[History of naturopathy (I). Naturism as the philosophical basis of naturopathy. Introduction: what do we mean by naturopathy?].
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A source-oriented research study that began with medieval library catalogs, provided the material needed to establish the organization and structuring of the teaching of natural science in monastic/convent schools. The further development of natural science from here to present-day teaching of biology was then traced. The wealth of material available since the late Middle Ages enabled the individual phases of development of this new teaching subject to be identified and their adoption into the Latin education system determined. This process revealed a series of different establishment phases. From the Middle Ages onwards, the study is based on teachers' and pupils' books known to have been used in the Latin education system, and, from the 18th Century onward, on an additional 7,000 or so school annual reports as well as, from the second part of the 19th Century, teaching curricula.
UNLABELLED: On the General Basis of Naturopathy and Complementary Medicine BACKGROUND: Naturopathy and complementary medicine are discussed controversially in public: On the one hand naturopathy is increasingly accepted by the interested public, on the other hand members of the medical community display a critical or even rejecting attitude towards naturopathy. Clarification of the terminology and methods of medical science as well as of naturopathy is necessary. The goal is not only to reestablish the communication between 'classical medicine' and naturopathy but also to gain impulses for the health care system from a cooperation of both, especially with regard to cost development and the search for new solutions and therapies, for example for 'incurable' diseases. PROCEDURE: Here we describe the different view of naturopathy on humans and their diseases and investigate the current scientific knowledge. Naturopathy often has a different, a 'holistic' basis (anthropology), a different therapeutic approach (pathogenesis, salutogenesis). RESULTS: The understanding of science in today's medicine has its origin in history, therefore it is not only continuously changeable but also in need of change. On the one hand new findings from other scientific disciplines should be embraced, on the other hand especially medical science should react to the acute needs and questions of patients. Naturopathy in theory and in applied medicine proves its efficacy (different validities for different procedures). It is followed by the search for the principle of functioning (extension of science). Starting here, an extended understanding of mankind and nature and new models of disease and therapy can be developed. Also, medical ethics in the sense of naturopathy would demand as a first step the use of agents causing the least possible damage. Only when those agents fail, stronger interventions should be chosen. CONCLUSIONS: Due to the necessary enhancement of scientific evaluation of naturopathy and the development of explanatory models, impulses for better therapy approaches are to be expected. Qualitative (new therapy models) and economic (cost reduction) impulses for the health care system would be the result.
BACKGROUND: The German term 'Ordnungstherapie' is one of the five therapeutics which defines naturopathy in German-speaking countries. OBJECTIVE: Who formed the term Ordnungstherapie in naturopathy and what does it mean? MATERIAL AND METHODS: Heuristics and criticism of literature of the 20th century as well as database research. RESULTS: Nowadays in German-language medical books Ordnungstherpie belongs to the five therapeutics which define European naturopathy. Yet, the interpretation ranges from health education to body-orientated forms of psychotherapy. The term Ordnungstherapie is often related with the German priest and hydropath Sebastian Kneipp, however, term and definition have been founded by the Swiss physician Maximillian Bircher-Benner. In 1937 he defined Ordnungstherapie as a complex concept of natural healing. It is based upon the rather nosological idea that health is order/harmony in the human body (physically, psychologically), the environment and the daily course. Illness occurs if disorder appears in one of these fields. The therapeutic setting of Ordnungstherapy is defined by 9 rules of conduct to maintain order, which include nutrition, the skin as an organ (exposure to light, air, water), breathing, movement, rhythm of life, and psyche. For all these aspects Bircher-Benner himself uses the terms somatotherapy (dietotherapy, sun and light therapy, hydrotherapy, exercise therapy, breathing technique, order of the rhythm of live) and psychotherapy. He chose these complementary methods subjectively after learning them from 1897 onwards in an eclectic manner and after gaining therapeutic empiricism. Nevertheless his ideas of the Ordnungstherapie correlate with the socio-political context of the 1940ies. CONCLUSIONS: The term Ordnungstherapie was introduced by Bircher-Benner as an umbrella term in 1937 to describe a complex concept of naturopathic therapies. It comprises, with certain limitations for phytotherapy, the therapies which nowadays define European naturopathy. Yet, in European naturopathy today Ordnungstherapie is mostly considered as one out of 5 constituents of naturopathy (dietotherapy, hydrotherapy, exercise therapy, phytotherapy, Ordnungstherapie). The classification of Ordnungstherapie as one of the 5 pillars of the Kneipp therapy was only done by Kneipp physicians in the middle of the 20th century and needs to be thought over.
