Anthroposophic medicine

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Anthroposophic medicine (or anthroposophical medicine) is a form of alternative medicine that in part complements and in part replaces mainstream medicine.[1] Founded in the 1920s by Rudolf Steiner (1861–1925) in conjunction with Ita Wegman (1876–1943), anthroposophical medicine draws on Steiner's spiritual philosophy, which he called anthroposophy.[2]

Practitioners employ a variety of treatment techniques including massage, exercise, counselling, and the use of anthroposophic drugs.[3]

Many drugs used in Anthroposophic medicine are ultra-diluted substances, similar to those used in homeopathy, and are thus completely harmless, except when used as a substitute for mainstream medicine, so missing an effective cure.[4] In Europe, people with cancer are sometimes treated with remedies made from specially-harvested mistletoe, but research has found no firm evidence of clinical benefit.[5][6] Some anthroposophic doctors oppose childhood vaccination, and this has led to unnecessary outbreaks of disease.[7]

Certain aspects of anthroposophical medicine's view of the human body and its anatomy are at odds with medical science, proposing for example that the heart does not pump blood but that blood propels itself along.[8] It also proposes that a patient's past lives may influence their illness[9] and that its progress is subject to karmic destiny.[10] Critics, including many scientists and mainstream medical physicians, have characterized anthroposophical medicine as unscientific,[11] pseudoscientific[12] and "pure quackery".[13]

Background[edit]

Co-founders of anthroposophic medicine

Rudolf Steiner in Berlin in 1900
Rudolf Steiner
Ita Wegman in 1899
Ita Wegman

History[edit]

Ita Wegman, co-founder of the medical approach, before 1900 in Berlin.

The first steps towards an anthroposophic approach to medicine were made before 1920, when homeopathic physicians and pharmacists began working with Rudolf Steiner, who recommended new medicinal substances as well as specific methods for preparing these. In 1921, Dr Ita Wegman opened the first anthroposophic medical clinic, now known as the Ita Wegman Clinic,[14] in Arlesheim, Switzerland. Wegman was soon joined by a number of other doctors. They began to train the first anthroposophic nurses for the clinic.

At Wegman's request, Steiner regularly visited the clinic and suggested treatment regimes for particular patients. Between 1921 and 1925, he also gave several series of lectures on medicine. In 1925, Wegman and Steiner wrote the first book on the anthroposophic approach to medicine, Fundamentals of Therapy.

The clinic expanded and soon opened a branch in Ascona. Wegman lectured widely, visiting Holland and England particularly frequently, and an increasing number of doctors began to include the anthroposophic approach in their practices. A cancer clinic, the Lukas Clinic,[15] opened in Arlesheim in 1963.

In the 1990s the Witten/Herdecke University in Germany established a chair in anthroposophical medicine. The press described the appointment as a "death sentence" and the perception that pseudoscience was being taught damaged the university's reputation, bringing it close to financial collapse. It was ultimately saved by a cash injection from Software AG, a technology corporation with a history of funding anthroposophic projects.[11]

In 2006, anthroposophical medicine was practised in 80 countries.[16][unreliable source?]

In 2012 the University of Aberdeen considered establishing a chair in holistic health jointly funded by Software AG, and by the Anthroposophic Health, Education and Social Care Movement, each of which would provide £1.5 million of endowment.[11] Edzard Ernst commented "that any decent university should even consider an anthroposophical medicine unit seems incomprehensible. The fact that it would be backed by people who have a financial interest in this bogus approach makes it even worse".[11] The University's governance and nominations committee eventually decided not to proceed with the appointment.[13]

Categorization and conceptual basis[edit]

The categorization of anthroposophical medicine is complex since in part it complements conventional medicine, and in part it replaces it.[1] In recent times it has been promoted as an "extension to conventional medicine".[7]

In 1992, a workshop on alternative medicine prepared a report for the NIH on various alternative medicines and concluded that anthroposophical medicine, when considered as an extension to mainstream medicine, had three foundations: naturopathy, homeopathy, and that mainstream medicine itself.[2]

