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Homeopathy: Down With The Faeries At The Bottom Of The Garden.

itfc1959's picture

I get really miffed when people in my line of business, who really ought to know better, start spouting off on homeopathy.

There is absolutely no scientific or other credible basis for homeopathy. End of. For homeopathy to work it would be necessary for the laws of physics, biology and chemistry to be utterly subverted, and indeed, there would be doubtless be a Nobel Prize for anyone who could demonstrate how such things could be. Despite this, you may have noted that no such evidence has ever been mooted, and that is because there is nothing out there to hold it up.

Another example of how mumbo-jumbo really has conquered the world. But all is not lost. Without such nonsense we would not be able to laugh at this: http://www.newsbiscuit.com/2010/04/20/new-age-terrorists-develop-homeopa.... I know I did.

Feel free to argue, because I'm in the mood for a scrap.

4

You'll get no arguments here

Sorry about that.

"Homeopathy" and "wellness" are words that make my eyebrow scrape the ceiling.

0
Austin | 1 October 2010 - 1:54am

As usual, Early Doors have the answer.

'Have you tried Eggs chopped up in a cup?'

F/F to 5.15


1
ChaosandMorphine | 2 October 2010 - 7:10am

Likewise, no argument here.

So I'm going to add to your rant (in a sort of reverse-homeopathic way).
What really annoys me about homeopathy is that most people using it have no idea how bizarre and implausible it really is. Even though almost all alternative medicine is complete hokum, at the most basic level it is at least plausible because you are giving some chemical which could conceivably exert some physiologic effect on the body. Homeopathy, on the other hand, is simply magic. It is exceedingly implausible that it could work, and all properly randomised, placebo controlled double-blind trials show that it has an effect indistinguishable from placebo.

Homeopathy is almost a litmus test for the scientific literacy of a community. A reasonably bright and educated 10-year old could immediately poke holes in its tissue-paper logic, and it is alarming that still exists, let alone be as popular as it is.

I could go on for hours, but believers will believe, regardless of the evidence. (And before someone accused science of being just as blinkered, take a look at a medical textbook from even just 20 years ago to see how much medical practices are constantly updated and changed as new evidence comes in and research is done.)

4
Podicle | 1 October 2010 - 3:28am

Good points raised, Podicle.

I like your litmus test analogy. Our society (and we can include the USA in this) is shockingly illiterate when it comes to science. What always seems to light my blue touch paper is when someone writes something off by claiming "oh well, it's only a theory". I have to restrain myself from asking them what exactly they think constitutes 'a theory'. A frightening number of people don't seem to have a clue.

Good medical science and practice is constantly changing, or at least, is reviewed in the light of new evidence and of course what makes good science good is its falsifiability. Homeopathy, by definition and practice, is based on untestable hypotheses and is therefore totally unfalsifiable. Ergo, rubbish science and even more rubbish medicine.

2
itfc1959 | 1 October 2010 - 4:07am

Rationalist fundamentalism

I only know two people who are convinced that homeopathic remedies are significantly more effective than placebo. Both of them are doctors.

"Stupid doctors, then," will be the immediate response from the rationalist fundamentalists (RFs).

I find it increasingly irritating that homeopathy's detractors - with Dr Ben Goldacre as their shriller-by-the-day poster-boy in the UK - tend to dismiss not only its advocates but even undecided fence-sitters like me as if we were living on planet Zog, several thousand light years to the left of the Scientologists, David Icke and Puff the Magic Dragon.

I have two main problems with the current fad for rooting out "deluded" homeopaths wherever they may lurk. The first is the RFs' unwavering conviction that because homeopathy makes no scientific sense - and I agree that it doesn't - it can't be happening. Yet the placebo effect they cite so often makes no scientific sense either. "Here, folks, take this nice shiny Nowtinit pill, and 35% of you will feel a bit better in the morning, guaranteed." Pardon? What kind of science is that? No kind at all - but the effect, nonetheless, is real.

The second problem I have is that whenever serious studies are published in serious journals by serious researchers at serious universities showing that certain homeopathic remedies actually have worked in placebo-controlled trials, their findings are written off as "freak results", "obviously contaminated" or "no doubt funded by the homeopathy industry".

Like this one, by a medical-research team at Glasgow University:

The homoeopathy group had a significant objective improvement in nasal airflow compared with the placebo group (mean difference 19.8 l/min, 95% confidence interval 10.4 to 29.1, P=0.0001). Both groups reported improvement in symptoms, with patients taking homoeopathy reporting more improvement in all but one of the centres, which had more patients with aggravations. On average no significant difference between the groups was seen on visual analogue scale scores. Initial aggravations of rhinitis symptoms were more common with homoeopathy than placebo (7 (30%) v 2 (7%), P=0.04). Addition of these results to those of three previous trials (n=253) showed a mean symptom reduction on visual analogue scores of 28% (10.9 mm) for homoeopathy compared with 3% (1.1 mm) for placebo (95% confidence interval 4.2 to 15.4, P=0.0007).

- Taylor et al., BMJ. 2000 Aug 19-26;321(7259):471-6.

That's the British Medical Journal, note, not the Basingstoke Mad-hatters' Jamboree. As far as I'm aware, the RFs haven't debunked that paper; they've just ignored it. Their mind is already made up. So convinced are they that homeopathy patients can't show any significant improvement in their symptoms that they pre-believe - before they even consider any research evidence or doctors' experience in practice - that they don't.

And that's the diametric opposite of the scientific method.

I can only hope that the RFs don't extend their remit to include particle physics, or 100 years' worth of the "inexplicable tosh" of quantum mechanics will be tossed onto their pyre, as it makes a whole lot less sense than even molecules with memories.

6
Archie Valparaiso | 1 October 2010 - 9:07am

I don't know where to start on this post

Well, bear in mind the following

1. If you take the research on homeopathy in its entirety, the vast majority of studies report no significant effect. Bear in mind that statistically, an intervention that does not work will still show positive results five per cent of the time
2. There is nothing particularly mysterious about the placebo effect (although its actual effect is overstated – some researchers contend that it doesn't exist at all)
3. When you look at the trials of homeopathy trails, there is an effect where, as the methodological quality of the trials increases, the effects decrease
4. Quantum physics, however strange, has been proven time and time again. If it was wrong, your computer wouldn't work. Homeopathy has been failing in double-blind studies for the past 200 years.

