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Solvatochromic Dyes Track a Homeopathic Preparation through Water-Stream Systems in a Program to Control Tick Infestation at a Wild Animal Rehabilitation Center in Brazil 在巴西野生动物康复中心的一项控制蜱虫侵扰计划中,溶解变色染料通过水流系统跟踪顺势疗法制剂
IF 1.7 4区 医学 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2024-09-09 DOI: 10.1055/s-0044-1787783
Nathalia Salles Scortegagna de Medeiros, Andréia Adelaide G. Pinto, Sérgio Frana, Mônica Filomena Souza, Ivana Barbosa Suffredini, Steven John Cartwright, Leoni Villano Bonamin

Introduction In 2021, the area of CRAS (Centro de Reabilitação de Animais Selvagens – Wild Animal Rehabilitation Center), located in a state park in Campo Grande City, Mato Grosso do Sul, Brazil, was suffering from a tick infestation affecting wild animals that inhabit the area and humans that visited its trails. Following a formal technical–scientific cooperation agreement between IMASUL, an institute for the environment in Mato Grosso do Sul state, and SIGO Homeopatia, a formulated homeopathic complex (Formula Parques Urbanos, FPU) was designed and prepared specifically to treat the animals. This environmental intervention used specially designed slow-release water biodegradable devices. Tracking the FPU signal in water was necessary to monitor and manage the intervention.

Aims Our aims were (1) to evaluate, among six previously standardized solvatochromic dyes, which would serve as a marker for the homeopathic complex under study; and (2) to evaluate whether the chosen solvatochromic dye could map the propagation of the homeopathic complex activity throughout the stream system from water samples harvested at different locations over time.

Method Water samples were harvested from each point at different times, filtered, frozen, and sent to the laboratory, where they were prepared at 1cH potency for analysis using 30% ethanol as the vehicle. Solvatochromic dyes were used to analyze the samples since they alter their absorbance when in contact with homeopathic potencies. Of the six dyes tested, Coumarin 7 was found to be the most suitable for tracking the FPU complex. A static and average unidirectional magnetic field of 2,400 Gauss (240 mT), generated by a neodymium magnet, was applied to the samples immediately before reading.

Results There were significant differences in the delta absorbance of dyes when adding treated/potentized water samples, making it possible to map the propagation of the FPU signal throughout the park over time. The signals were identifiable at the same point 1 minute and 32 days after the insertion of the device into the water. These signals were also identifiable after 75 minutes and 8 days at a point far from the insertion place.

Conclusion Coumarin 7 was the best marker for the homeopathic complex (FPU) used to treat the wild animals living in the park. The microplates/enzyme-linked immunosorbent assay reader method and the application of a magnetic field to samples were shown to be effective in tracing homeopathic signals by changes in dye absorbance (p ≤ 0.02) in a real-life situation, with large volumes of water, involving many environmental variables, and over large distances.

导言 2021 年,位于巴西南马托格罗索州坎波格兰德市一个州立公园内的野生动物康复中心(CRAS)地区受到了蜱虫的侵扰,影响了栖息在该地区的野生动物和到访该地区小径的人类。南马托格罗索州环境研究所(IMASUL)与 SIGO Homeopatia 签署了正式的技术科学合作协议后,设计并制备了一种顺势疗法复方制剂(Formula Parques Urbanos,FPU),专门用于治疗动物。这种环境干预措施使用了专门设计的可在水中生物降解的缓释装置。跟踪水中的 FPU 信号对于监测和管理干预措施十分必要。目的 我们的目的是:(1)在之前标准化的六种溶解变色染料中,评估哪一种可以作为所研究的顺势疗法复合物的标记;(2)评估所选择的溶解变色染料是否可以通过在不同地点采集的水样,绘制出顺势疗法复合物活动在整个溪流系统中的传播图。方法 在不同时间从每个点采集水样,过滤、冷冻后送至实验室,以 30% 的乙醇为载体,按 1cH 的效价进行分析。由于溶变色染料在与顺势疗法药效接触时会改变吸光度,因此使用溶变色染料对样本进行分析。在测试的六种染料中,发现香豆素 7 最适合追踪 FPU 复合物。在读数前,立即对样品施加由钕磁铁产生的 2,400 高斯(240 mT)的静态平均单向磁场。结果 加入经处理/强效处理的水样时,染料的 delta 吸光度存在明显差异,因此可以绘制出 FPU 信号随时间在整个公园的传播图。在将装置放入水中 1 分钟后和 32 天后,可在同一点识别信号。在距离插入地点较远的地方,75 分钟后和 8 天后也能识别这些信号。结论 香豆素 7 是用于治疗公园野生动物的顺势疗法复合物(FPU)的最佳标记。微孔板/酶联免疫吸附测定读数器方法和对样品施加磁场的方法证明,在现实生活中,通过染料吸光度的变化(p ≤ 0.02)来追踪顺势疗法信号是有效的,因为水量大、环境变量多、距离远。
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引用次数: 0
The Three Powerful Traditions of Thinking that Constitute Homeopathy. 构成顺势疗法的三大强大思维传统。
IF 1.2 4区 医学 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2024-08-01 Epub Date: 2024-01-29 DOI: 10.1055/s-0043-1775814
Josef M Schmidt

