Time to say good-bye? Homeopathy, skeptics and thoughts on how to proceed

Jürgen Pannek; Susanne Pannek-Rademacher

doi:10.1515/jcim-2020-0491

Article

Time to say good-bye? Homeopathy, skeptics and thoughts on how to proceed

Jürgen Pannek and Susanne Pannek-Rademacher

Published/Copyright: May 6, 2021

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From the journal Journal of Complementary and Integrative Medicine Volume 20 Issue 1

Abstract

Background

Although homeopathy is frequently used by many health professionals, there are ongoing debates concerning its effectiveness. Currently no unifying explanation how homeopathy works exists. Homeopaths are frequently challenged by skeptics, and in public opinion, the swan song for homeopathy is frequently sung.

Content

Regarding the efficacy of homeopathy, several well-designed RCTs, observational studies, case studies, and case reports, have been published, demonstrating its clinical efficacy. Regarding its mode of action, the discovery of the working principle of homeopathy would be a major advance towards a thorough scientific recognition of homeopathy. Basic research has already discovered some milestones, e.g., significant and reproducible effects of homeopathic preparations in plants.

Summary

To overcome the distrust of skeptics and public opinion, the support of basic research is indispensable. Second, homeopaths should continue to design prospective randomized clinical studies in order to create robust clinical evidence for the efficacy of homeopathy. Third, they should continue to publish their treatment outcomes, as these publications document clinical effectiveness beyond doubts about its mode of action.

Outlook

These measures will not only support homeopaths in continuing their clinical work, but may lead to a better recognition of this treatment in both the scientific world and the public.

Keywords: basic research; homeopathy; level of evidence; skeptics

Corresponding author: Prof. Dr. med. Jürgen Pannek, Neuro-Urologie, Schweizer Paraplegiker-Zentrum, Guido A. Zäch Strasse 1, 6207 Nottwil, Switzerland, Phone: +41 41 939 5922, E-mail: juergen.pannek@paraplegie.ch

Acknowledgments

We thank Stephan Baumgartner, Bern, Switzerland, whose talks inspired us to write this manuscript.

Research funding: None.
Author contributions: All authors have accepted responsibility for the entire content of this manuscript and approved its submission.
Competing interests: None.

References

1. Büssing, A, Ostermann, T, Heusser, P, Matthiessen, PF. Usage of alternative medical systems, acupuncture, homeopathy and medicine, by older German adults. Zhong Xi Yi Jie He Xue Bao 2011;9:847–56. https://doi.org/10.3736/jcim20110806.Search in Google Scholar

2. Walker, AJ, Croker, R, Bacon, S, Ernst, E, Curtis, HJ, Goldacre, B. Is use of homeopathy associated with poor prescribing in English primary care? A cross-sectional study. J R Soc Med 2018;111:167–74. https://doi.org/10.1177/0141076818765779.Search in Google Scholar PubMed PubMed Central

3. Witt, CM, Lüdtke, R, Baur, R, Willich, SN. Homeopathic medical practice: long-term results of a cohort study with 3981 patients. BMC Publ Health 2005;5:115. https://doi.org/10.1186/1471-2458-5-115.Search in Google Scholar PubMed PubMed Central

4. Tournier, A, Klein, SD, Würtenberger, S, Wolf, U, Baumgartner, S. Physicochemical investigations of homeopathic preparations: a systematic review and bibliometric analysis-Part 2. J Alternative Compl Med 2019;25:890–901. https://doi.org/10.1089/acm.2019.0064.Search in Google Scholar PubMed PubMed Central

5. Grams, N. Homeopathy-where is the science? A current inventory on a pre-scientific artifact. EMBO Rep 2019;20:e47761. https://doi.org/10.15252/embr.201947761.Search in Google Scholar PubMed PubMed Central

6. Mathie, RT, Ulbrich-Zürni, S, Viksveen, P, Roberts, ER, Baitson, ES, Legg, LA, et al.. Systematic review and meta-analysis of randomised, other-than-placebo controlled, trials of individualised homeopathic treatment. Homeopathy 2018;107:229–43. https://doi.org/10.1055/s-0038-1633300.Search in Google Scholar

7. Mathie, RT, Lloyd, SM, Legg, LA, Clausen, J, Moss, S, Davidson, JR, et al.. Randomised placebo-controlled trials of individualised homeopathic treatment: systematic review and meta-analysis. Syst Rev 2014;3:142. https://doi.org/10.1186/2046-4053-3-142.Search in Google Scholar PubMed PubMed Central

8. Brien, S, Lachance, L, Prescott, P, McDermott, C, Lewith, G. Homeopathy has clinical benefits in rheumatoid arthritis patients that are attributable to the consultation process but not the homeopathic remedy: a randomized controlled clinical trial. Rheumatology 2011;50:1070–82. https://doi.org/10.1093/rheumatology/keq234.Search in Google Scholar PubMed PubMed Central

9. Locher, C, Frey Nascimento, A, Kirsch, I, Kossowsky, J, Meyer, A, Gaab, J. Is the rationale more important than deception? A randomized controlled trial of open-label placebo analgesia. Pain 2017;158:2320–8. https://doi.org/10.1097/j.pain.0000000000001012.Search in Google Scholar PubMed

