Sunday, February 14, 2010

Homeopathy and Traditional Chinese Medicine as believe systems


Recently I exchanged some tweets with @ChineseMedicine:
To @
ChineseMedicine True, NSAIDs aren't the only way to treat Ankylosing spondylitis (AS),there are also biologics .... 你推特的这编文章只关一个病人,不能说是研究。
To
@Rheumatologe NSAID drug is not only way to treat Ankylosing spondylitis (AS).... 中醫師:服藥針灸治療僵直性脊椎炎 http://bit.ly/9IDbXl
To @Rheumatologe Neither I, nor the article said this was a research study. 請您再次看清楚這篇新聞的内容沒有任何文字提到"研究."
To @ChineseMedicine The artikel is about one individual - what does it prove? What is it good for? #AS (sorry for the Germanism artikel should be article)
To
@
Rheumatologe It suggests a possible treatment that might be successful in treating #AS for patients w. special conditions #ChineseMedicine
To @ChineseMedicine It suggests a possible treatment that might be successful in treating #AS ... #ChineseMedicine // Yes, it does, but ...
To @
ChineseMedicine #AS #ChineseMedicine // Yes, it does, but it warrants further inquiery and after that studies.
To
@
ChineseMedicine TCM has a long history, but inductive synthesis cannot come up with reproducible results as causal analysis.
To
@
ChineseMedicine In order to give TCM its palce in medicine, you need to prove your hypothesis or it stays being a belief system.
To
@
ChineseMedicine Homeopathy isstill in the state of being a belief system (and that after 200 years) - but that wont change.
To
@
ChineseMedicine You can compare homeopathy to a taoistic charm that's burnt and the ashes ingested (belief system).
To @ChineseMedicine But a scientific study is always possible. // I might write a little more on my blog soon.

And that’s, what I just did:
Homeopathy (in whole) and Traditional Chinese Medicine (in larger proportions) are believe systems instead of modern medicine. They both have produced a large set of theories and volumes of written material, but so did Astrology. To make this clear, Western Medicine also isn’t free of believe. Science, however, comes to reproducible insights.
The basis of Homeopathy and Traditional Chinese Medicine is inductive synthesis, as described by M. Porkert (Porkert, Manfred (1974). The Theoretical Foundations of Chinese Medicine: Systems of Correspondence. MIT Press.
ISBN 0262160587). Western science follows causal analysis, which has produced a system of rules, which leads to reproducible studies. Such a system doesn’t exist in inductive synthesis.
There’s nothing wrong with following a believe system, if there wasn’t a but. You will find some sad cases, where followers of Christian Science didn’t want to use any medicine and the prayers were insufficient to treat meningitis or diabetes for instance (good overview:
http://whatstheharm.net/christianscience.html) – leaving the kids dead.
As Mao Zedong said: „Chinese medicine is a great treasure-house!“ (
中国医药学是一个伟大的宝库) But I think that there’s a lot of fool’s gold next to the treasures.

To sum it up: to treat diseases and not discomforts/disorders nowadays, patients should be able to judge treatments – and that can only be done, if treatments are scientifically studied.

Saturday, February 13, 2010

NSAIDs - a German observation

I've made a strange observation, quite a lot of both patients and physicians think that ibuprofene has less side effects than diclofenac, but think that diclofenac is the more potent NSAID.
I think it has something to do with dosage. Ibuprofene comes in a multitude of dosages 200, 300, 400, 600, 800 mgs and others. Diclofenac is mostly prescribed in the 50 mg or 75 mgs dosage, though other dosages exist as well. With 150 mgs diclofenac being the upper dosage, you reach this level with 2x75 mgs. If you start with 3x300 mgs ibuprofene, you'll have a long way to reach 2400 mgs, which is the upper level.
All in all diclofenac and ibuprofene have an equal share of side effect or efficacy given at comparable dosages.
If one has to take aspirin for vascular reason, diclofenac is the better choice, as ibuprofene which couteract the effect of aspirin.