By means of a historical, classical philological and philosophical approach, this paper attempts to demonstrate that homeopathy is based on three powerful traditions of thinking, which can be traced back to Ancient Greece's pre-Socratic era. Actually, it seems to be constituted by what may be termed lógos-, hómoion- and iásthai-thinking: that is, thinking in terms of rationality, similarity and healing. By contrast, modern medicine tends to be aligned with just one of these traditions, at the expense of the others, this being not without risk and adverse effects. It is mainly determined by the first type of rationality that genealogically derives from, and is therefore compatible with, the logic of economics whose predominance in the health care systems of modern societies is progressively rising. Homeopathy, however, may not be sufficiently and fairly understood without taking into account the complementary forms of thinking on which it also rests, such as the principle of similarity in an all-encompassing sense, and ancient healing knowledge in the tradition of catharsis. As a corollary of being essentially constituted by the three, homeopathy may persistently be in need of a dynamic equilibrium of its three constituent bases. Attempts to approach homeopathy from only one of the indicated modes of thinking fail to grasp its essence and result in figments or caricatures of what homeopathy was originally meant to be.

本文试图通过历史学、古典语言学和哲学的方法,证明顺势疗法建立在三种强大的思维传统之上,而这三种思维传统可以追溯到古希腊的前苏格拉底时代。实际上,顺势疗法似乎是由所谓的 "lógos-思维"、"hómoion-思维 "和 "iásthai-思维 "构成的:即从理性、相似性和治疗的角度进行思考。相比之下,现代医学往往只与其中一种传统保持一致,而牺牲了其他传统,这并非没有风险和不利影响。它主要是由第一种理性决定的,这种理性在谱系上源于经济学逻辑,因此与经济学逻辑相一致,而经济学逻辑在现代社会医疗保健系统中的主导地位正在逐步上升。然而,如果不考虑顺势疗法所依赖的互补思维形式,如包罗万象的相似性原则和宣泄传统中的古代治疗知识,就无法充分、公正地理解顺势疗法。顺势疗法本质上是由三者构成的,因此它可能始终需要三个构成基础的动态平衡。试图只从上述思维模式中的一种切入顺势疗法,无法抓住其本质,结果只能是对顺势疗法本来面目的臆造或讽刺。
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引用次数: 0
Unveiling the Patient Tapestry: Harnessing the Importance of Patient Perspectives in Advancing Homeopathy Research. 揭开病人的挂毯:利用病人观点在推进顺势疗法研究中的重要性。
IF 1.2 4区 医学 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2024-08-01 Epub Date: 2023-12-04 DOI: 10.1055/s-0043-1775995
Abhijit Dutta
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引用次数: 0
Probabilistic Reasoning in Homeopathy Practice and its Implications for Clinical Research. 顺势疗法实践中的概率推理及其对临床研究的启示。
IF 1.2 4区 医学 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2024-08-01 Epub Date: 2023-10-31 DOI: 10.1055/s-0043-1775993
Fabrice Sébastien Berna, Jean-Lionel Bagot

