Edzard Ernst

MD, PhD, MAE, FMedSci, FRSB, FRCP, FRCPEd.

Many fans of so-called alternative medicine have, as discussed ad nauseam on this blog, an irrational attitude towards vaccinations. They frequently claim that they do more harm than good. I wonder whether the data from a very large study might convince them other wise.

The WHO launched the ‘Expanded Programme on Immunization’ (EPI) in 1974 to make life-saving vaccines available to all globally. To mark the 50-year anniversary of EPI, this analysis sought to quantify the public health impact of vaccination globally since the programme’s inception.

his modelling study used a suite of mathematical and statistical models to estimate the global and regional public health impact of 50 years of vaccination against 14 pathogens in EPI. For the modelled pathogens, we considered coverage of all routine and supplementary vaccines delivered since 1974 and estimated the mortality and morbidity averted for each age cohort relative to a hypothetical scenario of no historical vaccination. These modelled outcomes were then used to estimate the contribution of vaccination to globally declining infant and child mortality rates over this period.

Since 1974, vaccination has averted 154 million deaths, including 146 million among children younger than 5 years of whom 101 million were infants younger than 1 year. For every death averted, 66 years of full health were gained on average, translating to 10·2 billion years of full health gained. Vaccination has thus accounted for 40% of the observed decline in global infant mortality, 52% in the African region. In 2024, a child younger than 10 years is 40% more likely to survive to their next birthday relative to a hypothetical scenario of no historical vaccination. Increased survival probability is observed even well into late adulthood.

The authors concluded that since 1974 substantial gains in childhood survival have occurred in every global region. We estimate that EPI has provided the single greatest contribution to improved infant survival over the past 50 years. In the context of strengthening primary health care, our results show that equitable universal access to immunisation remains crucial to sustain health gains and continue to save future lives from preventable infectious mortality.

>So, will this excellent and compelling analysis concince many irrational anti-vaxers? Somehow, I have my doubts.

Evidence-Based Practice (EBP) assists with decision-making related to patient care, to improve outcomes and patient satisfaction. This study aimed to analyse the attitudes, skills, and utilization of EBP among South African chiropractors, focusing on perceived skill levels, training, use and identifying facilitators and barriers to EBP application.

A descriptive cross-sectional quantitative analysis was conducted by inviting registered chiropractors in South Africa (n = 920) to participate in an anonymous online questionnaire using the Evidence-Based Practice Attitude and Utilisation Survey (EBASE).

A total of 132 chiropractors completed the survey, yielding a response rate of 14.4%. Of the respondents, 59.9% were female, 52.3% were between 26 and 35 years old, and 63.3% had graduated from the University of Johannesburg. The results showed:

  • A third of respondents stated they have poor clinical research skills.
  • Over half of the respondents (53.0%) expressed no interest in learning and enhancing new or existing skills to incorporate current outcomes into their practices.
  • Respondents reported average skills in locating professional literature (33.3%), searching online databases (34.8%), and retrieving evidence (41.7%).
  • Conducting clinical research was deemed to have the lowest degree of competence (33.3%).
  • Conducting systematic reviews or meta-analyses was seen as a minor component of chiropractic education (28.0%).
  • Applying research evidence to clinical practice (43.9%), doing clinical research (41.7%), and critical thinking (44.7%) were identified as key components of the chiropractic curriculum.
  • Over half of the respondents (56.8%) indicated that EBP constituted a significant part of their education except for completing systematic reviews or meta-analyses.
  • Yet, 38.6% of respondents’ practices were based on less than 50% of clinical research evidence.
  • Published clinical evidence was ranked 6th as a source of information for clinical decisions.
  • Chiropractors’ personal intuition was the most frequently used source of information (SD = 4.6).
  • Consultation with the literature, such as CPGs (SD = 4.9), textbooks (SD = 5.2) and published clinical evidence (SD = 5.3) were used only moderately.
  • The least frequently used source was published experiments (SD = 6.9).
  • Practitioners did not often use patient preference (SD = 6.1) or consultations with other colleagues or experts (SD = 5.0) for clinical decision-making.

