[Omeo33] Art 1203 - Rheumatology, 2010, 50 (6), 1007-1008

[Gino Santini]

Homeopathy, non-specific effects and good medicine
Edzard Ernst

Have we lost core medical values?
This editorial refers to ‘Homeopathy has clinical benefits in  
rheumatoid arthritis patients that are attributable to the  
consultation process but not the homeopathic remedy: a randomized  
controlled clinical trial’, by Brien et al., doi:10.1093/rheumatology/ 
keq234, on page 1070.
In this issue, Brien et al. [1] report the findings of a five-armed  
randomized controlled trial, which was aimed at differentiating  
between the effects of homeopathic remedies and patient consultations.  
The authors demonstrate that homeopathic remedies are placebos and  
show that ‘the benefits of homeopathy are attributable to the  
consultation’ [1].
Critics of homeopathy have always pointed out that homeopathic  
remedies are so highly dilute that they must be devoid of specific  
therapeutic effects. They are biologically implausible [2], and the  
∼150 published trials collectively fail to indicate clinical  
effectiveness [3]. At the same time, we know from several  
observational studies (e.g. [4]) that patients do improve after  
consulting a homeopath.

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