The principle of similitude put forward by Hahnemann has challenging practical consequences in the selection of the right homeopathic medicine for a patient. According to this principle, only the medicines that best fit the totality of the symptoms of a given patient are supposed to really cure: this greatly depends on the homeopath's clinical analysis. In addition, a patient's illness may be more or less curable, depending on the characteristics of the disease. In their daily practice, homeopaths typically apply Bayesian reasoning to deal with uncertainty associated with both medicine and disease. We suggest that clinical research on homeopathy would gain by integrating this kind of prior estimation of (1) the probability of a given medicine being effective for that particular patient and (2) the probability of the patient's disease (or symptoms) being curable. We therefore suggest that future trials of N-of-1 design may gain (1) by testing a small number of "best candidate" medicines (instead of one) for a given patient facing a given disease, and (2) by including careful prior estimations of the probabilities that (a) each selected medicine will be efficient for that patient and (b) the patient's disease will be reversible with the medicine.

Hahnemann提出的相似原理在为患者选择正确的顺势疗法药物方面具有挑战性的实际后果。根据这一原则,只有最适合特定患者整体症状的药物才能真正治愈:这在很大程度上取决于顺势疗法的临床分析。此外,根据疾病的特点,患者的疾病可能或多或少是可以治愈的。在日常实践中,顺势疗法者通常应用贝叶斯推理来处理与医学和疾病相关的不确定性。我们认为,顺势疗法的临床研究将通过整合(1)给定药物对特定患者有效的概率和(2)患者疾病(或症状)可治愈的概率的这种先验估计来获得益处。因此,我们建议,未来的N选1设计试验可能会获得(1)通过为面临特定疾病的特定患者测试少量“最佳候选”药物(而不是一种),以及(2)通过仔细预先估计(a)每种选择的药物对该患者有效,以及(b)患者的疾病与该药物可逆的概率。
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引用次数: 0
Homeopathic Sulphur Ointment as Adjuvant in the Treatment of Sheep with Myiasis by Cochliomyia hominivorax (Diptera: Calliphoridae): A Case Series. 顺势疗法硫软膏辅助治疗人型Cochlomyia humanivorax(直翅目:丽蝇科)绵羊麦虫病:病例系列。
IF 1.2 4区 医学 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2024-08-01 Epub Date: 2023-09-27 DOI: 10.1055/s-0043-1770360
Giuliano Pereira de Barros, Denise Pereira Leme, Laura Livia Arias Avilés, Patrizia Ana Bricarello

Background: Myiasis by Cochliomyia hominivorax (Diptera: Calliphoridae) is a serious problem in animal health. Homeopathic Sulphur presents similarity with the clinical presentation verified in these cases and has already shown in vitro efficacy on the blowfly that causes this pathology. This article presents the report of a series of clinical cases of myiasis by C. hominivorax in sheep that underwent adjuvant treatment with homeopathic Sulphur and presents a theoretical-scientific discussion of biological events related to the clinical treatment of the condition.

Patients: Seven naturally occurring myiases affecting sheep from an experimental farm were treated by an ointment impregnated with the homeopathic medicine Sulph 12cH, used as adjuvant after the manual removal of accessible larvae from the wound during wound cleaning. The animals were treated daily and evaluated clinically until complete healing of the lesions. Clinical information on the evolution of the inflammatory and scarring process was collected. Blood counts and bacteriological examinations were performed before and after topical homeopathic treatment.

Results: The homeopathic ointment Sulph 12cH was able to inhibit the development of parasitic C. hominivorax larvae and promote tissue repair and healing in naturally occurring myiasis in the sheep of this study.

Conclusion: The homeopathic medicine Sulphur, formulated as an ointment, may be a useful new and adjuvant therapeutic option for treating myiasis in animals.

