Testing

Testing

اسلاید 1: www.tabaye.ir

اسلاید 2: Testing alternative medicineBurden, blessing or both?

اسلاید 3: Background informationHad acupuncture therapy as teenager. It did not help. Prayer did.Interested throughout medical studiesInteraction with colleagues and healers in Africa, Asia and Europe >10 yearsThree years of research leading to book with four other authors in 1993Presently working on revised editionCDK and CGH in Switzerland

اسلاید 4: Never forgetWe are talking about people in the first placePeople who are sufferingPeople who want to help themDiscernment and compassion belong togetherEvaluation is not judgement or condemnation The truth should be shared in love

اسلاید 5: Some initial questionsAm I really willing to change my views on the basis of an honest presentation of the truth?What if:I (partially) earn my living with a therapy that is biblically unacceptable?People I love use unacceptable therapies?I have been deceived?

اسلاید 6: Why test (alternative) medicine?Wise stewards of God’s creation test everything and use the good to bless the sick and suffering, 1 Thessalonians 5: 21We are warned against deception, Colossians 2: 1-8 We should be ready to give an account of our beliefs to anyone who asks, 1 Peter 3: 15-16

اسلاید 7: Definition of Alternative MedicineAll forms of diagnosis and therapy, that are not taught as examination subjects in medical schools.Two main elements: Not accepted by regular medical schoolsFrequently alternative paradigms of thinking

اسلاید 8: Two main streams in practice:Those that Replace regular scientific medicine (alternative medicine exclusively), or those thatComplement regular scientific medicine (complementary medicine)

اسلاید 9: An overview of (alternative) medicine© Dr. A. Hasler 2001Regular scientific medicineComplementary medicineAlternative medicinePopular “medicine”Atropine / Codeine / Scopolamine / Digoxin / Morphine Rational phytotherapy- Standardized extracts -Traditional herbal therapyHomeopathyAnthroposophic medicineAyurvedic medicineChinese medicineAromatherapyBach therapyPopular booksPopular magazinesManual therapyChiropractic

اسلاید 10: F.1 Necessary?This is availableThis is acceptableF.2 Effective?F.3 Appropriate?F.4 Ethically OK?F.5 Occult or not?Five Screening Filters

اسلاید 11: Biblical basis for the five filtersStewardship Mandate for F1-3Genesis 1: 26-30; 2: 15; 9: 1-7God’s moral laws for F4Keep in mindPersonal conscienceChristian freedom, Rom. 14; 1. Cor. 8-10 (MSI)God’s fixed borders for F5Deuteronomy 18: 9-14 (Absolutes)Behälter mit Thorarolleaus: Jerusalemer Bibel Lexikon, Hänssler Verlag 1990

اسلاید 12: Filter 1: Is it necessary?Medicalization: Problems to be solved medicallyConsumer mentality: Buy health from doctorHypochondria: imagined illness (what is root?)Is it really necessary or is it the –wish of the doctor / practitionerwish of the patientcommon use in certain situations

اسلاید 13: Filter 2: Is it effective?Possibilities regarding effectiveness:It does not work at all or it may even be unhealthyIt works through usual healing powersCreational healing power of the bodyCreational pneumo-psycho-somatic interactionPharmacologically active substancesPlacebo effect, ca. 35 % (15-58 %)Still unknown, but usual healing powersIt works through unusual healing powersSigns and wondersMagic / witchcraft / sorcery

اسلاید 14: Filter 3: Is it appropriate?AgeSexFinancesCultural / Social factorsDrug interactions Contra-indicationsRisk adverse reactions

اسلاید 15: Filter 4: Is it ethically acceptable?What would be good for relationships? Think: Love God and love neighbour How would a good person act in this situation? For us: WWJD?What would have good consequences?What are the responsibilities of the relevant parties?

