Download PDF
Zeitschrift für Komplementärmedizin 2017; 09(01): 32-37
DOI: 10.1055/s-0042-119762
Praxis
Anthroposophie
© Karl F. Haug Verlag in MVS Medizinverlage Stuttgart GmbH & Co. KG

Fieber aus anthroposophischer Sicht

David D. Martin
Subject Editor:
Further Information

Publication History

Publication Date:
26 January 2017 (online)

    Permissions and Reprints

Summary

Menschen, die der Anthroposophie bzw. der anthroposophischen Medizin nahestehen, haben meist eine sehr positive Haltung gegenüber Fieber. Sie sehen im Fieber eine Art evolutionärer „Geistesgabe“, die mit akuten Infekten gesund umzugehen hilft, aber auch darüber hinaus langfristig gesundend wirken kann. Fieber wird in der anthroposophischen Medizin als eine Möglichkeit betrachtet, Infekte nicht nur schneller und besser durchzustehen, sondern dadurch auch das Auftreten zukünftiger Infektionen weniger wahrscheinlich zu machen. Ferner wird Fieber auch als eine Möglichkeit zur Immunreifung gesehen, ebenso als ein möglicher Schutz gegenüber Erkrankungen sowie die Heilungsförderung von Erkrankungen, bei denen die Auseinandersetzung mit „Fremdem“ im weitesten Sinne gestört ist (z.B. Allergien, aber auch Überlastung oder Schicksalsschläge). Es bietet auch die Möglichkeit für liebevolle Zuwendung, wirkt möglicherweise fördernd auf die eigene Entwicklung und Kreativität und könnte helfen, immer mehr Ausdruck der eigenen Individualität zu werden, indem man geerbte Eigenheiten überwindet – bis hin zu einem möglichen Schutz vor Krebserkrankungen. Bisherige Studien lassen einen Teil dieser Ansichten als berechtigt erscheinen, während andere noch hypothetisch sind.