Edzard Ernst writes that Steiner used imagination and insight as a basis for his ideas, drawing mystical knowledge from the Akashic Records, which were accessible to him via his intuitive powers.[4] Steiner proposed "associations between four postulated dimensions of the human body (physical body, etheric body, astral body, and ego), plants, minerals, and the cosmos".[3] Steiner also outlined a connection betweens planets, metals and organs so that, for example, the planet Mercury, the element mercury and the lung were all associated. These affinities form the basis of anthroposophical medicine.[4]

Ernst has said that anthroposophical medicine "includes some of the least plausible theories one could possibly imagine",[17] categorized it as "pure quackery",[13] and said that it has "has no basis in science".[11] According to Quackwatch illness is regarded as a "rite of passage" necessary to purge spiritual impurities carried over from past lives, according to the precepts of "karmic destiny".[9]

Methods[edit]

Anthroposophic drugs are prepared according to ancient notions of alchemy and homeopathy which are not related to the science underlying modern pharmacology:[3] during the preparation process, the patterns formed by crystallization are interpreted to see which "etheric force" they most nearly correspond to.[12] Most anthroposophic preparations are highly diluted, like homeopathic remedies, and while this means they are completely harmless in themselves, using them in place of conventional medicine to treat serious illness risks severe adverse consequences.[4]

As well as drug remedies, anthroposophical medicine also includes:[3]

  • Anthroposphic Art Therapy – a therapy which includes "painting, drawing, clay modeling, music, or speech exercises".[18]
  • Anthroposophic nursing
  • Counselling
  • Eurythmy – claimed to have an effect on "inner life functions" leading to a "re-integration of body, soul, and spirit".[9][19]
  • External applications
  • Rhythmic massages

Immunization[edit]

The risks arising from using anthroposophical medicine as a substitute for evidence based medicine are exemplified by several cases of low vaccination levels in anthroposophic schools,[4] since some anthroposophical doctors oppose immunization.[7] A 1999 study of children in Sweden showed that in anthroposophical schools, only 18% had received MMR vaccination, compared to a level of 93% in other schools nationally.[4]

A 2003 report of a widespread measles outbreak around Coburg, Germany identified an anthroposophical school as the origin.[4] At the time the town's mayor had condemned homeopathic doctors who had discouraged vaccination, saying "Their stronghold is the Waldorf School, which actively encourages people not to have their children vaccinated. Now we have an epidemic."[20]

Paul Offit writes that Steiner believed that vaccination "interferes with karmic development and the cycles of reincarnation", and that adherence to this belief this led to a 2008 pertussis outbreak in a Californian waldorf school, causing its temporary closure.[10]

Plant-derived treatments[edit]

To find remedies to treat a particular illness, physicians practising anthroposphical medicine consider the nature of the source of the substances used. The character of a mineral, plant or animal is considered to have been formed by the substances that are most active within it, such that this character may also reveal what the substance will accomplish when given to treat another organism. This is related to Samuel Hahnemann's Doctrine of signatures. Willow, for example, is considered to have an unusual character:

... plants that grow near water are usually heavy, with big, dark green leaves that wilt and break easily. An exception is... the white willow, a tree that always grows near water and loves light. However, unlike other "watery" plants, the willow has fine, almost dry leaves and looks very light... Its branches are unbelievably tough. They are elastic and cannot be broken. They bend easily and form "joints" rather than break. These few signatures can give us the clue to what salix can be used for therapeutically: arthritis, deformation of joints, swollen joints...[21]

There is no scientific evidence that the shape of plants has ever caused a new medical property to be discovered.[22] The intent of the medical approach is to consider both the effective substances and the character (not just shape) of the mineral, plant or animal these substances are drawn from, however.[23]

Heart[edit]

Steiner described the heart as not a mechanical device in which the heartbeat can be distinguished from the blood circulation. For Steiner, the heart was a regulator of flow, flow that in the blood of the circulatory system is, as Marinelli put it, "propelled with its own biological momentum, as can be seen in the embryo, and boosts itself with induced momenta from the heart".[8]

