Jargin Sergei V
Department of Public Health, Peoples' Friendship University of Russia, Moscow, Russia.
J Intercult Ethnopharmacol. 2015 Jan-Mar;4(1):74-7. doi: 10.5455/jice.20140929114417. Epub 2014 Nov 28.
Homeopathy claims a curative reaction from small doses of a substance, high doses of which cause symptoms similar to those the patient is suffering from. Hormesis is a concept of biphasic dose-response to different pharmacological and toxicological agents. According to this concept, a small dose of a noxious agent can exert a beneficial action. A hypothesis is defended here that hormesis as a general principle can be assumed only for the factors present in the natural environment thus having induced adaptation of living organisms. Generalizations of the hormesis phenomenon used in support of homeopathy are unfounded. Low-dose impacts may be associated with a higher risk in a state of organ sub-compensation or failure especially in the elderly patients. Practical recommendations should be based neither on the hormesis as a default approach nor on the postulates of homeopathy. All clinically relevant effects, hormetic or not, should be tested by the methods of evidence-based medicine.
顺势疗法声称小剂量的某种物质会产生治愈反应,而大剂量该物质会引发与患者所患症状相似的症状。毒物兴奋效应是对不同药理和毒理制剂的双相剂量反应概念。根据这一概念,小剂量的有害制剂可产生有益作用。本文捍卫一种假说,即毒物兴奋效应作为一般原则仅适用于自然环境中存在的、从而促使生物体产生适应性的因素。用于支持顺势疗法的毒物兴奋效应现象的泛化是毫无根据的。低剂量影响在器官代偿不足或衰竭状态下可能与更高风险相关,尤其是在老年患者中。实际建议既不应基于毒物兴奋效应作为默认方法,也不应基于顺势疗法的假设。所有临床相关效应,无论是否具有毒物兴奋效应,都应通过循证医学方法进行检验。