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VIEWS: 86 PAGES: 32

									Testing alternative medicine
Burden, blessing or both?

Background information
 Had acupuncture therapy as teenager. It

did not help. Prayer did.  Interested throughout medical studies  Interaction with colleagues and healers in Africa, Asia and Europe >10 years  Three years of research leading to book with four other authors in 1993  Presently working on revised edition  CDK and CGH in Switzerland

Never forget
• We are talking about people in the first place – People who are suffering – People who want to help them • Discernment and compassion belong together • Evaluation is not judgement or condemnation • The truth should be shared in love

Some initial questions
• Am I really willing to change my views on the basis of an honest presentation of the truth? • What if: • I (partially) earn my living with a therapy that is biblically unacceptable? • People I love use unacceptable therapies? • I have been deceived?

Why test (alternative) medicine?
1.

2.

3.

Wise stewards of God’s creation test everything and use the good to bless the sick and suffering, 1 Thessalonians 5: 21 We are warned against deception, Colossians 2: 1-8 We should be ready to give an account of our beliefs to anyone who asks, 1 Peter 3: 15-16

Definition of Alternative Medicine
All forms of diagnosis and therapy, that are not taught as examination subjects in medical schools. Two main elements: •Not accepted by regular medical schools •Frequently alternative paradigms of thinking

Two main streams in practice:
Those that
1.

(alternative medicine exclusively), or those that
2.

Replace regular scientific medicine
Complement regular scientific medicine
(complementary medicine)

An overview of (alternative) medicine
Regular scientific medicine
Atropine / Codeine / Scopolamine / Digoxin / Morphine Rational phytotherapy - Standardized extracts Traditional herbal therapy Manual therapy Chiropractic

Complementary medicine Alternative medicine
Anthroposophic medicine Chinese medicine Bach therapy Popular magazines

Homeopathy Ayurvedic medicine Aromatherapy Popular books

Popular “medicine”
© Dr. A. Hasler 2001

This is available
F.1 Necessary? F.2 Effective? F.3 Appropriate? F.4 Ethically OK? F.5 Occult or not?

This is acceptable

Five Screening Filters

Biblical basis for the five filters
1. Stewardship Mandate for F1-3
–
–

Genesis 1: 26-30; 2: 15; 9: 1-7
Keep in mind 1. Personal conscience 2. Christian freedom, Rom. 14; 1. Cor. 8-10 (MSI)

2. God’s moral laws for F4

3. God’s fixed borders for F5
– Deuteronomy 18: 9-14 (Absolutes)
Behälter mit Thorarolle aus: Jerusalemer Bibel Lexikon, Hänssler Verlag 1990

Filter 1: Is it necessary?

  

Medicalization: Problems to be solved medically Consumer mentality: Buy health from doctor Hypochondria: imagined illness (what is root?) Is it really necessary or is it the –
  

wish of the doctor / practitioner wish of the patient common use in certain situations

Filter 2: Is it effective?
Possibilities regarding effectiveness: 1. It does not work at all or it may even be unhealthy 2. It works through usual healing powers
1. 2. 3. 4. 5.

Creational healing power of the body Creational pneumo-psycho-somatic interaction Pharmacologically active substances Placebo effect, ca. 35 % (15-58 %) Still unknown, but usual healing powers Signs and wonders Magic / witchcraft / sorcery

3.

It works through unusual healing powers
1. 2.

Filter 3: Is it appropriate?
1.

2.
3. 4. 5. 6. 7.

Age Sex Finances Cultural / Social factors Drug interactions Contra-indications Risk adverse reactions

Filter 4: Is it ethically acceptable?
1.

2.

3.
4.

What would be good for relationships? Think: Love God and love neighbour How would a good person act in this situation? For us: WWJD? What would have good consequences? What are the responsibilities of the relevant parties?

F.5: Occultism – 6 aspects
1.

Pollution through esoteric world view elements
1.

Comments about the explanatory models
1. 2. 3.

Original explanatory model reflects mindset of the pioneers Replace the original explanatory model as necessary Unknown does not necessarily mean occult Micro-cosmos / Macro-cosmos thinking Unusual linking stars / seasons / elements / food types / organs / diseases Philosophy that reality consists of a few elements (3, 4 or 5) Esoteric energy has to be harmonized / stimulated / flowing

2.

