on ginko balboa, for example..
 
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=15620194&dopt=Citation

 On 7/19/05, Dana <[EMAIL PROTECTED]> wrote: 
> 
> Although I hate to agree that there should be some regulation... in the 
> case of those two herbs I think there should. I repeat, they do the same 
> thing as coumadin. Now, for those not familiar, when I was taking coumadin I 
> had to get my blood checked as often as weekly for the hospital to feel 
> comfortable. The issue of dose standardization bcomes very important in this 
> context. And these are substances we are putting in beverages :) Now, I 
> drink them and I do this knowing what I am doing drinking them, but I am 
> sure there are people out there with a family distory of hemorraghic stroke 
> who have no idea that these drinks are dangerous for them. 
>  Re contamination, I believe it was star anise, but we could have 
> separately heard of separate incidents I suppose. Yes, there is an issue 
> there. And I say this as someone who does take herbal supplements.
>  On the issue of practitioners, there probably is an issue, though if you 
> go to a Doctor of Oriental Medecine there has been some fairly stringent 
> training and there are standards such as there are for physician assistants. 
> I do believe however that in many jurisdictions there is nothing to prevent 
> someone with a smidgen of knowledge from setting up shop as an "herbal 
> practitioner." 
>  I double-checked on scholar.google.com <http://scholar.google.com/> and 
> there seems to be some serious evidence that ginko balboa is thereapeutic 
> for some dementia patients at least and more questionably for memory loss in 
> general. Possibly these people actually have had strokes that were 
> misdiagnosed as Alzheimer's, but this sentence is pure speculation on my 
> part. 
>  Now as to MIT, I have no personal knowledge of the therapy, and I do 
> understand the problem of a scientist confronted with such things. But you 
> identify two questions, does it work and does it work as described. While 
> the scientist may get stuck on the latter, I submit that the patient and 
> many doctors only care about the answer to the first. 
>  When I saw a DOM for a persistent cough, he prescribed something based on 
> birch bark with an explanation that had somethign to do with yin and yang. I 
> don't remember what it was, because all I wanted to know is whether it would 
> work and whether it would have any side effects. It did and it did not. I 
> wound up talking to a DOM because my primary now believes that in such cases 
> antibiotics are no better than placebos, by the way. Perhaps the birch bark 
> pills acted as placebos. I don't care. I got better. 
>  Medicine is a moving target and its algorithms get redefined as needed.
> 
> Dana
>    On 7/19/05, Jim Davis <[EMAIL PROTECTED]> wrote: 
> > 
> > > -----Original Message-----
> > > From: Dana [mailto:[EMAIL PROTECTED] ]
> > > Sent: Tuesday, July 19, 2005 4:39 PM
> > > To: CF-Community
> > > Subject: Re: the mechanism of action is unknown
> > >
> > > All very true. But explain to me how you are going to test the effect 
> > of
> > > the
> > > mind on healing in a double-blind study? This isn't something from the
> > > National Enquirer we're talking about... this is Lancet. Ergo, the 
> > science
> > > is sound, or they would not have published it. 
> > 
> > Well there a definite differences between drug therapies and other 
> > therapies
> > - we've been mixing the two willy-nilly here but you simply can't use 
> > the
> > same tests for both.
> > 
> > For therapies like Theraputic Touch you have several avenues of 
> > exploration 
> > but they boil down to "does the therapy work?" and "does the stated
> > mechanism of the therapy work?"
> > 
> > It's pretty clear in the case of Theraputic Touch that the second case 
> > is a
> > resounding "now". According to practitioners they "feel wrongness" in 
> > their 
> > patients and can correct it. The patient doesn't have to be conscious or
> > even a whole body (practitioners have claimed to be able to affect 
> > cancerous
> > growths in Petri dishes).
> > 
> > However the first is a more complex question. Does the therapy work, but 
> > in 
> > some other way? This requires lots of testing in different ways - it's
> > clear from current studies that there's no effect if the patient isn't 
> > aware
> > of the treatment for example.
> > 
> > So what if we have a control group getting "fake" treatment that shows 
> > the 
> > same benefits?
> > 
> > > On a slightly different topic there is also a problem with the current
> > > paradigm in that drug companies are being relied on for research. 
> > Based on
> > > my adventures in the land of coumadin, I can assure you that a similar 
> > 
> > > effect can be had with either ginko balboa or gingseng. However, there 
> > is
> > > an
> > > issue of standardizing the dose, one, and monitoring the very 
> > considerable
> > > side effects. Therefore, people with clotting issues are given a 
> > substance 
> > > best known for being a rat poison, rather than a substance best known 
> > for
> > > improving memory, because there is a patent on the former and not the
> > > latter.
> > 
> > I can't agree with you more.
> > 
> > Herbal remedies definitely have an effect and, I feel, should be 
> > controlled 
> > substances. However the current system leads to several problems:
> > 
> > +) In nearly all cases patients are self-medicating or accepting dosage
> > contracts from people with, at best, questionable credentials.
> > 
> > +) Since such "supplements" aren't controlled as drugs are it leads to
> > problems with handing and contamination. There was a case not too long 
> > ago
> > in Australia where a shipment of Ginko (if I remember correctly) was 
> > contaminated with a highly toxic mold sending several people into comas.
> > Even without that extremity tests continuously show many popular,
> > uncontrolled supplements to be tainted and their labeled dosages to be
> > wildly inaccurate.
> > 
> > +) Although many "natural" remedies affect the body just as much or more
> > than prescription medication most people don't tell their doctors about
> > them. This leads to nasty interactions and sometimes serious problems. 
> > 
> > +) Natural remedies are not tested for efficacy or dosage. Traditional
> > cures are linked with traditional illnesses and in many cases that's 
> > that.
> > In the same vein "mega-dosing" herbal remedies and vitamins (popular in 
> > certain circles) has been shown to do essentially nothing.
> > 
> > +) Its all folklore and association. For example Ginko has some benefits
> > for certain things but (to my knowledge at least) has never been proven 
> > to 
> > help memory at all.
> > 
> > Instead certain tests indicated that Ginko might provide some specific
> > relief to Alzheimer's patients. This was then twisted by the supplement
> > companies as being a "miracle memory pill". 
> > 
> > The same thing happened when injections of shark cartilage was shown to 
> > have
> > some positive effect on specific kinds of tumors. This was suddenly 
> > twisted
> > to show that eating "Shark Pills" could prevent cancer. 
> > 
> > In all sorts of ways herbal and other natural remedies stated and 
> > accepted
> > uses snowball out of control. Being uncontrolled there's an underground
> > movement convinced that these miracle, natural remedies are being "held 
> > back" by the big drug companies (a conspiracy theory so plausible 
> > because
> > it's not far from the truth) and a knowing wink made whenever the "these
> > statements have not been evaluated..." disclaimer is shown. 
> > 
> > The labels "natural" and "homeopathic" get thrown around in this arena 
> > with
> > no regard for what they actually mean. "Homeopathic" in particular is
> > ridiculous as it's now a selling point for blatantly non-homeopathic 
> > drugs 
> > (meaning the drugs actually have active ingredients)!
> > 
> > The whole area is a huge mess.
> > 
> > Jim Davis
> > 
> > 
> > 
> > 
> > 

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