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ISCMR
NEWSFLASH
ISCMR
Herbal Special Interest Group
Announcement
An introductory meeting for the ISCMR herbal
special interest group has been planned from 12noon until 1pm in the
dining room at the Holland House in Exeter, England on Tuesday
September 20th. We will be discussing mission, goals, leadership and
structure for the SPIG. Please look for our sign in the dining hall.
Hope to see you all in Exeter.
Suzanna Zick
Newsflash from CAMRN:
PRESS RELEASE OF THE
PERMANENT CONSENSUS AND COORDINATION COMMITTEE FOR NON-CONVENTIONAL
MEDICINES IN ITALY WITH REGARDS TO THE ARTICLE ISSUED BY THE LANCET
AND TRANSMITTED TO THE ITALIAN PRESS
Waiting to read the
complete text of the article issued on Friday 26th by the prestigious
journal Lancet, signed by Aijing Shang and Coll.: Are the clinical
effects of homeopathy placebo effects? Comparative study of
placebo-controlled trials of homeopathy and allopathy, we find it
necessary to make here some brief considerations. First of all the
research mentioned in the article is not a new clinical study on the
effectiveness of homeopathy versus placebo treatments, but rather a
research (meta-analysis) on previous studies carried out in the last
few years and published in different field magazines. Of all the
studies (110) proved to be sufficiently correct a certain number were
selected on account of their higher methodological rigor. The results
obtained in the treatment of some pathologies seemed not to be
remarkably different from those achieved with placeboes. Even if
efficacy tests, meeting the criteria of modern evidence-based
medicine, can be used to assess homeopathy, it should be reminded
that, being a highly individualized therapy – with treatments chosen
on the basis of each patient’s specific symptoms- it has always been
difficult (though not impossible) to use too rigorous/rigid assessment
criteria. If such criteria were applied, homeopathy application method
would be affected and the efficacy results would be lower. Besides
double blind trials are inadequate to assess the response of complex
biological systems, such as that of human beings, to homeopathic
treatments, as the latter require for their administration highly
specific competence and clinical experience.
It is worth reminding,
though, that a few years ago (1997) some independent German
researchers (K. Linde and coll.) published a similar article on the
same prestigious journal “Are the clinical effects of homeopathy all
placebo effects? A meta-analysis of randomized, placebo controlled
trials. Lancet: 350: 834-843” . It was a meta-analysis of studies
carried out on the efficacy of homeopathy by which the authors, as
others had done before them (J. Kleijnen and coll. Brit. Med. J. 302:
316-323, 1991), confirmed the opposite, that is a higher efficacy of
homeopathic treatments compared to placeboes.
It is evident that the
situation is constantly updated as every day new clinical trials are
conceived to prove the efficacy of homeopathic therapies in the
treatment of various pathologies; therefore the idea that the above
mentioned research declares the end of homeopathy, as someone believes
(and probably wishes) is all the more unfounded. Besides the
parameters selected to assess the efficacy of homeopathy are often
methodologically correct, as in this case, but come through a
scientific cleansing. In other words the study was carried out by
allopaths using allopathic criteria. More or less the same as if a
wine seller compared his wine with a bottle of water and in the end
decided that his wine is much better. New paradigms are needed to
develop a humanistic medicine based on science which puts an end to
the current widespread reductionism. What is clear is that today a
good share of the conventional pharmaceutical and medical world (the
industrial health system, producing most health resources, risks
sometimes to affect the ethics, independence and results of the
researches, as confirmed by the conditioning of advertising in
prestigious biomedical journals) is suffering from the growing use of
homeopathic remedies by patients, and by the increasing integration of
non conventional medicines, homeopathy ranking first, in the National
Health System, in Italy as well as in Europe and in the US. The
integration involves the academic world, the regional health systems
and the World Health Organization itself. While we are waiting for the
non-government bill on the official acknowledgement of non
conventional medicines and practices to go through the parliamentary
process the opposition to such legislative action is exacerbated.
The Coordinator, Dr. Paolo
Roberti
www.fondazionericci.it/comitato

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