Department of Dermatovenereology, N. Paulescu National Institute of Diabetes, Bucharest, Romania.
Homeopathy. 2021 Nov;110(4):271-276. doi: 10.1055/s-0041-1728666. Epub 2021 Jun 29.
Acne is a common disorder of the pilosebaceous follicle. The face, back and chest are usually involved. It leads to significant diminution in quality of life. Numerous treatments are documented in therapeutic guidelines. Naturopathic approaches have been proposed in some, but the role of homeopathy is not examined.
In this study, 83 patients treated for acne with individualised homeopathic medicine alone were reviewed. Most had received conventional acne treatment, with limited success prior to presentation for homeopathy. Each patient was prescribed a single homeopathic medicine and followed up at 6- to 8-week intervals. The individualisation process resulted in 17 different medicines being used in this group. Photographic documentation was obtained per patient, with informed consent. Patients were classified as mild (comedonal acne with no papules or pustules), moderate (inflammatory and non-inflammatory lesions) and severe (predominantly inflammatory lesions: pustules, cysts, nodules). Results of treatment were recorded as remission (decrease in new lesion number, duration and intensity), failure to respond, and lost to follow-up (LTF).
The average age of patients was 21.5 years (range 11-45 years). The F:M ratio was 55 (66.3%):28 (33.7%). Average pre-treatment duration was 5.5 years (0.25-22 years). Seven (8.4%) patients had mild acne, 37 (44.6%) moderate, and 39 (47%) severe acne. There were 13 (15.7%) LTFs, two (2.4%) failed to respond, and 68 (81.9%) went into remission. Average time to remission was 1.9 months (range 1.5-6 months), with no relapses or side-effects. The most commonly prescribed medicines were (38.6%), (15.7%) and (12.1%).
Individualised homeopathy may be useful for acne therapy. The most useful medicines appeared to be , and , though 17 different medicines were used in this study, underscoring the value of individualisation of therapy, a key characteristic of homeopathy.
痤疮是一种常见的毛囊皮脂腺疾病。面部、背部和胸部通常会受到影响。它会导致生活质量显著下降。治疗指南中记载了许多治疗方法。一些治疗方法还提出了顺势疗法，但顺势疗法的作用尚未得到检验。
在这项研究中，对 83 名单独接受个体化顺势疗法治疗痤疮的患者进行了回顾。大多数患者在接受顺势疗法治疗前已经接受了常规痤疮治疗，但效果有限。每位患者都开了一种单独的顺势疗法药物，并在 6-8 周的间隔内进行随访。个体化过程导致该组使用了 17 种不同的药物。每个患者都获得了照片记录，并在知情同意的情况下进行了拍摄。患者被分为轻度（粉刺，无丘疹或脓疱）、中度（炎症性和非炎症性病变）和重度（主要为炎症性病变：脓疱、囊肿、结节）。治疗结果记录为缓解（新病变数量、持续时间和强度减少）、无反应和失访（LTF）。
患者的平均年龄为 21.5 岁（11-45 岁）。男女比例为 55（66.3%）：28（33.7%）。平均治疗前病程为 5.5 年（0.25-22 年）。7 例（8.4%）为轻度痤疮，37 例（44.6%）为中度，39 例（47%）为重度痤疮。有 13 例（15.7%）失访，2 例（2.4%）无反应，68 例（81.9%）缓解。平均缓解时间为 1.9 个月（1.5-6 个月），无复发或不良反应。最常开的药物是 （38.6%）、 （15.7%）和 （12.1%）。
个体化顺势疗法可能对痤疮治疗有用。最有用的药物似乎是 、 和 ，尽管本研究中使用了 17 种不同的药物，但强调了治疗个体化的价值，这是顺势疗法的一个关键特征。
