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Conventional mainstream medicine has always prided itself on being supported by science. In recent years it has focused on treatment that is evidence-based (laparoscopy). Alternative and complementary medicines have always existed but we doctors have tended to shun them as being quackery. Those who genuinely believe in treatments such as acupuncture and homeopathy have e qually derided doctors for ignoring treatments that they believe are effective.
The alternatives: two series of articles on these subjects that appeared in the British Medical Journal in 1999 and in 2001 (Figure 33-02
) bear testimony to this change in position. It is now recognised that there is a need for objective, scientific evaluation of all treatment modalities. For the moment at least conventional medicine is unconvinced at most of the claims made by the “alternatives” but it correctly takes a similar cautious attitude to new ideas emanating from within the medical profession.
Book Recommendation:
The part played by traditional medicines in our health care continues to increase year on year. Used for many centuries, they have the reputation of being gentler, less invasive, and more 'natural' than modern western prescription medicines. However, for individuals seeking care that includes traditional medicines there are in fact many risks. While the toxic profiles of western medicines have been precisely and extensively documented and publicised, the harmful effects of traditional medicines taken on their own, or often in combination with western medicines, are not well enough known to ensure safe use. In this highly structured compendium, Dr Lakshman Karalliedde brings together what is currently known and has been scientifically validated regarding traditional medicines from around the world. Covering Chinese, Afro-Caribbean, Unani and Ayurvedic traditional medicines, this book describes the sources of these medicines, their known effects and side effects, recommended dosages, and, very importantly, precautions.Every practitioner prescribing traditional medicines to their patients should have a copy of this book. Individuals who seek the help of complementary therapists and take these medicines will also want to have a copy for reference.
There is promising evidence supporting the use of chinese herbal medicine for primary dysmenorrhoea; however, results are limited by the poor methodological quality of the included trials.0701
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