Anthroposophic medicine

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Anthroposophic medicine (or anthroposophical medicine) is a form of alternative medicine. [1] Devised in the 1920s by Rudolf Steiner (1861–1925) in conjunction with Ita Wegman (1876–1943), anthroposophical medicine is based on occult notions and draws on Steiner's spiritual philosophy, which he called anthroposophy. Practitioners employ a variety of treatment techniques based upon anthroposophic precepts, including massage, exercise, counselling, and substances. [2]

Alternative medicine describes any practice that aims to achieve the healing effects of medicine, but which lacks biological plausibility and is untested or untestable. In some cases AM treatments are proven ineffective. Complementary medicine (CM), complementary and alternative medicine (CAM), integrated medicine or integrative medicine (IM), and holistic medicine are among many rebrandings of the same phenomenon. Alternative therapies share in common that they reside outside medical science, and rely on pseudoscience. Alternative medicine is distinct from experimental medicine, which employs the scientific method to test plausible therapies by way of responsible and ethical clinical trials, producing evidence of either effect or of no effect. Research into alternative treatments often fails to follow proper research protocol and denies calculalaton of prior probability, providing invalid results. Traditional practices become "alternative" when used outside their original settings without proper scientific explanation and evidence. Frequently used derogatory terms for the alternative are new-age or pseudo, with little distinction from quackery.

Rudolf Steiner Austrian philosopher, social reformer, architect, economist and esotericist

Rudolf Joseph Lorenz Steiner was an Austrian philosopher, social reformer, architect, economist and esotericist. Steiner gained initial recognition at the end of the nineteenth century as a literary critic and published philosophical works including The Philosophy of Freedom. At the beginning of the twentieth century he founded an esoteric spiritual movement, anthroposophy, with roots in German idealist philosophy and theosophy; other influences include Goethean science and Rosicrucianism.

Ita Wegman Dutch physician

Ita Wegman co-founded Anthroposophical Medicine with Rudolf Steiner. In 1921, she founded the first anthroposophical medical clinic in Arlesheim, known until 2014 as the Ita Wegman Clinic. She also developed a special form of massage therapy, called rhythmical massage, and other self-claimed therapeutic treatments.

Contents

Many drug preparations used in anthroposophic medicine are ultra-diluted substances, similar to those used in homeopathy. Homeopathic remedies are not medically effective and are generally considered harmless, except when used as a substitute for a scientifically proven and effective cure. [3] In certain European countries, people with cancer are sometimes prescribed remedies made from specially harvested mistletoe, but research has found no convincing evidence of clinical benefit. [4] [5] Some anthroposophic doctors oppose childhood vaccination, and this has led to preventable outbreaks of disease. [6]

Homeopathy Pseudoscientific system of alternative medicine based on the doctrine of "like cures like"

Homeopathy or homœopathy is a system of alternative medicine created in 1796 by Samuel Hahnemann, based on his doctrine of like cures like, a claim that a substance that causes the symptoms of a disease in healthy people would cure similar symptoms in sick people. Homeopathy is a pseudoscience – a belief that is incorrectly presented as scientific. Homeopathic preparations are not effective for treating any condition; large-scale studies have found homeopathy to be no more effective than a placebo, indicating that any positive effects that follow treatment are not due to the treatment itself but instead to factors such as normal recovery from illness, or regression toward the mean.

Cancer group of diseases

Cancer is a group of diseases involving abnormal cell growth with the potential to invade or spread to other parts of the body. These contrast with benign tumors, which do not spread. Possible signs and symptoms include a lump, abnormal bleeding, prolonged cough, unexplained weight loss, and a change in bowel movements. While these symptoms may indicate cancer, they can also have other causes. Over 100 types of cancers affect humans.

Mistletoe

Mistletoe is the English common name for most obligate hemiparasitic plants in the order Santalales. They are attached to their host tree or shrub by a structure called the haustorium, through which they extract water and nutrients from the host plant. Their parasitic lifestyle has led to some dramatic changes in their metabolism.

Anthroposophic medicine departs from fundamental biological principles in several respects. For example, Steiner said that the heart does not pump blood but that blood propels itself along. [7] Anthroposophic medicine also proposes that patients' past lives may influence their illness [8] and that the course of an illness is subject to karmic destiny. [9] Professor of complementary medicine Edzard Ernst and other physicians and scientists including Simon Singh and David Gorski have characterized anthroposophic medicine as pseudoscientific quackery [10] [11] with no basis in reason or logic. [12] [13] [14] [15]

Heart organ for the circulation of blood in animal circulatory systems

The heart is a muscular organ in most animals, which pumps blood through the blood vessels of the circulatory system. Blood provides the body with oxygen and nutrients, as well as assisting in the removal of metabolic wastes. In humans, the heart is located between the lungs, in the middle compartment of the chest.

