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Sir, Simon Singh and Edzard Ernst, in their letter “Dangers of alternative therapies” (April 17), have rehashed their well-known personal views to promote their forthcoming book Trick or Treatment. Their claims about the dangers of complementary medicine are exaggerated, especially in comparison with the number of patients who are admitted to hospital each year suffering from problems caused by conventional medicine.
Most of the safety issues surrounding complementary medicine can easily be addressed by better regulation and greater integration of well-established therapies such as homoeopathy into the health service. The UK’s five NHS homoeopathic hospitals are a shining example of how this can be achieved; their practitioners are all conventionally trained doctors and nurses who have taken additional training in complementary therapies. They are regulated in the same way as any other NHS medical staff and their patients have access to the most appropriate treatment for their needs, conventional or complementary.
These NHS services consistently report excellent results from patients, the majority of whom have conditions that haven’t responded to conventional medicine. In 2005 Bristol Homoeopathic Hospital published the largest outcome study of homoeopathic treatment. This reported that 70 per cent of 6,500 follow-up patients experienced improvement in their health. Eczema, asthma, migraine, irritable bowel syndrome, arthritis, depression and chronic fatigue syndrome — difficult chronic problems suffered by many people — all improved. And, contrary to what critics such as Ernst and Singh claim, this service and the other homoeopathic hospitals cost the NHS very little indeed.
John Cook
Chairman, British Homoeopathic Association
Sir, Edzard Ernst claims to have evaluated the evidence rigorously and fairly in order to reach his conclusions. In science, however, his methods and conclusions need to be tested by peer review before validation, something this book is not subject to.
It is therefore no more than personal opinion and should be judged as so.
Richard Hollis
London EC2
Sir, Professor Ernst is clearly on a mission — one badly misguided.
He chooses to ignore that millions of animals have responded successfully to many alternative remedies. For 14 years my cows and their offspring did so.
Rather than advise others what to do, may I suggest that the professor leaves those of us who are content with what we know works to practise it quietly?
Oliver Dowding
Wincanton, Somerset
Sir, Much of the so-called scientific research into complementary medicine uses inappropriate protocols. These protocols may be fine for substance-based therapies, but are often inappropriate for holistic therapies, which usually have a significant spiritual basis and are very often a function more of the intuition and spiritual focus of the therapist than the particular mechanics of the therapy. Much of the effectiveness of these therapies is shown in so-called “anecdotal evidence” and thus not taken seriously. In my personal experience, homoeopathy, chiropractic and spiritual healing are very effective.
Roy Procter
Keinton Mandeville, Somerset
Sir, Your statement (report, April 17) that The Prince’s Foundation for Integrated Health received £900,000 from the Department of Health to produce a guide to complementary therapies is inaccurate; in fact we received £37,000.
We consulted widely with the medical establishment before publishing the guide, and indeed it was widely welcomed and applauded. The British Medical Association, for example, welcomed the guide as “a valuable source of information for patients trying to negotiate the maze of complementary therapies and practitioners”.
The guide is now published online, so we would urge people to visit our website, www.fih.org.uk, and judge for themselves.
Kim Lavely
Chief Executive, The Prince’s Foundation for Integrated Health
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Thank goodness for Prof. Edzard Ernst and Simon Singh. For those therapists who really have others well-being at the heart of their practice- they are the only people who can silence the skeptics by presenting evidence to support the efficacy of the alternative therapies, while simultaneously weeding out those unqualified, unethical and downright dangerous snake oil sellers who peddle therapies that are only clinically proven to separate people from their money (most of the people who have voiced their objections above I suspect).
Sarah, London,
Dear Sam Centipedro
I write from no particular view of complementary therapies, but I have just googled the works of the authors of this book.
If you do the same and look into their output it seems to suffer form a number of major flaws which the respindents to the original letter refer;
1) Very little of their work is peer reviewed.
2) They have a hibit of circular referencing i.e. the bulk of literature reviews focuses on their own work.
3) Studies included seem to be from single sources i.e. obscure Australian or American journals.
4) Much of the work they critique is very old i.e. 1950s and 60s.
So, I am inclined to beleive that there is bad science on either side at work here, and whilst I note anecdotal evidence that 'homeopathy' doesn't work there is equal amounts to say it does.
maybe the funding needs to concentrate on properly run, double blind, Randomised controlled trials, and let real scince take a view.
Sara-Jane Jones, Oxford, UK
Wow! The quacks are out in force!
Homeopathy cannot work and does not work. The placebo effect, the power of suggestion, self-delusion, the body's self-healing properties and outright lies might make it look it effective, but the "remedies" are voodoo nonsense. It does not work for animals, that's rubbish.
Roy Procter says quackery works for him. He's clearly suggestible, and any nicely packaged nonsense would convince his weak mind. Listen carefully: the reason that trials show that these things don't work is because they don't. The trials are right, you're deluding yourself.
"Integrated health"? Ha! The quacks steal nice works like "alternative", "complementary" and now "integrative" or "integrated". Far from being holistic like real medicine, each quack discipline is focused on one chosen aspect (back for chiropractics, feet for reflexology, needles for acupuncture, etc.) to the exclusion of everything else.
Sam Centipedro, Shrewsbury, England
How lovely to see some sensible and robust riposte to the usual rantings of Ernst et al. How on earth Complementary Medicine came to be represented by such an antagonist I have no idea, but he is not only doing a disservice to us all, but to himself. Such underhand tactics are not the actions of any serious scientist.
If he wishes to be taken seriously, I would recommend that he practises what he preaches, and lets his peers review his work like every other respected scientist. This should, of course, include advocates of complimentary medicine to ensure an unbiased review.
I await developments with interest.
Fiona King, Guildford, Surrey,