The obstacles indicated were time constraints and a lack of clinical research in complementary and alternative medicine. Access to the internet, databases and research tools were facilitators that were deemed to be “very useful” in promoting EBP.

The authors concluded that the majority of South African chiropractors are generally favourable towards EBP, and this practice therefore appears to be utilised and embraced, with the requisite skills.

If I disregard the dismal response rate for a minute and assume that these findings are relevant, I have to ask the following question:

How on earth can the authors justify their conclusions from this survey?

I would correct them and conclude as follows:

The perceived skill levels, training, use of EBP by South African chiropractors are frightening.

In the previous 3 parts of this series (see here, here and here), we have discussed 9 fake diagnoses of so-called alternative medicine (SCAM):

  • adrenal fatigue,
  • candidiasis hypersensitivity,
  • chronic intoxications,
  • chronic Lyme disease,
  • electromagnetic hypersensitivity,
  • homosexuality,
  • leaky gut syndrome,
  • multiple chemical sensitivity,
  • neurasthenia.

Today I will briefly discuss three further fake diagnoses and list the treatments that SCAM practitioners might recommend for them.

Vaccine overload

Vaccine overload is a term for the notion that giving many vaccines at once may overwhelm or weaken a patient’s immune system which, in turn, is alleged to lead to adverse effects. Because children have an immature immune system, they are claimed to be afflicted most frequently.

There is no evidence that vaccine overload exists nor that it can lead to illness. This does not stop SCAM practitioners to apply or recommend all sorts of SCAMs for the imagined condition. Particular favourites are all sorts of detox diets, homeopathy and a wide range of dietary supplements. Such diets and supplements can be tricky for younger children. In this case, SCAM practitioners recommend, amongst many other things, smoothies or adding turmeric, ginger, and small amounts of Shillington’s adult supplements to the child’s food.

None of these recommendations are supported by anything resembling sound evidence, of course.

Vertebral subluxation

On this blog, we have discussed vertebral subluxations more often than I care to remember. Chiropractors claim that these figments of their imagination impair the flow of innate which, in turn, makes us ill. Straight chiros, those who adhere to the gospel of their guru DD Palmer, diagnose subluxations in 100% of their patients. They are undeterred by the fact that vertebral subluxations do not exist.

I can understand why! If they did aknowledge that the diagnosis is fake, they would have no reason to treat patients with spinal manipulations, and they would quickly go out of business.

Yin/Yang imbalance

According to the assumptions of practitioners of Traditional Chinese Medicine (TCM), all health problems arise from an imbalaance of the two life forces , yin and yang. To restore the balance, they employ a range of therapies such as acupuncture, herbal mixtures, massages, etc.

But these life forces do not exist. Thus they cannot be out of balance, and consequently the imbalance cannot cause illness. TCM practitioners don’t want to hear any of this. Why not? You guessed it: if they aknowledged these facts, they would need to stop practising.

____________________

Fake diagnoses are the life-line of many SCAM practitioners:

  • they tell you that something is wrong with you (despite the fact that you are entirely healthy);
  • they make sure that this is a reason for serious concern;
  • they claim they can put the alleged abnormality right again;
  • they administer a lengthy series of treatments and/or sell you plenty of remedies;
  • when they have earned enough money treating you, they give you the good news: you are back to narmal;
  • gullible consumers are impressed by the unfailing competence of the SCAM practitioners.

My conclusion:

there is nothing easier and more profitably to heal that a condition that did not exist  in the first place.

 

As reported previously, the German skeptics (the GWUP) are in turmoil:

The current rift, many hope, will end imminently, when the GWUP membership elects the new board on the occasion of the ‘SKEPKON‘ (May 9-11). The members then have the choice between Holm Huemmler and Andre Sebastiani and their respective teams.