背景: 人型钩虫病是一个严重的动物健康问题。顺势疗法硫与这些病例中验证的临床表现相似,并且已经在体外对导致这种病理的苍蝇显示出疗效。本文报告了一系列人源性念珠菌在绵羊身上感染蝇蛆病的临床病例,这些病例接受了顺势疗法硫的辅助治疗,并对与该疾病临床治疗相关的生物学事件进行了理论科学讨论。患者: 来自一个实验农场的七种影响绵羊的自然发生的粘虫通过一种浸有顺势疗法药物硫12cH的软膏进行治疗,该软膏在伤口清洁过程中从伤口手动取出可接触的幼虫后用作佐剂。每天对动物进行治疗并进行临床评估,直到病变完全愈合。收集有关炎症和瘢痕形成过程演变的临床信息。在局部顺势疗法治疗前后进行血液计数和细菌检查。结果: 在本研究的绵羊中,顺势疗法软膏硫12cH能够抑制寄生的人身线虫幼虫的发育,并促进自然发生的蝇蛆病的组织修复和愈合。结论: 顺势疗法药物硫,以软膏的形式配制,可能是治疗动物蝇蛆病的一种有用的新的辅助治疗选择。
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引用次数: 0
Homeopathic Medicines in the Management of Dermatophytosis (Tinea Infections): A Clinico-epidemiological Study with Pre-post Comparison Design. 顺势疗法药物治疗皮肤病(癣感染):一项前后比较设计的临床流行病学研究。
IF 1.2 4区 医学 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2024-08-01 Epub Date: 2023-11-01 DOI: 10.1055/s-0043-1771023
Ashish Kumar Dixit, Danish Javed, Amit Srivastava, Renu Bala, Nibha Giri

Background: Dermatophytosis is a common fungal infection of the skin and nails. Insufficient data exist regarding the clinico-epidemiological profile of dermatophytosis and the usefulness of individualized homeopathic medicines (IHMs) for patients visiting a homeopathy outpatient department (OPD).

Objectives: This article undertakes a clinico-epidemiological profiling of dermatophytosis and the usefulness of IHMs in its management.

Methods: This open-label, pre-post, comparative observational study was conducted in a homeopathy OPD from November 2018 to February 2020. IHMs were prescribed based on symptom totality and repertorization. A numeric rating scale (NRS) and the Dermatology Life Quality Index (DLQI) patient questionnaires were used, and results were analyzed using SPSS-IBM version 20.

Results: Data from a total of 103 patients, mean age 29.65 ± 15.40 years, were analyzed. Tinea cruris was the most common infection (29.1%), followed by tinea corporis (13.6%). After 3 months of treatment, significant reductions in NRS and DLQI scores were observed (8.51 ± 1.24 to 0.59 ± 0.83, p < 0.001, and 16.28 ± 5.30 to 1.44 ± 1.56, p < 0.001, respectively), with Sepia (15.5%), Sulphur (14.6%), Calcarea carbonica (11.7%), Natrum muriaticum (9.7%) and Bacillinum (8.7%) being the most frequently prescribed medicines. There was no significant correlation between occupation, sex, home location or marital status and the clinical types of dermatophytosis. No adverse events were reported.

Conclusion: T. cruris and T. corporis were prevalent dermatophytic infections. The decrease in NRS and DLQI scores associated with homeopathy indicates its usefulness as an integrative treatment option for dermatophytosis. Further research in larger and more diverse population samples is needed.

