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Electrodermal Testing Is Tantamount To Fooling Patients With A Magic Eight Ball

Remember the Magic Eight Ball toy? You could ask it a question and shake it and a random answer would float up into a window: yes, no, maybe, definitely, etc. There is even a website where you can ask an Eight Ball questions online.

I have been meaning to write about bogus electrodiagnostic machines for a long time. These devices supposedly diagnose diseases and/or energy imbalances, indicate which remedies will correct the problem(s), and sometimes even treat the imbalances by transmitting a balancing frequency to the patient. I knew they were bogus, but I had never really realized the full extent of the deception until I viewed a set of training videos recently sent to me by a correspondent. I had never realized how similar electrodermal testing was to the Magic Eight Ball. I was further amazed at how they managed to combine every kind of alternative medicine into one incoherent package and to bamboozle patients with an appalling display of pseudoscientific babble.

This will be a two-part series. In the first, I will describe what the machines and their operators do. In the second (next week), I will address the legal and regulatory issues.

The History of EAV Devices

The first electrodermal diagnostic device was invented in 1958 by Reinhold Voll, a German medical doctor and acupuncturist. Read more »

*This blog post was originally published at Science-Based Medicine*

A Brief History Of Vaccines, The Anti-Vaccination Movement, And Modern Quackery

A good case of smallpox may rid the system of more scrofulous, tubercular, syphilitic and other poisons than could otherwise be eliminated in a lifetime. Therefore, smallpox is certainly to be preferred to vaccination. The one means elimination of chronic disease, the other the making of it.

Naturopaths do not believe in artificial immunization . . .

—Harry Riley Spitler, Basic Naturopathy: a textbook (American Naturopathic Association, Inc., 1948). Quoted here.

Here’s what a good case of smallpox will do for you:

If you’re lucky enough to beat the reaper (20-60%; 80% or higher in infants) or blindness (up to 30%), those blisters will leave you scarred for life. Oh, and the next time a good smallpox epidemic comes around, your children born since the last one will catch it and contribute their fair share to the death rate. But not you because you’ll be immune, so you’ll have the “preferred” experience of watching your children die well before you do.

Variolation and Vaccination

Except that none of this will happen, because the disease has been eradicated from the world—thanks, of course, to vaccination, which Napoleon reasonably called “the greatest gift to mankind.”

Smallpox was “the most terrible of the ministers of death.” It began at least several thousand years ago and rapidly spread wherever its human carriers traveled, eventually to the entire populated world. In endemic regions, it wiped out 1/4 to 1/3 of children in epidemics that occurred every few years. In epidemics among people who had not previously seen it, such as the natives of the Western Hemisphere during the early years of European explorations, it wiped out as many as 90% of everyone. It brought down armies and empires. Monarchs dropped like flies; it spared no socioeconomic class. Gods were invented in its name. There was never an effective treatment for it once it had begun.

Prior to the advent of vaccination, there was a heroic method that proved useful in reducing the severity of the disease. This was inoculation (‘variolation’): crude matter from a pustule of someone with the disease was etched into the skin of an uninfected person. This resulted in somewhat more indolent clinical cases, with death rates of ‘only’ around 2%, but the disease remained terrible and those so infected could still transmit it to others by means other than inoculation.

Vaccination, as many readers already know, was introduced near the end of the 18th century in England by the physician Edward Jenner. Jenner neither discovered it—it seems to have been discovered by milkmaids (and their close associates) who had noticed that after experiencing a cowpox blister, they never caught smallpox—nor was he the first to use it purposefully or even to write about it. He was the first, however, to conduct and report a series of convincing experiments demonstrating that people previously infected with cowpox could not subsequently be infected with smallpox (by variolation). He also showed that cowpox could be transferred from person to person by inoculation of matter from the cowpox blister, thus offering the first method for widespread use. Jenner is thus given credit not only for having introduced vaccination for smallpox, but for having introduced the concept of vaccination in general, although he would not live to see another example.

The Antivax Movement is Born

Opposition to smallpox vaccination (the name comes from the Latin for “cow”) began almost immediately after Jenner’s reports and remained substantial for more than 100 years. Some opposition was explicitly religious; some was based on disbelief in the method or, later, in the Germ Theory; some objectors claimed that vaccination caused terrible diseases, including smallpox itself; some voiced a political objection to state mandated vaccination programs. An early cartoon suggested that if Jenner had his way, people would start to look like cows:

Two antivax organizations in 19th century Britain were the National Anti-Vaccination League and the Society for the Abolition of Compulsory Vaccination. They sought to discredit Jenner’s reports and to argue, in keeping with the popular “hygiene” and “sanitation” movements of the day, that “cleanliness is more likely to prevent smallpox than [is] introducing filthy matter into the body.”

