Intervention Review

Homeopathy for chronic asthma

  1. Robert W McCarney1,*,
  2. Klaus Linde2,
  3. Toby J Lasserson3

Editorial Group: Cochrane Airways Group

Published Online: 26 JAN 2004

Assessed as up-to-date: 31 JUL 2007

DOI: 10.1002/14651858.CD000353.pub2


How to Cite

McCarney RW, Linde K, Lasserson TJ. Homeopathy for chronic asthma. Cochrane Database of Systematic Reviews 2004, Issue 1. Art. No.: CD000353. DOI: 10.1002/14651858.CD000353.pub2.

Author Information

  1. 1

    University of Hertfordshire , Department of Psychology, Hatfield, UK

  2. 2

    Technische Universitaet Muenchen, Centre for Complementary Medicine Research, Department of Internal Medicine II, Munich, Germany

  3. 3

    St George's, University of London, Community Health Sciences, London, UK

*Robert W McCarney, Department of Psychology, University of Hertfordshire , College Lane , Hatfield, AL10 9AB, UK. robmccarney@googlemail.com. r.w.mccarney@herts.ac.uk.

Publication History

  1. Publication Status: Edited (no change to conclusions)
  2. Published Online: 26 JAN 2004

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Abstract

  1. Top of page
  2. Abstract
  3. Plain language summary
  4. 摘要
  5. Plain language summary

Background

Homeopathy involves the use, in dilution, of substances which cause symptoms in their undiluted form. It is one of the most widespread forms of complementary medicines and is also used to treat asthma.

Objectives

The objective of this review was to assess the effects of homeopathy in people with chronic stable asthma.

Search methods

We searched the Cochrane Airways Group Specialised Register of trials. Searches were current as of August 2007.

Selection criteria

Randomised trials of homeopathy for the treatment of stable chronic asthma, with observation periods of at least one week were included.

Data collection and analysis

Data extraction was undertaken by two reviewers. Trial quality was assessed by the reviewers.

Main results

Six trials with a total of 556 people were included. These trials were all placebo-controlled and double-blind, but of variable quality. They used different homeopathic treatments which precluded quantitative pooling of results for the primary outcome. Standardised treatments in these trials are unlikely to represent common homeopathic practice, where treatment tends to be individualised. No trial reported a significant difference on validated symptom scales. There were conflicting results in terms of lung function between the studies. There has been only a limited attempt to measure a 'package of care' effect (i.e., the effect of the medication as well as the consultation, which is considered a vital part of individualised homeopathic practice). An update search in August 2005 did not identify any new studies.

Authors' conclusions

There is not enough evidence to reliably assess the possible role of homeopathy in asthma. As well as randomised trials, there is a need for observational data to document the different methods of homeopathic prescribing and how patients respond. This will help to establish to what extent people respond to a 'package of care' rather than the homeopathic intervention alone.

 

Plain language summary

  1. Top of page
  2. Abstract
  3. Plain language summary
  4. 摘要
  5. Plain language summary

Homeopathy for chronic asthma

Homeopathy is a complementary healing system based on "curing like with like". It involves greatly diluting substances (potentising) which ordinarily may or may not cause symptoms, in order to strengthen the body's own healing response to a problem. Homeopathic remedies (potencies) aim to minimise the risk of adverse effects. There are different types that may be used for asthma, such as classical homeopathy (tailored to an individual's symptoms) or isopathy (for example using a dilution of an agent that causes an allergy, such as pollen). The review of trials found that the type of homeopathy varied between the studies, that the study designs used in the trials were varied and that no strong evidence existed that usual forms of homeopathy for asthma are effective. There has been only a limited attempt to measure a 'package of care' effect (i.e., the effect of the medication as well as the consultation, which is considered a vital part of individualised homeopathic practice). Until stronger evidence exists for the use of homeopathy in the treatment of asthma, we are unable to make recommendations about homeopathic treatment.