For many, the choice might be difficult, as they are bewildered (as am I) about what seems to be going on within the GWUP. Therefore, I will today try to provide an assessment according to objectively measurable criteria. For each team, I will calculate the

  1. Number of members with an H-Index (as a measure of the productivity and citation impact of the publications by each team);
  2. Number of members with a Wiki page (as a measure of public visibility).
  3. Number of members who are fellows of the CSI (as a measure of acceptance by skeptics internationally).
  4. Number of members who were active during recent months on social media in relation to the GWUP (as a measure of current engagement in the affairs of the GWUP).
  5. Number of female members (as a measure of equality).
  6. Number of members who are not German or who have been brought up in countries other than Germany (as a measure of internationality).

Please don’t get me wrong, I am not saying that these are validated measures of anything (for instance, I am not claiming that a H-Index is necessary for leading a skeptics organisation, yet I do feel that at least some members of the board should be experienced scientists); the measures might merely be rough indicators. But I still hope they might offer some crude guidance for those GWUP members who look for some guidance beyond the heresay, gossip and accusationst that currently circulate.

Let me first introduce the two teams:

TEAM HUEMMLER

  • Dr. Holm Gero Hümmler (Chair, management consultant, studied physics)
  • Dr. Stephanie Dreyfürst ( Deputy chair, director of adult education, studied German)
  • Dr. Jochen Blom (Bioinformatik, studied bioinformatics)
  • Dr. Claudia Preis (Treasurer, manager, studied European ethnology)
  • Ralf Neugebauer (Judge, studied law)
  • Annika Harrison (Teacher)
  • Sabine Breiholz (Behavioural scientist, studied biology)
  • Mirko Gutjahr (Director of a museum, studied acheology)

TEAM SEBASTIANI

  • André Sebastiani (Chair, teacher and consultant for media didactics)
  • Judith Faessler (Deputy chair, philosophy and Oriental studies)
  • Stefanie Handl (Deputy chair, veterenaty medicine)
  • Rouven Schäfer (Studied economics, adult education and psychology)
  • Stefanie Weig (Energy and construction industry)
  • Stefan Uttenthaler (Studied physics and astronomy)
  • Timur Sevincer (Studied psychology)
  • Stefan Soehnle (Treasurer, studied physics and economics)
  • Babro Walker (Science council, studied educational sciences and psychology)

And here are the findings of my evaluation:

  1. Number of members with H-Index: team Huemmler 2; team Sebastiani 4.
  2. Number of members with a Wiki page: team Huemmler 1; team Sebastiani 2.
  3. Number of members with membership in CSI: team Huemmler 0; team Sebastiani 0.
  4. Number of members active on social media: team Huemmler 1; team Sebastiani 4.
  5. Number of female members: team Huemmler 4; team Sebastiani 4.
  6. Internationality: team Huemmler 0; team Sebastiani 4.

According to these figures, team Sebastiani seems better suited. Of course, these findings have to be interpreted with caution. Firstly, the differences are not large. Secondly – as already stressed – the parameters I used are at best indicators. Thirdly, it is possible that my evaluations were not 100% correct.

The main problem I faced when conducting this comparison was that objective measures which can easily be extracted from the data available to me are illusive, If anyone knows better ones, please let me know.

To be a useful board member of a skeptics organisation for German speaking countries, one should probably have qualities such as the following:

  • An ability to lead towards a common goal, meaning experience in heading teams and in tricky negotiations.  
  • Experience in organising events and projects.
  • Good connections to scientific organisations and academia.
  • Experience in public dissemination of science. 
  • A commitment to scientific skepticism and evaluations based on evidence.
  • An understand of how science works. 
  • Good international connections and co-operations.
  • Determination and ability to solve problems rather than just looking for problems and blaming others for them.

These qualities might be important, but they are not quantifiable – at least, I don’t know how to measure them based on the available material.

So, if you want to make an informed choice that is likely to be best for the future of skepticism in German speaking countries, I urge you to go on the Internet and inform yourself beyond my admittedly simplistic attempt to provide guidance.