3
Brookster | 1 October 2010 - 9:32am

Making sense of the nonsensical

If you consider it relevant that "some researchers contend that [the placebo effect] doesn't exist at all", why do you dismiss those researchers who contend that the homeopathic effect does? Isn't that selective citing - considering only the findings that support your position and dismissing those that don't?

As for quantum effects - light behaving as either a wave or a particle as if on cue, depending on what you're looking for, or bound quarks "telepathically telling" their split-off sisters what spin they should show, etc. - it's stranger than strange, but it's accepted because, as you say, experiment has repeatedly confirmed it.

And that's exactly my beef with what I've called rationalist fundamentalism, because the "it's rubbish because it makes no sense" rejection of homeopathy isn't good science either. Surely good science is accepting the evidence as is - bizarre though it may seem and like it or not - and then seeking possible explanations for it. If there's not enough conclusive evidence about the efficacy of homeopathic remedies, fine, but that doesn't excuse the huge amount of disrespect and often downright contempt shown for those people - including many doctors whose integrity is beyond question - whose personal experience over many years with thousands of patients has been that it can actually work in certain circumstances.

2
Archie Valparaiso | 1 October 2010 - 10:26am

Oddly (perhaps) the NHS runs at least one homeopathic hospital

http://www.nhs.uk/Services/Hospitals/Overview/DefaultView.aspx?id=660

"The homeopathic service offers a general service for children and adults with a wide range of chronic illnesses and a Complementary Cancer Care Service where patients are seen within 4-8 weeks of referral where possible. We provide outpatient care at the only hospital of its kind in the region."

I make no comment about this, merely flagging it up as a point of interest.

0
stimpy | 1 October 2010 - 11:05am

Anecdote and research

".. many doctors whose integrity is beyond question - whose personal experience over many years with thousands of patients has been that it can actually work in certain circumstances."

Wrong. Wrong, wrong, wrong.

Personal experience is NOT evidence. It is anecdote. The results of triple and even quadruple blinded, controlled, large-scale studies, pooled and meta-analysed - this is evidence.

The Cochrane Collaboration (named after another Archie) is the place to look.

Homeopathy has no effect beyond that of placebo. Fact.

To knowingly prescribe a placebo is unethical.

0
Lenny Law | 1 October 2010 - 4:12pm
stimpy | 1 October 2010 - 4:18pm

and for me

that's all that counts.

0
gaz | 21 October 2010 - 1:18pm

Apples and oranges

If you consider it relevant that "some researchers contend that [the placebo effect] doesn't exist at all", why do you dismiss those researchers who contend that the homeopathic effect does? Isn't that selective citing - considering only the findings that support your position and dismissing those that don't?

On balance, based on the weight of the literature I've read, the placebo effect is debatable and homeopathy doesn't work.

But whether the placebo effect exists or not doesn't validate homeopathy.

0
Brookster | 1 October 2010 - 9:57pm

Regarding your other point

… the "it's rubbish because it makes no sense" rejection of homeopathy isn't good science either. Surely good science is accepting the evidence as is - bizarre though it may seem and like it or not - and then seeking possible explanations for it

The problem with that point is this: let's say there are two proposed treatments for breast cancer. One is Tamoxifen and the other is waving a magic stick over a patient's head.

The problem at the moment is that – before a trial is done – the stick treatment has equal weighting as the Tamoxifen treatment. It would arguably be better if prior plausibility were taken into account.

If homeopathy is correct, then physics and chemistry are wrong. As there's no good-quality evidence for homeopathy, I know where the balance of my opinions lies.

0
Brookster | 1 October 2010 - 10:28pm

It is debunked

It's methodologically flawed, attested to by multiple sources.

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1119423/

Incidentally, you once accused me of poisoning the well by referring to climate change deniers as climate change deniers. Can you explain the difference between what I did and your use of the term "Rationalist fundamentalism" and your ad hominem comment about Ben Goldacre being shrill?

0
Fraser M | 2 October 2010 - 12:40pm

So I take it

you will not be requiring tickets to this event next month in Manchester. I've had the pleasure to attend these in the past but only as a custodian of the venue.

http://www.mindbodyspirit.co.uk/northern/

Oh look, the mystic flautist Tim Wheater will be performing...again. Who? Surely any music fan would be familiar with Tim's work.

Tim Wheater has co-presented alongside some of the worlds finest authors, healers and authors: A veritable 'Who's Who' including Deepak Chopra, Wayne Dyer, Neale Donald Walsch, James Redfield, Timothy Leary, Eurythmics, Donovan, The Grateful Dead and Sir Simon Rattle.

Oh THAT Tim Wheater.

1
Beany | 1 October 2010 - 4:44am

I didn't realise

Ash had a flautist.

1
Leedsboy | 1 October 2010 - 9:42am

BTW

it's Tim Wheeler. Just sayin'.

0
Black Type | 1 October 2010 - 3:48pm

Tim Wheeler

is a Professor of Crop Science at Reading University.

http://www.reading.ac.uk/apd/staff/t-r-wheeler.aspx

0
Leedsboy | 1 October 2010 - 8:06pm

Ver Ash

I thought that was the Turner brothers; Martin, Ted & Tina.

0
Beany | 1 October 2010 - 7:01pm

Oh, God.

Probably not, no.

Looks dreadful, but the point is I don't have a problem with this nonsense if it restricts itself to making modest claims, such as following this or that advice will make you feel better. It's another thing entirely to claim that wearing crystals, or eating flower remedies, will make you better.

On the other hand, it all adds to the gaiety of nations. And if it upsets the religeous, as I'm sure it will, then all to the good.

0
itfc1959 | 1 October 2010 - 5:17am

To paraphrase Tim Minchin

Alternative medicine has either not been proved to work or has been proved NOT to work.

Do you know what they call alternative medicine that works??? MEDICINE.

0
Terry P | 1 October 2010 - 8:29am

Alternative medicine isn't proper medicine.

I trust we can now extend the same logic to music? :-)

2
stimpy | 1 October 2010 - 9:59am

I have no problem with people believing whatever they choose

As long as they don't try to enforce their beliefs on others. I have as little time for Richard Dawkins and his ilk as I do for religious zealots.

