants being randomly assigned to one of two treatment sequences: homeopathy-placebo or placebo-homeopathy. The treatments will consist of Lumbar Vertebra LM2 oral solution, topical cream, and indistinguishable placebos. Each treatment period will span 2 weeks, with a 4-week washout interval between them. Primary outcome is the assessment of changes in self-reported pain levels using the numeric rating scale (NRS) score, analyzed with a random effects model across both treatment periods. Secondary outcomes are assessment of changes in self-reported disability levels using the Oswestry Disability Index (ODI), analyzed with a random effects model across both treatment periods, and pain and disability variations, evaluated by the NRS score and ODI respectively, after the first and second treatment periods. Adverse events will be assessed at weeks 2 and 8. Pain medications will be used concomitantly. Adherence will be evaluated by the weight of medication returned/standard weight.

Discussion: The BIOVERT (Bioactive Vertebra) trial protocol is designed to investigate a homeopathic strategy for short-term CNSLBP treatment. Favorable outcomes for homeopathy could prompt subsequent studies evaluating the long-term effectiveness of LM potencies of Lumbar Vertebra for CNSLBP.

Trial registration: UMIN Clinical Trials Registry - ID: UMIN000051957.

背景:慢性非特异性腰背痛(CNSLBP)缺乏可识别的解剖病理和有效的药物治疗。顺势疗法的替代方法,特别是临床顺势疗法,利用超稀释(增效)生物制品。在巴西,来自绵羊组织的标准化生物疗法,特别是五十毫升(LM)药效的绵羊腰椎,已显示出缓解中枢神经系统脑病的前景:我们的目的是介绍一项临床试验的研究方案,该方案将评估生物疗法绵羊腰椎 LM2 在短期治疗 CNSLBP 方面的有效性和安全性,并估计其治疗持续时间:方法:设计了一项随机、双盲、交叉、安慰剂对照临床试验,每位参与者为期 8 周。参与者包括 120 名经理疗师临床诊断为 CNSLBP 的患者(20 至 60 岁)。排除标准包括根性疼痛、根病迹象、特定腰椎疾病、怀孕或产褥期(产后 60 天内)。医疗干预包括将参与者随机分配到两种治疗顺序中的一种:顺势疗法-安慰剂或安慰剂-顺势疗法。治疗将由腰椎 LM2 口服液、外用药膏和无差别的安慰剂组成。每个疗程为 2 周,中间有 4 周的缓冲期。主要结果是使用数字评分量表(NRS)评分评估自我报告疼痛程度的变化,采用随机效应模型对两个治疗期进行分析。次要结果是使用奥斯韦特里残疾指数(ODI)评估自述残疾程度的变化,采用随机效应模型对两个治疗期进行分析;在第一和第二个治疗期后,分别用 NRS 评分和 ODI 评估疼痛和残疾的变化。不良反应将在第 2 周和第 8 周进行评估。止痛药将同时使用。用药依从性将根据退药重量/标准重量进行评估:BIOVERT(生物活性椎体)试验方案旨在研究顺势疗法对中枢神经系统瘫痪症的短期治疗策略。顺势疗法的有利结果可能会促使后续研究评估腰椎间盘突出症 LM 药效的长期有效性:UMIN 临床试验注册 - ID:UMIN000051957.
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引用次数: 0
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Homeopathy
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