BACKGROUND: Although the use of alternative medicine in the United States is increasing, no published studies have documented the effectiveness of naturopathy for treatment of menopausal symptoms compared to women receiving conventional therapy in the clinical setting. OBJECTIVE: To compare naturopathic therapy with conventional medical therapy for treatment of selected menopausal symptoms. DESIGN: A retrospective cohort study, using abstracted data from medical charts. SETTING: One natural medicine and six conventional medical clinics at Community Health Centers of King County, Washington, from November 1, 1996, through July 31, 1998. PATIENTS: Women aged 40 years of age or more with a diagnosis of menopausal symptoms documented by a naturopathic or conventional physician. MAIN OUTCOME MEASURES: Improvement in selected menopausal symptoms. RESULTS: In univariate analyses, patients treated with naturopathy for menopausal symptoms reported higher monthly incomes ($1848.00 versus $853.60), were less likely to be smokers (11.4% versus 41.9%), exercised more frequently, and reported higher frequencies of decreased energy (41.8% versus 24.4%), insomnia (57.0% versus 33.1%), and hot flashes (69.6% versus 55.6%) at baseline than those who received conventional treatment. In multivariate analyses, patients treated with naturopathy were approximately seven times more likely than conventionally treated patients to report improvement for insomnia (odds ratio [OR], 6.77; 95% confidence interval [CI], 1.71, 26.63) and decreased energy (OR, 6.55; 95% CI, 0.96, 44.74). Naturopathy patients reported improvement for anxiety (OR, 1.27; 95% CI, 0.63, 2.56), hot flashes (OR, 1.40; 95% CI, 0.68, 2.88), menstrual changes (OR, 0.98; 95% CI, 0.43, 2.24), and vaginal dryness (OR, 0.91; 95% CI, 0.21, 3.96) about as frequently as patients who were treated conventionally. CONCLUSIONS: Naturopathy appears to be an effective alternative for relief of specific menopausal symptoms compared to conventional therapy.
Naturopathy being orientated towards natural science and conventional medicine does not lead to basically different judgements about unconventional treatments nor about special therapies such as homeopathy, phytotherapy or anthroposophic medicine. It may, however, be more open-minded towards new ideas and theoretical even philosophical concepts and it is more likely used to question the 'state of the art' of actual medical knowledge. It is only for a relatively small part of unconventional treatments, that naturopathy recognizes a certain plausibility, which causes scientific investigation of the method to be meaningful. Naturopathy sometimes proposes traditional anthropologies and nosologies to be used for the election of suitable indications. A variety of psychologic effects of different methods of naturopathy may not be excluded by protocols used for clinical studies. As far as the majority of unconventional and paramedical treatments is concerned, naturopathy raises ethical beside scientific objections. Beyond a probable success of the treatment, it insists on a certain rationale and intellectual honesty. A differentiation between the more pragmatic interests of a health insurance and the scientific obligations of university medicine is given. An important and decisive criterium for the health insurances results from the demand for economics.
It is said that we can learn as much about social processes from so-called 'deviant' institutions than from the more legitimate. 'Deviant' medical occupations have not attracted much attention from social scientists. Naturopathy is one of these nonconventional health occupations. It emerged in the 18th and 19th centuries and moved to Canada from the United States and Europe early in the 20th. The social history of naturopathy in Canada illustrates the importance of processes of occupational formation and organization as well as state recognition or legitimation. Furthermore, the development of naturopathy shows the importance of state-occupation and naturopathy-chiropractic relationships as well as the often noted relationships with the dominant health occupation of medicine. Incidentally noted are the changing relationships with the state and the dominance of the ideology of science.