The Holy Trinity of American Quackery

These were, in the late 19th and early 20th centuries, homeopathy, chiropractic/osteopathy, and naturopathy. Hahnemann himself had approved of his contemporary Jenner’s assertion, believing that it confirmed “like cures like” (ably refuted by Oliver Wendell Holmes, Sr.). Constantine Hering, however, the “Father of American Homeopathy,” was the first homeopath to declare his opposition to vaccination. He called it “always a poisoning” and asserted, “we learn from year to year a more certain and better way of curing small-pox homeopathically.” He nevertheless admitted in 1883, near the time of his death, that this ‘better way’ had not achieved the certainty of prevention by vaccination.

In 1918, Benedict Lust, the “Father of American Naturopathy,” wrote this:

Like the alchemist of old who circulated the false belief that he could transmute the baser metals into gold, in like manner the vivisector claims that he can coin the agony of animals into cures for human disease. He insists on cursing animals that he may bless mankind with such curses.

To understand how revolting these products are, let us just refer to the vaccine matter which is supposed to be an efficient preventive of smallpox. Who would be fool enough to swallow the putrid pus and corruption scraped from the foulest sores of smallpox that has been implanted in the body of a calf? Even if any one would be fool enough to drink so atrocious a substance, its danger might be neutralized by the digestive juices of the intestinal tract. But it is a far greater danger to the organism when inoculated into the blood and tissues direct, where no digestive substances can possibly neutralize its poison.

The natural system for curing disease is based on a return to nature in regulating the diet, breathing, exercising, bathing, and the employment of various forces to eliminate the poisonous products in the system, and so raise the vitality of the patient to a proper standard of health.

Official medicine has in all ages simply attacked the symptoms of the disease without paying any attention to the causes thereof, but natural healing is concerned far more with removing the causes of disease…

In those words we find several of the recurring themes in quackery that were evident in the 19th century and remain so today. We know that naturopaths continued to espouse this view of vaccination at least until 1968, when the quotation at the top of this essay was among the materials they submitted to the Department of HEW in an unsuccessful attempt to be covered by Medicare. They’ve since learned to be somewhat more subtle about the issue, possibly because of the 1968 failure, but their distaste for vaccinations in general persists, as explained here.

An Aside: the “Cause of Disease,” Naturopathy-style

I’m sure you’ve been wondering, so here it is, right from the pen of Harry Riley Spitler, the author of the quotation that began this piece (courtesy of the 1968 HEW report):

The primary cause of disease is reaction to unnatural environment . . . When the body is weighted down by toxins in excess of the amount with which the vital force is able to cope, then enervation… supervenes and there is a lag in the body’s power to expel the “ashes” of metabolism… Enervation leads to the secondary cause of so-called disease — toxemia. Toxemia is the state of auto-intoxication resulting from the accumulation ot poisons in the body – poisons taken in from without in the form of incorrect food, impure water, vitiated air, etc., and which are not thrown off by the body because of its enervated state, and in addition thereto the poisons formed within the body itself by the processes of metabolism. . . The presence of these poisons within the blood stream and tissues causes the vital force to make efforts to eradicate toxemia, and these efforts are what is called “diseased crises.” . . . Disease, therefore, is not a hostile entity to be attacked, but is rather a manifestation of vital force in its efforts to continue to live and to remove anti-vital conditions caused by man’s deliberate, or ignorant, breaking of the laws of health and life … Disease, then, is the result of stagnation and accumulation of filth in the blood stream and in the tissues.

And the cure? Back to Lust:

The Program of Naturopathic Cure

1. ELIMINATION OF EVIL HABITS, or the weeds of life, such as over-eating, alcoholic drinks, drugs, the use of tea, coffee and cocoa that contain poisons, meat-eating, improper hours of living, waste of vital forces, lowered vitality, sexual and social aberrations, worry, etc.

2. CORRECTIVE HABITS. Correct breathing, correct exercise, right mental attitude. Moderation in the pursuit of health and wealth.

3. NEW PRINCIPLES OF LIVING. Proper fasting, selection of food, hydropathy, light and air baths, mud baths, osteopathy, chiropractic, and other forms of mechano-therapy, mineral salts obtained in organic form, electropathy, heliopathy, steam or Turkish baths, sitz baths, etc.

And, of course, enemas.

