Forschende Komplementarmedizin und klassische Naturheilkunde = Research in complementary and natural classical medicine最新文献

{"title":"[Naturopathic methods as part of the academic curriculum and the role of general practice].","authors":"Detmar Jobst,&nbsp;Wilhelm Niebling","doi":"10.1159/000088316","DOIUrl":"https://doi.org/10.1159/000088316","url":null,"abstract":"<p><strong>Background: </strong>With the implementation of the last 'Arztliche Approbationsordnung' in 2003, complementary medicine (CAM) became a required subject for all German medical schools. CAM will be taught together with rehabilitation and physical treatment in a compound as a cross sectional subject.</p><p><strong>Objectives: </strong>As CAM has rarely been represented at German universities before,the question arose who would give the classes. Previously, CAM had often been taught within the curriculum of academic General Practice.</p><p><strong>Methods and results: </strong>According to the replies from 27 departments of general practice at German universities, we show effects of the required additional curriculum on academic General Practice, which faculties are involved beyond General Practice, what kind of contents are taught and what type of examinations are considered. Descriptive statistical results will be given.</p>","PeriodicalId":80278,"journal":{"name":"Forschende Komplementarmedizin und klassische Naturheilkunde = Research in complementary and natural classical medicine","volume":"12 5","pages":"272-6"},"PeriodicalIF":0.0,"publicationDate":"2005-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000088316","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25640608","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Treatment-oriented attitudes and treatment motivation of patients from two clinics for complementary medicine].","authors":"Irene Giesser,&nbsp;Marc Wittmann,&nbsp;Ulla Mitzdorf","doi":"10.1159/000088290","DOIUrl":"https://doi.org/10.1159/000088290","url":null,"abstract":"Hintergrund: Die zunehmende Inanspruchnahme komplementärmedizinischer Therapien lässt auf einen Einstellungswandel bezüglich des Behandlungsverständnisses schliessen. Fragestellung: Untersuchung der Rolle von Einstellungen bei der Motivation für komplementärmedizinische Behandlung: (1) Lässt sich die Untersuchungsstichprobe hinsichtlich behandlungsbezogener Einstellungen in homogene Gruppen aufteilen? (2) Welche Zusammenhänge bestehen zwischen den in Frage (1) identifizierten Einstellungsgruppen und motivationalen Variablen? Patienten und Methode: Das Datenmaterial bestand aus vier Fragebögen, die 203 Patienten in zwei komplementärmedizinischen Kliniken vorgelegt wurden. Zur Differenzierung der Einstellungsstruktur wurde eine Clusteranalyse über drei Einstellungsskalen durchgeführt. Die Interpretation motivationaler Aspekte erfolgte auf der Grundlage des Arbeitsmodells von Petry, der den Motivationsprozess anhand von drei Motivationsdimensionen (Behandlungsdisposition, Behandlungsbereitschaft, Behandlungsaktivität) beschreibt. Ergebnisse: Drei Einstellungsgruppen konnten identifiziert werden: «Nicht-Überzeugte » (Cluster 1, n = 24) zeigten eine geringe Überzeugung in Bezug auf alle komplementärmedizinischen Behandlungsaspekte. «Überzeugte» (Cluster 2, n = 103) gaben in allen drei Skalen eine hohe Zustimmung an, am höchsten in der Skala Patientenrolle. Auch «Teil-Überzeugte» (Cluster 3, n = 70) betonten vor allem die «Patientenrolle»; Aspekte der Arzt-Patient-Beziehung und der Behandlungsmethode fanden teilweise Zustimmung. Bei allen Clustern spielten die pragmatischen Behandlungsmotive (Behandlungsbereitschaft) bei der Behandlungswahl eine zentrale Rolle, bei Cluster 2 am stärksten. Gegenüber Cluster 1 ist bei den Patienten der Cluster 2 und 3 das komplementärmedizinische Behandlungsverständnis (Behandlungsdisposition) stärker ausgeprägt, bei Cluster 2 am höchsten. Diskussion: Auch wenn bei allen Einstellungsgruppen die pragmatischen Behandlungsmotive stark ausgeprägt sind, wird die zentrale Rolle der behandlungsbezogenen Einstellungen im Motivationsprozess bestätigt. Trotz unterschiedlicher Einstellungsstruktur vertritt die Mehrheit der Patienten ein komplementärmedizinisches Behandlungsverständnis.","PeriodicalId":80278,"journal":{"name":"Forschende Komplementarmedizin und klassische Naturheilkunde = Research in complementary and natural classical medicine","volume":"12 5","pages":"262-71"},"PeriodicalIF":0.0,"publicationDate":"2005-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000088290","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25640607","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A biostatistical insight into the As(2)O(3) high dilution effects on the rate and variability of wheat seedling growth.","authors":"Maurizio Brizzi,&nbsp;Lisa Lazzarato,&nbsp;Daniele Nani,&nbsp;Francesco Borghini,&nbsp;Maurizio Peruzzi,&nbsp;Lucietta Betti","doi":"10.1159/000087968","DOIUrl":"https://doi.org/10.1159/000087968","url":null,"abstract":"<p><strong>Background: </strong>Most criticism of homeopathy concerns the lack of scientific bases and theoretical models. Fundamental research could make important contributions to our understanding of the mechanisms of action of homeopathic treatments. Plant-based bioassays are suitable for basic research -- lacking the placebo effect and ensuring large data samples for structured statistical analyses.