My view of homeopathy is the same; if some people believe it works for them then that's fine as long as they don't try and tell me what to think. The corollary to this is, of course, that people are allowed to believe it doesn't work so long as they don't take an "I'm right, they're wrong" attitude.

My understanding is that some people believe homeopathy works for them; that's fine - the placebo effect is very powerful.

5
stimpy | 1 October 2010 - 9:00am

Ah, but...

... Level 2 of this argument is that nodding along and humouring those points of view is damaging to medicine, science and (therefore) civilisation, and so we should loudly declaim them at every opportunity, as we would to anyone who says the world is flat, that the moon is made of green cheese, and so on. Medicine/science isn't an "opinion" to be argued over, it's a fact, and should be defended as such.

That said, the Placebo Effect is a well-proven and powerful force, albeit still a mysterious one, and I wouldn't deny it to anyone, especially those with otherwise incurable ailments, who can use all the rocks, crystals and alternative therapies they can lay their hands on, and good luck to them.

0
Metal Mickey | 1 October 2010 - 9:41am

I suspect that the 'anti-homeopaths' are perhaps being a little

too sophisticated in their argument. There seems to be a common view that "Homeopathy doesn't work, it's only the placebo effect that makes people feel better when they take homeopathic drugs". That may be true as a statement of fact but...

Does the man in the street care that it was actually the placebo effect that cured him rather than he drug itself? No. He/she takes the drug and feels better, ergo the homeopathic rememdy cured him.

I might understand that, scientifically, they can't work but my old mum didn't care about the science, or placebo effects, she just knew that she took some little pills and they made her feel better.

1
stimpy | 1 October 2010 - 10:02am

Surely the Man In The Street

bloody well ought to care, when his NHS Foundation Trust is funding a 'Homeopathic Hospital'; spending money on something that cannot demonstrate better results that the prescription of Skittles or M&Ms might (except to the diabetic)?

Nice building mind, I wouldn't want to see it turned into a Wine Bar.

0
Vulpes Vulpes | 1 October 2010 - 7:59pm

Do you know the other thing

Apart from pseudoscince such as homeopathy that has a placebo effect? Real Medicine. If you take aspirin for a toothache, the chances are that you will start to feel better before the aspirin could possibly have taken effect. So, it is therefore clearly better for people to take something which has a measurable efficacy + a placebo effect than something which demonstrably has no efficacy above and beyond that of a placebo alone.

0
Fraser M | 2 October 2010 - 12:18pm

It's bollocks

I'd be VERY interested to see if anyone comes on this thread to try and defend it

0
Joe R | 1 October 2010 - 9:04am

See above (sort of)

Although I don't defend it, as such; I'm just uncomfortable with the contemptuous vehemence of its current detractors.

3
Archie Valparaiso | 1 October 2010 - 9:14am

I'm with Archie here

I am grown weary of the cheap jokes and grandstanding which is far more prevalent, it seems to me, than actual homeopaths proselytising. Interestingly, when that arch-rationalist and devourer of hokum Richard Dawkins made a programme about homeopathy, he was actually rather kind about it. Obviously, he stopped well short of endorsing it, but did accept that the placebo effect is real, and also made the point that the extended consultations offered by homeopaths offer some benefit - simply because, as he put it, "they're nice people" [he said this without irony, in case you were wondering] and having a long conversation with a caring person about your ills can have some positive effect.

Let's be clear, Dawkins is no advocate of or apologist for homeopathy; but nor does he condemn it as contemptuously as, say, Ben Goldacre does. For the most part I'm happy to align myself with his live-and-let-live approach, as long as they're not claiming to cure cancer and heal broken bones.

5
Rosbif | 1 October 2010 - 10:22am

I never said

anything negative towards people who believe in homeopathy or even homeopathy-agnostics. I said I thought it was bollocks and I'd be interested to hear people try and defend it.

People have tried to defend it - rather well I thought. It was balanced, considered, interesting and I still have no problem with people believing in it or gaining any kind of comfort or benefit from it.

...still think it's bollocks though.

2
Joe R | 1 October 2010 - 12:51pm

To be clear

My remark about grandstanding and cheap jokes wasn't directed towards you, Joe - although I can see why it might have looked that way, given that it was in reply to your post. Apologies.

0
Rosbif | 1 October 2010 - 1:09pm

I would say, "apology accepted"

but there was really no need for an apology in the first place. I hadn't taken your comments in the way you seem to think I had, so no worries!

0
Joe R | 1 October 2010 - 1:59pm

I'm Really Not Clear What It Is You're Unhappy About.

Is it the fact that Homeopathy doesn't work or the fact that people think that it does? I'm afraid this isn't one of those everyone's-entitled-to-their-own-opinion issues. The point is, this stuff either works or it doesn't and all the evidence is heavily stacked against it.

I suppose one could choose to carry on regardless of the evidence, and then that really does lead us into faeries at the bottom of the garden territory.

0
itfc1959 | 4 October 2010 - 2:00pm

But, if you include the placebo effect, then

it can have benefit for some people.

As I related a few days ago, my old mum took homeopathic remedies for a particular ailment and it 'got better'.

She didn't care about the finer scientific distinctions between homeopathy and placebo, she just knew the pills made her feel better where the doctor couldn't.

I certainly wasn't going to disabuse her of the idea that it was down to the little white pills that the nice lady provided her with after spending plenty of time listening to mum talk about her problems.

0
stimpy | 4 October 2010 - 3:39pm

Fish in a barrel

The only argument I have with your post is that it is lazy. The whole anti-homepathy thing has been done to death by millions of mini-Goldacres all over the net.

0
Spartacus Mills | 1 October 2010 - 9:07am

Makes you smell nice though

or do I really not understand

2
happy harry | 1 October 2010 - 9:39am

I have no problem with people believing what they want

but I do have a problem with people selling stuff that has no evidential basis for claiming benefits that many of these remedies claim. If you are claiming a product has a benefit, back it up with correctly researched data, not opinion.

Now if they were giving it away, I'd have less of a problem.

3
Leedsboy | 1 October 2010 - 9:46am

Or how about...