Keywords

Fieber - Antipyrese - Anthroposophische Medizin - Kind - Immunsystem - Krebs
 

  • Literatur

  • 1 Martin DD. Fever: views in anthroposophic medicine and their scientific validatidity. Evid Based Complement Alternat Med 2016; DOI: 10.1155/2016/3642659.
    Google Scholar
  • 2 Huseman F. Scharlach und eitrige Angina in zehn Jahren Praxis. Der Merkurstab 1998; 51 (1) 16-24
    Google Scholar
  • 3 Soldner G, Stellman HM. Krankheitsbekämpfung und Gesundheitsentwicklung: Therapiemöglichkeiten der Pneumonie im Kindesalter. Der Merkurstab 2002; 55: 43-49
    Google Scholar
  • 4 Harmsen IA, Ruiter RAC, Paulussen TGW et al. Factors that influence vaccination decision-making by parents who visit an anthroposophical child welfare center: a focus group study. Adv Prev Med 2012; DOI: 10.1155/2012/175694.
    Google Scholar
  • 5 Soldner G, Stellman HM. Individual Paediatrics: Physical, Emotional and Spiritual Aspects of Diagnosis and Counseling – Anthroposophic-homeopathic Therapy. 4th ed. London: CRC Press; 2014
    Google Scholar
  • 6 Girke M. Innere Medizin. Grundlagen und therapeutische Konzepte der Anthroposophischen Medizin. 2. Aufl. Berlin: Salumed; 2012
    Google Scholar
  • 7 Vagedes J, Soldner G. Das Kinder-Gesundheitsbuch. München: Gräfe und Unzer; 2008
    Google Scholar
  • 8 Glöckler M, Goebel W. A Guide to Child Health: A Holistic Approach to Raising Healthy Children. Edinburgh: Floris Books; 2013
    Google Scholar
  • 9 Williams LE, Bargh JA. Experiencing physical warmth promotes interpersonal warmth. Science 2008; 322 (5901) 606-607
    CrossrefGoogle Scholar
  • 10 Kang Y, Williams LE, Clark MS et al. Physical temperature effects on trust behavior: the role of insula. Soc Cog Affect Neurosci 2011; 6 (4) 507-515
    Google Scholar
  • 11 Rosslenbroich B. On the origin of autonomy. A New Look at the Major Transitions in Evolution New York 2014; DOI: 10.1007/978-3-319-04141-4.
    Google Scholar
  • 12 Bernheim HA, Kluger MJ. Fever: effect of drug-induced antipyresis on survival. Science 1976; 193 (4249) 237-239
    CrossrefGoogle Scholar
  • 13 Blatteis CM. Fever: is it beneficial?. Yale J Biol Med 1986; 59 (2) 107-116
    Google Scholar
  • 14 Mackowiak PA. Direct effects of hyperthermia on pathogenic microorganisms: Teleologic implications with regard to fever. Rev Infect Dis 1980; 3 (3) 508-520
    Google Scholar
  • 15 Mackowiak PA, Marling C. Hyperthermic enhancement of serum antimicrobial activity: mechanism by which fever might exert a beneficial effect on the outcome of gram-negative sepsis. Infect Immun 1983; 39 (1) 38-42
    Google Scholar
  • 16 Appenheimer MM, Chen Q, Girard RA et al. Impact of fever-range thermal stress on lymphocyte-endothelial adhesion and lymphocyte trafficking. Immunol Invest 2005; 34 (3) 295-323
    CrossrefGoogle Scholar
  • 17 Ostberg JR, Repasky EA. Emerging evidence indicates that physiologically relevant thermal stress regulates dendritic cell function. Cancer Immunol Immunother 2006; 55 (3) 292-298
    CrossrefGoogle Scholar
  • 18 Hanson DF. Fever, temperature, and the immune response. Ann N Y Acad Sci 1997; 813: 453-464
    CrossrefGoogle Scholar
  • 19 Blatteis CM. Endotoxic fever: new concepts of its regulation suggest new approaches to its management. Pharmacol Ther 2006; 111 (1) 194-223
    CrossrefGoogle Scholar
  • 20 Hajdu S, Holinka J, Reichmann S et al. Increased temperature enhances the antimicrobial effects of daptomycin, vancomycin, tigecycline, fosfomycin, and cefamandole on staphylococcal biofilms. Antimicrob Agents Chemother 2010; 54 (10) 4078-4084
    CrossrefGoogle Scholar
  • 21 Kluger MJ. Phylogeny of fever. In: Federation Proceedings 1979: 30–34. Im Internet: http://europepmc.org/abstract/med/759235 (Zugriff am: 15.2.2016)
