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论证据与理论之间的相互作用:哈内曼博士的顺势疗法

On the interplay between evidence and theory: Dr. Hahnemann's homeopathic medicine.

作者信息

Mosini Valeria

机构信息

Università di Roma "La Sapienza".

出版信息

Physis Riv Int Stor Sci. 2005;42(2):521-44.

Abstract

The focus of this paper is the interplay between evidence and theory, which is at the heart of the methodological question. I address it using as a case study the homeopathic medicine discovered/invented by C.S. Hahnemann in the late eighteenth century. After presenting a quick reconstruction of Hahnemann' s life and work as a medical doctor, I turn to the way in which he came to enunciate the two founding principles of homeopathy: the "law of simile" and the "law of dilution." I compare the way in which homeopathy was received and its therapeutic success evaluated up until the mid-to-late 1800s, to the way in which it is currently regarded. I conclude that the shift from a mixture of appreciation and doubt to the outright denial of all evidence in favour of homeopathy is in line with the most striking (though not necessarily the most productive) trend of twentieth century science: one that is heavily biased in favour of theory and against evidence. In the case of homeopathy such a position led to ignoring evidence gathered in diverse fields, mainly immunology and chemical physics, showing respectively that ultra-diluted solutions have biological effects and that the values of their parameters differ from those of water. The advancement of knowledge is more likely to result from a further investigation of this evidence, with the aim of explaining the law of dilution, than it is from insisting that this law is nonsense because an explanation of it is not, at present, available.

摘要

本文的重点是证据与理论之间的相互作用,这是方法论问题的核心。我将以18世纪末由C.S.哈内曼发现/发明的顺势疗法作为案例研究来探讨这个问题。在简要回顾了哈内曼作为一名医生的生平与工作之后,我将转向他阐述顺势疗法两大基本原则的方式:“相似律”和“稀释律”。我将19世纪中后期之前顺势疗法被接受的方式及其治疗效果的评估方式,与它目前被看待的方式进行了比较。我得出的结论是,从对顺势疗法的欣赏与怀疑并存,到彻底否定所有支持顺势疗法的证据,这种转变与20世纪科学最显著(尽管不一定最有成效)的趋势是一致的:一种严重偏向理论而反对证据的趋势。就顺势疗法而言,这样一种立场导致忽视了在不同领域收集到的证据,主要是免疫学和化学物理学领域的证据,这些证据分别表明超稀释溶液具有生物学效应,且其参数值与水的参数值不同。知识的进步更有可能源于对这一证据的进一步研究,以解释稀释律,而不是坚持认为这条定律是无稽之谈,因为目前还没有对它的解释。

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