PS.: This is internet and not a medical practice - don't change your medication unless you've asked your physician.

Fasten

Nun steht wieder die Fastenzeit an. Wahrscheinlich haben alle Religionen Fastenzeiten. Hierbei dient das Fasten einer spirituellen Erfahrung. Ja, auch glücklich kann man während des Fastens werden (Ausschüttung von Serotonin). Wahrnehmungen können intensiviert werden. Die gerne hervorgehohene Entschlackung findet allerdings nicht statt.
Beim Fasten nimmt man ab, aber nach den Kohlenhydratspeichern wird zunächst das Muskelgewebe und nicht die Fettreserve zur Energiebereitstellung verbraucht. Warum das? Die Muskulatur verbraucht mehr Energie als das Fettgewebe. Im Hungerzustand aber muss der Körper sich schützen, also vermindert er den Hauptverbraucher. Zusätzlich wird der Stoffwechsel heruntergefahren. Deshalb eignet sich Fasten auch nicht zur dauerhaften Gewichtsreduktion.
Kranke, schwangere/stillende Frauen, und weitere sollten überhaupt nicht Fasten. Das ist z.B. im Islam explizit geregelt ("Nur wer das Fasten, so wie es im Islam vorgeschrieben ist, ohne gesundheitlichen Schaden durchführen können, ist zu diesem Gebot verpflichtet. Deshalb sind Kranke, Altersschwache, Schwangere, stillende Mütter, Frauen in der Menstruation und ähnliche Personengruppen von dieser Pflicht ausgenommen." siehe: http://www.al-sakina.de/inhalt/bibliothek/fasten/fasten.html#5).
Einzelne Fastenkuren sind in der aktuellen Ausgabe (02/2010) der Zeitschrift Schrot & Korn nachzulesen: http://www.schrotundkorn.de/2010/201002w01.php. Zu häufigen Fragen berät die Webseite: http://www.heilfastenkur.de/tth_Haeufige_Fragen_zum_Heilfasten.shtml. Und selbstverständlich hat Wikipedia auch einen Artikel zum Thema: http://de.wikipedia.org/wiki/Fasten.

Monday, February 1, 2010

Fibromyalgie and Stem Cells?

A couple of minutes ago, a patient asked about stem cells to treat Fibromyalgia. Someone in the South of Germany proposed this to her. There's neither study nor rationale for such a treatment. Maybe someone takes the FDA move to enable a study on ALS (Lou Gherig's disease) with stem cells to tell peple to use it in Fibromyalgia. The FDA permitted 12 patients suffering from ALS to be treated under study conditions. More at: http://www.cnn.com/2010/HEALTH/01/21/stem.cell.spine/index.html As with all unproven claims and therapies: don't be a paying guinea pig!

Fibromyalgie und Stammzellen?


Gerade berichtet mir eine Patientin, ihr sei eine Therapie mit Stammzellen bei Fibromyalgie empfohlen worden. Dafür gibt es keine Studie und auch kein Rationale für die Durchführung einer solchen Studie.
Wahrscheinlich werden hierbei Berichte zum Einsatz bei der Amytrophen Lateralsklerose unverantwortlicherweise benutzt. Und selbst bei diesem Einsatz hat die amerikanische Aufsichtsbehörde nur einem Versuch bei 12 Patienten zugestimmt. Siehe: http://www.cnn.com/2010/HEALTH/01/21/stem.cell.spine/index.html  .
Ansonsten gilt (wie bei allen nicht erprobten Therapien): seien Sie nicht zahlendes Versuchskaninchen.

