Welsh Secretary Peter Hain calls for CAM on Welsh NHS

April 2, 2010 at 08:23 | Posted in Homeopathy, NHS | Leave a comment
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The Welsh Secretary has called on First Minister Carwyn Jones to follow England’s lead and make complementary therapies available on the NHS. He is to ask Carwyn Jones to support a pilot scheme. Not only will this lead to increased patient satisfaction but it will greatly lower the costs placed upon the NHS. The pilot scheme will be looking at the effectiveness of CAM for treating lower back pain.

Courtesy of http://www.walesonline.co.uk/news/health-news/2010/04/02/hain-urges-nhs-in-wales-to-consider-offering-alternative-treatments-91466-26160113/

I couldn’t agree more with Peter Hain, but why stop at just treating lower back pain? Whilst this is evidently a problem that needs solving (many people I know are on seemingly lifelong ibuprofen ) why stop there? I agree that acupuncture and chiropractic or osteopathy should be recommended to patients with lower back pain but there is so much more that all CAMs can offer.

Why not look at the results from the hugely successful Northern Ireland CAM pilot and introduce homeopathy, osteopathy, chiropractic etc. for many conditions. The Northern Ireland CAM pilot project showed that patients were benefitting from the use of these therapies in not only musculoskeletal ailments but also stress, depression and anxiety. So why not introduce more CAMs onto the NHS and satisfy the demands of the patients who want to see more choice and more importantly more long-term improvement in their health?

Indeed Peter Hain himself took his child to see a homeopath when he had eczema and asthma  as nothing else was working and was delighted to see his son cured of these ailments with homeopathy. So why shouldn’t everyone have access to homeopathy?

http://www.walesonline.co.uk/news/wales-news/tm_objectid=14749258&method=full&siteid=50082&headline=-free–alternative-medicine-for-wales-name_page.html

Placebo effects in homeopathy not larger than in conventional medicine, study shows

March 26, 2010 at 09:31 | Posted in Evidence | Leave a comment
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Nuhn et al (2010) have found that the placebo effect in homeopathy is not larger than in conventional medicine when comparing classical homeopathy to conventional medicine. The lengthy case-taking process and empathy shown by the practitioner does not account for an increased placebo effect (as is claimed by critics of homeopathy).

I wonder how Ben “placebo” Goldacre will take this news? Considering his number one argument is to say that homeopathy is merely placebo (clearly he hasn’t seen how it can work on plants, cells and animals (who don’t even know they have had a remedy)) this again is another nail in that coffin (which is looking pretty nailed to me!).

References

Nuhn T, Lüdtke R, Geraedts M (2010). Placebo effect sizes in homeopathic compared to conventional drugs – a systematic review of randomised controlled trials. Homeopathy, 99: 76–82.

Homeopathy and Migraines

March 24, 2010 at 10:41 | Posted in Homeopathy, Remedies | Leave a comment
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Migraines are a problem that affect around 17% of the world’s population according to a study by the WHO in 2003 and 2004 and they affect women more than men. They can affect people to varying degrees and common symptoms include one-sided headaches, nausea, vomiting, visual disturbance and disturbed sense of smell or taste. There are also whats called “complicated migraines” which include a neurological component and can include blindness, paralysis and the inability to talk. Complicated migraines are the rarest form of migraine.

Homeopathy can be very successful in helping people deal with the acute attack of a migraine and can also help people deal with the underlying cause of the migraine. The cure of my migraines was one of my reasons for going into homeopathy myself. I have also observed with many patients that their migraines have greatly improved and/or cured through the use of homeopathy.

Common acute remedies used are:

Belladonna – Throbbing, pulsating, hammering and/or bursting headache. Worse for – jarring movement, light, noise, heat, sun. Better for – Pressure. Often with a flushed face. The person may often feel delirious and may want to lie down in a dark room with their eyes closed. There may also be visual disturbance and photophobia. The person’s head may also be very sensitive to touch or washing.

Bryonia - Worse for – movement (much worse), alcohol. Better for – pressure (much better), closing eyes. The person will often be irritable and will not be inclined to talk to anyone. They will prefer to be left alone. The migraine may have started as a result of work stress. The person may be very thirsty but may not want to move to go and get themselves a drink.

Gelsemium - Headache from occiput (back of head) over to the right eye. Flushed face. Heavy, droopy eye-lids. They may be trembling and exhausted. The migraine may have been triggered by excitement or anxiety. There may be double vision. The person will not be thirsty. Their head may feel heavy, as if they can’t hold it up.

Sanguinaria - Right sided headache. Often come on every 7 days. Also good for headaches tha start around menses. Headache from occiput (back of head) over to right eye. Sharp pain, like electric shocks. Better for – sleeping, vomiting. Worse between 12-3pm.

Lycopodium - Right sided headache often from excitement or anxiety. The person may have often missed big events in the past due to a migraine attack on these days. The headache may start on one side and then pass to the other where it is worse. Worse for – not eating.

Spigelia – Left sided headache. Often sharp pain in eyeball. Pain from left occiput (back of head) to over the left eye. Worse for – stooping over.

Iris Vers. - Migraine attacks every 7 days. This person will often have a headache just after all the pressure has stopped e.g. it has been really busy in work for the last few weeks and then when they finally get a weekend off they get a migraine attack. Often visual disturbance and increased saliva. Better for – walk in fresh air.

Lac Defloratum – Weekly. Severe nausea and vomiting. Very chilly. They will often last for 3-5 days. Worse for – light. often left sided headache.

Nux Vomica – Often as a result of excessive alcohol consumption. Irritability. Often there will be nausea and/or vomiting. Photophobia. Worse for – light, noise, alcohol, sun.

