Itamura R
Department of Dermatology, Obitsu Sankei Hospital, 1-4 Namikinishi-machi, Kawagoe-city, Saitama-ken 350-0025, Japan.
Complement Ther Med. 2007 Jun;15(2):115-20. doi: 10.1016/j.ctim.2006.04.005. Epub 2006 Nov 29.
Many individuals who appear to suffer from incurable chronic skin disease use complementary and alternative medicine (CAM). Homeopathy has recently increased in popularity among patients with skin disease. The effects of homeopathic treatment have yet to be fully investigated in patients for whom conventional dermatological treatment is not sufficiently effective.
To describe patient-reported and clinically observed effects of individualized homeopathic treatment of chronic skin disease.
The effectiveness of individualized homeopathic treatment was measured using the patients' own assessments of seven elements (overall impression, improvement of skin condition, reduction of itchiness, reduction of sleep disturbance, satisfaction in daily life, fulfillment at work and satisfaction in human relations) using a nine-point scale similar to the Glasgow Homeopathic Hospital Outcome Scale (GHHOS). Sixty patients with chronic skin disease were included in the study: atopic dermatitis (AD) (n=25), eczema other than AD (n=20), severe acne (n=6), chronic urticaria (n=6), psoriasis vulgaris (n=2) and alopecia universalis (n=1). These patients received individualized homeopathic treatments in addition to conventional dermatological treatments for a period of from 3 months to 2 years 7 months.
Six patients reported a score of 4 (complete recovery), 23 patients a score of 3 (75% improvement), 24 patients a score of 2 (50% improvement) and 7 patients a score of 1 (25% improvement). A total of 88.3% of patients reported over 50% improvement. Around one-half the patients with AD and eczema reported greater satisfaction in daily life, greater fulfillment at work and greater satisfaction in human relations.
The psychological, physical and psychosomatic symptoms and effects of chronic skin diseases are inextricable. Individualized homeopathic treatment can provoke a good response in patients with chronic skin disease; therefore, the holistic approach used in homeopathy may be a useful strategy alongside conventional treatment.
许多看似患有无法治愈的慢性皮肤病的人会使用补充和替代医学(CAM)。顺势疗法最近在皮肤病患者中越来越受欢迎。对于常规皮肤科治疗效果不佳的患者,顺势疗法治疗的效果尚未得到充分研究。
描述慢性皮肤病个体化顺势疗法治疗的患者报告和临床观察效果。
使用类似于格拉斯哥顺势疗法医院结局量表(GHHOS)的九点量表,通过患者对七个要素(总体印象、皮肤状况改善、瘙痒减轻、睡眠障碍减轻、日常生活满意度、工作成就感和人际关系满意度)的自我评估来衡量个体化顺势疗法治疗的有效性。60例慢性皮肤病患者纳入研究:特应性皮炎(AD)(n = 25)、非AD湿疹(n = 20)、重度痤疮(n = 6)、慢性荨麻疹(n = 6)、寻常型银屑病(n = 2)和全秃(n = 1)。这些患者在接受常规皮肤科治疗的同时,还接受了为期3个月至2年7个月的个体化顺势疗法治疗。
6例患者报告评分为4(完全康复),23例患者评分为3(改善75%),24例患者评分为2(改善50%),7例患者评分为1(改善25%)。共有88.3%的患者报告改善超过50%。约一半的AD和湿疹患者报告在日常生活中更满意、工作成就感更高、人际关系更满意。
慢性皮肤病的心理、身体和身心症状及影响是密不可分的。个体化顺势疗法治疗可使慢性皮肤病患者产生良好反应;因此,顺势疗法中使用的整体方法可能是与传统治疗并行的有用策略。