Friday, January 29, 2010

Rauchen und Rheuma

Merkblatt
Rauchen und Rheuma
Das sollten Sie wissen

Neuere wissenschaftliche Studien haben klar gezeigt, dass

Raucher deutlich häufiger an entzündlich-rheumatischen Erkrankungen leiden als Nichtraucher
Raucher höhere Rheumafaktor-Werte haben und mehr Rheumaknoten entwickeln
Raucher eine schlechtere Prognose haben. Das Rheuma (z.B. chronische Polyarthritis, z.B. Bechterew-Krankheit) führt schneller zu Gelenkzerstörungen und die Therapie schlägt weniger gut an
Raucher einen gestörten Knochenstoffwechsel haben (erniedrigte Vitamin D – Werte im Blut) und daher häufiger als Nichtraucher eine Osteoporose entwickeln (Knochenschwund)
Raucher häufiger an Thrombosen leiden als Nichtraucher.

Ihre Chance

Wenn Sie es schaffen, von den Zigaretten und anderen Tabakwaren wegzukommen, können Sie damit rechnen, dass

Ihre Therapie besser wirkt und weniger Nebenwirkungen verursacht
Die Entzündung abnimmt
In manchen Fällen die Gelenkschwellungen auch ohne Basistherapie zurückgehen

Ihre Möglichkeiten

Hilfreich dabei sind:

Rauchfrei-Angebote der BZgA (Bundeszentrale für gesundheitliche Aufklärung): Telefonische Beratung unter der Ruf-Nummer 01805 31 31 31 (14 Cent/Min.) / Ausstiegsprogramm
http://www.rauchfrei-info.de / START-Paket zum Nichtrauchen mit einem umfassenden Selbsthilfeprogramm und zahlreichen Informationsbroschüren, das START-Paket und die Informationsmaterialien können kostenlos unter folgender Adresse bestellt werden: Bundeszentrale für gesundheitliche Aufklärung, 51101 Köln, Fax: 0221-8992257, e-mail: order@bzga.de, Online-Bestellsystem: http://www.bzga.de/?id=medien&sid=77)
(zusammen mit Dr. med. habil V. Nehls erstellt)

Monday, January 25, 2010

Killing of dolphins

I received the following email:

Subject: World SHAME - add your name and pass it on please.........