Pump Device that moves fluids by mechanical action

A pump is a device that moves fluids, or sometimes slurries, by mechanical action. Pumps can be classified into three major groups according to the method they use to move the fluid: direct lift, displacement, and gravity pumps.

Blood specialized bodily fluid in animals

Blood is a body fluid in humans and other animals that delivers necessary substances such as nutrients and oxygen to the cells and transports metabolic waste products away from those same cells.

Background

Co-founders of anthroposophic medicine
Steiner Berlin 1900 big.jpg
Rudolf Steiner
Ita Wegman 1899.jpg
Ita Wegman

History

Ita Wegman, co-founder of the medical approach, before 1900 in Berlin. Ita Wegman vor1900.jpg
Ita Wegman, co-founder of the medical approach, before 1900 in Berlin.

The first steps towards an anthroposophic approach to medicine were made before 1920, when homeopathic physicians and pharmacists began working with Rudolf Steiner, who recommended new medicinal substances as well as specific methods for preparation along with an anthroposophic concept of man. In 1921, Ita Wegman opened the first anthroposophic medical clinic, now known as the Klinik Arlesheim, [16] in Arlesheim, Switzerland. Wegman was soon joined by a number of other doctors. They then began to train the first anthroposophic nurses for the clinic.

Medicine The science and practice of the diagnosis, treatment, and prevention of physical and mental illnesses

Medicine is the science and practice of establishing the diagnosis, prognosis, treatment, and prevention of disease. Medicine encompasses a variety of health care practices evolved to maintain and restore health by the prevention and treatment of illness. Contemporary medicine applies biomedical sciences, biomedical research, genetics, and medical technology to diagnose, treat, and prevent injury and disease, typically through pharmaceuticals or surgery, but also through therapies as diverse as psychotherapy, external splints and traction, medical devices, biologics, and ionizing radiation, amongst others.

Clinic Health care facility, primarily focused on the care of outpatients

A clinic is a healthcare facility that is primarily focused on the care of outpatients. Clinics can be privately operated or publicly managed and funded. They typically cover the primary healthcare needs of populations in local communities, in contrast to larger hospitals which offer specialised treatments and admit inpatients for overnight stays.

Arlesheim Place in Basel-Landschaft, Switzerland

Arlesheim is a statistic town and a municipality in the district of Arlesheim in the canton of Basel-Country in Switzerland. Its cathedral chapter seat, bishop's residence and cathedral are listed as a heritage site of national significance.

At Wegman's request, Steiner regularly visited the clinic and suggested treatment regimes for particular patients. Between 1920 and 1925, he also gave several series of lectures on medicine. In 1925, Wegman and Steiner wrote the first book on the anthroposophic approach to medicine, Fundamentals of Therapy.

Wegman later opened a separate clinic and curative home in Ascona. Wegman lectured widely, visiting the Netherlands and England particularly frequently, and an increasing number of doctors began to include the anthroposophic approach in their practices. A cancer clinic, the Lukas Clinic, opened in Arlesheim in 1963. [17]

Ascona Place in Ticino, Switzerland

Ascona is a municipality in the district of Locarno in the canton of Ticino in Switzerland.

Netherlands Constituent country of the Kingdom of the Netherlands in Europe

The Netherlands is a country located in Northwestern Europe with some overseas territories. In Europe, it consists of twelve provinces that border Germany to the east, Belgium to the south, and the North Sea to the northwest, with maritime borders in the North Sea with Belgium, Germany and the United Kingdom. Together with three island territories in the Caribbean Sea—Bonaire, Sint Eustatius and Saba—it forms a constituent country of the Kingdom of the Netherlands. The official language is Dutch, but a secondary official language in the province of Friesland is West Frisian.

England Country in north-west Europe, part of the United Kingdom

England is a country that is part of the United Kingdom. It shares land borders with Wales to the west and Scotland to the north. The Irish Sea lies west of England and the Celtic Sea to the southwest. England is separated from continental Europe by the North Sea to the east and the English Channel to the south. The country covers five-eighths of the island of Great Britain, which lies in the North Atlantic, and includes over 100 smaller islands, such as the Isles of Scilly and the Isle of Wight.

