Frei H, Thurneysen A
Spezialarzt FMH für Kinder and Jugendliche, FA Homöopathie SVHA, Laupen, Switzerland.
Br Homeopath J. 2001 Oct;90(4):180-2. doi: 10.1054/homp.1999.0505.
The conventional antibiotic treatment of acute otitis media (AOM) faces a number of problems, including antibiotic resistance. Homeopathy has been shown to be capable of treating AOM successfully. As AOM has a high rate of spontaneous resolution, a trial to prove any treatment-effect has to demonstrate very fast resolution of symptoms. The purpose of this study was to find out how many children with AOM are relieved of pain within 12 h after the beginning of homeopathic treatment, making additional measures unnecessary. Two hundred and thirty children with AOM received a first individualized homeopathic medicine in the paediatric office. If pain-reduction was not sufficient after 6 h, a second (different) homeopathic medicine was given. After a further 6 h, children who had not reached pain control were started on antibiotics. Pain control was achieved in 39% of the patients after 6 h, another 33% after 12 h. This resolution rate is 2.4 times faster than in placebo controls. There were no complications observed in the study group, and compared to conventional treatment the approach was 14% cheaper.
急性中耳炎（AOM）的传统抗生素治疗面临诸多问题，包括抗生素耐药性。顺势疗法已被证明能够成功治疗AOM。由于AOM有很高的自然缓解率，要证明任何治疗效果的试验都必须证明症状能非常迅速地缓解。本研究的目的是了解有多少患AOM的儿童在顺势疗法治疗开始后的12小时内疼痛得到缓解，从而无需采取额外措施。230名患AOM的儿童在儿科诊所接受了首次个体化的顺势疗法药物治疗。如果6小时后疼痛缓解不充分，则给予第二种（不同的）顺势疗法药物。再过6小时后，仍未实现疼痛控制的儿童开始使用抗生素治疗。6小时后，39%的患者实现了疼痛控制，12小时后又有33%的患者实现了疼痛控制。这一缓解率比安慰剂对照组快2.4倍。研究组未观察到并发症，与传统治疗相比，该方法成本低14%。