Whereas naturopathic physicians have either "licensure" or state-mandated "registration" in 13 US states and four Canadian provinces, naturopaths in Australia have thus far failed to obtain "statutory registration" in any political jurisdiction, despite the fact that chiropractors and osteopaths have done so in all Australian states and territories, and acupuncturists and Traditional Chinese Medicine practitioners have done so in the state of Victoria. Ironically, naturopathy and various other complementary medical systems are taught in many public tertiary institutions. This essay presents an overview of the development and the current socio-political status of naturopathy in Australia and its redefinition in some contexts as "natural therapies" and "natural medicine" or even as the major component of complementary medicine. It also examines reasons why the Australian state has come to express an interest in naturopathy along with other complementary medical systems.
Naturopathy is a heterodox professionalized medical system which, in contrast to osteopathy and chiropractic, has received little attention from social scientists, particularly in the United States. This article is an attempt to correct that situation. It focuses on the history of this healing tradition by discussing three stages in the development of American naturopathy: 1) its emergence around the turn of the century; 2) its decline beginning in the late 1930s; and 3) its recent potential rejuvenation, particularly in the Pacific Northwest. The essay concludes that as a consequence of its philosophical and therapeutic eclecticism, naturopathy found itself pre-adapted to the holistic health movement that emerged in American society during the 1970s.
BACKGROUND: Classical naturopathy and complementary medicine procedures are used in all industrial countries, the only difference being the extent to which they are used. However, information pertaining to effects, safety and costs of such therapies remains incomplete. An important aim of this study was to establish to what extent women's hospitals and clinics in Germany adopt complementary medicine and naturopathy as a means of treatment and how often they are used and by whom. MATERIALS AND METHODS: In a questionnaire regarding the use of complementary medicine and naturopathy, we contacted 1054 gynecology/obstetrics institutions. Of the 1054 contacted, 481 (45.6%) of the returned questionnaires could be analyzed and evaluated using descriptive statistical methods. RESULTS: Altogether per clinic an average of four different complementary medicine therapies was named which were used in the field of gynecology and obstetrics. Acupuncture (used in 94.1% of responding clinics) and homeopathy (used in 83.0% of responding clinics) were without doubt the two procedures that were used most often. Clear differences regarding both choice of therapy and frequency of use of a given therapy could be seen when comparing areas of the former German Democratic Republic (GDR) with those of the former Federal Republic of Germany (FRG). No differences could be found pertaining to the comparison of university and non-university hospitals. CONCLUSION: Interesting tendencies could be seen regarding the willingness of hospital departments to widen their therapy spectrum by adopting complementary medicine procedures. These in turn led us to valuable conclusions as to the various strategies of patient care. Given the frequency of use of complementary medicine therapies in the field of gynecology and obstetrics, it must surely be concluded that research into complementary medicine approaches in such areas must be intensified.
BACKGROUND: Practitioners and users of naturopathic therapies claim that one of the assumptions underlying their work is a holistic "view of man". OBJECTIVE: Does there exist one specific view of man in present naturopathy and what does this mean? MATERIAL AND METHODS: Database and literature research of use and meaning of the term "view of man" and descriptive analysis. RESULTS: The term "view of man" is neither timeless nor related to a specific subject area. Its meaning is connected with the state of knowledge of the respective epoch as well as its reception in science and society. The discourse concerning the term "view of man" in the 2nd half of the 20th century in German literature shows, that in different fields the argumentation about one specific view of man shifts towards a pluralistic understanding of man. This pluralistic view about man exists in medicine as well. On the one hand conventional medicine, a long time under influence of the reductionism of natural science, has widened its worldview due to methods and questions of different disciplines such as psychosomatics, psychotherapy or social medicine towards a more complex perception of man. On the other hand Traditional European Naturopathy (TEN) too, claims to respect aspects of the "body-mind-soul-unity" in its understanding of man; yet, in connection with its hardly ever explained "natural forces". Besides the findings in literature clinical experience with our patients reveals some aspects that are characteristic of today's pluralistic naturopathic understanding of man and could also be useful for conventional medicine: recognition of patients' expectations (e.g. subjective view of illness), participation in the therapy planning (e.g. construction of how to get healthy) and naturopathic modes of therapy (e.g. start of therapy at healthy parts of the body, too). CONCLUSIONS: Despite some characteristics in naturopathy one finds variations of views or images of man, which originate from multiple subjective and socio-cultural perspectives of patients and therapists and which require, next to medical knowledge, on both sides openness and communication regarding aspects of health, illness and therapeutic settings.