    Google Scholar
  • 22 Bryant RE, Hood AF, Hood CE et al. Factors affecting mortality of gram-negative rod bacteremia. Arch Intern Med 1971; 127 (1) 120-128
    CrossrefGoogle Scholar
  • 23 Ahkee S, Srinath L, Ramirez J. Community-acquired pneumonia in the elderly: association of mortality with lack of fever and leukocytosis. South Med J 1997; 90 (3) 296-298
    CrossrefPubMedGoogle Scholar
  • 24 Baize S, Marianneau P, Loth P et al. Early and strong immune responses are associated with control of viral replication and recovery in Lassa virus-infected cynomolgus monkeys. J Virol 2009; 83 (11) 5890-5903
    CrossrefGoogle Scholar
  • 25 Baudouin SV, Saunders D, Tiangyou W et al. Mitochondrial DNA and survival after sepsis: a prospective study. Lancet 2005; 366 (9503) 2118-2121
    CrossrefGoogle Scholar
  • 26 Hanada R, Leibbrandt A, Hanada T et al. Central control of fever and female body temperature by RANKL / RANK. Nature 2009; 462 (7272) 505-509
    CrossrefGoogle Scholar
  • 27 Prymula R, Siegrist CA, Chlibek R et al. Effect of prophylactic paracetamol administration at time of vaccination on febrile reactions and antibody responses in children: two open-label, randomised controlled trials. Lancet 2009; 374 (9698) 1339-1350
    CrossrefPubMedGoogle Scholar
  • 28 Byington CL, Spencer LY, Johnson TA et al. An epidemiological investigation of a sustained high rate of pediatric parapneumonic empyema: risk factors and microbiological associations. Clin Infect Dis 2002; 34 (4) 434-440
    CrossrefGoogle Scholar
  • 29 François P, Desrumaux A, Cans C et al. Prevalence and risk factors of suppurative complications in children with pneumonia. Acta Paediatrica 2010; 99 (6) 861-866
    CrossrefGoogle Scholar
  • 30 Elemraid MA, Thomas MF, Blain AP et al. Risk factors for the development of pleural empyema in children. Pediatr Pulmonol 2015; 50 (7) 721-726
    CrossrefGoogle Scholar
  • 31 Le Bourgeois M, Ferroni A, Leruez-Ville M et al. Nonsteroidal anti-inflammatory drug without antibiotics for acute viral infection increases the empyema risk in children: A matched case-control study. J Pediatr 2016; 175: 47-53
    CrossrefGoogle Scholar
  • 32 Voiriot G, Dury S, Parrot A et al. Nonsteroidal antiinflammatory drugs may affect the presentation and course of community-acquired pneumonia. Chest 2011; 139 (2) 387-394
    CrossrefGoogle Scholar
  • 33 Grossarth-Maticek R, Frentzel-Beyme R, Kanazir D et al. Reported herpes-virus-infection, fever and cancer incidence in a prospective study. J Chronic Dis 1987; 40 (10) 967-976
    CrossrefGoogle Scholar
  • 34 Kölmel KF, Pfahlberg A, Mastrangelo G et al. Infections and melanoma risk: results of a multicentre EORTC case-control study. Melanoma Res 1999; 9 (5) 511
    CrossrefGoogle Scholar
  • 35 Krone B, Kölmel K, Grange J et al. Impact of vaccinations and infectious diseases on the risk of melanoma--evaluation of an EORTC case-control study. Eur J Cancer 2003; 39 (16) 2372-2378
    CrossrefGoogle Scholar
  • 36 Wrotek S, Kamecki K, Kwiatkowski S et al. Cancer patients report a history of fewer fevers during infections than healthy controls. J Preclin Clin Res 2009; 3 (1) 1031-1035
    Google Scholar
  • 37 Kenney WL, Munce TA. Invited Review: Aging and human temperature regulation. J Appl Physiol 2003; 95 (6) 2598-2603
    CrossrefGoogle Scholar
  • 38 Roghmann MC, Warner J, Mackowiak PA. The relationship between age and fever magnitude. Am J Med Sci 2001; 322 (2) 68-70
    CrossrefGoogle Scholar
  • 39 Kienle G, Kiene H. From reductionism to holism: systems-oriented approaches in cancer research. Glob Adv Health Med 2012; 1 (5) 68-77
