论证据与理论的相互作用:哈内曼博士的顺势疗法。

Valeria Mosini
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引用次数: 0

摘要

本文的重点是证据与理论之间的相互作用,这是方法论问题的核心。我以顺势疗法为例来说明这个问题,顺势疗法是由C.S.哈内曼在18世纪晚期发明的。在对哈内曼作为一名医生的生活和工作进行了快速的重建之后,我转向他阐述顺势疗法的两个基本原则的方式:“明喻法”和“稀释法”。我比较了直到19世纪中后期,人们接受顺势疗法的方式和对其治疗效果的评估,以及目前人们对顺势疗法的看法。我的结论是,从欣赏和怀疑的混合到完全否认所有支持顺势疗法的证据的转变,符合20世纪科学最引人注目的趋势(尽管不一定是最有成效的):一个严重偏向于理论而反对证据的趋势。在顺势疗法的案例中,这种立场导致忽视了在不同领域收集的证据,主要是免疫学和化学物理学,这些证据分别表明超稀释溶液具有生物效应,其参数值与水的参数值不同。知识的进步更有可能来自对这一证据的进一步调查,目的是解释稀释定律,而不是坚持认为这一定律是无稽之谈,因为目前还没有对它的解释。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
On the interplay between evidence and theory: Dr. Hahnemann's homeopathic medicine.

The focus of this paper is the interplay between evidence and theory, which is at the heart of the methodological question. I address it using as a case study the homeopathic medicine discovered/invented by C.S. Hahnemann in the late eighteenth century. After presenting a quick reconstruction of Hahnemann' s life and work as a medical doctor, I turn to the way in which he came to enunciate the two founding principles of homeopathy: the "law of simile" and the "law of dilution." I compare the way in which homeopathy was received and its therapeutic success evaluated up until the mid-to-late 1800s, to the way in which it is currently regarded. I conclude that the shift from a mixture of appreciation and doubt to the outright denial of all evidence in favour of homeopathy is in line with the most striking (though not necessarily the most productive) trend of twentieth century science: one that is heavily biased in favour of theory and against evidence. In the case of homeopathy such a position led to ignoring evidence gathered in diverse fields, mainly immunology and chemical physics, showing respectively that ultra-diluted solutions have biological effects and that the values of their parameters differ from those of water. The advancement of knowledge is more likely to result from a further investigation of this evidence, with the aim of explaining the law of dilution, than it is from insisting that this law is nonsense because an explanation of it is not, at present, available.

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