 

摘要

  1. Top of page
  2. Abstract
  3. Plain language summary
  4. 摘要
  5. Plain language summary

背景

慢性氣喘的順勢療法

順勢療法包含了使用、稀釋那些在未稀釋狀態下會導致症狀的受質。這是替代藥物最廣的型態之一而且被用於治療氣喘。

目標

此次評估的目的是在探討順勢療法對慢性穩定氣喘病患的效益。

搜尋策略

我們搜尋了the Cochrane Airways Group Specialised Register of trials。目前搜尋至2007年8月。

選擇標準

包含了使用順勢療法治療穩定慢性氣喘病患的隨機試驗,並且觀察期要至少一周以上。

資料收集與分析

資料萃取由兩位審查者執行。。試驗的品質由評估者判斷。

主要結論

在6個試驗中共有556人被納入。這些試驗都是有安慰劑對照組及雙盲設計,但品質參差不齊。他們用不同的順勢療法排除了主要成果的量化彙整。這些試驗中的標準化的治療方法不可能代表一般的順勢療法,如果治療方式是個體化。沒有任何試驗報告出在已驗證的症狀分數上有顯著差異。在各個研究中,對於肺功能則出現矛盾的結果。只有一些有限度的嘗試去衡量一個′照護包′的效果(如依諮詢結果所用藥物的影響被認為是個體化順勢療法的重要組成部分)。搜索於2005年8月更新資料,但沒有發現任何新的研究。

作者結論

沒有足夠的證據能可靠地評估順勢療法治療氣喘時可能扮演的角色。除了隨機性的試驗外,仍需要觀測順勢療法處置的不同方法和病人回應的數據文件。這將有助於建立病人在何種程度上對′照護包′的反應,而非單獨的順勢療法干涉。

翻譯人

本摘要由臺北醫學大學萬芳醫院劉怡敏翻譯。

此翻譯計畫由臺灣國家衛生研究院(National Health Research Institutes, Taiwan)統籌。

總結

從試驗中並沒有足夠的證據可以確定順勢療法是否可以幫助改善氣喘。順勢療法是一種補充治療系統建立於以類似治療類似的基礎上。它涉及大量稀釋通常可能會或不會引起症狀的物質(potentising),以加強人體自身對問題的治療反應。順勢療法(potencies)旨在減少不良反應的風險。有許多不同類型可用於治療氣喘,如典型順勢療法(針對個人的症狀)或同種病質療法(例如使用稀釋的引發過敏藥物,如花粉)。在評估試驗時發現,在不同類型的順勢療法的研究之間,試驗間使用的研究設計是多樣化的而且沒有強有力的證據證明一般形式的順勢療法對於氣喘是有效的。只出現了有限度的嘗試去衡量一個′照護包′的效果(如依諮詢結果所用藥物的影響被認為是個體化順勢療法的重要組成部分)。除非有更有力的證據證明使用順勢療法在治療氣喘上是有用的,我們無法建議使用順勢療法。

 

Plain language summary

  1. Top of page
  2. Abstract
  3. Plain language summary
  4. 摘要
  5. Plain language summary

Homeopatija za kroničnu astmu

Homeopatija za kroničnu astmu

Homeopatija je alternativni oblik liječenja koji se temelji na “liječenju sličnoga sličnim”. Podrazumijeva obilno razrjeđivanje tvari (potenciranje) koje obično mogu ili ne moraju uzrokovati simptome, a čiji je cilj pojačanje odgovora tijela na zdravstveni problem. Homeopatski pripravci (potencije) imaju cilj smanjiti rizik od nuspojava. Različiti tipovi homeopatskih pripravaka koriste se za astmu, uključujući klasičnu homeopatiju (prilagođenu individualnim simptomima) ili izopatiju (primjerice korištenje razrjeđenja tvari koje uzrokuju alergiju, kao što je pelud). Cochrane sustavni pregled kliničkih ispitivanja je utvrdio da vrsta korištene homeopatije varira među studijama, kao i ustroj studije, i da nema jakih dokaza da su uobičajeni oblici homeopatije učinkoviti za liječenje astme. Postoje ograničeni pokušaji da se izmjeri učinak 'paketa usluga', odnosno učinka homeopatskog pripravka i konzultacije, što se smatra vitalnim dijelom individualizirane homeopatske prakse. Dok ne budu dostupni jači dokazi za uporabu homeopatije u liječenju astme, ne može se napraviti nikakva preporuka vezano za homeopatsko liječenje ove bolesti.

Translation notes

Translated by: Croatian Branch of the Italian Cochrane Centre