    Google Scholar
  • 40 Kokolus KM, Capitano ML, Lee CT et al. Baseline tumor growth and immune control in laboratory mice are significantly influenced by subthermoneutral housing temperature. Proc Natl Acad Sci 2013; 110 (50) 20176-20181
    CrossrefGoogle Scholar
  • 41 Levin JS. Spontaneous Remission: An Annotated Bibliography. JSTOR; 1995
    Google Scholar
  • 42 Hoption Cann S, Van Netten J, Van Netten C et al. Spontaneous regression: a hidden treasure buried in time. Med Hypotheses 2002; 58 (2) 115-119
    CrossrefGoogle Scholar
  • 43 Takeda Y, Togashi H, Shinzawa H et al. Spontaneous regression of hepatocellular carcinoma and review of literature. J Gastroenterol Hepatol 2000; 15 (9) 1079-1086
    CrossrefGoogle Scholar
  • 44 Coley WB. The treatment of sarcoma of the long bones. Ann Surg 1933; 97 (3) 434-460
    CrossrefGoogle Scholar
  • 45 Kienle GS. Fever in cancer treatment: Coley’s therapy and epidemiologic observations. Glob Adv Health Med 2012; 1 (1) 92-100
    Google Scholar
  • 46 Hobohm U. Fever and cancer in perspective. Cancer Immunology, Immunotherapy. 2001; 50 (8) 391-396
    Google Scholar
  • 47 Kleef R, Jonas WB, Knogler W et al. Fever, cancer incidence and spontaneous remissions. Neuroimmunomodulation 2000; 9 (2) 55-64
    Google Scholar
  • 48 Hobohm U. Fever therapy revisited. Br J Cancer 2005; 92 (3) 421-425
    CrossrefGoogle Scholar
  • 49 Hager ED. Fever, pyrogens and cancer. Eurekah Bioscience 2005; 1 (8) 680-710
    Google Scholar
  • 50 Abdelrazeq AS. Spontaneous regression of colorectal cancer: a review of cases from 1900 to 2005. Int J Colorectal Dis 2007; 22 (7) 727-736
    CrossrefGoogle Scholar
  • 51 Madeleyn R, Soldner G, Tautz C et al. Hirntumore bei Kindern: Therapieverläufe / Teil II. Der Merkurstab 2002; 1: 36-47
    Google Scholar
  • 52 Orange M, Lace A, Fonseca MP et al. Durable regression of primary cutaneous b-cell lymphoma following fever-inducing mistletoe treatment: two case reports. Glob Adv Health Med 2012; 1 (1) 18-25
    Google Scholar
  • 53 Schad F, Axtner J, Buchwald D et al. Intratumoral mistletoe (Viscum album L) therapy in patients with unresectable pancreas carcinoma: a retrospective analysis. Integr Cancer Ther 2014; 13 (4) 332-340
    CrossrefGoogle Scholar
  • 54 Mabed M, El-Helw L, Shamaa S. Phase II study of viscum fraxini-2 in patients with advanced hepatocellular carcinoma. Br J Cancer 2004; 90 (1) 65-69
    CrossrefPubMedGoogle Scholar
  • 55 Orange M. Mistletoe Therapy for Cancer Patients. Thesis for the degree of Master of Science in Clinical Oncology [Dissertation]. University of Birmingham; UK: 2011. Im Internet: http://www.anthromed.org/UploadedDocuments/0_Dissertation_compressed.pdf
    Google Scholar
  • 56 von Schoen-Angerer T, Wilkens J, Kienle GS et al. High-dose Viscum album extract treatment in the prevention of recurrent bladder cancer: a retrospective case series. Perm J 2015; 19 (4) 76-83
    Google Scholar
  • 57 Orange M, Reuter U, Hobohm U. Coley’s Lessons Remembered Augmenting Mistletoe Therapy. Integr Cancer Ther 2016; 15 (4) 502-511
    CrossrefGoogle Scholar
  • 58 Mackowiak PA, Boulant JA. Fever’s glass ceiling. Clin Infect Dis 1996; 22 (3) 525-536
    CrossrefGoogle Scholar
  • 59 Harden LM, Kent S, Pittman QJ et al. Fever and sickness behavior: Friend or foe?. Brain Behav Immun 2015; 50: 322-333
    CrossrefGoogle Scholar
  • 60 Ghandi Y, Chaichi PY, Sharifi M et al. The Brugada syndrome unmasked by fever in a two-year-old child: case report. J Compr Ped 2016; 7 (1) e35129
    Google Scholar
  • 61 Probst V, Denjoy I, Meregalli PG et al. Clinical aspects and prognosis of Brugada syndrome in children. Circulation 2007; 115 (15) 2042-2048