In 1976 anthroposophic medicine in Germany got regulated by law as a specific therapeutic system ("Besondere Therapierichtung") by the Medicines Act-Arzneimittelgesetz (AMG) and by the Code of Social Law (Sozialgesetzbuch V) [18]

Germany Federal parliamentary republic in central-western Europe

Germany, officially the Federal Republic of Germany, is a country in Central and Western Europe, lying between the Baltic and North Seas to the north and the Alps, Lake Constance and the High Rhine to the south. It borders Denmark to the north, Poland and the Czech Republic to the east, Austria and Switzerland to the south, France to the southwest, and Luxembourg, Belgium and the Netherlands to the west.

Law System of rules and guidelines, generally backed by governmental authority

Law is a system of rules that are created and enforced through social or governmental institutions to regulate behavior. It has been defined both as "the Science of Justice" and "the Art of Justice". Law is a system that regulates and ensures that individuals or a community adhere to the will of the state. State-enforced laws can be made by a collective legislature or by a single legislator, resulting in statutes, by the executive through decrees and regulations, or established by judges through precedent, normally in common law jurisdictions. Private individuals can create legally binding contracts, including arbitration agreements that may elect to accept alternative arbitration to the normal court process. The formation of laws themselves may be influenced by a constitution, written or tacit, and the rights encoded therein. The law shapes politics, economics, history and society in various ways and serves as a mediator of relations between people.

In the 1990s the Witten/Herdecke University in Germany established a chair in anthroposophical medicine. The press described the appointment as a "death sentence" and the perception that pseudoscience was being taught damaged the university's reputation, bringing it close to financial collapse. It was ultimately saved by a cash injection from Software AG, a technology corporation with a history of funding anthroposophic projects. [12]

In 2006, anthroposophical medicine was practised in 80 countries. [19] [20] [ unreliable source? ]

In 2012 the University of Aberdeen considered establishing a chair in holistic health jointly funded by Software AG, and by the Anthroposophic Health, Education, and Social Care Movement, each of which would provide £1.5 million of endowment. [12] Edzard Ernst commented "that any decent university should even consider an anthroposophical medicine unit seems incomprehensible. The fact that it would be backed by people who have a financial interest in this bogus approach makes it even worse." [12] The University's governance and nominations committee eventually decided not to proceed with the appointment. [11]

Categorization and conceptual basis

The categorization of anthroposophical medicine is complex since in part it complements conventional medicine, and in part it substitutes for it. [1] In 2008, Ernst wrote that it was being promoted as an "extension to conventional medicine". [6]

Ernst writes that Steiner used imagination and insight as a basis for his ideas, drawing mystical knowledge from the occult Akashic Records, a work which is supposedly situated on the astral plane, and which Steiner said was accessible to him via his intuitive powers. [3] On this basis, Steiner proposed "associations between four postulated dimensions of the human body (physical body, etheric body, astral body, and ego), plants, minerals, and the cosmos". [2] Steiner also proposed a connection betweens planets, metals and organs so that, for example, the planet Mercury, the element mercury and the lung were all somehow associated. These propositions form the basis of anthroposophical medicine. [3]

Ernst has said that anthroposophical medicine "includes some of the least plausible theories one could possibly imagine", [21] categorized it as "pure quackery", [11] and said that it "has no basis in science". [12] According to Quackwatch, anthroposophical medicine practitioners regard illness as a "rite of passage" necessary to purge spiritual impurities carried over from past lives, according to the precepts of "karmic destiny". [8]

Methods

In anthroposophic pharmacy drugs are prepared according to ancient notions of alchemy and homeopathy which are not related to the science underlying modern pharmacology. [2] During the preparation process, patterns formed by crystallization are interpreted to see which "etheric force" they most closely resemble. [10] Most anthroposophic preparations are highly diluted, like homeopathic remedies. This means that, while they are completely harmless in themselves, using them in place of conventional medicine to treat serious illness carries a risk of severe adverse consequences. [3]

As well as drug remedies, anthroposophical medicine also includes: [2]

Plant-derived treatments

To select an anthroposophic substance for a particular illness, practitioners consider the source of the substances used. The character of a mineral, plant or animal is hypothesised to have been formed by the substances that are most active within it, in the belief that this character may also influence what the substance will accomplish when given to treat another organism. This is related to Samuel Hahnemann's Doctrine of signatures. Willow, for example, is considered to have an unusual character:

... plants that grow near water are usually heavy, with big, dark green leaves that wilt and break easily. An exception is ... the white willow, a tree that always grows near water and loves light. However, unlike other "watery" plants, the willow has fine, almost dry leaves and looks very light ... Its branches are unbelievably tough. They are elastic and cannot be broken. They bend easily and form "joints" rather than break. These few signatures can give us the clue to what salix can be used for therapeutically: arthritis, deformation of joints, swollen joints ... [23]

There is no scientific evidence that the shape of plants has ever caused a new medical property to be discovered. [24]

