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兴奋效应与顺势疗法:跨越 troubled waters 的桥梁 (注:这里“troubled waters”字面意思是“混乱的水域”,结合语境可理解为“困境”之类的意思,但因要求不添加解释,所以保留英文)

Hormesis and homeopathy: bridge over troubled waters.

作者信息

Oberbaum Menachem, Singer Shepherd Roee, Samuels Noah

机构信息

Center for Integrative Complementary Medicine, Shaare Zedek Medical Center, Jerusalem, Israel.

出版信息

Hum Exp Toxicol. 2010 Jul;29(7):567-71. doi: 10.1177/0960327110369777.

Abstract

Homeopathy is an empirical method of treatment. Hormesis, while stemming from within the rationalist tradition, has yet to be explained according to current pharmacological theory. Both share in common sub-threshold doses of toxic substances and an initial semi-toxicological insult followed by a greater compensatory (or healing) response. We question whether the differences between these fields may be amenable to scientific research. We identify five cardinal differences between homeopathy and hormesis: (1) Hormesis is a universal phenomenon, while homeopathy is highly specific; (2) Hormesis uses only measurable quantities of compounds, as opposed to homeopathy, which frequently administers medicines at dilutions far beyond the material range; (3) Preparation of hormetic solutions follows standard laboratory procedure, while homeopathy requires a sequential series of dilutions, each followed by vigorous shaking ('succussion'); (4) The effects of hormesis are moderate and temporary, while homeopathy claims curative and permanent responses and (5) Hormesis is a lab phenomenon observed primarily in healthy organisms, whereas homeopathy is a mode of treatment administered primarily to ailing individuals. We believe that all five of these differences are amenable to scientific investigation, and suggest comparing succussed to non-succussed diluted solutions as an optimal first evaluation. We conclude that while certain differences exist between hormesis and homeopathy, hormesis may in fact be a subset of homeopathy.

摘要

顺势疗法是一种经验性的治疗方法。兴奋效应虽然源于理性主义传统,但根据当前的药理学理论仍有待解释。两者都有共同之处,即使用亚阈值剂量的有毒物质,并先有一次半毒理学损伤,随后是更大的代偿性(或治愈性)反应。我们质疑这些领域之间的差异是否适合进行科学研究。我们确定了顺势疗法和兴奋效应之间的五个主要差异:(1)兴奋效应是一种普遍现象,而顺势疗法具有高度特异性;(2)兴奋效应仅使用可测量数量的化合物,与之相反,顺势疗法经常以远远超出物质范围的稀释度给药;(3)制备兴奋效应溶液遵循标准实验室程序,而顺势疗法需要一系列连续的稀释,每次稀释后都要剧烈摇晃(“震荡”);(4)兴奋效应的作用是适度且暂时的,而顺势疗法声称有治愈和永久性的反应;(5)兴奋效应是一种主要在健康生物体中观察到的实验室现象,而顺势疗法是一种主要应用于患病个体的治疗方式。我们认为所有这五个差异都适合进行科学研究,并建议将经过震荡的稀释溶液与未经过震荡的稀释溶液进行比较作为最佳的初步评估。我们得出结论,虽然兴奋效应和顺势疗法之间存在某些差异,但兴奋效应实际上可能是顺势疗法的一个子集。

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