... paying with homeopathic money - blank sheets of paper that were once stacked next to a million pounds, and retain the "memory" of that money many years later...

4
Metal Mickey | 1 October 2010 - 10:23am

Alternatively...

Pay for it with quantum money. Pluck a blank sheet of paper from a stack at the Royal Mint and send it to Siberia. Print up all the ones in London as tenners. Then ask your mate in Siberia to open the envelope you sent him. He'll pull out a tenner.

Except that's what really happens with quark spin.

Just because things are inexplicable doesn't, per se, mean they are bollocks, you know.

1
Archie Valparaiso | 1 October 2010 - 10:38am

But some inexplicable things

are inexplicable because they are bollocks.

Your point is good though - if its inexplicable and complicated, it gets an easier ride than inexplicable and simple.

0
Leedsboy | 1 October 2010 - 11:08am

Thing is...

While that is a beautiful description of the bizarreness of quantum theory - it is measurable and repeatable

0
FakeGeordie | 2 October 2010 - 1:41pm

It works

if you want it to.

We're back on the subject of faith again, and one of the properties of faith is that once a non-scientific belief is adopted, very few people renounce it - indeed they tend to adapt subsequent events to reinforce it.

So by all means shove people a handful of mystical bollocks, and if they swallow it, chances are it will do them good. They might, for example, obsess less about minor physical niggles, convinced the pills have had an effect. At the very least this will keep the queues down the doctor's surgery.

People believe in all kinds of weird stuff; crystals, angel feathers, lay lines, magic carpenters; in each case, it's not the stuff itself that comforts them, it's the believing. So let them believe.

1
Captain Underpants | 1 October 2010 - 10:21am

As usual Underpants...

... the voice of sanity.

0
Formbyman | 1 October 2010 - 4:24pm

When I was fifteen I got an appointment...

... at a homeopathic hospital for my eczema on the NHS. At that age my hands were like stumps; holding a pencil hurt and during one memorable exam, when I had 5 essays to write in a day, there was actual blood all over the paper. This was really nasty stuff.

The trip didn't clear it up. Frankly I'm stuck with it for the rest of my life. But I could flex my fingers within a fortnight on ongoing treatment, which at that time was a major leap forward. Now I am aware that there is such a thing as a placebo effect and it's most likely that that is what happened. But what bothers me is why didn't any of the actual medicine succeed in producing even a placebo effect earlier on? I had been treated in so many different ways that I had no more faith, if that's the correct word, in homeopathy, than I did in any of my numerous other treatments. But something did happen and I can't account for that.

Intellectually I fully accept that homeopathy is baloney. But the eczema which blighted my entire childhood didn't start to come under control until that trip.

3
ganglesprocket | 1 October 2010 - 10:35am

What you experienced there

GS, was regression to mean. By that I mean that all medical conditions, apart from the ones that kill you, tend to change in their severity. They tend to revert back to relative wellness from time to time. If, for example, you'd been taking some pills, or rubbing yourself with leaves, or had cold baths and your eczema had improved you may have attributed it to any of those things.

If, however, you hadn't done anything whatsoever and your eczema had improved, as it would have-no condition is the same day to day - you would have accepted it as the varying course of your condition. Its called false attribution.

The placebo effect is no cause to justify the claims made by Homeopaths. They are within their rights to make whatever claims they wish. When they make claims which reduce the immunity of entire populations by claiming to replace immunisation programmes then they should be held legally accountable for their claims.

1
goatboyuk69 | 5 October 2010 - 11:20pm

Good hippies and bad hippies.

I tell my kids there are good hippies and bad hippies.

Bad hippies reduce pretty quickly to irrational health and green fascists who use bad arguments to try and defend their pompous claims to making the world better. They tend to like dreary music, appalling food, and patronise developing nations.

Then there are good hippies. These are do-it-yourself hedonist libertarians often pretty pro-science and technology who make the world better one step at a time, leading by example. They are indifferent to politics except to reduce it's control on life. They innovate, indulge (in every sense), and don't think poverty and suffering is a spiritual virtue.

Hawkwind - good: San Francisco strummers - bad.

0
Vincent | 1 October 2010 - 10:55am

An apology

I used to take illicit sips of my parents homeopathic remedies when I was a kid, and top up the levels with water. They never noticed.

1
mutikonka | 1 October 2010 - 11:07am

Inevitable

My favourite Placebo effect - Running Up That Hill

0
Beany | 1 October 2010 - 11:14am

hmm

How about them chiropractors eh?

(gets coat - runs and hides under bridge)

0
James EB | 1 October 2010 - 11:47am

Bugbear

I once suffered a prolapsed disc and wasted over £300 on several session with a chiropractor. I saw only a slight improvement in my condition before switching to a physio on the advice of a friend. I was back to normal in two sessions.

My own fault for not having done any research really. I had just assumed chiropractors were the people you went to with back problems.

0
Spartacus Mills | 1 October 2010 - 11:50am

I had the reverse experience

Months of physio for a back problem with very little improvement then one visit to a chiro and the issue almost completely went away.

Backs huh? If there's one thing that suggests that any putative 'Intelligent Designer' wasn't very good it's the engineering design of the human back.

1
stimpy | 1 October 2010 - 11:59am

Agreed

The spine boggles.

1
Spartacus Mills | 1 October 2010 - 12:58pm

Intelligent designer?

my back is the shape of a banana.

0
Leedsboy | 1 October 2010 - 2:41pm

you mean...?


0
murrance | 9 December 2010 - 6:10pm
stimpy | 9 December 2010 - 7:17pm
murrance | 10 December 2010 - 1:28pm

Me too.

But, there are good Chiros, and there are those who think you want to hear clicks and crunches. The former can work miracles, the latter should be run over as they leave their 'surgery'.

0
Vulpes Vulpes | 1 October 2010 - 8:03pm

On the contrary...

the only time it has ever done me any good is when there have been clicks and crunches. The last time I went (not that I go often), the chiropractor "manipulated" like it was some kind of laying on of hands and it had no effect whatsoever. A "proper" physio sorted me out in the end. On the other hand I have been to real bone-crunching chiropractors and have been fixed first time.

As for homeopathy generally (and it seems to me that there is a difference between physical manipulation and being given some sugar pill containing some billionth part of digitalis (or whatever) - "witch doctors", the lot of them.