10. Phillips, B, Ball, C, Sackett, D, Badenoch, D, Straus, S, Haynes, B, et al.. Oxford Centre for Evidence-Based Medicine: levels of evidence. Available from: https://www.cebm.ox.ac.uk/resources/levels-of-evidence/oxford-centre-for-evidence-based-medicine-levels-of-evidence-march-2009 [Accessed 25 Sep 2020].Search in Google Scholar

11. Frei, H, Everts, R, von Ammon, K, Kaufmann, F, Walther, D, Hsu-Schmitz, SF, et al.. Homeopathic treatment of children with attention deficit hyperactivity disorder: a randomised, double blind, placebo controlled crossover trial. Eur J Pediatr 2005;164:758–67. https://doi.org/10.1007/s00431-005-1735-7.Search in Google Scholar PubMed

12. Frass, M, Dielacher, C, Linkesch, M, Endler, C, Muchitsch, I, Schuster, E, et al.. Influence of potassium dichromate on tracheal secretions in critically ill patients. Chest 2005;127:936–41. https://doi.org/10.1378/chest.127.3.936.Search in Google Scholar PubMed

13. Jacobs, J, Williams, AL, Girard, C, Njike, VY, Katz, D. Homeopathy for attention-deficit/hyperactivity disorder: a pilot randomized-controlled trial. J Alternative Compl Med 2005;11:799–806. https://doi.org/10.1089/acm.2005.11.799.Search in Google Scholar PubMed

14. Thompson, EA, Montgomery, A, Douglas, D, Reilly. A pilot, randomized, double-blinded, placebo-controlled trial of individualized homeopathy for symptoms of estrogen withdrawal in breast-cancer survivors. J Alternative Compl Med 2005;11:13–20. https://doi.org/10.1089/acm.2005.11.13.Search in Google Scholar PubMed

15. Teut, M, Walach, H, Varanasi, R, Manchanda, RK, Oberai, P, Thompson, E, et al.. Recommendations for designing, conducting and reporting observational studies in homeopathy. Homeopathy 2020;109:114–25. https://doi.org/10.1055/s-0040-1708045.Search in Google Scholar PubMed

16. Meinlschmidt, G, Tegethoff, M. Psychotherapeutische Fallberichte bei Erwachsenen. In: Margraf, J, Schneider, S, editors. Lehrbuch der Verhaltenstherapie. Berlin, Heidelberg: Springer; 2009:899–923 pp.10.1007/978-3-540-79541-4_56Search in Google Scholar

17. Gaertner, K, von Ammon, K, Frei-Erb, M. Individualized homeopathic treatment in women with recurrent cystitis: a retrospective case series. Complementary Med Res 2020;27:193–99. https://doi.org/10.1159/000504317.Search in Google Scholar PubMed

18. Pannek, J, Pannek-Rademacher, S, Cachin-Jus, M. Organ-preserving treatment of an epididymal abscess in a patient with spinal cord injury. Spinal Cord 2014;52(1 Suppl):S7–8. https://doi.org/10.1038/sc.2014.50.Search in Google Scholar PubMed

19. Doesburg, P, Andersen, JO, Scherr, C, Baumgartner, S. Empirical investigation of preparations produced according to the European Pharmacopoeia monograph 1038. Eur J Pharmaceut Sci 2019;137:104987. https://doi.org/10.1016/j.ejps.2019.104987.Search in Google Scholar PubMed

20. Endler, P, Thieves, K, Reich, C, Matthiessen, P, Bonamin, L, Scherr, C, et al.. Repetitions of fundamental research models for homeopathically prepared dilutions beyond 10(-23): a bibliometric study. Homeopathy 2010;99:25–36. https://doi.org/10.1016/j.homp.2009.11.008.Search in Google Scholar PubMed

21. Kokornaczyk, MO, Würtenberger, S, Baumgartner, S. Impact of succussion on pharmaceutical preparations analyzed by means of patterns from evaporated droplets. Sci Rep 2020;10:570. https://doi.org/10.1038/s41598-019-57009-2.Search in Google Scholar PubMed PubMed Central

22. Tournier, A, Würtenberger, S, Klein, SD, Baumgartner, S. Physicochemical investigations of homeopathic preparations: a systematic review and bibliometric analysis-Part 3. J Alternative Compl Med 2020 Oct 28. https://doi.org/10.1089/acm.2020.0243 [Epub ahead of print].Search in Google Scholar PubMed

23. Bell, IR, Koithan, M. A model for homeopathic remedy effects: low dose nanoparticles, allostatic cross-adaptation, and time-dependent sensitization in a complex adaptive system. BMC Compl Alternative Med 2012;12:191. https://doi.org/10.1186/1472-6882-12-191.Search in Google Scholar PubMed PubMed Central

Received: 2020-11-25

Accepted: 2021-02-17

Published Online: 2021-05-06

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Articles in the same Issue

https://doi.org/10.1515/jcim-2020-0491

Keywords for this article

basic research; homeopathy; level of evidence; skeptics