Mistletoe treatment for cancer[edit]

Rudolf Steiner proposed that mistletoe could cure cancer based on the observation that the plant was a parasite which eventually killed its host, so paralleling the progression of cancer.[3] Steiner believed the plant had to be harvested at the right time, as its medical potential was influenced by the position of the sun, moon and planets.[24] Some anthroposophical preparations are highly-diluted; others are made from fermented mistletoe.[3] The most common trade names for the remedies are Iscador and Helixor.[5]

Although mistletoe-based cancer drugs are widely prescribed in Europe, there is insufficient evidence of their effectiveness to draw any firm conclusions about their benefit to people with cancer.[6] According to the American Cancer Society, "available evidence from well-designed clinical trials does not support claims that mistletoe can improve length or quality of life".[5]

In 2006 Edzard Ernst wrote that approximately 30 types of mistletoe extracts were available; and concluded that the treatment "has no proved benefit, and can cause harm".[3] Mistletoe extracts are used as an unconventional treatment for cancer patients in the Netherlands and in Great Britain.[5] In Germany, the treatment has been approved as palliative therapy to treat the symptoms of patients with malignant tumors,[5] and in Sweden, controversially, it has been approved for use in the treatment of cancer symptoms.[25] Mistletoe extracts may not be distributed in or imported into the US except for the purpose of clinical research.[26]

See also[edit]

References[edit]

