Thompson Elizabeth A
Bristol Homeopathic Hospital, Cotham Hill, Bristol BS6 6JU, UK.
J Br Menopause Soc. 2002 Dec;8(4):151-4. doi: 10.1258/136218002100321857.
Significant numbers of patients in developed countries use complementary, alternative, or unconventional medicine. Homeopathy is one of the most widespread and controversial of these therapies and has been used for over 150 years. There are two main theoretical tenets: the principle of "similars" and the use of dilutions called "potencies". The principle of "similars" states that patients with particular signs and symptoms can be cured if given a drug that produces the same signs and symptoms in a healthy individual. The second principle is that remedies retain biological activity if they are repeatedly diluted and agitated or shaken between each dilution. Data from case histories, observational studies and uncontrolled trials suggest that the homeopathic approach can offer a clinically relevant choice for women with menopausal symptoms and those with breast cancer whether they are taking tamoxifen or not. Randomised controlled trials are being conducted to investigate this potential benefit.
在发达国家,有相当数量的患者使用补充医学、替代医学或非常规医学。顺势疗法是这些疗法中应用最为广泛且最具争议的一种,已经使用了150多年。它有两个主要理论原则:“同类相治”原则和使用称为“药力”的稀释剂。“同类相治”原则指出,如果给健康个体服用能产生相同体征和症状的药物,患有特定体征和症状的患者就能被治愈。第二个原则是,如果药物在每次稀释之间反复稀释、搅拌或摇晃,那么这些药物就会保持生物活性。来自病例记录、观察性研究和非对照试验的数据表明,顺势疗法对有更年期症状的女性以及患有乳腺癌的女性(无论她们是否正在服用他莫昔芬)而言,都能提供一种具有临床相关性的选择。目前正在进行随机对照试验以研究这种潜在益处。