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Testing alternative medicine

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All forms of diagnosis and therapy, ... Psychosomatic interaction. Pharmacologically active substances. Placebo effect, ca. 35 % (15-58 ... – PowerPoint PPT presentation

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Title: Testing alternative medicine


1
Testing alternative medicine
  • Burden, blessing or both?

2
Definition Alternative Medicine
  • All forms of diagnosis and therapy,
  • that are not taught as examination subjects in
    medical schools.

3
Two main streams
  • Forms of diagnosis and therapy, that
  • Replace regular scientific medicine (alternative
    medicine exclusively),
  • or those that
  • Complement regular scientific medicine
    (complementary medicine)

4
Three main groups that make use of alternative
medicine
  • Pragmatics As long as it works...
  • Frustrated ones Medicine has failed....
  • Radicals I prefer alternative medicine...

5
This is available
  • F.1 Necessary?

F.2 Effective?
F.3 Appropriate?
F.4 Ethically OK?
F.5 Occult or not?
This is acceptable
Five Screening Filters
6
Biblical basis for the five filters
  • Stewardship Mandate for Filters 1-3
  • Genesis 1 26-30 2 15 9 1-7
  • Gods moral laws for Filter 4
  • Keep in mind
  • Personal conscience
  • Christian freedom, Rom. 14 1. Cor. 8-10 (MSI)
  • Gods authoritative borders for Filter 5
  • Deuteronomy 18 9-14 (Absolutes)

7
Filter 1 Is it necessary?
  • Medicalization Problems to be solved medically
  • Consumer mentality Buy health from doctor
  • Hypochondria imagined illness (what is root?)
  • Is it really necessary or is it the
  • wish of the doctor / practitioner
  • wish of the patient
  • common use in certain situations

8
Filter 2 Is it effective?
  • Possibilities regarding effectiveness
  • It does not work at all
  • It works through usual healing powers
  • Creational healing power of the body
  • Psychosomatic interaction
  • Pharmacologically active substances
  • Placebo effect, ca. 35 (15-58 )
  • Still unknown, but usual healing powers
  • It works through unusual healing powers
  • Signs and wonders
  • Magic / witchcraft / sorcery

9
Filter 3 Is it appropriate?
  • Age
  • Sex
  • Finances
  • Cultural / Social factors
  • Drug interactions
  • Contra-indications
  • Risk adverse reactions

10
Filter 4 Is it ethically acceptable?
  • What are the facts?
  • What are the consequences?
  • Some helpful ethical principles
  • Of benefit ? beneficence
  • Not harmful ? non-maleficence
  • Responsibility / accountability (not autonomy)

11
F.5 Occultism 6 aspects
  • Pollution through esoteric world view elements
  • Comments about the explanatory models
  • Original explanatory model reflects mindset of
    the pioneers
  • Replace the original explanatory model as
    necessary
  • Unknown does not necessarily mean occult
  • Commonest esoteric elements
  • Micro-cosmos / Macro-cosmos thinking
  • Unusual linking stars / seasons / elements / food
    types / organs / diseases
  • Philosophy that reality consists of a few
    elements (3, 4 or 5)
  • Esoteric energy has to be harmonized / stimulated
    / flowing
  • Danger World view pollution / poisoning of the
    mind

12
F.5 Occultism 6 aspects
  • Diagnosis with the use of forbidden unusual
    powers
  • Soothsaying (unusual insights in the
    relationships between things/situations/people
    and health/disease insights not obtainable
    through the use of the five senses only)
  • Clairvoyance (unusual insights obtained through
    communication with demons, including those that
    pretend to be the spirits of the sick or some
    other human).
  • Danger Demonization

13
F.5 Occultism 6 aspects
  • Therapy with the aid of forbidden unusual powers
  • Changes in the health situation of a person
    through unusual powers (usually aiming at the
    harmonising of cosmic energy)
  • Danger Demonization
  • Use of techniques that open patients up for
    possible demonic influences
  • Causing passive mental states hypnosis or trance
  • Danger Caught in Satans trap ? Bondage

14
F.5 Occultism 6 aspects
  • Initiate patient into the use of unusual powers
  • Possible through getting them involved with
    soothsaying, clairvoyance, witchcraft, sorcery or
    magic
  • Danger Demonization
  • Curses/magic formulas over patients / medicaments
  • It is a form of witchcraft / magic / sorcery
  • Danger Strengthening a pre-existent occult
    bondage
  • Encouragement for the Christian - Proverbs 262

15
Recommendations for Christian doctors
  • Share with colleagues humility, compassion,
    professionalism
  • Study and research Phyto-therapy, Trigger Point
    Massage, etc.
  • Critical evaluation of regular scientific
    medicine
  • Reductionism can a God-less doctor be a good
    doctor?
  • Network Biblical-Christian Healthcare -
    international
  • Hope for Healthcare via www.hfe.org or
    www.hcf-international.com
  • CDK, CiCP, CIG, CMA, CMS, ICMDA, Journal
    Christian Healthcare HCF, MedIchthys, NCF
  • Take patients use of alternative medicine
    seriously
  • Reckon with it in anamnesis, diagnosis, therapy
  • Careful counselling about OK or not-OK
    alternative medicine

16
Filter 1 Is acupuncture necessary?
  • Arguments for
  • Normal scientific medicine is too materialistic
  • No to medication with adverse reactions
  • Use acupuncture as missionary tool
  • Only limited means available
  • Nothing else has helped
  • Arguments against
  • It does not work
  • Only placebo-effect
  • It is occult