Natural healing is the most desirable factor in the regeneration of the race.

Wow. It’s all kind of fascistic, no? But I’m digressing.

More on the Holy Trinity

You probably noticed Lust’s approval of chiropractic, another field with a rich tradition of antivax fervor. Some chiropractors have learned to be a bit more subtle; others have not (and not all contemporary chiropractors are opposed to vaccinations). If you’ve perused the 1968 HEW report, you also know that the American naturopathic schools of the mid-20th century were mostly spawned by chiropractors, and that for some time there was little distinction between naturopaths and “mixer” chiropractors. Many “NDs” of that time also had “DC” after their names.

You may also know that contemporary naturopaths love homeopathy. Lust didn’t include it in his NEW PRINCIPLES OF LIVING, probably because of his emphasis on “drugless healing.” Nevertheless, he praised Hahnemann for having shown “the physicians of his day…that just as good results could be brought about by means so gentle that even a delicate child could be treated, without the slightest particle of danger.” It seems to have been left to the next generation of American naturopaths to fully embrace homeopathy, and this was done most conspicuously by a man who himself embodied the Holy Trinity of Quackery: John Bastyr, N.D., D.C. (1912-1995), the “Father of Modern Naturopathic Medicine.”

Bastyr was also described as a

…third-generation homeopath from Dr. Adolph von Lippe. His teacher was Dr. C. P. Bryant (who had been, in 1939, president of the International Hahnemannian Association). C. P. Bryant had been taught by Walter Bushrod James who had been one of Lippe’s closest students. He received doctorate degrees in naturopathy and chiropractic from Northwest Drugless Institute and Seattle Chiropractic College, respectively. He became licensed to practice naturopathic medicine in 1936. He is also credited with being the Father of Modern Naturopathic Medicine. Because of Bastyr’s influence naturopaths have been at the forefront of the rebirth of homeopathy in this country. He made sure that homeopathy shared equal emphasis with nutrition, hydrotherapy and botanical medicine in naturopathic education. Dr. Bastyr considered manipulation the most important therapy in his practice.

So there you have it: the mystical unity of three seemingly incompatible True Causes (Psora, Subluxations, Toxemia), and of three seemingly incompatible True Cures (similia similibus curentur, spinal manipulation, enemas). No wonder that John Bastyr the chiropractor is credited with having been the Saviour of naturopathy and homeopathy in the United States.

Another Aside: Early Vaccinations really were Dangerous

It’s ironic to consider that many of the early objections to smallpox vaccinations were somewhat justified, far more so than are contemporary objections to contemporary vaccinations. Material gathered from cowpox blisters, transferred from human to human, was invariably contaminated. Diseases plausibly attributed to such “arm to arm” vaccinations, in the era before the Germ Theory elucidated such risks in advance, included syphilis, hepatitis, and even smallpox itself, due to contamination from variolations occurring within the same hospitals or clinics. The advent of exclusively animal sources of cowpox didn’t occur until the mid-19th century, and “arm to arm” vaccinations weren’t outlawed in Britain until 1898. Preparations of pure virus—vaccinia—were introduced only in the mid-20th century.

The political objection to mandatory vaccinations also had more clout in the early days, when the concept of “herd immunity” had yet to be introduced.

“All this has happened before, and all this will happen again.”

This is from a meeting of the Connecticut Homeopathic Medical Examining Board, March 12, 2003:

TREATMENT OF SMALLPOX

The Board reviewed the following procedures for the prevention and treatment of smallpox as submitted by Dr. Mullen:

PREVENTION

Malandrinum

It is recommended to administer it at a potency of 30 CH twice a day for up to 5 days as a preventive. This remedy is also very useful to combat the ill effects of Allopathic small pox vaccination, as well as to control the disease that happens when a person gets unwillingly infested by the vaccine received from another.

Sarracenia

It is recommended to administer this remedy at potencies of up to 9 CH. I believe a good dosage schedule would be once a week for 2 or 3 weeks. It is recommended to administer this remedy at a potency of 6 CH every 8 days. Also useful in recent and distant ill effects of Allopathic vaccination.

Vaccininum

An indication for the use of vaccininum would be a patient’s fear of contracting smallpox.

Variolinum

Both Drs. Allen and Vosin enthusiastically endorse this remedy for the prevention of small pox. I would advice to administer it at potencies of 30 CH or 200 CH weekly for 3 or 4 weeks.

TREATMENT

Malandrinum

It is recommended to administer it at a potency of 30 CH. This remedy is particularly useful in patients whose symptoms are more evident in the lower half of the body. I would recommend daily administration for 5 consecutive days and then re-evaluate the patient.

