Kayne Steven
Glasgow, United Kingdom.
Homeopathy. 2021 Nov;110(4):292-302. doi: 10.1055/s-0041-1727160. Epub 2021 Sep 9.
Homeopathy has survived the test of time over more than 200 years and has been accepted by many consumers and practitioners across the world as being an important constituent of health care. It continues to provide successful outcomes in a wide range of conditions using traditional and newer approaches to practice and is expanding into integrated health care. This article discusses modern developments in homeopathic theory, homeopharmaceutics, homeotherapeutics, and patient access. It also considers how Hahnemann might have responded to these changes.
Theoretical explanations for homeopathic mechanisms of action are complex and can involve ideas that conflict with established thinking amongst non-homeopaths. The use of different pharmacopoeial standards in the manufacture of remedies and variations in nomenclature continues to cause confusion for practitioners and patients. It also causes problems for manufacturers in providing the documentation required by national regulatory authorities to support licensing applications. Interaction with these bodies and other stakeholders is vital, to ensure the continued availability of a full range of homeopathic medicines. The incorporation of a homeopathic section within the (Ph. Eur.), which is used by many countries globally, is a positive development in promoting the standardisation of remedies. With increasing reliance now on evidence-based medicine, scientifically trained colleagues and sceptics have cast doubt on the validity of the observational studies that form much of the homeopathic evidence base.
The homeopathy community should engage as fully as possible in robust research to validate homeopathic practices, thus ensuring the viability of homeopathy in the future. There is an ongoing need for homeopathic practitioners to review their procedures regularly and take account of changes in patient demographics and lifestyle, and in modern methods of health care delivery. Colleagues should also be aware of patients' emerging abilities to critically assess treatment options and to judge outcomes. Future opportunities exist for homeopathy in new concepts of integrated health care that includes a range of other therapies, as well as in veterinary and environmental health. There is also the possibility of homeopathy joining social care services to improve accessibility to health care by making it available in a range of different community settings.
Hahnemann would likely have been unimpressed by the less positive contemporary influences on homeopathic practice.
顺势疗法历经200多年的时间考验，已被全球许多消费者和从业者接受，成为医疗保健的重要组成部分。它继续运用传统及更新的方法在广泛的病症中取得成功，并正扩展至综合医疗保健领域。本文探讨顺势疗法理论、顺势药物学、顺势疗法治疗以及患者就医途径的现代发展。同时也思考了哈内曼可能会如何应对这些变化。
顺势疗法作用机制的理论解释复杂，可能涉及与非顺势疗法从业者既定思维相冲突的观点。在药物生产中使用不同的药典标准以及命名法的差异，持续给从业者和患者带来困惑。这也给制造商提供国家监管机构要求的支持许可申请的文件带来问题。与这些机构及其他利益相关者的互动至关重要，以确保各类顺势疗法药物的持续供应。全球许多国家使用的《欧洲药典》纳入顺势疗法章节，是促进药物标准化的积极进展。随着现在越来越依赖循证医学，受过科学训练的同行和怀疑论者对构成顺势疗法证据基础的许多观察性研究的有效性提出了质疑。
顺势疗法界应尽可能充分地参与有力的研究，以验证顺势疗法实践，从而确保顺势疗法未来的可行性。顺势疗法从业者持续需要定期审视其程序，并考虑患者人口统计学和生活方式的变化以及现代医疗保健提供方式的变化。同行还应意识到患者对治疗选择进行批判性评估和判断结果的能力不断增强。顺势疗法在包括一系列其他疗法的综合医疗保健新概念中，以及在兽医和环境卫生领域存在未来机遇。顺势疗法还有可能与社会护理服务相结合，通过在一系列不同社区环境中提供医疗保健来提高可及性。
哈内曼可能对当前对顺势疗法实践不太积极的影响印象不佳。
