Homœopathic Links 2012; 25(4): 281-286
DOI: 10.1055/s-0032-1327856
RESEARCH
Sonntag Verlag in MVS Medizinverlage Stuttgart GmbH & Co. KG Stuttgart · New York

What Is the Evidence for the Treatment of Asthma with Homeopathy?

Sophie Ward , United Kingdom
Further Information

Publication History

Publication Date:
18 December 2012 (online)

Summary

A review of the medical evidence base on the treatment of asthma with homeopathic remedies has been conducted with the aim to determine if there are any indications for the effectiveness of the treatment of asthma with homeopathy. A non-exhaustive list of 32 research papers has been examined of which four were systematic reviews, seven RCTs, nine observational and qualitative studies, five pilot and open studies and case studies of 147 cases. Research outcomes considered to be highest in the hierarchy of evidence are mostly negative or inconclusive, whereas all others are positive. This clearly identified trend is analysed against trial designs and treatments strategy. It was found that usually the designs of RCTs limit the full evaluation of the effect of a homeopathic prescription and recommendations for future trials and research designs are made. The encouraging findings for homeopathy coming from well-constructed RCTs and observational studies should be considered more seriously and more trials and studies are recommended in order to replicate such findings.

 
  • References

  • 1 BBC News. UK Centre of Global Asthma Crisis 2004. [online] UK: BBC News. http://news.bbc.co.uk/1/hi/health/3492731.stm [accessed 11/04/11]
  • 2 Bell I. All evidence is equal, but some evidence is more equal than others: can logic prevail over emotion in the homeopathy debate?. [online] Commentary submitted to: Journal of Alternative & Complementary Medicine 2005. http://www.homeopathy.org/research/editorials/Bell.pdf [accessed 04/04/11]
  • 3 Boucinhas JC, De Madeiros Boucinhas ID. Prophylaxie des crises dʼasthme bronchique chez lʼenfant par lʼusage de Pouman histamine 5CH. Homeopathie Française 1990; 78: 35-39
  • 4 Burdon JGW, Juniper EF, Killian J et al. The perception of breathlessness in asthma. Am Rev Respir Dis 1982; 126: 825-828
  • 5 Dantas F, Rampes H. Do homeopathic medicines provoke adverse effects? A systematic review. BHJ 2000; 89 (Suppl. 01) 35-38
  • 6 Ernst E. Complementary/alternative medicine for asthma, we do not know what we need to know. Chest 1999; 115: 1-3
  • 7 Freitas L, Goldenstein E, Sanna OM. The indirect patient-doctor relationship and the homeopathic treatment of childhood asthma. Revista de Homeopatia 1995; 60: 26-31
  • 8 Gardiner JG, Martin D. Statistics with Confidence. London: BMJ; 1995
  • 9 Godfrey S, Silverman M. Demonstration by placebo response in asthma by means of exercise testing. J Psychosom Res 1973; 17: 291-297
  • 10 Hahnemann S. Organon of the Medical Art. Edited and translated by W.B. OʼReilley. Palo Alto, CA, USA: Birdcage Press; 2001
  • 11 Haidvogl M, Riley D, Heger M et al. Homeopathic and conventional treatment for acute respiratory and ear complaints: a comparative study on outcome in the primary care setting. BMC Complement Altern Med 2007; 7: 1186/1472-6882
  • 12 Hill C, Doyon F. Review of randomized trials of homeopathy. Rev Epidemiol Sante Publ 1990; 38: 138-147
  • 13 Kent JT. Lectures on homeopathic philosophy. New Delhi, India: B. Jain Publishers Ltd; 2005
  • 14 Kleijnen J, Knipschild P, ter Reit G. Clinical trials of homeopathy. Br Med J 1991; 302: 316-322
  • 15 Li AM, Bush A, Wilson NM et al. Homeopathy in childhood asthma. Thorax 2003; 58: 826-828
  • 16 Lewith G, Watkins A, Broomfield J et al. A double-blind, randomised, controlled clinical trial of ultramolecular potencies of house dust mite in house dust mite allergic asthmatic patients. BMJ 2002; 324: 520-523
  • 17 Linde K, Jobst KA. Homeopathy for chronic asthma. Cochrane Database Syst Rev 2004; (1) CD000353
  • 18 Linde K, Melchart D. Randomized controlled trials of individualized homeopathy: a state-of-the-art review. J Altern Complement Med 2007; 4: 158-164
  • 19 Litwin MS. How to Measure Survey Reliability and Validity. Thousand Oaks, USA: SAGE Publications; 1995
  • 20 Mc Carney RW, Lasserson TJ, Brinkhaus B. An overview of two Cochrane systematic reviews of complementary treatments for chronic asthma: acupuncture and homeopathy. Respir Med 2004; 98: 687-696
