Division of Service Development & Improvement, School of Health Studies, University of Bradford, Yorkshire, UK.
Eval Health Prof. 2010 Jun;33(2):127-39. doi: 10.1177/0163278710361923. Epub 2010 May 10.
Complementary and alternative therapies such as reflexology and acupuncture have been the subject of numerous evaluations, clinical trials, and systematic reviews, yet the empirical evidence in support of their efficacy remains equivocal. The empirical evaluation of a therapy would normally assume a plausible rationale regarding the mechanism of action. However, examination of the historical background and underlying principles for reflexology, iridology, acupuncture, auricular acupuncture, and some herbal medicines, reveals a rationale founded on the principle of analogical correspondences, which is a common basis for magical thinking and pseudoscientific beliefs such as astrology and chiromancy. Where this is the case, it is suggested that subjecting these therapies to empirical evaluation may be tantamount to evaluating the absurd.
按摩疗法和针灸等补充和替代疗法已经成为许多评估、临床试验和系统评价的主题,但支持其疗效的经验证据仍然存在争议。对一种疗法的经验评估通常会假定其作用机制具有合理的原理。然而,对反射疗法、虹膜学、针灸、耳针和一些草药的历史背景和基本原则进行审查后发现,其原理是基于类比对应原则,这是一种常见的魔术思维和伪科学信仰的基础,如占星术和手相术。在这种情况下,建议对这些疗法进行经验评估,这可能等同于对荒谬的评估。