背景: 皮肤癣是一种常见的皮肤和指甲真菌感染。关于皮肤真菌病的临床流行病学特征以及个体化顺势疗法药物(IHM)对就诊于顺势疗法门诊部(OPD)的患者的有用性,数据不足。目的: 本文对皮肤真菌病进行了临床流行病学分析,并探讨了IHM在其管理中的作用。方法: 这项开放标签、前后对比的观察性研究于2018年11月至2020年2月在顺势疗法门诊部进行。IHM是根据症状的整体性和再复律开具的。使用数字评定量表(NRS)和皮肤病学生活质量指数(DLQI)患者问卷,并使用SPSS-IBM版本20对结果进行分析。结果: 来自103名患者的数据,平均年龄29.65岁 ± 15.40年。股癣是最常见的感染(29.1%),其次是体癣(13.6%)。治疗3个月后,NRS和DLQI评分显著降低(8.51 ± 1.24至0.59 ± 0.83,p<0.001,和16.28 ± 5.30至1.44 ± 分别为1.56,p<0.001),其中Sepia(15.5%)、Sulphur(14.6%)、Calcarea carbonica(11.7%)、Natrum muriaticum(9.7%)和Bacillinum(8.7%)是最常见的处方药。职业、性别、家庭所在地或婚姻状况与皮肤癣菌病的临床类型之间没有显著相关性。未报告不良事件。结论: 克氏锥虫和体氏锥虫是常见的皮肤真菌感染。与顺势疗法相关的NRS和DLQI评分的降低表明其作为皮肤真菌病的综合治疗选择是有用的。需要对更大、更多样化的人群样本进行进一步研究。
{"title":"Homeopathic Medicines in the Management of Dermatophytosis (Tinea Infections): A Clinico-epidemiological Study with Pre-post Comparison Design.","authors":"Ashish Kumar Dixit, Danish Javed, Amit Srivastava, Renu Bala, Nibha Giri","doi":"10.1055/s-0043-1771023","DOIUrl":"10.1055/s-0043-1771023","url":null,"abstract":"<p><strong>Background: </strong>Dermatophytosis is a common fungal infection of the skin and nails. Insufficient data exist regarding the clinico-epidemiological profile of dermatophytosis and the usefulness of individualized homeopathic medicines (IHMs) for patients visiting a homeopathy outpatient department (OPD).</p><p><strong>Objectives: </strong>This article undertakes a clinico-epidemiological profiling of dermatophytosis and the usefulness of IHMs in its management.</p><p><strong>Methods: </strong>This open-label, pre-post, comparative observational study was conducted in a homeopathy OPD from November 2018 to February 2020. IHMs were prescribed based on symptom totality and repertorization. A numeric rating scale (NRS) and the Dermatology Life Quality Index (DLQI) patient questionnaires were used, and results were analyzed using SPSS-IBM version 20.</p><p><strong>Results: </strong>Data from a total of 103 patients, mean age 29.65 ± 15.40 years, were analyzed. <i>Tinea cruris</i> was the most common infection (29.1%), followed by <i>tinea corporis</i> (13.6%). After 3 months of treatment, significant reductions in NRS and DLQI scores were observed (8.51 ± 1.24 to 0.59 ± 0.83, <i>p</i> < 0.001, and 16.28 ± 5.30 to 1.44 ± 1.56, <i>p</i> < 0.001, respectively), with <i>Sepia</i> (15.5%), <i>Sulphur</i> (14.6%), <i>Calcarea carbonica</i> (11.7%), <i>Natrum muriaticum</i> (9.7%) and <i>Bacillinum</i> (8.7%) being the most frequently prescribed medicines. There was no significant correlation between occupation, sex, home location or marital status and the clinical types of dermatophytosis. No adverse events were reported.</p><p><strong>Conclusion: </strong><i>T. cruris</i> and <i>T. corporis</i> were prevalent dermatophytic infections. The decrease in NRS and DLQI scores associated with homeopathy indicates its usefulness as an integrative treatment option for dermatophytosis. Further research in larger and more diverse population samples is needed.</p>","PeriodicalId":13227,"journal":{"name":"Homeopathy","volume":" ","pages":"149-157"},"PeriodicalIF":1.2,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71423329","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Successful Treatment of a Fibromyalgia Patient Using a Homeopathic Preparation of Cannabis sativa. 大麻顺势疗法制剂成功治疗纤维肌痛患者。
IF 1.2 4区 医学 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2024-08-01 Epub Date: 2023-10-30 DOI: 10.1055/s-0043-1775815
Jozélio Freire de Carvalho, Maria Fernanda Leal Dos Santos Ribeiro

Background: Homeopathy has been used in observational and controlled studies to treat patients with fibromyalgia (FM), but none has previously used the remedy Cannabis sativa.

Case history: A 51-year-old female patient presenting with diffuse pain and sleep disorder was diagnosed with FM using the relevant American College of Rheumatology criteria. She reported having 18 tender points, a pain score (visual analog scale, VAS) of 9.0, and a well-being VAS of 5.0. She was prescribed Cannabis sativa 6 cH, five drops sublingually thrice a day.