Beliefs about human biology

Steiner described the heart not as a pump, but as a regulator of flow, such that the heartbeat itself can be distinguished from the circulation of blood. [7] [25] Anthroposophic medicine claims the flow in the blood of the circulatory system is, as Marinelli put it, "propelled with its own biological momentum, as can be seen in the embryo, and boosts itself with induced momenta from the heart". [7] [26]

This view of the heart is not based on any scientific theory and has been characterized as "crank science". [25]

Steiner believed that the sex of a baby was determined at the moment of conception by the alignment of the stars. [27]

Steiner's model of anatomy was based on a three-part notion, whereby the head is the thinking part, the abdomen and limbs the "metabolic" part, and the chest and heart a "rhythmic center". [27]

Mistletoe treatment for cancer

Mistletoe - Steiner said that harvesting it when the planets were aligned would yield a cancer treatment Mistletoe Berries Uk.jpg
Mistletoe  Steiner said that harvesting it when the planets were aligned would yield a cancer treatment

Rudolf Steiner hypothesised that mistletoe could cure cancer, on the basis of the observation that the plant was a parasite which eventually killed its host, a process which he claimed paralleled the progression of cancer. [2] Steiner believed the plant's medical potential was influenced by the position of the sun, moon and planets and that it therefore was important to harvest the plant at the right time. [28] Some mistletoe preparations are ultra-diluted; others are made from fermented mistletoe. [2] The most commonly used trade names for mistletoe drugs are Iscador and Helixor. [4]

Although laboratory experiments have suggested that mistletoe extract may affect the immune system and be able to kill some kinds of cancer cells, there is little evidence of its benefit to people with cancer. [5] [29] Most of the clinical research claiming that mistletoe therapy is effective is published in Germany, and it is generally considered unreliable because of major lapses in quality. [29] [30] Edzard Ernst wrote that research by anthroposophic doctors often reached positive conclusions on mistletoe therapy because it drew on unreliable material; independent researchers tended instead to find no evidence of benefit. [2] The American Cancer Society says that "available evidence from well-designed clinical trials does not support claims that mistletoe can improve length or quality of life". [4]

Mistletoe-based cancer drugs are widely used in Europe, especially in German-speaking countries. [30] In 2002 nearly half a million prescriptions were paid for by German health insurance and in 2006 there were reportedly around 30 types of mistletoe extract on the market. [2] [30] Mistletoe extracts have been used as an unconventional treatment for cancer patients in the Netherlands, and in Germany the treatment has been approved as palliative therapy to treat the symptoms of patients with malignant tumors. [4] In Sweden, controversially, mistletoe therapy has been approved for use in the treatment of cancer symptoms. [31]

In other countries mistletoe therapy is virtually unknown. [30] The United States Food and Drug Administration has not approved mistletoe-based drugs for any purpose; mistletoe extracts may not be distributed in or imported into the US except for research purposes. [29] As of 2015 no mistletoe-based drugs are licensed for use in the United Kingdom. [32]

A 2013 article on mistletoe in Lancet Oncology invoked Ben Goldacre's observation that a geographical preference for certain therapies was a hallmark of quackery, and proposed that the continuing use of this "apparently ineffectual therapy" in a small cluster of countries was based on sociological rather than medical reasons, indicating a need for a more informed consent from patients. [30]

Immunization

The risks arising from using anthroposophical medicine as a substitute for evidence-based medicine are exemplified by several cases of low vaccination levels in Waldorf schools, [3] since some anthroposophical doctors oppose immunization. [6] A 1999 study of children in Sweden showed that in Waldorf schools, only 18% had received MMR vaccination, compared to a level of 93% in other schools nationally. [3]

A 2003 report of a widespread measles outbreak around Coburg, Germany, identified a Waldorf school as the origin. [3] At the time the town's mayor had condemned homeopathic doctors who had discouraged vaccination, saying "Their stronghold is the Waldorf School, which actively encourages people not to have their children vaccinated. Now we have an epidemic." [33]

Paul Offit wrote that Steiner believed vaccination "interferes with karmic development and the cycles of reincarnation", and that adherence to this belief led to a 2008 pertussis outbreak in a Californian Waldorf school, causing its temporary closure. [9]

See also

Related Research Articles

Anthroposophy philosophy founded by Rudolf Steiner

Anthroposophy is a philosophy founded by the 19th-century esotericist Rudolf Steiner that postulates the existence of an objective, intellectually comprehensible spiritual world, accessible to human experience. Followers of anthroposophy aim to develop mental faculties of spiritual discovery through a mode of thought independent of sensory experience. They also aim to present their ideas in a manner verifiable by rational discourse and specifically seek a precision and clarity in studying the spiritual world mirroring that obtained by natural historians in investigations of the physical world.