</p><p><strong>Objective: </strong>The aim of this study was to reproduce a previous experiment on the effects of arsenic trioxide (As(2)O(3)) high dilutions on wheat seedling growth in order to verify whether the same significant results could be obtained working in a different place and with a different experimental team. A further goal was to investigate high dilution effects on variability.</p><p><strong>Material and methods: </strong>A structured experiment was performed blind over 9 weeks, using wheat seeds previously stressed with a sublethal dose of As(2)O(3). The seeds were then treated with either potentized As(2)O(3) (5x, 15x, 25x, 35x, 45x), potentized water (equivalent potencies) or diluted As(2)O(3) (10(-5), 10(-15), 10(-25), 10(-35), 10(-45)). The working variable was the stem length, measured after 4, 5, 6 and 7 days.</p><p><strong>Results: </strong>Some potencies (As(2)O(3) 45x and H(2)O 45x) induced a relevant increase in seedling growth and/or a variability decrease. Diluted As(2)O(3) did not induce any significant results.</p><p><strong>Conclusions: </strong>Confirmation of a significant stimulating effect on seedling growth and a significant decrease of variability was obtained with ultra-high dilutions at the 45x potency. The model of wheat germination and growth has been confirmed to be a good tool for basic research in homeopathy.</p>","PeriodicalId":80278,"journal":{"name":"Forschende Komplementarmedizin und klassische Naturheilkunde = Research in complementary and natural classical medicine","volume":"12 5","pages":"277-83"},"PeriodicalIF":0.0,"publicationDate":"2005-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000087968","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25640526","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Economy chased medicine: health under the provision of economy -- chance or threat for CAM?","authors":"E Ernst","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":80278,"journal":{"name":"Forschende Komplementarmedizin und klassische Naturheilkunde = Research in complementary and natural classical medicine","volume":"12 5","pages":"292; author reply 292"},"PeriodicalIF":0.0,"publicationDate":"2005-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25710972","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Increases of intracranial pressure and changes of blood flow velocity due to acupressure, needle and laser needle acupuncture?].","authors":"Gerhard Litscher,&nbsp;Lu Wang,&nbsp;Gerhard Schwarz,&nbsp;Detlef Schikora","doi":"10.1159/000087044","DOIUrl":"https://doi.org/10.1159/000087044","url":null,"abstract":"<p><strong>Background: </strong>Pressure on the acupoints St.7 and SJ.22 can lead to significant, reversible increases in intracranial pressure (ICP) in patients with elevated ICP.</p><p><strong>Objective: </strong>In this study, we investigated whether changes in cerebral parameters in healthy volunteers can also be registered, when the mentioned acupoints associated with ICP, are stimulated.</p><p><strong>Subjects and methods: </strong>We investigated a total of 34 volunteers (24 females, 10 males) and a 15-year-old intensive care patient after severe head injury. The mean age of volunteers was 25.2 +/- 3.4 years (range 20-35). Stimulation was performed using acupressure techniques, manual needle and laser needle methods. We evaluated the main parameter of mean blood flow velocity in the middle cerebral artery (left and right) as well as the pulsatility index. In addition, near infrared spectroscopy and blood pressure parameters were registered.</p><p><strong>Results: </strong>Acupressure, manual needle acupuncture and laser needle acupuncture partially led to significant changes in the main goal values.</p><p><strong>Conclusion: </strong>Acupressure as well as acupuncture (needle and laser needle) can evoke reproducible functional changes in the brain. These accompanying effects are not to be ignored, in particular in patients with increased ICP.</p>","PeriodicalId":80278,"journal":{"name":"Forschende Komplementarmedizin und klassische Naturheilkunde = Research in complementary and natural classical medicine","volume":"12 4","pages":"190-5"},"PeriodicalIF":0.0,"publicationDate":"2005-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000087044","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24989641","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Much ado about entanglement: a novel approach to test nonlocal communication via violation of 'local realism'.","authors":"Gary Bruno Schmid","doi":"10.1159/000085849","DOIUrl":"https://doi.org/10.1159/000085849","url":null,"abstract":"<p><strong>Background: </strong>The term 'entanglement' is often used in recent literature to help explain an apparent nonlocal communication within a psychophysical context, and is here strictly taken as equivalent to a violation of what physicists call 'local realism'.