0
Pajp | 1 October 2010 - 10:08pm

Osteopaths...

...always seemed better at sorting my back out, though the one I used to use a lot was hard pushed to explain the differences. There's a breed of Chiro who follows the original (and DEEPLY nutty) original draft of Chiropractic (all sublimate the third co-axial to cure your bunions and etc) and there's those who take the slightly more modern approach of adjusting the relationship between muscle and bone. In my extensive experience of Chiro and Osteo, go with the one that gives the best massage.

Incidentally, a chiro will *always* inform you that one leg is shorter than the other and that it can be corrected, just as the plethora of "nutritionists" who operate on the fringes of acceptability will tell you that you are allergic to wheat, chocolate and bananas. (I picked my wife up from one of these places, just as she was doing an "applied kinesiology" diagnosis of food allergies. This involves making the mark hold a glass vial of substance whilst the practitioner measures a muscle response by pressing down on their extended arm. I politely enquired whether she was in fact allergic to glass...It's a shame my wife wasn't allergic to nuts. I dragged her out of there just as the essential list of vitamins at $70 a pop was being reeled off. We left to the practitioner saying "Make sure you have all your fillings replaced".

I had the pleasure of working with a colleague who was a "Reiki Master" which is basically hands-off healing. I asked how she trained for such an art, for she was a genuine believer in her skills. Readers, the course took an entire weekend! When she told me the cost, and how she hoped to train more masters (including myself) I suddenly realised that it was in fact a mystical pyramid scheme.

0
nicktf | 1 October 2010 - 10:26pm

I'm sorry my post was so long.

...Here's the homeopathic version

.

4
nicktf | 1 October 2010 - 10:27pm

A good massage

was almost certainly all it was. And theres nothing wrong with that.

These people could call themselves masseuses and I'd have no quarrel with them. But no. Its the white coats and the pseudo-science and the weird anatomy and physiology and the cure for AIDS and cancer.....

0
goatboyuk69 | 5 October 2010 - 11:27pm
ganglesprocket | 1 October 2010 - 12:00pm

You are thinking of

podcasters.

3
Beany | 1 October 2010 - 12:06pm

nah

that's orthinologists

0
happy harry | 1 October 2010 - 12:13pm

orthinologists

Dont they test your eyes ??

0
jackthebiscuit | 1 October 2010 - 12:36pm

That reminds me... What IS the difference between

an optician and an opthalmologist? I'm sure there were only opticians when I was a kid.

0
stimpy | 1 October 2010 - 1:06pm

Isn't Guardian sex doctor Pamela Stephenson Connolly

An ornithologist?
... *who moved my bolero jacket?*

0
PaddyH | 1 October 2010 - 10:11pm

You're thinking of pedophiles

I think.

0
stimpy | 1 October 2010 - 12:09pm

But I thought they

were fans of cycling

0
happy harry | 1 October 2010 - 12:17pm

No, silly

That's psychopaths!

0
David Cooper | 1 October 2010 - 10:00pm

As with many things in life...

...it's possible to look to Viz's Top Tips for guidance:

HOMEOPATHS. Save money on petrol by filling up at the water pump. Your car will remember the petrol from your previous fill.

6
spt | 1 October 2010 - 1:04pm

Evidence needed

I'm a medic, I practice Evidence Based Medicine, this means I try to keep my medical knowledge at the forefront by constantly reading and assessing information presented in published medical papers. Homeopathy is a slightly sore point for me, there is very little published evidence that holds up to a critical review in favour of many of the homeopathic treatments which exist, and yet I have patients who swear by it. The problem comes in that there is little evidence surrounding homeopathy full stop.
In my opinion this means that the bigger problem is that these remedies may actually work! I use multiple drugs in my patients which were derived from a study of certain compounds which exist within the natural world - take for example a simple aspirin - the active compound was first found to functionally exist within Willow. Therefore I can conceivably believe, that it is possible some functional elements may exist in homeopathic remedies... and this worries me. Every time I prescribe my patient a drug I use a drug which is licensed - this means it has under gone extensive testing to determine not only efficacy but every other impact it may have on the human body either in pure state or metabolised - we know toxic limits and have a therapeutic index at which we know the drug is safely efficacious. Therefore, if homeopathy does turn out to be 'bollocks' I have no problem with it, infact I may actually support it's expense if it has psychological benefits for my patients, if however, homeopathy really works, then I have concern that my patients may be taking active agents with a lack of sufficient knowledge and evidence as to what else they do in the body. As I said before, more evidence definitely needed before I'm happy with homeopathy.

3
Claire | 1 October 2010 - 3:07pm

More evidence needed

nicely put Claire.

Lots of food for thought.

0
jackthebiscuit | 1 October 2010 - 4:49pm

I would disagree..

"The problem comes in that there is little evidence surrounding homeopathy full stop."

Yes there is. Loads. Lots of it on Cochrane.

For an analysis of evidence and matters evidential as regards homeopathy, may I refer everyone to

http://www.quackometer.net/blog/2008/03/should-cochrane-call-for-more-re...

It goes on a bit but is excellent and responds well to a lot of points raised, particularly those of Claire and Archie.

0
Lenny Law | 1 October 2010 - 6:23pm

Just to clarify

I'm not in any way suggesting homeopaths are putting people at risk, many homeopaths and doctors practice safe homeopathy on as much evidence as currently exists. I just mean that I think perhaps, just as each new drug is researched, tested and licenced before it enters the market, the scientist in me would like to see the same regulations apply to homeopathic remedies and the people distributing them.

1
Claire | 1 October 2010 - 3:16pm

Homeopathy can do no harm..

Because there's nothing in it to do any harm.

I say that; it can do harm if it is used instead of something which WILL make you better or prevent disease. The homeopaths who are advocating the use of homeopathic antimalarials are dangerous people indeed.

8
Lenny Law | 1 October 2010 - 4:06pm

That is absolutely the crux...

Whilst I too view homeopathy as simply a placebo effect, I feel uncomfortable with its demonisation as I would any intolerance - but there is the crucial exception stated by Lenny. I can rationalise a placebo affecting a condition due to the power of persuasion and an effect on the body's own regulatory biochemicals. Thus for complaints such as skin conditions, some GI problems, minor pain etc I can readily see that a placebo - and thus homeopathy - could show real benefit.