Naturopathy is making a strong resurgence in many Western countries, and its philosophical and theoretical basis has much in common with nursing theories of health. This article will give an overview of naturopathy, its origins in Hippocratic medicine and nature cure, and its re-emergence during the Victorian era in the context of a renewal of interest in health. The question is posed, 'To what extent did the nature cure movement of last century influence the thinking of Florence Nightingale?' An examination of her writings supports the hypothesis that nature cure was a significant influence on Nightingale's understanding of health and healing. Contemporary nursing theory is also congruent with naturopathic principles in significant ways, and a convergence between the two disciplines is emerging.
OBJECTIVES: 1) Development and validation of a questionnaire on the attitudes and prior therapies with respect to naturopathy. 2) Clinical application in patients with atopic dermatitis in conventional and unconventional inhospital therapy. METHODS: A questionnaire for patients with skin diseases was developed, which includes the following areas: 1. prior therapies (conventional, unconventional, and psychotherapeutic procedures), 2. attitudes to the procedures, 3. previous therapists, 4. sources of information about the disease. The questionnaire was validated on 1,288 inpatients and outpatients in three clinics. A comparison study using the questionnaire was performed with 73 inpatients with atopic dermatitis under conventional therapy and 59 inpatients under alternative-medical therapy. RESULTS: The patients undergoing alternative-medical therapy reported significantly more prior experience in both conventional and unconventional procedures. The unconventional procedures were rated significantly higher by these patients, while the patients under conventional treatment rated several conventional procedures significantly higher. With respect to previous therapists, patients under unconventional treatment had been treated significantly more frequently by physicians oriented toward naturopathy and nonmedical practitioners. Prior information concerning the disease had been obtained significantly more frequently by the patients under alternative-medical treatment. DISCUSSION: Patients with atopic dermatitis under conventional or alternative medical treatment differ widely from one another with respect to previous therapies and prior experience and attitudes to conventional and unconventional procedures. These selection effects must be taken into consideration when comparing various therapeutic approaches, e. g. in multicenter studies.
Asthma is one of the common psychosomatic illness influenced by many factors. Bronchodilators give temporary relief and have side effects. The present study is aimed at finding the efficacy of a non-pharmacological approach of naturopathy and Yoga in bronchial asthma. A total no of 37 patients (19 men, 18 women) with mean age 35.06 yrs (men), 40.74 yrs (women) admitted to INYS, Bangalore, for the period of 21 days. The treatment included 1. Diet therapy 2. Nature cure treatment and 3. Yoga therapy. The various parameters including lung function test were measured on admission and once a week. Results showed the significant improvement in PEFR, VC, FVC, FEV1, FEV/FEC %, MVV, ESR and absolute eosinophil count. The patients reported a feeling of well being, freshness and comfortable breathing. Naturopathy and yoga helps in inducing positive health, alleviating the symptoms of disease by acting at physical and mental levels.
"Naturopathic medicine" is a recent manifestation of the field of naturopathy, a 19th-century health movement espousing "the healing power of nature." "Naturopathic physicians" now claim to be primary care physicians proficient in the practice of both "conventional" and "natural" medicine. Their training, however, amounts to a small fraction of that of medical doctors who practice primary care. An examination of their literature, moreover, reveals that it is replete with pseudoscientific, ineffective, unethical, and potentially dangerous practices. Despite this, naturopaths have achieved legal and political recognition, including licensure in 13 states and appointments to the US Medicare Coverage Advisory Committee. This dichotomy can be explained in part by erroneous representations of naturopathy offered by academic medical centers and popular medical Web sites.