اسلاید 16: F.5: Occultism – 6 aspectsPollution through esoteric world view elementsComments about the explanatory modelsOriginal explanatory model reflects mindset of the pioneersReplace the original explanatory model as necessaryUnknown does not necessarily mean occultCommonest esoteric elementsMicro-cosmos / Macro-cosmos thinkingUnusual linking stars / seasons / elements / food types / organs / diseases Philosophy that reality consists of a few elements (3, 4 or 5) Esoteric energy has to be harmonized / stimulated / flowingDanger: World view pollution / poisoning of the mind

اسلاید 17: F.5: Occultism – 6 aspectsDiagnosis with the use of forbidden unusual powers:Soothsaying (unusual insights in the relationships between things/situations/people and health/disease; insights not obtainable through the use of the five senses only)Clairvoyance (unusual insights obtained through communication with demons, including those that pretend to be the spirits of the sick or some other human).Danger: Demonization

اسلاید 18: F.5: Occultism – 6 aspectsTherapy with the aid of forbidden unusual powers:Changes in the health situation of a person through unusual powers (usually aiming at the harmonising of cosmic energy) Danger: DemonizationUse of techniques that open patients up for possible demonic influencesCausing passive mental states: hypnosis or tranceDanger: Caught in Satan’s trap = Bondage

اسلاید 19: F.5: Occultism – 6 aspectsInitiate patient into the use of unusual powersPossible through getting them involved with soothsaying, clairvoyance, witchcraft, sorcery or magicDanger: DemonizationCurses/magic formulas over patients / medicamentsIt is a form of witchcraft / magic / sorceryDanger: Strengthening a pre-existent occult bondageEncouragement for the Christian - Proverbs 26:2

اسلاید 20: Recommendations for Christian doctorsShare with colleagues: humility, compassion, professionalismStudy and research: Phyto-therapy, Trigger Point Massage, etc.Critical evaluation of regular scientific medicineReductionism; can a God-less doctor be a good doctor?Network: Biblical-Christian Healthcare - international Via www.hfe.org or www.hcf-international.com or www.icmda.net CDK, CiCP, CIG, CMA, CMS, ICMDA, Journal Christian Healthcare; HCF, MedIchthys, NCFTake patient’s use of alternative medicine seriouslyReckon with it in anamnesis, diagnosis, therapyCareful counselling about OK or not-OK alternative medicine

اسلاید 21: Filter 1: Is acupuncture necessary?Arguments for:Normal scientific medicine is too materialistic‘No’ to medication with adverse reactionsUse acupuncture as missionary toolOnly limited means availableNothing else has helpedArguments against:It does not workOnly placebo-effectIt is occult

اسلاید 22: Filter 2: Is acupuncture effective?NO =Ter Riet et al (1990; inc. Medline 1963-1988 ): Meta-Analysis of 91 usable, published trials over a period of 17 years; 12 % is >50% reliable; none more reliable than 68%. The more thorough the research, the less positive the results = no conclusive evidence.Possibly YES = Linde et al (2001; inc. Medline 1989-2000): Meta-Analysis of 39 usable published trials; positive for post-operative nausea; negative as help to stop smokingYes = GerAc research project: in certain types of complaints, mostly related to pain/allergy relief

اسلاید 23: F.3: Is acupuncture appropriate?Age – no issue Sex – no issueFinances – issue if presented as cure-allCulture/social – family/patient pressure can be severeDrug interactions – no issueContra-indications – only if ineffective or occultRisk adverse reactions – no issuePossibly appropriate in demythologized symptomatic use

اسلاید 24: F.4: Is acupuncture ethical?What facts are relevant?Overlap with nerve/artery/vein triads + with muscle trigger points?Possible to determine points more accurately electricallyClassical acupuncture anatomy seriously outdatedWhat consequences are relevant?Who/what is trusted for healing?Does it really help?GerAc research says YES. Relief of pain Is it harmful?Van Dijk (1980) 10.000 therapeutic sessionsPneumothorax (a few cases)Hepatitis, burn wounds (very rare)Does it promote responsible behaviour?Usually patients not made dependent on practitioner

اسلاید 25: Filter 5: Is acupuncture occult?Promoting non-biblical views of God, man, health / disease and world?Almost always = World view pollutionNote: Western version has little worldview pollutionDiagnosis with forbidden unusual powers?Rare in the West until now. Depends on practitioner.Therapy with forbidden unusual powers?Rare in the West until now. Depends on practitioner. Some Christian authors say yes. Evidence difficult to document scientifically.