Denmark is a big shame The sea is stained in red and in the mean while its not because of the climate effects of nature. It's because of the cruelty that the human beings (civilised human) kill hundreds of the famous and intelligent Calderon dolphins. This happens every year in Feroe iland in Denmark. In this slaughter the main participants are young teens. WHY? To show that they are adults and mature.... BULLLLsh In this big celebration, nothing is missing for the fun. Everyone is participating in one way or the other, killing or looking at the cruelty “supporting like a spectator”
Is it necessary to mention that the dolphin calderon, like all the other species of dolphins, it’s near instinction and they get near men to play and interact. In a way of PURE friendship They don’t die instantly; they are cut 1, 2 or 3 times with thick hocks. And at that time the dolphins produce a grim extremely compatible with the cry of a new born child. But he suffers and there’s no compassion till this sweet being slowly dies in its own blood
Its enough! We will send this mail until this email arrives in any association defending the animals, we won’t only read. That would make us accomplices, viewers. Take care of the world, it is your home!
Sign Against this cruelty: 1.- Ana kARINA Rivas (m) Mexico DF2.- Carlos Enrique Bulle-Goyri. DF3.- Alejandra Nabarro ( Mexico Cuernavaca )4.- Esteban criz mejia. Mexico DF5.-ANDREA GONZALEZ ALVAREZ ( MEXICO ) 6.-González Alvarez Victor Rodrigo 7.-Ines Garcia Perez (México)8.-Stella Morales (México)9.-lgarcia (México)10.-Leticia Cuéllar (México)11.-Salma Urbina Aguilar (Quintana Roo, México)12.-DIANA LUCELLY POOT PUC (quintana roo, mexico )13.-Josue Acero Gonzalez ( Quintana Roo , Mexico )14.-Micaela Medina ( Argentina )15.-sofia bidondo( Argentina )16.- Ma. Marta Soruco ( Argentina )17.- Cyntia Mariela Roitman ( Argentina )18.-Aldana Martínez ( Argentina )19.- Adriana Salomon ( Argentina )20.-fernando valussi( argentina )21.-MARIANELA SANCHEZ( ARGENTINA )22.- Leyes Alberto Fabian ( Argentina ).-23.- Augusto Patricio Mateos ( Argentina - Chaco )24.- Maria Alejandra Bury ( Argentina - Chaco )25.- Claudio Alexis Agnesio ( Argentina - Chaco )26.- Cesar Abel Falcon(Argentina-Chaco)27-MARIANA GOMEZ MARTINEZ28-SILVIA CLAUDIA GIMENEZ29-NELIDA BEATRIZ MARTINEZ 30-MARIA ESTHER URSU 31- NATHIA JUDKEVICH ( Argentina )32-MARINA JUDKEVICH ( Argentina )33-MARIANA JUDKEVICH (Aregentina)34- Bogado Espinoza, Lorena Abi ( Argentina )35- Ortiz, Natalia Muriel ( Argentina )36- Marcelo Rodrigues de Rezende (Sorocaba-Brasil) 37- Thais Chenchi Santana (Sorocaba-Brasil)38- Lilian Yoshie Kato ( Sorocaba - Brasil)39 - DIOGO CRISTO ( Sorocaba - Pindorama - Gaya ) 40 - DANILO GOMES ( Sorocaba - Cidade de Mentiras)41- Tiago Holtz Guerreiro (Sorocaba- Brasil)42 - Laura Nunes Garcia Vieira ( Sorocaba - Brasil)43 - Anderson Schmitt Junkes (Jandira - Brasil)44 - Eronides Santos Filho (Jandira - Brasil)45 - Suzana Lopes Ribeiro ( Jandira - Brasil )46 - Paulo Henrique Ferreira (Cotia/SP Brasil)47 - André Luiz da Fonseca Roberto ( Carapicuiba/ Brasil )48 - Jean Paulo Camargo Costa (CARAPICUIBA/ BRASIL)49 - Rodrigo de Jesus Ferreira (Jandira - Brasil)50- Bárbara Tabain Seslija de Sá (Jandira - SP - Brasil)51 - Ana paula Morina Ferreira (Barueri - SP - Brasil)52-Bárbara Louise (São Paulo-SP-Brasil)53-Diego Lima (Carapicuíba-SP-Brasil) 54 – Wanda leila de Oliveira marra ( Osasco – SP –Brasil ) 55 – Joilva Duarte (Osasco-Brasil) 56 - Patricia M. Dias ( São Paulo - Brasil)