</p><p><strong>Methods: </strong>Conceptual basics of nonlocal communication in psychophysical experiments are introduced in analogy to their usage in quantum physics to investigate local realism. Violations of local realism are tested using an algorithm adopted from the Information Theoretic Bell Inequality (ITBI) known to quantum theory. The algorithm involves a generic distant mentation experiment.</p><p><strong>Results: </strong>An experimental design and an analytical method to test psychophysical entanglement presumed to be involved in a medical or psychological context are introduced. The mathematical foundations are presented in a didactically simple-to-follow approach.</p><p><strong>Conclusions: </strong>The ITBI can be extended into the fields of medicine and psychological science, thereby providing a guideline for researchers to follow in order to estimate whether or not some kind of 'action at a distance' may be real in the phenomenon under investigation.</p>","PeriodicalId":80278,"journal":{"name":"Forschende Komplementarmedizin und klassische Naturheilkunde = Research in complementary and natural classical medicine","volume":"12 4","pages":"214-22"},"PeriodicalIF":0.0,"publicationDate":"2005-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000085849","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24989645","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reduction in the number of infective Trichinella spiralis larvae in mice by use of homeopathic drugs.","authors":"Nirmal C Sukul,&nbsp;Sudeshna Ghosh,&nbsp;Santi P Sinhababu","doi":"10.1159/000086306","DOIUrl":"https://doi.org/10.1159/000086306","url":null,"abstract":"<p><strong>Background: </strong>Trichinellosis caused by the gastrointestinal nematode Trichinella spiralis occurs in humans, domestic animals and wild animals. It is difficult to control the muscle phase of the parasite. Homeopathic drugs such as Cina and Santoninum have anthelmintic properties. We have observed that in material doses, the homeopathic drug Podophyllum also has nematotoxic properties. We have also observed that homeopathic potency can influence the water permeability of cells.</p><p><strong>Objective: </strong>The purpose of this study was to investigate whether potentized homeopathic drugs such as Cina 30, Santoninum 30 and Podophyllum mother tincture can affect the muscle phase of the parasite T. spiralis in mice. Another objective was to see whether trichinellosis and its treatment with the 3 named homeopathic drugs could alter the water content in the muscle tissue of mice.</p><p><strong>Materials and methods: </strong>Cina 30 and Santoninum 30 were prepared from the mother tincture of the flowering tops of Artemisia nilagirica and its active principle santonin, in each case by successive dilution (1:100) with 90% ethanol and sonication in 30 steps following the single glass method (K30). Ethanol 30 was prepared by successive dilution of 90% ethanol with 90% ethanol (1:100) followed by sonication in 30 steps. In each step, the dilution was sonicated at 20 KHz for 30 s. We have observed before that sonication is a more uniform, measurable and effective process of mechanical agitation of a liquid than manual succussion. Experimentally infected mice were orally treated with an aqueous Podophyllum suspension at 60 mg/kg/day. Each potentized drug was diluted 1:20 with distilled water and administered orally at 0.05 ml/mouse/day. Each mouse was inoculated with T. spiralis larvae at a dose of 200 larvae/mouse by esophageal intubation. Treatment was started on day 7 post-infection and continued for 120 days. After completion of treatment, the mice were sacrificed and the larvae were extracted from muscles by HCl-pepsin digestion. The water content of the muscles was measured by determining the difference between fresh weight and dry weight of the tissue.</p><p><strong>Results: </strong>Podophyllum Theta, Cina 30 and Santoninum 30 reduced the larval population in the studied mice by 68.14%, 84.10% and 81.20%, respectively, as compared to the untreated control group. Ethanol 30 achieved no significant reduction in the larval population compared to the untreated control group. The water content of the muscle tissue in the untreated control group and the Podophyllum-treated groups was significantly higher than in the Ethanol 30-, Cina 30- and Santoninum 30-treated groups.