I received an email – a round robin, actually – from my ex-friend Wayne Jonas and was amazed to read the following passage:

My new book, “Healing and Cancer,” co-written with Alyssa McManamon, MD, is now available! Whole person care in oncology centers the person with cancer – their history, intuition, and understanding of what constitutes a good life and, eventually, a dignified end …

For those who don’t know him, here is what Wiki has to say about Wayne:

Wayne B. Jonas is an American family physician, retired army medical officer,[1] and alternative medicine researcher. He is the former president and CEO of the Samueli Institute.[2][3] The institute does research into the efficacy of alternative medicine, such as on the effects of prayer on treating disease, use of homeopathy to fight bioterrorism, and use of magnetic healing devices on orthopedic injuries, with Jonas commenting on these research programs, “There is a good case for looking at these things scientifically, because we don’t know a lot about them”.[3] He is professor of family medicine at Georgetown University and an adjunct professor at Uniformed Services University of the Health Sciences.[2]

Jonas received his medical degree from Wake Forest University School of Medicine.[2]

Jonas began his career as the Director of the Medical Research Fellowship at the Walter Reed Army Institute of Research.[2] From 1995 to 1998, Jonas was the director of the Office of Alternative Medicine (since renamed the National Center for Complementary and Integrative Health), a branch of the National Institutes of Health.[2] In 2001, the Samueli Institute was founded. Jonas has served as its president and CEO ever since.[3].

Some of my regular readers might also know Wayne, as he is a member of my ALTERNATIVE MEDICINE HALL OF FAME. But back to his recent email. I was not sure whether to laugh or cry when I read the above-cited passage:

  1. I honestly don’t know what it means ‘to center the person with cancer’. It sounds very much like new age BS to me, I’m afraid. What I do know, however, is this: almost all cancer patients have formost one wish, and that is to get rid of their cancer. I have never met one who wants to be “centered” with the disease.
  2. I am also sure that cancer patients would want even less to be centered with their cancer, if they knew that this approach eventually entails a ‘dignified end‘. All of us want to live – and cancer patients are certainly no exceptions.

Perhaps it is just Wayne’s clumsy way of trying to express something very profound. Or perhaps it is my mistake for misunderstanding his new age phraseology. In any case, ‘whole person’ cancer care sounds all very attractive – untill you get the diagnosis, that is. Then, you are desperately looking towards a cure, and not towards a ‘dignified end‘. The cure, of that I am quite sure, cannot come from holistic BS, but must come from the best treatments conventional oncology has to offer.

In a nutshell:

if I had the choice between ‘whole person’ care followed by a ‘dignified end’ or conventional oncology followed by survival, I would chose the latter.

 

This study aims to appraise the utility, accuracy, and quality of information available on YouTube on acupuncture for chronic pain treatment. Using search terms such as “acupuncture for chronic pain” and “acupuncture pain relief”, the top 54 videos by view count were selected. Videos were included if they were:

  • > 1 minute duration,
  • contained audio in English,
  • had > 7000 views,
  • related to acupuncture.

Each video was categorised as either:

  • useful,
  • misleading,
  • or neither.

Another primary outcome of interest was the quality and reliability of each video using validated instruments, including the modified DISCERN (mDISCERN) tool and the Global Quality Scale (GQS). The means were calculated for the video production characteristics, production sources, and mDISCERN and GQS scores. Continuous and categorical outcomes were compared using Student’s t-test and chi-square test, respectively.

The results show that, of the 54 videos,

  • 57.4% were categorized as useful,
  • 14.8% were misleading,
  • and 27.8% were neither.

Useful videos had a mean GQS and mDISCERN score of 3.77± 0.67 and 3.48± 0.63, respectively, while misleading videos had mean GQS and mDISCERN score of 2.50± 0.53 and 2.38± 0.52, respectively. 41.8% of the useful videos were produced by a healthcare institution while none of the misleading videos were produced by a healthcare institution. However, 87.5% of the misleading videos were produced by health media compared to only 25.8% of useful videos from health media.