Great - so queues at the doctors go down, there are no nasty side effects, patients pay for their own remedies - it's win-win isn't it? Except that the placebo will not work where your body is invaded by foreign bodies or is in an unregulatable state. Thus anyone who delays seeking medical help (as in 'mainstream' help) when their blood contains Plasmodium falciparum, the human immunodeficiency virus or cancerous cells will be harmed. It's made even worse if they are counselled that homeopathy will work against these conditions. Most homeopaths will not even try to do this, and will send such patients to a doctor. Alas, a few may not.

Incidentally (and apologies if it has been mentioned, it's not an original joke) - the solution to funding of homeopathic hospitals is simply to give them 1p each. In their terms, that's equal to £100 billion.

1
Pilleus Jr | 1 October 2010 - 5:09pm

Whilst I agree with what you say, it puzzles me that mainstream

medicine is funding and running at least one homeopathic hospital which, from it's web site, seems to be suggesting it offers cancer treatments (see above for links etc )

1
stimpy | 1 October 2010 - 8:08pm

Not cancer treatments

I think that it would be in breach of the Cancer Act if it offered treatments for cancer. No, it's the parallel symptoms that it claims to treat:

"Homeopathy for people with cancer is promoted as a natural way to help you relax and cope with stress, anxiety, depression and control other symptoms and side effects such as pain, sickness and tiredness. Homeopaths believe it can treat a wide range of symptoms and conditions"

I do rather think that calling one of its units the Homeopathy (Oncology) department is more than a little misleading, since - in general use - oncology pertains to tumours and their treatment.

0
Pilleus Jr | 1 October 2010 - 9:43pm

Perhaps I wasn't clear

Perhaps I wasn't clear enough with my view. I have no great faith in homeopathy, and I use the word faith because I don't feel there is enough evidence for it to be anything else. This is why I am happy for the use of some homeopathic remedies to be used to achieve a placebo effect.
My point was that I agree: people taking drugs that are not efficacious when there are alternative conventional drugs with a proven effect is extremely dangerous, but, even if efficacy was known there should be more questions raised before homeopathic remedies are used routinely. What I mean is if momentarily we put our disbelief that these drugs actually work aside and take the homeopaths at their word that they do something, then we would still need to test these remedies before they are given out to check that these effects are safe. Either way, as I see it it's a double whammy, evidence and clinical trials are needed on these 'drugs' to first show they have an effect and then if this is shown further tests that they are safe.

0
Claire | 21 October 2010 - 1:09pm

Comin' up for air.

Facts are black, ignorance is white. Most of "all human life is there" is grey, this being where most of us, including Drs and homeopaths, live and work. Much as I desire facts, I also relish my/our collective ignorance in things that shouldn't happen but do. And those that should that don't. I don't mind that the map of mecicine has taken me to many places where I am still completely lost. I can live with not knowing everything.
Clear?

1
Retropath2 | 1 October 2010 - 3:42pm

No need

Just read Bad Science and the God Delusion. Then you'll know it all.

0
Spartacus Mills | 1 October 2010 - 3:46pm

Be fair to Ben

To be fair to Ben Goldacre, he makes great play in his book of the fact that he has no doubt placebos work. He even recognises that 'nocebos' can - and clearly do - have a positive effect on people's health. He admits a fascination with the way that this psychological aspect of medicine works.

His scorn and derision is, therefore, not aimed at people who use whatever it takes to make them feel better. It is, rather, aimed at those who make ludicrous claims on behalf of what are, when it comes down to it, bottles of hugely over-priced water, when marketing and selling said bottles.

0
Red Umpire | 1 October 2010 - 5:02pm

Isn't Ben Goldacre's scorn and derision aimed

at anyone who isn't him?

3
Gauntlet | 1 October 2010 - 10:21pm

Mitchell & Webb

That is all.

2
Bob | 1 October 2010 - 9:47pm

The gift that keeps on giving!

I was scrolling down this thread wondering when that clip would arrive (and rather hoping I might get to post it myself:-). It gets funnier with every viewing and does indeed sum up everything anyone needs to know about homeopathy.

1
Lando Cakes | 2 October 2010 - 12:35pm

Righty-Ho. Hold It Right There!

Ok. Let's leave aside the debate of whether homeopathy 'really works' and focus instead on the fantastic and irrational claims made by its proponents concerning its mode of action - ie, how they claim it works.

Homeopathic medicines are manufactured by 'potentising' a liquid herb or mineral concentrate by a process of dilution. One part of the liquid is diluted with nine parts of pure water, and then mixed well by rhythmic movements. These are supposed to be essential to the process, although how this works or why this is important has not demonstrated.

After one dilution, the potency of the remedy is called D1. This process can be repeated and so after two dilutions the remedy is now called D2, and so on. Most preparations are in the range of D1 to D50 (the highest potency I've heard of is D1500). Therefore, the greater the dilution, the less the active ingrediant.

Not only this, but the efficay of these potions is said to increase with further dilution - 'the law of infinitesimals' - meaning that the exact same substance is more powerful at D50 than at D10! And before you all chorus 'what a load of bollocks', consider this: homeopathists claim that the water molecules have properties that allow them to 'remember' which substances they have encountered in the past. How this 'memory' is enhanced with further dilution is something the homeopathists won't, or can't, tell us. This is what I meant when I originally said that anyone who can demonstrate how this works, contrary to all the known laws of science, would get a Nobel Prize, no question. No-one has.

And not only that. Let's look a little deeper at this whole process of dilution/potentising. This is an extraordinary claim and it therefore requires extraordinary proof. The mathematics and chemistry involved is at GCSE level or lower, so any scientifically literate or numerate person should be able to make the same calculations and arrive at the same results, more or less.

How much water is needed to make, say, a D40 solution that contains an active ingrediant? The answer is astonishing. The required volume of water exceeds the "volume" of our entire solar system. Not convinced? Work it out! And there's more. Only an infinitesimal amount of the original herb concentrate actually comes to use. The rest goes down the plug hole, for good or bad. Well, down the plug hole it may end up anywhere in due time; in your bathroom tap, in your cup of tea, for example, only in which case it will then be much more diluted, and hence even more powerful.