    CrossrefGoogle Scholar
  • 62 Mouihate A, Harré EM, Martin S et al. Suppression of the febrile response in late gestation: evidence, mechanisms and outcomes. J Neuroendocrinol 2008; 20 (4) 508-514
    CrossrefGoogle Scholar
  • 63 Sullivan JE, Farrar HC. American Academy of Pediatrics, the Section on Clinical Pharmacology and Therapeutics. Clinical report – fever and antipyretic use in children. Pediatrics 2011; DOI: 10.1542/peds.2010–3852.
    Google Scholar
  • 64 Young P, Saxena M, Bellomo R et al. Acetaminophen for fever in critically ill patients with suspected infection. NEJM 2015; 373 (23) 2215-2224
    CrossrefGoogle Scholar
  • 65 Greenberg RS, Chen H, Hasday JD. Acetaminophen has limited antipyretic activity in critically ill patients. J Crit Care 2010; 25 (2) 363.e1-363.e7
    Google Scholar
  • 66 Purssell E, While AE. Does the use of antipyretics in children who have acute infections prolong febrile illness?. A systematic review and meta-analysis. J Pediatr 2013; 163 (3) 822-827
    Google Scholar
  • 67 Brandts CH, Ndjave M, Graninger W et al. Effect of paracetamol on parasite clearance time in Plasmodium falciparum malaria. Lancet 1997; 350 (9079) 704-709
    CrossrefGoogle Scholar
  • 68 Doran TF, De Angelis C, Baumgardner RA et al. Acetaminophen: more harm than good for chickenpox?. J Pediatr 1989; 114 (6) 1045-1048
    CrossrefGoogle Scholar
  • 69 Plaisance KI, Kudaravalli S, Wasserman SS et al. Effect of antipyretic therapy on the duration of illness in experimental influenza A, Shigella sonnei, and Rickettsia rickettsii infections. Pharmacotherapy 2000; 20 (12) 1417-1422
    CrossrefGoogle Scholar
  • 70 Schulman CI, Namias N, Doherty J et al. The effect of antipyretic therapy upon outcomes in critically ill patients: a randomized, prospective study. Surg Infect (Larchmt) 2005; 6 (4) 369-375
    CrossrefGoogle Scholar
  • 71 Gandhi M. Autobiography: The story of my experiments with truth [Internet]. Courier Corporation; 1948
    Google Scholar
  • 72 Ulbricht M. Antipyretische Wirkung eines körperwarmen Einlaufes. Universität Tübingen; 1991
    Google Scholar
  • 73 Curran LK, Newschaffer CJ, Lee LC et al. Behaviors associated with fever in children with autism spectrum disorders. Pediatrics 2007; 120 (6) e1386-92
    CrossrefGoogle Scholar
  • 74 Mehler MF, Purpura DP. Autism, fever, epigenetics and the locus coeruleus. Brain Res Rev 2009; 59 (2) 388-392
    CrossrefGoogle Scholar
  • 75 Hamre HJ, Glockmann A, Schwarz R et al. Antibiotic use in children with acute respiratory or ear infections: prospective observational comparison of anthroposophic and conventional treatment under routine primary care conditions. Evid Based Complement Alternat Med 2014; DOI: 10.1155/2014/243801.
    Google Scholar
  • 76 Kummer KR. 1001-mal Masern-prospektive Untersuchung von 886 und retrospektive von 115 Verläufen in der Praxis. Der Merkurstab 1999; 52: 369-375
    Google Scholar
  • 77 Fintelmann V, Hopferwieser M, Kennyeres B et al. Die Masernepidemie in Salzburg, Ostern 2008. Der Merkurstab 2011; 64: 128-142
    Google Scholar
  • 78 Busche P. Masern im Erwachsenenalter – eine Kasuistik. Der Merkurstab 2015; 68 (6) 455-458
    Google Scholar
  • 79 Szöke H, Marodi M, Sallay Z et al. Integrative versus conventional therapy of chronic otitis media with effusion and adenoid hypertrophy in children: a prospective observational study. Forsch Komplementmed 2016; 23 (4) 231-239
    CrossrefGoogle Scholar
  • 80 Jeschke E, Lüke C, Ostermann T et al. Verordnungsverhalten anthroposophisch orientierter Ärzte bei akuten Infektionen der oberen Atemwege. Forsch Komplementmed 2007; 14 (4) 207-215
    CrossrefGoogle Scholar