</p><p><strong>Conclusions: </strong>(1) Podophyllum Theta, Cina 30 and Santoninum 30 were effective in the muscle phase of T. spiralis infection and significantly reduced the larval population in the treated mice. The potencies were more effective than the mother tinctu","PeriodicalId":80278,"journal":{"name":"Forschende Komplementarmedizin und klassische Naturheilkunde = Research in complementary and natural classical medicine","volume":"12 4","pages":"202-5"},"PeriodicalIF":0.0,"publicationDate":"2005-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000086306","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24989643","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patient-Practitioner-Remedy (PPR) entanglement, Part 8: 'Laser-like' action of the homeopathic therapeutic encounter as predicted by a gyroscopic metaphor for the vital force.","authors":"Lionel R Milgrom","doi":"10.1159/000087075","DOIUrl":"https://doi.org/10.1159/000087075","url":null,"abstract":"<p><strong>Background: </strong>A preliminary mathematical model for the Vital Force had been developed based on the idea of a metaphorical gyroscope, combined with earlier notions derived from Weak Quantum Theory (WQT) and Patient-Practitioner-Remedy (PPR) Entanglement. This combination generates a hypothetical 'wave function' as a description of the state of the Vital Force that is intimately related to the secondary symptom picture of the therapeutic remedy, and is capable of illustrating certain empirical observations of the homeopathic process, including the bi-phasal action of remedies and some of the results gained from provings.</p><p><strong>Objective: </strong>The goal of this present study was to further develop the idea of a Vital Force 'wave function' by generating insights into its mode of reaction to therapeutic intervention by a practitioner.</p><p><strong>Methods: </strong>In orthodox quantum theory, the time-dependent Schrödinger equation, in which a particle's wave function is operated upon by the Hamiltonian total energy operator, provides information concerning the temporal evolution of the wave function. By analogy, a secondary-symptom-dependent Vital Force equation is postulated in which the Vital Force 'wave function' is operated upon by a so-called 'homeopathic operator'.</p><p><strong>Results: </strong>By inserting the previously developed wave function for the Vital Force into the secondary-symptom-dependent Vital Force equation, another equation is generated mathematically reminiscent of longitudinal mode standing waves set up in the resonant cavity of a laser.</p><p><strong>Conclusion: </strong>In the language of therapeutics, it is often said an essential part of the curative process is that practitioners act as 'mirrors' for their patients. Previous papers in this series have shown that this reflective practitioner activity is more than a poetic analogy. Borrowing from the mathematical formalism of quantum theory, with its ideas of entangled, coherent wave-functions as metaphors for the homeopathic process, this mirror-like activity can be seen to be an integral part of the curative therapeutic encounter. The preliminary theoretical investigation reported here develops the metaphor further by suggesting that the effect of this practitioner mirror-like activity on a patient's Vital Force during the therapeutic encounter, might be likened to the sequence of operations by which lasers function. The analogy seems compelling, as an essential feature of laser operation is the arrangement of parallel mirrors placed at both ends of the laser's resonant cavity.</p>","PeriodicalId":80278,"journal":{"name":"Forschende Komplementarmedizin und klassische Naturheilkunde = Research in complementary and natural classical medicine","volume":"12 4","pages":"206-13"},"PeriodicalIF":0.0,"publicationDate":"2005-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000087075","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24989644","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of balneotherapy in chronic low back pain -- a randomized single-blind controlled follow-up study.","authors":"Zoltán Balogh,&nbsp;József Ordögh,&nbsp;Attila Gász,&nbsp;László Német,&nbsp;Tamás Bender","doi":"10.1159/000086305","DOIUrl":"https://doi.org/10.1159/000086305","url":null,"abstract":"<p><strong>Objective: </strong>Balneotherapy, a domain of medical science, focuses on utilizing the beneficial effects of medicinal waters. Low back pain is among the most prevalent musculoskeletal disorders affecting a large proportion of the population during their lifetime. Although small in number, all controlled studies published on this subject have demonstrated the benefits of balneotherapy. This present study was undertaken to compare the effects of hydrotherapy with mineral water vs. tap water on low back pain.</p><p><strong>Patients and methods: </strong>A single-blind clinical study was carried out to appraise the therapeutic efficacy of reduced sulphurous water on 60 patients with low back pain. 30 subjects took baths in reduced sulphurous mineral water, whereas the other 30 patients used modified tap water of matching odor. Parameters determined at baseline, after balneo-/hydrotherapy, and at the end of the 3-month follow-up period included the results of the Visual Analogue Scale (VAS) score, the modified Oswestry index, mobility of the spine, antalgic posture, tenderness of the paravertebral muscles on palpation, the dose requirements for analgesics, and the efficacy assessed by the investigators and by the patients.