اسلاید 26: Filter 5: Is acupuncture occult?Techniques that open patients for demonic influenceHypnosis or Trance possible. Depends in practitioner.Initiation in use of forbidden unusual powers?Rare in the West until now. Depends on practitioner. Curse or magic spell during therapy?Rare in the West until now. Depends on practitioner.

اسلاید 27: F.1: Ist Homöopathie notwendig?Argumente dafür:normale wissenschaftliche Medizin ist zu materialistisch>nein = zu Medikamenten mit Nebeneffektenverfügbare Mittel: begrenzte Mittelnichts anderes hilft mehr: „aus-gearztet“Argumente dagegen:funktioniert nicht  Quacksalbereinur PlaceboeffektOkkult  Prinzip der „Unsichtbaren Lebenskraft“

اسلاید 28: Filter 2: Ist Homöopathie wirksam?Hill und Doyon (1990): 40 VersucheEffektivität nicht bewiesenKleijnen u.a. (1991): 107 Versuche23 von ziemliche Qualität15 davon günstige ErgebnissePirtkien (1976) Gelenkkrankheiten 54% besser mit Homöopathie95% besser mit Medikation

اسلاید 29: F.3: Ist Homöopathie angemessen?AgeSexFinancesCulture / Social factorsDrug interactions Contra-indicationsRisk adverse reactionsWenn sie wirksam wäre, im Einzelfall notwendig und nicht schädlich, wäre Homöopathie angemessen.

اسلاید 30: F.4: Homöopathie ethisch tragbar?Was sind die Fakten?Zwei Tausend Medikamenten; Fünf Hundert bis zwei Tausend Symptomen pro Medikament = Vier Millionen Kombinationen möglichVerdünnung: D=10; C=100Avogadro: D22 – D23 nichts mehr über Was sind die Folgen?Okkulte Einflüsse?

اسلاید 31: F.4: Homöopathie ethisch tragbar?Hilft sie?Phytotherapie besser?Ist sie schädlich?In Forschung nichts gefundenGeistlich schädlich, Chr. Schriftsteller wie Feller, Markmann, KunzeFörderung von verantwortungsvollem Verhalten?Meistens werden die Patienten auf keine ungesunde Weise von ihren Heilern abhängig gemacht.

اسلاید 32: Filter 5: Ist Homöopathie okkult?Weiterleitung eines nicht-biblischen Konzepts von Gott, Mensch, Gesundheit/Krankheit und Welt?Fast immer  Verschmutzung der Weltanschauung.Diagnose mit verbotenen, aussergewöhnlichen Kräften?Im Westen kaum gebräuchlich. Hängt vom Heiler ab.Therapie mit verbotenen, aussergewöhnlichen Kräften?Manchmal. Hängt vom Heiler ab (Pragmatische oder Klassische Homöopathie).Ja, verschiedene Christliche Schriftsteller.

اسلاید 33: Filter 5: Ist Homöopathie okkult?Techniken, die den Patienten dämonischem Einfluß öffnenHypnose oder Trance möglich aber nicht gebräuchlich. Hängt vom Heiler ab.Einführung in den Gebrauch von verbotenen, aussergewöhnlichen Kräften?Kaum gebräuchlich. Hängt vom Heiler ab.Beschwörung während der Therapie?Kaum gebräuchlich. Hängt vom Heiler ab.