But I digress. The important point I was originally attempting to make is that homeopathic medicaments are claimed to work in a fashion that makes their effects virtually impossible to test, or, more scientifically speaking, it is very difficult (if not impossible, but we'll give them the benefit of the doubt) to isolate any variables that may be impacting on the process.

For example, the underlying principle of homeopathic medicines is that they activate the body's own immune system by exposing it to infinitesimally small quantities of some active substance or(and here comes the Magic Bit) to the memory of it. The substance is believed to induce symptoms similar to those of the disease itself, or as they would have it, treating like-with-like. Of course, this would explain why the patient will continue to feel worse for a while before they get better. Which is useful.

What the homeopaths cannot tell you is how the the immune system more easily detects and interprets the information-carrying water molecules more easily than the disease itself. And of course, this does not take into account any other subtances, curative or otherwise, that the water may have been exposed to. Plus, since it is the immune system that is doing all the work, the recovery / healing time is usually rather long which means that there is no way one can exclude the possibility of spontaneous remission, and therefore double-blind tests become impossible to carry out.

Is the memory hypothesis even testable at all? What if water molecules actually have physical or even (shudder) spiritual properties that allow them to remember and pass on information? Sounds nice, especially if you throw in a few half-understood scientific red herrings like Quantum Physics, or Parallel Universes. But, another scientific implausibility arises. Most homeopathic remedies come in the form of sugar pills. Sugar pills are dry. The memory therefore must somehow have been transferred from the water to the sugar before the evaporation occured.

Eh? So other molecules can also carry memories!? This means that irrespective of the sugar's purity, it is very likely that the sugar molecules themselves carried information, somehow intelligible to the body, before the saturation with the homeopathic solution took place.

And what about the air we breathe, the food we eat, the gum we chew, etc? What memories do they possess? And what happens if one ingests an otherwise toxic substance that carries a memory of a potent healing agent - do the opposite effects cancel one another?

I could go on. But, enough, already. It's nothing personal. I just don't like seeing vulnerable people being led up the garden path and being ripped off.

6
itfc1959 | 1 October 2010 - 10:02pm

Water carrying memory...

The oft made point here is - if the water used in homeopathic dilution retains a memory of the molecule that it has been in touch with, then how come it 'forgets' everything else it has been in contact with - the plumbing system, a plastic bottle or, in the case of the south-east, the insides of numerous Londoners?

0
Pilleus Jr | 1 October 2010 - 10:11pm

*Tchough*

Thicko.

"if the water used in homeopathic dilution retains a memory of the molecule that it has been in touch with, then how come it 'forgets' everything else it has been in contact with"

Because homeopathic remedies have been subject to succussion. They've been knocked against a leather pillow. That's what makes the water remember what's been in it. It's not just mixing up, you know. It's all precise and special and that.

Stupid people like you are what prevents the spread of homeopathy as a proper bit of all medicine and things.

2
Lenny Law | 1 October 2010 - 11:37pm

Damn

It's so obvious now you mention it. I must bang my head against a leather pillow so I remember the lesson I've been taught.

2
Pilleus Jr | 2 October 2010 - 12:05am

Stick a fork in it.

Homeopathy's done. IMO, of course.

1
Bob | 1 October 2010 - 10:12pm

I don't understand...

...is this thread telling me that there AREN'T fairies at the bottom of the garden?

2
JoLean | 1 October 2010 - 10:04pm

Afraid So.

Just wait till I get going on Santa Claus. Won't be long now!

0
itfc1959 | 6 October 2010 - 9:14am

If it's a placebo effect, it should always work, shouldn't it?

I had catarrh for many years - I saw a conventional specialist, who prescribed a nasal spray, which I used for a while, but it made no difference. I consulted a friend who is a qualified homeopath (she's done the most rigorous examinations advocated by the discipline) and she prescribed mercury. Within two days my nose was running, non-stop, and completely unexpectedly - and stayed clear for about 3 years afterwards. When it began to block again, I consulted her, and she prescribed something else - it didn't work at all.

I know this is only anecdotal, but it worked for me - once.
1) Conventional medicine treats symptoms rather than the underlying cause - shouldn't it be trying to treat the cause, as homeopathy does?
2) Why does homeopathy work on animals (apparently), who should be immune to the placebo effect?

I know it makes no sense at all: why should your body recognise that the salt remaining in the homeopathic pills is different from the salt in your food? So I don't have an opinion, but I give it the benefit of the doubt - so many 'old wives' tales' seem to work.

0
PeteWingrave | 1 October 2010 - 10:10pm

To answer your questions, Pete..

"Conventional medicine treats symptoms rather than the underlying cause - shouldn't it be trying to treat the cause, as homeopathy does?"

Big problem there. Homeopathy is entirely symptom-driven. The homeopathic books are lists of symptoms. You match the remedy to the symptom.

"Why does homeopathy work on animals (apparently), who should be immune to the placebo effect?"

Simple answer. It doesn't. The "Homoepathy works on animals" thing was based on a very well constructed trial which compared conventional antibiotics with a homeopathic regimen as a way of preventing bovine mastitis. Both worked just as well as each other.

The problem came when the results were compared the control. Neither worked very well at all. So conventional antibiotics were useless. As was the homeopathic prophylactic.

"So many 'Old wives tales' seem to work"

Any published evidence to back that up?

0
Lenny Law | 1 October 2010 - 11:48pm

Good Question, Pete.

"If it's a placebo effect, it should always work, shouldn't it?" Not necessarily, I'm afraid. Our Medic friend Claire who has contributed to this thread will also be able to tell you that the personality of the person handing out the pills - allopathic, homeopathic, it doesn't matter in this instance - can be just as important as the pills themselves.

Here's the scene. I arrive at someone's house with some antidepressant tablets. That's my job, amongst other things. I have two possible options. Firstly, I can be positive about these tablets, explain that they can take up to two weeks to take effect but some people can experience a lift in mood after about ten days, some a little sooner. I can talk about known side-effects and how these can be transient, and it may well be the case that you (the patient) will not experience any side effects at all. All of which is true, by the way, and borne out by evidential (not anecdotal) practice.