  1. ^ a b Kienle, Gunver S.; Kiene, Helmut; Albonico, Hans Ulrich (2006). "Anthroposophische Medizin: Health Technology Assessment Bericht – Kurzfassung". Forschende Komplementärmedizin / Research in Complementary Medicine 13 (2): 7. doi:10.1159/000093481. "teils ergänzend und teils ersetzend zur konventionellen Medizin"  Cited in Ernst, E (2008). "Anthroposophic medicine: A critical analysis". MMW Fortschritte der Medizin. 150 Suppl 1: 1–6. PMID 18540325. 
  2. ^ a b DIANE Publishing Company (1 July 1995). Alternative Medicine: Expanding Medical Horizons. DIANE Publishing. p. 86. ISBN 978-0-7881-1820-3. 
  3. ^ a b c d e f g Ernst, E. (2006). "Mistletoe as a treatment for cancer". BMJ 333 (7582): 1282–3. doi:10.1136/bmj.39055.493958.80. PMC 1761165. PMID 17185706. 
  4. ^ a b c d e f g Ernst, E (2008). "Anthroposophic medicine: A critical analysis". MMW Fortschritte der Medizin. 150 Suppl 1: 1–6. PMID 18540325. 
  5. ^ a b c d e "Mistletoe". American Cancer Society. January 2013. Retrieved September 2013. "Available evidence from well-designed clinical trials does not support claims that mistletoe can improve length or quality of life." 
  6. ^ a b Horneber MA, Bueschel G, Huber R, Linde K, Rostock M (2008). "Mistletoe therapy in oncology". Cochrane Database Syst Rev (Systematic review) (2): CD003297. doi:10.1002/14651858.CD003297.pub2. PMID 18425885. "The review found that there was not enough evidence to reach clear conclusions about the effects on any of these outcomes and it is therefore not clear to what extent the application of mistletoe extracts translates into improved symptom control, enhanced tumour response or prolonged survival." 
  7. ^ a b c Ernst, E (2011). "Anthroposophy: A risk factor for noncompliance with measles immunization". The Pediatric infectious disease journal 30 (3): 187–9. doi:10.1097/INF.0b013e3182024274. PMID 21102363. 
  8. ^ a b Marinelli, R., Fuerst, B., et al. "The Heart is not a Pump: A refutation of the pressure propulsion premise of heart function", Frontier Perspectives 5(1), Fall-Winter 1995
  9. ^ a b c Rawlings, Roger. "Rudolf Steiner's Quackery". QuackWatch. Retrieved 10 September 2012. 
  10. ^ a b Paul A. Offit (2011). Deadly Choices: How the Anti-Vaccine Movement Threatens Us All. Basic Books. p. 13. ISBN 978-0-465-02356-1. 
  11. ^ a b c d e McKie, Robin; Hartmann, Laura (29 April 2012). "Holistic unit will 'tarnish' Aberdeen University reputation". The Observer. 
  12. ^ a b Dugan, Dan. Michael Shermer, ed. Anthroposophy and Anthroposophical Medicine. The Skeptic Encyclopedia of Pseudoscience (ABC-CLIO). pp. 31–32. ISBN 978-1-57607-653-8. 
  13. ^ a b c Jump, Paul (11 May 2012). "Aberdeen decides against alternative medicine chair". Times Higher Education Supplement. 
  14. ^ Ita Wegman Klinik (German). Accessed 2007-12-26.
  15. ^ Lukas Clinic. Accessed 2007-12-26.
  16. ^ Gunver Sophia Kienle; Helmut Kiene; Hans Ulrich Albonico (2006). Anthroposophic Medicine: Effectiveness, Utility, Costs, Safety. Schattauer Verlag. ISBN 978-3-7945-2495-2. 
  17. ^ Ernst, E (2010). "Anthroposophic Medicine". Focus on Alternative and Complementary Therapies 12: 66. doi:10.1111/j.2042-7166.2007.tb04893.x. 
  18. ^ Hamre, HJ; Witt, CM; Glockmann, A; Ziegler, R; Willich, SN; Kiene, H (2007). "Anthroposophic art therapy in chronic disease: A four-year prospective cohort study". Explore 3 (4): 365–71. doi:10.1016/j.explore.2007.04.008. PMID 17681256. 
  19. ^ Heusser, Peter; Kienle, Gunver Sophia (2009). "Anthroposophic medicine, integrative oncology, and mistletoe therapy of cancer". In Abrams, Donald; Weil, Andrew. Integrative Oncology. Weil Integrative Medicine Library (Oxford University Press). p. 327. ISBN 978-0-19-988585-5. 
  20. ^ Hall, Alan (6 March 2002). "Anti-vaccine town struck by measles epidemic". The Times. p. 3. 
  21. ^ Carroll, Robert Todd (21 May 2012). "Anthroposophic medicine". The Skeptics Dictionary. Retrieved October 2013. 
  22. ^ Bennett, Bradley C. (2007). "Doctrine of Signatures: An Explanation of Medicinal Plant Discovery or Dissemination of Knowledge?". Economic Botany 61 (3): 246–255 doi=10.1663/0013–0001. doi:10.1663/0013-0001. Retrieved 2008-08-31. 
  23. ^ Angaben zu Pflanzeninhaltsstoffen bei Rudolf Steiner. Merkurstab 1994; 47:561- 80
  24. ^ James S. Olson (5 January 2005). Bathsheba's Breast: Women, Cancer, and History. JHU Press. p. 452. ISBN 978-0-8018-8064-3. Retrieved 1 September 2013. 
  25. ^ "Unique green light for anthroposophical drug", Svensk Farmaci
  26. ^ "Overview". Mistletoe Extracts (PDQ®). National Cancer Institute. July 2013. Retrieved October 2013. 

Further reading[edit]

Books and journal articles[edit]

  • Ernst, E (2004). "Anthroposophical medicine: A systematic review of randomised clinical trials". Wiener klinische Wochenschrift 116 (4): 128–30. doi:10.1007/bf03040749. PMID 15038403. 
  • Kienle, GS; Kiene, H (2007). "Complementary cancer therapy: A systematic review of prospective clinical trials on anthroposophic mistletoe extracts". European journal of medical research 12 (3): 103–19. PMID 17507307. 
  • Anthroposophical medicine in Singh, Simon; Ernst, Edzard (6 October 2009). Trick or Treatment? Alternative Medicine on Trial. Transworld. p. 135. ISBN 978-1-4090-8180-7. 

Lectures by Rudolf Steiner[edit]

External links[edit]