Naturopathy Form of alternative medicine

Naturopathy or naturopathic medicine is a form of alternative medicine that employs an array of pseudoscientific practices branded as "natural", "non-invasive", and as promoting "self-healing". The ideology and methods of naturopathy are based on vitalism and folk medicine, rather than evidence-based medicine. Naturopathic practitioners generally recommend against following modern medical practices, including but not limited to medical testing, drugs, vaccinations, and surgery. Instead, naturopathic study and practice rely on unscientific notions, often leading naturopaths to diagnoses and treatments that have no factual merit.

Quackery The promotion of fraudulent or ignorant medical practices

Quackery, often synonymous with health fraud, is the promotion of fraudulent or ignorant medical practices. A quack is a "fraudulent or ignorant pretender to medical skill" or "a person who pretends, professionally or publicly, to have skill, knowledge, qualification or credentials they do not possess; a charlatan or snake oil salesman". The term quack is a clipped form of the archaic term quacksalver, from Dutch: kwakzalver a "hawker of salve". In the Middle Ages the term quack meant "shouting". The quacksalvers sold their wares on the market shouting in a loud voice.

Allopathic medicine, or allopathy, is a term which refers to science-based, modern medicine, such as the use of medications or surgery to treat or suppress symptoms or the ill effects of disease. There are regional variations in usage of the term. In the United States, the term is used to contrast with osteopathic medicine, especially in the field of medical education.

Craniosacral therapy

Craniosacral therapy (CST) is a form of bodywork or alternative therapy that uses gentle touch to palpate the synarthrodial joints of the cranium. It is based on fundamental misconceptions about the nature of the human skull and is promoted as a cure-all for a variety of health conditions.

Eurythmy expressive movement art associated with Anthroposophy

Eurythmy is an expressive movement art originated by Rudolf Steiner in conjunction with Marie von Sivers in the early 20th century. Primarily a performance art, it is also used in education, especially in Waldorf schools, and – as part of anthroposophic medicine – for claimed therapeutic purposes.

Edzard Ernst academic physician and researcher specializing in the study of complementary and alternative medicine

Edzard Ernst is an academic physician and researcher specializing in the study of complementary and alternative medicine. He was formerly Professor of Complementary Medicine at the University of Exeter, the first such academic position in the world.

Energy medicine, energy therapy, energy healing, vibrational medicine, psychic healing, spiritual medicine or spiritual healing are branches of alternative medicine based on a pseudo-scientific belief that healers can channel healing energy into a patient and effect positive results. This idea itself contains several methods: hands-on, hands-off, and distant where the patient and healer are in different locations.

<i>Trick or Treatment?</i> book by Simon Singh

Trick or Treatment? Alternative Medicine on Trial is a 2008 book about alternative medicine by Simon Singh and Edzard Ernst.

Elisabeth Vreede was a Dutch mathematician, astronomer and Anthroposophist.

Oskar Schmiedel was a pharmacist, anthroposophist, therapist, Goethean scientist and theosophist.

Weleda beauty product company

Weleda is a multinational company that produces both beauty products and naturopathic medicines. Both branches design their products based on anthroposophic principles, an alternative medicine which has therefore not proved its effectiveness. The company takes its name from the German form of the name of the 1st-century Bructeri völva Veleda. As well as being known to use green energy, Weleda uses natural ingredients grown using biodynamic methods and none of their ingredients or products are tested on animals.

<i>Suckers</i> (book) book by Rose Shapiro

Suckers: How Alternative Medicine Makes Fools of Us All is a book about alternative medicine written by author and health journalist Rose Shapiro. It was published by Harvill Secker in 2008. It covers very similar ground to Simon Singh and Edzard Ernst's book Trick or Treatment?, but is written in a more journalistic and polemical style. It provides substantial detail regarding alternative treatments offered to cancer patients.

Oasis of Hope Hospital Hospital in Baja California, Mexico

The Oasis of Hope Hospital is a clinic in Tijuana, Mexico providing alternative cancer treatments to its customers. The clinic was founded by the physician, Ernesto Contreras. After his death in 2003, the management of the hospital was taken over by his son, Francisco Contreras and nephew, Daniel Kennedy.

Good Thinking Society organization

The Good Thinking Society is a nonprofit organisation promoting scientific scepticism established by Simon Singh in September 2012.

References

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  25. 1 2 William T. Jarvis Anthroposophical Medicine
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Further reading

Books and journal articles

Lectures by Rudolf Steiner