Here's the second option. "I've bought you some tablets. I don't expect them to work because they're all a heap of shit, really. Still, you may as well take them anyway, so what the fuck. Don't be suprised if you start getting blinding headaches."

The second point I think I covered in my lengthy exposition. If homeopathy works at all then I hope I have demonstrated that it certainly isn't because of the reasons homeopathists will give you.

I don't doubt that some people get better after taking these potions but the point is that even allowing for the placebo effect most conditions improve anyway. You would have got better regardless.

The big exceptions are in major trauma and life-threatening conditions such as cancer. Would you trust your life to a suger pill in those situations? I think not.

0
itfc1959 | 2 October 2010 - 1:44am

Sorry to repost this but it is important.

If you have any interest in this debate, read this. It is complicated but very,very important if you want to get a couple of fingers in the cliff-face of evidencial analysis.

http://www.quackometer.net/blog/2008/03/should-cochrane-call-for-more-re...

0
Lenny Law | 1 October 2010 - 11:54pm

Thanks For That, Lenny.

Evidential analysis is a minefield. But, for you, and for those who are interested in complementary medicine, here's a useful introduction to the clinical evidence for St John's Wort as a treatment for depression:

http://neuroskeptic.blogspot.com/2009/07/st-johns-wort-perfect-antidepre...

0
itfc1959 | 2 October 2010 - 1:04am

I liked the Scientist's Joke

(Can't remember who):-

Did you hear about the homeopathic patient that died of an overdose?

He stopped taking his medicine.

0
Badlands | 2 October 2010 - 12:06am

Pants

On the one hand, it is always entertaining to point and laugh at the wilfully ignorant (not the stupid, who can't help it). On the other hand, some of these people are probably making decisions that have an effect on our lives. And no doubt bringing the same robust, evidence-based approach to bear. Yikes.

0
Lando Cakes | 2 October 2010 - 12:48pm

Seems to me that, as with so many of these things

there are people at either end of the spectrum who can't resist ad hominem criticism of the individuals involved.

I'm sure there's arguments on both sides but it's a shame when the debate descends into name-calling.

1
stimpy | 2 October 2010 - 1:23pm

ooooooh

lifts handbag

0
Lando Cakes | 2 October 2010 - 3:22pm

Borrowing from xkcd...

7
Dr Yang | 3 October 2010 - 3:48pm

It works!

Well, it did for me. Eczema on hands for years, conventional meds only made it go away for a bit, then it came back (plus thinning of the skin - thanks!). Homoeopathy cured it, haven't had it for 20 years now.

Just because we can't measure the substance in the remedy, it doesn't mean it's not there...

Don't forget, we used to think the Earth was the centre of the universe (shortly after we thought it was flat..!)

0
masked tortilla | 5 October 2010 - 2:11pm

It works!

Well, it did for me. Eczema on hands for years, conventional meds only made it go away for a bit, then it came back (plus thinning of the skin - thanks!). Homoeopathy cured it, haven't had it for 20 years now.

Just because we can't measure the substance in the remedy, it doesn't mean it's not there...

Don't forget, we used to think the Earth was the centre of the universe (shortly after we thought it was flat..!)

0
masked tortilla | 5 October 2010 - 2:11pm

Whither Avogadro

Just because we can't measure the substance in the remedy, it doesn't mean it's not there...

I think you'll find it does

3
Brookster | 5 October 2010 - 2:26pm

Whither Avogadro

Whither Avogadro... three more from them later.

2
Red Umpire | 5 October 2010 - 2:49pm
Lando Cakes | 5 October 2010 - 10:35pm

Dara O'Briain has it covered for me.

Homeopathy from about 1.14 (though it's all worth watching).


0
kidpresentable | 6 October 2010 - 12:42am

How about this article by an ex-New Ager

This dropped into my Instapaper account a few weeks ago, and it blew me away. This woman was a big shot in the aura business, and very slowly realised everything she thought was true was wrong.

It made me realise that if there is a point in being a rationalist it is in showing other people that this is *really* how the world works. Understanding this woman is a powerful way in to others points of view.

http://www.csicop.org/si/show/bridging_the_chasm_between_two_cultures/

1
Nigell | 7 October 2010 - 11:34am

That's a great article.

Thanks for posting.

1
Bob | 7 October 2010 - 12:29pm

Hear hear

Very thoughtful and well-written peace. I'll be recommending it more widely.

0
Rosbif | 15 October 2010 - 10:33am

Well, some good news.

One of the quangos being abolished is the Advisory Board on the Registration of Homeopathic Products.

The fact that this was established in the first place tells you everything you need to know about the last government.

0
JQW | 14 October 2010 - 11:13pm

The last Tory government, perhaps...

Given that it was established in 1994.

But good point though.

1
Lando Cakes | 14 October 2010 - 11:25pm

Let's just hope...

...that they weren't doing an good job of reigning in the frauds, eh? I mean, I don't like that government funds anything to do with homeopathy, but I'd almost rather someone was keeping an eye on these people. Maybe we could just change its name to the Anti-Quackery Task Force instead. And arm it. ;-)

1
Bob | 15 October 2010 - 10:48am

I like it

And then they can choose whether to use homeopathic products to tend their wounds. Everybody's happy.

0
Lando Cakes | 15 October 2010 - 8:24pm

Fair has to be fair, though.

They have to be able to fight back with homeopathic bullets.

1
Lenny Law | 15 October 2010 - 8:49pm

Another voice of reason

I just read this article about some of the myths and arguments surrounding homeopathy. One of the most sensible pieces I've read on the subject.

0
Rosbif | 9 December 2010 - 5:50pm

Makes sense to me.

I definitely agree with the conclusion that "patients benefit from a long and empathic encounter with a homeopath but not from the remedy"

"The recognition of the therapeutic value of an empathetic consultation is by no means a new insight, yet it is knowledge that is in danger of being forgotten. Modern mainstream medicine frequently seems to neglect the importance of medical core values such as empathy, sympathy, time, understanding and holism"

Many people just want someone to listen to them in an environment where they don't feel they're being hustled out to meet the GP's target times. They want to feel that someone cares about them and their problem.

0
stimpy | 9 December 2010 - 7:24pm

If only

they had a friend to talk to - think of the money they'd save.

0
Lando Cakes | 9 December 2010 - 9:50pm
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