Results: After 2 months, she returned asymptomatic, with 0 tender points, pain VAS of 0, and well-being VAS of 9.0. The Modified Naranjo Criteria for Homeopathy score was equal to +9, suggesting the clinical outcome was causally attributable to the medicine prescribed.

Conclusion: This case study reveals the positive role of homeopathic treatment in FM. Studies using a randomized controlled design, including pragmatic trials to determine treatment effectiveness in real-world clinical practice, are indicated in this field.

背景: 顺势疗法已在观察性和对照研究中用于治疗纤维肌痛(FM)患者,但此前没有一种药物使用大麻。病例历史: 一名51岁的女性患者表现为弥漫性疼痛和睡眠障碍,根据美国风湿病学会的相关标准被诊断为FM。她报告有18个疼痛点,疼痛评分(视觉模拟评分,VAS)为9.0,健康VAS为5.0。给她开了6 cH的大麻,每天三次,舌下五滴。结果: 2个月后,她恢复了无症状,出现0个压痛点,疼痛VAS为0,幸福VAS为9.0。顺势疗法改良Naranjo标准评分等于+9,表明临床结果可归因于所开药物。结论: 该案例研究揭示了顺势疗法治疗在FM中的积极作用。该领域采用随机对照设计进行研究,包括在现实世界临床实践中确定治疗有效性的实用试验。
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引用次数: 0
Individualized Homeopathic Medicines in the Treatment of Knee Osteoarthritis: Double-Blind, Randomized, Placebo-Controlled Feasibility Trial. 个体化顺势疗法药物治疗膝骨关节炎:双盲、随机、安慰剂对照的可行性试验。
IF 1.2 4区 医学 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2024-08-01 Epub Date: 2023-09-25 DOI: 10.1055/s-0043-1771025
Soumya Bhattacharyya, Chandrima Chatterjee, Subhranil Saha, Satyajit Naskar, Pulakendu Bhattacharya, Sk Monsur Alam, Sumana Sengupta, Sabir Ahamed, Abdur R Shaikh, Munmun Koley, Priyanka Ghosh, Shyamal K Mukherjee

Introduction: This study aimed at examining the feasibility issues of comparing individualized homeopathic medicines (IHMs) with identical-looking placebos for treating knee osteoarthritis (OA).

Methods: Forty eligible patients participated in this double-blind, randomized (1:1), placebo-controlled feasibility trial in the outpatient clinics of a homeopathic hospital in West Bengal, India. Either IHMs or identical-looking placebos were administered, along with mutually agreed-upon concomitant care guidelines. The Knee Injury and Osteoarthritis Outcome Score (KOOS) was the primary outcome measure, along with derived Western Ontario and McMaster Universities Arthritis Index (WOMAC) scores from KOOS. The EQ-5D-5L questionnaire and Visual Analog Scale (VAS) were the secondary outcomes. All were measured at baseline and after 2 months. Group differences and effect sizes (Cohen's d) were estimated using an intention-to-treat approach. p-Values less than 0.05 (two-tailed) were considered statistically significant.

Results: Enrolment/screening and trial retention rates were 43% and 85% respectively. Recruitment was difficult owing to the coronavirus disease 2019 (COVID-19) lockdown. Group differences were statistically significant, favoring IHMs against placebos in all the KOOS sub-scales: symptoms (p < 0.001), pain (p = 0.002), activities of daily living (p < 0.001), sports or recreation (p = 0.016), and quality of life (p = 0.002). Derived WOMAC scores from KOOS favored IHMs against placebos: stiffness (p < 0.001) and pain (p < 0.001). The EQ-5D-5L questionnaire score (p < 0.001) and EQ-5D-5L VAS scores (p < 0.001) also yielded significant results, favoring IHMs over placebos. All the effect sizes ranged from moderate to large. Sulphur was the most frequently prescribed homeopathic medication. Neither group reported any harm or serious adverse events.

Conclusion: Although recruitment was sub-optimal due to prevailing COVID-19 conditions during the trial, the action of IHMs was found to be superior to that of placebos in the treatment of knee OA. Larger and more definitive studies, with independent replications, are warranted in order to substantiate the findings.

Trial registration: CTRI/2021/02/031453.