Natrum Muriaticum – Often as a result of emotional stress/trauma. The headache often starts on waking and is worse in the morning. The person will often want to keep their eyes closed.  It may feel as if their head would burst. Visual disturbance. Better for – gentle walk outside. Worse for – sun, sympathy. Photophobia.

Lachesis – Menstrual migraines. Left sided headache. Often start on waking. Worse for – sleep. Better for – flow of period.

These are some of the most commonly used remedies to treat the acute attacks of migraines. However in order to truly deal with the migraine a consultation should be sort with a homeopath so that the underlying causes can be addressed of which there can be many, and are individual to each person. The treatment of migraines brings a lot of people to homeopathy.

With a migraine it is also good to avoid foods that stimulate the adrenal glands such as tea, coffee, chocolate, coca-cola, hard cheese, red wine or orange juice.

Two herbs that are often used successfully to manage the symptoms of the migraine are Ginko Biloba and Feverfew (please take according to instructions on bottle).

It seems you can’t keep a good thing down…

March 17, 2010 at 09:26 | Posted in Evidence | 1 Comment
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Homeopathy is one of the fastest growing medicines in the world. In the UK in the 1970′s homeopathy went through a resurgence which still continues today. In the 1970′s there were only a handful of practising homeopaths and patients. Now there are 6 million people that choose to use homeopathy in the UK. There also close to 5000 practitioners of homeopathy in the UK, with around 500 of them being medical doctors. This surge in homeopathy is mirrored around the world. There are approx. 300,000 homeopathic doctors in India where it is as much a part of the mainstream as Western orthodox medicine. Worldwide there are 430 million people who choose to use homeopathy for their health care. In France alone last year 400 million US dollars were spent on homeopathic remedies and in the US more than 2 billion US dollars.

This begs the question of why do so many people use homeopathy? Well the simple answer to that question is because it works. I can quote RCTs and meta-analyses until we are all blue in the face but there really is no point. Are they really a good measure of how effective a medicine is? No I don’t believe so. Just look at the state of the nations current health to see the answer to that, clearly RCTs are not the best way of testing the efficacy of a medicine. Anyhow, only 12% of the most commonly used drugs by doctors have been proven to be beneficial to the patient so it seems that Evidence Based Medicine (EBM) is a far cry away (link). Homeopaths are often criticised for taking the view that RCTs are not that beneficial when measuring efficacy. We are often criticised for not basing our practice on evidence. This is simply not true. We have always based our practice on evidence, this is why we have always conducted provings of substance and this is also why we have built our materia medicas in a way that reflects the clinical usage of a remedy. We are all for EBM, but to assume that because a medicine does well in a clinical trial means that it is an effective treatment is a fallacy. That is a very narrow-minded approach to take towards EBM and a not very useful one at that, at least not if you want a healthy population. Indeed the man who is accredited with inventing the term EBM is appalled at the way it is limited to just RCTs and meta-analyses as you can see in this article he wrote in the BMJ.

So again if you want to know if homeopathy works go and speak to those that use it. Go and speak to the patients who have benefitted from using it and if you happen to be a Dr.Dolittle go and speak to the animals that use it also!

Cells, Plants and Animals

March 16, 2010 at 10:30 | Posted in Animals, Evidence, Plants | 1 Comment
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Yes homeopathy works on cells, plants and animals, oh and of course humans too! The small group of narrow-minded people known colloquially as the Denialists (def: one who excessively denies the truth) like to say that homeopathy can only work via the placebo effect. Not only do we know that this is absurd when we take a look at the mountains of evidence that show homeopathy to work better than placebo (yes, the gold standard double-blind randomised controlled trial, published in prestigious journals such as the Lancet and the BMJ) we also know this is an absurd claim because homeopathy works on cells, plants and animals.

I can hear you cry that animals can respond to placebo effect, but how about when they don’t even know they are having a remedy? Yes that’s right homeopathy works with animals and we can prove this. Go and talk to any farmer that uses homeopathy as their primary medicine for their animals and you will find out why they use homeopathy. You could also go and find the RCTs that show homeopathy to work better than placebo, where the animals didn’t even know they were receiving any medication. In all honesty though if you want to know how a medicine works go and talk to the people who use it, they are often the best judge of whether something works not a fancy statistical test and as we all know there are lies, damned lies and statistics so my advice is go and talk to people who use homeopathy if you want to know if it works.

If we look at plants we can also see here that homeopathy works. It works very effectively as many people have found out from their own experimentation. Admittedly this is an area I am not particularly knowledgeable on but I have observed homeopathy to work with plants. I can just see the comments coming in from the Denialists saying that this too is the placebo effect, it must be our homeopathic consultation (with the plant) that causes this benefit. Well, I am sorry to disappoint you but we don’t talk to our plants to find out what is causing them pain (we leave that to Prince Charles)! We simply observe what may be wrong with the plant and give the appropriate remedy. This brings great results. If you would like more info on this area please see this blog as it has many trials done on plants, even some trials performed by Charles Darwin (yes, he used homeopathy) on the plant drosera.

Then we have cells. There are many trials that show that homeopathic remedies work on isolated human cells in test tubes. Indeed there was a trial (link) recently that shows some homeopathic remedies to have a cytotoxic effect on breast tumour cells. Again, how can this be explained by the placebo effect?

It is quite clear to the 430 million people who use homeopathy worldwide that it works because it is contains an effective medicinal substance. Many people have used homeopathy all their life as their sole system of medicine and they are in very good health, this is why people choose to use homeopathy.

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