57- Eduardo M. Dias ( São Paulo - Brasil)58 – Wagner R. Franco (São Paulo – Brasil) 59- Ruth Cristina Serafim (São Paulo - Brasil) 60- Thiago Silva (São Paulo - Brasil) 61 - Cristiano S. de Moraes (Rio de Janeiro - Brasil) 62 - Kelly Lopes Dias (São Paulo - Brasil) 63 - Fábio Ferreira / São Paulo - Brasil 64- Fábio Araujo / São paulo - Brasil 65- Marcia Stevaux/ São Paulo - Brasil 66 - Débora Gisele Ferraz - Brasil 67- Andrea Alexandre de Carvalho 68 - Adilson dos Santos Pinto (Cruzeiro SP) 69 - Francisco ReZende (Lorena-SP) 70- Mislane Souza Prates( São Paulo-Brasil) 71 - Janderson Dutra (Rio de Janeiro-RJ - Brasil) 72 - CECÍLIA SANTOS (SÃO PAULO) – BRASIL73- KÁTIA I. SANTOS ( SÃO PAULO ) - BRASIL74- Maria L Lima - (Rolândia - Brasil)75 – Marilise G.Z. Solle (Rolândia-Brasil) 76- Luis Fernando Silva de Almeida (Rolândia Pr- Brasil) 77- Adriana Amaral de Souza (Rolândia Pr - Brasil)78 – Carlos Alberto Ferreira do Amaral (Rolãndia PR – Brasil)79 - Lilian Carla de Souza Gonzalez ( Londrina - Pr. - Brasil)80 – Ailton Valdivino da Silva - (Uberlândia – MG - Brasil) 81 - Heliza Piosiadlo (Uberlândia - MG – Brasil82 - Patrícia Cordeiro ( Joaçaba-SC-Brasil)83 - Danielle Argenton (Herval D' Oeste - SC - Brasil)84 - Valdirene Soares ( Joaçaba - SC - BRASIL )85 - Luiz Sérgio Belló - Joaçaba SC Brasil86- Eduardo Wieser -SC- Brasil87- Julio Pancera (Navegantes, SC - Brasil)88- Fredi Goede (Pomerode, SC Brasil)89 – Mario L.Fanton90 - Valério Littig (Curitiba - Brasil )100-cassia cavalheiro101 - Paulo Terumitsu Ishii [Curitiba - Paraná - Brasil]102- Caroline Niro ( Curitiba - Paraná - Brasil103-Alexandre Batista(Londres-Inlaterra)104-udson bergues de almeida 105 - Inês Calazans, Alemanha 106 - Anabela Martins - Portugal107 - Luisa Sequeira - Silves /PORTUGAL108 - Alzira Rodrigues - Silves / Portugal109 - Cremilde Ribeiro - A. de Pêra / Portugal110 - Augusto Miguens - Elvas / Portugal111 - Natália miguens - Elvas / Portugal112 - Manuela Santos - Carcavelos / Portugal113 - Carla Santos - Oeiras / Portugal114 - Maria Carlos Barreto de Carvalho - Carcavelos / Portugal115 - Eliete Mendes - Lisboa / Portugal116 - Conceição Oliveira - Lisboa / Portugal117 - Mariana Domingues - Portugal118 - Joana Murtinha - Portugal119 - Filipa Almeida - Portugal120 - Iolanda Fontes - South Africa121 - Kalen Viljoen - South Africa
122 – Wendy Golding – South Africa
123 – Inge Strugnell – Botswana
124 – Philippa Lee - Botswana
125 - Ilse Swart
126 - Miche de beer
127 - Celeste Smit
128 – Esmé Venter
129 – Nathan Seidler – South Africa
130 – Julie Seidler – South Africa
131-Sellandene Louw
132 – Belinda Nienaber – South Africa
133 – Elma Grobler – South Africa
134 – Charlene Kotze
135 – Mytle Kotze
136 – Kobus Campher
137 – Leana Kotze
138 – Deon Kotze
139 – Danie Kotze
140 – Yolindi Kotze
141-Marco De Bruin (Dubai)
142 - Irene de Klerk (Dubai)
143-Nicky Liguori
144-Julian Liguori
145 - Michelle Christie - Dubai
146 - Warren Christie - Dubai
145 - Marie' Henning - South Africa
146 - Wendy Hayden - London
147- Craig Manson South Africa
148 – Kim Hendricks – South Africa
149- James harms - south africa
150-Lorraine Roberts, Northern Territory, Australia
151- Sherice Lange, perth, western australia
152 - Kristen Letton, Perth, WA, Australia
153 – Bev Letton – Perth WA
154 - John Boundey - Alice Springs NT
155 - Rod Crush - Murray Bridge SA
156 - Val Crush - Murray Bridge – SA
157 – Suzie Davies – Nairne SA
158 – Jeremy Davies – Nairne SA
159 - Annette Boehm - Brighton South Australia
160 - Kim Boehm - Brighton South Australia
161 - Courtney Boehm - Brighton South Australia
162 - Georgette Boehm - Brighton South Australia
163 - Kristen Hemingway, France
164 - Tony Greenwood - France
165 - Oliver Greenwood - France
166 - Charlie Greenwood - France
167 - Andree Hemingway - Sydney, Australia
168 - John Hemingway - Sydney, Australia
169 - Nick Hemingway - Sydney, Australia
168 - Jolie Hemingway - Sydney, Australia
169 Nina van Doornum, Amsterdam
170 Mirjana Vukusic, Australia
171 Svenja Petry, Australia