简介: 本研究旨在检验比较个体化顺势疗法药物(IHM)与外观相同的安慰剂治疗膝骨关节炎(OA)的可行性问题。方法: 40名符合条件的患者在印度西孟加拉邦一家顺势疗法医院的门诊参加了这项双盲、随机(1:1)、安慰剂对照的可行性试验。给予IHM或外观相同的安慰剂,以及双方商定的伴随护理指南。膝关节损伤和骨关节炎结果评分(KOOS)是主要的结果指标,从KOOS、EQ-5D-5L问卷和视觉模拟量表(VAS)中得出的西安大略大学和麦克马斯特大学关节炎指数(WOMAC)是次要结果;均在基线和2个月后测量。使用意向治疗方法估计组间差异和效应大小(Cohen’s d)。p值小于0.05(双尾)被认为具有统计学意义。结果: 入组/筛查和试验保留率分别为43%和85%。由于2019冠状病毒病(新冠肺炎)封锁,招聘很困难。组间差异具有统计学意义,在所有KOOS亚量表中,IHM优于安慰剂:症状(p p = 0.002),日常生活活动(p p = 0.016)和生活质量(p = 0.002)。KOOS的WOMAC评分支持IHMs对抗安慰剂:硬度(p p p p 硫磺是最常用的顺势疗法药物。两组均未报告任何伤害或严重不良事件。结论: 尽管在试验期间,由于新冠肺炎的流行情况,招募是次优的,但发现IHM在治疗膝关节骨性关节炎方面的作用优于安慰剂。需要进行更大规模、更明确的研究,并进行独立的复制,以证实这些发现。试用注册: CTRI/2021/02/031453。
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引用次数: 0
Principles in Practice. 实践中的原则
IF 1.2 4区 医学 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2024-08-01 Epub Date: 2024-07-26 DOI: 10.1055/s-0044-1787816
Robert T Mathie
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引用次数: 0
Understanding Why Homeopathic Medicines are Used for Menopause: Searching for Insights into Neuroendocrine Features. 了解更年期使用顺势疗法药物的原因:寻找神经内分泌特征的启示。
IF 1.2 4区 医学 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2024-05-01 Epub Date: 2023-07-03 DOI: 10.1055/s-0043-1769734
Emma Macías-Cortés

Background: Menopause is a physiological event that marks the end of a woman's reproductive stage in life. Vasomotor symptoms and changes in mood are among its most important effects. Homeopathy has been used for many years in treating menopausal complaints, though clinical and pre-clinical research in this field is limited. Homeopathy often bases its prescription on neuropsychiatric symptoms, but it is unknown if homeopathic medicines (HMs) exert a neuroendocrine effect that causes an improvement in vasomotor symptoms and mood during menopause.

Objectives: The study's objectives were to address the pathophysiological changes of menopause that could help in the understanding of the possible effect of HMs at a neuroendocrine level, to review the current evidence for two of the most frequently prescribed HMs for menopause (Lachesis mutus and Sepia officinalis), and to discuss the future directions of research in this field.

Methods: An extensive literature search for the pathophysiologic events of menopause and depression, as well as for the current evidence for HMs in menopause and depression, was performed.

Results: Neuroendocrine changes are involved in the pathophysiology of vasomotor symptoms and changes in mood during menopause. Gonadal hormones modulate neurotransmitter systems. Both play a role in mood disorders and temperature regulation. It has been demonstrated that Gelsemium sempervirens, Ignatia amara and Chamomilla matricaria exert anxiolytic effects in rodent models. Lachesis mutus and Sepia officinalis are frequently prescribed for important neuropsychiatric and vasomotor symptoms. Dopamine, a neurotransmitter involved in mood, is among the constituents of the ink of the common cuttlefish, Sepia officinalis.

Conclusion: Based on all the pathophysiologic events of menopause and the improvement in menopausal complaints that certain HMs show in daily practice, these medicines might have a direct or indirect neuroendocrine effect in the body, possibly triggered via an as-yet unidentified biological mechanism. Many unanswered questions in this field require further pre-clinical and clinical research.

