Reid Rebecca, Steel Amie, Wardle Jon, Adams Jon
1 Australian Research Centre in Complementary and Integrative Medicine, Faculty of Health, University of Technology Sydney, Ultimo, New South Wales, Australia.
2 Office of Research, Endeavour College of Natural Health, Fortitude Valley, Queensland, Australia.
J Altern Complement Med. 2019 Feb;25(2):202-226. doi: 10.1089/acm.2018.0305. Epub 2018 Oct 31.
To explore the recommendations of naturopathic medicine for the management of endometriosis, dysmenorrhea, and menorrhagia, drawing on traditional and contemporary sources.
Content analysis.
Australia, Canada, and the United States of America (USA).
Contemporary sources were identified from reviewing naturopathic higher education institutions' recommended texts, while traditional sources were identified from libraries which hold collections of naturopathic sources. Sources were included if they were published from 1800 to 2016, were in English, published in Australia, Canada, or the USA, and reported on the topic. Included sources were as follows: 37 traditional texts; 47 contemporary texts; and 83 articles from naturopathic periodicals.
Across included sources, the most reported disciplines were herbal medicine, clinical nutrition, mineral medicines, homeopathy, hydrotherapy, and chemical-based medicines. Herbal medicines were extensively reported from all sources for the management of endometriosis, dysmenorrhea, and menorrhagia. Clinical nutrition was only recommended from contemporary sources for all three conditions. Mineral medicines were mentioned in both traditional and contemporary sources, but were only recommended for dysmenorrhea and menorrhagia. There were limited recommendations for homeopathy and hydrotherapy treatments in all conditions across all sources. Chemical-based medicines were only mentioned for dysmenorrhea and menorrhagia, and recommendations ceased after 1922. Recommendations for endometriosis were not present in any of the traditional sources, across all reported disciplines.
The findings of this article provide insights into the documented historical and contemporary treatments within naturopathic medicine for endometriosis, dysmenorrhea, and menorrhagia. While philosophical principles remain the core of naturopathic practice, the therapeutic armamentarium appears to have changed over time, and a number of the original naturopathic treatments appear to have been retained as key elements of treatment for these conditions. Such insights into naturopathic treatments will be of particular interest to clinicians providing care to women, educators designing and delivering naturopathic training, and researchers conducting clinical and health service naturopathic research.
借鉴传统和当代资料来源，探讨自然疗法医学对子宫内膜异位症、痛经和月经过多管理的建议。
内容分析。
澳大利亚、加拿大和美利坚合众国（美国）。
当代资料来源通过查阅自然疗法高等教育机构推荐的文本确定，而传统资料来源从收藏自然疗法资料的图书馆中确定。如果资料是1800年至2016年出版、英文、在澳大利亚、加拿大或美国出版且报道了该主题，则纳入。纳入的资料如下：37篇传统文本；47篇当代文本；以及83篇自然疗法期刊文章。
在纳入的资料中，报道最多的学科是草药医学、临床营养、矿物药物、顺势疗法、水疗法和化学合成药物。所有资料来源都广泛报道了草药医学用于子宫内膜异位症、痛经和月经过多的管理。临床营养仅在当代资料来源中被推荐用于所有这三种病症。矿物药物在传统和当代资料来源中均有提及，但仅被推荐用于痛经和月经过多。在所有资料来源中，针对所有病症的顺势疗法和水疗法治疗建议有限。化学合成药物仅在痛经和月经过多中被提及，且1922年后不再有相关建议。在所有报道的学科中，传统资料来源中均未出现针对子宫内膜异位症的建议。
本文的研究结果为自然疗法医学中关于子宫内膜异位症、痛经和月经过多的历史记载和当代治疗方法提供了见解。虽然哲学原则仍然是自然疗法实践的核心，但随着时间的推移，治疗手段似乎发生了变化，一些最初的自然疗法治疗方法似乎被保留为这些病症治疗的关键要素。这些关于自然疗法治疗的见解将对为女性提供护理的临床医生、设计和提供自然疗法培训的教育工作者以及进行临床和健康服务自然疗法研究的研究人员特别有意义。