  • 21 Matusiewicz R. Wirksamkeit von Engystol N: the effect of a homeopathic preparation on the clinical condition of patients with corticosteroid dependant bronchial asthma. Biomed Ther 1997; 3: 70-74
  • 22 Matusiewicz R, Wasniewski J, Sterna-Bazanska A et al. Treatment of chronic asthmatic bronchitis with homeopathic remedy. EHK 1999; 6: 367-374
  • 23 Mohan GR. Efficacy of homeopathy in childhood asthmas. Homeopathic Links 2007; 20: 104-107
  • 24 Morris-Owen RM, Datt-Lai K. Observations on the effect of house dust potencies. Br Homeopath J 1981; 70: 70-87
  • 25 Passalacqua G, Bousquet PJ, Carlsen KH et al. Systematic review of complementary and alternative medicine for rhinitis and asthma. J Allergy Clin Immunol 2006; 117: 1054-1062
  • 26 Ratcliffe J, Van Haselen R, Buxton M et al. Assessing patientsʼ preferences for characteristics associated with homeopathic and conventional treatment of asthma: a conjoint analysis study. Thorax 2002; 57: 503-508
  • 27 Reilly D. Young doctorsʼ views on alternative medicine. BMJ (Clin Res Ed) 1983; 287: 337-339
  • 28 Rawlins M. De testimonio: on the evidence for decisions about the use of therapeutic interventions. Lancet 2008; 372: 2152-2156
  • 29 Reilly DT, McSharry C, Taylor MA et al. Is homeopathy a placebo response? Controlled trial of homeopathic potency with pollen in hay fever as a model. Lancet 1986; 328: 881-885
  • 30 Reilly D, Taylor MA, Beattie NG et al. Is evidence for homoeopathy reproducible?. Lancet 1994; 344: 1601-1606
  • 31 Rossi E, Crudeli L, Endrizzi C et al. Cost-benefit evaluation of homeopathic versus conventional therapy in respiratory diseases. Homeopathy 2009; 98: 2-10
  • 32 Rubinfeld AR. Pain MCF. Perception of asthma. Lancet 1976; 1: 882-884
  • 33 Sears M. The addition of long-acting beta-agonists to inhaled corticosteroids in asthma. Curr Opin Pulm Med 2011; 17: 23-28
  • 34 Shaw A, Thompson EA, Sharp D. Complementary therapy use by patients and parents of children with asthma and the implications for NHS care: a qualitative study. BMC Health Serv Res 2006; 6: 76
  • 35 Shaw A, Thompson EA, Sharp D. Expectations of patients and parents of children with asthma regarding access to complementary therapy information and services via the NHS: a qualitative study. Health Expect 2007; 4: 343-358
  • 36 Spence D, Thompson E, Barron SJ. Homeopathic treatment for chronic disease: a 6 year university-hospital outpatient observational study. J Altern Complement Med 2005; 11: 793-798
  • 37 Spertini F, Reymond C, Leimgruber A. Allergen Specific Immunotherapy of Allergy and Asthma: Current and Future Trends. 2009 [online] USA: Medscape. http://www.medscape.com/viewarticle/588101 [accessed 2/04/2011]
  • 38 Tonelli MR, Callahan TC. Why alternative medicine cannot be evidence-based. Acad Med 2001; 76: 1213-1220
  • 39 Thompson T. Can the caged bird sing? Reflections on the applications of qualitative research methods to case study design in homeopathic medicine. BMC Med Res Methodol 2004; 9: 4
  • 40 Thompson EA, Shaw A, Montgomery A et al. A pilot randomised controlled trial of individualised homeopathy in children with severe asthma (Abstract). Complement Ther Med 2008; 16: 233-234
  • 41 Vithoulkas G, Kivellos S. Clinical Trials in homeopathy, What Are We Looking For?. 2009 [online] http://hpathy.com/homeopathy-4-everyone/2009/homeopathy-4-everyone-november-2009/ [accessed 12/03/11]
  • 42 Vithoulkas G. The Science of Homeopathy. New York: Grove Press; 1980
  • 43 Weatherley-Jones E, Thompson EA, Thomas KJ. The placebo-controlled trial as a test of complementary and alternative medicine: observations from research experience of individualised homeopathic treatment. Homeopathy 2004; 93: 186-189
  • 44 White A, Slade P, Hunt C et al. Individualised homeopathy as an adjunct in the treatment of childhood asthma: a randomised placebo controlled trial. Thorax 2003; 58: 317-321
  • 45 Witt C. Outcome and costs of homoeopathic and conventional treatment strategies: a comparative cohort study in patients with chronic disorders. BMC Public Health 2005; 5: 115
  • 46 World Health Organization. Chronic Respiratory Disease. [online]. Geneva, Switzerland: W.H.O.; 2010. http://www.who.int/respiratory/asthma/en/ [accessed 8/05/10]