</p><p><strong>Results: </strong>Bathing in mineral water resulted in a statistically significant improvement. This was reflected by the VAS (p < 0.01) and manifested by the mitigation of muscle spasm (p < 0.01), the alleviation of local tenderness (p < 0.01), the enhanced flexion-extension and rotation of the spine (p < 0.01) as well as by the improvement of the Schober's index (p < 0.01). All these beneficial changes persisted as long as 3 months after the completion of balneotherapy. By contrast, hydrotherapy with tap water resulted only in the temporary improvement of just a single parameter: the VAS score improved significantly (p < 0.01).</p><p><strong>Conclusions: </strong>Balneotherapy in itself can alleviate low back pain. As demonstrated by this study, the analgesic efficacy and improvement of mobility accomplished by the use of mineral water is significantly superior to that afforded by hydrotherapy with tap water. Our results clearly establish the beneficial effects of mineral water. Moreover, it is a valuable adjunct to other forms of physical treatment as well as to pharmacotherapy.</p>","PeriodicalId":80278,"journal":{"name":"Forschende Komplementarmedizin und klassische Naturheilkunde = Research in complementary and natural classical medicine","volume":"12 4","pages":"196-201"},"PeriodicalIF":0.0,"publicationDate":"2005-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000086305","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24989642","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Economy Chased Medicine: economization of health--chance or threat for complementary medicine?].","authors":"H Walach","doi":"10.1159/000087006","DOIUrl":"https://doi.org/10.1159/000087006","url":null,"abstract":"Dieser Tage ist mir ein Erlebnis aus meiner Jugend in den Sinn gekommen: Wir hatten mit Schlauchbooten eine Flussfahrt auf dem Lech organisiert, einem Fluss, der durch unzahlige Wehre gestaut und gebremst wird. Manche Wehre mussten wir, die Boote tragend, umgehen. Bei einigen kleineren versuchten wir durchzufahren. Es gelang uns auch bis auf ein einziges Mal. Da war die Ruckstromwalze am Fuss des Wehres so stark, dass sie das Boot gefangen hielt und wir nicht mehr freikamen. Langsam drehte sich das Boot parallel zur Wasserwalze, wurde dann vom fallenden Wasser erfasst und kenterte. Einen Moment nur versuchte ich, gegen den machtigen Strom anzukampfen, gab aber rasch auf. Ich liess mich vom Wasser hinunterziehen bis auf den Grund und konnte unten mit dem stromenden Wasser abtauchen. Etwa 20 m von der Walze entfernt wurde ich wieder ausgespuckt. Diese Episode hat mir eine wichtige Lehre erteilt: gegen machtige Stromungen anzukampfen ist Irrsinn. Man kann nur ihre Kraft nutzen, ihnen so lange folgen, bis sich eine Moglichkeit bietet freizukommen. Eine solche machtige Stromung, gegen die sich zu stellen sinnlos ware, ist die globale Okonomisierung, die auch vor der Gesundheit nicht Halt macht. In Deutschland hat diese Tendenz ihre Maximen langsam, fast unmerklich auch ins Gesundheitswesen sickern lassen. In der Schweiz ist ein fulminanter Auftakt bereits durch die Presse gegangen: Bundesrat Pascal Couchepin, der liberale Innenminister und als solcher in der Schweiz auch fur das Gesundheitswesen zustandig, hat beschlossen, alle komplementarmedizinischen Verfahren aus der Grundversorgung zu streichen. Damit ist das mit viel Spannung erwartete Ergebnis des so genannten «Programmes Evaluation Komplementarmedizin», kurz PEK, eines 7-jahrigen, einmaligen Feldversuchs zur Nutzlichkeit der Komplementarmedizin in der niedergelassenen Versorgung, durch eine politische Entscheidung bagatellisiert worden. Couchepins Agenda ist an sich lobenswert und verstandlich: Die Kosten im Schweizer Gesundheitswesen sind hoch und mussen gesenkt werden. Dies kann nur durch drei mogliche Prozesse geschehen: (1) Die Anbieter senken ihre Preise und arbeiten kostengunstiger; dies wurde zu einer Einkommensreduktion im Gesundheitswesen fuhren und ist wohl kaum realistisch. (2) Die Konsumenten senken ihre Anspruche; angesichts der wachsenden Anspruchshaltung wohl kaum zu erwarten. (3) Leistungen, die nicht absolut notwendig sind, mussen privat bezahlt werden.","PeriodicalId":80278,"journal":{"name":"Forschende Komplementarmedizin und klassische Naturheilkunde = Research in complementary and natural classical medicine","volume":"12 4","pages":"188-9"},"PeriodicalIF":0.0,"publicationDate":"2005-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000087006","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25608548","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}