Mercurius 200 CH every other day alternating with Thuja 200 CH.

I would recommend to use this combination up to 10 consecutive days and then re-evaluate the patient.

Sarracenia

It is recommended to administer this remedy at a potency of 9 CH. I would recommend to use it for 5 consecutive days and then re-evaluate the patient. This remedy can stop the disease in its earliest stages, including the development of pustules. The patient may be very sensitive to light, weak in the shoulder area and have shooting pains in zigzag from the lumbar region to the middle of the scapula.

Variolinum

It is recommended to administer it at any potency. I would recommend using it for up to 5 consecutive days, depending on the potency, and then re-evaluate. Variolinum is useful in patients with mild and uncomplicated small pox. Also when pustules are surrounded by a red halo and are often very itchy. Every other day for up to 10 consecutive days and then reevaluate the patient.

Thuja 200 CH

Every other day for up to 10 consecutive days and then re-evaluate the patient.

Wow. What exquisite, quaint, balderdash. Here’s a fun exercise that readers might enjoy: see what contradictions you can find between what you’ve just read and other efforts of the Connecticut Department of Public Health. Hint: start here. Then look at some of the practice acts, such as those for homeopathy, naturopathy, and chiropractic. Does one hand know what the other is doing?

*This blog post was originally published at Science-Based Medicine*

Dr. Steve Novella Defends Science And Reason On The Dr. Oz Show

I must say I was a bit shocked two weeks ago when I was contacted by a producer for The Dr. Oz Show inviting me on to discuss alternative medicine. We have been quite critical of Dr. Mehmet Oz over his promotion of dubious medical treatments and practitioners, and I wondered if they were aware of the extent of our criticism (they were, it turns out).

Despite the many cautions I received from friends and colleagues (along with support as well) – I am always willing to engage those with whom I disagree. I knew it was a risk going into a forum completely controlled by someone who does not appear to look kindly upon my point of view, but a risk worth taking. I could only hope I was given the opportunity to make my case (and that it would survive the editing process).

The Process

Of course, everyone was extremely friendly throughout the entire process, including Dr. Oz himself (of that I never had any doubt). The taping itself went reasonably well. I was given what seemed a good opportunity to make my points. However, Dr. Oz did reserve for himself the privilege of getting in the last word—including a rather long finale, to which I had no opportunity to respond. Fine—it’s his show, and I knew what I was getting into. It would have been classy for him to give an adversarial guest the last word, or at least an opportunity to respond, but I can’t say I expected it. Read more »

*This blog post was originally published at Science-Based Medicine*

Homeopathy: Why is Fraud Legal?

Imagine hearing a commercial on the radio:

Send us money, and we won’t send you anything in return.

No one would do that, right? How about this:

Send us your money and we’ll send you an empty box.

Better? Not much. Now how is that different from:

Send us money and we’ll send you stuff we’ll call medicine that we claim will help you, but there’s no actual active ingredients in it at all.

I don’t think there’s one bit of difference. Wouldn’t you agree that that commercial is fraud, pure and simple? The problem is that the general public doesn’t understand that the word “homeopathic” means “diluted beyond the point where it contains any active ingredients.”

I’ve recently heard commercials for homeopathic vertigo treatments, eye drops for allergies, irritable bowel, and spider veins on legs. I’m tempted to contact the radio station and complain, but stopped short realizing that their first question is going to be, “But is it legal?”

That’s the problem: it is. So what I want to know is, why? Read more »

*This blog post was originally published at Musings of a Dinosaur*

Complementary And Alternative Medicine Can Be A Regressive Force Against True Science

Science is a philosophy, a technology, and an institution. It is a human endeavor- our collective attempt to understand the world around us,  not something that exists solely in the abstract. All of these aspects of science have been progressing over the past decades and centuries, as we refine our concepts of what science is and how it works, as we develop better techniques, and organize and police scientific activities more effectively. The practice of science is not relentlessly progressive, however, and there are many regressive forces causing pockets of backsliding, and even aggressive campaigns against scientific progress.

So-called complementary and alternative medicine (CAM) is one such regressive force. It seeks to undermine the concepts, execution, and institutions of medical science in order to promote sectarian practices and ideological beliefs. Examples of this are legion, exposed within the pages of this blog alone. I would like to add another example to the pile – the recent defense of homeopathy by Dana Ullman in the Huffington Post (names which are already infamous among supporters of SBM). Read more »

*This blog post was originally published at Science-Based Medicine*

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