The authors concluded that their analysis of the highest viewed acupuncture videos for chronic pain reveals only about half provide useful information, indicating a significant misinformation challenge for viewers. This underscores the urgent need for more high-quality, unbiased videos from healthcare institutions and physicians on complementary health practices like acupuncture.

This new analysis confirms what we and others have shown numerous times before: information about so-called alternative medicine (SCAM), which is abundantly available on the Internet, needs to be taken with a healthy pinch of salt. Whenever we studied the issue, our conclusions were even less optimistic than those of the present authors. In fact, most of the time we concluded that following such advice is a risk factor to our health.

In the previous two parts of this series (see here and here), we discussed the following SCAM diagnoses:

  • adrenal fatigue,
  • candidiasis hypersensitivity,
  • chronic intoxications,
  • chronic Lyme disease,
  • electromagnetic hypersensitivity,
  • homosexuality.

Today, I will add three further fake diagnoses to the list.

Leaky gut syndrome

Leaky gut syndrome is allegedly caused by the passage of harmful substances from the gut wall into the body. SCAM proponents claim it is the origin of many conditions, including multiple sclerosis and autism. However, there is no evidence to show that these claims are true. SCAM practitioners nevertheless recommend many types of SCAM to treat the non-existing entity, e.g. SCAM diets, supplements, etc. It goes without saying that none of them have been shown to be effective.

Multiple chemical sensitivity

Multiple chemical sensitivity is allegedly caused by a hypersensitivity to commonly used chemicals. The symptoms are vague such as headache, dizziness, fatigue. Even those who believe that the condition exist are unable to offer a generally accepted definition of the syndrome.

The SCAMs recommended include:

  • Nutritional supplements
  • Digestive aids
  • Hormone balancing
  • Detoxification
  • Desensitization
  • Eliminating occult infections
  • Oxygen
  • Immune stimulation

Naturally, none of them is supported by sound evidence.

Neurasthenia

In 1869, physician George Miller Beard developed a diagnostic profile for a mental disorder that appeared to be common in the US. Neurasthenia was allegedly characterised by migraines, fatigue, depression, and digestive problems.

The cure, according to Beard, was to flee the city – because it was the stresses of city life that caused the condition. Women were encouraged to rest, while men were asked to engage in outdoor activities. By the early 20th century, this mental disorder had become a status symbol, and it soon spread to other parts of the world. But this pandemic was short-lived: by 1930, neurasthenia had virtually disappeared from conventional medicine.

In SCAM, however, neurasthenia is still a well-establisged money earner. SCAM practitioners do not hesitate to recomment virually every SCAM under the sun for it. They all have one thing in common: they do not work.

 

It has been reported that a former model almost died trying to cure her cancer with a juice diet. Medics tried to get Irena Stoynova to use conventional cancer treatments after she was diagnosed with non-Hodgkin lymphoma in June 2021, but she ‘shut them out’. Instead of chemotherapy, she sought out so-called alternative medicine (SCAM) online and took the advice of a social media influencer who claims the body can ‘heal itself’ with help of a radical lifestyle and diet changes.

Ms Stoynova thus followed various diets and holistic therapies for two-and-a-half years, which left her emaciated and with fluid on her lungs.

Doctors said she was on the verge of death when she was taken to Frimley Park Hospital by ambulance in May last year. She was told by Dr Clare Rees that she would likely die without treatment for her stage three cancer. But Ms Stoynova continued to refuse for a number of days before finally agreeing to receive chemotherapy. Ms Stoynova then spent 50 days in the hospital’s acute dependency unit.

She said when she was first diagnosed that she decided against traditional treatments after ‘reading about and watching many doctors and professors talk about the success rate of alternative therapies online’. The 39-year-old, who now works in sales, said she did a juice diet for two-and-a-half years, but also tried a raw diet, intermittent fasting, boiling herbs and special teas.

