Thought for food

Bryan Hubbard — Fri, 08 Feb 2008 15:25:00 GMT

Forgive the metaphysical tone, but what is Man? It is one of the most fundamental of questions, and its answer would determine many things, not least of which the way we treat disease.

In the West, medicine is based on the standard bio-chemical model, and, with the rise of the specialisms, an increasing focus on the body's individual parts. It has become the dominant approach almost everywhere other than a few pockets of resistance.

So it's surprising to read that another healing system, based on a completely different view of Man, seems to be working rather well. The British Medical Journal this week reports that acupuncture raises the success rate of IVF treatment by 65 per cent. The finding is based on seven solid scientific trials involving 1,366 women, and the researchers say the result is "statistically significant", which suggests that it is far above the placebo effect.

Now how can this be? Acupuncture doesn't work with the standard bio-chemical model, but instead sees Man as an energy system.

So who's right?

The final arbiter in all such things is, of course, Prof Edzard Ernst, that scourge of all things alternative. He told a journalist at The Times newspaper: "Much of the observed effect could be due to a placebo response. IVF may not seem to be 'placebo-prone' but it probably is."

Thoughts affecting the body? So, it's true - Man is an energy system after all.

Herbicide

Bryan Hubbard — Fri, 05 Oct 2007 10:19:00 GMT

So it's official - herbal medicine is dangerous and ineffective. It's a view that has been enshrined in a review paper with the authoritative title 'A systematic review of randomised clinical trials of individualised herbal medicine in any indication', and published by a prestigious medical journal.

It's just the stuff that medical regulators, and indeed the drug industry, have been looking for in order to control, ban, destroy or take over herbal medicine.

A closer inspection of the paper suggests that it is far from being a systematic review at all. In fact, the damning evidence against herbal medicine is based on just three trials, even though the herbal medicine groups submitted 1,345 papers for review.

As far as the reviewers were concerned, 1,342 of them were just too 'unscientific' to be considered. Instead, they focused on a 16-week trial involving IBS sufferers, another that lasted 10 weeks on people with osteoarthritis of the knee joints, and a third that reviewed the progress of patients with breast or colon cancer.

Does this very limited coverage warrant the title of 'any indication', as the paper claims? And are the conclusions any worse than those thousands of papers that every day point to the dangers, and limitations of prescription drugs - without a single one making a mark on the day's media?

Industry watchers will not be surprised to read that one of the paper's authors is Prof Edzard Ernst (family motto: 'I have not come to praise alternative medicine, I have come to bury it') who has hardly said a good word for alternative medicine in all the years he has held the recently-created Complementary Medicine chair at Exter University.

Following the publication of the paper, he had this to say to journalists: "A depressed person who takes St John's wort and comes out of depression arguably gathers enough strength to commit suicide, so it is dangerous." This suggests that St John's wort is an effective antidepressant (which it is in mild cases), but it's so effective that the sufferer will commit suicide once he regains a more positive outlook!

The problem is that we live in a headline, soundbite world, and the damage will be done by the paper's title and conclusion.

It's not good science, but it is good ammunition.

Adverse Reactions : Edzard Ernst

Thought for food

Herbicide