Commonest esoteric elements
1. 2. 3. 4.

Danger: World view pollution / poisoning of the mind

F.5: Occultism – 6 aspects
2.

Diagnosis with the use of forbidden unusual powers:
1.

2.

Soothsaying (unusual insights in the relationships between things/situations/people and health/disease; insights not obtainable through the use of the five senses only) Clairvoyance (unusual insights obtained through communication with demons, including those that pretend to be the spirits of the sick or some other human).

Danger: Demonization

F.5: Occultism – 6 aspects
3.

Therapy with the aid of forbidden unusual powers:
1.

Changes in the health situation of a person through unusual powers (usually aiming at the harmonising of cosmic energy)

Danger: Demonization
4.

Use of techniques that open patients up for possible demonic influences
1.

Causing passive mental states: hypnosis or trance

Danger: Caught in Satan’s trap = Bondage

F.5: Occultism – 6 aspects
5.

Initiate patient into the use of unusual powers
1.

Possible through getting them involved with soothsaying, clairvoyance, witchcraft, sorcery or magic

Danger: Demonization
6.

Curses/magic formulas over patients / medicaments
1.

It is a form of witchcraft / magic / sorcery

Danger: Strengthening a pre-existent occult bondage

Encouragement for the Christian - Proverbs 26:2

Recommendations for Christian doctors
1. 2. 3.

Share with colleagues: humility, compassion, professionalism Study and research: Phyto-therapy, Trigger Point Massage, etc. Critical evaluation of regular scientific medicine
1.

Reductionism; can a God-less doctor be a good doctor?

4.

Network: Biblical-Christian Healthcare - international
1.

2.

Via www.hfe.org or www.hcf-international.com or www.icmda.net CDK, CiCP, CIG, CMA, CMS, ICMDA, Journal Christian Healthcare; HCF, MedIchthys, NCF
Reckon with it in anamnesis, diagnosis, therapy Careful counselling about OK or not-OK alternative medicine

5.

Take patient’s use of alternative medicine seriously
1. 2.

Filter 1: Is acupuncture necessary?
1.

Arguments for:
1. 2. 3. 4. 5.

Normal scientific medicine is too materialistic ‘No’ to medication with adverse reactions Use acupuncture as missionary tool Only limited means available Nothing else has helped
It does not work Only placebo-effect It is occult

2.

Arguments against:
1. 2. 3.

Filter 2: Is acupuncture effective?
1.

2.

3.

NO =Ter Riet et al (1990; inc. Medline 1963-1988 ): Meta-Analysis of 91 usable, published trials over a period of 17 years; 12 % is >50% reliable; none more reliable than 68%. The more thorough the research, the less positive the results = no conclusive evidence. Possibly YES = Linde et al (2001; inc. Medline 1989-2000): Meta-Analysis of 39 usable published trials; positive for post-operative nausea; negative as help to stop smoking Yes = GerAc research project: in certain types of complaints, mostly related to pain/allergy relief

F.3: Is acupuncture appropriate?
1. 2. 3. 4. 5. 6. 7. 8.

Age – no issue Sex – no issue Finances – issue if presented as cure-all Culture/social – family/patient pressure can be severe Drug interactions – no issue Contra-indications – only if ineffective or occult Risk adverse reactions – no issue Possibly appropriate in demythologized symptomatic use

F.4: Is acupuncture ethical?
1.

What facts are relevant?
1. 2. 3.

Overlap with nerve/artery/vein triads + with muscle trigger points ?Possible to determine points more accurately electrically Classical acupuncture anatomy seriously outdated Who/what is trusted for healing? GerAc research says YES. Relief of pain Van Dijk (1980) 10.000 therapeutic sessions
1. 2.

2.

What consequences are relevant?
1.

3.

Does it really help?
1.

4.

Is it harmful?
1.

Pneumothorax (a few cases) Hepatitis, burn wounds (very rare)

5.

Does it promote responsible behaviour?
1.

Usually patients not made dependent on practitioner

Filter 5: Is acupuncture occult?
1.

