Gaertner Katharina, Frei-Erb Martin
University of Witten/Herdecke, Faculty of Health Sciences, Witten, Germany.
Institute of Complementary and Integrative Medicine IKIM - University of Bern, Bern, Switzerland.
Homeopathy. 2020 Feb;109(1):23-29. doi: 10.1055/s-0039-1693744. Epub 2019 Sep 10.
Burning mouth syndrome (BMS) is a rare disease of unknown origin. No efficient treatment is known, and integrative approaches are warranted. So far, individualised homeopathy (iHOM) has not been evaluated or reported in any peer-reviewed journal as a treatment option.
At the Centre of Complementary Medicine at a university institute in Switzerland, a 38-year-old patient with BMS and various co-morbidities was treated with iHOM between July 2014 and August 2018. The treatment involved prescription of individually selected homeopathic single remedies. During follow-up visits, outcome was assessed with two validated questionnaires concerning patient-reported outcomes. To assess whether the documented changes were likely to be associated with the homeopathic intervention, an assessment using the modified Naranjo criteria was performed.
Over an observation period of 4 years, an increasingly beneficial result from iHOM was noted for oral dysaesthesia and pains as well as for the concomitant symptoms.
Considering the multi-factorial aetiology of BMS, a therapeutic approach such as iHOM that integrates the totality of symptoms and complaints of a patient might be of value in cases where an association of psychological factors and the neuralgic complaints is likely.
灼口综合征(BMS)是一种病因不明的罕见疾病。目前尚无有效的治疗方法,综合治疗方法很有必要。到目前为止,个性化顺势疗法(iHOM)作为一种治疗选择尚未在任何同行评审期刊上得到评估或报道。
在瑞士一所大学机构的补充医学中心,2014年7月至2018年8月期间,一名患有BMS及多种合并症的38岁患者接受了iHOM治疗。治疗包括开具单独挑选的顺势疗法单一药物。在随访期间,使用两份关于患者报告结果的有效问卷评估结果。为评估记录的变化是否可能与顺势疗法干预相关,采用改良的纳兰霍标准进行了评估。
在4年的观察期内,iHOM对口腔感觉异常、疼痛以及伴随症状的疗效日益显著。
考虑到BMS的多因素病因,对于心理因素与神经痛症状可能相关的病例,像iHOM这样综合患者全部症状和主诉的治疗方法可能具有价值。