Speaking about her diagnosis, she said: ‘I was devastated, the whole world just closed around me and I felt really alone.’ She said that she was advised to start chemotherapy, but instead turned to the internet to find alternative advice. ‘I found an American guy who has millions of followers who promoted holistic treatment,’ she said. ‘He had a podcast where he interviewed very knowledgeable doctors and professors who are talking about holistic treatment and they called standard treatment “outrageous”. ‘They said that people who had chemotherapy are “lazy” and don’t want to put in the hard work of holistic treatment.’ Ms Stoynova continued: ‘The guy has three or four books on how to heal cancer holistically – how to make salads, use different herbs, juicing, intermittent fasting – there were so many testimonials, so many people that did it. ‘I spent £2,000 on juicers – one for smoothies, one for carrots, one for citrus and one for everything else. I spent two to three hours a day making juice for the next day.

_________________________

The ‘juice diet’ seems to have been the Gerson therapy or a variation of it. We have discussed this particular SCAM several times before, e.g.:

I just wish Irena Stoynova had read my blog instead of following the criminal quackery of the ‘American guy’.

My conclusion:

reading this blog and telling others about it can saave lives

This Phase IV randomized, double-blind, placebo-controlled clinical trial was “designed to demonstrate the efficacy and safety of the product Neurodoron (Kalium phosporicum comp., KPC) in patients with neurasthenia”.

The study was conducted in an outpatient German trial site. Women and men aged 18 and above were randomized to receive either KPC or placebo if they reported typical symptoms of neurasthenia and a severe psychiatric disorder could be excluded. The primary objectives were a reduction in characteristic symptoms of nervous exhaustion and perceived stress as well as improvement in general health status after 6 weeks of treatment.

In total, 204 patients underwent screening, 78 were randomized in each treatment group, and 77 patients each received treatment (intention-to-treat (ITT) population = 154 patients). For none of the primary efficacy variables, an advantage in favor of KPC could be demonstrated in the pre-specified analysis (p-values between 0.505-0.773, Student’s t-test). In a post-hoc analysis of intra-individual differences after 6 weeks treatment, a significant advantage of KPC vs. placebo was shown for characteristic symptoms of nervous exhaustion (irritability (p = 0.020); nervousness (p = 0.045), Student’s t-test). Adverse event (AE) rates were similar between treatment groups, in both groups six AEs were assessed as causally related to treatment (severity mild or moderate). No AE resulted in discontinuation of treatment.

The authors concluded that the trial treatment was well tolerated with only a few and minor AEs reported, confirming the markedly good safety of KPC. A significant improvement of neurasthenia was seen for the total study population at the end of the treatment period. Superiority of KPC vs. placebo could not be demonstrated with the pre-specified analysis with regards to a sum score of 12 typical symptoms, perceived stress, or general health status. However, the explorative post-hoc analysis revealed that KPC is superior to placebo in the characteristic symptoms irritability and nervousness. KPC could therefore be a beneficial treatment option for symptomatic relief of neurasthenia.

The very first thing one notices is the aim of the study. According to its authors, it was “designed to demonstrate the efficacy and safety of the product Neurodoron (Kalium phosporicum comp., KPC) in patients with neurasthenia“. Any group of researchers that is unaware of the fact that clinical trials are for TESTING and not for DEMONSTRATING should, in my view, be sent straight back to school. And while they are at it, they might as well take with them the editor of the journal as well as the peer-reviewers of the paper.

As it happens, I have published a post about Neurodoron before. Here is a short section from it:

Stress is associated with a multitude of physical and psychological health impairments. To tackle these health disorders, over-the-counter (OTC) products like Neurodoron® are popular since they are considered safe and tolerable. One tablet of this anthroposophic remedy contains the following active ingredients:

83.3 mg Aurum metallicum praeparatum trituration (trit.) D10,

83.3 mg Kalium phosphoricicum trit. D6,

8.3 mg Ferrum-Quarz trit. D2.