Promoting non-biblical views of God, man, health / disease and world?
1. 2.

Almost always = World view pollution Note: Western version has little worldview pollution Rare in the West until now. Depends on practitioner.

2.

Diagnosis with forbidden unusual powers?
1.

3.

Therapy with forbidden unusual powers?
1.

Rare in the West until now. Depends on practitioner. Some Christian authors say yes. Evidence difficult to document scientifically.

Filter 5: Is acupuncture occult?
4.

Techniques that open patients for demonic influence
1.

Hypnosis or Trance possible. Depends in practitioner.
Rare in the West until now. Depends on practitioner. Rare in the West until now. Depends on practitioner.

5.

Initiation in use of forbidden unusual powers?
1.

6.

Curse or magic spell during therapy?
1.

F.1: Ist Homöopathie notwendig?
1.

Argumente dafür:
1.

2. 3. 4.

normale wissenschaftliche Medizin ist zu materialistisch >nein = zu Medikamenten mit Nebeneffekten verfügbare Mittel: begrenzte Mittel nichts anderes hilft mehr: „aus-gearztet“ funktioniert nicht  Quacksalberei nur Placeboeffekt Okkult  Prinzip der „Unsichtbaren Lebenskraft“

2.

Argumente dagegen:
1. 2. 3.

Filter 2: Ist Homöopathie wirksam?
1.

Hill und Doyon (1990): 40 Versuche
1.

Effektivität nicht bewiesen 23 von ziemliche Qualität 15 davon günstige Ergebnisse 54% besser mit Homöopathie 95% besser mit Medikation

2.

Kleijnen u.a. (1991): 107 Versuche
1. 2.

3.

Pirtkien (1976) Gelenkkrankheiten
1. 2.

F.3: Ist Homöopathie angemessen?
1. 2. 3. 4. 5. 6.

7.

 

Age Sex Finances Culture / Social factors Drug interactions Contra-indications Risk adverse reactions Wenn sie

wäre Homöopathie angemessen.

wirksam wäre, im Einzelfall notwendig und nicht schädlich,

F.4: Homöopathie ethisch tragbar?
1.

Was sind die Fakten?
1.

2. 3.

Zwei Tausend Medikamenten; Fünf Hundert bis zwei Tausend Symptomen pro Medikament = Vier Millionen Kombinationen möglich Verdünnung: D=10; C=100 Avogadro: D22 – D23 nichts mehr über Okkulte Einflüsse?

2.

Was sind die Folgen?
1.

F.4: Homöopathie ethisch tragbar?
3.

Hilft sie?
1.

Phytotherapie besser?
In Forschung nichts gefunden Geistlich schädlich, Chr. Schriftsteller wie Feller, Markmann, Kunze Meistens werden die Patienten auf keine ungesunde Weise von ihren Heilern abhängig gemacht.

4.

Ist sie schädlich?
1. 2.

5.

Förderung von verantwortungsvollem Verhalten?
1.

Filter 5: Ist Homöopathie okkult?
1.

Weiterleitung eines nicht-biblischen Konzepts von Gott, Mensch, Gesundheit/Krankheit und Welt?
1.

Fast immer  Verschmutzung der Weltanschauung.

2.

Diagnose mit verbotenen, aussergewöhnlichen Kräften?
1.

Im Westen kaum gebräuchlich. Hängt vom Heiler ab.

3.

Therapie mit verbotenen, aussergewöhnlichen Kräften?
1. 2.

Manchmal. Hängt vom Heiler ab (Pragmatische oder Klassische Homöopathie). Ja, verschiedene Christliche Schriftsteller.

Filter 5: Ist Homöopathie okkult?
4.

Techniken, die den Patienten dämonischem Einfluß öffnen
1.

Hypnose oder Trance möglich aber nicht gebräuchlich. Hängt vom Heiler ab.

5.

Einführung in den Gebrauch von verbotenen, aussergewöhnlichen Kräften?
1.

Kaum gebräuchlich. Hängt vom Heiler ab.

6.

Beschwörung während der Therapie?
1.

Kaum gebräuchlich. Hängt vom Heiler ab.


								
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