17
Filter 2 Is acupuncture effective?
  • NO
  • Ter Riet et al (1990 inc. Medline 1963-1988 )
  • Meta-Analysis of 91 usable, published trials over
    a period of 17 years 12 is gt50 reliable none
    more reliable than 68. The more thorough the
    research, the less positive the results ? no
    conclusive evidence.
  • Jacobs et al (1991)
  • Meta-analysis of 22 published double blind trials
    ? not more effective than placebo.
  • Possibly YES ? limited use, more research needed
  • Linde et al (2001 inc. Medline 1989-2000)
  • Meta-Analysis of 39 usable published trials
    positive for post-operative nausea negative as
    help to stop smoking
  • Steward (1977) Kho (1991) Van Dijk (1978)
  • Pain relief in various situations symptomatic
    treatment

18
F.3 Is acupuncture appropriate?
  • Age no issue
  • Sex no issue
  • Finances issue if presented as cure-all
  • Culture/social family/patient pressure can be
    severe
  • Drug interactions no issue
  • Contra-indications only if ineffective or
    occult
  • Risk adverse reactions no issue
  • Possibly appropriate in demythologized
    symptomatic use

19
F.4 Is acupuncture ethical?
  • What facts are relevant?
  • Overlap with nerve/artery/vein triads with
    muscle trigger points
  • ?Possible to determine points more accurately
    electrically
  • Classical acupuncture anatomy seriously outdated
  • What consequences are relevant?
  • Who/what is trusted for healing?
  • Does it really help?
  • Possible limited use more research needed.
  • Is it harmful?
  • Van Dijk (1980) 10.000 therapeutic sessions
  • Pneumothorax (a few cases)
  • Hepatitis, burn wounds (very rare)
  • Does it promote responsible behaviour?
  • Usually patients not made dependent on
    practitioner

20
Filter 5 Is acupuncture occult?
  • Promoting non-biblical views of God, man, health
    / disease and world?
  • Almost always ? World view pollution
  • Diagnosis with forbidden unusual powers?
  • Rare in the West until now. Depends on
    practitioner.
  • Therapy with forbidden unusual powers?
  • Rare in the West until now. Depends on
    practitioner. Some Christian authors say yes.
    Evidence difficult to document scientifically.

21
Filter 5 Is acupuncture occult?
  • Techniques that open patients for demonic
    influence
  • Hypnosis or Trance possible. Depends in
    practitioner.
  • Initiation in use of forbidden unusual powers?
  • Rare in the West until now. Depends on
    practitioner.
  • Curse or magic spell during therapy?
  • Rare in the West until now. Depends on
    practitioner.

22
F.1 Ist Homöopathie notwendig?
  • Argumente dafür
  • normale wissenschaftliche Medizin ist zu
    materialistisch
  • gtnein zu Medikamenten mit Nebeneffekten
  • verfügbare Mittel begrenzte Mittel
  • nichts anderes hilft mehr aus-gearztet
  • Argumente dagegen
  • funktioniert nicht ? Quacksalberei
  • nur Placeboeffekt
  • Okkult ? Prinzip der Unsichtbaren Lebenskraft

23
Filter 2 Ist Homöopathie wirksam?
  • Hill und Doyon (1990) 40 Versuche
  • Effektivität nicht bewiesen
  • Kleijnen u.a. (1991) 107 Versuche
  • 23 von ziemliche Qualität
  • 15 davon günstige Ergebnisse
  • Pirtkien (1976) Gelenkkrankheiten
  • 54 besser mit Homöopathie
  • 95 besser mit Medikation

24
F.3 Ist Homöopathie angemessen?
  • Age
  • Sex
  • Finances
  • Culture / Social factors
  • Drug interactions
  • Contra-indications
  • Risk adverse reactions
  • Wenn sie
  • wirksam wäre,
  • im Einzelfall notwendig und nicht schädlich,
  • wäre Homöopathie angemessen.

25
F.4 Homöopathie ethisch tragbar?
  • Was sind die Fakten?
  • Zwei Tausend Medikamenten Fünf Hundert bis zwei
    Tausend Symptomen pro Medikament ? Vier Millionen
    Kombinationen möglich
  • Verdünnung D10 C100
  • Avogadro D22 D23 nichts mehr über
  • Was sind die Folgen?
  • Okkulte Einflüsse?

26
F.4 Homöopathie ethisch tragbar?
  • Hilft sie?
  • Phytotherapie besser.
  • Ist sie schädlich?
  • In Forschung nichts gefunden
  • Geistlich schädlich, Chr. Schriftsteller wie
    Feller, Markmann, Kunze
  • Förderung von verantwortungsvollem Verhalten?
  • Meistens werden die Patienten auf keine ungesunde
    Weise von ihren Heilern abhängig gemacht.

27
Filter 5 Ist Homöopathie okkult?
  • Weiterleitung eines nicht-biblischen Konzepts von
    Gott, Mensch, Gesundheit/Krankheit und Welt?
  • Fast immer ? Verschmutzung der Weltanschauung.
  • Diagnose mit verbotenen, aussergewöhnlichen
    Kräften?
  • Im Westen kaum gebräuchlich. Hängt vom Heiler ab.
  • Therapie mit verbotenen, aussergewöhnlichen
    Kräften?
  • Manchmal. Hängt vom Heiler ab (Pragmatische oder
    Klassische Homöopathie).
  • Ja, verschiedene Christliche Schriftsteller.

28
Filter 5 Ist Homöopathie okkult?
  • Techniken, die den Patienten dämonischem Einfluß
    öffnen
  • Hypnose oder Trance möglich. Hängt vom Heiler ab.
  • Einführung in den Gebrauch von verbotenen,
    aussergewöhnlichen Kräften?
  • Kaum gebräuchlich. Hängt vom Heiler ab.
  • Beschwörung während der Therapie?
  • Kaum gebräuchlich. Hängt vom Heiler ab.
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