Experience reports and first studies indicate that Neurodoron® is efficient in the treatment of stress-associated health symptoms…

Apart from its above-mentioned aim, the new study is remarkable in one further aspect: in its conclusion, it makes a big deal out of the ‘good news’ that Neurodoron safe. As the trial was not designed to test safety, this can only be seen as an attempt to hide (as well as possible) the fact that the remedy turned out to be ineffective.

Why would researchers try to distract the reader from the main message of their work? The answer might lie in the affiliation of two of the authors: Clinical Research, Weleda AG, Schwäbisch Gmünd, Germany.

The BBC stands for reliable information, at least that’s what I used to believe. After reading a recent article published on the BBC website, I have my doubts, however. See for yourself; here are a few excerpts:

On a holiday to Kerala on India’s south-western Malabar Coast, Shilpa Iyer decided to visit Kotakkal, a town that became famous after the establishment of Arya Vaidya Sala, Kerala’s best-known centre for the practice of Ayurveda, in 1902. Seven days later, she left the historical treatment centre after completeing panchakarma, a cleansing and rejuvenating programme for the body, mind and consciousness.

“There was nothing really wrong, but I was always busy with the demands of modern life and plagued with continual aches and pains. So, I decided to focus on my own health,” Iyer says.

Panchakarma, a holistic Ayurvedic therapy, involves a series of detoxifying procedures. It integrates herbal medicines, cleansing therapies, personalised diet plans and wellness activities to eliminate the root cause of disease, revive and rejuvenate the body, and ensure health and longevity.

Iyer says she left “feeling lighter, healthier and better than ever before”. She isn’t the only one who signed up for an Ayurvedic treatment in Kerala; the holistic system of medicine is a way of life in this coastal paradise.

… Ayurveda translates to “knowledge of life” and originated in India more than 3,000 years ago. It is based on the ideology that health and wellness depend on a delicate balance between the mind, body, spirit and environment, and places great emphasis on preventive strategies rather than curative ones. The ancient system of medicine is centred on the idea of universal interconnectedness between prakriti (the body’s constitution) and doshas (life forces). Varied combinations of the five elements — aakash (sky), jal (water), prithvi (earth), agni (fire) and vayu (air) – create the three doshas.

Kerala Tourism Ayurveda places great emphasis on preventive strategies rather than curative ones (Credit: Kerala Tourism)

Dr Gaurang Paneri, an Ayurveda practitioner, explains every person has the three doshas, vatapitta and kapha, in varying strength and magnitude. “The predominant dosha determines their prakriti. Diseases arise when doshas are affected because of an external or internal stimulus (typically linked to eating habits, lifestyle or physical exercise). Ayurveda works to ensure harmony between the three,” he says…

The small state has more than 100 Ayurvedic government-run hospitals, 800 Ayurvedic pharmaceutical factories and 800 Ayurvedic medicine dispensaries. As many as 120 holiday resorts and private wellness centres offer specialised treatments such as kasti vvasti, an oil-based treatment for back pain and inflammation in the lumbosacral region; elakkizhi, a treatment with heated herbal poultices to tackles aches, pains and muskoskeletal trauma; njavara kizhi, a massage therapy for arthritis or chronic musculoskeletal discomfort; and shirodhara, a restorative therapy to ease stress and anxiety and that involves pouring warm, medicated oil over the forehead.

Most treatment centres offer therapies and treatments for a range of health issues, including immunity, mental health, anxiety, pain management, weight loss, skin and health care, sleep issues, psoriasis, eczema, eye care, arthritis, sciatica, gastric problems and paralysis. The treatments typically include dietary changes, herbal medicines, massage therapies, poultices, meditation and breath exercises…

___________________________

I find such advertisements disguised as journalism disturbing:

  • No mention that the treatments in question lack conclusive evidence of effectiveness.
  • Not a word about the fact that many can be outright dangerous.
  • No mention of the often exorbitant fees visitors are asked to pay.

Please do better next time you report about health matters, BBC!

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