背景:更年期是一个生理现象,标志着女性生殖阶段的结束。血管运动症状和情绪变化是其最重要的影响之一。多年来,顺势疗法一直被用于治疗更年期症状,但这一领域的临床和临床前研究十分有限。顺势疗法通常以神经精神症状为处方依据,但顺势疗法药物(HMs)是否会产生神经内分泌效应,从而改善更年期血管运动症状和情绪,目前尚不得而知:该研究的目的是探讨更年期的病理生理变化,以帮助了解顺势疗法在神经内分泌层面可能产生的影响,回顾目前两种最常用的更年期处方顺势疗法(Lachesis mutus 和 Sepia officinalis)的证据,并讨论该领域未来的研究方向:方法:对更年期和抑郁症的病理生理学事件以及 HMs 治疗更年期和抑郁症的现有证据进行了广泛的文献检索:结果:神经内分泌的变化参与了更年期血管运动症状和情绪变化的病理生理学过程。性腺激素可调节神经递质系统。两者都在情绪紊乱和体温调节中发挥作用。研究表明,半枝莲、枳实和洋甘菊在啮齿类动物模型中具有抗焦虑作用。Lachesis mutus 和 Sepia officinalis 是治疗重要的神经精神和血管运动症状的常用处方药。多巴胺是一种与情绪有关的神经递质,也是墨鱼墨汁的成分之一:结论:根据更年期的所有病理生理事件以及某些 HMs 在日常实践中对更年期症状的改善,这些药物可能对人体有直接或间接的神经内分泌作用,可能是通过一种尚未确定的生物机制触发的。这一领域的许多未解之谜还需要进一步的临床前和临床研究。
{"title":"Understanding Why Homeopathic Medicines are Used for Menopause: Searching for Insights into Neuroendocrine Features.","authors":"Emma Macías-Cortés","doi":"10.1055/s-0043-1769734","DOIUrl":"10.1055/s-0043-1769734","url":null,"abstract":"<p><strong>Background: </strong>Menopause is a physiological event that marks the end of a woman's reproductive stage in life. Vasomotor symptoms and changes in mood are among its most important effects. Homeopathy has been used for many years in treating menopausal complaints, though clinical and pre-clinical research in this field is limited. Homeopathy often bases its prescription on neuropsychiatric symptoms, but it is unknown if homeopathic medicines (HMs) exert a neuroendocrine effect that causes an improvement in vasomotor symptoms and mood during menopause.</p><p><strong>Objectives: </strong>The study's objectives were to address the pathophysiological changes of menopause that could help in the understanding of the possible effect of HMs at a neuroendocrine level, to review the current evidence for two of the most frequently prescribed HMs for menopause (<i>Lachesis mutus</i> and <i>Sepia officinalis</i>), and to discuss the future directions of research in this field.</p><p><strong>Methods: </strong>An extensive literature search for the pathophysiologic events of menopause and depression, as well as for the current evidence for HMs in menopause and depression, was performed.</p><p><strong>Results: </strong>Neuroendocrine changes are involved in the pathophysiology of vasomotor symptoms and changes in mood during menopause. Gonadal hormones modulate neurotransmitter systems. Both play a role in mood disorders and temperature regulation. It has been demonstrated that <i>Gelsemium sempervirens</i>, <i>Ignatia amara</i> and <i>Chamomilla matricaria</i> exert anxiolytic effects in rodent models. <i>Lachesis mutus</i> and <i>Sepia officinalis</i> are frequently prescribed for important neuropsychiatric and vasomotor symptoms. Dopamine, a neurotransmitter involved in mood, is among the constituents of the ink of the common cuttlefish, <i>Sepia officinalis</i>.</p><p><strong>Conclusion: </strong>Based on all the pathophysiologic events of menopause and the improvement in menopausal complaints that certain HMs show in daily practice, these medicines might have a direct or indirect neuroendocrine effect in the body, possibly triggered via an as-yet unidentified biological mechanism. Many unanswered questions in this field require further pre-clinical and clinical research.</p>","PeriodicalId":13227,"journal":{"name":"Homeopathy","volume":" ","pages":"54-66"},"PeriodicalIF":1.2,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9749623","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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